Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Social participation and healthy ageing: a neglected, significant protective factor for chronic non communicable conditions | Holmes and Joseph Globalization and Health 2011 7 43 http content 7 1 43 H2 globalization 7 AND HEALTH DEBATE Open Access Social participation and healthy ageing a neglected significant protective factor for chronic non communicable conditions Wendy R Holmes1 and Jennifer Joseph2 Abstract Background Low and middle income countries are ageing at a much faster rate than richer countries especially in Asia. This is happening at a time of globalisation migration urbanisation and smaller families. Older people make significant contributions to their families and communities but this is often undermined by chronic disease and preventable disability. Social participation can help to protect against morbidity and mortality. We argue that social participation deserves much greater attention as a protective factor and that older people can play a useful role in the prevention and management of chronic conditions. We present as an example a low-cost sustainable strategy that has increased social participation among elders in Sri Lanka. Discussion Current international policy initiatives to address the increasing prevalence of non-communicable chronic diseases are focused on cardiovascular disease diabetes respiratory disease and cancers responsible for much premature mortality. Interventions to modify their shared risk factors of high salt and fat diets inactivity smoking and alcohol use are advocated. But older people also suffer chronic conditions that primarily affect quality of life and have a wider range of risk factors. There is strong epidemiological and physiological evidence that social isolation in particular is as important a risk factor for chronic diseases as the lifestyle risk factors yet it is currently neglected. There are useful experiences of inexpensive and sustainable strategies to improve social participation among older people in low and lower middle income countries. Our experience with forming Elders Clubs with retired .