The Burdens of Orthopedic Patients and the Value of the HEPAS Approach (Healthy Eating, Physical Activity, and Sleep Hygiene)

Frontiers in Medicine

article

Matteo Briguglio¹ 

[1] IRCCS Orthopedic Institute Galeazzi

关键词: aging;    osteoporosis;    post traumatic;    sarcopenia;    orthopedics;    diet;    healthy;    physical activity;    sleep habits;    quality of health care;   

DOI  :  10.3389/fmed.2021.650947

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Aging is accompanied by an inexorable decline in physiological reserves, with life-course determinants entangling with conditions that put a strain on both the body and mind. In the current research panorama, the concept of health restoration is often associated with the fast regaining of bodily abilities intended as physical and mental dynamisms (1, 2), echoing the movement Futurism of the early 1990’s that despised the stasis of reality and exalted the beauty of speed (3). What slowly deteriorates has to be quickly corrected and there would be no room for old age nevertheless, slowing the body, the mind, and the society. Indeed, orthopedic care pathways are often referred to as accelerated pathways or “fast-tracks,” symbolizing the firm surgery times, the shortened hospital stay, and the early rehabilitation (4). However, it is a fact that the world is populated by old people. On the one hand, there is high life expectancy while on the other hand there exists a technological society in which most of the elderly have no place. Their physical frailty, mainly associated with poor nutrition and immobility, is inevitably aggravated by psychological and social connotations (5). The HEPAS (Healthy Eating, Physical Activity, and Sleep hygiene) is a multidisciplinary approach to support the physical and mental health of individuals at risk of/with neuropsychiatric diseases that was first presented by Italian and American experts from IRCCS Orthopedic Institute Galeazzi and Stanford University (6). The cornerstones of this program include food and nutrition education, the promotion of an active lifestyle, and indications to aid restful sleep. In its conceptual model, HEPAS may not only be translated from Neuropsychiatry to Orthopedics, but it could also be feasible in the various stages of orthopedic disease progression, being implemented during the phase of health promotion and prevention of musculoskeletal disorders, the phase of reduction of disease burden, and the phase of adverse outcome prevention. The aim of this opinion article is to discuss how HEPAS can be exploited in the journey of orthopedic patients, showing its potential value in perfectly matching the burdens that grip the old person.

【 授权许可】

CC BY