576
S1
sedentary behavior. Effects of physical (in)activity on learn-
ing and memory are currently being analyzed.
WHOLE BODY VIBRATION AS AN ALTERNATIVE
FOR EXERCISE - NEW INSIGHTS DERIVED FROM
MICE AND MEN
E.A. van der Zee1, M. Heesterbeek, MSc.2,
M.J. van Heuvelen, PhD3, 1. University of Groningen,
Groningen, Groningen, Netherlands, 2. University of
Groningen, GELIFES, Molecular Neurobiology, Groningen,
the Netherlands, 3. University of Groningen, University
Medical Center Groningen, Center for Human Movement
Sciences, Groningen, the Netherlands
During whole body vibration (WBV) the entire body of
an individual is exposed to vibrations that are mechanic-
ally transferred from a vibrating device such as a platform.
It may be an exercise alternative for those not able or will-
ing to participate in exercise programs. Research on humans
of different age groups revealed that WBV can improve
certain aspects of executive functioning. Underlying brain
mechanisms were studied using mice, and made clear that
WBV enhances neuronal activity including cholinergic and
dopaminergic cell groups. We currently study the potential
of WBV in Alzheimer’s disease patients, and noted that in
these older adults it a) can be safely applied, and b) seems to
improve quality of life if combined with other sensory motor
stimulations as an intervention. Cognitive effects could not
be improved in Alzheimer’s disease patients, which may sug-
gest that WBV should be applied at an earlier stage of the
disease.
SESSION 1950 (SYMPOSIUM)
MEDICARE-FOR-ALL: PROPOSALS, POLITICS AND
TRADEOFFS
Chair: J. Rother, National Coalition on Health Care,
Washington, District of Columbia
Discussants: P. Neuman1, R. Frank2, K. Pollitz3,
1. Kaiser Family Foundation, Washington, District of
Columbia, United States, 2. Harvard Medical School,
Boston, Massachusetts, United States
There is growing national interest in expanding Medicare as
a strategy to stabilize and expand health insurance coverage and
lower costs. Whether “Medicare for All,” or a “Medicare Buy-in”
for people under 65, the proposals share the belief that Medicare
is a system that we can build on for a broader population of ben-
eficiaries. These ideas will become more prominent as elections
pose the question of what’s next following the Affordable Care
Act. This symposium offers several perspectives on these various
proposals. John Rother, chair and moderator, reviews the his-
tory of the idea that Medicare should be the building block for
a broader health-care insurance system. Tricia Neuman provides
an overview of leading proposals, highlights key differences, and
discusses the potential implications for the Medicare program
and its beneficiaries. She reviews public opinion polling data
on the various proposals, including positions held by the major
political parties. Karen Pollitz discusses the implications of these
proposals for the individual health insurance market, employer-
based markets, and government programs such as Medicaid
and the VA. Richard Frank addresses the broader economic
Innovation in Aging, 2018, Vol. 2, No.
implications of these proposals, including differences in admin-
istrative costs of Medicare vs. the private insurance system and
the potential effects on health care organizations. The panel dis-
cussion that follows addresses trade-offs, including the likely
opposition of acute-care providers and physicians’ organizations
as well as current Medicare beneficiaries. There will be oppor-
tunity for questions and comments from the floor.
SESSION 1955 (SYMPOSIUM)
PERCEIVED AND OBJECTIVE ASPECTS OF HOME
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AND HEALTH: AGING IN PLACE IN JAPAN AND
SWEDEN
Chair: S.M. Schmidt, Lund University, Lund, Skane Lan
Co-Chair: B. Slaug, Lunds Universitet, Lund, Skane Lan
Discussant: F. Oswald, Goethe University Frankfurt,
Frankfurt, Hessen
One of the goals of the UN:s Sustainable Development
Action (2015) is “Sustainable Cities and Communities”.
A  concrete target is to ensure safe, affordable, and access-
ible housing by 2030. The design of the environment can
help the aging population maintain a high level of well-
being throughout the life course. However, we must ensure
we not only consider the objective aspects of the home but
also include perceptions about the home to ensure optimal
health. In this symposium we will present empirical exam-
ples of research from Japan and Sweden that are relevant
for policy decisions related to aging in place and the design
of homes. Nakajima and colleagues will present a study of
the relationship between perceived indoor temperature in
winter and risk for frailty among community dwelling older
adults in Japan. Gefenaite and colleagues from Sweden will
discuss the complex relationship between both objective
and perceived aspects of home and their relationship with
performance of activities of daily living. In a second study
from Japan (Tsuchiya-Ito et al.), the influence of aspects of
the home indoor environment on self-rated health was exam-
ined among older people using long-term care services. The
final presentation (Kylén et  al.) explores the associations
between perceived aspects of home, health and well-being
among younger old people. A  discussant from Germany
(Frank Oswald) will also tie the presentations together for
a broader perspective on potential policy changes that will
allow the built environment to better promote the UN goal
of “Sustainable Cities and Communities”.
COLD, POOR AND FRAIL: A CROSS-SECTIONAL
STUDY WITH COMMUNITY DWELLING OLDER
PEOPLE IN JAPAN
Y. Nakajima1, S. M Schmidt, PhD2, A. Malmgren Fänge,
Phd3, T. Hoshi4, M. Ono5, T. Ikaga, PhD6, 1. Graduate
School of Science and Technology, Keio University, Japan,
Yokohama, Kanagawa, Japan, 2. Department of Health
Sciences, Faculty of Medicine, Lund University, Lund,
Sweden; Graduate School of Science and Technology,
Faculty of Science and Technology, Keio University, Japan,
3. Department of Health Sciences, Faculty of Medicine,
Lund University, Lund, Sweden, 4. Dr. Medicine, Faculty
of Urban Environmental Sciences, Tokyo Metropolitan
University, Japan, 5. Faculty of Science and Technology,
GSA 2018 Annual Scientific Meeting