Harvard Medicine: Aging

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Aging

Flip through the pages of any magazine or turn on the TV, and you may agree that it seems as if this year’s 55-year-old could easily pass for 45. Are middle-aged and older Americans actually physiologically younger than previous generations? Or could it be that a nip here or a tuck there is fooling the eye, while age-related physiological changes continue apace?

Most likely, a bit of both prevails. Although cosmetic arts certainly account for some of today’s youthful look, a handful of scientific findings also bolster the idea that the “aging” clock is slowing down a bit. On standard measurements of mental and physical functions, the health of a 70-year-old in 2003 is equivalent to that of a 65-year-old in 1973, according to one study on aging. Average life expectancy is creeping upward, too, reaching 75 for men and topping 80 for women.

How long are you likely to live? The answer to that question rests partly with the genes you’ve inherited. Yet the actions you take today have a great deal of influence. Simple lifestyle choices — what you eat, how often you exercise, and whether you smoke — have an enormous impact on your longevity and quality of life. Changes that were once labeled milestones in growing older — such as high blood pressure, fragile bones, and significant memory loss — are no longer considered inevitable.

Life expectancy on the rise

Increasing life span
As you grow older, your average life expectancy stretches. For example, while a newborn in the U.S. has a life expectancy of 78, a 65-year-old can expect to live another 19 years, and an 85-year-old has another 7 years.

Nowadays, life expectancy at birth is about 78 years in the United States. This is a great leap forward from a century ago, when the average newborn couldn’t expect to reach age 50.

If you live to celebrate certain milestones of age, your life expectancy expands. In other words, the longer you live, the longer you’re likely to live. Because a large number of people who have chronic ailments or engage in behaviors that raise the risk of accidents or illness get cut from the herd much earlier, the oldest old are often remarkably healthy.

Physical activity: A key to longevity

“If there is anything close to a fountain of youth, it is exercise,” says Dr. Anne Fabiny, a geriatrician and assistant professor of medicine at Harvard Medical School. “Given its proven benefits and low side-effect profile, if it were a pill, everyone would be on it!” The evidence is in: regular exercise helps people age more slowly and live healthier, more vigorous lives.

A proper exercise program can help delay many of the changes associated with aging, particularly when combined with preventive measures such as regular medical check-ups and a healthful diet. The same measures can ward off many of the chronic illnesses that too often tarnish our golden years, helping to prevent heart disease, cancer, and stroke as well as hypertension, diabetes, osteoporosis, and even Alzheimer’s disease.

In addition, studies have shown that it’s never too late to begin exercising. Researchers reporting in the Journal of the American Medical Association found that women who began walking a mile a day after age 65 were about half as likely to die of heart disease, cancer, or any cause as their sedentary counterparts. A study of more than 800 older men in the Netherlands associated regular biking with a 29% reduction in the death rate. And even people who begin exercising in their 90s and 100s realize gains in both cardiovascular and musculoskeletal fitness.

Getting started with exercise: Easy does it … but do it!

Age-related decline isn’t inevitable
Aging induces many changes in the body. Data from the Baltimore Longitudinal Study of Aging indicate that lung capacity declines about 40% on average between ages 20 and 70. The heart’s maximum oxygen intake during exercise declines by roughly 10% in men and 7.5% in women for each decade of adult life. Inactivity causes muscle mass to drop 22% for women and 23% for men between ages 30 and 70. Bone loss outstrips bone buildup starting around age 35. Kidneys gradually lose efficiency, too.

Are all of these declines inevitable? No. Studies prove that you can offset many of these changes by adopting healthy practices.

If you’re like most people, the idea of starting an exercise program can be daunting. But the abundant benefits of regular exercise begin to accrue with just a few hours of moderate activity per week. It’s worth noting that even stepping up so-called lifestyle activities — such as gardening or housecleaning — is beneficial.

How can you get started? The best advice is to begin slowly and gradually work up to more intensive activity over time. The most balanced exercise routine — and ultimately the healthiest one — emphasizes a combination of aerobic activity, strength training, and flexibility.

How much exercise should you get? If you’re in good health, aim to get at least 30 minutes of moderately intense physical activity on most — or, better still, all — days of the week. If you are struggling to maintain a healthy weight or need to lose weight, the 2005 Dietary Guidelines for Americans recommend increasing this to 60 or 90 minutes a day.

Click here for information on exercising safely.

Next: Steps to a longer, healthier life

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