by Hans Diehl DrHSc, MPH and Wayne Dysinger MD, MPH on 2019-04-04

Everyone hates getting old. People want to stay young. Or, at least middle-aged. But time keeps marching. With the 65-and-older segment getting larger in North America what are the prospects for the golden-agers in today's world?

Defining old

An increasing trend is to date people by their intellectual and social capabilities rather than by chronological age.  Health, or the biological age, rather than years usually determines one's status. Old age sets in when disease and disability limit everyday tasks. Some people are old while relatively young in years. These are usually people who are chronically ill, injured and victims of a major tragedy. All too often they have withdrawn and given up on life. Others remain youthful, vital, interesting, and productive into advanced age.

Older is better?

Really? It may be a matter of perspective. For physical strength, energy and fewer ailments, youth is better. But for increased confidence, better judgment and insight, less anxiety, and more freedom, older can be better. And experience may help too. Most philosophers, composers, painters, and writers, for instance improve with time.

Over 65, and chronic diseases

In affluent Western society about 80 percent of the 65-and-over group have some kind of health problem. It may include hypertension, diabetes, arthritis, depression, heart disease hearing or memory loss, and excess weight. But most of these illnesses are not always incapacitating. About 95 percent of older people live in their communities and most of them still have their own households.

Premature aging and disability are largely the result of lifestyle factors. Let's not fool ourselves: our typically rich American diet of lots of animal products and refined foods, and our lack of regular exercise can make people old before their time. Overweight and obesity speeds up physical and sexual decline. Other lifestyle choices such as smoking, excessive alcohol and caffeine consumption, and the abuse of drugs also play a factor.

Over 65 and forgetfulness

Forgetfulness in older people may be exaggerated. Stress, anxiety, fast-moving events, memory overload, and lack of interest can cause forgetfulness at any age. Depression, which affects many older people, is often misdiagnosed as senility. Not too many actually develop genuine senile dementias. Most people retain remarkable memory function for a long time, especially when they stay active and fit.

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