Exercise, optimism and preventive care can cut risk of chronic diseases
U.S. residents might be living longer these days, but more and more Americans have chronic diseases, such as diabetes, which decrease their lifespan and boost medical costs. Some 133 million adults — almost half the adult population — have some type of chronic health condition, according to the Centers for Disease Control and Prevention (CDC). With such staggering statistics, you might think illness and impairment are synonymous with aging.
 But experts say old age  need not be marked by disease and disability. Older adults can take  action, even well into their 60s and 70s, to reduce the risk of  developing chronic disease and avoid injury.
But experts say old age  need not be marked by disease and disability. Older adults can take  action, even well into their 60s and 70s, to reduce the risk of  developing chronic disease and avoid injury."I think the old myth was somehow after age 60, 65,  there's just nothing you can do anymore," said Margaret Moore, a public  health advisor for the CDC's Healthy Aging Program. But really, "there  are lots of things you can do to improve your function [and] your health  well into older age," she said.
Among the beneficial behaviors: Exercise,  stretching, preventative measures such as flu shots and disease  screening, and even a generally optimistic outlook on life.
"There's certainly going  to be some changes that occur with getting older," Moore said, "but it  doesn’t have to mean disability, it doesn’t have to mean disease."
Staggering  statsThe number of U.S. adults aged 65 and over living  with certain chronic conditions has increased in recent years. 
Rising rates of chronic disease have been  mirrored by rising rates in obesity, which is known to be a major risk  factor for heart disease, cancer and diabetes. Since the 1960s, the  number of overweight men aged 65 to 74 has increased from 10.4 percent  to 33.0 percent in 2003-2006. And the number of overweight women has  gone up from 23.2 percent to 36.4 percent in that period. 
Our nation as a whole is  suffering from an obesity epidemic, with about two-thirds of the  population being overweight or obese, according to the CDC.
Foremost:  exerciseIf there's one step you could take to improve  your health and help you steer clear of chronic disease, it's exercise,  experts say. And it really is never too late to start.
"I have known patients  who have started exercising in their 70s and reaped great benefits from  it," said Carmel B. Dyer, a geriatrician and director of the Division of  Geriatric and Palliative Medicine at the University of Texas Medical  School at Houston.
Exercise helps control your weight, lower your  blood pressure, and strengthen your muscles, which in turn make you less  likely to fall. And more muscle mass helps you metabolize drugs more  like a young person, Dyer said, which means the drugs will be cleared  from the body more effectively. 
Physical activity has  also been linked to a decreased risk of dementia, she said.
If you can keep your  weight down, you'll decrease your risk of diabetes, which affects about  23.3 million Americans, as well as certain types of arthritis, which  hinders activity for about 19 million Americans, according to the CDC. 
As a nation, we could do  better when it comes to exercise — in 2006-2007, about one-third of  adults over 65 said they had no leisure time physical activity in the  past month, according to CDC statistics.
But older adults need not join a gym, or suffer  through rigorous workouts. Instead, more mild activities, such as  walking, gardening, or anything to keep moving would be sufficient,  CDC's Moore said.
And  a "healthy weight" doesn't necessarily have to be what you weighed when  you were in your 20's, according to Dyer.
"You want to exercise enough so that you're not  obese, but not too thin, so you have reserve. But you don't have to  become so fanatical about it that you have to get down to your college  weight," she said. 
Stretching  is also important, Dyer said. Your muscles tend to shorten and stiffen  if you aren't as active, and stretching activities such as yoga, will  help improve your flexibility.
"You wouldn’t think that five minutes of stretching  in the morning would be all that helpful to you in old age, but it's  extremely helpful," she said.
Another key: preventionPreventive  measures, such as getting a yearly flu shot, and screening for breast,  cervical and colorectal cancers are also important for growing old  gracefully.
Judging  from statistics, Americans don't have a stellar record when it comes to  getting these services. Only about one-quarter of adults aged 50 to 65,  and less than 40 percent of those over 65 are up to date with them, the  CDC says.
Keeping  an eye on other disease indicators, such as high blood pressure and the  early stages of diabetes, can also make a difference in terms of the  degree of disability people experience later in life, Moore said.
"While you might not  actually prevent the disease, you can prevent the disability that would  come from not treating the disease promptly enough," she said.
There are even steps you  can take to reduce the severity of arthritis, the nation's most common  disability affecting about 46 million U.S. adults, about 50 percent of  which are over the age of 65.
Staying educated about the disease, avoiding further  joint injury, and keeping physically active are among the tips for  managing arthritis.
"Once  you have arthritis, staying physically active can help reduce the pain  you get, and the symptoms; that's counterintuitive, but well documented  that it does help," said Charles Helmick, who helps lead the CDC's  Arthritis Program.
Optimism  Churchgoing and a generally sunny outlook on life have  also been linked to longer, healthier lives.
For instance, one 2006  study found that regular  church attendance can add 1.8 to 3.1 years to your life. However,  scientists are still unsure about why churchgoing extends life, or if  other factors could be at play.
Decreased stress levels, from spiritual  activities such as meditation, may be partly responsible for the  religious benefits, Dyer said. 
A slew of studies also suggest that optimistic people  live longer, and are less likely to develop certain chronic conditions,  such as heart disease. 
For  example, a 2004 study including about 1,000 men and women found that  those who described themselves as optimistic  had a 55 percent lower risk of death overall, and a 23 percent lower  risk of death from heart failure than pessimists.
A more recent study on  some 97,000 postmenopausal women had similar findings. Optimistic  women in the study had a 14 percent lower risk of dying from any  cause, and a 9 percent lower risk of developing heart disease.

 










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