A study published last week in the Archives of Internal Medicine shows that fitness in middle age gives people a much better chance of staying healthier longer.
This is much better news for those now in their 40s and 50s than it may first appear.
Americans are living longer today, Gretchen Reynolds wrote in Wednesday’s New York Times, but the incidence of chronic diseases such as heart disease, diabetes and cancer is also increasing in the nation’s elderly.
Researchers are calling the result a “lengthening of morbidity.”
“That means we are spending more years living with chronic disease and ill health — not the outcome that most of us would hope for from a prolonged life span,” she observed.
But the new study shows that middle-aged folks who had never exercised much before, can give themselves a good shot at a healthy old age by becoming fit in their 40s and 50s.
The study looked at the health histories of 18,670 middle-aged men and women who had had medical examinations at the Cooper Clinic in Dallas beginning in 1970. Their average age then was 49. They all had taken treadmill tests to determine their aerobic fitness. They were rated in one of five categories depending on their treadmill results. The majority fell into the least-fit group, as do most Americans.
“Then, in a first-of-its-kind data comparison, the researchers checked the same individuals’ Medicare claim records from 1999 through 2009, by which time most of the participants were in their 70s and 80s. What they found was those adults who had been the least fit at the time of their middle-age checkup also were the most likely to have developed any of eight serious or chronic conditions early in the aging process. These include heart disease, diabetes, Alzheimer’s and colon or lung cancer.
“The adults who’d been the most fit in their 40s and 50s often developed many of the same conditions, but notably their maladies appeared significantly later in life than for the less fit. Typically, the most aerobically fit people lived with chronic illnesses in the final five years of their lives, instead of the final 10, 15 or even 20 years.
WHAT A GREAT trade-off. Get in decent shape say at 50, and collect your reward at 75, or 80, or 85.
Death comes to everyone eventually. But, as the old joke puts it, I’d like to live to 100 and then be shot by a jealous husband. The Dallas study brings that frivolous wish a tad closer to reality.
Life expectancy today is about 78. That’s up from 74 in 1980. The number of 90-year-olds grows steadily. Living to 100 no longer makes a person a curiosity.
But living long is not the same as living well.
With a little advance planning, a great many more of the world’s middle-aged men and women can give themselves 10 years or more of good health at the end of their lives, when health becomes of such great importance to the elderly and their families.
As the Dallas study showed clearly, cardiovascular fitness can be achieved by virtually all men and women in their 40s and 50s. Twenty minutes of brisk walking on most days will do it.
Jogging and sensible weight lifting will boost a person into the top ranks of the fit within a year of regular exercise for perhaps an hour a session, three to four days a week.
The physicians who conducted the Dallas study concluded that living healthier, longer, was the primary payoff for getting up from the couch at mid-life. Maybe. But fitness makes life more productive and enjoyable for everyone at whatever age. The payoff is immediate as well as long-term. Try it. It makes living more fun.
— Emerson Lynn, jr.