Leading a healthy
lifestyle not only extends one's lifespan, but it also shortens the time that
is spent disabled - a finding that had previously eluded public health
scientists and demonstrates the value of investing in healthy lifestyle
promotion, even among the elderly.
In an earlier post, I referred to a study called Healthy Life Expectancy (pdf file) that shows that living longer does not guarantee people will be fit enough to work into old age.
I talked about the stats that show many of
us, while living longer, spend many of those years in poor health. New research
shows that we can change this pattern. An analysis of a quarter century of data
by scientists at the University of Pittsburgh Graduate School of Public Health
and their colleagues nationwide revealed that older adults with the healthiest
lifestyles could expect to spend about 1.7 fewer years disabled at the end of
their lives, compared to their unhealthiest counterparts. The study results are
online and scheduled for the October issue of the Journal of the American
Geriatrics Society.
If we spend less time in poor health, this will have enormous
personal and societal implications, ranging from quality of life to health care
costs. By staying healthy, by exercising and by eating properly so our overall
heath improves thus improving our lifestyle we may postpone both our own death
and disability, but it may mean less time in poor health at the end of our life.
The researchers examined data collected by the Cardiovascular
Health Study, which followed 5,888 adults from Sacramento County, Calif.;
Forsyth County, N.C.; Washington County, Md.; and Allegheny County, Pa., for 25
years. All of the participants were aged 65 or older and were not
institutionalized or wheelchair-dependent when they enrolled.
The participants reported or were assessed for various lifestyle
factors, including smoking habits, alcohol consumption, physical activity,
diet, weight and their social support system. The researchers took into account
and adjusted results for such factors as participants' age, sex, race,
education, income, marital status and chronic health conditions.
Across all the participants, the average number of disabled
years directly preceding death - years when the person had difficulty eating,
bathing, toileting, dressing, getting out of bed or a chair, or walking around
the home - averaged 4.5 years for women and 2.9 years for men, which is inline
with the world wide data.
For each gender and race group, those with the healthiest
lifestyle (those who were non-smokers of a healthy weight and diet and getting
regular exercise) not only lived longer, but had fewer disabled years at the
end of their lives. For example, a white man in the healthiest lifestyle group
could expect to live 4.8 years longer than his counterpart in the unhealthiest
group, and at the end of his life, he'd likely spend only two of those years
disabled, compared to 3.7 years for his unhealthy counterpart.
Put another way, that man's healthy lifestyle has given him
nearly three more years of active life free of disability than his unhealthy
counterpart, who not only died earlier but spent the last three-and-a-half
years of his life disabled - a larger percentage of those remaining years.
So the bottom line for me is to invest and take the time to
maintain a healthy lifestyle and encourage my friends and other people to
maintain healthy behaviors into old age. The results of this survey indicate
that as seniors we need to maintain a healthy lifestyle. Being healthy may
allow to reduce risk of being disabled for a longer period when you are near
the end of life.
No comments:
Post a Comment