{"id":1473,"date":"2015-10-19T07:50:00","date_gmt":"2015-10-19T11:50:00","guid":{"rendered":"http:\/\/www.silvercentury.org\/2017\/09\/want-older-people-to-be-healthy-end-ageism\/"},"modified":"2018-04-17T22:23:02","modified_gmt":"2018-04-18T02:23:02","slug":"want-older-people-to-be-healthy-end-ageism","status":"publish","type":"post","link":"http:\/\/78.142.243.82\/~silvercentury\/2015\/10\/want-older-people-to-be-healthy-end-ageism\/","title":{"rendered":"Want Older People to Be Healthy? End Ageism"},"content":{"rendered":"<p>There\u2019s a lot of disagreement around how to frame the last century\u2019s unprecedented increase in human lifespan. Is it a crisis or an opportunity? Will a \u201cgrey tsunami\u201d of incapacitated freeloaders sweep us off our feet, or will we tap into the social capital of millions more healthy, well-educated adults?&nbsp; Are longer lives a blessing or a curse?&nbsp;Experience and ideology shape the responses, of course, but there\u2019s one thing both liberals and libertarians can agree on. What single characteristic of these older Americans will make the most difference? Their health. Living longer looks a lot more attractive when it\u2019s uncoupled from cognitive and physical decline. It\u2019s a lot cheaper too: illness is expensive.<\/p>\n<p>Ask most people if they want to grow old, and they say yes. A qualified yes, that is\u2014\u201cas long as I\u2019ve got my health.\u201d But health is shaped by more than genes and behavior. The beliefs we\u2019ve assimilated about the nature and value of old age\u2014how ageist we are, in other words\u2014also play an important role. A growing body of evidence shows that attitudes towards aging have an actual, measurable, physical effect on how we age. There\u2019s no inherent reason for the effect to be negative; positive attitudes improve mental and physical function. But an ageist culture like this one equates aging with decline. Prejudices are drummed into us by the media and popular culture and go unexamined. Wrinkles are ugly. Old people are incompetent. It\u2019s sad to be old. When we internalize those falsehoods, it actually harms our health.&nbsp;<\/p>\n<p>This isn\u2019t New Age woo-woo. Over the last few decades, mainstream medicine has come to accept the existence of a powerful mind-body connection. Clinical trials have shown that psychological factors can play a major role in illnesses and chronic conditions, and that mind-body therapies can help people function better and enjoy life more. This has critical implications for how well we age.&nbsp;Obviously, aging is more than a mind-set, but it\u2019s increasingly apparent that attitudes are an important part of the equation. The way we internalize cues in the environment\u2014as abstract as the way older people are depicted in the media or as concrete as that emerging bald spot\u2014significantly affects our physical and psychological trajectories.&nbsp;<\/p>\n<p>Harvard psychology professor&nbsp;Ellen Langer has done fascinating research&nbsp;in this domain. Her famous 1981 counterclockwise study \u201cteleported\u201d a group of 75- to 80-year-old men back in time during a five-day retreat. The subjects were told to imagine they were 55, to talk about that period in the present tense and to reflect on their lives when they were that age. Afterwards they looked an average of three years younger, their hearing and memory improved and some had less arthritis\u2014evidence of the physical effects of a mental activity. Psychologist Chris Kurby of Grand Valley State University described these findings by saying, \u201cIf we put our minds in a younger place, we may put our bodies in a younger place.\u201d<\/p>\n<p>Yale University psychologist&nbsp;Becca Levy has developed a theory about how we come to embody stereotypes of aging: we assimilate them from the culture, they become part of our identity and this influences how our brains and bodies function.<\/p>\n<p>Levy\u2019s theory has four components:<\/p>\n<ol>\n<li><span style=\"font-size: 18px;\">Age stereotypes become internalized across the lifespan, beginning when kids are exposed to negative stereotypes in all kinds of ways, from ads for wrinkle cream to children\u2019s books.<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Age stereotypes can operate unconsciously. We know this from&nbsp;<a href=\"http:\/\/www.silvercentury.org\/2017\/03\/the-power-of-positive-aging\/\">the many tests that have used subliminal priming<\/a>&nbsp;(flashing a word on a screen too briefly for subjects to become aware of it but long enough for them to assimilate the meaning subconsciously). For example, after being exposed subliminally to negative terms (e.g., decline, dependent, senile), older subjects did less well on memory tests\u2014evidence that stereotypes affect cognition.&nbsp;<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Age stereotypes become more relevant to us as we get older\u2014and thus are more likely to become self-fulfilling prophecies.<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Age stereotypes operate in multiple ways:&nbsp;<\/span><\/li>\n<\/ol>\n<ul style=\"margin-left: 40px;\">\n<li><span style=\"font-size: 18px;\">Psychological \u2013 via those self-fulfilling prophecies<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Physical &#8211; via heightened physiological responses to stress when older individuals are exposed to negative stereotypes &nbsp;<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Behavioral \u2013 via health practices: people who expect the worst as they age are less likely to engage in practices like controlling weight and diet, and exercising<\/span><\/li>\n<\/ul>\n<p>These effects work in both directions: positive stereotypes have positive effects.&nbsp;People who are optimistic about aging behave differently from those convinced that growing old means becoming useless or helpless. Those with more positive views not only do better on memory tests, they are more likely to recover fully from severe disability. And they actually live longer\u2014an average of seven and a half years.<\/p>\n<p>Until we change the culture, perhaps the best news is that the effects of negative age stereotypes are reversible. \u201cImplicit interventions\u201d\u2014as few as&nbsp;four brief exposures to subliminal, positive messages&nbsp;about aging\u2014improve physical function. In one 2014 study, participants with a mean age of 81 felt better psychologically and improved their strength, gait and balance. Remarkably, this short, safe, low-cost intervention was more effective than a six-month exercise program.&nbsp;<\/p>\n<p>Attacking one disease at a time, the \u201cWar on Cancer\u201d medical model, may buy us additional years without health\u2014the worst of all outcomes. Consensus is growing for a more holistic approach: intervening in the aging process itself in order to increase our active years and postpone disability and mortality. Postpone<em>,&nbsp;<\/em>not prevent. But while death is inevitable, poor health is not, and there\u2019s much we can do to stay well and keep frailty at bay. You know the drill: don\u2019t smoke, eat right, exercise regularly, get enough sleep. Confronting America\u2019s rampant ageism belongs on that list, and not as just a matter of personal well-being. Population aging makes it a public-health imperative.<\/p>\n<p>How can we make the goal of increasing not just lifespan but &#8220;healthspan&#8221; more attainable for Americans of all ages? How about a national anti-ageism campaign to raise awareness of age-based stereotypes and the damage they do? The benefits to health and human potential would be immense.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>There\u2019s a lot of disagreement around how to frame the last century\u2019s unprecedented increase in human lifespan. Is it a crisis or an opportunity? Will a \u201cgrey tsunami\u201d of incapacitated freeloaders sweep us off our feet, or will we tap<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"http:\/\/78.142.243.82\/~silvercentury\/2015\/10\/want-older-people-to-be-healthy-end-ageism\/\">Read more <span class=\"screen-reader-text\">Want Older People to Be Healthy? End Ageism<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":3,"featured_media":1932,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[79],"tags":[],"class_list":["post-1473","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"cc_featured_image_caption":{"caption_text":false,"source_text":false,"source_url":false},"wps_subtitle":"","_links":{"self":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/1473","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/comments?post=1473"}],"version-history":[{"count":6,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/1473\/revisions"}],"predecessor-version":[{"id":4187,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/1473\/revisions\/4187"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/media\/1932"}],"wp:attachment":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/media?parent=1473"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/categories?post=1473"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/tags?post=1473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}