{"id":497,"date":"2017-03-28T10:37:08","date_gmt":"2017-03-28T14:37:08","guid":{"rendered":"http:\/\/www.silvercentury.org\/?p=497"},"modified":"2018-07-05T12:17:17","modified_gmt":"2018-07-05T16:17:17","slug":"successful-aging-its-not-impossible","status":"publish","type":"post","link":"http:\/\/78.142.243.82\/~silvercentury\/2017\/03\/successful-aging-its-not-impossible\/","title":{"rendered":"Successful Aging\u2014It\u2019s Not Impossible"},"content":{"rendered":"<p>Maybelle lives with her daughter, Ella, in a two-bedroom house in rural Nevada. At 76 years old, Maybelle controls her type 2 diabetes and high blood pressure as best she can. Years of caring for her ailing husband left little time for exercise and little money for health checkups. Breaking her hip didn\u2019t help with mobility. She uses a walker, though she doesn\u2019t go out much.<\/p>\n<p>But Maybelle loves to paint. She\u2019ll sit for hours creating landscapes that she donates to a local charity to sell. And she sings. Maybelle and Ella sing a hymn every night before bed\u2014a brief but welcome respite in Ella\u2019s stressful day. And she loves. She doles out words of wisdom whenever her 24-year-old grandson will lend an ear.<\/p>\n<p>In Vail, CO, Ralph, a 76-year-old former business executive, maintains a season pass to the ski slopes and travels around the world with friends, hiking and bicycling in magical landscapes Maybelle only imagines. His hometown newspaper recently profiled him as an inspirational citizen. His doctor was quoted as saying, \u201cRalph sets a standard we should all aspire to.\u201d<\/p>\n<p>The question: Who\u2019s aging more successfully?<\/p>\n<p>Academics have been debating theories of successful aging for decades. They\u2019re trying to identify what it takes to have a good old age so we can all follow the prescription, ideally starting in middle age or before. But the criteria have proven difficult to pinpoint. Many attempts have all but designated groups of people as failures at aging, even though they thought they were doing pretty well, thank you very much.<\/p>\n<p>At least, though, these theories promote the possibility of a fulfilling, active old age. Not long ago, that particular focus was revolutionary.<\/p>\n<p><strong>Old and Only Getting Worse<\/strong><\/p>\n<p>In 1984, screaming teenagers celebrated the launch of the irreverent MTV Video Music Awards, and the popular movie <em>Footloose<\/em> preached freedom for young people against the tyranny of stuffy, middle-aged fogies. To be young was to be free and cool.<\/p>\n<p>And to be older? Think <em>Murder She Wrote<\/em>, which also premiered in 1984, starring Angela Lansbury as an amateur detective. Neat, huh? Yet <em>Washington Post<\/em> critic Tom Shales described Lansbury\u2019s character as \u201ca diminutive old auntie\u201d and a \u201ccute and cuddly\u2026granny Mary Poppins.\u201d Lansbury was 58.<\/p>\n<p>If 58 was \u201cold,\u201d what was 78, 88\u202698? Just plain sad. People in later life were likely to be viewed in terms of the four D\u2019s: dependency, disease, disability and depression, wrote Kansas State University professor Rick J. Scheidt and colleagues in a 1999 article in the <em>Journal of Applied Gerontology<\/em>. Aging meant declining, and there was little positive about it.<\/p>\n<p>Before the next century rolled around, however, that view would change.<\/p>\n<p><strong>What Is Successful Aging?<\/strong><\/p>\n<p>In 1984, while people were celebrating youth and dreading their elder years, a large philanthropic organization, the John D. and Catherine T. MacArthur Foundation, assembled 16 scientists to study ways to help improve how people aged.<\/p>\n<p>Fourteen years later, in 1998, the group\u2019s leaders, John W. Rowe, MD, and Robert L. Kahn, PhD, published the results of their research in the book <a href=\"http:\/\/www.amazon.com\/Successful-Aging-John-Wallis-Rowe\/dp\/0440508630\/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1330717150&amp;sr=1-1\" target=\"_blank\" rel=\"noopener\"><em>Successful Aging<\/em><\/a>. It explained what separated \u201csuccessful\u201d agers from everybody else. \u201cIn sum, we were trying to pinpoint the many factors that conspire to put one octogenarian on cross-country skis and another in a wheelchair,\u201d they wrote.<\/p>\n<p>The MacArthur findings revolutionized how people looked at growing old. As the cover promised, the book showed \u201chow the lifestyle choices you make now\u2014more than heredity\u2014determine your health and vitality.\u201d Healthy living in midlife and beyond could lead to active, fulfilling later years. It seems an obvious message today. But back then, it was unusually empowering and hopeful.<\/p>\n<p>Though Rowe and Kahn didn\u2019t coin the term \u201csuccessful aging,\u201d they helped popularize it. \u201cThis model was a real game changer and paradigm shifter,\u201d says David C. Burdick, PhD, a professor of psychology and director of the Stockton Center on Successful Aging at the Richard Stockton College of New Jersey.&nbsp;\u201cOnce researchers changed their focus from decline and negativity, they started to find many more positive aspects of aging.\u201d<\/p>\n<p>When Rowe and Kahn studied older people, they culled out the cream of the crop and called them \u201csuccessful.\u201d &nbsp;In a nutshell, they said successful agers have:<\/p>\n<ul>\n<li>No disease or disease-related disability and a low risk of developing either.<\/li>\n<li>High mental and physical ability.<\/li>\n<li>An \u201cactive engagement with life,\u201d meaning they maintain good relationships and engage in productive activities.<\/li>\n<\/ul>\n<p>Sounds pretty good \u2026 but maybe a little too good. Amidst the praise and hoopla came concern. Meeting criteria that lofty wasn\u2019t realistic for many people, some pointed out. And if you don\u2019t successfully age, what does that make you? A failure? Or are you just a normal ager?&nbsp;<\/p>\n<p><strong>The Downside of &#8220;Successful Aging&#8221;<\/strong><\/p>\n<p>The book <em>Successful Aging<\/em> asserts that if you try hard enough and do the right things, you have a good chance of aging healthfully and happily. But not everyone is in a position to make the best choices. For example, what if you go through a time when money\u2019s scarce, or you have responsibilities that leave little time for personal care?<\/p>\n<p>This model \u201cimplies that we are able to choose lifestyles that will lead to successful aging,\u201d says Share DeCroix Bane, PhD, assistant research professor at the Center on Aging Studies at the University of Missouri-Kansas City. \u201cThis can lead to blaming those who do not have access to that lifestyle or who have had debilitating illness.\u201d<\/p>\n<p>One group of people this affects most is women. In their 2003 critique of Rowe and Kahn\u2019s concept of successful aging, published in the <em>Gerontologist<\/em>, researchers Martha B. Holstein, PhD, of Chicago\u2019s DePaul University, and Meredith Minkler, DrPH, of the University of California, Berkeley, argue that many women have been in and out of the workplace, taking time to care for children, parents or a spouse. They\u2019re more at risk for poverty and may not have had time or funds to care for themselves. Yet they make up the majority of people who live longer lives.<\/p>\n<p><strong>The Many Faces of Successful Aging<\/strong><\/p>\n<p>What, then, does successful aging mean these days? And how do we accomplish it?<\/p>\n<p>The Rowe and Kahn model focuses largely on health. In order to accomplish its idealistic goals, you need to:<\/p>\n<ul>\n<li><strong>Stay healthy.<\/strong> Exercise, eat wholesome food, don\u2019t smoke, and get appropriate health screenings and vaccines.<\/li>\n<li><strong>Nurture personal relationships.<\/strong> These give you emotional and physical support and may help you maintain health-promoting activities, such as participating in walking groups.<\/li>\n<li><strong>Maintain a good sense of self-efficacy.<\/strong> Rowe and Kahn define this as a belief in your ability to solve problems and meet challenges. Also, don\u2019t let people do too much for you. Doing things for yourself rather than letting someone else take over can help maintain that self-efficacy.<\/li>\n<li><strong>Participate in productive activities<\/strong>. Work in a traditional career, volunteer, help friends and family, spend time on home maintenance or improvement, or do housework, for example.<\/li>\n<\/ul>\n<p>If you\u2019re not meeting all of those criteria, you\u2019re not alone. Studies suggest that when older people are judged solely on this model, fewer than a fifth are successfully aging, wrote British researchers Ann Bowling and Paul Dieppe in a 2005 article from the British medical journal <em>BMJ<\/em>. Yet, according to the older people themselves, half are successfully aging by their own standards, which include having good mental health and a sense of purpose.<\/p>\n<p>\u201cToday, there are actually a number of other successful-aging theories, which build upon Rowe and Kahn\u2019s work,\u201d says Burdick. \u201cThey don\u2019t so much reject the theory as build in other elements\u2014for example, as a chef would take a good recipe and add or subtract ingredients.\u201d<\/p>\n<p>According to Burdick, some of the other theories include the following characteristics:<\/p>\n<ul>\n<li><strong>Good attitude.<\/strong> It helps to have guarded optimism about aging\u2014believing in your ability to change and to grow.<\/li>\n<li><strong>Purpose.<\/strong> A sense of meaning and purpose in life is important.<\/li>\n<li><strong>Spirituality.<\/strong> \u201cIt doesn\u2019t necessarily need to be a traditional belief in God,\u201d Burdick says. \u201cSome sense of being part of something bigger than one\u2019s self\u2014some sense of transcendence beyond one\u2019s body and surrounding\u2014all seem to be helpful.\u201d<\/li>\n<\/ul>\n<p>Bowling and Dieppe say researchers have explored other criteria as well. Their theories suggest that&nbsp;you\u2019re aging successfully if you\u2019re still independent, for example, or you&#8217;re learning new things or you have good coping skills. Lay people add other characteristics. &nbsp;For instance,&nbsp;to them you\u2019re successful if you\u2019re satisfied with your life, or you&#8217;re financially secure or you still have a sense of humor.<\/p>\n<p><strong>What Does Successful Aging Mean to You?<\/strong><\/p>\n<p>With all of those theories\u2014physical, cognitive, mental, spiritual\u2014it\u2019s difficult for anyone to meet the criteria. But looking on the bright side, this gives us lots of options.<\/p>\n<p>We can each choose what successful aging means to us. Perhaps, like Maybelle, we&#8217;ll decide it includes expressing ourselves creatively, giving back to our community, deepening our spirituality, and being a wise and nurturing grandparent.<\/p>\n<p>Or maybe we\u2019re more like Ralph. Fitness and adventure are our calling, meeting new people, our passion.<\/p>\n<p>We could even be like Brian Nelson, a 50-year-old who wrote in 2009 in the <em>New York Times<\/em> blog <em>Well<\/em> that <a href=\"http:\/\/well.blogs.nytimes.com\/2009\/08\/20\/when-cancer-changes-your-appearance\/?scp=1-b&amp;sq=when+cancer+changes+your+appearance&amp;st=nyt\" target=\"_blank\" rel=\"noopener\">he had survived over 40 years of bad health<\/a>. At the time, side effects from cancer treatment were taking a toll. He wrote:<\/p>\n<blockquote><p>I get up each morning and remind myself that I\u2019m going to be swollen, tired and nauseous. So if I get something done, like epoxy the hatches of the kayak I\u2019m building, it\u2019s a great day. Or if I get through all my (liquid) food, it\u2019s a great day. Or if one of our cats comes up to say hello, rubs itself on my leg and settles down for a nap near me &#8230; yep: great day!<\/p><\/blockquote>\n<p>Nelson passed away later that year. Did he age successfully? Judging by his blog post, surely few would argue he didn\u2019t. In fact, he was an inspiration to others\u2014someone we could all learn from. And really, what better criterion for success is there than that?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Maybelle lives with her daughter, Ella, in a two-bedroom house in rural Nevada. At 76 years old, Maybelle controls her type 2 diabetes and high blood pressure as best she can. Years of caring for her ailing husband left little<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"http:\/\/78.142.243.82\/~silvercentury\/2017\/03\/successful-aging-its-not-impossible\/\">Read more <span class=\"screen-reader-text\">Successful Aging\u2014It\u2019s Not Impossible<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":11,"featured_media":498,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":null,"_FSMCFIC_featured_image_hide":null,"footnotes":""},"categories":[5,7],"tags":[],"class_list":["post-497","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-getting-older","category-healthspan"],"cc_featured_image_caption":{"caption_text":"","source_text":"","source_url":""},"wps_subtitle":"How the experts define \u2018success,\u2019 plus some thoughts on setting your own goals","_links":{"self":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/497","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\/11"}],"replies":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/comments?post=497"}],"version-history":[{"count":6,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/497\/revisions"}],"predecessor-version":[{"id":4848,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/497\/revisions\/4848"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/media\/498"}],"wp:attachment":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/media?parent=497"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/categories?post=497"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/tags?post=497"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}