Physical Activity and Nutrition
Research indicates that staying physically active can help prevent or
delay certain diseases, including some cancers, heart disease and
diabetes, and also relieve depression and improve mood. Inactivity often
accompanies advancing age, but it doesn’t have to. Check with your
local churches or synagogues, senior centers, and shopping malls for
exercise and walking programs. Like exercise, your eating habits are
often not good if you live and eat alone. It’s important for successful
aging to eat foods rich in nutrients and avoid the empty calories in
candy and sweets.
Overweight and Obesity
Being overweight or obese increases your chances of dying from
hypertension, type 2 diabetes, coronary heart disease, stroke,
gallbladder disease, osteoarthritis, sleep apnea, respiratory problems,
dyslipidemia and endometrial, breast, prostate, and colon cancers.
In-depth guides and practical advice about obesity are available from
the National Heart Lung and Blood Institute of the National Institutes of Health.
Tobacco
Tobacco is the single greatest preventable cause of illness and
premature death in the U.S. Tobacco use is now called “Tobacco
dependence disease.” The Centers for Disease Control and Prevention (CDC) says that smokers who try to quit are more successful when they have the support of their physician.
Substance Abuse
Substance abuse usually means drugs and alcohol. These are two areas
we don’t often associate with seniors, but seniors, like young people,
may self-medicate using legal and illegal drugs and alcohol, which can
lead to serious health consequences. In addition, seniors may
deliberately or unknowingly mix medications and use alcohol. Because of
our stereotypes about senior citizens, many medical people fail to ask
seniors about possible substance abuse.
HIV/AIDS
Between 11 and 15% of U.S. AIDS cases occur in seniors over age 50.
Between 1991 and 1996, AIDS in adults over 50 rose more than twice as
fast as in younger adults. Seniors are unlikely to use condoms, have
immune systems that naturally weaken with age, and HIV symptoms
(fatigue, weight loss, dementia, skin rashes, swollen lymph nodes) are
similar to symptoms that can accompany old age. Again, stereotypes about
aging in terms of sexual activity and drug use keep this problem
largely unrecognized. That’s why seniors are not well represented in
research, clinical drug trials, prevention programs and efforts at
intervention.
Mental Health
Dementia is not part of aging. Dementia can be caused by disease,
reactions to medications, vision and hearing problems, infections,
nutritional imbalances, diabetes, and renal failure. There are many
forms of dementia (including Alzheimer’s Disease) and some can be
temporary. With accurate diagnosis comes management and help. The most
common late-in-life mental health condition is depression. If left
untreated, depression in the elderly can lead to suicide. Here’s a
surprising fact: The rate of suicide is higher for elderly white men
than for any other age group, including adolescents.
Injury and Violence
Among seniors, falls are the leading cause of injuries, hospital
admissions for trauma, and deaths due to injury. One in every three
seniors (age 65 and older) will fall each year. Strategies to reduce
injury include exercises to improve balance and strength and medication
review. Home modifications
can help reduce injury. Home security is needed to prevent intrusion.
Home-based fire prevention devices should be in place and easy to use.
People aged 65 and older are twice as likely to die in a home fire as
the general population.
Environmental Quality
Even though pollution affects all of us, government studies have
indicated that low-income, racial and ethnic minorities are more likely
to live in areas where they face environmental risks. Compared to the
general population, a higher proportion of elderly are living just over
the poverty threshold.
Immunization
Influenza and pneumonia and are among the top 10 causes of death for
older adults. Emphasis on Influenza vaccination for seniors has helped.
Pneumonia remains one of the most serious infections, especially among
women and the very old.
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