Secrets to Aging Well

I know a number of patients, friends, neighbors, and parents who have lived a long time; some well into their nineties. Many are healthy, engaged, and vibrant, while others are struggling with mobility, cognitive issues, or ill-health. I have always wondered why some people seem to remain healthy and functional even as they approach 100, while others don’t. Certainly, I want to live a long life, but with it I want to be able to enjoy a level of cognitive awareness and activity. So is there a secret to healthy longevity, and if so, what is it?

Aging healthfullyIn the framework of Chinese medicine there are a number of factors that contribute to how you age, but one of the most important is the idea of Essence. Believed to be one of your body’s vital substances, Essence is a little like your body constitution and DNA all wrapped into one. You’re born with something called Pre-Natal Essence, which like DNA, is passed down to you from your ancestors. It determines how healthy you will be during your lifetime, as well as how you grow, mature, your fertility, and how quickly and healthfully you will age. As you get older, this kind of Essence becomes depleted, and when it’s completely used up, your life is over.

That’s not the end of the story, however. There’s a second kind of Essence called Post-Natal Essence, which can augment the Pre-Natal Essence that you were born with. The strength of this second kind of Essence is determined by what you do during your lifetime to support your health. It sounds a little confusing, but simply put the Pre-Natal Essence you were born with gets depleted over the course of your life, but Post-Natal Essence can safeguard it, effectively extending your life and protecting your health. Kind of like a Post-Natal checking account to preserve your Pre-Natal savings.

The key to guarding your Essence in order to extend your healthy lifespan is through living well and healthfully. This translates into eating good food, balancing work with rest, moderate sexual practices, keeping stress and strong emotions under control, and living moderately in general. Overwhelming stress, working exceedingly long hours, partying too hard, and eating too often from the drive-through window only serve to deplete your Essence.

While I have learned from studying Chinese medicine that moderation is key to aging well, I try to learn from the healthy older folks I know to find out if there actually is a secret—a trait or habit—they all have in common that can account for their vibrancy, even as some approach the century mark. While it seems that there is no magic secret, spending time with these elders point to a number of factors that are in play:

-Their spirit is strong. In Chinese medicine there is a saying that if the spirit is strong in a sick patient they are likely to survive. If their spirit is weak, even if the illness isn’t serious the prognosis is poor. The healthy older folks I know have a sparkle in their eyes showing that their spirit is strong, they’re present, and engaged.

-A sense of humor is important. In speaking with older people, the ability to laugh, not take themselves very seriously, and being able to poke fun at life’s absurdities are a key to good mental health and healthy emotions. Stress and strong negative emotions can impact your health in a number of ways from decreased immunity to poor digestion. In contrast, a positive mental outlook is actually protective when it comes to your health and longevity.

-All of the healthy oldsters that I know are engaged with other people. They spend time with family members and mutual acquaintances, and many continue to volunteer in their community. Most are happy to stop, talk, share a few stories, and connect. In Chinese medicine, this engagement and connectedness speaks to a strong Heart—the source of Shen, the spirit, and emotions. This willingness to engage only enhances mental and physical health.

-Staying active is also a key to longevity. The saying “Use it or lose it” is even more applicable when it comes to aging. Whether they’re taking daily walks, attending an exercise program, or just covering some ground with the use of a walker, active older people stay functional because they just don’t quit moving.

-Most people in their eighth or ninth decade will tell you that there is no secret to aging well. They don’t necessarily do anything to extend their lifespan. They don’t have special diets, miracle foods, wonder supplements, or a special exercise regimen. They just live their life and 85, 90, or even 100 just seems to happen.

While I realize living healthfully into old age is a crap shoot for each of us, I believe that there are factors that can increase your chances. If you stop and spend some time with healthy older folks, you will find that they live moderately, keep their sense of humor, keep moving, and don’t worry too much about the fountain of youth.

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Tips for Healthy Aging

We all want to live a long time, just as long as we can stay relatively healthy.  Unfortunately, more and more often when we get together with friends, talk turns to a recent colonoscopy, cholesterol medications, or acid reflux.  While there are no guaranties, there are some things you can do to stack the deck in your favor in the healthy aging game. 

Here is a list, in no particular order, compiled from what we’ve learned from our patients, Chinese medicine, the scientific community, and some just plain common sense:

1)  Eat for good digestion. In Chinese medicine, your digestion is every bit as important as what you’re eating.  You can eat the healthiest foods on the planet, but if you don’t digest them well, you might as well be doing the drive through at Burger Doodle.  Slow down, chew your food, and avoid the rich and greasy chow.  Choose more cooked vegetables than raw, and go easy on the frozen foods and drinks.

2)  Laugh. It feels good, it’s invigorating, and actually releases chemicals in your brain that are good for your health.

3)  Go outside. Get in touch with the nature around you.  This is the foundation of Chinese medicine, in which the natural world is reflected in your body.  Slow down in the winter, eat new green shoots in the spring, be especially active in the summer, and check out your locally harvested produce in the fall (well, all year round.)  Know also, that extreme weather conditions have the ability to make you sick, whether it’s a dry sore throat in the fall or heat exhaustion in the summer.

4)  Quit smoking. This is a no-brainer.  It may seem obvious, but if you’re a smoker, quitting now is the single most important step you can take to improve your health and increase your life span.

5)  Make sure you’re getting enough Vitamin D. Vitamin D may sound like the magic supplement du jour, but D boosts immunity, helps with depression, and offers a whole host of health benefits.  And most of us aren’t getting enough. You can get your serving of D through 15 minutes of direct sunlight, or by supplementing with Vitamin D3.  Those of us who live far from the equator may not be able to get adequate D from the sun year round.  So think about supplementing if you own and use long underwear more than a few times a year.

6)  Exercise. I can’t say this enough.  It’s the fountain of youth if there were such a thing.  Physical activity keeps your heart and lungs in shape, your muscles toned, your bones strong, your butt tight, and studies are indicating that it also may slow or reduce the progression of Alzheimer’s and dementia.

7)  Exercise your mind, too. Play word games, do puzzles, or learn a new language.  The adage “use it or lose it” also applies to your mind.

8)  Change the behaviors that are making you sick. You know that stress, junk food, and toxic relationships aren’t good for you.  If you want to feel good and live long, now’s the time to jettison those negatives in your life.

9)  Stand up straight! Poor posture can mess with your digestion and breathing, and can give you back and neck pain.  Stand and sit tall; your body will thank you.

10)  Get enough sleep. Your body rejuvenates, heals, and recharges while you sleep.  Go to bed with enough time to get seven to eight good hours.  Slow down before trying to sleep.  If you struggle with insomnia, get some help.  Ahem…acupuncture is pretty effective in treating sleep problems.

11)  Get regular health screenings. You can laugh all you want at your friends’ colonoscopy stories, but you had better be keeping up with your own.  Make sure you’re getting regular mammograms, Pap tests, blood pressure checks, mole screenings, etc. based on the guidelines for your age and risk factors.

12)  Calm down. The Chinese say that the emotions are the cause of 100 diseases. That means that staying angry at your obnoxious neighbor or stressing out about a nosy co-worker will only make you sick. Do whatever it takes to defuse and de-stress.

13)  Almost anything is okay—in moderation. According to Chinese medicine, a little sweetness may help your digestion, but eating a half of a cheesecake is a toxic food bomb.  In the same vein, the right amount of exercise is good for you, but too much can cause your body to break down.  Too much of anything over time can be damaging, so aim for variety.

14)  Garden. Whether it’s a stretch of your back yard or containers on your balcony, growing your own vegetables outside is beneficial on so many levels.  You’re getting the best kind of exercise, you’re connecting with nature, you’re growing your own organic food (if you lay off the pesticides), and you have the joy of going out your door to pick something you’ve grown yourself.

15)  Get in touch. Connect with your sense of purpose through journaling and self-exploration, connect with others in social situations, and connect with the divine through prayer and meditation.  In Chinese medicine, connection feeds your heart, which is the home to your soul.

16)  Eat for the long run. Eat breakfast, don’t skip meals, and get a little protein at each meal.  Try to get a variety of colorful foods into your diet each day, especially the darkly colored fruits and vegetables.  Strive for a diet made up of lots of veggies, some whole grains, a little protein, a little fruit, and small amounts of everything else (Okay, maybe not hydrogenated oils or high fructose corn syrup, but mostly every thing else.)

17)  Just breathe. Breathing deeply opens up your lungs, oxygenates your brain for mental focus, and wards off fatigue and anxiety.  In Chinese medicine, your lungs are an important component in immunity, so strong and healthy lungs translate into a strong ability to fight off colds and flu.  Try taking a deep breath to the count of four, holding it for the count of seven, and releasing it to the count of eight.

18)  Just say no. The ability to prioritize your life and say no to some of those annoying and unimportant things you don’t want to do and don’t really have to do is incredibly freeing.  It helps decrease that stressful feeling of being overwhelmed, which can be exhausting and depleting.

19)  Cultivate compassion. By being kind to others, you’re being kind to yourself.  Kindness is embodied by generosity and service to others.  Compassion and kindness dissolve anger, annoyance, and competition—all feelings which diminish both the quality and length of your life.

20)  Cook and eat with joy. It has been said that how you approach food mirrors how you approach life.  Do you approach eating and life with joyfulness or do you worry about every little thing you do and eat?  Lovingly prepare your meals, sit down, and share them with people you love—as often as possible.

21)  Listen to your body. Your body is infinitely wise.  It knows what it needs, how to heal, and how to signal you when it’s in trouble.  Listen to those little signs; headaches at work, an upset stomach when you’ve eaten poorly, an achy lower back, or fatigue.

22)  Indulge in your passion. This is simple.  Figure out what you like to do and figure out how to do it more often.

23)  Go green. The cosmetics you put on your body and the products you use to clean your home have the ability to either enhance or harm your health.  Become savvy about what’s in your shampoos, lotions, bathroom cleaners, etc., and if the ingredients are sketchy, find cleaner, greener alternatives.

24)  Live in the moment. We spend most of our time rehashing the past or fixated on some future event.  The reality is that the only moment that’s real is right now.  Impatience means that we’re anxious to move onto the next thing—the next moment; however that next thing is a moment like this one.  Slow down and enjoy right now.

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