Active and Healthy Aging: The Keys to Living Well

In honor of Memorial Day and my friend Stella Wetterhahn … Stella Was A World War II Veteran and a Nurse.  She will be in my heart forever…

Every Saturday, after my workout, I get on a bus and head Downtown to meet my friend Stella. I have known Stella since 2007. She will be 92 in July. Stella is a retired Nurse. She served in World War II. Stella has never deviated from the schedule she had as an Army and Private Duty Nurse. She worked the 11:00 PM to 7:00 AM shift.

Stella and I meet at the local library because she likes to read the newspaper. When we meet, we discuss the daily news and chat about what is going on in the neighborhood. When we finish at the library, we head over to the corner Deli. I once asked her “what keeps you going at your age?”

Stella laughed and said “There are three keys:
1.Structure,
2.Getting out, and
3.Connecting with people”.

Without knowing it, Stella defined the concept of Active and Healthy Aging. Research identifies Active Aging as “the development and maintenance of optimal physical, mental, and social well-being and function in older adults”. [1] In her article, “A Concept Analysis of Healthy Aging,” Linda Hansen-Kyle defines Healthy Aging as “a process of slowing down while adapting to optimally function and participate in life.”[2]

A Review of Trends:

Research shows that Adults age 65 to 85+ are the fastest growing population and group; a trend that is to continue for at least the next 50 years. [3] Research indicates that 88 percent of Adults age 65 and over report having at least one chronic condition (e.g. Heart Disease, Diabetes, or Arthritis). [4]

The statistic in the literature that caught my attention said “one third to one half of woman age 70 and over have challenges with mobility”. [5] Several studies document the need for physical activity to maintain mobility and independence. [6] Research shows that the act of “getting out” and engaging in 150 minutes of physical activity is beneficial for older adults. [7] For people like Stella, the recommended 150 minutes can translate into 30 minutes of walking each day. [8] Stella’s definition of Active and Healthy Aging is going to library each day, going for a walk, and not staying inside for long periods of time.

My friend has a set purpose, destination, and routine for each day.

Stella’s reference to “connecting with people” means that she has an established social network. She has successfully created a system of support to address any needs that may come up. When Stella is not able to get outside due to inclement weather, for example, the Deli Shop owner will deliver food to Stella’s door. She receives the assistance that she needs from people in her neighborhood.

Stella’s reference to “connecting with people” is also corroborated by current research. Studies show that having a social network, engaging with people, and participating in social activities may delay cognitive decline and other health-related consequences. [9]

When our Saturday visits end, I walk away from Stella smiling. She personifies the keys of Active and Healthy Aging.  At the age of 92, Stella may move a bit slower and have occasional pain in her knees, but she thrives in her neighborhood and community.

She has taught me about resiliency, Active and Healthy Aging, and living. I know my keys to Active and Healthy Aging will include exercise, healthy eating, and activities to maintain my mobility and independence. What are your keys to Active and Healthy Aging?

[1] Marshall, V. W., & Altpeter, M. (2005). Cultivating Social Work Leadership in Health Promotion and Aging: Strategies for Active Aging Interventions. Health & Social Work, 30(2), 135-144.

[2]Hansen-Kyle, Linda. “A Concept Analysis of Healthy Aging.” Nursing Forum. Blackwell Publishers Ltd. 2005.

[3] Rogers, N. L., Green, J. L., & Rogers, M. E. (2012). Physician-prescribed physical activity in older adults. Aging Health, 8(6), 601+

[4] Marshall, V. W., & Altpeter, M. (2005). Cultivating Social Work Leadership in Health Promotion and Aging: Strategies for Active Aging Interventions. Health & Social Work, 30(2), 135-144.

[5] Marshall, V. W., & Altpeter, M. (2005). Cultivating Social Work Leadership in Health Promotion and Aging: Strategies for Active Aging Interventions. Health & Social Work, 30(2), 135-144.

[6] Rantakokko, M., Iwarsson, S., Hirvensalo, M., Leinonen, R., Heikkinen, E., & Rantanen, T. (2010). Unmet Physical Activity Need in Old Age. Journal Of The American Geriatrics Society, 58(4), 707-712. doi:10.1111/j.1532-5415.2010.02792.x

[7] Centers for Disease Control and Prevention (CDC). How much physical activity do older adults need? www.cdc.gov/physicalactivity/everyone/guidelines/olderadults.html

[8] Centers for Disease Control and Prevention (CDC). How much physical activity do older adults need? www.cdc.gov/physicalactivity/everyone/guidelines/olderadults.html

[9] Flatt, J. D., & Hughes, T. F. (2013). Participation in social activities in later life: does enjoyment have important implications for cognitive health? Aging Health, 9(2), 149+.

This article were originally published in the “Endless CapABILITIES Blog”, and National Center on Health, Physical Activity and Disability, sponsored by The National Center on Health, Physical Activity and Disability (www.nchpad.org). NCHPAD is part of the UAB/Lakeshore Research Collaborative and supported by Grant/Cooperative Agreement Number U59DD000906 from the Centers for Disease Control and Prevention (CDC).