Precious Advice on Aging Well

A very old woman.
This older generation grew up in a kinder, gentler time, and can offer us great insights. (Image: via Pixabay)

As a family physician, I’ve often been inspired by those in their 80s and 90s who are aging well and wondered what they were doing.

This older generation is different from today’s generation. It’s steeped in traditions and values; they knew their neighbors and thought of others first. They grew up in a kinder, gentler time, and have great insights, if only we take the time to listen.

At 87, Monique Reeves belies her age. She needs no cane — that would interfere with playing tennis. She takes no medication, except the occasional Tylenol for an ache after a match. Her insights on life and wellness are just as rich, and a testament to the wisdom of our elders. Her understanding of how to live well is being echoed by researchers, who are finally catching up to what human beings once knew for generations.

Her story about aging well

She was born in 1933 in the port city of La Rochelle, France, to parents who always had a positive outlook and loved each other. “They never fought or yelled at each other. I was very lucky. I had a wonderful family.”

Monique was a child during the Nazi occupation of France and lived through times most of us couldn’t imagine. “It was very scary, the things you saw and heard. I remember behind our apartment building in Nice, there was a big hotel that had been taken by the Germans and they would take prisoners there and torture them. People knew what was happening and they would hear them there — hear them screaming. So these stories were ugly things. The worst was the fear, the fear that you had. You just never knew.”

She was born in 1933 in the port city of La Rochelle, France, to parents who always had a positive outlook and loved each other.
Monique Reeves was born in 1933 in the port city of La Rochelle, France, to parents who always had a positive outlook and loved each other. (Image: Petit Bleu Photos via Flickr))

Relationships

Despite the hardships, Monique stayed positive and has had a great life. As a young woman, she enjoyed her work in the travel industry, eventually settling in Pittsburgh. It was there that she met and married Jack Reeves, her husband of 55 years.

“Jack was so nice and we got along so well. We never screamed at each other. If there was something we didn’t like, we’d say it in a civilized manner. We respected each other. I think that is key in a marriage. We never said ugly things to each other — never swore.” Couples who’ve had long marriages have told me similar things: Kindness and mutual respect are what they’ve considered the foundation of their relationships.

Socializing promotes good health

Monique says she and Jack loved to travel and spend time with friends and family. Social connections were a vital part of their lives. “Socializing is important for health because you can talk to your friends and forget about your problems.”

The importance of social contact and relationships has been demonstrated in a number of studies. John Robbins, in his book Healthy at 100, recounts one study published in the American Journal of Epidemiology. “People who were disconnected from others were roughly three times more likely to die during the nine-year study than people with strong social ties,” Robbins wrote. “Those with close social ties and unhealthful lifestyles (such as smoking, obesity, and lack of exercise) actually lived longer than those with poor social ties but more healthful living habits. Needless to say, people with both healthful lifestyles and close social ties lived the longest of all.”

Mind-body connection

A person’s mental state has also been shown to play a critical role in their health. Monique remembers a difficult time when her children were young.“I got nervous and my doctor gave me some medicine. I only took it for about a month. I thought I need to take care of myself and take a walk every day, so I did. And I got myself better without medication.” Monique walked daily and played tennis. She told herself that she had made herself sick and then she quickly healed herself. Authors of a study published in Social Cognitive and Affective Neuroscience in 2015 concluded that “by simply learning skills of emotion regulation, one can improve physical health.” Monique says mindset has played an important role in her health and she hasn’t been one to rush to a doctor for a prescription.

“I think it’s a bit true that disease is partly created in your mind. I think it’s important to be happy. My dad didn’t take a lot of medicine and neither did I.” Resilience is believed to play a major role in overall well-being. According to the American Academy of Family Physicians, resilient people can better cope with stress in a healthy way, often because they have learned and strengthened strategies to do so.“These include having social support, keeping a positive view of yourself, accepting change, and keeping things in perspective,” writes the group. They also warn that “poor emotional health can weaken your body’s immune system.”

Community influence

Growing up, Monique had great examples of healthy living to draw from and apply to her own life. Her father is from Corsica, which is sometimes called “The Island of Beauty,” she said. Her uncle there lived to age 102 and died in his sleep. “He was very healthy. On his 100th birthday, he was walking around, and I don’t even remember him having a cane.”

Monique believes the longevity of people from Corsica comes from a combination of diet, exercise, and socializing. “They’re very active, and the neighbors come and visit, and they make their own social life. That’s how they age well there.” The people there eat a variety of fruits and vegetables and eat small portions. The Mediterranean diet has long been known by researchers as one of the healthiest in the world. Monique grew up eating a Mediterranean diet in France and took her eating habits from her mother. “I never went on a crazy diet. When I wanted to lose a little weight, I would cut down, and use common sense; you benefit from it so much.” Monique was never really sick and rarely goes to a doctor. She sees little need for complicated diets.

The Mediterranean diet has long been known by researchers as one of the healthiest in the world to help in aging well.
The Mediterranean diet has long been known by researchers as one of the healthiest in the world.(Image: via Pixabay)

Studies have shown that Monique’s habit of having her biggest meal at lunch, rather than dinner, as most Americans do, goes a long way in maintaining a healthy weight. Her advice to others is to avoid large portion sizes. “I’d tell the restaurants to cut down on portions. The more you have in front of you, the more you eat.” Although she eats out occasionally, Monique believes it’s important to cook at home. “I only cook for 10 minutes and my meal is done. People say they don’t have time … it’s really very easy!” Monique uses a combination of fresh and frozen foods; frozen foods offer a good way to get whole foods easily and keep them on hand.

Exercise for mind and body

Physical activity is a regular part of Monique’s life. She plays tennis three days a week and walks daily, but realizes these activities may not be for everyone. “Some people say walking is boring but I like it, and I do about a half-hour a day. I just look around, and I enjoy hearing the birds. When I see my neighbors, I stop and say something, you know, try to socialize a little. That’s important.”

With exercise, find something that you like.
With exercise, find something that you like. (Image: via Pixabay)

Monique tries to keep her mind engaged, an effort that’s encouraged by researchers, who have found that even doing word and number puzzles can maintain cognitive ability. “I love good writing and keeping abreast of everything going on, internationally too. I like to read novels a lot, too. I don’t watch too much TV. I think it’s important for the brain to stay active.” Researchers at Stanford University described the brain as a muscle that needs regular workouts to stay in shape. Doing so can reduce memory loss by 30 to 50 percent. That workout can be anything from games to socializing, to learning a new hobby or language. Monique also is mindful of what she reads and prefers novels that are relaxing and about good relationships and happy things, “It puts you in a good mood, and that’s healthy.”

Be proactive about your health

Taking control of her health has always been important to Monique. It’s an idea that would benefit many, as lifestyle diseases such as diabetes and heart disease have become the nation’s top killers. “You should do what you can to have a good and healthy life. If you’re healthy, then you’re happy. I think people have to take responsibility for their health,” she advises. Understanding that we are responsible for our own health empowers us to live our lives to the fullest. That includes our emotional health and how we interact with the world.

Kindness matters

Monique also believes we shouldn’t underestimate the effect that kindness has on health. “Always be kind. I think being unkind is too prevalent today. I said [to my children] always be kind to your friends, don’t be nasty. Life is hard enough as it is; why make it worse? So that all help with your health, because it’s important to be kind and to be happy.” But, sometimes, it’s not about what you do, but what you don’t do.“I get along well with my daughter-in-law and son-in-law. I make it easy and I never criticize, and I don’t tell them how to raise their children. It gives me pleasure to help and it makes you feel good. Things don’t always go well, but you just make the best of it.”

Never underestimate the effect that kindness has on our health.
Never underestimate the effect that kindness has on health. (Image: via Pixabay)

Monique’s generation understands the value of thinking of others first, being kind, and helping one another, even if things don’t always go the way you’d like. While younger people have been taught to constantly ask for more from their government, employers, and retailers, there was a different understanding of responsibility in Monique’s time. “I think life can be what you make of it. You can learn to be positive and make things good for yourself. If you have a terrible family, you make what you can of life. Life is a struggle and you should make life easy for people around you. You shouldn’t be mean to people. And forgiveness is very important. I think you shouldn’t keep a grudge.” Monique says the ultimate key to a healthy and happy life is to be good to others. If you are, the world will return that goodness to you.

Being kind, helping others, taking personal responsibility, and having a positive outlook, in addition to staying physically, socially, and mentally active — are some of the commonalities I see in folks who are aging well. They also happen to be some of the most common-sense approaches to a good life and are continually being validated by researchers.

Life may not be easy, but people who follow these traditional approaches haven’t let difficulties make them angry or bitter. On the contrary, they have maintained a heart of kindness and sought to put others first. Perhaps if we apply some of these lessons to our own lives, we too may enjoy good health into our 80s, 90s, and beyond. And the beauty of it is, in the process of helping ourselves, we also help others, all while making the world a better place. What could be better than that?

Tatiana Denning, D.O., is a family medicine physician who focuses on wellness and prevention. She believes in empowering her patients with the knowledge and skills necessary to maintain and improve their own health.

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