A couple exercising. The poor are often more prone to the ravages of aging.
PHOTO | FILE
NATION MEDIA GROUP
MIAMI,
Mary
Helen Abbott, 77, paints her lips bright pink, still smokes the
occasional cigarette, keeps up on all the gossip at the retirement home
and wears a short skirt to fitness class.
She
giggles as the aerobics instructor shouts — "Swagger! Like you are
going to meet someone famous!" — then she and a dozen seniors throw
shoulders back, lift their knees high and strut around the exercise
studio.
Abbott is what scientists
refer to as a "super-ager," and she is taking part in a $3.2 million
study that aims to uncover the secrets to staying sharp and healthy into
old age.
While some hunt for
medications to treat or prevent dementia, others, like University of
Miami neuropsychologist David Loewenstein, are interested in why some
people are spared altogether.
"I
study Alzheimer's disease, but if we want to unlock the mysteries of the
brain we also have to know why some people age successfully," said
Loewenstein.
The five-year study
funded by the National Institutes of Health is open to people age 63 to
100 who have not been diagnosed with dementia, and who are either in
good mental shape or have early signs of memory failure, known as mild
cognitive decline.
Loewenstein is
particularly intrigued with how some people seem to be able to fend off
memory loss, whether by genetic, environmental or other means.
He cites studies involving autopsies on people 85 and above — a population in which about one in three suffers from dementia.
Nearly
another third of this age group have post-mortems that reveal
significant hallmarks of dementia — known as plaques and tangles in the
brain — but seemed just fine while alive.
"How can people function at these higher levels? Science has not been able to answer that," said Loewenstein.
"And that is what we are trying to figure out."
STAYING BUSY
Of
the 100 people enrolled in Loewenstein's study so far, more than 40
live at East Ridge, a retirement village that resembles a typical
suburban neighbourhood in south Florida, with wild peacocks roaming
beneath the palm trees, people driving around the manicured grounds on
golf carts, and rows of single-story homes divided into multiple
apartment units.
Such tranquility
does not come cheap. Residents must pay $111,000 up front, then a
monthly rent of $2,700 or more, depending on the size of their living
space.
Soon after arriving seven
years ago, Gwen North, a retired kindergarten teacher who appears
decades younger than her age of 85, took on the responsibility of
running the thrift store.
"I work probably six days a week," she said, happily.
At
age 86, her husband Art is known as the go-to-guy around town —
perpetually ready to chat, share information, or fix electronics that
have broken.
Art and Gwen have
already taken memory tests and are giving samples of their spinal fluid
so that it can be studied for the earliest biological markers of aging.
They have even arranged to donate their brains for further study after
they die.
'EXERCISE IN A PILL'
So what has kept them young?
"Staying busy. And good genes," said Gwen.
"Just working. And my wife," added Art.
It turns out, there is scientific data to back up their claims.
"We
have known for a long time that people in the workforce are better than
people out of work," said Laura Carstensen, founding director of the
Stanford University Center on Longevity, addressing a forum on aging at
the National Academy of Medicine last month in Washington.
"Work — paid or unpaid — may improve cognitive functioning."
Regular exercise and a Mediterranean diet are also known to help foster healthy aging.
"Geriatricians
I know say that if we could put exercise in a pill form it would be the
most sought-after drug on the market," she said.
SOCIAL CONNECTIONS
Abbott
confesses that prior to entering the retirement home, she was not doing
so well. After her husband died, she lost weight and felt lonely.
"One of the big reasons I like being here is I got tired of eating by myself," said Abbott.
She clearly thrives on social contact. Now, she plays golf every Monday and rides the bus to church on weekends.
Abbott
leads the welcoming committee and knows everyone, from the gay couple
who just moved in, to the woman in her 90s who nearly died but is now
lifting weights again in exercise class, to the woman with the raven
hair who had a tryst with a doctor 20 years her senior, then married
him, and has stayed married to him for some 40 years.
She recounts these vignettes without malice, exuding pure delight at knowing the details of others' lives.
There's some science behind this, too.
"Epidemiological
studies show that people with a lifetime of cognitively stimulating
activities and social connections are much less at risk for cognitive
decline as they age," said Loewenstein.
ECONOMIC BURDEN
Of
course, it is impossible to ignore the economics of healthy aging. Many
of the residents at East Ridge are educated and white. They saved their
earnings, invested well and benefited from the boom in real estate
prices.
The poor are often more prone
to the ravages of aging. Research also shows that African-Americans and
Hispanics suffer disproportionately higher rates of dementia than the
country's whites.
With cases of
dementia in the United States set to triple, reaching 132 million by
2050, some experts warn the disease could bankrupt major world economies
and cripple health systems.
But
Carstensen believes society could also benefit from a new perspective,
one that doesn't automatically conflate aging with illness.
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