The Power of Positive Aging

Tapping the Power of Positive Aging

"No one becomes old until regrets take the place of dreams."
John Barrymore

Imagine spending your professional life as an attorney. You have gained considerable wisdom and insight in over 40 years of practice. Now imagine you have just “retire” from your former firm and are attending an annual meeting of the Chamber of Commerce when you are approached and asked, “Didn’t you used to be an attorney?” This scene is no doubt repeated daily throughout America. People work hard to reach retirement; and gained considerable wisdom and expertise that could benefit other businesses and organizations; only to be stripped of significance banished to the ranks of the “used-to-be.”

Over the past five decades, “aging” has developed a generally negative image thanks to media stereotyping, situation comedies and late night talk shows. Negative portrayals have left Americans with the general perception that later life is primarily a time of loss and decline. While gaining some positive ground in the last few years, the portrayal of forgetful, doddering, confused “seniors” is all too common. The goal of this blog is continue correcting those misconceptions and battle ageism.

The act of “retiring” can have a profound impact on one’s significance, which may influence their future direction and life satisfaction. When one’s former position and recognition are lost, there may no longer be the opportunity for challenge and satisfaction. For many, physical concerns regarding appearance, peak performance and memory begin to color their attitudes toward themselves and their personal value. They mindlessly accept the stereotypes and perceptions of aging, as a time of decline; and begin a downhill slide. Their beliefs about aging and “retirement” all too often become self-fulfilling prophecies.

On the other hand, later life can be a positive and joyful experience…an adventure in personal growth and fulfillment for those who mindfully commit to aging successfully. The pursuit of successful aging requires one to develop a broader set of satisfying activities, relationships, and responsibilities that extend well beyond the workplace. After all, retirement is not a life stage. It is simply an act that takes a couple of minutes.

Unfortunately, most of us do not reconsider what we mindlessly accepted as fact earlier in life as we poked fun at “old fogies” or referred to memory lapses as “senior moments.” Many people still view retirement as either a time to play and be entertained or a time to begin the “downhill slide.” Even our institutions and support agencies often unwittingly but flagrantly encourage dependency. Sadly, the more help people are given; the more they will come to need.

Now the Good News! Positive Aging is a growing movement to redefine “aging” for what it is – the progression of growth from a simple child to a complex adult; and to redefine “retirement” as a time of growth, involvement, connectedness and contribution. .

By mindfully pursuing positive aging, later life may again come to be perceived as the crown jewel of the human experience. Celebrating positive aging will give rise to a culture that appreciates the uniqueness and worth of each individual.

Freedom to Choose

I just finished reading an article in AARP’s newsletter about diagnosing Alzheimer’s disease. As I anticipated, the meat of the article did not live up to the headline. Oh, there has been
progress in a doctor’s ability to identify if the brain has “plaques and tangles.” For years, it was hypnotized that these plaques and tangles were the cause of Alzheimer’s; however, science has yet to explain why others with plaques and tangles had no noticeable symptoms. As Dr. Peter Whitehouse points out in the Myth of Alzheimer’s, it is more than one thing and brain aging playsa role.

Of course, the drug companies hope they will eventually find the cure, or a preventative, in the form of a new drug. Big Pharma is cheered on by consumers who have come to look for magic
bullets to solve all their problems. Perhaps, if we focused as much time andmoney on non- pharmaceutical interventions and more time promoting whole body wellness, we could significantly improve the overall quality of life, and maybe improve cognitive well being for millions. For several decades, we have been replacing purpose with pills, which has resulted in an increasingly medicated older population while encouraging learned helplessness. In fact, all too often, interaction between drugs (both prescription and nonprescription) can produce
symptoms mistaken for Alzheimer’s or other problems.

As a proponent of the 7 Habits of Highly Effective People, I learned that the ultimate human freedom is our freedom to choose. We can choose to be reactive or proactive; but it is up to us to make the choices. While we know that optimistic people outlive pessimists by over 7 years, this is seldom factored in when evaluating quality of life. We are too quick to blame others when in fact the only person controlling our feelings is us.

While it would be great if there were a pill that could prevent or delay the onset of dementia, there is an ever growing body of anecdotal evidence, much of which is supported by science, that a variety of activities and habits may delay the onset of dementia, improve processing speed and enhance one’s memory. We now know that what is good for the heart is good for the brain; but that is seldom mentioned in articles about the search for the cure.

Maybe we can’t prevent Alzheimer’s disease any more than we can prevent aging. However, like aging, there is a lot we can do to improve our quality of life and battle future memory loss just as we can battle diabetes, heart disease and lung problems with lifestyle changes. At NeoCORTA (www.neocorta.com), we have developed self-evaluation tools to help users identify and understand their risk factor and provide customized plans to improve cognitive well being, but a person must want to take charge of their future to benefit from those plans and
change their behavior accordingly.

I have come to believe that positive aging is well within everyone’s reach…Believe you can; believe you can’t and you are likely to be correct – your choice. Both attitudes can become a
self-fulfilling prophecy once you understand and respect the mind body connection…aging is just a series of many beginnings and we control the starting points for each pathway.

Proud to be a Loser

While loser is not a title that I would have pursued earlier in life, I am honored to be on the winning team in a 9 week competition at our local hospital sponsored Wellness Center. We all receive a free month’s dues for our accomplishment. I lost more weight (36.4 lbs) than the other 30 participants but came in second in the competition which was judged on the basis of percent of body weight. Mine was 13.8% and the winner lost 18%.

My prize was a smiley face my doctor drew on my blood work report that was part of my VA physical this morning: hemoglobin 5.7, Cholesterol 147, Triglyceride 44 HDL 40, LDL 98. A year ago my blood sugar was high, my cholesterol was on the high side of acceptable and I was on blood pressure medication…today it was 99/60; and my doctor reduced use to every other day and to eliminate it is a month or so. The morale: you are never too old to get back in shape.

During this 9 week program, I became increasingly aware of the market potential that exists for wellness programs designed specifically for those ages 55 and older. The program I was involved in was clearly designed and directed for those 25 to 40 or so. I was at least 10 years older than most participants and had 25 or more years on most. My doctor validated my perception when she asked if I knew of any exercise programming designed specifically for adults 50 and older.

I suggested the National Senior Fitness Association (http://www.seniorfitness.net/) as a possible resource, but could not provide any help with local programming. If we are truly a nation interested in lowering health-care costs, there is no better place to begin than educating the public about the value of later life diet, exercise and weight training. Hopefully, our national aging organizations will begin focusing on positive aging as much as they do next year’s funding. It is time we begin replacing pills with purpose and prevention.

Still Learning & Shrinking

Well, six weeks down and three to go in the “Greatest Loser” completion. I am pleased to announce that our team is currently in the lead with the greatest percentage of loss. The competition is not about total pounds lost but percentage of body weight lost. The program is something more middle age and older adults would participate in if it were configured for older adults.

At 65, I am clearly the oldest person in the program, which attracts mostly women in their 30s and 40s. While the program is not too strenuous and trainers encourage participants to modify exercises as needed, it is not designed for the older body and mind. The nutritional classes are also excellent and I continue to learn. What is doesn’t focus on is the various exercises that are critical to maintaining lifelong independence. I hope to advocate for such a program in the future as I not only think it would be beneficial, but it could be a cash cow for fitness centers wise enough to specialize in this exploding demographic.

I had allowed my knees to becoming very week and found it increasingly difficult to squat without support. While my knees still let me know they have been neglected, I am becoming steadily stronger and more flexible. My breathing is improving as is my upper body strength as my waistline shrinks. More in a week.

Getting in Shape

After two weeks of workouts at our Wellness Center as part of a weight loss program, I can testify without any hesitation whatsoever that it is way easier to get out of shape than is it is regain the lost ground. My nutrition education has also improved and played a role in a 5 pound weight loss for the week.

I now have a new appreciation for what a full body workout involves. For the past year, I exercised on an elliptical machine for 60 minutes at least five days a week. While good for my heart, I was building strength in a very limited muscle group. As we age, we need to become much more conscious of building both upper body and leg strength...and my knees really needed some work.

There are three groups of 10 participants in this program of which I am easily the elder. There are a couple of participants in their early 50s and the balance are in their early 30s...my children's age. There is no difference in the workouts conducted by personal trainers twice a week. Our coach is very understanding of the age difference and frequently encourages our team to listen to their bodies. However, the educational component of this program could use some work.

What has occurred to me in the past two weeks is what an incredible opportunity there is for similar program for adults 60 and older. We are not interested in becoming hard bodies; but are very interested in how to maintain lifelong independence, cognitive well being and shedding some pounds. Wellness Centers are missing  a huge window of opportunity, and income stream, if they continue to ignore this age group.

Time for Better Choices

When I wrote Choice & Changes, detailing prescription was easy. After completing my first week of the diet and exercise challenge and weighing exactly what I weighed the week before it was time for reflection. First, it occurred to me that I should have titled the book “Good” Choices and Changes.

Sadly, I thought everything was right on track. No booze, exercising an hour a day and diet food. Well, I had salad for dinner three different evenings. Of course, it you just eat lettuce you can have all the chucky blue cheese dressing your want…NOT. I guest the same goes for Caesar dressing as well.

On the plus side, I am feeling better and challenging my body in new (painful) ways. I am a long way away from running a marathon, but am totally committed to getting the job done and not letting my team down. Next week will be a different story.

Zoomers or Peter Pan Syndrome?

It would seem the media in this country will go to any lengths to deny the aging of our culture. On October 18, the Huffington Post related “Tips for Staying Younger, Longer” to detail some “facts” about Zoomers – or Boomer narcissists in my view.

The article opened with the Warning: What you are about to read could very well extend your life by several years. According to the article Zoomers are “a growing segment of the baby boomer population who despite their advancing years are refusing to get old.”  

In reality, the article is about a growing fitness and wellness movement among older adults age 60 and over, which included both the Greatest and Eisenhower generations. Generally speaking, older adults have always been open to new experiences; this characteristic was not created by any fringe group of boomers.

 The author goes on to state that, “Zoomers … know true wisdom lies in the fact that learning is an elixir of youth. And who better to learn about being young, than from people who are young.” I offer a counter reality, “Old people know way more about being young than the young know about being old.” The explosive growth of Elderhostel and lifelong learning programs primarily populated by those age 70 and older blows a big hole in this theory.

Next is the claim that, “Zoomers have found a purpose that is greater than themselves.”  So Mother Teresa, Einstein, et al were slackers? Well, developmental psychologists have long documented that we tend to become more altruistic in later life. Likewise, Maslow felt self-actualization was most often found in later life. The late Dr. Gene Cohen was definitely not a Zoomer, but he most definitely pioneered the later life creativity movement with youthful exuberance.

Not surprisingly, the author missed a major factor in longevity – a positive aging self image. While all the other Zoomer “facts” play a role (exercise, diet, socialization, seeking purpose, and brain fitness) to deny one’s aging in pursuit of fading youth is the stuff of Peter Pan. Rather than holding on to the myth that you “can refuse to grow old,” let’s just redefine what aging is really all about.

The Many Dimensions of Brain Fitness

Just as physical fitness is about more than the strength of your biceps, brain fitness is much more than just the strength of your memory. To help in the definition of personal performance targets, we need to develop a better vocabulary for describing the full breadth of key brain functions. In fact, understanding this breadth is a critical piece of the brain fitness puzzle.

“Cognition” describes our “thinking” abilities- it’s about processing, coordinating, strategizing and responding to information. This includes a range of critical brain functions such as the ability to remember, pay attention, and make decisions. While there are many ways to categorize the key areas of cognition, one useful approach is to focus on the following four areas:

1. Recall measures the strength of your memory. It includes the ability to remember specific information (e.g., facts, ideas, experiences, etc.) as well as how to perform tasks (e.g., opening a door, tying your shoes, etc.).
2. Attention measures your ability to focus or concentrate while ignoring distractions and irrelevant information. Attention is a fundamental brain process that enables you to perform a wide range of activities (e.g., driving a car). Many activities require a person to divide attention among many things, while others require a shift of attention quickly from one task to another.
3. Processing Speed measures the time it takes for your brain to process information and/or respond to it. An increase in processing speed can make you feel more alert and better able to react. A decline in processing speed can make you misunderstand what people are saying, or make it difficult to follow instructions.
4. Executive Function measures high-level thinking skills such as planning, making decisions, solving problems, and reasoning. Executive function skills are required for everyday activities such as setting goals, organizing events, and playing games.

Meanwhile, “emotional well-being” describes how you “feel”. Emotional well-being allows you to calmly handle day-to-day challenges, maintain a positive outlook, adapt to change, and understand and care for others. One way to make sense of emotional well-being is to break it into five key areas:

1. Anxiety is a feeling of fear or apprehension involving physical and/or mental experiences. Anxiety appears in the form of physical symptoms (e.g., sweating) or as a feeling of increased nervous energy. Moderate, short-term anxiety is a normal part of life, but it can cause physical and psychological problems if it’s chronic.
2. Stress is a response to demands or changes in one’s environment. It involves emotional, mental, and physical components that each serve to help meet challenges. Moderate stress can be positive; for example, it enhances alertness and motivation, which increases abilities. On the other hand, longer-term or high levels of stress can weaken emotional, mental, and physical capabilities.
3. Mood can be described as a predisposition, attitude, or state of mind. It can include positive emotions like happiness or enthusiasm for everyday life. It also includes more negative states such as sadness.
4. Emotional Control includes the ability to evaluate your feelings, manage negative emotions, and handle conflict.
5. Emotional Recognition enables you to pinpoint feelings (in yourself and others) and to understand the ways in which your behavior may affect the emotions of others. This skill helps you to connect with others and better engage in social interactions.

The brain fitness movement is still in its early stages. If we want to pursue and achieve truly meaningful improvements in our capabilities over time, we need to adopt a perspective that enables us to understand, discuss, and track the full range of important brain functions.

What is Brain Fitness?

For centuries, it was assumed that mental decline and memory loss were just a natural part of aging and there was nothing that could be done. Whether or not someone became “senile” was just the luck of the draw. Once a myth is accepted as fact, it can quickly become a self-fulfilling prophecy – and did for decades. An insidious aspect of ageism is that it can operate without conscious awareness, control or intention to harm once the myths are accepted as fact.

A few researchers and authors railed against the “decline theory” of aging. Harvard’s Ellen Langer wrote her brilliant anti-ageism book, Mindfulness, in 1989. In the book, she shares the results of several research projects documenting that, “much of what older people experience could be the result of negative stereotypes, internalized in childhood.” Among those stereotypes studied was memory loss. As Dr. Langer observed, “When there is one ready explanation for something – being old – we rarely search for other possible causes.”

This paradigm began to change in the 1990’s as we scientists aggressively began conducting brain research to explore “other possible causes” for memory loss other than age.  In the last two decades, we have learned that not only does the brain continue making new connections between brain cells, it can grow new cells. Further studies have also documented the benefits of lifelong learning and the importance of keeping the brain active. Just as muscles grow stronger with exercise, so does the brain when engaged in brain fitness.

There is little doubt that the brain will change with age and there will be some declines, but studies show that only certain aspects of brain function actually decline. There is no sign of decline in long-term memory and knowledge retention in normal brain aging. Vocabulary has also shown to increase through at least age 60 and emotional intelligence, social skills, and self-control improve with age as well. The debate on the effectiveness of brain exercises, from crossword puzzles to expensive computer games, is ongoing, but studies have definitively shown that aerobic exercise does increase mental acuity. A study done by scientists at the University of Illinois found that 3 40-minute walks per week for six months improved memory, reasoning, and may spur the birth of new brain neurons. [1]

Dr. Mike Merzenich, founder of Posit Science, believes the recent brain fitness movement is a revolution, “It is the beginning of a great societal change in how we think about aging and how we think about making the most of our lives.” While there are new claims made almost daily about the benefits of a new computer game, vitamin, supplement or exercise, little time has been devoted to explaining what brain fitness is and how to pursue it holistically.

Brain fitness is NOT about the diagnosis or treatment of brain-related disorders. It's not just about delaying or preventing cognitive disorders. It is not just the latest memory enhancing computer game or nutritional supplement.

Brain fitness is about capability and performance. Having a fit brain means that we possess the thinking abilities and emotional well-being necessary to work productively, sustain meaningful relationships, and achieve our goals in life.

This definition of brain fitness has several important implications. First, it means that each of us can set our own performance targets. Just as a professional athlete might pursue a different level of physical fitness than an office worker, our brain fitness goals will naturally vary, depending on what each of us is hoping to achieve at each juncture in our lives.

This definition also means that brain fitness is about much more than just one or two narrow measures of brain function. Just as physical fitness is about more than the strength of our biceps, brain fitness is about much more than just memory. In order to pursue brain fitness, we need to consider all of the dimensions that define how we think (e.g. memory, attention, processing speed, problem solving) as well as how we feel (mood, anxiety, stress, etc.). The brain fitness movement is in its early stages, and we need to broaden our perspective if there is to be a meaningful impact on the health and well being of an aging society.

Finally, this means that brain fitness can (and must) be pursued through multiple modalities. Just as physical fitness is not achieved solely through the use of a bench press machine, a single activity (e.g. crosswords, computer-based brain exercises) cannot possibly provide a complete solution for maintaining or improving brain fitness. As with physical fitness, brain fitness is achieved through a wide range of different activities, proper nutrition, sound medical care, and many other lifestyle choices. Navigating through all of the scientific evidence and comparing the options is best done with the help of an expert advisor, but a comprehensive approach is clearly the best bet for achieving brain fitness.

Brain fitness is the capacity of a person to meet the various cognitive demands of life, and involves an ability to assimilate information, comprehend relationships, and develop reasonable conclusions and plans. It can be developed by formal education, being actively mentally engaged in life, continuing to learn, and exercises designed to challenge cognitive skills. Brain fitness is also accomplished with healthy lifestyle habits including mental stimulation, physical exercise, good nutrition, stress management, and sleep can improve brain fitness.

On the other hand, chronic stress, anxiety, depression, aging, decreasing estrogen, excess oxytocin, and prolonged cortisol can decrease brain fitness as well as general health. The first step in developing a brain fitness plan is to become mindful of the fact that living an active, purposeful life can dramatically improve motor abilities, strength, agility and mental responses; and then commit to a plan.

Professional fitness centers encourage people to see their physician before beginning a fitness program. When given the green light, the center then recommends a general fitness assessment to establish baseline parameters before developing a program to achieve optimum well being as well as the person’s primary personal goal which could be anything from reducing blood pressure to losing weight to looking better in a bathing suit. The same approach should be considered for creating a brain fitness program to fight future cognitive decline as much as possible.

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[1] Newsweek, June 18, 2010.

Is Brain Fitness Bad for You?

There are times when I am convinced the media go out of their way to perpetuate aging myths and misconceptions of the aging process. Today a friend sent me a CNN article entitled, “Brain exercises delay, speed up dementia? The article related the results of a study of more than 1,100 participants aged 65 and older, none of whom had dementia when the research began.

The article reported that, “people who regularly engage in mentally stimulating activities such as reading, doing puzzles, and going to museums may stave off the onset of dementia longer than people who don't. This has been shown in several other studies in the past. But here's the flip side: Those who are cognitively active also decline more rapidly when they do develop symptoms of Alzheimer's disease, the new study in the journal Neurology found.”

So, is that a bad thing? Wouldn’t it be better to delay dementia for 20 years and be impacted for a few months or have dementia for 20 years? Seems like a no brainer.

All the research I have seen states that NEW learning and challenging activities are necessary for an effective brain fitness program. Numerous studies, such as the Nun’s Study, have documented that in fact there are numerous positive benefits from challenging the brain and having a positive aging self esteem, which this article totally ignored.

Generally, things like learning a new language, doing crossword puzzles and Sudoku, travelling, reading and attending classes are examples of being cognitively active. However for this study, "cognitively active" activities included going to a museum, watching television, listening to radio, reading newspapers, reading magazines, reading books, and playing games. Watching television? Listening to the radio? I’m not convinced that years of soap operas and game shows may not actually cause dementia.

Further, the article went on to report that “The researchers did not ask participants about whether they continued to be cognitively active after the initial assessment at the start of the study.” Wouldn’t that pretty much trash any assumption that what they found out really proved anything? Instead, the article reported that, “The National Institutes of Health delivered the grim news in April that evidence on preventing the onset of Alzheimer's disease continues to be fuzzy (evidently research methodology is a little fuzzy as well), and that there is no lifestyle modification a person can make that is proved to help.”

Both the headline and portions of the article imply that being cognitively active can be potentially harmful, which is exactly the type of uncertainty that can lead to inaction and fuel the self-fulfilling prophecy that dementia is just a natural part of aging and if you fight it you will lose. This is irresponsible as best.

The Power of Ageless Terminology (Part II)

To keep our conscious minds from being overloaded with unimportant information, our brains conduct what might be called information triage. Like a trauma unit that makes treatment decisions according to severity of the injuries suffered, the brain sorts through billions of bits of information each moment to select information for the conscious mind to think about.

The brain does not process words; it processes pictures and sensory data in context with the circumstances. If there is a perception that "senior" means old, frail, dependent, bingo player, or other traditional stereotypes, the mind of a the targeted customer may "exclude" whatever is associated with that word from conscious consideration if they do not view themselves as fitting the stereotype. For example, the current stereotype that frustrates marketers in the senior living industry is the common perception that “retirement community” means a place to go when your health is failing…a place for the frail – the elderly.

A targeted consumer’s eyes and ears may detect what you are trying to tell them, but unless their brains sense personal relevance, little of the message content will reach their conscious mind. Your challenge therefore is creating messages that resonate with the needs and interests of the prospect in order to make it past the mental screening process.

You can begin the slow change process by sensitizing all team members to the power, both positive and negative, of the words we use, and subsequently begin using more inclusionary terms to describe our members, communities and services while avoiding the use of exclusionary term (words shrouded in stereotypes that could be perceived negatively).

One simple test is to read your copy and eliminate all age related adjectives senior, retirement, older etc. and then re-read the same copy to see if it still makes sense. If it does, using the terms would seem offensive or demeaning on their face.

Inclusion's/conditional terms allow a people to then screen a message based on their expectations, aspirations, needs and life experience rather than preexisting stereotypes. Inclusionary terms are simply more likely to be positively perceived than the terms traditionally used in our industry.  A few examples follow:

¨Nursing home - Almost without exception, the term nursing home conjures up negative images. Assisted living is beginning suffer the same fate as stories of substandard care are shared by the media. So, don’t use it; but replace it with inclusionary descriptors like The Highlands, The Springs, etc. Skilled nursing care is a service not a brand.

¨Residents  – This is a very impersonal reference to those calling “retirement communities, nursing homes or assisted living facilities” home. While it may be acceptable during a board meeting or staff meeting, the use of terms like depositor, client, or resident terms should be eliminated from materials and signage.  Instead, try community members, neighbors, even people is preferable. As with many terms, the context in which they are used determines the appropriateness

¨Seniors, senior citizens, and elderly – the same principle applies as with residents. First, in conversation use the person’s name; in communications try customers, people, citizens or similar terms of inclusion.

¨Titles– avoid incorporating stereotypes into titles, like “retirement counselor” or “activity director”. Instead, have some fun with terms like “planning adviser” or “events coordinator”. Instead of receptionist, try “director of first impressions” or “concierge.”

¨Retirement – terms like “retirement” should only be used to establish a context. Retirement is basically the act of leaving a full-time career or leaving one profession after years of work…it is not an accurate descriptor of a life stage. While “retirement” once lasted only a few years, individuals now enjoy two or three or more decades of productive life after age 65, which is still considered traditional retirement age. Since retirement suffers from many of common aging stereotypes, avoid using it if at all possible while also explaining why. 

These are just a few examples of how the use of exclusionary terms could be costing you business, donations and profits. Even if 70% of your prospective customers have no problem with the term senior citizen, but 30% do; ask yourself, “Am I willing to give up 1/3 of my potential market on purpose?”

What if...

I recently read the latest projections on Alzheimer's disease. It was estimated that the number of affected patients would increase from 5.1 million at a cost of $172 billion to 13.5 million at a cost of $1 trillion. We spend millions in search of an illusive cure, but very little on prevention by comparison. The same report estimated that by delaying the onset of the disease by five years would reduce the population by 4 million and save Medicare $33 billion by the year 2020.

At the same time, we have made considerable progress in the past few years documenting the benefits of brain fitness. While we accepted that the brain was unchangeable for decades, we now know that it is constantly rewiring itself. We also know that older adults are less likely to use their brains in specific ways that are required to sustain our cognitive abilities. What if we spent as much time focusing on prevention as we do agonizing over the exploding health care costs.

Generally speaking, the brain fitness programs provide several important benefits: they introduce adults to the key measures that improve cognitive functions, program such as NeoCORTA's allow user to track their abilities over time, and when brain fitness is a part of whole body wellness programs they empower adults to enjoy happier, more productive lives. 

Several fascinating studies have shown that physical fitness and brain fitness are closely linked. For example, a long-term study of 1,500 adults found that those who were obese in middle age were twice as likely to develop dementia in later life. Surveys  also have consistently shown that older adults fear memory loss more than heart disease, yet the benefits are not generally well known by older adults.

What if, as a population...we spenfocused more on later life purpose and less on pills?

What if we focused as much on preventing diseases as we spent on curing them?

What if we invested as many Medicare dollars in prevention incentives as we do on motorized scooters?

What if we began to view an aging nation for its potential rather than its challenges...What if

A Major Disturbance in The FORCE

Everyone working in the field of aging felt a major disturbance in the FORCE on Sunday with the passing of Dr. Robert Butler. Throughout my professional career his has been a consistent voice on behalf of positive aging. The man who coined the term "ageism" to describe the denigration of older adults in both word and deed was a role model for anyone interested in promoting productive, positive aging. His passing on Independence Day seems appropriate for a man that championed later life autonomy while demonstrating the wisdom and contributions that should be central to later life.

He left behind an incredible legacy. In a nation that is becoming more senior than junior for the first time in our history, leadership in every sector of the economy could benefit from his advice. In his last book, The Longevity Prescription, Dr. Butler framed the challenge, "Strictly speaking, longevity is measured in numbers: it is the arithmetical accumulation of days, weeks, months and years that produces our chronological life. Yet aging — or, more accurately, its converse, staying young — is in no small measure a state of mind that defies measurement." Clearly, we are in a time when we need to focus less on age and more on wisdom; less on youth and more on contributions; less on rights and more on responsibility; and less on pills and more on purpose.

Rest in Peace Dr. Butler...you will be missed but live on in those of us committed to picking up the guidon and continuing the battle against ageism.

Who's on First? Part One

Since President George Bush declared the 1990s the Decade of the Brain, we have learned a lot about the workings of the brain. In the last two decades, numerous research studies have validated the neuroplasticity of the brain and others detail how it may be possible to delay or even prevent cognitive loss. Since most active adults over age 50 fear cognitive loss more than they fear heart disease or cancer, a plethora of new products and services in the brain fitness category have flooded the market in response to the fear and growing numbers of older adults.

Many scientists once believed that as we aged the brain's networks cemented in place. But now an enormous amount of evidence uncovered in the past two decades finds that the brain never stops changing and adjusting. One line of research is showing that this flexibility can help maintain language processing even in the face of severe obstacles. Furthermore, some research suggests that special brain exercises can tap into the brain's adaptive capacities and help people overcome certain language and reading problems.

There is currently a lack of clarity/awareness around what "brain fitness" means (it's more than memory; it's even more than just cognition). More consensus building among thought leaders and more education for the general public is needed around its scope and goals. Brain fitness is less about avoidance of disease, and more about maintaining and improving the brain’s capability and potential.

The brain fitness industry is in its infancy. To date, there have been difficulties in reframing the use of brain science for both practitioners and consumers. With the projected rise in Alzheimer’s patients, there is more need than ever for medical treatment and expertise. However, there is also a need for appropriate nonmedical applications of brain science just as there have been in the physical fitness movement. For example, it's time to de-stigmatize and remove the fear factor from discussions about brain fitness. With more education and understanding, the consumer will be able to take control and make their own decisions based on their personal goals and preferences.  As the industry matures, new players and operating models will begin to deliver services rather than depending on doctors, neurologists, psychiatrists, and academic researchers. The American Senior Fitness Association is a great example of this trend. They now offer a course on the integration of brain fitness into physical fitness programs.

Alvaro Fernandez, co-founder and CEO of SharpBrains, a research and consulting company that recently published The State of the Brain Fitness Software Market 2008 report, predicts that within the next few years, the same thing that happened for physical fitness—increasing numbers of health clubs, trainers, coaches, and equipment variety—will also happen for the field of brain fitness. Cognitive training will be conducted much like physical fitness training.” In the near future, brain fitness products will be a must-have for facilities serving older adults. Based on their market research, SharpBrains estimatedthat approximately 400 to 500 facilities for older adults in the United States are now offering some kind of computerized brain fitness program to complement their other recreational and therapeutic activities. And, direct purchases by consumers for at-home use are increasing rapidly as well.  

For widespread adoption to occur, we need a whole ecosystem of new solutions and service providers that can help consumers and organizations pursue brain fitness. For the movement to become mainstream, we need to make brain fitness programs affordable, easy, accessible, scalable, and of course effective. An important part of this is making sure that individuals/organizations can easily embrace the movement and get results without having to become brain scientists themselves, drastically modify their existing infrastructure, or devote massive amounts of time and energy.  

Working on Purpose

What all too many people lose at retirement is purpose, especially those who were passionate about their work. Numerous studies have now documented the importance purpose plays in achieving and maintaining quality of life. For me, purpose has been both a pursuit and goal.

On September 8, 1970, I was wounded in action in Viet Nam. A young man by the name of Frank Vavrin Jr. saved my life was killed a few minutes later in the processes of saving other wounded team members. That is a big debt to owe and caused me to question why I was spared. Recovering in the hospital in Japan, I thanked God for my life and committed to making it count. Since that time, I believe circumstances have kept me on a path I was somehow meant to follow.

After leaving the Army, I spent a few months in Law School (we were not meant for one another) before receiving a Master’s Degree in Political Science with a criminal justice emphasis. I went to work first as a Court Service Officer and then as a corporate criminal investigator. After some unique experience that will go in a book someday, I concluded a career in criminal justice was not the path I was meant to follow.

A friend suggested that I apply for the position of Area Agency on Aging Director available at a small community college in Northwest Iowa. I had no background in aging, social services or nonprofit management; but was ultimately hired. My belief in being on a predestined pathway was reaffirmed, and I fell in love with serving older adults – a career with purpose.

After six years managing the nonprofit, I felt there was incredible opportunity in calling attention to the future aging tsunami. I formed a marketing consulting firm specializing in serving companies that recognized the future belongs to those that can attract and hold older consumers while also serving younger segments. As luck would have it, I was about two decades ahead of my time…and there is little money in being ahead of your time. While the company survived and served clients in all 50 states, it never truly prospered and closed 17 years later.

Since the aging field filled my life with purpose, I served the senior living industry for 10 years in Florida and Arizona. I made a wealth of older friends and led the creation of an empowered community model that still has incredible potential for any business wise enough to implement it. In January of this year, fate again played a role in dictating my pathway. My employer, like many in the CCRC industry, was negatively impacted and my position was eliminated.

At age 64, I began to wonder if maybe I had already accomplished what I was supposed to do. I convinced myself that it was time to accept any position whether or not in the aging field. I began networking, and received an email from someone I had done business with a few years before. I had become a big fan of the brain fitness movement and was very curious about this inquiry from a new brain fitness oriented company. Their mission convinced me the pathway to purpose was taking a turn – “NeoCORTA's mission is to empower adults of all ages with the tools they need to optimize their brain fitness.”

I am excited to continue the journey to purpose I began 40 years ago in Viet Nam. While looking for a company committed to helping older adults pursue purpose, a company with purpose found me. Rather than asking me to fit a predetermined mold, CEO Pat Brannelly, the entrepreneur leading NeoCORTA, created a dream job that met the needs of the business while allowing me to pursue my passion for positive aging, battling aging stereotypes and improving the quality of life for middle age and older adults.

As I begin my 65^th year as a leading edge baby boomer, I am still working on purpose.

 

First Do No Harm

A recently published BBC study recently cast doubt on the efficacy of brain fitness computer games. Some in the field have cast doubt on the quality of the study. While I doubt the results, assessing the research parameters and protocols is way beyond my pay grade. What I do know is that I have witnessed positive results in those using the Posit Science programs. My question to the critics is: “Does keeping your brain active do any harm?” I think the answer is obvious.

For a couple of decades now, the body of evidence has been growing that negative aging stereotypes can become a self-fulfilling prophecy. If you accept the myth that memory loss is a natural part of the aging process, you increase the probability that memory loss will become a part of your future reality. Likewise, if you believe in the now documented neuroplasticity of the brain, you are likely to do everything you can to exercise your brain in a variety of ways. We may not be able to prevent brain aging, but we can certainly delay its devastation just as we can delay much of physical decline with exercise, better nutrition and staying socially active.

In the last three decades, we categorized “retirees” by calling them “seniors, golden agers, senior citizens or elderly” and viewed them as a group to be offered discounts, catered to, and cared for. This categorization has resulted in a culture of ageism, and the devaluation of people because of their age. Now the focus has shifted to baby boomers as some new subculture that defies aging in a veiled attempt to perpetuate the youth market mentality.

Every year more and more adults are getting old; but not nearly enough are growing older. We somehow came to focus on the “problems” rather than the “potential” of an aging population. So great is this untapped potential that by changing the current perception, I believe, we can truly begin changing the world. The brain fitness movement is a definite step in the right direction.

As a nation, we developed federal and state programs to feed, house, transport, and entertain “seniors;” but we developed few programs to reintroduce meaning and significance into those services and institutions. We replaced purpose with pills.  Rather than expect people to accept their roles as passive participants and spectators, we need to reintroduce opportunities for them to find meaning and purpose. What good is living longer if the quality of life declines? We have yet to address the challenge issues by Attorney General Robert Kennedy to delegates at the first White House Conference on Aging in 1961, “We have added years to life; it is time to think about how we add life to those years.”      

Are We Nearing the Tipping Point

Almost 30 years ago, I authored an article on what to call older adults instead of "seniors." My proposal was that the best label for older adults was no label at all. Recently, a think tank group I am involved with carried on a virtual debate on this same topic. In other words, after 3 decades the debate continues in spite of all that has changed.

While some companies are shying away from terms that tend to label and put people in boxes, ageism is still alive and well in America. Some believe it is just not a big deal if others want to refer to them as seniors, elderly or even fogies. These people have a very positive aging self image and take their ques internally rather than from media stereotypes. However, a large portion of the population continues to fall victim to the self-fulfilling prophecies of aging, which involve more than just the terms we use to communicate with older consumers.

Studies abound that detail how accepting aging stereotypes without questions could be at the root of memory loss, declining health and resistance to adopting  healthy lifestyles...the "why bother" crowd if you will. While people may gain some additional freedom upon retirement, all too many leave "purpose" behind when leaving the workplace. While a new vocabulary has been slow in arriving, there is growing recognition of the importance purpose plays in living life to the fullest. Whether in the public, private, public or nonprofit sectors, creating empowering cultures has much to offer both the organizations and those they serve.

As one of the over 50 crowd reduced to an unemployment statistic due or downsizing, I at first focused a good deal on the "loss" of a dependable paycheck. Howver, with each passing day, my purpose is clear and I will pursue it with a passion for as long possible. Since 1976, I have worked with, learned from and served older adults in a variety of capacities...all enjoyable. My experience is that, whenever groups of older consumers are allowed to become involved in their own destiny, success can be achieved in record time. On the other hand, the more they are catered to and cared for, the more disenchanted they become. With the aging of the population, oure organizations sitting on gold mines of wisdom and experience waiting to be mined. The future offers potential unlike anything we have experienced before as a nation.

We are nearing what Malcolm Gladwell called a tipping point. Organizaitons are beginning to understand that our nation is rapidly becoming more senior than junior for the first time in history. It is time to realize that older people know more about being young than young people know about being old...and they are willing to share that knowledge if given the opportunity.