
The secrets of living to 100 years old
Revisione paritaria di Dr Hayley Willacy, FRCGP Ultimo aggiornamento di Dr Sarah JarvisUltimo aggiornamento 31 Ott 2017
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There are some folk out there who prove that age doesn't have to be a barrier to anything. My great aunt, Mabel Iles, was most indignant that her employer (the local GP) took her bicycle away from her after she had a fall, so she couldn't get to work and had to retire. She was 86. When she turned 90, she decided to do something she'd never done before, and took a helicopter trip to the Scilly Isles ('Let's face it, dear, I've been Silly Iles all my life, so I'd like to see the real thing').
The Duke of Edinburgh was 95 when he stepped down from his royal duties, after 70 years or public service, and Jane Fonda, at 79, puts most 50 year-olds to shame. How can you follow in their footsteps? My top tip - it's never too young to start stacking the health odds in your favour!
We're living for longer than ever
Life expectancy continues to rise in the UK - a boy born today could expect to live to over 79, and a girl to nearly 83. Of course, these are average figures - if half of men died at 89 and the other half at 69, the average would be 79.
By 2016, there were 14,900 people over 100 years old in the UK - 65% more than there were in 2005. 850 of these are over 105 - double the number a decade ago. As for the youngsters, there are over half a million over-90s living in the UK today. So how can you skew the odds in your favour?
Men vs. Women
You can't choose your family - sometimes living longer is about inheriting the right genes. Being a woman helps. On average, women live about four years longer than men - although they're closing the gap. This is largely because death rates from malattie cardiache, which has always killed more men than women, have dropped so dramatically in the last 20 years. Part of this is down to better treatment when people have a attacco di cuore. But much of it is down to prevention.
Your health is the most important thing
For a long and healthy life, it really helps to know your numbers - colesterolo as well as la pressione sanguigna. Despite all the improvements in heart attack rates, there's no room for complacency. High blood pressure is the single biggest risk factor for ictus and a major cause of heart attacks. You won't know you've got it unless you have it checked - at least every five years if you're over 40, and more often if your doctor advises. If your doctor recommends tablets, do take them.
Raised cholesterol is another problem you won't know you have unless it's checked - and lifestyle and statin tablets can dramatically cut its impact. A reassuring major study just last month showed that muscle pain, the most well-known side effect of statins, is usually due to a 'nocebo' effect - if you think you might get side effects, they'll happen, but they're down to mind over matter rather than the tablet itself. Except in rare cases of severe pain (always see your doctor) most muscle aches among patients taking statins are due to life's stresses and strains.
Quality vs. quantity
Of course, even if you live longer, it's not much fun if you're just spending longer in ill health. For many people, living with the consequences of a severe stroke is something they dread even more than cancer. Fibrillazione atriale (FA), the most common abnormal heart rhythm in the UK, affects 1.2 million Britons, mostly older. You're five times more likely to have a stroke if you have AF unless you take blood-thinning medicines called anticoagulanti. Lots of people used to be on regular aspirina (75 mg a day) as an alternative, but it simply doesn't do the job for AF. It is, however, extremely effective at cutting your risk of heart attack or stroke.
Osteoporosi, or 'thinning' of the bones, causes fractures in 1 in 3 women and 1 in 5 men over 50. They may not kill you, but fractures in your spine can cause severe, constant pain and a broken hip can rob you of your independence. These breaks are most common in your 70s and 80s, but you're never too young to start protecting your bones. Regular weight-bearing exercise, along with avoiding smoking e l'eccesso di alcol, and making sure you get enough calcium in your diet and vitamin D from sunshine or supplements, will all help.
Top tips for a long life
They're not rocket science!
Don't smoke. It accounts for nearly 1 in 5 deaths among over 35 year-olds
Watch your weight - being overweight raises your risk of cancro as well as diabete di tipo 2 and heart disease.
Get your immunisations - l'influenza e pneumococcal infections are more likely to carry you off as you get older.
Keep it Mediterranean - eat more fruit, veg, wholegrain foods, beans and lentils; swap butter for healthier oils and fish for red meat.
Have your blood pressure, cholesterol, blood sugar and pulse rhythm checked regularly - and take any treatment your doctor advises.
You're invited for screening for a reason! Mammograms, colon cancer screening and cervical smears pick up cancers early, when they're more treatable, or in some cases prevent them.
Stimulate your brain as well as your body - keep your mind active by learning new skills.
Con ringraziamenti a 'My Weekly' dove questo articolo è stato originariamente pubblicato.
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Informazioni sull'autoreVisualizza il profilo completo

Dr Sarah Jarvis
Consulente Clinico
MA (Cantab), BM, BCh (Oxon), DRCOG, FRCGP, MBE
Dopo aver completato la formazione in medicina a Cambridge e Oxford, la Dott.ssa Sarah Jarvis MBE è diventata un medico di base.
Informazioni sul recensoreVisualizza il profilo completo

Dr Hayley Willacy, FRCGP
Medico di base, Autore medico
MBChB (1992), DRCOG, DFFP, MRCOG (Part 1) MRCGP (2007), DFSRH (2013), MSc - medical education (2020)
La Dott.ssa Hayley Willacy era un medico di base del NHS che lavorava nel nord-ovest dell'Inghilterra, e si è ritirata dalla pratica clinica nel 2022 dopo 30 anni.
Storia dell'articolo
Le informazioni su questa pagina sono revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
31 Ott 2017 | Ultima versione

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