The Best Of…Healthy Attitude, Lifestyle Are Likely Keys to Living Past 100

Published October 29, 2001, Pawtucket Times 

             Just a couple of days past her birthday on July 18, 2001, Henrietta Bruce, who was officially recognized as Rhode Island’s oldest woman, passed away at the ripe old age of 110.  Born in Barbados, West Indies in 1891, Bruce, one of 10 children, would later move to New Jersey and finally to the Ocean State. Ultimately she married in 1921, had a son who lived into his 80s, and in later life because very active in the Evangelical Convenant Church in East Providence.

           “She was cognitive right up to her 110th birthday,” says Judy Riendeau, activity coordinator at Bay Tower Nursing Center, in Providence, fondly remembering Bruce’s ‘sassy personality.”  As to her longevity, Bruce did not attribute it to good nutrition, regular exercise or genetics, Rindeau notes.  When asked how she lived so long, the nursing facility resident would respond “Only by the grace of God.”

           According to the year 2000 U.S. Census report released last month, there is a rapid growth among America’s centenarians.  Bruce was one of 50,45 persons age 100 and over last year, and their ranks increased about 35 percent from a decade ago, said Lisa Hetzel, statistician at the U.S. Census Bureau. As to Rhode Island, Hetzel notes that today there are 278 centenarians, up 43 percent from 1990.

           Why are more people living past age 100?  According to writer John F. Lauerman, who with Drs. Thomas Perls and Margery Silver of the New England Centenarian Study at the Harvard Medical School Division on Aging, co-authored the book, “Living to 100,” a pcture is emerging of the typical centenarian.

            Lauerman, the health care writer for the Springfield Union-News, says that people in the oldest age group tend to remain physically and mentally healthy as well as emotionally stable.  Most importantly, centenarians tend to come from families in which long lives are common.

            In “Living to 100,” based on Perls and Silver’s New England Centenarian Study, Lauerman notes that a good attitude is one key to living longer. “Centenarians rarely consider their age as a limitation,” he says, noting that they take advantage of the opportunity for longevity afforded to them by their genes.

           Certain genes may be key to whether a person reaches age 100 and over, “but don’t thwart them,” warns Lauerman.  Good health practices are key to maximizing your life, he says.

           In addition, exercise resistance training, is an important factor for maintaining strength and muscle, notes Lauerman.  It can also can reduce your risk for heart, disease and increase your sense of well-being, he adds.

          Lauerman also recommends that you keep your mind active and investigate new challenges.  Take advantage of new opportunities like second careers, volunteering, learning to play musical instrucments, writing or even traveling, he urges.  Humor, meditation and low-impact exercise like the Chinese discipline of tai chi may also help get rid of stress.

          As to nutrition, increase your portions of vegetables and fruits, minimize meat, saturated and hydrogenated fats, and sweets.  Also, eat  moderately and supplement your diet with the antioxidants vitamin E (400-800 international units (IU daily) and selenium (100-200 micrograms daily).

         Making these changes doesn’t necessarily guarantee becoming a centenarian, Lauerman says, but they will allow you to llive longer and healthier, which is what centenarians do.  Research reveals that one of the most interesting things about centenarians is that most of the unhealthy portion of their lives is packed into the last few years, he adds, noting that they seldom spend many years in an unhealthy state before death.

         Herb Weiss is a Pawtucket-based freelance writer who covers aging, health care and medical issues. This article was published in the October 29, 2001 issue of the Pawtucket Times.

The Best of…Lifestyle Change is Effective Way to Fight Cancer

Published October 22, 2001

           Although cancer deaths in Rhode Island are among the highest in the nation, we ultimately do have control to reduce the incidence of this devastating disease, say state health experts.

           According to John Fulton, associate director of the Rhode Island’s Department of Health, cancer-related deaths last year in the Ocean State topped 2,500.  With its urban setting, Rhode Island’s listing as one of the top 10 states for cancer death was not a surprising to Fulton.  In an urban setting, he says a person’s lifestyle might include an unbalanced diet, little physical exercise, use of tobacco and a heavier use of alcohol, all contributing factors to the state having the higher incidence of cancer.

          Seniors can take more control of their health and well-being to reduce the probability of being afflicted with cancer.  By just avoiding many of the high-risk factors for cancer and by living a healthier lifestyle, or through early detection by screening and treatment, Rhode Islanders of all ages can stave off or successfully survive cancer’s devastating effects, says Fulton.

          He recommends all older persons schedule a check up every year with their primary care physician. Balanced diets are important, too, he says especially with meals including large portions of fresh fruits and vegetables.  Don’t forget regular physical activity, such as walking for at least 20 to 30 minutes.  At annual checkups, always ask your physician if it’s time for your mammogram, pap test, or sigmoidoscopy or colonoscopy.  Finally, do not use any type of tobacco because it causes at least four out of 10 cancers in Rhode Island.

           Being diagnosed with cancer does not always translate into a death sentence, says Dr. Arvin S. Glicksman, who serves as the executive director of the Rhode Island Cancer Council.  The private nonprofit group, funded by the Rhode Island General Assembly, serves as an information and referral source for those needing cancer-related information, along with providing educational programming to the public and health care professionals.

         “Breast cancer incidence is much higher for women age 65 and over than for younger women,” he states. “While 80 percent of women of all ages get      mammograms, less than 50 percent of those age 65 and over have regular mammograms.”

         “When detected earl breast cancer is over 90 percent curable,” Glicksman says.  But somehow older woman do not avail themselves of this important test, even with Medicare paying  for the annual mammograms in women age 65 and over and with 45 mammography centers located throughout the state, he adds.

       According to Dr. Glicksman, colorectal cancer kills more men and women in Rhode Island than either breast cancer or prostate cancer.  Again, preventative screening is important because even if early cancer has already developed , it is 90 percent curable too, if caught early,” he adds.

       “With testing we do for cervix cancer and colon rectum cancer we can actually detect the problems before the cells become cancerous,” Dr. Glicksman says.  “In these cancers we are actually preventing the cancer before it even starts by removing precancerous lesions.”

          Meanwhile, only a few of the 39 municipalities in Rhode Island have created Cancer Task Forces to bring cancer-related educational, screening programs and activities to their residents.

          “The City of Pawtucket has the most well-developed program,” Glicksman says.  Recognizing the important of early preventative screenings, he notes that the city allowed all full-time employees up to four hours of paid time away from work for one preventative cancer screening appointment performed by a licensed physician.  Those requiring additional time for cancer screenings are allowed to use their sick time for this purpose.

         No miraculous wonder drugs or startling medical techniques are necessary to combat cancer, Dr. Glicksman states.  The cancer care rate can rise to more than 75 percent by using the medical techniques, treatments and medications now available, combined with early prevention screenings and lifestyle changes.

        Herb Weiss is a Pawtucket-based  freelance writer covering aging, health care and medical issues. The article was published in the October 22, 2001 issue of the Pawtucket Times.  He can be reached at hweissri@aol.com.

The Best of…Sexuality Continues Throughout Life

Published August 21, 2001, Pawtucket Times

          Many seniors consider sexuality a very private matter.

          But just after the wonder pill Viagra hit the pharmacy shelves across the nation in the late 1990s, sexuality in later life became literally the talk of the town.

          From articles in daily newspapers to late night talk show monologues, to conversations with family and friends — we talked openly about sex, may be just joking about the miraculous powers of the little blue pill with the intent to relieve our own personal discomfort of the taboo topic.  But Viagra was not a joke to tens of thousands of older persons who were able to become sexually active again.

        But even today, this writer still hears snickers from some readers who believe that seniors are asexual, and that six is of no interest to them in the twilight years of their lives.  It’s a myth, experts say, their observations supported by two nationally released research studies that indicate that sexual intimacy between seniors is alive and well in the United States and still important to those in their later years.

       Don’t believe in the misconceptions and stereotypes that older people are asexual beings and that a person’s sexual needs quickly evaporate after they reach age 50, says Tamara Kreinin, president of the New York-based Sexuality Information and Education Council of the United States.

       “People are sexual beings throughout their lives,” Kreinin stated, adding that sexuality is a natural and healthy part of a person’s life.

        Seniors do enjoy sex in their later years and it can enhance a relationship and bring couples closer, Kreinin noted.  “You must not view sexuality as just intercourse,” she warns, because it has a wide-range of behaviors.

       For Instance, touch can be an important part of a person’s life.  Sexuality can also range from an embrace, a kiss, to intercourse, Kreinin added.

       Adds Kreinin, today’s culture is focused on youth and sexuality but for many older people their sexual pleasure has increased over the years because they have become more comfortable with themselves and their intimate relationships.

      According to Dr. David Kroessler, a geriatric psychiatrist and clinical assistant professor at Brown University in Providence, one’s sexuality is an integral part of human behavior.

       “Sexuality activity does not stop after you’re 50,” Dr. Kroessler says, noting that this can sometimes be news to a low of people. “Younger people tend to think that sex is just for the young and they just can’t imagine their grandparents in their early 80s having sex.  It’s not expected,” he noted, adding that many seniors in their later years, especially males, still have a strong sex drive.

     “If someone is asexual as a younger person, they don’t develop into a more sexually promiscuous person when they become older,” Dr. Kroessler said.  A person’s style of sexual behavior tends to remain constant throughout the life span, he says.  “If sex is not frequent when you’re younger, it will definitely be less frequent when you are older.”

      What does the national research tell us about sexuality and seniors?

      According to 1 1998 National Council on Aging (NCOA) research study, half of Americans age 60 and older report that they are sexuality active, while four in ten want sex more frequently.  The random NCOA survey of 1,300 older Americans was conducted by Roper Sarch Worldwide.

       The NCOA study also found that men and women in their 60s are more sexually active than Americans in the 70s (71 percent of men vs. 51 percent of women in their 60s, 57 percent of men vs. 30 percent of their women in their 70s).

        The survey results revealed that more older men than  women said they are sexually active: 61 percent of men and 37 percent of women. This gap results, in large part, from the longer life expectancy of women, the researchers say.  Older women are more likely to be widowed and no longer have a partner.  The higher ratio of women to men increases with age.

      Meanwhile, the researchers said that sexual activity continues to play an important role in relationships among older men and women.

       Among those respondents who said they are sexually active, 79 percent of older men and 66 percent of older women said that maintaining an active sex life is an important aspect of  their relationship with their partner.  When asked about the emotional satisfaction they get from their sex life, 74 percent of the sexually active men and 70 percent of the active women said they are as satisfied or even more satisfied than they were in their 40s.

        While more than half of all respondents said they engaged in sexual activity less than once a month, 54 percent of these men and 26 percent of the women said they would like to have sex more often.

        While sex is viewed as important, so is romance, researchers say.  Nine out of 10 respondents identified a high moral character, a pleasant personality, a good sense of humor, and intelligence as important qualities in a partner.

       In addition, a 1999  AARP Modern Maturity survey revealed that Americans age 45-plus have not lost that “loving feeling.”

       The mail survey was sent to 1,384 adults aged 45 and older in March of 1999 by National Family Opinion Research (NFO), Inc.  This was the first time that the national publication had devoted virtually an entire issue to sex and relationships.  The AARP study also dispels the myth that seniors are not interested in sexual intimacy.

        In terms of frequency, among those with sexual partners, the researchers found that more than 62 percent of men ages 45-59 and 64 percent of women ages 45-54 reported that they engage in sexual intercourse once a week or more, as do more than a quarter of those 75 and older (26 percent for men and 24 percent of women).

       More than seven-in-10 of those with partners (72 percent for men and 75 percent for women) stated that they engaged in intercourse at least once a month.

       Additionally, the AARP study found that older persons are finding their partners more physically attractive over time.  Going against the popular “youth-oriented” culture, the number of people who view their partners as romantic and-or physically attractive does not decline with age.  It may actually increase, the study said. Sixty percent of men aged 45-59 gave their partners the highest possible ratings for physical attractiveness.

       With the graying of America’s population, it is now time to bring senior sexuality out of the closet.  We must accept the fact that sexuality continues throughout the human life-span, and encompasses more than just intimate sexual intercourse.  It also includes cuddling, a tender kiss, a light touch on the shoulder, or holding hands.

      A well-known song, “As Time Goes By,” reminds us sexuality is to be experienced by both young and old. “You must remember this, a kiss is just a kiss, a sigh is just a sigh, the fundamental things apply, as time goes by.”

      For a bibliography list on sexuality and aging go to www.siecus.org.

      Herb Weiss is a Pawtucket-based freelance writer covering aging, health care and medical issues.   This article was published in the August 21, 2001 issue of the Pawtucket Times.