In the foothills

About the time of life, described by Leonard Cohen as “the foothills of old age”. I review current research, evidence and experiences of ageing. Dr Kyra Neubauer, a senior consultant physician with 30 years’ experience in elderly care medicine, has contributed ­as co-author and guest blogger.

 

taichiHighbury Fields, 2024 Photo Lesley Lawson

One of the wonderful things about living in the same neighbourhood for many years is that it has given me an incidental acceptance of the ageing process. I am on nodding terms with any number of local people. I do not know their names, nor where they live, but have followed the arc of their ageing over the past 20 years of my Highbury life: the carefree youth morphing into a proud dad and then a white-haired adult; the walker who developed a limp, had surgery, threw her sticks away; the dog lovers whose ageing pets disappear to be replaced by younger versions.

2182ppp 36696339cfc1dc8Photo: Mark Epstein/Centre for Ageing Better

What are the secrets of a long and healthy life?
Jeane Calment, who died at the age of 122 years and 164 days, was the oldest person ever to have lived. She attributed her longevity to an occasional glass of Port and a diet rich in olive oil.  Scientists have speculated whether her great age was due to her genes, her diet or her social life. Sceptics have suggested that it may have been a mother-daughter fraud.

CBAsmall 8Photo: Peter Kindersley/Centre for Ageing Better

It is a common assumption that ageing is controlled by the genes we inherit from our forefathers. Far from it. Geriatricians now estimate that, up to the age of 80 years, genes control only 20-30% of our ageing. It is how we have lived our lives that accounts for the rest.

GP hillPhoto: Lesley Lawson

At a certain age, meetings with my old friends began to take the form of an “organ recital” of health challenges and woes. I resolved to use my research skills to produce a quick reference to current science and thinking on the topic, an A to Z of ageing.

The first big question was: what exactly is ageing?
There are scientific, cultural and psychological answers to this question.