How to Live Longer Better
  • Your journey
    • What is happening as we live longer >
      • Bad language about older people
    • Your monthly briefing >
      • 2025 4 april
    • The environment is tough >
      • The physical environment is the cause of many problems blamed on ageing
      • Retirement has benefits and risks
      • Some people got a better start than others
      • the impact of isolation is now recognised
      • Poverty affects too many older people
    • the Living Longer Better Programme >
      • what would a good life in your late 80s be likel
      • What do you fear most and want to avoid
      • Start to write your Living Longer Better Plan
      • Think positive
    • How to reduce your risk of a bad death
    • My diary & daily routine
    • My health record
    • My housing
    • Othercare - Supporting someone else
  • Learning
    • U3A
    • Learning With Experts
    • Ageing is a normal biological process
    • From 40 to 90 loss of fitness is serious
    • The effects of disease are often compounded by loss of fitness
    • Negative beliefs and attitudes have a huge impact
    • The importance of planning with purpose
    • The Ageing Brain and the Maturing Mind
    • Strength and Power can always be increased
    • Skill and co-ordination can be improved at any age
    • Stamina can be improved by brisk walking
    • Suppleness can always be improved and stiffness always reduced
    • Activity Therapy is of vital importance
  • Get physically better
    • the Daily Dozen + 30 for 4S fitness
    • Increase strength, stamina, suppleness and skill >
      • Strength
      • Stamina
      • Skill
      • Suppleness
      • Work hard
      • Restart cycling >
        • Virtual Cycling
      • Brisk walking >
        • Virtual Walking
      • Restart Sport >
        • Restart swimming
        • Restart tennis
        • Restart football
      • If you have difficulty walking briskly
      • Join a Gym or Wellness Hub >
        • Meet others for fitness >
          • Silver sneakers
          • Age UK Generation games
          • Join a Gym, Fitness Centre or Wellness Hub
          • Find a personal trainer
      • Find a Trainer
    • Look after your body >
      • Happy and Positive Birthday >
        • Sod 60!
        • Sod70!
        • Sod It! Eat Well
        • Sod Sittin, Get Moving!
      • Skin maintenance
      • Teeth and gum maintenance
      • Feet maintenance
      • Bone, joint and muscle maintenance
      • Bowel maintenance
      • Brain maintenance
      • Mind maintenance
      • Heart maintenance
      • Lung maintenance
      • Waterworks maintenance for men
      • Waterworks maintenance for women
      • See as clearly as possible
      • Keep your Hearing as acute as possible
  • FIGHT DISEASE
    • Reduce your risk of disease >
      • Eat Well
      • Stop smoking
      • Increase activity - physical, cognitive and emotional
      • Watch the alcohol
      • Accept the offers from the NHS screening programmes
      • We need a revolution
    • If disease occurs - Optimise Your Healthcare >
      • Making a big decision >
        • Should i have a hip replacement ?
      • Consequences of common conditions >
        • Loss of status
        • Disability and handicap
        • Isolation
        • Depression
        • Frailty
      • Look out for social as well as drug prescribing >
        • Enjoy Activity Therapy
      • What you can do to help the NHS even more
    • Arthritis
    • Cancer
    • COPD _ Bronchitis
    • Diabetes
    • Dementia
    • Heart disease
    • High Blood Pressure
    • Hypercholesterolaemia
    • Pain
    • Parkinson's Disease
    • Stroke
  • Think better
    • Train your brain ; we now know the brain can get fitter at any age
    • Understanding Dementia & Alzheimer's Disease
    • Reduce your risk of dementia >
      • Stimulate your brain more every year >
        • Learning new skills and build on your assets
        • Get even more engaged
      • Protect your brain >
        • Sleep better
        • Get more active
        • Avoid over medication
        • Control stress levels
        • Air pollution and dementia
      • Keep the oxygen flowing
  • Feel better
    • Combat depression
    • Combat anxiety
    • Stay engaged and don't lose your sense of purpose
    • Feel even better by helping other people even more
    • Meet others like you
    • Optimise the Internet >
      • My Virtual Reality
    • Join others for a Daily Service
    • Feel better by visiting Great Places >
      • Visit the great Museums
      • Visit the great libraries
      • Visit a National Trust treasure
    • Feel better through music >
      • Join a concert party
      • Your virtual choir
      • Music for Moving
    • Feel better by reading, listening and watching with other people >
      • Kindling Book Club >
        • Crime
        • Classics
        • Health
      • Audible Book Club
      • Your BBC
      • Your Film Club
    • Feel better by learning new skills and ideas
    • Feel better by joining a club to play games and meet others >
      • Chess Club
      • Bingo club
      • Bridge Club
    • Feel better by supporting nature >
      • Visit the great gardens
    • Feeling Better by Going Down Memory Lane >
      • Sporting memories are powerful
  • Our Mission
    • About Muir Gray
    • Muir Gray's Bookshelf >
      • Midlife
      • Sod60!
      • Sod70!
      • Get Moving
      • Eatwell!
      • Dr Gray's Walking Cure
    • About the OxAP >
      • Here is the news
    • References

Look at the Learning with Experts programme


Key messages for people in their 50s, 60s, 70s, 80s and 90s 
 

UNDERSTANDING AGEING
 
Key messages 
  • Ageing is a normal biological set of processes which does not cause major problems till the nineties 
  • The principal effects are reduction in the maximum level of ability and loss of resilience or reserve
  • Ageing starts in childhood but does not become the dominant biological process till the late thirties, the decline observed by most people before that age being due to loss of fitness 
  • Most major problems experienced by people as they live longer are due to loss of fitness, disease and ageist beliefs and attitudes

IMPROVING PHYSICAL FITNESS 

Key messages 
  • It is almost always a decline in fitness that starts the decline in ability not ageing
  • Fitness has four dimensions – strength, stamina, suppleness and skill 
  • Increasing fitness becomes more important every year and with every diagnosis
 
PREVENTING AND COPING WITH DISEASE

Key messages 
  • The increase in the prevalence of disease as people live longer is mainly due to their environment rather than the ageing process and can be reduced
  • The effects of disease are often complicated by accelerated loss of fitness
  • Healthcare is what individuals do for themselves and everyone should know their NHS number and hold their own record
 
UNDERSTANDING AND CHANGING HOW PEOPLE THINK ABOUT AGEING

Key messages
  • Beliefs about people who are older are often wrong and under estimate ability and potential 
  • Hostility may be increasing because of concerns about older people’s use of carbon, pension rights and protection during Covid
  • Attitudes towards older people are too pessimistic 
  • People generalise about older people in ways that would be considered unacceptable if made about other sub groups in society
 
UNDERSTANDING THE CHANGING BRAIN AND MIND

Key messages
  • People can form new connections in the brain at any age, 
    The effect of normal ageing on reducing the brain’s ability has been greatly over emphasised
  • Dementia is not just accelerated normal ageing
  • Alzheimer’s disease is not the only cause of dementia, there are other causes which can be influenced to reduce the risk of dementia which has got less common in the last twenty years
 
MAINTAINING A SENSE OF PURPOSE AND DEVELOPING A POSITIVE PLAN 
 
Key messages
  • Purpose is very important
  • Ikigai is one of the factors that helps people in Japan live longer better
  • A purpose helping others is even betterthan a purpose than making things better for yourself
  • It is good to develop a plan and chck it weekly
  • Keep a gratitude diary and record what you have to be thankful for even if you have had a tough day 
 
DEVELOPING STRENGTH AND POWER 

Key messages 
  • There is some loss of muscle mass and strength as a result of ageing but the principal cause is loss of fitness
  • Muscle mass and strength can be increased at any age
  • People with long term health problems are even more likely to lose muscle strength but can also regain strength and mass
 
MAINTAINING AND IMPROVING SKILL & CO-ORDINATION 

Key messages
  • Decline in ability to co-ordinate move either intentionally or as a reflex eg after a stumble is the result of loss of fitness and not simply due to ageing
  • New circuits can be formed in  the brain at any age  because of what is called the brain’s neuroplasticity
  • Everyone needs to challenge their brain by daily exercises and by learning new skills
 
INCREASING STAMINA 
 
Key messages
  • Stamina is the ability to keep going for longer and only a little of the reduction observed is due to ageing  
  • You have to get a little bit breathless for about thirty minutes every day to improve stamina 
  • The improvement in stamina occurs in the muscles’ ability to use oxygen  rather than in the heart or lungs

INCREASING SUPPLENESS

Key messages 
  • There is some loss of suppleness and joint mobility as a result of ageing but the principal cause is loss of fitness
  • Suppleness can be increased at any age
  • Exercises to increase suppleness should be part of everyone’s daily routine
 
INCREASING BRAINABILITY AND REDUCING THE RISK OF DEMENTIA 
 
Key messages 
  • Dementia is different from normal ageing
  •  Alzheimer’s disease is the single most common cause of dementia; vascular dementia due to disease of the arteries is the second most common cause of dementia after Alzheimer’s disease
  • There is strong evidence about the three steps people can take to reduce their risk of dementia
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