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 >
      • Retirement has benefits and risks
      • Some people got a better start than others
      • the impact of isolation is now recognised
      • The physical environment is the cause of many problems blamed on ageing
      • 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
    • 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 after your body

,LOOK AFTER YOUR BODY, WITH LOVE AND CARE AND DISCIPLINE

THE BODY MAINTENANCE PROGRAMME
 
By the end of this module the learner will
  • Have a deeper understanding about the relationship between ageing, loss of fitness, disease in affecting the various tissues and systems of the body
  • A check list of parts that need regular care and maintenance
  • An understanding of the risks of privately offered screening programmes
Modern cars don’t need garages and although they go in for servicing regularly there is concern that this goes over the top and is a means of creating business for enthusiastic garages.  Vintage cars however do need more care, love and attention; probably the modern cars will need this too if they survive for thirty, forty or sixty years but our vintage bodies certainly need regular care, love and attention. 

There are three forces that affect every tissue and organ in the body – normal biological ageing, loss of fitness and disease.
Ageing is a normal biological process that affects every species. There are many different aspects of ageing and ageing can be observed in every tissue and organ in the body. However the evidence is that ageing by itself is not a major cause of problems until the late nineties and that most of the problems that occur are due to the two other processes, loss of fitness and disease.  One feature of ageing that is important is what is called loss of reserve, loss of ability to adapt to challenges and, just like the vintage car, the body needs more frequent care and attention as time passes.  For example the twenty year old can spend three weeks in bed following an injury and then bounce back but a seventy year old will lose more ability and take longer to recover, and this applies to all tissues and organs.  Loss of fitness also affects ability and reduces reserve and most of the problems that occur before the nineties are caused by a combination of loss of fitness and disease 
 
It is often difficult to distinguish betwen ageing, loss of fitness and disease but there are warning signals, for example any change that occurs over a period of hours, days or weeks in any bodily function such as breathing, bowel motion or vision is not usually due to normal ageing but due to disease and the advice of a doctor is indicated.  
As part of our programme we have advice on what you should do on each of the principal body tissues and organs 
 
Be cautious about offers of additional servicing

Not infrequently signs appear, or leaflets are posted through letter boxes, advertising a screening service or a medical testing service, often emphasising that it is a service not provided by the NHS. Once upon a time there was great enthusiasm for screening but it was believed that if you detected disease earlier it always improved survival and cure.  There is however a phenomenon called lead time bias that gave screening an artificial optimistic image.  

Imagine that there is a cancer that takes ten years from development to have fatal results with symptoms developing after five years. What happens with screening is that sometimes we are able to find the cancer at an early treatable or curable stage but there is also the possibility that finding a disease early may simply give the appearance of an effective treatment by increasing survival time but all that has happened is that the person knows they have had the disease for longer. If , for example the screening test finds this cancer after three years growth the survival will be seven years from the time of diagnosis even if the earlier diagnosis has had no benefit but there will have been no real increase in survival, merely having lived two years longer knowing one has cancer
People are now much more cautious about screening and the NHS offers screening tests for which there is strong evidence that the probability of benefit outweighs the probability of harm in statistical terms but each person offered screening will have to decide for themselves if this fits in with their preferences.
So if the NHS invites you for screening read the material they have sent and consider the offer seriously because what is offered is a screening programme based on strong evidence.  If on the other hand you are offered private screening tests, a blood test or genetic test probably, the best course is to smile and decline with thanks.
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