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Active Minds, Active Lives, Dr. Lachs | The Future You | Men's Health
Men'sHealth
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2 days ago
Active Minds, Active Lives, Dr. Lachs | The Future You | Men's Health
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00:00
What didn't we talk about?
00:01
Well, we didn't talk about cognition.
00:04
Yes, all right, so we'll talk about the mind.
00:06
Welcome to The Future You, a new series by Men's Health,
00:08
where we talk to the leading experts in health and longevity
00:10
to help you live longer and stronger.
00:13
I'm your host, Rich Dormant.
00:15
In this episode, we're talking with longevity expert Dr. Mark Lacks
00:18
about physical and social fitness.
00:21
Dementia is an epidemic.
00:22
There's compelling data now that more so than the pharmacologic treatments
00:26
that you're seeing long after the horse has left the barn,
00:32
socialization and exercise.
00:34
So do you think that dementia itself is getting worse,
00:38
or do you just think people are living longer
00:39
and therefore developing dementia and sort of...
00:42
I think dementia is an age-dependent phenomenon.
00:46
One of the biggest risk factors for dementia is age.
00:50
About 5% of people at 65, 10% at 75, 30, 40% at 85.
00:56
And I think that many of the interventions we talked about
01:00
for body health apply to cognition.
01:04
And it's not like I'm giving you chemotherapy.
01:07
Socialize, exercise with your friends.
01:09
And I would argue keep the mind active, you know.
01:13
We didn't talk about purpose.
01:15
Well, let's go back to before we go to purpose.
01:18
Are we talking like crossword puzzles here?
01:19
Because if so, I'm going to leave.
01:21
Sudoku, what are we talking about here?
01:23
I think when you do Sudoku a lot, you get better at Sudoku, okay?
01:26
I think it's pushing yourself through coursework,
01:31
lifelong learning, you know,
01:34
a variety of different activities
01:37
in the way that you exercise different muscle groups.
01:41
So it could be crossword puzzles.
01:42
It could be learning a new language.
01:44
Oh, man, learning a new language
01:45
and getting interested in the world and history.
01:48
And now we transition to purpose.
01:50
And now, so the fourth pillar, so we've got nutrition,
01:53
we've got fitness, we've got socialization and mind and purpose.
01:58
Again, this is not something that I think a lot of mainstream practitioners
02:01
were talking about 20 years ago.
02:04
There is data on purpose.
02:06
And relatedly, there's data on attitudes about aging
02:09
that start in your 40s and 50s.
02:11
A colleague at Yale, Becca Levy,
02:14
has looked at people in their 40s and 50s
02:16
and asked them questions like,
02:19
it's normal to get sick as you get older.
02:21
I feel less useful as I get older.
02:23
And when she compares the glass half full
02:26
and glass empty people 20 years later,
02:30
it's like a seven-year difference in life expectancy
02:32
after controlling for their diseases and illnesses.
02:35
Similar data on purpose.
02:38
You know, retirement for many people is quite stressful.
02:44
What's the first thing someone asks you at a cocktail party?
02:46
What do you do for a living?
02:47
Right.
02:48
So if you're retired, you do nothing.
02:49
You have no purpose.
02:50
So most of the successful agers I take care of,
02:56
and younger people,
02:57
which have like one, two, or three things
02:59
that really motivates them.
03:01
It could be world events.
03:04
It could be being on the board of a not-for-profit
03:06
or doing charity work.
03:08
It could be travel.
03:09
It could be grandchildren.
03:11
It could be golf.
03:12
It could be something to keep your brain motivated
03:16
and having a reason to want to live longer.
03:19
When you study these people
03:20
with similar kinds of questionnaires,
03:23
there's a clear mortality.
03:26
There's a clear lifespan difference,
03:28
and there's a clear healthspan difference.
03:30
And again, I emphasize
03:31
that these are not medicines with side effects.
03:34
I mean, what is life about?
03:36
It's doing those things.
03:38
And being engaged with the world around you.
03:40
Being engaged with the world around you.
03:42
Being interested in what's happening.
03:44
One of the more interesting studies
03:45
came from Dr. Linda Freed,
03:48
who we'll also be speaking to.
03:51
And I think intergenerational collaboration
03:55
and cooperation has been shown
03:56
to have really wonderful effects.
03:58
Can you talk a little bit about that?
03:59
Linda is one of the premier geriatricians in the world.
04:03
I don't want to steal her thunder.
04:05
But yes, as someone who's about to be a grandfather,
04:07
I just discovered,
04:09
intergenerational interaction is amazing.
04:12
Linda took these inner city kids in Baltimore
04:15
who were failing from difficult homes
04:20
without direction or purpose.
04:21
and she found a group of African-American grandmothers
04:27
for the most part
04:27
and paired them up
04:29
and paid them
04:31
and whipped these kids into shape
04:34
and looked at things like,
04:35
you know, visits to the principal's office,
04:38
academic performance,
04:39
and showed extraordinary improvements with these kids,
04:43
but also showed improvements in brain function
04:46
and imaging in the older women.
04:49
You know, and then my favorite story,
04:54
which you may have heard,
04:56
it involves car makers in Europe.
04:58
I think it was BMW or Mercedes.
05:00
I can't remember.
05:01
There was a competition
05:02
where they had different groups of workers.
05:04
They had young workers.
05:05
They had older workers
05:07
and they had intergenerational workers.
05:10
And they said,
05:11
make as many cars as you can.
05:13
And the young people made the most cars,
05:15
but they had lots of errors
05:16
and they had to go back and change them.
05:18
Old people made less cars,
05:22
but they were perfect.
05:23
But the biggest number of cars,
05:26
without mistakes,
05:27
were the intergenerational workers
05:29
because the old guys said,
05:30
you know, you could do it like this.
05:32
And let me show you how to do this
05:33
and you miss something over here,
05:35
but the young guys could move the line along.
05:37
And I just love that story.
05:41
And there's so many metaphors like that in the world.
05:45
And older people have time
05:47
and they have so much to offer society.
05:51
I mean, they built our society
05:52
and the freedoms that we have.
05:54
And they're just an untapped resource for volunteerism.
05:59
Older people now are getting deeply involved
06:02
in climate change.
06:03
They may have caused it, first of all,
06:07
with their big cars
06:08
and guilty as a high schooler, right?
06:11
They want to see their children and grandchildren
06:14
have a clean environment.
06:15
They have time to volunteer.
06:17
And as I told you from Linda's studies,
06:19
volunteerism is good for your brain
06:21
if you have meaningful volunteerism.
06:23
So Cornell has a climate change and aging program.
06:27
You can Google aging and climate change Cornell
06:29
and you'll see our clearinghouse.
06:31
So what are people talking about?
06:33
They're talking about aging and climate change,
06:35
notwithstanding the politics
06:37
that are going on right now.
06:38
People just have to stay healthy.
06:40
People have to stay healthy and able to do it.
06:42
And the last thing I would say is,
06:43
let's say you do develop a disability.
06:45
Let's say you do everything right
06:46
and through some genetics or some mishap,
06:49
you have an injury or a stroke
06:50
and your gait is unstable,
06:52
you require a cane.
06:54
Does that mean you failed?
06:56
I mean, that's the other sort of notion of aging
06:58
we have in our society
06:59
that once you have some disability
07:01
or develop some problem,
07:03
you should be put out to pasture.
07:07
You know, as I get older,
07:08
you know, the knees creak a little bit.
07:10
I need some oiling, you know, here and there.
07:13
But, you know, I have people
07:14
who come to my office in a walker
07:16
who could whip you at bridge,
07:18
out-invest you,
07:19
beat you at Sudoku,
07:21
do the crossword puzzle in pen better than you can.
07:23
I mean, that's a magnificent individual
07:25
who has a little bit of a medical problem,
07:28
a little bit of a disability.
07:29
So I don't want to make the case
07:32
that if you're not perfect,
07:33
like those beautiful silver-haired people
07:35
in the commercials,
07:36
I won't name the products,
07:37
that you failed.
07:38
I mean, that's not fair.
07:40
Well, thank you so much, Dr. Lack.
07:42
It's always a pleasure to see you.
07:43
And I can't wait to be a patient of yours someday.
07:45
You'd be in the newborn nursery.
07:47
Ha, ha, ha, ha, ha.
07:53
Ha, ha, ha.
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