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

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