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Who says senior citizens are ‘old’?

This gentleman is 76, and absolutely fighting fit! His active lifestyle can inspire other elders to take up exercise too.
by Jayeeta Bose, Morning Song Foundation

It can be said with a great deal of certainty that physical fitness impacts health positively; not only at a young age but at a later stage as well. Studies related to health and ageing have thrown up the fact that lifestyle changes incorporating exercise into the daily routine, can significantly augment fitness in older people. Is there a specific age beyond which exercise is harmful? What is the right amount of exercise for an elderly person?

To address these issues, we should closely examine factors that lead to successful ageing. Being free of illness does not necessarily ensure good quality of life as one ages. Mobility, independence, cognitive function, psychological state and social relations and network are also very important. Healthy ageing is about optimising opportunities for good health, so that older people can take an active part in society and enjoy an independent and high quality of life.

How do we ensure that we lead an active and healthy life as we grow old? Let’s find out through the story of BS Nagabhooshan Rao.

Fighting fit 

Pic 2 Fit as a fiddle@76Mr Rao is 76 years old and fit as a fiddle. He is our neighbourhood ‘uncle’ and widely respected. He is leading a quiet and relaxed retired life after a successful stint in a reputed private organisation. His formula for healthy living is very simple: discipline, physical activity and social engagement. Beginning his day at 4 am, he sets about the day with vigour and resilience. Yoga is his first preference as it calms the mind and makes the body flexible. Following this, he takes a brisk walk in the neighbourhood which gears him up for the rest of the day. A strict disciplinarian, he sticks to his schedule with unwavering regularity.

He takes his meals on time and rests a while in the afternoon. His chores take up most of his day, but evenings are dedicated to his favourite sport, table tennis. This being a team sport, ensures sufficient social interaction in addition to promoting strength and agility of the muscles. A typical day ends with a family dinner and reading. A disciplined lifestyle such as this keeps him fit as a fiddle and less prone to ailments. His reflexes and alertness are far better than his peers’, which enable him to drive from Bangalore to Mysore (about 150 km) to visit relatives! No better way to celebrate longevity, is there?

How does an active lifestyle help?

Benefits of a routine such as this are enormous. There is reduced chance for diseases; BP and obesity are under check, increased strength and endurance, better lung function, greater balance and no trace of depression or anxiety.

A holistic lifestyle has its merits and a range of mental and physical health benefits can be reaped. People tend to get less active as they grow older, though moderate activity and walking increases. It is never too late to take up a new activity irrespective of the age. If the body is too frail, a moderate activity will serve the purpose. Good exercise will actually slow down the decline associated with ageing, prevent the onset of several diseases, and alleviate some of the consequences of diseases. A combination of physical and social activities is particularly advisable. A few activities suited to older people are walking, cycling, yoga, all kinds of games, family and community life to name a few.

As monsoon retreats and autumn sets in, there is great sagacity in planning a “health holiday”. It would mean making minor changes in lifestyle, but will guarantee overall wellbeing. The time is ripe for everyone to take charge of their ageing process. The secrets to everlasting happiness are twofold – a healthy body and a healthy mind. Growing old is not necessarily a burden and it does not reduce one’s ability to contribute to society. Senior persons can make valuable and important contributions making them socially inclusive and dependable resource.

Grey Space’ is a weekly column on senior citizen issues. If you have an anecdote, or legal information, or anything you feel is useful to senior citizens, caregivers and the society at large, feel free to get it published in this space. Write to editor@themetrognome.in or on Facebook at www.facebook.com/Themetrognome.in and we will publish your account.

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Why seniors should laugh more often

A laughter club in Mira Road has seen amazing health benefits for its members – and urges others to join in.
MV Rupareliaby Mansukhlal Ruparelia, Chief Patron, All India Confederation of Senior Citizens (AISCCON)

Laughter is not only a medicine for helping senior citizens recover from various physical and mental ailments but also a God given free method to create good spirits and happiness in one’s life.It clears each of your nerves from stress when you laugh in a group. Senior citizens may adopt laughing at any age and get various benefits in return.

We have a group of senior citizens of a Laughter Club, Mira Road, which meets daily (except on Sundays). We begin our laughter precisely at 6.15 am and continue till 6.40 pm – this routine has been undisturbed for the last 10 years or more, whether it is summer, winter or the monsoon season. Many members have benefited through laughter and reported an improvement in their physical and mental status.

One Mr Bhende of 80 noticed that his blood sugar levels were dramatically reduced as compared to the earlier years. He still comes to the club regularly though it is difficult for him to walk, and he brings his wife along. One Mr Rana is now 78 years old. He is overweight and not able to walk, but comes every morning in an autorickshaw. Another Mr PL Gupta of 90, though settled at Goregaon four years ago, comes on his birthday every year with his son, takes part in the laughter session and distributes sweets and packets of sweet lassi to all members every year.

Why do all these people, who cannot even walk and move freely, still come here regularly? Is it just because of the shared activity? Or is it because they see the change in their health and mental frame due to the laughter?

I am proud to say that this group has participated in three TV programmes, too, one by IBN 7 for their Zindgi Live, while the others were India TV for Big Mumbaikar Award and the Independence Day special by ITN. It is astonishing to see how active and dedicated these senior citizens are, and their stories are truly inspirational.

Today, there are many senior citizens doing outstanding work for the welfare of Elders. Social Organizations should collect CD/Videos of good encouraging programmes of such persons from T V Channels or individuals, if they have and show to as many Senior Citizens as possible to enthuse them.

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More women at risk from dementia

A critical report on dementia’s and its spread throws out startling facts about why women are more affected than men.
by Alzheimer’s Disease International (ADI)

Across all regions of the world, dementia disproportionately affects women. More women than men develop dementia, and a large proportion of carers are women, in both informal and formal capacities. While the higher prevalence of dementia amongst women is noted in the research, there is little evidence of policy being put into place and actioned in response to this. In the few papers focussed on lower and middle-income countries (LMICs), there was often no governmental organisation or programmes to address the problems associated with dementia, either for the person with dementia or to support the caregiver.

Expectations are made in many countries that families will look after older relatives, including those with dementia. This expectation often extends to it being the women in the family who take on this direct caregiving role. There was often reluctance amongst women caregivers to access help from formal and informal support services, due to conflicts between cultural and family expectations or the ability and willingness to seek help on the part of the caregiver. In LMICs in particular it was seen to be important to ensure that community services were made more easily accessible to women with little or no education.

Dementia careWomen will continue to provide care, whether this is due to societal expectations, or an individual wish to support members of their family and friends. Whatever their motivation, there needs to be adequate and appropriate information and support in place to enable these women to provide care, and feel cared for themselves.

The India story

Dementia is a public health issue that will become increasingly visible in LMICs as the population ages. All countries need to understand the current and predicted prevalence and acknowledge that dementia disproportionately affects women; the impact on women needs to be ascertained in individual countries, along with a review of the support available currently and what is needed to meet future needs.

As the population ages, the prevalence of dementia will increase, given that advanced age is the greatest risk factor for dementia (Alzheimer’s Association, 2014). The number of people globally estimated to be living with dementia in 2013 was 44.35 million. This is predicted to rise to 75.62 million in 2030 and 135.46 million in 2050. The rates of increase across different parts of the world is not uniform, with rates increasing in India, China and South Asian and Western Pacific regions at three times the rate of increase in high income countries.

In 2013, Alzheimer’s Disease International estimated that around 38 per cent of people with dementia were living in high income countries, and 62 per cent in low and middle income countries (LMICs); this is predicted to rise to 71 per cent in LMICs by 2050 if current trends continue. These figures highlight the need for all countries, in particular low and middle income countries, to develop plans to ensure the provision of appropriate health and social care to manage the increasing need of the ageing population.

Influencing factors

Many factors influence carer burden and strain across different countries, ethnicities and cultures. In a survey of 11 sites in middle income countries (Latin America, China and India) the factors leading to carer strain were found to be the primary stressors of behavioural and psychological symptoms of dementia (BPSD), dementia severity, the care needs of the care recipient and time spent caring.

Cutting back on paid work to undertake care was significantly associated with higher carer strain in most countries. No significant associations were found in chi-square analyses on demographic variables, dementia diagnosis, severity of dementia, medications prescribed or where the person with dementia lives which would account for these high levels of carer strain. Elsewhere, in Iran, factors increasing the risk of psychological morbidity in dementia carers included being a spouse, having an affected person at home, and living together.

The impact on finance is also significant in LMICs, where the fewer than half of the people with dementia received any kind of pension; this proportion was lower in India and Nigeria. However, some LMICs have adopted policies of non-contributory pensions as part of social welfare programme, or have wide access to healthcare services, addressing some of the problems faced by the older population. The majority of caregivers in the 10/66 Dementia Research Group study had to cut back on paid work, or stop working altogether, in order to care for the person with dementia, with no provision of any kind of state caregiver allowance. In Tanzania, with no state care available, it was suggested that provision of community day care for people with dementia, either by the state or religious organisations, would allow caregivers to undertake more “productive work”.

Read the entire report here.

(Pictures courtesy www.dailymail.co.uk, www.huffingtonpost.co.uk)

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Rules of aging: Ticking the right boxes

A senior citizen checks if she’s aging well using a checklist. You can use the list, too – go on!
Hira Mehtaby Hira Mehta

Mumbai Mirror of June 17, 2015, has listed 9 things that people aging gracefully do differently. Well, I am not sure whether I am doing half of what they have listed but  let me tick the checklist with a ‘Yes’ or ‘No’.

They work out to get strong, not skinny– Well, that’s something that I certainly can’t tick off the list. Exercising to building resistance to stay strong to do daily activities is what it says. I do agree that it is definitely important to keep those bones moving to stop them from creaking and making you immobile, but I have not got down to it yet. NO.

They stress less – This one is a big yes for me. Stressing over things has never helped me. I believe that what is not in your hands is not worth troubling your brain with. Worry for me is a waste of time as it does not solve anything. “If you don’t think your anxiety, depression, sadness and stress impact your physical health, think again. All of these emotions trigger chemical reactions in your body, which can lead to inflammation and a weakened immune system” – Kris Carr. YES.

They let go of regrets and grudges – It’s so very true for me. Why let the past hold me from doing something new today. Each morning when I open my eyes, I thank God for giving me one more day to live. You should too, so hold no grudges against people or events in your life because they were meant to be a part of it. So many people get obsessed, carrying grudges and have these mental fights with people wasting tons of energy and getting nowhere. I am both a forgiver and a forgetter, and I don’t believe in holding grudges. So well, YES.

They learn something new every day– So true, because the day we stop learning, we actually stop living. If we look back, we will see that in our times, we either did a B.Com, BA or B.Sc. Look at the various career opportunities that the youth have today and surprisingly those are the very same options that used to be our hobbies but never became careers. It’s time to explore these hidden passions and learn all the things you ever wanted. Well, I did my Events Management Diploma at the age of 48 years. The principal actually refused me admission until I assured him that I would not expect him to find me a job. After all I was just pursuing my dream. YES.

They don’t overdo the make-up – Let me say that wrinkles are the lines of experience and knowledge. I will however not let that stop me from feeling good aboutBe happy in your old age myself. I will use just the right amount of make-up and that dye because it makes me feel positive and good about myself. YES.

They stay positive – Absolutely and always a ‘yes’. This one tops my list because positivity keeps me young and I certainly won’t let anyone dull my sparkle. I do believe that the best is yet to come always. YES.

They get enough sleep – Hmmm, now that’s a tough one. Sleep eludes me sometimes but sleepless nights don’t worry me because if I am awake, then I am thinking and alert. I guess the trick is to let the alertness remain and sleep well too. YES and NO.

They eat and drink to their health – It is said that ‘the idea that you are what you eat is definitely true’. Eat to live not live to eat! But kya karoon control nahin hota sometimes! YES and NO.

They embrace their changing looks – but on the condition that they remain young at heart. Ditching the dye is not something I am comfortable with. I am not so sure about this one. YES and NO.

There is nothing more damaging that trying to be someone you are not. If you are comfortable in your skin, then you are sorted for life. Remember what works for me may not work for you, so don’t let this list stop you from living on your terms. Kuch toh log kahenge, logon ka kaam hai kehna

Hira Mehta has worked in banking, corporate communications, celebrity management and event management. She is a prolific writer, and likes to voice and act for friends, apart from interviewing local celebrities and writing reports on local events.

‘Grey Space’ is a weekly column on senior citizen issues. If you have an anecdote, or legal information, or anything you feel is useful to senior citizens, caregivers and the society at large, feel free to get it published in this space. Write to editor@themetrognome.in or on Facebook at www.facebook.com/Themetrognome.in and we will publish your account.

(Pictures courtesy www.jeffreymlevinemd.com, read.plash.in. Images used for representational purpose only)

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The old man on the bus

To stop elder abuse, we must stop indulging in it. A new column starts today, World Elder Abuse Awareness Day.
by Vrushali Lad | editor@themetrognome.in

Ae buddhhe, hatt na!” Everyone in the bus line turned to stare at the youth on the cycle, trying to get past an old man shuffling slowly to the front entrance of the bus. The man didn’t even hear the boy, intent as he was on catching the bus before it sped off. Or probably he had heard it a million times before – in our country, it is customary to address old people we don’t know as ‘buddhhas‘ or ‘buddhhis‘ – we also use these terms to address old people we don’t particularly like. Whatever the language, we find an equivalent term for ‘buddhha’ and use it with impunity.

This is where the rest of a bigger problem stems from. The derision we have for ‘oldies’ in society translates into everyday actions we don’t even think about before committing. We get impatient with senior citizens taking their time getting into the bus. We snort with ill-disguised contempt when the cashier at the supermarket has to repeat himself twice, loudly, to the old woman shopper who clearly has lost a lot of her hearing. We do not deign to explain ‘complex’ issues to our grandparents or old parents because ‘they will not understand anyway’. We feel ill-used when we have to give away a portion of our salaries every month to fund our retired parents’ homes.

Lend a handIn short, these old people give us several causes for complaint. Like that old man on the bus – whose big crime was that his old age had rendered him slow and incapable of quick movement.

I’m not even going to take the oft-repeated ‘Our parents did so much for us, we should repay them in their old age’ route, because it is so simplistic, it irritates me. It is also not about doing good for our elders because of the fear of karma – society tries to shame us when we behave badly towards our parents and elders with the caution, ‘Don’t forget, you are going to get old, too…’ At a broader level, the issue is not about whether we should behave ourselves in order to have a good old age for ourselves, or whether we should be grateful enough to be nice to our parents who did everything for us when we were little. It is simply about being considerate and kind.

Old age brings with it a million daily traumas – both physical and spiritual – but the most scarring one surely has to be the one that reminds the person every day, “You are useless…you can no longer work and contribute to the family, your ideas are outdated, you need to sit in a corner and think about the afterlife, your life is over…” I can’t think of another humiliation worse than being relegated to the ‘back benches’ at home – because you no longer earn a salary, you are no longer an important component in the family’s scheme of things. Your opinions are considered out of sync with the times, you are often talked at by your own children and grandchildren, and the physical problems you face – loss of hearing, loss of memory, loss of mobility – are often the subjects of many jokes in the family and neighbourhood.

And yet we take a moral high ground when we hear stories of other senior citizens being beaten or tortured in their homes, at the hands of their family members. We outrage on hearing accounts of an aged couple being disowned by their children because the parents refused to part with their property while they were still alive. We ‘Like’ and ‘Share’ photographs of abandoned senior citizens and comment on the pictures saying, ‘If you can’t take care of your parents, you should just die at birth’ or ‘How can society not have a conscience, yaar? Are we made of stone?’

And then most of us forget to call our mothers once a day, just to remind them they are in our thoughts and that we are safe (which is what they’re always worried about). We take our parents to the restaurant around the corner (where we often go) on their anniversary ‘to celebrate’ because we were too busy to plan a grand celebration. We cut their calls during a busy day and forget to call back. We yell at them to not disturb us when we are working or hanging out with friends. We forget to tell them important things in our lives. We ‘forget’ to pay their bills, knowing fully well they are too embarassed to remind us. Or we assume that they wouldn’t like to try out a new health club that we enrolled our kids and spouse in, because senior citizens are ‘too old’ to exercise or swim. Or when, in their brain-addled state, they shout at us and we shout back, instead of biting our tongue because they are not in their senses and they don’t mean to shout.

We are curt, impolite, rude and inconsiderate in a million different ways every day, all because we know somewhere in our hearts that ‘Whatever happens, my parents will always forgive me…’ I am guilty of all of these behaviours, unthinkingly and selfishly, and so are you. But it’s never too late. Today is World Elder Abuse Awareness Day, and we can start setting things right.

When we say ‘abuse’, it brings to mind images of beatings and verbal lashings – and many senior citizens undergo these on a daily basis around the world. But what about the silent abuse we mete out to our elders every day?

Abuse takes form in several ways, and it always starts with the small things. Let’s give our elders the respect and dignity that we expect the world to show us, and many things will begin to fall into place one by one. There’s no need for grand gestures – though those would be nice, too. I think it helps if we just keep in touch. Talk to them and listen. Laugh at the stories they tell even though you’ve heard them since childhood. If you believe in karma and all that jazz, may be your children will treat you well in your old age. At the very least, you’ll spend some really great times with an elder you know – and I find that they do have some really awesome stories to tell.

‘Grey Space’ is a weekly column on senior citizen issues. If you have an anecdote, or legal information, or anything you feel is useful to senior citizens, caregivers and the society at large, feel free to get it published in this space. Write to editor@themetrognome.in or on Facebook at www.facebook.com/Themetrognome.in and we will publish your account.

(Picture courtesy udaipurtimes.com, www.tapovan.org.in. Images are used for representational purpose only)

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