U 3 A in Kennet The Kennet U

U 3 A in Kennet The Kennet U 3 A June Talk Speaker: Sir Muir Gray CBE MD Director of the Optimal Ageing Programme for Living Longer Better

THE TURNING POINT Best possible rate of decline ABILITY AGE

THE TURNING POINT Best possible rate of decline ABILITY AGE BRADLEY WIGGIN’S or ROGER FEDERER’S OR MARIANELA NUNEZ’ OR SERENA WILLIAMS’S TIMELINE AGEING REDUCES MAXIMUM ABILITY AND RESILIENCE, THE ABILITY TO RESPOND TO A CHALLENGE

Injury Bed rest 20 year old 80 year old

Ageing is not a problem till the 90 s

Ageing is not a problem till the 90 s Problems are caused by 3 other processes

THE TURNING POINT THE FITNESS GAP Best possible rate of decline Actual rate of decline ABILITY AGE THE FIRST OF THESE IS LOSS OF FITNESS WHICH REDUCES MAXIMUM ABILITY AND RESILIENCE, THE ABILITY TO RESPOND TO A CHALLENGE

Pulse rate of unfit person Pulse rate of fit person Exercise

KEEP FIT, GET FITTER – the 3 D Programme EMOTIONAL PHYSICAL Strength Stamina Suppleness Skill COGNITIVE

AGEING DISEASE LOSS OF FITNESS

THE TURNING POINT THE FITNESS GAP Best possible rate of decline after onset of heart failure ABILITY Rate of decline after onset of heart failure AGE ONSET OF HEART FAILURE

THE TURNING POINT THE FITNESS GAP Best possible rate of decline after onset of heart failure ABILITY The Line Rate of decline after onset of heart failure THE LEVEL REQUIRED TO GET TO THE TOILET IN TIME AGE ONSET OF HEART FAILURE THE FITNESS GAP OFTEN GETS WIDER FASTER AFTER THE ONSET OF A LONG TERM CONDITION, AND MAY DRAG THE PERSON BELOW THE LINE

THE TURNING POINT THE FITNESS GAP Best possible rate of decline after onset of heart failure ABILITY Rate of decline after onset of heart failure The Line Below which the person is deemed to be an ‘acute’ case and refferd ‘off legs’ to A&E AGE ONSET OF HEART FAILURE ACUTE CHEST INFECTION

THE KEY DOCUMENT WAS PRODUCED BY THE ACADEMY OF MEDICAL ROYAL COLLEGES IN 2015

AGEING DISEASE LOSS OF FITNESS NEGATIVE BELIEFS

UNDER REGAIN physical, cognitive & FITNESS emotional STAND AGEING Live Longer Better PREVENT & TACKLE DISEASE THINK POSITIVE

PLANNING FOR 90 – What would you like life to be like? What would you like to avoid?

Duration Of Multi-Morbidity & High Dependency THE PRESENT THE FUTURE; HEALTHSPAN

We have had 2 healthcare revolutions, with amazing impact The First was the public health revolution , which is still important (covid!) The Second has been the technological revolution supported by 50 years of increased investment & 20 years of evidence based medicine, quality and safety improvement eg • Antibiotics • MRI & CT • Coronary artery bypass graft surgery • Hip & knee replacement • Chemotherapy • Radiotherapy • Randomised controlled trials • Systematic reviews

Carry on with what you have been doing – Mediterranean diet , be careful about alcohol etc but there is a new agenda • Get even fitter and • every year do more! • every diagnosis do even more! • Reduce your risk of dementia • Do even more for other people and strengthen sense of purpose

Get even fitter and every year do more! every diagnosis do even more! DAILY DOZEN + 30 Do a daily dozen minutes, for strength, suppleness and skill (or 14 if you are in your 80 s or 15 minutes if you are in your 90 s) and 30 minutes of brisk walking for stamina and get your BMI back to what is was when you were 30

Reduce your risk of dementia Protect your brain - from the effects of sleep, stress, drugs and trauma Keep the blood flowing freely Stay engaged, positive and with a purpose

Do even more for other people and strengthen sense of purpose