Guest guest Posted September 6, 2001 Report Share Posted September 6, 2001 Longevity, Here is an article I just wrote which may be of some small use to the neophyte in this arena, especially for those who " cannot see the forest for the trees " , and give some strategy, as elementary as it might be, around which one might endeavor to create a realistic anti-aging program. Vitally yours, Dr. H. Maher, ABAAHP Editor, " Longevity News " subscribe@... www.RxforWellness.com " Your FREE AntiAging prescription Online! " Dr. Maher's " Five Steps to the 100 Year Health Span " How to Die Young.at a Ripe Old Age! Nowadays, we can all greatly increase our likelihood of enjoying 100 or more fully functional, vibrant and robust years of health. But just like increasing our chances of a robust and healthy bank account in our " golden years " , investing in our health takes proper planning, diversification, and sound strategies. And of course, the sooner you start the better! Therefore, I proffer the following " Five Steps to the 100 Year Health Span " . Before we start, I wish to underscore that I use the term " health span " to indicate that we are not talking about merely continuing to breath, (perhaps w/ the assistance of oxygen canisters) as we begin slow decades of decline into a more or less vegetative state in a nursing home, bereft of mind, memory and mobility and/or blind, crippled , hunched over and dependant. No, the goal here, to quote a famous anti-aging doctor, is to " die young.at a ripe old age! " The Five Steps Step 1> Cultivate and inculcate " Ha-Ha-Hah! " ; healthy attitudes, healthy activities and healthy alimentary habits! Step 2 > Keeping moderation in mind, endeavor to minimize exposure to oxidants and toxicants, while optimizing antioxidant and detoxicant intake. Step 3 > Endeavor to keep the " Hormones of Age " , insulin and cortisol, under control. Step 4 > Endeavor to maintain the " Hormones of Youth " at optimum levels. These include human growth hormone, melatonin, thymosins, thyroid (and perhaps parathyroid) hormone, and the steroid hormones pregnenolone, DHEA, progesterone, testosterone and the estrogens. Step 5 > Reviewing as best you can your historical lifestyle and genetic risk factors, " shore up " your likely weak points with a specific strategy. For example, do lifetime habits and exposures and/or genetic tendency strongly predilect you to heart disease, diabetes, dementia, or cancer? Have they perhaps already shown themselves to one extant or the other? Than take preventative action specific to said threat in addition to the four steps above. These steps might be visualized as steps along a pyramid. By this I means that each step is best built upon the foundation of the previous more basic and foundational step. The best way to build your own " pyramid of health " is to build the foundation first, and then proceed one step at a time, in order. Step One: Ha-Ha-Hah! " The more you cover the basics, the less you need of anything else. " The above quote of Rick Armstrong, heavyweight kickboxing champion, was oft repeated to his students. It is just a applicable here. Ha-ha-hah! Stands for healthy attitude, healthy activity and healthy alimentary habits! The later means those things we habitually put into our mouths. (The former two oft relate to what comes out of them!) The primacy of healthy attitude is perhaps best argues by Lynn s Adler, J.D, author of " Centenarians: The Bonus Years " . " I have found after interviewing thousands of centenarians and their families and in my 14 years of working with centenarians in public and private celebrations, media events, travel and leisure that centenarians who are successful in active, engaged living at 100 years have the following five traits, attitudes, behaviors or as some would say, personalities: " A love of life A positive, yet realistic attitude The courage & willingness to use modern medical interventions when needed A spiritual or religious belief And a remarkable ability to renegotiate life at every turn adjusting to and accepting the inevitable losses that come with longevity. " Healthy activity encompasses not only physical activity, but mental activity (left and right brain), social activity and spiritual activity. Physical activities should be varied and promote strength, flexibility, endurance and balance. Mental activities should include the new, different and challenging. These may range from a new avocation, taking a new class, taking up chess and crossword puzzles, and staying active in those fields about which you are still passionate, to writing/playing music, engaging in works of art, or writing prose or poetry. Social activity is always essential to robust health, particularly as you begin to outlive your family and friends. We must commit ourselves to constantly building and re-building close meaningful relationships. Spiritual activities refers to any activity that gets us in touch with what we feel as our deepest selves. No matter how hard we try, as we age our ability to engage in physical activities diminish. For is not the " gold " of the golden years in the enjoyment of the fruits of wisdom and awareness that comes from a life of reflection, a life based on sound values, and of knowing for oneself what really matters? Healthy alimentary habits refers to what we eat and drink, the alimentary canal being that tube that begins at our lips and ends at our anuses. Whether it be a Seven Day Adventist, Mediterranean or Okinawan diet, the core essentials are more or less the same; eating smaller, frequent, and varied minimally processed of mostly plant based meals. And lots of pure fresh water! It is of interest to note that the latest " diet " of interest is the Okinawan diet. The Okinawan islands have the highest proportion of centenarians in the world - 33.6 per 100,000 people. A low-calorie diet abundant in soy, vegetables and fish is being credited for the fact. But also note that a study of 600 Okinawan residents who are 100 years old or older found that they share the same lifestyle factors - regular exercise, moderate alcohol intake, strong belief systems and social networks. It has been said that " laughter is the best medicine " . So let me encourage you to take the first step and start, " ha-ha-hah-ing " your way to a 100 year health- span today! Step 2 : Minimize Exposure To Oxidants and Toxicants, Optimize Antioxidant and Detoxicant Intake. There are many theories of aging. Two of the more popular are the Free Radical Theory and the Waste Accumulation Theory. " Free radical " describes any molecule that differs from conventional molecules in that it possesses a free electron, a property that makes it react with other molecules in highly volatile and destructive ways. That destruction is known as oxidation. Oxidation is that process when slow causes iron to rust, when moderate causes a cut apple exposed to air to turn brown, and when rapid causes paper to burn! Oxidation reactions occur inside of us when we turn food into energy. That is why we need to breath in oxygen all the time. Free radicals are not only produced inside us, but we take them in through smoking, food, air and water pollution, x-rays, sun exposure, household chemicals, and environmental poisons to name the most common. " Aging is a disease. The human life span simply reflects the level of free radical oxidative damage that accumulates in cells. When enough damage accumulates, cells can't survive properly anymore and they just give up . " E.R. Stadtman, researcher on aging, NIH. The Waste Accumulation Theory states that eventually our cells produce or imbibe more waste than they can properly eliminate. These accumulate, eventually interfering with normal function, ultimately killing the cell. Indeed, the " age spots " we older folks might find appearing in our skins is just such an accumulation (lipofuscin)! Now, of course our bodies have built in antioxidant and detoxication mechanisms. These mechanisms depend highly on proper nutrition for the " raw materials " . Only more recently have we come to realize that natural whole foods, spices and herbs that we humans have traditionally eaten are also filled with their own antioxidants and detoxifiers, which we can then utilize as well! For example, one reason carrots are good for you is because they contain several antioxidants carotenoids, only one of which is the most abundant and well known, beta carotene, the precursor to Vit. A. And prunes offer much more than just fiber. Like most deep red, blue or purple fruits, they are super rich in antioxidant flavonoids and oligoproanthrocyanosides (OPC's). Cruciferous vegetables (broccoli, cabbage, cauliflower, Brussels Sprouts and such) are highly touted because they help our livers breakdown toxins to harmless, even useful chemicals, some of which are the potentially toxic forms of estrogen. (isothiocyantes) Perhaps more familiar is the idea of eating lots of fiber, which helps " clean out " our disposal system, and can even rid our blood of excess " bad " LDL cholesterol. Of course on the other side, it is wise to minimize or at least moderate exposure and intake of oxidants and toxins as best as reasonably possible. Do we need to take additional antioxidants and detoxifiers? Well, the general answer is that the more we have followed the last " Hah " of Step One, healthy alimentary habits, eating a moderate calorie, micro-nutrient dense diet of small, frequent meals rich in fruits and vegetables of all the colors, beans and legumes, whole grains, nuts and seeds, cold water fish, lean free range (even wild) meats and eggs, and used a variety of health promoting fermented foods, herbs, spices and healthy oils (like olive or rice bran oil), then the less we need " supplementation " . And the more we have been or continue to be exposed to oxidizing radiations, chemicals, poisons and pollutants, the more we need to consider adding supplemental antioxidants and detoxifiers. Step 3 : Keep Down the " Hormones of Age " , Insulin, Cortisol,(and DHT). The Neuro-Endocrine Theory of Aging tells us that we age because as we past our prime some hormones get lower and some get higher. Unfortunately, the three most common ones to get higher, insulin, cortisol and DHT, are all generally considered " bad " , at least when in more or less constant excess. Have you ever wondered why diabetes is often called " Adult Onset " diabetes? This by far most common form of diabetes is hall marked by hyperglycemia, meaning too much blood sugar. The reason for this excess sugar is that in order for sugar to get from our blood into our cells where it can be used for energy, insulin must carry said sugars into our cells. With adult onset diabetes, the insulin receptors become unresponsive or resistant, leading to " insulin resistance " . To combat this resistance, our bodies make more insulin. Because of insulin's many " jobs " , this rise in turn leads to fat storage, especially around the middle, a " catabolic " breakdown of muscle, and bad triglyceride and cholesterol levels, leading to pot-bellied men, apple shaped women, and cardiovascular disease in both, a disease syndrome now ominously know as " Syndrome X " ! Even this excess insulin eventually fails, and blood sugar climbs eventually spilling over into the urine. This excess sugar in the blood infiltrates our bodie's protein tissues with Advanced Glycation End-products. That's AGE's for short! It is this process that leads to blindness, peripheral neuropathy, non-healing foot ulcers, kidney disease, hardening of the arteries and the like. And perhaps up to half of all diabetics do not even know they have diabetes or pre diabetes! Everyone knows that stress is the ultimate ager. Did you ever wonder why? Well it may be that ongoing stress causes continuous high levels of cortisol, the major stress hormone. Though this hormone is vital in helping us cope with true emergencies and threats, continued high levels literally " eat us up inside " , and throws our metabolism into a catabolic state, or state of breaking down, faster then we repair or build ourselves back up. DHT stands for dehydrotestosterone. It is a metabolite of testosterone that tends to rise with age and is thought to be in large part responsible for male pattern baldness and benign prostatic hypertrophy, also known as BHP. It is important to note that the best way to control blood sugar and insulin is a high fiber, low sugar, healthy fat and protein, nutrient dense, moderate calorie diet of small, frequent meals combined with regular exercise. Yes, step one! And antioxidants help protect us from highly oxidizing, immoderate, carbohydrate laden meals (step two). And yes, for those of us that already suffer from dysglycemias, there are supplements like chromium, niacin, magnesium, vanadium, and flax and fish oils, or herbs like cinnamon, that can help restore our insulin sensitivity. And there are herbs like gymnema sylvestre and fenugreek, and antioxidants like vitamin C and alpha lipoic acid, that can help lower blood sugar and protect against AGE infiltration. And of course today there are better and better medications should these more natural products prove ineffective. Now one of the best ways to lower cortisol is to exercise. Another is to make time for relaxation, meditation and/or " re-creation " . Indeed, just being deeply attentive to some of the more relaxing pieces of classical music has been shown to dramatically reduce stress hormones. We should not over look adequate sleep, frequent hugs, and social support. A positive spiritual value system that gives deeper meaning to the unavoidable trials and tribulations of life and tends to keep ones endeavors from the pitfalls of endless striving for material things and worldly recognition should not go unconsidered. Minimizing caffeine, sugar, nicotine and alcohol, which are more or less toxic drugs we commonly use, and sometimes abuse, to temporarily manipulate our brain chemicals to change our state, is a positive step in the right direction. These all of course are actually step one and two endeavors! Of course, few of us live like Okinawans. So fortunately, there are nutrients that will lower cortisol and/or help minimize its effects. These include nutrients like phosphatydilserine, vitamins C, B5, and B6, herbs to help one relax and sleep like valerian and kava kava, and even other hormones like DHEA and melatonin. We still struggle with " cures' for male pattern baldness, but you don't need lots of hair to live to a spry old age. But swollen prostates are another matter! Healthy prostates need zinc and omega three fats from nuts and seeds, antioxidant like green tea, selenium and lycopene (from tomatoes, watermelon and apricots), and last but certainly not least, regular exercise, including sex! And if one already suffers, there are herbs like saw palmetto and nettles that usually work to lower " toxic " levels of DHT as well and with less side effects than prescription medications. But notice how the very best way to follow step three is to follow steps one and two! Step 4: Maintain the " Hormones of Youth " Recall that in step 3 we said that the Neuro-Endocrine Theory of Aging tells us that we age because some hormones get lower and some get higher. As anyone over forty can tell the ones that get lower with age must be the " hormones of youth " ! The hormones of youth are by and large anabolic hormones. That means hormones that build us up. There are two kinds, the amino acid based hormones and the steroid hormones. The amino acid based hormones include human growth hormone (hgh), melatonin, thymus (immune system) hormones, and thyroid hormones. These hormones help us to grow, sleep, fight off microbial invaders and cancers, and burn fat as energy. As we get old we must admit there is a tendency to shrink, wake frequently ay night, get deadly pneumonias and cancer, and get fat and tired. The steroid hormones are made from cholesterol, which is why a very low cholesterol is associated with increased morbidity! Cholesterol becomes pregnenolone which can either become mostly cortisol when highly stressed, or turn into one of the sex hormones like progesterone and DHEA and from there to testosterone and the estrogens. These later hormones help keep us trim, strong, sharp and well. sexy! It should be noted that a good way to help maintain a more youthful hgh and testosterone level is to perform regular medium intense exercise, like heavy weight lifting and wind sprints. Even optimizing zinc and magnesium can help raised testosterone levels. Or to play truly competitive sports and win! Sex three times a week works, too! (No, I can't write you a prescription!) And the same contemplation of classical music that lowers cortisol greatly enhances DHEA. Perhaps more familiar is that there are plant estrogens (phytoestrogens) in foods like soy, alfalfa and flax and herbs like black cohosh. We should also know that insulin and hgh are antagonists, while DHEA and cortisol ratios (10 to 1, respectively) are more important than absolute levels. So again we see how following the previous steps 1, 2 and 3 may minimizes the need for step four, while also supporting any endeavors in that direction. Nonetheless, if there is one breakthrough that truly birthed the modern anti-aging movement it is the discovery of more or less affordable, reliable, safe and convenient ways to restore the hormones of youth to a more " youthful " level in those of us well into middle age and older. Here is first arena that we have it over those locales and cultures which much more easily support a lifestyle that follows steps one and two from the cradle to the grave. Estrogen was the first hormone of youth used on a wide scale as a " youth hormone " , and it is still commonly prescribed for the symptoms of menopause. Menopause is a time when estrogen levels do not merely slowly decline like the other hormones of youth as we progress into enter middle age. Estrogens often plunge, relatively speaking! Unfortunately, the estrogen prescribed is mostly synthetic estradiol, taken from the urine of a mare! And often it is prescribed with little investigation into the total steroid hormone picture, including the other two main estrogens (estriol and estrone), as the steroid hormone functions are intertwined in a delicate balance. Today, however, we can find doctors more familiar with anti-aging paradigms who will by thorough questioning, exam, and lab testing determine which, if any, of the steroid hormones need to be enhanced, preferring natural (meaning identical to human) hormones to synthetics analogues (almost like human hormones). And anti-aging doctors do the same for men as well, who also experience a middle-aged sex hormone decline, albeit much more gradual, called the androcline. Though the promise inherent in optimizing the hormones of youth is exciting, admittedly we are on the frontier, with much to be learned, and if history is any judge, some things will be learned the hard way. This same promise has also regrettably, though hardly surprisingly, lead to marketing hyperbole, questionable products, and profit driven encouragement of indiscriminate " shot gun " use. As always, but in this arena especially, caveat emptor! But at the same time, let's not throw the baby out with the bath water! Just make sure to proceed with guidance and the proper tools and resources necessary for a science-based pursuit of vital longevity. Step 5: Shore Up Your High Risk Factors Half of us will die of cardiovascular disease. The other 35% of us will die of cancer, diabetes and pneumonia. Interestingly, a recent Hopkins Medical Letter found that Okinawans have 80 per cent fewer heart attacks and 75 per cent fewer cancers of the breast, ovaries and prostate than North Americans. So step one is again the most important step! But you dear reader are likely not genetically or culturally Okinawan. We have most of us lead more or less typical western lives for much, if not all of our lives. Therefore, we likely have weak points that we can identify early and take specific steps to try to restore, as much as reasonably possible, healthy structure and function to those aspects of our physiology. For too many of us that major risk factor is obesity. This of course is a huge topic, but let me suffice it to say that that lean body mass optimization strategy which best incorporates the above four steps is that strategy that is both most likely to bring long lasting results and the related health benefits for which we seek. Senile dementia is of course frightening to many of us, for it takes away our independence, our dignity and, as we age perhaps our even more precious possessions, our very minds and families. In addition to the four steps above, there are true " brain foods " , called nootroopics, both over the counter and prescription, that truly, as Grace Slick once encouraged us, " feed our heads " . Over 25% of peoples over 65 already have clinical signs of senile dementia. So some of us should start these nootropics as early as our 40's! We can counter the downward spiraling effects of age related mild or mild-moderate depression using natural products that help restore a more youthful profile of brain messenger chemicals (neurotransmitters), restoring for us the joi de vie. Macular degeneration is the leading cause of blindness in those over 65. But today we can diagnose it early, and help delay its onset by using herbs (gingko biloba, vinpocetine) that increase the flow of blood and oxygen to our retina's and special antioxidants (from fruits and vegetables) that protect them from the oxidizing effects of ultra violet light. We can do the much the same for cataracts, glaucoma and diabetic neuropathy if we start early. Osteoporosis is one of the banes of those who have made it into their 80's, often in otherwise good health. This is equally true for both men and women by that age by the way! And just taking calcium and estrogen is clearly NOT the answer. But today we can measure our bone density in middle age and begin and monitor the progress of our efforts by simple urine tests to see what truly is and is not working for us. And then adding to the four steps above, we can supplement macro and trace minerals efficaciuosly. Osteoarthritis is almost universally familiar to at least some extant to those of us over 50, and not a few of us even earlier. But today, instead of just temporarily masking the pain with non-steroidal anti-inflammatories (NSAIDS) we can take those nutrients, like glucosamine, chondroitin and MSM, that help to keep our cartilage young, moist, springy and pain free. In all these Step 5 endeavors the following are generally true: 1. The earlier we start the better and the more likely over the counter products will useful, as compared to prescribed medications. 2. The more we incorporate the above first four steps, no matter how tardily, the more likely the success with over the counter products or, as needed, prescription meds. In closing, let me say that I know that all the above means considerable effort and investment of time and money. But let me prophecy as follows: We all most likely will either invest our time and money in our health and longevity, or we will spend our time and money on our diseases as we age. The only sure way out of this conundrum is to die earlier than most! If, as the old and infirm have constantly reminded us, that " there is no wealth greater than health " , then let me encourage you to start investing wisely, starting today. Come and grow younger with us! Vitally yours, Dr. H. Maher, ABAAHP Editor, " Longevity News " subscribe@... www.RxforWellness.com " Your FREE AntiAging prescription Online! " Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.