Hierarchy of Physical Function in Older Adults Elite: sports competition, senior Olympics, high-risk and power sports Physically Fit: moderate physical work, all endurance sports and games, most hobbies Independent: very light physical work, hobbies, low physical demand activities (golf, social dance, traveling); can pass all instrumental activities of daily living (IADL) (e.g., climbing stairs, shopping, doing housework, etc.) Frail: light housekeeping, food preparation, grocery shopping; can pass some IADL, all basic activities of daily living (BADL) (walking, bathing, dressing, eating, transferring) Dependent: cannot pass some or all BADL; needs home or institutional care Source Spirduso 2005

An interesting new study in older Americans shows very clearly that those who are the most fit live the longest. Fit fatter people live longer than thin unfit people. Of course, those who are overweight have a tendency to become unfit - a bad combination. It is now also clear that those overweight early in life are more likely to get a variety of diseases. However, these new findings are quite encouraging to those who are consistently exercising in a effort to improve their health, yet may still be struggling with their weight.

We know that bodies are made to be used. We also know that exercise turns on gene signals in muscles that activate numerous systems in the body required for health, including an improved function of cells to make energy. Any person knows that they feel better when their muscles are more fit from activity and exercise. There is now plenty of science to back up this subjective perception - including the new finding that says a fit person will live longer regardless of weight.

It is vital that an older person have the energy and physical ability to exercise. This means that a key use of dietary supplements to promote longevity is to support the production of energy and the rejuvenation of physical structure so that a person can maintain a healthy fitness level for a longer period of time. It also means that any drug that lowers energy, of which there are many in common use, are leading to premature death regardless of the reason they are being given.

To create a renaissance in health care for the elderly most of their drugs need to be thrown in the trash and the money needs to be invested instead in appropriate personal training and exercise programs. A fresh organic food supply would also help.

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