This groundbreaking book should definitely help further the movement of what the authors call "a new gerontology." John Rowe, M.D., and Robert Kahn, Ph.D., both members of the MacArthur Foundation Research Network, thoroughly debunk the myth that aging has to be a painful process of debilitation. Their research has shown that the influence of genetics shrinks proportionately as you get older, while social and physical habits become increasingly integral to your state of health--both mental and physical. The 10 years' worth of research cited in Successful Aging reveal some flabbergasting facts about health in later life. For example, an inactive person is worse off, health-wise, than a smoker who exercises regularly. And your lifestyle and attitude are significantly more important than your genes in determining whether or not your golden years are healthy ones--even if you have a genetic predisposition for developing Alzheimer's, arthritis, cancer, or other serious health problems. Rowe and Kahn start with a thorough breakdown of nutritional advice, including a rundown of the many vitamins and other nutrients that those older than 60 are in particular need of. They also detail the most important exercises for optimal functioning of body and mind, and analyze the benefits and risks of DHEA, melatonin, and tretinoin, while warning about snake-oil formulations that are now being marketed to the AARP set. There's also a thorough explanation of the importance of creativity and social connections--the research shows that, for the aging, strong social ties are even more important in preventing illness than genetic background.


From Publishers Weekly
Accessible and upbeat, this report interprets the findings of the MacArthur Foundation Study of Successful Aging, a long-term, multidisciplinary research program designed to examine the genetic, biomedical, behavioral and social factors that determine how well we age. Rowe, president of Mount Sinai Hospital, chairs the Foundation's Research Network on Successful Aging, and Kuhn, professor of psychology and public health at the University of Michigan, is a member of that group. They begin by citing the study outcomes to effectively destroy some common negative myths about aging (e.g., that illness accompanies aging or that mental capacity diminishes with age). Next they define successful aging as having three components: low risk of disease and disability; high mental and physical function; and active engagement with life. Emphasizing that lifestyle choices are more important than heredity, they spell out the choices the elderly can make to enhance each component. While focusing on what to do, they also make clear what not do to (e.g., they warn against such popular anti-aging remedies as DHEA and human growth hormone). They then turn to society's role in promoting successful aging. Finding that the elderly are one of the country's great underutilized productive resources, they propose that improving the mix of education, work and leisure throughout life would keep workers in the labor force longer, and they call on the government to make the necessary regulatory changes. Author tour. Copyright 1998 Reed Business Information, Inc.


From Booklist
Gerontologist Rowe and psychologist Kahn report on a 10-year, MacArthur Foundation^-funded inquiry into "successful aging" --that is, remaining healthy, vigorous, mentally acute, and independent well into the ninth and tenth decades of life. Knowing how to do this is becoming crucial to ever more people as American life expectancy steadily increases to a full century. First dashing six myths about old age (e.g., "To be old is to be sick" and "The elderly don't pull their own weight"), they outline the structure of successful aging, contrast it with "usual aging" (a state of imminent physical breakdown), and argue against the presumption that genetic inheritance is a more powerful determinant of longevity and healthiness than are such variables as nutrition and social interaction. Separate chapters illustrate, with the experience of the study's elderly subjects, that good diet and exercise, maintaining and enhancing mental functions, positive social connections, and productive work are essential to living well while living longer. In conclusion, Rowe and Kahn recommend three large changes in social awareness: reconceptualize the course of life to accommodate increasing longevity, take account of the unpaid labor (e.g., voluntary work, caretaking) that is so much the work of elderly people, and relax the allocations of study, work, and leisure to discrete stages of life. Further, they note barriers to change and suggest governmental measures for overcoming them. However dry--its excitement lies in its content, not its style--this is a book of the first importance to the future of all Americans. Ray Olson


Book Description
Here at last is a compelling and inspiring presentation of what determines how well we age--the results of the MacArthur Foundation Study of Aging in America, which show how to maintain optimum physical and mental strength throughout later life.

Research into aging has been revolutionized in the past ten years largely due to the MacArthur Study, which under the leadership of Drs. John W. Rowe and Robert L. Kahn created a network of leading research scientists from key fields to determine what aging actually involves. Rejecting the established approach of studying aging in terms of anticipated decline, these scientists set out to identify the factors that were enabling vast numbers of people to preserve and even enhance their mental and physical vitality in later life.

Successful Aging brings together the remarkable results of the study for the first time. They explode the myths about aging that have long shaped individual and institutional attitudes toward growing older, including the biggest myth of all: "The key to aging well is choosing your parents wisely." In fact, they discovered that lifestyle choices--more than genes--determine how well we age. Drs. Rowe and Kahn outline those vital choices, including changes in diet, types of exercise, mental stimulation, self-efficacy, and dynamic connections. These choices can make a difference no matter how late in life they are made. In addition, Drs. Rowe and Kahn include the latest research-based strategies to delay or prevent the common diseases of old age.

Society can also influence how we age. Drs. Rowe and Kahn detail innovative programs and policies that are enabling older men and women to stay healthy and to continue to contribute to their societies.

For all of us, the rewards of successful aging are great; this eye-opening work shows how they can be attained and enjoyed.


From the Hardcover edition.


From the Inside Flap
Here at last is a compelling and inspiring presentation of what determines how well we age--the results of the MacArthur Foundation Study of Aging in America, which show how to maintain optimum physical and mental strength throughout later life.

Research into aging has been revolutionized in the past ten years largely due to the MacArthur Study, which under the leadership of Drs. John W. Rowe and Robert L. Kahn created a network of leading research scientists from key fields to determine what aging actually involves. Rejecting the established approach of studying aging in terms of anticipated decline, these scientists set out to identify the factors that were enabling vast numbers of people to preserve and even enhance their mental and physical vitality in later life.

Successful Aging brings together the remarkable results of the study for the first time. They explode the myths about aging that have long shaped individual and institutional attitudes toward growing older, including the biggest myth of all: "The key to aging well is choosing your parents wisely." In fact, they discovered that lifestyle choices--more than genes--determine how well we age. Drs. Rowe and Kahn outline those vital choices, including changes in diet, types of exercise, mental stimulation, self-efficacy, and dynamic connections. These choices can make a difference no matter how late in life they are made. In addition, Drs. Rowe and Kahn include the latest research-based strategies to delay or prevent the common diseases of old age.

Society can also influence how we age. Drs. Rowe and Kahn detail innovative programs and policies that are enabling older men and women to stay healthy and to continue to contribute to their societies.

For all of us, the rewards of successful aging are great; this eye-opening work shows how they can be attained and enjoyed.


From the Hardcover edition.

ANNOTATION

"Based on a MacArthur Foundation Study, this book explains how diet, exercise, pursuit of mental challenges, and social involvement positively or negatively affect aging."

FROM THE PUBLISHER

Research into aging has been revolutionized in the past 10 years, largely due to the MacArthur Study, which under the leadership of Drs. John W. Rowe and Robert L. Kahn created a network of leading research scientists from key fields to determine what aging actually involves. Rejecting the established approach of studying aging in terms of anticipated decline, these scientists set out to identify the factors that were enabling vast numbers of people to preserve and even enhance their mental and physical vitality in later life. Successful Aging brings together the remarkable results of the study for the first time.

They explode the myths about aging that have long shaped individual and institutional attitudes toward growing older, including the biggest myth of all: 'The key to aging well is choosing your parents wisely.' In fact, they discovered that lifestyle choices -- more than genes -- determine how well we age. Drs. Rowe and Kahn outline those vital choices, including changes in diet, types of exercise, mental stimulation, self-efficacy, and dynamic connections. These choices can make a difference no matter how late in life they are made.

In addition, Drs. Rowe and Kahn include the latest research-based strategies to delay or prevent the common diseases of old age, and detail innovative programs and policies that are enabling older people to stay healthy and to continue to contribute to society.

SYNOPSIS

The past 10 years have seen a revolution in the field of gerontology: aging is being approached not in terms of expected disease and decline, but through an exploration of factors that might contribute to ongoing health and vitality. In this clear and authoritative work, Drs. Rowe and Kahn explain that successful aging is largely determined not by genetic inheritance but individual lifestyle choices in diet, exercise, the pursuit of mental challenges, self-efficacy, and involvement with other people.

FROM THE CRITICS

Publishers Weekly

Accessible and upbeat, this report interprets the findings of the MacArthur Foundation Study of Successful Aging, a long-term, multidisciplinary research program designed to examine the genetic, biomedical, behavioral and social factors that determine how well we age. Rowe, president of Mount Sinai Hospital, chairs the Foundation's Research Network on Successful Aging, and Kuhn, professor of psychology and public health at the University of Michigan, is a member of that group. They begin by citing the study outcomes to effectively destroy some common negative myths about aging (e.g., that illness accompanies aging or that mental capacity diminishes with age). Next they define successful aging as having three components: low risk of disease and disability; high mental and physical function; and active engagement with life.