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  • Alicia Arbaje: "It is inevitable

  • that you will get dementia."

  • No, no, and no.

  • Ebi Ofrey: "Never smiling staves off wrinkles."

  • Wrinkles are not as a result of smiling.

  • Arbaje: Even if it is, do we really want to stop smiling?

  • "You don't need as much sleep when you get older."

  • You always need sleep.

  • Hi, my name is Dr. Alicia Arbaje.

  • Ofrey: And my name is Dr. Ebi Ofrey.

  • Arbaje: And today, we're going to be debunking

  • myths about aging.

  • "It's harder to learn new things as you get older."

  • It may be a little slower on some things,

  • especially if we're not familiar with them,

  • but as we get older,

  • we become more able to understand things

  • that are more abstract as opposed to concrete.

  • So I think this bodes well for older adults.

  • Ofrey: As Dr. Arbaje said, I think it's just different.

  • Older adults are more likely to learn things faster

  • that don't have to do with technology.

  • But once technology comes into play,

  • it takes them a bit longer.

  • "How you age is predetermined by your genes."

  • Arbaje: This is one of my favorite ones to talk about.

  • I think that genes are way less important than we think

  • and lifestyle is way more important than we think.

  • And we have the ability to turn genes on and off;

  • how we eat, sleep, live, love,

  • and exercise makes the biggest difference of all.

  • Ofrey: So, your habits from youth

  • play a key role in how your aging process goes.

  • Arbaje: "It is inevitable that you will get dementia."

  • No, no, and no.

  • Dementia is not a normal part of aging,

  • and it's important to understand that if you're having

  • memory problems or problems planning

  • or being oriented or getting around,

  • that is a sign that something needs to be checked out.

  • Ofrey: Only a small percentage of older adults

  • actually have dementia.

  • So if you have problems with remembering things,

  • you need to understand that it could also be due to

  • an underlying problem that can be solved.

  • "You shouldn't exercise when you are older

  • because you are prone to injuries."

  • If you have underlying conditions

  • you are aware of, it's important

  • you pay attention to the exercises you do

  • because your underlying condition

  • might affect your risk of injury.

  • But old age alone is not a risk for injury.

  • Arbaje: I wholeheartedly agree and would add that

  • there are different kinds of exercises

  • no matter what situation you are in.

  • You could be bedbound or in a chair or in a wheelchair

  • and still be able to do different kinds of exercises.

  • "You don't need as much sleep when you get older."

  • You always need sleep.

  • And the amount of sleep you need over time

  • is probably gonna be pretty consistent.

  • And the way to know if you're getting enough or not

  • is to understand how well you're doing the next morning.

  • Are you able to function the next day

  • and do the things that you have to do?

  • Ofrey: As we go into sort of retirement,

  • most of the time we have more time

  • available to us during the day,

  • and many times we take more naps than we should.

  • As such, we should be able to adjust our daily habits

  • to ensure we don't spend most of the day sleeping

  • and then not be able to sleep at night.

  • "You'll gain weight because your metabolism slows down."

  • I feel there's a chance of weight gain

  • not because your metabolism slows down,

  • but because you are more inactive at the time.

  • We need to still remain active the older we get.

  • Arbaje: Your metabolism should also stay

  • pretty consistent throughout our lives.

  • So, I really think that this can empower people

  • to not feel like old age is going

  • to be about a lot of decline.

  • The next myth is that,

  • "People lose their sex drives as they age."

  • So, this one's kind of interesting.

  • If people are losing their sex drive, per se,

  • it could be because of an underlying chronic situation,

  • a chronic condition, it could be related to medications.

  • People's relationships change over time,

  • and what becomes important to them

  • may change or evolve over time.

  • It doesn't necessarily mean that

  • they wouldn't have a sex drive.

  • Ofrey: I totally agree with Dr. Arbaje.

  • The sense that people may have different interests

  • and different ways of showing affection the older they get.

  • And, again, there may be underlying conditions

  • that may make sexual intercourse

  • not as comfortable as it used to be.

  • So, "Getting old makes you grouchy."

  • Arbaje: We see how older people are depicted

  • in cartoons and in movies,

  • and often this is the stereotype.

  • Grumpy Old Man: I don't like this desk,

  • and I don't like this chair,

  • and I don't like holidays,

  • flippity floppity floopity floody!

  • Ofrey: We realize that a majority of our patients

  • are not grouchy, but they seem to be a bit sad

  • because of the, you know, the nesting syndrome,

  • being alone in the house, and things like that.

  • But grouchiness is not a feature of old age.

  • Arbaje: That is so well said.

  • Grouchiness is not a feature of old age.

  • I do think that

  • depression is a lot higher in older adults,

  • or it can be,

  • and that can be because of

  • underlying chronic conditions, life circumstance,

  • and those are things that depression

  • can manifest as irritability in older people,

  • and that may be mistaken for grouchiness.

  • "You will lose your eyesight."

  • Losing eyesight is usually

  • related to a problem in other organs as well.

  • So it's a sign of an underlying condition.

  • Poor circulation or diabetes

  • or high blood pressure or strokes.

  • Now, what we do know

  • is that the acuity of your vision

  • can change over time.

  • So, the sharpness of your vision,

  • but that is not the same as losing your eyesight.

  • Ofrey: You may have certain visual impairments,

  • but not loss of eyesight.

  • And all those impairments have corrective measures

  • that can be applied to ensure your sight returns,

  • if not to normal, to almost normal.

  • So, "Your teeth fall out as you get older."

  • Again, there's a popular saying over here meaning,

  • "Don't prepare for war in time of war."

  • Meaning you prepare for old age before you get old.

  • Most of the time, people take care of their bodies

  • but seem to neglect oral health.

  • And that's why it seems that

  • most times people lose their teeth.

  • Arbaje: Your teeth are so important

  • because all those bacteria travel to other parts

  • of our body, so it's really important to keep,

  • as I said earlier, all our organs in good shape,

  • and that will help our teeth stay in good shape as well.

  • "Aging means more medications."

  • So, this one is unfortunately partially true,

  • but it doesn't have to be.

  • It does seem that the older people get

  • and the more healthcare they receive,

  • the more medications they might end up on.

  • The theme here is how you eat,

  • how you sleep, how you exercise, how you love,

  • how you pray. All of these things matter.

  • Even if you are on medications,

  • there is still a chance you can come off of medications

  • with lifestyle changes.

  • So, anyone who's on a medication,

  • I just encourage them to see their healthcare provider,

  • geriatrician, ideally, and ask several times a year,

  • "Do I still need this medication?

  • And if I do, do I still need it at the same dose?

  • And if I still need it, what else can I do in my life

  • so that I can eventually come off

  • of this medication if possible?"

  • Ofrey: Interestingly, I was thinking the same thing

  • that Arbaje was thinking.

  • And so it's important to note that

  • if you have a healthy lifestyle,

  • you are less likely to require most of the medication

  • many elderly people take at the moment

  • because you have prevented the conditions

  • that require them.

  • "Never smiling staves off wrinkles."

  • Wrinkles are not as a result of smiling.

  • Arbaje: Even if it is, do we really want to stop smiling?

  • Because smiling has so many other benefits.

  • Wrinkles are about loss of collagen,

  • loss of hydration, and not so much

  • how you're using your face.

  • So please don't stop smiling.

  • And please instead hydrate if you're worried about wrinkles,

  • make sure you're eating plenty of fruits and vegetables.

  • Really, skin is an inside job.

  • "Eating fewer calories will extend your life."

  • What we know is the kind of calories you eat

  • are more important than how many.

  • So, our bodies run on glucose,

  • and the more pure sources of glucose

  • you can consume, the better.

  • Fruit has the most viable available

  • source of glucose available to our bodies.

  • And when I say eat way more fruits and vegetables,

  • I mean way more.

  • Four apples, three mangoes, six potatoes.

  • Like, not this tiny-side-salad stuff that we think about.

  • Make that the majority of your meal.

  • It is hard to get fresh produce all year round,

  • depending on where you are.

  • And it can be more expensive for some people.

  • I am not saying that it's important to eat organic,

  • although if you can, that's even better,

  • but I don't want people to shun getting access

  • to whatever kinds of fruit and vegetable they have.

  • Ofrey: Preparation is the key to success.

  • So your lifestyle, what you do,

  • your habits you form before you get older,

  • they'll go a long way to ensuring

  • you have a healthier and longer life.

  • Arbaje: Adjust your attitude about aging.

  • We have this idea that aging is about decline

  • and being dependent on other people.

  • Aging is a beautiful part of life.

  • It's a time when we become more wise,

  • when we become able to give back to others,

  • and we as geriatricians are here to support you.

Alicia Arbaje: "It is inevitable

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