some have entertained angels unawares.”
Hebrews 13:2 – Bible
Bill (not his real name) is a slender mid-fifty-year-old man with sparkling eyes, a compelling smile, and quick wit. He has long curly brown hair and stands a little over five-foot-ten. He’s an Ivy Leaguer who still works but is mostly retired. I first noticed him exercising at the local YMCA. He is a regular in the gym.
I have never understood what it is that draws me to people. This feeling emerges somewhere inside, grows and if I don’t act in some way, it becomes uncomfortable…almost nagging. It also seems to be time sensitive, meaning if I don’t act…like the wind passing through the leaves of the trees…the ‘season’ passes and it is gone. I was drawn to Bill and caught him before the wind slipped away. I have not been disappointed.
As the scriptures say, one never knows where lie the angels. They are the messengers – earthly or heavenly. AND it is about the messages, isn't it?
There may be a context here…
The American Association of Retired Persons (AARP), WebMD, Harvard News Letter, Silver Sneakers Newsletter, the American College of Sports Medicine, and a host of other e-publications inundate my email box with admonitions to be more active and healthy.
You know what I am talking about.
Pictures of happy, young, middle-aged or senior citizens, smiling as they exercise. The sun shines as they walk, jog, swim, bike ride, dance, play tennis, shuffle board…the list endless. One might even think cultural harmony and world peace could be achieved if only we wore brightly colored loose fitting ‘exercise appropriate’ clothes and headed to the…fill in the blank…for a little sweat inducing activity.
While there are other popular topics like getting proper sleep, good nutrition and managing life producing stress, most emails in all ways and by all means, return to exercise as the key to a healthy and productive life.
Exercise is touted as the best management approach for reducing the risk of injury, increasing quality of life, and if you have a chronic disease, the most effective way to minimize its encroachment on your ability to function day to day.
On the other hand, the majority of us are not physically active. It is work, and if you watch real people doing it, you do NOT see smiling faces. Rather, you see serious looks focusing on the activity at hand. Next time you see someone exercising in the gym or on the street, or small groups walking in a park, look for those smiling faces…there aren’t many. Like most things that cause growth in life, vigorous exercise is not comfortable. It takes work.
Here are the data…
In 2015 a Centers for Disease Control National Health Interview Survey of 103,798 people, showed that nearly eighty-percent did not meet activity minimums from federal guidelines (moderate to vigorous activity for 75 minutes a week - a little over 10 minutes per day).
Catch 22
Most folks don’t like to exercise at all as the graphics suggest, and as we age, our interest in regularly activity diminishes further (First figure - click to enlarge). Culture and race didn’t make any meaningful difference (Second figure).
The idea of easing into the golden years takes hold, and as time flies by, we do less and less.
So what, who cares…
One hundred and seventeen million people have one or more preventable chronic diseases – heart, stroke, cancer, type 2 diabetes, obesity, and arthritis. The majority occur later in life and are a result of poor health choices – principle to this brief piece, lack of habitual exercise.
If a pattern of activity has not been established in earlier decades, the chances of being active when we are older slips further into the horizon of a progressively reduced quality of life, and increased risk of chronic disease.
There’s money on the table here…
In 2003, costs for managing these preventable health conditions was 297 Billion dollars. They are estimated to nearly triple by 2023 (Milken Institute State Chronic Disease Index). Medication costs alone, which often have significant side effects, are astronomical. Development of chronic disease, disability, and medication usage would be greatly reduced in later stages of life if we were more active from our twenties on (graphic 1 again). But hey, we’re mostly not sick in our twenties!
Back to the gym…
It takes Bill a little more than five minutes to get from his car to the front door of the building. That would be from his handicap parking spot some fifty feet away. He uses hiking sticks for balance, making sure they are set firmly before taking halting and unsteady steps…each of which causes a hyperextension of his knees because he does not have enough muscle mass in his thighs. When he moves, his focus is the next step and making sure he doesn’t fall over.
Bill has muscular dystrophy, a progressive constellation of muscle syndromes for which there is no cure. His disease was not brought on by poor lifestyle choices. He understands being active is the only way he can resist each millimeter of function robbed from him by this progressive and terminal condition. He doesn’t know the data on chronic disease or its costs to society. He doesn’t care that the majority of people are not active enough to build barriers against debilitating chronicity – his reality is present and urgent.
And so he shows up at the gym and fights every distressing and uncomfortable barrier to capture as much life as he possibly can.
I have been an active exerciser most of my life. As I get older, it is harder to keep motivated to be in the gym or on the streets or in the pool. Part of it is the decline of functional capacity as time and gravity take their pound of flesh…part of it is waning interest.
Often times I need a little help to overcome the inertia of the comfortable chair in which I am sitting or project on which I am working.
When I want to stay in and take a break, what gets me going are NOT the smiling faces on email links I get or the knowledge that sedentary living potentially brings on insidious chronic disease, or that my health care costs might to be higher.
What gets me going?
The angel Bill!
ted
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