Longevity in a Time of Stress
By Michael Bihari, MD
Published April 2025
Recently, I had the pleasure of being interviewed about the prevention of heart disease on the podcast The Bright Side of Longevity, hosted by Dr. Roger Landry, a resident of Falmouth and author of the best-selling book Live Long, Die Short: A Guide to Authentic Health and Successful Aging. Dr. Landry and I both serve on the Board of Directors of Neighborhood Falmouth, and we often discuss ways to help older adults stay healthy and active while aging in place.
In preparation for my podcast interview, I revisited insights from the MacArthur Foundation Study on Aging, groundbreaking research that identified key factors contributing to successful aging — not just surviving, but thriving in later years.
A New Perspective on Aging
The MacArthur Study challenged outdated views of aging as a period of inevitable decline. Instead, it showed that people have significant control over how they age through lifestyle choices. The findings have influenced public health policies and aging-related research, emphasizing preventive health measures and active engagement.
Conducted in the late 1980s and 1990s, the study followed more than 1,000 older adults to uncover the secrets to successful aging. Unlike previous research that focused primarily on disease and decline, the MacArthur Study emphasized the importance of maintaining physical and cognitive function, nurturing social connections, and preserving independence.
One of the study’s most powerful findings was that genetics account for only about 30% of how well we age. The remaining 70% is influenced by lifestyle and environment. That means most of the factors contributing to healthy aging are within our control.
Applying the Findings: Aging in Place with Confidence
For older adults choosing to remain in their homes and communities, the MacArthur Study offers practical guidance. Here are some ways to apply its lessons:
• Stay Physically Active: Regular physical activity is one of the strongest predictors of healthy aging. Exercise supports mobility, reduces the risk of chronic diseases, and enhances overall well-being. Low-impact activities like walking, swimming, or tai chi are excellent choices. You don’t need to run marathons or make it to 10,000 steps everyday— even brief walks can make a difference.
• Keep Your Mind Sharp: The study found that engaging in problem-solving activities, lifelong learning, or hobbies reduced cognitive decline. Join a book club, take an online class, or play games that challenge your thinking, like chess or puzzles.
• Nurture Social Connections: Strong social networks are essential for successful aging. Loneliness and isolation increase the risk of depression and cognitive decline. Stay connected with family and friends through regular calls, video chats, or social events. If you’re 60 or older, consider joining our wonderful Senior Center to make new friends and participate in a myriad of activities.
• Prioritize Preventive Health Care: Routine medical check-ups, screenings, and preventive care are critical. Participants in the MacArthur Study who followed a balanced diet, avoided smoking, consumed alcohol in moderation, and had regular check-ups were more likely to maintain good health. If you have a chronic illness make sure you get the appropriate treatment.
• Cultivate a Sense of Purpose: Maintaining a sense of purpose is closely linked to well-being and lower rates of depression. Volunteering, caregiving, or pursuing interests can offer joy and fulfillment. Organizations like Falmouth’s nonprofits or programs like VIPS (Volunteers in Public Schools) are excellent ways to contribute to your community.
• Adapt with Resilience: The study highlighted the importance of psychological resilience or flexibility. Optimism and adaptability were common among those who aged successfully. While maintaining independence is ideal, it’s important to be open to using assistive devices, modifying your home for safety, or accepting support when needed.
Beyond the Study: Practical Wisdom for Challenging Times
The lessons from the MacArthur Study are particularly valuable during these stressful times. Many of us feel the weight of today’s political and social challenges. Finding constructive ways to cope is essential for maintaining our well-being.
One powerful stress reliever is helping others by volunteering. It not only benefits our community but also boosts your own sense of purpose and connectedness. Lending a hand to neighbors or supporting a local cause such as the Falmouth Service Center or Neighborhood Falmouth can provide comfort and perspective.
And let’s not forget the importance of finding moments of joy. Whether it’s sharing such on Main Street with a friend or taking a leisurely walk along the beach or on one of the 300 Committee trails, small pleasures can lift our spirits.
Challenging Ageist Stereotypes
The MacArthur Study has also played a role in dispelling harmful ageist myths. It showed that older adults remain politically engaged, maintain close relationships, contribute meaningfully to society, and continue to enjoy intimacy. Mental and physical decline is not inevitable, and older adults are more than capable of making sound decisions about their lives.
Of course, the study primarily involved adults aged 70 to 79 who were already high-functioning. However, subsequent research has consistently demonstrated the benefits of adopting healthy habits at any age. So, don’t wait until you’re 70 to get off the couch and start moving!
A Final Thought
Aging is not something to fear but an opportunity to embrace. By following the principles outlined by the MacArthur Study — staying active, socially connected, mentally engaged, and purpose-driven — we can enhance our quality of life, continue to thrive and age in place safely and with dignity.
So, the next time you’re wondering how to navigate life’s stresses, consider taking a walk, calling a friend, or volunteering your time. And, of course, an occasional trip to Dairy Queen doesn’t hurt. Did I mention? VOLUNTEER!