The following program presents principles designed 00:00:01.98\00:00:02.95 to promote good health and is not intended to take 00:00:02.96\00:00:05.31 the place of personalized professional care. 00:00:05.34\00:00:07.84 The opinions and the ideas expressed are those of the 00:00:08.27\00:00:10.69 speaker. Viewers are encouraged to draw their 00:00:10.72\00:00:13.24 own conclusions about the information presented 00:00:13.27\00:00:15.94 Welcome to WONDERFULLY MADE. I am Dr. David DeRose, 00:00:34.91\00:00:37.95 president of Compass Health incorporated. We're looking 00:00:37.98\00:00:41.03 today at a subject that is grabbing the attention of 00:00:41.06\00:00:43.95 people throughout the world and as we lived 00:00:43.98\00:00:47.32 and experience this wonderful gift of live that 00:00:47.35\00:00:49.93 God is given us. It's only the matter of time, 00:00:49.96\00:00:52.50 before all of us will be asking. What can I do 00:00:52.53\00:00:56.05 to age more healthfully? Healthful Aging, that's 00:00:56.51\00:01:00.58 our subject today and to add me in the dialogue 00:01:00.61\00:01:03.82 today, is Dr. John Clark, John it's good to have you 00:01:03.85\00:01:06.85 with me on the show today. Thanks for having me; 00:01:06.88\00:01:09.21 It's good to be back. Now you're first training 00:01:09.24\00:01:12.31 if you will in medicine is as an orthopedic surgeon 00:01:12.34\00:01:15.46 and I know in that discipline. You see a lot 00:01:15.95\00:01:18.56 of problems that many peoples with it tribute 00:01:18.59\00:01:21.07 to simply getting older is in that right. 00:01:21.10\00:01:23.14 That's correct people do get older and they do 00:01:23.17\00:01:26.55 tend to have problems with bones and joints. 00:01:26.58\00:01:29.05 Now many peoples upset that things like 00:01:29.81\00:01:32.60 degenerative joints disease or osteoarthritis 00:01:32.63\00:01:36.17 it's simply disease that comes on over time, 00:01:36.74\00:01:39.20 because of wear and tear and as we get older, 00:01:39.26\00:01:41.74 We're likely to have problems with our orthopedic 00:01:42.86\00:01:46.72 system. If you will, is that pretty much to given 00:01:46.75\00:01:50.28 that if we live long enough, we're gonna be seeing 00:01:50.31\00:01:53.02 an orthopedic surgeon for something. 00:01:53.05\00:01:54.85 Well people tend to believe that and there is the 00:01:54.88\00:01:58.45 certain amount to thanks you believe in, 00:01:58.48\00:02:01.17 coming true, but it isn't necessarily true that you 00:02:01.20\00:02:05.20 have to have degenerative diseases just because you're 00:02:05.23\00:02:08.71 getting older. Will let's talk then about 00:02:08.74\00:02:11.89 Healthy Aging, first of all from the stand point of an 00:02:11.92\00:02:14.84 orthopedic surgeon. If you're talking with people, 00:02:14.87\00:02:17.65 how to keep their bones and joints in a healthy 00:02:17.68\00:02:20.43 conditions. How to maintain their normal functions 00:02:20.46\00:02:24.52 that the orthopedics surgeon often deals with walking 00:02:24.55\00:02:27.58 and functional activity? Why would you tell someone? 00:02:27.61\00:02:30.15 Well, the first thing, I would say is take 00:02:30.59\00:02:32.75 advantage of your strength, when you're younger 00:02:32.78\00:02:35.25 and do more exercise. Umm! 00:02:35.28\00:02:37.41 Exercise in the way of aerobic exercise, exercise 00:02:37.44\00:02:40.93 in the way of strength training. I remember ones 00:02:40.96\00:02:43.91 study I read, who are they tested peoples grips 00:02:43.94\00:02:47.14 strength, when they were young. 00:02:47.17\00:02:48.47 Umm! 25 years later they checked 00:02:48.50\00:02:51.95 the same people, to see how well they are functioned 00:02:51.98\00:02:54.68 and they discovered that they those people, who had 00:02:54.71\00:02:57.02 the strongest grip strength, had the lowest disability 00:02:57.05\00:03:01.29 in walking, in going up stairs, in activities of 00:03:01.91\00:03:05.35 daily living. So strength training, well 00:03:05.38\00:03:08.90 three times a week, 30 minutes of a day 00:03:08.93\00:03:11.07 will be very good for anybody. 00:03:11.10\00:03:13.08 So, perceivably and they had study grips strength was a 00:03:13.36\00:03:15.61 marker of overall muscles strength. We're want 00:03:15.64\00:03:18.71 to say just strengthen your grip and you're going 00:03:18.74\00:03:21.08 to be able to walk well throughout life. 00:03:21.11\00:03:24.02 That's correct, this was used is a marker for overall 00:03:24.29\00:03:27.30 strength and grip has often been used that way. 00:03:27.33\00:03:29.95 You know, the fascinating thing about what you 00:03:29.98\00:03:31.70 presenting Dr. Clark is the medical literature is 00:03:31.73\00:03:35.05 speaking a lot more about things to tend to happened 00:03:35.08\00:03:38.41 as we age. One of those things technically is called 00:03:38.44\00:03:40.85 Sarcopenia that's the wasting of muscle to tense 00:03:40.88\00:03:44.84 to occurs, we get older and yeah, what I hear you 00:03:44.87\00:03:47.69 saying Dr. Clark as well as many others is it, this is 00:03:47.72\00:03:51.03 not necessarily, just a function of aging or maybe 00:03:51.06\00:03:53.65 a function of what we do it as we get older. 00:03:53.68\00:03:55.98 That's correct, do or don't do. 00:03:56.01\00:03:58.14 Okay. And you know, we've old 00:03:58.17\00:04:00.61 adage. If you don't use it, you lose it. 00:04:00.64\00:04:03.72 Umm! And then reality, that is 00:04:03.75\00:04:05.58 often in the case. You know many diseases that people 00:04:05.61\00:04:08.80 get as an older or a function of doing nothing 00:04:08.83\00:04:12.04 osteoporosis. A lot of arthritis's and it occurs 00:04:12.07\00:04:16.61 heart disease and lung disease. 00:04:16.64\00:04:18.45 So, what we saying is Healthy aging really begins 00:04:18.73\00:04:22.12 at a point, before you really worried about 00:04:22.15\00:04:24.76 Healthy aging. When you are young optimizing your 00:04:24.79\00:04:27.60 muscles strength, but even if you tuning in today and 00:04:27.63\00:04:30.44 you've had your 98h birth day or you've turned to 100. 00:04:30.47\00:04:34.75 We call a sir, how old you're. There is others 00:04:34.78\00:04:38.18 suggesting with the Life Style choice as we make 00:04:38.21\00:04:40.35 to make a profound difference and one of them 00:04:40.38\00:04:42.49 is regular physical exercise. You know Dr. Clark 00:04:42.52\00:04:45.40 this reminds me of that the classic study the 00:04:45.43\00:04:48.02 alumni county health study. Yes. Many of our 00:04:48.05\00:04:51.01 viewers no doubt of heard about that study. 00:04:51.04\00:04:53.93 That showed how simple life style have, which can have 00:04:53.96\00:04:56.43 a barring on health. What was fascinating to me as 00:04:56.46\00:04:59.97 people get older, their relatives waits of things 00:05:00.00\00:05:03.06 change in other words for all the individuals. 00:05:03.09\00:05:05.84 The importance of regular exercise is equal to 00:05:05.87\00:05:09.29 that compliable, but power be the best way to say it, 00:05:09.32\00:05:12.35 to the benefits of not smoking and eating breakfast 00:05:12.38\00:05:16.45 all those things are relatively comparable 00:05:16.48\00:05:18.45 as we get older as far as extending our life's spend. 00:05:18.48\00:05:21.47 So, exercise surely ranks high in that list is well 00:05:21.50\00:05:25.09 as some of these other simple Life Style practices. 00:05:25.12\00:05:27.75 What other things are not wordy. Dr. Clark, because 00:05:27.78\00:05:30.40 you think about Healthy aging, 00:05:30.43\00:05:31.67 from the stand point of in orthopedic surgeon. 00:05:31.70\00:05:34.72 Well, this exercise thing can be under estimated 00:05:34.75\00:05:38.02 they did a study on Harvard graduates. 00:05:38.05\00:05:40.48 One of the Harvard alumni studies and they were 00:05:40.51\00:05:43.46 looking in longevity. Umm! 00:05:43.49\00:05:45.28 And when they got through to studies this sub, 00:05:45.31\00:05:47.51 the number one predictor of long longevity was. 00:05:47.54\00:05:51.35 How active the individual word and so that is very, 00:05:51.38\00:05:55.63 very important, but the other things that we see in 00:05:55.66\00:05:59.42 exercise. Is that people who exercise actually get 00:05:59.45\00:06:03.68 a benefit in their attitude? They are happier. 00:06:03.71\00:06:05.73 Umm! They have a better outlook 00:06:05.76\00:06:07.47 more positive outlook and that cannot be under 00:06:07.50\00:06:10.43 estimated either, because outlook often predicts 00:06:10.46\00:06:14.30 longevity as well as activity. 00:06:14.33\00:06:16.83 You know, it's very interesting as we talk about 00:06:17.10\00:06:19.30 these important factors. I am always kind a listening 00:06:19.33\00:06:22.53 to the dialogue as if I am a lappers and I always try 00:06:22.56\00:06:26.13 to do that and I think of the heart specialist I want 00:06:26.16\00:06:30.49 to know and he was a smoker of all things were if you 00:06:30.52\00:06:34.51 a cardiologist smoke, because they see the effects of this 00:06:34.54\00:06:37.78 But he said, you know, I exercise to undo the 00:06:37.81\00:06:40.40 effect of smoking. I am thinking Dr. Clark, is I was 00:06:40.43\00:06:43.14 sharing some of the alumni county health data, 00:06:43.17\00:06:45.47 someone maybe thinking. Well of smoking and exercise are 00:06:45.50\00:06:51.28 equal or comparable, when I get older. One can balance 00:06:51.31\00:06:55.49 the others, is that a correct message to walk 00:06:55.52\00:06:58.06 away from our dialogue list. 00:06:58.09\00:06:59.71 That the VA hospital Loma Linda, we had quite a stop 00:07:00.18\00:07:04.16 smoking program going, but we often set and comities 00:07:04.19\00:07:07.36 some talk about it and one of the common kind of light 00:07:07.39\00:07:12.45 hearted things. We would say as well they couldn't walk a 00:07:12.48\00:07:14.95 mile to get a camel and they are really comparable 00:07:14.98\00:07:19.79 you know smoking and exercise. How you can a 00:07:19.82\00:07:21.87 really exercise, if your lungs are shot and so I don't 00:07:21.90\00:07:25.62 know those really off-side each other effectively. 00:07:25.65\00:07:28.78 Now it's the good point and the other point is just 00:07:28.81\00:07:31.14 because in older people smoking does not look as like 00:07:31.17\00:07:35.14 as major risk factor in younger people. The reason 00:07:35.17\00:07:37.68 for that many people was sodomized of many 00:07:37.71\00:07:40.56 epidemiologist scientists that study disease in 00:07:40.59\00:07:43.44 population. Is that the people that are going to 00:07:43.47\00:07:45.81 have the most serious effects with smoking have already 00:07:45.84\00:07:48.52 died out? If you're 80 years old, you smoked to all 00:07:48.55\00:07:51.85 your life. You've shown you're relatively resistant 00:07:51.88\00:07:54.87 to the cancer causing and heart disease causing 00:07:54.90\00:07:57.33 effects is smoking for example. So that smoking 00:07:57.36\00:08:01.35 is less important of risk factor as we get older, 00:08:01.38\00:08:04.68 otherwise we're younger, but it's still as you pointing 00:08:04.71\00:08:07.62 out Dr. Clark it's something the sooner you quite 00:08:07.65\00:08:10.76 the better don't just be comp less, because you're 65 00:08:10.79\00:08:13.94 and you smoked all your life. Let's transition little 00:08:13.97\00:08:17.51 bit, because not only you're an orthopedic surgeon. 00:08:17.54\00:08:19.95 But you've taken a great interest in the broader 00:08:20.77\00:08:23.67 area of life style Madison, you're fellow of the 00:08:23.70\00:08:26.03 American college of life styles Madison. 00:08:26.06\00:08:28.01 I am member. I am member, I am sorry 00:08:28.04\00:08:30.18 thanks for keep me straight and you're very, very 00:08:30.21\00:08:35.02 interested in health throughout the life 00:08:35.05\00:08:38.95 spend. Tell us about some others things that may not 00:08:38.98\00:08:41.51 the orthopedic issues, but our still very important 00:08:41.54\00:08:44.35 as we try to age healthfully. 00:08:44.38\00:08:46.78 Well, one of the big issues, is what we eat or what we 00:08:47.25\00:08:50.73 don't eat. Okay. 00:08:50.76\00:08:51.94 And people who've a good diet, high in nutrition, 00:08:51.97\00:08:56.32 vitamins, minerals, Ferro chemicals and that kind of 00:08:56.35\00:08:59.65 thing tend to have better health all the way around, 00:08:59.68\00:09:02.45 they also maintained a better weight and people 00:09:02.48\00:09:06.99 who are obese don't tend to live as long , they have 00:09:07.02\00:09:09.63 more degenerative diseases. Well, I call arthritis; 00:09:09.66\00:09:12.63 obesity is one of the biggest risk factors 00:09:12.66\00:09:15.62 for disabling arthritis. This weight issues is 00:09:15.65\00:09:19.40 incredibly important to discuss some 67 percent 00:09:19.43\00:09:23.74 of the American population are over weight or obese. 00:09:23.77\00:09:26.62 That's the figure you that just keeps increasing as 00:09:26.65\00:09:29.71 you look at this statistics over time and if you tuning 00:09:29.74\00:09:33.10 in today and say well here is the, couple of thin 00:09:33.13\00:09:35.59 guys try to tells of they are we're, because we fat 00:09:35.62\00:09:37.91 that's not the message. The message is simply that this 00:09:37.94\00:09:40.95 is risk factor for ill and there are things 00:09:40.98\00:09:43.29 that you can do that can help cut the pounds. 00:09:43.32\00:09:45.41 I know you may say well I heard that before 00:09:45.44\00:09:47.32 doesn't work for me, but why we encourage you to 00:09:47.35\00:09:50.60 really again take the message to heart, 00:09:50.63\00:09:54.12 the message is not that you've to, you know have 00:09:54.15\00:09:58.12 the "ideal figure", that is promoted in the media 00:09:58.15\00:10:01.33 of someone who is Pencil thin as a women. 00:10:01.36\00:10:04.25 But the point is that even losing small amounts of 00:10:04.28\00:10:07.43 weight to make a significant difference. 00:10:07.46\00:10:09.43 Don't we see that in the studies Dr. Clark? 00:10:10.46\00:10:12.25 That's true and obese people tend to have extra weight 00:10:12.28\00:10:15.82 especially around the organs, over the liver 00:10:15.85\00:10:19.47 and around the kidneys and these fat, it's in the very 00:10:19.50\00:10:22.29 centre of you tends to be the most dangerous actually. 00:10:22.32\00:10:25.59 It's had a higher temperature all the time 00:10:25.62\00:10:27.33 and it been at a higher temperature you know 00:10:28.29\00:10:30.51 it happens to fat, it's surround on a 00:10:30.54\00:10:32.51 hot summer day. Tends to go rancid 00:10:32.54\00:10:35.97 and so this fat tends to put off extra oxidative 00:10:36.00\00:10:39.28 products, we called lipid peroxidation or oxidative 00:10:39.31\00:10:42.52 stress and these contributes to a number of problems 00:10:42.55\00:10:45.57 and so what were we started here was with diet 00:10:45.60\00:10:48.72 being important. Umm! 00:10:48.75\00:10:50.15 And especially a vegetarian diet with higher nutrient, 00:10:50.18\00:10:53.17 the reason that is, as because if you're eaten 00:10:53.20\00:10:55.65 a vegetarian diet, high in vitamins and Ferro 00:10:55.68\00:10:59.05 chemicals. You've a strong antioxidant diet and that 00:10:59.08\00:11:04.13 antioxidant diet than works against that 00:11:04.16\00:11:07.10 lipid peroxidation, that oxidative stress. Quits that 00:11:07.93\00:11:11.75 important, that oxidative stress, that is caused by 00:11:11.78\00:11:15.46 being over weight with this extra fat around the organs 00:11:15.49\00:11:17.96 contributes to macular degeneration. It contributes 00:11:17.99\00:11:21.17 to diabetes, cancer, heart disease, a lot of things 00:11:21.20\00:11:24.73 were finding in that and increased information 00:11:24.76\00:11:28.06 or oxidative stress in a system contributes too. 00:11:28.09\00:11:31.91 Now, this is critical stuff to talk about, because 00:11:32.45\00:11:34.77 we speak about Healthy aging. We're also thinking 00:11:34.80\00:11:37.22 about preventing some of the killer disease, as we 00:11:37.25\00:11:39.22 need to emphasis that. But the things that rob us of 00:11:39.25\00:11:41.97 quality of life, the things that effect our vision, as 00:11:42.00\00:11:44.50 you mentioned Dr. Clark whether it's macular degeneration 00:11:44.53\00:11:48.20 or whether which is a loss of the most sensitive part 00:11:48.23\00:11:52.37 of this seeing organ of the eye. If you will the retina 00:11:52.40\00:11:55.87 or whether it's glaucoma with increase eye pressure, 00:11:55.90\00:11:59.68 whether it's hearing loss. These is a number of 00:12:00.38\00:12:02.87 things that can affect the quality of our life, 00:12:02.90\00:12:04.96 it will not cause our demise, but can surely 00:12:04.99\00:12:07.88 contribute to aging on healthfully. 00:12:09.50\00:12:11.98 That's correct and you never talking about 00:12:12.01\00:12:14.06 arthritis there a little, that's when peoples body 00:12:14.09\00:12:17.21 where is out perhaps before their brain. 00:12:17.24\00:12:19.63 Umm! Now, those diseases are 00:12:20.67\00:12:21.76 particularly distressing to the individual, 00:12:21.79\00:12:24.33 but than there are the diseases, were their brain 00:12:25.18\00:12:27.20 worse out before the body. Okay. 00:12:27.23\00:12:29.17 And we're talking Parkinson's and Alzheimer's, 00:12:29.20\00:12:32.31 doesn't necessarily distress the individual so much. 00:12:32.34\00:12:35.55 But if you look a studies are those who've to take care 00:12:36.16\00:12:38.33 of Alzheimer's patients and Parkinson's patients, 00:12:38.36\00:12:40.73 you find it as a major stress on others life's. 00:12:40.76\00:12:44.29 You know, one fascinating inside in to these diseases, 00:12:44.32\00:12:48.39 is no logic diseases. That's intrigue me, 00:12:48.42\00:12:51.43 is a compound called brain-derived neurotrophic 00:12:51.46\00:12:55.50 factor. I know that's a mouthful BDNF. 00:12:55.53\00:12:59.51 Brain-derived music comes in the brain neurotropic 00:12:59.54\00:13:03.11 means it's a "Nerve Growth Factor", 00:13:03.14\00:13:05.72 so it's BDNF it's something that has been demonstrated 00:13:05.75\00:13:09.00 you perhaps have seen Dr. Clark, to decrease 00:13:09.03\00:13:11.82 depression, decrease Parkinson's disease, risk, 00:13:11.85\00:13:15.35 decrease the risk of the problems of stroke and also 00:13:15.38\00:13:19.04 potentially decrease the risk of Alzheimer's disease. 00:13:19.16\00:13:21.73 What's fascinating is one the factors, that increases 00:13:22.42\00:13:25.47 BDNF levels is good, compound in the brain. 00:13:25.50\00:13:28.18 Its exercise, another one is actually choleric 00:13:28.21\00:13:31.87 restriction. Dr. Clark, I know you have been 00:13:31.90\00:13:34.89 interested in this concept of choleric restriction 00:13:34.92\00:13:37.69 not just as it impacts brain compounds. But you 00:13:37.72\00:13:42.20 found some other interesting things about not over 00:13:42.23\00:13:45.59 eating and what they have can do besides affecting 00:13:45.62\00:13:47.86 our weight. Yeah, you reminds me 00:13:47.89\00:13:49.73 of the mice that got put in the 00:13:49.76\00:13:51.14 "Genius Book World Record" You're talking. 00:13:51.17\00:13:54.87 They got how to group a mice, so they decided to 00:13:55.60\00:13:58.54 feed them how much they would like to eat, they let 00:13:58.57\00:14:00.98 them only eats so they could figure out what their diets 00:14:01.01\00:14:03.43 were gonna be like, then they split them in two groups. 00:14:03.46\00:14:06.20 One group got to eat all they wanted; the other group 00:14:06.23\00:14:08.81 only could eat 40 percent of what they had start out 00:14:08.84\00:14:12.93 eating. In others words they are 60 percent 00:14:12.96\00:14:14.83 choleric restriction. Okay. 00:14:14.86\00:14:16.48 They let him live to the ripple age, they would live 00:14:16.98\00:14:19.78 let him die naturally, those mice lived 60 percent 00:14:19.81\00:14:24.48 longer then they wants just a what they want to eat. 00:14:24.51\00:14:26.67 You know, it's fascinating, because I have heard others 00:14:27.10\00:14:29.69 studies it looked at this is, and almost seems 00:14:29.72\00:14:31.71 like the amount of choleric restriction in this animal 00:14:32.25\00:14:34.71 studies, is the amount increase some longevity, 00:14:34.74\00:14:37.47 restrict the caloric 30 percent they lived 30 00:14:37.50\00:14:39.80 percent long. It's that something that you've 00:14:39.83\00:14:41.56 noticed in some of this reports. 00:14:41.59\00:14:43.23 Yeah, I make one of You're restrict, that I am 00:14:43.26\00:14:45.76 100 percent; they lived a 100 percent longer. But we 00:14:45.79\00:14:48.08 know that isn't true, but. You know there is the 00:14:48.11\00:14:50.47 point of diminishing returns, but it almost 00:14:50.50\00:14:53.14 is like, the organism is programmed by the creator 00:14:53.17\00:14:58.76 to process a certain amount of food and once you 00:14:59.27\00:15:02.40 process that amount of food. You're going to meet 00:15:02.43\00:15:05.64 you're demise instead of you process all that fluid 00:15:05.67\00:15:08.27 very quickly and life you're gonna die early. 00:15:08.30\00:15:10.95 If you spread it out more judiciously, you'll have 00:15:11.31\00:15:14.44 a longer life's spend. That's right AHAH. 00:15:14.47\00:15:17.51 Now, you've been interested, I know in the immune system. 00:15:17.54\00:15:21.04 A lot of people are tracking you down and your health 00:15:21.45\00:15:26.02 Education Company, it's "Northern Lights". 00:15:26.05\00:15:29.14 Health Education. Health Education 00:15:29.57\00:15:31.47 and you've done work on this bird flue and immune 00:15:32.10\00:15:37.35 system relationship. So, I know people are calling 00:15:37.38\00:15:39.57 you from all of the country and all over the world. 00:15:39.60\00:15:41.88 You've found some things about choleric restriction 00:15:42.36\00:15:44.43 and the immune system is that right. 00:15:44.46\00:15:46.21 That's correct people are eating too much food, 00:15:46.24\00:15:49.19 it tends to suppress the immune system 00:15:49.22\00:15:51.53 and who wanna does that, it make you more susceptible 00:15:52.03\00:15:54.63 to a virus such as the bird flue, influenza. 00:15:54.66\00:15:57.53 Well, if you restrict your calories, cut down the 00:15:57.94\00:16:01.64 amount you eat and especially if your calories, 00:16:01.67\00:16:04.37 you do eat or the high quality food, then your 00:16:04.40\00:16:07.39 immune system has boosted a lot, we're talking double 00:16:07.42\00:16:11.63 the activity for the white cells and so choleric 00:16:11.66\00:16:14.85 restriction has proven very beneficial as population 00:16:14.88\00:16:17.88 that are, you know pretty habitual at to choleric 00:16:17.91\00:16:21.84 restriction. The hocanhvan. Umm! 00:16:21.87\00:16:23.88 I don't know, it's been a few years know with there 00:16:24.27\00:16:27.42 was a big article came out on their longevity 00:16:27.45\00:16:30.02 and they've 80 percent less cancer, 75 percent less 00:16:30.05\00:16:33.94 heart disease and do marvelously and they eat 00:16:33.97\00:16:37.40 40 percent fewer calories than Americans. 00:16:37.43\00:16:40.01 Okay, so what would saying is there some very simple 00:16:40.04\00:16:43.35 things that could contributes to Healthy 00:16:43.38\00:16:44.92 aging, regular physical exercise, not smoking, 00:16:44.95\00:16:49.11 try to maintained more closely an ideal weight 00:16:49.14\00:16:53.31 and than, avoiding over eating, even if you're your 00:16:53.93\00:16:57.40 ideal weight, even if you bring one of those people 00:16:57.43\00:16:59.33 to say well I can eat anything I want, any time 00:16:59.36\00:17:01.47 I want and it doesn't contribute to weight 00:17:01.50\00:17:03.60 gained with finally use the medical research data, 00:17:03.63\00:17:06.21 suggest if you wanna maintained a health immune 00:17:06.24\00:17:08.07 system, you want to be careful of the amount of 00:17:08.10\00:17:12.26 calories that you eat, that is true for optimal brain 00:17:12.29\00:17:15.15 health is well. Dr. Clark a life has been set, when 00:17:15.18\00:17:18.52 it's come to Healthy aging about the chronic diseases, 00:17:18.55\00:17:21.65 diabetes, cancers, high blood pressure, 00:17:21.97\00:17:25.91 heart disease, these diseases if they don't claim 00:17:26.35\00:17:29.54 life. They often contribute to what we called 00:17:29.57\00:17:32.33 morbidity or suffering throughout life. 00:17:32.36\00:17:35.18 Does life style do our choices make differences 00:17:35.64\00:17:38.47 with these diseases? They sure do, you know 00:17:38.50\00:17:41.35 a lot of people say well, you know my mother had 00:17:41.38\00:17:44.42 diabetes, my grandmother had diabetes, I am gonna get 00:17:44.45\00:17:47.39 diabetes, as that way it is and so I am just gone be 00:17:47.42\00:17:49.93 prepared, when I get all just not fighted and often 00:17:49.96\00:17:54.88 times we look at theses diseases, as inherited 00:17:54.91\00:17:57.88 Umm! and therefore we think 00:17:57.91\00:17:58.97 there genetic. Well, when you look at it, what really 00:17:59.00\00:18:02.19 as happening, just people are inheriting their 00:18:02.22\00:18:05.90 parent's life style? They walk like they walk 00:18:05.93\00:18:08.19 or exercise like they exercise or don't exercise 00:18:08.22\00:18:10.76 like their parent's didn't exercise and they eat like 00:18:10.79\00:18:13.95 their parent's eat and a lot of times they than get 00:18:13.98\00:18:17.12 the diseases their parent's had. 00:18:17.15\00:18:18.93 So you're not saying that their aren't any genetic 00:18:19.36\00:18:22.25 factors, but you're saying that what we ascribed to 00:18:22.28\00:18:26.20 genetics, often is not just pure genetics is often life 00:18:26.23\00:18:30.96 style plus genetics. True and often times as 00:18:30.99\00:18:34.39 purely life style. Okay. 00:18:34.42\00:18:35.83 For example diabetes, you're look at the martially is 00:18:35.86\00:18:38.60 after World War II and we introduce to them, 00:18:38.63\00:18:41.03 the American diet, you know I have 50 percent of them 00:18:41.06\00:18:44.36 with diabetes on the island, before World War II, 00:18:44.39\00:18:47.22 no diabetes, who are they head it from Americans. 00:18:47.25\00:18:51.17 Why you aggressors? So, some people would 00:18:51.88\00:18:53.95 say, this population whether it's the folks 00:18:53.98\00:18:57.46 in the Marshall Islands, whether it's certain groups 00:18:57.49\00:19:00.19 of native of Americans are genetically proven to 00:19:00.22\00:19:04.44 diabetes, but their life style, their healthy life 00:19:04.47\00:19:06.97 style historically protected them. Now, you supreme 00:19:07.00\00:19:10.00 pose these choleric rich, abandoned in calorie 00:19:10.03\00:19:14.65 American diet and low and be hold they come down with 00:19:15.73\00:19:19.18 the disease that never occurred before. 00:19:19.21\00:19:21.22 That's true yes. So, regards of what 00:19:21.25\00:19:24.08 our genetic are, what I hear you saying is life style 00:19:24.11\00:19:27.81 is the powerful influence, not just on avoiding 00:19:27.84\00:19:31.06 blindness, not just on maintaining our hearing 00:19:31.09\00:19:33.85 or which here is data showing that hearing loss 00:19:33.88\00:19:37.15 and relation too, what to poor diet. But it also is 00:19:37.18\00:19:40.29 something they can make a difference with these 00:19:40.32\00:19:41.60 killing diseases? That's very true 00:19:41.63\00:19:44.11 and you know, if you could predicted from your family 00:19:45.39\00:19:48.66 background, you've a high propensity to cancer than 00:19:48.69\00:19:52.51 you should be looking to see what the risk factors for 00:19:52.54\00:19:55.29 cancer are, and making sure that you're taking advantage 00:19:55.32\00:19:59.39 of would better research you can. 00:19:59.42\00:20:01.62 You know we speak about cancers, that's a special 00:20:01.94\00:20:04.99 area where one of the Cord Preventive strategies is, 00:20:05.02\00:20:08.84 is screening. Now of course screening doesn't prevent 00:20:08.87\00:20:12.18 the cancer from occurring, it just is what many people 00:20:12.21\00:20:15.46 with terms secondary preventions, you're picking 00:20:15.49\00:20:18.19 up on the cancer in early treatable time. A lot of 00:20:18.22\00:20:22.05 what I see in the medical research literature speaking 00:20:22.08\00:20:24.51 about healthy aging is giving screening 00:20:24.54\00:20:26.39 recommendations. What is your opinion on this 00:20:26.42\00:20:29.58 Dr. Clark is there a place for things like mammograms 00:20:29.61\00:20:32.43 and pap smears, prostate screening, colon screening. 00:20:32.46\00:20:36.32 How do you see that is for us healthy aging? 00:20:36.35\00:20:39.22 We've recommendation, it comes to us from those 00:20:39.86\00:20:42.87 who are studied it lot. That are often put together, 00:20:42.90\00:20:45.61 a concern senses conference and than they hand down 00:20:45.64\00:20:47.78 this recommendations based on, you know good research 00:20:47.81\00:20:51.25 says if I can catch one of this early. I can save these 00:20:51.28\00:20:53.99 many life years and if a plans out there is worth 00:20:54.02\00:20:56.86 while they do it and something has been turned 00:20:56.89\00:20:59.55 down for screening, because the screening process will 00:20:59.58\00:21:02.25 pickup so few, that it wouldn't because to 00:21:02.28\00:21:05.77 affective and they harm done from the screening 00:21:05.80\00:21:08.40 will be more than the disease perhaps and so 00:21:08.43\00:21:11.02 the recommendation. I think a well founded on good 00:21:11.05\00:21:13.66 research and we can look and see, what 00:21:13.69\00:21:16.39 they do recommended. Great so the message 00:21:16.42\00:21:18.61 there would be work with your Doctor make sure 00:21:18.64\00:21:22.00 you're having some type of regular valuation that's 00:21:22.03\00:21:24.93 paying a tension to this recommended screening test 00:21:24.96\00:21:28.61 whether its colonoscopy, mammography, Pap smears 00:21:28.97\00:21:33.93 these things have proven to actually save life's and 00:21:34.48\00:21:38.04 decreases of severity of many of these cancers 00:21:38.07\00:21:41.46 in particular. What about other life style related 00:21:41.49\00:21:44.45 diseases is there a place for screening, when it 00:21:44.48\00:21:47.37 comes to heart disease, diabetes, things like these, 00:21:47.40\00:21:49.94 how do you see them? Diabetes, you know 00:21:49.97\00:21:54.16 and heart disease, blood pressure for that matter. 00:21:54.19\00:21:56.92 A lot of time, they are silent. 00:21:56.95\00:21:59.01 Umm! And, so doesn't hurt 00:21:59.04\00:22:00.82 to have them screen for, when they have do started 00:22:00.85\00:22:04.31 getting symptomatic. It's often you that, you will 00:22:04.34\00:22:06.38 come to the doctor with the complaint you know I feel 00:22:06.41\00:22:08.93 and heaviness in the chest. I feel palpitations 00:22:08.96\00:22:11.36 for heart disease; you know I have had excurse 00:22:11.39\00:22:14.18 something, you know high blood pressure are hard one 00:22:14.21\00:22:16.77 to find, you know a symptom for, but your 00:22:16.80\00:22:19.70 average doctor, you go to see him, they will have 00:22:19.73\00:22:21.78 automatic screen for that to check you blood pressure, 00:22:21.81\00:22:24.23 your pulse. Umm! 00:22:24.26\00:22:25.37 And, so they kind a do that routinely, diabetes 00:22:25.40\00:22:29.93 it's a little more difficult, because it isn't a very 00:22:31.01\00:22:33.98 symptomatic disease until maybe you become very 00:22:34.01\00:22:38.04 hyperglycemic and that's kind a dangerous, you know 00:22:38.57\00:22:41.96 I've been in the emergency room. When their next door 00:22:41.99\00:22:45.50 over, there was somebody and the doctors over there, 00:22:45.53\00:22:47.70 wakeup, wakeup. Did you know you're diabetic oh, 00:22:47.73\00:22:50.00 oh, no, no, oh what and there said you're blood 00:22:50.03\00:22:53.55 sugar was 300 and that's often the first time people 00:22:53.58\00:22:57.08 realize, they are diabetic. Right, right. 00:22:57.11\00:22:59.38 And, that's sort a dangerous, so there are 00:22:59.41\00:23:01.28 screening test and go to the pharmacy, you know 00:23:01.31\00:23:03.59 your local pharmacy and get these, your in strips 00:23:03.62\00:23:10.78 such you can just a check iron with for sugar. All you 00:23:10.81\00:23:15.03 know, if you really worry about and you know, your 00:23:15.06\00:23:16.74 family has diabetes, you can go buy a little test, 00:23:16.77\00:23:19.04 put your finger and check your blood sugar. 00:23:19.07\00:23:22.09 Okay. Correct. 00:23:22.12\00:23:23.09 The blood sugar gonna pick up on its sooner than 00:23:23.10\00:23:24.98 you're and your blood sugar has to reached probably 00:23:25.01\00:23:27.72 around 160 maybe 180, before stress coming on the 00:23:27.75\00:23:31.11 you're and where as the diabetes is the blood sugar 00:23:31.14\00:23:34.31 fasting above 125. Okay, so what I hear between the 00:23:34.34\00:23:39.06 lines, is if we're waiting to get concerned about 00:23:39.09\00:23:42.13 healthy aging until we've our 98th birth day. We're 00:23:42.16\00:23:46.35 missing some of the best opportunities, 00:23:46.38\00:23:48.04 That's correct. You've done a lot with us 00:23:48.07\00:23:50.51 your approaches and this is huge concerned. When we 00:23:50.54\00:23:53.80 talk about healthy aging, I mean there are literally 00:23:53.83\00:23:56.44 millions of people throughout the world, 00:23:56.47\00:23:58.61 who've falls and if you've fall and your bones 00:23:58.64\00:24:02.11 with sins. You're ask your approaches for risk, 00:24:02.14\00:24:04.14 that is serious fracture like your hip fracture and 00:24:04.17\00:24:06.69 even ultimately dieing from your fracture dramatically 00:24:06.72\00:24:09.90 increased. What messages as an orthopedic surgeon, 00:24:09.93\00:24:13.86 do you give when it come to maintaining healthy bone 00:24:13.89\00:24:17.94 mass throughout the lives spend? 00:24:17.97\00:24:19.44 Yes and how do you say about fractures and death 00:24:20.18\00:24:22.99 is very important, because United States of people, 00:24:23.02\00:24:27.35 if they fall down, break your hip an about 00:24:27.38\00:24:30.30 300 000 years and you're do that, you've a 33 percent 00:24:30.33\00:24:35.06 chance of dieing of that within the one year. 00:24:35.09\00:24:37.74 Wow! And that's you know, 00:24:37.77\00:24:39.16 that's boost statistics and what you've diseases 00:24:39.19\00:24:41.16 we've been talking about. Even then many cancers. 00:24:41.19\00:24:43.70 Then many cancers exactly, so people over look you know, 00:24:43.97\00:24:47.70 they impact of a fracture, people who break, you know 00:24:47.73\00:24:52.64 a hip, only one third of them ever give back to same 00:24:52.67\00:24:56.68 level of activity that they had before they broke it, 00:24:56.71\00:25:00.16 most of them spend the rest of our life worry to death 00:25:00.19\00:25:02.28 they're gonna fall again and they own get out with 00:25:02.31\00:25:04.21 their friends and neighbors and they becomes 00:25:04.24\00:25:05.92 socially isolated. Aha! 00:25:05.95\00:25:07.64 One fist end up in the nursing home permanently. 00:25:07.67\00:25:10.66 Wow! Just about all him end up 00:25:10.69\00:25:12.56 in the nursing for about 6 weeks, so when you talking 00:25:12.59\00:25:16.13 about hip fractures. Aha! 00:25:16.16\00:25:18.48 And bond mass, the best thing is to make sure you 00:25:18.51\00:25:22.49 keep your bone mass up, when you're younger. How do you 00:25:22.52\00:25:25.38 do that? Whether sank it cause bone loss, anything 00:25:25.41\00:25:29.41 that creates more acid in your system, sort of pops 00:25:29.44\00:25:32.74 especially brands sort of pops meat, especially meats 00:25:32.77\00:25:36.36 sort of high in the amino acids that form acids like 00:25:36.39\00:25:39.77 Sulphuric acid and phosphoric acid, 00:25:39.80\00:25:41.62 that's just about old animal products, were if your 00:25:41.65\00:25:44.02 not milk, is not helpful for osteoporoses and I know 00:25:44.05\00:25:47.65 kind was a shark, but the countries where they 00:25:47.68\00:25:50.04 drink more milk, have more osteoporoses, 00:25:50.07\00:25:52.45 somebody who drank more milk when they're 20 as much 00:25:52.48\00:25:55.04 more likely have your osteoporoses when they're 80. 00:25:55.07\00:25:57.18 These are interesting facts, but the weight have 00:25:58.41\00:26:01.09 maintained your bone mass than is number one exercise 00:26:01.12\00:26:06.30 and we keep coming back to that. 00:26:06.33\00:26:07.95 Umm! And it's because your 00:26:07.98\00:26:09.62 bones tend to respond to the amount of use they get. 00:26:09.65\00:26:13.86 Okay. If they get lots of use, they put down 00:26:13.89\00:26:16.11 in more calcium, they don't get much use, 00:26:16.14\00:26:18.19 they just spends with their weight and so they're 00:26:18.22\00:26:21.09 always dynamic and so people who are on their feet 00:26:21.12\00:26:24.74 to a walk for exercise and like a half our day 00:26:24.77\00:26:28.87 of 30 percent less after get osteoporoses, those that 00:26:29.31\00:26:32.08 are on their feet 4 hours a day or 40 percent less 00:26:32.11\00:26:34.58 after get osteoporoses and then there is the 00:26:34.61\00:26:37.52 factor of sunlight. Umm! 00:26:37.55\00:26:40.23 Now, the farther north you get, the more its cold the 00:26:40.26\00:26:42.49 winter and less sun there is in the winter 00:26:42.52\00:26:44.48 and people tend out more osteoporosis. 00:26:44.51\00:26:46.51 Umm! But if you get on the 00:26:46.54\00:26:49.75 summer and get some sunlight that Vitamin D 00:26:49.78\00:26:52.31 even very important. Excellent! In fact you 00:26:52.34\00:26:55.59 know, Larvin turns to have started the 00:26:55.62\00:26:57.98 recommending the people out north, take a Vitamin D 00:26:58.01\00:27:00.57 supplement. Umm! I do that myself, 00:27:00.60\00:27:02.81 I tell people that if you're north of about kind 00:27:02.84\00:27:07.15 of the middle of the US, so even below that. You got 00:27:07.18\00:27:10.79 a good, I am pretty far to get plenty of Vitamin D 00:27:10.82\00:27:13.28 in the winter, even if you getting out sufficient hours. 00:27:13.31\00:27:16.02 And isn't the recommendation just in, just come out 00:27:16.05\00:27:18.87 for some with osteoporosis of 1000mg twice a day. 00:27:18.90\00:27:21.95 1000 international units, if what we're saying is the, 00:27:21.98\00:27:25.43 the recommended amount for everyone. We often give 00:27:25.46\00:27:27.51 more in serious situations. Well, listen 00:27:27.54\00:27:31.07 our time is already slipped away Health aging is a 00:27:31.76\00:27:34.75 fascinating subject, but I hope you've got the message 00:27:34.78\00:27:37.10 today, there is often simple things started early 00:27:37.13\00:27:40.27 in life and even if you haven't started early in life 00:27:40.30\00:27:42.92 and you're tuning in today and you feel like you're 00:27:42.95\00:27:45.98 quite up in the years. These simple life style have it 00:27:46.01\00:27:48.90 to healthy diet, regular physical exercise, 00:27:48.93\00:27:51.29 not smoking, a positive attitude, these things could 00:27:51.32\00:27:54.71 make a profound difference, yes mind the conventional 00:27:54.74\00:27:58.28 screening recommendation keep tabs on your health, 00:27:58.31\00:28:01.22 work with you doctor and above all put your trust 00:28:01.25\00:28:04.51 in God, he is the great healer, 00:28:04.54\00:28:06.60 the great secret to healthy aging. 00:28:06.63\00:28:08.80