Have you ever wondered whether it's worth your while to encourage an older person to start exercising? In 2014, the top-notch journal JAMA published the results of a fantastic research project: a study in which 1635 sedentary older adults (aged 70-89) were assigned to get either a structured exercise program, or a program of "successful aging" health education. The researchers called it the Lifestyle Interventions and Independence for Elders (LIFE) study. (You can read the full study here.) During the LIFE study, the two groups were followed for a little over 2.5 years. And by the end of the study, guess which group of volunteers was more likely to still walk a quarter of a mile (without a walker)? That's right. When it came to avoiding "major mobility disability" which the researchers defined as becoming unable to walk 400 meters or more a structured exercise program was better than a program of healthy aging education. Specifically, the researchers found that 30% of the exercisers experienced a period of major disability, compared to 35.5% of the seniors enrolled in the healthy aging education program. This is a very encouraging finding! That said, it's also a bit sobering to realize that even with exercise, almost 1 in 3 older adults experienced a period of limited mobility, of which half lasted 6 months or more. In this post, I'll share some more details on this study, because the results provide a wonderful wealth of information that can be helpful to older adults, family caregivers, and even geriatricians such as myself. Want to know how often the exercisers experienced "adverse events"? (Hint: often!) Wondering just what the structured exercise program involved? (Hint: more than walking!) Let's dig into the details! At the end of this post, I'll share my list of key take-home points for older adults and family caregivers. Who were the study volunteers? Whenever you read about a research study, it's important to understand how the study volunteers compare to the older adults in *your* life. One of... Question: What is probably true about the sedentary people? === The answer to the above question is
OPTIONS:
- They have a higher likelihood of taking part in research.
- They have a higher likelihood of dying.
- They have a higher likelihood of become a caregiver.
- not enough information

Answer: They have a higher likelihood of dying.

Question: The night when she thought she would finally be a star, Maria Isabella du'l Cielo struggled to calm the trembling of her hands, reached over to cut the tether that tied her to the ground, and thought of that morning many years before when she'd first caught a glimpse of Lorenzo du Vicenzio ei Salvadore: tall, thick-browed and handsome, his eyes closed, oblivious to the cacophony of the accident waiting to occur around him. Maria Isabella had just turned sixteen then, and each set of her padrinos had given her (along with the sequined brida du caballo, the dresses of rare tulle, organza, and seda, and the diadema floral du'l dama -- the requisite floral circlet of young womanhood) a purse filled with coins to spend on anything she wanted. And so she'd gone past the Calle du Leones (where sleek cats of various pedigrees sometimes allowed themselves to be purchased, though if so, only until they tired of their new owners), walked through the Avenida du'l Conquistadores (where the statues of the conquerors of Ciudad Meiora lined the entirety of the broad promenade) and made her way to the Encantu lu Caminata (that maze-like series of interconnected streets, each leading to some wonder or marvel for sale), where little musical conch shells from the islets near Palao'an could be found. Those she liked very much. In the vicinity of the Plaza Emperyal, she saw a young man dressed in a coat embroidered with stars walk almost surely to his death. In that instant, Maria Isabella knew two things with the conviction reserved only for the very young: first, that she almost certainly loved this reckless man; and second, that if she simply stepped on a dog's tail -- the very dog watching the same scene unfold right next to her -- she could avert the man's seemingly senseless death. Question: When did Maria get a purse full of coins? === The answer to the above question is
OPTIONS:
- After she saw musical conch shells.
- After she became a star.
- not enough information
- after she turned sixteen
Answer: after she turned sixteen

Question: It was a nice summer evening. A cool breeze blowing. Birds singing. Leaves rustling. The waters of the pool shining, shimmering in the sunlight. I was sitting on the steps of the pool, my legs submerged in water.Those blue depths were irrestisible. I inched a bit further in. Water to my waist a little more. closer to the blue..just a little morewater to my chest yes, keep goinga bit morewater to my neck.almost there.the blue gaze of those depths held me in aweoh my..so beaut- Going up a sort of endless escalator. I can't see very well what's in front of me. It's all very dark. I can sense someone behind me, but I dare not look back. For some reason I cannot see my feet. In fact, I cannot see any of me at all. It feels very strange and well,creepy! I want to whistle, to kinda comfort myself, but it feels like I've lost the ability to speak. My mind just doesn't know how to carry out this desire to speak. It feels unnatural.. That someone behind me pokes me in my(invisible) back. Its'(his/her?) touch is strangely warm, then icy. I still don't look back.yes, that's the key, don't look back. It's a test. Just don't look back and you'll- Snap! Back into the pool, panting. Everything is blurry. There are people gathered around the pool, screaming. A hand extends toward me. I reach for it. Well, I'd love to tell you what happened after that, but the thing is, I don't even know myself. For just at that precise moment, my wretched alarm decided to beep-beep. And I never got to see the ending! Wait, did you mean "went to the other side" in reality? Don't be ridiculous! Question: What does the main character think of near-death experiences? === The answer to the above question is
OPTIONS:
- not enough information
- They believe that they had one in this story.
- That they're ridiculous!
- They're not sure.
Answer:
That they're ridiculous!