People of all ages can benefit from healthy habits such as regular exercise and good nutrition.
"I'd like you to try this exercise routine. Just start low and go slow."
Mrs. Green is surprised when Dr. Lipton recommends that she exercise regularly. She responds with a list of excuses: exercise is for young people, it's not safe for people over 65, it takes too much time, exercise equipment costs too much. Dr. Lipton listens empathetically and then tells her that exercise and physical activity are good for people of all ages and that being sedentary is far more dangerous than exercising. He explains that Mrs. Green can "start low and go slow" by walking for 10 minutes at a time and building up to at least 30 minutes of physical activity on 5 days or more each week. At her next office visit, Mrs. Green says that she has more energy than she used to; in fact, she's ready to try a dance class at her senior center.
Exercise has proven benefits for older people. It reduces risk of cardiovascular disease, stroke, hypertension, type 2 diabetes, osteoporosis, obesity, colon cancer, and breast cancer. It also decreases the risk of falls and fall-related injuries.
Like the rest of us, older people may know that exercise is good for their health, but they may not have the motivation or encouragement to do it. You can guide your patients by asking about their daily activities and whether they engage in any kind of regular exercise or physical activity.
There are several ways to encourage older patients to exercise:
Too Old to Exercise? Studies Say ‘No!'
Centers for Disease Control and Prevention (CDC)
1600 Clifton Road
Atlanta, Georgia 30333
Nutrition, Physical Activity, and Obesity: www.cdc.gov/nccdphp/dnpao 
Healthy Aging: http://www.cdc.gov/aging/index.htm .
The CDC has resources on nutrition and physical activity for older adults. The Division of Nutrition, Physical Activity, and Obesity addresses how healthy eating habits and exercise can improve the public's health and prevent and control chronic diseases.
Department of Agriculture
Food and Nutrition Information Center (FNIC)
National Agricultural Library
10301 Baltimore Avenue, Room 105
Beltsville, MD 20705
The FNIC website provides over 2,000 links to current and reliable nutrition resources.
National Institute on Aging (NIA)
P.O. Box 8057
Gaithersburg, MD 20898-8057
NIA has free online and print materials to show older adults how to start and maintain a safe, effective program of endurance, flexibility, balance, and strength-training exercises and to make smart food choices for healthy aging.
National Resource Center on Nutrition, Physical Activity & Aging
Florida International University
Miami, FL 33199
A group serving nutrition programs funded by the Older Americans Act, the Center aims to increase food and nutrition services in home- and community-based social, health, and long-term-care systems serving older adults. Link to the program "Eat Better & Move More."
Older patients may develop poor eating habits for many reasons. These can range from a decreased sense of smell and taste to teeth problems or depression. Older people may also have difficulty getting to a supermarket or standing long enough to cook a meal. And although energy needs may decrease with age, the need for certain vitamins and minerals, including calcium, vitamin D, and vitamins B6 and B12, increases after age 50.
Try these strategies to encourage healthy diets: