The Young Old (Yold)

The Young Old (Yold)

The year 2020 will not only mark the beginning of the new decade, but also the birth of a new term for what was previously known as the baby boomers.  The Yold, or the “young old”, is the term the Japanese use for people currently aged between 65 and 75.

1955-60 was the height of the baby boom, the period of high fertility in rich countries after the Second World War.  The traditional retirement age is 65, and between the year 2020-25 one might expect peak retirement for baby-boomers…  But the boomers are not retiring.

By continuing to work, and staying socially engaged, the boomers, in their new guise as the young old, will change the world, as they have done several times before at different stages of their lives. The yold are not just any group of old people. They are challenging the traditional expectations of the retired as people who wear slippers and look after the grandchildren.

The over-60s are one of the fastest-growing groups of customers of the airline business. The yold are vital to the tourism industry because they spend more, when taking a foreign holiday, than younger adults. They are also changing education. Harvard has more students at its Division for Continuing Education (for mature and retired students) than it does at the university itself.

However, higher numbers of healthy yold people will require drastic changes in health spending. Most diseases of ageing are best met with prevention and lifestyle changes.  As most yold people need to preserve and stretch their retirement investments due to longer life expectancy, health investment needs to be met with healthy lifestyle choices. By doing this many of the diseases of ageing will be addressed, as prevention is much better and cheaper than cure.

By being part of Silver Fit you have started investing in your health, and you know what they say about investments – keep at it and slowly build up a healthy reserve.  Being fitter and stronger allows you to make the lifestyle changes you need in order to address many of the diseases of ageing.

So join the movement and become a yold person!

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Let’s talk Prostate

Let’s talk Prostate

It is Movember! (The month previously known as November), and it’s a time where we focus on men’s health, specifically, prostate cancer, testicular cancer, mental health and suicide prevention.

Let’s talk Prostate today.  Let’s talk about that walnut-sized gland located between the bladder and the penis, just in front of the rectum. Such an awkward spot, but we really need to talk about it…

Did you know?

Prostate cancer is the most prevalent cancer in South African men and predominantly affects older men, with the average age of diagnosis being 68 years of age.    Furthermore, more than 70% of men over the age of 80 have some type of cancer cells in their prostate.  With the exponential ageing of the population and the increase in life expectancy, the proportion of men that will come face to face with this disease is increasing.

Scared yet? Well, shouldn’t you be? If you know your prostate health and act early, the stats are on your side.
Despite the worrying statistics mentioned above, the overall prognosis for men diagnosed with prostate cancer is positive, especially when caught early.  If prostate cancer, and only if, is caught early, that is before it spreads, the five-year survival rates for the disease are close to 100 per cent.

Early detection is key

The difference between early and late detection can be the difference between life and death.

Prostate Cancer Prevention

As we’ve seen with the high diagnosis rates in older men, prostate cancer is very common especially as we are all living longer. BUT, this doesn’t mean we shouldn’t take all the steps we can to try and prevent the cancer cells from triggering and metastasising. Here are some steps you can take that may help push back a diagnosis:

  1. Exercise: – Exercising can be beneficial in terms of maintaining a healthy BMI (what your weight should be according to your height). An increase in exercise, paired with a healthier diet, can help you drop weight quickly and get to proper BMI level.
  2. Healthy Diet: Eating certain foods like vegetables, fruits, and fish (which is high in omega-3 fatty acids, which are good fats) is recommended because it takes away from eating fatty foods, like pork, fried food, and cheese, which play a role in weight gain. People with higher body mass indexes (above 30) have been shown to have an increased risk of developing prostate cancer.
  3. Reduce stress: Stress has been shown to aid the progression of active cancer cells in your prostate. It also negatively affects your immune system, which is constantly fighting cancer cells when they’re present.

These preventative steps are also recommended for other types of cancers and diseases. While they may not explicitly reduce your risk of getting prostate cancer, following these steps won’t increase your chances of developing the disease.

How is your prostate?

Ah, the dreaded, stigmatised prostate exam: a necessity for every man over 50. A symptom of prostate cancer is an enlarged prostate, so the main way Doctors test for it is by feeling the prostate.
Luckily this test is not the be-all and end-all of prostate tests. There are plenty of tests doctors run to confirm a diagnosis. These tests include:

  • Blood test (PSA Test): One of the other primary tests to see if you have prostate cancer is called a prostate-specific antigen test, or a PSA test. For this, doctors take a blood sample from your arm and test it for a specific substance (antigen) that is produced by your prostate.  Anything below 4.0 is still considered in the healthy range, though the closer the levels are to 4.0, the closer it should be watched. While levels over 4.0 don’t strictly indicate cancer, it’s a strong indicator of prostate growth and swelling, which is a leading sign of cancer.
  • Urine analysis
  • Ultrasound
  • Sampling prostate tissue (biopsy)

If you have any questions or concerns regarding a prostate cancer diagnosis—or think you may have this disease—contact your doctor immediately.

Symptoms of Prostate Cancer

In its earliest stages, none of these symptoms may be present, which is why it’s important to get ahead of the disease with regular testing. A lot of the symptoms of the disease have to do with discomfort while urinating while ejaculating. According to the Prostate Cancer Foundation, these can include:

  • Blood in your urine
  • Pain while ejaculating
  • Frequently having to urinate— especially at night— and not being able to hold it back
  • Pain while urinating
  • Sporadic flow of urination
  • Loss of control of your bladder and bowels
  • Pain in your hips, back, spine, and other parts of your body close to your prostate, indicating that the cancer may have spread
  • Pressure in your rectum

To conclude

Thank you for the opportunity to talk Prostate.  If you are older than 50 years of age, pop to your GP and continue this conversation with them.  Check your prostate.  The sooner the better…

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Break a leg” is an idiom that we use to wish someone “good luck” in an ironic way. This was first used in the world of entertainment, where well-wishers would typically say “Break a leg” to actors and musicians before they would go on stage to perform.

The expression reflects a theatrical superstition whereby wishing a person “good luck” was actually considered bad luck. The expression is now not limited to actors and musicians, as superstitions and customs travel through other professions and then into common use. Just a little bit of trivia before we get stuck into something more serious….


[OST] + [EE] + [OH] + [PUH] + [ROH] + [SIS]

Meaning: “porous bone.”

Osteoporosis is a disease in which the density and quality of bones are reduced; this leads a weakening of the skeleton and increased risk of fracture, specifically in the spine, wrists, hip, pelvis and upper arms. In many affected people, bone loss is gradual and without warning signs until the disease is advanced.

For this reason Osteoporosis is also known as “the silent crippler” because a person usually doesn’t know that they have it until it’s too late. Unfortunately, in far too many cases the first real “symptom” is a broken bone. Other physical signs of osteoporosis are loss of height with gradual curvature of the back (caused by vertebral compression fractures).

Osteoporosis risk factors:

Older Woman’s disease?

There are many misconceptions about osteoporosis, for example that it is a disease that affects Woman only when they are older.  In fact, bone loss in women can begin as early as the age of 25, and worldwide, the lifetime risk for a woman to have an osteoporotic fracture is 30 – 40%. In addition to this, new studies have shown the prevalence of osteoporosis in men is higher than previously thought with approximately one in five men affected.  This is clearly not just a disease that affects older woman.


Rapid progress is being made in the diagnosis and treatment of osteoporosis. Early detection of bone loss is key to the prevention of suffering and escalation of health care costs. Bone mineral density (BMD) measurements are effective in assessing fracture risk, confirming a diagnosis of osteoporosis and monitoring the effect of treatment. Don’t delay, #Loveyourbones and assess your risk today.

Source: International Osteoporosis Foundation.

Risk Assessment:

Early interventions are the best way to manage to Osteoporosis, click on the link below to assess your risk.

Assess your risk here

Osteoporosis and Exercise:

One of the best ways to strengthen your bones and prevent osteoporosis is through regular exercise.  Many health experts recommend exercise for osteoporosis, because when you exercise you don’t just build muscle and endurance, you also build and maintain the amount and thickness of your bones (also known as bone mass and density).  Even if you already have osteoporosis, exercising can help maintain the bone mass you have, and lower the rate of bone loss, lowering the risk of fracture.  In addition, exercise helps reduce the risk of falling, which is a vital skill for anyone at risk.

Silver Fit recommended three types of exercise for building healthy bones.

  • Weight-bearing (meaning your feet and legs support your body’s weight; e.g.: walking, dancing, or step exercise)
  • Resistance (strength exercises)
  • Flexibility (stretch exercises)

For more information on Osteoporosis, or to find a health care practitioner close to you who can assess your specific needs, please contact NOFSA (National Osteoporosis Foundation of South Africa)
Helpline: 086 110 2265
Telephone: 021 976 4995
WhatsApp:  067 902 6150

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Your heart, which started as a tiny spec when you were just a fertilized embryo, beat months before you were even born.  This heartbeat was the very first sign that you were alive and since then this same heartbeat has become the governor of your life.

Your heart beats snuggly in a well-designed safe space within your rib cage, between your lungs.  The average adult heart is the size of 2 fists clasped together.  Hollow, and vaguely cone-shaped, it weighs about 250-350 grams, a pretty modest size considering it is your body’s greatest workhorse.  Powering the entire circulatory system, it transports nutrients, oxygen, waste, heat, hormones and immune cells throughout the body over and over. Lub Dub, Lub Dub.

Night and day, it beats consistently. 100 000 beats per day, 35 million beats per year, 2-3 billion beats in a lifetime. Your loyal friend.

To put it simply, your heart is just a pump, and its main concern is to maintain the pressure gradient in the circulatory system.  It does this by generating high hydrostatic pressure to pump blood out of your heart, while also creating low pressure to bring blood back into your heart.  This pressure gradient is essentially what we mean when we talk about blood pressure. Blood pressure is a measure of the amount of strain your arteries feel as your heart moves your 5 litres of blood around your body. For blood pressure to be considered normal, the systolic pressure (the peak pressure on the contracting ventricles) should be less than 140mmHg.  Conversely, diastolic pressure (the pressure in your arteries when the ventricles are relaxed) should be less than 90mmHg.

The easiest way to break a heart is to mess with its pressure. 1 in 2 South Africans suffer from hypertension and these figures are on the rise.  Not a very nice way to treat your loyal friend, is it?  Often there are no symptoms until it’s too late, so it’s best to keep your finger on the pulse, and check your blood pressure regularly.

How Your Heart Does Its Job

Your heart, and its vessels, is a relatively simple yet elegant set-up that requires precise coordination to create the high and low pressures required to pump blood around the body.  Your heart gets this right by using its own anatomical pacemaker, and some heart cells can generate their own electricity, which controls signal and communication throughout your heart so that each section works together in unison.

Your heart receives deoxygenated blood through the vena cava vein, where it spends a second in the right atrium before dropping into the right ventricle.  From there it is sent quickly to the lungs where your blood it packed full of oxygen and then returns to your heart into the left atrium before sliding down to the left ventricle where it will build up pressure again.  Blood then leaves your heart from the left ventricle through the aorta, the biggest and toughest artery in your body roughly the diameter of a garden hose.  From your heart, your oxygenated blood travels through your circulatory system in order to feed every single solitary cell in your body with the nutrients you need to stay alive.  It takes about a minute for all the blood in your body to complete that circuit which means even if you are at rest your hardworking circulatory system moves about 7500L of blood through your heart every day.

Blood vessels are sometimes described as ‘a glorified plumbing system of the body’, but they are not just passive tubes, made merely to carry liquid around. Blood vessels are actually dynamic organs capable of contracting and expanding as they deliver oxygen and nutrients to cells, carry away waste products and maintain blood pressure.  If all your blood vessels were strung together in a single line they would measure 100 000km! Keeping these blood vessels healthy, unclogged, supple and functioning well can be achieved by having good quality blood pumping through them as opposed to blood dripping with bad cholesterol.

It is safe to say that your heart is probably the most iconic muscle in the body. However, as with all muscles your heart, as well as your entire cardiovascular system, needs exercise to maintain its form and function. Cardiovascular exercise is really just any physical activity that raises your heart rate sufficiently and is an essential component to any exercise program. Cardiovascular exercise greatly reduces the risks of cardiovascular diseases like high blood pressure, high cholesterol, risk of heart attack and stroke. We hope you are getting enough of it.

Stop for a moment, put your finger on your pulse and ask yourself; how much love do you give your very own heart? The workhorses of your body, the most iconic muscle that you own, and the governor of your life. Lub Dub, Lub Dub…



The human body operates best when it moves. With sufficient practice, a movement can become a learned skill that through regular use becomes second nature. The converse is also true. When we avoid or stop moving in certain directions or dimensions the body slowly loses the ability to do those movements or skills and this affects our functional ability, imposing on our independence.
How easy is it currently for you to get up and down from the floor? The answer to that question may depend on a few factors—your age, how many injuries you’ve had, your confidence and, of course, whether there’s something down there that’s really that important.
If it’s too difficult or painful you may avoid getting up and down from the floor altogether. This is an important skill to have, though, especially when we get older. In fact, it is so important that our ability to do so is actually a measure of fitness and longevity. The World Health Organisation describes the ability to be able to get down and up safely off the floor as “an important skill for older adults to learn which will help them in coping with a fall”.

Despite this, only about 50% of people are able to get up from the ground. This then results in a ‘long lie’ which is defined as “remaining on the floor or ground for more than one hour following a fall”. All of which is a marker of weakness, illness, isolation and is associated with high levels of mortality rates in the elderly following a fall.  Furthermore, half of older adults who remain on the floor for an hour or longer, die within 6 months following that fall. Unfortunately, the amount of time spent on the floor following a fall is then associated with the fear of falling, muscle damage, pneumonia, pressure sores, dehydration and hypothermia.
No one wants to fall.  And most people think it will not happen to them. However, research shows us that 1 in 3 people over the age of 65 years will fall over each year.  All people at risk of falling should have a strategy for getting up following a fall.  Preparing for this, will make it easier to minimise further injury and expedite getting up from the ground.
Getting up and down from the floor calls on almost every area of fitness and many parts of our bodies: balancecore strengthlower body strengthflexibility, and coordination.
If you have any issues in those areas, say you don’t have much flexibility in your hips or your balance is wobbly, it may be a difficult challenge. Feeling shaky may make it seem impossible but there is a safe way to get up and down from the floor, whatever your situation. Taking it step by step and practising on a regular basis can help you master this important skill.  The issue also reminds us of how important it is to engage in an exercise programme (especially one that is specifically targeted towards to needs of older adults). Not only will exercise significantly reduce your risk of falling but, through targeted exercise, moving down and up off the floor will become much easier.
Imagine being able to play games on the floor with your grandchildren or to know confidently that if you have a minor fall you would be able to get up independently.
For some: easier said than done… but practice makes perfect.

Not sure where to start?
Silver Fit has recently launched a new component to its exercise classes that includes teaching members how to get onto the floor (or as close to as possible) and back up again safety.  This is done through a range of exercises and stretches that each member does at their own pace and level of ability.
If you would like to benefit from a class voucher (for you to participate in a FREE class) please contact Silver Fit by completing the form at the link below:

Click here to learn more!