The Michigan Department of Health and Human Services (MDHHS) Bureau of Aging, Community Living and Supports Health Services, Oakland University and the Michigan Falls Prevention Coalition have partnered with Michigan 211 to offer fall prevention resources on mi211.org. The information is designed to connect health care providers, community organizations and residents with vital fall prevention resources.

About 30% of Michiganders ages 65 and older report falling each year and most of these falls occur at home.

“This initiative aims to improve statewide access to evidence-based fall prevention programs, durable medical equipment and nutrition services that support older adults and individuals at risk of a fall,” said Dr. Natasha Bagdasarian, chief medical executive. “Falls can lead to serious injuries, including head trauma and broken bones. By collaborating and sharing resources, we can work together to make Michigan a safer place for everyone.”

Individuals and health care professionals can access resources and services through the site or by calling 211. Searches for education and safety planning resources, physical health and wellness services, daily living supports and home accessibility modifications can be conducted by ZIP code. In addition, 211 specialists have been trained to assist callers in locating fall prevention services.

The website was made possible through a $408,499 grant from the Michigan Health Endowment Fund Healthy Aging Grant. Funding also supported development of the Michigan Falls Coalition website and an awareness campaign about the Michigan 211 resource. The coalition is supported through partnerships with MDHHS and Oakland University and brings together organizations and providers to collaborate to reduce fall risks among older adults and adults with disabilities, identify state or community needs, recommend policy changes and build capacity.

“Oakland University is proud to lead innovative research and community partnerships that improve the health and safety of Michiganders,” said Dr. Chris Wilson, lead author on the grant application and associate professor in the Physical Therapy Program at Oakland University’s School of Health Sciences. “Through our leadership within the Michigan Falls Prevention Coalition and initiatives like the 211 resource platform, we are committed to connecting older adults and individuals with disabilities to the services and supports they need to stay safe, active, and independent in their homes and communities.”

“The National Kidney Foundation of Michigan (NKFM), which provides falls prevention programs in the community, is excited to have this resource available so people can locate programs,” said Ann Andrews, MPH, senior program manager, National Kidney Foundation. “The MI Falls Prevention Coalition started in 2021 as a small advisory group for a federal grant the NKFM received. There was great interest in the group from among stakeholders across the state and it’s exciting to see what the coalition has grown into from these initial efforts.”

Health care providers and community organizations can help expand this resource by adding fall prevention programs to the website. Eligible programs include:

• Fall prevention education and exercise programs
• Senior-focused exercise programs
• Urinary incontinence prevention initiatives
• Nutrition services supporting fall risk reduction
• Durable medical equipment providers offering fall prevention-related items
• Home and environmental modification programs
• Other related fall prevention-focused programming

Organizations and providers interested in listing their programs or updating existing details can visit mi211.org/providers. Once a 211 representative speaks with the organization liaison directly, updates and new listings will typically be posted within 10 business days.

For more information, visit the 211 falls prevention page mi211.org or the Michigan Falls Prevention Coalition’s website at mifallsprevention.org.

Source: Michigan Department of Health and Human Services

By LEANNE ITALIE, Associated Press

NEW YORK (AP) — Marian Rivman is pushing 80. Harriet Luria is a proud 83. In this trio, Carol Leister is the baby at 62. Together, they have decades of experience with yoga. Only now, it involves a chair.

Chair yoga adapts traditional yoga poses for older people and others with physical challenges, but the three devotees said after a recent class that doesn’t mean it’s not a quality workout. As older adults have become more active, chair yoga has grown in popularity.

“You’re stretching your whole body,” Rivman offered. “What you can do in the chair is a little bit more forgiving on the knees and on the hips. So as you age, it allows you to get into positions that you were doing before without hurting yourself.”

Sitting down to exercise, or standing while holding onto a chair to perform some poses, may not sound like a workout, but Rivman, Luria, Leister and practitioners everywhere see a world of benefits.

“I took it up because I have osteoporosis and the chair yoga is much easier,” Luria said. “You don’t have to worry as much about falling and breaking anything. It’s not as difficult as I thought it would be, but it’s not easy. And you really do use your muscles. It’s an excellent workout.”

Yoga with a chair isn’t just for older people

Chair yoga is clearly marketed to older women, who made up the class where the three yoga friends got together at the Marlene Meyerson JCC on the Upper West Side of Manhattan. But the practice also has a lot to offer others, said their instructor, Whitney Chapman.

Desk workers can squeeze in 15 minutes of chair yoga, for instance. Many companies offer it as a way to cut down on stress and improve overall health. And people recovering from surgery or injuries may not be ready to get down on a yoga mat, but they can stretch in a chair.

“I’ve known these ladies probably 18 to 20 years. And the very first time in a yoga class that I brought in the chair, all of my students said I don’t want geriatric yoga. I’m not an old person,” Chapman said.

“And then they saw that having a chair is just as good as a yoga strap, a yoga block. It’s another prop that’s going to help you do what you want to do. So it’s not necessarily because you’re older, but that it can be helpful. And it doesn’t mean you’re geriatric just because you’re sitting in a chair.”

The benefits are many, Chapman said: improved flexibility, strength, balance. And there’s the overall emotional well-being that yoga practitioners in general report. It’s particularly useful for people with mobility issues or chronic ailments like arthritis or back pain. Chapman also teaches yoga to cancer and Parkinson’s disease patients.

In addition to restorative and other benefits, the practice of chair yoga can help improve posture for people of all ages and abilities, and help older people prevent falls.

A physical practice that can last a lifetime

Leister recently retired.

“I’ve been looking for all different kinds of exercises to do and this is one of them,” she said. “This is the one that I could see doing for the rest of my life, where some that are a little more strenuous I may not be able to do in the future.”

Traditional yoga originated more than 5,000 years ago in India. Many of the poses used today are also that old. It can be as much spiritual as physical, and that also goes for its chair descendant. The precise movements are tied to deliberate, cleansing breathwork.

Rivman has been doing yoga for about 50 years.

“Once you start and you get what it does for your body, you don’t want to give it up. And if there’s a way that you can keep doing it and keep doing it safely, that’s a choice you’re going to make,” she said.

Yoga by the numbers, including chair yoga

The practice of yoga, including chair yoga, has been on the rise in the U.S. over the last 20 years. In 2022, the percentage of adults age 18 and older who practiced yoga in the past 12 months was 16.9%, with percentages highest among women ages 18–44, according to the U.S. Centers for Disease Control and Prevention.

Women are more than twice as likely as men to practice yoga, the data showed. The percentage of adults who practiced yoga to treat or manage pain decreased with increasing family income.

The CDC, didn’t break out chair yoga for analysis but recommends that adults 65 and older focus on activities that improve balance and strength. That, the health agency said, can be achieved through various exercises, including chair yoga.

Why don’t more men do yoga?

Chapman and her students have thoughts on why more men don’t practice yoga. Traditionally, Chapman said, the practice was reserved for men, but as yoga became more westernized, women took over.

“Women tend to be more group-oriented. I would love to see more men in class. I do have a few. I don’t know if they’re intimidated, but you know, it’s a great way to meet women if everybody’s single,” Chapman said with a chuckle.

Luria theorizes that fewer men are drawn to yoga because it’s not a competitive sport.

“You’re really working at your own level,” she said. “Take out the competition and it’s not their thing.”

These chair yoga practitioners have lots of advice. Rivman summed it up best: “Get into a chair and do some yoga. You don’t have to stand on your head, but you have to move. You’re never too old to start.”

Not so long ago, Lillian Kahan would’ve been an oddity.

She’s 104 years old (“104 and a half,” she corrects), and, until recently, a life of such length was a statistical quirk, rare enough to warrant news coverage or scientific research or at least a cupcake at the local senior center.

These days that’s only half true. Kahan’s age still makes news, and scientists increasingly are interested in people like her. She still gets the odd cupcake.

But the attention isn’t coming because she’s so uncommon. It’s because she’s not.

In fact, being a Kahan – living to 100 and beyond – might be a glimpse of the future.

“Being this old is fun,” Kahan said. “I recommend it.”

Welcome to Ageville

The number of centenarians worldwide has more than doubled over the past 25 years and demographers at the United Nations project that the 100-something crowd will quadruple by mid-century. Today, the biggest centenarian populations are in Japan (146,000) and the United States (108,000). But, soon, countries like China and India, where the overall populations are huge but the aging curve is only now starting to trend upward, will have even bigger 100-something age bubbles. By 2054, nearly 4 million people around the world will be 100 or older.

The trend is expected to be even more pronounced locally. The state projects that from now until 2050, the ranks of centenarians will jump more than fivefold in each of Los Angeles, Orange, Riverside and San Bernardino counties.

Of course, centenarians are just the tip of a bigger demographic spear.

Populations are aging up in most advanced economies, at a rate never before seen in human history. In many countries, older people already outnumber children or they’re expected to in the near future. Aging demographics are reshaping everything from retirement plans and immigration patterns to diaper sales and popular ideals about beauty.

Like many aspects of the aging boom, the rise of centenarians is a mixed bag.

For example, it’s unambiguously good that lifestyle changes and cancer prevention and medical sciences have all improved enough to make it possible for so many people to live so long and, often, so well.

“Every centenarian I’ve met is exceptional,” said Stacy Andersen, who, as co-director of the New England Centenarian Study at Boston University, has met a lot of centenarians.

“These people have delayed chronic, age-related diseases. That’s the baseline. But many also continue to live vibrant lives, to stay engaged in their community and with their families,” she added. “It’s a wonderful view of what aging can be.”

It’s also unambiguously great that younger relatives and friends – everybody under 100, really – can, if they listen, pick up some life hacks that come with living 100 or more years.

“I still love waking up,” said Kahan, her New York accent still thick after six-plus decades in Mission Viejo and other parts of Southern California.

“You should try to do that. It’s pretty important.”

But good things often come with a cost, and the rise of centenarians presents some huge challenges.

Money, health, family hassles; the same issues that plague younger people don’t go away when someone turns 100. But the ability to leap over those hurdles – or, perhaps, to worry about them at all – drops considerably when you become a centenarian.

“I don’t necessarily want to make it to 100,” said Margo Carle, an ombudsman with the Council on Aging Southern California who works as an independent advocate for older people who live in nursing homes and other facilities.

“I see too much of how it can be,” Carle said.

“If you don’t have money, being 100 can be … Well, it’s not always pretty.”

Stresses for all

For Kahan and her 100-something cohorts, the cost of living isn’t cheap.

Though studies show centenarians generally are more physically robust than other older people, age is still age. About half of the 100-something crowd in the United States has some form of dementia, and most of those people need full-time care.

And even among those with little or no cognitive decline, only a small fraction can live on their own without someone – paid or otherwise – checking in every day to help them.

“My sons are all teachers. And they’ve arranged their schedules, they rotate, so they can stay with me,” said Rudolph Marcus, a 101-year-old chemist and former Caltech professor who won the Nobel Prize for Chemistry in 1992.

“That helps me continue with my work,” Marcus said. “I still think about my work every day, to be honest. Some problems I can still solve, some I can’t.

“But I could not do any of that without their help.”

Marcus, who won the Nobel for his work on how electrons jump from atom to atom (something that affects the functionality of solar panels and electric cars, among other things), is an outlier. He lives in the same Pasadena house he shared with his late wife, Laura, who died in 2003. Most people his age live in some kind of congregate setting, which in Southern California can run $5,000 to $15,000 a month.

Given that many newly minted centenarians have outlived their retirement savings, or didn’t have much to begin with, the cost of that care often falls to families and the government.

Soon, half of that equation might change.

A proposal being debated in Congress this month could include big cuts to Medicaid, the federal program that helps pay the costs of long-term care for, among others, centenarians. Those cuts, if passed, could result in lower-quality care or, in some cases, displacement. Other proposed Medicaid adjustments could reduce compensation for in-home care, making it tough for centenarians to live without family help.

For families who don’t want to hire out, or who can’t, the costs of centenarian care can run deeper than money.

Unlike younger retirees, whose adult children typically are young enough to still be working, the children of centenarians often are aged themselves – typically in their 70s or 80s. For them, providing care for an aging parent can be devastating, financially and otherwise.

“In many of the cultures that are common in Los Angeles, it’s an honor to care for your aging relatives,” said Heather Cooper Ortner, chief executive of Alzheimer’s Los Angeles, a nonprofit that helps provide services to people and families battling dementia.

“So it isn’t about people being unwilling to do this, or seeing it as a burden. That’s not always the case,” she said.

“But caring for older people can present an incredible level of stress for family caregivers,” Cooper Ortner added. Food, medical questions and appointments, bathing, bathroom help, fall prevention – caring for a centenarian is, literally, a full-time job. For a child in her 80s, it can be too much.

“It’s not uncommon to see a caregiver pass away before the person they’re caring for,” Cooper Ortner said.

“It’s a very complicated dynamic.”

Survive, delay, escape

The first public service messages warning Americans that smoking causes cancer started airing on television in 1967. A few years later, jogging became a national craze and, over the next two decades, about 25 million Americans started going for a run as a regular part of their lives. Less red meat. More sunblock. Meditation. All of it means one thing:

If you’re on deck to turn 100 this year, you’ve spent about half your life in a world where the phrase “healthy lifestyle” wasn’t a punchline.

It’s one reason, though not the biggest, that explains why so many people are living so long. People who study centenarians – and there are hundreds of aging experts looking into the topic in the United States, Japan and Europe – say genetics and the sheer power of population numbers are even bigger factors.

“At the turn of the last century, life expectancy was about 50. But a lot of things – cleaner water, prevention of infant deaths, antibiotics – made it so a lot more people made it into adulthood. That just means there are a lot more people who are going to have the opportunity to hit 100,” said Andersen, of the New England Centenarian Study.

But at least one projection suggests population numbers alone are only part of the broader trend. Even as more people, overall, hit 100, the ratio of people who reach that age is skyrocketing. According to United Nations data, Japan currently has about 12 centenarians for every 10,000 residents (the ratio in the U.S. is about 3 in 10,000). By 2050, the ratio in Japan will be about 40 out of every 10,000, and in the U.S., it’ll be about 14 out of 10,000.

“Having good, healthy habits can get you about 10 years longer. And it definitely makes those years better, which is important,” Andersen said. “But it doesn’t necessarily get you to 100.”

Genes might.

Andersen said there is no single “centenarian gene.” Instead, researchers have identified about 200 different genes to date that do age-related things like reduce inflammation and boost immune systems. People who have certain combinations of those genes have significantly better odds of making it to 100.

“We’re still trying to understand the relationships between protective genes,” Andersen said. “But it’s more about genetics than we once believed. And we’re learning more about that all the time.”

The New England Centenarian Study, which started in 1994, has tracked the lives of more than 1,800 centenarians, including 123 so-called “supercentenarians,” meaning people who made it to 110 or older. It’s also looked at more than 600 of their children, and more than 400 so-called “controlled” subjects, (usually spouses and relatives of spouses), as a way to identify the balance between genetics, lifestyle and other factors when it comes to cracking 100.

They’ve learned, so far, that so-called “exceptional longevity” – meaning the likelihood of making it to 100 — runs in families. They’ve also learned that many people who tend to live so long hit age-related illnesses later in life, and that they often compress their debilitations into shorter windows.

“Centenarians spend about 10% of their lives with a chronic illness. Others spend about 20% of their lives in that kind of situation, on average,” Andersen said.

The study has identified three basic types of centenarians. About 4 in 10 (43%) are “delayers,” meaning they didn’t experience age-related diseases, like dementia, until age 80 or later. Another 4 in 10 (42%) are “survivors,” meaning they made it to 100 even though they’ve been battling some kind of disease since before their 80th birthday. And about 1 in 7 (15%) are “escapers,” or people who, even at 100, don’t have any age-related disease.

Marcus, the chemist from Caltech, is probably an escaper.

“I don’t play tennis anymore. And I don’t ski. My sight doesn’t really allow it. But otherwise I feel pretty much the same,” he said.

When asked if he’s still learning about himself, at age 101, or if he’s got any advice to someone hoping to live well at his age, Marcus said yes and demurred.

“I’m learning every day. I try to live in the moment. I’d like to think I don’t live in the past and I never thought too much about the future, even when I was younger. And I definitely don’t do it now, at my age,” Marcus said, laughing.

“But I wouldn’t know if that’s what other people should or shouldn’t do,” he added. “It’s just the way I’ve always been.”

Kahan is probably a delayer. She doesn’t have dementia, but she said she battles health issues she declined to offer in detail.

She did offer one tip.

“Every day. I watch some TV, I talk with my friend. I enjoy my day,” Kahan said.

“But time passes very quickly,” she added. “Even at my age, it doesn’t slow down. And I think that means something.”

Anyone interested in participating in the New England Centenarian Study can call 888-333-6327 or email agewell@bu.edu.