Nearly half of older adults get better with age. Here’s the catch.
You know her. Maybe you’ve been called her. And on those days when you’ve got no **cks left to give, you are her. We are kindred.
The grumpy old girl — set in her ways, done with your nonsense, convinced everything was better before. We treat this side of our otherwise kind, patient selves like an inevitability, like crotchety is just what happens once you cross a certain birthday.
The body gives us plenty of reasons to embrace grumpy: aches and pains, a shape we don’t recognize, insomnia.
People god love ‘em, are a well-known trigger for resting or active bitch face. Have you tried to grocery shop around those people who drift away from their carts mid-aisle?
These are baked into every joke about “getting old” we’ve ever laughed at, including the ones we’ve made, and still make, about ourselves.
Then there are the very real physical changes that can make it hard to see a glass half full, never mind keep our spirits high and a smile on our faces. Chronic pain, regular treatment for disease, a rebellious gut making it hard to enjoy our favorite foods.
So is grumpy just the toll paid for getting older — a bill that comes due no matter what? Turns out, not exactly.
The Data Doesn’t Back the Trope
Researchers Becca Levy and Martin Slade tracked more than 11,000 older adults from the Health and Retirement Study for up to 12 years, measuring two things geriatricians always look to: cognitive function and walking speed.
They wrote, “Our objective was to examine whether a meaningful number of older persons improve with this measure and, if so, to examine whether a promising modifiable culture-based variable, positive age beliefs, contributes to this improvement.”
The result: 45% of participants improved in cognitive function, physical function, or both. About 32% got sharper cognitively. About 28% got better on their feet. Not “held steady.” Improved. They concluded that: “positive age beliefs predicted these two types of improvement, both with and without adjusting for relevant covariates.”
So much for inevitable decline.
Catch #1: It’s Not Everyone
Let’s not oversell this. Forty-five percent is a big number, but it’s not 100%. Plenty of people in this study did decline, and that’s real too. This isn’t a “just think positive and your knees will thank you” story. But it does mean decline is not the default setting on the human body the way we’ve been told it is. So what separated the improvers from everyone else?
Catch #2: Your Attitude Is Part of the Mechanism
This is the part I love, because it’s the most “rebellious” finding in the whole study. People with more positive beliefs about aging were more likely to be the ones who improved — cognitively and physically. And this wasn’t just a nice correlation that fell apart under scrutiny. It held up even after the researchers controlled for age, sex, education, chronic illness, depression, and how long people were followed.
Studies aside, here’s a truth that’s hard to escape. Grumpy isn’t just an attitude, it’s a filter. Once you’re convinced decline is coming for you no matter what, why bother with the extra walk, the phone call to a friend or auntie you keep putting off, the effort of cooking something real instead of grabbing whatever’s fastest? If nothing works, why try anything? Grumpy doesn’t just feel bad —except when it feels oh so good (looking at you strangers who call me “Sweetie” or “Hon”) –it talks you out of the very things that might change the story.
I’m not blaming anyone for getting sick or slowing down — bodies are complicated, and genetics and circumstance matter enormously. But it does mean the story you tell yourself about what’s “supposed” to happen after 65 is a variable, not a fixed fact.
This is exactly what a separate study caught in the act.
Catch #3: Belief Opens the Door. Behavior Walks Through It.
Mindset doesn’t operate in a vacuum, though — it shows up in what you actually do differently. A separate study out of the Chinese Longitudinal Healthy Longevity Survey followed 6,765 older adults over several years and sorted them into three groups based on how their lifestyle habits changed over time: a group that stayed low and kept declining, a group that started low but improved, and a group that started high but declined.
The group that improved its habits over time — better diet, more activity, better sleep, more social and mental engagement — had roughly a 63% lower risk of developing cognitive impairment compared to the group that stayed low and kept sliding.
This is where the habits from last week’s list earn their keep. If you haven’t listened to “9 Things I’m Not Skipping” yet, this is the science underneath why those particular nine made the cut — they’re the modifiable, unglamorous stuff that shows up in the data every time: movement, sleep, real food, and staying connected to other people. None of them is exciting and depending on the grump factor they have the potential to cause an attack of couch potato syndrome. But all of it is trackable in a study this size, which is exactly why it holds up.
So Where Does That Leave the Grumpy Old Girl?
“I’m not here selling 24/7-smiley-face positivity — that’s its own kind of exhausting, and forced doesn’t work anyway. But the Yale and CLHLS data both say the same quiet thing: decline isn’t owed to you at a certain age. Nearly half of us are living proof.
So pick one thing off the podcast list. Pair it with a little less certainty that the worst is guaranteed. Mindset and behavior aren’t separate strategies — they’re the same one, working from both ends. Call it old girl wisdom.
Until next time — stay curious, stay rebellious.”



2 Responses
Loved this:)
Thanks so much Maree!