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regon. The emphasis on healthy lifestyles is evident from the many joggers and bicyclists (major downtown streets devote space for bicycles only.)

I’m in a residential area, looking out my second floor window. An elderly woman, attractively dressed in a V-neck shirt and kakis, just walked by. I can see the top of her head is balding, yet her short gray hair is stylishly cut. I’m certain very few at street level see the top of her head. She’s walking a black and white pooch, and is stiffly bending over with plastic bag in hand, picking up its droppings. I notice she also walks stiffly–but she’s walking. And that’s the point: she’s exercising, even if her joints aren’t what they once were. (Aren’t animals a great impetus to get people of any age up and out for a walk!)

Along comes a trim 30ish woman in jogging gear, never missing a beat as she overtakes then passes the woman and pooch. I wonder if this younger woman will continue a fitness routine 30- 40-50 years from now, stay slender and value looking good.

What Can We Do About Parents Who No Longer Make the Effort?

Let’s face it. People change, not much. If people never cared about appearance or any semblance of a healthy lifestyle, short of a traumatic event or therapy from a good psychiatrist or psychologist, behavior is unlikely to change.

Thus, we focus on three factors to help aging parents who cared once upon a time, before life got in the way.

1. Ruling out depression.

Statistics tell us depression affects many elderly people. Diagnosing depression initially requires an appointment with an aging parent’s doctor then, if appropriate, referral to a psychologist or psychiatrist specializing in geriatrics. Read more in a 2011 UCLA report on depression.

2. Understanding that a lessening of energy accompanies aging at some point.

Sometimes there’s not enough energy (psychological and/or physical) to spark the effort required. Can we provide the spark? While there’s no guarantee, why not try?

3. Remembering or figuring out what aging parents still love–or they once loved doing.

Then developing an improvement strategy involving exercise and appearance.