A photo of a variety of healthy food
This is an image of nine different types of exercise and different ages of people
A man running and an image of the brain

A man and woman walking briskly

Fermented foods
Fermented foods
A split image of a man looking stressed and a follow-up image of him sitting back relaxed
Stress management
Man out of breath at top of stairs
Health RiskSigns or symptomsNotes
ArthritisPain, swelling and reduced range of motion can affect daily tasksAbout 1 in 3 people in their 60s are affected by arthritis. This increases to 1 in 2 in the 70s.
CancerIndeterminate or no early warning signsScreening for bowel, breast skin and prostate cancer continue to be important in the 60s
Cognitive declineForgetfulness gets worse and memory can show signs of impairment. Difficulty with words increases.This risk often emerges in the 60s. Keep a memory journal; use reminders; see your GP if it continues
DepressionIrritability; low energy, mood and motivation; poor sleep; changes in appetite; less social connectionReintroduce activities and social interactions gradually. Loss of loved ones, reduced mobility and loneliness may call for mental health support
Diabetes: Type 2Being overweight and lack of exercise; often there are no signs or they are mistaken for normal ageingThe prevalence of this is higher in the 60s. Screening is recommended – blood glucose and kidney function – especially for those with risk factors like hypertension, obesity or family history.
Falls and fracturesDeterioration in balance and mobilityFractures become more common and osteoporosis exacerbates the danger. Work on mindfulness and balance
Hearing declineDifficulty picking up words especially in a noisy environmentHearing problems can contribute to cognitive decline so it’s important to get hearing tested
Heart disease, high blood pressure and strokeBeing overweight and breathlessness after mild physical activity are possible indicators but there are not always any pre-warning signsThe risk escalates during the 60s as a result of changes to blood vessels and circulation. Blood testing (cholesterol and blood sugar) and blood pressure should be checked. A calcium score may also be important – ask your GP.
Pancreatic cancerUsually no early warning signs; risk factors include obesity, type 2 diabetes, smoking and family history of cancerThis risk increases in the 60s. It is predicted to be the 2nd biggest cause of cancer death by 2030. Early detection can prolong life so ask your GP if risk factors are present
Respiratory conditionsLaboured breathing; shortness of breath; wheezingBronchitis and pneumonia are more likely and more dangerous; immune response weakens so flu and infections are more severe.
Thyroid disordersFatigue; weight changes; mood swingsIf symptoms continue or there is a family history, see your GP
Vision problemsCataracts – deterioration in vision clarity; glaucoma – no early warning signsIncreased risk needs to be managed by regular checkups
A man in his late 50s getting his heart checked
Test / checkupRecommendation
Bone densityIf not checked previously, testing is recommended during the 70s
Bowel cancerEvery 2 years up to age 75. Some doctors recommend continuing if life expectancy is more than 10 years
Breast cancerMammogram every 2 years unless GP recommends otherwise
Cardiovascular / heart healthAnnual cholesterol, blood sugar and blood pressure checks; review medications and risk factors. Ask your GP about a calcium score
Cervical cancerHPV screening every 5 years up to age 75
ColonoscopyEvery 5 years from age 45 to 75
Diabetes & kidneysAnnual blood glucose and kidney function tests are recommended for people over 60, especially those with risk factors like hypertension, obesity or family history
EyesightAt least every 2 years (glaucoma has no early warning sign)
General healthGP visit recommended annually for broad review of health
HearingTesting advisable if any deterioration (can contribute to dementia)
Heart and blood circulationAnnual cholesterol, blood sugar and blood pressure checks; review medications and risk factors. See also lipoprotein below
LipoproteinDiscuss with your GP if not already tested
Mental healthScreen for depression, memory changes, and social isolation
Prostate cancerDiscuss with your GP
Skin cancerAnnual testing
StrokeAnnual checks for blood pressure, cholesterol and heart rhythm are recommended, particularly for those at risk (family history or lifestyle issues such as smoking, being overweight, a sedentary lifestyle, etc)
VaccinationsShingles and pneumococcal. Regular flu and Covid 19
GoalZoneBPM age 70Activity examples
Light exercise or recoveryZone 1 (50–60%)75-90Gentle walking, yoga, light stretching
Aerobic / Fat burningZone 2 (60–70%)90-105Brisk walking, steady swimming, light cycling
Cardiovascular enduranceZone 3 (70–80%)105-120Jogging, moderate cycling, swim intervals
Speed & powerZone 4–5 (80–100%)120-150Sprinting, HIIT, hill climbs
Proactivity focusDetails of what I am going to doHow oftenDay 1
Deep breathing (section 6.3)I breathe deeply [in for 4 seconds; hold for 4; out for 4; and hold again for 4] and do it for 1-2 minutes whenever I need a deep breathing boost. The trigger to remind me to do this is … [e.g. when I start to lose concentration OR when I feel tense or under stress OR when I don’t feel happy, etc]Multiple times throughout the day
Diet & nutrition (section 2)I eat a wide variety of vegetables, fruits, legumes and whole grains by adding …. [state specifically what foods you are going to add to your diet]Daily
I limit sugar intake, processed foods and salt [be specific what you are going to reduce or eliminate from your diet]Daily
I boost my microbiome with probiotic and prebiotic foods [state the specific foods e.g. fermented foods – yoghurt, sauerkraut, etc]Daily
Exercising (section 3)I do 30 minutes of … [e.g. brisk walking] twice per week before breakfastTuesday Friday
I swim for 30 minutes once per weekSaturday
I do weights [or use resistance bands] to preserve muscle twice per weekMonday Thursday
I do balance exercises (e.g. tai chi, yoga) twice per weekSaturday Wednesday
I play tennis [or golf, etc] once per weekSunday
I do a minimum of 10,000 steps every dayDaily
MedicationsI check for interactions or side effects with GP or pharmacist if there are any changes in the way I feel and for any new drugInsert date
Mental healthI stay mentally active by … (e.g. puzzles, reading) See section 4.2Daily
I learn … [e.g. about the 100 years war OR a new language OR a musical instrument]Daily
I work on brain health [specify what you are going to do] See cognitive training section 4.2Insert when
I work on being positive See section 5.2Insert when
I take part in a purposeful activity [ e.g. volunteering or a project such as renovating part of your garden] See section 4.2Insert date
Mindfulness (section 5.3)I engage in mindfulness regularly during each day. The trigger to remind me to do this is … [when I daydream OR when I find my posture is poor OR when I lose concentration OR when I walk through a doorway OR … etc]Multiple times per day
Screenings & check-upsBlood test including PSA and blood sugar;
Colonoscopy;
Mammogram;
Skin cancer check;
Eye test;
Bone density scan, etc
Insert dates (month and year)
Sleep hygiene (section 6.1)I go to bed at 10pm and get up at 6:30amDaily
No screens 1 hour before bedDaily
Address snoring or sleep apnoea with GPDaily
Social connectionsI join a community group or interest-based club [be specific about what and when]Insert date
I stay engaged with friends and family, or community groups [be specific about what you are going to do and when] See section 4.2Weekly or monthly
Symptoms & early warning signsI monitor changes to the way I feel and keep a written record of any signs that I think are unusual. See section 7.2Ongoing
Vaccinations (section 6.8)I get an annual flu and pneumonia shotInsert month and year
I get a shingles vaccineInsert month and year
I get a Covid 19 boosterInsert month and year
OtherThis is for other issues that may be important for you