Health and Fitness Goals: Challenges in Middle Life
The first is the creeping realisation of weight gain. It comes gradually, but surely. As we age, our basal metabolic rate drops, but so does hormone production (testosterone and growth hormone), resulting in the combined result of a loss in muscle mass and a gain in fat. This creep change occurs anytime between 40 to 60. Suddenly, in middle age, it is possible to weigh up to 10-20kg heavier than when you were in your prime at 18.
The second is the creeping health problems with the body. I did not have any serious body issues until my mid-fifties. And then, I snapped my Posterior Cruciate Ligament playing soccer. And then, I started needing dental treatment - crowns, root canals and even an implant - all in the space of a few years, things I never needed when I was younger. And then, I developed knee and hip pain which stopped me from running for a while to recover. I frequently joke that past 50, your body is like a 15 year old car and you need to drive it with car. But overlay this with other problems you find out only in extensive health screenings. I was pushed to do this when one of my friends died while training for a triathlon. It is inevitable that indicators for one of the four chronic diseases of ageing - cardiovascular disease (high cholesterol levels, atherosclerosis), metabolic disease (diabetes, obesity, fatty liver), cancers, and neurodegenerative disease (Alzheimer's, Parkinson's etc) get picked up. I recently met a person who used to be from the Special Forces, a person who used to be and still looks very fit. He told me he has been diagnosed with blockage of his arteries. There is clearly a distinct difference between health and fitness. You can clearly be fit without being healthy. It is possible to be the reverse - healthy without being fit, but possibly more difficult.Being Healthy
1. Eat Better. It is impossible to exercise away a bad diet. And in this age of processed, sugared, salt laden fast food, the average diet is really bad. All the abuse of youth we imposed on our body needs to be fixed. This is perhaps the most difficult of all habits to change, but is the most important for health. Eating right in fact is something all should start doing from young. There are a lot of fad diets to follow. But I have come to realise that its no fun to exclude food groups or to withdraw from communal participation in meals. So the rule I will follow is "less of this and more of that". Eat less in total. Eat less red meat, less fat, less fried. More protein, more fiber, more steamed and boiled. Eat less sugar, eat more savoury. Drink more water and less alcohol. Awareness of these options are a good starting point.
2. Be Quiet. I am a fan of meditation. But for those intimidated by this, just 15 minutes being still and quiet should be a daily routine. Free from devices, free from thoughts, a time to find balance in life. This is really good for mental health.a. Cardio. We all need to elevate our heart rates to remain healthy. I love to run and have re-introduced this three times a week for 30 minutes.
b. Flexibility. This is tough for me. I have been notoriously inflexible from young. I find Yoga torture. But I will need to dedicate 15 minutes a day to stretches to keep limbs loose. I am learning to do this while waiting or in the office. I will try to do this every day.
c. Resistance Training. This to me is the most challenging. I dislike going to the gym, but I must admit that given that as we advance in age, we are susceptible to sarcopenia, this is no longer optional. Lean muscle also has the benefit of keeping us active, as it does protect our joints. After a year of personal training, I have managed to resume running with minimal pain. I am grateful for this. I will do this three times a week for 30 minutes.
Two Rules to Force the Change
Go for incremental small step changes. To form habits, it is wise to take small steps. In particular habits we find challenging. The most challenging for me are a good diet and resistance training. So change in small steps. For example, for this month, I will try to start most meals with a large portion of vegetables. This should fill me up and make me eat less of everything else. I try to keep my exercise sessions to 30 minutes, maybe 20 minutes when on the road. 30 minutes is doable. It was also nice to read the recent Nature article (https://www.nature.com/articles/d41586-026-00237-0) that a little exercise can actually deliver huge health benefits. Bite sized portions are certainly better than none at all.
Consistency. Consistency is very important in cultivating habits. I like the rule that consistency means having one but not two "cheat events". You can have a cheat meal but not two. You can have a cheat exercise day but not two. This is a mild way of easing habits in. Knowing when and why you struggle with habits is also important. My routine, for example, is always thrown off when I am travelling. I have to make special effort to keep myself honest when I do.
Semaglutide.
A last word. With semaglutide and its derivatives, weight loss has been made easier. But there is a downside. 13% of weight loss from semaglutide come from lean muscle loss, which compounds the problem. Also, the data is clear. Most semaglutide users put back all the weight when they stop using GLP1. So semaglutide is not a path to permanent weight loss or better health. Try it if you don't believe me. Natural changes to combat ageing are far better.Every year, I try a new habit. In 2025, I clocked 10000 steps a day as a habit. This year, I am back to running and want to see if I can do a half or a full marathon before the end of the year. I want to increase my lean muscle mass. And I eventually want to touch my toes from a standing position.























