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Doctor explains how to accurately predict your longevity with simple at-home test

Adults should aim for a score of 8 or above.

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A woman sitting cross-legged on a yoga mat

Death: It's hard to talk about, and sadly, even harder to avoid. That's why everyone wants to know how long they will live and there are many indicators that can show whether someone is thriving or on the decline. But scientists have yet to develop a magic formula to determine exactly how long someone should expect to live. Which, let's be real, is probably a good thing. Knowing exactly how much time you have left to enjoy your life could cause a lot of anxiety, to say the very least.

However, a doctor recently featured on the "Today" show says a straightforward test can reveal the likelihood that someone aged 51 to 80 will die in the near future. NBC News medical contributor Dr. Natalie Azar was on the "Today" show on March 8 and demonstrated how to perform the simple “sit to stand test” (aka sit-rising test or SRT) that can help determine the longevity of someone between 51 to 80.

The test is pretty simple. Go from standing to sitting cross-legged, and then go back to standing without using any parts of your body besides your legs and core to help you get up and down. The test measures multiple longevity factors, including heart health, balance, agility, core and leg strength and flexibility.


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You begin the test with a score of 10 and subtract points on your way up and down for doing the following:

Hand used for support: -1 point

Knee used for support: -1 point

Forearm used for support: -1 point

One hand on knee or thigh: -1 point

Side of leg used for support: -1 point


A 2012 study published by the European Society of Cardiology found a correlation between the SRT score and how long people live.

The study was conducted on 2002 people, 68% of whom were men, who performed the SRT test and were followed by researchers in the coming years. The study found that “Musculoskeletal fitness, as assessed by SRT, was a significant predictor of mortality in 51–80-year-old subjects.”

Those who scored in the lowest range, 0 to 3, had up to a 6 times greater chance of dying than those in the highest scores (8 to 10). About 40% of those in the 0 to 3 range died within 11 years of the study.

aging, seniors, senior fitness, senior citizens, older adults, longevity, health, death, dying No matter what age you are, adding regular exercise to your life will reap a ton of benefits.Canva Photos

Azar distilled the study on "Today," saying: "The study found that the lower the score, you were seven times more likely to die in the next six years.”

"Eight points or higher is what you want," Azar said. "As we get older, we spend time talking cardiovascular health and aerobic fitness, but balance, flexibility and agility are also really important," she stressed. A score of eight or nine means you're allowed to roll forward onto your knees and then rise, which a lot of people will find more comfortable. If you can rise that way, you're still in a pretty good spot health wise.

One should note that the people who scored lowest on the test were the oldest, giving them a naturally elevated risk of death.

Dr. Greg Hartley, Board Certified Geriatric Clinical Specialist and associate professor at the University of Miami, told the Atlanta Journal-Constitution that we should take the study with a grain of salt. “Frailty, strength, muscle mass, physical performance—those things are all correlated to mortality, but I would caution everybody that correlation doesn’t mean causation,” he said.

And of course, the test doesn't take into account injuries or disabilities that may make doing the test impossible. But one of the study's authors says that the study is a call to take our mobility seriously.

“The more active we are the better we can accommodate stressors, the more likely we are to handle something bad that happens down the road,” Dr. Claudio Gil Araujo, told USA Today.

What should you do if you can't manage a good score on the SRT? First of all, don't panic! It's never too late to improve your overall health, fitness, and strength, so regular exercise is a great thing to incorporate if you're not already doing it.


seniors, longevity, physical fitness, exercise, health, aging Even low-impact exercise like yoga can increase your mobility and flexibility and, thus, your SRT scoreCanva Photos

A couple of specific skills that will help are boosting your ankle flexibility, hip mobility, and core strength. Trainers recommend incorporating squats, lunges, and planks into your regular routine. Just using your own bodyweight is plenty to get started, though if you're up for incorporating any added loads, the strength training will do wonders for your bone density, as well.

But remember that the SRT is just a measure of strength and mobility, which could correlate to an older person's likelihood of suffering from a fatal fall. It doesn't do anything to measure your cardiovascular help (vitally important especially in older people), for example. And it may not even be the most reliable longevity test out there. It has been criticized for it's extremely unnatural range of motion, for starters — rising by pushing up on the sides of our ankles with our knees pointed outward is certainly not representative of a real-life situation. Some doctors insist that your comfortable walking speed is a better indicator of health and longevity, while others say grip strength is the key measurement.

This article originally appeared two years ago. It has been updated.

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People over 100 share their simple secrets to living the best life

"Life goes on. So get on and do the things you love to do."

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Elderly hands hold flowers. Two older people sit on a bench.

There has always been something really fascinating about resilience. Some people simply embody it, no matter their age, and remind us that you're never too old to keep living a good life.

Just recently, a 100-year-old woman named Layne Horwich was diagnosed with breast cancer. One year later, at 101–she had beaten it. Not only did she survive the cancer, but she recently passed her driving test, according to a story on NBC 5 News Chicago. When asked how she has stayed so relatively healthy, she answered, "I did play tennis until I was 92, and I think that was good."

People who have lived to be 100 may have less time than many of us, but what they have is perspective. And, if they're lucky, that perspective can be churned into wisdom like cream into butter.

Business Insider, via their YouTube page, posted a video entitled "Life Lessons From 100-Year-Old Americans Who Didn't Expect To Live So Long." Here, they interview five centenarians to get their thoughts and wisdom on love, health, technology and, most importantly, how to live a happy life.

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Barbara (101), Diane (102), Jack (101), Helen (107) and Margaret (102) get mic'd up and sit down to talk about their experience of living on this Earth for over a century. They have all lived from the Great Depression through the pandemic, and every one of those nearly one million hours tells its own story. They initially discuss their backgrounds, goals, how they met their spouses, and the lens with which they can now see the history they lived through.

They are asked questions on a variety of topics, and none of their answers disappoint.

ON LOVE

Barbara closes her eyes and says with such sincerity, "It's so important to feel love. I won't say it makes the world go round, but it's very helpful."

And you know the old wives' tale that opposites attract? Margaret and Barbara disagree with that idea. Cutting back and forth between them, Margaret says "A like-mindedness is the formation of a solid marriage. And that is love." Barbara adds, "You agree, you're on the same page, and you want to live your life together."

ON MORTALITY

Jack so beautifully and vulnerably tells us as he exits his home and takes a drive, "The most challenging thing about being 100 is at some times, time hangs heavy on your hands. I don't have any of my good friends who are still alive. They are all gone. My wife passed away 20 years ago this year. Much too early. She should be here with me, sitting right here, right now."

He later proclaims, "I am the last man standing. It's not easy at all. If I sat around and grieved all day long, that would be very difficult to take. I know that life goes on and that's the only answer I can give you. Life goes on. So get on and do the things that you love to do."

Helen also feels deep losses around her. She tells us she has lost her two sons, one just a few weeks prior at the age of 82. "I'm just shocked that I would still be here and they're gone. At my age, I think every step you take is challenging. I feel that I'm on borrowed time."

Both Margaret and Barbara reflect on the years with their husbands. Barbara confesses how hard life can seem without him. "It's very tough at this stage of the game to be alone, be vulnerable and be dependent."

ON TECHNOLOGY

older person, computer, technology, learning, 100 Older man sitting at the computer. commons.wikimedia.org

When they're asked "What has changed the most in 100 years?" they name the Internet and cell phones for starters.

Helen adorably asks the producer, "Is it true you're on YouTube?" She then admits, "I see all these young people walking down the street holding phones. Everyone has got one but me."

The overall vibe is they don't love the seemingly modern obsession with technology. Jack quips, "Amazing how much garbage gets on your computer." However, they don't totally dismiss it. Jack continues, "It used to be that if you wanted the answer to something, you'd have to go to the library and do a great deal of research. Today, with a snap of your fingers, the Internet has the answer for you. Done!"

Margaret says she often uses her computer. "I think technology, if used properly, has definitely made a huge difference. The ability to reach out to one another. Getting emails, sending emails."

ON HEALTH

elderly people, exercise, aerobics, health, 100 Older people taking an aerobics class. commons.wikimedia.org

When asked, "What helped you live to 100?" they all have slight variations on one theme: Exercise.

Jack also shares, "I've never smoked. I've never drunk to excess." And later, he says, "I don't eat meat to excess," though he does admit to enjoying chicken. (Helen adds to this that one should eat properly from a very young age.)

Diane (who was once a dancer) suggests "one hour a day of strenuous exercise. A real workout that will keep you going and keep you alive."

Margaret has a less intense idea of exercising. "Walk, walk, walk," she insists.

ON BEING HAPPY

Jack determines, "Don't let the old man in. I refuse to think old. If you think young, more than likely you're going to act young."

Margaret suggests keeping activities on your calendar. "There's always something on my plate that I look forward to doing. And I think that's important for people. To look forward to what you can do today, that makes a difference."

Barbara stresses the importance of friendships. "I have many friends who help me enjoy life from all different generations. 60s, 70s, 80s, 90s. And that's what makes life so interesting."

When asked directly, "So what's the secret for a long, happy life?"

elderly man, laughing, happiness, health, old age An elderly man laughs. pxhere.com

Diane answers, "I think it's just love of life. It's a devotion to my family, to the ones I love. The thing that I've really learned is not to be so self-centered."

Jack gives this tip: "If you don't complain, you don't make life difficult for everyone around you. You'll get along in life." He then added, "You can't get anywhere in life until you start doing things for other people."

Barbara: "You want to be attached to things that are positive and good in life." She also echoes the idea that, "Giving is a real joy."

We see Helen visiting her church, as she shares this thought - "I think if you're nice to people, it comes back to you."

Positive thinking overall is the key. Jack ends the segment with this: "I don't feel like my days are numbered. I feel that I have good years in front of me yet."

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Compassion fatigue is real, but this hospital's approach might just be the antidote.

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Dignity Health 2017

Musician Terrie Miley always wears a smile. What makes her unique is who she smiles for, and how she keeps it up.

As a hospice musician, Miley’s everyday work involves going to see patients who are in their final hours and using music as a way to help people tell their stories. "The story of their lives," as she puts it.  

Image via Dignity Health/Upworthy.

While many of us would do anything to avoid the idea of coming face-to-face with our own mortality or sharing space with a total stranger who is on the brink of death, Miley has chosen to face it every single day in hopes of bringing them peace in their final hours.

Most people who volunteer walk away with the knowledge that they’ve made a difference; Miley walks away knowing that she has just said goodbye.

But with such intense emotional labor comes the need for self-care.

For Miley and her colleagues at Dignity Health, the team decided to enact a mindfulness program consisting of meditation and breathing exercises to help their employees feel present during those long, hard hours on the job.

The premise for this program is a simple but powerful one: To be compassionate towards others, we first have to be compassionate toward ourselves — if only for a few minutes.

For hospice workers like Miley, then, finding moments of pause gives them the peace and attention needed to do this work in a healthy way.

And when it's built into the work culture, this kind of reflection isn't just an afterthought. It's a practice, and it's one that's transforming how caregivers like Miley approach their jobs.

How do they do it? Have a look for yourself:

Miley knows better than anyone that while helping these patients is rewarding, it can take a mental and emotional toll on caregivers.

When offering the humble gift of musical bliss and human connection, it’s not always easy being confronted with life’s biggest hurdle: death.

"Hospice is challenging work, in ways that you might not consider," Miley explains.

Because Miley’s job description includes being present for those who don’t have loved ones in their final hours, it requires a level of emotional investment that she has to sustain in every moment of her work.

Whether it's a guided meditation after lunch or a walking meditation on a break, these moments of reflection make all the difference for caregivers like Miley, who too easily forget themselves while caring for others.

For Miley, it’s a reminder of why we need to slow down during the daily grind.

Life is short, and while that knowledge may sit in the back of our minds, it’s important to remember that our day-to-day existence is about so much more than work.

Miley's story is an important reminder that for every connection we offer to others, it's just as important to pause and reconnect with ourselves.

To make this work sustainable, then, mindfulness is everything.

"When you’re in hospice, it is definitely about the moment. It is about being present with that person and creating healing in that moment," said Heidi Summers, senior director of mission integration and education at Dignity Health.

Miley puts it best when she says, "Being present is the only thing that matters."

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After poor health took her loved ones, one woman decided to take control of her future.

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When Sonia got up to speak at her mother's funeral, she asked every woman in the congregation to stand up too.

"We need to take better care of ourselves," she pleaded to the group

via Cigna/Upworthy.

Sonia's mom died after a heart attack, and she had been one of a long list of family members who were taken too soon by heart attacks, strokes, diabetes, or a combination of the three.

When Sonia looks at pictures of her deceased family members, she sees missed opportunities.

They grew up in a time when nobody talked about their medical history. Many of Sonia's family members didn't even know their medical histories because they only went to the doctor in emergency situations.

"We used the ER as our doctor," she recalled. "That's not maintainable."

Sonia made a life-changing decision that day: to put her health first. Watch her story:

For Sonia's family, high cholesterol, high blood pressure, and high blood sugar were the norm.

When she was 9 years old, Sonia lost her grandmother to a stroke. That experience made Sonia realize she wanted to be a nurse. But between her career and taking care of her family, including her ailing mother, Sonia de-prioritized her own health.

When she lost her mother, Sonia realized she could be next in line if she wasn't careful.

via Cigna/Upworthy

Sonia made an appointment with her doctor and learned she was at risk for diabetes, so she took steps to de-stress and improve her health — by meditating, spending time with her family, changing her eating habits, and discovering a love of Zumba.

Ever since, she has been speaking with and inspiring others to do the same by listening to their doctors, their own bodies, and knowing their four health numbers: blood sugar, body mass index (BMI), blood pressure, and cholesterol.

According to the CDC, more than 75% of our country's health care spending is on people with chronic conditions, many of which could be prevented or caught earlier with preventive care.

One of those chronic conditions, cardiovascular disease, is the #1 killer of women. Actively knowing key indicators of cardiovascular disease, such as high blood pressure, can help people make changes that stop it before it becomes a true threat.

"I don't think [my family members] knew a lot about these indicators," Sonia added. "They were just living to survive."

via Cigna/Upworthy

It can be hard to make caring for ourselves a priority.

Focusing on our personal health is not an easy thing to do — especially when we have loved ones to take care of. It's important to remember that it's not a selfish thing for us to each take time to focus on our personal health. By taking care of ourselves, we can be better examples for our families and for the next generations.

via Cigna/Upworthy

"When you're healthy, you feel better — mentally, physically, spiritually — you feel better," says Sonia.  "And when you feel better, your family feels better. And when you're family feels better, your community feels better."

Learn more about your four health numbers at Cigna.com/TakeControl.

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