Prevention and health promotion in the elderly

Based on a review of the literature it can be said that a main obstacle to a rational approach to prevention and health promotion in the elderly, seems to be on the one side our lack of knowledge of what constitutes effective intervention, and on the other a feeling of great urgency--which may easily lead us astray. More basic information on factors influencing the individual rate of organ decline is needed, and controlled clinical trials of the effectiveness of different approaches to intervention are required. In the present state of things there is no need for therapeutic nihilism--important conditions causing distress and disability in old age are amenable to preventive action.