When most people think about aging, gray hair and wrinkles often come to mind. But some of the most important age-related changes happen beneath the surface -- and too often, they go unspoken.
Michigan is home to more than 2 million adults over the age of 60, making up nearly 25% of the state’s population, according to Michigan.gov. Adults aged 85 and older represent the fastest-growing age group in the state, and 37% of Michigan residents are now age 50 or older.
Blue Cross Blue Shield of Michigan encourages open and honest conversations with primary care providers as one of the best ways to manage aging.
The risk of falls
Falls are common but not always proactively addressed. They affect one in four older adults each year, and about 30% of people 65 and older report dizziness or balance problems.
Falls are the leading cause of injury-related hospitalizations among older adults and a major contributor to loss of independence. Risk factors include declining muscle strength, vision changes, slower reflexes, certain medications and environmental hazards like loose rugs or poor lighting.
Fortunately, many falls are preventable. Balance training is particularly beneficial. Just three or more hours per week of balance exercises can reduce fall risk by 20% or more, while also improving core strength and mobility.
Examples of effective balance exercises include:
- Standing on one foot and alternating.
- Standing up from a seated position.
- Tai chi or yoga.
- Light stretching or walking.
Some other simple home modifications like grab bars, non-slip mats and improved lighting can also help to reduce fall risk.
Addressing incontinence
Urinary incontinence -- the involuntary leakage of urine -- is common but often goes unaddressed due to embarrassment or the misconception that it’s a normal part of aging. It affects both men and women and can result from weakened pelvic floor muscles, nerve damage, prostate issues in men, and hormonal changes in women.
Beyond physical discomfort, incontinence can affect emotional well-being, sleep quality and social confidence. Thankfully, it’s treatable. Behavioral strategies like bladder training, pelvic floor (Kegel) exercises, scheduled bathroom trips and dietary changes (avoiding caffeine, alcohol and bladder irritants) are often effective. In more persistent cases, medications, medical devices or surgery may be recommended.
Incontinence and falls can be interconnected, as fear of leakage may cause people to rush to the bathroom, increasing their risk of tripping or slipping.
Addressing both issues proactively can reduce this compounded risk and help maintain independence longer.
Mental health and emotional well-being
Mental health is an essential but often under-addressed part of aging. From 2010 to 2020, diagnoses of depression and anxiety in older adults rose dramatically, with a 57.4% increase among those 65 and older, and nearly 36% among those aged 51–64.
Symptoms can vary but often include:
- Persistent sadness or anxious mood.
- Feelings of hopelessness, guilt or worthlessness.
- Restlessness or irritability.
- Withdrawing from important life roles or relationships.
Life transitions like retirement, loss of a spouse, relocation or declining health and independence can impact mental health. These changes can lead to social isolation and loneliness, which can increase the risk of substance use disorders and suicide. Alarmingly, suicide rates among men aged 85 and older are 17 times higher than among women the same age.
Despite this, fewer than half of older adults with a mental health condition report receiving treatment. Early recognition, support from health care professionals and ongoing social engagement can make a meaningful difference.
A primary care provider can be the first point of contact for referrals to mental health specialists and for initiating care.
The role of physical activity in aging well
Exercise plays such a vital role in supporting both physical and mental health.
A 2025 study of more than 13,000 older adults found that increased physical activity was associated with lower rates of depression and reduced body inflammation.
Adults 65 are recommended to aim for at least 150 minutes of moderate-intensity exercise per week, including strength, flexibility and balance activities. Suitable activities include walking, swimming, stretching, yoga and biking.
Exercise can:
- Reduce the risk of chronic diseases like diabetes and heart disease.
- Boost energy levels and reduce physical discomfort.
- Improve mood and reduce symptoms of depression and anxiety.
Before starting any new exercise regimen, it’s important to consult with a primary care provider. They can help tailor a program to fit your current health status, needs and goals. This will maximize benefits while minimizing risk.
Your doctor is your partner in healthy aging
As people age, they can run into all sorts of challenges -- some expected, others not. Physically, it’s common to deal with things like arthritis, osteoporosis, heart problems, slower mobility and diminished vision and hearing. Memory may also decline, and conditions like dementia can develop.
These challenges can be frustrating but manageable or even preventable with the right care -- as long as they are addressed.
Blue Cross Blue Shield of Michigan recommends an annual wellness visit as a great opportunity to raise concerns, ask questions and get personalized recommendations on everything from nutrition to fall prevention and mental health support.
Aging doesn’t have to mean giving up your quality of life. With open communication, regular checkups and a proactive approach to health, you can live well, stay active and maintain independence for years to come.
Blue Cross Blue Shield of Michigan and Blue Care Network are committed to empowering seniors to live their healthiest lives and staying active plays a huge role.
For more information about all aspects of healthy aging and conversation starters to use with providers, click or tap here.