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AIBU to think poor health in later life is a UK problem?

340 replies

BePunnyLilacCrow · 27/04/2026 14:15

https://www.bbc.co.uk/news/articles/c20q07w3gl9o

I just read an article about healthy life expectancy in the UK, and I find it quite sad that we are basically at the bottom of the list among the world’s richest countries. Even the US is better than the UK on average??

Life expectancy in the UK is:

Men: ~79-80 years
Women: ~83-84 years

BUT

Men spend about 19–20 years in poorer health
Women spend about 22–23 years in poorer health

I know that the UK has relatively good overall life expectancy, but that mainly means we are keeping people alive for longer. Unfortunately, those extra years are often not spent in good health. These facts are not true for wealthier parts of the UK, but even the more affluent areas still tend to have lower healthy life expectancy than many average European countries. I am curious what
people think about the contributing factors? I think:

• Weaker family/social connections (I seriously think this is a big one)
• Obviously diet + high consumption of UPFs
• Low every day
activity (again, loneliness contributes to this esp. for the elderly)

There are many reasons, but in my opinion these contribute a lot. Especially weak social life I see in the UK compared to most countries I’ve lived/been to. For example something as simple as cooking together with people, or for family gatherings etc can have a huge impact on how people eat, because you are encouraged more to home cook food in that way, rather than just get a greasy takeaway or eat out, or just get a rubbish supermarket ready meals most people have etc.

This post is not about judging anyone’s lifestyle choices. But I think we should all be concerned about this because there is no point in living longer if it’s spent in illness. And I’m saying this as someone under 30.

What do you think? How can we improve these measures and live a better life in the UK?

Stock photo shows a person sittting on the floor of a yoga studio while practising meditation with others in the background.

UK healthy life expectancy falls by two years in past decade

Poor housing, obesity and the effects of deprivation have been suggested as underlying cause.

https://www.bbc.co.uk/news/articles/c20q07w3gl9o

OP posts:
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5
Badbadbunny · 27/04/2026 19:32

AprilMizzel · 27/04/2026 17:04

There was also much more evening classes to meet people and gain new skills. They seem to have completely gone.

IL do a lot of socilaising - some of that is going to the pub but pub closures have hit their area quite hard. So while the alchol consumption probably wasn't great for health the social side was/ is there for them but declining.

A big yes about the decline/removal of adult education, evening classes, etc. These days, once you hit 21, the usual leaving age of University/higher education, you're really buggered if you want to learn new skills, get more qualifications, etc., whether for your work, mental health, socialising, etc., as there's basically nothing except for the odd course provided by charities etc if you fall into their demographic.

Go back to the 90s, and we used to get a huge "directory" of all the different courses at various venues in our locality, from accountancy right through to flower arranging, car maintenance through to skiing, plastering to knitting. Our one remaining "adult education" college (we used to have four) now only provides courses for 16+ school leavers.

maftaz · 27/04/2026 19:21

LiviaDrusillaAugusta · 27/04/2026 18:40

What generations were mainly SAHMs? My grandmother (silent generation) and mother (baby boom) both worked and I remember at school there didn’t seem to be many SAHM overall.

I know not everyone was SAHM, but there were a lot more about than today! The generation that did not have a car each, and one for each of the children, that allowed post partum women to rest in hospital for a week, and where visiting hours were strict and enforced, where the shopping for food was done every day so everything was fresh and cooked more or less on the day (not many fridges and freezers about), where people walked or took the bus, where kids were not ferried to school and the notion of driving the kids to school was unheard of, and so on. Kids playing together on the green or the street every evening in Summer. A lot more activity but not planned or timed like today (gym, pilates class, kids activities etc.).

I'm 68 now, and the above was the case when I was growing up. Back further my gran was the same. All the husbands had good jobs and we were well fed and had decent housing, we were working class in council housing and I don't remember ever being hungry or neglected. I was lucky, but most of my peers were the same. Expectations were not as high as today I think, everyone was in the same boat and there was very little competitiveness regarding status.

placemats · 27/04/2026 19:15

Meadowfinch · 27/04/2026 15:30

I'm in my 60s and run a couple of times a week (10k not marathons) but I'm the oldest woman at my work and the most active. Most do no exercise at all.

Can confidently say that I won't be taking up running in my 60s.

AIBU to think poor health in later life is a UK problem?
KindnessIsKey123 · 27/04/2026 19:13

I wonder if it has anything to do with people living separately from their families nowadays. every woman I know works full-time even though they have more than one child. If I lived near to my brother and his family, and my parents, and my in-laws, I do feel like we would all pass everything around and feel a more relaxed and healthy.

I know you can share it between two people if you have a partner, but it is very complicated creating a meal for four after 5 pm. It’s also hard to get outside and move if you’ve worked full-time in an office job, and get home, cook a meal & get the kids in bed by 7. I feel like if we all live nearby, we could pop round with the kids and do some jobs for my parents on a weekend, and keep them active, and during the week they could roll up with a shepherds pie in my dad could paint a fence, or help out with jobs that we now have to pay for, so maybe I could work three days a week. Everything would benefit each other.

I think everyone’s focusing on obesity, but maybe people are stuck in poor housing because they’re on their own, and can’t afford it, because they don’t have a family to come and help them out so they’re paying for everything. Maybe people are obese because they’re feeling sad and lonely and depressed.

I wonder if we brought the whole community thing back, and people were more likely to live near quite a lot of Family, some of these things might fall away. It’s easy to blame processed food. This is also the generation who were the first generations where the women did go back and work full-time. My parents generation. Maybe we’re just seeing the impact of that on their health. This generation also have their parents live longer. My mother-in-law is 70 and her mother only just died last year. That’s a very long time caring for children & then a parent.

Dymaxion · 27/04/2026 19:12

What do they mean by poor health ? Are they talking about 'wear and tear' type issues which are largely inevitable as you age ? So an element of sight and hearing loss, wear and tear to joints, or are they talking about heart disease, kidney disease, cognitive decline ?

LadyKenya · 27/04/2026 19:10

FraZles · 27/04/2026 18:40

Everyone take responsibility for themselves: eat well, daily exercise, avoid alchohol, good nights sleep, get out into nature.

Simples.

Edited

It obviously is not as simple as you say, or there would not be so many problems with peoples health, and so much obesity, prevalent in Society.

Itsmetheflamingo · 27/04/2026 18:57

EasternStandard · 27/04/2026 18:51

I think obesity might? Which can be linked to lack of exercise, and poor food choices.

Edited

Obese people exercise too.

Greece Has higher rates of obesity than the uk and has amazing weather

Terfedout · 27/04/2026 18:55

Too many massively obese people, who eat absolute crap and don't, or more likely can't, exercise.

We have an epidemic of diseases like diabetes. I don't like to medicalise what are lifestyle issues in my view ( I've got my hard hat on there! ) but WLI should be more widely available for people who need the help to lose weight, because I accept its fucking hard to do it, and it's really hard to exercise when overweight and you get trapped in a spiral.

Shinyhappyapple · 27/04/2026 18:55

WildGarden · 27/04/2026 17:18

I've just spent the day in Weston Super Mare.
People out getting sunburned, drinking outside pubs, the smell of weed everywhere, almost everyone overweight - many of them hugely so, vaping, smoking, energy drinks, fish and chips, donuts.

No level of NHS provision can undo a lifetime of bad choices.

That’s pretty much a socio-economic thing, is it not? Like many West Midlanders I love a day out in Weston, but it’s not exactly upmarket is it?

EasternStandard · 27/04/2026 18:51

Itsmetheflamingo · 27/04/2026 18:44

If it could be that getting out exercising doesn’t have that much impact on the state of your health in the final years of your life?

I think obesity might? Which can be linked to lack of exercise, and poor food choices.

PansyPapers · 27/04/2026 18:49

Family life tends to be more stressful in the UK. I can “feel” it sometimes. Obsessions with schools and exams etc. On MN you see single parents, and sometimes married parents, barely coping with the demands of everyday life. We have more choices, some of them are great. I already mentioned the kind of food available in supermarkets now is AMAZING. But at the same time life is much more complicated than it was in the 1970s. How many times a day do people have to go on their phone to book something, arrange something, cancel something, respond to something.

I do think there is more social isolation. I think the UK is quite a divided country - culturally and socially. People tend to have ‘community’ and trust with people like themselves and, though it may be an unpopular opinion, it does affect people that this is less common, especially for those living in cities.

Housing is a nightmare for many. Though to be fair, that is mostly in comparison with the 1960s to 1980s. Before that, it could be pretty tough too. It wasn’t unusual for a teacher at the turn of the 20th century to live in one room in a boarding house!

Cammo · 27/04/2026 18:49

Itsmetheflamingo · 27/04/2026 18:14

Teaching home economics isn’t one of the “key issues” at all! The over emphasis on food just demonstrates the privilege and health we do enjoy in this country in 2026.

It’s not pollution, dangerous working,fried food, alcohol, cigarettes or poor road safety killing us like it did it in 1960s and still does in much of the world- apparently it’s eating frozen reformed chicken rather than fresh. You must acknowledge how marginal and privileged this conversation is .

You're misquoting me. I said that nutrition is a key issue. The pp said that reaching home economics is a factor. I conflated those things to make the point that teaching children about nutrition is a key factor.

We're not talking about chicken nuggets v organic chicken thighs. We're talking about understanding the value of nutrition, how it impacts our health age, and how to eat healthily, lifelong. Of course there are other factors, but nutrition is a vital one.

Shinyhappyapple · 27/04/2026 18:48

Carla786 · 27/04/2026 17:05

To be fair Gen Z smoke and drink less and many eat well.

I think this Gen Z thing is either a myth, is class/area based or applies only to the younger ones.

Of people I know in their 20s, the young men are into the gym but also eat a lot of takeaways, drink a lot of alcohol and cannabis use is common (and for some harder drug use too). The young women eat
badly and whilst they may not drink as much alcohol, they seem to drink a lot of sugary pop or sugared lattes and don’t do the exercise.

summerdaylazing · 27/04/2026 18:48

Ophir · 27/04/2026 18:21

I think the weather is part of it. I was in Torremolinos last winter, it was warm and sunny and there were elderly people out walking, and cycling, chatting outdoors, swimming in the sea. A different world

My dad has a lot of old injuries from sport and his old job. He’s in his 70s
just back from 2 weeks in Lanzarote , he hasn’t been abroad for the best part of 40 years
I asked him what he enjoyed and he said “walking with no pain. We walked miles and my shoulder and my knees and my wrists didn’t hurt at all”

Lordofthebantams · 27/04/2026 18:46

There is a really poor food and exercise culture in the UK. We feed children nuggets and chips because we can't possibly think they'd eat actual food.

You go to a restaurant here and half the menu is "& chips" and people think that's a treat. Not a lovely sea bass or lamb dish, no BBQ chicken and chips is a "treat" rather than high quality, fresh tasty food.

If you go walking regularly people think you are some sort of pro athlete because the culture here is so sedentary.

Fruit and veg consumption is very low, especially in poorer males.

We don't have a natural tendency towards older adults going for a walk, doing yoga.

Itsmetheflamingo · 27/04/2026 18:44

EasternStandard · 27/04/2026 18:41

But some other cold, wet countries do better. As in pp due to social responsibility and healthier traditions.

Maybe we’re just more likely to use weather as another excuse.

Edited

If it could be that getting out exercising doesn’t have that much impact on the state of your health in the final years of your life?

Andsoitbeganagain · 27/04/2026 18:44

Health care and education are not good in the UK. They are free, but it's not the same thing. Generations not taught to cook or take care of their health then looked after poorly in old age.

Krautie · 27/04/2026 18:43

I noticed the same when I travelled through Spain with my daughter. She spent some time in Spain while studying medicine and reckons their sociability has a very positive effect on their health

EasternStandard · 27/04/2026 18:41

Ophir · 27/04/2026 18:21

I think the weather is part of it. I was in Torremolinos last winter, it was warm and sunny and there were elderly people out walking, and cycling, chatting outdoors, swimming in the sea. A different world

But some other cold, wet countries do better. As in pp due to social responsibility and healthier traditions.

Maybe we’re just more likely to use weather as another excuse.

FraZles · 27/04/2026 18:40

Everyone take responsibility for themselves: eat well, daily exercise, avoid alchohol, good nights sleep, get out into nature.

Simples.

LiviaDrusillaAugusta · 27/04/2026 18:40

maftaz · 27/04/2026 17:56

I think it's 21st century living which for many is just existing anyway. Up at all hours of the morning, home later at night, then into the second job at home which is often down to women let's face it. Kids babysat by screens, quick easy food, little activity, depression, stress, bills, weather, accommodation struggles, COL, you name it, many are struggling, and health is one of the things most affected.

So many threads on here - should I go to the GP, I'll struggle on with a paracetemol, should I go to A+E, what is this ailment and how will I treat it. So health is neglected. The easy things not being treated lead to worse outcomes for other things.

You may say but our parents/grandparents didn't have it easy either. No they didn't, but they didn't have screens, they had a GP who was part of the community and who would visit the house day or night, women stayed in hospital for a week after a birth, mothers generally were SAHMs, so kids had fresh meals prepared, fewer cars, lots of cycling and so on. It's just a different world now and is very driven. Kids must do twenty activities when two would do, must go to the gym every morning at 5 am, when two would do along with walking/cycling instead of driving where possible.

I'm guilty myself of many of the above, and it's life today. I don't know how to fix it.

What generations were mainly SAHMs? My grandmother (silent generation) and mother (baby boom) both worked and I remember at school there didn’t seem to be many SAHM overall.

Shinyhappyapple · 27/04/2026 18:39

AprilMizzel · 27/04/2026 17:04

There was also much more evening classes to meet people and gain new skills. They seem to have completely gone.

IL do a lot of socilaising - some of that is going to the pub but pub closures have hit their area quite hard. So while the alchol consumption probably wasn't great for health the social side was/ is there for them but declining.

I also don’t think that going to the pub necessarily means a higher alcohol intake - often it can be less - a pint or two sipped through the evening whilst chatting with friends as opposed to sitting on the sofa with a bottle of cheap supermarket wine / whisky by your side.

Breadcat24 · 27/04/2026 18:38

I agree with @KeyleftinCar . I need both knees replaced- if anything I was too active. However the waiting time keeps going up- meaning that my chance of a good recovery goes down as my legs get worse and after the first one mobilization is hindered by not having a good leg to stand on

frozendaisy · 27/04/2026 18:36

I love ultra processed corn based snacks I know they are worse than pointless.

I also love cold oranges from the fridge

So I don’t buy multipacks of monster munch (very often)
but do buy oranges
5 oranges are half the price of 6 small packets of monster munch

If you make small tweaks at the till they add up to bigger differences at home

It’s not always about money, or education or time it’s the choices people make.

Our teens can search high and low the only “treat” we have in is one sharing bag of skittles that I bought for one of them to share for something - they both know it’s sharing - they won’t open it without asking

If it’s not on the house it’s not here to be consumed

They can have an orange if they won’t last until dinner time!

LiviaDrusillaAugusta · 27/04/2026 18:35

BePunnyLilacCrow · 27/04/2026 14:15

https://www.bbc.co.uk/news/articles/c20q07w3gl9o

I just read an article about healthy life expectancy in the UK, and I find it quite sad that we are basically at the bottom of the list among the world’s richest countries. Even the US is better than the UK on average??

Life expectancy in the UK is:

Men: ~79-80 years
Women: ~83-84 years

BUT

Men spend about 19–20 years in poorer health
Women spend about 22–23 years in poorer health

I know that the UK has relatively good overall life expectancy, but that mainly means we are keeping people alive for longer. Unfortunately, those extra years are often not spent in good health. These facts are not true for wealthier parts of the UK, but even the more affluent areas still tend to have lower healthy life expectancy than many average European countries. I am curious what
people think about the contributing factors? I think:

• Weaker family/social connections (I seriously think this is a big one)
• Obviously diet + high consumption of UPFs
• Low every day
activity (again, loneliness contributes to this esp. for the elderly)

There are many reasons, but in my opinion these contribute a lot. Especially weak social life I see in the UK compared to most countries I’ve lived/been to. For example something as simple as cooking together with people, or for family gatherings etc can have a huge impact on how people eat, because you are encouraged more to home cook food in that way, rather than just get a greasy takeaway or eat out, or just get a rubbish supermarket ready meals most people have etc.

This post is not about judging anyone’s lifestyle choices. But I think we should all be concerned about this because there is no point in living longer if it’s spent in illness. And I’m saying this as someone under 30.

What do you think? How can we improve these measures and live a better life in the UK?

I don’t know that there’s generally ever been a culture of social cooking in the UK - of course some people do but I always imagine eg the Italians having long home cooked meals with the whole family whereas it’s more common in the UK to eat and go.!