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Several responses have eschewed quantity for quality of life. What Lithgow could have also said is that a fit body, in most cases, will increase the number of quality years.
The profile of those who typically linger on with health maladies and poor quality of life are those who have not taken good care of their minds and bodies.
Well, that could be a tad simplistic. I don't think MOST of us choose to have arthritis, or similar maladies. I was very active my whole life but still developed it, as did my siblings.
Lifestyle has nothing to do with lots of debilitating issues that set in when one is older.
If you are lucky enough to escape those, sure---you won the old-age lottery.
Exercise certainly can/will help to lose weight, it's simple math. But the other things you mention are maybe even more important....
My opinion:
1) Exercise
2) Genetics
3) Moderate diet
4) A shot of whiskey every evening
You can increase your life expectancy by 20% if you make #4 above "Two Shots of Whisky Every Evening."
Well, that could be a tad simplistic...
...Lifestyle has nothing to do with lots of debilitating issues that set in when one is older..
No guarantees, for sure!
However, if your conclusion above regarding lifestyle is based strictly upon personal experience perhaps that's being a bit simplistic.
"..The age-related reduction in VO2 max is directly associated with an increasing risk of multiple chronic diseases, mortality and loss of independence..."*
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