I am a 57-year old man beginning to feel the signs of aging. My joints hurt when I get up in the morning. I've gained weight. My blood pressure is rising and I'm frequently tired. To make matters worse, I have a family history of diabetes, prostate cancer and heart disease. What should I be doing to get better?

There are universal principles of maximum health and there are specific recommendations for you given your symptoms and family history. Good nutrition, exercise, rest, adequate social support and emotional balance are the pillars of health.
At Stony Brook University Hospital, we recommend a healthy diet that can help prevent a range of diseases including diabetes, heart disease and cancer. It includes:
Exercise is crucial to physical well-being; it lowers blood pressure, raises good cholesterol (HDL) and decreases cardiac risk. Exercise improves cognitive skills, delays the onset of dementia, combats mild depression, improves sleep and diminishes fatigue. An ideal routine should include stretching, strengthening and aerobic exercises. Strengthening quadriceps (thigh muscles) is crucial along with weight loss to treat your knee pain. Strength exercises should be done with lower weights and slow repetitions to avoid injury. Pilates is a great body conditioning technique to improve core muscle strength. Please be sure to consult your doctor before beginning an exercise program.