In this article, Dr. Kilgore argues that the rising prevalence of chronic pain and joint-related conditions in aging populations is closely tied to metabolic dysfunction driven by poor diet, physical inactivity, and obesity—not simply age itself. While medications like GLP-1 agonists offer some promise for weight loss, their effectiveness is modest, costly, and often accompanied by undesirable side effects like muscle loss, which may worsen long-term health outcomes. In contrast, meaningful improvements in pain, mobility, and quality of life can be achieved through consistent exercise and dietary changes, particularly when they lead to sustained weight loss. Importantly, these interventions are far more affordable and sustainable over time, especially for older adults on fixed or limited incomes.

Lon also critiques public health efforts and cultural trends that have failed to foster lifelong habits of physical activity. Participation in sports and fitness declines steadily after adolescence, and many adults, especially older ones, remain largely sedentary. Meaningful long-term change requires rethinking our approach to physical education and youth sports—prioritizing early, positive experiences with movement that carry into adulthood. If we want a future with less chronic pain and better health for aging populations, we must invest in both prevention through youth engagement and intervention through accessible, lifestyle-based strategies—starting now.