People around the world collectively spend billions of dollars each year on products and services designed to extend their lives. But if they funnel all that money, time, and energy into the pursuit of longevityâonly to reach those extra years and realize theyâre not exactly enjoying themâwhatâs the point?
Such is the dilemma that inspired Dr. Kerry Burnight, a geriatrician whoâs treated thousands of older patients, to coin the term âjoyspanââwhat she sees as the third piece of the longevity puzzle, alongside âlifespanâ (how many years you live) and âhealthspanâ (how many of them are spent in good health). Joyspan, as its name suggests, describes the experience of well-being and satisfaction in longevity.
âWhat motivated me is watching all the suffering,â Burnight says. âFor the first 20 years of my career, I kept seeing people alone, slumped over in wheelchairs, who were like, âI donât have any purpose in my life.ââ
At first, she assumed that was the inevitable result of reaching an advanced age. Then she realized that, actually, a robust body of research shines light on why some people thrive in their later years and others donât. In her 2025 book Joyspan: The Art and Science of Thriving in Lifeâs Second Half, Burnight dispenses tips on how to achieve this better way of growing older.
As part of TIMEâs series interviewing leaders in the longevity field, we caught up with Burnight to talk about what the new âold ageâ could look like.Â
This interview has been condensed and edited for clarity.
When should people start thinking about cultivating their joyspan?
Joyspan is for anyone whoâs aging, and guess who that is? Everyone. The earlier you start, the better. What improves your life from 83 to 84 is the same thing that improves your life from 23 to 24.
In this emphasis on quantity of years, weâve overlooked quality. Joyspan focuses on the quality of your long lifeâand it isnât just chance; it isnât just genes. Itâs these small, everyday habits and outlooks that we adopt. Itâs up to us to lean into growing older, and to change the question from how not to age, to how to age with vitality, with beauty, with relevance, with humor, and with gusto.
It sounds like the million-dollar question: How does one go about doing that?
Itâs very clear. The research groups it into four areas: grow, connect, adapt, and give. Theyâre all verbs, because they all take effort. Just like with physical health, you donât just say, âOh, that personâs just lucky.â No, every day they were choosing to do things that lowered their risk of cardiovascular disease and improved their flexibility and agility, and as a result, they changed their aging trajectory physically. Likewise, you can do these four things on the insideâand itâs a lifelong practice.
Letâs talk through each of these four actions. What does prioritizing growth look like as you age?
When we say things like âI expect to grow, Iâm going to put effort into my growth, and Iâm going to push myself to do hard things, uncomfortable things, novel things, and fun things,â thatâs going to make you a different older person than an older person whoâs like, âI canât do anything anymore. I can just stay in my house.â
Read More: 4 Science-Backed Habits That Could Help You Live Longer
Ask yourself: âWhat am I currently doing that is growth?â It starts with curiosity, like if you have any tiny inkling of, âWhat the heck is Bitcoin?â Or, âI wonder if I could do stand-up comedy or learn how to do makeup so I can do it for women who have cancer, and draw on their eyebrows.â The next step is actually doing those things. We make kids do hard things all the time: âYou never jumped off a high dive? Too bad.â When weâre older, we stop doing thatâso we need to get back in the habit of pushing ourselves to do things that are a little hard.
Connecting is another key to aging well. How can people get better at it?
People who excel at connecting put time into new and existing relationships. We need to be that friendâthe one who picks up the phone to call, who offers to drive you to chemo, who remembers that your dad died five years ago on this day. I have people come to me and go, âNobody calls me, nobody invites me anywhere. I donât have anything to look forward to.â I listen with love, and then I say, âTell me about the invitations youâve extended. Tell me about the people you texted.â And every time, they go, âOh, shoot.â
At every age, we need to be putting ourselves out there, even if it takes knocking on five doors to find our person.
What does it mean to learn how to adapt?
Adapting means adjusting to changing and challenging situations. Youâre going to have to deal with hard stuff, and when you do, you can say: âI have a choice on how I attend to this.â The way youâre remembered in life is largely how you walk with your hard thing, whatever it is. Thereâs this quote from Henry Miller I always think about: âThere is nothing wrong with life itself. It is the ocean in which we swim, and we either adapt to it or sink to the bottom.â We can do that through coping strategies like journaling, meditating, and adopting a gratitude practice.
Read More: Unlocking the Secrets to Living to 100
That gratitude practice seems so simple, but itâs really proven in the literature. I see it over and over again when people wake up in the morning and go, âI have to do this, then I have this doctorâs appointment, and this is wrong, and my daughterâs getting a divorce.â This is the opposite of that. You proactively wake up in the morning and go, âI have a soft pillow. I get to go downstairs and have some coffee. Iâm going to call this person. Iâm going to pet my cat.â And then, you start seeing things to be grateful for everywhere you look.
Youâve said your favorite element of aging well is giving. Why is it key to thriving in life?
When people give, theyâre sharing themselves. I recommend coming up with a giving goal, like doing one little kind gesture a day. Maybe you live next door to a single mother, and you tell her that at dinner time, you can go over and hold or entertain the kids while she focuses on cooking. Then it becomes a habit, and before you know it, you feel great, because these acts of giving feed you as muchâif not moreâthan they do the person youâre giving to.
Read More: Want to Live Longer? First Find Out How Old You Really Are
I have a patient whoâs almost 100, and she is the best listener in the world. Everybodyâher kids, her nurses, the grandkidsâcanât wait to be with her, because sheâs such an engaged listener. When I look at her, I think, âOh my gosh. Even if I have all these challenges, I could be like her, because she has something to give, and sheâs giving it.âÂ
Joyspan doesnât just make you happierâit makes you healthier, too. What are some of the benefits?
Thatâs the great news: The same things that increase your joyspan have also been shown to increase your lifespan and your healthspan. Thereâs research showing that the âgiverâs high,â for example, lowers inflammation, and thatâs correlated to a healthier and longer life. And when physical exercise releases endorphins that help you feel better, that enables you to go, âHmm. I think maybe Iâll give it a go to try to make a new friend.â All these arrows point in the same direction.
What message of hope do you want to spread to people?
My mom started these practices 20 years ago, and I have watched her change the trajectory of her life. Sheâs 96 now. She lives alone in her home, and sheâs the best version of herself that sheâs ever been. She wasnât always positive. She didnât always have perfect health habits. But these seemingly small changes have made a different life for her.Â
She has congestive heart failure and sheâs had knee replacements, and she also went through bankruptcy and her husband died. Yet she is gorgeous, radiant, and hilarious, and people canât get enough of her. And sheâs not unique. There are millions of people who are doing this, and itâs possible for all of us regardless of external circumstances. I want to normalize that, so we can all recognize that this new longevityâthis new old ageâis different.
This article is part of TIME Longevity, an editorial platform dedicated to exploring how and why people are living longer and what this means for individuals, institutions, and the future of society. For other articles on this topic, click here.

