I see some people over 65 who can do what they once did, but they are the exceptions.
I see how diet and excise impact heart disease. That’s obvious, particularly in the extremes. Other than that… it seems like the genetic lottery determines the majority of outcomes.
And living healthy increases your probability of living a longer, healthier life. And as this study shows, it increases it by a significant factor.
Of course, the wonderful thing about life is that you can make your own choices. And if you don't want to eat healthy and work out, and are fine with the consequences, that's totally ok.
Can you, though? You're definitely long past your peak physically and in terms of testosterone. I don't know if intellectual decline is a factor at that age.
You can definitely still do a lot, but I don't think you can come close to your abilities at age 20.
There are definitely 65-year-olds who are fitter than some of the 20-year-olds you see :-)
I thought the same way when I was in my late teens/early twenties. Was a way for me to justify unhealthy food, smoking and alcohol.
Now I'm 30 and slowly realized it's not true. Living healthy when you're young doesn't have short-term reward. But I'm pretty sure when you're 50+ you'll be happy that you ate healthy, exercised and had a way to deal with stress (e.g. meditation).
If you're mentally and physically fit, you can do as much with 65 as you do with 20 today.
Also, I believe that our understanding of how sicknesses work and tech advances, we'll be able to live much longer. So, in 40 years from now, 65 might just be "middle-aged". Heck, it's even possible that you'll never have to die if you don't want to.