Back in early January, before COVID-19 was as familiar as the furniture, I went in for my annual physical. My doctor looked at my test results and shook his head. Virtually everything was perfect. My cholesterol was down. So was my weight. My blood pressure was that of a swimmer. A barrage of blood tests turned up zero red flags.
鈥淲hat are you doing differently?鈥 he asked, almost dumbfounded.
After all, I鈥檓 a 67-year-old balding guy who had spent much of his life as a desk-bound journalist dealing with nasty ailments like hernias (in my 30s), kidney stones (40s) and shingles (50s).
I ruminated over what had changed since my last physical. Sure, I exercise more than 90 minutes daily, but I鈥檝e been doing that for five years. And yes, I watch what I eat, but that鈥檚 not new. Like most families with college-age kids, mine has its share of emotional and financial stresses 鈥 and there鈥檇 been no let-up there.
Only one thing in my life had registered any real change. 鈥淚鈥檓 volunteering more,鈥 I told him.
I鈥檇 been spending less time in my basement office and more time out doing some good with like-minded people. Was this the magic elixir that seemed to steadily improve my health?
All signs pointed to 鈥測es.鈥 And I was feeling great about it.
Then just as I realized how important volunteering is to my health and well-being, the novel coronavirus appeared. As cases climbed, society shut down. One by one, my beloved volunteer gigs in Virginia disappeared. No more Mondays at Riverbend Park in Great Falls helping folks decide which trails to walk. Or Wednesdays serving lunch to the homeless at a community shelter in Falls Church. Or Fridays at the Arlington Food Assistance Center, which I gave up out of an abundance of caution. My modest asthma is just the sort of underlying condition that seems to make COVID-19 all the more brutal.

Writer Bruce Horovitz stands at the refrigerator at the Arlington Food Assistance Center in Arlington, Virginia, on Feb. 28, where he was giving out eggs and milk as part of the food distribution. Horovitz credited volunteering with improving his overall physical and mental health, but stopped when the pandemic hit in March.(Lynne Shallcross/KHN)
It used to be that missing even one day of volunteering made me feel like a sourpuss. After almost eight months without it, I鈥檓 downright dour.
Science helps explain why.
“The health benefits for older volunteers are mind-blowing,鈥 said Paul Irving, chairman of the Center for the Future of Aging at the Milken Institute, and distinguished scholar in residence at the USC Leonard Davis School of Gerontology, whose lectures, books and podcasts on aging are turning heads.
When older folks go in for physicals, he said, 鈥渋n addition to taking blood and doing all the other things that the doctor does when he or she pushes and prods and pokes, the doctor should say to you, 鈥楽o, tell me about your volunteering.鈥欌
Athat pooled data from 10 studies found that people with a higher sense of purpose in their lives 鈥 such as that received from volunteering 鈥 were less likely to die in the near term. Another , an academic journal by MIT Press for the American Academy of Arts & Sciences, concluded that older volunteers had reduced risk of hypertension, delayed physical disability, enhanced cognition and lower mortality.
鈥淧eople who are happy and engaged show better physiological functioning,鈥 said Dr. Alan Rozanski, a cardiologist at Mount Sinai St. Luke鈥檚 Hospital, a senior author of the Psychosomatic Medicine study. People who engage in social activities such as volunteering, he said, often showed better blood pressure results and better heart rates.
That makes sense, of course, because volunteers are typically more active than, say, someone home on the couch streaming 鈥淕illigan鈥檚 Island.鈥
Volunteers share a dirty little secret. We may start it to help others, but we stick with it for our own good, emotionally and physically.
At the homeless shelter, I could hit my target heart rate packing 50 sack lunches in an hour to the beat of Motown music. And at the food bank, I could feel the physical and emotional uplift of human contact while distributing hundreds of gallons of milk and dozens of cartons of eggs during my three-hour shifts. When I鈥檓 volunteering, I dare say I feel more like 37 than 67.
Writer Bruce Horovitz gives a carton of eggs to a client at the Arlington Food Assistance Center in Arlington, Virginia, on Feb. 28.(Lynne Shallcross/KHN)
Horovitz had upped his weekly volunteering from one day a week to three days a week before COVID-19 hit. (Lynne Shallcross/KHN)
None of this surprises Rozanski, who looked at 10 studies over the past 15 years that included more than 130,000 participants. All of them, he said, showed that partaking in activities with purpose 鈥 such as volunteering 鈥 reduced the risk of cardiovascular events and often resulted in a longer life for older people.
Dr. David DeHart knows something about this, too. He鈥檚 a doctor of family medicine at the Mayo Clinic in Prairie du Chien, Wisconsin. He figures he has worked with thousands of patients 鈥 many of them elderly 鈥 over his career. Instead of just writing prescriptions, he recommends volunteering to his older patients primarily as a stress reducer.
鈥淐ompassionate actions that relieve someone else鈥檚 pain can help to reduce your own pain and discomfort,鈥 he said.
At age 50, he listens to his own advice. DeHart volunteers with international medical teams in Vietnam, typically two trips a year. He often brings his wife and children to help, too. 鈥淲hen I come back, I feel recharged and ready to jump back into my work here,鈥 he said. 鈥淭he energy it gives me reminds me why I wanted to be a doctor in the first place.鈥
I think of my personal rewards from volunteering as cosmic electricity 鈥 with no 鈥渙ff鈥 button. The good feeling sticks with me throughout the week 鈥 if not the month.
When will it be safe to resume my volunteering activities?
I鈥檓 considering my options. The park is offering some outdoor opportunities involving cleanup, but that lacks the interaction that lifts me. I鈥檓 tempted to go back to the food bank because even Charles Dinkens, an 85-year-old who has volunteered next to me for years, has returned after eight months away. 鈥淲hat else am I supposed to do?鈥 he posed. The homeless shelter isn鈥檛 allowing volunteers in just yet. Instead, it鈥檚 asking folks to bag lunches at home and drop them off. Oh, they鈥檙e also looking for people to 鈥渃all鈥 virtual games of bingo for residents.
Virtual bingo just doesn鈥檛 float my boat.
Truth be told, there is no one-size-fits-all way to safely volunteer during the pandemic, said Dr. Kristin Englund, staff physician and infectious disease expert at the Cleveland Clinic. She suggests that volunteers 鈥 particularly those over 65 鈥 stick with outdoor options. It鈥檚 better in a protected space where the general public isn鈥檛 moving through, she said, because 鈥渆very time you interact with a person, it increases your risk of contracting the disease.鈥
Englund said she鈥檇 consider walking dogs outside for a local animal shelter as one safe option with some companionship. 鈥淲hile we do know that people can give COVID to animals,鈥 she said, 鈥渋t鈥檚 unlikely they can give it back to you.鈥
Meanwhile, my next annual physical is coming right up in January. It鈥檚 got me to wondering if my labs will be quite as pristine as they were the last go-round. I鈥檝e got my doubts. Unless, of course, I鈥檝e resumed some sort of in-person volunteering by then.
Last year, an elderly woman staying at the homeless shelter pulled me aside to thank me after I handed her lunch of tomato soup and a turkey sandwich. She set down her tray, took my hand, looked me smack in the eye and asked, 鈥淲hy do you do this?鈥
She was probably expecting me to say I do it to help others because I care about those less fortunate than me. But that鈥檚 not what came out.
鈥淚 do it for myself,鈥 I said. 鈥淏eing here makes me whole.鈥