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Positive mindset about ageing linked to better recovery after a fall

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There is a strong association between an older person’s view of how they are ageing and how well they will physically recover after a fall, according to new research.

The research is the first to suggest how important psychological factors may be in post-fall physical recovery.

Falls in older adults are a major health concern because they can lead to high levels of physical disability and hospitalisation, as well as affecting people’s ability to live independently.

The consequences of falls in older adults cost the NHS an estimated £5ma day. However, not every older adult who falls experiences physical decline, so understanding why some recover much better than others is vital for developing therapies and interventions.

In the study, the researchers from Imperial College London and Coventry University, found that individuals with more positive self-perceptions about ageing at baseline – such as a person saying that age wasn’t stopping them from doing what they wanted to do in life – were significantly less likely to experience physical problems or need help with daily activities after the fall.

The study involved longitudinal data from nearly 700 older adults across England between the ages of 60-90, who had not suffered any falls in the previous years. The data included questionnaire responses that measured mindsets and beliefs about ageing.

The researchers then assessed the members of this group who experienced a fall in the following year, to explore links between their subsequent recovery from this fall and their initial ageing-related mindset and beliefs. This included measurements of post-fall walking speed, whether assistance was needed for daily living activities, and how physically inactive the person was after their fall.

Those who had initially shown more ‘positive’ ageing mindsets, such as believing that ageing was not stopping them doing what they wanted to do, were far more likely to physically recover in the months after a fall.

The results were found to be independent of other important factors such as age, gender, depression, and pre-fall physical function. The results also controlled for whether the fall led to physical injury or not. As such, the researchers say the findings cannot simply be attributed to the older adults with a ‘positive’ mindset being younger, fitter, less depressed, or sustaining fewer injuries in general.

The researchers found that an individual scoring the highest possible score on the ‘self perceptions of ageing’ measurements – or, having the most positive mindset – would have 162 per cent lower odds of showing slow gait speed, 200 per cent lower odds of being dependent on others to perform daily living activities, and 123 per cent lower odds of physical inactivity following a fall, compared to an individual scoring the lowest possible score.

Dr Toby Ellmers of Imperial College London’s Department of Brain Sciences, who co-led the study, said: “Those who expressed more positive feelings about their own ageing seemed to be protected against worse physical consequences after a fall. There was substantial difference in the rate of physical recovery in the people we studied, and this seemed to be linked to their initial beliefs about growing older.”

Co-lead Dr Mathew Hill of Coventry University’s Research Centre for Physical Activity, Sport and Exercise Sciences, said: “Although we knew from previous research that negative mindsets and beliefs about ageing are associated with increased risk of negative health outcomes, such as stroke and mortality, this is the first research linking these specifically to physical recovery after a fall.”

Dr Ellmers added: “Our results suggest that changing the way that some older people view their ageing process could play a key role in improving recovery and wellbeing. It’s even possible that simple ‘tweaks’ to help people develop a more positive mindset around ageing – such as having discussions with a friend or relative about the positives associated with ageing – could help. This is something we are very keen to explore in future research.”

The authors note that the present study did not control for the severity of different falls (but only if injury did occur) and does not allow definitive conclusions about causality. As a next step, the researchers are hoping to explore whether addressing negative beliefs about ageing can help stave off physical decline following a fall.

 

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The Agetech World research roundup

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Super-ageing key, Seaweed’s special, hair-raising breakthrough and more

The secret of how ‘super-agers’ have the mental agility of people decades younger is centred around brain health, say US researchers.

Some elderly people are able to regenerate brain cells twice as quickly as other, healthy adults, of the same age.

While it has recently been established that we continue creating brain cells throughout our lives, the new research suggests that some people age without any signs of cognitive decline because their bodies are much better at renewing brain cells.

This is known as neurogenesis and happens in the hippocampus – which is crucial for memory.

“Super agers had twice the neurogenesis of the other healthy older adults,” said Professor Orly Lazarov, of the University of Illinois at Chicago.

“Something in their brains enables them to maintain a superior memory. I believe hippocampal neurogenesis is the secret ingredient, and the data support that.

Amino acid alert

“This is a big step forward in understanding how the human brain processes cognition, forms memories and ages.”

A super-ager is someone aged 80 or older who exhibits cognitive function that is comparable to an average person who is middle-aged.

A study of more than 270,000 participants from the UK Biobank has uncovered a link between a common amino acid and how long men live. 

Researchers found that higher levels of tyrosine – an amino acid found in protein-rich foods and often marketed as a focus-boosting supplement – were associated with shorter life expectancy in men.

The study published in Aging-US, from the University of Hong Kong and the University of Georgia, examined the role of phenylalanine and tyrosine in longevity.

Their findings suggest that higher tyrosine levels are associated with shorter life expectancy in men, raising the possibility that longevity strategies may need to differ by sex.

‘Seaing’ into the future

Researchers are using a unique Australian seaweed that mimics the biological functions of human skin to develop sustainable, regenerative wound-healing, anti-ageing solutions for complex skin injuries and burns.

The healing power of seaweed is not a new discovery.

There is evidence that it was chewed medicinally in what is now Chile more than 14,000 years ago, and that seaweed has been a versatile resource for Indigenous Australians for millennia. 

It is now believed there are some 12,000 species of seaweed around the world, and that current scientific understanding of the possible benefits of those species is just scratching the surface.

Over the last decade, University of Wollongong researchers at the Intelligent Polymer Research Institute (IPRI) have been investigating a unique Australian green seaweed with antibacterial, anti-inflammatory and regenerative properties. 

The team believes this discovery could revolutionise complex wound healing and boost longevity.

Link between obesity and muscle loss

Researchers at the UK’s University of Birmingham have identified a new mechanism by which obesity may contribute to muscle loss in older adults.

The study, published in the Journal of Cachexia, Sarcopenia and Muscle and delivered through the National Institute for Health and Care Research (NIHR) Birmingham Biomedical Research Centre (BRC) shows for the first time that extracellular vesicles – tiny particles released by fat tissue – can directly trigger muscle atrophy in human cells.

Sarcopenic obesity, where excess body fat coexists with reduced muscle mass and strength, is an increasingly common condition in ageing populations and is associated with frailty, reduced mobility, and poorer overall health outcomes. 

It is estimated to affect around 11 per cent of the population. 

In the study, researchers found that extracellular vesicles released from obese adipose tissue caused significant thinning of muscle fibres derived from older adults, whilst researchers found
that muscle cells derived from younger adults were resilient to these effects. 

Lead researcher Dr Joshua Price, first author and Postdoctoral Researcher, said: “It isn’t just having more fat tissue that matters.

“Obesity changes how fat tissue behaves and how it communicates with muscle.

“Ageing muscle is far more vulnerable to these altered signals, which helps explain why muscle loss accelerates with obesity later in life.”

Hair-raising breakthrough

Japanese regenerative health firm OrganTech has pinpointed the trio of cells required to prevent hair loss.

The Tokyo-based biotech said its researchers have defined a three-cell configuration capable of reconstructing hair follicle organ germs to sustain a hair growth cycle.

The work, published in Biochemical and Biophysical Research Communications, provides a potential blueprint for regeneration of hair follicles; which are complex, mini-organs that repeatedly manifest through growth, regression, rest and shedding cycles. 

Previous regenerative approaches have combined epithelial stem cells and dermal papilla cells to form early follicular structures.

But, working with researchers at the RIKEN Center for Biosystems Dynamics Research, OrganTech identified a third, previously uncharacterised, cell type that appears to be essential for complete regeneration. 

This mesenchymal cell was shown to play a critical role in triggering the transition from the resting to the growth phase of the hair cycle and in driving the follicle’s downward extension into surrounding tissue. 

OrganTech CEO Yoshio Shimo, said: “This work defines a foundational cellular configuration for functional hair follicle regeneration.

“Beyond hair biology, it reinforces our broader strategy of organ-level regenerative medicine, where precisely orchestrated epithelial and mesenchymal interactions enable stable and functional tissue reconstruction.”

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Low-dose lithium may slow Alzheimer’s verbal memory decline

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Low-dose lithium may slow verbal memory decline linked to Alzheimer’s disease in older adults, according to a pilot clinical trial.

The two-year trial enrolled adults aged 60 and older with mild cognitive impairment, a condition where people develop noticeable memory or thinking problems beyond what is typical for their age.

Participants were randomly assigned to receive either a low dose of lithium, a drug long used to treat bipolar disorder, or a placebo.

Over the study period, those receiving lithium showed a slower decline on a sensitive test of verbal memory, the ability to remember and recall words and sentences, which often worsens early in Alzheimer’s disease.

The research was led by Dr Ariel Gildengers, professor of psychiatry at the University of Pittsburgh and a geriatric psychiatrist whose previous work has suggested long-term lithium use in older adults with bipolar disorder is linked with better brain integrity.

“In a prior study, we observed that older adults with bipolar disorder who take lithium long-term tend to show markers of better brain integrity,” Gildengers said.

“The new question was whether those apparent neuroprotective effects might extend beyond mood disorders, and whether we could test that rigorously in a prospective clinical trial.”

Brain imaging showed that the hippocampus, a region of the brain important for memory, shrank over time in both groups.

Although the overall difference between groups did not reach statistical significance, further analysis suggested stronger protective effects among participants who tested positive for amyloid beta, a protein widely considered one of the key biological indicators of Alzheimer’s disease.

The study also found that low-dose lithium was safe and well tolerated in older adults when carefully monitored.

“The key point is that lithium doesn’t restore lost memory,” Gildengers said.

“What it appears to do, if the signal holds up, is slow deterioration. That distinction matters enormously when you’re designing trials and interpreting results.”

However, the trial had limitations. When it began nearly a decade ago, blood-based tests for Alzheimer’s disease were not yet available, meaning participants were enrolled based on clinical symptoms alone.

Only a subset were later found to have amyloid, which may have reduced the study’s ability to detect stronger effects.

“If we were designing this study today, we would enrol participants based on amyloid status from the start,” Gildengers said.

“That’s exactly what we’re planning for next.”

The research team is now seeking support for a larger trial that would use blood-based biomarkers, measurable biological indicators in the blood, to identify individuals most likely to benefit.

“This study tells us that the approach is feasible, safe and worth pursuing,” Gildengers said.

“But it also reminds us why careful, adequately powered trials are essential, especially when the stakes are this high.”

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Listening to music may lower dementia risk, study suggests

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Listening to or playing music regularly may lower dementia risk in adults over 70, according to research tracking more than 10,800 people.

A study of more than 10,800 adults aged over 70 found those who listened to music most days had a 39 per cent lower likelihood of developing dementia than people who sometimes, rarely or never listened.

Frequent listeners also showed a 17 per cent lower rate of cognitive impairment, meaning a noticeable decline in thinking ability that is greater than normal ageing but not severe enough to be dementia.

Participants who listened to music regularly also recorded higher overall cognitive scores and stronger episodic memory, the ability to recall specific personal experiences or everyday events.

Playing an instrument, including singing, was linked with a 35 per cent reduction in dementia risk.

People who both listened to and played music regularly had a 33 per cent lower risk of dementia and a 22 per cent lower risk of cognitive impairment.

The research was carried out by a team at Monash University in Australia.

“We know that listening to music engages multiple brain areas at once, acting like a full-brain workout,” said Emma Jaffa, a biomedical science honours student at Monash who co-authored the study with Joanne Ryan, a professor of biological neuropsychiatry at the university.

“Previous studies show it improves processing speed, language, memory and coordination. Plus, it often involves socialising with others, which helps protect brain health.”

Jaffa, who plays bass and sings, said the findings were also personally meaningful.

“I think that’s what drew me to this topic. It was the combination of a hobby and the possibility of delivering actionable insights to others,” she said.

She said she is often asked whether some types of music may offer more benefit than others.

Participants in the study were not asked which genres they listened to, but Jaffa said this is something she hopes to explore in future research.

Another question is whether listening to music might help reduce the risk of cognitive decline in people younger than 70.

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