Research
Lack of appropriate mental health care impacts quality of life for people with COPD – study

Mental health disorders in people with chronic obstructive pulmonary disease (COPD) are underdiagnosed and undertreated, leading to worsened symptoms and decreased quality of life, according to a new study.
COPD is an inflammatory lung disease, comprising several conditions, including chronic bronchitis and emphysema, and can be caused by genetics and irritants like smoke or pollution.
The disease affects more than 3 million people in the UK and is the fourth leading cause of death worldwide.
Depression and anxiety are common comorbidities in people with COPD, which lead to increased symptom burden and decreased quality of life.
Screening questionnaires often are used to detect symptoms of these disorders in people with COPD; however, these screening tools cannot be used definitively to confirm their diagnosis.
This study is a cross-sectional, secondary analysis of the Anxiety and COPD Evaluation, a national, multicenter observational survey study to evaluate anxiety questionnaires in people with COPD.
The analysis implemented the Mini-International Neuropsychiatric Interview (MINI) to identify those participants who could be diagnosed with depression and/or anxiety disorders.
Of the 220 eligible participants, 18 (8 per cent) met the MINI criteria for depression and 17 (8 per cent) met the MINI criteria for anxiety. Among those meeting the criteria for a depression or anxiety diagnosis, fewer than half were receiving mental health counseling or using antidepressants, affirming a persistent care gap.
The study also demonstrated that depression and anxiety were associated with increased breathlessness, reduced functionality, worse sleep quality and decreased quality of life.
Jing Gennie Wang, M.D. is a pulmonologist at The Ohio State University Wexner Medical Center and first author of the study.
The researcher said: “People with COPD are sometimes screened for mental health disorders using questionnaires; however, they lack the ability to confirm the diagnosis of depression and anxiety and thus may hinder those with the diagnosis from receiving appropriate mental health care.
“Our study demonstrates the need to appropriately diagnose mental health disorders in people with COPD to help reduce symptom burden and improve quality of life.
“Further research is needed to determine how treating mental health disorders could improve outcomes for people with COPD over time.”
News
Low doses of weight loss drugs may slow ageing

Microdoses of weight loss drugs like Ozempic could slow ageing and increase longevity, according to new research in mice.
The study found that exenatide, a drug with similar chemical make-up to Ozempic, produced molecular changes in mice that opposed typical patterns seen with ageing across multiple organs.
Scientists treated mice starting at 11 months of age with small doses of the drug for about 30 weeks, then compared tissue samples from brain, liver, kidney, muscle and fat.
Researchers from the Chinese University of Hong Kong measured levels of RNA and DNA modifications, proteins and metabolism-related molecules to assess how age-related molecular signatures had changed in each tissue.
The treated mice showed metabolic health consistent with younger animals, with their molecular “age-signature” significantly shifted to a younger-looking profile compared with untreated older mice.
Many of the drug’s positive effects appeared to involve brain activity, suggesting the brain acted as a hub influencing the ageing profiles of multiple organs throughout the body.
Exenatide and semaglutide (sold as Ozempic and Wegovy) are GLP-1 receptor agonists. These medicines mimic a naturally occurring hormone in the gut and brain that regulates appetite, helping people feel fuller for longer.
Originally developed for diabetes treatment, these drugs have surged in popularity for weight loss. A new trend has emerged online with some people reportedly taking very small doses for longevity, though health experts warn the anti-ageing effect has not been proven in humans.
“Our work has provided multifaceted evidence for a comprehensive body-wide anti-ageing strategy,” the researchers wrote. “Future longitudinal studies are necessary to explore whether GLP-1R agonism may complement other anti-ageing methods.”
The study examined multiple biological markers of ageing, including epigenetic modifications (changes to DNA that affect gene activity without altering the genetic code), protein levels and metabolic indicators across different tissues.
The findings showed consistent changes across many tissues that opposed typical ageing patterns. However, researchers emphasised several important limitations to their work.
The results were observed only in mice, not humans, meaning whether the drug has any real effect on human ageing remains unknown. The study was conducted on middle-aged mice, so the effects might not be the same in very old animals.
Additionally, while the drug appeared to induce many molecular signs of younger age across tissues, the study did not prove that actual biological ageing was reversed or that the mice lived longer.
GLP-1 receptor agonists work by binding to receptors that respond to the GLP-1 hormone. This binding triggers metabolic processes, including insulin release and appetite suppression, and potentially, as this study suggests, molecular changes linked to younger biological age.
The researchers hope their findings will lead to larger clinical trials and help in developing anti-ageing drugs. However, they stress that longitudinal studies tracking subjects over extended periods are necessary to determine whether these drugs could form part of a comprehensive anti-ageing strategy.
The growing interest in using diabetes and weight-loss drugs for longevity reflects wider trends in anti-ageing research, where scientists increasingly examine how existing medicines might have benefits for healthspan and lifespan.
Experts caution that people should not start taking these medicines for anti-ageing purposes based on animal studies alone, as human trials are needed to establish safety and efficacy for this use.
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