Connect with us

Research

Older adults less active in society post-pandemic, finds study

Published

on

A new study of 7,000 people age 55-plus has found they’re staying at home more and skipping restaurants, the gym and other ‘third places’, since the Covid-19 pandemic.

Years after the US began to slowly emerge from mandatory Covid-19 lockdowns, more than half of older adults still spend more time at home and less time socialising in public spaces than they did pre-pandemic, according to new University of Colorado Boulder research. 

Participants cited fear of infection and “more uncomfortable and hostile” social dynamics as key reasons for their retreat from civic life.

“The pandemic is not over for a lot of folks,” said Jessica Finlay, an assistant professor of geography whose findings are revealed in a series of new papers.

“Some people feel left behind.”

The study comes amid what the U.S. Surgeon General recently called an ‘epidemic of loneliness’ in which older adults— especially those who are immune compromised or have disabilities— are particularly vulnerable.

“We found that the pandemic fundamentally altered neighbourhoods, communities and everyday routines among aging Americans and these changes have long-term consequences for their physical, mental, social and cognitive health,” said Finlay.

‘I just can’t go back’

As a health geographer and environmental gerontologist, Finlay studies how social and built environments impact health as we age.

In March 2020 as restaurants, gyms, grocery stores and other gathering places shuttered amid shelter-in-place orders, she immediately wondered what the lasting impacts would be.

Shortly thereafter, she launched the Covid-19 Coping Study with University of Michigan epidemiologist Lindsay Kobayashi. They began their research with a baseline and monthly survey. Since then, nearly 7,000 people over age 55 from all 50 states have participated.

The researchers check in annually, asking open-ended questions about how neighborhouds and relationships have changed, how people spend their time, opinions and experiences of the COVID-19 pandemic, and their physical and mental health.

“We’ve been in the field for some incredibly pivotal moments,” said Finlay, noting that surveys went out shortly after George Floyd was murdered in May 2020 and again after the attack on the US Capitol on January 6, 2021.

Collectively, the results paint a troubling picture in which a substantial portion of the older population remains isolated even after others have moved on.

In one paper published in February in the journal Wellbeing, Space and Society, 60 per cent of respondents said they spend more time in their home while 75 per cent said they dine out less. Some 62 per cent said they visit cultural and arts venues less, and more than half said they attend church or the gym less than before the pandemic.

While that survey was taken two years ago, the most recent survey taken in spring 2023 showed similar trends, with more than half of respondents still reporting that their socialisation and entertainment routines were different than they were pre-pandemic.

In another paper titled “I just can’t go back,” 80 per cent of respondents reported that there are some places they are reluctant to visit in person anymore.

“The thought of going inside a gym with lots of people breathing heavily and sweating is not something I can see myself ever doing again,” said one 72-year-old male.

Those who said they still go to public places like grocery stores reported that they ducked in and out quickly and skipped casual chitchat.

“It’s been tough,” said one 68-year-old female.

“You don’t stop and talk to people anymore.”

Many respondents reported that they were afraid of getting infected with a virus or infecting young or immune-compromised loved ones, and said they felt “irresponsible” for being around a lot of people.

Some reported getting dirty looks or rude comments when wearing masks or asking others to keep their distance— interpersonal exchanges that reinforced their inclination to stay home.

Revitalising human connection

The news is not all bad, stresses Finlay.

At least 10 per cent of older adults report exercising outdoors more frequently since the pandemic, and a small but vocal minority said that their worlds had actually opened up, as more meetings, concerts and classes became available online.

Still, Finlay worries that the loss of spontaneous interactions in what sociologists call “third places” could have serious health consequences.

Previous research shows that a lack of social connection can increase risk of premature death as much as smoking 15 cigarettes a day and exacerbate mental illness and dementia.

“For some older adults who live alone, that brief, unplanned exchange with the butcher or the cashier may be the only friendly smile they see in the day, and they have lost that,” Finlay said.

Societal health is also at risk.

“It is increasingly rare for Americans with differing sociopolitical perspectives to collectively hang out and respectfully converse,” she writes.

Finlay hopes that her work can encourage policymakers to create spaces more amenable to people of all ages who are now more cautious about getting sick – things like outdoor dining spaces, ventilated concert halls or masked or hybrid events.

She also hopes that people will give those still wearing masks or keeping distance some grace.

“It is a privilege to be able to ‘just get over’ the pandemic and many people, for a multitude of reasons, just don’t have that privilege. The world looks different to them now,” she said.

“How can we make it easier for them to re-engage?”

News

Study reveals link between cheese and dementia

Published

on

A 25-year Swedish study links higher cheese intake to lower Alzheimer’s risk in people without known genetic risk, with cream also tied to lower dementia risk.

However, researchers emphasise that the results should be interpreted with caution.

The study tracked 27,670 people over 25 years.

During that time, 3,208 participants were diagnosed with dementia.

Among individuals without a known genetic risk for Alzheimer’s disease, those who consumed more than 50 grams of full-fat cheese per day showed a 13 to 17 per cent lower risk of developing Alzheimer’s.

This association did not appear in participants who carried genetic risk factors for the disease.

People who consumed more than 20 grams of full-fat cream per day also showed a lower risk of dementia overall, ranging from 16 to 24 per cent.

No meaningful links were found for low-fat or high-fat milk, fermented or non-fermented milk, or low-fat cream.

The results stand out because public health guidance has long encouraged people to choose low-fat dairy to protect heart health.

This connection matters because cardiovascular disease (conditions affecting the heart and blood vessels) and dementia share many underlying risk factors, including high blood pressure, diabetes and obesity.

When evidence from previous studies is combined, analyses suggest that cheese consumption may also be linked to a lower risk of heart disease, and that full-fat dairy does not necessarily increase cardiovascular risk.

Several other studies have explored whether similar patterns apply to brain health, but the results are mixed.

Evidence overall suggests that studies conducted in Asian populations are more likely to report benefits of dairy consumption for cognitive health (the ability to think, remember and reason), while many European studies do not.

One possible explanation is that average dairy intake tends to be much lower in Asian countries, meaning modest consumption may have different effects than higher intakes.

For example, one Japanese study reported a reduced dementia risk among people who ate cheese, but overall consumption levels were very low and the research was sponsored by a cheese producer.

In contrast, another Japanese study funded by government grants found no protective effect of cheese.

Some long-term European studies have also reported benefits.

In a Finnish study of 2,497 middle-aged men followed for 22 years, cheese was the only food associated with a lower dementia risk, reduced by 28 per cent.

Other dietary factors also appear to matter.

Higher consumption of milk and processed red meat was associated with worse performance on cognitive tests, while fish intake was linked to better results.

A large study in the UK that followed nearly 250,000 people found lower dementia risk among those who ate fish two to four times a week, fruit daily and cheese once a week.

However, these studies have important limitations.

What people eat is usually self-reported, and changes in memory can affect both eating habits and how accurately people remember what they have eaten. To deal with this, the Swedish researchers took two extra steps.

First, they excluded anyone who already had dementia when the study began.

Then they repeated the same calculations after removing people who went on to develop dementia within the first ten years of the study.

This did not mean starting the study again or recruiting new participants. It simply meant re-checking the results using a smaller group of people who remained dementia-free for longer.

The reason for doing this is that the early stages of dementia can subtly change behaviour long before diagnosis.

People may eat differently, lose appetite or struggle to recall their usual diet. By focusing on participants who stayed cognitively healthy for many years, the researchers reduced the chance that these early changes were influencing the results.

Another important question is whether substitution played a role.

Some of the apparent benefits may reflect replacing red or processed meat with cheese or cream, rather than an effect of dairy itself.

Supporting this idea, the Swedish study found no association between full-fat dairy and dementia risk among participants whose diets remained stable over five years.

Most importantly, foods should not be considered in isolation.

Dietary patterns matter more than individual ingredients. Diets such as the Mediterranean diet, which is consistently associated with lower risks of both dementia and heart disease, include cheese alongside vegetables, fish, whole grains and fruit.

In the Swedish study, people who consumed more full-fat cheese and cream were also more educated, less likely to be overweight and had lower rates of conditions linked to dementia, including heart disease, stroke, high blood pressure and diabetes.

All of these factors independently reduce dementia risk.

This suggests that higher cheese intake tended to occur within healthier overall lifestyles, rather than alongside excess calorie consumption or poor metabolic health.

Overall, the evidence does not support the idea that full-fat dairy causes dementia, nor that fermented milk products reliably protect against it.

Full-fat cheese contains several nutrients relevant to brain health, including fat-soluble vitamins A, D and K2, as well as vitamin B12, folate, iodine, zinc and selenium.

These nutrients play roles in neurological function and may help support cognitive health.

That said, the data do not justify eating large amounts of cheese or cream as protective foods against dementia or heart disease.

The most consistent message remains that balanced diets, moderation and overall lifestyle matter far more than any single item on the cheese board.

Continue Reading

News

New study links Alzheimer’s memory loss to disrupted brain “replay” during rest

Published

on

Memory problems in Alzheimer’s may be linked to disrupted brain replay during rest, new research suggests.

The study, conducted in mice, points to a disrupted brain process that normally helps strengthen and preserve memories.

Researchers say the findings could inform future drugs that target this malfunctioning process and guide tools for earlier detection.

Scientists at University College London (UCL) found that replay events occurred as often in mice with amyloid plaques (protein deposits linked to Alzheimer’s) as in healthy mice, but the underlying patterns were no longer organised.

Instead of reinforcing memories, the coordinated activity of place cells became scrambled.

Dr Sarah Shipley, co-lead author from UCL Cell and Developmental Biology, said: “Alzheimer’s disease is caused by the build-up of harmful proteins and plaques in the brain, leading to symptoms such as memory loss and impaired navigation, but it’s not well understood exactly how these plaques disrupt normal brain processes.

“We wanted to understand how the function of brain cells changes as the disease develops, to identify what’s driving these symptoms.

“When we rest, our brains normally replay recent experiences, this is thought to be key to how memories are formed and maintained.

“We found this replay process is disrupted in mice engineered to develop the amyloid plaques characteristic of Alzheimer’s, and this disruption is associated with how badly animals perform on memory tasks.”

This replay activity takes place in the hippocampus, a region essential for learning and memory. During rest, specific neurons known as place cells activate in rapid sequences that mirror recent experiences.

Place cells, discovered by Nobel Prize-winning UCL neuroscientist Professor John O’Keefe, are neurons that correspond to particular locations.

As a person or animal moves through a space, different place cells fire in sequence. Later, during rest, those same cells typically reactivate in the same order, helping the brain store the experience as a memory.

To study this process, researchers tested how mice performed in a simple maze while recording brain activity at the same time.

Using specialised electrodes, they monitored roughly 100 individual place cells simultaneously as the animals explored and then rested.

This approach allowed the team to compare normal replay patterns with those seen in mice that had developed amyloid pathology associated with Alzheimer’s disease.

The researchers also observed that place cells in affected mice grew less stable over time. Individual neurons stopped reliably representing the same locations, especially after rest periods, which are normally when replay should strengthen memory signals.

These changes had clear behavioural effects.

Mice with disrupted replay performed worse in the maze, frequently revisiting paths they had already explored and appearing unable to remember where they had been.

Professor Caswell Barry, co-lead author from UCL Cell and Developmental Biology, said: “We’ve uncovered a breakdown in how the brain consolidates memories, visible at the level of individual neurons.

“What’s striking is that replay events still occur, but they’ve lost their normal structure. It’s not that the brain stops trying to consolidate memories, the process itself has gone wrong.”

Professor Barry added that the findings may help researchers identify Alzheimer’s earlier or develop treatments that focus on restoring normal replay activity.

Continue Reading

News

Blood test could spot pancreatic cancer earlier

Published

on

Scientists have developed a pancreatic cancer blood test that could detect disease earlier, potentially improving survival if validated in larger studies.

Around 10,500 people are diagnosed with the disease in the UK each year, but it is hard to treat and diagnose.

Because it is often found late, only 10 per cent live longer than five years after diagnosis, with more than half dying within three months of diagnosis.

Researchers from the University of Pennsylvania and the Mayo Clinic say the test could detect pancreatic ductal adenocarcinoma, the most common and one of the most aggressive forms of the disease, in its earliest stages, giving doctors time to treat it and increase patients’ chance of survival.

The team tested stored blood samples from people with pancreatic cancer and from people without it.

They examined two markers already used in medicine, CA19-9 and THBS2.

On their own these are not accurate enough for screening, as CA19-9 can be high in non-cancer conditions such as pancreatitis (inflammation of the pancreas) or bile duct problems, and some people do not produce it because of their genes. THBS2 is a protein linked with tissue changes around tumours.

The researchers discovered two additional proteins in the blood, ANPEP and PIGR, that were higher in people with early pancreatic cancer than in healthy volunteers.

When the team combined all four markers into one test, it correctly identified pancreatic cancer about 92 per cent of the time, at a 5 per cent false-positive rate.

For early-stage cancer, it picked up nearly 8 per cent of cases.

The researchers say the test could be used to screen people at higher risk, such as those with a family history, certain genetic risks, pancreatic cysts or long-term pancreatitis. It also distinguished cancer from non-cancerous conditions like pancreatitis, a key limitation of previous models.

Kenneth Zaret, the study’s lead investigator from the University of Pennsylvania’s Perelman School of Medicine, said: “By adding ANPEP and PIGR to the existing markers, we’ve significantly improved our ability to detect this cancer when it’s most treatable.

“Our retrospective study findings warrant further testing in larger populations, particularly in people before they show symptoms.

“Such ‘prediagnostic’ studies would help determine if the test could be used as a screening tool for people at high risk of developing the disease based on family history, genetic screening results or personal history of pancreatic cysts or pancreatitis.”

However, it could take years before the new blood test has completed the trials and regulatory steps needed for mainstream use.

At present, pancreatic cancer is incurable, with life expectancy just five years from initial diagnosis.

It kills because it aggressively invades nearby organs, blocks the bile and intestinal ducts, and spreads via the blood and lymphatic system to the liver, lungs and abdomen, eventually triggering organ failure.

The pancreas aids digestion and produces hormones, such as insulin and glucagon, which help convert sugar from food into energy. Pancreatic cancer can reduce the gland’s ability to make these hormones, which can lead to unstable blood sugar levels.

Common symptoms include jaundice (yellowing of the skin and eyes), loss of appetite, weight loss, fatigue, a high temperature, feeling or being sick, diarrhoea and constipation.

Research published last year suggested that more than half of patients diagnosed with the six least curable cancers, including lung, liver, brain, oesophageal, stomach and pancreatic, die within a year of diagnosis.

More than 90,000 people are diagnosed with one of these cancers in the UK every year, accounting for nearly half of all common cancer deaths, according to Cancer Research UK.

There are currently no early detection tests and about 80 per cent of people are not diagnosed until the cancer has spread, meaning life-saving treatment is no longer possible.

Last week, Spanish researchers revealed a treatment plan that made pancreatic cancer cells shrink in laboratory mice. However, this requires much more robust testing, meaning it could be years before similar treatments are offered to human patients.

Continue Reading

Trending

Agetech World