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Showing posts with label America's Aging Population. Show all posts
Showing posts with label America's Aging Population. Show all posts

Monday, October 24, 2016

Plan Ahead For Successful Agin

Newswise, October 24, 2016— For many people, the prospect of aging is scary and uncomfortable, but Florida State University Assistant Professor Dawn Carr says that research reveals a few tips that can improve our chances of a long, healthy life.

Tips for Successful AgingCarr, who joined FSU’s Department of Sociology and the Pepper Institute on Aging and Social Policy this fall, is working to identify social programs and policy solutions that improve and maintain quality of life as people age.

“The ultimate goal is to set people up for having a good life for as long as possible in ways that are meaningful and productive,” she said.

As a gerontologist, Carr studies the biological, cognitive and social processes involved in aging and the ways that societies construct systems to accommodate aging populations.

 Carr’s specialization in social gerontology means she pays particular attention to the idea of “successful aging,” or the ways that people can continue to lead fulfilling, emotionally satisfying lives as they get older.

Fundamental to understanding aging from the perspective of a social gerontologist is the important distinction between “successful aging” and pop cultural or cosmetic ideas about “anti-aging.”

“Anti-aging is a movement that views youth as the best state of being,” Carr said. “It’s focused on the idea that good agers are those who look, act and seem young.”

Conversely, the idea of successful aging is based on the notion that getting older can be a healthy and positive process — that it can yield its own unique experiences and outlooks.

Proponents of successful aging ideas argue that, with adequate and deliberate preparation, late-adulthood can be a time of increased self-actualization.

Carr, who previously served as a research associate at Stanford’s Center on Longevity, has published extensively on the subject of successful aging.

“What my research has done is to try and understand the shifts in the way we live as we get older,” Carr said.

“What I’m trying to understand is what we can do to keep health and cognitive performance up for as long as possible.”

Carr shared a few basic tips for becoming a successful ager.

Get a College Degree

There is no more crucial variable in the formula of successful aging than education. Research has repeatedly demonstrated the indispensible value of meaningful educational experiences, and especially of attaining a college degree.

“Education has been the biggest predictor of aging outcomes for a very long time,” Carr said.

“You just can’t hold a candle to number of years of education and its relationship to any outcome related to aging. It’s hard for me to ever imagine that education wouldn’t be beneficial to health, well-being and aging well.”

Eat Healthy
Eating well can have significant, measurable effects on aging outcomes. It’s important to find a healthy diet that works for your individual lifestyle.

“There are a lot of diets that work well, but none of them involve eating a ton of fast food,” Carr said. “It’s important to use nutrition in a way that doesn’t result in bad outcomes like heart disease and diabetes, but that can vary from person to person.”

Exercise
There is no substitute for a consistent exercise regimen.

“Exercise is crucial over the long term,” she said. “You can start at anytime throughout your life but it’s important to continue as much as possible. There’s no evidence that you can do too much, and exercise seems to be one of the few things that, for the average person with normal brain matter, keeps cognitive performance up later in life.”

Stay Socially Connected

Quality of social connection is one of the most reliable predictors of well-being in older individuals. This is particularly vital for older men, who tend to have a more difficult time forging important relationships as they age.

“Social connectedness is the thing that people probably pay the least attention to,” Carr said.

“Maintaining meaningful engagement with others through the duration of your life is crucial, and men aren’t so good at it, which is a problem.

”For example, research shows that older men who are married tend to do better than those who aren’t, so we know there’s something important in having close connections later in life.

“The thing is, it’s hard to have someone close to you later in life if you’ve never spent any time cultivating meaningful relationships with others.”

Carr recommends joining formal community groups as a way of ensuring sustained connection as we age.

“Embedding yourself in formal organizations like church, volunteer programs or book clubs can be a great way to cultivate relationships,” she said.

Plan Financially
It’s never too early to begin making financial arrangements for later life. While structures of economic inequality often make it difficult for some to plan in the long term, the prudent choice is always to begin considering your late-life finances as soon as possible.

“Being poor in later life is not good for your health,” Carr said.


“A lot of people don’t have control over that, which is a huge deal. But one thing we know to be true is that if you have a sufficient income, that’s pretty critical in improving outcomes. You have a lot working against you if you don’t have the money to maintain your well-being over time.” 

Tuesday, May 17, 2016

Redefining Health and Well-Being in America’s Aging Population

New approach looks at factors in addition to disease

Newswise, May 17, 2016 — Chronological age itself plays almost no role in accounting for differences in older people’s health and well-being, according to a new, large-scale study by a multidisciplinary team of researchers at the University of Chicago.

The work, part of the National Social Life, Health, and Aging Project (NSHAP), supported by the National Institute on Aging of the National Institutes of Health, is a major longitudinal survey of a representative sample of 3,000 people aged 57 to 85 done by the independent research organization NORC at the University of Chicago.

The study yielded comprehensive new data about the experience of aging in America that formed the underpinning of the research and its conclusions.

The research presents a sharp departure from the traditional biomedical model’s reliance on a checklist of infirmities centered on heart disease, cancer, diabetes, high blood pressure, and cholesterol levels.

Using what they call a “comprehensive model” of health and aging, the team has shown how other factors such psychological well-being, sensory function, mobility and health behaviors are essential parts of an overall health profile that better predicts mortality.

“The new comprehensive model of health identifies constellations of health completely hidden by the medical model and reclassifies about half of the people seen as healthy as having significant vulnerabilities that affect the chances that they may die or become incapacitated within five years,” said UChicago biopsychologist Martha McClintock, lead author of “An Empirical Redefinition of Comprehensive Health and Well-being in the Older Adults of the U.S.,” in the current issue of the Proceedings of the National Academy of Sciences.

“At the same time, some people with chronic disease are revealed as having many strengths that lead to their reclassification as quite healthy, with low risks of death and incapacity,” co-author and demographer Linda Waite added.

The paper is based on the results of a major longitudinal study of aging Americans, funded by the National Institute on Aging, that is the first of its kind to collect this sort of information from a scientifically selected group of people.

The comprehensive model reflects a definition of health long advanced, but little studied, by the World Health Organization that considers health to include psychological, social, and physical factors in addition to the diseases that are the basis for the current medical model of health.

McClintock is the David Lee Shillinglaw Distinguished Service Professor in Psychology. Waite is the Lucy Flower Professor in Sociology. Other members of the team are geriatrician William Dale, associate professor of medicine, and chief, Section of Geriatrics & Palliative Medicine at UChicago Medicine; and sociologist Edward Laumann, the George Herbert Mead Distinguished Service Professor in Sociology.

In addition to finding that chronological age itself plays little or no role in determining differences in health, the research also found that:

• Cancer by itself is not related to other conditions that undermine health.
• Poor mental health, which afflicts one in eight older adults, undermines health in ways not previously recognized.
• Obesity seems to pose little risk to older adults with excellent physical and mental health.
• Sensory function and social participation play critical roles in sustaining or undermining health.
• Having broken a bone since age 45 is a major marker for future health issues in people’s lives.
• Older men and women have different patterns of health and well-being during aging.
• Mobility is one of the best markers of well-being.

Six new ways of looking at aging

The comprehensive model’s healthiest category represented 22 percent of older Americans. This group was typified by higher obesity and blood pressure, but had fewer organ system diseases, better mobility, sensory function, and psychological health. They had the lowest prevalence of dying or becoming incapacitated (six percent) five years into the study
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A second category had normal weight, low prevalence of cardiovascular disease and diabetes, but had one minor disease such as thyroid disease, peptic ulcers, or anemia and were twice as likely to have died or become incapacitated within five years.

Two emerging vulnerable classes of health traits, completely overlooked by the medical model, included 28 percent of the older population.

One group included people who had broken a bone after age 45. A second new class had mental health problems, in addition to poor sleep patterns, engaged in heavy drinking, had a poor sense of smell and walked slowly, all of which correlate with depression.

The most vulnerable older people were in two classes, one characterized by immobility and uncontrolled diabetes and hypertension. A majority of people in each of these categories were women, who tend to outlive men.

“From a health system perspective, a shift of attention is needed from disease-focused management, such as medications for hypertension or high cholesterol, to overall well-being across many areas,” said Dale.


“Instead of policies focused on reducing obesity as a much lamented health condition, greater support for reducing loneliness among isolated older adults or restoring sensory functions would be more effective in enhancing health and well-being in the older population,” said Laumann.