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Tuesday, December 1, 2015

Newly Evolved, Uniquely Human Gene Variants Protect Older Adults from Cognitive Decline

Humans evolved unique gene variants that protect older adults from neurodegenerative disease, thus preserving their valuable contributions and delaying dependency

Newswise, December 1, 2015 — Many human gene variants have evolved specifically to protect older adults against neurodegenerative and cardiovascular diseases, thus preserving their contributions to society, report University of California, San Diego School of Medicine researchers in the November 30 issue of Proceedings of the National Academy of Sciences.

“We unexpectedly discovered that humans have evolved gene variants that can help protect the elderly from dementia,” said Ajit Varki, MD, Distinguished Professor of Medicine and Cellular and Molecular Medicine at UC San Diego School of Medicine, adjunct professor at the Salk Institute for Biological Studies and co-director of the UC San Diego/Salk Center for Academic Research and Training in Anthropogeny (CARTA).

“Such genes likely evolved to preserve valuable and wise grandmothers and other elders, as well as to delay or prevent the emergence of dependent individuals who could divert resources and effort away from the care of the young.” Varki led the study, along with Pascal Gagneux, PhD, associate professor of pathology and associate director of CARTA.

The standard model of natural selection predicts that once the age of reproduction ends, individuals die.

That’s because selection early in life strongly favors variants that benefit reproductive success, even at the cost of negative consequences late in life — one major reason we age. This is indeed the case in almost all vertebrates.

Humans (and certain whales) are an exception to this rule, living decades beyond reproductive age. Such elders contribute to the fitness of younger individuals by caring for grandchildren and also by passing down important cultural knowledge.

Age-related cognitive decline compromises these benefits, and eventually burdens the group with the need to care for dependent older members.

In this first-of-its kind discovery, Varki, Gagneux and their teams initially focused on the gene that encodes the CD33 protein. CD33 is a receptor that projects from the surface of immune cells, where it keeps immune reactions in check, preventing “self” attack and curtailing unwanted inflammation.

Previous studies suggested that a certain form of CD33 suppresses amyloid beta peptide accumulation in the brain. Amyloid beta accumulation is thought to contribute to late-onset Alzheimer’s disease, a post-reproductive condition that uniquely affects humans and is aggravated by inflammation and cerebral vascular disease.

The researchers compared CD33 regulation in humans and our closest living relatives, chimpanzees. They found that levels of the CD33 variant that protects against Alzheimer’s are four-fold higher in humans than chimpanzees.

They also found human-specific variations in many other genes involved in the prevention of cognitive decline, such as APOE. The ancestral form of the gene, APOE4, is a notorious risk factor for Alzheimer’s and cerebral vascular disease. But this study finds that variants APOE2 and APOE3 seem to have evolved to protect from dementia. All of these protective gene variants are present in Africa, and thus predate the origin of our species. This finding is in keeping with the valuable role of the elderly across human societies.

“When elderly people succumb to dementia, the community not only loses important sources of wisdom, accumulated knowledge and culture, but elders with even mild cognitive decline who have influential positions can harm their social groups by making flawed decisions,” Gagneux said.

“Our study does not directly prove that these factors were involved in the selection of protective variants of CD33, APOE and other genes, but it is reasonable to speculate about the possibility.

“After all, inter-generational care of the young and information transfer is an important factor for the survival of younger kin in the group and across wider social networks or tribes.”

Additional study co-authors include Flavio Schwarz, Stevan A. Springer, Tasha Altheide, Nissi M. Varki, all of UC San Diego.

This research was funded, in part, by the National Institutes of Health (grants P01HL107150 and R01GM095882) and the Harold and Leila Mathers Foundation.


Thursday, November 19, 2015

Fox Theatre offers an early Christmas Present with ‘White Christmas’ magic moments


Publisher’s Note:  One of the gifts of aging is the richness of entertainment such as the offered by The Fabulous Fox in St. Louis.  With that, we are proud to incorporate our entertainment section from our previous format into our new blog of Aging in America.  
On Sale NOW
Irving Berlin’s White Christmas, Tickets: $25 to $100
Performances: Tues.-Fri. 7:30pm; Thur. 1pm Sat. 2pm & 7:30pm; Sun. 1pm;
Click here to order tickets
By Steve Russell
Vice President, 
TodaysSeniorsNetwork

Irving Berlin's White Christmas opened at the Fox Tuesday. The performance included several magic moments. This classic film adapted to the stage, was originally produced years ago and is set in 1944. The production lends itself to an easier time in America's history.

The entire ensemble proved worthy with strong performances by all cast members. The vocals were both energetic as well as elegant in their delivery.

The opening choreography was sensational some of the best dancing that I have witnessed in several years. One of my favorite choreographed songs was "My Piano". 

I was not anticipating tap dancing, it was a real surprise. 
The quality of not only the actors as singers, but as dancers was amazing. 
For me Rita (Kristyn Pope) and Rhoda  (Elish Conlon) proved to be quite an amusing duo, very charming indeed.

The sets and scenery were absolutely breathtaking. From opening scene, to the closing number - when snow actually descended upon the audience from the heavens above, glittering through soft lighting that made each flake glisten.

Being a nostalgic creature of sorts, I was impressed this performance at the Fox hearkened of days gone by. My youth was vividly returned to me on this evening with a fantastic rendition of White Christmas.  

Added to that, of course, is the story line of an era from Our Greatest Generation.


This production is a family fun filled timeless entertainment gem that will make the entire family grin from ear to ear. I highly recommend that you take in a performance of this classic this week at the fabulous Fox Theater. 

Wednesday, November 18, 2015

Millions of Senior Citizens Ill-Prepared to Live Alone

 8 in 10 Americans Concerned about Safety of Older Loved Ones, Most Not Doing Anything about It

November 18, 2015--PRNewswire/ -- Nearly 8 in 10 Americans (77%) are worried about the safety of their parent and/or grandparent living alone or with a spouse/partner, according to a new Caring.com report. Yet despite these concerns, the majority of children and grandchildren have not equipped their older loved one's home with safety features such as grab bars in the shower, raised toilet seats, an emergency response system and/or an entrance ramp.

According to the Centers for Disease Control and Prevention (CDC), 2.5 million adults 65 years and older are treated for unintentional fall injuries each year. While many of these injuries can be prevented by equipping senior citizens' homes with relatively inexpensive safety equipment, most are living without these features.

In fact, in a recent Caring.com survey of adult children and grandchildren age 18 and older, these family members reported that among seniors living alone:

  • 46% do not have grab bars in the shower
  • 63% do not have a raised toilet seat
  • 64% do not have an emergency response system
  • 76% do not have an entrance ramp
  •  
"People tend to wait until a concerning incident or tragedy happens to actually prepare themselves and their loved ones for old age," said Andy Cohen, CEO and founder of Caring.com. "That's a huge mistake because you're actually putting them at a bigger risk for injury."

Living without these items not only endangers a senior's personal well-being, but it could lead to high health-related costs down the line. The average hospital cost for a fall injury is about $35,000 and Medicare typically only covers about 78% of that, according to the CDC.

"Many of the basic safety features can be purchased for less than $1,000," said Cohen. "That's much more reasonable than being hit with a $10,000 hospital bill, and worse, having a parent or grandparent with a broken hip."

The survey was conducted by Princeton Survey Research Associates International (PSRAI) and can be seen in more detail here:
https://www.caring.com/infographics/senior-fall-prevention-by-the-numbers

Methodology
PSRAI obtained telephone interviews with a nationally representative sample of 2,000 adults living in the continentalUnited States. Interviews were conducted by landline (1,000) and cell phone (1,000, including 595 respondents without a landline phone) in English and Spanish by Princeton Data Source, September 17-20 and October 1-4, 2015. Statistical results are weighted to correct known demographic discrepancies. The margin of sampling error for the complete set of weighted data is plus or minus 2.7 percentage points.


About Caring.com
With more than three million visitors per month, Caring.com is a leading senior care resource for family caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. A Bankrate company headquartered in San Mateo, CA, Caring.com provides helpful caregiving content, online support groups, and a comprehensive Senior Care Directory for the United States, with more than 85,000 consumer ratings and reviews and a toll-free senior living referral line at (800) 325-8591. Connect with Caring.com on FacebookTwitter,Google+PinterestLinkedIn, and/or YouTube.

New Study on Senior Deaths: Drowning and Fires Lead List of Non-Fall Related Deaths

November 18, 2015 /PRNewswire-USNewswire/ -There were more than 12,500 deaths of adults 65 years old and older from 2009 to 2011 that were associated with consumer products reported to the U.S. Consumer Product Safety Commission (CPSC).  Nearly three-quarters of the deaths involved falls, 70 percent of which were due to falling on stairs, ramps, landings and floors. 

Twenty-seven percent of the consumer product-related deaths reported to CPSC were not fall related.  Instead, the deaths most frequently involved drowning in pools or bathtubs, fires in the home involving clothing, cigarettes, lighters, cooking or heating, and rollovers or collisions involving ATVs.     A report released by the U.S. Consumer Product Safety Commission (CPSC), "Consumer Product-Related Non-Fall Fatalities Involving Victims 65 Years of Age and Older 2009-2011", identifies the following top 10 product group hazards involved in the non-fall senior deaths.

Product Groups
Hazard
Swimming activity, pools, equipment
Submersion
Clothing
Fire-related
Bathtub & shower structures  
Submersion
Cigarettes, etc., lighters, fuel  
Fire-related
Home fires/carbon monoxide/gas vapors with unknown product
Fire-related
ATV's, mopeds, minibikes, etc. 
Tip Over, Instability, Rollover
Cooking ranges, ovens, etc. 
Fire-related
Heating stoves & space heaters 
Fire-related
ATVs, mopeds, minibikes, etc.  
Collision
Bicycles & accessories
Collision

Non-fall related deaths were reported more frequently for adults age 65 to 69 than for older seniors. In contrast, the fall-related deaths reported peak between the ages of 84 and 89.

Interestingly, more non-fall-related deaths were reported for senior men than women up to the age of 90.  Men age 65 and older accounted for 64 percent of the non-fall related deaths, but they make up only 43 percent of the population.

More non-fall deaths were reported for women above 90, which is not altogether surprising given that the population 90 and older is 72 percent female.

The number of older adults is expected to rise as baby boomers age. The life expectancy of the average resident in the U.S. has risen from 70.8 years in 1970 to 77.8 in 2008 and it is expected to rise further in the future.  It is important for the aging population to understand the risks associated with consumer products and activities performed during their daily lives and how to take proper precautions.

This is the second in-depth report by CPSC on older adults and consumer product-related injuries and deaths.  Areport released by CPSC in 2013 looked at which consumer products were associated with injuries and deaths to older adults and found that most involved falls.  This report looked at non-fall fatalities involving consumer products and seniors. 


CPSC Consumer Information Hotline
Contact us at this toll-free number if you have questions about a recall:
800-638-2772 (TTY 301-595-7054)
Times: 8 a.m. – 5:30 p.m. ET; Messages can be left anytime
Call to get product safety and other agency information and to report unsafe products.

Monday, November 16, 2015

PCOM Launches Master's Degree Program in Aging and Long-Term Care Administration

The new program is designed for those interested in advancing their career or interested in starting a career in the growing field of aging services and facility administration.

Newswise, November 16, 2015— According to the U.S. Bureau of Labor Statistics (BLS), the field of medical and health service administrators is expected to grow by 23 percent by 2022—much faster than the average for all occupations in the U.S. What’s more, the BLS reports that there will likely be increased demand for nursing care facility administrators as Baby Boomers continue to age.

To that end, Philadelphia College of Osteopathic Medicine (PCOM) has launched a new master’s degree program in Aging and Long-Term Care Administration (ALTCA), for those interested in advancing their career in the growing field of aging services and the administration of institutional and community-based care.

At the core of the new program is the Nursing Home Administration 120-hour program, which satisfies the educational requirement for licensure in Pennsylvania. In addition, students will complete a six-credit Administrator in Training course, which provides 1,000 hours of administrative experience in a long-term care facility.

The interdisciplinary program features courses in the biological, environmental and psychosocial aspects of aging as well as courses in organizational development and leadership (supervised by Jeffrey Branch, EdD, assistant professor, psychology, and director of the Organizational Development and Leadership Graduate Program) to provide students with management and leadership skills.

“The focus on administration is directed toward furthering the careers of those already employed in the aging services, as well as those who have an interest in working in facilities and providing services for the aging population,” said Ilene Warner-Maron, PhD, RN-BC, NHA, clinical assistant professor, psychology, and co-director of the ALTCA program.

Warner-Maron says graduates of the program can take advantage of careers in organizations including nursing home facilities; home health care programs; assisted living facilities; and opportunities in community-based aging organizations along the continuum of care.

For more information about the MS program in Aging and Long-Term Care Administration, visit: www.pcom.edu/altca.


Wednesday, November 11, 2015

AARP Expert Amy Goyer Shares Tips for Caregiving Success in New Book for America's 40 Million Caregivers

ABA/AARP book "Juggling Life, Work, and Caregiving" is now available in time for National Family Caregivers Month

November 11 /PRNewswire/ -- Amy Goyer, AARP family and caregiving expert and author of the new book Juggling Life, Work, and Caregiving, is among 40 million Americans who know the challenges and joys of caring for loved ones. Goyer's personal experience caring for her grandparents, parents and sister helped shape her newest book.

Her 92-year-old father, who has Alzheimer's disease, currently lives with her. Juggling Life, Work, and Caregiving is available just in time for National Family Caregiving Month in November.

"I've been a caregiver my entire adult life and Juggling Life, Work, and Caregiving shares what I've learned from my own hard-earned experience and the resources of the caregiving community," said Goyer. "No matter where you are in your caregiving journey, this book is a quick and easy guide to help you support your loved ones and be a resilient caregiver."

Goyer has more than 30 years of experience in aging and caregiving, including working in adult day services centers and nursing homes, monitoring programs for the Ohio Department of Aging, and leading AARP's intergenerational and grandparent caregiver programs.

Caregiving Book Gives Guidance 

Juggling Life, Work, and Caregiving offers family caregivers useful tips and tools whether they are caregiving day-to-day or periodically, planning for future needs, or experiencing a crisis. The book covers everything from using technology to creating a caregiving team and caring for yourself, to handling housing and medical care, to grieving and life after caregiving. 

Juggling Life, Work, and Caregiving is a companion book to Sally Hurme's book Checklist for Family Caregivers: A Guide to Making It Manageable (ABA/AARP) and the PBS documentary Caring for Mom and Dad. The books from the ABA and AARP are available at online retailers and bookstores.  

AARP members receive 40% off the retail cost of ABA/AARP books when they're purchased online through AARP.org/CaregivingBooks and the ABA purchase option is chosen.


To learn more about caregiving resources, visit the AARP Caregiving Resource Center athttp://www.aarp.org/caregiving.

Tuesday, November 10, 2015

Research Finds Midlife Fitness Helps Reduce Health Costs After Age 65


Newswise, November 10, 2015 — People with high fitness levels in midlife have significantly lower annual health care costs after age 65 than people with low fitness in midlife, after adjusting for cardiovascular risk factors, according to a study published in the Journal of the American College of Cardiology (JACC).

Vanderbilt cardiologist and first author Justin Bachmann, M.D., MPH, and researchers studied 19,571 healthy individuals who underwent cardiorespiratory fitness assessment at a mean age of 49 and received Medicare coverage about 22 years later, from 1999 to 2009, at an average age of 71.

Cardiorespiratory fitness was estimated by maximal metabolic equivalents (METs) calculated from treadmill time. METs are used to estimate the oxygen cost of activity; for example, sitting equals one MET while running hard on a treadmill on incline equals 15 METS.

The researchers followed healthy individuals in the Cooper Center Longitudinal Study and found that average annual health care costs, obtained from Medicare files, were significantly lower for participants 65 years or older with high midlife fitness than with low midlife fitness in both men ($7,569 vs. $12,811) and women ($6,065 vs. $10,029).

The study also looked at hospitalization rates and found that the low fitness group was hospitalized at a much higher rate than the MET fit group. Mean annual inpatient rates and physician office visits were also significantly higher in the low fitness group.

“No one had previously investigated whether fitness in midlife translates into decreased health care costs 20-30 years later while adjusting for the risk factors,” said Bachmann, instructor in Medicine. “For every metabolic equivalent you are able to achieve, your health care costs decrease by about 7 percent. A lot of exercise machines these days will measure METS, so this is information people can access.”

These findings may have important implications for health policies directed at improving physical fitness, he added

In addition to Bress, Hess, and Muntner, the co-authors are Rikki Tanner and Lisandro Colantonio from the University of Alabama, and Daichi Shimbo from Columbia University.

“Generalizability of results from the Systolic Blood Pressure Intervention Trial (SPRINT) to the US adult population” will be published online in the Journal of the American College of Cardiologists on Nov. 9, 2015