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Why our voices change as we get older

<p><em><a href="https://theconversation.com/profiles/adam-taylor-283950">Adam Taylor</a>, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster University</a></em></p> <p>Sir Elton John set a record at this year’s Glastonbury, becoming the <a href="https://www.independent.co.uk/arts-entertainment/music/news/elton-john-glastonbury-viewing-record-b2364260.html">most-watched headliner</a> in the festival’s history, with more than 7 million people tuning in live to the BBC to watch his last ever UK performance.</p> <p>The 76-year-old singer certainly delivered all his characteristic showmanship. But many who have followed his music over the decades will have noticed how much his voice has changed during his career – and not only because of the <a href="https://www.billboard.com/music/music-news/a-qa-with-elton-john-65620/">surgery he had</a> in the 1980s to <a href="https://ultimateclassicrock.com/elton-john-throat-surgery/">remove polyps</a> from his vocal cords.</p> <p>Equally, it’s not all down to the process of ageing. While it’s no mystery that this affects every part of our body, it isn’t the only reason that a person’s voice – even a professional singer like Sir Elton – can sound quite different over the years.</p> <h2>The sound of your voice</h2> <p>The vocal cords are what produce the sound of your voice. They are located in the <a href="https://www.ncbi.nlm.nih.gov/books/NBK538202/">larynx</a>, a part of the respiratory system that allows air to pass from your throat to your lungs. When air passes out of the lungs and through the larynx, it causes the vocal cords to vibrate – <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5412481/">producing sound</a>.</p> <p>The vocal cords are composed of <a href="https://www.kenhub.com/en/library/anatomy/vocal-cords">three main parts</a>: the vocalis muscle, vocal ligament, and a mucous membrane (containing glands) to cover them. This keeps the surface moist and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2810851/">protects them from damage</a>.</p> <p>There are also approximately <a href="https://radiopaedia.org/articles/intrinsic-muscles-of-the-larynx?lang=gb">17 other muscles</a> in the larynx that can alter vocal cord position and tension – thus changing the sound produced.</p> <p>Pre-puberty, there’s very little difference in the sound the vocal cords produce. But during puberty, hormones begin exerting their effects. This changes the structure of the larynx – making the “Adam’s apple” more prominent in men – and the <a href="https://www.sciencedirect.com/science/article/abs/pii/S0018506X16301271?via%3Dihub">length of the vocal cords</a>. After puberty, they’re around 16mm in length in men, and 10mm in women.</p> <p>Women’s vocal cords are also <a href="https://pubs.aip.org/asa/jasa/article/82/S1/S90/719336/Physiology-of-the-female-larynx">20-30%</a> thinner after puberty. These shorter, thinner vocal cords are the reason why women typically have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3306615">higher voices</a> than men.</p> <p>Even after puberty, hormones can affect the voice. For instance, a woman’s voice may sound different depending on the stage of her menstrual cycle – with the <a href="https://www.jvoice.org/article/S0892-1997(08)00169-0/fulltext">best voice quality</a> being in the ovulatory phase. This is because the glands produce most mucous during this phase, giving the vocal cords their best functional ability.</p> <p>Research also shows that women taking the contraceptive pill show <a href="https://www.sciencedirect.com/science/article/abs/pii/S0892199717304940">less variation in voice quality</a> because the pill halts ovulation.</p> <p>On the other hand, hormonal changes during the premenstrual phase impede the vocal cords, making them stiffer. This may explain why opera singers would be offered “<a href="https://www.sciencedirect.com/science/article/abs/pii/S0892199717301133">grace days</a>” in the 1960s to ensure they didn’t damage their vocal cords. And, because <a href="https://www.asha.org/practice-portal/clinical-topics/voice-disorders/#collapse_1">women’s vocal cords</a> are thinner, they may also be more likely to <a href="https://pubmed.ncbi.nlm.nih.gov/15157130/">suffer damage</a> from overuse.</p> <h2>Everything ages</h2> <p>As with almost every other part of the body, vocal cords age. But these changes might not be as <a href="https://www.sciencedirect.com/science/article/pii/S0892199721000011">noticeable for everyone</a>.</p> <p>As we get older, the larynx begins increasing its <a href="https://www.sciencedirect.com/science/article/abs/pii/S1752928X21001840">mineral content</a>, making it stiffer and more like bone than cartilage. This change can begin happening as early as <a href="https://meridian.allenpress.com/angle-orthodontist/article/75/2/196/57743/Ossification-of-Laryngeal-Cartilages-on-Lateral">your thirties</a> – especially in men. This makes the vocal cords less flexible.</p> <p>The muscles that allow the vocal cords to move also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166195/">begin wasting</a> (as do our other muscles) as we age. The ligaments and tissues that support the vocal cords also <a href="https://pubmed.ncbi.nlm.nih.gov/11800365/">lose elasticity</a>, becoming <a href="https://pubmed.ncbi.nlm.nih.gov/25645525/">less flexible</a>.</p> <p>There’s also a decrease in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695176/">pulmonary muscle function</a>, reducing the power of the air expelled from the lungs to create the sound. The number of glands that produce the protective mucus also decrease, alongside a reduction in the ability to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156980/">control the larynx</a>.</p> <h2>Lifestyle is a factor</h2> <p>While vocal cords age at largely the same rate in most people, many lifestyle factors can increase the risk of damage to them – and so can change the way your voice sounds.</p> <p>Smoking, for example, causes <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3918293/">localised inflammation</a>, increased <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4824943/">mucous production</a>, but can also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557797/">dry out</a> the mucosal surfaces. Alcohol has a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166195/">similar effect</a>. Over time, these factors can damage the vocal cords and alter the voice’s sound.</p> <p>Some over-the-counter and prescription drugs can also alter the voice – such as <a href="https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/482932">steroid inhalers used for laryngitis</a>. Blood thinners may also <a href="https://pubmed.ncbi.nlm.nih.gov/10875579/">damage the vocal cords</a> and can cause polyps to form, making the voice sound raspy or hoarse. <a href="https://pubmed.ncbi.nlm.nih.gov/7395839/">Muscle relaxants</a>, too, can lead to irritation and vocal cord damage due to the drug allowing stomach acid to wash back into the larynx. Thankfully, the irritation and changes caused by these medications typically disappears after stopping use.</p> <p>One other lifestyle factor can be overuse, which is typically seen in singers and other people who use their voice a lot <a href="https://pubmed.ncbi.nlm.nih.gov/15157130/">during work</a>, such as teachers and fitness instructors. This can lead to an uncommon condition called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392404/">Reinke’s oedema</a>, which can also be caused by smoking. Reinke’s oedema causes fluid to swell in the vocal cords, changing the pitch of the voice – often <a href="https://www.cuh.nhs.uk/patient-information/reinkes-oedema/">making it deeper</a>.</p> <p>In extreme cases of Reinke’s oedema, <a href="https://link.springer.com/article/10.1007/s00405-022-07377-9">surgery is needed</a> to drain the fluid. But in most cases, rest and avoiding irritants (smoking and alcohol) is beneficial, while speech and language therapy can also address the <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1460-6984.1995.tb01660.x">change in sound</a>.</p> <h2>Maintaining our vocal quality</h2> <p>While we can’t help some of the age-related changes that happen to our vocal cords, we can maintain some of our vocal quality and ability through continued use. This may explain why, in many cases, singers show <a href="https://pubmed.ncbi.nlm.nih.gov/27049451/">significantly less vocal change</a> with age than their non-singing counterparts.</p> <p>Singing or <a href="https://www.aarp.org/health/healthy-living/info-2014/improve-aging-voice.html">reading out</a> loud daily can give the vocal cords sufficient exercise to slow their decline.</p> <p><a href="https://www.nidcd.nih.gov/health/taking-care-your-voice">Looking after</a> your vocal cords is also important. Staying hydrated and limiting intake of <a href="https://www.cuh.nhs.uk/patient-information/presbyphonia/">alcohol</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069957/">tobacco</a> can help prevent high rates of decline and damage.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208640/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/adam-taylor-283950"><em>Adam Taylor</em></a><em>, Professor and Director of the Clinical Anatomy Learning Centre, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-our-voices-change-as-we-get-older-208640">original article</a>.</em></p>

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How much protein do I need as I get older? And do I need supplements to get enough?

<p><em><a href="https://theconversation.com/profiles/evangeline-mantzioris-153250">Evangeline Mantzioris</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>If you are a woman around 50, you might have seen advice on social media or <a href="https://www.instagram.com/p/CyVwOSzucnh">from influencers</a> telling you protein requirements increase dramatically in midlife. Such recommendations suggest a 70 kilogram woman needs around 150 grams of protein each day. That’s the equivalent of 25 boiled eggs at 6 grams of protein each.</p> <p>Can that be right? Firstly let’s have a look at what protein is and where you get it.</p> <p><a href="https://www.betterhealth.vic.gov.au/health/healthyliving/protein">Protein</a> is an essential macro-nutrient in our diet. It provides us with energy and is used to repair and make muscle, bones, soft tissues and hormones and enzymes. Mostly we associate animal foods (dairy, meat and eggs) as being rich in protein. Plant foods such as bread, grains and legumes provide valuable sources of protein too.</p> <p>But what happens to our requirements as we get older?</p> <h2>Ages and stages</h2> <p>Protein requirements change <a href="https://www.eatforhealth.gov.au/nutrient-reference-values/nutrients/protein">through different life stages</a>. This reflects changes in growth, especially from babies through to young adulthood. The estimated average requirements by age are:</p> <ul> <li> <p>1.43g protein per kg of body weight at birth</p> </li> <li> <p>1.6g per kg of body weight at 6–12 months (when protein requirements are at their highest point)</p> </li> <li> <p>protein needs decline from 0.92g down to 0.62g per kg of body weight from 6–18 years.</p> </li> </ul> <p>When we reach adulthood, protein requirements differ for men and women, which reflects the higher muscle mass in men compared to women:</p> <ul> <li> <p>0.68g per kg of body weight for men</p> </li> <li> <p>0.6g per kg of body weight for women.</p> </li> </ul> <p>Australian recommendations for people over 70 reflect the increased need for tissue repair and muscle maintenance:</p> <ul> <li> <p>0.86g per kg of bodyweight for men</p> </li> <li> <p>0.75g per kg of bodyweight for women.</p> </li> </ul> <p>For a 70kg man this is a difference of 12.6g/protein per day. For a 70kg woman this is an increase of 10.5g per day. You can add 10g of protein by consuming an extra 300ml milk, 60g cheese, 35g chicken, 140g lentils, or 3–4 slices of bread.</p> <p>There is emerging evidence <a href="https://www.scopus.com/record/display.uri?eid=2-s2.0-85124835199&amp;origin=resultslist&amp;sort=plf-f&amp;cite=2-s2.0-84881254292&amp;src=s&amp;nlo=&amp;nlr=&amp;nls=&amp;imp=t&amp;sid=c07c9e014577c86ab8cf85c62d9764cd&amp;sot=cite&amp;sdt=a&amp;sl=0&amp;relpos=39&amp;citeCnt=6&amp;searchTerm=">higher intakes</a> for people over 70 (up to 0.94–1.3g per kg of bodyweight per day) might reduce age-related decline in muscle mass (known as sarcopenia). But this must be accompanied with increased resistance-based exercise, such as using weights or stretchy bands. As yet these have not been included in any national nutrient guidelines.</p> <h2>But what about in midlife?</h2> <p>So, part of a push for higher protein in midlife might be due to wanting to prevent age-related muscle loss. And it might also be part of a common desire to prevent weight gain that may come with <a href="https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.17290?af=R">hormonal changes</a>.</p> <p>There have been relatively few studies specifically looking at protein intake in middle-aged women. One large 2017 observational study (where researchers look for patterns in a population sample) of over 85,000 middle-aged nurses found higher intake of vegetable protein – but not animal protein or total protein – was linked to a <a href="https://academic.oup.com/aje/article/187/2/270/3886033">lower incidence of early menopause</a>.</p> <p>In the same group of women another study found higher intake of vegetable protein was linked to a <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/jcsm.12972">lower risk of frailty</a> (meaning a lower risk of falls, disability, hospitalisation and death). Higher intake of animal protein was linked to higher risk of frailty, but total intake of protein had no impact.</p> <p>Another <a href="https://journals.lww.com/menopausejournal/abstract/2017/05000/skeletal_muscle_mass_is_associated_with_higher.9.aspx">smaller observational study</a> of 103 postmenopausal women found higher lean muscle mass in middle-aged women with higher protein intake. Yet an <a href="https://journals.lww.com/menopausejournal/abstract/2021/03000/effects_of_high_protein,_low_glycemic_index_diet.11.aspx">intervention study</a> (where researchers test out a specific change) showed no effect of higher protein intake on lean body mass in late post-menopasual women.</p> <p><a href="https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.17290?af=R">Some researchers</a> are theorising that higher dietary protein intake, along with a reduction in kilojoules, could reduce weight gain in menopause. But this has not been tested in clinical trials.</p> <p>Increasing <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7539343/">protein intake</a>, improves satiety (feeling full), which may be responsible for reducing body weight and maintaining muscle mass. The protein intake to improve satiety in studies has been about 1.0–1.6g per kg of bodyweight per day. However such studies have not been specific to middle-aged women, but across all ages and in both men and women.</p> <h2>What are we actually eating?</h2> <p>If we look at what the <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/australian-health-survey-usual-nutrient-intakes/latest-release">average daily intake of protein is</a>, we can see 99% of Australians under the age of 70 meet their protein requirements from food. So most adults won’t need supplements.</p> <p>Only 14% of men over 70 and 4% of women over 70 do not meet their estimated average protein requirements. This could be for many reasons, including a decline in overall health or an illness or injury which leads to reduced appetite, reduced ability to prepare foods for themselves and also the cost of animal sources of protein.</p> <p>While they may benefit from increased protein from supplements, opting for a food-first approach is preferable. As well as being more familiar and delicious, it comes with other essential nutrients. For example, red meat also has iron and zinc in it, fish has omega-3 fats, and eggs have vitamin A and D, some iron and omega-3 fats and dairy has calcium.</p> <h2>So what should I do?</h2> <p>Symptoms of <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/protein#getting-too-little-protein-protein-deficiency">protein deficiency</a> include muscle wasting, poor wound healing, oedema (fluid build-up) and anaemia (when blood doesn’t provide enough oxygen to cells). But the amount of protein in the average Australian diet means deficiency is rare. The <a href="https://www.eatforhealth.gov.au/guidelines/australian-guide-healthy-eating">Australian dietary guidelines</a> provide information on the number of serves you need from each food group to achieve a balanced diet that will meet your nutrient requirements.</p> <p>If you are concerned about your protein intake due to poor health, increased demand because of the sports you’re doing or because you are a vegan or vegetarian, talk to your GP or an accredited practising dietitian.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/215695/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/evangeline-mantzioris-153250"><em>Evangeline Mantzioris</em></a><em>, Program Director of Nutrition and Food Sciences, Accredited Practising Dietitian, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-much-protein-do-i-need-as-i-get-older-and-do-i-need-supplements-to-get-enough-215695">original article</a>.</em></p>

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Can a daily multivitamin improve your memory?

<p><a href="https://theconversation.com/profiles/jacques-raubenheimer-1144463">Jacques Raubenheimer</a>, <em><a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em><a href="https://theconversation.com/au/topics/research-check-25155">Research Checks</a> interrogate newly published studies and how they’re reported in the media. The analysis is undertaken by one or more academics not involved with the study, and reviewed by another, to make sure it’s accurate.</em></p> <hr /> <p>Don’t we all want to do what we can to reduce the impact of age-related decline on our memory?</p> <p>A new study suggests a daily multivitamin and mineral supplement is a simple and inexpensive way to help older adults slow the decline in some aspects of memory function.</p> <p>The <a href="https://ajcn.nutrition.org/article/S0002-9165(23)48904-6/fulltext">new study</a>, which comes from a <a href="https://www.clinicaltrials.gov/ct2/show/NCT02422745?term=NCT02422745&amp;draw=2&amp;rank=1">long-running clinical trial</a>, shows there may be a small benefit of taking a daily multivitamin and mineral supplement for one type of cognitive task (immediate word recall) among well-functioning elderly white people. At least in the short term.</p> <p>But that doesn’t mean we should all rush out and buy multivitamins. The results of the study don’t apply to the whole population, or to all types of memory function. Nor does the study show long-term benefits.</p> <h2>How was the study conducted?</h2> <p>The overarching COSMOS study is a well-designed double-blind randomised control trial. This means participants were randomly allocated to receive the intervention (a daily multivitamin and mineral supplement) or a placebo (dummy tablet), but neither the participants nor the researchers knew which one they were taking.</p> <p>This type of study is considered the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654877/">gold standard</a> and allows researchers to compare various outcomes.</p> <p>Participants (3,562) were older than 64 for women, and 59 for men, with no history of heart attack, invasive cancer, stroke or serious illness. They couldn’t use multivitamins or minerals (or <a href="https://www.pnas.org/doi/10.1073/pnas.2216932120">cocoa extract</a> which they also tested) during the trial.</p> <p>Participants completed a <a href="https://www.clinicaltrials.gov/ct2/show/NCT04582617?term=NCT04582617&amp;draw=2&amp;rank=1">battery of online cognitive tests</a> at the start of the study (known as baseline), then yearly for three years, of which only three were reported in this paper:</p> <ul> <li> <p>ModRey, measuring immediate recall. Participants were shown “a list of 20 words, one at a time, for three seconds each,” and then had to type the list from memory</p> </li> <li> <p>ModBent, measuring object recognition. Participants were given 20 prompts with a shape and then had to select the correct match from a pair of similar prompts. After this, they were prompted with 40 shapes in turn, and had to indicate whether each was included in the original 20 or not</p> </li> <li> <p>Flanker, measuring “executive control”. Participants had to select a coloured block that corresponded to an arrow in a matrix of arrows, which could have the same (or different) colour to the surrounding arrows, and the same (or different) direction as the prompt block.</p> </li> </ul> <h2>What did the researchers find?</h2> <p>Of all the tests the researchers performed, only immediate recall (ModRey) at one year showed a significant effect, meaning the result is unlikely to just be a result of chance.</p> <p>At two and three years, the effect was no longer significant (meaning it could be down to chance).</p> <p>However they added an “overall estimate” by averaging the results from all three years to arrive at another significant effect.</p> <p>All the effect sizes reported are very small. The largest effect is for the participants’ immediate recall at one year, which was 0.07 – a value that is <a href="https://academic.oup.com/jpepsy/article/34/9/917/939415">generally considered very small without justification</a>.</p> <p>Also of note is that both the multivitamin and placebo groups had higher immediate word recall scores at one year (compared to baseline), although the multivitamin group’s increase was significantly larger.</p> <p><a href="https://www.pnas.org/doi/epdf/10.1073/pnas.2216932120">In the researchers’ prior study</a>, the increase in word recall scores was described as a “typical learning (practice) effect”. This means they attributed the higher scores at one year to familiarisation with the test.</p> <p>For some reason, this “learning effect” was not discussed in the current paper, where the treatment group showed a significantly larger increase compared to those who were given the placebo.</p> <h2>What are the limitations of the study?</h2> <p>The team used a suitable statistical analysis. However, it did not adjust for demographic characteristics such as age, gender, race, and level of education.</p> <p>The authors detail their study’s major limitation well: it is not very generalisable, as it used “mostly white participants” who had to be very computer literate, and, one could argue, would be quite well-functioning cognitively.</p> <figure class="align-center "><figcaption></figcaption>Another unmentioned limitation is the advanced age of their sample, meaning long-term results for younger people can’t be assessed.</figure> <p>Additionally, the baseline diet score for their sample was abysmal. The researchers say participants’ diet scores “were consistent with <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1899558">averages from the US population</a>” but the cited study noted “the overall dietary quality… [was] poor.”</p> <p>And they didn’t measure changes in diet over the three years, which could impact the results.</p> <h2>How should we interpret the results?</h2> <p>The poor dietary quality of the sample raises the question: can a better diet be the simple fix, rather than multivitamin and mineral supplements?</p> <p>Even for the effect they observed, which micronutrient from the supplement was the contributing factor?</p> <p>The researchers speculate about vitamins B12 and D. But you can find research on cognitive function for any arbitrarily chosen <a href="https://www.centrum.com/content/dam/cf-consumer-healthcare/bp-wellness-centrum/en_US/pdf/lbl-00000775-web-ready-centrum-silver-adults-tablets-(versio.pdf">ingredient</a>, including <a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=selenium+cognitive+function">selenium</a>, which can be <a href="https://www.sciencedirect.com/science/article/pii/S0048969720378608">toxic at high levels</a>.</p> <h2>So should I take a multivitamin?</h2> <p><a href="https://newsinhealth.nih.gov/2013/08/should-you-take-dietary-supplements">Health authorities advise</a> daily multivitamin use isn’t necessary, as you can get all the nutrients you need by eating a wide variety of healthy foods. However, supplementation may be appropriate to meet any specific nutrient gaps an individual has.</p> <p>Using a good quality multivitamin at the recommended dose shouldn’t do any harm, but at best, this study shows well-functioning elderly white people might show some additional benefit in one type of cognitive task from using a multivitamin supplement.</p> <p>The case for most of the rest of the population, and the long-term benefit for younger people, can’t be made.</p> <hr /> <h2>Blind peer review</h2> <p><strong>Clare Collins writes:</strong></p> <p>I agree with the reviewer’s assessment, which is a comprehensive critique of the study. The key result was a small effect size from taking a daily multivitamin and mineral (or “multinutrient”) supplement on memory recall at one year (but not later time points) and is equivalent to a training effect where you get better at taking a test the more times you do it.</p> <p>It’s also worth noting the study authors received support and funding from commercial companies to undertake the study.</p> <p>While the study authors state they don’t believe background diet quality impacted the results, they didn’t comprehensively assess this. They used a brief <a href="https://pubmed.ncbi.nlm.nih.gov/22513989/">diet quality assessment score</a> only at baseline. Participants may have changed their eating habits during the study, which could then impact the results.</p> <p>Given all participants reported low diet quality scores, an important question is whether giving participants the knowledge, skills and resources to eat more healthily would have a bigger impact on cognition than taking supplements. <img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208114/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>Image credit: Shutterstock</em></p> <p><em><a href="https://theconversation.com/profiles/jacques-raubenheimer-1144463">Jacques Raubenheimer</a>, Senior Research Fellow, Biostatistics, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/can-a-daily-multivitamin-improve-your-memory-208114">original article</a>.</em></p>

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Kids dressing up as older people is harmless fun, right? No, it’s ageist, whatever Bluey says

<p><em><a href="https://theconversation.com/profiles/lisa-mitchell-1143692">Lisa Mitchell</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>A child once approached me, hunched over, carrying a vacuum cleaner like a walking stick. In a wobbly voice, he asked: "Do you want to play grannies?"</p> <p>The idea came from the children’s TV show Bluey, which <a href="https://www.facebook.com/ABCKidsCommunity/videos/bluey-grannies/468144817266668/">has</a> <a href="https://www.facebook.com/ABCKidsCommunity/videos/new-bluey-episodes-the-grannies-are-back-abc-kids/371436135028190/">episodes</a>, <a href="https://www.bluey.tv/products/grannies-book/">a book</a>, <a href="https://www.discountmags.com/magazine/bluey-september-1-2023-digital">magazine</a> editions and an <a href="https://www.facebook.com/OfficialBlueyTV/videos/grannies-filter-bluey/5728362390510269/">image filter</a> about dressing up as “grannies”.</p> <p>Children are also dressing up as 100-year-olds to mark their first “100 days of school”, an idea <a href="https://www.theage.com.au/national/victoria/old-people-s-home-for-five-year-olds-prep-students-don-senior-citizen-attire-20230801-p5dszb.html">gaining popularity</a> <a href="https://www.smh.com.au/education/cardigans-wigs-and-canes-why-kindy-students-are-dressing-up-as-100-year-olds-20230720-p5dpu8.html">in Australia</a>.</p> <p>Is this all just harmless fun?</p> <h2>How stereotypes take hold</h2> <p>When I look at the older people in my life, or the patients I see as a geriatrician, I cannot imagine how to suck out the individual to formulate a “look”.</p> <p>But Google “older person dress-ups” and you will find <a href="https://www.pinterest.com.au/pin/dress-up-like-youre-100-years-old-100thdayofschool--15199717464361356/">Pinterests</a> and <a href="https://www.wikihow.com/Dress-Up-Like-an-Old-Person#:%7E:text=Dress%20in%20comfortable%2C%20loose%2Dfitting,older%20people%20may%20wear%20include%3A&amp;text=Oversized%20sweatshirts">Wikihow pages</a> doing just that.</p> <p>Waistcoats, walking sticks, glasses and hunched backs are the key. If you’re a “granny”, don’t forget a <a href="https://www.facebook.com/OfficialBlueyTV/videos/games-you-can-play-at-home-grannies-bluey/645964056227345/">shawl and tinned beans</a>. You can buy “old lady” <a href="https://www.spotlightstores.com/party/costumes-and-accessories/costume-accessories/wigs-hair-accessories/wigs/spartys-kids-old-lady-wig-with-curlers/80578132?gclsrc=aw.ds&amp;gclsrc=aw.ds&amp;gclid=Cj0KCQjw0vWnBhC6ARIsAJpJM6emZHoNxO72pUa80Wc8ihYYiq3AohZ_w72jmuWBBDlficdCMy_rsK8aAj47EALw_wcB">wigs</a> or an “old man” <a href="https://www.bigw.com.au/product/facial-hair-set-old-man-3-pieces/p/305026">moustache and bushy eyebrows</a>.</p> <p>This depiction of how older people look and behave is a stereotype. And if dressing up as an older person is an example, such stereotypes are all around us.</p> <h2>What’s the harm?</h2> <p>There is <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/hypa.12170">some debate</a> about whether stereotyping is intrinsically wrong, and if it is, why. But there is plenty of research about the harms of <em>age</em> stereotypes or ageism. That’s harm to current older people and harm to future older people.</p> <p>The World Health Organization <a href="https://www.who.int/health-topics/ageism#tab=tab_1">defines ageism</a> as: "the stereotypes (how we think), prejudice (how we feel) and discrimination (how we act) towards others or ourselves based on age."</p> <p>Ageism <a href="https://www.who.int/health-topics/ageism#tab=tab_1">contributes to</a> social isolation, reduced health and life expectancy and costs economies <a href="https://academic.oup.com/gerontologist/article/60/1/174/5166947">billions of dollars</a> globally.</p> <p>When it comes to health, the impact of negative stereotypes and beliefs about ageing may be even <a href="https://academic.oup.com/gerontologist/article/60/1/174/5166947">more harmful</a> than the discrimination itself.</p> <p>In laboratory studies, older people perform <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360754/">worse</a> than expected on tasks such as memory or thinking after being shown negative stereotypes about ageing. This may be due to a “<a href="https://www.simplypsychology.org/stereotype-threat.html">stereotype threat</a>”. This is when a person’s performance is impaired because they are worried about confirming a negative stereotype about the group they belong to. In other words, they perform less well because they’re worried about acting “old”.</p> <p>Another theory is “stereotype embodiment”. This is where people absorb negative stereotypes throughout their life and come to believe decline is an inevitable consequence of ageing. This leads to biological, psychological and physiological changes that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927354/">create</a> a self-fulfilling prophecy.</p> <p>I have seen this in my clinic with people who do well, until they realise they’re an older person – a birthday, a fall, a revelation when they look in the mirror. Then, they stop going out, stop exercising, stop seeing their friends.</p> <p>Evidence for “stereotype embodiment” comes from studies that show people with more negative views about ageing are more likely to have higher levels of stress hormones (such as cortisol and C-reactive protein) and are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182003/">less likely</a> to engage in health behaviours, such as exercising and eating healthy foods.</p> <p>Younger adults with negative views about ageing are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666386/">more likely</a> to have a heart attack up to about 40 years later. People with the most negative attitudes towards ageing have a lower life expectancy by as much as <a href="https://pubmed.ncbi.nlm.nih.gov/12150226/">7.5 years</a>.</p> <p>Children are particularly susceptible to absorbing stereotypes, a process <a href="https://psycnet.apa.org/record/2007-09385-010">that starts</a> in early childhood.</p> <h2>Ageism is all around us</h2> <p><a href="https://www.who.int/health-topics/ageism#tab=tab_1">One in two people</a> have ageist views, so tackling ageism is complicated given it is socially acceptable and normalised.</p> <p>Think of all the birthday cards and jokes about ageing or phrases like “geezer” and “old duck”. Assuming a person (including yourself) is “too old” for something. Older people say it is harder to <a href="https://www.abc.net.au/news/2023-07-06/senior-job-seekers-struggle-to-get-a-foot-in-the-door/102563144">find work</a> and they face discrimination in <a href="https://www.hcnsw.org.au/wp-content/uploads/2021/03/Ageism-in-Health-Care_final.pdf">health care</a>.</p> <h2>How can we reduce ageism?</h2> <p>We can reduce ageism through laws, policies and education. But we can also reduce it via <a href="https://www.who.int/health-topics/ageism#tab=tab_1">intergenerational contact</a>, where older people and younger people come together. This helps break down the segregation that allows stereotypes to fester. Think of the TV series <a href="https://iview.abc.net.au/show/old-people-s-home-for-4-year-olds">Old People’s Home for 4 Year Olds</a> or the follow-up <a href="https://iview.abc.net.au/show/old-people-s-home-for-teenagers">Old People’s Home for Teenagers</a>. More simply, children can hang out with their older relatives, neighbours and friends.</p> <p>We can also challenge a negative view of ageing. What if we allowed kids to imagine their lives as grandparents and 100-year-olds as freely as they view their current selves? What would be the harm in that?<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/212607/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/lisa-mitchell-1143692"><em>Lisa Mitchell</em></a><em>, Geriatrician working in clinical practice. PhD Candidate at The University of Melbourne studying ethics and ageism in health care. Affiliate lecturer, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/kids-dressing-up-as-older-people-is-harmless-fun-right-no-its-ageist-whatever-bluey-says-212607">original article</a>.</em></p>

Retirement Life

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1 in 6 older adults fall victim to impersonation scams

<p>More older adults are likely to fall victim to scams than are currently recognised according to new US research. The problems are global. </p> <div class="copy"> <p>A research team from Rush University Medical Center in Chicago, US, says older Americans who aren’t cognitively impeded, are also at risk.  </p> <p>In their study <a href="https://10.1001/jamanetworkopen.2023.35319" target="_blank" rel="noreferrer noopener">published</a> today in <em>JAMA Network Open</em>, the group reports on a behavioural experiment where they targeted 644 adults aged 64-104 in Rush’s Memory and Aging Project – a local scheme that draws on participants from metropolitan Chicago to participate in research – with a pitch mimicking a real-world impersonation scam. </p> <p>The study’s fictitious ‘US Retirement Protection Task Force’ pitched itself to participants as a government social security initiative.  </p> <p>This USRPTF told participants via either post, email or a telephone call there’d been irregular activity on their Medicare or social security file and the inquiry was a routine account security check. As part of this, the fake agency asked participants to call a telephone hotline or login to a provided website to provide their details.  </p> <p>Over two-thirds of the study failed to respond to any attempts to obtain information by the phoney scheme.  </p> <p>The remainder were evenly split by either responding to requests for contact, but expressing scepticism at the authenticity of the USRPTF, or by responding and engaging with the request for information.  </p> <p>Those who were engaged with the request for information, but expressed doubts, were also those with the highest cognitive performance, and lowest proportion of dementia. They were also the most financially literate participants, while those who provided their details had the lowest literacy. </p> <p>Those who provided details were also found to have the lowest scam awareness of all participants.  </p> <p>Among this group, 1 in 10 willingly provided personal information and 1 in 5 provided details of their social security number.  </p> <p>“If extrapolated to a population level, these numbers are astounding and suggest that a very large number of older adults are at risk of victimisation,” the authors say. </p> <p>They also note that, given the use of a fictitious US government organisation name, the number of people vulnerable to well-organised scams is likely much higher.  </p> <p>Last year, the US National Council on Aging reported 92,371 older Americans were defrauded of a total of US$1.7 billion. Most were victims of government department impersonation, sweepstakes and robocall scams. Often such scams will simply demand payment while ‘spoofing’ the phone number of a government agency to add the veil of legitimacy. </p> <p>It’s a similar story around the world. This year, the Australian Competition and Consumer Commission found Australians lost a record $3.1 billion last year, mostly via phone scams. Australians over 65 years of age accounted for a quarter of losses and reports.  </p> <p>The UK’s Action Fraud initiative found Britons lost about ₤2.35 billion in the 2020/21 financial year, with those aged 50-69 most susceptible to falling victim.  </p> <div> <p align="center"> </p> <p><em>Image credits: Getty Images</em></p> <p><em><a href="https://cosmosmagazine.com/people/society/1-in-6-older-adults-fall-victim-to-impersonation-scams/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="null">Cosmos</a>. </em></p> </div> </div>

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London police receive even older Russell Brand sexual assault allegation

<p>London police have announced that they are investigating a sexual assault allegation involving British comedian and actor Russell Brand. This revelation comes in the wake of media reports that have emerged, detailing accusations <a href="https://www.oversixty.co.nz/news/news/bbc-responds-to-damning-russell-brand-allegations" target="_blank" rel="noopener">made by four women against Brand</a> for incidents that allegedly occurred between 2006 and 2013, including a rape allegation linked to his Los Angeles residence.</p> <p>Brand, known for his comedy and acting career, has vehemently denied all allegations, asserting that all of his sexual relationships were consensual. The comedian gained fame as a commentator on the reality show <em>Big Brother</em> and subsequently played significant roles in Hollywood films such as <em>Forgetting Sarah Marshall</em> in 2008 and <em>Get Him to the Greek</em> in 2010. He was also briefly married to singer Katy Perry.</p> <p>In recent times, Brand has gained prominence as a political commentator and video blogger, although some of his content has featured COVID-19 conspiracy theories and misinformation regarding vaccines.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/CxOooOsIGXd/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CxOooOsIGXd/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Russell Brand (@russellbrand)</a></p> </div> </blockquote> <p>The police announcement specifically referenced a new allegation stemming from an incident in central London's Soho neighbourhood in 2003. The Metropolitan Police stated that they are in contact with the woman who made this allegation and are providing her with support. They have also reached out to <em>The Sunday Times</em> and Channel 4, urging anyone who believes they have been a victim of a sexual offence to come forward and report it.</p> <p>In response to these allegations, three of Brand's former employers, including the BBC, Channel 4, and Banijay UK production company, have initiated their own investigations into the claims.</p> <p>Consequently, Brand's upcoming stand-up performance at the Theatre Royal Windsor, scheduled for Tuesday, has been cancelled, with tour promoters announcing the postponement of additional shows in light of the ongoing situation.</p> <p>Talent agency Tavistock Wood has severed ties with the comedian, citing feeling "horribly misled" by him, and Bluebird publisher has decided to "pause" future collaborations with Brand.</p> <p><em>Image: Instagram</em></p>

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Taking more than 5 pills a day? ‘Deprescribing’ can prevent harm – especially for older people

<p><em><a href="https://theconversation.com/profiles/emily-reeve-1461339">Emily Reeve</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/jacinta-l-johnson-1441348">Jacinta L Johnson</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a>; <a href="https://theconversation.com/profiles/janet-sluggett-146318">Janet Sluggett</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a>, and <a href="https://theconversation.com/profiles/kate-ohara-1462183">Kate O'Hara</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>People are living longer and with more <a href="https://www.aihw.gov.au/reports/older-people/older-australia-at-a-glance/contents/health-functioning/health-disability-status">chronic health conditions</a> – including heart disease, diabetes, arthritis and dementia – than ever before. As societies continue to grow older, one pressing concern is the use of multiple medications, a phenomenon known as <a href="https://www.who.int/docs/default-source/patient-safety/who-uhc-sds-2019-11-eng.pdf">polypharmacy</a>.</p> <p>About <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50244">1 million older Australians</a> experience polypharmacy and this group is increasing. They may wake up in the morning and pop a pill for their heart, then another one or two to control blood pressure, a couple more if they have diabetes, a vitamin pill and maybe one for joint pain.</p> <p>Polypharmacy is usually <a href="https://www.safetyandquality.gov.au/sites/default/files/2021-04/fourth_atlas_2021_-_6.1_polypharmacy_75_years_and_over.pdf">defined</a> as taking five or more different medications daily. In aged care homes, <a href="https://doi.org/10.1016/j.archger.2022.104849">90% of residents</a> take at least five regular medications every single day. That can put their health at risk with increased costs for them and the health system.</p> <h2>Adding up over time</h2> <p>As people age, the effects of medications can change. Some medications, which were once beneficial, might start to do more harm than good or might not be needed anymore. About <a href="https://www.psa.org.au/wp-content/uploads/2020/02/Medicine-Safety-Aged-Care-WEB-RES1.pdf">half of older Australians</a> are taking a medication where the likely harms outweigh the potential benefits.</p> <p>While polypharmacy is sometimes necessary and helpful in managing multiple health conditions, it can lead to unintended consequences.</p> <p><a href="https://www.nps.org.au/living-with-multiple-medicines/costs">Prescription costs</a> can quickly add up. Taking multiple medications can be difficult to manage particularly when there are specific instructions to crush them or take them with food, or when extra monitoring is needed. There is also a risk of <a href="https://www.nps.org.au/consumers/understanding-drug-interactions">drug interactions</a>.</p> <p>Medications bought “over the counter” without a prescription, such as vitamins, herbal medications or pain relievers, can also cause <a href="https://onlinelibrary.wiley.com/doi/abs/10.5694/mja11.10698">problems</a>. Some people might take an over-the-counter medication each day due to previous advice, but they might not need it anymore. Just like prescription medications, over-the-counter medications add to the overall burden and cost of polypharmacy as well as drug interactions and side effects.</p> <p>Unfortunately, the more medications you take, the more likely you are to have <a href="https://www.nps.org.au/consumers/managing-your-medicines#risks-of-taking-multiple-medicines">problems with your medications</a>, a reduced quality of life and increased risk of falls, hospitalisation and death. Each year, <a href="https://www.psa.org.au/wp-content/uploads/2019/01/PSA-Medicine-Safety-Report.pdf">250,000 Australians</a> are admitted to hospital due to medication-related harms, many of which are preventable. For example, use of multiple medications like sleeping pills, strong pain relievers and some blood pressure medications can cause drowsiness and dizziness, potentially resulting in a <a href="https://betterhealthwhileaging.net/preventing-falls-10-types-of-medications-to-review/">fall</a> and broken bones.</p> <h2>Prescribing and deprescribing are both important</h2> <p>Ensuring safe and effective use of medications involves both prescribing, and <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/deprescribing">deprescribing</a> them.</p> <p><a href="https://www.australiandeprescribingnetwork.com.au/474-2/">Deprescribing</a> is a process of stopping (or reducing the dose of) medications that are no longer required, or for which the risk of harm outweighs the benefits for the person taking them.</p> <p>The process involves reviewing all the medications a person takes with a health-care professional to identify medications that should be stopped.</p> <p>Think of deprescribing as spring cleaning your medicine cabinet. Just like how you tidy up your house and get rid of objects that are causing clutter without being useful, deprescribing tidies up your medication list to keep only the ones truly required.</p> <h2>But care is needed</h2> <p>The process of deprescribing requires close monitoring and, for many medications, slow reductions in dose (tapering).</p> <p>This helps the body adjust gradually and can prevent sudden, unpleasant changes. Deprescribing is often done on a trial basis and medication can be restarted if symptoms come back. Alternatively, a safer medication, or non-drug treatment may be started in its place.</p> <p>Studies show deprescribing is a safe process when managed by a health-care professional, both for people living at <a href="https://link.springer.com/article/10.1007/s11606-020-06089-2">home</a> and those in <a href="https://doi.org/10.1016/j.jamda.2018.10.026">residential aged care</a>. You should always talk with your care team before stopping any medications.</p> <p>Deprescribing needs to be a team effort involving the person, their health-care team and possibly family or other carers. Shared decision-making throughout the process empowers the person taking medications to have a say in their health care. The team can work together to clarify treatment goals and decide which medications are still serving the person well and which can be safely discontinued.</p> <p>If you or a loved one take multiple medications you might be eligible for a free visit from a pharmacist (<a href="https://www.nps.org.au/assets/NPS/pdf/NPSMW2390_Anticholinergics_HMR_Factsheet.pdf">a Home Medicines Review</a>) to help you get the best out of your medications.</p> <h2>What’s next?</h2> <p>Health care has traditionally focused on prescribing medications, with little focus on when to stop them. Deprescribing is not happening as often as it should. <a href="https://www.australiandeprescribingnetwork.com.au/">Researchers</a> are working hard to develop tools, resources and service models to support deprescribing in the community.</p> <p>Health-care professionals may think older adults are not open to deprescribing, but about <a href="https://academic.oup.com/biomedgerontology/article/77/5/1020/6352400">eight out of ten people</a> are willing to stop one or more of their medications. That said, of course some people may have concerns. If you have been taking a medication for a long time, you might wonder why you should stop or whether your health could get worse if you do. These are important questions to ask a doctor or pharmacist.</p> <p>We need more <a href="https://shpa.org.au/news-advocacy/MedsAware">public awareness</a> about polypharmacy and deprescribing to turn the tide of increasing medication use and related harms. <img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211424/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/emily-reeve-1461339">Emily Reeve</a>, Senior Research Fellow in the Centre for Medicine Use and Safety , <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/jacinta-l-johnson-1441348">Jacinta L Johnson</a>, Senior Lecturer in Pharmacy Practice, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a>; <a href="https://theconversation.com/profiles/janet-sluggett-146318">Janet Sluggett</a>, Enterprise Fellow, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a>, and <a href="https://theconversation.com/profiles/kate-ohara-1462183">Kate O'Hara</a>, PhD student, Clinical Pharmacology and Toxicology, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-more-than-5-pills-a-day-deprescribing-can-prevent-harm-especially-for-older-people-211424">original article</a>.</em></p>

Body

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Daily aspirin doesn’t prevent strokes in older, healthy people after all

<p><em><a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/tina-hinton-329706">Tina Hinton</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>The daily use of <a href="https://www.nps.org.au/australian-prescriber/articles/drugs-in-secondary-stroke-prevention">low dose aspirin</a> has been a mainstay of preventing strokes for decades. While there has always been a risk of bleeding associated with aspirin use, the benefits were thought to outweigh the risk.</p> <p>Now <a href="https://dx.doi.org/10.1001/jamanetworkopen.2023.25803">new research</a> led by Monash University has shown daily, low-dose aspirin doesn’t prevent strokes in relatively healthy people aged over 70. And it increases their risk of bleeding on the brain after falls or other injuries.</p> <p>But if you’re taking aspirin, it doesn’t mean you should abruptly stop. It may still have a role to play in treating people at high risk of stroke. Or, after talking to your doctor, there might be better options available.</p> <h2>Why has aspirin been used to prevent strokes?</h2> <p>Aspirin is an anti-platelet medicine, which is commonly known as a blood-thinner. <a href="https://www.lifeblood.com.au/blood/learn-about-blood/platelets">Platelets</a> are the component of blood primarily responsible for its clotting action. They are what stop you from continuously bleeding any time you have a cut or scrape on your skin.</p> <p>A <a href="https://strokefoundation.org.au/about-stroke/learn/what-is-a-stroke">stroke</a> is when oxygen can’t get into the brain because of a burst or blocked blood vessel. A blockage can occur when platelets in the bloodstream form a clot and it gets stuck in the artery.</p> <p>Because aspirin acts on platelets, it can help prevent the clots that can lead to a stroke.</p> <p>But because aspirin acts on platelets, it can also increase the risk of <a href="https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/daily-aspirin-therapy/art-20046797#:%7E:text=While%20daily%20aspirin%20can%20help,of%20developing%20a%20stomach%20ulcer.">unwanted bleeding</a>, usually in the stomach. It can also increase your risk of bleeding more when you have another injury, like hitting your head.</p> <p>Aspirin isn’t just used for the prevention of strokes. It is also the first aid treatment for someone undergoing a <a href="https://www.nps.org.au/australian-prescriber/articles/acute-myocardial-infarction-early-treatment">heart attack</a>.</p> <h2>Findings of the Monash trial</h2> <p>New <a href="https://dx.doi.org/10.1001/jamanetworkopen.2023.25803">research from Australia and the United States</a> reports results from the Aspirin in Reducing Events in the Elderly (ASPREE) trial.</p> <p>The researchers examined the protective use of daily low-dose aspirin (100 mg) in nearly 2,000 people who were aged 70 years and older and had no history of heart disease or stroke and whose blood pressure and cholesterol were well managed.</p> <p>When compared with placebo, aspirin didn’t reduce or increase the risk of stroke. Of the participants who took the aspirin, 195 or 4.6% had a stroke. Of those who took the placebo, 203 people or 4.7% had a stroke.</p> <p>But it did statistically increase the rate of non-stroke bleeding in the participants’ brains, for example when they injured their head. Those on aspirin showed a rate of bleeding in the brain of 1.1% (108 participants) compared with 0.8% (79 people) for those on placebo. This is a relatively, low but serious, risk.</p> <p>These findings are not entirely new. <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1800722?query=featured_home">Research</a> published five years ago based on the same ASPREE trial showed a similar result: a higher rate of bleeding among those taking low-dose aspirin compared with placebo.</p> <p>However as the study authors note, aspirin continues to be widely used for the prevention of stroke.</p> <h2>What are the study’s limitations?</h2> <p>The researchers examined aspirin in mostly people of white European heritage.</p> <p>So we don’t know whether the results are translatable to people with different ethnic backgrounds. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2594139/">Genetics and ethnicity</a> can significantly impact the efficacy and safety of some drugs.</p> <p>The clinical trial only included people who were not significantly at risk of a stroke, and had no history of heart disease.</p> <p>Younger age groups were not studied either, so we cannot make any conclusions about their use of low dose aspirin to prevent stroke.</p> <p>It’s also possible the potential benefits and risks are different for those who have underlying heart problems or who have previously had a stroke and are therefore at higher risk of another stroke.</p> <h2>I’m taking aspirin, what should I do?</h2> <p>If you’re taking daily low-dose aspirin and are concerned by the results of the study, it’s important you don’t just stop taking your medicine. Speak to your doctor or pharmacist.</p> <p>For people who are at high risk of having a stroke, or have previously had one, low-dose aspirin may remain their treatment of choice despite the slight bleeding risk.</p> <p>If you’re at high risk of bleeding, for example because of falls and other accidents due to advanced age, frailty, or another underlying condition, your doctor may be able to reduce the amount of aspirin you take by adding in <a href="https://www.nps.org.au/australian-prescriber/articles/dipyridamole">dipyridamole</a> or prescribing a different medicine completely, such as <a href="https://www.nps.org.au/australian-prescriber/articles/clopidogrel">clopidogrel</a>.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210388/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, Associate Professor of the Sydney Pharmacy School, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/tina-hinton-329706">Tina Hinton</a>, Associate Professor of Pharmacology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty </em><em>Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/daily-aspirin-doesnt-prevent-strokes-in-older-healthy-people-after-all-210388">original article</a>.</em></p>

Body

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Social media good for older people’s health

<p>Older people should use Facebook and other social media to help prevent their health declining, a study has found.</p> <p>Researchers at the University of Exeter in England carried out the research among 65 to 95-year-olds and found that people who spent time online did not feel as lonely as others their age, which helps stop declining physical and mental health.</p> <p>The study followed seniors from 31 residential care homes across the United Kingdom. Researchers noted those trained to use technology felt more self-competent, were more sociable and demonstrated improved cognitive abilities.</p> <p>The project's leader, Dr Thomas Morton, said the findings highlighted how loneliness among older people can contribute to their poor health.</p> <p>“Human beings are social animals, and it’s no surprise that we tend to do better when we have the capacity to connect with others.</p> <p>“But what can be surprising is just how important social connections are to cognitive and physical health.</p> <p>“People who are socially isolated or who experience loneliness are more vulnerable to disease and decline.”</p> <p>Margaret Keohone, a participant of the study, said learning to navigate the internet “changed her life”.</p> <p>“Having this training changes people's lives and opens up their worlds, invigorates their minds and for lots of us gives us a completely different way of recognising our worth as we age,” said Margaret Keohone. </p> <p>“I was just slipping away into a slower way of life.”</p> <p><em>Images: Getty</em></p>

Technology

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The legal matters you need to consider as you get older

<p><em><strong>Barbara Binland is the pen name of a senior, Julie Grenness, in Melbourne, Victoria, Australia. She is a poet, writer, and part-time English and Maths tutor, with over 40 years of experience. Her many books are available on Amazon and Kindle.</strong></em></p> <p>As we are ageing, it is essential at some stage to be realistic and sort our legal affairs. This incorporates writing your last will and testament. It is an individual’s choice whether to use a will kit, or to engage a solicitor. We must decide on an executor of the will, to ensure any assets are disposed of, in accordance with our intentions.</p> <p>Secondly, it is an excellent idea to appoint a medical power of attorney to a trusted person, to factor in a case scenario if you are on life support. Someone needs a medical power of attorney to make tough decisions on your behalf.</p> <p>Thirdly, when writing your will, you need to list your beneficiaries. Moreover, you need to compile a file of your assets and investments. Furthermore, it is also a good intention to prepare any wishes for your funeral, burial or cremation. Do you wish to be an organ donor? Ultimately, if any doubts occur, it is always possible and feasible to seek advice from any legal professionals.</p> <p>Right, having done all that, it’s easy to think, “all sorted!” But remember, any golden oldie’s status can be affected by any change in circumstance, such as either health conditions, or by marriage, or divorce, or the death of a spouse. Then we may need to revise our will and testament.</p> <p>But, in the interim, put morbid thoughts to one side, that is all ‘worst case scenario’. Now we can plan for our happy and leisurely retirement, enjoying being ‘golden oldies’, anyway we choose!</p> <p>Here are the stats: 10/10 people are going to die, so appreciate being alive! Rise and smile!</p> <p><em>Image credit: Shutterstock</em></p>

Legal

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Loneliness can be twice as unhealthy as obesity in older people

<p>A study has found that loneliness is twice as unhealthy as obesity in older people. Over six years, the study looked at the impact variables had on death rates.</p> <p>After tracking more than 2,000 people aged 50 and over, scientists found that people who were identified as the loneliest were nearly twice as likely to die during the study than those who were the least lonely.</p> <p>Compared with the average person within the study, those who were lonely had a 14 per cent higher risk of dying, which was around twice the impact obesity had on early death rates. Poverty ranked higher than loneliness with a 19 per cent increase.</p> <p>A separate study in 2012 found that around a fifth of older people feel lonely all the time, and a quarter of them become steadily lonelier as time went on. People reported that loneliness was the worst at weekends, and three quarters felt the effects strongly at night.</p> <p>In the past, loneliness has been linked to health problems like high blood pressure, and increased risk of stroke, heart attack and depression.</p> <p>John Cacioppo, a psychologist at the University of Chicago recommends thinking twice before uprooting yourself during retirement. Moving away to “greener pastures” may have certain appeals, but it can often take you away from your support network of friends and family.</p> <p>In the light of these studies, it follows that people need to feel involved and valued by those around them. The results also reflected that company alone was perhaps not enough.</p> <p>If you know someone you think might be lonely, maybe you can invite them to take part in some activities with you and your friends. Phone calls are a great way to stay in touch with people who are further away, especially if you involve someone in your life by asking them for their advice on various subjects. Pets have also been shown to be great in alleviating loneliness.</p> <p>And if you’re looking to interact with some new friends, you can always vist our <a href="https://www.facebook.com/Over60-NZ-261868603973770/?fref=ts" target="_blank" rel="noopener"><span style="text-decoration: underline;"><strong>Facebook page</strong></span></a>.</p> <p><strong>Related links:</strong></p> <p><span style="text-decoration: underline;"><strong><em><a href="http://www.oversixty.co.nz/health/mind/2015/11/kindness-leads-to-happiness-research/">People are happier when they do good</a></em></strong></span></p> <p><span style="text-decoration: underline;"><strong><em><a href="http://www.oversixty.co.nz/health/mind/2015/12/some-material-things-proven-to-make-you-happy/">The material things proven to make you happy</a></em></strong></span></p> <p><span style="text-decoration: underline;"><strong><em><a href="http://www.oversixty.co.nz/health/mind/2015/12/exercises-to-strengthen-your-willpower/">Simple exercises to strengthen your willpower</a></em></strong></span></p> <p><em>Image credit: Shutterstock</em></p>

Mind

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Older women are doing remarkable things – it’s time for the putdowns to end

<p>It’s not easy to claim being an old woman. To start with, how can I be 75 when I feel about 40? And isn’t it shameful to be old when youth is valued? People proudly parrot statements such as, “I’m growing older but not getting old” (meaning, “How terrible to be old!”). I even heard that line quoted approvingly by one of the middle-aged hosts of the recent Australia Day Award ceremony.</p> <p>Then there are shop assistants who serve an old person by asking, “What can I do for you, young lady/man?” (i.e. “I see that you’re old and will mock it by calling you young”). When author Jane Caro <a href="https://www.smh.com.au/lifestyle/life-and-relationships/this-throwaway-joke-at-the-bakery-was-just-another-example-of-ageism-20230130-p5cgjt.html">wrote about her husband’s angry response to this example of ageism</a> it created quite a Twitter storm. Can’t you take a joke? But, <a href="https://www.news.com.au/entertainment/tv/tv-commentator-jane-caro-roasted-after-saying-her-husband-suffered-ageism-when-he-was-called-young-man/news-story/98c39b5978498fbb2139268307c75ccf">as Caro replied</a>, “Benign ageism, hostile ageism. One often turns into the other and both make the recipients feel diminished”.</p> <p>Benign ageism applies as much to the stereotyping of young people (wasting their money on smashed avocado), as it does to the old.</p> <p>Ageism is bad enough, but it’s often compounded by sexism. It is humiliating for a boy to be told he’s playing like a girl but even worse for a man expressing doubts or concerns to be called an old woman. The stereotype of the old woman is anxious, dependent, useless, and a burden – if she isn’t a nasty, bitter old witch. Dismissing old women in this way renders them invisible because they are considered of no use to society.</p> <p>Women experience a sense of invisibility from late middle age: being overlooked in shops, ignored in restaurants. People walk into me in the street as though I’m incorporeal. Of course, it can be liberating to be ignored, not to be constantly assessed for one’s looks as young women are, and I try to make as much lemonade as possible from life’s lemons. Nevertheless, I’d prefer not to be completely disregarded.</p> <p>When Jane Fisher and I i<a href="https://research.monash.edu/en/publications/promoting-older-womens-mental-health-insights-from-baby-boomers">nterviewed Baby Boom women</a> (born 1946 to 1964), we found that they wanted to be treated with respect, which doesn’t seem like much to ask. They said that respect includes requiring we all challenge – and refuse to perpetuate – these harmful stereotypes.</p> <p> </p> <figure></figure> <p> </p> <p>Ageist stereotypes reinforce age-based discrimination. An Australian <a href="https://pubmed.ncbi.nlm.nih.gov/28795587/">survey of more than 2000 people</a> aged over 60 found experiences of ageism have an adverse effect on mental health, prompting depression and anxiety.</p> <h2>Challenging stereotypes</h2> <p>My <a href="https://publishing.monash.edu/product/time-of-our-lives/">recent interviews</a> with women from the previous generation, dolefully named the Silent Generation (born before 1946), challenge these stereotypes. In their late seventies, eighties, and nineties, these women are leading fulfilling lives; contributing to their communities and to the wider society.</p> <p>There is Mig Dann, whose PhD was conferred in her early eighties. Her thesis explored memory and trauma through art theory and practice. Exhibitions of her work <a href="https://migdann.com/">are breathtaking</a>.</p> <p>Olive Trevor OAM developed her love of plants as her five children grew up and, in her eighties, was recognised as a world expert in bromeliads.</p> <p>Lester Jones runs an educational coaching business, specialising in people with learning difficulties. She is in her nineties.</p> <p>Jacqueline Dwyer was ANU’s oldest successful postgraduate student when she became a Master of Arts at 90; <a href="https://scholarly.info/book/flanders-in-australia-a-personal-history-of-wool-and-war/">a book about her research</a> was published when she was 92.</p> <p>After a difficult young adulthood as an itinerant worker, Raylee George found her vocation in typesetting. When she was made redundant, an employer who values older people took George on in her seventies as a specialist call-centre operator.</p> <p>As she approaches 80, environmental scientist and climate campaigner Dr Sharron Pfueller continues to set an example of how we should all be living sustainably.</p> <p>After working as a TV make-up artist and in managerial roles, as well as doing voluntary work, Robina Rogan at 76 joined a team that built a boat and rowed it around Port Phillip Bay. In her eighties, she’s still rowing.</p> <p>Dr Miriam Rose Ungunmerr Baumann AM was Senior Australian of the Year in 2021; her life is committed to supporting Indigenous youth and to maintaining bridges that unite Indigenous and non-Indigenous cultures and people. These are just a few examples.</p> <p>It was Ungunmerr Baumann who led me to ponder the contrast between the way in which so many of us (appropriately) pay our respects to First Nations Elders past and present while disrespecting old people in general. As she says to audiences of people in late adulthood, “You are all Elders”.</p> <p> </p> <figure></figure> <p> </p> <p>The life stories of these women reveal they endured hardship and grief while displaying resilience and determination. But personal qualities can’t fully account for lives that continue to have meaning. It isn’t enough to tell women to exercise, eat more vegetables, do lots of puzzles, and volunteer at the local op shop. We live in communities and societies in which we are all interdependent.</p> <p>The Baby Boom women demonstrated that their whole life course influenced their experience of ageing, including their mental health. Were they adequately parented? Disadvantaged? Victims of violence? Well nourished in body and mind? Did they have good health? And, crucially, were there people, policies, and a culture that valued and supported them?</p> <h2>A social responsibility</h2> <p>Women may have qualities that help them to live productive and satisfying lives, but they can achieve their potential only in a milieu that enables, rather than inhibits, them.</p> <p>The milieu includes other people (family, friends, workmates, the community), the built environment and social policies. Ageing well is a social responsibility, to be shouldered by everyone – not only because it is the right thing to do but because we all stand to benefit.</p> <p>Preparations for old age begin with care and support for parents and infants and even with preconception healthcare: anything that contributes to physical and mental health and to parents’ capacity to nurture children. It includes financial support, adequate housing, early identification and treatment of postnatal depression, good childcare and high-quality education for all.</p> <p>Anti-discriminatory policies, informed and inclusive healthcare, and social structures that support and enhance the lives of girls and women – as well as boys and men – will benefit everyone, not only older women.</p> <p>The United Nations has declared the years 2021 to 2030 to be the Decade of Healthy Ageing: a time for worldwide collaboration to promote longer and healthier lives. Physical health is emphasised not as an end but as a necessary condition for full participation in society. This endeavour is part of a magnificent movement towards creating age-friendly neighbourhoods. The World Health Organization has taken the lead through its <a href="https://extranet.who.int/agefriendlyworld/age-friendly-cities-framework">age-friendly cities framework</a>.</p> <p>The eight areas in the framework are community and healthcare, transportation, housing, social participation, outdoor spaces and buildings, respect and social inclusion, and civic participation and employment. These areas are interconnected. They encompass the physical, psychological and social components of life, all of which are implicated in ageing. We need to develop and maintain a world in which everyone, of any age, feels welcome and is encouraged to participate.</p> <p>Socially constructed ideas of ageing can similarly be socially dismantled.</p> <p>I’m proud to be old, but my age is not what I want you to see first, especially when “old” means useless, past it, of no interest to anyone else. A woman of 25 might have firm flesh and a future full of possibilities, but she doesn’t have all the decades of life experience embodied by a wrinkly woman of 75.</p> <p>I’d like people to be interested in old women’s stories, to be prepared to learn about their lives: not only their past, but what they’re doing now, what they plan to do in the time to come.</p> <p>This isn’t a whinge. I enjoy getting old. I love birthdays and cake. But I would like old age to be valued. It seems perverse for those who are not yet old to condemn their own futures.</p> <p><em>This article originally appeared on <a href="https://theconversation.com/older-women-are-doing-remarkable-things-its-time-for-the-putdowns-to-end-199500" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Images: Getty</em></p>

Retirement Life

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How body image changes as you get older

<p dir="ltr">How comfortable are adults with body image?</p> <p dir="ltr">Body image insecurities are not exclusive to youth. Our relationships with our bodies and how we view ourselves can change drastically over time.</p> <p dir="ltr">A lot of people have misconceptions about their body size and shape, which can cause dissatisfaction, but what really happens to sway our opinion in our later years?</p> <p dir="ltr"><strong>Ageing</strong></p> <p dir="ltr">With ageing comes the wrinkles, the infamous middle-age spread and loss of muscle mass and there’s really not much that can be done. Unfortunately, the western world in particular, associates beauty with being young and thin. </p> <p dir="ltr">People under the age of 25 are still producing collagen! Of course, their skin is going to be smoother and softer. It’s also easier to keep the weight off when you’re younger, so beauty in older people is highly underrepresented. There’s no surprise that older men and women feel insecure because they lack the representation of beauty that does exist and is suited to them. </p> <p dir="ltr"><strong>Transition points later in life</strong></p> <p dir="ltr">There are many transition points in the older years, including retirement and changes in family dynamics. These transitions can cause changes to the routine, roles and responsibilities of people in later life. They can cause undue stress, which can lead to more wrinkles, weight loss or weight gain and mental health issues. It can cause you to look back on your past self that was wrinkle-free and become insecure. </p> <p dir="ltr"><strong>What to do</strong></p> <p dir="ltr">Do your best to love yourself and remember you are far from alone. Body image issues are so common amongst all age groups. The media is constantly throwing models in our faces as the “ideal” beauty standard. Well, they are wrong! Beauty cannot be defined by one thing; it is unique to each person. </p> <p dir="ltr">Celebrate the fact that you’ve gotten so far in life, and wear your wrinkles like a badge of honour because you’ve earned them! Nothing is more beautiful than being happy and healthy.</p> <p dir="ltr"><em>Image credit: Shutterstock</em></p>

Body

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Could buccal massage – the latest celebrity beauty trend – make you look older, not younger?

<p>Meghan, Duchess of Sussex, <a href="https://www.vanityfair.com/style/2018/05/meghan-markle-royal-wedding-prep">reportedly</a> had it before marrying Prince Harry. Jennifer Lopez is also <a href="https://www.eonline.com/news/917768/jennifer-lopez-is-a-fan-of-meghan-markle-s-pre-wedding-facial-too">apparently</a> a fan. We’re talking about a type of facial called a “<a href="https://www.theguardian.com/fashion/2023/jan/30/why-celebrities-love-buccal-massage-mouth-facial">buccal massage</a>”.</p> <p>But what exactly is a buccal massage? Does it really sculpt the face, <a href="https://www.skincarebyamypeterson.com/buccal-sculpting-facial">as claimed</a>? Are there risks? Could it actually make your skin look “looser” and older?</p> <p>You probably won’t be surprised to hear there isn’t evidence from rigorous controlled scientific studies to show buccal massage gives you a more contoured look. </p> <p>But talking about it can raise awareness about our facial muscles, what they do, and why they’re important.</p> <h2>What is buccal massage? Does it work?</h2> <p>Buccal massage (pronounced “buckle”) is also called “intra-oral” massage. The term “buccal” comes from the Latin “bucca” meaning “cheek”. </p> <p>In buccal massage, a beautician inserts their fingers into the buccal cavity – the space between your teeth and the inside of your cheeks – <a href="https://www.instyle.com/beauty/skin/buccal-facials">to</a> “massage and sculpt your skin from the inside”. </p> <p>They apply pressure between the thumb (on the outside the mouth), and pinch and move fingers (inside the mouth), to stretch and massage the muscles. </p> <p>You can also <a href="https://www.youtube.com/watch?v=RPpPEG7ZX2w">perform it on yourself</a>, which may give you better control over stopping if <a href="https://www.dazeddigital.com/beauty/article/44445/1/buccal-massage-sharpen-cheekbones">it hurts</a>.</p> <p>But could all of this (rather expensive) action really change the shape of your face, or how it looks, feels, or moves?</p> <p>It’s extremely unlikely, since the shape of your face is influenced by a lot more than your muscles. Any claims of buccal massage providing any lasting impact or “uplift” on the contours of the face are purely anecdotal.</p> <p>In the absence of controlled trials reporting on the effects of buccal massage, it’s unlikely stretching your skin and oral or facial muscles in this way will provide any lasting benefit.</p> <p>That’s possibly because buccal massage is “passive” – the muscles are only moving by the effort of the beautician.</p> <p>In contrast, “active” movement of face muscles, through a program of face exercises, was associated with some improvements to facial appearance in a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885810/">small study</a> of middle-aged women.</p> <h2>But facial massage and stretching can help some</h2> <p>External massaging or stretching muscles in the face, however, can help some people with certain medical conditions affecting the jaw, or how the mouth opens.</p> <p>This includes people with <a href="https://my.clevelandclinic.org/health/diseases/24086-trismus">trismus</a>. This is when the temporomandibular joint – where the jawbone meets the skull – can be so tight it’s <a href="https://www.ncbi.nlm.nih.gov/books/NBK493203/">hard to open your mouth</a>. </p> <p>Face massage can also provide <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5237268/">some relief</a> for people with jaw clenching or <a href="https://www.mayoclinic.org/diseases-conditions/bruxism/symptoms-causes/syc-20356095">bruxism (teeth grinding)</a> when it relaxes the muscle and reduces tension. </p> <p>Health professionals might also <a href="https://www.sciencedirect.com/science/article/abs/pii/S0305417915000546?via%3Dihub">prescribe</a> mouth and face stretches and exercises for someone recovering from <a href="https://www.vicburns.org.au/wp-content/uploads/2019/04/Face-and-mouth-exercises_020419.pdf">facial burns</a>. This is to make sure that, as someone heals, their skin is flexible and muscles mobile for the mouth to open wide enough and move properly. Being able to open your mouth wide enough is vital for eating and tooth brushing.</p> <h2>Is buccal massage safe?</h2> <p>As there is no scientific research into buccal massage, we don’t know if it’s safe or if there are any risks.</p> <p>The firm touch, squeezing and movement of another person’s fingers on the sensitive mucous membrane (moist lining) inside your mouth could be both uncomfortable and off-putting. This action will also <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/odi.12867#:%7E:text=Stimulation%20of%20mechanoreceptors%20in%20the,%2C%20%26%20Berg%2C%201987">stimulate your salivary glands</a> to produce saliva, which you’ll need to spit or swallow. </p> <p>As buccal massage involves a beauty therapist’s fingers being inside your mouth, infection prevention and control measures, including <a href="https://www.health.nsw.gov.au/environment/factsheets/Pages/beauty-treatment.aspx">excellent hand hygiene</a>, is essential. </p> <p>It would also be interesting to know whether or not buccal massage could actually further <a href="https://www.huffpost.com/entry/what-is-buccal-face-massage_l_6352be32e4b03e8038debf83">loosen your skin</a> and make you look older, sooner.</p> <h2>Your face muscles are important</h2> <p>Regardless of whether buccal massage has any effect, it’s a chance to talk about our face muscles and why they’re important.</p> <p>We often take them for granted. We may not think about keeping these muscles “supple”, and they don’t usually feel “stiff” unless we hold a smile for long periods, grind our teeth, or have a medical condition affecting the face, jaw or mouth.</p> <p>There are more than <a href="https://www.ncbi.nlm.nih.gov/books/NBK493209/">two dozen</a>, muscles in our face, most in pairs, one on either side of the face.</p> <p>They’re a vital part of who we are, shaping our appearance, and allowing us to make facial expressions, lower and raise our jaw and the corners of our mouth, smile, blow a kiss, speak, suck and swallow.</p> <p>Face muscles help define the shape of our face and our identity. It’s no wonder we can struggle with age-related changes that affect how our face looks.</p> <h2>3 cheers for our buccinators</h2> <p>The <a href="https://www.healthline.com/human-body-maps/buccinator#1">buccinator muscles</a>, which buccal massage moves, are vital to our survival. The buccinator is one of the first muscles <a href="https://www.ncbi.nlm.nih.gov/books/NBK546678/">to contract</a> when a baby suckles.</p> <p>These muscles lie deep beneath the skin of the cheeks and are important for a number of reasons:</p> <ul> <li> <p>their main function is to help us eat. They contract to help move food between the teeth for chewing. We can squeeze our buccinator muscles to push food back into the mouth from the sides</p> </li> <li> <p>they help us puff out our cheeks, blow out a candle, or blow a trumpet </p> </li> <li> <p>when they contract, they move your inner cheek out of the way of your teeth. Without them, you’d bite your cheek every time you closed your jaw</p> </li> <li> <p>they help keep your teeth in place.</p> </li> </ul> <h2>In a nutshell</h2> <p>Buccal massage mightn’t make your face look “sculpted”. It probably comes with infection risks, and we know little about its safety. </p> <p>But if nothing else, the buccal massage trend has highlighted just how important our face muscles really are.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/could-buccal-massage-the-latest-celebrity-beauty-trend-make-you-look-older-not-younger-198990" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Beauty & Style

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Friendships may help protect women from health conditions in older age

<p dir="ltr">Human connection may, in fact, help protect women from chronic health conditions in older age, according to a Queensland-led study. </p> <p dir="ltr">The University of Queensland researchers tracked more than 7,600 Australian women aged between 45 and 50 for two decades as part of the Australian Longitudinal Study on Women's Health.</p> <p dir="ltr">The study went as follows: Every three years, women filled out a questionnaire, rating their levels of satisfaction with a range of relationships, including partners, family, friends, work colleagues and any other social connections.</p> <p dir="ltr">Data also collected if they had been diagnosed with two or more of 11 chronic health conditions.</p> <ul> <li dir="ltr" role="presentation">High blood pressure</li> <li dir="ltr" role="presentation">Heart disease</li> <li dir="ltr" role="presentation">Stroke </li> <li dir="ltr" role="presentation">Chronic obstructive pulmonary disease </li> <li dir="ltr" role="presentation">Asthma </li> <li dir="ltr" role="presentation">Arthritis</li> <li dir="ltr" role="presentation">Cancer</li> <li dir="ltr" role="presentation">Depression</li> <li dir="ltr" role="presentation">Anxiety </li> <li dir="ltr" role="presentation">Osteoporosis</li> <li dir="ltr" role="presentation">Diabetes</li> </ul> <p dir="ltr">The researchers found 58.3 per cent of the women had developed more than one chronic disease during the 20 years of monitoring, from 1996 to 2016.</p> <p dir="ltr">Those with the lowest relationship satisfaction scores had the highest odds of having multiple chronic diseases.</p> <p dir="ltr">So, make friends and keep them around because it may just prevent a serious illness.</p> <p><span id="docs-internal-guid-4f8bbe2a-7fff-fc6b-fccb-0ad9a3a01ee3"></span></p> <p dir="ltr"><em>Image credit: Shutterstock</em></p>

Body

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For some LGBTQ+ older people, events like World Pride can be isolating – we need to better understand how to support them

<p><a href="https://sydneyworldpride.com/">World Pride</a> has come to Sydney, with the annual <a href="https://sydneyworldpride.com/events/mardi-gras-parade/">Mardi Gras Parade</a> on Saturday having returned to its Oxford Street home for the first time in three years.</p> <p>The 17-day festival is expected to host 500,000 participants over more than 300 events. It is an opportunity to celebrate all things queer, and a good time to take stock of the changes LGBTQ+ older people have experienced, and the challenges they continue to face.</p> <p>LGBTQ+ people aged in their 70s, 80s and 90s have witnessed extraordinary social change regarding gender and sexual diversity. For example, in Australia, same-sex marriage is now legal, <a href="https://www.scientificamerican.com/article/where-transgender-is-no-longer-a-diagnosis/">Gender Identity Disorder</a> has been removed as a clinical diagnosis, and all states have an equal age of consent for homosexual and heterosexual sex.</p> <p>These have been hard-fought gains after many years of adversity and advocacy on the part of LGBTQ+ older people, among others.</p> <p>Each year, the <a href="https://www.78ers.org.au/">78ers</a> – who were involved in the Sydney marches and protests between June and August 1978 – take pride of place towards the front of the parade.</p> <h2>Loneliness and social isolation</h2> <p>Despite these achievements, the consequences of living most of one’s life in a homophobic and transphobic society have been considerable, particularly in terms of mental illness and social isolation.</p> <p><a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">Australian</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/34326557/">US</a> research indicates loneliness is more common among lesbian, gay and bisexual older people than the general population. This is particularly so for those who live alone and are not in a relationship. Similar findings are reported in relation to <a href="https://www.lgbtagingcenter.org/resources/pdfs/LGBT%20Aging%20and%20Health%20Report_final.pdf">transgender older people</a>, although more research is needed.</p> <p><a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">Loneliness</a> is also more common among lesbian and gay older people who are disconnected from LGBTQ+ communities and who hold negative attitudes towards their own same-sex attraction.</p> <p>For LGBTQ+ older people experiencing social isolation and loneliness, what might be their experience of watching World Pride from a distance? What might it be like navigating rainbow paraphernalia while shopping at <a href="https://www.coles.com.au/about/sustainability/better-together/our-team/pride">Coles</a> (a World Pride partner)? How might they perceive the glitz and glamour of the Mardi Gras Parade?</p> <p>World Pride may be challenging for those who don’t feel an attachment to LGBTQ+ communities or who feel negative about their own sexuality. And this may reinforce a sense of disconnection.</p> <p>But some may gain comfort from witnessing the sense of community on display. It may even strengthen their perceived connection to other LGBTQ+ people. And, for those who are not open about their sexuality or authentic gender, it may support their journey to “come out” later in life.</p> <h2>The impact of discrimination</h2> <p>For many LGBTQ+ older people, the experience of discrimination remains very real in their lives. <a href="https://pubmed.ncbi.nlm.nih.gov/33770516/">Past and recent discrimination</a> leads to delays seeking treatment and support, simply because people expect to be discriminated against when accessing services.</p> <p>In Australia, previous discrimination has been found to predict <a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">loneliness</a> and <a href="https://www.cambridge.org/core/journals/ageing-and-society/article/abs/recent-versus-lifetime-experiences-of-discrimination-and-the-mental-and-physical-health-of-older-lesbian-women-and-gay-men/90988215582414EA0AB7936B6384FC97">lower mental health</a> among older lesbian and gay people. In the US, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779303/">microaggressions</a> – small everyday interactions that reinforce the experience of being “other” – have predicted greater impairment, higher rates of depression and lower quality of life among LGBTQ+ people aged 80 and over.</p> <p>There remain major gaps in evidence on the issues faced by LGBTQ+ older people, particularly for bisexual, queer, transgender and nonbinary older people. This is mainly due to the failure to systematically collect inclusive data on gender and sexual diversity, through variables such as those recommended by the <a href="https://www.abs.gov.au/statistics/standards/standard-sex-gender-variations-sex-characteristics-and-sexual-orientation-variables/latest-release">Australian Bureau of Statistics</a>.</p> <h2>Strengths and resilience</h2> <p>This year, older people seemed to occupy a more prominent place in the Mardi Gras Parade. Perhaps this is because of the natural ageing of our community activists. Older people were also represented in the wider World Pride festival, such as in the theatre production <a href="https://sydneyworldpride.com/events/all-the-sex-ive-ever-had/">All the Sex I’ve Ever Had</a>, in which older Sydney residents reflect on the evolution of their sexuality over the course of their lives.</p> <p>A festival like World Pride showcases the strengths and resilience of LGBTQ+ people and communities. The organisation of such an event should not be underestimated. This reflects LGBTQ+ people’s high level of civic engagement and commitment to giving back to society, as demonstrated by their greater likelihood of being <a href="https://www.tandfonline.com/doi/abs/10.1080/0312407X.2021.1899256">volunteers</a> and <a href="https://www.caregiving.org/wp-content/uploads/2020/05/2015_CaregivingintheUS_Final-Report-June-4_WEB.pdf">caregivers</a>. And the contribution of volunteers and caregivers during the HIV/AIDS crisis of the 1980s and ‘90s is not forgotten.</p> <p>LGBTQ+ older people generally are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241752/">resilient and maintain good health</a>. Many report increased <a href="https://link.springer.com/article/10.1007/s13178-021-00653-z">confidence and self-esteem</a>, compared with when they were younger. And many have created their own families – their families of choice – to support each other in later life.</p> <p>But we don’t know enough about their needs and how to provide them with inclusive services as they get older. World Pride is an opportunity to reflect on the hard-won gains but not ignore the challenges ahead.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/for-some-lgbtq-older-people-events-like-world-pride-can-be-isolating-we-need-to-better-understand-how-to-support-them-200533" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Caring

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Why do we stop exploring new music as we get older?

<p>According to an estimate from the International Federation of the Phonographic Industry, an organisation that represents the international music industry, people around the world spend on average <a href="https://www.ifpi.org/wp-content/uploads/2022/11/Engaging-with-Music-2022_full-report-1.pdf">20.1 hours per week</a> listening to music, up from 18.4 hours in 2021. </p> <p>We have more ways to access music than at any time in history and a whole world of unfamiliar styles to explore.</p> <p>The thrill of discovering new songs and new sounds can enrich people of all ages. </p> <p>Except, most of the time, it doesn’t.</p> <p>Our willingness to explore new or unfamiliar music declines with age. <a href="https://academic.oup.com/book/2888/chapter-abstract/143505209?redirectedFrom=fulltext">Multiple</a><a href="https://academic.oup.com/book/32719/chapter-abstract/272408599">studies</a> confirm the sentiments of US songwriter and musician Bob Seger, "Today’s music ain’t got the same soul; I like that old time rock ‘n’ roll."</p> <h2>Exploring new music</h2> <p>Academics use the term “<a href="https://journals.sagepub.com/doi/full/10.1177/1029864917697783#bibr27-1029864917697783">open-earedness</a>” to describe our willingness to explore new music. Across our lives this willingness waxes and wanes. </p> <p>Until around the age of 11, children are generally happy to engage with unfamiliar music. Early adolescence sees a reduction in open-earedness, but is accompanied by an intense increase in interest in music more generally. Open-earedness increases slightly during young adulthood, then declines as we age. </p> <p>A <a href="https://www.researchgate.net/publication/253337104_Music_Through_the_Ages_Trends_in_Musical_Engagement_and_Preferences_From_Adolescence_Through_Middle_Adulthood">major 2013 study</a> involving more than 250,000 participants confirmed these changing behaviours. It also showed that the significance we ascribe to music after adolescence declines, and the amount of music we listen to reduces from a high point of 20% of our waking time during adolescence, to 13% in adulthood. </p> <h2>Shifting priorities</h2> <p>Researchers have different, but generally complementary, theories to account for these population-level trends. Some interpret the observed decline in music engagement in terms of <a href="https://www.researchgate.net/publication/253337104_Music_Through_the_Ages_Trends_in_Musical_Engagement_and_Preferences_From_Adolescence_Through_Middle_Adulthood">psychosocial maturation</a>. </p> <p>Adolescents use music as an identity marker and engage with it to navigate social circles. Adults have developed personalities and established social groups. As such, drivers to engage with new music are lessened. </p> <p>These same researchers point to age-related changes to hearing acuity – specifically a lowering tolerance for loud and high-frequency sound – as one cause for a reduced interest in new music for some people.</p> <p>One <a href="https://pubmed.ncbi.nlm.nih.gov/21241288/">explanation</a> for the age-based reduction in music consumption simply posits that responsibility-laden adults may have less discretionary time to explore their musical interests than younger people.</p> <p>Some <a href="https://journals.sagepub.com/doi/epub/10.1177/1029864916633264">scholars question</a> whether there is a straightforward link between the decline in the rate of new music consumption and increasing music intolerance. </p> <p><a href="https://journals.sagepub.com/doi/full/10.1177/0305735620915247">Others argue against</a> using chronological age as a predictor for stagnant musical taste without first considering the different ways we process and use music across our lifespan. Teenagers tend to be very aware of what they are listening to. Adults who use <a href="https://www.researchgate.net/publication/284331015_Music_in_everyday_life_The_role_of_emotions">music as motivation</a> or accompaniment for activities such as exercise or menial tasks may be less conscious of the extent to which they actually do listen to new music. </p> <p>There is <a href="https://www.tandfonline.com/doi/pdf/10.1080/02673843.2011.650182">consensus</a> that people are highly likely to have their taste shaped by the music they first encounter in adolescence. </p> <p>Adolescence shapes musical taste firstly because our brains are developed to the point where we can fully process what we’re hearing, and secondly because the heightened emotions of puberty create strong and lasting bonds of memory.</p> <h2>Soundtrack of our lives</h2> <p>Neuroscience provides some fascinating insights into how and why our musical tastes develop. We know, for example, infants display an affinity to music they <a href="https://mdpi-res.com/brainsci/brainsci-10-00837/article_deploy/brainsci-10-00837.pdf?version=1605090832">heard in utero</a>. </p> <p>Also, musical taste boils down to familiarity. In his book <a href="https://www.amazon.com.au/This-Your-Brain-Music-Obsession/dp/0452288525">This is Your Brain on Music</a>, neuroscientist Daniel Levitin writes, "When we love a piece of music, it reminds us of other music we have heard, and it activates memory traces of emotional times in our lives."</p> <p>What we think of as our “taste” is simply a dopamine reaction arising from patterns our brain recognises which create the expectation of pleasure based on pleasures past. When we stop actively listening to new or unfamiliar music the link between the musical pattern and pleasure is severed.</p> <p>It may take a decade or two to get there, but the result is, eventually, “young people’s music” will alienate and bring no pleasure. </p> <p>So, are we doomed to musical obsolescence as we age? Far from it. <a href="https://journals.sagepub.com/doi/full/10.1177/1029864917718606">Recent research</a> suggests musical taste does not need to calcify but can continue to develop across our lives.</p> <h2>Expanding our horizons</h2> <p>Here are some tips if you want to train your musical taste to extend beyond the “old favourites” of youth:</p> <ol> <li> <p>cultivate different modes of listening including in formal (concerts), focused (solitary), casual (as an accompaniment to other activity) and social settings</p> </li> <li> <p>make listening habitual</p> </li> <li> <p>be curious about what you’re listening to. You can help your brain form new patterns by knowing something of the story behind the music</p> </li> <li> <p>be patient and persistent. Don’t assume because you don’t immediately like an unfamiliar piece that it’s not worth listening to. The more you listen, the better your brain will be at triggering a pleasure response </p> </li> <li> <p>find a friend to give you recommendations. There’s a good chance you’ll listen to music suggested to you by someone you like and admire</p> </li> <li> <p>keep listening to the music you love, but be willing to revisit long-held beliefs, particularly if you describe your musical taste in the negative (such as “I hate jazz”); it’s likely these attitudes will stifle your joy</p> </li> <li> <p>don’t feel you have to keep up with new music trends. We’ve 1,000 years of music to explore.</p> </li> </ol> <p>If, after making the effort, you still find new popular music hard to bear, take solace from songwriter Ben Folds, who says <a href="https://www.simonandschuster.com.au/books/A-Dream-About-Lightning-Bugs/Ben-Folds/9781925750997">in his memoir, "</a>Good pop music, truly of its moment, should throw older adults off its scent. It should clear the room of boring adults and give the kids some space."</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/why-do-we-stop-exploring-new-music-as-we-get-older-200080" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Music

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Puttin’ on the Ritz and improving well-being with older adults through virtual music theatre

<p>Digital programming and virtual interactions, initially considered to be stop-gap measures during the first few waves of the pandemic, may now be an important part of supporting many people’s health and well-being — including the well-being of older adults.</p> <p>During the COVID-19 pandemic, group musical activities moved online, prompting a wave of <a href="https://ericwhitacre.com/the-virtual-choir">virtual choir</a> experiments and <a href="https://www.youtube.com/watch?v=5rzZ2F18MwI">virtual orchestra</a> offerings.</p> <p>These and other online communities weren’t limited to students. A <a href="https://www150.statcan.gc.ca/n1/pub/45-28-0001/2021001/article/00027-eng.htm">Statistics Canada survey</a> found that more than half of Canadians between the ages of 64 and 74 increased their participation in online activities during the pandemic by connecting with family and friends through video conferencing, or accessing entertainment online.</p> <p>Virtual opportunities in the <a href="https://doi.org/10.1371/journal.pone.0252956">performing arts are ripe with potential</a> for older adults to foster skills and creativity, and to improve well-being.</p> <h2>Social connection</h2> <figure><figcaption> </figcaption>Going digital serves many purposes, the most important of which may be social connection.  Since <a href="https://doi.org/10.1080/23748834.2020.1788770">connecting with others</a> remains important for older adults, this can be achieved through, or in addition to, virtual leisure or entertainment opportunities.</figure> <p>Our research has revealed that <a href="https://storage.googleapis.com/wzukusers/user-20563976/documents/598184972c66407e9334c5df1b37bb91/Renihan%2C%20Brook%2C%20Draisey-Collishaw.pdf">virtual music theatre — music theatre online — allows for a more accessible and a less exclusive way to engage with this art form</a> with many benefits for participants.</p> <h2>Online performing arts</h2> <p>The performing arts allow performers and audiences to feel, be creative in community, express themselves and communicate or play through song, movement or storytelling.</p> <p>Benefits associated with participation in the arts include <a href="https://apps.who.int/iris/handle/10665/329834">improved mood and well-being</a> and sense of <a href="https://www.pbs.org/parents/thrive/turn-to-the-arts-to-boost-self-esteem">belonging</a>.</p> <p>Research has also documented associations between seniors’ participation in the arts and improved <a href="https://doi.org/10.1159/000499402">mobility</a> and <a href="https://doi.org/10.1016/j.archger.2018.02.012">vocal health</a>.</p> <p>Before the pandemic erupted, we had started leading a program, <a href="http://www.riseshinesing.ca/">Rise, Shine, Sing!</a>, that created opportunities for local citizens typically excluded from the creation of music theatre due to age, ability and access. The program was mostly attended by older adults, some with Parkinson’s Disease or other chronic conditions.</p> <figure><iframe src="https://www.youtube.com/embed/59MTQnoi2hU?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">A trailer for the ‘Rise, Shine, Sing!’ program.</span></figcaption></figure> <p>We held three weekly face-to-face sessions from the end of February 2020, until mid-March, and then moved the program online (via Zoom) for 12 sessions from April until June 2020. The program continues to be offered, with many participants indicating a preference to continue virtually.</p> <p>Somewhat to our surprise, when the program moved online, the fact that participants could only hear the facilitator and themselves singing was not a deterrent to participating. Participants enjoyed singing, dancing and creating characters using costumes and props based on cues and feedback from facilitators.</p> <h2>Paradigm shift for music theatre</h2> <p>Virtual music theatre presents a serious paradigm shift for the genre. Most of the time when people think of music theatre, they think of live bodies moving in perfect synchrony <a href="https://www.americantheatre.org/2022/02/04/what-can-be-said-with-and-about-broadway-dance/">to choreographed movement</a>, and voices singing in perfect harmony while performers are physically present together.</p> <p>Researchers have examined how group singing and movement fosters togetherness, <a href="https://doi.org/10.1057/s41599-020-00549-0">community</a> and <a href="https://doi.org/10.3389/fpsyg.2014.01096">social bonding</a>.</p> <p>Music theatre has made strides to become more inclusive over the course of the 21st century. <a href="https://www.deafwest.org/">Los-Angeles based Deaf West Theatre</a>, for example, creates works of music theatre that can be experienced and performed by members of the Deaf and hearing communities.</p> <figure><iframe src="https://www.youtube.com/embed/k08lV8GO43w?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">ASL version of ‘We Don’t Talk About Bruno,’ from Disney’s ‘Encanto’ with Deaf West.</span></figcaption></figure> <p>A multitude of new works, stagings and casting practices are highlighting and supporting the experiences of marginalized groups, by <a href="https://www.blackoperaalliance.org/">diversifying</a> and <a href="https://doi.org/10.3390/arts9020069">queering</a> the field, for example.</p> <p>Such works offer resistance and new stories to an industry that has traditionally been ableist, white and ageist.</p> <p>But despite a healthy <a href="https://global.oup.com/academic/product/beyond-broadway-9780190639525?cc=ca&amp;lang=en&amp;">community music theatre scene</a> in North America, most opportunities still leave out many people due to issues related to social anxiety, experience, mobility, family life and/or finances.</p> <h2>Music theatre meets universal design</h2> <p>We drew on the intersection of <a href="https://muse.jhu.edu/article/629960/pdf">music theatre performance</a> and <a href="https://www.cast.org/impact/universal-design-for-learning-udl">universal design for learning</a> to develop a model where success could look different from person to person.</p> <p>In terms of the movement, participants could synchronize with the facilitator and/or other members of the group. They were equally welcome and encouraged to customize or adapt their movements to suit their own needs and interests.</p> <p>We embraced dancing from both a seated and standing position, to explore different levels and to accommodate different mobility capabilities. Participants controlled how much they shared by deciding how visible they wanted to be on camera.</p> <h2>Classics and newer numbers</h2> <p>We drew on musical classics or standards from <a href="https://www.britannica.com/topic/Singin-in-the-Rain-film-1952"><em>Singin’ in the Rain</em></a>, the <em>Sound of Music</em>, <a href="https://www.thestar.com/entertainment/stage/2022/08/23/joseph-and-the-amazing-technicolor-dreamcoat-coming-to-toronto-as-a-test-run-for-possible-broadway-revival.html"><em>Joseph and The Amazing Technicolour Dreamcoat</em></a> — as well as newer numbers from <em>Wicked</em> and other popular songs.</p> <figure class="align-left zoomable"><figcaption></figcaption></figure> <p>We also <a href="http://www.riseshinesing.ca/glow.html">co-created our own songs</a> by combining our shared memories or inspirations through image, lyrics and movements to explore themes of joy and resilience in difficult times.</p> <p>While the program was led virtually, before sessions, leaders dropped off or mailed prop boxes to all participants. These were filled with costumes including small scarves and ribbons that could be used for choreography.</p> <h2>Promise of virtual musical theatre</h2> <p>Virtual music theatre has shown incredible promise, even in the short time we have been exploring it. Digital connections reframe being together at the same time and in the same space. This adds new unexpected dimensions to <a href="https://doi.org/10.1111/j.1749-6632.2012.06530.x">making music in a group</a>.</p> <p>First, goals and expectations of uniformity are replaced with goals of individual empowerment and creative exploration.</p> <p>Second, participants remain committed to the community and group endeavour, but are also free to tailor and adapt the ways they engage with the material and with one another. If group members invite friends or family in other cities to participate virtually, as some in our group did, the virtual community also expands in meaningful ways.</p> <p>Finally, participants can also adjust their personal comfort by sharing as much or little of themselves with the group without feeling like they are letting the group down.</p> <h2>Our hybrid future</h2> <p>The pandemic catalyzed the need for virtual interaction. While we know that <a href="https://doi.org/10.1093/occmed/kqab041">Zoom fatigue</a> is pervasive, virtual opportunities for music theatre participation and creation offer a new paradigm of artistic experience.</p> <p>These opportunities also offer striking promise for bringing performers some of the <a href="https://doi.org/10.3389/fpsyg.2019.00778">same benefits</a> as in-person music theatre experiences.</p> <p>In some cases, they also facilitate new access to music in community, and allow participants to engage with the art form and one another in ways that support personal agency and independence, while also maintaining social connection and interactivity. <a href="https://www.lyrics.com/lyric/6358131/George+Gershwin/I+Got+Rhythm">Who could ask for anything more</a>?<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/188690/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/julia-brook-1064153">Julia Brook</a>, Director and Associate Professor, DAN School of Drama and Music, <em><a href="https://theconversation.com/institutions/queens-university-ontario-1154">Queen's University, Ontario</a></em> and <a href="https://theconversation.com/profiles/colleen-renihan-1044307">Colleen Renihan</a>, Associate Professor and Queen's National Scholar in Music Theatre and Opera, <em><a href="https://theconversation.com/institutions/queens-university-ontario-1154">Queen's University, Ontario</a></em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/puttin-on-the-ritz-and-improving-well-being-with-older-adults-through-virtual-music-theatre-188690">original article</a>.</p>

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Social media good for older people’s health

<p>Older people should use Facebook and other social media to help prevent their health declining, a study has found.</p> <p>Researchers at the University of Exeter in England carried out the research among 65 to 95-year-olds and found that people who spent time online did not feel as lonely as others their age, which helps stop declining physical and mental health.</p> <p>The study followed seniors from 31 residential care homes across the United Kingdom. Researchers noted those trained to use technology felt more self-competent, were more sociable and demonstrated improved cognitive abilities.</p> <p>The project's leader, Dr Thomas Morton, said the findings highlighted how loneliness among older people can contribute to their poor health.</p> <p>“Human beings are social animals, and it’s no surprise that we tend to do better when we have the capacity to connect with others.</p> <p>“But what can be surprising is just how important social connections are to cognitive and physical health.</p> <p>“People who are socially isolated or who experience loneliness are more vulnerable to disease and decline.”</p> <p>Margaret Keohone, a participant of the study, said learning to navigate the internet “changed her life”.</p> <p>“Having this training changes people's lives and opens up their worlds, invigorates their minds and for lots of us gives us a completely different way of recognising our worth as we age,” said Margaret Keohone. </p> <p>“I was just slipping away into a slower way of life.”</p> <p><em>Image credits: Getty Images</em></p>

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Playing music as a child leads to sharper mind as we get older

<p dir="ltr">A new study claims to have found an unusual link between having a musical childhood and sharper thinking as we get older. </p> <p dir="ltr">According to a research paper from the University of Edinburgh, people with more experience of playing a musical instrument as a child showed greater lifetime improvement on a test of cognitive ability than those with less or no experience.</p> <p dir="ltr">Researchers found that this was the case even when accounting for their socio-economic status, years of education, childhood cognitive ability, and their health in senior years.</p> <p dir="ltr">Despite the results of the study, professor emeritus Ian Deary, formerly director of the Centre for Cognitive Ageing and Cognitive Epidemiology at the university, said, “We have to emphasise that the association we found between instrument-playing and lifetime cognitive improvement was small, and that we cannot prove that the former caused the latter.”</p> <p dir="ltr">“However, as we and others search for the many small effects that might contribute toward some people’s brains ageing more healthily than others, these results are worth following up.”</p> <p dir="ltr">Out of the study’s 366 participants, 117 reported a level of experience with playing an instrument between childhood and adolescence. </p> <p dir="ltr">The most commonly played instrument was the piano, with other participants having experience with the accordion, guitar, violin and even bagpipes. </p> <p dir="ltr">The participants were tested on a series of mental and physical functions, as well as retaking the standardised cognitive ability test each took as an 11-year-old as part of the Scottish Mental Survey of 1947. </p> <p dir="ltr">The university said the findings provided fresh evidence that playing an instrument is associated with small but detectable cognitive benefits over a lifetime.</p> <p dir="ltr">Judith Okely, now a lecturer in psychology at Napier University, said, “These results add to the evidence that activities that are mentally challenging, such as learning to play a musical instrument, might be associated with better thinking skills.”</p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

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