Positive relationships boost self-esteem and vice versa

                                                       

                                          

                              Robust reciprocal link found across life span

Date:
September 26, 2019
Source:
American Psychological Association
Summary:
Does having close friends boost your self-esteem, or does having high self-esteem influence the quality of your friendships? Both, according to a meta-analysis of more than two decades of research.

Does having close friends boost your self-esteem, or does having high self-esteem influence the quality of your friendships?

Both, according to a meta-analysis of more than two decades of research, published by the American Psychological Association.

"For the first time, we have a systematic answer to a key question in the field of self-esteem research: Whether and to what extent a person's social relationships influence his or her self-esteem development, and vice versa, and at what ages," said study author Michelle A. Harris, PhD, of The University of Texas at Austin. "The answer to what age groups is across the life span."

The research was published in the Journal of Personality and Social Psychology.

Harris and her co-author, Ulrich Orth, PhD, of the University of Bern, analyzed 52 studies involving more than 47,000 participants (54% female) looking at either the effect of self-esteem on social relationships over time or the reverse effect. The studies, all published between 1992 and 2016, included multiple countries (e.g., 30 samples from the United States, four from Switzerland, three from Germany, two each from Australia, Belgium, Canada, Finland, Greece, Russia and Sweden). Participants were 60% white, 2% Hispanic/Latino, 12% other predominantly another ethnicity and 19% mixed ethnicities. Samples ranged from early childhood to late adulthood.

The authors found that positive social relationships, social support and social acceptance help shape the development of self-esteem in people over time across ages 4 to 76. The authors also found a significant effect in the reverse direction. While earlier research had yielded inconsistent findings, the meta-analysis supports the classic and contemporary theories of the influence of self-esteem on social connections and the influence of social connections on self-esteem, according to Harris. The findings were the same after accounting for gender and ethnicity.

"The reciprocal link between self-esteem and social relationships implies that the effects of a positive feedback loop accumulate over time and could be substantial as people go through life," according to Harris.

The authors discuss the idea that positive relationships with parents may cultivate self-esteem in children, which leads to more positive relationships with peers in adolescence, which may further strengthen the self-esteem of emerging adults, and so on into late adulthood. However, the field is still in need of an integrated theory that can explain whether relationships have such a cumulative effect across life, or whether certain relationships become particularly important at certain ages.

When self-esteem or quality of social relationships is low, Harris noted, it can negatively affect the other factor, and set off a downward spiral, making clinical interventions especially important to offset this potentially adverse development.

"The fact that the effect did not differ significantly among studies with different sample characteristics strengthens confidence in the robustness of our findings," said Harris.

"We found a limited number of longitudinal studies on self-esteem and specific relationships in adulthood as well as studies using measures other than self-report, so our findings only begin to speak to these groups, and we look forward to future work oriented towards filling these gaps."


Story Source:

Materials provided by American Psychological Association. Note: Content may be edited for style and length.

Journal Reference:

Michelle A. Harris and Ulrich Orth. The Link Between Self-Esteem and Social Relationships: A Meta-Analysis of Longitudinal Studies. Journal of Personality and Social Psychology, 2019 DOI: 10.1037/pspp0000265

Cite This Page:

MLA
APA
Chicago
American Psychological Association. "Positive relationships boost self-esteem, and vice versa: Robust reciprocal link found across life span." ScienceDaily. ScienceDaily, 26 September 2019. <www.sciencedaily.com/releases/2019/09/190926092416.htm>.

Tips for Holiday Depression for Elderly, Family and Caretakers

                                                                       

Approximately 6 million people over 65 are depressed. But unfortunately, few seek treatment. Chronic health issues, feelings of loneliness, and loss of loved ones can exacerbate feelings of depression and make the holidays a very difficult time for some seniors.

Following is a resource guide for the elderly, their caregivers and their family members with tips and advice on how to beat holiday depression.

FOR CAREGIVERS

Look for signs of depression. As this article from the Geriatric Mental Health Foundation explains, the holidays can be a difficult time for older adults who may be dealing with the loss of loved ones and past traditions. The article points out that while feeling blue can be normal, depression isn’t. The article notes that it is important for caretakers to be on the look out for signs of depression, such as persistent sadness, frequent tearfulness, weight changes, changes in sleep patterns, etc.

Plan holiday outings and events. As this article notes, one way caregivers can help older adults avoid holiday depression is to plan fun holiday activities. For example, the article suggests going caroling, including them in decorating, making holiday crafts, taking them holiday shopping, etc.

Listen. As this article on geriatric depression notes, one of the best things you can do is take time to truly listen to the older adults under your care. It recommends taking 15 minutes each day to spend just listening to them. It is important for them to be able to talk about their feelings and to know that they’re being heard.

Encourage them to talk about old memories. As this article from GTN News notes, an elderly person who has undergone changes either as result of the death of a spouse or moving to a care facility may need help connecting meaning to the holidays. The article suggests that a great way to help them do so is to encourage them to talk about their memories of past holidays. Sit with the person and look through photo albums or watch family videos, if available to you. And then, as mentioned above, listen carefully to the stories they tell.

Plan quiet time. The Caregiver Alliance at Central Boston Elder Services provides this “Caregivers Guide for Managing the Holidays.” It provides many great tips for caregivers on how to help themselves during the holidays and how to help those they care for. One great tip is to be sure to plan quiet time. The holidays are full of hustle and bustle and this can be disruptive to an elderly person. Plan some quiet time between the holiday parties and family visits so that they can recharge their batteries.

Use the Geriatric Depression Scale. As this article from the National Care Planning Council explains, the Geriatric Depression Scale was developed to provide a simple way to screen elderly people for depression. It asks “Yes/No” questions and its scores can be used to decide whether an elderly person may need additional care for their depression.

Take them for a drive to see Christmas lights. This article from TheCitizen.com provides tips on how to help the elderly with depression during the holidays. One tip suggests taking seniors for a drive to see Christmas lights. It’s a great way to get them out of the house for a bit and is the perfect outing for those with mobility issues.

Don’t forget to take care of yourself. The holidays can be hard on caregivers, too. This article provides tips on how to prevent the “caregiving blues” during the holidays. It suggests asking others to help lighten your load, meditating, avoiding striving for perfection, and many other great tips to boost your own mental health this holiday season.

FOR FAMILY MEMBERS

Before Checklist

Consider recent changes that could cause depression. As this article notes, certain life changes can trigger depression in older adults. It provides advice on how to help a parent deal with depression that follows the diagnoses of the following illnesses/health problems:

Depression and diabetes
Depression and Parkinson’s disease
Depression and stroke
Depression and Alzheimer’s disease
Depression and chemotherapy
Depression and a broken hip
Depression after a heart attack
Depression and pneumonia or the flu
Depression and vision loss
Depression and radiation therapy
Depression and breathing problems
Find ways to include elderly family members in your holiday prep. This article provides many great tips on how to help elderly family members who may feel depressed during the holidays. One tip emphasizes the importance of helping them keep busy and active. A great way to do that is to include them in your own holiday prep and planning.

During Checklist
Assess how they’re doing overall. This article from AARP suggests you can make the most of the holidays by using the time with your elderly loved one to assess how they’re faring. It recommends considering areas such as mobility, health, and finances. These are all problem spots that can contribute to depression when difficulties arise.

Help with specific tasks. As this article from the Crestview News Bulletin notes, holiday traditions are important and simply helping an elderly relative carry on those traditions can mean a lot to them. The article provides tips on how to do so. For example, you might help an elderly loved one with their favorite holiday recipe, help them decorate and/or wrap presents, help them send holiday cards to their other loved ones, and so on.

Don’t ask them to “snap out of it.” This article on caring for someone with depression provides a great reminder: If an elderly loved one seems depressed during the holidays, it isn’t productive or helpful to ask them to “snap out of it” or “get their act together.” Instead, encourage them to talk about what they’re feeling.

If you can’t visit, call. As this article notes, you may live away from your elderly relative and aren’t able to be with them during the holidays. If so, be sure to call them frequently and encourage other family members and friends to call them. Also, the article suggests encouraging your elderly relative to take part in holiday activities and events. Staying busy can be a great way to beat the holiday blues.

After Checklist

Watch for ongoing signs of depression. As this article notes, what at first may seem like the “holiday blues” could turn into depression if not treated. If signs of depression continue in an elderly relative after the holidays are over, help them seek treatment.

Keep up communication. As this article notes, the fun and excitement that come with the holidays may actually help to buoy your loved one’s spirits. Sometimes the trouble can come after the holidays when elderly loved ones may experience loneliness or post-holiday sadness. The article recommends visiting elderly loved ones frequently after the holidays. If you don’t live close by, call or send cards. Just let them know you’re thinking about them.

Follow up. This article from the National Alliance on Mental Illness provides tips on helping a depressed family member during the holidays. As it notes, if you’ve spoken to an elderly loved one about seeking care for their depression, be sure to follow up with them after the holidays. Don’t let the matter drop. Check in with them to see if they’ve sought help and ask if they need help.

For the Elderly

Know how to beat the holiday blues. As this article notes the American Geriatrics Society's Health in Aging Foundation recognizes that the holidays can be a difficult time of year for older adults. It points readers to the Foundation’s “Tips for Beating the Holiday Blues,” which provide great advice for the elderly, such as “get out and about,” “drink responsibly,” “talk to someone,” and more.

Remember loved ones but make new traditions. This article from WebMD provides great advice on how to protect ones mental health during the holidays. Some of the tips are especially good for older adults to keep in mind. For example, if you’ve lost loved ones and/or won’t be able to enjoy the usual holiday traditions, the article recommends starting a new tradition, something everyone can enjoy. It also recommends finding ways at the holidays to commemorate those you’ve lost.

Be aware of holiday depression triggers. This article from Health.com provides 11 great tips on how to stay positive and truly happy during the holidays. Here they are:

Plan ahead.
Avoid family conflict.
Forget perfection.
Learn to grieve.
Schedule some sleep.
Get help.
Prioritize workouts.
Consider your light exposure.
Focus on what matters.
Don’t binge on food and alcohol.
Cut back on commitments.
Don’t wait for the feelings to pass. This article from the Providence Journal provides tips on how to handle holiday depression. One of the tips stresses the importance of getting help if you’re feeling depressed. Discuss how you’re feeling with your doctor. As the article reminds, depression is an illness and going untreated will only make things worse.

Eat healthy. As this article notes, the holidays bring with them lots of unhealthy holiday treats and beverages. Be careful not to overdo it. Understand, as the article says, that “good physical health contributes to good mental health.”

Don’t feel guilty if you can’t afford certain gifts. As this article notes, you may be living on a fixed income, which means you may not be able to afford expensive gifts for family members. Don’t let this get you down. Make a budget for gifts and stick to it. Being responsible with your money will help prevent money worries later on.Let go of past resentments. If you’re holding on to old grudges with family members or other close ones, this article from Psychology Today, recommends letting them go. It suggests that holding on to these resentments can contribute to the holiday blues. Let those negative feelings go and enjoy the holidays.

Don’t give in to loneliness. As this information from the Mayo Clinic notes, the holidays can be stressful and stress can lead to or worsen depression. If part of your holiday stress comes from feeling lonely, the article recommends that you reach out to family members or other loved ones. Participate in holiday activities or, if you’re able, volunteer with a nonprofit and give back to others in your community.

Click on link for more information

American Medical Resource Institute

American Medical Resource Institute

Lonely cardiac patients at increased risk of death within year of hospital discharge

                                                                 

                 Science Daily -- Date:November 4, 2019 Source:BMJCardiac patients who feel lonely are at heightened risk of dying within a year of being discharged from hospital, reveals research published online in the journal Heart.

Loneliness should be prioritised in public health initiatives and regarded as a legitimate health risk in people who have a serious illness, conclude the researchers.

Previous research suggests that loneliness and poor social support are associated with a heightened risk of developing, and dying from, coronary artery disease.

But it's not clear if other types of heart disease might also be influenced by feelings of loneliness, and if living alone might be as influential as feeling lonely.

To explore this further, the researchers looked at the 1-year health outcomes of patients admitted to a specialist heart centre with either ischaemic (coronary) heart disease, abnormal heart rhythm, heart failure or valve disease, over the course of a year in 2013-14.

Most of them (70%) were men, and their average age was 66.

On discharge from the centre, 13,443 (53% of the total) completed validated questionnaires on their physical health, psychological wellbeing, and quality of life (Short Form 12; HeartQoL) and their levels of anxiety and depression (HADS).

They were also quizzed about health behaviours, including smoking, drinking, and how often they took their prescribed medicines. National data were used to find out if they lived alone or with other people.

Those who said they felt lonely were nearly three times as likely to be anxious and depressed and to report a significantly lower quality of life as those who said they didn't feel lonely.

One year later, the researchers checked national registry data to see what had happened to the patients' cardiac health, as well as how many of them had died.

They found that irrespective of the diagnosis, loneliness was associated with significantly poorer physical health after a year.

After taking account of potentially influential factors, including health behaviours, lonely women were nearly three times as likely to have died from any cause after a year as women who didn't feel lonely. Similarly, lonely men were more than twice as likely to have died from any cause.

The significant differences in risk between those who felt lonely and those who didn't, suggest that health related behaviours and underlying conditions can't fully explain the associations found, say the researchers.

Although living alone wasn't associated with feeling lonely, it was associated with a lower risk of anxiety/depression than in those who lived with other people.

And it was associated with a higher (39%) risk of poor cardiac health among men. Previous studies indicate that women have larger social networks than men, so separation, divorce, or the death of a partner may disadvantage men more, suggest the researchers, by way of an explanation for this particular finding.

This is an observational study, and as such, can't establish cause. Reverse causality may also be at play, as it's not clear whether the illness or the feelings of loneliness came first.

"However, the findings are in line with previous research, suggesting that loneliness is associated with changes in cardiovascular, neuroendocrine and immune function as well as unhealthy lifestyle choices which impact negative health outcomes," write the researchers.

There are indications that the burden of loneliness and social isolation is growing," they add.

"Furthermore, increasing evidence points to their influence on poor health outcomes being equivalent to the risk associated with severe obesity. Public health initiatives should therefore aim at reducing loneliness," they conclude.
 

Story Source:

Materials provided by BMJ. Note: Content may be edited for style and length.

Journal Reference:

Anne Vinggaard Christensen, Knud Juel, Ola Ekholm, Lars Thrysøe, Charlotte Brun Thorup, Britt Borregaard, Rikke Elmose Mols, Trine Bernholdt Rasmussen, Selina Kikkenborg Berg. Significantly increased risk of all-cause mortality among cardiac patients feeling lonely. Heart, 2019; heartjnl-2019-315460 DOI: 10.1136/heartjnl-2019-315460

Own a Dog? You Just May Live Longer!

                                                               
                         
                                                                   

So, this is me with my doggie, Missy! She keeps me moving! She makes me smile, even laugh when

I don't feel like it! She is there when I am sad, mad, sick or injured. Giving unconditional love! Teaching me every day how to be better, to be more like her!

Dog ownership associated with longer life, especially among heart attack and stroke survivors

Date:

October 8, 2019

Source:

American Heart Association

Summary:

Dog ownership was associated with a 33% lower risk of early death for heart attack survivors living alone and 27% reduced risk of early death for stroke survivors living alone, compared to people who did not own a dog. Dog ownership was associated with a 24% reduced risk of all-cause mortality and a 31% lower risk of death by heart attack or stroke compared to non-owners.

Portuguese water dog. Owning a dog may be associated with having a longer life.

Credit: Copyright Michele Hogan

Dog ownership may be associated with longer life and better cardiovascular outcomes, especially for heart attack and stroke survivors who live alone, according to a new study and a separate meta-analysis published in Circulation: Cardiovascular Quality and Outcomes, a journal of the American Heart Association.

"The findings in these two well-done studies and analyses build upon prior studies and the conclusions of the 2013 AHA Scientific Statement 'Pet Ownership and Cardiovascular Risk' that dog ownership is associated with reductions in factors that contribute to cardiac risk and to cardiovascular events," said Glenn N. Levine, M.D., chair of the writing group of the American Heart Association's scientific statement on pet ownership. "Further, these two studies provide good, quality data indicating dog ownership is associated with reduced cardiac and all-cause mortality. While these non-randomized studies cannot 'prove' that adopting or owning a dog directly leads to reduced mortality, these robust findings are certainly at least suggestive of this."

Given previous research demonstrating how social isolation and lack of physical activity can negatively impact patients, researchers in both the study and meta-analysis sought to determine how dog ownership affected health outcomes. Prior studies have shown that dog ownership alleviates social isolation, improves physical activity and even lowers blood pressure -- leading researchers to believe dog owners could potentially have better cardiovascular outcomes compared to non-owners.

Dog ownership and survival after a major cardiovascular event

Researchers in this study compared the health outcomes of dog owners and non-owners after a heart attack or stroke using health data provided by the Swedish National Patient Register. Patients studied were Swedish residents ages 40-85 who experienced heart attack or ischemic stroke from 2001-2012.

Compared to people who did not own a dog, researchers found that for dog owners:

The risk of death for heart attack patients living alone after hospitalization was 33% lower, and 15% lower for those living with a partner or child.

The risk of death for stroke patients living alone after hospitalization was 27% lower and 12% lower for those living with a partner or child.

In the study, nearly 182,000 people were recorded to have had a heart attack, with almost 6% being dog owners, and nearly 155,000 people were recorded to have had an ischemic stroke, with almost 5% being dog owners. Dog ownership was confirmed by data from the Swedish Board of Agriculture (registration of dog ownership has been mandatory since 2001) and the Swedish Kennel Club (all pedigree dogs have been registered since 1889).

The lower risk of death associated with dog ownership could be explained by an increase in physical activity and the decreased depression and loneliness, both of which have been connected to dog ownership in previous studies.

"We know that social isolation is a strong risk factor for worse health outcomes and premature death. Previous studies have indicated that dog owners experience less social isolation and have more interaction with other people," said Tove Fall, D. V. M., professor at Uppsala University in Sweden. "Furthermore, keeping a dog is a good motivation for physical activity, which is an important factor in rehabilitation and mental health."

While this study draws from a large sample, potential misclassifications of dog ownership in couples living together, death of a dog and change of ownership could have affected the outcomes of the study.

"The results of this study suggest positive effects of dog ownership for patients who have experienced a heart attack or stroke. However, more research is needed to confirm a causal relationship and giving recommendations about prescribing dogs for prevention. Moreover, from an animal welfare perspective, dogs should only be acquired by people who feel they have the capacity and knowledge to give the pet a good life."

Co-authors of the study are Mwenya Mubanga, M.D., M.P.H.; Liisa Byberg, Ph.D.; Agneta Egenvall, V.M.D., Ph.D.; Erik Ingelsson, MD, Ph.D. and Tove Fall, V.M.D., Ph.D. Agria Research Foundation and the Swedish Research Council for Environment, Agricultural Sciences and Spatial Planning (FORMAS), grant number 2013-1673 funded the study.

Dog Ownership and Survival: A Systematic Review and Meta-Analysis

Researchers reviewed patient data of over 3.8 million people taken from 10 separate studies for a composite meta-analysis study. Of the 10 studies reviewed, nine included comparison of all-cause mortality outcomes for dog owners and non-owners, and four compared cardiovascular outcomes for dog owners and non-owners.

Researchers found that compared to non-owners, dog owners experienced a:

24% reduced risk of all-cause mortality;

65% reduced risk of mortality after heart attack; and

31% reduced risk of mortality due to cardiovascular-related issues.

"Having a dog was associated with increased physical exercise, lower blood pressure levels and better cholesterol profile in previous reports," said Caroline Kramer, M.D. Ph.D., Assistant Professor of Medicine at the University of Toronto and an Endocrinologist and Clinician scientist at Leadership Sinai Centre for Diabetes at Mount Sinai Hospital, part of Sinai Health System. "As such, the findings that people who owned dogs lived longer and their risk for cardiovascular death was also lower are somewhat expected."

Studies deemed eligible for analysis included those conducted among adults age 18 or older, original data from an original prospective study, evaluated dog ownership at the beginning of the study and reported all-cause or cardiovascular mortality of patients. Studies were excluded if they were retrospective, did not provide an absolute number of events that occurred and reported non-fatal cardiovascular events.

"Our findings suggest that having a dog is associated with longer life. Our analyses did not account for confounders such as better fitness or an overall healthier lifestyle that could be associated with dog ownership. The results, however, were very positive," said Dr. Kramer. "The next step on this topic would be an interventional study to evaluate cardiovascular outcomes after adopting a dog and the social and psychological benefits of dog ownership. As a dog owner myself, I can say that adopting Romeo (the author's miniature Schnauzer) has increased my steps and physical activity each day, and he has filled my daily routine with joy and unconditional love."

Story Source:

Materials provided by American Heart Association. Note: Content may be edited for style and length.

Journal Reference:

Mwenya Mubanga, Liisa Byberg, Agneta Egenvall, Erik Ingelsson, Tove Fall. Dog Ownership and Survival After a Major Cardiovascular Event. Circulation: Cardiovascular Quality and Outcomes, 2019; 12 (10) DOI: 10.1161/CIRCOUTCOMES.118.005342

Cite This Page:

MLA

APA

Chicago

American Heart Association. "Dog ownership associated with longer life, especially among heart attack and stroke survivors." ScienceDaily. ScienceDaily, 8 October 2019. <www.sciencedaily.com/releases/2019/10/191008083121.htm>.

Senior Moments: How big of a problem is social isolation among older adults?

             
                                                                                     

Senior Moments from H.O.M.E.

How big of a problem is social isolation among older adults?

Bigger than you might think. One just has to look at some of the news articles to know that social isolation is a trend that is only getting worse.

I had the pleasure of presenting Rush Generations members last month, where both Dr. Alexander Sasha Rackman and I both addressed social isolation from our individual perspectives: Dr. Rackman being a geriatrician and myself being a gerontologist and social worker.

Let me first start by saying that social isolation is not just a problem experienced by older adults. It can occur among younger and older people alike.

So, I hope that the take-aways you get from this post will help you initiate a dialogue with friends or family or a primary care physician that helps get someone on the path of either reducing or even preventing social isolation from happening.

I have found that people who are socially isolated often do not even recognize it is happening to them, before it is too late.

Dr. Rackman made a very important distinction between isolation and loneliness.

He described loneliness as subjective in that it is how people perceive their situation and whether they feel isolated.

Hence, one might feel lonely but not be isolated.

Someone who is isolated lacks meaningful and unfulfilling relationships in their lives, has a minimal number of social contacts, and doesn’t feel like they belong.

Some of the risk factors for social isolation include:

a decrease in mobility that limits engagement in social activities
less exposure to opportunities for building relationships
fear of falling or unmanaged incontinence that causes one not to leave their home
limited family or friends, family or friends who live at a distance, being unmarried, and living alone

These risk factors may come as no surprise, but what is surprising is that social isolation is on the rise. Yet, these risk factors have the potential to be addressed if only people were aware of the issue and addressing the issue.

The challenge is that social isolation can go unnoticed if no one is paying attention.

Reports vary with the number of older adults who are social isolated. Some numbers have been as high as forty-three percent (Nicholson, Molony, Fennie, Shellman, & McCorkle, 2010; Smith & Hirdes, 2009).

The Administration on Aging reports that about twenty-nine percent of older adults live alone. Well, since we know that living alone is a risk factor, we, as a society should be thinking of ways to engage and connect these individuals.

If the previous numbers don’t “jump start” you to begin paying attention to yourself and those around you, perhaps the following findings will:

Social isolation is twice as likely to cause premature death in older adults. The mortality rate of socially isolated older adults is comparable to that of smokers.
Social isolation is both bad for one’s health and is costly. AARP and Stanford University found that that the lack of social contacts among people with Medicare cost an estimated $6.7 billion in additional Medicare spending. 
Forty percent of adults admit to being lonely. Reducing isolation could possibly reduce loneliness and vice versa.

intergenerational_theresnoplacelikehomeHere are a few resources to help an older adult stay connected:

CJE SeniorLife’s Virtual Senior Center

H.O.M.E.’s Good Life Senior Residences

Mather Lifeways Telephone Topics

Little Brother’s Friends of the Elderly

H.O.M.E.'s Intergenerational Housing Program is designed to offer engagement that reduces isolation and increases quality of life. As a result, our residents often report that their health improves after they move into our buildings. Residents are also offered opportunities to attend community outings including movies, museums, and shopping. In many instances, our residents refer to residential managers, coordinators, and neighbors as the “H.O.M.E. family,” an extension of their own family and support system.

Posted by Tricia Mullin on Sep 3, 2018 3:06:00 PM

About H.O.M.E.

Founded in 1982, has helped thousands of low-income seniors in Chicago maintain their independence by providing a home repair service, shopping bus, moving program, and three affordable apartment buildings where seniors can live comfortably in an intergenerational environment.

Best-selling album of all time says about baby boomers’ spending power

                                  What the best-selling album of all time says about baby boomers’
                                   spending power     

Sept 2, 2018 10:06 a.m. ET

 
They’re not the ‘Take It Easy’ generation


Michael Jackson fans worldwide are celebrating what would have been his 60th birthday this week, a testament to his enduring reign as the king of pop.

But that title took a hit this month.

Classic rockers The Eagles dethroned Jackson’s 1982 masterwork “Thriller” as the top-selling album of all time when the band’s “Their Greatest Hits 1971-1975” surpassed 38 million copies sold.

Regardless of what it says about their relative musical talents, the milestone is evidence of the awesome spending power of the generation that’s just a few years older than Jackson’s Generation X fan base: baby boomers.

‘You can check out any time you like, but you can never leave’
Representatives for the band and its music label didn’t have an exact demographic profile of Eagles fans available, but the band formed in 1971, and it’s safe to assume that the bulk of the band’s fans are baby boomers, the group born between 1946 to 1964 and now in their mid-50s to early 70s.

Research has shown that musical taste freezes in your early 30s. That’s how old millions of boomers were when the Eagles were churning out chart-toppers like “Hotel California,” which included the immortal lines “You can check out any time you like, but you can never leave.”

Most people (69%) who like similar artists of that era — including Eric Clapton, The Grateful Dead, Fleetwood Mac, and Paul McCartney — are 45 and older, said Russ Crupnick, managing partner of the research firm MusicWatch. And those fans have had ample opportunity to buy the record-setting Eagles’ greatest hits album again and again.

“The millennials may represent the future of marketing, but the future isn’t here yet,” Hubbell said. Millennials are still five to 15 years away or so away from their peak earning years. Hubbell has seen some long-established companies panic when they realize their core customers are now in their 70s and awkwardly try to pivot to selling to millennials. “That’s a wrong move,” Hubbell said. “They should be going after the people who actually have money.”

Read complete article

University Study Public Release - 'Good cholesterol' may not always be good"

                                                       

                                                     PUBLIC RELEASE: 19-JUL-2018
                                               'Good cholesterol' may not always be good
                     UNIVERSITY OF PITTSBURGH SCHOOLS OF THE HEALTH SCIENCES


PITTSBURGH, July 19, 2018 - Postmenopausal factors may have an impact on the heart-protective qualities of high-density lipoproteins (HDL) - also known as 'good cholesterol' - according to a study led by researchers in the University of Pittsburgh Graduate School of Public Health.

The findings, published today in Arteriosclerosis, Thrombosis, and Vascular Biology, a journal of the American Heart Association (AHA), indicate that this specific type of blood cholesterol may not translate into a lowered risk of cardiovascular disease in older women--bringing into question the current use of HDL cholesterol in a common equation designed to predict heart disease risk, particularly for women.

HDL is a family of particles found in the blood that vary in sizes and cholesterol contents. HDL has traditionally been measured as the total cholesterol carried by the HDL particles, known as HDL cholesterol. HDL cholesterol, however, does not necessarily reflect the overall concentration, the uneven distribution, or the content and function of HDL particles. Previous research has demonstrated the heart-protective features of HDL. This good cholesterol carries fats away from the heart, reducing the build-up of plaque and lowering the potential for cardiovascular disease.

"The results of our study are particularly interesting to both the public and clinicians because total HDL cholesterol is still used to predict cardiovascular disease risk," said lead author Samar R. El Khoudary, Ph.D., M.P.H., F.A.H.A., associate professor in Pitt Public Health's Department of Epidemiology. "This study confirms our previous work on a different group of women and suggests that clinicians need to take a closer look at the type of HDL in middle-aged and older women, because higher HDL cholesterol may not always be as protective in postmenopausal women as we once thought. High total HDL cholesterol in postmenopausal women could mask a significant heart disease risk that we still need to understand."

El Khoudary's team looked at 1,138 women aged 45 through 84 enrolled across the U.S. in the Multi-Ethnic Study of Atherosclerosis (MESA), a medical research study sponsored by the National Heart, Lung and Blood Institute of the National Institutes of Health (NIH). MESA began in 1999 and is still following participants today.
Continue Reading Article

Women Celebrities who Joined the 60's Club in 2018!

         



                                                           

                                                 Madonna (image Instagram/Backgrid

I turned 60 last year and I've wondered about women celebrities who will join the 

"60's Club" this year.

Madonna turns 60 August 16, 2018. 60, sounds so old, until you get there...

So, the photo on the left is a wonderful selfie Madonna took, in a bathroom. The photo on the right was taken late after a night out. Hey, that one on the right is a beautiful as the one on the left!

                                         

                                                                     bustle.com 

Age is only a number. That's something many Twitter users have quickly found out after learning Ellen DeGeneres is turned 60 on Jan. 26. It truly is mind-blowing to think that The Ellen DeGeneres Show (director: Liz Patrick) host could be 60. She has such a youthful spirit that her age is understandably sometimes forgotten by her fans (*raises hand*). Ever since she tweeted on Jan. 20 about her 60th birthday, Twitter users have been reacting quite hilariously. They cannot get it through their minds that DeGeneres is 60 years old.

On Saturday, she tweeted, "I can’t believe I’m going to be 60 this week! I love rating your babies but this week I want to rate the 60 year olds in your life. #EllenRateMy60YearOld."

For those unaware, she regularly has a segment on her daytime talk show called, "Ellen Rate My Baby". On Jan. 8, she even showed a special edition of "Ellen Rate My Baby: Staff Edition." Obviously, she is changing it up in honor of her birthday and wants to "rate the 60 year olds" people have in their lives.

Click on the link at the to Bustle to read the replies on Twitter

*BTW. I think Ellen looks Amazing!

********

                                                            

                                                                    Michelle Pfeiffer 

Michelle Pfeiffer joined the 60's Club April 29, 2018

As her kids grew up, Pfeiffer “took for granted how nice it was to not be under the spotlight,” she told the New York Times. “I remember thinking, ‘Do I really want to step back into [acting]?’ And I just realized that I’m not done. I have a lot more to do and a lot more to say. I’m never going to be one that retires.”

*Michelle is a genuine beauty. She is just as talented as far as I'm concerned!

                                                   

World Health Organization Mental health of older adults

                                                                   

                                                                 

WHO News

12 December 2017

Key facts

Globally, the population is ageing rapidly. Between 2015 and 2050, the proportion of the world’s population over 60 years will nearly double, from 12% to 22%.
Mental health and well-being are as important in older age as at any other time of life.
Mental and neurological disorders among older adults account for 6.6% of the total disability (DALYs) for this age group.
Approximately 15% of adults aged 60 and over suffer from a mental disorder.
Older adults, those aged 60 or above, make important contributions to society as family members, volunteers and as active participants in the workforce. While most have good mental health, many older adults are at risk of developing mental disorders, neurological disorders or substance use problems as well as other health conditions such as diabetes, hearing loss, and osteoarthritis. Furthermore, as people age, they are more likely to experience several conditions at the same time.
The problem
The world’s population is ageing rapidly. Between 2015 and 2050, the proportion of the world's older adults is estimated to almost double from about 12% to 22%. In absolute terms, this is an expected increase from 900 million to 2 billion people over the age of 60. Older people face special physical and mental health challenges which need to be recognized.

Over 20% of adults aged 60 and over suffer from a mental or neurological disorder (excluding headache disorders) and 6.6% of all disability (disability adjusted life years-DALYs) among people over 60 years is attributed to mental and neurological disorders. These disorders in older people account for 17.4% of Years Lived with Disability (YLDs). The most common mental and neurological disorders in this age group are dementia and depression, which affect approximately 5% and 7% of the world’s older population, respectively. Anxiety disorders affect 3.8% of the older population, substance use problems affect almost 1% and around a quarter of deaths from self-harm are among people aged 60 or above. Substance abuse problems among older people are often overlooked or misdiagnosed.

Mental health problems are under-identified by health-care professionals and older people themselves, and the stigma surrounding these conditions makes people reluctant to seek help.

Risk factors for mental health problems among older adults
There may be multiple risk factors for mental health problems at any point in life. Older people may experience life stressors common to all people, but also stressors that are more common in later life, like a significant ongoing loss in capacities and a decline in functional ability. For example, older adults may experience reduced mobility, chronic pain, frailty or other health problems, for which they require some form of long-term care. In addition, older people are more likely to experience events such as bereavement, or a drop in socioeconomic status with retirement. All of these stressors can result in isolation, loneliness or psychological distress in older people, for which they may require long-term care.

Mental health has an impact on physical health and vice versa. For example, older adults with physical health conditions such as heart disease have higher rates of depression than those who are healthy. Additionally, untreated depression in an older person with heart disease can negatively affect its outcome.

Older adults are also vulnerable to elder abuse - including physical, verbal, psychological, financial and sexual abuse; abandonment; neglect; and serious losses of dignity and respect. Current evidence suggests that 1 in 6 older people experience elder abuse. Elder abuse can lead not only to physical injuries, but also to serious, sometimes long-lasting psychological consequences, including depression and anxiety.

Dementia and depression among older people as public health issues
Dementia
Dementia is a syndrome, usually of a chronic or progressive nature, in which there is deterioration in memory, thinking, behaviour and the ability to perform everyday activities. It mainly affects older people, although it is not a normal part of ageing.

It is estimated that 50 million people worldwide are living with dementia with nearly 60% living in low- and middle-income countries. The total number of people with dementia is projected to increase to 82 million in 2030 and 152 million in 2050.

There are significant social and economic issues in terms of the direct costs of medical, social and informal care associated with dementia. Moreover, physical, emotional and economic pressures can cause great stress to families and carers. Support is needed from the health, social, financial and legal systems for both people with dementia and their carers.

Depression
Depression can cause great suffering and leads to impaired functioning in daily life. Unipolar depression occurs in 7% of the general older population and it accounts for 5.7% of YLDs among those over 60 years old. Depression is both underdiagnosed and undertreated in primary care settings. Symptoms are often overlooked and untreated because they co-occur with other problems encountered by older adults.

Older people with depressive symptoms have poorer functioning compared to those with chronic medical conditions such as lung disease, hypertension or diabetes. Depression also increases the perception of poor health, the utilization of health care services and costs.

Treatment and care strategies to address mental health needs of older people
It is important to prepare health providers and societies to meet the specific needs of older populations, including:

training for health professionals in providing care for older people;
preventing and managing age-associated chronic diseases including mental, neurological and substance use disorders;
designing sustainable policies on long-term and palliative care; and
developing age-friendly services and settings.
Health promotion
The mental health of older adults can be improved through promoting Active and Healthy Ageing. Mental health-specific health promotion for older adults involves creating living conditions and environments that support wellbeing and allow people to lead a healthy life. Promoting mental health depends largely on strategies to ensure that older people have the necessary resources to meet their needs, such as:

providing security and freedom;
adequate housing through supportive housing policy;
social support for older people and their caregivers;
health and social programmes targeted at vulnerable groups such as those who live alone and rural populations or who suffer from a chronic or relapsing mental or physical illness;
programmes to prevent and deal with elder abuse; and
community development programmes.
Interventions
Prompt recognition and treatment of mental, neurological and substance use disorders in older adults is essential. Both psychosocial interventions and medicines are recommended.

There is no medication currently available to cure dementia but much can be done to support and improve the lives of people with dementia and their caregivers and families, such as:

early diagnosis, in order to promote early and optimal management;
optimizing physical and mental health, functional ability and well-being;
identifying and treating accompanying physical illness;
detecting and managing challenging behaviour; and
providing information and long-term support to carers.
Mental health care in the community
Good general health and social care is important for promoting older people's health, preventing disease and managing chronic illnesses. Training all health providers in working with issues and disorders related to ageing is therefore important. Effective, community-level primary mental health care for older people is crucial. It is equally important to focus on the long-term care of older adults suffering from mental disorders, as well as to provide caregivers with education, training and support.

An appropriate and supportive legislative environment based on internationally accepted human rights standards is required to ensure the highest quality of services to people with mental illness and their caregivers.

WHO response
WHO supports governments in the goal of strengthening and promoting mental health in older adults and to integrate effective strategies into policies and plans. The Global strategy and action plan on ageing and health was adopted by the World Health Assembly in 2016. One of the objectives of this global strategy is to align the health systems to the needs of older populations, for mental as well as physical health. Key actions include: orienting health systems around intrinsic capacity and functional ability, developing and ensuring affordable access to quality older person-centred and integrated clinical care, and ensuring a sustainable and appropriately trained, deployed, and managed health workforce.

The Comprehensive Mental Health Action Plan for 2013-2020 is a commitment by all WHO Member States to take specific actions to promote mental well-being, prevent mental disorders, provide care, enhance recovery, promote human rights and reduce the mortality, morbidity and disability for persons with mental disorders including in older adults. It focuses on 4 key objectives to:

strengthen effective leadership and governance for mental health;
provide comprehensive, integrated and responsive mental health and social care services in community-based settings;
implement strategies for promotion and prevention in mental health; and
strengthen information systems, evidence and research for mental health.
Depression, psychoses, suicide, epilepsy, dementia and substance use disorders are included in the WHO Mental Health Gap Action Programme (mhGAP) that aims to improve care for mental, neurological and substance use disorders through providing guidance and tools to develop health services in resource-poor areas. The mhGAP package consists of interventions for prevention and management for each of these priority conditions in non-specialized health settings including in those for older people.

WHO recognizes dementia as a public health challenge and published the report, Dementia: a public health priority, to advocate for action at international and national levels. WHO organized the First Ministerial Conference on Global Action Against Dementia in March 2015, which fostered awareness of the public health and economic challenges posed by dementia, a better understanding of the roles and responsibilities of Member States and stakeholders, and led to a “Call for Action” supported by the conference participants.

In May 2017, the World Health Assembly endorsed the Global action plan on the public health response to dementia 2017-2025. The Plan provides a comprehensive blueprint for action – for policy-makers, international, regional and national partners, and WHO – in areas such as, increasing awareness of dementia and establishing dementia-friendly initiatives; reducing the risk of dementia; diagnosis, treatment and care; research and innovation; and support for dementia carers. It aims to improve the lives of people with dementia, their carers and families, while decreasing the impact of dementia on individuals, communities and countries. As part of the efforts to operationalize the Plan, an international surveillance platform, the Global Dementia Observatory, has been established for policy-makers and researchers to facilitate monitoring and sharing of information on dementia policies, service delivery, epidemiology and research.

Best Foods for Women 50 Plus!

                                                         

                                 The Best Foods to Eat For Women 50 Years Old and Beyond


                                       
MD Monthly  March 21, 2018  Senior, Women's

The Best Foods to Eat For Women 50 Years Old and Beyond

By: Josh Elizetxe
Women’s bodies undergo different changes as time passes by. Apparently, these changes have huge impacts on health and wellness. At the age of 30, every woman’s metabolism begins to decline. The same is true for bone density and hormone levels.  So, imagine your overall health condition in your fifties and sixties.

In totality, it is not only your preference for music and clothes that change as you get older. You must understand that your body is no longer functioning as efficiently as it was when you were 20 or 30. And being much more selective to the food you are eating is a must. Hence, here are the best foods to eat when you are in your fifties.

Oats
Heart diseases are very common for older people – 45 and above. Women normally have a much higher risk of getting such diseases starting at the age of 55. So, including cholesterol-lowering foods and snacks is a great move.

Now, oats are natural cholesterol-lowering foods. And eating this regularly will not only help you lower your risks of heart diseases, but they can also decrease the risk of dying at an early age. Essentially, oats contain high levels of beta-glucan which is a soluble fiber that decreases cholesterol levels. A cup of this every morning will do the work effectively.

Apples
Apples are a great choice of fruit too when aiming for a clean and healthy diet. They are rich in fibers that are great for keeping your heart healthy. Also, eating more apples every day can largely decrease the risks of immobility as you age.

Alongside these benefits, apples have a lot of antioxidants that fight free radicals which are usually the causes of immunity decline.

Berries
For your brain improvements, berries are the greatest option to choose along with the other dark-colored berries. They contain phytochemicals that increase the blood flow to the brain and reduce inflammation. As a result, these fruits can help you improve your brain functions and decrease the risk of having the common short-term memory loss tendencies.

Walnuts
You may want to resort to nuts as well, instead of munching on crackers and chips for your snacks. Recently, studies show that nuts, especially walnuts and peanuts, reduce the risk of heart attack, stroke, and death by 28%. In addition, they improve brain functionality which is great for women over 50.

Try to have at least one cup of walnuts or peanuts per day. You may include fruits while munching on them.

Lean Meats & Fish
As you reach the age of 50 and older, you must be very careful in counting your calories. Instead of focusing on calorie-dense foods, switch to foods that are nutrient-dense such as lean meats and fish meats.

These kinds of foods are very rich in protein and fiber that are significantly needed for your body in these age groups.

Soy Milk
Your hormones may act strangely and differently during this stage in life. As you get older, the menopausal stages and symptoms that you experience are evident. You will want to choose to consume foods that are high in isoflavones since they mimic how estrogen hormones function.

Soy milk, tofu, and miso are the most appropriate choices for your hormonal concerns at this age. However, be mindful of consuming too many soybeans especially when you are a cancer survivor. It is essentially advisable that you consult with your doctor first before consuming such foods.

Yogurt
Another common concern of every mid-aged woman today is their bone health. During this stage of life, the bone apparently gets thinner making it very susceptible to fractures and osteoporosis. Hence, the need for vitamin D and calcium is much higher.

The green varieties of yogurt are great sources of fiber. As for milk yogurts and non-dairy types, they are quite rich in calcium. And they are the best foods to eat regularly to help and strengthen the bones in totality.

Broccoli
Today, there are a lot of “green superfoods” to choose from. But, one of the best choices in this line of food is broccoli. You could actually gain a lot of benefits from eating broccoli on a daily basis. A daily serving of this green can help you improve brain functions and health due to its antioxidants and anti-inflammatory contents. Also, the calcium contents of broccoli are significant and makes it great for your bone health as well.

Oranges
An orange a day can keep you active and well-functioning even at an older age. Also, the antioxidant that they contain slows the aging process which preserves your younger health states.

Apparently, the benefits of eating oranges are already established. Nevertheless, they are found to be helpful not only in strengthening your immune system but also in decreasing the risk of having physical impairment due to aging.

Eggs
Eggs are another great food to add to your diet and meal plans. They are high in protein and this helps you maintain a great shape and figure. Also, they contain significant numbers of nutrients which are beneficial to your overall health and wellness especially when you reach 50 and above.

Try to eat one or two eggs per day.

All of the foods listed above are not the surprising and unique kinds. They are the ones you always hear or read about when it comes to having a healthy lifestyle. But, even though there’s not a major “wow-factor” in these foods, they can effectively help you manage your fitness states and health conditions during your mid-ages.
                                   
 Source : MD Monthly

More from MD Monthly : Senior Health
                                       

World Health Organization: Top Issues Women's Health

                                    
                                             
                                                        Top Issues Women's Health 


I found the following information on the World Health Organization

Dr. Flavia Bustreo, Assistant Director General for Family, Women’s and Children’s Health through the Life-course, World Health Organization
We've come a long way since 1995--and it is time to celebrate women and their achievements. But it is also time to take stock of how women’s rights are fulfilled in the world --especially the right to health. Twenty years after countries signed pledges in the 1995 Beijing Declaration and Platform of Action, women still face many health problems and we must re-commit to addressing them.

Issues regarding women's health that keep me awake at night:

Cancer: Two of the most common cancers affecting women are breast and cervical cancers. Detecting both these cancers early is key to keeping women alive and healthy. The latest global figures show that around half a million women die from cervical cancer and half a million from breast cancer each year. The vast majority of these deaths occur in low and middle income countries where screening, prevention and treatment are almost non-existent, and where vaccination against human papilloma virus needs to take hold.

In 2015, in too many countries, “women’s empowerment” remains a pipedream - little more than a rhetorical flourish added to a politician’s speech...

Dr Flavia Bustreo, ADG




HIV: Three decades into the AIDS epidemic, it is young women who bear the brunt of new HIV infections. Too many young women still struggle to protect themselves against sexual transmission of HIV and to get the treatment they require. This also leaves them particularly vulnerable to tuberculosis - one of the leading causes of death in low-income countries of women 20–59 years.

Sexually transmitted infections: I’ve already mentioned the importance of protecting against HIV and human papillomavirus (HPV) infection (the world’s most common STI). But it is also vital to do a better job of preventing and treating diseases like gonorrhoea, chlamydia and syphilis. Untreated syphilis is responsible for more than 200,000 stillbirths and early foetal deaths every year, and for the deaths of over 90 000 newborns.

Violence against women: Women can be subject to a range of different forms of violence, but physical and sexual violence – either by a partner or someone else – is particularly invidious. Today, one in three women under 50 has experienced physical and/or sexual violence by a partner, or non-partner sexual violence – violence which affects their physical and mental health in the short and long-term. It’s important for health workers to be alert to violence so they can help prevent it, as well as provide support to people who experience it.

Mental health: Evidence suggests that women are more prone than men to experience anxiety, depression, and somatic complaints – physical symptoms that cannot be explained medically. Depression is the most common mental health problem for women and suicide a leading cause of death for women under 60. Helping sensitise women to mental health issues, and giving them the confidence to seek assistance, is vital.

Noncommunicable diseases: In 2012, some 4.7 million women died from noncommunicable diseases before they reached the age of 70 —most of them in low- and middle-income countries. They died as a result of road traffic accidents, harmful use of tobacco, abuse of alcohol, drugs and substances, and obesity -- more than 50% of women are overweight in Europe and the Americas. Helping girls and women adopt healthy lifestyles early on is key to a long and healthy life.


Getting older: Having often worked in the home, older women may have fewer pensions and benefits, less access to health care and social services than their male counterparts. Combine the greater risk of poverty with other conditions of old age, like dementia, and older women also have a higher risk of abuse and generally, poor health.

When I lie awake thinking of women and their health globally, I remind myself: the world has made a lot of progress in recent years. We know more, and we are getting better at applying our knowledge. At providing young girls a good start in life.

And there has been an upsurge in high-level political will – evidenced most recently in the United Nations Secretary-General’s Global Strategy for Women’s and Children’s Health. Use of services, especially those for sexual and reproductive health, has increased in some countries. Two important factors that influence women’s health – namely, school enrolment rates for girls and greater political participation of women - have risen in many parts of the world.

But we are not there yet. In 2015, in too many countries, “women’s empowerment” remains a pipedream - little more than a rhetorical flourish added to a politician’s speech. Too many women are still missing out on the opportunity to get educated, support themselves, and obtain the health services they need, when they need them.

That’s why WHO is working so hard to strengthen health systems and ensure that countries have robust financing systems and sufficient numbers of well-trained, motivated health workers. That’s why WHO, with UN and world partners, are coming together at the UN Commission on Status of Women from 9-20 March 2015 in New York. We will look again at pledges made in the 1995 Beijing Declaration and Platform of Action with a view to renewing the global effort to remove the inequalities that put decent health services beyond so many women’s reach.

And that is why WHO and its partners are developing a new global strategy for women’s, children’s and adolescents’ health, and working to enshrine the health of women in the post 2015 United Nations’ Sustainable Development Goals. This means not only setting targets and indicators, but catalysing commitments in terms of policy, financing and action, to ensure that the future will bring health to all women and girls – whoever they are, wherever they live.

Coping When Adult Children Shut You Out

                                                         

       


Ideas for coping when your adult child cuts you out of their life.

Allow yourself to grieve – – this is a shocking loss.
Don’t try to pretend all is well, but along with (or after) crying, being angry, etc., begin to take action toward making yourself (your feelings) and your life (how you spend your time) better.
Think of other hard things you’ve gotten through, and tell yourself you CAN and WILL get through this too.coping when an adult child is estranged
Accept that your future is different than you expected … and accept the uncertainty that goes with an adult child’s estrangement. Then allow yourself to believe you can have a good future, even though your path has taken a twist.
Get involved in new things, old things that make you happy … activities you can enjoy. See Lila’s story.
Catch yourself in the act of feeling bad about what you can’t change, and stop the negative thoughts. Shift your perspective.
If you can’t figure out what happened, make a decision to give up asking why. Or settle on an answer for the moment (i.e., he’s following his wife to save his marriage, there’s some other problem you don’t know about, there’s mental illness of some sort, an addiction, etc and so on … whatever fits). Let it go. Some things just can’t be understood.
Focus on the good relationships, and the good parts of your life — and multiply them.
Don’t worry about the judgment of other people, and forgive them for it. But also protect yourself from people who are hurtful to you.
Find activities that fulfill your need to give and receive (love, help, generosity, kindness, etc).

**I found these suggestions on rejectedparents.net The article is very good, just click the link to read it.