Friday 24 April 2015

Finally, A Benefit To Being Fat: Less Dementia In Old Age

Researchers have no idea why, but they are realizing that a few extra layers can be helpful for the elderly.
Finally, there may be a benefit to gaining weight: You may be at less risk of developing dementia in old age. Overweight people have a significant advantage when it comes to a disease that affects more and more elderly people around the world.
The research, from a large British study, analyzed medical records for almost two million people with an average age of 55. The most obese had a 29% lesser chance of dementia 15 years later, compared to people of normal weight. By contrast, the underweight were most at risk. They had a 39% greater chance of dementia—a brain condition that causes people to lose memory and suffer impaired thinking.
Interestingly, the results weren't affected significantly by the exact age of the people studied, nor by rates of smoking and alcohol use. Exactly why someone heavier should be less at risk isn't at all clear. Even if somehow fat on the body reduces risk, that doesn't explain fully why someone with less-than-optimal fat should be that much more at risk.
Jan Mika via Shutterstock
Of course, the study contradicts most of everything we're told about disease risk in middle-to-late age. "Our results suggest that doctors, public health scientists, and policy makers need to re-think how to best identify who is at high risk of dementia," says co-author Stuart Pocock, a professor at the London School of Hygiene & Tropical Medicine.
"We also need to pay attention to the causes and public health consequences of the link between underweight and increased dementia risk which our research has established."
Suffice to say, piling on the pounds is probably a bad idea until we know more. But at least being overweight may not be all bad. It's somewhat refreshing to hear that message for a change.
[Top Photo: Martin Barraud/Getty Images]

Can Health-Monitoring Technology Help You Live Longer?

From wearable devices that track physical activity to blood tests that check for biomarkers, consumers today have easy access to more information about their health than ever before, thanks to health-monitoring technology.
But can this technology help people to defy aging and live longer lives?
“Technology that supports healthy lifestyles can improve the quality of aging. But not yet proven that it expands your life,” said Ursula M. Staudinger, a lifespan psychologist and internationally acknowledged aging researcher who is director of the Robert N. Butler Columbia Aging Center in New York.
Renowned aging and longevity expert Dr. Walter M. Bortz II believes health-monitoring technology may help some individuals to live healthier and longer lives—but only if they use the data to adopt lifestyle habits that foster well-being.
CanHealth-MonitoringTechnologyHelpYouLiveLonger
“Wearing 10 monitors on your body isn’t going to do a thing unless you change your behavior,” said Bortz, a clinical professor of medicine at Stanford University School of Medicine who teaches a course on the science of longevity.
“Technology can help change behavior,” he said. “But it’s not a fail-safe.”
Health-monitoring technology represents a multi-billion dollar industry with products ranging from activity wristbands such as Fitbit to wearable blood glucose monitoring devices that send data to smartphones. Other advances include services such as Inside Tracker’s Inner Age, which checks a blood sample for five biomarkers to determine if your body matches your chronological age and recommends foods to improve your score.
Staudinger views the growing interest in health-monitoring technology as a good phenomenon that can motivate those seeking healthier lives. “Behavioral research has shown that feedback is very helpful in keeping people on track with their goals,” she said.
But many people won’t change their habits unless they have an incentive, including lower health insurance costs because they’re healthy, said Bortz.
“I’m in favor of rewarding good behavior,” said Bortz, an 85-year-old marathon runner who believes he should pay less for health insurance than a physically unfit 40-year-old.
Bortz is working to develop a composite fitness profile for potential use by the health insurance industry. “We need to show how the data translates to lower health care costs,” he said.
Lifespan Versus Life Expectancy
Many people use the terms “maximal lifespan” and “average life expectancy” interchangeably, although they describe to two different things, noted Staudinger. Maximal lifespan refers to the number of years a person can expect to live based on the biology of aging and mortality records. Life expectancy refers to the average number of years a person is expected to live. For example, children born in the United States in 2012 can expect to live an average of 79 years, according to the U.S. Centers for Disease Control and Prevention.
“I believe 100 healthy years is our biological potential. That’s my goal,” said Bortz, who is the author of The Roadmap to 100 and many other books and articles on healthy aging.
Chronological age and genetic composition typically play a small role in determining how long a person will live, according to longevity experts. People with the same chronological age may have very different cognitive and biological (which refers to the body’s physical condition) ages.
“A top performer in cognitive ability at age 70 can be above the average level of a 30-year-old. That is how drastic the differences are,” said Staudinger.
Focus on Living Better
Staudinger would like to “see the conversation shift to living better, not living longer. We have expanded our lives by three decades (to age 80) in the last 100 years. Now it’s time to help people to fully enjoy those longer lives. Most of us can’t do that yet.”
Health-monitoring technology can help reduce the “sick years that are built into these longer lives, which would be major in terms of costs to society and the quality of life of individuals and their families, who are most often involved in the caretaking,” she said.
“Health does not depend on genes. It depends on behavior,” added Bortz, who estimates that genes are only 15 percent responsible for how we live and how we age.
Looking ahead, longevity experts worry about data reliability and privacy concerns as more people adopt health-monitoring technology. For instance, the U.S. Food and Drug Administration doesn’t regulate many consumer devices, including fitness trackers. Who has access to the data collected by these devices raises questions about privacy. Another concern is the availability of quality software and apps that “make sense of the data for the lay person who is not a medical doctor or a behavioral scientist,” said Staudinger.
Despite the industry challenges, experts expect health-monitoring technology will play a larger role in people’s lives in the future. Bortz foresees the day when folks have a step counter embedded into their shoulder to continuously track their activity. To some, the scenario sounds like science fiction—but not to Bortz.
“It’s not so far off,” he said. “It’s coming.”
The Northwestern MutualVoice Team is a group of professionals who share insights and opinions from experts and industry leaders across the enterprise. Our vision is to inspire others to take action and plan for their financial future through topics ranging from financial planning, retirement planning and distribution strategies, wealth accumulation and preservation, to leadership, philanthropy and innovation.

Running Into Old Age

A growing number of seniors are completing marathons and triathlons, shedding new light on how exercise affects the elderly body.
George Sperzel, 63, estimates that he’s run over a hundred competitive races over the last few years.
Sperzel, a finance executive from Lake Forest, Illinois, dabbled with exercise in his younger years, but didn’t embrace competitive running until he was nearly 60. Despite his late start, though, he feels that his athletic ability has only gotten better with time: “I have found that focused training will deliver the same benefits for aging athletes as for anyone of any age,” he says.
In general, peaking in one’s 60s is somewhat of a rarity. In sports medicine, the years between 35 and 40 are often considered a turning point for serious athletes: Skill begins to erode more quickly with time as age brings changes in muscular strength and susceptibility to injury. Endurance tends to peak around age 35 and then slowly decrease until around age 60, at which point the decline becomes much steeper. And unsurprisingly, it holds true across generations that older adults as a group tend to be less active than their younger peers. Roughly one-third of Americans over the age of 65 are considered physically active, compared to around 80 percent of the general population.
"In the past, the majority of marathoners were young competitors.The demographics have shifted substantially."
But within the minority of active seniors, some, like Sperzel, have held on to or even increased their athleticism. In recent years, a growing number of senior citizens have begun competing in marathons and triathlons, causing experts to question much of the conventional wisdom about age-related changes in physical capacity. In U.S. marathons, runners over the age of 40—known as “masters” in the running world—now represent more than 50 percent of male finishers and 40 percent of female finishers, often outperforming younger athletes.
Greg McMillan, the owner and head coach of McMillan Running, an online company that coaches competitive runners, says he’s worked with many older athletes, a large number of whom only recently took up the sport. “We’ve never had so many people starting to get active later in life and stay active through their advancing years,” he says. “So we can no longer lump everyone in the same boat because of age.”
“In the past, the majority of finishers in marathon and triathlon races were young competitors,” agrees Hirofumi Tanaka, an aging researcher and a professor of exercise science at the University of Texas. “The demographics of participants have shifted substantially.”
These older runners may be reaping rewards beyond a medal at the finish line: Research has shown that exercise can help maintain physical fitness that may otherwise be lost over time. "A lot of the deterioration we see with aging can be attributed to a more sedentary lifestyle instead of aging itself,” a 2014 review article on aging and exercise, published in the Journal of the American Academy of Orthopedic Surgeons, concludes. “The prevalence of age-related chronic diseases and physical dysfunction is substantially reduced or even absent in older adults who continue to train and compete in athletic competitions."
“Aging merely lowers the ceiling of physical ability,” Tanaka says. "Older adults, even those over 90 years of age, respond well to exercise training and regain much of what they lost with aging.”
But the authors of the 2014 study emphasize that athletic feats like marathons aren’t the only way to enjoy the benefits of exercise in old age. According to their data, any regular vigorous exercise may reduce the decline in aerobic capacity—the ability of the heart and lungs to deliver oxygen to muscles, a main component in overall age-related physical decline—by as much as 50 percent.
According to a 2011 study published in the journal The Physician and Sports Medicine, muscle strength can also be preserved through exercise. While some loss of strength is inevitable, the researchers found that older athletes who participated in exercise programs showed significantly more muscle strength that people of similar age who didn’t exercise. Maintaining muscle strength can be a key component of successful aging, as past research has shown that its loss in seniors is correlated to an increased risk of falling, a significant cause of age-related trauma.
In fact, contrary to popular belief, older adults are not at an overall increased risk of injury when participating in exercise activity; rather, regular exercise puts them at diminished risk compared to their sedentary peers. The 2014 study noted that regular movement can strengthen bone density, which protects against osteoporosis, while a separate study, published in 1985 in the Journal of Applied Physiology, found that it can also help reduce the risk of arthritis and injuries to tendons and ligaments.
Even for the adults who haven’t exercised in years or even decades, research suggests that late is still better than never. A 2014 study in the British Journal of Sports Medicine found that among a group of people aged 55 to 73, those who had exercised at least once a week subsequently had lower rates of chronic disease, depression, and “physical or cognitive impairment” than their more sedentary peers. However, the subjects that began the study as sedentary but began exercising regularly sometime over its eight-year follow-up period had outcomes that were almost as good.
Even for the adults who haven’t exercised in years or even decades, research suggests that late is still better than never.
For optimal results across the board, researchers say, older adults should routinely strive to exceed the minimum weekly exercise recommendations for their age group: 150 minutes of week of moderate-intensity activity or 75 minutes of vigorous activity, and two sessions of muscle-strengthening exercise, according to the Department of Health and Human Services. But the advice comes with a caveat: Gains in fitness, function, and health are reliant on the maintenance of an exercise program. If a person stops exercising, the effects can be reversed in a relatively short amount of time.
It’s an unavoidable truth that physical function does diminish with age, and exercise cannot fully protect against the natural aging process. What it can do, however, is reduce the magnitude of this decline. By staying active and competitive, older athletes may help more sedentary seniors realize that an active lifestyle may lead to not only longer life, but a better life, too.
Sperzel, for one, has no intention of slowing down in the years ahead. “I am literally in the best shape of my life,” he says, “and physically I feel better than I ever have.”