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Stay or go? Most older Australians want to retire where they are, but renters don’t always get a choice

<p><em><a href="https://theconversation.com/profiles/christopher-phelps-378137">Christopher Phelps</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/rachel-ong-viforj-113482">Rachel Ong ViforJ</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>, and <a href="https://theconversation.com/profiles/william-clark-1488932">William Clark</a>, <a href="https://theconversation.com/institutions/university-of-california-los-angeles-1301">University of California, Los Angeles</a></em></p> <p>As Australia’s population gets older, more people are confronted with a choice: retire where they are or seek new horizons elsewhere.</p> <p>Choosing to grow old in your existing home or neighbourhood is known as “ageing in place”. It enables older people to stay connected to their community and maintain familiarity with their surroundings.</p> <p>For many, the decision to “age in place” will be tied to their connection to the family home. But for many, secure and affordable housing is increasingly <a href="https://theconversation.com/ageing-in-a-housing-crisis-growing-numbers-of-older-australians-are-facing-a-bleak-future-209237">beyond reach</a>. This choice may then be impeded by a lack of suitable accommodation in their current or desired neighbourhoods.</p> <p>Our recently published <a href="https://doi.org/10.1177/01640275231209683">study</a> asks what motivates older homeowners and renters to age in place or relocate, and what factors disrupt these preferences. It suggests older renters are often not given a fair choice.</p> <h2>Most older Australians want to age in place</h2> <p>Having the option to age in place enables older people to retain autonomy over their lifestyles and identity, promoting emotional wellbeing.</p> <p>Using 20 years of data from the government-funded Household, Income and Labour Dynamics in Australia (HILDA) survey, we tracked the preferences of Australians aged 55 and over.</p> <p>Encouragingly, most older Australians are already where they want to be.</p> <p>Two-thirds (67%) of respondents strongly preferred to stay in their current neighbourhood, and an additional one-fifth (19%) had a moderate preference to stay.</p> <p>Only 6% showed a moderate or strong desire to leave. Ageing in place is then the natural choice for a vast majority of older Australians.</p> <p><iframe id="s3LTM" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/s3LTM/1/" width="100%" height="400px" frameborder="0"></iframe></p> <p>Our study highlights several motivations for people to stay put as they retire.</p> <p>For homeowners, family ties matter. Owners with children residing nearby were around one and a half times more likely to have a higher preference to stay.</p> <p>Older owners might then have a reason to call on their substantial <a href="https://theconversation.com/the-housing-wealth-gap-between-older-and-younger-australians-has-widened-alarmingly-in-the-past-30-years-heres-why-197027">housing wealth</a> and keep their children nearby via the <a href="https://360info.org/how-to-help-the-young-buy-a-home/">“bank of mum and dad”</a>.</p> <p>For renters, how long they stay is important. Those renting their home for 10 years or more were 1.7 times more likely to have a higher preference to stay than short-term renters.</p> <h2>Renters face the most disruption</h2> <p>The survey enabled us to follow where older people lived a year after they provided their preferences. This helped us gauge how often they turned their desires into reality.</p> <p>The chart below indicates that private renters face greater obstacles to ageing in place.</p> <p>Around one in 10 private renters that desired to age in place were disrupted – they wanted to stay in their neighbourhood but didn’t. This suggests they moved out of their neighbourhood involuntarily.</p> <p>Only 2% of homeowners and social renters experienced the same disruption. However, for those in these tenures that did not desire to age in place, involuntary immobility was a greater concern. Only 15% of those that wanted to leave succeeded, leaving the vast majority “stuck in place”.</p> <p><iframe id="IlliV" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/IlliV/1/" width="100%" height="400px" frameborder="0"></iframe></p> <p>The private rental market is the least secure of tenures, and so private tenants are often exposed to involuntary moves. Australia’s private rental system is lightly regulated compared to many other countries, creating tenure insecurity concerns.</p> <p>On the other hand, social renters were particularly susceptible to involuntary immobility. Social housing is scarce in Australia and subject to <a href="https://theconversation.com/its-soul-destroying-how-people-on-a-housing-wait-list-of-175-000-describe-their-years-of-waiting-210705">lengthy waiting lists</a>. A neighbourhood move often requires transferring to the less affordable and less secure private rental housing.</p> <p>Even after considering financial status, social renters were four times as likely to be stuck as compared to private renters. Social tenants are strongly deterred from moving in the current system.</p> <h2>How can we support older Australians’ preferences?</h2> <p>Our study exposes some barriers in the housing system that hinder people from being able to age in place, or move when they want to. Clearly, older renters enjoy fewer protections against disruptions to their preferences to age in place than older owners.</p> <p>For private renters, tenure insecurity in the <a href="https://theconversation.com/insecure-renting-ages-you-faster-than-owning-a-home-unemployment-or-obesity-better-housing-policy-can-change-this-216364">private rental sector</a> is a key reform priority. This can be achieved through stronger regulation that improves tenants’ rights. For example, more states could adopt <a href="https://theconversation.com/how-5-key-tenancy-reforms-are-affecting-renters-and-landlords-around-australia-187779?utm_source=twitter&amp;utm_medium=bylinetwitterbutton">recent regulatory rental reforms</a> that support the rights of pet owners and protect against no-grounds evictions.</p> <p>Large numbers of older private renters also face severe <a href="https://www.oldertenants.org.au/publications/ageing-in-a-housing-crisis-older-peoples-housing-insecurity-homelessness-in-australia">rental stress</a>, which may force them to move from their preferred neighbourhood. <a href="https://theconversation.com/1-billion-per-year-or-less-could-halve-rental-housing-stress-146397">Commonwealth rent assistance reform</a> would alleviate some of this stress through an increase in rates and better targeting.</p> <p>An increase in the supply of social housing would play an important role in improving both tenure security and housing affordability. Older social renters enjoy fewer obstacles to ageing in place than older private renters.</p> <p>However, if social renters want to move into the private rental market to relocate, they face difficulty securing accommodation. This will likely discourage moves as it would require sacrificing the tenure security offered by social housing. However, policy initiatives that improve the <a href="https://www.ahuri.edu.au/sites/default/files/migration/documents/PES-358-Lessons-from-public-housing-urban-renewal-evaluation.pdf">quality of the public housing stock</a> can reduce feelings of being stuck.</p> <p>As <a href="https://www.aihw.gov.au/reports/australias-welfare/home-ownership-and-housing-tenure">homeownership rates decline</a> both among young people and those nearing retirement, we can expect the population of older renters to grow.</p> <p>Overall, our findings support a strong case for policy reform in the rental sectors to address the needs and preferences of older renters.<!-- 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/218024/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/christopher-phelps-378137"><em>Christopher Phelps</em></a><em>, Research Fellow, School of Accounting, Economics and Finance, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/rachel-ong-viforj-113482">Rachel Ong ViforJ</a>, ARC Future Fellow &amp; Professor of Economics, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>, and <a href="https://theconversation.com/profiles/william-clark-1488932">William Clark</a>, Research Professor of Geography, <a href="https://theconversation.com/institutions/university-of-california-los-angeles-1301">University of California, Los Angeles</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/stay-or-go-most-older-australians-want-to-retire-where-they-are-but-renters-dont-always-get-a-choice-218024">original article</a>.</em></p>

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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.<!-- 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/208640/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/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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COVID is surging in Australia – and only 1 in 5 older adults are up to date with their boosters

<p><em><a href="https://theconversation.com/profiles/adrian-esterman-1022994">Adrian Esterman</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Do you have family members or friends sick with a respiratory infection? If so, there’s a good chance it’s COVID, caused by the JN.1 variant currently circulating in Australia.</p> <p>In particular, New South Wales is reportedly experiencing its <a href="https://www.abc.net.au/news/2024-01-09/nsw-sydney-covid-variant-virus-pandemic-hospitalisations/103298610">highest levels</a> of COVID infections in a year, while Victoria is said to be facing a “<a href="https://www.9news.com.au/national/victoria-in-midst-of-double-wave-of-covid19--as-jn1-triggers-infections-surge/4dada2cb-7d56-436a-9490-cad1d908a29a">double wave</a>” after a surge late last year.</p> <p>But nearly four years into the pandemic, data collection is less comprehensive than it was, and of course, fewer people are testing. So what do we know about the extent of this wave? And importantly, are we adequately protected?</p> <h2>Difficulties with data</h2> <p>Tracking COVID numbers was easier in the first half of last year, when each state and territory provided a weekly update, giving us data on case notifications, hospitalisations, ICU numbers and deaths.</p> <p>In the second half of the year some states and territories switched to less frequent reporting while others stopped their regular updates. As a result, different jurisdictions now report at different intervals and provide varying statistics.</p> <p>For example, <a href="https://www.health.vic.gov.au/infectious-diseases/victorian-covid-19-surveillance-report">Victoria</a> still provides weekly reports, while NSW publishes <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20240106.pdf">fortnightly updates</a>.</p> <p>While each offer different metrics, we can gather – particularly from data on hospitalisations – that both states are experiencing a wave. We’re also seeing high levels of COVID <a href="https://www.health.vic.gov.au/infectious-diseases/victorian-covid-19-surveillance-report">in wastewater</a>.</p> <p>Meanwhile, <a href="https://health.nt.gov.au/covid-19/data">Northern Territory Health</a> simply tell you to go to the Australian government’s Department of Health website for COVID data. This houses the only national COVID <a href="https://www.health.gov.au/topics/covid-19/reporting?language=und">data collection</a>. Unfortunately, it’s not up to date, difficult to use, and, depending on the statistic, often provides no state and territory breakdowns.</p> <p>Actual case notifications are provided on a separate <a href="https://nindss.health.gov.au/pbi-dashboard/">website</a>, although given the lack of testing, these are likely to be highly inaccurate.</p> <p>The <a href="https://www.health.gov.au/topics/covid-19/reporting?language=und">Department of Health website</a> does provide some other data that gives us clues as to what’s happening. For example, as of one month ago, there were 317 active outbreaks of COVID in aged care homes. This figure has been generally rising since September.</p> <p>Monthly prescriptions for antivirals on the Pharmaceutical Benefits Scheme were increasing rapidly in November, but we are not given more recent data on this.</p> <p>It’s also difficult to obtain information about currently circulating strains. Data expert Mike Honey provides a regularly updated <a href="https://github.com/Mike-Honey/covid-19-genomes?tab=readme-ov-file#readme">snapshot</a> for Australia based on data from GISAID (the Global Initiative on Sharing All Influenza Data) that shows JN.1 rising in prevalence and accounting for about 40% of samples two weeks ago. The proportion is presumably higher now.</p> <h2>What’s happening elsewhere?</h2> <p>Many other countries are currently going through a COVID wave, probably driven to a large extent by JN.1. These include <a href="https://www.rnz.co.nz/news/national/506301/covid-19-complacency-waning-immunity-contribute-to-fifth-wave-epidemiologist">New Zealand</a>, <a href="https://www.independent.co.uk/news/world/europe/facemasks-mandatory-spain-hospitals-b2475563.html">Spain, Greece</a> and the United States.</p> <p>According to cardiologist and scientist Eric Topol, the US is currently experiencing its <a href="https://www.latimes.com/opinion/story/2024-01-04/covid-2024-flu-virus-vaccine">second biggest wave</a> since the start of the pandemic, linked to JN.1.</p> <h2>Are vaccines still effective?</h2> <p>It’s expected the current COVID vaccines, which target the omicron variant XBB.1.5, are still <a href="https://www.gavi.org/vaccineswork/seven-things-you-need-know-about-jn1-covid-19-variant">effective</a> at reducing hospitalisations and deaths from JN.1 (also an omicron offshoot).</p> <p>The Australian Technical Advisory Group on Immunisation (ATAGI) updated their <a href="https://www.health.gov.au/news/atagi-update-on-the-covid-19-vaccination-program">advice</a> on booster shots in September last year. They recommended adults aged over 75 should receive an additional COVID vaccine dose in 2023 if six months had passed since their last dose.</p> <p>They also suggest all adults aged 65 to 74 (plus adults of any age who are severely immunocompromised) should consider getting an updated booster. They say younger people or older adults who are not severely immunocompromised and have already had a dose in 2023 don’t need further doses.</p> <p>This advice is very confusing. For example, although ATAGI does not recommend additional booster shots for younger age groups, does this mean they’re not allowed to have one?</p> <p>In any case, as of <a href="https://www.health.gov.au/resources/publications/covid-19-vaccine-rollout-update-8-december-2023?language=en">December 6</a>, only 19% of people aged 65 and over had received a booster shot in the last six months. For those aged 75 and over, this figure is 23%. Where is the messaging to these at-risk groups explaining why updating their boosters is so important?</p> <h2>Should we be concerned by this wave?</h2> <p>That depends on who we mean by “we”. For those who are vulnerable, absolutely. Mainly because so few have received an updated booster shot and very few people, including the elderly, are wearing masks.</p> <p>For the majority of people, a COVID infection is unlikely to be serious. The biggest concern for younger people is the risk of long COVID, which research suggests <a href="https://www.nature.com/articles/s41591-022-02051-3">increases</a> with each reinfection.</p> <h2>What should we expect in 2024?</h2> <p>It’s highly likely we will see repeated waves of infections over the next 12 months and beyond, mainly caused by waning immunity from previous infection, vaccination or both, and new subvariants.</p> <p>Unless a new subvariant causes more severe disease (and at this stage, there’s no evidence JN.1 does), we should be able to manage quite well, without our hospitals becoming overwhelmed. However, we should be doing more to protect our vulnerable population. Having only one in five older people up to date with a booster and more than 300 outbreaks in aged care homes is not acceptable.</p> <p>For those who are vulnerable, the usual advice applies. Make sure you’re up to date with your booster shots, wear a P2/N95 mask when out and about, and if you do get infected, take antivirals as soon as possible.<!-- 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/220839/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/adrian-esterman-1022994"><em>Adrian Esterman</em></a><em>, Professor of Biostatistics and Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</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/covid-is-surging-in-australia-and-only-1-in-5-older-adults-are-up-to-date-with-their-boosters-220839">original article</a>.</em></p>

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About 1 in 6 older Australians experiences elder abuse. Here are the reasons they don’t get help

<p><a href="https://theconversation.com/profiles/eileen-obrien-95332">Eileen O'Brien</a>, <em><a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em>; <a href="https://theconversation.com/profiles/catriona-stevens-1455614">Catriona Stevens</a>, <em><a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em>, and <a href="https://theconversation.com/profiles/loretta-virginia-baldassar-1485078">Loretta Virginia Baldassar</a></p> <p>Each year, many older Australians experience abuse, neglect or financial exploitation, usually at the hands of their adult children or other close relatives.</p> <p>A recent <a href="https://aifs.gov.au/research/research-reports/national-elder-abuse-prevalence-study-final-report">national prevalence study</a> revealed one in six older Australians living at home experiences elder abuse. This may encompass various forms of abuse, such as emotional, financial, social, physical and sexual abuse, or neglect.</p> <p>Despite elder abuse being such a common problem, older people often don’t get the help they need. With the right responses, we can make it easier for those working with older people, and the wider community, to support them.</p> <p>Our <a href="https://www.wa.gov.au/system/files/2023-11/everyones_business_research_into_responses_to_the_abuse_of_older_in_wa_report.pdf">new research</a> reveals the key reasons older people experiencing harm do not receive the support they so desperately need.</p> <p>Our study included a survey of nearly 700 service providers throughout Western Australia. Respondents worked in diverse fields including healthcare, law, aged care, financial services and law enforcement. We found four key obstacles to people getting help with elder abuse.</p> <p><strong>1. Older people are too scared to report abuse.</strong></p> <p>Older people are often afraid to report abuse because they fear repercussions both for themselves and for the perpetrator, usually an adult child or other close relative.</p> <p>These concerns can mean an older person endures abuse for a long time. They may only seek help when the situation escalates to an extreme level or when someone else notices the ongoing mistreatment.</p> <p>Equally important, they may fear other negative outcomes of reporting abuse. They may fear having to leave their home and enter residential care. They may fear increased isolation and loneliness, or that the abuse will get worse.</p> <p>All these fears combined create a formidable barrier to older people promptly reporting abuse and getting the help they need.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en"><a href="https://twitter.com/hashtag/ElderAbuse?src=hash&amp;ref_src=twsrc%5Etfw">#ElderAbuse</a> is more common than people realize. It can happen: </p> <p>In their own homes <br />In hospitals <br />In nursing homes or other kinds of long-term care facilities </p> <p>Learn more, including how to prevent elder abuse: <a href="https://t.co/CAkBHQO4gm">https://t.co/CAkBHQO4gm</a><a href="https://twitter.com/hashtag/Alzheimers?src=hash&amp;ref_src=twsrc%5Etfw">#Alzheimers</a> <a href="https://twitter.com/hashtag/dementia?src=hash&amp;ref_src=twsrc%5Etfw">#dementia</a> <a href="https://twitter.com/hashtag/aging?src=hash&amp;ref_src=twsrc%5Etfw">#aging</a> <a href="https://twitter.com/hashtag/geriatrics?src=hash&amp;ref_src=twsrc%5Etfw">#geriatrics</a> <a href="https://t.co/gO3Dc6Dy3Z">pic.twitter.com/gO3Dc6Dy3Z</a></p> <p>— Ian Kremer (@LEAD_Coalition) <a href="https://twitter.com/LEAD_Coalition/status/1720567529200918550?ref_src=twsrc%5Etfw">November 3, 2023</a></p></blockquote> <p><strong>2. Older people don’t know where to turn for help</strong></p> <p>Elder abuse cases are often complex, involving long family histories and complicated relationships. Older people trying to improve their situation may need support from multiple service providers. The challenge of accessing the right services and acting on their advice can be daunting.</p> <p>Addressing complicated matters may require intensive support and advocacy for an extended time. In the words of one experienced advocate,</p> <blockquote> <p>People don’t need to know the next ten steps. They need to know one step, maybe two, and then see where they are at.</p> </blockquote> <p>Helping older people feel empowered to seek help requires simple, accessible channels of assistance, promoted through multiple formats and outreach efforts.</p> <p><strong>3. Government-funded responses to family violence are more focused on intimate partner violence and child protection, leaving elder abuse out of the picture</strong></p> <p>Most programs targeting family violence prioritise intimate partner violence and child protection, inadvertently sidelining elder abuse. Services such as shelters and perpetrator programs are not always compatible with the distinct characteristics of elder abuse.</p> <p>Additionally, the gendered nature of family violence responses fails to address the diverse demographics of elder abuse, which includes older men. As a result, older people, regardless of gender, may struggle to access supports suited to their needs.</p> <p>A refuge manager explained:</p> <blockquote> <p>When a bed becomes available we have this awful job of deciding who’s more high-risk and who gets the bed. If an older person needs the bed, as opposed to a single mum with a newborn, unfortunately we would go with the mum. That really presents a barrier where there isn’t refuge accommodation specifically for older people.</p> </blockquote> <p>There is a pressing need for a shift in focus to better recognise elder abuse as a significant issue and tailor responses to meet the specific needs of older people. This includes creating safe and accessible refuge options and providing specialised support services to address the multifaceted nature of elder abuse.</p> <p><strong>4. There’s low public awareness about what elder abuse looks like or how to respond</strong></p> <p>Awareness of elder abuse remains surprisingly low, hindering effective responses. Changing this requires clear public information campaigns and community-wide conversations about abuse. This includes greater awareness of the challenge for well-meaning adult children who might limit the choices of their older relatives, thinking they know best. This can result in unintended social isolation or even neglect.</p> <p>A society that speaks openly about elder abuse, without stigma, is better equipped to support victims and intervene. By building public knowledge and promoting a culture where such issues can be freely discussed, we lay the groundwork for reducing its incidence.</p> <p>We are living longer lives than ever before, meaning we can expect to spend more years in older age than previous generations. This is good news, but also means we need to do more work to support people to age well. Positive steps we can all take include tackling ageism when we see it and normalising conversations about abuse so older people can feel confident to seek help when it’s needed.<!-- 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/216827/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/eileen-obrien-95332">Eileen O'Brien</a>, Professor of Law, Discipline of Law, Justice and Society, <em><a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em>; <a href="https://theconversation.com/profiles/catriona-stevens-1455614">Catriona Stevens</a>, Forrest Prospect Fellow in Sociology and Anthropology, <em><a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em>, and <a href="https://theconversation.com/profiles/loretta-virginia-baldassar-1485078">Loretta Virginia Baldassar</a>, Vice Chancellor Professorial Research Fellow, School of Arts and Humanities, Edith Cowan University</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/about-1-in-6-older-australians-experiences-elder-abuse-here-are-the-reasons-they-dont-get-help-216827">original article</a>.</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.<!-- 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/215695/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/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. <!-- 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/208114/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><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>

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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"><noscript data-spai="1">&amp;lt;img decoding="async" class="aligncenter size-full wp-image-198773" src="https://cdn.shortpixel.ai/spai/q_lossy+ret_img+to_auto/cosmosmagazine.com/wp-content/uploads/2023/09/Issue-100-embed.jpg" data-spai-egr="1" alt="Subscribe to our quarterly print magazine" width="600" height="154" title="1 in 6 older adults fall victim to impersonation scams 2"&amp;gt;</noscript></p> </div> <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>

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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.com.au/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. <!-- 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/211424/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><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>

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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>.<!-- 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/210388/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><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>

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Not just a youth movement: history too often forgets older protesters

<p><a href="https://theconversation.com/profiles/effie-karageorgos-453765">Effie Karageorgos</a>, <em><a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Recent sustained anti-coal action by Blockade Australia in the Hunter Valley has brought public protest back into the news cycle. Activists have <a href="https://www.abc.net.au/news/2023-06-21/coal-protests-block-rail-lines-to-newcastle-port/102504056">occupied trains, railway lines and machinery</a> in an attempt to obstruct coal production and broadcast their message about the climate crisis.</p> <p>Under recent <a href="https://www.humanrights.unsw.edu.au/research/commentary/explainer-what-are-your-rights-to-protest-australia#:%7E:text=In%202022%2C%20Tasmania%20passed%20anti,%E2%80%9C%E2%80%A6">anti-protest legislation</a> in New South Wales, which has been matched by similar laws in other states, some protesters have been charged by police for their activism.</p> <p>Internationally, protesters faced with arrest have devised new ways to protest. Recently, Iranian activists have started engaging in “<a href="https://www.hks.harvard.edu/faculty-research/policy-topics/international-relations-security/civil-upheaval-iran-why-widespread">micro-protests</a>”, which are small-scale protests over a shorter period of time, to evade arrest.</p> <p>My historical research into the infrastructure of protest, using the anti-Vietnam War campaign in New South Wales as a case study, has found that many Australians who did not or could not actively or publicly protest similarly found “quieter” ways to express their opposition to the conflict.</p> <h2>The youth are revolting</h2> <p>In the popular Australian imagination, it seems the protester is a young person creating a public spectacle – holding up a sign, occupying a building or marching down a city street, even though older activists regularly play a part in protest movements.</p> <p>Many might think of figures like <a href="https://theconversation.com/lidia-thorpes-mardi-gras-disruption-is-the-latest-in-an-ongoing-debate-about-acceptable-forms-of-protest-at-pride-200713">Lidia Thorpe</a> disrupting the 2023 Sydney Gay and Lesbian Mardi Gras Parade or ongoing protests by <a href="https://www.schoolstrike4climate.com/">School Strike 4 Climate</a>, which have shown how willing young people are to agitate for their collective futures.</p> <p>But, in fact, one of the two anti-coal activists charged on last month for occupying a train in Singleton, New South Wales, is <a href="https://www.police.nsw.gov.au/news/news?sq_content_src=%2BdXJsPWh0dHBzJTNBJTJGJTJGZWJpenByZC5wb2xpY2UubnN3Lmdvdi5hdSUyRm1lZGlhJTJGMTA3MTc3Lmh0bWwmYWxsPTE%3D">64 years old</a>.</p> <p>My research shows our public memory of protest doesn’t come close to capturing everyone who used their energies to protest Australian involvement in Vietnam in the 1960s and 1970s, so we need to shift our idea of both protest and the protester to understand the potential scope of activism.</p> <figure><iframe src="https://www.youtube.com/embed/Thm03IUiJ6U?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Quiet protest</h2> <p>Vietnam War-era protest organisations, such as the Association for International Cooperation and Disarmament, Save Our Sons, Youth Campaign Against Conscription and the Vietnam Moratorium Campaign, were aware of how important “quiet protest” was to the wider movement.</p> <p>They <a href="https://collection.sl.nsw.gov.au/record/1JkmeexY">continually appealed to supporters</a> for help selling buttons, putting up posters, selling raffle tickets, filling envelopes, leafleting and other clerical work. These were all carried out by people who were opposed to the war, and are all considered acts of protest.</p> <p>Social movement theorists agree that time and availability are crucial in drawing people to protest. As far back as 1974, the sociologist <a href="https://journals.sagepub.com/doi/10.1177/002188637401000206">Anthony Orum</a> wrote: "Without people who have time on their hands, great revolutions would probably never get off the ground."</p> <h2>Time and capacity</h2> <p>But what of those who did not have the time or capacity to march on streets, but who still saw themselves as part of the anti-Vietnam War movement?</p> <p>The <a href="https://collection.sl.nsw.gov.au/record/1l4dPbX1">administrative records</a> of protest organisations held in the <a href="https://www.sl.nsw.gov.au/">State Library of New South Wales</a> let us into the lives of such people.</p> <p>These include Ian Robertson, a full-time Macquarie University student, whose parents had banned political activity because they feared it would disrupt his studies. Another silent protester was a Mrs Thomson, who was too busy organising her daughter Sue’s wedding to participate in anti-Vietnam protest activities. Public servants were also not permitted to publicly support the movement.</p> <p>Most such records come from elderly members of the movement. In November 1969, Mabel Wilson, who in her words was “six years an octogenarian,” sent $5 to the <a href="https://www.awm.gov.au/collection/C96428">Committee in Defiance of the National Service Act</a>, writing: "I admire your courage and am completely in sympathy with your ideals. Alas! I am very old […] As you can see I can be of practically no use to you – or anyone […] My heart is with you all the way."</p> <p>Similarly, on March 21 1970, Doris J Wilson of Asquith sent a donation to the Northern Districts Vietnam Moratorium Group with a letter saying: "I am past the age where I can do very much more than be just a voice."</p> <p>On September 14 1970, L.T. Withers sent the same group a letter saying: "Congratulations for what you have accomplished. I feel rather guilty at being so useless […] myself and my wife are not as energetic as we used to be as the years are catching up on us a bit. I have enclosed a small donation to your local funds […] I would also be grateful if you could keep me informed of your activities."</p> <p>Ruth Fryer of Hornsby sent a letter on February 9 1971 with a $3 donation: "Sometimes you wish you were young &amp; strong again! But the hard work seems to be left to the young ones."</p> <p>These Australians, among many others, were interested in the anti-Vietnam campaign and wanted to be involved as much as they could, given their limitations.</p> <h2>The infrastructure of historical protest</h2> <p>Studying the infrastructure of historical protest organisations shows us that we need to expand our idea of what a protest movement is and who it includes if we want to achieve the present-day goals of activist campaigning.</p> <p>These findings are exciting because they capture a larger group of Australians in the protest tradition, and move past a limited, and often ableist and ageist, vision of protest to incorporate many others who feel just as strongly about the issues governing their lives.<!-- 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/208472/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><em><a href="https://theconversation.com/profiles/effie-karageorgos-453765">Effie Karageorgos</a>, Lecturer, <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/not-just-a-youth-movement-history-too-often-forgets-older-protesters-208472">original article</a>.</em></p>

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“That’s the reality”: Older Aussies forced into shared living

<p>Reserve Bank governor Philip Lowe’s suggestion that more and more Australians would need to consider life in a share house if they had any hope of bringing rental prices down hasn’t landed as he would have hoped. </p> <p>“We’ve got a lot of people coming into the country, people wanting to live alone or move out of home,” he said. </p> <p>“The way that this ends up fixing itself is unfortunately through higher housing prices and higher rents.</p> <p>“We need more people on average to live in each dwelling, and [higher] prices do that.”</p> <p>But for those wrestling with Australia’s cost of living crisis and high rental demand with even higher costs, the suggestion is hardly cause for comfort. </p> <p>And as 51-year-old Mandy Pritchard - a recently single NGO worker hoping to move closer to friends in either Sydney or Wollongong - told <em>The Guardian</em>, the reality of shared housing isn’t so straightforward anyway. </p> <p>“It’s challenging because I’m obviously not the first choice for a household of twenty-to-thirty-somethings,” she said of her struggles to secure a new home - and potential new roommates - for herself. “I didn’t think I’d be going back to share accommodation at this age, but that’s the reality because of the cost of rent.”</p> <p>According to Pritchard, it could take up to 50% of her full-time wage to rent a one-bedroom property in Sydney’s Newtown suburb if she wanted to live alone.</p> <p>“It’s not as if I am on low income, I make a decent wage,” she pointed out. “I wanted to live even in just a studio apartment, but it just isn’t feasible.”</p> <p>However, as Lowe noted during Senate estimates, the problem and ‘solution’ were a case of supply and demand. </p> <p>“Higher prices do lead people to economise on housing. Kids don’t move out of home because the rents are too expensive or you decide to get a flatmate,” he said. “That’s the price mechanism at work.”</p> <p>He went on to state that the nation’s population was set to rise by 2% with the arrival of migrant workers and international students, and that the only way - in his opinion - to combat the pressure on the housing and rental market was through supply. </p> <p>“Are there 2% more houses? No,” he said. “We’ve got a lot of people coming into the country, people wanting to live alone or move out of home. The way that this ends up fixing itself is, unfortunately, through higher housing prices and higher rents.”</p> <p>Lowe’s comments drew a wave of criticism from housing advocates - with data suggesting that Australians are beginning to share more - as well as the argument that the government actually needed to construct and provide more housing.</p> <p>As Flatmates.com.au’s Claudia Conley said, the share housing website had actually just experienced its busiest April on record. </p> <p>“This year has been unusually busy and we started to see a real increase in traffic around October, which has not died down,” she said.</p> <p>“Month after month we’re breaking new records, with April just gone our busiest ever. March recorded the highest number of new property listings in over two years, since January 2021, up 14% month-on-month to be 33% above March 2022 levels.”</p> <p><em>Images: Getty</em></p>

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Energy bill relief to benefit just one Aussie demographic

<p>Nearly half a million older Australians will receive hundreds of dollars in energy bill relief as the federal government looks to battle rising power prices.</p> <p>Social Services Minister Amanda Rishworth revealed that all Commonwealth seniors health card holders will be given up to $500 per household.</p> <p>The 490,000-plus recipients will include an extra 16,320 people granted access to the card after the federal government introduced higher income thresholds for eligibility in November 2022.</p> <p>The new income limits are $90,000 for singles and $144,000 (combined) for couples.</p> <p>The government claimed this would benefit 52,000 older people by 2026-27.</p> <p>Rishworth explained the energy relief would be available from July 2023.</p> <p>The Australian Energy Regulator (AER) released its final determination on May 25, with a revised price increase higher than the March draft that saw a 20 to 22 per cent rise.</p> <p>AER chair Clare Savage said it had been a “difficult decision” but high wholesale energy costs continued to hike up retail prices.</p> <p>“No one wants to see rising prices, and we recognise this is a difficult time, that’s why it’s important for consumers to shop around for a better deal,” she said.</p> <p>Following the AER’s announcement, Opposition Leader Peter Dutton appeared on <em>Today</em> and said Prime Minister Anthony Albanese had “lied” to Australians about energy prices.</p> <p>“Let’s be very clear about it, he promised on 97 occasions your bill would go down by $275,” he told <em>Today</em> host Karl Stefanovic.</p> <p>“I think the government’s completely underestimating how much families and small businesses are hurting at the moment.”</p> <p>The bill comes shortly after the Australian Energy Regulator revealed electric prices were set to increase by 25 per cent for about 600,000 customers across three states from July 1.</p> <p>The federal government’s latest budget committed to $3 billion in financial support for those struggling to pay their power bill.</p> <p><em>Image credit: Shutterstock</em></p>

Money & Banking

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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><strong><em>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. </em></strong></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><a href="../finance/insurance/2015/01/benefits-of-being-a-volunteer/" target="_blank" rel="noopener"><em><span style="text-decoration: underline;"><strong>Related link: The benefits of becoming a volunteer</strong></span></em></a></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 <a href="../forums/" target="_blank" rel="noopener"><span style="text-decoration: underline;"><strong>visit our forums</strong></span></a>, or <a href="https://www.facebook.com/oversixtys" 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;"><em><strong><a href="../health/wellbeing/2015/02/reasons-to-be-happy-with-you/" target="_blank" rel="noopener">5 reasons to celebrate you</a></strong></em></span></p> <p><span style="text-decoration: underline;"><em><strong><a href="../health/wellbeing/2015/02/why-appreciate-the-little-things/" target="_blank" rel="noopener">Why you should celebrate all the little moments</a></strong></em></span></p> <p><span style="text-decoration: underline;"><em><strong><a href="../health/wellbeing/2015/01/make-this-your-best-year/" target="_blank" rel="noopener">How to make this your happiest year yet</a></strong></em></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> <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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