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Mental health

Those of you who have read this column before are aware that I frequently write about the relationships between the attitudes of aging folks and their quality of life. The March issue of the Archives of General Psychiatry reports on a study that relates to these relationships. Specifically, aging individuals who report that they have greater purpose in their lives seem to be less likely to develop mild cognitive impairment and it’s successor, Alzheimer’s disease.

Alzheimer’s disease is one of the most feared outcomes of growing older. In that context, these are very important research findings. When we can identify any factor that is associated with Alzheimer’s disease, and that can be manipulated, it becomes an important consideration for aging persons, their loved ones, and society as a whole.  Combine that with a rapidly-growing aging population and we have a major interest in changing things that can be changed.  Perhaps purposefulness is one of those things.

In this study, purpose in life was defined as “the psychological tendency to derive meaning from life’s experiences and to possess a sense of intentionality and goal directedness that guides behavior.”  I have frequently written about the irony portrayed by this definition.  North American cultures have come to associate aging primarily with declining health, immobility, and diminishing economic returns.  That is, we see old people as costing a lot to maintain and bringing little economic productivity to the equation.  Since we tend to consider the economic value of individuals very highly, we have a negative view of aging.

This would be unfortunate even if it was true.  Most cultures have traditionally valued their elders for their wisdom and contributions to their society over the course of their lives.  The higher economic costs and lower economic productivity of elders was deemed to be a normal part of the generational process.  Moreover, to a large degree the perception of older persons as economic liabilities is based on outdated facts, especially in North America.  In truth, the aging population is healthier and potentially more productive than in even the recent past.  Nevertheless, as this study indicates, unless we can bring this information into the belief systems of our society and our elderly, many of the benefits of medical, information and communication technology will be lost to them, because they will not seek them out.

Because of the irony of low expectations, today’s elderly are not very likely to pursue “greater purpose in their lives” and, thus, enjoy the health benefits for both themselves and society.  This will no doubt change over a few decades.  The reality of a healthier and happier senior population will eventually impact their expectations.  However, until then it will be up to those of us who can see their potential more clearly to encourage them to adopt some of the same goals for their older years that they did when they were young.  Improved mental health and reduced probability of Alzeheimer’s Disease are awesome prizes!

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Holiday memories or holiday memory loss?

by Bob McCluskey on December 27, 2009

Okay, I admit it. I am not as rational and logical as I claimed to be these past 65 years. Aging, obesity and Type II Diabetes are pointing their long, evil fingers at me with an undeniable accusation: many of my choices in the course of my life have been plain stupid. The past few weeks with their delicious, sweet and fat laden temptations have confirmed something else: I haven’t changed that much as I’ve grown older.

You may be wondering what my reflections on holiday season eating have to do with memory. Well, it’s like this. I was just reading a blog entry entitled “5 Bad Things That Immediately Happen to Your Body When You Eat Sugary Junk.” You guessed it, one of them is memory loss. Here’s why.

When we eat things that contain lots of sugar they are digested very quickly because simple sugars required very little breakdown. Sugar breaks down into glucose, which then rushes into the blood. In response, our bodies produce extra insulin to compensate for the extra sugar. Falling blood sugar levels trigger the release of stress hormones like adrenaline and cortisol to activate stored sugar supplies. These hormones have enormous negative effects on the body, including memory loss.

I hear lots of people say that they feel mentally foggy after eating large meals or during the holidays in general. I often feel that way myself. This fogginess can largely be a result of what we eat.

Some of the effects of stress hormones disappear when sugar levels stabilize. However, each release of these hormones has some degree of permanent effect. Moreover, we are more vulnerable to the effects of stress hormones as we grow older, in the short run as well as long-term.

I’m not crazy about New Year’s resolutions. Let’s just say that I have once again been confronted by those long, evil fingers that clearly signal that I have to start making better choices. If I don’t, one of two bad things can happen. I can die, or I can live a life that doesn’t have much to offer.

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