Healthy aging and longevity Archive

Wildfire smoke contributes greatly to poor air quality, and as wildfires become more frequent due to climate change and drier conditions, more of us and more of our communities are at risk for health harms. Here are ways to cope.

When blood pressure remains high despite treatment, making certain lifestyle changes can help. Examples include reducing dietary sodium and increasing dietary potassium, losing weight, limiting alcohol intake to no more than one drink per day, exercising (doing aerobics and strength training), using tools that improve medication adherence (such as an automatic pill dispenser, a medication diary, a smartphone alarm, or a reminder app), quitting smoking, getting more sleep, managing stress, and reducing caffeine intake.

Mosquito repellents that rely on certain natural substances may not be as effective when temperatures reach 90° or higher. For very hot weather, people may get better protection by using the synthetic repellent DEET.

Older adults are especially vulnerable to heat-related ailments like heat exhaustion and heatstroke. The primary reason is biological, as aging bodies can't maintain a steady internal body temperature when external conditions change. Heart conditions and heart medications can add to the problem. Older adults can protect themselves from heat ailments by taking standard precautions during hot weather and recognizing the early symptoms of ailments so they can seek immediate treatment.

In a 2025 study of more than 221,000 people followed for more than 30 years, scientists calculated that swapping about a tablespoon of butter per day for about two teaspoons of olive, soybean, or canola oil was tied to a 17% reduction in premature death.

Guidelines recommend at least seven hours of sleep nightly for most healthy adults. But instead of fixating on a specific number of hours, experts suggest people focus on how well they sleep, also known as sleep quality. Improving sleep quality starts with recognizing the factors contributing to poor sleep. One way is for people to keep a sleep diary for one to two weeks to record details of their sleep experience. Afterward, they can review the information to identify any patterns that may be affecting their sleep and make adjustments.

In the last few years, the prescribing rate for zolpidem, a popular sleeping pill, has been declining in favor of the "off-label" use of an antidepressant called trazodone, which is known for its ability to make people drowsy. But doctors are concerned that trazodone hasn't been well studied for insomnia, it is not FDA-approved to treat the condition, and there are sparse data showing that it is safe or that it works for patients with insomnia. Experts advise choosing medications based on a patient's specific needs, not a trend.

Taking a daily multivitamin helps fill in nutritional gaps and some studies have found a link to better cognitive fitness. Adding a vitamin D supplement may help maintain bone health and a B₁₂ supplement is suitable for people who might have difficulty getting this vitamin from food.

If possible, everyone should prepare for the possibility of needing support services or long-term care in older age, even if it's not yet needed. Ways to prepare include designating a health care proxy and power of attorney; writing advance directives for health care preferences; investigating potential housing options (such as assisted living facilities) and support services (such as a health aide) well in advance; downsizing belongings, including one's home; and meeting with a financial planner to figure out how to tackle caregiving expenses.