Social engagement and relationships Archive

Trying new foods, cooking in batches, and inviting friends to dinner give mealtime some zing.

 Image: © OksanaKiian/Getty Images

You may be bored if you're eating the same foods all the time. Even worse, you may be missing out on important nutrients from foods that aren't part of your regular diet. And if that's the case, you're not alone. "I see it a lot with older adults. Their diet isn't great. They get into a rut and cook simple meals, or they rely on prepared food," says dietitian Teresa Fung, adjunct professor in the nutrition department at the Harvard T.H. Chan School of Public Health.

Why the rut?

There are many reasons why people get into a menu rut or stop eating healthy, nutritious foods in older age. It may be that you're

You may need to stop taking blood thinners, certain painkillers, herbs, and supplements to reduce your risk for bleeding.

 Image: © Steve Debenport/Getty Images

No one wants to have surgery, even minor surgery, but sometimes minor procedures, such as a tooth extraction or a colonoscopy, are unavoidable. When that happens, you may hear that it's important to stop taking certain medications. Understanding exactly which drugs to suspend — and when — can be confusing. "I get a lot of questions about this," says Joanne Doyle Petrongolo, a pharmacist at Harvard-affiliated Massachusetts General Hospital.

Blood thinners

All surgery involves cutting body tissue, and that leads to bleeding. Blood thinners—medications like anticoagulants and antiplatelet drugs—can boost the risk for bleeding by keeping the blood from clotting.

News briefs

 Image: © Rawpixel Ltd/Getty Images

Here's a simple way to try to control your weight: take more time to eat your meal. It's one of several strategies that appeared to help people in a study published online Feb. 12, 2018, by BMJ Open. Researchers analyzed about six years' worth of health insurance claims and doctor visit details for 60,000 Japanese men and women with type 2 diabetes. The doctor visits included questions about how quickly people ate their meals. People who ate slowly were 42% less likely to be obese than people who gulped down their food. The study was only observational and therefore can't prove that eating slowly caused weight loss, but other studies have reported similar findings. Also, it takes about 15 minutes after you start to eat for the "getting full" signals to reach your brain — and a person can eat a lot of calories in 15 minutes. So slow down and savor every bite. For more information, check out the Harvard Special Health Report 6-Week Plan for Healthy Eating (www.health.harvard.edu/swp).

News briefs

Hearing loss is a common and serious disability that can take you out of conversations and put you at risk for depression and isolation. Two recent studies from JAMA Otolaryngology–Head & Neck Surgery suggest that hearing loss is also connected to several other conditions. One study of national health surveys, published online Jan. 25, 2018, found that hearing loss was associated with heart failure: 75% of people ages 70 or older with heart failure also had hearing loss. The other study, published online Dec. 7, 2017, evaluated 36 studies that included more than 20,000 people who'd had hearing and cognition tests. Scientists found that age-related hearing loss was significantly associated with a decline in all areas of thinking skills and with developing dementia. These studies were observational, so they don't prove that hearing loss causes thinking problems or heart failure. But they're a reminder of the importance of having hearing loss checked out. The problem can sometimes be resolved without hearing aids if it's being caused by earwax, an ear infection, or an abnormal bone growth.

Image: © CSA-Printstock/Getty Images

Men can experience voice changes as they age, but there are ways to protect and improve your speaking tone.

It's common as you age for your voice to change, a condition called presbylaryngis, or aging of the larynx. The result is often that annoying raspy, hoarse tone commonly known as "old age" voice.

"Over many years, we talk, yell, and sing a lot. Eventually, this causes the vocal folds to become weak or damaged, and your voice loses its range and quality," says Barbara Wilson Arboleda, a speech and language pathologist with a specialty in voice at Harvard-affiliated Massachusetts Eye and Ear. "This can make daily communication an issue, as it requires greater effort to speak and be understood, which may cause many older men to become more withdrawn and isolated."

Falls continue to be the leading cause of injuries among older adults. Practicing balance exercises can help keep you steady.

 Image: © laflor/Getty Images

Every year, about one-quarter of adults older than age 65 experience at least one accidental fall. The impact of a fall can be devastating. About 20% of falls result in a serious injury like broken bones in the wrist, arm, and ankle; hip fractures; and head injuries. Surgery or rehabilitation may be needed, which may impair your mobility. A fall also could cause psychological trauma and make you fearful of being active.

"You want to do whatever you can to avoid a fall," says Dr. Adam Tenforde, a sports medicine physician at Harvard-affiliated Spaulding Rehabilitation Hospital.

Sometimes the emotional part of cancer is the toughest test.

Any kind of cancer diagnosis is life-changing. There suddenly are many decisions to make about treatments, possible surgery, and recovery. It can be a lot to deal with. But one part of the cancer process that often gets pushed aside is the psychological aspect — how do you manage the many emotions that come with it?

"The natural response to hearing 'cancer' is to feel a surge of anxiety and negative thoughts like 'I'm going to die,'" says Dr. John Peteet, head of the psychosocial oncology fellowship at the Harvard-affiliated Dana-Farber Cancer Institute. "Yet many men are reluctant to admit this and keep their feelings inside, so it's tough to know when they need help with this part of a cancer diagnosis."

Engaging your brain to write your memoirs can leave a recorded history for your descendants as it helps improve your cognitive fitness.

 Image: © nzphotonz/Getty Images

As we grow older, there may be a tendency to feel less relevant to the people around us. We tend to withdraw as a result, and this isolation can lead to a greater risk of depression.

But here's an idea that will help you stay in the game as it helps your family better understand their own history. It's simple: write your life story.

In the journals

 Image: © FlyMint Agency/Getty Images

People who make an effort to lose weight can help their partner do the same, according to a study published online Feb. 1, 2018, by Obesity.

The study tracked the weight-loss progress of 130 couples over six months. The couples were divided into two groups. In one group, one member of the couple was enrolled in a Weight Watchers program that provided in-person counseling and online tools to assist with weight loss. In the second group, one member of the couple received a four-page handout with information on ways to lose weight, like healthy eating, exercise, and weight-control strategies.

In the journals

So far, research has been mixed on whether brain training programs can improve or slow memory decline. Yet a new study published online Jan. 4, 2018, by the Journal of the American Geriatrics Society found that brain training may help people with mild cognitive impairment (MCI), the stage between normal brain aging and dementia.

Researchers recruited 145 adults, average age 72, who were diagnosed with MCI. They were split into three groups. Those in one group did two hours of brain training every week for two months. The training focused on improving memory by learning new strategies to better encode information. For example, they remembered errands by associating tasks with specific locations in their home, a process called method of loci. They also practiced how to better control their attention.