Social Interaction

Early retirement can accelerate cognitive decline

Early retirement can accelerate cognitive decline among the elderly, according to research conducted by faculty at Binghamton University, State University of New York.

Plamen Nikolov, assistant professor of economics, and Alan Adelman, a doctoral student in economics, examined China’s New Rural Pension Scheme (NRPS) and the Chinese Health and Retirement Longitudinal Survey (CHARLS) to determine the effects of pension benefits on individual cognition of those ages 60 or above. CHARLS, a nationally representative survey of people ages 45 and above within the Chinese population, is a sister survey of the U.S. Health and Retirement Survey and directly tests cognition with a focus on episodic memory and components of intact mental status.

With a higher life expectancy and decline in fertility in developing countries, the elderly population has become the largest demographic source in Asia and Latin America, generating an urgent need for new, sustainable pension systems. However, research suggests that these retirement plans can be detrimental, as retirement plays a significant role in explaining cognitive decline at older ages.

“Because of this large demographic boom, China introduced a formal pension program (called NRPS) in rural parts of the country. The program was introduced on the basis of an economy’s needs and capacity, in particular to alleviate poverty in old age,” said Nikolov. “In rural parts of the country, traditional family-based care for the elderly had largely broken down, without adequate formal mechanisms to take its place. For the elderly, inadequate transfers from either informal family and community transfers could severely reduce their ability to cope with illness or poor nutrition.”

The researchers discovered that there were significant negative effects of pension benefits on cognition functioning among the elderly. The largest indicator of cognitive decline was delayed recall, a measure that is widely implicated in neurobiological research as an important predictor of dementia. The pension program had more negative effects among females, and Nikolov said the results support the mental retirement hypothesis that decreased mental activity results in the worsening of cognitive skills.

“Individuals in the areas that implement the NRPS score considerably lower than individuals who live in areas that do not offer the NRPS program,” Nikolov said. “Over the almost 10 years since its implementation, the program led to a decline in cognitive performance by as high as almost a fifth of a standard deviation on the memory measures we examine.”

“For cognition among the elderly, it looks like the negative effect on social engagement far outweighed the positive effect of the program on nutrition and sleep,” said Nikolov. “Or alternatively, the kinds of things that matter and determine better health might simply be very different than the kinds of things that matter for better cognition among the elderly. Social engagement and connectedness may simply be the single most powerful factors for cognitive performance in old age.”

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Source: ScienceDaily

Dog Ownership Associated With Longer Life

According to a study and separate meta-analysis published in Circulation: Cardiovascular Quality and Outcomes dog ownership, provided it is a responsible and good relationship, may be associated with longer life and better cardiovascular outcomes, especially for those who are heart attack and stroke survivors who live alone.

“The findings in these two well-done studies and analyses build upon prior studies and the conclusions of the 2013 AHA Scientific Statement ‘Pet Ownership and Cardiovascular Risk’ that dog ownership is associated with reductions in factors that contribute to cardiac risk and cardiovascular events,” said Glenn N. Levine, M.D., chair of the writing group of the American Heart Association’s scientific statement on pet ownership. “Further, these two studies provide good, quality data indicating dog ownership is associated with reduced cardiac and all-cause mortality. While these non-randomized studies cannot ‘prove’ that adopting or owning a dog directly leads to reduced mortality, these robust findings are certainly at least suggestive of this.”

Research indicates that social isolation and lack of physical activity have negative impacts on human health. Both studies examined how dog ownership affected health outcomes. In the past, dog ownership has been indicated to alleviate social isolation, improve physical activity, and lower blood pressure; dog owners are thought to have better cardiovascular outcomes than those who are not.

Close to 182,000 people were reported to have had a heart attack of those 6% were dog owners; close to 155,000 people had an ischemic stroke of which 5% were dog owners in the study. Compared to nonowners dog ownership was associated with a 24% decreased risk of all cause mortality; 31% lower risk of death due to heart attack or stroke; 33% reduced risk of early heart survivors living alone; and a 27% reduced risk for early death for stroke survivors living alone.

Reduced risk of death associated with dog ownership may be due to increased physical exercise and decreased loneliness/depression; both possible explanations have been connected to dog ownership in previous studies. Even though this study draws from a large sample possible misclassification of factors such as relationship status, change in ownership, or death of a dog could have affected the outcomes in this study.

“We know that social isolation is a strong risk factor for worse health outcomes and premature death. Previous studies have indicated that dog owners experience less social isolation and have more interaction with other people,” said Tove Fall, D. V. M., professor at Uppsala University in Sweden. “Furthermore, keeping a dog is a good motivation for physical activity, which is an important factor in rehabilitation and mental health.”

“The results of this study suggest positive effects of dog ownership for patients who have experienced a heart attack or stroke. However, more research is needed to confirm a causal relationship and giving recommendations about prescribing dogs for prevention. Moreover, from an animal welfare perspective, dogs should only be acquired by people who feel they have the capacity and knowledge to give the pet a good life.”

In the systematic review and meta-analysis over 3.9 million participants from 10 separate studies were involved; 9 studies included comparison of all cause mortality outcomes for dog owners and non-owners, and 4 compared cardiovascular outcomes of non-owners and dog owners. Compared to non-owners dog owners had a 24% decreased risk of all cause mortality, 65% decreased risk of mortality after a heart attack, and a 31% decreased risk of mortality due to cardiovascular related problems.

“Having a dog was associated with increased physical exercise, lower blood pressure levels and better cholesterol profile in previous reports,” said Caroline Kramer, M.D. Ph.D., Assistant Professor of Medicine at the University of Toronto and an Endocrinologist and Clinician scientist at Leadership Sinai Centre for Diabetes at Mount Sinai Hospital, part of Sinai Health System. “As such, the findings that people who owned dogs lived longer and their risk for cardiovascular death was also lower are somewhat expected.”

Studies included in the analysis included those in which participants were adults aged 18+, evaluated dog ownership at the start of the study, reported all cause or cardiovascular mortality, had original data from an original prospective study, were retrospective, and provided an absolute number of events that occurred and reported non-fatal cardiovascular events.

“Our findings suggest that having a dog is associated with longer life. Our analyses did not account for confounders such as better fitness or an overall healthier lifestyle that could be associated with dog ownership. The results, however, were very positive,” said Dr. Kramer. “The next step on this topic would be an interventional study to evaluate cardiovascular outcomes after adopting a dog and the social and psychological benefits of dog ownership. As a dog owner myself, I can say that adopting Romeo (the author’s miniature Schnauzer) has increased my steps and physical activity each day, and he has filled my daily routine with joy and unconditional love.”

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Source: WorldHealth.net