seniors

Initial findings from the Walnuts and Healthy Aging (WAHA) study indicate that daily walnut consumption positively impacts blood cholesterol levels without adverse effects on body weight among older adults.

The study involved 707 healthy older adults of whom some were told to add significant daily amounts of walnuts (~15% of caloric intake) to their usual diet. They were not given any advice on what they should be eating, apart from that.

After a year, a comparison of the two groups found that those eating the walnuts were not any heavier than those who hadn't included walnuts in their diet, but the walnut-diet resulted in significant reductions in LDL cholesterol. There was minimal effect on triglycerides and HDL cholesterol.

Another study reported at the conference found that daily consumption of 1.5 ounces of walnuts significantly affected the bacteria in the human gut in a way that was favorable to decreasing inflammation and cholesterol. This was a small study involving only 18 healthy adults. However, a 2015 study with rats similarly found that a diet with walnuts had a significant effect on gut bacteria communities.

Walnuts are unique among nuts in being primarily composed of polyunsaturated fat. This includes alpha-linolenic acid (ALA), the plant-based omega-3 fatty acid, which is known to reduce inflammation. Walnuts are the only nut that contain a significant amount of alpha-linolenic acid.

Walnuts are also said to be an excellent source of antioxidants — indeed, second only to blackberries.

http://www.eurekalert.org/pub_releases/2016-04/es-nri040116.php

Ros E, Rajaram S, Sala-Vila A, et al. Effect of a 1-Year Walnut Supplementation on Blood Lipids among Older Individuals: Findings from the Walnuts and Healthy Aging (WAHA) study [abstract]. FASEB J. 2016;30(Supp 1)293.4. Available at: http://www.fasebj.org/content/30/1_Supplement/293.4.abstract

Guetterman HM, Swanson KS, Novotny JA, et al. Walnut Consumption Influences the Human Gut Microbiome [abstract]. FASEB J. 2016;30(Supp 1)406.2. Available at: http://www.fasebj.org/content/30/1_Supplement/406.2.abstract

Vinson, JA & Cai, Y. (2012) Nuts, especially walnuts, have both antioxidant quantity and efficacy and exhibit significant potential health benefits. Food & Function, 3(2), 134-140 . http://pubs.rsc.org/en/Content/ArticleLanding/2012/FO/C2FO10152A#!divAbstract

A number of studies have pointed to a link between depression and type 2 diabetes, but a new study indicates that this is not as straightforward as it seemed. The large Canadian study involving 2,525 adults aged 40-69 has found that it is not depression alone that increases the risk of developing diabetes, but depression in conjunction with metabolic risk factors such as obesity, high blood pressure and unhealthy cholesterol levels,.

The study found that those with metabolic symptoms but not depression were around four times more likely to develop diabetes than normally healthy people, while those with both depression and metabolic risk factors were more than six times more likely to develop diabetes. The combined effect of depression and metabolic symptoms was greater than the sum of the individual effects. But those with depression alone had no more risk than normally healthy people.

There are probably two main causes for this effect. One is that, as evidence shows, people suffering from depression are less likely to adhere to medical advice aimed at tackling metabolic symptoms. This makes the metabolic symptoms worse, which can exacerbate the symptoms of depression, and so it goes, in a horrible negative cycle.

The second reason is that some forms of depression are associated with changes in the body's metabolic systems which can lead to weight gain, high blood pressure and problems with glucose metabolism. Some antidepressant medications can also cause weight gain.

http://www.eurekalert.org/pub_releases/2016-04/mu-hdm041216.php

Schmitz, N., Deschenes, S. S., Burns, R. J., Smith, K. J., Lesage, A., Strychar, I., … Wang, J. L. (2016). Depression and risk of type 2 diabetes: the potential role of metabolic factors. Mol Psychiatry. Retrieved from http://dx.doi.org/10.1038/mp.2016.7

A small, Israeli study involving 48 overweight and obese older adults with Type 2 diabetes (average age 59) has found that those who ate a large breakfast containing whey protein managed their diabetes better.

Participants in the study were randomly alloted to one of three diets that contained the same number of calories, and followed the pattern: large breakfast, medium-sized lunch and small dinner. They followed this diet for 23 months. The groups varied in the type of breakfast: primarily whey protein; other proteins such as eggs, soy and tuna; a meal high in carbohydrates or starch.

After 12 weeks, the group on whey protein lost the most weight: 7.6 kg (16.7 pounds), compared to 6.1 kg (13.4 pounds) for those on the other proteins, and 3.1 kg (6.8 pounds) for those in the carbohydrate group. Those on whey protein were also more satiated and less hungry throughout the day, with lower glucose spikes after meals compared to the other two diets, and their HbA1C also decreased more than with the other two diets.

http://www.eurekalert.org/pub_releases/2016-04/tes-lwp040116.php

Data from 8,452 participants in the population-based Rotterdam Study found that, over eight years, 1,100 (13%) developed prediabetes and 798 (9.4%) developed diabetes. The risk of progressing from prediabetes to diabetes was up to 40% higher for those with low thyroid function. Even among those whose thyroid function was in the normal range at first measurement, progression from prediabetes to diabetes was 1.4 times higher for those in the lowest third of thyroid function levels compared with the highest third.

The average age of the participants was 65.

http://www.eurekalert.org/pub_releases/2016-04/tes-sll040116.php

Frailty, manifesting in weight loss and malnutrition, leading to decreased hyperglycemia and normalization of blood glucose levels, may develop in older diabetics. This in turn leads to an increased risk of hypoglycemia. Current guidelines suggest relaxed glycemic control in diabetic, frail elderly patients.

A British study reviewing the impact of frailty on blood glucose level normalization has suggested not simply a more relaxed glycemic control in frail elderly with diabetes, but that complete withdrawal of hypoglycemic medications may be necessary. The researchers recommend that doctors regularly review medications taken in this vulnerable population “with consideration of gradual reduction or complete withdrawal when frailty and significant weight loss emerge”.

The review is available free to read here: http://www.future-science.com/doi/full/10.4155/fsoa-2015-0016.

http://www.eurekalert.org/pub_releases/2016-03/fsg-dwn031516.php

A 10-year French study of 7,313 older adults (65+), of whom nearly 30% of the women and 15% of the men had high levels of depressive symptoms, has found that repeated occurrences of depression produced increasing risk of heart disease or stroke. Those who had high levels of depressive symptoms on one, two, three, or four occasions during the study had 15%, 32%, 52%, and 75% greater risk, respectively, of experiencing heart disease or stroke events.

http://www.eurekalert.org/pub_releases/2016-02/ags-foa020116.php

Péquignot, R., Dufouil, C., Prugger, C., Pérès, K., Artero, S., Tzourio, C., & Empana, J.-P. (2016). High Level of Depressive Symptoms at Repeated Study Visits and Risk of Coronary Heart Disease and Stroke over 10 Years in Older Adults: The Three-City Study. Journal of the American Geriatrics Society, 64(1), 118–125. http://doi.org/10.1111/jgs.13872

Stress, including sleep disturbance, is a major contributor to inflammation in the body. Insomnia is associated with increased risk for depression, medical comorbidities, and mortality.

A study involving 123 older adults (55+) with insomnia randomly assigned them to one of 3 types of classes: cognitive behavioral therapy for insomnia, tai chi, or a sleep seminar (the control condition).

Cognitive behavioral therapy for insomnia reduced insomnia symptoms and levels of the inflammation marker C-reactive protein, and reversed activation of molecular inflammatory signaling pathways. These benefits were maintained for 16 months.

Tai chi also reduced inflammation, reducing the expression of inflammation at the cellular level and reversing activation of inflammatory signaling pathways. It marginally reduced levels of C-reactive protein. Again, these benefits were maintained for 16 months.

Those participants assigned to the sleep seminar classes showed no significant changes in inflammatory markers, as expected.

http://www.eurekalert.org/pub_releases/2015-11/e-bsa110515.php

Irwin, M. R., Olmstead, R., Breen, E. C., Witarama, T., Carrillo, C., Sadeghi, N., … Cole, S. (2015). Cognitive Behavioral Therapy and Tai Chi Reverse Cellular and Genomic Markers of Inflammation in Late-Life Insomnia: A Randomized Controlled Trial. Biological Psychiatry, 78(10), 721–729. http://doi.org/10.1016/j.biopsych.2015.01.010

Telomeres are the protective caps at the ends of chromosomes that affect how quickly cells age. With age, they shorten, and as their structural integrity weakens, the cells age and die quicker. Telomere length thus is a biomarker of cellular age. Stress is also thought to shorten telomere length.

A year-long study that looked at the effects of three healthy behaviors in 239 post-menopausal, non-smoking women has found that women who engaged in lower levels of healthy behaviors showed a significantly greater telomere shortening for every major life stressor that occurred. However, stress didn't lead to greater shortening in those women who maintained active lifestyles, healthy diets, and good quality sleep.

Shorter telomeres have become associated with a broad range of aging-related diseases, including stroke, vascular dementia, cardiovascular disease, obesity, osteoporosis diabetes, and many forms of cancer.

http://www.eurekalert.org/pub_releases/2014-07/uoc--hlm072414.php

Puterman, E., Lin, J., Krauss, J., Blackburn, E. H., & Epel, E. S. (2015). Determinants of telomere attrition over 1 year in healthy older women: stress and health behaviors matter. Molecular Psychiatry, 20(4), 529–535. http://doi.org/10.1038/mp.2014.70

A small clinical trial involving 49 older adults (average age 66) found that the group who were given a standardized mindfulness meditation program had greater improvement in sleep score than the group given a sleep hygiene education program. They also showed greater improvement on secondary measures of insomnia symptoms, depression symptoms, fatigue interference and fatigue severity. However, differences between the groups were not seen for anxiety, stress or inflammatory signaling, the last of which declined in both groups.

http://www.eurekalert.org/pub_releases/2015-02/tjnj-mma021215.php

Black DS, O’Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness Meditation and Improvement in Sleep Quality and Daytime Impairment Among Older Adults With Sleep Disturbances: A Randomized Clinical Trial. JAMA Intern Med. 2015;175(4):494-501. doi:10.1001/jamainternmed.2014.8081.

A study involving 302 older women (mean age 82) has found that those with moderate to severe sleep apnea were at twice the risk of having problems in performing basic functions associated with independent living.

http://www.eurekalert.org/pub_releases/2014-11/jhub-oww111214.php

Spira, A. P., Stone, K. L., Rebok, G. W., Punjabi, N. M., Redline, S., Ancoli-Israel, S., & Yaffe, K. (2014). Sleep-Disordered Breathing and Functional Decline in Older Women. Journal of the American Geriatrics Society, 62(11), 2040–2046. http://doi.org/10.1111/jgs.13108