Tag: aging

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Retirement Plans

There are debates about the best organization of retirement. The major fault lines lie between public pension systems and systems that are built based on mainly private provision. Retirement plans in either system are subject to constraints. The recent stock market turbulence has increased the amount of uncertainty people face who invested in 401K plans in the US. Some had to take an unannounced hit to their retirement savings due to the loss after Trump’s back and forth policies on tariffs (OECD Pension Outlook). High volatility of stock market prices creates an additional constraint that you are less inclined to retire when your retirement investments have overall a reduced value. You are a bit at the mercy of capital markets even in your retirement decision, irrespective of the difficulty to predict what your retirement funds will yield as returns. Quite an important lesson to keep in mind when comparing retirement systems in OECD countries. It has been all too easy to blame public pension systems for maybe lower short term interests on pension savings. Being subject to an American president concerning your retirement plans is probably not what many countries would like to have. Trump’s choices on tariffs may have consequences we did not expect to affect us so directly.

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Suicide Prevention

The annual mortality statistics and special reports on suicidal tendencies are a tough reading. OECD Statistics give a at least an approximate, comparative perspective. Reporting routines and medical confirmation of a suicide or suicidal behavior still vary quite a bit between countries. Nevertheless, the usually reported incidents per 100.000 persons remain rather abstract.
Absolute numbers speak a clear language. For example in Germany there were about 10.300 recorded suicides in 2023, France had to mourn about 9200 in 2022. To put the size of the problem in perspective it is helpful to know that in Germany all other not aging related causes of death like traffic accidents, drugs or murder make up for around 7.000 deaths per year. The targeting of resources and prevention efforts on these vulnerable people seems inevitable. However, we see only limited additional efforts to curb the problem.
A more detailed analysis of the frequencies reveals the gender and age differences. More men commit suicides and older (very old) people have higher risks. The oldest age group of men is most at risk.
Since the Covid-19 pandemic young women show rising trends in many countries again of suicidal attempts and self-inflicted wounds. Despite a continuing effort of research (Links) there is no single cause to explain the occurrences.
As a working hypothesis, which awaits empirical tests, I would look into societal factors that stigmatize persons who are made to believe or feel like they are beyond the normal spectrum of society. The lack of acceptance of diversity concerning gender, age, ethnicity, body shapes or mental states like anxiety. Poverty might cause immense distress and suffering. Large shifts in wealth in both directions cause additional risks.
It seems as if our minds and society are constantly in a kind of „regression towards the mean“ posing challenges to those furthest away from the average or perceived norms. Percentile ranks or percentile scores are commonly used to express a person’s position in a frequency distribution. For example you are better/lower than 90% of persons of your age group. Such statements might cause further distress for persons. However, summarising across several (psychological) measurements, they may yield encouraging indications as well. Actual and perceived positions in such percentile ranks add another “social risk” as perceived positions may govern behavior.

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Health data

2025 will be a crucial year for health data across the EU. Germany introduced the electronic patient card, which can store basic information to then access data in the health insurance cloud for medical doctors, hospitals and other related health services. Potentially this is a great step ahead as some tests do not have to be repeated if they had been completed recently before already.

In pseudomised form, research may draw samples from such databases to enhance our science based understanding of disease. The evaluation of public health interventions becomes easier and medium and long term efficiency of measures can be assessed in many instances.
The Belgian research using health data has met to discuss the potential and limitations to link health data to other data sources to allow more complete and more complex analyses of health and disease processes. Another extensive data source sits on our smartphone. Collection of steps walked, sleep patterns or heart beats give valuable insights into a person’s own contribution and care about personal health. Although data are frequently incomplete, researchers are used to estimate missing data on the basis of existing or comparable person’s data. The basis for improving health for all are quite promising, data handling and linking them will be a challenge to the competence of all stakeholders and everyone involved in better health. It will be stressful before it becomes a routine.

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Move Tech

First we teach robots how to move. Next, they teach us how to move and motivate us to do more. This is not only for the elderly persons to imitate the moves and talk to AI systems, but children too will have fun and learn new tricks from robots rather than old dogs. Learning languages with an AI system is well advanced. Soon we shall walk with our artificial friend around cities and have a perfect tourist guide with us. Imagine walking in the countryside with your robot explaining you the flowers and herbs next to you. These brave new worlds are not too far off and it is up to us to be open to accept or dismiss these applications. Coaches using ball throwing machines or robots have managed to lead pupils to higher levels of practice faster than others. Motivation through move technology has undeniable advantages.

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Aging Politicians

The process of aging is usually a process which is progressing slowly. For politicians this process seems to run in fast forward. The churning of people through careers as politicians is quite unpredictable despite the fact that a career track through youth organizations of political parties or non-governmental organizations is a fairly good predictor of prospects of a career within this party. As the political culture has become even more rough through the comments and criticism of official media and social media, the expectations to be available for comment and debate are almost instantaneous.
Burn-out and frustration are a more frequent occurrence. As such this is not surprising, but the young age of these occurrences are real concern. The profession of politicians bears many risks and even threats to their lives. Democracies rely heavily on politicians who master complex subjects and can communicate effectively about these topics.
Aging societies can no longer just claim that politicians should reflect the age structure of society. It remains a challenge to train and support young people for jobs in politics. It is also an issue to prepare for a sustainable career in politics and keep motivation high to go the extra mile in the interest of society as a whole.
(Image: Extract of Adolphe Menzel, Das Ballsouper, 1878, SPK Berlin)

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Own Insulin

People who suffer from type 1 diabetes do not produce enough insulin themselves. The World Health organization estimated that „in 2017 there were 9 million people with type 1 diabetes; the majority of them live in high-income countries“ (WHO 2023). The report on successful reprogramming of stem cells of a person to produce insulin again and subsequently transplanting these cells into the same person allowed to produce own insulin again for that same person (Mallapaty, 2024). The hope for millions of people with type 1 diabetes is high that eventually there will be a cure to the disease. Scientists caution that there are no data yet for how long the transplanted own stem cells will produce insulin. Hence, the hope is driving research forward on a promising way forward. The case of type 2 diabetes is very different as additionally the absorption of insulin in the body causes problems. We keep walking and building muscles to facilitate the insulin absorption in the body to guard against the onset of type 2 diabetes. Interaction of diabetes and aging is another topic that needs our attention as rapidly aging societies are at higher risks to face many more people with various forms of diabetes.

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Burden of Disease

For the planning of health and care systems it is important to measure the so-called burden of disease within societies or related to specific diseases or social groups. A large-scale analysis of several longitudinal data bases of the populations 50 years of age and older shows that we have underestimated the burden of disease to societies of psychiatric disorders, like depression, in most societies.
A meta-study and overview of previous studies showed already that depression (age 60+) is more common in lower-income countries (between 25 and 33% of 60+population age group). High income countries, studied by Wang et al. 2024 in The Lancet Healthy Longevity, have rates of depression well below these levels, but a link to socioeconomic status, inactivity and loneliness is still evidenced. A five-year follow-up of persons aged 50+ years shows that the probability to develop a depression (hazard rate) is twice as high for persons with low socioeconomic status, who were socially
inactive and lonely than for socially active, high socioeconomic status and did not feel lonely at the beginning of measurement. The conclusion of the research highlights the need to develop and implement integrated and simultaneous initiatives to addressed the growing burden of disease related to depression in older persons. (Image, Jules Desbois, “Misery” 1887-89, Musée Rodin, Paris)

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Stress Ageing

The relationship between stress and aging is a complex one. Stress is known to accelerate aging and aging caused different reactions to stress. In short causality does not run only in one direction. Additionally new research published in Nature Medicine 2024 demonstrates that different genetic preconditions determine different response patterns to stress and subsequent brain aging. From anecdotal experience we are well aware of different persons coping very differently with stressful situations. Mastering of various coping mechanisms may attenuate the stress experience but the impact on preserving our brain remains an open question. Various other forms of lifestyle conditions like drugs and smoking cause specific forms of brain damage as well. 2 separate forms of dementia can be identified from brain MRI-images as well. The brain is no longer the black box of missing information about what is going on in humans. Put to the right purposes this is good news. (Image: break dance shooting Paris St Denis 2024)

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Alzheimer Research

Alzheimer disease has reached unprecedented levels in line with population aging. The study by Martino-Adami et al. 2024 has raised the hope that more people can receive an early diagnosis of Alzheimer and potentially start treatments. The study used plasma biomarkers rather than much more expensive and rare MRI scans for diagnosis. The rather exceptional results allow even to test for severity of Alzheimer according to established evaluation measures. Additionally, the probability of an Alzheimer trajectory on a time scale is feasible. The authors suggest that the data and statistical methods applied allow to identify Alzheimer before the outbreak of impairments. The data sample stems from “patients of advanced age visiting primary care”. This remains a limitation for generalizations, but the hope that other studies test the same approach with samples from younger populations will spur additional investments into such research. The list of institutions and foundations that contributed to make this study possible is really long. Thanks go to all involved, researchers, donors as well as the reviewers and editors of the journal. (Image Paris Metro Help Column 2024)

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Generational differences

The study of generational differences has a long tradition in sociology. A recent study by Wysmulek et al. (Acta Sociologica 2024, 131pp). highlights changes in how youth values education, abilities and hard work. The study carried out with Polish data shows that it is not the straightforward historical grouping of birth cohorts that matters most, but the experience of living through a period of crisis or stability during the formation of so-called meritocratic beliefs. Once formed, these beliefs tend to persist for prolonged periods of time well into middle and late adulthood.

Many judgements about young people might suffer a substantial generational bias when viewed from another generation’s vantage point. Cross-generational differences in beliefs and behavior are dependent on homogeneous or heterogeneous experiences of the respective generations. Disrespect of such generational differences is bound to yield severe misunderstandings. Who told you that social life was easy anyway? (Image decorated piano in shopping mall, Berlin 2024)