Category Archives: Aging

Interviews: Director Martin Scorsese On Filmmaking & Death (NYT)

From a New York Times online article (01/02/20):

Martin Scorsese Photo by Philip Montgomery for The New York Times
Scorsese would like to take a year to read and spend time with loved ones. “Because we’re all going. Friends are dying. Family’s going.”Credit…Philip Montgomery for The New York Times

In ways both subtle and substantial, Scorsese sees the world changing and becoming less familiar to him. He gratefully accepted a deal with Netflix, which covered the reported $160 million budget for “The Irishman.” But the bargain meant that, after the movie received a limited theatrical release, it would be shown on the company’s streaming platform.

Scorsese has other aspirations but they have nothing to do with moviemaking. “I would love to just take a year and read,” he said. “Listen to music when it’s needed. Be with some friends. Because we’re all going. Friends are dying. Family’s going.”

Martin Scorsese is the most alive he’s been in his work in a long time, brimming with renewed passion for filmmaking and invigorated by the reception that has greeted his latest gangland magnum opus, “The Irishman.”

And what he wants to talk about is death.

Just to be clear, he’s not talking about the deaths in his movies or anyone else’s. “You just have to let go, especially at this vantage point of age,” he said one Saturday afternoon last month.

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Health And Aging: U.S. Will Need 33,000 Geriatricians By 2025, Only Has 7,000 Now

From a New York Times online article:

Journal of the American Geriatrics SocietyIf one geriatrician can care for 700 patients with complicated medical needs, as a federal model estimates, then the nation will need 33,200 such doctors in 2025. It has about 7,000, only half of them practicing full time. (They’re sometimes confused with gerontologists, who study aging, and may work with older adults, but are not health care providers.)

Geriatrics became a board-certified medical specialty only in 1988. An analysis published in 2018 showed that over 16 years, through academic year 2017-18, the number of graduate fellowship programs that train geriatricians, underwritten by Medicare, increased to 210 from 182. That represents virtually no growth when adjusted for the rising United States population.

“It’s basically stagnation,” said Aldis Petriceks, the study’s lead author, now a medical student at Harvard.

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Video Profiles: 73-Year Old Legendary River Runner & Activist Herman Hoops

“A river trip in a boat is a magic carpet. It’s a ballet and you can feel in the oars what the river is saying. That’s the part that’s really hard for me to give up, that feeling of using all my knowledge and skills to dance on a river. If you’re a river runner, this is it, man…”

In the final chapter of his life, legendary river runner and activist Herm Hoops has the opportunity to take one last river trip through his treasured Desolation Canyon on the Green River. “Salad Days” gives us a rare glimpse of what it means when a person has the chance to reflect on a lifetime of passion and river running as they knowingly go through the stages of dying.

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Article on Herman Hoops

Healthy Diets: “The Science Behind Fasting – Ketosis” (Infographic)

The Science Behind Fasting - Ketosis
Cellular Cleanup Crew Fasting and caloric restriction both can ramp up autophagy, a kind of cellular housekeeping. When cells are in famine mode and don’t have to break down food, they pause their usual tasks and stop dividing. Instead, they work on repairing and recycling damaged components, and cleaning out dead or harmful cell matter. Alison Mackey/Discover

…It seems fasting triggers a dramatic switch in the body’s metabolism, according Discover Magazine logoto a paper Mattson and colleagues published in February in the experimental biology journal FASEB. In humans, fasting for 12 hours or more drops the levels of glycogen, a form of cellular glucose. Like changing to a backup gas tank, the body switches from glucose to fatty acids, a more efficient fuel. The switch generates the production of ketones, which are energy molecules that are made in the liver. “When the fats are mobilized and used to produce ketones, we think that is a key factor in accruing the health benefits,” says Mattson.

Read more at Discover Magazine

Aging: “Okinawa’s Secrets To Longevity” (Telegraph)

The Telegraph logoHundreds of miles south of Japan’s main islands, in the East China Sea, is a Jurassic Park of longevity, with a higher percentage of centenarians (people who live to 100 years old) than anywhere else on Earth.

Greg Dickinson visits the Japanese archipelago of Okinawa to discover the secret to long life.

Read the full article at: https://telegraph.co.uk/travel/destin…

Heart Studies: Alcohol Abstinence For Atrial Fibrillation Reduces Arrhythmia (NEJM)

Alcohol Abstinence for Atrial Fibrillation New England Journal of Medicine January 1 2020

Abstinence from alcohol reduced arrhythmia recurrences in regular drinkers with atrial fibrillation. 

New England Journal of Medicine

January 2, 2020 Atrial fibrillation is the most common sustained arrhythmia,1 and alcohol is consumed by a majority of U.S. adults.2 The current study showed that among regular drinkers, a substantial reduction in alcohol consumption by patients with symptomatic atrial fibrillation was associated with a reduction in recurrence of atrial fibrillation and a reduced proportion of time spent in atrial fibrillation. Earlier meta-analyses showed that alcohol was associated with a dose-related increased risk of incident atrial fibrillation, with increased risk observed even among drinkers who consumed as few as 7 drinks per week.8 Current trends show a rise in alcohol consumption among adults older than 60 years of age,2coupled with greater prevalence of atrial fibrillation in this age group. The present study, with participants having an average intake of approximately 17 drinks per week at baseline, suggests that consumption at these levels may contribute to atrial fibrillation.

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Dementia: Cognitive Loss Is Greatest At “Slightest Level Of Hearing Loss”

From a New York Times online article:

Hearing Loss…the researchers demonstrated that the biggest drop in cognitive ability occurs at the slightest level of hearing loss — a decline from zero to the “normal” level of 25 decibels, with smaller cognitive losses occurring when hearing deficits rise from 25 to 50 decibels.

Hearing loss is now known to be the largest modifiable risk factor for developing dementia, exceeding that of smoking, high blood pressure, lack of exercise and social isolation, according to an international analysis published in The Lancet in 2017.

the new findings on cognitive losses linked to subclinical hearing loss, gleaned from among 6,451 people age 50 or older, suggest that any degree of hearing loss can take a toll.

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Podcasts: Poet Jane Hirshfield & Other Writers Discuss “Memory And Forgetting” (UCSF)

Memory sits at the core of both literature and lives. Yet forgetting is also a part of our brains’ daily working, bringing its own human truths and a necessary path for moving forward. Lewis Hyde’s new _A Primer for Forgetting: Getting Past the Past_, provides inspiration for a deep-dive discussion of memory’s other side, with this august panel of writers and neuroscientists: poets Jane Hirshfield and Margaret Gibson, author Lewis Hyde, and UCSF neuroscientists Aimee Kao, Bruce Miller, and Virginia Sturm.

Co-hosted by Litquake, San Francisco’s Literary Festival

Jane Hirshfield’s ninth poetry collection, Ledger (Knopf), appears in 2020. Chancellor emerita of the Academy of American Poets and recently elected into the American Academy of Arts & Sciences, she works frequently at the intersection of poetry and science. Her work appears in The New Yorker, Atlantic, Poetry, et al.

Listen to Poet and Professor Margaret Gibson below:

Margaret Gibson, current Connecticut Poet Laureate, is the author of 12 books of poetry, including Not Hearing the Wood Thrush (2018) and Broken Cup (2014), centered on memory loss from Alzheimer’s disease and the gifts of sustaining presence through lament, acceptance, and love. She is Professor Emerita at the University of Connecticut.

Listen to author Lewis Hyde below:

Lewis Hyde’s recent book, A Primer for Forgetting (FSG, 2019), explores the many situations in which forgetfulness is more useful than memory—in myth, personal psychology, politics, art and spiritual life. A MacArthur Fellow, Hyde taught for many years at Kenyon College.

New Literary Books: “Aging, Duration, And The English Novel” (CUP)

From a Cambridge University Press (CUP) listing:

Aging, Duration, and the English Novel Growing Old from Dickens to Woolf Cambridge University Press New Release January 2020Aging, Duration, and the English Novel argues that the formal disappearance of aging from the novel parallels the ideological pressure to identify as being young by repressing the process of growing old. The construction of aging as a shameful event that should be hidden – to improve one’s chances on the job market or secure a successful marriage – corresponds to the rise of the long novel, which draws upon the temporality of the body to map progress and decline onto the plots of nineteenth-century British modernity.

The rapid onset of dementia after an illness, the development of gray hair after a traumatic loss, the sudden appearance of a wrinkle in the brow of a spurned lover. The realist novel uses these conventions to accelerate the process of aging into a descriptive moment, writing the passage of years on the body all at once.

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Aging, Duration, and the English Novel Growing Old from Dickens to Woolf Cambridge University Press New Release January 2020

New Studies: Beneficial Effects Of “18-Hour Intermittent Fasting” On Health And Aging (NEJM)

From a New England Journal of Medicine online release:

In humans, intermittent-fasting interventions ameliorate obesity, insulin resistance, dyslipidemia, hypertension, and inflammation. Intermittent fasting seems to confer health benefits to a greater extent than can be attributed just to a reduction in caloric intake.

Evidence is accumulating that eating in a 6-hour period and fasting for 18 hours can trigger a metabolic switch from glucose-based to ketone-based energy, with increased stress resistance, increased longevity, and a decreased incidence of diseases, including cancer and obesity.

The New England Journal of Medicine Logo

Preclinical studies and clinical trials have shown that intermittent fasting has broad-spectrum benefits for many health conditions, such as obesity, diabetes mellitus, cardiovascular disease, cancers, and neurologic disorders. Animal models show that intermittent fasting improves health throughout the life span, whereas clinical studies have mainly involved relatively short-term interventions, over a period of months.

Effects of Intermittent Fasting on Health, Aging, and Disease New England Journal of Medicine December 26 2019

BOOMERS-DAILY.COM “18-HOUR INTERMITTENT FASTING DIET” STUDY

How much of the benefit of intermittent fasting is due to metabolic switching and how much is due to weight loss? Many studies have indicated that several of the benefits of intermittent fasting are dissociated from its effects on weight loss. These benefits include improvements in glucose regulation, blood pressure, and heart rate; the efficacy of endurance training; and abdominal fat loss.

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