Health
10 tips for dementia caregivers to make the holidays less stressful and more enjoyable
The holiday season can be a stressful time for everyone — but particularly for those living with dementia, as well as their caregivers and loved ones.
Statistics show that an estimated 6.7 million people over 65 in the U.S. have Alzheimer’s disease, the most common type of dementia.
Meanwhile, nearly 90% of U.S. adults report experiencing stress during the holiday season, according to the American Psychological Association.
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“The holiday season can be confusing and overwhelming for those living with dementia, as well as a stressful time for their family caregivers who care for them every day,” said Jessica Corona-Irwin, an Ohio-based registered nurse and certified dementia practitioner at Remo Health, a virtual dementia care company.
“One-on-one interactions can be easier than larger group conversations, as the individual feels included and valued,” one expert said. (iStock)
“One reason for this is that the holiday season often involves changes in daily routines,” she told Fox News Digital. “People living with dementia often need to maintain a daily routine. This consistency can help them feel more secure and reduce anxiety.”
Several experts shared the following tips to help dementia patients, family members and caregivers enjoy a smooth, low-stress holiday.
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1. Prepare family and friends in advance
Kate Granigan, Aging Life Care Association board president in Boston, Massachusetts, recommends explaining any changes in the loved one’s behavior, memory or communication prior to holiday gatherings, especially if others are unfamiliar with dementia.
“A little preparation and understanding helps create a more positive atmosphere.”
“Encourage visitors to be patient, avoid correcting or interrupting, and give your loved one time to express themselves,” she suggested to Fox News Digital.
“A little preparation and understanding helps create a more positive atmosphere.”
2. Stay as consistent as possible
It’s important to try to keep meal times, bedtimes and other daily activities at approximately the same times during the holiday season, according to Corona-Irwin.
“If changes are necessary, make them gradually and communicate them clearly,” she advised.
One expert recommended engaging your loved one in familiar traditions, such as stirring cookie dough or singing familiar songs, to “spark joy and a sense of inclusion.” (iStock)
“For example, if you’re planning a holiday meal at a different time, one tip is to start shifting the usual mealtime a few days in advance to help your loved one adjust smoothly.”
3. Simplify the environment
It’s best to keep the dementia patient’s surroundings as simple as possible, according to Dr. Tina Sadarangani, an NYU professor, board-certified geriatric nurse practitioner, and founder of the CareMobi app and The Enlightened Caregiver.
“Stick to familiar and nostalgic decorations, avoiding flashing lights or loud sounds that might be overstimulating,” she suggested.
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The theme of simplicity should extend to activities, said Corona-Irwin.
“Prioritize activities that are simple and enjoyable, such as listening to favorite holiday music, looking at old family photos, or engaging in gentle, sensory activities,” she suggested.
“These can be very comforting and bring joy without causing stress.”
4. Communicate clearly and patiently
For many individuals with dementia, it can be challenging to follow conversations, especially when the environment is very busy and noisy, according to Dr. Michele Nealon, president of The Chicago School, a non-profit graduate school focused on psychology and related behavioral sciences.
When selecting gifts for someone with dementia, experts suggest considering their comfort and enjoyment. (iStock)
“Use straightforward language, make eye contact and give your loved one extra time to respond or even not respond,” California-based Nealon advised.
“One-on-one interactions can be easier than larger group conversations, as the individual feels included and valued.”
5. Embrace familiar traditions
Sadarangani also recommends engaging your loved one in familiar traditions, such as stirring cookie dough or singing familiar songs, to “spark joy and a sense of inclusion.”
“Sensory activities like listening to calming holiday music, touching soft decorations or enjoying the scents of the season can also evoke positive feelings without overwhelming them,” she added.
“Accept that holidays don’t have to be perfect to be meaningful.”
Focus on what they can do rather than their limitations, Sadarangani suggested.
“Involve them in simple, meaningful tasks like folding napkins or flipping through photo albums,” she said. “Planning short, flexible activities can prevent fatigue.”
6. Provide a calm space
The holidays tend to be noisier and busier than usual, which can overwhelm someone with dementia, Nealon noted.
“If you can, have a quiet space or room where they can retreat for relaxation if that is needed,” an expert suggested. (iStock)
“If you can, have a quiet space or room where they can retreat for relaxation if that is needed,” she suggested to Fox News Digital.
“Set up the room to be as soothing as possible, with soft lighting, familiar objects and gentle music to create a sense of calmness.”
7. Prioritize self-care
For caregivers, Sadarangani emphasized the importance of setting realistic expectations and prioritizing self-care.
“Accept that holidays don’t have to be perfect to be meaningful and embrace moments of connection, however small they may be,” she advised.
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To help lighten the load during the busy season, caregivers should enlist help when they need it.
“Caregiving can be physically and emotionally exhausting, and even brief moments of rest can go a long way toward reducing stress and avoiding burnout,” Nealon said.
“Ask for help, assign responsibilities to family members and get the family involved with cooking, decorating and cleaning up.”
“Caregivers cannot do it all, and certainly not alone.”
8. Choose thoughtful gifts
When selecting gifts for someone with dementia, Nealon suggests considering their comfort and enjoyment.
“Items like simple puzzles or a warm sensory blanket can provide much-needed comfort and joy,” she suggested.
9. Swap the TV for music
For some people living with dementia, watching television can be difficult, as they may struggle with storylines, according to Hannah Karim, care expert lead for the online care finder Lottie.
“It’s important to validate their feelings and provide reassurance.”
“This Christmas, swap out the TV for the radio — or a specially curated dementia-friendly playlist — as it can be easier to follow,” suggested Karim, who is based in the U.K.
“Music has many health and well-being benefits, especially for those with dementia,” she went on. “Research has found that music can help reduce anxiety and spark joy while reminiscing over fond memories of Christmas celebrations from the past.”
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Listening to the family’s favorite Christmas songs during the holidays can also help create shared memories for everyone, Karim added.
10. Validate their feelings
Emotional support is just as important as physical care, Corwin-Irwin noted.
“Your loved one might feel sad, anxious or overwhelmed during the holidays,” she said. “It’s important to validate their feelings and provide reassurance.”
“Stick to familiar and nostalgic decorations, avoiding flashing lights or loud sounds that might be overstimulating,” a geriatric nurse practitioner suggested. (iStock)
You can do this by letting them know it’s OK to feel the way they do and that you are there to support them, according to Corwin-Irwin.
“Simple gestures like holding their hand, giving them a hug or sitting quietly with them can be incredibly comforting,” she added.
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Added Sadarangani, “By focusing on creating a calm, inclusive environment and cherishing meaningful moments, you can ensure that the holidays remain a source of joy and connection for your loved one and your family.”
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
Health
Seniors over 80 who eat specific diet may be less likely to reach 100 years old
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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.
Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.
Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.
The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.
Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted.
The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)
The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”
As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.
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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital.
“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”
While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)
In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.
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In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.
Potential limitations
The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.
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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.
Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)
Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs.
Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.
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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.
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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)
Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.
“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”
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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.
“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.
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