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Alcohol poses these 8 risks to older adults, experts warn

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Alcohol poses these 8 risks to older adults, experts warn

The negative health impacts of alcohol have been in the spotlight since the surgeon general’s recent advisory, and now experts are warning that older drinkers might be more sensitive to those effects.

As an individual’s body changes with age, so may a person’s tolerance when it comes to drinking.

“As we age, our lean body mass and the water percentage in our body decreases,” Dr. Frederick Davis, associate chair of emergency medicine at Northwell Health on Long Island, New York, told Fox News Digital.

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“This leads to a decrease in our ability to metabolize alcohol at the same rate as when we were younger, leading to smaller amounts causing more impairment.”

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Some studies have also found that older drinkers might be more susceptible to alcohol’s effect on coordination, reaction time and memory.

Experts are warning that older drinkers might be more sensitive to the effects of alcohol. (iStock)

Healthcare experts warned of the following negative effects of alcohol that can worsen as people age.

1. Heightened cancer risk

In a 2023 study published in the journal Alcohol, chronic heavy alcohol consumption was found to cause DNA damage and oxidative stress, which can lead to an increased risk of cancer, cardiovascular events and liver disease.

It is well-known that alcohol increases the risk of developing various cancers, according to Dr. Frances Lee, who treats alcohol-related liver disease at Mount Sinai Health Systems in New York City.

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6 TIPS TO REDUCE ALCOHOL USE AND CANCER RISK AFTER SURGEON GENERAL’S WARNING

“Age is the main factor for developing cancer — and while we can’t stop the aging process, we can control alcohol intake, which can help reduce our overall risk of developing various cancers,” he told Fox News Digital.

Earlier this month, U.S. Surgeon General Vivek Murthy, M.D., issued an advisory warning of the link between alcohol consumption and certain cancers. Murthy noted that consuming alcohol increases the risk of liver, breast, esophageal, colorectal, esophageal, larynx, mouth and throat cancers.

2. Inflammation and insomnia

Misuse of alcohol can accelerate age-related changes, including systemic inflammation and sleep disturbances, according to the same study in the journal Alcohol. 

Chronic use of alcohol in large quantities can contribute to inflammation throughout the body through a process initiated in the gut.

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Additionally, the prevalence of insomnia tends to increase with age, and alcohol consumption can worsen it, according to researchers.

Several studies found that although alcohol initially has a sedative effect, it wears off after a few hours and results in disrupted sleep in the second half of the night. 

Sleep deprivation is widely known to affect overall health and well-being.

3. Insufficient nutrition

Older adults need to be cautious when consuming alcohol due to nutritional concerns.

That’s according to Laura Feldman, a registered dietitian nutritionist and assistant professor of nutrition at Long Island University Post Campus in Brookville, New York.

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Older adults need to be cautious when consuming alcohol due to nutritional concerns, according to a registered dietitian. (iStock)

“We need more of many vitamins and minerals as we age,” Feldman told Fox News Digital.

 “When consumed on a long-term basis, alcohol can actually make it harder for the body to absorb these nutrients from foods.”

4. Worsening of existing conditions

Some older patients may have underlying chronic conditions, such as diabetes, high blood pressure, kidney disease and heart disease, several health experts told Fox News Digital.

“Not only can alcohol worsen the progression of these chronic conditions, it can also interact with medications, potentially increasing the risk of drug-induced liver injury or other undesired side effects of the medications,” Lee said.

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“When consumed on a long-term basis, alcohol can make it harder for the body to absorb nutrients from foods.”

Those who have diabetes or pre-diabetes should be mindful of their alcohol intake, Feldman cautioned, as it can have a direct impact on blood sugar levels. 

Alcohol may also affect bone health, which particularly affects those with osteoporosis. 

Long-term alcohol consumption can interfere with bone growth and replacement of bone tissue, which can result in decreased bone density and increased risk of fractures, according to several studies. 

5. Medication interactions

An estimated 87% of adults aged 65 and over and more than 90% of those over age 75 take prescription medications, according to data from the 2021-2022 National Health Interview Survey. 

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Combining medications with alcohol can potentially have adverse effects on health, according to Davis from Northwell Health.

The prevalence of insomnia tends to increase with age, and alcohol consumption can worsen it, according to researchers. (iStock)

“Alcohol can interact with a number of medications, making it more difficult to manage and control certain conditions and leading to more side effects,” he told Fox News Digital. 

“Avoiding alcohol as we are older can reduce these risks and result in a better chance of a higher quality of life.”

6. Increased pain sensitivity

Chronic pain is one of the most common and potentially debilitating health issues facing older adults, studies have shown.

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Alcohol crosses the blood brain barrier, which plays a role in its depressive and addictive effects.

Alcohol can exacerbate this issue by increasing an individual’s sensitivity to pain, some health experts shared with Fox News Digital.

“Chronic pain is a complex process of signals to our brains that is different from acute pain,” Lee said. “The complicated neural signaling of chronic pain can be altered and enhanced with alcohol intake.”

7. Mental and cognitive effects

Lee said that alcohol — a known depressant — readily crosses the blood brain barrier, which plays a role in its depressive and addictive effects.

Heavy alcohol use has also been found to increase the risk of dementia.

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“Alcohol intake can also worsen cognitive decline, causing issues with memory, as well as worsening some behavioral issues like depression,” Davis told Fox News Digital. 

8. Increased fall risk

The risk of falls is known to increase with age. They are the leading cause of injury for adults 65 and older, according to the Centers for Disease Control and Prevention (CDC).

Falls “can lead to debilitating injury when we are older,” noted Davis, who specializes in emergency medicine.

Earlier this month, U.S. Surgeon General Vivek Murthy, MD, issued an advisory warning of the link between alcohol consumption and certain cancers.  (iStock)

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Alcohol impairment could affect one’s balance and coordination, leading to a higher chance of falls, the doctor cautioned.

Tips on cutting back

Those who are caring for older adults should approach conversations about alcohol consumption with a focus on collaboration rather than control, according to Jonathan Davis, CEO of Trualta, a U.S.-based company that provides education and support for caregivers.

Broaching the topic with empathy and respect will help to build trust while meeting the aging adult’s emotional and physical needs, he added.

      

“For some older adults, enjoying an alcoholic beverage may provide a sense of normalcy and autonomy,” Davis told Fox News Digital. 

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Seeking a healthcare provider’s guidance can help ensure that the person understands the potential risks and interactions, he noted. 

If an individual is struggling with alcohol, experts recommend speaking to a healthcare provider who can recommend support systems and medications if necessary. (iStock)

“Together, caregivers and older adults can develop a plan that balances safety with emotional well-being.”

Davis also recommended exploring alternatives to alcoholic beverages, such as mocktails, alcohol-free drinks or specialty teas that can provide similar enjoyment without the risks of alcohol.

For more Health articles, visit www.foxnews.com/health

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Lee also suggested engaging in activities that do not typically involve alcohol.

If an individual is struggling with alcohol, experts recommend speaking to a healthcare provider who can recommend support systems and medications if necessary.

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Brain Health Challenge: Try a Brain Teaser

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Brain Health Challenge: Try a Brain Teaser

Welcome back! For Day 4 of the challenge, let’s do a short and fun activity based around a concept called cognitive reserve.

Decades of research show that people who have more years of education, more cognitively demanding jobs or more mentally stimulating hobbies all tend to have a reduced risk of cognitive impairment as they get older.

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Experts think this is partly thanks to cognitive reserve: Basically, the more brain power you’ve built up over the years, the more you can stand to lose before you experience impairment. Researchers still don’t agree on how to measure cognitive reserve, but one theory is that better connections between different brain regions corresponds with more cognitive reserve.

To build up these connections, you need to stimulate your brain, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. To do that, try an activity that is “challenging enough that it requires some effort but not so challenging that you don’t want to do it anymore,” he said.

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Speaking a second language has been shown to be good for cognition, as has playing a musical instrument, visiting a museum and doing handicrafts like knitting or quilting. Reading is considered a mentally stimulating hobby, and experts say you’ll get an even bigger benefit if you join a book club to make it social. Listen to a podcast to learn something new, or, better yet, attend a lecture in person at a local college or community center, said Dr. Zaldy Tan, the director of the Memory and Healthy Aging Program at Cedars-Sinai. That adds a social component, plus the extra challenge of having to navigate your way there, he said.

A few studies have found that playing board games like chess can be good for your brain; the same goes for doing crossword puzzles. It’s possible that other types of puzzles, like those you find in brain teaser books or from New York Times Games, can also offer a cognitive benefit.

But there’s a catch: To get the best brain workout, the activity should not only be challenging but also new. If you do “Wordle every day, it’s like well, then you’re very, very good at Wordle, and the Wordle part of your brain has grown to be fantastic,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School. “But the rest of your mind might still need work.”

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So play a game you’re not used to playing, Dr. Selwa said. “The novelty seems to be what’s driving brain remodeling and growth.”

Today, we want you to push yourself out of your cognitive comfort zone. Check out an online lecture or visit a museum with your challenge partner. Or try your hand at a new game, below. Share what novel thing you did today in the comments, and I’ll see you tomorrow for Day 5.

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Popular intermittent fasting diets may not deliver the health benefits many expect

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Popular intermittent fasting diets may not deliver the health benefits many expect

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Time-restricted eating has gained popularity in recent years, but a recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits.

The small German study found that participants who were placed on two different time-restricted eating schedules lost weight, but experienced no improvement in blood glucose, blood pressure, cholesterol or other key cardiometabolic markers.

The participants included 31 overweight or obese women. One group ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake, according to a press release.

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The findings, which were published in the journal Science Translational Medicine, suggest that the widely touted cardiometabolic benefits of intermittent fasting may be a result of eating fewer calories rather than meal timing, the researchers say.

The participants also showed a shift in their circadian rhythms (sleep/wake cycles) when they were placed on the time-restricted eating schedules, but the associated health impacts are not known.

A recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits. (iStock)

The study did have some limitations. Some researchers have cast doubt on the significance of the study due to its small size.

“It is severely underpowered to detect any difference, considering how gentle the intervention is,” Dr. Dr. Jason Fung, a Canadian physician, author and researcher, told Fox News Digital. He also noted that the participants were fasting for 16 hours a day instead of the normal 12 to 14 hours.

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Lauren Harris-Pincus, a registered dietitian nutritionist in New Jersey, agreed that the findings could be due to the fact that there was no intentional caloric restriction, and reiterated that the sample size is “quite small.” 

“As a registered dietitian, I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day,” Harris-Pincus, who was not involved in the study, told Fox News Digital.

One group in the study ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake. (iStock)

“Only one in 10 Americans consumes the recommended number of fruits and veggies, and 93% miss the mark on fiber goals. Restricting an eating window necessitates more careful meal planning to ensure adequate intake of macro- and micronutrients.”

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The expert also cautioned that skipping breakfast to enable a later eating window may result in lower intake of the “nutrients of concern” in the American diet, including calcium, potassium, fiber and vitamin D. 

Looking ahead, the researchers said more studies are needed to explore the effects of time-restricted eating over longer time periods. It also remains to be seen how the combination of caloric restriction and time-restricted eating may affect outcomes. Future research could also explore how different populations may respond.

“I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day.”

Dr. Daryl Gioffre, a gut health specialist and celebrity nutritionist in New York, noted that the study didn’t account for critical factors like chronic stress, sleep quality, medications, hormone status and baseline metabolic health.

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“All of these can significantly blunt fat loss and cardiometabolic improvements,” Gioffre, who also was not involved in the research, told Fox News Digital.

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“Cortisol, the body’s primary stress hormone, is naturally highest in the morning, which overlaps with one of the fasting windows studied,” he went on. “If stress is elevated, cortisol alone can block fat burning, disrupt blood sugar regulation, and mask cardiovascular improvements, regardless of calorie intake or eating window.”

Growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health, an expert said. (iStock)

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Gioffre did agree, however, that growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health.

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“These are outcomes that simply cannot be captured in a short, stress-blind study like this,” he added.

Fox News Digital reached out to the researchers for comment.

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Brain Health Challenge: Workouts to Strengthen Your Brain

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Brain Health Challenge: Workouts to Strengthen Your Brain

Today, you’re going to do perhaps the single best thing for your brain.

When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.

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“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.

Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.

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Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.

Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.

All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.

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The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.

The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.

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Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.

Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.

If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”

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For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.

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