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Many Older People Embrace Vaccines. Research Is Proving Them Right.

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Many Older People Embrace Vaccines. Research Is Proving Them Right.

Kim Beckham, an insurance agent in Victoria, Texas, had seen friends suffer so badly from shingles that she wanted to receive the first approved shingles vaccine as soon as it became available, even if she had to pay for it out of pocket.

Her doctor and several pharmacies turned her down because she was below the recommended age at the time, which was 60. So in 2016, she celebrated her 60th birthday at her local CVS.

“I was there when they opened,” Ms. Beckham recalled. After her Zostavax shot, she said, “I felt really relieved.” She has since received the newer, more effective shingles vaccine, as well as the pneumonia shot, the R.S.V. vaccine, annual flu shots and all recommended Covid vaccinations.

Some older people are really eager to be vaccinated.

Robin Wolaner, 71, a retired publisher in Sausalito, Calif., has been known to badger friends who delay getting recommended shots, sending them relevant medical studies. “I’m sort of hectoring,” she acknowledged.

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Deana Hendrickson, 66, who provides daily care for three young grandsons in Los Angeles, sought an additional M.M.R. shot, though she was vaccinated as a child, in case her immunity to measles was waning.

For older adults who express more confidence in vaccine safety than younger groups, the past few months have brought some welcome research. Studies have found important benefits from a newer vaccine and enhanced versions of older ones, and one vaccine may confer a major bonus that nobody had foreseen.

The new studies are coming at a fraught political moment. The nation’s health secretary, Robert F. Kennedy Jr., has long disparaged certain vaccines, calling them unsafe and saying that the government officials who regulate them are compromised and corrupt.

This week, the secretary fired a panel of scientific advisers to the Centers for Disease Control and Prevention, replacing them with some who have been skeptical of vaccines. But so far, Mr. Kennedy has not tried to curb access to the shots for older Americans.

The evidence that vaccines are beneficial remains overwhelming.

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The phrase “Vaccines are not just for kids anymore” has become a favorite for Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center.

“The population over 65, which often suffers the worst impact of respiratory viruses and others, now has the benefit of vaccines that can prevent much of that serious illness,” he said.

Take influenza, which annually sends from 140,000 to 710,000 older people to hospitals and is fatal in 10 percent of them.

For about 15 years, the C.D.C. has approved several enhanced flu vaccines for people over 65. More effective than the standard formulation, they either contain higher levels of the antigen that builds protection against the virus or incorporate an adjuvant that creates a stronger immune response. Or they’re recombinant vaccines, developed through a different method, with higher antigen levels.

In a meta-analysis in the Journal of the American Geriatrics Society, “all the enhanced vaccine products were superior to the standard dose for preventing hospitalizations,” said Rebecca Morgan, a health research methodologist at Case Western Reserve University and an author of the study.

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Compared with the standard flu shot, the enhanced vaccines reduced the risk of hospitalization from the flu by 11 to 18 percent in older adults. The C.D.C. advises adults over 65 to receive the enhanced vaccines, as many already do.

More good news: Vaccines to prevent respiratory syncytial virus (R.S.V.) in people over 60 are performing admirably.

R.S.V. is the most common cause of hospitalization for infants, and it also poses significant risks to older people. “Season in and season out,” Dr. Schaffner said, “it produces outbreaks of serious respiratory illness that rivals influenza.”

Because the Food and Drug Administration first approved an R.S.V. vaccine in 2023, the 2023-24 season provided “the first opportunity to see it in a real-world context,” said Dr. Pauline Terebuh, an epidemiologist at Case Western Reserve School of Medicine and an author of a recent study in the journal JAMA Network Open.

In analyzing electronic health records for almost 800,000 patients, the researchers found the vaccines to be 75 percent effective against acute infection, meaning illness that was serious enough to send a patient to a health care provider.

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The vaccines were 75 percent effective in preventing emergency room or urgent care visits, and 75 percent effective against hospitalization, both among those aged 60 to 74 and those older.

Immunocompromised patients, despite having a somewhat lower level of protection from the vaccine, will also benefit from it, Dr. Terebuh said. As for adverse effects, the study found a very low risk for Guillain-Barré syndrome, a rare condition that causes muscle weakness and that typically follows an infection, in about 11 cases per one million doses of vaccine. That, she said, “shouldn’t dissuade people.”

The C.D.C. now recommends R.S.V. vaccination for people 75 and older, and for those 60 to 74 if they’re at higher risk of severe illness (from heart disease, say).

As data from the 2024-25 season becomes available, researchers hope to determine if the vaccine will remain a one-and-done, or whether immunity will require repeated vaccination.

People over 65 express the greatest confidence in vaccine safety of any adult group, a KFF survey found in April. More than 80 percent said they were “very “or “somewhat confident” about M.M.R., shingles, pneumonia and flu shots.

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Although the Covid vaccine drew lower support among all adults, more than two-thirds of older adults expressed confidence in its safety.

Even skeptics might become excited about one possible benefit of the shingles vaccine: This spring, Stanford researchers reported that over seven years, vaccination against shingles reduced the risk of dementia by 20 percent, a finding that made headlines.

Biases often undermine observational studies that compare vaccinated with unvaccinated groups. “People who are healthier and more health-motivated are the ones who get vaccinated,” said Dr. Pascal Geldsetzer, an epidemiologist at the Knight Initiative for Brain Resilience at Stanford and lead author of the study.

“It’s hard to know whether this is cause and effect,” he said, “or whether they’re less likely to develop dementia anyway.”

So the Stanford team took advantage of a “natural experiment” when the first shingles vaccine, Zostavax, was introduced in Wales. Health officials set a strict age cutoff: People who turned 80 on or before Sept. 1, 2013, weren’t eligible for vaccination, but those even slightly younger were eligible.

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In the sample of nearly 300,000 adults whose birthdays fell close to either side of that date, almost half of the eligible group received the vaccine, but virtually nobody in the older group did.

“Just as in a randomized trial, these comparison groups should be similar in every way,” Dr. Geldsetzer explained. A substantial reduction in dementia diagnoses in the vaccine-eligible group, with a much stronger protective effect in women, therefore constitutes “more powerful and convincing evidence,” he said.

The team also found reduced rates of dementia after shingles vaccine was introduced in Australia and other countries. “We keep seeing this in one data set after another,” Dr. Geldsetzer said.

In the United States, where a more potent vaccine, Shingrix, became available in 2017 and supplanted Zostavax, Oxford investigators found an even stronger effect.

By matching almost 104,000 older Americans who received a first dose of the new vaccine (full immunization requires two) with a group that had received the earlier formulation, they found delayed onset of dementia in the Shingrix group.

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How a shingles vaccine might reduce dementia remains unexplained. Scientists have suggested that viruses themselves may contribute to dementia, so suppressing them could protect the brain. Perhaps the vaccine revs up the immune system in general or affects inflammation.

“I don’t think anybody knows,” said Dr. Paul Harrison, a psychiatrist at Oxford and a senior author of the study. But, he added, “I’m now convinced there’s something real here.”

Shingrix, now recommended for adults over 50, is 90 percent effective in preventing shingles and the lingering nerve pain that can result. In 2021, however, only 41 percent of older Americans had received one dose of either shingles vaccine.

A connection to dementia will require further research, and Dr. Geldsetzer is trying to raise philanthropic funding for a clinical trial.

And “if you needed another reason to get this vaccine,” Dr. Schaffner said, “here it is.”

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How One Woman Overcame Emotional Eating and Lost 160 Pounds

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How One Woman Overcame Emotional Eating and Lost 160 Pounds


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How to avoid getting 'office chair butt' from prolonged sitting at work

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How to avoid getting 'office chair butt' from prolonged sitting at work

NEWYou can now listen to Fox News articles!

Office workers have something new to worry about, according to a warning that’s gone viral on social media.

“Office chair butt” is trending as a side effect of sitting for too many hours, leaving the appearance of a flatter behind.

Alissa Mosca, a certified fitness trainer with Planet Fitness in New York, confirmed that “office chair butt” refers to muscle loss due to sitting stagnant in one position and not activating the muscles in the posterior chain (along the back of the body).

‘I’M A SPINAL SURGEON – HERE’S HOW YOUR POSTURE IS KILLING YOUR BACK’

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To combat this, Mosca recommends performing the following simple exercises throughout the day to stimulate muscle activation in the glutes, hamstrings and quads.

“Office chair butt” can occur with prolonged sitting and lack of muscle movement, experts warn. (iStock)

  • Air squats (using only body weight, squat down and then return to a standing position)
  • Lunges (step forward or backward until the knee is bent at a 90-degree angle with the back straight)
  • Good mornings (bend forward at the hips with a straight back, then return to an upright position)
  • Bulgarian split squats (perform a lunge forward while the back foot is elevated on a bench or platform behind you)

“These four exercises require no equipment and can even be done from the office chair,” she added.

SITTING STILL FOR THIS AMOUNT OF TIME IS RELATED TO HIGH RISK OF NECK PAIN, STUDY SAYS

“It’s important to not only focus on strength training exercises that activate the glutes, which are being sat on all day, but the surrounding muscles as well, which is what adds support to the whole posterior chain,” Mosca said.

She encourages office workers to incorporate some type of movement every time they get up from their seat — ideally picking one of the four movements above and performing 12 to 15 reps, two to three times.

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“Once that becomes more of a routine, try setting a timer to do this every 45 minutes to an hour,” the trainer suggested.

Woman stretching while working at office

A trainer recommends that office workers stand up every hour to stretch and work the muscles. (iStock)

Incorporating these exercises into a gym routine is also a great way to prevent muscle loss, according to Mosca.

This might include a circuit with kettlebell swings, Smith machine squats (performed on a machine with a fixed barbell), hip thrusts and walking on an incline.

SIMPLE DAILY ACTIVITY COULD REDUCE RISK OF LOWER BACK PAIN, STUDY FINDS

Jonathan Puleio, a board-certified professional ergonomist and global vice president at Humanscale – a New York City consulting practice focused on corporate ergonomics – also spoke about “office chair butt.”

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“Not only are the muscle groups atrophying and weakening, but there’s also a buildup of fat tissue, which has a very different consistency and density than muscle,” he told Fox News Digital. “That’s why … the shape of the tissue appears much flatter — and even saggy, in some scenarios.”

business man talking on phone in office

Office chairs with more supportive mechanisms or standing desks are great swaps for promoting better posture and movement, experts advise. (iStock)

Puleio agreed that muscle atrophy can be supported by movement and posture shifts, but noted that chair design also plays a big role.

“Any chair design that can promote movement and support postural shifts regularly throughout the day can certainly combat issues like this,” the expert said.

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Sitting in a chair that supports movement, such as one with a self-adjusting recline mechanism, can help prevent this condition, according to Puleio.

“The recline tension is based on the user’s body weight,” he said. “This removes the barriers to movement that we typically see on traditionally designed chairs.”

two coworkers on a walk outside office

Simply walking is a great exercise to strengthen muscles during the workday, experts say. (iStock)

Puleio also recommends using sit-to-stand workstations and performing some tasks while standing, such as taking a phone call on your feet.

“Taking micro-breaks, stepping away from your work, going to get a glass of water, taking a lap around the office, going outside and taking a quick walk – these are all great ways to combat this particular issue,” he said.

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

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The expert also urges employers to take their employees’ comfort seriously and to take steps to ensure healthy workplace ergonomics.

“Discomfort is the precursor to pain and injury,” he warned, noting that injuries can be “costly and debilitating.”

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Video: Why So Many Women Feel Pain During Their C-Sections

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Video: Why So Many Women Feel Pain During Their C-Sections

new video loaded: Why So Many Women Feel Pain During Their C-Sections

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Whether it’s reporting on conflicts abroad and political divisions at home, or covering the latest style trends and scientific developments, Times Video journalists provide a revealing and unforgettable view of the world.

Whether it’s reporting on conflicts abroad and political divisions at home, or covering the latest style trends and scientific developments, Times Video journalists provide a revealing and unforgettable view of the world.

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