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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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Can Frozen Meals Be Healthy? 3 Dietitian-Approved Picks for Weight Loss

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Walking style could be key to longevity and injury comebacks, according to experts

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Walking style could be key to longevity and injury comebacks, according to experts

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Walking backward could have meaningful benefits for joint health, chronic pain and even brain health, and there’s scientific evidence to back it up.

Multiple studies show that simply changing direction can engage the body in ways traditional exercise can’t. What seems like a novelty might actually be one of the simplest, most accessible ways to move better and hurt less.

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In a study published in the Journal of Orthopaedic Surgery and Research, researchers focused on people with mild to moderate knee osteoarthritis — a condition marked by joint pain, stiffness and limited mobility.

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Some studies point to backward walking as a possible method of relieving chronic pain. (iStock)

Participants who added backward walking to their routines several times a week for six weeks reported significant improvements in knee function and pain reduction compared to those who stuck with standard forward walking.

Researchers found that walking backward changes how muscles around the knee work. Because the stride is shorter and the landing is softer, it reduces compressive forces on the joints, meaning less wear and tear over time. 

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Another recent study, published in PLOS One, examined how backward walking affects people with chronic lower back pain. After several weeks of incorporating the exercise, participants showed both lower pain levels and better control of their lumbopelvic movement, which is the coordination between the lower back and pelvis that helps stabilize the spine.

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Close-up of a woman’s grey and black shoes on a red track as she walks backward.

Walking backward engages muscles that are often underused. (iStock)

The findings suggest that backward walking uses a wider range of stabilizing muscles than forward walking does. It forces the body to maintain balance and alignment in a different way, waking up muscles that can go underused in our day-to-day routines.

For people struggling with lower back pain, one of the most common musculoskeletal complaints worldwide, it could be a simple intervention that retrains movement patterns and reduces strain on the spine.

FORGET 10,000 STEPS — RESEARCH REVEALS THE REAL NUMBER YOU NEED FOR BETTER HEALTH

These results are especially striking because the motion itself is low impact. Instead of jumping, twisting or heavy lifting, it’s just retraining the body to move efficiently in reverse.

A man walking on treadmill near a window overlooking trees.

Walking backward can also aid spatial awareness and coordination. (iStock)

The Cleveland Clinic notes that backward walking isn’t only good for the joints, but also a workout for the mind. Moving in reverse challenges spatial awareness, coordination and concentration. That extra mental effort strengthens the connection between your brain and muscles, helping improve balance and reaction time.

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It’s also more physically demanding than it looks. Walking backward burns more calories per minute than walking forward at the same pace, thanks to the increased muscular engagement, according to the Cleveland Clinic. The movement naturally encourages better posture, too, because you have to stay upright and alert to maintain control.

Even small doses can make a difference. Five minutes of backward walking added to a daily routine can provide measurable benefits to strength and balance, particularly in older adults or those recovering from injury.

Running shoes of a woman walking on a red track

Experts recommend that those looking to try backward walking should start slowly to avoid risk of injury. (iStock)

Experts recommend starting slowly. Choose a flat, open space like a track, gym floor, or quiet hallway and take short, deliberate steps. Keep your core tight, your shoulders back, and your gaze forward as much as possible. If you’re trying it on a treadmill, begin at a very slow pace and use the rails until you find your footing.

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As your comfort grows, you can alternate short intervals of forward and backward walking. Even a few minutes a day can help your body adapt to the new movement pattern and unlock its benefits.

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It helps protect the knees, strengthen the spine and challenge the brain, all through a motion we’ve spent most of our lives avoiding.

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Sometimes, progress really is about learning to move in reverse.

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Amy Schumer Shows off Weight Loss (And Abs!): ‘No Filter, No Filler’

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Amy Schumer Shows off Weight Loss (And Abs!): ‘No Filter, No Filler’


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