Health
Why some seniors should sign ‘driving contracts’ and agree to hang up their car keys
Some aging drivers are signing contracts to help determine when their time behind the wheel should come to an end.
These “advance directives” are to help protect drivers’ safety and facilitate what can often be tough decisions for families.
Lewis Morgenstern, 61, a professor of neurology, neurosurgery and emergency medicine at the University of Michigan, plans to sign such an agreement when he turns 65, as reported by KFF Health News.
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Morgenstern will stop driving whenever his children decide it’s time, according to the directive.
“I recognize that I might not be able to make the best decision about driving at a certain point, and I want to make it clear that I trust my children to take over that responsibility,” Morgenstern told KFF Health News.
Nearly 50 million people 65 years of age and older had driver’s licenses as of 2021, a 38% uptick from 2012, according to the American Automobile Association via KFF Health News. (iStock)
Morgenstern was also the co-author of a study published in the Journal of the American Geriatrics Society in Nov. 2023. It measured the driving behaviors of 635 individuals with cognitive impairment.
“I recognize that I might not be able to make the best decision about driving at a certain point.”
Researchers from the University of Michigan found that 61% of older adults with cognitive impairment were still operating a vehicle — even though 36% of their caregivers were concerned about their driving ability.
“There is undoubtedly a group of people who are driving and shouldn’t be because they’re a risk to themselves and to others,” Morgenstern said.
Risks associated with senior driving
Data shows that risks are on the rise. As of 2021, nearly 50 million people age 65 and older had driver’s licenses, a 38% uptick from 2012, according to the American Automobile Association.
Almost 19 million of those drivers were 75 or older.
Some aging adults are signing contracts related to when they will give up their car keys, KFF Health News reported. (iStock)
Between 2012 and 2021, motor vehicle deaths involving drivers age 65 and older increased by 34%. The number of seniors injured in vehicle crashes that year exceeded 266,000 in 2021, KFF Health News reported.
Some of the biggest risks exist among older drivers who develop medical conditions that interfere with their driving ability, including dementia, Parkinson’s disease, glaucoma and arthritis.
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“Among the bigger safety concerns are fender benders that they do not remember,” Tina Paff, president of Bick’s Driving School of Western Hills in Ohio, told Fox News Digital.
“Sure, it could be a mailbox or a pole, but sometimes it is a car or a pedestrian.”
Driving at night can also be dangerous, she noted, as the visual processing speed in older drivers is decreased.
Older adults have a higher risk of injury in the event they’re involved in an accident, according to experts. (iStock)
Getting lost while driving is another common occurrence among senior drivers, said Paff, who heads up the Bick’s Driver Rehabilitation Program. It evaluates older adults’ driving skills to determine whether or not those drivers should “retire” from operating vehicles.
Nigel Tunnacliffe, co-founder and CEO of Coastline Academy, a national driving school headquartered in California, pointed out some of the biggest dangers associated with older drivers.
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Those include hearing loss, difficulty taking in their full surroundings, greater risk of injury in the event of an accident, the use of older car models, and a lack of experience behind the wheel, which is often a factor when an older adult loses a spouse and is suddenly the sole driver, he noted.
‘No single, universal age’
There is “no single, universal age” at which people should stop driving, Tunnacliffe told Fox News Digital.
“It’s often not something that we can tell in advance. We cannot say with certainty that, for example, as soon as someone hits the age of 75, they should automatically and voluntarily step away from driving.”
He added, “It’s perfectly plausible — and common — that they will remain competent and effective drivers at that age.”
A driving expert suggests families make driving decisions based on an “actual, objective evaluation” of how an individual is faring behind the wheel. (iStock)
While Tunnacliffe acknowledged that age-related effects like vision loss, hearing loss and decreased mobility can make driving more dangerous, not everyone experiences these limitations at the same age, if at all.
Rather than setting an arbitrary date beforehand, Tunnacliffe recommends that families make the decision based on an “actual, objective evaluation” of how the individual is faring behind the wheel.
“We cannot say with certainty that as soon as someone hits the age of 75, they should automatically and voluntarily step away from driving.”
“For instance, having older adults take refresher courses can not only help make the decision of when to stop driving clearer, but it can also improve their driving skills more generally, and the assessments from those lessons can be shared with family members to help make the end-of-driving decision,” he told Fox News Digital.
Types of driving contracts
There are various types of advance driving directives.
“One asks a person to name a family member or friend who will talk to them about whether it’s safe to continue driving,” noted KFF Health News.
This type is not legally binding.
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With another type of contract, family members agree to help the person continue driving in a safe way or help the individual find an alternate means of transportation.
The Alzheimer’s Association has published a non-binding directive that encourages people with dementia to designate someone to flag any driving-related concerns as the disease progresses.
Part of the agreement states the following: “I understand that I may forget that I cannot drive anymore and may try to continue driving. If this happens, please know that I support all actions taken, including removing or disabling my car, to help ensure my safety and the safety of others.”
Age-related effects like vision loss, hearing loss and decreased mobility can make driving more dangerous, one expert told Fox News Digital. (iStock)
Paff said she thinks advance directives are “a great idea,” although she has some concerns that people with memory disorders won’t remember signing it.
“It would provide proof, however, for the families dealing with a disgruntled adult driver,” she said.
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These types of contracts could prove helpful if the driver was of sound mind when signing it, said Paff — but warned that in some cases, the memory-impaired parent may think it was “made up” or that “everyone is against me.” These are objections that she commonly hears, she said.
“There is undoubtedly a group of people who are driving and shouldn’t be because they’re a risk to themselves and to others.”
To minimize conflict and uncertainty, Paff recommends getting a formal evaluation from a third-party driver rehabilitation specialist to “take the family out of the mix.”
Tunnacliffe also recommends enrolling senior drivers in annual driving lessons, as well as having open and honest conversations about their cognitive and physical abilities.
“The contract model does not challenge misleading assumptions and biases against older drivers, and it is important that we adopt a more realistic approach that respects both their safety and their autonomy,” he said.
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Collagen supplements have exploded in popularity, touted as everything from an anti-aging miracle to a muscle recovery booster.
But a sweeping new review conducted by U.K. researchers suggests that while collagen may help improve skin elasticity and ease arthritis pain, it does little for athletic performance or wrinkle reduction.
Researchers from Anglia Ruskin University analyzed 16 systematic reviews and 113 randomized controlled trials involving nearly 8,000 participants worldwide, which they say is the most extensive evaluation of collagen’s health effects to date.
The review found consistent evidence that collagen supplementation improves skin elasticity and hydration over time and provides significant relief from osteoarthritis-related joint pain and stiffness, according to findings published in Aesthetic Surgery Journal Open Forum.
A large U.K. review found that collagen supplements may improve skin elasticity and hydration over time. (iStock)
The researchers, however, did not find meaningful improvements in post-exercise muscle recovery, soreness or tendon mechanical properties (strength, springiness and stretch resistance).
“Collagen is not a cure-all, but it does have credible benefits when used consistently over time, particularly for skin and osteoarthritis,” co-author Lee Smith, professor of public health at Anglia Ruskin University, said in a statement.
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“Our findings show clear benefits in key areas of healthy aging, while also dispelling some of the myths surrounding its use,” Smith added.
Collagen, the most abundant protein in the body, supports skin, bones, tendons, cartilage and connective tissue, according to experts. Natural collagen production begins to drop in early adulthood and declines more sharply with age.
The study found that collagen supplements may help reduce joint pain and stiffness in people with osteoarthritis. (iStock)
The review found that long-term collagen supplementation was linked to improved skin firmness and hydration, but did not help skin roughness — a proxy for visible wrinkles.
Benefits appear to accumulate gradually, suggesting that collagen should not be viewed as an “anti-wrinkle ‘quick fix,’ but as a foundational dermal support for individuals seeking holistic skin maintenance,” the researchers said.
“If we define anti-aging as a product or technique designed to prevent the appearance of getting older, then I believe our findings do support this claim for some parameters,” Smith told the BBC. “For example, an improvement in skin tone and moisture is associated with a more youthful-looking appearance.”
Collagen supplementation was linked to reduced pain and stiffness in people with osteoarthritis, with stronger benefits seen over longer periods of use, and showed modest improvements in muscle mass and tendon structure that may support healthy aging.
Collagen did not significantly improve skin roughness, a marker of visible wrinkles. (iStock)
However, it did not show meaningful results when used as a fast-acting sports performance supplement, and evidence for benefits related to cholesterol, blood sugar, blood pressure and oral health was mixed or inconclusive.
Dr. Daniel Ghiyam, a California-based physician and longevity specialist, said the findings align with what he sees in clinical practice.
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“Collagen is a targeted support tool, not a foundation of health or performance,” Ghiyam, who was not involved in the study, told Fox News Digital. “When marketed that way, it makes sense. When marketed as a cure-all, it doesn’t hold up to the data.”
The authors noted that while many previous collagen studies have received financial support from the supplement industry, the current review did not receive industry funding.
Experts say collagen supplements may offer modest benefits for skin hydration and joint comfort, but they are not a cure-all. (iStock)
The team called for more high-quality clinical trials examining long-term outcomes, optimal dosages and differences between collagen sources, such as marine, bovine and plant-based alternatives.
Among its limitations, the review could not determine whether certain forms of collagen work better than others or what the optimal regimen should be.
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While the review included randomized controlled trials, the quality of the studies varied, with newer research generally showing stronger results.
Experts say more data and studies are needed to build on the findings. They also noted that diet plays a crucial role in skin health.
Collagen supplements, often sold as powders or pills, may improve skin elasticity and ease joint pain, experts say. (iStock)
Dr. Erum Ilyas, a Pennsylvania-based dermatologist and chair of dermatology at Drexel University College of Medicine, noted that the review analyzed previously published meta-analyses rather than generating new primary data.
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“At this time, I have not seen sufficiently strong independent evidence to routinely recommend collagen supplements to my patients,” Ilyas, who was not involved in the review, told Fox News Digital.
“Although some studies show modest improvements in markers such as hydration and elasticity, there remains limited independent, biopsy-confirmed evidence demonstrating sustained increases in dermal collagen content,” she added.
Fox News Digital has reached out to the researchers for comment.
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As colorectal cancer (CRC) is now the leading cause of cancer death in adults under 50, a new report reveals some surprising shifts in the incidence of the disease.
Although rates of CRC have been declining among seniors, those 65 and under are facing a rise in diagnoses, according to a report titled Colorectal Cancer Statistics, 2026, from the American Cancer Society.
Adults 65 and younger comprise nearly half (45%) of all new colorectal cancer cases — a significant increase from 27% in 1995, states the report, which was published in CA: A Cancer Journal for Clinicians.
The disease is rising fastest among adults 20 to 49 years old, at a rate of 3% per year.
Colorectal cancer is now the leading cause of cancer death in adults under 50. (iStock)
Among adults 50 and under, 75% of colorectal cancers are diagnosed at an advanced stage. Half of the diagnoses in that age range are made between the ages of 45 and 49. Although that age group is eligible to receive routine screenings, just 37% do so.
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The report also revealed that rectal cancer is on the rise, now accounting for about one-third (32%) of all CRC cases — an increase from 27% in the mid-2000s.
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“After decades of progress, the risk of dying from colorectal cancer is climbing in younger generations of men and women, confirming a real uptick in disease because of something we’re doing or some other exposure,” said Rebecca Siegel, senior scientific director, surveillance research at the American Cancer Society and lead author of the report, in a press release.
Among adults 50 and under, 75% of colorectal cancers are diagnosed at an advanced stage. Half of the diagnoses in that age range are made between the ages of 45 and 49. (iStock)
“We need to redouble research efforts to understand the cause, but also circumvent deaths through earlier detection by educating clinicians and the general public about symptoms and increasing screening in people 45-54 years.”
It is projected that 158,850 new cases of colorectal cancer will be diagnosed this year, and that the disease will cause 55,230 deaths, per the report.
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More than half of CRC cases can be linked to high-risk behaviors, the researchers said. Those include lack of nutrition, high alcohol consumption, smoking, lack of exercise and obesity.
“These findings further underscore that colorectal cancer is worsening among younger generations and highlight the immediate need for eligible adults to begin screening at the recommended age of 45,” said Dr. William Dahut, chief scientific officer at the American Cancer Society.
When the disease is caught at a local (early) stage, the five-year survival rate is 95%. (iStock)
“The report also shines a light on the crucial importance of continued funding for research to help discover new therapies to treat the disease and advance patient care.”
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When the disease is caught at a local (early) stage, the five-year survival rate is 95%, the report stated.
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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”
The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.
PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted.
Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.
Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.
A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)
The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.
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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.
Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.
“People should not panic.”
The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.
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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital.
“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”
The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)
Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.
Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.
While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure.
That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.
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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.
The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)
Study limitations
The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.
“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.
The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.
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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.
Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.
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