2017年12月26日 星期二

男性老瑞典人到87歲還獨立的秘訣

How to stay out of a nursing home and age independently

 
Want to stay out of a nursing home in your twilight years? Put down that hot dog.
A new study outlines which aspects of a healthy lifestyle predict independent living late in life. While physical activity and living with someone else can factor into reaching old age, specific behaviors — such as sticking to a Mediterranean-like diet and not smoking — may dictate a person’s ability to live without a caregiver into their late 80s, according to research published Friday in the Journal of the American Geriatrics Society. Experts told NewsHour such guidelines for keeping the elderly mobile are invaluable as the geriatric population continues to grow.
“Preserved independence is highly valued by very old individuals,” Kristin Franzon, a geriatrician and the study’s lead author, told NewsHour via email. In the beginning, her team wanted to know if there was anything people could do to maintain independence as they age, or if dependence is an unavoidable part of getting old.
Her 16-year study at Uppsala University followed a cohort of Swedish men as they became octogenarians. Franzon started her investigation in 2011, but relied on data from the the Uppsala Longitudinal Study of Adult Men (ULSAM) — an ongoing project begun in 1970, when its participants were 50 years old.
Approximately 1,100 participants from ULSAM fit the bill for Franzon’s study, though some chose not to participate or didn’t meet the benchmark for independent living at the start. Over the next 16 years, a portion of the men also passed away or dropped out due to severe illness. To qualify as independent, the men had to meet rigorous standards. The men had to be able to bathe, toilet and dress themselves, and walk alone outdoors until the age of 87. They also had to pass a mental state examination, could not be institutionalized or have dementia.
In the end, 369 men completed the final study — 276 counted as independent agers, while 93 lived co-dependent lifestyles.
This cohort underwent a series of tests during medical checkups. The men were queried on their physical activity, education level, smoking habits and whether or not they lived alone. When they could make it to the clinic, nurses gave them a full physical, looking at health indicators like height, weight, waist circumference, blood pressure, blood glucose, insulin and cholesterol.
Participants also kept food diaries. Those records were scored based on how well their diets conformed to a modified Mediterranean diet — meaning it was adapted for a typical Swede. Typically, a Mediterranean diet emphasizes fish, cereals, polyunsaturated fatty acids, fruits and vegetables. For the Swedes in the study, their diets did not contain a lot of olive oil or nuts, while potatoes counted as a grain.
Out of all this information came three traits associated with independent aging: never having smoked, a waistline under 40 inches and a high adherence to the Mediterranean-like diet.
“As far as we know, this is the first study to show an association between high adherence to a Mediterranean-like diet and preserved independence at a very old age,” Franzon said. Other traits, including physical activity and cohabitation, are only associated with longevity.
But these lifestyle recommendations may not translate for everyone. Given that the men are of similar age and ethnicity provides consistency, but at the same time, limits how applicable the findings are to a broader population.
The study is also only in men. Women have more difficulty than men with everyday tasks as they get older, said Anne Newman, an epidemiologist at the University of Pittsburgh and former geriatrician who was not involved in the study.
Newman also noted that some participants didn’t complete every part of the survey — some became too infirm to visit the clinics, for instance — so it’s likely the results are slightly reflective of healthier individuals. Franzon acknowledges this limitation, too. Her team’s report notes that it’s possible the trends they see would be stronger if there had been less bias toward a healthier population.
Even though the study is small, it’s unique in that it looks at how well seniors are living and not just how long, Newman said. It’s also rare and remarkable, she added, for a study to start at a young age and then follow participants over such a long period of time.
As the geriatric population continues to grow, Newman stressed that more work is needed to understand what will keep people active.
People are living longer, but not everyone has a family capable of the emotional and economic burdens of caregiving. For some of the elderly, nursing homes mean boredom and neglect, while other seniors view successful aging as maintaining independence.
Frazon’s research pinpoints the behaviors that might help. So, are you swapping that hot dog for veggies yet?

2017年12月23日 星期六

Stella Artois




Stella Artois (/ˈstɛlə ɑːrˈtwɑː/stella-arr-TWAH) is a Belgian pilsner[1]of between 4.8 and 5.2% ABV which was first brewed by Brouwerij Artois (the Artois Brewery) in Leuven, Belgium, in 1926. Since 2008, a 4% ABV version is also sold in Britain, Ireland, Canada and New Zealand.[3] Stella Artois is now owned by Interbrew International B.V. which is a subsidiary of the world's largest brewer, Anheuser-Busch InBev SA/NV.[4]



https://en.wikipedia.org/wiki/Stella_Artois


Witnesses saw bottles of Stella exploding on the M40

2017年12月20日 星期三

沈政男:國際期刊30年研究實證!這3方法能讓人愈老愈幸福

我在《今周刊》開了一個新專欄,名稱是「迎向黃金老年—沈政男的銀髮家教班」,底下連結是第一篇文章。
我是老年精神科醫師,目前就讀台大心理學研究所,長期關心老年議題,曾是衛福部長照諮詢醫師,也寫了幾十篇老年議題相關文章刊載在媒體。
不敢說是專家,大家都叫我權威。

30年來,成功老化換了好幾個說法,包括健康老化、積極老化、活躍老化、最佳老化等等,如今,這四個字有了一個最新也是最好的名稱:幸福熟齡。 成功老化之道,越來越多人談,花樣也越來越多,其實累積三十年的實證研究發現,還是離不開《自然》雜誌那篇文章提出的三個方法,或可稱之為「幸福熟齡三法寶」。
從1987年,兩位美國學者在頂尖學術期刊《自然》雜誌揭櫫成功老化的理念與方法開始,三十年來成功老化逐漸蔚為顯學,尤其在人口老化問題宛如海嘯來襲的社會,如何減緩老化速度,避免失智失能,成為近年來最熱門的議題之一。

法寶一:減少疾病與失能。

三高:高血糖、高血壓與高血脂。

四癌:癌症發生率排行榜,男性是大腸癌、肺癌、口腔癌;女性是乳癌、大腸癌、肺癌、肝癌。

三惡習則是抽菸、酗酒與吃檳榔。

做好「三高四癌三惡習」防治,十大死因可以避掉一大半。

法寶二:維持體能與腦力的高功能狀態。

很多老年人都在運動,但強度太低,只是邊甩手邊跟鄰居歐吉桑聊社區八卦,功效有限,應該提升體能負荷。至於動腦,最好的管道就是繼續進修與念書,活到老學到老。

法寶三:自主掌握生活與積極參與社會。

孤單老人活得不快樂,也容易早死;敞開心胸,接納別人,是一生到老的重要功課。
從1987年,兩位美國學者在頂尖學術期刊《自然》雜誌揭櫫成功老化的理念與方法開始,三十年來成功老化逐漸蔚為顯學,尤其在人口老化問題宛如海嘯來襲的社會,如何減緩老化速度,避免失智失能,成為近年來最熱門的議題�...
BUSINESSTODAY.COM.TW

2017年12月17日 星期日

愛、老、死、輪


我將她抱一下,
沒能慰藉她多年來的
愛心
我知道的老友 (遊子)故事
純屬浪漫的、校園的,遠遠不及
她的成家的,廝守的,.....心力交瘁的......
偉大愛情
老友已平安離去 祭香裊裊 希望
她能過得好
****
我將故人年輕時寫到英倫
的信轉贈給他的知己
希望充實我們的追思 想念
我跟她說個Berthe Morisot1885 自畫像
(簡化、抽象的銀灰雲髮所產生的美感,讓人忽略了畫中人年華老去的事實。---馬拉美)
對比13年前丈夫E. Manet 給她的畫像
正是人生的殘酷、無情、無奈
與驕傲



Self-Portrait, 1885 by Berthe Morisot. Impressionism. self-portrait. Musée Marmottan Monet, Paris, France
WIKIART.ORG




繆詠華......
早上去讀書會,聽校長講胡適,好精彩!專門注意風花雪月的我,當然特別注意胡適與韋蓮司的一段情。「讓你走,是如此的艱難,老友——但是你留下來也 不會有什麼好結果。」(我記得沒引此句)
2014沒注意到第1圖population:我說史家【極端年代】內有血淋淋數字。
繆女士沒談【天上再見】,然而她解釋西方人在巴黎等的作為,是其價值觀的展現,很好。
 是你那本書的書封上韋蓮司對胡適說的話喔。(如圖)圖像裡可能有2 個人、微笑的人
jb to hanching
【文曰小强】6分钟看完“初恋虐我千百遍”的《芳华》原著
https://youtu.be/9J2AOe4MG30

The wheel of life is depicted in this 19th-century Tibetan Buddhist thangka. A thangka is used for teaching or as a devotional object and this one shows the world in the arms of the demon Mara, who is associated with temptation, death and impermanence. The three segments at the top of the wheel show the higher realms of existence, and the bottom three show the sufferings of animals, ghosts and hell.
See this colourful painted textile in our #LivingWithTheGods exhibition, exploring beliefs from around the world and through time – find out more and book tickets: http://ow.ly/Wp5O30hfRX4
Listen to Neil MacGregor talk about this object in the final episode of our partnership BBC Radio 4 series here:http://www.bbc.co.uk/programmes/b09gkk3r

2017年12月15日 星期五

「青銀共居」

「青銀共居」試辦計劃,就是讓大學生與老年人共同生活、相互扶持。學生只要定時陪伴長者,不論是打麻將、下棋,還是教他們網購、用臉書等等,每月服務滿20個小時,就可以用月租3千元入住老人公寓。
這個概念在歐洲、日本已經非常風行,現在我們把它引進台北。
台北市快速高齡化,再5年大於65歲以上就要超過20%。我們主張老人照護模式要在地化、社區化,尤其要讓他們接觸年輕人與小孩,所以不管是青銀共居,還是祖孫共學,銀髮族和年輕人甚至小孩生活在一起,自然會活得高興、健康。
我看過大數據分析,台灣有很嚴重的世代對抗,年輕人與長輩互看不順眼,這樣的對立,如果能透過青銀共居、祖孫共學這些概念來化解,從世代對抗變成世代融合,這就是一種進步價值。
---
看更多「青銀共居」計畫
https://goo.gl/PXm6FW

2017年12月6日 星期三

2017年12月5日 星期二

71歲陶曉清:《生命的河流:七堂關於人生的成長課》

https://50plus.cwgv.com.tw/2017/12/01/71%E6%AD%B2%E9%99%B6%E6%9B%89%E6%B8%85%EF%BC%9A%E7%97%85%E4%BA%BA%E4%B8%8D%E7%94%A8%E6%8A%8A%E8%87%AA%E5%B7%B1%E7%95%B6%E7%97%85%E4%BA%BA-%E7%94%9F%E5%91%BD%E6%89%8D%E5%A5%BD%E7%8E%A9/


延伸閱讀:陶曉清著,《生命的河流:七堂關於人生的成長課》,時報文化出版。


50+tips 
1.每個人的生命都會迎來最後一天,現在就列出你想做的事情,盡力不留遺憾。
2.人到了老年,一定要有件讓自己充滿動力的事情,才會活的興致勃勃。
3.生命總有完美和不美的時刻,我們無法決定命運,但可以務實樂觀以待。

2017年11月30日 星期四

A Lonely Death

A huge government apartment complex in Tokiwadaira, Japan, has become known for lonely deaths.

WORLD

A Lonely Death

By NORIMITSU ONISHI

In postwar Japan, a single-minded focus on rapid economic growth helped erode family ties. Now, a generation of elderly Japanese are dying alone.

2017年11月16日 星期四

and the old man who will not laugh is a fool 簡介西方繪畫與藝術中的小丑(The Clown)





22:28

191 簡介西方繪畫與藝術中的小丑(The Clown) 2017-08-04 漢清講堂
2 views1 week ago
Hanching Chung
2013年11月16日 17:08 ·



"無哭泣過的年青人是野人。" 許達然《含淚的微笑》頁99 Dialogues In Limbo (1925), III, Author: George Santayana


The young man who has not wept is a savage, (and the old man who will not laugh is a fool).

2017年11月4日 星期六

Close friends linked to a sharper memory

Superagers have more satisfying, high-quality relationships than their same-age peers, which implies maintaining strong, positive friendships may be linked to slower cognitive decline. http://bit.ly/2xXA3Xw
“You don’t have the be the life of the party, but this study supports the theory that maintaining strong social networks seems to be linked to slower cognitive decline,” said senior author Emily Rogalski, associate professor at Northwestern’s CNADC.
NEWS.NORTHWESTERN.EDU


How to Become a 'Superager' - The New York Times

https://www.nytimes.com/2016/12/31/opinion/.../how-to-become-a-superager.html
Dec 31, 2016 - Superagers” (a term coined by the neurologist Marsel Mesulam) are those whose memory and attention isn't merely above average for their ...

How 'superagers' stay sharp in their later years | Science | The Guardian

https://www.theguardian.com › Science › Neuroscience
Apr 30, 2017 - Scientists call them “superagers” (a term coined by neurologist Marsel Mesulam at Northwestern University in Chicago). While nobody knows ...

What does it take to be a super-ager? - Harvard Health

https://www.health.harvard.edu/healthy-aging/what-does-it-take-to-be-a-super-ager
May 1, 2017 - Finding role models who are older than we are gets more difficult as we age. But in the last few years, medical science has identified a new ...

2017年10月31日 星期二

與他人良好的關係才是幸福的關鍵

觀點與評論 • OPINION

  • 幸福感源自內心?其實不然

    越來越多人把追尋幸福當作一項與他人無關、專注於自我的事,以為探索內心深處就能得到幸福。然而,與他人良好的關係才是幸福的關鍵。