My Communicator | Summer 2024

PERSONAL FINANCES

Living on a Fixed Income

With an annual Social Security income of less than $20,000, MC—a 77-year-old New Jeresey resident—finds it hard to cover basic daily expenses including her rent, utilities, and groceries. She also lives with degenerative vision loss and depends on thirdparty transportation to run errands, get to medical appointments, and participate in social events.

“A monthly check of $1,667 may sound pretty solid,” said Genevieve Waterman, Director of Corporate Partnerships and Engagement at NCOA, “until you consider that the average rent in New Jersey is $1,375 for a single person in good health, according to the Elder Index. That doesn’t leave much wiggle room for older adults like MC.”

See INCOME on page 7.

SUMMER CONTENT

SourcePoint is a nonprofit 501(c)(3) organization that provides professional expertise, services, and programs for Delaware County adults who want to thrive after 55, as well as family caregivers. Services and programs are supported by the local senior services levy, private and corporate donations, grants, and the Central Ohio Area Agency on Aging.

2024 Board of Directors

President: Alice Frazier, MD, Delaware

Vice President: Pamela Foster, Orange Township

Secretary: Liz Gitter, MSSW, Delaware

Treasurer: Dennis Mowrey, Delaware

Randy Bournique, Delaware

Bill Brown, Delaware

Adrienne Corbett, Delaware

Ron Fantozzi, Columbus

Beth Fligner, JD, Dublin

Anna Horstman, MD, Delaware

Wren Kruse, JD, New Albany

Joann Richards, RN, PhD, Liberty Township

Gretchen Roberts, MSN, RN, NE-BC, Powell

Jane Taylor, Dublin

Cheri Thompson, Delaware

Michael Tucker, JD, Delaware

Roger Van Sickle, Delaware

Jodie Wegmiller, BSN, MBA, Delaware

The board typically meets the last Wednesday at noon for six months out of the year. Members of the public who wish to attend may call the chief executive officer at 740-363-6677.

My Communicator is published quarterly and is made possible through advertisers, donors, and volunteers. About 5,000 copies of each edition are printed and distributed throughout Delaware County. My Communicator is available for pickup at SourcePoint and 50 other locations, such as libraries, senior living communities, health care facilities, and other nonprofit organizations. To find a nearby pick-up site, contact SourcePoint at 740-363-6677. Read My Communicator online at MySourcePoint.org/publications

To advertise or submit content for consideration, contact Alison Yeager, director of communications and development, at alison@MySourcePoint.org.

The appearance of advertising does not represent an endorsement by SourcePoint. We reserve the right to refuse any advertising that conflicts with our mission.

SourcePoint’s Fundraiser Takes a Fun, Mysterious Turn

SourcePoint invites its supporters to a Murder Mystery Dinner Theatre on Thursday, Sept. 26. The nonprofit organization’s annual fundraiser takes place off-site for the first time in 10 years, hosted at Brookshire Event Center, 405 Greif Parkway, Delaware. This annual event raises money to support Delaware County’s aging services and programs, including Meals on Wheels, other in-home care services, and health and wellness programs for older adults and caregivers.

The evening event kicks off with a happy hour, followed by dinner and an exciting murder mystery that guests will help solve! The Clue-inspired mystery is brought to you by The Murder Mystery Co. The professional actors putting on the show will be in full character, including costumes, and guests are invited to do the same.

There will also be a silent auction featuring exciting offerings, including a handmade OSU quilt, holiday-themed day trip to

Cleveland, private dance lessons, and more. More details will be available online in August.

Tickets go on sale at MySourcePoint.org/events or with SourcePoint’s customer service team on Thursday, Aug. 15. Tickets are $85 per person and include appetizers, dinner, dessert, two drink tickets, and entertainment. A cash bar is available.

SourcePoint’s 2024 fundraiser is sponsored by Willow Brook Christian Communities, Capri Gardens, First Commonwealth Bank, and Ohio Living Sarah Moore.

Those who cannot attend the event but still wish to support SourcePoint’s aging services may do so at any time at MySourcePoint.org/give.

HEALTH & WELLNESS

Surviving the Summer Heat

The U.S. is expecting several heat waves this summer. From Arizona to Minnesota, summer heat waves are starting earlier, lasting longer, and reaching further than ever before. Such a rise in average temperatures is leading to an increased frequency and severity of heat waves around the world. These extreme heat events pose significant health risks to the general population, but the risks are especially pronounced for older adults. While heat during the day can be dangerous, what adds to this danger is that nighttime temperatures are also remaining high. So there’s no reprieve from the heat and no opportunity for your body to rest and recover.

Older adults are particularly vulnerable to the effects of extreme heat due to a combination of physiological, social, and environmental factors. As we age, our bodies become less efficient at regulating temperature. The ability to perceive changes in body temperature diminishes, meaning seniors may not recognize when they are overheating. This physiological reality, combined with the fact that many older adults have chronic health conditions or take medications that impair the body’s ability to react to heat, increases their risk for heat-related illnesses like heat exhaustion and heat stroke.

In addition, older adults who live alone or lack access to air conditioning or transportation are at an even higher risk of heat-related health issues. These factors underline the necessity of implementing strategies to protect seniors from extreme heat and the importance of recognizing rising temperatures as a significant threat to their health and well-being.

You may already have one of the most powerful tools to help prevent a heatrelated medical issue in your pocket. Many fitness trackers today have EKG monitors and emergency alerts to help you monitor your health, not just your fitness during activity. Let’s take a look at some of the risks, and tools to help.

UNDERSTANDING THE UNIQUE VULNERABILITY OF SENIORS TO HEAT

As we age, our bodies undergo a variety of physiological changes that can make us more susceptible to the effects of extreme heat. One key factor is that our ability to sense and respond to changes in temperature decreases. This decrease in thermoregulation can make it difficult for older adults to realize when they are becoming overheated, putting them at risk for heat-related illnesses.

Moreover, the body’s ability to sweat, a critical heat-regulating response, may also decrease with age. This could lead to a dangerous increase in body temperature during hot weather. The risk is compounded for seniors who are overweight, as excess body fat can act as insulation, trapping heat in the body and making it harder to cool down.

Chronic health conditions common among older adults, such as heart disease, kidney disease, and diabetes, can further compromise the body’s ability to regulate temperature. For instance, heart disease can affect the body’s ability to circulate blood effectively, thereby limiting heat dispersion. Similarly, diabetes can damage sweat glands over time, reducing the body’s ability to sweat and cool itself.

Medications commonly taken by older adults can also impact the body’s response to heat. Diuretics, for instance,

can increase the risk of dehydration, while beta-blockers can reduce the ability of the heart and lungs to adapt to stresses, including heat.

HEALTH RISKS FOR OLDER ADULTS IN EXTREME HEAT

Dehydration is a significant risk for seniors in extreme heat. As we age, our sense of thirst becomes less acute, which means that seniors might not drink enough fluids to compensate for the increased loss of water through sweating during hot weather. Dehydration can be severe and lead to life-threatening conditions, such as heat exhaustion and heat stroke.

Heat exhaustion is a heat-related illness that can occur after exposure to high temperatures and inadequate or unbalanced replacement of fluids. Signs of heat exhaustion include heavy sweating, weakness, cold, pale, and clammy skin, a fast and weak pulse, and fainting. If left untreated, heat exhaustion can lead to heat stroke.

Heat stroke is the most serious heatrelated illness and occurs when the body becomes unable to control its temperature. The body’s temperature rises rapidly, and the sweating mechanism fails, which can cause the body temperature to rise to 106°F or higher within 10 to 15 minutes. Heat stroke can cause death or permanent disability if not treated immediately.

In addition to these specific heatrelated illnesses, extreme heat can also exacerbate existing medical conditions common among older adults. For instance, it can increase heart-related issues due to added stress on the cardiovascular system. Similarly, those with respiratory diseases might find it harder to breathe in hot and

humid conditions. For those with diabetes, heat can affect insulin sensitivity and cause blood sugar levels to fluctuate.

Recognizing the unique vulnerability of seniors to heat, it is imperative to identify and implement appropriate measures to protect them during periods of extreme heat. These measures could range from individual actions, such as staying well-hydrated and avoiding peak heat periods, to broader community support mechanisms like opening cooling centers and regularly checking in on seniors during heatwaves.

ROLE OF FITNESS TRACKERS IN

MONITORING HEALTH

DURING HEATWAVES

Fitness trackers and smartwatches, like the Apple Watch, Fitbit, and Whoop, offer an array of features that can be instrumental in monitoring seniors’ health during a heatwave. These devices have evolved significantly over the years and now encompass a variety of healthtracking functionalities, not just basic fitness tracking. Here’s how these devices can be used:

Heart Rate Monitoring: The Apple Watch, Fitbit, and Samsung Galaxy watch all have have EKG monitors builtin. They continually monitor heart rate, providing real-time data that can help users understand their bodies better and identify any unusual spikes in heart rate. During a heatwave, an elevated heart rate could be a sign of heat stress or heatstroke, allowing seniors or their caregivers to take quick action.

Body Temperature Tracking: Some fitness trackers, like the latest models of the Fitbit, have integrated temperature sensors. This feature can help detect increases in body temperature, which can be a tell-tale sign of heat-related illnesses. While not all fitness trackers have this feature yet, those that do can provide vital information to seniors during heat waves.

Health Warnings: Advanced fitness trackers can analyze the collected health data and send alerts when they detect potential health issues. For example, the Apple Watch can send notifications for high heart rate, low heart rate, or irregular heart rhythms, which could be signs of a serious medical condition.

Emergency SOS and Fall Detection:

Apple Watch 8 has a feature that allows users to quickly call for help if they need it. If the watch detects a hard fall, it automatically sends an alert to the user. If the user doesn’t respond within a certain timeframe, the watch can automatically call emergency services and share the

user’s location. This feature can be a lifeline in situations where a senior is alone and unable to reach out for help themselves.

Connectivity

and Sharing Data with Loved Ones and Healthcare Providers: Most fitness trackers allow data sharing with family members or caregivers. This means that loved ones can keep an eye on a senior’s health data, even from a distance. Some fitness trackers also enable data sharing with healthcare providers, allowing for remote patient monitoring and timely intervention if necessary.

Hydration Reminders: While not a standard feature, some fitness trackers and accompanying apps offer the ability to set hydration reminders. This can be particularly beneficial during a heatwave when staying adequately hydrated is critical.

COMMUNITY RESOURCES AND SUPPORT FOR SENIORS IN HEATWAVES

Communities play a critical role in supporting seniors during periods of extreme heat. This support can come from local government initiatives, as well as from family, friends, and neighbors.

Cooling Centers: These are air-conditioned public spaces where individuals can go to cool down during extremely hot weather. They are often set up in community centers, libraries, or schools. Local governments may extend the hours of operation for these spaces during heatwaves to provide maximum accessibility for seniors.

See SUMMER on page 6.

Summer

From page 5

Home Visit Programs: Some local health departments or social service agencies offer home visit programs during heatwaves to check on older adults, particularly those who live alone. These programs help ensure that seniors are safe and well, and that they have access to cool environments and adequate hydration.

Transportation Services to Safe Places:

Not all older adults have the means to reach cooling centers or other safe locations during extreme heat. Some local governments offer transportation services for older adults during heatwaves, ensuring they can reach cooler locations when needed.

ROLE OF FAMILY, FRIENDS, AND NEIGHBORS IN HELPING OLDER ADULTS COPE WITH HEAT

Regular Check-Ins: One of the simplest yet most effective ways to help older adults during a heatwave is regular check-ins. This can involve calling or visiting seniors to ensure they are doing okay and have everything they need. Regular check-ins can also help spot any signs of heatrelated illnesses early.

Assistance with Home Modifications:

Helping seniors to heat-proof their homes can significantly help them cope with the heat. This can involve installing air conditioning units, applying heat-reflective and insulating materials, setting up proper ventilation systems, or hanging lightcolored or reflective window treatments.

Providing Transportation to Cool Places when Needed: If a senior does not have access to transportation, family, friends, and neighbors can provide rides to cooling centers, shopping malls, or other airconditioned public spaces.

In times of extreme heat, it takes collective efforts at multiple levels to ensure the safety and well-being of seniors. These resources and support mechanisms, both at the community level and from close connections, can be lifesaving for seniors during heat waves.

Source: Aging.com. Content is for reference and information purposes only.

SourcePoint, 800 Cheshire Road, Delaware, often acts as a cooling center during periods of extreme heat.

IN

OUR COMMUNITY

Delaware Lions Club Seeks Members Dedicated to Community Service

For 78 years, the Delaware Lions Club has been serving the local community. The club is seeking new members to ensure its local legacy continues and thrives.

In addition to being part of an international system, Ohio’s Lions Clubs also network with each other and have numerous resources available to inform their philanthropy: Prevent Blindness Ohio, Columbus Speech & Hearing, Newsreel, Pilot Dogs, Ohio Lions Sight

& Hearing Foundation, Ohio Lions Pediatric Cancer Foundation, Ohio Lions Eye Research Foundation, Central Ohio Diabetes Association, Central Ohio Lions Eye Bank, and more.

Each Lions Club chooses its own projects to fit the needs of its community and the expertise and abilities of its members.

Worldwide, Lions Club International has more than 1.4 million members in over

45,000 clubs in 207 countries. Learn more about the organization and its impact at lionsclubs.org

For more information about becoming a Delaware Lion, please contact Dr. Carl Gass, first vice district governor, at carl. gass@yahoo.com or call 660-229-1274.

Income

From page 1

Or, for that matter, the millions of other older adults whose budgets are shrinking in the face of inflation. Having reached a four-decade high of 8.5% in April 2022, inflation is not welcome news for the nation’s 56 million older adults age 65+. Many are already living on a low fixed income. And a 2022 report from the Congressional Research Service found that 10.3% of seniors had income below the poverty thresholds in 2019.

What happens when inflation and fixed incomes collide? It can spell trouble for many older adults already struggling to cover basic expenses like food, fuel, utilities, and housing.

What does living on a fixed income mean, exactly?

Living on a fixed income generally applies to older adults who are no longer working and collecting a regular paycheck. Instead, they depend mostly or entirely on fixed payments from sources such as Social Security, pensions, and/or retirement savings.

There is very little flexibility in the amount of income they receive each month. Approximately 40% of older Americans rely solely on their Social Security income to get by, which averages about $1,913 monthly.

In times of economic instability—such as soaring inflation—living on a fixed income becomes especially challenging for people. As expenses rise, their ability to pay for them stays the same. For older adults on a tight budget, an unexpected medical emergency or household repair can tip the scales and lead to financial disaster that’s hard to recover from.

What can older adults on a fixed income do to combat rising prices?

If you or an older adult you care for is burdened with bills and facing economic insecurity, there are steps you can take to stretch your budget.

1. Eliminate debt: Older Americans are carrying more unpaid financial obligations than ever before. Median total debt for older-adult households was $31,300 in 2016—more than 2.5 times what it was in 2001. If you’re a senior on a fixed income, it can be overwhelming trying to keep up with snowballing credit card payments. That’s why credit counseling may be a solution worth exploring. Working oneon-one with a trained counselor can help you get your debt under control and create a manageable repayment plan. Securing a lower monthly payment, and ultimately getting rid of your credit card debt altogether, can free up extra funds to apply toward other expenses.

2. Create a budget calendar: Tracking your finances is important at any age and income bracket. But when you live on a fixed or limited income, it’s essential to know exactly where your money is going. A budget calendar is a visual tool that allows you to see what your income is each month, when it will arrive, and what your expenses are. This helps you gain a clearer picture of your financial activity—so you’re less inclined to spend money you simply don’t have. A budget calendar also gives you a greater sense of control over your finances, which can help you feel less worried about money. Making your own budget calendar is easy and something you can do on your own (a simple wall calendar will do just fine).

3. See if you qualify for food assistance: In 2021, more than 5.5 million older Americans did not have reliable access to nutritious food. And as grocery store prices rise, the issue of food insecurity among seniors will only get worse. SNAP, or the Supplemental Nutrition Assistance Program, offers a financial safety net to older adults who might not otherwise get enough to eat. This need-based program serves many seniors living on a low fixed income. Adults who qualify receive monthly financial benefits loaded onto an Electronic Benefits Transfer (EBT) card. This card can be used just like a credit or debit card at Walmart, other grocery retailers, and even farmers markets to purchase eligible food items.

4. Consider taking on a part-time (or full-time job): A growing number of older adults are either returning to the workforce or seeking employment for the first time. There are several paths to employment for older adults. These include online job boards, newspaper ads, job fairs, and networking. NCOA recently launched its new employment tool, Job Skills CheckUp, to help older adults get tips on how to succeed as a mature worker. All you have to do is tell us about your goals, describe your current employment situation, and the Job Skills CheckUp will create a personalized plan to help you find job openings, build a professional network, prepare for job interviews, and more. Get started at bit.ly/Job-Skills-CheckUp.

And remember: the Supplemental Nutrition Assistance Program (SNAP) is a vital resource, too. That’s what MC learned after visiting her local Benefits Enrollment Center.

Together with other financial assistance programs that staff helped MC find and apply for, her SNAP benefits contribute to $2,175 in total monthly value that she otherwise would have overlooked.

Source: National Council on Aging. Read more at ncoa.org.

Active

From page 1

Physical activity has many benefits. Walking, running, biking, swimming, lifting weights, playing sports, and moving more can add years to your life. Physical activity can improve your health, mood, and energy levels. But sometimes, the inspiration to get moving may be lacking. That’s when friends, family, and other social connections can help.

Research has shown that connecting with others, called social support, can help us get active and make changes to improve our health. Other people can help us start, continue, or increase how much we move. They can also help us make physical activity a habit.

“We still have a lot to learn about the different effects that social support can provide. But it’s long been recognized that people who have greater social support tend to be more physically active,” says Dr. Elise Rice, an NIH expert in behavioral and social science. “There are many different types of social support.”

Social support doesn’t only include people you already know. It can include groups that help get you moving, like walking or hiking clubs. It can also mean going to exercise classes, whether in person or online. There are even social media communities that provide social support for exercise.

Social support can help people of all ages and abilities get more physical activity, even those with chronic (long-lasting) health problems.

The More the Merrier

Social support can make physical activity more fun and inviting. And being active is an important goal for just about everyone.

Regular physical activity can reduce the risk of serious health conditions. These include heart disease, stroke, diabetes, and cancer. Activity can boost brain health, improve sleep, and more.

Yet most American adults do not get the recommended amounts of physical activity. That’s at least two and a half hours of moderate activity, such as brisk walking, each week. Muscle-strengthening activities, like lifting weights, are also recommended at least twice a week.

Getting in that much activity might seem challenging. “But really, any amount of physical activity is better than none,” says Dr. Laurie Friedman Donze, a clinical psychologist at NIH who oversees heart health research programs. “Even short bursts of activity throughout the day can be helpful, like 5 or 10 minutes at a time.”

There are many ways that friends and others can help you get and stay active. “Companionship is part of it,” Donze explains. “Being active with someone can make physical activity more enjoyable. It can provide encouragement that keeps you going. And research has found that social support can increase self-efficacy, which is the feeling that you can do something and be successful.”

Finding physical activity you enjoy is often key to success, Donze says, “Because if you don’t enjoy it, it’ll be hard to make it into a daily or weekly habit.”

Plan Together

Making a plan with someone and sticking to it can be especially helpful. Agree to meet at certain times to get active together. Or agree to check in with each other regularly at specific times. You can share successes and struggles.

“If you make a plan to be active with a friend or family member, you’re more likely to keep that commitment. You’ll meet with them as promised,” Donze says. “It helps keep you accountable.”

Research shows that interacting with others can also help you to set and meet goals. People can help each other be physically active even if they’re not exercising together.“They can share information about important resources, like good exercise classes or nice places to walk or hike,” Donze says.

And it can help if you make it fun. One NIH-supported study found that a game-based approach helped people get active after hospital discharge. Study participants wore a step-tracking device. They received game points and positive feedback for meeting step goals. Each also chose a supportive partner, like a friend or family member, to help keep them accountable. The partners received email updates on participants’ progress. They also provided encouragement.

By the end of 12 weeks, people who had higher social engagement had a significant increase in daily steps. A followup study is underway to see if an online coach can boost activity even more.

Overcoming Obstacles

“Certain groups of people have specific barriers that can keep them from getting active,” Rice explains. “For instance, older adults who’ve had a major health event like a heart attack may have anxiety or concerns about being physically active. Yet activity is so important for their health and recovery.”

Some researchers have been studying how mindful practices, like tai chi, can help people with chronic conditions get active. Tai chi is an ancient mind-body practice. It involves certain postures and gentle movements. It often emphasizes breathing patterns, mental focus, and relaxation.

A team led by Dr. Gloria Y. Yeh at Beth Israel Deaconess Medical Center developed and tested different tai chi programs and classes. Their goal was to encourage physical activity in people with heart or lung diseases.

The team learned that people with serious health conditions often have worries that keep them from getting active. “They may avoid going to the gym because they feel embarrassed that they’re not able to do what other people can do,” Yeh says. “Or they may get short of breath very quickly, which can cause fear and anxiety.”

But Yeh and others found that being part of a group can have a positive impact. “There’s something powerful about the shared experience. They see others who have a similar medical issue who are now able to exercise. It sets an example: If they can do it, I can do that too,” Yeh explains. “The mindful movement classes are really about taking things in small steps, doing what you can to foster the self-confidence to do more.”

There are plenty of ways that social connections can help us get moving. But it’s also true that social ties are important in their own right. “

Social support in and of itself is really important and essential to health and well-being,” Rice says. See the Get Moving with Others box for active ways to connect with others.

Source: News in Health, a monthly newsletter from the National Institutes of Health, part of the U.S. Department of Health and Human Services. Read more at newsinhealth.nih.gov.

Get Moving With Others

Build your network. Find a group for people with shared interests, like a walking, hiking, dancing, or biking club.

Make a shared routine. Commit to a walking schedule with a neighbor, family member, or friend.

Be accountable. Share your physical activity goals with people you trust. Ask for their support.

Take a class. Try a yoga, tai chi, or fitness class with a friend. You can even take a virtual class online with a friend in another town.

Join a team. Look for local softball, soccer, or other sports teams.

Family activity. Join your kids for a bike ride or throw a ball around before starting on homework or chores.

Get dancing. Go to a local dance, take dance classes, or dance with family at home.

Move more at work. Join work wellness and walking groups.

HEALTH & WELLNESS

Alleviating Loneliness through Creative Expression

Loneliness among older adults in the U.S. is a pervasive and pressing issue that warrants attention and intervention. As the aging population continues to grow, the prevalence of loneliness in this demographic has reached alarming levels. According to a report published by the National Academies of Sciences, Engineering, and Medicine, approximately one third of adults ages 65 and older report feeling lonely, with a significant portion experiencing chronic loneliness.

This problem is exacerbated by factors that frequently accompany aging, such as the loss of spouses or friends, retirement, or caregiving. Additionally, older people have higher rates of physical limitations that restrict social interactions. Both reduced mobility and hearing loss have been found to correlate with higher risks of loneliness. Older adults from marginalized communities, such as immigrants, LGBTQ+ people, and incarcerated people, are particularly vulnerable to loneliness.

The consequences of chronic loneliness among older adults are profound, affecting physical and mental health. Detrimental impacts on mental health include increased risks of depression, anxiety, and cognitive decline. The isolating nature of loneliness can lead to a sense of purposelessness and despair, exacerbating existing mental health conditions. Additionally, loneliness has been linked to a higher likelihood of developing addiction and suicidal ideation among older adults, highlighting the urgency of addressing this issue. It’s no wonder that researchers have found

that the mortality risk of loneliness is double that of diabetes and can be equivalent to smoking 15 cigarettes a day. The loneliness epidemic will only grow, given that by 2050 one in four Americans will be older than age 65.

Options for most lonely older people are limited. Older adults with increasing physical and mental health needs and fewer social touchpoints are more likely to need either a part-time or full-time caregiver, who often becomes a primary source of social interaction. The caregiver role is often filled by unpaid family caregivers and/or low-paid caregivers who experience high rates of burnout, limiting their ability to be socially engaged, further isolating the care recipient.

Many older people turn to assisted living facilities to find community. But the price of these facilities has skyrocketed in response to an increase in demand. The median annual price of assisted living has climbed 31% faster than inflation. Additionally, most older people want to age in place. AARP found that 77% of adults ages 50 and older want to remain in their homes for the long term. This percentage has been consistent for more than a decade.

Fortunately, the growing awareness of loneliness and its burden on older adults has prompted increased exploration of new ways to address these challenges, one of the more innovative

approaches being the use of creative expression with programmatically linked mindfulness and social learning components. In addition, use of digital technologies to increase reach, participant engagement, and impact of artsbased programming offers significant advantages in terms of reduced cost, increased access to traditionally underserved population subsets, and outcomes. This article will offer a brief introduction to and exploration of both.

Creative Arts as a Health-Enhancing Intervention for Older Adults

Recognizing the multifaceted nature of loneliness, innovative approaches are necessary to address the mental health needs of older adults. Creative arts, encompassing activities like visual arts, music, dance, expressive writing, and theater, have emerged as effective tools to engage and uplift older adults, reducing the risk of depression, anxiety, addiction, and suicide. Numerous studies have demonstrated the positive impact of creative arts on the mental well-being of older individuals.

‘BEYOND THE MODULATION OF STRESS-RELATED HORMONES, CREATIVE ARTS ALSO CAN INDUCE A CASCADE OF NEUROTRANSMITTERS ASSOCIATED WITH PLEASURE AND REWARD.’

Engaging in creative arts allows older adults to express themselves, often fostering a sense of purpose and accomplishment. Whether through painting, playing a musical instrument, or participating in dance classes, these activities provide avenues for socialization and emotional expression, combating the social isolation that often accompanies aging. Creative arts interventions have been shown to enhance cognitive function, improve mood, and reduce symptoms of depression and anxiety among older adults.

In the pursuit of effective interventions, the transformative role of creative arts—encompassing music, painting, photography, poetry, and dance—emerges as a powerful tool in mitigating social challenges. There has been a surge of interest recently in scientific foundations behind the assertion that creative arts can significantly reduce loneliness and isolation in older adults, focusing on three key mechanisms: the neurobiological impact, the facilitation of meaningful connections through storytelling, and the ability to induce awe and wonder.

Neurobiological Impact of Creative Arts

The neurobiological underpinnings of how creative arts influence our wellbeing are increasingly well-documented. One notable aspect is the modulation of neurotransmitters and hormones associated with stress and pleasure. Scientific studies have consistently shown that engagement with creative arts can lead to a reduction in cortisol, the stress hormone, and an increase in serotonin, dopamine, endorphins, and oxytocin— the feel-good neurotransmitters that contribute to mood regulation and social bonding.

Studies have found that listening to music has a direct impact on cortisol levels, effectively reducing stress. One study measured salivary cortisol levels before

and after exposure to relaxing music, highlighting the potential of music as a stress-reducing intervention. Additionally, the positive effects on neurotransmitters provide a neurochemical foundation for the subjective experiences of joy and connection that individuals often report during and after engaging in creative activities. Also, the study identified that the soothing effect of music on cortisol levels persisted even after the stressor had subsided, indicating a lasting impact on stress reduction.

Beyond the modulation of stress-related hormones, creative arts also can induce a cascade of neurotransmitters, including dopamine and serotonin, associated with pleasure and reward. Studies using neuroimaging techniques have demonstrated that listening to music leads to the release of dopamine in the brain’s reward centers. This neurochemical response to music provides a biological basis for the positive emotions and enhanced mood reported by individuals engaged in musical activities, further highlighting the potential of creative arts in alleviating loneliness.

The role of endorphins, the body’s natural painkillers, is another facet of the neurobiological impact of creative arts. Endorphins are released during activities that induce pleasure and positive emotions, acting as natural mood enhancers. A study explored the release of endorphins in response to physical activities, including dance. The findings suggest that engaging in dance as a form of creative expression, can trigger endorphin release, contributing to an overall sense of wellbeing and potentially reducing feelings of loneliness.

Oxytocin, often referred to as the “love” or “bonding” hormone, is yet another neurotransmitter associated with social connection. The release of oxytocin is heightened during positive social interactions and emotional bonding. Of note, it has been shown that creative arts activities increase oxytocin levels. A study demonstrated that intranasal administration of oxytocin led to increased positive communication and decreased cortisol levels during interpersonal conflicts. While this study focused on romantic relationships, it highlights the potential of oxytocin in enhancing social interactions, a mechanism that can be extrapolated to the social bonds facilitated by creative arts.

The Arts as a Catalyst for HealthEnhancing Storytelling

In addition to the neurobiological impact, creative arts offer an avenue for individuals to share personal narratives, fostering a sense of connection and understanding. Artistic expression allows older adults to communicate their experiences, emotions, and memories in a non-threatening and enriching manner. One study found that engaging in creative activities, such as writing or visual arts, was associated with better health outcomes and decreased loneliness in older adults. The act of storytelling through various art forms serves as a bridge, enabling individuals to convey their unique life stories, thereby fostering empathy and mutual understanding among peers.

Moreover, the sharing of personal stories is a reciprocal process. As one opens up through artistic expression, this invites others to reciprocate, creating a shared space for vulnerability and genuine connection. See CREATIVE on page 12.

Creative

From page 11

This reciprocal storytelling has been identified as a key factor in building social bonds and reducing feelings of isolation. The narrative format of creative arts not only serves as a mode of self-expression but also as an instrument for weaving a tapestry of shared human experiences.

Creative Arts, Awe, and Reduced Loneliness

Awe is a positive feeling that arises when engaging with scenarios and circumstances that include a sense of vastness, linked to things not fully understood. Studies have shown that awe and wonder induced by programmed activities can contribute significantly to increased socially connecting behaviors among older adults. Experiencing art, whether through visual masterpieces, melodic compositions, or rhythmic movements, has been linked to an expanded sense of self and connection to a larger universe of human experience. Awe-inspiring moments elicit a sense of interconnectedness and humility, diminishing feelings of loneliness by placing individuals within a broader context.

COMMUNITY OUTREACH CAMPAIGNS ARE CRUCIAL FOR OVERCOMING STIGMA AROUND MENTAL HEALTH ISSUES AND ENCOURAGING ELDERS TO PARTICIPATE IN CREATIVE ARTS PROGRAMS.

Research suggests that exposure to awe-inducing stimuli leads to increased prosocial behavior, emphasizing the potential of creative arts to enhance social connections. Whether it be the grandeur of a symphony, the intricacies of a painting, or the poetry of movement, creative arts have the capacity to evoke emotions that transcend the self, fostering

a sense of shared wonder that can be a powerful antidote to loneliness.

Creative Arts: Accessible, Enjoyable, Universal

The accessibility of creative arts across diverse cultural backgrounds further enhances their potential as tools for social connection in older adults. Music, painting, sculpture, photography, poetry, and dance have universal appeal, transcending linguistic and cultural barriers. Engaging in these activities allows individuals to connect through shared experiences and expressions that are inherently human, facilitating a sense of unity within diversity.

Moreover, the playful and engaging nature of creative arts makes them enjoyable activities to share with others. Participatory art forms, such as group dancing or communal singing, create spaces for collective expression, reinforcing a sense of community among older adults. The enjoyment derived from these activities adds a layer of positivity to social interactions, contributing to sustained engagement and, consequently, reduced loneliness.

In summary, the therapeutic potential of creative arts in mitigating loneliness and isolation among older adults is rooted in the convergence of neurobiology, storytelling, and the elicitation of awe and wonder. The impact of creative arts on neurotransmitters, coupled with the ability to share personal narratives and induce a sense of wonder, collectively offer an opportunity to achieve a profound reduction in feelings of loneliness. Furthermore, the accessibility and playful nature of these art forms make them versatile tools for fostering connections across diverse cultural backgrounds. As we delve into the rich tapestry of creative expression, we discover not only the profound impact it has on individuals but also its transformative potential to build

vibrant and interconnected communities among older adults.

Implementing Creative Arts Programs in Community Settings

While the benefits of creative arts for older adults are evident, delivering these programs in community settings poses challenges. Barriers to implementation include limited funding, a lack of trained personnel, and logistical issues, such as transportation for participants. Overcoming these obstacles requires a coordinated effort from community organizations, healthcare providers, and policymakers.

To enhance accessibility, community centers, senior living facilities, faith-based groups, and other community-based organizations can collaborate to establish and fund creative arts programs for older adults. Securing financial support from governmental agencies and private foundations can facilitate the expansion of these initiatives. Additionally, training healthcare professionals, teachers, social workers, and others with interpersonal engagement skills to lead creative arts sessions ensures the quality and effectiveness of the programs while expanding the workforce required to deliver them.

Community outreach and awareness campaigns are crucial for overcoming stigma surrounding mental health issues and encouraging older adults to participate in creative arts programs. By fostering a supportive and inclusive environment, communities can break down social barriers that contribute to loneliness among older adults.

Source: American Society on Aging. Read more at generations.asaging.org.

TRANSITIONS IN AGING

5 Ways to Build Your Retirement Confidence

What’s the secret to financial well-being and peace of mind in retirement?

No, it’s not winning the lottery. Rather, it’s thinking ahead—and using those insights to create a solid financial plan well before you leave the workforce.

Whether you’re concerned about saving enough money or paying off debt, we’ll explain simple strategies you can use to build your retirement confidence and get on track to financial stability in your later years.

5 things to consider when planning for retirement

1. Get a handle on how much you’ll need How much money will you require to retire comfortably? Start by doing a little bit of math. It may seem like a shot in the dark— after all, you have no real idea how long your retirement will last, and there are many variables to consider.

However, certain formulas can help you get close to a realistic number, which will enable you to create a savings goal. One expert rule of thumb is to save 10 times your pre-retirement annual earnings by age 67 and plan to live on 80% of your previous annual income.

Another way to predict how much money you’ll need in retirement is the “4% rule.” This rule suggests retirees can withdraw 4% of their savings in the first year of retirement, adjusting this amount for inflation each subsequent year, without depleting their savings over a 30-year retirement period.

You can also try one of the many retirement calculators available online. These tools work by estimating how much money you’ll need to retire based on factors like your current age, target retirement age, life expectancy, current savings, expected future contributions, investment returns, and expected expenses in retirement. While these calculations won’t be exact, they will give you another tool to help you gauge whether you’re on a path to retire securely.

2. Take charge of your debt

Debt among adults age 65 and older has skyrocketed in recent years. From 1992 to 2019, the share of older households with debt rose from 43% to 62%, while the median amount of debt

among these households increased from $7,294 to $34,000. According to the Nationwide Retirement Institute Peak Retirement Survey, 8 in 10 older Americans said their debt impacts their retirement finances.

If you have debt—whether it’s credit cards, medical bills, or a mortgage— paying it down can help you free up your retirement budget. Start by reviewing your current income and expenses and figuring out the maximum you can afford to pay back each month. The goal is to develop a systematic plan to chip away at your debt while balancing your retirement savings goals.

If you’re struggling to make minimum payments, don’t be shy about contacting lenders. Many credit card companies, for example, will work with you to establish a comfortable payment schedule. Debt consolidation is another option to consider, allowing you to roll all your balances into one loan at a lower interest rate and pay down your debt faster.

3. Maintain an emergency fund

An emergency fund can help you cover unexpected major expenses (e.g., home repairs) or income disruptions that might affect your ability to save for retirement.

Start by setting a savings goal based on three to six months of expenses. Open a separate savings account dedicated solely to your emergency fund—and automate regular contributions from your paycheck, if possible. Avoid dipping into your fund for unnecessary expenses, and reassess and adjust your savings goal over time as needed.

By contributing regularly to your emergency fund (and being disciplined in its use), you can build a financial safety net and keep your retirement savings goals on track.

4. Plan your Medicare strategy in advance

Health insurance is a vital part of your financial security in retirement. Although you’ll qualify for Medicare at 65, it doesn’t cover everything—and it’s not free.

Understanding how Medicare works can help you estimate your out-of-pocket health care costs in retirement. See RETIREMENT on page 14.

Retirement

From page 13

It can also empower you to choose the most budget-friendly plan for your needs. Learn all you can about Medicare Parts A, B, C, and D as well as Medicare Advantage—which is an alternative way to receive your Medicare coverage. You’ll also want to explore how supplemental insurance (Medigap) can help you “fill in the gaps” where Medicare does not provide coverage.

In addition, be sure to evaluate your Medicare eligibility and enrollment timelines, and plan accordingly so that you can avoid any costly lapses in coverage as you near retirement.

5. Take steps to ensure a guaranteed retirement income

Outliving retirement savings is a fear of many pre-retirees. But you can build your financial security by including multiple sources of guaranteed income in your retirement plan. Guaranteed income refers to a consistent, dependable flow of cash you can rely on to cover your expenses for as long as you live.

Social Security is one form of guaranteed income, and being strategic about when you claim benefits can help you maximize your monthly payment. But for most retirees, these payments are not nearly enough.

According to Nationwide’s Peak Retirement Survey:

• More than 1 in 3 retirees receive less in Social Security benefits than they expected to when working.

• Just 41% expect the program to exist in its current form for the full length of their retirement.

• Social Security benefits replace less than half of preretirement income, according to 84% of retirees surveyed. One quarter of retirees said it covers less than 10% of their previous income.

result in a reduced monthly payment amount. Among 60- to 65-year-olds currently working, 14% said they expect to take Social Security early. Yet among retirees in this age group who were surveyed, 58% took Social Security early.

To increase your guaranteed income in retirement, consider other sources of reliable cash flow. This might include passive income through investments (e.g., dividend-paying stocks) and paid-off rental properties. In addition, annuities can help provide peace of mind by ensuring fixed payments that aren’t subject to market risks.

Don’t hesitate to seek professional advice

If you have an employer-sponsored retirement plan, ask your provider about educational resources that can help inform your planning. Some plans even include access to a financial planner.

“Having someone who’s knowledgeable about financial planning is definitely important. That’s where a certified financial professional can help you develop a plan that’s tailored to meet your long-term retirement and savings goals,” said Kristi Martin Rodriguez, Senior Vice President, Nationwide Retirement Institute.

VOLUNTEER ORIENTATION

Begin your volunteer journey! We love our volunteers! Join the winning team that makes our community the best place to thrive after 55.

SourcePoint’s volunteer orientation includes a presentation, tour, and the chance to sign up for various areas, from meal delivery to cafe host; medical transportation to home chores; fitness monitor to activity leader! Be part of the team!

Whether you manage your own planning or consult an expert, be proactive and start as early as possible.

Building your retirement confidence takes time. But with some careful preparation, financial discipline, and professional advice if you need it, you’ll be well on your way to the retirement you’ve always dreamed of.

Source: National Council on Aging. Read more at ncoa. org.

• Drawing benefits before full retirement age can

Learn more, apply, and sign up at MySourcePoint.org/volunteer

IN OUR COMMUNITY

The County’s Victims Services Unit

As so much of the outside or media “hype” surrounding criminal cases revolves around the defendant and their actions, the other side, that can often seem forgotten, is the side of the victims. Our office works very closely with victims of crimes, and our ability to do so is enhanced by the dedicated team of victim advocates that work with us. This specialized unit within the prosecutor’s office is called the Victim Services Unit, or as we most often call it, VSU.

As unsung heroes in the justice system, you may not have even heard about victim advocates or the Victim Services Unit. And yet, their role is arguably one of the most important ones in the justice system. Our four-person unit is comprised of victim advocates who are specially trained to support victims of crime. Not only do they offer emotional support and physically accompany victims through court proceedings, they also work with other local criminal justice and social services agencies to provide resources for crisis intervention, safety planning, and so much more. Our VSU also has a dedicated specialist, who can assist anyone (not just victims of crime) with filling out and filing of civil protection orders.

I am very proud of the advocates that make up our VSU department and the work that they do. 2023 was a big year for

them as they opened 407 new cases; handled 1845 emails or calls to our hotline for safety planning, community resources, and civil protection orders; met with 222 walk-in clients; and attended 249 hearings or court filings.

In addition to all that, after a change to Marsy’s Law last year, they absorbed the role of advocacy for victims in the Delaware County Juvenile Court. We have many years of consistency and experience in our department. Trish Wright, our director, is a registered advocate, licensed social worker, and has been at our office for 15 years. Megan Powell has been a part of our staff for 11 years and is a registered advocate. Megan Dillman is a registered and credentialed advocate who joined the team 5 years ago. And Caitlin Groh, who will be celebrating her 1-year anniversary with us very soon, is working on becoming a registered advocate.

than 14% of the victims in our adult Common Pleas Division and more than 7.5% of the victims in our Juvenile Division were ages 55 and up. The most common crimes against those victims last year were identity theft, fraud, or financially motivated crimes (e.g., theft of a motor vehicle).

Just in case you are curious, the most often occurring victim-oriented offense for younger age groups was also financialtype crimes, with domestic/family violence coming in at a close second.

Your first thought, when someone says “victim,” might not be that of a mature individual over the age of 60. But in 2023, our VSU alone supported 80 different individuals who identified themselves as being age 60 or older. Additionally, more

If you have become a victim, it may be difficult for you to ask for help, but you will find our victim advocates to be welcoming, with access to many resources you may not be aware of. No question is too small, and we want to help. You can reach our Victim Services Unit directly at 740-833-2710. As always, if you are in immediate danger, please call 9-1-1. You don’t have to have an actual case to speak with one of our advocates.

Melissa A. Schiffel is the Delaware County Prosecuting Attorney.

FROM THE SOURCE

The latest news, programs, and resources available at SourcePoint.

Fitness & Wellness

BELLY DANCE: FLOWING FORM NEW!

Mondays or Thursdays with Zahra starting July 8, 9‒9:45 a.m.

Beginner-advanced. Unleash your inner artist with this captivating and expressive dance style. Celebrate your body and improve flexibility, balance, and coordination with this low impact, joint-friendly class. It’s not about complex moves, but strength, elegance, and shimmy in a fun, supportive environment. Come barefoot or wear soft dance shoes or socks. Wear a scarf or shawl around your hips for flair (optional)!

Fee: $40 for a one-time per week series.

TAI CHI FOR ARTHRITIS AND FALLS PREVENTION NEW!

Fridays with Mimi, July 5–Oct. 18, 11 a.m.–noon.

Beginner and/or those who use walking aids. This evidencebased program utilizes Sun style Tai Chi - a journey of inner power and harmony. The unique and transformative practice of soft, slow and subtle movements, coupled with conscious breathing, is designed to cultivate the internal movement of chi – the unseen energy of all life. Increase strength and balance, improve overall wellbeing, promote relaxation and soothe your mind. If you have joint discomfort or uncertainty when walking, then this sitting-only class will bolster your fitness confidence.

Fee: $25 for the series.

YOGA: FLEXIBILITY NEW!

Mondays with Janet, 10‒10:45 a.m.

Beginner-advanced. Yoga for Flexibility will increase your range of motion, protect the joints, develop strong supportive tissue, and lower the risk of injury. This class follows a series of specific poses to improve overall health and wellbeing, followed by static stretches to target all muscle groups. Flexibility reduces pain, stress and tension.

Fee: $40 for the series.

Transitions in Aging

A MATTER OF BALANCE

Tuesdays, Aug. 13–Oct. 1, 1–3 p.m. at Arthur Place, 759 Woodford Way, Delaware.

Wednesdays, Aug. 14–Oct. 2, 12:30–2:30 p.m. at Genoa Township Hall, 5111 S. Old 3C Highway, Westerville. Have you fallen in the past? Have you limited your activity for fear of falling? Do you want to improve balance, flexibility, and strength? A Matter of Balance is a free, award-winning program that teaches practical strategies to reduce your fear of falling and increase your activity level. In this series, you’ll learn to view falls as controllable, set realistic goals for yourself, reduce risk factors, and exercise to increase strength and balance.

DRIVER SAFETY: SMART DRIVERTEK WORKSHOP NEW!

Wednesday, Aug. 14, 1-3 p.m.

The SAFE Delaware County Coalition will present the AARP Smart DriverTEK Workshop which will keep you in the know about the latest high-tech safety features in your current or future car. Learn what new technologies are available, how they work, and how they can make driving safer and more enjoyable. This interactive, workshop will cover Smart Headlights, Blind Spot Warnings, Lane Departure Warnings, Automatic Braking, and much more.

AGING MASTERY PROGRAM FOR CAREGIVERS NEW!

Wednesdays, July 10–Sept. 25, 10:30–11:30 a.m.

The program combines classes with expert speakers, group discussion and goal setting to help older adults gain new skills to make small, meaningful changes in their lives. This 12-part class educates caregivers about the impacts of caregiving and also provides them with the tools they need to stay healthier and happier in the caregiving journey. The program consists of the standard AMP core curriculum bookended with two classes specifically designed to address caregiver concerns.

Learning

CARE, SHARE, AND CONNECT

Mondays, 12:45‒2 p.m.

We experience different losses in life—loved ones, pets to things or illnesses in our everyday lives. Come share or listen as topics are discussed with Facilitator RJ Jones.

IT’S GREEK TO ME NEW!

Thursdays, July 25, Aug. 22, Sept. 26, 1–2 p.m.

We spend our days steeped in Greek history without knowing it. We have friends whose names are George or Agatha; we notice the heartbreaking incidents of tragic accidents; we avoid people who are troublesome; we talk of sports events; and we watch once a year our President give a State of the Union address. We take for granted our virtues and hope others do too. In all these things we are remembering the Greeks and their contribution to our way of life. Plato wrote that the world is saturated with value. Wouldn’t it be fine to reacquaint ourselves in these gifts of form, philosophy, farming, food, architecture, and government?

The Arts

INTERGENERATIONAL: TIE DYE SHIRTS NEW!

Saturday, July 6, 10–11:30 a.m.

Join the child in your life for a morning of creative fun making a summer tie-dye t-shirt. Bring your own prewashed 100% cotton shirt for dying. Led by instructor Carol Wallenfelsz.

Fee: $10 for each shirt dyed.

DESIGN A SUMMER THEMED CANDLE NEW!

Saturday, July 27, 9:30–11:30 a.m.

Using rub-on transfers and other decorative materials, make up to two 8” tall summertime candles. Led by instructor Carol Wallenfelsz.

Fee: $12.

WINE CORK DECORATIVE TRAY NEW!

Saturday, Sept. 7, 9:30–11:30 a.m.

Make a 10” round tray using corks – great for holding knickknacks, the TV remote, or even a small potted plant. Led by instructor Carol Wallenfelsz.

Fee: $20.

Social Connections

CHESHIRE KARAOKE NEW!

Monday, Sept. 23, 5:30–7:30 p.m.

Did you know that friends who karaoke together stay together? Grab the mic and have some fun! When everyone starts singing with you, you’ll know you picked a good song. Feel free to bring in your own dinner and beverage of choice.

CORNHOLE TOURNAMENT NEW!

Thursdays, July 11–Aug. 22, 5–7 p.m.

Challenge your skills as we play Cornhole following standard rules. Questions contact Mark Murphy at 614-440–5208 or caspersmiley1@gmail.com.

RUSSIAN EUCHRE: LEARN TO PLAY NEW!

Mondays, July 8–29, 10:30 a.m.–12:30 p.m.

Come learn this card game which Al describes as “euchre on steroids.”

SENIOR DAY AT THE FAIR

Tuesday, Sept. 17, 9 a.m.-noon at the Delaware County Fairgrounds, 236 Pennsylvania Ave., Delaware. Join SourcePoint and others for bingo, raffles, activities, vendors, and more!

Day Trips

LA COMEDIA: SATURDAY NIGHT FEVER

Friday, Sept. 27; estimated timing: 8:30 a.m. bus departure, 6 p.m. return.

Saturday Night Fever is based on the 1977 film starring John Travolta that became a cultural phenomenon and cemented the Bee Gees as disco-era icons. Tony Manero still lives at home in Brooklyn. He lives for the weekends, when he and his friends go to the local disco and dance the night away, and he is the king of the dance floor. This mega-musical at La Comedia Dinner Theatre in Springboro includes dazzling new choreography and the songs from the chart-topping soundtrack. Start with a delicious lunch buffet, included with your registration. This trip itinerary includes a mystery stop! Activity Level 1. Registration through Aug. 27.

Fee: $90 for members; $110 for non-members.

HEALTH & WELLNESS

The Top 10 Most Common Chronic Conditions in Older Adults

Age, family genetics, and gender make it nearly impossible for older adults to avoid becoming a chronic disease statistic. According to NCOA research, 94.9% percent of adults age 60 and older have at least one condition, while 78.7% have two or more. You probably have a parent or grandparent who is managing a condition right now, or perhaps you are managing one yourself.

And obesity, which impacts about 42% of adults 60 and older, can increase your risk for conditions like heart disease, type 2 diabetes, and some cancers.

With these kinds of odds, you might wonder if there is anything you can do to prevent the onset of a chronic medical condition, or make managing an existing one easier. The answer is yes.

Here are 10 common chronic conditions adults 65+ on Medicare were treated for in 2018, and what you should know about each. While you’re learning more about how live with one of these chronic conditions, you might want to consider a medical alert monitoring system to help maintain independence.

Number 10: Alzheimer’s disease and dementia

Nearly 12% of older adults on Medicare were treated for Alzheimer’s disease or another form of dementia. Alzheimer’s disease is one specific type of dementia—a condition that causes memory loss and difficulty thinking or problem-solving to the point that it interferes with every day activities. Dementia is not a normal part of aging and is caused by changes in the brain over time.

The biggest risk factors for these chronic conditions are things you often can’t control, including age, family history, and genetics. But studies have suggested incorporating the following habits into your lifestyle could slow or prevent onset:

• Exercise. Staying active isn’t just good for your heart; it’s also great for your brain.

• Sleep. Your brain does important stuff while you are sleeping, so getting at least 7 hours of deep sleep a night is crucial.

• Be smart about your diet. Research suggests that some foods can negatively affect your brain.

Number 9: Depression

Sixteen percent of older adults sought treatment for depression—a treatable medical condition that is not a normal part of aging. Depression causes persistent feelings of sadness, pessimism, hopelessness, fatigue, difficulty making decisions, changes in appetite, a loss of interest in activities, and more.

Steps you can take to help with depression include:

• Manage stress levels. Reach out to family and friends during rough spells and consider regular meditation.

• Eat a healthy diet. What you put into your body can affect your mood, so focus on foods that are high in nutrients and promote the release of endorphins and those “feel good” chemicals, and limit consumption of things like alcohol, caffeine, artificial sweeteners, and highly processed foods.

• Routine exercise. Exercise has a number of physical and psychological benefits, including improving your mood through the release of endorphins and other “feel good” brain chemicals, boosting self-confidence and self-worth through meeting goals and improving your physical appearance, and increased socialization through interactions at gyms and group classes.

• Talk to your doctor. If you’ve experienced any of the warning signs of depression, talk to your doctor, and ask about your treatment options. Antidepressant medications or psychotherapy could be right for you.

If you’re in severe emotional distress, one of the first things you should do is tell someone else about it—such as a trusted friend or family member. You can also dial or text 988 from your phone to speak with a counselor who is specially trained in suicide prevention. The 988 service is free, confidential, and available to everyone in the U.S. 24 hours a day, 7 days a week.

Number

8:

Heart failure

About 5% of older adults were treated for heart failure—a condition that occurs when the heart cannot adequately supply blood and oxygen to all of the organs in the body. The heart might become enlarged, develop more muscle mass, or pump faster in order to meet the body’s needs, causing you to feel tired, light headed, nauseous, confused, or lack an appetite.

Steps you can take to prevent or diminish symptoms of heart failure:

• The best prevention is to follow a doctor’s recommendations to decrease your risk for coronary heart disease and high blood pressure.

Number 7: Chronic kidney disease (CKD)

Nearly 25% of older adults were treated for chronic kidney disease (CKD) or a slow loss in kidney function over time. People dealing with CKD have an increased risk for developing heart disease or kidney failure.

Steps you can take to prevent or diminish symptoms of CKD:

• Understand what damages your kidney. Diabetes and high blood pressure are the greatest risk factors for kidney damage, so taking steps to prevent these diseases is your best strategy.

• Early detection and treatment. Talk to your doctor regularly, stay current on screenings, and keep up on prescriptions you need to diminish symptoms.

Number 6: Diabetes

Twenty-seven percent of older adults were treated for diabetes—a disease that occurs when your body is resistant to, or doesn’t produce enough, insulin. Insulin is what your body uses to get energy from food, and distributes it to your cells. When this doesn’t happen, you get high blood sugar, which can lead to complications such as kidney disease, heart disease, or blindness. Chances of having diabetes increases after age 45.

Steps you can take to keep you from developing diabetes or to manage this condition:

• Eating a healthy diet, including monitoring your carbohydrate and calorie intake, and talking to your doctor about alcohol consumption.

• Exercising for 30 minutes five times a week to keep your blood glucose levels in check, and to control weight gain.

• Safely losing 5-7% of body weight if you are diagnosed with pre-diabetes.

Number 5: Ischemic heart disease (or coronary heart disease)

Nearly 29% of older adults were treated for ischemic heart disease—a condition that is caused by a build-up of plaque that narrows the arteries leading to the heart. Narrow or blocked arteries decreases the amount of oxygen-rich blood delivered to the heart. This can cause other complications like blood clots, angina, or a heart attack.

Steps you can incorporate to help if you have ischemic heart disease:

• Avoid saturated and trans fats, and limit sugar and salt intake.

• Get seven to eight hours of sleep each night.

• Keep your stress levels in check.

• Do regular cardio exercises.

• Abstain from smoking.

• Talk to your doctor about the major risk factors, including high cholesterol and high blood pressure.

Number 4: Arthritis

About 35% of older adults were treated for arthritis—an inflammation of your joints, which causes pain and stiffness and is more common in women.

See CHRONIC on page 20.

Chronic

From page 19

Steps you can take to delay the onset of arthritis or manage the symptoms:

• Exercise at least five times per week, for 30 minutes each time, to improve function and decrease pain. Try to include a mixture of aerobic, strengthbuilding, and stretching movements.

• Stay within the recommended weight for your height—losing one pound can remove four pounds of pressure on your knees.

• Make sure your back, legs, and arms are always supported.

• Take precautions to avoid joint injuries.

• Do not smoke.

Number 3: Obesity

About 40% of adults 65 and older are living with obesity, a chronic disease linked to more than 200 chronic conditions. NCOA is pressing to define quality obesity care as a universal right. That includes the right to coverage for treatment with access to the full range of treatment options.

Tips for addressing obesity include:

• Understanding what obesity treatments are covered by Medicare.

• Empowering yourself with knowledge about nutrition.

• Educating others and being your own advocate.

Number 2: High cholesterol

More than 50% of older adults were treated for high cholesterol—a condition that occurs when your body has an excess of bad fats (or lipids), resulting in your arteries getting clogged, which can lead to heart disease.

Steps you can take to prevent or manage high cholesterol:

• Abstain from smoking and excessive alcohol consumption

• Be active each day

• Manage your weight

• Minimize saturated fats and trans fats in your diet

Number 1: Hypertension (high blood pressure)

Nearly 60% of older adults were treated for hypertension—a common condition that involves both how much blood your heart pumps, as well as how resistant your arteries are to the blood flow. When your heart pumps a lot of blood, and you have narrow arteries which resist the flow, that’s when you get high

blood pressure, also known as hypertension. The danger of hypertension is not only that you can have it for years and not know it, but it can cause other serious health conditions, like stroke and heart attacks.

Steps you can take to prevent or reduce high blood pressure:

• Maintain a healthy weight. Losing just 10 pounds can reduce blood pressure.

• Regulate your stress levels.

• Limit salt and alcohol consumption.

• Exercise daily, including a combination of moderate to vigorous-intensity aerobic activities, flexibility and stretching, and muscle strengthening.

• Check your blood pressure regularly—the quicker you catch pre-hypertension, the more likely you are to prevent high blood pressure.

Other common chronic conditions for older adults

Another common chronic conditions for adults 65+ is chronic obstructive pulmonary disease (COPD), which includes two main conditions: emphysema and chronic bronchitis. COPD makes it hard to breathe and causes shortness of breath, coughing, and chest tightness.

Steps you can take to manage COPD include:

• The best way to prevent COPD—or slow its progression—is to quit or avoid smoking. Also try to avoid secondhand smoke, chemical fumes, and dust, which can irritate your lungs.

• If you already have COPD, complete the treatments that your doctor has prescribed, get the flu and pneumonia vaccines as recommended by your doctor, and continue to remain active.

When these tactics aren’t enough to help with your chronic condition

The above tips can help you avoid or successfully manage a chronic condition. However, if you or someone you know is struggling to manage a chronic condition, there are programs in your community that can help, like the Chronic Disease Self-Management Program (CDSMP). CDSMP is a six-week, interactive, small-group workshop that helps participants build the skills necessary to control how chronic conditions affect their life.

CDSMP workshop sessions focus on the following topics:

• Dealing with fatigue, pain, frustration, or isolation.

• Maintaining strength, flexibility, and endurance.

• Managing medications.

• Communicating with family, friends, and health professionals.

• Healthy eating.

To learn more about workshops in your community and how to live with a chronic illness, contact your local area agency on aging.

Source: National Council on Aging. Read more at ncoa.org.

FUN & GAMES

Sudoku

SourcePoint offers free six-week programs on managing chronic diseases, as well as chronic pain. Learn more at MySourcePoint.org/EC.

See Sudoku Solutions on page 31.

CREATIVE WRITING

Naked and Afraid

Damn! I mutter to myself. I am just minutes from the grocery store when I realize that I think I left my cell phone at home. While keeping my eyes on the road and one hand on the wheel, I fumble around in my purse to see, well actually to feel, if I did indeed leave it at home. Nope, not in my handbag. Damn, I mutter again. Should I turn around and go back home to retrieve it? It’s a 20-minute drive back. I feel naked without my phone as if I forgot to put on pants or a bra. Maybe I will just forge ahead. While I try to decide what to do, the grocery store appears on my left. I pull in, park, and think. The grocery list is on my phone. Surely, I can remember the dozen items I need to pick up. Of course I can’t. I will call my hubby from the grocery store. As if. When was the last time I saw a pay phone anywhere? 2012? Besides, he’s on my speed dial and I don’t actually know his number. It’s 740something something something - something something something 8.

This is ridiculous. My breath catches in my chest. I feel my blood pressure rising. Perspiration beads on my forehead. Hopefully I won’t have a stroke while I consider my circumstances. Why do I nearly have an anxiety attack if I don’t have my phone with me? Just for an hour or two sets me into a tailspin. I could have an emergency in that time frame. Why is my life so tethered, chained, and dependent on an electronic device?

When I was growing up we had one telephone firmly attached to the kitchen wall. I often wished the cord was longer so I could sit halfway down the basement stairs for some privacy, but the three-foot cord only got me to the kitchen table where everyone in the house could hear my side of the conversation. If my mother answered the ringing phone she would allow me 10 minutes for my call. If my father answered the phone, he would say, “she isn’t here” and hang up without taking the caller’s name.

Sometimes I yearn for those olden days. I played with friends, rode my bike, and roller skated with worrying about a missed call or message. Perhaps we would have a calmer, happier society if all of us stop putting so much emphasis on 24-hour connectivity. Employees can breathe a sigh of relief to be truly off the clock after a shift ends. No checking emails or taking work-related phone calls when out with family and friends. What a novel idea! Perhaps too I should write the grocery list on a sheet of paper and slip it into my purse or pocket. That would be so much easier than worrying about my phone and it might not induce a heart stopping anxiety attack or make me feel naked and afraid.

Donna Bingham is a creative writing participant at SourcePoint’s enrichment center.

Fun with Dick and Jane

It’s abandoned now, both front and side doors secured with oversized chains and padlocks; first-floor windows boarded with half-inch ply. All except that one over the cement-block roof that once covered the furnace room, when only the bravest dared to scale it to retrieve a poorly thrown ball or the all too occasional textbook dropped from the second floor by a daring seventh or eighth grader, (though never on purpose, or so everyone in their class would swear).

But the climb up has grown magically shorter, and even in the bright daylight, I am no longer afraid of pending repercussions should a teacher—or worse, the principal himself—spot me climbing steadily toward a glimpse of my fading past. At shoulder height, I can barely see through the dirt-coated glass pane, choked air sealed inside when, unaware to us, time stopped here after the final third grade class was released for the school year, never to return in fall to add its raucous, haunting laughter to the choir of ghosts lurking (I suppose) in the shadows of vanished youth. Dick and Jane, Baby Sally and Spot the dog had once flourished in this room, though having grown obsolete years before, would find themselves consigned to the basement for storage, forgotten and warped with mildew as the world outpaced the American Dream and became more and more lost in space.

If I listen closely, I can almost make out the echoes, like buzzing hornets returning to the hive now flushed and vibrating after morning recess games. Who cared what Mrs. Faukenstein—newly married, and always Mrs. Frankenstein behind her back—might have to say about two-digit long division? There were books hidden in the confusion of my desk; tomes small enough to tuck behind the scores of problems which I never

considered solving unless I was caught while riding a flying carpet, or defending the Alamo, or learning to tame a wild Arabian stallion on an island.

My hand wipes the outer side of the glass to little avail. The dust has grown almost as thick as passing time, and I am too weak to break the spell that all these years and (perhaps-imagined) memories have woven out of my longing for simple explanations governing the course of life; when passing to the next grade would earn us free ice cream cones at the drug store’s soda fountain, due to the generosity of Mr. Ruzika, the owner and arch Republican booster, when kindness and politics were blended as easily as childhood and the possibilities to be found in our unbounded dreams.

Tony Marconi is a creative writing participant at SourcePoint’s enrichment center.

Tai Chi May Improve Cognition

Tai chi, especially an enhanced version, may improve cognition in older adults with memory problems

An innovative form of tai chi that combines mental puzzles and challenges with the traditional physical movements improved cognition in older adults with mild cognitive impairment. The results of the NIA-funded study were published in Annals of Internal Medicine.

Tai chi is a “moving meditation” with origins in China that involves shifting the body slowly, gently, and precisely, while breathing deeply. A research team led by scientists at Oregon Research Institute built on previous studies showing that tai chi helped people with Parkinson’s disease improve balance and reduce fall risk.

In the new study, 304 participants age 65 and older with mild cognitive impairment were split into three groups to participate twice per week in a virtual exercise class in their homes for six months. One group

did stretching exercises only; the second, a traditional form of tai chi; and the third, a cognitively enhanced tai chi program. For cognitively enhanced tai chi, instructors engage and challenge participants mentally during their physical movements, having them conduct tasks, such as spelling out words forward and backward.

Both tai chi groups showed higher cognitive test score improvements compared to the stretching-only group. The traditional tai chi group raised test scores by 1.5 points, and the cognitively enhanced tai chi group boosted their scores by nearly three points.

The tai chi groups also had higher scores on dual-task walking tests than the stretching group. A dual-task walking test measures how much a person’s gait slows with shorter strides when they are

performing two tasks at the same time. Slower dual-task walking speed is being studied as a possible early warning of agerelated cognitive changes.

Investigators see these findings as promising evidence that tai chi, especially the cognitively enhanced version, can be an affordable intervention option for people with mild cognitive impairment. They note that the study did not include a control group of non-exercisers but hope to incorporate this in future, expanded studies.

Source: National Institute on Aging. Read more at nia.nih.gov.

SourcePoint’s free, unbiased classes take the mystery out of Medicare and empower you to make sound insurance decisions. Classes are held at SourcePoint and other locations throughout Delaware County.

Learn more and register for free at MySourcePoint.org/insurance

Questions? Call 740-363-6677.

Peanut Tofu and Cauliflower Rice Stir Fry

This dish is very easy to prepare with minimal prep and cooking time. Chicken or beef can be added to replace tofu if desired. If you want to add extra veggies to your stir fry, shredded carrots, baby bok choy, broccoli, mushrooms, red peppers and/or onions. Egg can also be added to add more protein to the dish.

Makes 4 Servings

For the tofu and sauce:

12 ounces of tofu, extra firm

4 Tbsp peanut butter

2 Tbsp soy sauce

2 Tbsp sesame oil

3 Tbsp brown sugar

4 tsp sweet chili sauce

1. Preheat oven to 375 degrees F.

2. Remove tofu from package.

3. Cut tofu into bite sized pieces.

Veggie Cakes with a Ranch Drizzle

This recipe gives you full servings of veggies in a delicious way. If you want to include extra veggies or exchange different veggies, try mushrooms, corn, or peas. Serve with a runny egg, chicken, fish, pork, or beef.

Makes 4 Servings

4 ounces broccoli

4 ounces of zucchini

4 ounces of matchstick carrots

4 ounces of yellow onions

4 ounces of whisked eggs/liquid eggs

4 tsp garlic herb seasoning (no salt)

4 Tbsp panko

4 tsp flour

4 Tbsp parm

Oil for cooking (olive oil blend or avocado oil suggested)

Ranch for dipping (or use French onion dip if preferred)

1. Wash and grate broccoli using a box grater or food processor.

2. Chop down shredded carrots.

4. Lay out on a parchment lined tray, making sure the pieces are not touching each other.

5. Bake for about 15 minutes, until the outside is firmer—this will create a chewier texture.

6. Whisk together all sauce ingredients.

7. Taste and adjust the ingredients to your liking—as is, the sauce does not have a kick.

8. Once tofu is out of the oven, toss in sauce.

For the stir fry:

6 cups fresh cauliflower or 4 cups riced cauliflower (fresh or frozen)

1 tsp sesame oil

9. If using fresh cauliflower wash, then rice cauliflower using a box grater or food processor with the grater blade, aiming for pieces about the size of rice.

10. Lightly sautee cauliflower in oil, until you see some color.

Serve tofu and peanut sauce over the stir fried cauliflower and enjoy!

3. Small dice onions and sauté in small amount of oil until translucent. Let it cool.

4. Wash and grate zucchini and sprinkle with 1 tsp salt and set in a fine mesh strainer to remove extra moisture.

5. Place a bowl or plate on top of the zucchini and weigh it down with something heavy.

6. Let it sit for at least 30 minutes.

7. After it has drained, wrap it in a clean kitchen towel or a piece of cheesecloth and squeeze—it needs to be as dry as possible. Set the drained zucchini aside.

8. In a large bowl, mix flour, pepper, garlic herb seasoning, breadcrumbs, and cheese together.

9. Add all the vegetables to the dry mix and toss to combine, making sure to break up the zucchini and coat everything with flour mixture.

10. Crack eggs into a small bowl, give a little whisk and pour over veggie mixture. Mix THOROUGHLY combine.

11. Heat pan to medium-high heat, add a drizzle of oil.

12. Using a quarter cup or a ladel, drop mixture onto pan.

13. Cook for 4-5 minutes on each side, turning down the heat if they begin to brown too quickly.

14. Once you flip, flatten out with spatula to form a patty.

15. Remove from pan and serve. Drizzle or dip in your favorite sauce.

Get More Money From Social Security

Is Social Security income enough to live on?

Whether you’re already retired—or are planning ahead for the time when you will be—it’s important to know how you’ll pay for your daily expenses. And your Social Security benefits likely play a starring financial role.

“Social Security is the major source of income for most people age 65 and over,” said Jennifer Teague, NCOA’s Director of Health Coverage and Benefits. “Nine of ten people in this age group receive a monthly benefits check, and recent data show that close to half of them rely solely on this money. That is, they don’t have pensions or savings to supplement it.”

So, how do these benefits stack up?

However, working longer literally adds up.

Why? Because the SSA uses your earnings history to figure out what your benefit amount will be at full retirement age (more on this below)—and they base their calculation on the 35 years in which you earned the most money. If you work for fewer than 35 years, the SSA puts a “0” into the formula for each year between 10 and 35 that you did not work.

Notably, you do not have to work for 35 years in a row. “As long as you are employed for a total of at least 35 years, you likely will get more money from your Social Security benefits,” Teague said. “If you take a hiatus for any reason, returning to the workforce later can help cancel out those ‘zero years’ and raise your baseline.”

2. Continue working until your full retirement age

According to the Social Security Administration (SSA), the average monthly benefit payment equaled $1,710.78 in November 2023. That may sound pretty good—until you consider the rising costs of living in the United States. A Forbes analysis based on publicly available data from 2023 reveals that, on average, Americans over the age of 65 spend an average of $1,697 per month on housing (which includes things like rent or mortgage payments, utilities, and upkeep) and $628 on health care.

“Already, those expenses exceed average Social Security income,” Teague said. “It’s no wonder that far too many older adults can’t afford groceries or their prescription medicine.” In fact, poverty rates jumped yet again for this age group, reaching an unacceptable 14% at the end of 2022.

If you’re wondering, “how can I get more money from Social Security?”—you’re not alone. And despite the statistics above, there’s good news: You can boost your Social Security benefits. Let’s take a look.

Before claiming

If you’re still working, your goal should be to maximize your Social Security benefits before you begin collecting them. Here are four common approaches:

1. Remain in the workforce for at least 35 years

Anyone who is employed for at least 10 years becomes eligible for Social Security retirement benefits once they reach age 62.

Depending on when you were born, your full retirement age falls somewhere between 66 and 67. (you can check yours by using the SSA’s Retirement Age Calculator). While you are eligible to claim benefits sooner, doing so comes at a cost. That’s because the SSA will reduce the amount you receive by a set percentage for each month you collect Social Security before reaching your full retirement age.

Let’s say you were born after 1960, making your full retirement age 67. Using the SSA’s Full Retirement and Age 62 Benefit by Year of Birth chart, you can see that your Social Security benefit would be reduced by 30% if you began collecting it at age 62. (As an example, what might have been a $1,000 monthly check at age 67 becomes $700 at age 62. Over the course of five years, that adds up to $18,000 in lost benefits.)

Curious how this scenario might play out for you? Use the SSA’s Retirement Age Calculator to choose your birth year, then click on the blue button immediately below it. You will then see a chart that shows the monthly impact on your benefits should you claim them before full retirement age.

3. Wait until you’re 70

The SSA offers delayed retirement credits for people who wait until after their full retirement age to collect benefits.

“This isn’t always a practical or desirable choice for everyone,” Teague observed. “But if it makes sense for you and your

individual financial situation, it absolutely leads to a bump in your monthly Social Security check.”

Although delayed retirement credits max out at age 70, your Social Security benefits will increase by a set percentage for each month you hold off on claiming them. Returning to the example above, if you were born after 1960 and waited until you turned 68 to collect Social Security, you would receive 8% more for that year. See the SSA’s Increase for Delayed Retirement chart to view the increase by month and how it applies to you.

4. Consider claiming spousal benefits

Generally speaking, this strategy is best if you and your spouse:

• Were born before Jan. 2, 1954

• Were both employed for at least 35 years (though you are eligible after 10)

• Have reached your full retirement age (though you are eligible after 62)

Married people who were born before Jan. 2, 1954 are allowed to file a “restricted application”—meaning they are choosing not to collect their own Social Security benefits and instead will collect based on their spouse’s earnings. They may switch back at any time, but the most advantageous route is to wait until age 70 in order to accumulate the highest number of delayed retirement credits.

If you are married and were born after Jan. 2, 1954, you still may be eligible for spousal benefits. However, you may not file a restricted application. Instead, you must apply both for your benefits and your spouse’s benefits at the same time (this is called “deemed filing”). In this instance, you will collect the higher of the two benefit amounts.

“Claiming spousal benefits is a very specific strategy and the rules and considerations that govern it can be somewhat complicated,” said Teague. “It is important that you talk to a qualified financial advisor to understand whether it’s right for you and how to proceed should you choose to.”

The SSA publishes a primer on retirement benefits that you may be interested to read through.

After claiming benefits

If you already collect Social Security, it’s still possible to increase your benefits after receiving your first check. Here’s how:

5. Look for your annual cost of living adjustment (COLA) In any year when consumer prices rise, the SSA must increase your benefits to account for inflation. In 2023, this hit an unprecedented 8.7% for most beneficiaries.

The SSA bases the COLA on the U.S. Department of Labor’s Consumer Price Index. Beginning in January 2024, more than 66 million Social Security beneficiaries saw a 3.2% bump in their monthly checks.

6. Continue working after you begin collecting benefits

Remember: the SSA calculates your benefit based on your highest 35 years of income. If you choose to begin collecting Social Security after age 62—but have not worked for 35 years—you have the opportunity to replace any “zero years” with income you earn after the fact.

Similarly, if you did work for 35 years but your earnings were low during some of them, you have the opportunity to replace those lower earnings with higher ones. The SSA checks your income each year and, if you’re eligible, will automatically increase your benefits check.

Just be aware of one thing, Teague pointed out. The SSA limits how much additional income you are allowed to make in any given year that you collect benefits. In 2024, that limit is $22,320 per year if you haven’t reached full retirement age; and $59,520 if you have. If you earn more than your respective limit, the SSA will temporarily reduce your benefit.

7. Qualify for a benefits adjustment

If you chose to begin collecting Social Security before your full retirement age, and continued to work during that time, you may be eligible for a benefits adjustment once you do reach your full retirement age.

This adjustment only applies if the income you earned exceeded the allowed limit mentioned above. In that instance, the SSA will increase your benefit to account for the money they withheld.

In many parts of the United States, the cost of living exceeds the average monthly Social Security benefit. For older adults who rely solely on this income, it’s getting harder and harder to make ends meet. But there’s better news: there are ways to increase your monthly check, whether you currently collect Social Security or are looking ahead to the time when you will.

Source: National Council on Aging. Read more at ncoa.org.

SourcePoint’s 2023 Annual Report

Below is an excerpt from SourcePoint’s 2023 annual report. To see the full report, go to MySourcePoint.org/publications.

Delaware County Thrives After 55

SourcePoint’s mission is to help our community set a course to live well after 55.

Our vision is of a community where every person 55 and over is empowered to live life to the fullest.

Our values include respect, compassion, interdependence, excellence, stewardship, and advocacy.

HEALTH & WELLNESS

Beyond Basic Blood Tests

Blood courses through your body with every heartbeat. It carries life-giving oxygen to every organ. Blood also helps remove the waste products your body makes. Because it flows to and from every part of the body, blood can provide an important window into what’s happening under the skin.

“So many biochemical compounds get absorbed from the tissues of the body into the blood. This makes the blood a really good place to look for hints of disease,” says Dr. Lori Minasian, who helps oversee cancer prevention research at NIH.

Blood tests can help your health care provider diagnose diseases. They can also help them choose the best treatments for many health conditions. Commonly used blood tests look for compounds that signal an increased risk of heart disease. Other tests help diagnose diabetes, vitamin deficiencies, and many types of infections.

Blood tests have been helpful for preventing some common, dangerous health events, like heart attack and stroke. NIHfunded researchers are working to expand the number of health conditions that can be detected with a simple blood test. These include cancer, dementia, and other deadly diseases.

Tracking Cancer

Like normal cells in the body, cancer cells also come into regular contact with blood. This means that substances from tumors, like pieces of genes or even whole cancer cells, can get into the bloodstream.

Researchers have developed tests to look for such substances in the blood. These are called liquid biopsies. These tests are already used for some types of cancer to monitor whether a tumor comes back after treatment, Minasian says. Scientists are also looking at whether these tests can identify which tumors may need more aggressive treatment to prevent them from returning.

Blood tests might one day be used for cancer screening, too. Screening tests aim to catch cancer early—before symptoms develop. Cancers found early are often easier to treat. This can save lives.

Some cancer screening tests are already available through your doctor. These include mammograms for breast cancer and colonoscopy for colorectal cancer. But neither are as simple to do as a blood test.

Many types of cancer still don’t have screening tests available. More than half of cancer deaths are from cancers that don’t have screening tests yet. These include deadly cancers like ovarian cancer and pancreatic cancer.

“The idea that, with a single blood test, you could screen for many deadly cancer types, has huge potential,” says Minasian.

The usefulness of blood tests for cancer screening is still in the early research stages. Right now, there’s limited evidence for any benefits. Despite this, blood tests for cancer screening are marketed directly to consumers. People should be very careful about using these tests right now, Minasian cautions.

“There is not enough data to understand the full risks and benefits of using these blood tests for cancer screening,” she says. “The results could lead to anxiety or may provide a sense of false reassurance.”

If you’re concerned about your cancer risk, talk with a health care provider. They can help you stay up to date with proven screening tests.

Detecting Alzheimer’s Disease

Like your body, your brain is full of blood vessels. So substances from injured brain cells can also enter your blood.

For decades, researchers have been trying to develop blood tests to help diagnose and better treat mental health conditions, explains Dr. John Hsiao, a psychiatrist at NIH. But, this has proven difficult.

Blood tests to determine whether someone is at risk for dementias are showing promise, Hsiao says. The proteins that damage brain cells in these conditions are now well understood. This means they can be measured.

The most common cause of dementia in older adults is Alzheimer’s disease. Measuring Alzheimer’s disease proteins

currently requires a brain scan or collecting spinal fluid. These tests can be costly and aren’t available in every community.

“But these abnormal proteins that build up in the brain also show up in the blood,” says Dr. Reisa Sperling, a neurologist at Harvard Medical School. Blood tests for Alzheimer’s have the potential to be “cheap and easy,” Hsiao adds.

Recent studies have shown that blood tests can detect early signs of Alzheimer’s disease in the brain. So researchers are looking at whether they can use them to find and treat people with the disease early. They hope this could help prevent or slow the loss of brain cells.

“Studies so far suggest that our best chance at being able to delay the memory loss and other symptoms of Alzheimer’s disease would be to treat very early,” Sperling says. But she does not recommend people without symptoms get blood tests done outside of studies just yet.

Some blood tests that claim to detect Alzheimer’s disease are being advertised to the public. But they are not yet FDA approved. Sperling warns that some of these tests may not be as accurate as those being used by researchers.

If you’re concerned about your risk for dementia, Sperling recommends joining a clinical study. “There are great research trials for people to go into, and they will use the best blood tests available,” she says. Learn more at Alzheimer’s Disease Research Centers or Alzheimer’s Clinical Trials Consortium.

Researchers are also trying to develop blood tests to detect other causes of dementia and brain conditions like Parkinson’s disease. “These tests have the potential to really change how we diagnose and understand these conditions,” Hsiao says.

Stay Up To Date

It may be a while before a blood draw at your local clinic can find diseases like cancer or dementia. But keeping up with current blood tests can help you get early treatment for other potentially life-threatening problems. See the Ask Your Doctor box for more.

Source: News in Health, a monthly newsletter from the National Institutes of Health, part of the U.S. Department of Health and Human Services. Read more at newsinhealth.nih. gov.

Ask Your Doctor

What Blood Tests Do I Need?

Depending on your age and other factors, your health care provider may order tests that measure:

Blood glucose (sugar): To help diagnose diabetes or see whether you’re at risk for diabetes.

Blood lipids (fats): To assess your risk for heart disease and related conditions. These tests measure levels of lipids called cholesterol and triglycerides.

Blood cell counts: To help diagnose many diseases, including infections, cancer, and bleeding disorders. These tests measure the types of cells that carry oxygen and fight diseases.

Organ function: To make sure organs like your liver, kidneys, and heart are working properly.

Specific blood-borne diseases: To look for diseases like HIV and hepatitis C, which may not cause symptoms until after they’ve started to damage the body.

Vitamin deficiencies: To measure levels of vitamins in the body. These aren’t usually recommended for healthy people. But if you have symptoms of some health conditions, your doctor may order tests to look for low levels of some vitamins.

HARD

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