August 3, 2025 · 12:41 pm

Alzheimer’s Association-U.S. Pointer trial finds lifestyle interventions can improve cognitive health in older adults

The Alzheimer’s Association recently released the results of a trial they funded, called the U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk (U.S. Pointer) which found that “Positive, everyday actions can make a difference in brain health, and when combined into a program that targets multiple factors like physical activity, improving nutrition, cognitive and social challenge and health monitoring, we now know it can have an even more powerful impact.”

Following a similar study that was conducted about a decade ago in Finland called the FINGER study, the Alzheimer’s Association wanted to see if that study’s findings of lifestyle changes positively impacting cognitive health could be replicated for the U.S. population. To conduct the study, participants aged 60-79 who did not exercise regularly and who were at increased risk for cognitive decline were recruited and followed for two years. Participants were located near one of the study’s site locations: Chicago, Houston, Providence, Sacramento, and Winston-Salem.

The participants were placed into one of two groups: structured lifestyle intervention and self-guided lifestyle intervention. The structured group attended nearly 40 meetings over a 2-year period while receiving a prescribed program for physical activity, diet, and cognitive training with goal setting and regular reviews and support. The self-guided group six peer team meetings and were encouraged to implement lifestyle changes that best suited them. General support was provided by staff, but no direct goal-setting or coaching was provided.

What surprised me the most about the study results is that both groups demonstrated an improvement in cognition. This is a key finding because it shows that such programs could offer benefits for those in rural, isolated areas where ongoing support services are limited or non-existent. Those in the structured program did exhibit further cognitive health benefits than the self-guided group.

Another positive finding in the study was that the benefits of the lifestyle intervention were not limited by sex, ethnicity, genetic risk or heart health status. I’ve seen studies where benefits may be more apparent in men vs. women, for example, so this is a key takeaway.

So what is the “recipe” of lifestyle interventions that was used for the study? The infographic at the top of the post captures the components:

  • Exercise: 30-35 minutes of moderate-to-intense aerobic activity four times a week, plus strength and flexibility exercises twice a week. (Strength and flexibility exercises are also critical in fall prevention for elders.)
  • Cognitive exercise: The study used a computer-based brain training program which participants used three times a week in 30-minute sessions. Regular engagement in intellectually challenging and social activities was encouraged. I’m not sure which brain training program was used, but I’m enrolled in an ongoing study which used a computer-based program to assess changes in cognitive performance. It involves activities like memory retention by recalling patterns.
  • Nutrition: The MIND diet was prescribed, which emphasizes dark leafy greens, berries, nuts, whole grains, olive oil and fish, and limits sugar and unhealthy fats.
  • Health monitoring: Regular vital check-ins on blood pressure, weight, and lab work.

Engaging in regular exercise, performing mentally stimulating activities and eating healthy is a common-sense approach for overall good health. One important follow-up to the study will be to see if people can stick with the lifestyle changes once they are no longer part of the study’s structured program. Another analysis that I’d like to see is how many of the study participants go on to form Alzheimer’s or another form of dementia. Do the lifestyle changes prolong cognitive health thereby delaying a dementia diagnosis or do they offer further protective effects? An extension of the study has been funded and may answer some of these key questions.

Infographic image courtesy of the Alzheimer’s Association.

1 Comment

Filed under Awareness & Activism

Tagged as , , , , , ,

July 26, 2025 · 4:47 pm

A new and improved Respite Care Share

While I had the week off for my birthday, I spent time revamping my website, Respite Care Share. This is a project I started back in 2016 as part of a challenge to launch new initiatives to support end-of-life caregivers. Over the years I’ve added to the resources page, but the website itself, one of those freebie templates that comes with a domain purchase, was lacking in style and functionality.

In comes “vibe coding” which is AI-assisted coding programs. I maintain a healthy skepticism of AI’s powers but I have to say that l’ve been impressed with using AI to update a website. I was able to create a fresh new web design and add a table of respite care resources in the U.S. which is something I’ve been wanting to do for awhile. Before AI coding assistance, I would have had to hire a web designer to do a reboot, which I don’t have the budget for right now. I enjoy learning new tech skills and had fun doing this project.

International Self-Care Day was July 24th so it’s the perfect time to share this updated resource.

I hope to add more resources in the future, including self-care tips and respite suggestions. Hope you find the resource helpful, I’d love to hear your feedback.

Leave a comment

Filed under Awareness & Activism

Tagged as , ,

July 19, 2025 · 3:05 pm

Birthday reflections: The gift and burden of self-care

Birthday breakfast treats!

Today is my birthday. After last year’s leap of faith, I’m keeping it simple this year with a staycation. An at-home vacation gives one opportunities to indulge in self-care.

I’m a believer in self-care; my project Respite Care Share is all about helping caregivers take breaks from caregiving duties. (I’m wrapping up a refresh of that project, more to come soon.) There are numerous studies about caregiver burnout and the dangers it presents to caregivers and care recipients. Taking regular caregiving breaks is key to recharging and maintaining an identity outside of caregiving.

But reality check: self-care doesn’t happen by waving a magic wand. I wish it did! For solo caregivers and single folks, self-care is yet another task one has to perform on top of all of the other chores and duties necessary for a functional life. And at some point, caring for yourself can feel like a burden.

If you find yourself struggling with self-care, try connecting with resources that are meaningful and authentic. I listened to an episode of the Happy Healthy Caregiver podcast recently with two of my favorite people in the metro Atlanta caregiving community: Elizabeth Miller and Hope Cross. This was a down-to-earth discussion about the challenges of caregiving and taking care of oneself. You may remember I’ve written about Hope before, as she cared for her husband, Steve Dezember, who had ALS. She is now a licensed counselor with a practice focused on family caregivers.

If you are looking for ways to incorporate more self-care into your life (most of us need to!) the Happy Healthy Caregiver website is a good resource. From my own experience with Respite Care Share, it’s best to start small, with easy to manage and access respite activities, even if it’s just getting away for an hour and enjoying your favorite beverage at a local cafe or taking a walk in the park. Respite can be designed to fit the caregiver’s needs and caregiving situation. For some, it might mean a weekend away; for others an afternoon to recharge. What’s important about respite and self-care is not so much what you do, but how often you engage in caring for yourself.

Looking at old family photos is a favorite respite of mine. If you haven’t tried My Heritage’s new AI feature, Live Memory, consider giving it a spin. You get to try it for free. It brings motion to images. It added an extra sweet dimension to this beloved photo with my father.

Here’s hoping you can find a way to make self-care the gift it should be and not a burden in your life.

2 Comments

Filed under Memories

Tagged as , , , , , ,

July 14, 2025 · 9:00 am

Analysis: Dementia caregivers more likely to report risk factors that increase their own risk for dementia

A new analysis conducted in part by the Alzheimer’s Association found that dementia caregivers are much more likely to report at least one modifiable risk factor that increases their own risk of developing dementia. According to the analysis conducted by two public health centers in the US, nearly 60% of dementia caregivers report having at least one modifiable risk factor and nearly 25% report having multiple risk factors.

The analysis was based on data collected from 47 states and focused on six modifiable risk factors for cognitive decline among individuals caring for someone with dementia: diabetes, obesity, physical inactivity, smoking, sleep, and hypertension.

Compared with the overall population, dementia caregivers were more likely to report five of the six risk factors examined. The differences were most significant for smoking (30% more likely), hypertension (27% more likely), and poor sleep (21% more likely). Dementia caregivers were also 12% more likely to have diabetes and 8% more likely to be obese.

Gender, age, and race played a role, according to the analysis findings. Male dementia caregivers were about 15% more likely to have at least one risk factor versus female dementia caregivers.

American Indian/Alaska Native dementia caregivers were the most vulnerable population according to the analysis, reporting at least one risk factor (77 percent). Black caregivers were close behind at 72 percent, followed by Hispanic (59 percent), White (58 percent) and Asian American (28 percent) caregivers.

Dementia caregivers under 45 were about 13% more likely to have at least one risk factor
compared to all adults under 45 and 40% more likely to have multiple risk factors.

“This analysis should be a wake-up call for public health to develop strategies that address caregiver health to help this at-risk population,” said Matthew Baumgart, senior vice president, Health Policy, Alzheimer’s Association.

According to the researchers, more than a quarter of dementia caregivers delay or do not do
things they should to maintain their health. My own mother delayed going to the doctor for her GI symptoms, and six months after my father’s death from dementia complications, she was diagnosed with colon cancer.

The goal of sharing such sobering statistics is that the health of dementia caregivers is being neglected by the healthcare system, and earlier interventions and greater resources are needed to turn around this trend. No one should see their health suffer because they are caring for a loved one.

Image generated by ChatGPT.

1 Comment

Filed under Awareness & Activism

Tagged as , ,

July 6, 2025 · 9:00 am

Thinking of Mom on her birthday

Today Mom would have been 88 years old. My mother and I shared a birthday month which always made July special to me. Now it’s a little bittersweet, but I still carry the memories of how my mother tried to make my birthday special each year and how I did the same by making her handmade cards and crafts. What my gifts lacked in artistic talent they made up for in love.

Even though my mother and I were born in the same month and the same astrological sign, we were opposites in personality. I write about those challenges in The Reluctant Caregiver. But one thing we shared was a love of creativity and the arts. Over her lifetime my mother learned how to play the guitar and took dance lessons. She made fabric art wall hangings. I’m grateful to have inherited a love of creativity as well, as it can make the world a better place during challenging times.

1 Comment

Filed under Memories

Tagged as , , , ,

June 28, 2025 · 3:37 pm

Free yourself from the burden of being a superhuman caregiver

When Dementia Progresses

Dr. Elaine Eshbaugh offers wise words and compassionate insights once again on her blog, When Dementia Knocks. There are many ways family members can react to a loved one’s dementia diagnosis. Some people will embrace the fuzzy blinders of denial, while others will go into overdrive in an attempt to protect their loved one from cognitive decline for as long as possible. While the latter is noble to a certain extent, it can place an intense and unrealistic burden on the caregiver, as Eshbaugh points out in her blog post. Alzheimer’s is a progressive disease; while there may be some steps you can take to stave off decline for awhile, they won’t work in every person and eventually, the disease progresses. When a loved one declines after a period of relative stability, it’s not the fault of the caregiver. It is simply the nature of the terrible disease.

Be kind, especially to yourself and your role as a dementia caregiver.

Leave a comment

Filed under Awareness & Activism

Tagged as , , ,

June 22, 2025 · 8:00 am

Stay safe, keep cool this summer

Summer has just started and this week it’s supposed to be in the high 90s here in Atlanta. I’ve lived here since 1997, and know that hot, long, and humid summers are to be expected. But as one gets older, one needs to take extra precautions against the heat. This applies to our pets as well.

Each year, I write at least one blog post dedicated to summer safety tips. It’s heartbreaking to think that in our modern age, people die because of the heat. For dementia caregivers, extra thought should be given to not only protecting loved ones from the heat, but also finding indoor activities that are stimulating and finding ways to still spend a bit of time outdoors.

The CDC has a simple caregiver checklist for heat safety. Here are some key factors to consider:

Hydration: I’m always blown away by the fact that some people don’t drink water. I consistently drink water throughout the day and would feel unwell if I didn’t. Older people often don’t drink enough fluids, and dementia can complicate matters further. To make water less boring, there are flavored waters and sparkling waters. Unsweetened varieties are available for those who need to keep their blood sugars in check. Another fun solution are Jelly Drops. Hydrating foods like watermelon count as well, so consider that as a tasty option.

Cooling options in the home: In certain parts of the country, such as where I live in Atlanta and where I used to live in Texas, air conditioning is considered a must-have. That doesn’t mean everyone has AC, or can afford to use it. I hate to hear about cases where older people die from the heat because they were afraid to turn on their air conditioner due to the cost. It’s no joke that AC is expensive to run; there are government programs to help offset some of the costs. Cooling stations exist in some cities during extreme heat waves. Check on your elder loved ones frequently during heat waves and make sure they are living in a situation that is bearable, especially if they are in fragile health.

Adapting favorite activities: If you live in an area that experiences extreme heat, those long and hot sunny days can begin to feel like a prison. This is especially true for loved ones with dementia, who may become restless if their outdoor activities are limited. There are a few things you can do to adapt. One thing I do with my senior dog is take walks early in the morning, where it might be humid but at least the sun isn’t broiling us. There aren’t as many shopping malls as there used to be, but if you still have one in your area, walking around the air conditioned mall can be a nice indoor activity on a hot day. My parents used to do this for exercise. Some recreation facilities have indoor walking tracks; swimming pools could be another option to cool off. Instead of hitting the golf course on a dangerously hot day, consider an indoor golf simulator facility like Topgolf. Museums offer a stimulating activity in a cool environment.

Caregivers should learn the signs of heat-related health issues so they can spot them quickly in those they care for and seek timely treatment.

I admit I dread the summers, because of the oppressive heat and the mosquitoes. But what I do enjoy about summer is the extended daylight and iced coffee. If you are not a fan of summer, try to find one thing to enjoy: maybe it’s an ice cream cone or a dip in the swimming pool. Hopefully you can share some of these simple joys with your elder loved ones you care for, and make happy memories this summer season.

Illustration created by ChatGPT.

Leave a comment

Filed under Awareness & Activism

Tagged as , , , , , ,

June 15, 2025 · 7:49 am

Happy Father’s Day

Thinking of Dad today and what it would be like to take a long walk in the park with him and discuss all of the troubles happening in the world right now.

Hope you get to spend quality time on this Father’s Day with your fathers or those who serve as father figures in your life.

Leave a comment

Filed under Memories

Tagged as , , , ,

June 6, 2025 · 9:00 am

New documentary highlights the challenges and triumphs of being a family caregiver in the US

There’s a new documentary airing on PBS called, Caregiving. Actor Bradley Cooper served as an executive producer and at the beginning of the film, he discusses the emotional impact caring for his father had on him.

The bulk of the film focuses on average Americans who are faced with a healthcare crisis in their family and how they attempt to navigate America’s broken healthcare system to access essential services. When that fails, caregivers are forced to take on the burden all on their own. I definitely could relate to many of the challenges these caregivers faced, from job loss to the extra stress of being a sole care provider. I also like that the film showcases stories of care recipients and caregivers who are a variety of ages. Caregiving is not just for the young and the old; any of us can be faced with an unexpected health issue that we are not prepared for and will upend our lives.

While the stories shared in the documentary are sobering, there are moments of triumph and a historic overview of care in America, and how advocates over the decades have made a real difference in how care services have evolved. There’s no question that more resources and support are needed, especially as we grapple with a rapidly aging America. There are some positive developments at the state level, with funding programs for paid leave being approved by voters but nationally, even though Americans in polls claim to support additional care funding, they often don’t vote in their best interest.

Politicians claim they can’t stomach the cost of programs like paid family leave, yet studies (and common sense) shows that the longer you can support an elder aging in place at home, the more reasonable the cost compared to having Medicaid pay the expense of a nursing home. Meanwhile, family caregivers provide billions of dollars in free labor each year, to fill the gaps the government refuses to cover.

Caring Across Generations is featured prominently in the Caregiving documentary, which I’m glad to see, as I’ve participated in events with them in the past. I appreciate their practical yet compassionate approach to caregiving issues, and their focus on being inclusive, as caregiving is something that touches all of our lives at some point.

I hope you get a chance to watch the documentary. I’d love to hear your thoughts.

Leave a comment

Filed under Awareness & Activism

Tagged as , , , ,

May 31, 2025 · 8:00 am

AI-powered phone call service offers virtual wellness checks for seniors

I came across a new service for seniors and their family caregivers that is getting ready to launch. I’ll admit it caught my eye because it has my name! Joy Calls is an AI-powered call service that performs virtual wellness checks.

A smart feature of the service is that even though Joy is an AI-powered persona, the high-tech is contained in a familiar package: a telephone call. No special equipment or training is required to use the service. Joy calls your loved one, checking in on things like medication, hydration, diet, and mood. Your loved one’s responses are summarized and provided to the caregiver.

The concept is designed not to replace family caregivers but virtually augment the monitoring of their loved ones, potentially extending their ability to age in place safely. A price hasn’t been set yet, but according to Onscreen, the company producing Joy Calls, the service is expected to cost in the range of $10-40 per month.

It’s an intriguing concept, and I will be interested in how well the service works and if it can meet the needs of seniors and family caregivers. I’m curious to see how the service handles sensitive information and if it can reduce the risk of AI hallucinations, otherwise the calls could go off the rails. And thinking of my mother, how will Joy handle a senior who is, to put it politely, verbose? Will she interrupt and try to get the call back on track? I felt helpless at times trying to keep my mother focused on the topic at hand, so I hope Joy Calls is up to the challenge.

Image created by ChatGPT.

Leave a comment

Filed under Awareness & Activism

Tagged as , , , , ,