New Study Ties Diet To Longer Life

According to medical researchers, today's leading causes of death have shifted from infectious diseases to chronic diseases.  These include cardiovascular disease and cancer.

Both of these illnesses may be affected by diet a study published in the January 2011 issue of the Journal of the American Dietetic Association reveals. 

Researchers examined data regarding the associations of dietary patterns with mortality through analysis of the eating patterns of over 2500 adults between the ages of 70 and 79 over a ten-year period. They found that diets favoring certain foods were associated with reduced mortality.

By 2030, an estimated 973 million adults will be aged 65 or older worldwide according to the American Association for Long-Term Care Insurance. This study sought to determine the dietary patterns of a large and diverse group of older adults, and to explore connections between these dietary patterns with survival over a 10-year period.

Researchers were able to group the participants into six different clusters according to predominant food choices including healthy foods, high-fat dairy products, meat, fried foods, and alcohol and sweets and desserts.
The "Healthy foods" cluster was characterized by relatively higher intake of low-fat dairy products, fruit, whole grains, poultry, fish, and vegetables, and lower consumption of meat, fried foods, sweets, high-calorie drinks, and added fat. The "High fat dairy products" cluster had higher intake of foods such as ice cream, cheese, and 2% and whole milk and yogurt, and lower intake of poultry, low-fat dairy products, rice, and pasta.

The study was unique in that it evaluated participants' quality of life and nutritional status, through detailed biochemical measures, according to their dietary patterns.

After controlling for gender, age, race, clinical site, education, physical activity, smoking, and total calorie intake, the "High-fat dairy products" cluster had a 40% higher risk of mortality than the "Healthy foods" cluster. The "Sweets and desserts" cluster had a 37% higher risk. No significant differences in risk of mortality were seen between the "Healthy foods" cluster and the "Breakfast cereal" or "Refined grains" clusters.

Milk, Cheese, Dairy Products May Cut Diabetes Risk

Harvard scientists have identified a natural substance in dairy fat that may substantially reduce the risk of type 2 diabetes.

According to the researchers, the compound, trans-palmitoleic (TP) acid, is a fatty acid found in milk, cheese, yogurt, and butter. It is not produced by the body and so only comes from the diet.  Diabetes is an increasingly common condition that can result in disability for older individuals according to the American Association for Long-Term Care Insurance.

A report in the Annals of Internal Medicine explains that TP acid may underlie epidemiological evidence in recent years that diets rich in dairy foods are linked to lower risk of type 2 diabetes and related metabolic abnormalities. Health experts generally advise reducing full-fat dairy products, but TP acid is found in dairy fat.

The researchers examined nearly 4,000 participants and followed them for 20 years in an observational study to evaluate risk factors for cardiovascular diseases in older adults. Metabolic risk factors such as blood glucose and insulin levels, and also levels of circulating blood fatty acids, including trans-palmitoleic acid, were measured using stored blood samples in 1992, and participants were followed for development of type 2 diabetes.

At baseline, higher circulating levels of TP acid were associated with healthier levels of blood cholesterol, inflammatory markers, insulin levels, and insulin sensitivity, after adjustment for other risk factors.

During follow-up exams, individuals with higher circulating levels of trans-palmitoleic acid had a much lower risk of developing diabetes, with about a 60% lower risk among participants in the highest quintile (fifth) of TP acid levels, compared to individuals in the lowest quintile.

Support for the study was provided by the National Heart, Lung, and Blood Institute and National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health and the National Institutes of Health Office of Dietary Supplements and National Institute of Neurological Disorders and Stroke.

Medicaid Must Change; Middle Class Most Impacted

The following is from an excellent story in the New York Times (link below).   The inability of taxpayer-paid programs (Medicaid specifically) to pay mounting bills for long-term care will mandate changes in the current system.
For that reason, the American Association for Long-Term Care Insurance urges education and advocates planning.  If you are age 50-to-60, and middle class this is especially vital.  If Medicaid (taxpayers) are strapped today ... you can only imagine what it will be in 20 or 30 years.
Here's the blurb from the NY Times and the link to the full article.

Last year, more than 1,200 people in New York City officially turned their backs on their husbands and wives to qualify for Medicaid, triple the number of people five years ago. The practice, known as “spousal refusal,” is becoming more common as the population ages and the cost of nursing care rises — and it is coming under increasing attack by government officials looking to curb ballooning Medicaid expenses.
In a recent report, Lt. Gov. Richard Ravitch warned that spousal refusal could be abused as “an entitlement for the less needy” and urged state officials to rethink it, noting that long-term care accounts for nearly half the state’s Medicaid spending.

Lawyers for the elderly argue the tactic of spousal refusal is legal nationwide, and it is most commonly used in New York and Florida, where 136 people refused to support a sick spouse last year.

Without the option of spousal refusal, lawyers say, American health care is like a ghoulish lottery. Those who need doctors’ care for illnesses like cancer or heart disease are covered by Medicare, the insurance program for the elderly, while those who need more custodial care for Alzheimer’s or stroke must pay for it themselves or dispose of their assets to qualify for Medicaid.

The federal government allows a healthy spouse to keep a house, a car, up to about $2,700 a month in income and up to about $110,000 in other resources. Anything above that must be spent on nursing care before Medicaid kicks in.

http://www.nytimes.com/2010/12/12/nyregion/12medicaid.html?_r=1

Read the American Association for Long-Term Care Insurance's guide about reducing the cost of long-term care insurance. Click here.  http://www.aaltci.org/free-guide.

Vision Of Elderly Can Improve

Elderly adults can improve their vision with perceptual training.

According to a study from the University of California, Riverside and Boston University elderly adults can improve their vision with perceptual training.  This has positive implications for the health and mobility of senior citizens.

UCR researchers and Boston University psychology professors conducted a series of experiments to determine whether repeated performance of certain visual tasks that are at the limits that one can see can improve the vision of adults older than 65.

The researchers found that with just two days of training, in one-hour sessions, with difficult stimuli resulted in older subjects seeing as well as younger college-age subjects.  The improvement was maintained for up to three months and the results were dependent on the location in the visual field where the stimuli were located - suggesting that the brain changed in early levels of visual cortex.

Age-related changes in vision - such as contrast sensitivity, dark adaptation, visual acuity, spatial vision, orientation, depth perception and motion perception - have been substantiated in numerous previous studies. This is the first study that demonstrates that perceptual training can be used to improve vision among the elderly in the earliest levels of visual processing.

The researchers used a texture discrimination test in which the participants were presented with stimuli consisting of a letter embedded in the center of a field of horizontally oriented lines. In addition to the letter, an array of peripherally located lines was oriented diagonally and formed either a vertical or horizontal object, always presented in the same quadrant. That was followed quickly with the display of a masking pattern. The task was to identify the central letter and the peripheral object.

 After age 60 there is a steady increase in the incidence of falls and automobile crashes that are associated with changes in visual processing reports the American Association for Long-Term Care Insurance which tracks health related issues impacting aging Americans.

Free Guide Outlines Ways To Reduce Cost Of Long-Term Care Insurance

November is Long-Term Care Awareness Month and even the U.S. Congress has urged "the people of the United States to recognize (this) as an opportunity to learn more about the potential risks and costs … and the options available."

Some 10 million Americans currently require long-term care according to the American Association for Long-Term Care Insurance (AALTCI) with annual expenditures exceeding $200 billion.

"We're proud to support this important educational campaign," says Lisa Wendt, president and CEO of LifeSecure Insurance Company.  Experts expect the number of aging adults needing care will grow significantly in the next decade as the 76 million baby boomers begin to turn 65. 

To inform individuals about the importance of long-term care planning and simple ways to make insurance protection more affordable, AALTCI is making available a free online informational consumer guide.

"Few people are aware of the available discounts and planning techniques that can make long-term care insurance quite affordable," explains Jesse Slome, the organization's executive director.  "It is possible to reduce the cost by between 20-and-50 percent yearly."

For example, significant discounts are available when applicants meet certain health qualifications that can vary from one insurer to another.  "Non-smokers may qualify for savings and couples or partners who apply for protection may be eligible for savings," Slome adds.  "Savings can apply even when only one spouse obtains insurance coverage."

The "2 Minute Guide: Reducing The Cost" can be accessed online.  No sign-in or personal information is required.  To access the free guide, visit www.aaltci.org/free-guide/.

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About LifeSecure Insurance Company

LifeSecure Insurance Company is based in Brighton, MI and offers long-term care and post-hospital recovery insurance products. The company's insurance products are sold through a network of independent marketing organizations, brokers and agents and licensed in 44 states. Additional information is available at www.YourLifeSecure.com.

About The American Association for Long-Term Care Insurance (AALTCI)

Established in 1998, AALTCI is the national professional organization serving over 3,000 insurance professionals who market long-term care insurance.  The organization's online Consumer Information Center www.aaltci.org/ has been recognized as a leading resource of current information and relevant statistical data.

Discovery Could Treat Obesity-Related Diabetes And Heart Disease

Researchers have found a new cellular pathway that could help in developing therapeutic treatments for obesity-related disorders, like diabetes and heart disease.

The medical scientists found that action by the enzyme histone deacetylase 9 (HDAC9) could be targets for potential treatment options in obesity-related diseases.

Researchers were really interested in the tie between increased HDAC9 levels in fat tissue of mice and the caloric overload.  Fat tissues from these obese mice showed dysfunction, with increased expression of pro-inflammatory agents and decreased expression of hormones responsible for maintaining whole body lipid and glucose stability.

HDAC9 level in fat cells is the underlying molecular culprit for dysfunctional fat tissue during obesity.

The researchers are currently examining HDAC9 knockout mice subjected to chronic high-fat feeding and think that HDAC9 gene removal will protect mice from obesity-linked adipose tissue dysfunction and associated metabolic disorders.

The team is pursuing studies to understand how diet regulates HDAC9 levels in fat tissue and how HDAC9 up-regulation can be prevented during diet-induced obesity through pharmacological means.  Their findings may help lead researchers to targeted therapies that may prevent the development of obesity-related disorders in humans reports the American Association for Long-Term Care Insurance which tracks scientific research impacting the long-term health of Americans.

Nursing Home Industry Fear Republican Medicaid Cuts

The nursing home industry is concerned about pending Medicaid cuts following the Congressional changeover.

A Republican-controlled House is unlikely to extend the enhanced Medicaid funding for states in last year's Recovery Act, the head of a nursing home trade association said Monday.

A return to the initial federal share would be particularly painful for nursing homes and assisted living facilities, who rely on Medicaid to pay about two-thirds of their patients' bills.  "Everybody wants the government to pay without raising taxes and that's not possible," explains Jesse Slome, director of the American Association for Long-Term Care Insurance.  "As people understand Medicaid doesn't pay or forces you to into unacceptable situations, more will see the value in private insurance."

At a roundtable discussion in Washington, Bruce Yarwood, president and CEO of the American Health Care Association, said the situation will force a discussion on long-term care, which he said was hardly addressed during the healthcare reform debate.

As lawmakers respond to voters' concerns about the deficit and cut back on Medicaid and Medicare, a long-term care sector that relies on government spending to cover about 85 percent of its patients faces a crossroads.

Looking ahead, I have to say I am concerned about the significant wrangling we already see developing between the state and federal governments in regard to Medicaid and the federal healthcare reform law, Yarwood stated.

Scientists Find Speak Two Languages To Delay Alzheimer's Onset

Speaking two languages can help delay the onset of Alzheimer's symptoms by as much as five years.

The study conducted by Canadian scientists found more dramatic evidence that those who have spoken two or more languages consistently over many years experienced a delay in the onset of their symptoms by as much as five years.

"We are not claiming that bilingualism in any way prevents Alzheimer's or other dementias, but it may contribute to cognitive reserve in the brain which appears to delay the onset of Alzheimer's symptoms for quite some time," said Dr. Craik, lead investigator and co-editor of The Oxford Handbook of Memory.

The brains of people who speak two languages still show deterioration from Alzheimer's pathology; however, their special ability with two languages seems to equip them with compensatory skills to hold back the tell-tale symptoms of Alzheimer's, such as memory loss, confusion, and difficulties with problem-solving and planning.

Observations were made on patients diagnosed with probable Alzheimer's from 2007 to 2009. The patients' date of diagnosis and age of onset of cognitive impairment were recorded along with information on occupational history, education and language history (i.e. fluency in English and any other languages).

The researchers found that bilingual patients had been diagnosed with Alzheimer's 4.3 years later and had reported the onset of symptoms five years later than the monolingual patients. The groups were equivalent on measures of cognitive and occupational level, there was no apparent effect of immigration status, and there were no gender differences.

According to the American Association for Long-Term Care Insurance, the current study adds to mounting scientific evidence that lifestyle factors - such as regular cardiovascular exercise, a healthy diet, and speaking more than one language - can play a central role in how the brain copes with age-related cognitive decline and diseases such as Alzheimer's.

The study was supported by the Canadian Institutes of Health Research and the Alzheimer's Society of Canada.

Home Health Benefits Face Likely Medicare Cut

Medicare Home Health Benefits Likely Cut

Home health care providers face likely Medicare payment cuts next year according to experts.

According to a report published today, two companies, Gentiva Health Services and Amedisys are among the providers of at-home health care to receive lower Medicare payments next year under U.S. government changes to the program.

A 4.89 percent reduction in home health spending for the elderly is among annual modifications in Medicare affecting hospitals, doctors and providers in the United States. Most rates take effect in January, though payments for doctors start to drop Dec. 1, the Centers for Medicare and Medicaid Services said in a statement this week.

"Cuts are consistent with a need to reduce expenditures at the Federal level," explains Jesse Slome, executive director of the American Association for Long-Term Care Insurance.  "The recent election showed that the populace doesn't want the government borrowing and spending money it doesn't have.  It's very likely more cuts will be coming."

A panel that advised Congress on Medicare issues found in 2008 that home health agencies were making 17 percent profits on their Medicare business.

"If you are in your 50s and counting on Medicare to look the same when you qualify for benefits, you are likely to be surprised," concludes Slome. 

Number of Kidney Transplants Double Among Elderly

Elderly kidney failure patients in the United States are twice as likely to get a kidney transplant as they were in the mid-1990s.

While a new study just released reports that the likelihood is still low, the researchers noted that elderly kidney failure patients now have greater access to kidneys from living donors and older deceased donors, and are less likely to die while waiting for a transplant.

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About half a million people in the United States have kidney failure according to data gathered by the American Association for Long-Term Care Insurance which tracks medical and health conditions impacting the longevity of Americans.  The data notes that  48 percent of them are 60 or older.

The study which will be published shortly in the Clinical Journal of the American Society of Nephrology, included kidney failure patients, aged 60 to 75, listed in the national Renal Data System between 1995 and 2006.

In 2006, these elderly patients had a 7.3 percent chance of getting a kidney transplant within three years of their first treatment for kidney failure. That rate was two times higher than in 1995.

Elderly kidney failure patients should consider transplantation over other types of treatment, suggested the study authors.

Hospitalized Patients With Sepsis Seniors More Likely To Get Alzheimer's

Older patients hospitalized for severe sepsis are at higher risk for long-term cognitive impairment and physical limitations than those hospitalized for other reasons.

The conclusion was reported following a study by ached by the Department of Preventive Medicine at Stony Brook University Medical Center and reported in the Journal of the American Medical Association.

Sepsis is a condition in which the immune system goes into overdrive releasing chemicals into the blood to combat infection. Sepsis occurs in 1 percent to 2 percent of all hospitalizations in the United States. Sepsis often results after common problems such as pneumonia and urinary tract infections.

Approximately 40 percent of those with severe sepsis die from the condition.  Among surviving patients the researchers found that the odds of acquiring moderate to severe cognitive impairment were 3.3 times higher following an episode of sepsis than for other hospitalizations.

Overall, the study also showed that 60 percent of hospitalizations for severe sepsis were associated with worsened cognitive and physical function among surviving older adults. Severe sepsis also was associated with greater risk for the development of new functional limitations following hospitalization.

Among patients who had no limitations before sepsis, more than 40 percent developed trouble with walking. Nearly 1 in 5 developed new problems with shopping or preparing a meal. Patients often developed new problems with such basic things as bathing and toileting themselves both conditions that result in the need for long-term health care services according to the American Association for Best Long-Term Care Insurance Information (AALTCI) a national trade group.   

Patients in the study had a mean age of nearly 76.9 years. The cohort involved 1,194 individuals with 1,520 hospitalizations for severe sepsis drawn from the Health and Retirement Study, a nationally representative survey of U.S. residents from 1998 to 2006, which collects information on the health, economic, and social factors influencing the health and well-being of Americans over age 50. 

Medicaid's Growth Will Strain States

While the federal government will pay much of the costs related to the Patient Protection and Affordable Care Act (PPACA), states will still find their share unaffordable. 

That's the analysis reported by Devon Herrick, a senior fellow with the National Center for Policy Analysis.

The Patient Protection and Affordable Care Act (PPACA) is expected to add up to 16 million more Medicaid enrollees and will significantly expand eligibility for families with incomes up to 133 percent of the federal poverty level. The PPACA requires states to streamline their enrollment process - making it easier for eligible populations to enroll and retain Medicaid coverage.

Initially, the federal government will pay 100 percent of the cost of the newly eligible, newly enrolled populations and 95 percent of costs through 2019. However, there are hidden costs that will strain state budgets.

According to various estimates, there are 10 million to 13 million uninsured people who are already eligible for Medicaid - but not enrolled. When the individual mandate to obtain health coverage takes effect in 2014, many of the uninsured are likely to be swept up in outreach efforts, Herrick reports.

Although the cost of enrolling newly eligible individuals will be paid by the federal government, the cost of covering those previously eligible for Medicaid must be paid for under the current federal matching formula. Many states will find the cost of their Medicaid programs higher as a result. 

For example, a decade after the PPACA's implementation, Texas Medicaid rolls are predicted by the Texas Department of Health and Human Services to rise by 2.4 million people.  Of these, only 1.5 million enrollees will be newly eligible. About 824,000 individuals will be those previously eligible but not enrolled. The federal government will contribute a much smaller share of the cost of these previously eligible enrollees compared to newly eligible enrollees.

On the average, reimbursements for Medicaid providers are only about 59 percent of what a private insurer would pay for the same service, but it varies from state-to-state.   The reports notes that New York pays primary care physicians only about 29 percent of what private insurers pay for primary care.

Many of the newly insured under Medicaid will likely be those who previously had private coverage. Research dating back to the 1990s consistently confirms that when Medicaid eligibility is expanded, 50 percent to 75 percent of the newly enrolled are those who have dropped private coverage. In addition, a 2007 analysis by MIT economist Jonathan Gruber, found, on average, about 60 percent of newly enrolled children in State Children's Health Insurance Program were previously covered privately. Thus, it is reasonable to conclude that much of the increase in Medicaid rolls will be individuals who were previously privately insured, meaning the number of uninsured will not fall as expected.

"Everyone wants something for nothing forgetting that someone ultimately has to pay the cost," explains Jesse Slome, executive director of the American Association for Long-Term Care Insurance.  "In two decades we will have two classes of citizens.  Those with the means to pay will have choice and control of their care.  Everyone else will depend on whatever taxpayer-paid government programs exist."

Women Heavily Burdened by Alzheimer's Disease

Alzheimer's disease will place an increasing burden on women according to new reports.

November is Long-Term Care Awareness Month and even the U.S. Congress has urged "the people of the United States to recognize (this) as an opportunity to learn more about the potential risks and costs … and the options available."   Alzheimer's is a leading cause of need for long-term care.

Over 10 million American females either have Alzheimer's disease (AD) or look after a patient with the disease, according to the American Association for Long-Term Care Insurance. 

Two thirds (65%) of all Alzheimer's patients are female (3 million in America) and 6.7 million women care for somebody with the disease, says The Shriver Report, a collaboration between California's First Lady Mary Shriver and The Alzheimer's Association.

By the year 2050 approximately 8 million women will have AD in the US.

Here are some of the highlights of the report:

·         Over 10 million American females either have AD or look after a patient with the disease

·         65% of Alzheimer's patients are female

·         60% of caregivers of Alzheimer's patients are female

·         40% of caregivers who are female say they have no choice

·         One third of all female caregivers are caring for somebody with AD around the clock, seven days a week

·         The impact of AD on business, families and government is estimated to be $300 billion annually

·         Nearly two-thirds of caregivers who also have a job say they have no choice but to get to work late, clock off early and sometimes take time off to care for somebody with AD.

Despite hundreds of clinical trials and millions spent on research, Alzheimer's disease is still incurable. Researchers and experts continue to hope, and say we are making progress. Even so, there is a feeling among most Americans that scientific progress is too slow. When compared to innovative breakthroughs that have occurred in diabetes, stroke, cancer and heart disease, Americans rank Alzheimer's at the bottom of the list.

Carrots And Celery Reduce Memory Decline

Diets rich in the plant compound luteolin reduces age-related inflammation in the brain and related memory deficits.   

Luteolin is found in many plants, including carrots, peppers, celery, olive oil, peppermint, rosemary and chamomile.  The compound inhibits the release of inflammatory molecules in the brain.

According to researchers who examined the effects of dietary luteolin in a mouse model of aging and reported their findings in the Journal of Nutrition.

The researchers focused on specialized immune cells that reside in the brain and spinal cord.   Inflammation in the brain also appears to be a key contributor to age-related memory problems, said the University of Illinois animal sciences professor who led the new study.

Scientists found previously that during normal aging, microglial cells become dysregulated and begin producing excessive levels of inflammatory cytokines.  The researcher has spent nearly a decade studying the anti-inflammatory properties of nutrients and various bioactive plant compounds, including luteolin.

According to the American Association for Long-Term Care Insurance which tracks aging research and issues, this is the first study to suggest, however, that luteolin improves cognitive health by acting directly on the microglial cells to reduce their production of inflammatory cytokines in the brain.

The researchers showed that microglial cells that were exposed to a bacterial toxin produced inflammatory cytokines that could kill neurons. When the microglia were exposed to luteolin before they encountered the toxin, however, the neurons lived.

The researchers next turned their attention to the effects of luteolin on the brains and behavior of adult (3- to 6-month-old) and aged (2-year-old) mice. The mice were fed a control diet or a luteolin-supplemented diet for four weeks. The researchers assessed their spatial memory and measured levels of inflammatory markers in the hippocampus, a brain region that is important to memory and spatial awareness.

Normally, aged mice have higher levels of inflammatory molecules in the hippocampus and are more impaired on memory tests than younger adult mice. Aged mice on the luteolin-supplemented diet, however, did better on the learning and memory task than their peers, and the levels of inflammatory cytokines in their brains were more like those of the younger adult mice.

The data suggests that consuming a healthy diet has the potential to reduce age-associated inflammation in the brain, which can result in better cognitive health.

Record Poor Will Impact Long Term Care Services

A record number of Americans signed up for Medicaid last year and experts warn it will impact those needing long term care.

According to a report released by the Kaiser Family Foundation enrollment in Medicaid, medical insurance program for the poor, increased to more than 48 million - a record 15.7 percent share of the U.S. population.  

"There will be two classes of Americans, those who will have to accept whatever care the government programs can afford, and those who have assets or insurance to pay," explains Jesse Slome, executive director of the American Association for Long-Term Care Insurance.  "People in their 50s today are in for a real shock unless they expect things to get much better."

With the economy barely improving, states are forecasting a 6 percent increase in the rolls next year, meaning another strain on their cash-depleted budgets. The Medicaid numbers are the latest piece to emerge in a grim statistical picture of the recession's toll.

The ranks of the working-age poor climbed to the highest level since the 1960s last year, according to a recent Census report. Nearly 12 million households received food stamps, a record.

The $814 billion federal economic stimulus plan passed last year provided extra funding for states for Medicaid, in the hope of covering the costs of the increased number of enrollees and of freeing up state budgets for spending in other areas.

The plan helped states drop their spending on Medicaid, which can take up a third of their budgets, by 7.1 percent in fiscal 2010 and by 10.9 percent in fiscal 2009, Kaiser found. But even with the U.S. government shouldering a greater share of the burden, states were forced to make cuts. In fiscal 2010 48 of the 50 states made cuts to some part of their Medicaid programs, according to the report. In fiscal 2011, 46 states intend to cut back on Medicaid spending.

Altogether, 20 states restricted the types of benefits enrollees could use in fiscal 2010, the largest number since records began in 2001.

Free Guide Offers Tips On Living With Dementia

A free informational guide Living with Dementia is available for free download from Homewatch CareGivers.

According to  the World Alzheimer's Report and the American Association for Long-Term Care Insurance (AALTCI) reports, over 35 million people worldwide suffer from Alzheimer's disease and other forms of dementia.

Without a significant medical breakthrough related to dementia care that number could double every 20 years, and by 2050 could affect over 115 million people, explains Jesse Slome, executive director of AALTCI.

"Based on our 30 years of caregiving experience we know that when someone receives a diagnosis of Alzheimer's or dementia that it suddenly involves more than just the patient," said Leann Reynolds, president of Homewatch CareGivers. The Guide to Dementia was prepared to arm families and caregivers with free information and resources, which might not otherwise be provided, that can educate them and provide a roadmap for the difficult journey they face.

The guide covers the following:

- Definitions of dementia and what those definitions mean both clinically and personally
- In-depth tips for communicating with loved ones experiencing dementia
- Communication issues to watch out for as the symptoms of dementia progress
- In-depth tips for helping family members with dementia around the house
- Practical tips for understanding and dealing with behavior issues related to dementia
- Self-help and wellness tips for family caregivers

"Our goal is to support families by providing information and resources," Reynolds added. "We want this guide to be one of the resources that helps family members and caregivers deal with the numerous issues that arise from living with dementia."

23 Million Seniors Can Expect Less From Social Security

The combination of rising Medicare premiums and no annual cost-of-living adjustment would reduce Social Security payments for about 23 million of the nation's seniors.

The decrease in 2011 according to The Senior Citizens League represents two-thirds of the 37 million seniors who receive Social Security benefits.

The estimate is based on the group's recent survey of more than 2,400 seniors. Half of them said they received lower Social Security benefits after Medicare premium deductions this year, due to the lack of a COLA for the first time in 35 years.

The same situation is expected next year, because the Social Security Trustees and Congressional Budget Office have predicted that inflation will again remain too low to pay a COLA. Medicare premiums, on the other hand, are expected to increase.

Another year of no COLA will put Social Security benefits through the wringer said an expert. After paying their Medicare health insurance premiums, seniors will have even less to spend on other essentials. This will force many of them to fall below the poverty line.

Forty-seven percent of those surveyed said their annual Social Security benefits were reduced by at least $132 in 2010; about ten percent reported that their benefits dropped by more than $840.

The Senior Citizens League strongly supports legislation that would provide an emergency COLA or guarantee a minimum average COLA to prevent the erosion in Social Security benefits.

This is simply more proof that aging Americans must plan for their own future including retirement savings plans and long term insurance protection states Jesse Slome, executive director of the American Association for Long-Term Care Insurance.  For more information and a free on reducing the cost of insurance, visit the organization's website.

Alzheimer's Tab Surpasses $600 Billion

Alzheimer's disease and other dementias are having an enormous and growing impact on the world economy.  Today is World Alzheimer's Day.

According to a new report the cost will surpass $601 billion by the end of this year; over 1% of global GDP (Gross Domestic Product).  The new report published by Alzheimer's Disease International.

The report was authored by Professor Anders Wimo of the Karolinska Institutet, Stockholm, Sweden; and Professor Martin Prince, Institute of Psychiatry, King's College London, UK.

"This should be an important wake-up call that Alzheimer's disease and other dementias are the single most significant health and social crisis of the 21st century," declared Jesse Slome, executive director of the American Association for Long-Term Care Insurance.  "Individuals are woefully unprepared for the social and economic disruptions this disease will cause."

The reports highlights the following information:

Global costs of dementia will surpass 1% of global GDP this year

Global costs of dementia will exceed $601 billion for the year 2010

There will be two times as many people with dementia in 2030 as there are today

There will be three times as many people with dementia by 2050 as there arean today

The costs of caring for individuals with dementia will probably increase faster than the increase in prevalence. This will be especially so in developing nations.

Although dementia is one of the costliest illnesses, research and development, as well as investments are considerably smaller than for other major illnesses which do not impact as much on national economies.

One expert nooted that this new Report gives us the clearest, most comprehensive picture yet of the global economic and social costs of dementia. The World Alzheimer Report 2010, merged the best available data and the most recent insights regarding the worldwide economic cost of dementia. This enabled researchers to provide more detailed estimates than before, by making use of recently available data that considerably strengthens the evidence base.

Kansas Governor To Head Nursing Home Trade Group

Kansas Governor Mark Parkinson will head a national nursing home trade group after he leaves office in January.

Parkinson, a Democrat, will be president and Chief Executive Officer of the American Health Care Association/National Center for Assisted Living, a non-profit, Washington-based trade and lobbying organization representing 11,000 nursing homes and assisted living centers.

Before becoming lieutenant governor, Parkinson used to run a chain of long-term care facilities. He assumed the governor's job after Kathleen Sebelius left that post to become secretary of health and human services under President Barack Obama.

"I always intended to return to the business of caring for our senior citizens with dignity,' Parkinson said in a statement. 'My wife Stacy and I share a passion for this cause, and we have been fortunate to make a difference in the lives of thousands of senior citizens and their families.' ... Republican Sam Brownback and Democrat Tom Holland are running in November to replace Parkinson," who opted not to run this year.

"We wish Governor Parkinson much success with the new role," stated Jesse Slome, executive director of the American Association for Long-Term Care Insurance.  "The nation faces a significant issue as the number of aging Americans grows significantly in the years ahead."

Study Examines Falls Among Seniors

The risk factors for indoor and outdoor falls for older adults are different, according to a new study.

Researchers at the Aging Research of Hebrew SeniorLife, an affiliate of Harvard Medical School, reported a fact that is often missed when the two are combined.  Their findings may affect how falls prevention programs are structured.

The scientists noted that indoor and outdoor falls are both important.  But they note that  people at high risk for indoor falls are different in many ways from those at high risk of outdoor falls.

The findings which were published online in the Journal of the American Geriatrics Society, found that indoor falls are associated with an inactive lifestyle, disability, and poor health, while outdoor falls are associated with higher levels of activity and average or better-than-average health.

Older adults who fell outdoors were somewhat younger than those who fell indoors, more likely to be male and better educated, and had lifestyle characteristics indicative of better health. Those who fell indoors had more physical disabilities, took more medications, and had lower cognitive function than those who fell outdoors.

The study examined nearly 800 men and women, age 70 and older, from randomly sampled households in the Boston area. Study participants underwent a comprehensive baseline falls assessment, including a home visit and clinic examination. Falls were reported on monthly calendars submitted to the researchers. Over a nearly two-year period, 598 indoor falls and 524 outdoor falls were reported. When a participant reported a fall, a structured telephone interview was conducted to determine the circumstances.

A fall the scientists report is not necessarily a marker of poor health. In fact, almost half of all falls occurred outdoors, and people who fell outdoors had the same or better health than those who did not fall at all. Second, epidemiological studies of risk factors for falls in older people may be hampered when falls are combined, with important associations between risk factors and indoor and outdoor falls potentially being missed. Third, intervention programs need to be tailored differently for people more likely to fall outdoors than those who tend to fall indoors.

According to the American Association for Long-Term Care Insurance, seniors who fall suffer moderate to severe injuries, including hip fractures and traumatic brain injuries. At least half of these falls occur outdoors.  Falls are a leading cause for needing long-term care.

Consumer Guide On Long-Term Care Insurance To Appear In Kiplinger's

A special eight-page consumer guide focused on encouraging long-term care insurance planning will be included in the November 2010 edition of Kiplinger's Personal Finance magazine.

The "3-Step Guide To Smarter Long-Term Care Planning" will be bound into the national magazine that is read by approximately two million individuals. Made possible with support from four leading long-term care insurers including John Hancock, MetLife, Mutual of Omaha and Prudential, the consumer guide was prepared by the American Association for Long-Term Care Insurance ( www.aaltci.org ) as part of the industry's consumer outreach efforts during Long-Term Care Awareness Month (November).

"The commitment of leading insurers working together marks a significant milestone," explains Jesse Slome, executive director of the national organization that established Long-Term Care Awareness Month in 2001. "The effort undertaken with their support and involvement will create higher levels of consumer awareness at a most important time."

"As Americans live longer lives, it is vitally important that financial planning include long-term care planning,” according to Knight Kiplinger, editor in chief of Kiplinger’s Personal Finance magazine. “We certainly advocate that to our readers and welcome the consumer educational efforts undertaken by leading insurers and the Association."

The November issue of Kiplinger's Personal Finance is delivered to subscribers in October and newsstand copies will begin selling around October 10. The Association will be making free reprints of the Kiplinger's magazine guide available. For more information call the Association at (818) 597-3227 or visit their website: www.aaltci.org.

Vitamin B May Help Dementia Alzheimer's Disease

A new study reveals that elderly individuals with mild cognitive impairment who take huge doses of B vitamins everyday may reduce the rate at which their brains shrink by 50%, resulting in a much slower progression toward dementia, and eventually Alzheimer's disease.

According to the findings of studies conducted by researchers from Oxford University, England, in an article published in Plos One (Public Library of Science One), this two-year clinical trial is the largest ever which examined the effect of B vitamins on "mild cognitive impairment" (MCI).

Individuals with MCI have a higher risk of progression to Alzheimer's disease and other forms of dementia notes Jesse Slome, director of the American Association for Long-Term Care Insurance the industry's trade group.

"People with mild cognitive impairment can function in everyday activities, but they may have problems with memory, such as recalling people's names, losing the flow of a conversation, and not remembering where they left things," Slome explains. Approximately 16% of individuals aged over 70 years are affected by mild cognitive impairment.

David Smith, University Department of Pharmacology and Department of Physiology, Anatomy & Genetics, University of Oxford, trial co-leader, said:

The single-center, randomized, double-blind controlled trial involved 168 volunteers who all had been diagnosed with mild cognitive impairment. One group received high daily doses of vitamins B6 (0.5 mg/d) and B12 (20 mg/d), as well as folic acid (0.8 mg/d). This was 300 times the recommended daily intake for B12, 15 times daily recommended amounts of B6, and 4 times daily recommended intake of folic acid.

The other group received a placebo (tablets without any active ingredients). Treatment lasted 24 months.

The principal outcome measure was the change in the rate of atrophy of the whole brain, assessed by serial volumetric MRI scans.

The researchers found that the B vitamin with folic acid group had an average brain shrinkage of 0.76% per year. The placebo group had an average brain shrinkage of 1.08% per year.

Those with the highest homocysteine blood levels at the start of the trial who took the B vitamins and folic acid experienced half the brain shrinkage compared to individuals with the highest homocysteine blood levels at the start and who received the placebo.

To learn more about long-term care insurance and receive a free, no obligation quote for this protection, visit the Association's Consumer Information Center. Click here now.

Mild Cognitive Problems More Common In Men

A new study by the Mayo Clinic has found that the prevalence of mild cognitive impairment was 1.5 times higher in men than in women.
The research which is part of the Mayo Clinic Study of Aging also showed a prevalence rate of 16 percent in the population-based study of individuals aged 70-89 without dementia. These are residents of Olmsted County, Minn.

According to the researchers, the finding that the frequency of mild cognitive impairment is greater in men was unexpected. They noted this was due to the fact that the frequency of Alzheimer's disease is actually greater in women.

Ronald Petersen, M.D., Ph.D., neurologist and director of the Mayo Clinic Alzheimer's Disease Research Center notes, "If we consider the 16 percent prevalence of mild cognitive impairment in individuals without dementia, then add the 10-11 percent of individuals who already have dementia or Alzheimer's disease, we're looking at 25 percent or more of the population aged 70 or older who have dementia or are at risk of developing dementia in the near future."

With the aging of America, these numbers are staggering and the impact on the health care economy, states Jesse Slome, executive director of the American Association for Long-Term Care Insurance. "There is a financial, emotional and physical toll on millions of individuals and their families." Slome notes, "and few have taken any steps to prepare."

According to the organization, some eight million Americans currently have long-term care insurance in place. This coverage provides payments and benefits for individuals diagnosed with Alzheimer's disease. Experts advise consumers to look into this protection in their 50s when rates are most affordable and tbe ability to health qualify is higher.

A free guide on reducing the cost of long-term care insurance can be accessed on the Association's website.


The Mayo study will be published in the September issue of Neurology.