Falling: Is It Due To Age Or Health Issues?

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It’s Q&A Day at 10almonds!

Have a question or a request? We love to hear from you!

In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

So, no question/request too big or small 😎

❝What are the signs that a senior is falling due to health issues rather than just aging?❞

Superficial answer: having an ear infection can result in a loss of balance, and is not particularly tied to age as a risk factor

More useful answer: first, let’s consider these two true statements:

  • The risks of falling (both the probability and the severity of consequences) increase with age
  • Health issues (in general) tend to increase with age

With this in mind, it’s difficult to disconnect the two, as neither exist in a vacuum, and each is strongly associated with the other.

So the question is easier to answer by first flipping it, to ask:

❝What are the health issues that typically increase with age, that increase the chances of falling?❞

A non-exhaustive list includes:

  • Loss of strength due to sarcopenia (reduced muscle mass)
  • Loss of mobility due to increased stiffness (many causes, most of which worsen with age)
  • Loss of risk-awareness due to diminished senses (for example, not seeing an obstacle until too late)
  • Loss of risk-awareness due to reduced mental focus (cognitive decline producing absent-mindedness)

Note that in the last example there, and to a lesser extent the third one, reminds us that falls also often do not happen in a vacuum. There is (despite how it may sometimes feel!) no actual change in our physical relationship with gravity as we get older; most falls are about falling over things, even if it’s just one’s own feet:

The 4 Bad Habits That Cause The Most Falls While Walking

Disclaimer: sometimes a person may just fall down for no external reason. An example of why this may happen is if a person’s joint (for example an ankle or a knee) has a particular weakness that means it’ll occasionally just buckle and collapse under one’s own weight. This doesn’t even have to be a lot of weight! The weakness could be due to an old injury, or Ehlers-Danlos Syndrome (with its characteristic joint hypermobility symptoms), or something else entirely.

Now, notice how:

  • all of these things can happen at any age
  • all of these things are more likely to happen the older we get
  • none of these things have to happen at any age

That last one’s important to remember! Aging is often viewed as an implacable Behemoth, but the truth is that it is many-faceted and every single one of those facets can be countered, to a greater or lesser degree.

Think of a room full of 80-year-olds, and now imagine that…

  • One has the hearing of a 20-year-old
  • One has the eyesight of a 20-year-old
  • One has the sharp quick mind of a 20-year-old
  • One has the cardiovascular fitness of a 20-year-old

…etc. Now, none of those things in isolation is unthinkable, so remember, there is no magic law of the universe saying we can’t have each of them:

Age & Aging: What Can (And Can’t) We Do About It?

Which means: that goes for the things that increase the risk of falling, too. In other words, we can combat sarcopenia with protein and resistance training, maintain our mobility, look after our sensory organs as best we can, nourish our brain and keep it sharp, etc etc etc:

Train For The Event Of Your Life! (Mobility As A Long-Term “Athletic” Goal For Personal Safety)

Which doesn’t mean: that we will necessarily succeed in all areas. Your writer here, broadly in excellent health, and whose lower body is still a veritable powerhouse in athletic terms, has a right ankle and left knee that will sometimes just buckle (yay, the aforementioned hypermobility).

So, it becomes a priority to pre-empt the consequences of that, for example:

  • being able to fall with minimal impact (this is a matter of knowing how, and can be learned from “soft” martial arts such as aikido), and
  • ensuring the skeleton can take a knock if necessary (keeping a good balance of vitamins, minerals, protein, etc; keeping an eye on bone density).

See also:

Fall Special ← appropriate for the coming season, but it’s about avoiding falling, and reducing the damage of falling if one does fall, including some exercises to try at home.

Take care!

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  • Infections Here, Infections There…

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    This week in health news, let’s take a look at infections outside and in, and how to walk away from it all (in a good way):

    The bird that flu away

    This one cannot be described as good news. Basically, bird flu is now already epidemic amongst cows in the US, with 845 herds (not 845 cows; 845 herds) testing positive across 16 states. The US Department of Agriculture earlier this month announced a federal order to test milk nationwide. Researchers welcomed the news, but said it should have happened months ago—before the virus was so entrenched. It currently has a fatality rate of 2–5% in cows; we don’t have enough data to reasonably talk about its fatality rate in humans—yet.

    ❝It’s disheartening to see so many of the same failures that emerged during the COVID-19 crisis re-emerge❞

    ~ Tom Bollyky, director of the Global Health Program at the Council on Foreign Relations

    Read in full: How America lost control of the bird flu, setting the stage for another pandemic

    Related: Cows’ Milk, Bird Flu, & You

    Alzheimer’s from the gut upwards

    Alzheimer’s is generally thought of as being a purely brain thing, but there’s a link between a [specific] chronic gut infection, and the development of Alzheimer’s disease. This infection is called human cytomegalovirus, or HCMV for short, and usually we’ve all been exposed to it by young adulthood. However, for some people, it lingers in an active state in the gut, wherefrom it may travel to the brain via the vagus nerve “gut-brain highway”. And once there, well, you can guess the rest:

    Read in full: The surprising role of gut infection in Alzheimer’s disease

    Related: How To Reduce Your Alzheimer’s Risk

    Walking back to happiness

    Analyzing data from 96,138 adults around the world, showed that more steps meant less depression for participants.

    You may be thinking “well yes, depressed people walk less”, but more specifically, increases in activity showed increases in anti-depressive benefits, with even small incremental increases showing correspondingly incremental benefits. Specifically, each additional 1,000 steps per day corresponded to a 9% reduction in depression:

    Read in full: Higher daily step counts associated with fewer depressive symptoms

    Related: Walking… Better.

    Take care!

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  • Serotonin vs Dopamine (Know The Differences)

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Of the various neurotransmitters that people confuse with each other, serotonin and dopamine are the two highest on the list (with oxytocin coming third as people often attribute its effects to serotonin). But, for all they are both “happiness molecules”, serotonin and dopamine are quite different, and are even opposites in some ways:

    More than just happiness

    Let’s break it down:

    Similarities:

    • Both are neurotransmitters, neuromodulators, and monoamines.
    • Both impact cognition, mood, energy, behavior, memory, and learning.
    • Both influence social behavior, though in different ways.

    Differences (settle in; there are many):

    • Chemical structure:
      • Dopamine: catecholamine (derived from phenylalanine and tyrosine)
      • Serotonin: indoleamine (derived from tryptophan)
    • Derivatives:
      • Dopamine → noradrenaline and adrenaline (stress and alertness)
      • Serotonin → melatonin (sleep and circadian rhythm)
    • Effects on mental state:
      • Dopamine: drives action, motivation, and impulsivity.
      • Serotonin: promotes calmness, behavioral inhibition, and cooperation.
    • Role in memory and learning:
      • Dopamine: key in attention and working memory
      • Serotonin: crucial for hippocampus activation and long-term memory

    Symptoms of imbalance:

    • Low dopamine:
      • Loss of motivation, focus, emotion, and activity
      • Linked to Parkinson’s disease and ADHD
    • Low serotonin:
      • Sadness, irritability, poor sleep, and digestive issues
      • Linked to PTSD, anxiety, and OCD
    • High dopamine:
      • Excessive drive, impulsivity, addictions, psychosis
    • High serotonin:
      • Nervousness, nausea, and in extreme cases, serotonin syndrome (which can be fatal)

    Brain networks:

    • Dopamine: four pathways controlling movement, attention, executive function, and hormones.
    • Serotonin: widely distributed across the cortex, partially overlapping with dopamine systems.

    Speed of production:

    • Dopamine: can spike and deplete quickly; fatigues faster with overuse.
    • Serotonin: more stable, releasing steadily over longer periods.

    Illustrative examples:

    • Coffee boosts dopamine but loses its effect with repeated use.
    • Sunlight helps maintain serotonin levels over time.

    If you remember nothing else, remember this:

    • Dopamine: action, motivation, and alertness.
    • Serotonin: contentment, happiness, and calmness.

    For more on all of the above, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like to read:

    Neurotransmitter Cheatsheet

    Take care!

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  • How light can shift your mood and mental health

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    This is the next article in our ‘Light and health’ series, where we look at how light affects our physical and mental health in sometimes surprising ways. Read other articles in the series.

    It’s spring and you’ve probably noticed a change in when the Sun rises and sets. But have you also noticed a change in your mood?

    We’ve known for a while that light plays a role in our wellbeing. Many of us tend to feel more positive when spring returns.

    But for others, big changes in light, such as at the start of spring, can be tough. And for many, bright light at night can be a problem. Here’s what’s going on.

    llaszlo/Shutterstock

    An ancient rhythm of light and mood

    In an earlier article in our series, we learned that light shining on the back of the eye sends “timing signals” to the brain and the master clock of the circadian system. This clock coordinates our daily (circadian) rhythms.

    “Clock genes” also regulate circadian rhythms. These genes control the timing of when many other genes turn on and off during the 24-hour, light-dark cycle.

    But how is this all linked with our mood and mental health?

    Circadian rhythms can be disrupted. This can happen if there are problems with how the body clock develops or functions, or if someone is routinely exposed to bright light at night.

    When circadian disruption happens, it increases the risk of certain mental disorders. These include bipolar disorder and atypical depression (a type of depression when someone is extra sleepy and has problems with their energy and metabolism).

    Light on the brain

    Light may also affect circuits in the brain that control mood, as animal studies show.

    There’s evidence this happens in humans. A brain-imaging study showed exposure to bright light in the daytime while inside the scanner changed the activity of a brain region involved in mood and alertness.

    Another brain-imaging study found a link between daily exposure to sunlight and how the neurotransmitter (or chemical messenger) serotonin binds to receptors in the brain. We see alterations in serotonin binding in several mental disorders, including depression.

    Man in hammock, strung between two trees, arms outstretched
    Our mood can lift in sunlight for a number of reasons, related to our genes, brain and hormones. New Africa/Shutterstock

    What happens when the seasons change?

    Light can also affect mood and mental health as the seasons change. During autumn and winter, symptoms such as low mood and fatigue can develop. But often, once spring and summer come round, these symptoms go away. This is called “seasonality” or, when severe, “seasonal affective disorder”.

    What is less well known is that for other people, the change to spring and summer (when there is more light) can also come with a change in mood and mental health. Some people experience increases in energy and the drive to be active. This is positive for some but can be seriously destabilising for others. This too is an example of seasonality.

    Most people aren’t very seasonal. But for those who are, seasonality has a genetic component. Relatives of people with seasonal affective disorder are more likely to also experience seasonality.

    Seasonality is also more common in conditions such as bipolar disorder. For many people with such conditions, the shift into shorter day-lengths during winter can trigger a depressive episode.

    Counterintuitively, the longer day-lengths in spring and summer can also destabilise people with bipolar disorder into an “activated” state where energy and activity are in overdrive, and symptoms are harder to manage. So, seasonality can be serious.

    Alexis Hutcheon, who experiences seasonality and helped write this article, told us:

    […] the season change is like preparing for battle – I never know what’s coming, and I rarely come out unscathed. I’ve experienced both hypomanic and depressive episodes triggered by the season change, but regardless of whether I’m on the ‘up’ or the ‘down’, the one constant is that I can’t sleep. To manage, I try to stick to a strict routine, tweak medication, maximise my exposure to light, and always stay tuned in to those subtle shifts in mood. It’s a time of heightened awareness and trying to stay one step ahead.

    So what’s going on in the brain?

    One explanation for what’s going on in the brain when mental health fluctuates with the change in seasons relates to the neurotransmitters serotonin and dopamine.

    Serotonin helps regulate mood and is the target of many antidepressants. There is some evidence of seasonal changes in serotonin levels, potentially being lower in winter.

    Dopamine is a neurotransmitter involved in reward, motivation and movement, and is also a target of some antidepressants. Levels of dopamine may also change with the seasons.

    But the neuroscience of seasonality is a developing area and more research is needed to know what’s going on in the brain.

    How about bright light at night?

    We know exposure to bright light at night (for instance, if someone is up all night) can disturb someone’s circadian rhythms.

    This type of circadian rhythm disturbance is associated with higher rates of symptoms including self-harm, depressive and anxiety symptoms, and lower wellbeing. It is also associated with higher rates of mental disorders, such as major depression, bipolar disorder, psychotic disorders and post-traumatic stress disorder (or PTSD).

    Why is this? Bright light at night confuses and destabilises the body clock. It disrupts the rhythmic regulation of mood, cognition, appetite, metabolism and many other mental processes.

    But people differ hugely in their sensitivity to light. While still a hypothesis, people who are most sensitive to light may be the most vulnerable to body clock disturbances caused by bright light at night, which then leads to a higher risk of mental health problems.

    Man studying at computer late at night
    Bright light at night disrupts your body clock, putting you at greater risk of mental health issues. Ollyy/Shutterstock

    Where to from here?

    Learning about light will help people better manage their mental health conditions.

    By encouraging people to better align their lives to the light-dark cycle (to stabilise their body clock) we may also help prevent conditions such as depression and bipolar disorder emerging in the first place.

    Healthy light behaviours – avoiding light at night and seeking light during the day – are good for everyone. But they might be especially helpful for people at risk of mental health problems. These include people with a family history of mental health problems or people who are night owls (late sleepers and late risers), who are more at risk of body clock disturbances.

    Alexis Hutcheon has lived experience of a mental health condition and helped write this article.

    If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.

    Jacob Crouse, Research Fellow in Youth Mental Health, Brain and Mind Centre, University of Sydney; Emiliana Tonini, Postdoctoral Research Fellow, Brain and Mind Centre, University of Sydney, and Ian Hickie, Co-Director, Health and Policy, Brain and Mind Centre, University of Sydney

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • 50 Ways To Rewire Your Anxious Brain – by Dr. Catherine Pittman & Dr. Maha Zayed-Hoffman

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    The book is divided into sections:

    1. Calming the amygdala
    2. Rewiring the amygdala
    3. Calming the cortex
    4. Resisting cortex traps

    …each with a dozen or so ways to do exactly what it says in the title: rewire your anxious brain.

    The authors take the stance that since our brain is changing all the time, we might as well choose the direction we prefer. They then set out to provide the tools for the lay reader to do that, and (in that fourth section we mentioned) how to avoid accidentally doing the opposite, no matter how tempting doing the opposite may be.

    For a book written by two PhD scientists where a large portion of it is about neuroscience, the style is very light pop science (just a few in-line citations every few pages, where they couldn’t resist the urge), and the focus is on being useful to the reader throughout. This all makes for reassuringly science-based but accessibly readable book.

    The fact that the main material comes in the form of 50 very short chapters also makes it a lot more readable for those for whom sitting down to read a lot at a time can be off-putting.

    Bottom line: if you experience anxiety and would like to experience it less, this book will guide you through how to get there.

    Click here to check out 50 Ways To Rewire Your Anxious Brain, and rewire your anxious brain!

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  • 16 Overlooked Autistic Traits In Women

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    We hear a lot about “autism moms”, but Taylor Heaton is an autistic mom, diagnosed as an adult, and she has insights to share about overlooked autistic traits in women.

    The Traits

    • Difficulty navigating romantic relationships: often due to misreading signs
    • Difficulty understanding things: including the above, but mostly: difficulty understanding subtext, when people leave things as “surely obvious”. Autistic women are likely to be aware of the possible meanings, but unsure which it might be, and may well guess wrongly.
    • Masking: one of the reasons for the gender disparity in diagnosis is that autistic women are often better at “masking”, that is to say, making a conscious effort to blend in to allistic society—often as a result of being more societally pressured to do so.
    • Honesty: often to a fault
    • Copy and paste: related to masking, this is about consciously mirroring others in an effort to put them at ease and be accepted
    • Being labelled sensitive and/or gifted: usually this comes at a young age, but the resultant different treatment can have a lifetime effect
    • Secret stims: again related to masking, and again for the same reasons that displaying autistic symptoms is often treated worse in women, autistic women’s stims tend to be more subtle.
    • Written communication: autistic women are often more comfortable with the written word than the spoken
    • Leadership: autistic women will often gravitate to leadership roles, partly as a survival mechanism
    • Gaslighting: oneself, e.g. “If this person did this without that, then I can to” (without taking into account that maybe the circumstances are different, or maybe they actually did lean on crutches that you didn’t know were there, etc).
    • Inner dialogue: rich inner dialogue, but unable to express it outwardly—often because of the sheer volume of thoughts per second.
    • Fewer female friends: often few friends overall, for that matter, but there’s often a gender imbalance towards male friends, or where there isn’t, towards more masculine friends at least.
    • Feeling different: often a matter of feeling one does not meet standard expectations in some fashion
    • School: autistic women are often academically successful
    • Special interests: often more “socially accepted” interests than autistic men’s.
    • Flirting: autistic women are often unsure how to flirt or what to do about it, which can result in simple directness instead

    For more details on all of these, enjoy:

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    Related reading:

    You might like a main feature of ours from not long back:

    Miss Diagnosis: Anxiety, ADHD, & Women

    Take care!

    Don’t Forget…

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  • How To April Fool Yourself Into Having A Nutrient-Dense Diet!

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    These nutrient-dense foods pack such a punch you only need a bit added to your meal…

    • “Have 5 servings of fruit per day”—popular wisdom in the West
    • “Have 7 servings of fruit per day!”—generally held as the norm in Japan
    • “Have these 12 things that are mostly fruit & veg & nuts each day”Dr. Greger’s Daily Dozen
    • “Does the pickle that comes with a burger count?”—an indication of how much many people struggle.

    For what it’s worth: pickles are a good source of some minerals (and some healthy gut bacteria too), but are generally too high in sodium to be healthy for most people beyond in the most modest moderation.

    But! It can be a lot easier, and without sitting down to a salad buffet every day!

    Here are some sneaky tips:

    (call it our nod to April Fool’s Day, because tricking yourself into eating more healthily is a top-tier prank)

    Beyond soups and smoothies

    Soups and smoothies are great, because we can take a lot of nutrients that way without actually oing much eating. And if we’ve a want or need to hide something, blending it does a fine job. However, we’re confident you already know how to make soups and smoothies. So…

    Sauces are another excellent place to put nutrients—and as a bonus, homemade sauces will mean skipping on the store-bought sauces whose ingredients all-too-often look something like “sugar, water, spirit vinegar, glucose-fructose syrup, modified maize starch, maltodextrin, salt…”

    Top things to use as a main base ingredient in sauces:

    • Tomato purée—so much lycopene, and great vitamins too! Modest flavour, but obviously only sensible for what you intend to be a tomato-based sauce. Use it to make anything from marinara sauce to ketchup, sweet-and-sour to smoky barbecue.
    • Lentils/beans—if unsure, red lentils or haricot beans have a very mild taste, and edamame beans are almost not-there, flavor-wise. But cooked and blended smooth, these are high-protein, iron-rich, flavonoid-heavy, and a good source of fiber too. Can be used as the base of so many savory creamy sauces!
    • Corn—that yellow color? It’s all the lutein. Home-made creamed corn goes great as a dipping sauce! Added spices optional.

    Vegetables that punch above their weight

    Sometimes, you might not want to eat much veg, but a small edible side-dish could be appealing, or even a generous garnish. In those cases, if you choose wisely, you can have a lot of nutrients in a tiny portion. Here are some that have an absurd nutrient-to-size ratio:

    Cacao nibs—one for the dessert-lovers here, but can also garnish a frothy coffee, your morning overnight oats, or if we’re honest, can also just be snacked on! And they keep for ages. Botanically technically a fruit, but we’re going to throw it in here. As for health qualities? Where to begin…

    They:

    …which is starting to look like a pattern, isn’t it? It’s good against cancer.

    Brussels sprouts—if your knee-jerk reaction here wasn’t one of great appeal, then consider: these are delicious if done right.

    Buy them fresh, not frozen (nothing nutritionally wrong with frozen if you like them—we’re just doing the extra-level tastiness here). Wash them and peel them, then cut twice from the top to almost-the-bottom, to quarter them in a way that they still stay in one piece. Rub them (or if you’re going easier on the fats, spray them) with a little olive oil, a tiny touch of lemon juice, and sprinkle a little cracked black pepper. Sautée them. We know people will advise roasting, which is also great, but try the sautée approach, and thank us later.

    Four sprouts is already a sufficient daily serving of cruciferous vegetables, and provides so many health benefits, with not just a stack of vitamins and minerals, but also have anti-cancer properties, are great for your heart in multiple ways, and reduce inflammation too. They’re literally one of the healthiest foods out there and you only need a tiny portion to benefit.

    Kale—Don’t like the taste/texture? That’s OK, read on… No surprises here, but it’s crammed with vitamins and minerals.

    • If you don’t care for the bitter taste, cooking it (such as by steaming it) takes that away.
    • If you don’t care for the texture, baking it with a little sprayed-on olive oil changes that completely (and is how “kale chips” are made).
    • If you don’t care for either? Do the “kale chips” thing mentioned above, but do it on a lower heat for longer—dry it out, basically. Then either blend it in a food processor, or by hand with a pestle and mortar (it turns to powder very easily, so this won’t be hard work), and you now have a very nutrient-dense powder that tastes of very little. While fries are not a health food, an example here is that you can literally dust fries with it and they won’t taste any different but you got a bunch of vitamins and minerals added from a whole food source.
      • If going for the above approach, do it in batch and make yourself a jar of it to keep handy with your seasonings collection!

    Bell peppers—Working hard to justify their high prices in the grocery store, these are very high in vitamins, especially rich in carotenoids, including lutein, and as a bonus, they’re also full of antioxidants. So, slice some and throw them at whatever else you’re cooking, and you’ve added a lot of nutrients for negligible effort.

    Garlic—once you’ve done the paperwork, garlic not only makes bland meals delicious, but is also a treasure trove of micronutrients. It has a stack of vitamins and minerals, and also contains allicin. If you’ve not heard of that one, it’s the compound in garlic that is so good for blood pressure and heart health. See for example:

    If an apple a day keeps the doctor away, just imagine what a bulb of garlic can do (come on, we can’t be the only ones who measure garlic by the bulb instead of by the clove, right?)!

    But in seriousness: measure garlic with your heart—have lots or a little, per your preference. The whole point here is that even a little of these superfoods can make a huge difference to your health!

    Don’t Forget…

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