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Research concerning the variety of close relationships adults maintain, initiate, cease, and lose during middle and later adulthood has been fast growing in recent decades. Much of the theoretical and empirical work in this field has aimed to overcome views of older age as a time of loss and decline, both individually and socially. Moreover, recent trends have focused on the increasingly diverse experiences of the aging population. This includes not only extended life expectancy – and, importantly, extended healthy life expectancy – but also demographic changes, including larger proportions of racial/ethnic minorities attaining older age; new cohorts of openly LGBTQ adults entering mid and later life, many of whom represent the first generation of same-sex married couples; and the phenomenon of “gray divorce” and romantic repartnering in the years beyond age 50. This chapter will cover both the history and foundations of research on close relationships in middle and later life, as well as these recent trends in the field, finishing with an eye toward future directions as both the aging population and our perceptions of it continue to change.
People with schizophrenia develop more chronic diseases at a younger age and die younger than people in the general population. It has been hypothesized that this excess morbidity and mortality could be partially due to accelerated aging in schizophrenia. If true, this would motivate the development of ‘gero-protective’ interventions to reduce chronic disease burden in schizophrenia. However, it has been difficult to test this hypothesis, in part, due to the limited ability to measure aging in samples of people with schizophrenia.
Methods
We utilized a novel neuroimaging biomarker of the longitudinal pace of aging, DunedinPACNI, to test for accelerated whole-body aging in schizophrenia across four neuroimaging datasets (total N = 2,096, 48% female) accessed through the Lieber Institute for Brain Development, the University of Bari Aldo Moro, and the North American Prodrome Longitudinal Study – 3.
Results
We found consistent evidence of faster DunedinPACNI in schizophrenia compared with controls. In contrast, youth at clinical-high risk for psychosis did not have faster DunedinPACNI compared to controls. Unaffected siblings of patients also did not have faster DunedinPACNI than controls. Faster DunedinPACNI in schizophrenia was not explained by tobacco smoking or antipsychotic medication use.
Conclusions
The results support the hypothesis that schizophrenia is accompanied by accelerated aging. Results were inconsistent with some of the most obvious explanations for accelerated aging in schizophrenia (familial risk, smoking, and iatrogenic medication effects). Research should aim to uncover why people who have schizophrenia age rapidly, as well as the utility of early disease-risk monitoring and anti-aging interventions in schizophrenia.
When his manager stole most of his wealth, Cohen was forced to go back out on the road at the age of seventy-three. The result was the beginning of a triumphant last chapter in his storied career. While rockers in the 1960s often proclaimed that they couldn’t imagine themselves continuing into their fifties or sixties, many have continued well beyond that. The Rolling Stones, of whom the youngest remaining member is seventy-four, just completed a well-received tour of the United States. But the Stones and most other older performers do not present themselves as old. Mick Jagger continues to prance around the stage with almost as much energy as he exhibited in his twenties. Cohen, on the contrary, performed on these late tours honestly and gracefully as a septuagenarian. Some of this is consistent with the persona he has displayed since the 1960s, for example dressing in the style of the previous generation. But the new Cohen was not just conservatively dressed. He directly confronted the limitations of age in his stage patter, and his songs, which had always taken account of death, now took on a new resonance, as it was apparent that the singer’s days were numbered. Where other old rockers seem to assume that they deserve the audience’s adoration, Cohen was humble and grateful for the renewed interest in his work. This chapter explores what it means for a rock star to present himself as an old man, a persona that challenges some of the fundamental assumptions about what a rock star is.
Effective strategies are needed to increase the healthy lifespan and prevent age-related diseases in aging populations. Using senescence marker protein 30 knockout (SMP30 KO) mice—models that mimic human vitamin C (vitC) deficiency and exhibit accelerated aging—we investigated the effects of bioactive ceramic processed water (BCP) compared to natural mineral water (MW) and MW supplemented with vitamin C (MW-vitC) on gut microbial communities and hepatic metabolism. Due to pooled fecal sampling (n=1 composite library per group), microbiome results represent descriptive trends in diversity and composition. BCP was associated with discernible shifts in gut microbiota, including increased abundances of beneficial genera, such as Akkermansia, Lactobacillus, and Allobaculum, and the Muribaculaceae family. PICRUSt2 functional analysis suggested an enrichment in secondary metabolite biosynthesis, vitamin (e.g., retinol) metabolism, and xenobiotic biodegradation pathways. Furthermore, BCP was associated with significantly higher levels of activated hepatic AMP-activated protein kinase (AMPK), a key energy metabolism regulator, compared to control groups. Although microbiome findings are descriptive due to the study design, these results suggest BCP as a potential dietary intervention to help mitigate age-related metabolic decline and promote healthy ageing.
Individuals with mild cognitive impairment (MCI) and dementia often engage in self-regulatory driving behaviours, but less is known about individuals with subjective cognitive impairment (SCI), who perceive cognitive decline without objective evidence of it.
Objective and Methods
This study describes the driving status and habits of older Canadians in the COMPASS-ND data set (n = 955) across cognitive groups: cognitively unimpaired (CU), SCI, MCI, and dementia.
Findings
Most participants reported having a driver’s license without restrictions, including over half of the Dementia group, who differed from the other groups by driving less often, shorter distances, and with greater restrictions. Interestingly, on driving frequency and restriction measures, the SCI group showed greater similarity to the MCI than the CU group. Females reported driving less frequently, shorter distances, and with more restrictions than males across cognitive groups.
Discussion
Results suggest that cognitive status and sex influence the driving habits of older adults, with potential implications for autonomy and independent mobility.
This study explored the motivations of Catalan older people to engage in political organizations. The sample consisted of 192 people aged 65 and over who were active members of three types of political organizations: neighborhood associations, political parties/trade unions, and single-issue organizations. Their answers to an open-ended question were content analyzed, and a series of Chi-square tests were run to assess the association of the resulting categories with the type of organization in which participants were active. The results show that the motives for engaging in political organizations were mainly focused on introducing changes in the community, although the scope of the changes desired tended to vary. While some participants expressed idealistic motivations, others stated that they become involved in order to stand up for a cause in which they believed. One in six participants was motivated by self-interest, either related to personal growth or to self-protective needs. Motives for participating were related to the type of organization in which participants were active, suggesting that organizations should consider the influence of their own particular context and characteristics in developing recruitment and retention strategies.
This paper investigates the effect of volunteering on quality of life (QoL) in 50+ populations across European countries and Israel. We analyzed data from the Survey of Health, Aging and Retirement in Europe (SHARE). Using the Kendall tau-b correlation coefficients, we show that the extent of effect volunteering has on quality of life is nonlinearly related to the prevalence of volunteering in a given country. The relationship follows an inverted-U-shaped curve. In countries where volunteering is the most popular (Denmark, Switzerland, and Belgium) and in countries with the lowest rates (Poland, Greece, the Czech Republic, and Spain), the correlation between volunteering and one’s quality of life is low. The correlation is high in countries with medium levels of volunteering (Austria, Italy, and Israel). Moreover, volunteering affects more internal than external domains of QoL. These new insights extend the discussion started by Haski-Leventhal (Voluntas Int J Volunt Nonprofit Organ 20:388–404, 2009). Our study is correlational, and we do not claim causality.
Many older adults living in a seniors’ residence (SR), especially those living with dementia, will have to be relocated in long-term care (LTC) despite the negative impact of these care transitions on physical and psychological well-being. Using a living lab methodology and focus group methods, a care approach was co-developed in collaboration with a SR and public home care services, to promote aging-in-place and delay relocations in LTC. Outcomes were assessed using Interrupted Time Series Analysis. Integrating best practices like staff training, care reorganization, personalized care based on the residents’ life stories, and stronger collaborations with the home care services, this approach allowed older adults with higher assistance needs to remain within their home. Relocations to LTC were delayed by approximately 3 months. Ultimately, aging-in-place was found to be relevant in providing evolving care to older adults living in a SR, though further studies are needed to document its financial impact.
The Interplay of Genes and Environment across Multiple Studies (IGEMS) is a consortium of 21 twin studies from 5 countries (Australia, Denmark, Finland, Sweden, and United States) established to explore the nature of gene–environment interplay in cognitive, physical, and emotional health across the adult lifespan. The combined data from over 145,000 participants (aged 18 to 108 years at intake) has supported multiple research projects over the three phases of development since its inception in 2010. Phases 1 and 2 focused on launching and growing the consortium and supported important developments in data harmonization, analyses of data pooled across multiple studies, incorporation of linkages to national registries and conscription data, and integration of molecular genetic and classical twin designs. IGEMS Phase 3 focuses on developing appropriate infrastructure to maximize utilization of this large twin consortium for aging research.
Maintaining appetite in older adults is important for preventing malnutrition. Previous studies have shown seasonal variations in dietary intake, suggesting that appetite itself may vary with the seasons. Nevertheless, few studies have directly examined seasonal changes in appetite in older adults, particularly those living alone, who are at higher risk of malnutrition. Thus, the purpose of the present study was to identify when appetite declines throughout the year in older adults living alone and with others. Of the 60 adults aged 65 and older who participated in the study, 57 completed the longitudinal study over four seasons. Appetite for each season was assessed using the Simple Nutritional Appetite Questionnaire (SNAQ) and the visual analogue scale for hunger, satiety, and expectation of food intake. Nutritional status was assessed using the Mini Nutritional Assessment and the Food Frequency Questionnaire. The living arrangements of the participants were determined based on whether they were living alone or with others. The stratified analysis revealed seasonal changes in SNAQ scores exclusively among individuals living alone (p = 0.029, effect size = 0.280), who exhibited diminished appetite during summer compared to winter (p = 0.026, 95% CI: 0.076–1.258). No seasonal variation in appetite or nutritional status was observed in those living with others (p > 0.05). These findings highlight the importance of an approach that considers living arrangement and seasonality to ensure that older people maintain adequate appetite status throughout the year.
While early-life adverse experiences have been linked to late-life cognitive decline, few studies have explored war exposure. Paradoxically, one study even indicated a late-life cognitive advantage of early-childhood war exposure. In the present study, we explored these associations.
Methods:
We examined older adults exposed to World War II (1940–1944; n = 1179) and the subsequent Civil war (1946–1949; n = 962) in Greece during early and middle childhood with a comprehensive neuropsychological assessment and for ApoE-ε allele status, including demographic information and medical history.
Results:
Higher cognitive performance in language tasks predicted middle childhood, relative to early childhood, WWII-exposure group membership (B = .316, p = .038, OR:1.372, 95%CI:1.018–1.849), primarily for men, while higher attention/speed (B = .818, p = .002, OR:2.265, 95%CI:1.337–3.838) and total cognitive score (B = .536, p = .040, OR:1.709, 95%CI:1.026–2.849) were predictors of belonging to the middle-childhood group, only in men. Individuals who did not meet criteria for Mild Cognitive Impairment (MCI)/dementia were more likely to belong to the middle-childhood war-exposure group. Similarly, for the Civil war, higher cognitive scores and reduced likelihood to meet criteria for MCI/dementia were predictors of middle, relative to early childhood war exposure group membership (visuospatial score: B = .544, p = .001, OR:1.723, 95%CI:1.246–2.381, MMSE: B = .134, p = .020, OR:1.143, 95%CI:1.021–1.297), primarily for women. Results remained consistent when adjusting for multimorbidity, sex, education, current age, depression, and anxiety.
Conclusion:
The present findings suggest that better cognitive performance and lower likelihood of MCI or dementia were associated with being exposed to significant hardships, such as war, during middle childhood, regardless of potentially confounding factors. Further studies are needed to shed light on this relationship.
Many countries have implemented a variety of pension reforms in response to the challenges posed by an aging population. These reforms typically involve a trade-off between ‘refinancing’ (i.e., increasing contributions) and ‘retrenchment’ (i.e., reducing benefits). The primary question addressed in this study is whether policymakers in the European Union (EU) possess the necessary capacity to sustain legislated pension reforms, particularly given the growing political influence of the elderly. To examine this issue, we develop a bargaining model designed to optimally allocate the economic burden of aging between successive cohorts of workers and retirees, incorporating retirement incentives. In a scenario where bargaining power remains constant, the optimal allocation rule dictates a fixed-contribution system, effectively shifting the full burden of aging onto the elderly. However, when bargaining power is allowed to fluctuate in response to changes in the relative size of the retiree population (i.e., the dependency rate), the optimal allocation rule involves a compromise between increasing contributions and reducing benefits. In the empirical analysis, we compare these theoretical optimal allocation rules with projections of pension benefit rates and dependency ratios from the 2021 Economic Policy Committee. By calculating the implicit bargaining power required to align projected pension benefits with the optimal sharing rule for each year, we demonstrate a growing divergence between projected pension benefits and the optimal levels in many EU countries, as demographic shifts progress. Furthermore, our findings indicate that for most countries, projected pension benefits are increasingly falling below optimal levels when bargaining power adjusts in accordance with population aging.
The clinical presentation and course of illness of older-age bipolar disorder (OABD) are highly variable. In addition, the presentation and course of bipolar disorder (BD) differ between females and males. This study aims to carry out a network analysis of older people with symptoms compatible with BD. Using a sample from the MentDis_ICF65+ study, a symptom network analysis was conducted according to gender and age in 555 people over 65 in the Community of Madrid (Spain). The network was estimated using the InsingFit package that implements a procedure called eLasso. These results reveal differences in the strength, closeness, and betweenness of the networks according to gender and for the age groups 65–74 and 75–84. Females present a network that is much more sparse, with a lower density, and consisting of two sub-networks: one composed of TALK (more talkative than usual) and RACIN (a flight of ideas, racing thoughts) and the other of PAINF (activities with painful consequences), SLEEP (the decreased need for sleep), GRAND (inflated self-esteem), and AGIT (psychomotor agitation). In the case of men, a denser network is obtained, with greater connections between all the symptoms, being the edge with greater weight than the one integrated by RACIN and GRAND. In relation to age, it is possible to observe changes in the model between the two age groups. These network differences support viewing OABD dimensionally and emphasize considering gender and age to improve understanding and personalize treatments for older adults with bipolar disorder symptoms.
Metabolic syndrome (MetS) is linked to later-life cognitive decline and brain aging, but early detection of vulnerability in midlife remains challenging. This study applied two methods to detect subtle changes in midlife adults with MetS: (1) latent profile analysis (LPA) to identify cognitive performance patterns and (2) an MRI-derived brain-predicted age metric to assess structural brain aging.
Method:
Participants were cognitively unimpaired, community-dwelling adults from prior studies on metabolic and brain health (N = 230; ages 40 – 65). MetS status was assigned using clinical criteria based on cardiovascular indicators and medical history. Cognitive test scores, adjusted for age, sex, and education, were analyzed using LPA, identifying four cognitive subgroups: High Memory, Low Executive, Global Average, and Low Memory. T1-weighted MRI scans were processed with brainageR to compute brain-predicted age difference (PAD). Analyses were conducted in R using chi-square tests, ANCOVA, regression, and nonparametric methods, with appropriate covariates and effect size estimates.
Results:
MetS prevalence differed across cognitive profiles (χ2 = 10.99, p = .012, V = 0.22), with higher rates in the Low Memory and Global Average groups than in the High Memory group. Individuals without MetS had younger brain ages than those with MetS (p = 0.003, η2 = 0.03). Only elevated triglycerides were associated with greater PAD (p = 0.012, η2 = 0.02). A Johnson–Neyman analysis showed the MetS–PAD association was significant between ages 40.0 and 54.6. PAD did not differ by cognitive profile.
Conclusions:
Cognitive profiles and brain-predicted age metrics identify early vulnerability in midlife MetS, underscoring the importance of early intervention.
Cognitive stimulation (CS) interventions, such as book clubs (‘bibliotherapy’), that foster both cognitive and social engagement show promise for supporting healthy aging. However, current evidence concerning the use of CS interventions remains limited, and few studies offer insights into the participants’ experiences and features that make CS interventions feasible.
Objective
We aimed to explore the perceived efficacy and feasibility of a reading- and discussion-based CS intervention via a qualitative approach.
Methods
The intervention was delivered bi-weekly for four weeks to older adults with subjective cognitive decline in a retirement community in Canada
Findings
Themes generated from post-intervention focus groups highlighted perceived cognitive engagement, increased social connection, and enjoyment of intellectual discussion. Participants also identified features that enhanced or limited their experience.
Discussion
This study provides support for the use of bibliotherapy as a meaningful, socially engaging CS intervention and proposes recommendations for the implementation of future applications in a similar community setting.
Engagement in social, physical, and cognitive activities is beneficial for maintaining cognitive health in later life by providing cognitive reserves against cognitive and neurodegenerative decline.
Objective
Insight is needed to understand how different activities combine to provide cognitive protection before and after the beginning of decline.
Methods
The current work used a cross-sectional data set of older adults who were cognitively unimpaired (CU), live with subjective cognitive impairment (SCI), live with mild cognitive impairment (MCI), or live with Alzheimer’s disease. Beneficial behaviors included easily modifiable risk factors for dementia in late life: engagement in social, creative, and physical activities. The study explored individual and combined effects on the relationships between hippocampal volume and memory.
Findings
Greater engagement in beneficial behaviors minimized the neural–cognitive relationship in the SCI group. Once disease progression continued to MCI, risk factors no longer modified the brain-cognition relationship.
Discussion
Understanding how individual behaviors combine provides guidance when developing intervention trials or public policy procedures.
Historians long to understand how historical individuals assessed their circumstances and made decisions, whether about daily life (What will I eat? Who will I meet?) or larger geopolitical contexts (Is this an ally or enemy? What is freedom?) In most historical circumstances, household and family was the context in which such assessments and decisions were made and taken. The overwhelming importance of this most local setting can escape our notice, but it should not: Households were the essential social structures of North America and the early modern Atlantic world. This chapter looks at the ways in which historiographies of gender (especially sexuality and reproduction), economy (especially market economies including the slave trade), and law (particularly laws of inheritance and marriage) shaped the household experiences and relationships of people in British America, North America, and the Atlantic world to 1775.
Significant gaps remain in our knowledge of cognitive aging in Hispanic adults, the largest and fastest-growing minority group in the United States (U.S.). Episodic autobiographical memory (EAM), which has well documented age-related differences, has not been directly examined in older U.S. Hispanic adults – a population that is commonly bilingual. This study aimed to examine the effects of Spanish-English bilingualism and aging on EAM among Hispanic adults.
Methods:
In the present study 100 young and middle-aged/older Hispanic adults (50 English–Spanish bilingual Hispanic participants and 50 monolingual English-speaking Hispanic participants) narrated EAMs in a structured interview. We assessed these narratives for episodic and non-episodic details using an established scoring protocol.
Results:
We replicated the commonly observed age-related decrease in episodic detail generation among Hispanic participants, with non-episodic detail not significantly differing between young and older Hispanic participants. Among young Hispanic participants, bilingualism was associated with higher episodic, but not non-episodic, detail generation. This bilingualism advantage for episodic detail, however, was not evident among older Hispanic participants.
Conclusions:
These results underscore the complex interplay between bilingualism and age in autobiographical memory for events among Hispanic adults. Our study highlights the importance of including diverse racial/ethnic and linguistic samples in cognitive aging research to better understand how bilingualism and cultural factors influence memory across the lifespan.
Few studies examine the relationship between physical activity, multiple physical fitness domains (cardiorespiratory fitness, strength, speed), and cognition. Our objective was to investigate the association between physical activity and executive function in middle-aged and older adults and examine whether modifiable physical fitness components explain the relationship between physical activity and cognition.
Method:
Self-reported moderate-to-vigorous physical activity and objective measures of cardiorespiratory fitness (2-minute walk test), strength (grip strength), speed (4-meter walk test), and executive function were collected from 623 adults within the Human Connectome Project–Aging (ages 36 – 100 years; mean = 59.2 years; 57.8% female). Relative importance metrics, multiple regression, and conditional process analysis were used to examine relationships of age, physical activity, and physical fitness with executive function.
Results:
Greater physical fitness was related to better executive function performance (β = 0.28, p < .001). Physical activity was not associated with executive function (β = −0.04, p = .16). There was an indirect relationship between physical activity and executive function through physical fitness (ab = 0.02, 95% CI: 0.004 – 0.04). This association was explained primarily by the indirect association of cardiorespiratory fitness with physical activity and executive function. The indirect association of cardiorespiratory fitness with physical activity and executive function was significant in older study participants (mean (59 years) and + 1 SD (74 years)), but not younger (−1 SD (44 years)), although between-group comparisons were not significant.
Conclusions:
These data highlight potential differential associations with cognition when considering physical activity and physical fitness, and the importance of considering multiple domains of physical fitness in relation to physical activity and cognitive performance.
Ensuring seed viability over decades is a central challenge in ex situ conservation of plant genetic resources. Standard germination tests, while effective, are destructive and fail to detect early molecular damage that precedes viability loss. RNA integrity has emerged as a promising biomarker due to the inherent vulnerability of mRNA to oxidative degradation in the dry state. In this study, we identified and validated seed-stored mRNAs in common bean (Phaseolus vulgaris), a major crop species extensively represented in global germplasm collections, and investigated transcript degradation patterns in seeds conserved for up to 30 years. Using a comparative genomics approach, we identified 107 P. vulgaris orthologs of long-lived rice mRNAs, many encoding proteins involved in RNA stabilization, oxidoreductase activity, and primary metabolism. Thirty transcripts were validated by RT-qPCR, and the integrity of nine was assessed using paired primers targeting 5′ and 3′ regions. Degradation followed a consistent 5′→3′ pattern, particularly in longer transcripts, and correlated strongly with germination power. Predictive performance varied across transcripts: PSMA4, SMP1, and TRA2 consistently showed strong correlations with viability, whereas others were less informative. The ΔΔCq metric improved resolution by detecting degradation asymmetry. Samples included a genetically diverse panel of conserved, regenerated, and artificially aged accessions, enhancing applicability to real-world genebank conditions. Artificial aging intensified degradation signatures and mirrored patterns observed in naturally aged seeds. Altogether, our results indicate transcript integrity as a molecular biomarker for seed viability, supporting the development of robust molecular tools to inform decision-making and regeneration planning in long-term germplasm conservation.