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Living in a rural environment enhances mental well-being among the elderly

The perception that older people living in rural areas have with regard to the limitations of health and ageing is associated with less deterioration of mental well-being, while living in urban areas is related with an increased risk of suffering emotional problems attributable to economic difficulties or a low level of education.

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Photo by Tomasz Filipek from Unsplash.com

The mental well-being of the elderly refers to how they perceive their everyday existence, i.e. if their outlook is positive or negative, which, in turn, makes their life pleasant or unpleasant.

The positive feeling of emotional well-being allows people to live fully and feel integrated in society; moreover, people enjoying good mental health are better capacitated to recover from sudden illness, change or misfortune.

A study by researchers at the University of Barcelona and Pompeu Fabra University focuses on a field that has been little studied to date: the association between the main variables related to the satisfactory mental well-being of the elderly and the rural or urban characteristics of the environment in which they live.

The study, published in the International Journal of Environmental Research and Public Health, has been conducted jointly by Manuela Alcañiz and Maria-Carme Riera-Prunera, researchers at the Department of Econometrics, Statistics and Applied Economics at the University of Barcelona, and Aïda Solé-Auró, a researcher of the Sociodemography research group (DemoSoc) at the Department of Political and Social Sciences UPF.

“The perception that older people living in rural areas have with regard to the limitations of health and ageing is associated with less deterioration of mental well-being, while living in urban areas is related with an increased risk of suffering emotional problems attributable to economic difficulties or a low level of education,” say the authors, who argue that encouraging older people to live in rural areas could lead to greater well-being in later life.

The research was carried out by taking cross-sectional microdata between 2015 and 2017 from the Health Survey of Catalonia (ESCA), an official survey administered to the entire population residing in Catalonia, which is conducted continuously throughout the year. The sample, which is representative of the overall population, included 2,621 individuals (1,219 men and 1,402 women) aged 65 and over living in municipalities classified as rural, semi-urban and urban.

They all personally responded to a questionnaire, providing information on the health and lifestyles of individuals in relation to a wide range of socio-demographic factors. The results were measured using the Short Warwick-Edinburgh scale of mental well-being (SWEMWBS), which allowed extracting indicators of mental well-being.

The study sought to identify factors that may influence the mental well-being of older people in the study area, assess the extent to which the rurality of the municipality of origin is associated with significantly different values within the scale of mental well-being, and whether the magnitude of this association depends on aspects related to the individual’s socio-demographic, health and lifestyle characteristics.

Some of therisk factors identified by the authors are demographic factors, economic status, self-perceived health, physical health burden, functional limitations and dependence, social support, family burden, physical activity and sleep hours. “Variables related to health status, personal autonomy and social support appear to be strongly associated with mental well-being”, the researchers affirm.

The final results show that a higher level of rurality is associated with a better level of mental well-being. Thus, while in urban areas 21.4% of the sample individuals had deficient scores, this percentage was 17.4% for semi-rural and 12.9% for rural residents.

The study affirms that social policies should seek to address not only health problems but also well-being in all its facets, including the field of mental health, and in both urban and rural environments. This comes under one of the major challenges facing society today, which is to ensure quality of life during ageing, a period of life which is affecting an increasingly large population.

“Our results reinforce the belief that good social welfare policies are crucial. Policy makers must try to plan the specific provision of services to cover different geographic areas that present different demographic patterns”, the authors conclude.

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The look and feel of your neighborhood may affect your sleep

Those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape.

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Your neighborhood’s “streetscape”—the physical environment of your street—is something that you have probably never consciously thought about, despite seeing it every day. But what if the streetscape was affecting you on a subconscious level and disrupting your sleep? 

This intriguing question is posed by the findings of a study led by Professor Daisuke Matsushita of the Graduate School of Human Life and Ecology at Osaka Metropolitan University. The research team used AI to analyze more than 200,000 Google Street View images to identify visual neighborhood characteristics. They then linked these characteristics to the self-reported sleep of 1,089 working adults living on the lower floors of apartments in Tokyo, who were most likely to be affected by the streetscape.  

They found that those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape. Generally, people slept longer in areas with lots of greenery, such as leafy trees, on the street. Similarly, high “enclosure”—meaning many tall vertical buildings and few wide-open spaces—was also associated with longer sleep and fewer insomnia symptoms. 

However, the study also made a surprising finding. The researchers found that highly walkable streetscapes, such as those with more sidewalks and traffic signs, were associated with a lowered sense of safety and shortened sleep duration.  

This suggests that walkability does not always represent a reassuring environment. Instead, a possible explanation is that streets with extensive pedestrian infrastructure are often busier, more crowded, and used by more strangers, which may be perceived as less safe or less relaxing than quieter residential streets.  

“This study demonstrates the potential for evaluating streetscape characteristics across large geographic areas in a cost-effective manner,” Dr. Matsushita said. “Based on the technique used in this study, cities could potentially measure perceived safety, beauty, liveliness, and enclosure as well as pollution and noise.”  

“We hope that opening up this new perspective creates further possibilities for designing healthier neighborhoods,” he concludes.  

The findings were published in Building and Environment.

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Workout or nap? Either can help your sleepless brain, study finds

People who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither.

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A short workout or a nap can help protect memory after a sleepless night, a McGill University-led study has found.

Researchers found people who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither. The findings, published in Proceedings of the National Academy of Sciences (PNAS), point to practical ways to counter the effects of sleep deprivation.

“Sleep loss affects nearly every aspect of how we think and function, but many people can’t simply stop what they’re doing and get more sleep,” said senior author Marc Roig, Professor in McGill’s School of Physical and Occupational Therapy. “Our findings show that even a brief bout of exercise may help preserve one of our most important cognitive abilities.”

The study involved 54 healthy young adults who stayed awake for 30 consecutive hours under lab supervision. Participants were then assigned to one of three groups: a 20-minute cycling session, a 90-minute nap or a control condition. Three days later, researchers tested their memory for images they had viewed immediately after the intervention. Those who exercised or napped remembered significantly more images than participants who did neither.

Same result, different pathways

While the memory benefits were nearly identical, brain recordings revealed that exercise and napping helped in different ways.

Napping appeared to help the brain recharge, making it easier to take in and remember new information. Exercise, by contrast, helped the brain use its remaining resources more efficiently, without making participants feel more tired.

The findings could eventually inform fatigue-management strategies in workplaces where sleep loss is common and mistakes can have serious consequences, such as health care, transportation and emergency response.

“A nap isn’t always possible in the middle of a shift,” said first author Madhura Lotlikar, a doctoral candidate in McGill’s Department of Neurology and Neurosurgery. “Exercise is accessible, inexpensive and easy to implement. That makes it a promising tool to help people stay cognitively sharp when sleep is limited.”

The researchers emphasize that exercise cannot replace sleep, but it may help people function better when getting enough rest isn’t possible.

About the study

Protecting episodic memory after sleep loss: Similar benefits of exercise and naps via distinct neural contributions” by Madhura Lotlikar and Marc Roig et al., was published in Proceedings of the National Academy of Sciences of the United States of America.

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Study links coffee consumption to metabolic health and sex hormones

Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.

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Coffee is one of the world’s most widely consumed beverages, and previous research has linked its consumption to a lower risk of conditions such as type 2 diabetes and cardiovascular disease. However, the biological mechanisms behind these benefits remain unclear. A new Finnish study links habitual coffee consumption to healthier body composition and metabolic markers, while revealing distinct associations with sex hormones in men and women.

The study, conducted at the University of Oulu, analysed data from 2,264 participants aged 46 in the Northern Finland Birth Cohort 1966. Researchers examined how habitual coffee consumption was associated with circulating metabolites, cardiometabolic risk markers and sex hormones.

Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.

In both men and women, higher coffee consumption was correlated with lower circulating levels of branched-chain amino acids, biomarkers that have previously been linked to insulin resistance and an increased risk of type 2 diabetes when chronically elevated.

The strongest sex-specific associations were observed in men. Higher coffee consumption was linked to a more favourable glucose–insulin profile, higher concentrations of total and bioavailable testosterone, and increased levels of sex hormone-binding globulin (SHBG). At the same time, free testosterone and the free androgen index were modestly lower. In women, hormonal associations were more limited and were primarily characterised by higher SHBG and lower measures of free androgens.

“Coffee is consumed by millions of people every day, yet we still know surprisingly little about how it relates to our metabolism and hormones. What stood out in our findings was a distinct hormonal signature that didn’t disappear even after we took into account BMI and lifestyle factors, with several of these associations differing between men and women,” says Luca Verroest, lead author of the study and Doctoral Researcher at the University of Oulu.

The results suggest that hormonal pathways may partly explain the relationship between coffee consumption and metabolic health. However, as this was an observational study, the findings demonstrate associations rather than cause-and-effect relationships.

The study is particularly relevant in Finland, one of the world’s highest coffee-consuming countries, where annual consumption averages around 11.8 kilograms per person.

The researchers say the findings provide a foundation for future studies aimed at determining whether coffee itself drives these biological changes and identifying the compounds responsible. These questions are currently being investigated in animal models, with the long-term goal of progressing to human intervention studies. Further research will be needed before the findings could inform dietary recommendations.

The study, Associations of habitual coffee intake with testosterone and cardiometabolic markers: the Northern Finland Birth Cohort 1966 study, has been published in the European Journal of Nutrition.

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