Delaying Retirement Could Benefit Your Health

Staying engaged in life

All of this squares with the experience of Claudia Landau, M.D., Ph.D., chief of geriatrics and palliative care at Highland Hospital in Oakland, Calif, and an associate clinical professor at the University of California, Berkeley, School of Public Health.

Early in her career she remembers working with a group of World War I veterans, all over the age of 90. Asked to account for their longevity and relatively good health, they cited a common reason: a desire to learn and stay engaged with life. One of them had just started to study Japanese.

“When people feel more engaged and involved, they have more motivation to do other things that will keep them well,” Landau says. Those can include physical exercise, paying attention to their diet, and simply getting out of the house more.

You may already have a sense of purpose in life, but if not, retirement, and the flexibility it provides, offers a wealth of possibilities. And it might pay to pick several of them. In Landau’s experience, “people who develop multiple ways of engaging with the world do the best,” she says.

Source: Delaying Retirement Could Benefit Your Health

Blood pressure variability and cardiovascular disease: systematic review and meta-analysis – The BMJ

Results –  41 papers representing 19 observational cohort studies and 17 clinical trial cohorts, comprising 46 separate analyses were identified. Long term variability in blood pressure was studied in 24 papers, mid-term in four, and short-term in 15 (two studied both long term and short term variability). Results from 23 analyses were excluded from main analyses owing to high risks of confounding. Increased long term variability in systolic blood pressure was associated with risk of all cause mortality (hazard ratio 1.15, 95% confidence interval 1.09 to 1.22), cardiovascular disease mortality (1.18, 1.09 to 1.28), cardiovascular disease events (1.18, 1.07 to 1.30), coronary heart disease (1.10, 1.04 to 1.16), and stroke (1.15, 1.04 to 1.27). Increased mid-term and short term variability in daytime systolic blood pressure were also associated with all cause mortality (1.15, 1.06 to 1.26 and 1.10, 1.04 to 1.16, respectively).

Conclusions – Long term variability in blood pressure is associated with cardiovascular and mortality outcomes, over and above the effect of mean blood pressure. Associations are similar in magnitude to those of cholesterol measures with cardiovascular disease. Limited data for mid-term and short term variability showed similar associations. Future work should focus on the clinical implications of assessment of variability in blood pressure and avoid the common confounding pitfalls observed to date.

Source: Blood pressure variability and cardiovascular disease: systematic review and meta-analysis | The BMJ