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A major heat wave is currently affecting the central and eastern United States, with temperatures soaring above 100 degrees Fahrenheit. The US National Weather Service predicts a hotter-than-usual summer nationwide.
Unfortunately, extreme heat significantly increases the risk of dangerous heat illnesses, especially for older adults. Research shows that people over 60 account for most heat-related deaths in the U.S. The World Health Organization reports an 85% rise in heat-related deaths among people older than 65 between 2000 and 2021.
This isn't a coincidence; the aging process and extreme heat simply don't mix well, experts say. Here’s why, and what older people can do to stay safe as temperatures soar.
Even if you're very healthy, getting older makes you more likely to get sick from the heat. This includes conditions like heat exhaustion, where your body struggles to cool down, or heat stroke, which can be life-threatening.
As we age, our bodies naturally lose some of their ability to cool off. Experts explain that older people tend to hold onto more heat than younger people and have to work harder to keep their body temperature steady. Here are three main reasons for this change:
When it's hot, your body tries to cool down by sending more blood to your skin and making blood vessels wider to help you sweat. According to a 2020 study published in the Journal of Physiology as you get older, changes in your heart and blood vessels make it harder for your body to move blood efficiently. This makes it tougher to control your temperature.
MedlinePlus explains that as you age, your body also sweats less, which is how it naturally cools down. This happens because your skin gets thinner, and the tiny tubes that carry sweat move closer to the surface. Plus, you lose a protein called collagen, which can squeeze these tubes, making it harder for sweat to get out.
The feeling of being thirsty, and the urge to drink, gets weaker over time. Also, your kidneys become less good at keeping your fluids balanced. Studies show that kidney function can start to drop around age 40, meaning older adults are more likely to get dehydrated. On top of that, older people often take medicines, like water pills or sedatives, that can cause dehydration or make it harder to sweat.
Heat illness often starts with a headache. Some people might also experience:
If you must go out on hot days, make sure you protect yourself from heat and avoid heat illness. Here are some tips according to the National Institute of Aging,
Older adults should try to stay in air-conditioned buildings as much as possible. Closing your blinds or curtains during the day can also stop your house from getting too hot.
If you don't have AC, call your local health department to find nearby cooling centers. Fans can help, but sometimes they're not enough to beat the heat at home.
Drink more water than usual to help keep your body cool and hydrated. Drinks with electrolytes, like sports drinks and vegetable or fruit juices, can replace minerals you lose when you sweat. Remember, if you feel thirsty, you're already dehydrated.
Wear loose, light, and light-colored clothes. Take cool showers or baths if you feel warm. Try not to do anything too strenuous, and get lots of rest until the heat passes.
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Heart diseases are one of the most common issues people face in the world. Despite being the leading cause of death globally, according to the world health organization, many people miss critical signs of it. The best way to ensure a person gets treatment, is that the disease must be diagnosed in its early stages. A new study suggests diagnosing the risk of heart disease early is also possible, with the help of eye scans.
Researchers at McMaster University and the Population Health Research Institute (PHRI) have made an incredible discovery. They found that the tiny blood vessels in your eyes could be a powerful way to guess how likely you are to develop heart disease and how fast your body is truly aging on the inside. This is a big deal because right now, checking for these risks involves many complicated tests.
The study, which was published in the journal Science Advances, suggests that soon, doctors might be able to use a simple scan of your retina, which is the back of your eye, as a quick and non-invasive tool. This scan could show them the overall health of your blood circulation and reveal your body’s real biological age. This new method could open up amazing possibilities for catching serious health issues much earlier.
The study was massive, involving over 74,000 people from large international research groups. The scientists analyzed their retinal images, genetic makeup, and blood data.
Their key discovery was striking, people whose blood vessels in the retina were simpler and looked less branched (not as tree-like) were found to be at a higher risk for heart problems. These same people also showed clear signs of faster biological aging, meaning they had more inflammation in their bodies and a potentially shorter life expectancy.
Dr. Marie Pigeyre, one of the main researchers on the study, explains that the eye is unique. It gives doctors a special, clear, and easy way to look at your entire circulatory system—all the veins and arteries that carry blood throughout your body.
Think of the eye's small blood vessels like a mirror. Changes happening in these vessels reflect the same changes happening in the small blood vessels everywhere else in your body. If the vessels in your eye look unhealthy, chances are, the vessels around your heart and brain are also struggling.
The team didn't just look at pictures. By combining the retinal scans with genetic information and blood test results, they were able to uncover specific "molecular pathways." These are basically the biological rules or processes that explain exactly how aging causes problems in your blood vessel system.
The researchers went beyond just finding a link; they used the blood and genetic data to hunt for the root causes of these eye vessel changes. This led them to pinpoint specific proteins that appear to be the main drivers of both aging and disease.
They identified two major proteins: MMP12 and IgG–Fc receptor IIb. Both of these are strongly linked to inflammation and the deterioration of blood vessels as we age.
Dr. Pigeyre is excited because these specific proteins could become targets for new drugs. Medicines designed to control or slow down these proteins could help reduce the impact of vascular aging, lower the risk of heart disease, and ultimately help people live longer and healthier lives.
Right now, to check for serious age-related diseases like heart disease, stroke, and memory problems (dementia), doctors have to perform many different tests. The big hope is that a quick, simple retinal scan could one day become an easy-to-access tool to immediately check a person's risk for heart problems and determine their biological age.
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It is not uncommon for women’s health concerns to be overlooked even by professionals. Often chalking up their health issues as, ‘common women ailments’, many healthcare professionals, miss the core reason for women’s symptoms. In a recent video, Dr Karan Rajan, an NHS Surgeon, shared a video, explaining how often, even signs of chronic illnesses can get overlooked as just ‘anxiety’.
So, is there no way a person can ensure they have the right diagnosis? In the video Dr Karan listed a few ways one can ensure they have the right diagnosis, from asking the right questions and how to proficiently communicate your symptoms to the doctor.
If your doctor told you that your health problems are "just anxiety," remember that you have the right to push for a more thorough checkup. One should ask the right questions as it is their health on the line. Being ready shows you're serious and ensures your doctor looks into your condition properly.
Dr. Karan explains that when talking to your doctor, you should ask questions that make them explain why they settled on an anxiety diagnosis. This shifts the focus back to the doctor, requiring them to justify their medical opinion. Here are the key questions you should use.
This question is powerful because it makes the doctor list exactly what they have investigated. It clarifies the boundaries of the investigation. If the doctor hasn't run many tests, you know there's more ground to cover.
Don't accept "your blood work is fine" as the only answer. That's often not enough. Many serious health conditions don't show up on a routine blood test. You want a detailed explanation of their thinking, not just a quick dismissal.
It's surprising how many physical illnesses have symptoms that are identical to anxiety. Dr Karan explains how thyroid problems like hypothyroidism, issues with your nervous system like dysautonomia, or even an immune disorder like mast cell activation syndrome, can all cause symptoms like a racing heart, dizziness, or panic. You want to be sure these possibilities have been considered.
Is It Anxiety Or A Health Condition?
If your doctor only suggests things like talk therapy and certain medications (like SSRIs), be prepared to ask for more. You need to know if they're looking at the big picture.
Dr Karan suggests that you should ask them: "What treatment plan would you suggest that goes beyond just treating the anxiety itself?"
If their only answer is medication and counseling, it's fair to ask what other medical routes or specialists can be explored to find the root cause of your symptoms.
How Should You Describe Your Symptoms?
When describing your symptoms, you need to be precise and give the doctor hard data. This makes it much harder for them to brush off your concerns as simple stress. Dr Karan gives an example, instead of just saying, "I get dizzy a lot," get into the details:
"I get dizzy when I stand up, especially in the morning. It's worse after eating or after I’ve been sitting for a long period of time."
This kind of specific detail is very important. Symptoms that happen when you stand up and improve when you lie down could point to a physical problem like Postural Orthostatic Tachycardia Syndrome (POTS), not just everyday anxiety.
The clearer and more factual you are, the less likely they are to dismiss your condition as just "generalized stress." Dr. Rajan emphasizes that "data talks." Start keeping a symptom diary right away! It's an essential tool for tracking your condition every day. In your log, record:
The exact time symptoms happened.
What you ate or drank beforehand.
What made the symptoms better or worse.
Look for patterns. Does the dizziness only happen after you stand up? Do your symptoms worsen after a certain meal, or around your sleep schedule, or with hormonal changes? Bringing this detailed log, to your appointment makes it much, much more difficult for any doctor to doubt or dismiss your concerns.
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With Delhi winters coming in, the spell of late smog is most likely to stay not just outside the homes, but it could in fact, follow you inside your homes. A study by the University of Delhi's Satyawati College, Jamia Millia Islamia, and US's South Dakota University, reveal that bacterial levels were recorded to be 10 fold higher than the World Health Organization (WHO) recommended safety limits.
Studies have also found that air inside the city homes have 12 times more fungal spokes than the WHO safety limits. They can cause skin allergies, respiratory issues, and anxiety. As per a 2021 study by the Energy Policy Institute at the University of Chicago (EPIC India), PM 2.5 levels for low-income and high-income households in Delhi were high during the winters. The concentrations reported 23 and 29 times higher than the WHO safe limits, respectively. These findings also suggested that high-income households were 13 times more likely to own air purifiers than low-income households.
Dr Kenneth Lee, who was the lead author of the study said, "In Delhi, the bottom line is - whether someone is rich or poor, no one gets to breathe clean air."
Lee further adds, "It’s a complex vicious cycle. When you do not know about the pollution levels inside your homes, you do not worry about it, and hence you are less likely to take corrective actions. Only with increased awareness, demand for clean air may gain momentum.”
The study also found that indoor PM2.5 levels were higher than the value reported by the nearest government monitor. The PM2.5 levels spiked in the mornings and evenings when households were most likely to be cooking.
The recent study published in Frontiers in Public Health 2025 notes that long term exposure to high fungal and bacterial concentration make indoor air in several parts of Delhi as harmful as the smog outside. The study also noted that most fungal particles were smaller than 2.5 microns, this is why they can easily penetrate through your bloodstreams.
The study revealed a distinct seasonal trend in indoor air quality across Delhi. Fungal levels rose steadily from winter, peaking at around 6,050 CFU per cubic metre between September and November, just before the city’s infamous smog season. Bacterial concentrations, meanwhile, climbed from winter to summer, reaching their highest levels in August before tapering off in the fall.
Health complaints among residents were widespread: 33% reported frequent headaches, 23% experienced burning or irritated eyes, 22% suffered persistent coughing or breathlessness, and 18% struggled with sneezing and allergic rhinitis. Another 15% reported skin irritation and itching.
The study highlighted that children and young adults were particularly vulnerable, about 28% of children under 12 and 25% of young adults (18–30 years) experienced breathing difficulties, coughing, or allergy-related symptoms. Researchers attributed children’s higher susceptibility to developing lungs, increased physical activity, and longer indoor exposure.
Women also reported more eye and skin problems, making up nearly 60% of dermatological and eye irritation cases, likely due to spending more time indoors.
Conducted over a year in North Delhi, the study, “Microbial Indoor Air Quality Assessment and Health Correlations in Densely Populated Urban Areas of Delhi, India”, found that fungal and bacterial levels inside homes were several times higher than WHO’s safe limits, underscoring that Delhi’s pollution crisis extends well beyond outdoor air.
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