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Light exercise can yield significant cognitive benefits, new research shows

 


Everyday physical activity, like going for a short walk or playing with the kids, may provide short-term benefits for cognitive health, equivalent to reversing four years of cognitive aging. That was a key finding for my colleagues and me in our new study, which was published in the journal Annals of Behavioral Medicine.

Prior to enrollment into a study of diet and dementia risk, we asked a diverse sample of 204 middle-aged adults to check in five times per day for a period of nine days, via a smartphone application.

Each check-in involved completing a brief survey that asked about their mood, dietary choices and whether they engaged in any physical activity in the roughly three and a half hours leading up to the survey. In addition, participants completed a few brief brain games – meaning performance-based cognitive assessments that lasted about one minute each – to assess mental speed and short-term memory.

My team found that performance on our measure of cognitive processing speed improved during check-ins when participants reported being physically active in the time leading up to the survey. While we didn’t see improvements in our measure of working memory, the time taken to complete the memory task mirrored what we saw for the measure of processing speed.

We observed these improvements in speed regardless of whether the activity was lighter intensity or moderate-to-vigorous intensity. This led us to conclude that movement, whether it took the form of intentional exercise or part of a daily routine, was the essential ingredient for achieving this benefit.

Why it matters

As a rule, we get slower, both physically and mentally, as we age. While research on exercise and living a healthy lifestyle has demonstrated the long-term cognitive and brain health benefits of remaining physically active, much of this work has focused on the moderate- to vigorous-intensity physical activity – or what most of us think of as exercise – recommended by the Physical Activity Guidelines for Americans.

Still, these guidelines and other experts recommend that adults move more and sit less.

My colleagues and I are interested in understanding how moving more can improve our cognitive health or reduce our risk of dementia as we age, at what timescale these benefits show up, and what types of movement qualify.

Exercise promotes blood circulation and the growth of neurons.

What still isn’t known

Our study relied on participants to report whether they had been physically active during the time between each check-in. Even though participants were provided training on how to think about the intensity levels, it’s possible that each participant had a slightly different perception of their activities.

For example, a participant may not have believed their recent walk actually qualified as a moderate-intensity activity. Physical activity monitors that can dissociate time and intensity might help future research unravel these associations more clearly.

What’s next

It isn’t yet clear whether these short-term benefits accumulate over time to result in long-term improvements in brain health and dementia risk reduction. Research efforts are underway by our team to better understand these associations over broader timescales.

My research involves data collection via smartphones and wearable devices to help us better understand how health-promoting behaviors and cognitive health interact as we age. This type of digital approach allows my team to pursue questions about how everyday behavior and experience influence cognition in daily life and represents a significant methodological advancement in the dementia risk and prevention research space.

Using these tools, we aim to better identify individuals at risk for negative cognitive outcomes and new targets for dementia prevention.The Conversation

Jonathan G. Hakun, Assistant Professor of Neurology, Psychology, & Public Health Sciences, Penn State

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

Estate Planning: Medi-Cal without the asset test

Dennis Fordham. Courtesy photo.

Since Jan. 1, 2024, when the asset test for Medi-Cal was abolished in California (only), many more people now qualify for Medi-Cal.

Unless a person receives Supplemental Security Income (“SSI”) or intends to leave California, the need to put assets into an irrevocable Special Needs Trust is not relevant to receiving Med-Cal where eligibility is not linked to SSI benefits.

What, however, is now relevant, for many widely used Medi-Cal programs, is one’s available, countable income as determined under California regulations (22 CCR 50500-50517 et seq.); except for the Affordable Care Act and the 250% Working, Disabled Program Medi-Cal

Programs where eligibility is computed using one’s adjusted gross income reported on one’s income tax return.

Thus, if an applicant were able to control their available, countable income they might qualify for the Aged or Disabled (no share of cost) Medi-Cal if their available, countable income was under $1,732 per month (2024).

Otherwise, if their income presently exceeds $1,732/month, they would still benefit by reducing their share of cost by lowering their income for purposes of the Medically Needy (share of cost) Medi-Cal.

Share of cost is what a Medi-Cal beneficiary must first pay on a monthly basis before Medi-Cal pays anything.

California Medi-Cal trust income regulations (22 CCR 50489 to 50489.9) provide a planning opportunity because income received by most revocable and irrevocable trusts is not considered available, countable income for eligibility and share of cost computation purposes for purposes of certain types of Med-Cal, excluding MAGI Medi-Cal, Working, Disabled Medi-Cal and SSI-categorically linked Medi-Cal.

However, distributions by a trust for the benefit of, or directly to, a Medi-Cal applicant or beneficiary may count as income at the time of distributions and then subject to special income rules regarding what is available, countable income.

That is, distributions to the Medi-Cal beneficiary do count as income as many distributions to others to pay for shelter, utilities and food for the Medi-Cal beneficiary’s benefit.

However, distributions to a third party vendor of goods or services, other than shelter, utilities and food, do not count as available, countable income. This is based on an interpretation of California’s trust income rules that is presently accepted by the Department of Health Care Services (“DHCS”) who administers California’s Medi-Cal programs (see All County Wide Director’s Letter’s “ACWDL” #’s 23-20, 23-21, and 23-22E (https://www.dhcs.ca.gov/services/medi-cal/eligibility/letters/Pages/2023ACWDLs.aspx).

Accordingly, if a Medi-Cal beneficiary were to receive, whenever possible, all of his or her income, other than social security and retirement income, by owning all income producing assets (e.g., investments and rental properties) inside a trust for their benefit, then the income earned by such trust owned assets would not count when received by the trust.

However, any distributions (whether of trust income or principal) by the trustee to the Medi-Cal beneficiary would count as income when distributed, as might distributions for shelter, utilities and/or food, collectively referred to as ‘in kind support and maintenance (“ISM ”).

That said, however, such ISM payments only count when one-hundred percent is paid by the trustee (or by any third party provider) and so do not count if the Medi-Cal beneficiary were to pay even a small portion of such support payments (e.g., by using their social security income). Also such ISM payments count at a much reduced rate.

The terms of the Trust may determine whether or not the Medi-Cal eligibility worker counts the trust’s own income as available, countable income. That is, does the Trust require the Trustee to make distributions to or for the benefit of the beneficiary? If so, the eligibility worker may, perhaps, say that income generated by the trust assets is available and countable income for purposes of Medi Cal eligibility and share of cost computations.

A possible solution is to amend (or modify) the trust distribution standard to allow the Trustee discretion over whether to make distributions to or for the benefit of the beneficiary. The desired result is to allow the trustee to make non support payments at the trustee’s discretion.

Much yet remains to be seen as to how DHCS applies the income trust rules to different trust distribution standards. Also, it remains to be seen whether the new president rescinds the federal consent that allowed California to remove its asset test when all other states still have asset tests.

The foregoing discussion is not legal advice. Anyone confronting Medi-Cal issues should consult with a qualified attorney.

Dennis A. Fordham, attorney, is a State Bar-Certified Specialist in estate planning, probate and trust law. His office is at 870 S. Main St., Lakeport, Calif. He can be reached at This email address is being protected from spambots. You need JavaScript enabled to view it. and 707-263-3235.

Space News: Discovery alert — a ‘Hot Neptune’ in a tight orbit

Artist's concept of "hot Neptune" TOI-3261 b. NASA/JPL-Caltech/K. Miller (Caltech/IPAC).

The discovery

A Neptune-sized planet, TOI-3261 b, makes a scorchingly close orbit around its host star. Only the fourth object of its kind ever found, the planet could reveal clues as to how planets such as these form.

Key facts

An international team of scientists used the NASA space telescope, TESS (the Transiting Exoplanet Survey Satellite), to discover the exoplanet (a planet outside our solar system), then made further observations with ground-based telescopes in Australia, Chile, and South Africa.

The measurements placed the new planet squarely in the “hot Neptune desert” — a category of planets with so few members that their scarcity evokes a deserted landscape.

This variety of exoplanet is similar to our own Neptune in size and composition, but orbits extremely closely to its star. In this case, a “year” on TOI-3261 b is only 21 hours long.

Such a tight orbit earns this planet its place in an exclusive group with, so far, only three other members: ultra-short-period hot Neptunes whose masses have been precisely measured.

Details

Planet TOI-3261 b proves to be an ideal candidate to test new computer models of planet formation.

Part of the reason hot Neptunes are so rare is that it is difficult to retain a thick gaseous atmosphere so close to a star. Stars are massive, and so exert a large gravitational force on the things around them, which can strip the layers of gas surrounding a nearby planet. They also emit huge amounts of energy, which blow the gas layers away.

Both of these factors mean that hot Neptunes such as TOI-3261 b might have started out as much larger, Jupiter-sized planets, and have since lost a large portion of their mass.

By modeling different starting points and development scenarios, the science team determined that the star and planet system is about 6.5 billion years old, and that the planet started out as a much larger gas giant. It likely lost mass, however, in two ways: photoevaporation, when energy from the star causes gas particles to dissipate, and tidal stripping, when the gravitational force from the star strips layers of gas from the planet.

The planet also might have formed farther away from its star, where both of these effects would be less intense, allowing it to retain its atmosphere.

The remaining atmosphere of the planet, one of its most interesting features, will likely invite further atmospheric analysis, perhaps helping to unravel the formation history of this denizen of the “hot Neptune desert.”

Planet TOI-3261 b is about twice as dense as Neptune, indicating that the lighter parts of its atmosphere have been stripped away over time, leaving only the heavier components. This shows that the planet must have started out with a variety of different elements in its atmosphere, but at this stage, it is hard to tell exactly what.

This mystery could be solved by observing the planet in infrared light, perhaps using NASA’s James Webb Space Telescope — an ideal way to see the identifying fingerprints of the different molecules in the planet’s atmosphere. This will not just help astronomers understand the past of TOI-3261 b, but also begin to uncover the physical processes behind all hot, giant planets.

Fun facts

The first-ever discovery of an ultra-short-period hot Neptune, LTT-9779 b, came in 2020. Since then, TESS discoveries TOI-849 b and TOI-332 b have also joined the elite ultra-short-period hot-Neptune club (with masses that have been precisely measured).

Both LTT-9779 b and TOI-849 b are in the queue for infrared observations with the James Webb Space Telescope, potentially broadening our understanding of these planets’ atmospheres in the coming years.

The discoverers

An international science team led by astronomer Emma Nabbie of the University of Southern Queensland published their paper on the discovery, “Surviving in the Hot Neptune Desert: The Discovery of the Ultrahot Neptune TOI-3261 b,” in The Astronomical Journal in August 2024.

Grace Jacobs Corban writes for NASA.

Elections office nears completion of total ballot count

LAKE COUNTY, Calif. — The Registrar of Voters Office this week reported making significant progress in completing the ballot count for the Nov. 5 general election.

Until the official canvass — the process of counting all of the ballots — is complete, the general election results are not final.

The Lake County elections office had more than 19,000 ballots still to count after election night, as Lake County News has reported.

Last week’s update put the unprocessed ballots still to be counted at 11,097.

In the latest update, the Registrar of Voters Office said the total number of ballots remaining to be counted as of Wednesday was 1,805.

That includes 1,453 provisional or conditional ballots, and 352 vote-by-mail ballots that require further review, the registrar’s office reported.

Specifics of the races have not been released, and are not expected to be until the final vote tally is completed.

The official canvass must be completed by county election offices by Dec. 3 so that the Secretary of State can certify the state’s election results by Dec. 10.

Email Elizabeth Larson at This email address is being protected from spambots. You need JavaScript enabled to view it.. Follow her on Twitter, @ERLarson, and on Bluesky, @erlarson.bsky.social. Find Lake County News on the following platforms: Facebook, @LakeCoNews; X, @LakeCoNews; Threads, @lakeconews, and on Bluesky, @lakeconews.bsky.social.

State announces Prop 1 ‘prevention strategy’ to improve Californians’ mental health

State officials have issued an update on the effort to improve the mental health of California residents.

In March 2024, Californians passed Proposition 1, the Behavioral Health Services Act, to transform the way we address mental health and substance use disorders, collectively known as behavioral health.

The California Department of Public Health, or CDPH, will receive a portion of the Proposition 1 funding, tailoring strategies to specific populations to better reduce the prevalence of mental health and substance use disorders and resulting conditions.

“As a department, our mission is to advance the health and well-being of California’s diverse people and communities, CDPH will leverage its experience with behavioral health programs and initiatives to develop an effective prevention strategy,” said CDPH Director and State Public Health Officer Dr. Tomás Aragón. “We know Californians are seeking better mental health support, resources, tools, awareness, and education and we’re working to make that happen with urgency.”

Prevention efforts, particularly those that support young people, can be an effective way to reduce negative behavioral health outcomes for the state population — leading to a healthier California for all.

Proposition 1 funds included a provision to direct a minimum of four percent to general statewide mental health and substance use population-based prevention programs.

At least half of Proposition 1 prevention and early intervention funds will be dedicated to strategies for people aged 25 or younger.

CDPH is seeking input from a wide range of partners and interested parties to support the planning, development and implementation of its strategy for prevention programs.

On Nov. 13, CDPH presented an update on its planning efforts at a meeting of the California Health and Human Services Agency’s Behavioral Health Task Force.

The meeting included a question-and-answer session and an exercise to provide Task Force members and public participants the opportunity to provide feedback and input. Materials from the meeting can be viewed online.

On Dec. 11, CDPH is hosting an expert advisory panel titled, “Population-Based Behavioral Health Prevention Strategies.” The meeting will include panel discussions with experts. The online meeting is open to the public and includes time for participant questions and feedback. Attendees can register online.

Visit the state website at CDPH Transforming Behavioral Health to receive updates. Sign up for updates online and share your feedback, comments and thoughts at This email address is being protected from spambots. You need JavaScript enabled to view it.. CDPH welcomes other ideas for continued community engagement.

CDPH’s population-based prevention strategy is one part of California’s Behavioral health transformation.

Behavioral health transformation complements and builds on California's other major behavioral health initiatives including, but not limited to, California Advancing and Innovating Medi-Cal initiative, the California Behavioral Health Community-Based Organization Networks of Equitable Care and Treatment Demonstration proposal, the Children and Youth Behavioral Health Initiative,  Medi-Cal Mobile Crisis, 988 expansion and the Behavioral Health Continuum Infrastructure Program.

Californians voted to pass Proposition 1 to modernize the behavioral health delivery system, improve accountability and increase transparency, and expand the capacity of behavioral health care facilities for Californians.

More information about the ongoing implementation of Proposition 1 and Gov. Gavin Newsom’s broader efforts to transform California’s mental health and substance use disorder system can be found at mentalhealth.ca.gov.

208 million Americans are classified as obese or overweight, according to new study synthesizing 132 data sources

 

Overweight and obesity rates are rising in all age ranges across the U.S. Mohamed Rida ROKI/iStock via Getty Images Plus

Nearly half of adolescents and three-quarters of adults in the U.S. were classified as being clinically overweight or obese in 2021. The rates have more than doubled compared with 1990.

Without urgent intervention, our study forecasts that more than 80% of adults and close to 60% of adolescents will be classified as overweight or obese by 2050. These are the key findings of our recent study, published in the journal The Lancet.

Synthesizing body mass index data from 132 unique sources in the U.S., including national and state-representative surveys, we examined the historical trend of obesity and the condition of being overweight from 1990 to 2021 and forecast estimates through 2050.

For people 18 and older, the condition health researchers refer to as “overweight” was defined as having a body mass index, or BMI, of 25 kilograms per square meter (kg/m²) to less than 30 kg/m² and obesity as a BMI of 30 kg/m² or higher. For those younger than 18, we based definitions on the International Obesity Task Force criteria.

This study was conducted by the Global Burden of Disease Study 2021 U.S. Obesity Forecasting Collaborator Group, which comprises over 300 experts and researchers specializing in obesity.

There are ways to combat the trends, such as making activity fun and leading by example.

Why it matters

The U.S. already has one of the highest rates of obesity and people who are overweight globally. Our study estimated that in 2021, a total of 208 million people in the U.S. were medically classified as overweight or obese.

Obesity has slowed health improvements and life expectancy in the U.S. compared with other high-income nations. Previous research showed that obesity accounted for 335,000 deaths in 2021 alone and is one of the most dominant and fastest-growing risk factors for poor health and early death. Obesity increases the risk of diabetes, heart attack, stroke, cancer and mental health disorders.

The economic implications of obesity are also profound. A report by Republican members of the Joint Economic Committee of the U.S. Congress, published in 2024, predicted that obesity-related health care costs will rise to US$9.1 trillion over the next decade.

The rise in childhood and adolescent obesity is particularly concerning, with the rate of obesity more than doubling among adolescents ages 15 to 24 since 1990. Data from the National Health and Nutrition Examination Survey revealed that nearly 20% of children and adolescents in the U.S. ages 2 to 19 live with obesity.

By 2050, our forecast results suggest that 1 in 5 children and 1 in 3 adolescents will experience obesity. The increase in obesity among children and adolescents not only triggers the early onset of chronic diseases but also negatively affects mental health, social interactions and physical functioning.

What other research is being done

Our research highlighted substantial geographical disparities in overweight and obesity prevalence across states, with southern U.S. states observing some of the highest rates.

Other studies on obesity in the United States have also underscored significant socioeconomic, racial and ethnic disparities. Previous studies suggest that Black and Hispanic populations exhibit higher obesity rates compared with their white counterparts. These disparities are further exacerbated by systemic barriers, including discrimination, unequal access to education, health care and economic inequities.

Another active area of research involves identifying effective obesity interventions, including a recent study in Seattle demonstrating that taxation on sweetened beverages reduced average body mass index among children. Various community-based studies also investigated initiatives aimed at increasing access to physical activity and healthy foods, particularly in underserved areas.

Clinical research has been actively exploring new anti-obesity medications and continuously monitoring the effectiveness and safety of current medications.

Furthermore, there is a growing body of research examining technology-driven behavioral interventions, such as mobile health apps, to support weight management. However, whether many of these programs are scalable and sustainable is not yet clear. This gap hinders the broader adoption and adaptation of effective interventions, limiting their potential impact at the population level.

What’s next

Our study forecasts trends in overweight and obesity prevalence over the next three decades, from 2022 to 2050, assuming no action is taken.

With the advent of new-generation anti-obesity medications, obesity management could change substantially. However, the extent of this impact will depend on factors such as cost, accessibility, coverage, long-term efficacy and variability in individual responses. Future research will need to leverage the most up-to-date evidence.

The Research Brief is a short take on interesting academic work.The Conversation

Marie Ng, Affiliate Associate Professor of Global Health, University of Washington

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

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Community

  • Sheriff’s Activities League and Clearlake Bassmasters offer youth fishing clinic

  • City Nature Challenge takes place April 24 to 27

Public Safety

  • Lakeport Police logs: Wednesday, Feb. 11

  • Lakeport Police logs: Tuesday, Feb. 10

Education

  • Ramos measure requiring school officer training in use of anti-opioid drug moves forward

  • Lake County Chapter of CWA announces annual scholarships 

Health

  • California ranks 24th in America’s Health Rankings Annual Report from United Health Foundation

  • Healthy blood donors especially vital during active flu season

Business

  • Employment law summit takes place March 9

  • Two Lake County Mediacom employees earn company’s top service awards

Obituaries

  • Terry Knight

  • Ellen Thomas

Opinion & Letters

  • Who should pay for AI’s power? Not California ratepayers

  • Crandell: Supporting nephew for reelection in supervisorial race

Veterans

  • State honors fallen chief warrant officer killed in conflict in Iran

  • CalVet and CSU Long Beach team up to improve data collection related to veteran suicides

Recreation

  • April Audubon program will show how volunteers can help monitor local osprey nests

  • First guided nature walk of spring at Anderson Marsh State Historic Park April 11

  • Second Saturday guided nature walks continue at Anderson Marsh State Historic Park

  • Wet weather trail closure in effect on Upper Lake Ranger District

Religion

  • Kelseyville Presbyterian Church plans Easter service

  • Easter ‘Sonrise’ Service returns to Xabatin Community Park

Arts & Life

  • ‘CIA’ delves into the shadowy world of an espionage thriller

  • ‘War Machine’ shifts the battlefield into uncharted territory

Government & Politics

  • Lake County Democratic Central Committee endorses Falkenberg

  • Crandell launches reelection campaign plans March 15 event

Legals

  • April 23 hearing on Lake Coco Farms Major Use Permit

  • NOTICE OF 30-DAY PUBLIC COMMENT PERIOD & NOTICE OF PUBLIC HEARING

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