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Health

Loneliness & Aging: Home Care Study Challenges Mortality Link

by Dr. Michael Lee – Health Editor June 26, 2025
written by Dr. Michael Lee – Health Editor

Loneliness Doesn’t increase Mortality Risk in Older Adults Receiving Home Care,Study Finds

Waterloo,Ontario – Contrary to widely held beliefs and reports suggesting loneliness is as harmful as smoking 15 cigarettes a day,a new international study reveals loneliness is not associated with an increased risk of death among older adults receiving home care. In fact, the research indicates loneliness may even be linked to reduced mortality risk in this population.

The study, led by researchers at the university of Waterloo and published in the journal of the American Medical directors Association, analyzed data from over 300,000 home care recipients across Canada, Finland, and New Zealand [[1]]. Researchers found that loneliness was associated with an 18% reduction in one-year mortality risk in Canada, 15% in Finland, and 23% in New Zealand after adjusting for numerous confounding factors.

“Loneliness doesn’t have to kill you to be a major public health issue,” explained study author Bonaventure A. Egbujie, MD, PhD, adjunct professor of public health sciences at the University of Waterloo. He urges policymakers to address loneliness as a quality-of-life issue rather than framing it as a direct threat to mortality, arguing that the latter approach hinders effective intervention [[1]].

Key Findings:

The study included 178,611 participants from Canada, 35,073 from finland, and 85,065 from New Zealand, all aged 65 or older.
Loneliness prevalence ranged from 15.9% in Canada to 24.2% in New Zealand, generally increasing with age.
Individuals experiencing loneliness tended to have better baseline physical function but reported worse pain and cognitive performance.
Cancer and meaningful changes in health status were identified as the strongest predictors of mortality across all three countries.

Why the Discrepancy?

Researchers suggest the findings differ from previous studies linking loneliness to mortality due to the specific population examined – older adults receiving home care. This group hasn’t been extensively studied, and their circumstances may differ from the general population [[2]].

Limitations & Future Research:

The study acknowledges limitations, including a one-year follow-up period and the use of a single-item measure of loneliness. Further long-term research is needed to explore potential causal relationships between loneliness and health outcomes

June 26, 2025 0 comments
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Health

Weight Loss Success: New Primary Care Protocol Shows Promise

by Dr. Michael Lee – Health Editor June 21, 2025
written by Dr. Michael Lee – Health Editor

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primary care Weight Management Programs Show Promise in Preventing Population-Wide Weight Gain

Table of Contents

  • primary care Weight Management Programs Show Promise in Preventing Population-Wide Weight Gain
    • PATHWEIGH Protocol: A 4-Year Study
      • Key Findings of the PATHWEIGH Study
    • How PATHWEIGH Works

CHICAGO – A new study reveals that encouraging patients to discuss weight management with their primary care physicians can lead to significant benefits, including increased clinic visits for obesity, prevention of population-wide weight gain, and increased revenue for healthcare systems.

PATHWEIGH Protocol: A 4-Year Study

Researchers at the University of Colorado Anschutz School of Medicine (CU Anschutz) presented data from a 4-year study of the PATHWEIGH protocol at the American Diabetes association (ADA) 85th Scientific sessions. The study, which involved 274,182 patients across 56 primary care clinics in Colorado, demonstrated the potential of integrating weight management into primary care settings.

Did You Know? The CDC reports that obesity affects over 40% of adults in the United States, increasing the risk of heart disease, stroke, type 2 diabetes, and certain types of cancer.

Key Findings of the PATHWEIGH Study

While the intervention group experienced a modest weight loss of 0.1 kg at 18 months, the most significant outcome was the prevention of the typical expected weight gain across the entire population. In contrast, those who did not receive the intervention experienced a weight gain of approximately 0.1 kg.

According to Dr. Leigh Perreault, associate professor of medicine at CU anschutz, “Our data is the first to scale an intervention to more than a quarter of a million people and prevent population weight gain.”

How PATHWEIGH Works

The study employed a stepped-wedge cluster randomized trial design, were clinics were randomized to offer either usual care or the PATHWEIGH intervention. Eventually, all clinics transitioned to using the intervention. Patients receiving usual care had visits where weight could be discussed, but clinicians lacked access to PATHWEIGH tools. In contrast, those in the intervention group had weight-specific visits, and their doctors had access to the protocol.

The PATHWEIGH protocol includes:

  • A weight-management questionnaire for patients to complete before their visit.
  • Specialized support tools and education for clinicians.
  • A weight-specific template embedded in the electronic medical record for diagnosis, documentation, and ordering referrals.

Physicians were encouraged to follow up with patients every 4 to 6 weeks. Though, the use of these tools was optional, meaning patients in the intervention group could still receive usual care.

Impact on Patient Care

June 21, 2025 0 comments
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