It can be easy for us middle-aged adults to think that our aging parents, well into their retirement years, don’t experience stress. After all, they are no longer running frantic with the responsibilities of work, family, and community. Yet stress is a real issue for our aging loved ones. Often, symptoms of stress in an aging parent can be mistaken for symptoms of dementia.

Furthermore, chronic stress in older adults has even been linked to onset of dementia. It’s important for adult children and caregivers to understand sources of stress in older adults and how this differs from dementia symptoms.

A 2021 survey showed that 44% of older adults age 50-80 experience significant stress that affects how they feel, think, and function in daily life. Even in the years following the COVID-19 pandemic, there has not been a significant change in rates of stress and stress related illness among American adults, including older adults. 

Stressors Affecting Older Adults

There are many sources of stress that can affect an older adult. Some of these are personal stressors—events or circumstances that are unique to each individual. Others are ‘collective’ or ‘global’ stressors—things that all of us, across age groups, are exposed to and affected by to some degree. Here is a short list of common stressors affecting older adults:

• Loneliness
• Sleep changes and sleep deprivation
• Grief
• Changes in social status
• Changes in financial circumstances 
• Changes in health and/or mobility
• Retirement & loss of sense of purpose
• Caregiving for a seriously ill partner
• Poor eating habits
• Chronic Pain
• Feeling helplessness about or being affected by social issues such as gun violence, economic upheaval, climate disasters

How Stress Affects Older Adults

When the body is under stress, activating all physiological systems for fight or flight. In the short term, and with access to strategies and resources to mitigate the stress, the body adapts and recovers, returning to a state of balance.  Chronic stress, however, causes significant physiological changes and accumulation of stress hormones leading to inflammation, weakening immunity, and increasing the risk of stress-related illnesses, such as digestive issues, weight gain, chronic pain, heart disease, stroke, depression and anxiety and even risk for dementia. 

Older adults display symptoms of stress such as

• Problems sleeping
• Difficulty concentrating and making decisions
• Feeling pressured or rushed
• Eating too much or not enough
• Being irritable or moody
• Forgetting things
• Experiencing physical symptoms such as stomach problems, headaches, or back pain

Compare the above stressors with the early symptoms of dementia, below.

Early Symptoms of Dementia

• Everyday tasks that should come easily cause frustration or agitation
• Changes in mood that show a significant shift in personality
• Trouble communicating, following a conversation, and losing train of thought
• Forgetfulness in a variety of circumstances
• Difficulty concentrating, following a conversation, or train of though
• Unusual anxiety, fear, or suspicion
• Neglecting personal hygiene or care of living space
• Confusion about time and place
• Not taking medications as directed

Remember, lots of older adults—all adults, really—can be forgetful and have problems sleeping especially during a stressful time. This does not necessarily indicate an increased risk for dementia. You have to look at the duration, the context, and the pervasiveness of the symptoms you are observing in an aging parent. If the symptoms are out of context with the situation, are long-term, and pervasive, then something more than stress may be going on. Be sure record your observations and discuss your concerns with a geriatric physician. 

The Right Care at the Right Time for an Aging Parent

If you find that your aging parent is experiencing long-term stress that is deteriorating their ability to care for themselves in their living space, then it may be time to consider assisted living. This is especially important to do if you are unable step into the caregiver role for your parent. At Everbrook Senior Living, our compassionate care counselors offer support and guidance through the complex choices around care for an aging parent. We are here to help you make informed choices that best suit your loved one’s needs. Our state-of-the-art, affordable luxury residences provide both social-emotional outlets and medical attention that your loved one may made need. Our properties located throughout New England offer a full complement of health, wellness, recreational, social, and cultural activities to support older adults from independent living to assisted care.

Other Resources

Can Stress Cause Dementia? 

The Influence of Chronic Stress on Dementia-Related Symptoms

Is Stress an Overlooked Risk Factor for Dementia?

Cleaning up around the house isn’t just meant for springtime! The health benefits of picking up around your place has been shown to be good for your brain. Plus, it’s pretty good exercise. So, if you’re someone who has never been too keen about house cleaning, you’ve got good reason to change your mind! New research shows that the physical activity of doing household chores is good for brain health—even reducing your risk for dementia. 

Physical Activity and Brain Health

Being physically active increases blood flow circulation throughout the body and to the brain. Moderate physical activity promotes a positive mood, helps you manage stress, and can reduce inflammation in the body. A large research study recently published in the journal, Neurology, showed it’s not just exercise (such as brisk walking, swimming, or bike riding) that supports brain health. Daily activity from doing household chores also showed protective benefits against risk for dementia. Don't worry, we aren't talking about "bucket full of cleaners, rubber gloves, and a mop" type of cleaning. Just the simple, day-to-day, chores.

Essentially, the study team wanted to know “What lifestyle habits can reduce risk for various forms of dementia?” 

Over 500,000 men and women participated in the study, completing various health and lifestyle questionnaires. Participants ranged in age from 40-69 years, with an average age of 56.5 years. The participants were recruited from England, Scotland, and Wales. The results of the study established a significant relationship exists between certain lifestyle factors and decreased risk for dementia over a ten-year period. 

3 Simple Lifestyle Shifts that May Lower Risk for Dementia

The findings indicate that 3 lifestyle factors are associated with reducing risk for dementia:

• Frequent Physical Activity: Associated with a 35% lower risk of dementia.
• Housework-Related Activities (Chores): Associated with a 21% lower risk of dementia.
• Social Visits with Friends/Family: Associated with a 15%lower risk of dementia.

These results indicate a strong correlation between risk for dementia and each of the 3 lifestyle factors. Suggesting that simple lifestyle shifts contribute to reducing risk of dementia as we age.

What type of household physical activity reduces risk for dementia?

According to the research, the household physical activities that participants engaged in on a regular basis included the following:

• tidying rooms / organizing – folding clothes and putting them in drawers, hanging up clothes in the closet, removing any clutter from bureaus and nightstands.
• dusting / vacuum cleaning – running the vacuum cleaner over high-traffic areas or in the kitchen, dusting the coffee table, bookcase, or other seldom used areas.
• kitchen clean up – putting dishes and silverware into the dishwasher, wiping down the counters, and placing food items away after each meal.

Why might daily chores lower risk for dementia?

Even though the present study did not investigate the specific mechanisms of why engaging in chores is protective against the brain, other research lends insight into this. For example, doing chores also gets the brain thinking and planning. When house cleaning, you are not just moving; you are also actively planning the order of tasks, how to organize things, making decisions about what to keep or toss out, and so on. In a nutshell, doing chores involves a lot more of the gray matter between your ears than you might think!

Wellness 4 Later Life is a Priority at Everbrook Senior Living 

When it comes to well-being in older adulthood, Everbrook Senior Living provides first-in-class health and wellness solutions to enrich the lives of our residents. Our Wellness 4 Later Life programming offers innovative classes and activities to support mental, emotional, physical, and spiritual wellbeing. From exercise classes to social programs, our staff work closely with residents and clinical teams to deliver fun, individualized programs that enhance self-sufficiency and independent living in later life.

Resources

Jianwei Zhu, Fenfen Ge, Yu Zheng, Yuanyuan Qu, Wenwen Chen, Huazhen Yang, Lei Yang, Fang Fang, Huan Song. "Physical and Mental Activity, Disease Susceptibility, and Risk of Dementia A Prospective Cohort Study Based on UK Biobank." Neurology (July 27, 2022) DOI: 10.1212/WNL.0000000000200701

Psychology Today Online, “Doing Household Chores Linked to a Lower Risk of Dementia” written by Bergland, C., posted on 29 July 2022. Accessed 16 Aug 2022:  https://www.psychologytoday.com/us/blog/the-athletes-way/202207/doing-household-chores-linked-lower-risk-dementia