Have you ever wondered whether it's worth your while to encourage an older person to start exercising? In 2014, the top-notch journal JAMA published the results of a fantastic research project: a study in which 1635 sedentary older adults (aged 70-89) were assigned to get either a structured exercise program, or a program of "successful aging" health education. The researchers called it the Lifestyle Interventions and Independence for Elders (LIFE) study. (You can read the full study here.) During the LIFE study, the two groups were followed for a little over 2.5 years. And by the end of the study, guess which group of volunteers was more likely to still walk a quarter of a mile (without a walker)? That's right. When it came to avoiding "major mobility disability" which the researchers defined as becoming unable to walk 400 meters or more a structured exercise program was better than a program of healthy aging education. Specifically, the researchers found that 30% of the exercisers experienced a period of major disability, compared to 35.5% of the seniors enrolled in the healthy aging education program. This is a very encouraging finding! That said, it's also a bit sobering to realize that even with exercise, almost 1 in 3 older adults experienced a period of limited mobility, of which half lasted 6 months or more. In this post, I'll share some more details on this study, because the results provide a wonderful wealth of information that can be helpful to older adults, family caregivers, and even geriatricians such as myself. Want to know how often the exercisers experienced "adverse events"? (Hint: often!) Wondering just what the structured exercise program involved? (Hint: more than walking!) Let's dig into the details! At the end of this post, I'll share my list of key take-home points for older adults and family caregivers. Who were the study volunteers? Whenever you read about a research study, it's important to understand how the study volunteers compare to the older adults in *your* life. One of... Question: How long did the elderly probably exercise each day in the structured exercise program published in JAMA? Options: A. Probably 30 to 60 minutes a day B. Probably 6 hours a day C. probably 4 hours a day D. not enough information === The correct answer is
A

The U.S. Congress is one step closer to averting a government shutdown Thursday after the U.S. House easily passed a $1.3 trillion spending plan that would end months of the government operating under short-term spending bills. The measure, approved by a 256-167 vote, now goes to the Senate, which has until midnight Friday to approve it and avert the year's third government closure. The massive bipartisan bill would keep the government funded until the end of September. Lawmakers had just hours to read the nearly 2,200-page bill released Wednesday night. Under Senate rules, a single senator can delay the vote but not stop it entirely. Senator Rand Paul has objected to the short time given to members to read the lengthy legislation. As of Thursday afternoon, the Senate was waiting to see how the vote would proceed, raising the prospect of another brief government shutdown. With midterm elections looming in November, the bill likely marks the final time Capitol Hill will consider major legislation this year. The measure would fulfill President Donald Trump's vow to boost military funding but provides funding for limited parts of his immigration agenda. The bill, which the White House said Trump supports, would give Trump a huge budget increase for the military, including a 2.4 percent pay raise for military personnel. "Today marks the beginning of a new era for the United States military," House Speaker Paul Ryan said in a statement Thursday. "This legislation fulfills our pledge to rebuild the United States military." After extensive negotiations between Republicans and Democrats, the bill also provides $1.6 billion for physical barriers and 150 kilometers (93 miles) of a wall at the U.S.-Mexico border, short of the $25 billion Trump requested for the project he repeatedly touted on the campaign trail while pledging Mexico would pick up the cost. Question: After the end of the story, the Senate is probably Options: A. not enough information B. reviewing the legislation C. drafting another bill D. taking a break === The correct answer is
B

Out of boredom, two scientists from the New Contagious Diseases Research Centre devised themselves a new game. One day, as a result of the suspension of a research project dealing with a dynamically mutating vaccine following the pattern of the eyesocket flu bacillus, they had absolutely nothing to do until the end of the day, because the boss didn't order them to wash test-tubes. They decided to play a game of hockey under the microscope. For a puck they used one of the millions of experimental bacillus, and one-arm pincettes, which as it happened also resembled hockey sticks, served as sticks. The bacillus was not happy with it at all. It wanted to rest after an exhausting task involving vaccine discouragement, and these whitecoats here planned to put it to work yet again. And this time the work was much more labor-intensive and even more exhausting than before, but the condition and health of the tired bacillus not as good as in the times of youth, about two hours ago. The scientists got excited. On a microscope slide they etched a hockey rink with laser, agreed on the rules, connected the microscope's camera to the big screen display and played until the morning. They had to change pucks several times, but that was fine, they had millions of them in stock. The next day they didn't have anything to do either and they continued to play. They even invited other colleagues and the popularity of the game was so huge they could afford to play it in a championship system. Soon, the games were joined by the guys from the car-repair garage next door. They were tough opponents and even tougher fans - they took from the lab and carried away with them several flasks and some equipment, as it turned out - to set up their own game station in pit number 5. Question: Who played hockey? Options: A. not enough information B. The microscope C. Their boss D. The scientists === The correct answer is
D