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Cycling can make seniors healthier and more independent − here’s how to design bikes and networks that meet their needs

Seniors are increasingly interested in cycling. Research identifies senior-friendly bike designs and infrastructure improvement needs to enhance physical activity and independence among older adults.

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Residents at RiverWoods-Exeter, a senior living complex in New Hampshire, on a two-seat three-wheeled cycle. RiverWoods-Exeter, CC BY-ND

Anne Lusk, Boston University

Most senior citizens get around in their daily lives by driving, walking or using public buses and subways. But many people in their 60s and 70s could potentially be interested in other options, such as cycling. At a time when cycling is growing in the U.S. and the overall population is aging, seniors’ preferences for bike designs and bike networks are very relevant.

Older people may have concerns about riding a two-wheeled bike if they are afraid of falling – a risk that increases with age and causes many seniors to become less active. Many cities and communities are working to create safer bike networks, but these are designed for young, physically fit bikers, who are less afraid to bike near cars and don’t need an occasional bathroom break.

Some seniors live in assisted living complexes or memory care facilities that have roads, sidewalks and paths for residents pushing walkers. However, these complexes don’t usually have bike storage rooms, bike loops or safe bike pathways to local parks and stores.

I am a researcher in architecture – with a focus on environment and behavior – and a senior, and I have studied bikes and bike networks for over 43 years. In my latest project, I worked with Seth Gale, a behavioral neurologist; Linda Mazie, a health and wellness coach who works with seniors; and Heidi Savage, a fitness director who also works with seniors, to learn from older people what kinds of bicycles and bike networks would help them stay active and independent through cycling. https://www.youtube.com/embed/vrrzFnzYUXI?wmode=transparent&start=0 In the Netherlands, where many people of all ages routinely ride bikes, local officials take a tour with older riders to identify spots that seniors find particularly unsafe on their route.

We found that a majority of the seniors whom we surveyed and who test-rode three bikes preferred a three-wheeled adult tricycle or a two-seat model that lets riders sit side by side. For infrastructure, their key requirements included bike loops, separation from cars and nearby bathrooms.

Benefits of biking for seniors

Many older people in the U.S. don’t get enough physical activity for healthy aging. A 2016 study by the Centers for Disease Control and Prevention found that more than one-fourth of all adults over 50 did not engage in any physical activity outside of work. This share increased with age and was higher among people with chronic diseases such as cancer, diabetes and depression. Inactivity was significantly higher among women than men, and among Black and Hispanic seniors compared with white seniors.

Biking provides many health benefits, including cardiovascular exercise, stronger muscles, better coordination and lower stress levels. It also offers benefits that are particularly relevant for seniors. For example, one study found that cycling for at least one hour per week significantly improved older people’s balance, potentially making them less vulnerable to falls.

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There also are findings suggesting that exercise may help slow the progression of Alzheimer’s disease. For example, one study showed that when mice exercised on a wheel, their muscles produced irisin, a hormone that supports cognitive function. The irisin passed into their brain, improving memory and spatial awareness.

Senior-friendly bikes

For our study, we distributed surveys with pictures of senior-friendly bikes and questions about bike networks to 178 seniors in four senior communities in Massachusetts and New Hampshire. Participants ranked the pictures according to how well they liked the various bike designs and offered more comments while seeing the pictures on a large screen.

We also borrowed three senior-friendly bikes made by Van Raam, a Dutch company that designs bikes for a wide range of special needs. These models included:

  • A three-wheeled bike for side-by-side riders who each have handlebars and who can pedal together while one steers.
  • An adult tricycle with a back rest and low center of gravity.
  • A two-wheeled bike with a low center bar that makes it easy to step through when getting on or off.

Fifty seniors at RiverWoods-Exeter, a senior living complex in New Hampshire, and Fox Hill Village, an independent living community for seniors in Westwood, Massachusetts, were invited to test-ride the three models and complete a survey about their experiences.

Designing bike networks for older riders

Based on photos, participants were most enthusiastic about the adult tricycle and also were interested in the two-seat three-wheeler. Adult tricycles are harder to pedal than bikes with two wheels, and rounding corners involves turning the handlebars without leaning, so these models have a learning curve. However, they offer stability, which clearly was important to the people in our study.

Among seniors who did test rides, the most popular model was the single-seat three-wheeled bike. Unlike a low recumbent bicycle, this bike’s seat is about as high as a chair, and unlike an adult tricycle, it has a back rest.

Participants’ second choice was the three-wheeled two-seater bike, which has seats with backs, arm rests and seat belts. Fewer participants were willing to test-ride the two-wheeled regular bike with a low center bar; those who tried it were already comfortable riding two-wheeled bikes.

Comments were enthusiastic, especially for the two-seater bike. Seniors wrote, “I like the social aspect and teamwork”; “I see this as an asset to our community”; and, simply, “Awesome!!!”

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A standing woman speaks to a woman sitting on a specially designed three-wheeled cycle, with another cycle in the background.
Linda Mazie gives directions to a senior test-riding an adult tricycle. A two-seater bike sits ready for other test riders. Anne Lusk, CC BY-ND

Some noted that the two-seater could work for seniors who were caregivers for their spouses. One husband wrote, “This would be great to ride with my wife, who hasn’t ridden a bike for 50 years.”

In response to survey questions about the most important features of a senior-friendly bike network, participants said they wanted to be able to bike for 30 minutes at a stretch, ride twice a week and have a bathroom available.

For a network added to their assisted living complexes, they wanted a cycling loop on-site; a route to a destination outside the complex; a smooth, flat riding surface with grass shoulders; and picnic tables and water nearby. Participants felt that cars traveled too fast in their residential complexes, so they wanted to ride on separated paths rather than on existing roads.

Our findings echo other studies that have shown that senior cyclists want to ride in protected bike lanes or separate paved paths, rather than in street traffic. Because many seniors have limited vision, another feature that can make bike paths safer for them is light-colored demarcation strips at the edges of the path to help older riders avoid veering off the main cycle path, especially at night.

Pedaling ahead

Here are the key steps that I believe would be required to develop findings like ours into scalable bicycling programs for seniors in the U.S.

Some seniors might appreciate having classes to relearn how to ride a two-wheeled bike, or to ride with another person on a two-seater model. Assisted living complexes could install bike storage sheds and buy several senior-friendly bikes for residents to ride.

Protected bike lanes could be made more senior-friendly by building them level with the adjoining sidewalk, so that a third wheel could rest on the edge of the parallel sidewalk. Lanes optimized for senior riders would be continuous and have bicycle traffic signals, raised crosswalks and nearby public bathrooms with signs leading to them.

Routes could run from residential neighborhoods to destinations such as coffee shops, post offices, grocery and drugstores, and parks. Destinations could provide space to park and lock the bikes while riders shopped or had coffee.

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The U.S. has an aging population, and seniors’ health is an important concern for seniors themselves, their caregivers and taxpayers. There is strong evidence that increased bicycle use by seniors could help many people live healthier and more independent lives well into their golden years.

Anne Lusk, Lecturer in Urban Agriculture, Boston University

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

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.

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What Older Adults Need to Know About Vaccines for a Healthy New Year

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Older Adults

(Family Features) Around the new year, many people set goals for better health. People ages 65 and older can kick off a healthy new year by getting vaccinated for flu, COVID-19 and RSV. These respiratory infections can become more dangerous as people age. Vaccines can help older people risk less severe illness and do more of what they enjoy.

Those who provide care for older adults can support their health by helping them get vaccinated now. That’s especially important because older people have a higher risk of getting very sick or even dying from flu, COVID-19 and RSV.

Vaccines help protect older adults from serious illness

As people get older, their ability to fight off infection decreases, putting them at higher risk for complications if they get a respiratory infection. They are more likely to get severely ill and need medical or hospital care from flu, COVID-19 and RSV. Those living in long-term care facilities often have health issues that make flu, COVID-19 and RSV serious risks.

The Centers for Disease Control and Prevention (CDC) urges all people ages 6 months and older to get this season’s flu and COVID-19 vaccines.

Those ages 75 and older – or ages 60 and older with certain health issues or who live in a nursing home – should get one dose of an RSV vaccine if they haven’t had it before. It’s safe to get vaccines for flu and COVID-19 (and RSV, for those who are eligible) all at the same time. Any side effects from the vaccines are usually mild and go away on their own in a few days.

Get vaccinated for a healthy new year

Vaccines are a great way for older people to start the year by protecting their health. Most deaths from flu, COVID-19 and RSV are in people ages 65 and older, and the risk grows with age. However, vaccines cut your risk of being in the hospital for flu or COVID-19 by about half and for RSV by about 70%, according to the CDC.

Those who look after older loved ones can help them avoid severe respiratory illness by helping them get vaccinated. In addition to getting vaccinated, there are other ways to help prevent serious illness. When around others indoors, use fans or open windows for better ventilation. Wearing a mask, using physical distancing and washing your hands often can also help. You can use home tests to check for COVID-19 if you have symptoms.

Visit cdc.gov/RiskLessDoMore to learn more about flu, COVID-19 and RSV vaccines. Order your free COVID-19 test kits (up to four per household) at COVIDTests.gov.

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Talk with your doctor about which vaccines are right for you or an older adult you care for. Or go to vaccines.gov to get started and find a pharmacy near you.

Photo courtesy of Shutterstock

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U.S. Department of Health and Human Services


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Lifestyle

Disaster evacuations can take much longer than people expect − computer simulations could help save lives and avoid chaos

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Disaster evacuations
Wildfire smoke rises beyond homes near Castaic Lake as another California wildfire spread on Jan. 22, 2025. AP Photo/Marcio Jose Sanchez

Ashley Bosa, Boise State University

When a wildfire notification goes off on your mobile phone, it can trigger all kinds of emotions and confusion.

You might glance outside and see no smoke. Across the street, your neighbors have mixed reactions: One is leisurely walking their dog, another is calmly packing a small bag, while a third appears to be preparing for an extended vacation.

The notification advises you to grab your “go bag,” but then panic can set in as you realize you don’t have one ready. So, you scour the local emergency management website for guidance and discover how much you’ve overlooked: important documents such as birth certificates, an extra flashlight, your children’s medications, a phone charger.

Before you can gather your thoughts, a second notification arrives – this time telling you to evacuate.

Packing the car, wrangling children or a skittish cat, figuring out where to go – it can feel frenzied in the face of danger. As you pull out, you join a traffic jam on your street, with a black smoke plume rising nearby and neighbors still loading their cars.

This chaos highlights a worst-case scenario for wildfire evacuations – one that can cause delays, heighten risks for evacuees and complicate access for emergency responders. It’s why researchers like me who study natural hazards are developing ways to help communities recognize where residents may need the most help and avoid evacuation bottlenecks in the face of future disasters.

The importance of being prepared

Confusion is common in the face of disasters, and it underscores the need for communities and individuals to be prepared.

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Delays in evacuating, or the inability to evacuate safely, can have catastrophic consequences, not only for those trying to flee but also for the first responders and emergency managers working to manage the crisis. These delays often stem from a lack of preparedness or uncertainty about when and how to act.

A study of survivors of an Australian wildfire that killed 172 people in the state of Victoria in 2009 found that two-thirds of survivors reported that they had carried out an existing disaster plan, while researchers found the majority of those who died either didn’t follow a disaster plan or couldn’t. Forecasters had warned that high temperatures were coming with very low humidity, and public alerts had gone out about the high fire risk. https://www.youtube.com/embed/Wq4VCI2JwgM?wmode=transparent&start=0 Residents had little time to evacuate as the Eaton Fire spread into Altadena, Calif., on Jan. 7, 2025. Source: NBC.

How people perceive risks and the environmental and social cues around them – such as how much smoke they see, their neighbors’ choices or the wording of the notification – will directly affect the speed of their response.

Past experience with a disaster evacuation also has an impact. Rapid population growth in recent years in the wildland-urban interface – areas where human development meets wildfire-prone areas – has meant that more people with little or no experience with wildfires are living in fire-risk areas. Wildland areas also tend to have fewer evacuation routes, making mass evacuations more difficult and time-consuming.

Adding to the complexity is the fact that large wildfires are occurring in regions not historically prone to such events and during times of the year traditionally considered outside of wildfire season. This shift has left communities and emergency response teams grappling with unprecedented challenges, particularly when it comes to evacuations.

Computer models can help spot risks

To address these challenges, researchers are developing systems to help communities model how their residents are likely to respond in the event of a disaster.

The results can help emergency crews understand where bottlenecks are likely to occur along evacuation routes, depending on the timing of the notice and the movement of the fire. They can also help fire managers understand where neighborhoods may need to be notified faster or need more help evacuating.

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Firefighters walk near three burned out vehicles on the side of roads.
Firefighters inspect burned out cars along a road in Paradise, Calif., after a deadly fire swept through the wooded area in November 2018. Some people abandoned their cars when they became trapped in traffic with few ways out. AP Photo/John Locher

My team at the Hazard and Climate Resilience Institute at Boise State University is working on one of these projects. We have been surveying communities across Idaho and Oregon to assess how people living in the wildland-urban interface areas perceive wildfire risks and prepare for evacuations.

Using those surveys, we can capture household-level decision data, such as which evacuation routes these residents would take, how many cars they plan to drive and where they would evacuate to.

We can also gauge how prepared residents would be to evacuate, or whether they would likely stay and try to defend their home instead.

Emergency responders push a person laying on an ambulance stretcher with smoky air and a city bus nearby.
Evacuating nursing homes takes time and special resources, including evacuation sites that can meet people’s health needs. When the Eaton Fire swept into Altadena, Calif., on Jan. 7, 2025, a senior care facility had little time to get its residents safely away. AP Photo/Ethan Swope

With that data, we can simulate how long it will take emergency response teams to evacuate an entire community safely. The models could also show where difficulties with evacuations might be likely to arise and help residents understand how they can adjust their evacuation plans for a safer escape for everyone.

Bridging the gap between awareness and action

One of the key goals of this research is to bridge the gap between awareness and action.

While many residents in wildfire-prone areas understand the risks, translating that knowledge into concrete preparations remains a challenge. The concept of a “go bag,” for example, is widely promoted but often poorly understood. Essential items such as medications, important documents and pet supplies are frequently overlooked until it’s too late.

Clear and timely communication during wildfire crises is also essential. Evacuation warning messages such as “Ready, Set, Go!” are designed to prompt specific actions, but their effectiveness depends on residents understanding and trusting the system. Delayed responses or mixed signals can create confusion.

As wildfire risk rises for many communities, preparedness is no longer optional – it’s a necessity. Emergency notifications vary by state and county, so check your local emergency management office to understand what to expect and sign up for alerts. Being prepared can help communities limit some of the most devastating impacts of wildfires.

Ashley Bosa, Postdoctoral Researcher, Hazards and Climate Resilience Institute, Boise State University

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


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Consumer Corner

Bird flu flares up again in Michigan poultry – an infectious disease expert explains the risk to humans, chickens, cows and other animals

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Bird Flu
The H5N1 virus has been found in poultry and cattle farms across southwest and central Michigan. Matthew Hatcher/AFP via Getty Images

Kimberly Dodd, Michigan State University

After a relatively quiet fall, there’s been another spike in cases of bird flu in Michigan.

When state officials announced on Dec. 16, 2024, that bird flu had been found in another poultry facility in Ottawa County, it was the first time the H5N1 virus had been detected in Michigan poultry in over six months. Since then, the U.S. Department of Agriculture has confirmed seven more outbreaks – in five commercial and two backyard flocks – in the state, the most recent in Oakland County.

Meanwhile, on Jan. 6, 2025, the Centers for Disease Control and Prevention reported the first human death from bird flu in the U.S., in Louisiana.

Bird flu is a complex and evolving disease with significant impact to the poultry and dairy industries. Since the beginning of the outbreaks in poultry and cattle, almost 135 million birds and more than 900 cattle herds have been affected nationwide. A significant number of wild animals – such as raccoon, skunks, foxes and bobcats – as well as marine mammals and domestic cats have also died from the virus.

Kimberly Dodd, dean of Michigan State University’s College of Veterinary Medicine, is an expert in outbreak response for emerging infectious diseases. Michigan was among the first states to see H5N1 outbreaks in commercial poultry and dairy facilities. Both state and federal officials have worked closely with the Michigan State University Veterinary Diagnostic Laboratory to identify newly infected herds, while continuing to provide surveillance for the virus in poultry and wild birds.

Dodd talked to The Conversation U.S. about the risks H5N1 presents to families, pets and livestock, and how researchers are working together to find ways to limit its spread.

What are Michigan researchers learning about the outbreak?

In the case of H5N1 in cows, scientists and animal health experts here in Michigan and around the country are working to understand a familiar disease in a novel species.

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The transmission of the avian flu virus H5N1 to dairy cattle was first confirmed in March 2024 in Texas and has since spread to 15 other U.S. states, most recently California.

The virus impacts milk production and poses significant risks to other bird species, particularly domestic poultry as well as some mammals. The CDC has also confirmed mild cases in humans, and a fatal one in Louisiana in January 2025.

Diagnosticians at Michigan State University and the USDA’s National Animal Health Laboratory Network provide rapid diagnostics to identify infected herds and monitor the virus in wild birds and mammals, helping control the spread.

We’ve learned, based on sequencing the circulating viruses, that there is a specific virus strain or H5N1 genotype, B3.13, circulating in cows and poultry. Subtle changes over time in the genetic makeup of the virus points to a single spillover event. This means the virus likely spread from wild birds to a cow in Texas, and then spread from cow to cow. We also know that there is a separate H5N1 genotype, D1.1, that is currently circulating in wild birds and domestic poultry.

Researchers in our College of Veterinary Medicine are working with federal and state officials and farmers to determine how long cows produce infectious milk. The goal is to understand how cows are becoming infected within and across herds so that we can better mitigate the spread.

Black and white cows with yellow tags in ears graze in a pasture
The H5N1 avian flu virus is unique in its ability to cause disease in dairy cows and other mammals. Justin Sullivan/Getty Images

Why is it called bird flu if it sickens other animals too?

Influenza viruses affect many animals including humans, pigs, dogs and horses.

There are four types of influenza viruses: A, B, C and D, which are loosely defined by the species they can infect. Avian influenza viruses are considered influenza A viruses. Interestingly, influenza D viruses are the ones that primarily infect cattle. But the current H5N1 circulating in dairy cattle is the same influenza A virus as seen in the ongoing outbreak in birds.

This is of particular concern, as only influenza A viruses have been associated with human pandemics.

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Avian influenza viruses circulate in wild birds but don’t typically cause them significant disease. While many avian influenza viruses can infect poultry, their behavior in those hosts classifies the virus as either highly pathogenic or low pathogenic. It’s important to note that this classification doesn’t necessarily indicate how easily it spreads or the likelihood that the virus will jump to other species.

The currently circulating strain is classified as highly pathogenic avian influenza, or HPAI, based on the high mortality it causes domestic poultry. One of the many unusual characteristics of the current outbreak is the high mortality seen in wild birds; as a result, we have seen many species of young carnivores and scavengers infected by the virus.

Infection in other species often requires exposure to a large amount of virus, or a compromised or underdeveloped immune system. These are typically “dead-end hosts.” They become infected but do not play a role in virus spread because either the animal dies or it becomes infected but not infectious.

The current outbreak of HPAI H5N1 has been ongoing since 2021. The outbreak is notable for its duration, wide geographic spread and unusual impact on nonpoultry species as well. It has caused significant illness and death in wild birds like ducks and geese, as well as mammals exposed to infected bird carcasses like cats and skunks.

However when the USDA unexpectedly confirmed that H5N1 was the cause of significant disease in dairy cattle in early 2024, it marked the first time that the virus was detected in U.S. dairy cattle.

What does the virus do to cattle?

Most cows infected with H5N1 recover on their own without treatment. Symptoms include fever and sluggishness. There is also decreased appetite and a significant drop in milk production in lactating cows, as the virus is concentrated in the mammary glands and milk.

There are three reasons to care about the ongoing H5N1 outbreak in dairy cattle:

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First, the drop in milk production and the virus’s infectious nature create challenges for farmers to control the infection and lead to economic losses. In addition to the production losses, there are additional labor and supply costs to manage the outbreak in the herd, including separation and supportive care of sick cows. Workers also need to use personal protective equipment to prevent spread of the virus to healthy animals and to protect themselves from potential infection.

Second, dairy cows produce large amounts of the virus in milk, which is highly infectious. While pasteurization kills the virus, raw milk remains a major infection risk. Significant numbers of wild mammals and domestic cats on dairy farms have died from the virus after consuming raw milk. It also poses a risk to dairy workers.

The virus has also spread from dairy farms to poultry facilities, causing high bird mortality. Experts are exploring the possibility that clothing, shoes, trucks, equipment and other items that have been contaminated with raw milk containing the virus can lead to inadvertent, and lethal, exposure for poultry.

Third, prolonged circulation in cattle increases the risk of the virus adapting to mammals, including humans.

To monitor this risk, all H5N1-positive samples are sent to the USDA for genetic sequencing to identify mutations that may increase the virus’s ability to infect mammals and to provide important information about how the virus spreads within and between populations.

How do we manage H5N1 moving forward?

Biosecurity for poultry and dairy facilities is more critical than ever. Biosecurity measures include limiting visitors to farms and facilities; disinfecting tools, footwear and equipment; avoiding contact between infected and noninfected species; and isolating sick animals.

These measures play an important role in both containing the virus and keeping it away from other animals, properties and people.

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Kimberly Dodd, Dean of College of Veterinary Medicine, Michigan State University

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

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