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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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Last Updated on December 1, 2024 by Daily News Staff

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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.

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.

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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!!!”

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.

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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.

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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Top Trends for Swoon-Worthy Cruise Vacations

Swoon-Worthy Cruise Vacations: From immersive dining to wellness at sea and elevated entertainment, cruise vacations are becoming some of the most experience-rich trips travelers can take. To take advantage of the evolution of the industry when planning your next vacation at sea, consider these emerging trends.

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Top Trends for Swoon-Worthy Cruise Vacations

(Feature Impact) From immersive dining to wellness at sea and elevated entertainment, cruise vacations are becoming some of the most experience-rich trips travelers can take.

“Our industry has long been known for innovation, but what’s most compelling now is how that scale is being leveraged to invest in more immersive entertainment, wellness experiences and purpose-driven exploration at destinations around the world,” said Chiara Giorgi, global event and brand director for Seatrade Cruise Global, the largest and longest-running annual event of its kind serving every sector of the international cruise industry, including cruise lines, suppliers, travel agents and partners.

//www.youtube.com/embed/3tlYK2jcy94

To take advantage of the evolution of the industry when planning your next vacation at sea, consider these emerging trends identified at the conference.

The Rise of Floating Wellness Retreats

Once upon a time, wellness meant spas, saunas and massages. Wellness in 2026 is much more luxurious and is deeply embedded into the cruise experience. For example, Cunard’s “Wellness at Sea” voyages integrate expert-led fitness, nutrition, mindfulness and recovery programming, turning wellness into a structured, goal-driven experience and elevating wellness as a core pillar of the onboard experience. Additional cruise lines, including Virgin Voyages and Celebrity Cruises, are also helping raise the bar on floating wellness. Think thermal suites, meditation spaces and sleep-focused programming, along with wellness excursions and destination-inspired spa rituals that extend the experience to the shore.

Dining Becomes the Experience

17865 B detail embedDining has long been a key component of many cruises, but now, food and drink are evolving from a cruise staple to a central form of entertainment and cultural discovery. Cruise lines are investing in immersive dining environments, destination-inspired menus and beverage programs that connect guests more directly with the places they visit.

From location-specific cuisine to interactive dining concepts and destination-driven cocktail programs, F&B@Sea, Seatrade Cruise Global’s companion show, found culinary experiences are increasingly designed to be memorable punctuation points of the journey itself. Across the industry, cruise lines are investing heavily in culinary programs that blur the line between dining and entertainment. Tapping into the supper club trend, Royal Caribbean introduced the Empire Supper Club to turn dinner into a night out at sea, combining multi-course menus, craft cocktails and live music for a full evening experience.

Exploring Expeditions with Purpose

Expedition travel is having more than a moment. It continues to grow as travelers seek deeper engagement with the natural world. Leading the shift toward purpose-driven explorations, operators such as National Geographic-Lindblad Expeditions, long recognized for pioneering modern expedition travel, helped define this category through a model rooted in education, conservation and hands-on exploration. Built on the belief that exploring the world can inspire people to care more deeply for it, expert-led expeditions, such as kayaking among glaciers, participating in citizen science programs studying seabirds and learning directly from naturalists and scientists, place a strong emphasis on stewardship and real-world learning.

Ships as Cultural Hubs

Entertainment at sea is expanding beyond traditional stage shows to include immersive productions, music residencies and partnerships with leading performing arts brands. For example, Holland America Line joined forces with The Verdon Fosse Legacy to debut “Fosse and Verdon, The Duet That Changed Broadway,” a live musical and multimedia tribute celebrating the revolutionary work of Bob Fosse and Gwen Verdon by bringing it to an international stage at sea for the first time.

As cruises continue to expand their global footprint, the Seatrade Cruise Global event positions itself not simply as a trade gathering, but as the central forum where trends are explored and defined. To learn more, visit seatradecruiseevents.com.

Photos courtesy of Shutterstock

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Seatrade Cruise Global

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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Presqu’ile Winery Partners With LAND to Bring Contemporary Art to Santa Maria Valley

Presqu’ile Winery and LAND are partnering to bring free, site-responsive contemporary art to the Santa Maria Valley estate in Santa Barbara Wine Country.

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Santa Barbara Wine Country is about to get a fresh reason to linger a little longer. Presqu’ile Winery has announced a new collaboration with Los Angeles Nomadic Division (LAND), the nationally recognized nonprofit known for taking contemporary art out of traditional museums and galleries and placing it directly into the environments that shape it. The result: curated, site-responsive works—some created specifically for the property—installed across Presqu’ile’s Santa Maria Valley estate.

A winery becomes an open-air gallery—at no cost

Under the partnership, Presqu’ile will serve as a host site for LAND programming, opening its estate to the public for free. Visitors can expect contemporary art integrated into the vineyard setting, with select installations shaped by the landscape itself. The goal is simple and ambitious at the same time: expand no-cost access to contemporary art along California’s Central Coast while creating a cultural experience that feels inseparable from the place it inhabits.

LAND’s approach is rooted in the belief that art should be experienced where people actually live, work, and gather. Rather than building exhibitions around white walls and controlled lighting, LAND supports projects driven by place—work that engages the environment, the community, and the lived experience of the artists creating it.

“Nourishing reciprocity” between art, landscape, and community

Laura Hyatt, Director of LAND, emphasized how the Central Coast setting opens new creative possibilities for artists.

Hyatt noted that collaborating with Presqu’ile gives artists the opportunity to engage with the region’s natural beauty and unique ecology—placing artworks in what she described as “nourishing reciprocity” with the landscape and the visitors moving through it. She also highlighted the long-term potential of the partnership, which allows for deeper exploration over time, expands LAND’s geographic reach, and strengthens connections between Southern and Central California.

For Hyatt, the collaboration is personal as well: her family has roots in the area going back five generations, adding another layer of community connection to the work LAND hopes to cultivate.

A shared mindset: tradition, experimentation, and a sense of place

Presqu’ile framed the partnership as a natural extension of what the winery already does—balancing tradition with experimentation. In the same way winemaking can honor time-tested methods while still pushing toward new expressions, contemporary art can offer new ways of seeing familiar processes and landscapes.

Matt Murphy, co-founder of Presqu’ile Winery, said the family’s appreciation for the visual arts made the collaboration an easy “yes.” He pointed to the opportunity to create “fun, compelling and unexpected” ways for the community to engage with both the installations and the estate itself—and to experience Presqu’ile through each artist’s creative lens.

PQLAND
Presqu’ile Winery x LAND

What happens next

In the near term, LAND will install artworks developed through its programming on the Presqu’ile property, with public access remaining free. The collaboration is designed with community benefit at its center, positioning the estate as a cultural and agricultural destination—not just a tasting room.

Looking ahead, Presqu’ile has submitted plans for approval to develop expanded spaces intended to support free public art, cultural programming, and community gathering. If approved, those improvements would signal a long-term commitment to integrating arts and culture into the estate experience and welcoming future partners whose work aligns with Presqu’ile’s values of openness, creativity, and place-based expression.

Additional details—including participating artists and installation timelines—will be announced as the collaboration progresses.

About the partners

Presqu’ile Winery

Presqu’ile (pronounced press-keel) is a family-owned estate winery in Santa Maria Valley on California’s Central Coast. Founded in 2007, the winery produces cool-climate wines from its sustainably farmed estate vineyard and from a select group of growers across Santa Barbara County. The name—French Creole for “almost an island”—reflects the Murphy family’s Gulf Coast heritage and the winery’s deep emphasis on place.

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Los Angeles Nomadic Division (LAND)

Founded in 2009, LAND is a nonprofit arts organization dedicated to connecting people and places through site-responsive public art and programs. Over 15 years, LAND has presented more than 500 artists across 300+ programs and exhibitions, ranging from large-scale sculptural commissions to billboards, roadside screenings, workshops, and city-wide video presentations—reaching millions of people.

Why it matters

This collaboration isn’t just about adding art to a winery—it’s about rethinking where art belongs, who gets to access it, and how landscape can become part of the creative process. For the Central Coast, Presqu’ile and LAND are setting the stage for a new kind of cultural destination: one where a walk through the vines can also be a walk through contemporary ideas, made visible in the open air.

Source: Presqu’ile Winery

Organization: Los Angeles Nomadic Division (LAND)

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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Women are at a higher risk of dying from heart disease − in part because doctors don’t take major sex and gender differences into account

Heart disease impacts women differently than men due to genetic and gender biases in healthcare. Awareness and improved treatment approaches are essential for better outcomes.

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Last Updated on April 20, 2026 by Daily News Staff

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Amy Huebschmann, University of Colorado Anschutz Medical Campus and Judith Regensteiner, University of Colorado Anschutz Medical Campus

A simple difference in the genetic code – two X chromosomes versus one X chromosome and one Y chromosome – can lead to major differences in heart disease. It turns out that these genetic differences influence more than just sex organs and sex assigned at birth – they fundamentally alter the way cardiovascular disease develops and presents.

While sex influences the mechanisms behind how cardiovascular disease develops, gender plays a role in how healthcare providers recognize and manage it. Sex refers to biological characteristics such as genetics, hormones, anatomy and physiology, while gender refers to social, psychological, and cultural constructs. Women are more likely to die after a first heart attack or stroke than men. Women are also more likely to have additional or different heart attack symptoms that go beyond chest pain, such as nausea, jaw pain, dizziness and fatigue. It is often difficult to fully disentangle the influences of sex on cardiovascular disease outcomes versus the influences of gender.

While women who haven’t entered menopause have a lower risk of cardiovascular disease than men, their cardiovascular risk accelerates dramatically after menopause. In addition, if a woman has Type 2 diabetes, her risk of heart attack accelerates to be equivalent to that of men, even if the woman with diabetes has not yet gone through menopause. Further data is needed to better understand differences in cardiovascular disease risk among nonbinary and transgender patients.

Despite these differences, one key thing is the same: Heart attack, stroke and other forms of cardiovascular disease are the leading cause of death for all people, regardless of sex or gender.

We are researchers who study women’s health and the way cardiovascular disease develops and presents differently in women and men. Our work has identified a crucial need to update medical guidelines with more sex-specific approaches to diagnosis and treatment in order to improve health outcomes for all.

Gender differences in heart disease

The reasons behind sex and gender differences in cardiovascular disease are not completely known. Nor are the distinct biological effects of sex, such as hormonal and genetic factors, versus gender, such as social, cultural and psychological factors, clearly differentiated.

What researchers do know is that the accumulated evidence of what good heart care should look like for women compared with men has as many holes in it as Swiss cheese. Medical evidence for treating cardiovascular disease often comes from trials that excluded women, since women for the most part weren’t included in scientific research until the NIH Revitalization Act of 1993. For example, current guidelines to treat cardiovascular risk factors such as high blood pressure are based primarily on data from men. This is despite evidence that differences in the way that cardiovascular disease develops leads women to experience cardiovascular disease differently.

a man checking the elderly woman s blood pressure using sphygmomanometer
Photo by Gustavo Fring on Pexels.com

In addition to sex differences, implicit gender biases among providers and gendered social norms among patients lead clinicians to underestimate the risk of cardiac events in women compared with men. These biases play a role in why women are more likely than men to die from cardiac events. For example, for patients with symptoms that are borderline for cardiovascular disease, clinicians tend to be more aggressive in ordering artery imaging for men than for women. One study linked this tendency to order less aggressive tests for women partly to a gender bias that men are more open than women to taking risks.

In a study of about 3,000 patients with a recent heart attack, women were less likely than men to think that their heart attack symptoms were due to a heart condition. Additionally, most women do not know that cardiovascular disease is the No. 1 cause of death among women. Overall, women’s misperceptions of their own risk may hold them back from getting a doctor to check out possible symptoms of a heart attack or stroke.

These issues are further exacerbated for women of color. Lack of access to health care and additional challenges drive health disparities among underrepresented racial and ethnic minority populations.

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Sex difference in heart disease

Cardiovascular disease physically looks different for women and men, specifically in the plaque buildup on artery walls that contributes to illness.

Women have fewer cholesterol crystals and fewer calcium deposits in their artery plaque than men do. Physiological differences in the smallest blood vessels feeding the heart also play a role in cardiovascular outcomes.

Women are more likely than men to have cardiovascular disease that presents as multiple narrowed arteries that are not fully “clogged,” resulting in chest pain because blood flow can’t ratchet up enough to meet higher oxygen demands with exercise, much like a low-flow showerhead. When chest pain presents in this way, doctors call this condition ischemia and no obstructive coronary arteries. In comparison, men are more likely to have a “clogged” artery in a concentrated area that can be opened up with a stent or with cardiac bypass surgery. Options for multiple narrowed arteries have lagged behind treatment options for typical “clogged” arteries, which puts women at a disadvantage.

In addition, in the early stages of a heart attack, the levels of blood markers that indicate damage to the heart are lower in women than in men. This can lead to more missed diagnoses of coronary artery disease in women compared with men.

The reasons for these differences are not fully clear. Some potential factors include differences in artery plaque composition that make men’s plaque more likely to rupture or burst and women’s plaque more likely to erode. Women also have lower heart mass and smaller arteries than men even after taking body size into consideration.

Reducing sex disparities

Too often, women with symptoms of cardiovascular disease are sent away from doctor’s offices because of gender biases that “women don’t get heart disease.”

Considering how symptoms of cardiovascular disease vary by sex and gender could help doctors better care for all patients.

One way that the rubber is meeting the road is with regard to better approaches to diagnosing heart attacks for women and men. Specifically, when diagnosing heart attacks, using sex-specific cutoffs for blood tests that measure heart damage – called high-sensitivity troponin tests – can improve their accuracy, decreasing missed diagnoses, or false negatives, in women while also decreasing overdiagnoses, or false positives, in men.

Our research laboratory’s leaders, collaborators and other internationally recognized research colleagues – some of whom partner with our Ludeman Family Center for Women’s Health Research on the University of Colorado Anschutz Medical Campus – will continue this important work to close this gap between the sexes in health care. Research in this field is critical to shine a light on ways clinicians can better address sex-specific symptoms and to bring forward more tailored treatments.

The Biden administration’s recent executive order to advance women’s health research is paving the way for research to go beyond just understanding what causes sex differences in cardiovascular disease. Developing and testing right-sized approaches to care for each patient can help achieve better health for all.

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Amy Huebschmann, Professor of Medicine, University of Colorado Anschutz Medical Campus and Judith Regensteiner, Professor of Medicine, University of Colorado Anschutz Medical Campus

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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