Health
Chronic Back Pain in Older Men Linked to Sleep Problems, Study Finds
Chronic back pain in men over 65 may increase the risk of sleep problems later in life, according to a new study from Penn State University. Researchers found that men experiencing persistent back pain were more likely to develop poor sleep over time, with the relationship running in one direction: back pain first, followed by sleep disturbances.
“We know that back pain and sleep are serious issues for older adults,” said Soomi Lee, associate professor of human development and family studies at Penn State and lead author of the study. “We studied data collected over several years to understand whether poor sleep could predict back pain or if back pain could predict poor sleep, and we found it was the latter.”
The study, published in Innovation in Aging, used data from the long-running Osteoporotic Fractures in Men study, which tracks older men to better understand aging and the development of chronic conditions. Researchers analyzed information from 1,055 men who completed clinical sleep assessments at least six years apart and reported the severity and frequency of back pain every four months between assessments.
Comparing participants’ sleep data across the two assessments, the team found that back pain predicted a 12 to 25 percent increase in sleep problems over six years. The study looked beyond total hours of sleep, examining irregular sleep schedules, difficulty staying asleep, and excessive daytime sleepiness.
The research also explored the possibility of a two-way relationship between back pain and sleep, but found that sleep problems did not predict future back pain. Researchers caution that the findings are based on observational data from primarily white, older men, and may not apply equally to women or more diverse populations.
Lee said the study highlights the importance of addressing back pain in older adults. “If caregivers or loved ones see back pain issues, this can be a warning sign,” she said. Effective management of pain, she added, may help prevent future sleep problems and reduce the risk of related health issues such as memory decline, depression, anxiety, and falls.
Quality sleep in older adults is strongly associated with better physical health, slower cognitive decline, and lower mortality risk. Recent research indicates that people with chronic insomnia—difficulty sleeping at least three nights per week for three months or more—are about 40 percent more likely to develop dementia or mild cognitive impairment than those who sleep normally.
The study’s findings suggest that addressing chronic back pain could be a key step in improving sleep quality and long-term health outcomes for older men. Clinicians and caregivers are encouraged to monitor back pain carefully and consider interventions that may reduce its impact on sleep.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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