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There is a three hour window of time when most dying people pass away.

Death is hard to think about and harder still to talk about. Some people get panic attacks just imagining the inevitable end of their life. It's an extremely uncomfortable and inescapable fact of living. For some people, learning as much as they can about what it's like and how it works is the one thing that brings them a little bit of comfort.

That's where Julie McFadden comes in. McFadden has been working as a hospice nurse for nine years. She has been educating people about the dying process on social media for almost as long, racking up millions of views with her gentle, reassuring, and highly informative FAQs.

In a recent video, Hospice Nurse Julie tackles a big, scary question: What time do people usually die? And can we actually predict someone's time of death?

"When is the most common time to die? I think you might be surprised what research says," she begins the video.

McFadden says even she was surprised when she started digging into the data and research. She noted that in her own work, she hasn't really seen a trend, but after poring through studies and speaking to colleagues throughout the hospice industry, she was taken aback to discover there was a clear answer to her question.

"Research and anecdotal evidence... it does show that most people die between 2 a.m. and 5 a.m.," she says. She explains that some professionals refer to this window as the "letting go hour."

Other studies and experts have a slightly different take, citing the most common time as 6 a.m.—8 a.m., or even peaking at 11 a.m. But the truth remains that there is a definitive pattern of a high percentage of people passing away in the wee hours of the morning or middle of the night.

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"So, why does that happen? That's where my brain went. And to me, the reason why is the most fascinating part," she explains.

There are a few different factors, McFadden says, that explain such a narrow death window. The first relates to the normal cycle of our body's energy and alertness.

"Biologically, we have a circadian rhythm... And between the hours of two and five, that is when our body's energy level is the lowest. Our temperatures drop, our blood pressure drops, and our breathing slows."

She mentions that those late night/early morning hours are also typically very quiet, without a lot of interruption and stimulation that might unwittingly keep a patient engaged with the outside world. "There's less people kind of trying to hold you there."

The dying person's personality also plays a role. McFadden says she sees over and over that some patients will wait until the entire family arrives before they "let go," while others will wait until things are quiet and they're alone. More outgoing people may wait to be surrounded before they pass, while introverts may prefer to pass in solitude. For the folks who prefer peace and quiet, those nighttime hours make a lot of sense.

death, dying, death doula, hospice, hospice nurse, mortality, aging, seniors, love, family, fear, afterlife Learning about death is uncomfortable, but it helps us in the long run. Photo by Sijmen van Hooff on Unsplash

McFadden then shared a pretty wild story of a patient of hers who "chose" when to die. Viewers then chimed in with their own.

Most people who have lost a loved one absolutely insist that dying people are aware of, and have some level of control over, when they decide to let go. You should watch McFadden's video to hear her best story, but the comments were full of even more.

"My good friend Donna was dying in hospice from a brain tumor and a week before she passed things looked pretty grave so she wasn't expected to last another 2 days. Her sister was by her side and said it's okay you can go but she opened her eyes and said no I'm not going yet I'm waiting for my birthday, I'm dying on my birthday. Her birthday was a week away and no one thought she would make it but she did. Her sister whispered in her ear 'today is your Birthday Sis you made it' and then she passed within the hour," one user shared.

"My grandmother was actively dying for two weeks and held on until the wee hours of the first of the month. She was concerned about getting her social security check to help the family," said another.

"About a week before my 93 year old mom died, she adamently said a few times to me and others she was leaving the following Tuesday. At first I thought she meant she's going out... That Tuesday comes and it was clear she was probably not going to make it to end of the week. I was aware of her comments from the week before but didn't think it would happen that day. She died at 11:12 pm that night, on the day she said she was leaving. She knew."

"While not quite the same thing as 'predicted,' my mother said 'they' told her when she was going to pass away -- to the minute. 'They' being the people visiting her and promising to help her during her visioning experiences. She said they had shown her where she was going to go. She died at exactly the time her visioning-visitors had told her."

The stories shared by the hundreds in the comments to McFadden's video are heart-wrenching, but ultimately extremely hopeful.

@hospicenursejulie

Replying to @skinnysketch19 the transitioning phase #hospicenursejulie #caregiversoftiktok #dementia #education #medicaltok #learnontiktok #science #STEM

McFadden doesn't want her viewers who may have a loved one who's dying to be more anxious and nervous during the night, worrying and potentially losing sleep.

"People are going to do it when they do it. Their body is going to let go when the body is ready to let go. All you can do is be there for your loved one the best you can."

She reiterates that, even for someone like her who has seen and helped many patients cross over from this world to the next, that death is a mystery. As much as we can continue to learn and understand new aspects of it, we'll never fully know what it's like until we experience it ourselves.

This article originally appeared in June.

via Pexels
A woman sitting cross-legged on a yoga mat

Everyone wants to know how long they will live and there are many indicators that can show whether someone is thriving or on the decline. But scientists have yet to develop a magic formula to determine exactly how long someone should expect to live. Which, let's be real, is probably a good thing. Knowing exactly how much time you have left to enjoy your life could cause a lot of anxiety, to say the very least.

However, a doctor recently featured on the "Today" show says a straightforward test can reveal the likelihood that someone aged 51 to 80 will die in the near future. NBC News medical contributor Dr. Natalie Azar was on the "Today" show on March 8 and demonstrated how to perform the simple “sit to stand test” (aka sit-rising test or SRT) that can help determine the longevity of someone between 51 to 80.

The test is pretty simple. Go from standing to sitting cross-legged, and then go back to standing without using any parts of your body besides your legs and core to help you get up and down. The test measures multiple longevity factors, including heart health, balance, agility, core and leg strength and flexibility.


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You begin the test with a score of 10 and subtract points on your way up and down for doing the following:

Hand used for support: -1 point

Knee used for support: -1 point

Forearm used for support: -1 point

One hand on knee or thigh: -1 point

Side of leg used for support: -1 point


A 2012 study published by the European Society of Cardiology found a correlation between the SRT score and how long people live.

The study was conducted on 2002 people, 68% of whom were men, who performed the SRT test and were followed by researchers in the coming years. The study found that “Musculoskeletal fitness, as assessed by SRT, was a significant predictor of mortality in 51–80-year-old subjects.”

Those who scored in the lowest range, 0 to 3, had up to a 6 times greater chance of dying than those in the highest scores (8 to 10). About 40% of those in the 0 to 3 range died within 11 years of the study.

aging, seniors, senior fitness, senior citizens, older adults, longevity, health, death, dyingNo matter what age you are, adding regular exercise to your life will reap a ton of benefits.Canva Photos

Azar distilled the study on "Today," saying: "The study found that the lower the score, you were seven times more likely to die in the next six years.”

"Eight points or higher is what you want," Azar said. "As we get older, we spend time talking cardiovascular health and aerobic fitness, but balance, flexibility and agility are also really important," she stressed. A score of eight or nine means you're allowed to roll forward onto your knees and then rise, which a lot of people will find more comfortable. If you can rise that way, you're still in a pretty good spot health wise.

One should note that the people who scored lowest on the test were the oldest, giving them a naturally elevated risk of death.

Dr. Greg Hartley, Board Certified Geriatric Clinical Specialist and associate professor at the University of Miami, told the Atlanta Journal-Constitution that we should take the study with a grain of salt. “Frailty, strength, muscle mass, physical performance—those things are all correlated to mortality, but I would caution everybody that correlation doesn’t mean causation,” he said.

And of course, the test doesn't take into account injuries or disabilities that may make doing the test impossible. But one of the study's authors says that the study is a call to take our mobility seriously.

“The more active we are the better we can accommodate stressors, the more likely we are to handle something bad that happens down the road,” Dr. Claudio Gil Araujo, told USA Today.

What should you do if you can't manage a good score on the SRT? First of all, don't panic! It's never too late to improve your overall health, fitness, and strength, so regular exercise is a great thing to incorporate if you're not already doing it.


seniors, longevity, physical fitness, exercise, health, agingEven low-impact exercise like yoga can increase your mobility and flexibility and, thus, your SRT scoreCanva Photos

A couple of specific skills that will help are boosting your ankle flexibility, hip mobility, and core strength. Trainers recommend incorporating squats, lunges, and planks into your regular routine. Just using your own bodyweight is plenty to get started, though if you're up for incorporating any added loads, the strength training will do wonders for your bone density, as well.

But remember that the SRT is just a measure of strength and mobility, which could correlate to an older person's likelihood of suffering from a fatal fall. It doesn't do anything to measure your cardiovascular help (vitally important especially in older people), for example. And it may not even be the most reliable longevity test out there. It has been criticized for it's extremely unnatural range of motion, for starters — rising by pushing up on the sides of our ankles with our knees pointed outward is certainly not representative of a real-life situation. Some doctors insist that your comfortable walking speed is a better indicator of health and longevity, while others say grip strength is the key measurement.

This article originally appeared two years ago.

Joy

Harvard expert's 5-3-1 rule is the key to a healthy social life

How much time should you spend with your friends?

Some long-time friends on vacation.

In a world where we must keep busy to survive, it can be easy to neglect our social lives. This becomes even harder as we age and our friends have families and more responsibilities. Once you hit your 30s, the friends you saw every few days can quickly become people you only see a few times a year.

Friendships need to be nurtured to keep moving forward. If not, one day, our closest friends will begin to feel like strangers. Sadly, this is a common occurrence, and studies show that as people age, their circle of friends becomes smaller and smaller. This is one of the many factors contributing to what's known as the "loneliness epidemic." Studies show that one in three Americans report feeling lonely regularly, and one in four has no social and emotional support at all.

Further, in a world with Netflix, video games, and social media, it can be easy to be entertained without making plans, leaving the house, or spending time with anyone. But that shortcut could lead to waking up one day with very few people in your life. We know we need to get out there and be social, but what’s the correct amount of time we should spend hanging out?

gym friends, friends, selfiesFriends spending time at the gym. via Canva/Photos

Kasley Killam, a Harvard-trained social scientist and author of "The Art and Science of Connection," has made it easy with her simple 5-3-1 rule, a guideline for evaluating social health. "We need to be intentional about connection, just like we are with exercise and eating healthy foods," Killam told Business Insider.

What is the 5-3-1 rule?

(5) Spend time with FIVE different people a week

A 2022 Harvard Business School study found that the more “diverse” the group we socialize with, the happier we will be. That means we shouldn’t just spend time with our close friends and family members but grab a coffee with a friend from the gym or spend some time with an old friend you haven’t seen in years. As the song goes, “Make new friends but keep the old one is silver and the other’s gold.”

(3) Nurture at least THREE close relationships

Focus on nurturing three friendships every day, whether you text them or make plans to see each other. These are the people at the top of your phone list or who would be your emergency contacts.

(1) Have ONE quality hour of social connection a day

Make time every day to socialize with someone, whether by hopping on a phone call with a family member or going on a walk with a neighbor. "That doesn't have to be all at once," Killam said. " It could be 10 minutes here, 10 minutes there." The important rule Killam says is that the interaction has to be “meaningful.”

friends, photos, selfiesFriends spending time at the Redondo Beach pier. via Canva/Photos

Socializing is great for our happiness but can also help us live longer. A study of senior citizens found that the more people socialized, the longer they lived. Those who lived the longest took time to socialize with someone once a day.

Living by the 5-3-1 isn’t just for older people who need to get back into socializing. It’s great for younger people because it can strengthen their relationships and their mental health at the same time. You may be busy these days, but at the end of your life, you probably won’t remember that long day you spent at the office or a random Thursday stuck in traffic. But you will remember that walk you took with your friend when you needed someone to talk to or that night you stayed a little late at your bestie's house making vacation plans.

Joy

The 17 harsh truths about aging that people were never 'prepared' for

"How your mind stays young while your body starts to slow down."

A woman contemplating aging

Many of us feel invincible when we are young, believing we can control the aging process so that we’ll always stay forever young, as Bob Dylan once sang. But there’s a moment when everyone realizes aging is an inevitable process and that, eventually, we will have to deal with a slow decline in our physical and, quite possibly, mental capabilities.

This realization and understanding that we won’t be here forever can profoundly change one’s perspective on life. Even though aging is inevitable, studies show how we think about the process can significantly impact our longevity. People with a positive view of aging live an average of 7.5 years longer than those without.

Things happen as we age that are impossible to describe to younger people. However, a group of Redditors did an excellent job of explaining the truths about aging that they were not “prepared” for in a recent thread that made a lot of people feel seen. A user named sofiagympixie asked the AskReddit forum, “What’s a truth about aging that no one prepared you for?” and it received over 2,700 responses.

A big takeaway is that many people feel like they stop mentally aging at a certain point, usually in their late 20s. Still, the continued physical aging they experience makes them feel like they cannot relate to the person in the mirror.



Here are 17 of the most profound responses to the question: What’s a truth about aging that no one prepared you for?

1. There is an end

"You start to realize the older you get that the end is closer than the beginning and you still feel like you have so much more to do."

"That moment where you start to get a sense that there is an end."

2. It takes energy to keep everything afloat

"No one prepared me for how much energy and time it takes to maintain everything—like health, relationships, and just staying organized. It’s way more work than I expected!"

3. Mind/body detachment

"How your mind stays young while your body starts to slow down. You still feel like the same person you’ve always been, but suddenly you notice little things changing."

"This was such a surprise to me. I really expected to feel psychologically older as I aged. But physically, oh my body has betrayed me... Eyes... hair (gray, but at least I still have it)... back... knees... hips... prostate."



4. The past feels closer than it is

"When you get a flashback of a good memory and you realize that was over 10 years ago."

"When I told my daughter about something I did 24 years ago, I had to pause for a moment."

Time flies isn't just a saying. Psychologists agree that our minds lump time together based on novel experiences. When we are older, the days are a lot more similar than when we were young children. That's why when you're 80, time moves a lot faster than it did when you were 8.

5. Stuck in the wrong time

"I’m 61, and sometimes I feel like this world is not for me anymore. I feel almost like an imposter. For example, I can’t find clothes I like that fit correctly, TV is abhorrent, only old music sounds pleasant, shoes are uncomfortable, I don’t recognize most celebrities or famous people in the news or tabloids, and I don’t understand the need for most new and supposedly exciting products. I’m an educated person, I still work and have an active life. I’m not a recluse. But a little at a time, I feel the world is moving on without me. I finally understand why, in her final years, my mother only watched movies from the 1950s and reminisced about the past more than she talked about the present. Her world was long gone."



6. You lose friends

"If you choose not to have kids, you may end up losing your friends. I turn 40 this year, and my partner and I don't see many folks these days. Parents like to hang out with other parents. And I don't have a grudge, I totally see the value for playdates, etc. But it can be a little lonely."

"To be fair, I have 2 kids and lost a lot of friends because we simply don’t have the time/energy to connect regularly enough to maintain a healthy friendship. It instead falls into an awkward acquaintance stage where enough time passes between communication, and you’re not sure if reaching out to connect comes across weird."

7. Your parents are aging, too

"It's not just you who is getting old. Your parents are getting even older."

"I feel this. Lost my mom 2 weeks before my 21st birthday. 40 now with 2 kids. I get angry/sad at a lot of milestones like my wedding and kids' stuff ‘cause my mom was robbed of them, and I was robbed of her."

8. Time wasted caring about other people's opinions

"It’s so freeing when that old twinge of 'why don’t they like me' pops up, and then I remember that I can not be bothered by that anymore, and magically, I don’t care!"

"Just wasting time in general. No thanks. I want to do as many things as possible!"



9. Your friends die

"Your friends start to die. It's something I never thought about."

10. Time flies

"Man. I don’t even feel like the days are long anymore. I just keep blinking and the weeks go by."

"Yup, wake up, eat breakfast, do a couple things. Wait, it’s lunch already? Eat lunch, do a couple more things, time to prep dinner. Eat dinner, clean up, fix a few things, it’s 9 pm. I guess it’s almost time to get ready for bed? This times 10,000 for me."

11. The monotony sets in

"You will realize that you hate planning meals and making food every single day. It's boring, and it's too easy to fall into monotony. But you have to make lunch again and then plan for dinner again then make dinner again and what do you want to eat tomorrow so you plan for breakfast tomorrow and get up and make breakfast again and then plan for lunch again...."

12. You become invisible to much of society

"I wondered what felt off the last year. Gen Z is everywhere now, and I'm still asking myself when that happened."



13. Adults aren't real

"When you're a kid, you can't wait to 'grow up,' and then you do, and you're still you, just older. That voice inside your head doesn't change, but what you see in the mirror does. Only now you're just older and saddled with bills and stress and all of life's 'surprises.' On top of this, everyone is winging it. Absolutely everyone. Because the idea of order and a civilized society is an illusion. We're all playing by made up rules and making imaginary money and all the rest of it. A one-dollar bill costs just as much to print as a hundred-dollar bill."

14. Priorities change

"Things that seemed so important when you were younger, really are not important."

15. Younger people's reverence

"I'm middle-aged, and a funny thing is how younger people get self-conscious or apologize when there is no need. For example, they will apologize for swearing around me or mentioning something like (gasp) drinking, or drugs, or sleeping around. I think it's funny. Why would being on earth longer make me easier to scandalize? I've seen and done things that would shock them, lol, but to them I'm a very proper-looking classy older lady."

16. Ageism

"Doors start closing once you reach a certain age."

"Ageism is real. I just turned 50 and am in a young person's career (software development). I feel how hiring managers look at me when asked to turn my camera on, during an interview that was going very well and suddenly it's 'we'll get back to you.'"

17. It all catches up

"Things like drinking, eating unhealthily, smoking, spending ... they will catch up. When you're young you think you're different, or you think that when it does catch up you'll be old so who cares, I won't care when I'm old anyway. You will care, though. You'll still be you. Those things won't seem like an issue right up to the moment they are. And then it's too late to take them back."

This article originally appeared last year.