Men’s Health

Howard LeWine, M.D.

Does fitness offset fatness?

Howard LeWine, M.D., Chief Medical Editor
Internet Publishing, Harvard Health Publications

At least for men, being more fit may have a bigger health payoff than losing weight, according to a new study of more than 14,000 well-off middle-aged men who are participating in the Aerobics Center Longitudinal Study. Researchers followed their health, weight, and exercise habits for 11 years. Compared with men whose fitness declined over the course of the study, those who maintained their fitness levels reduced their odds of dying from cardiovascular disease or any other cause by about 30%, even if they didn’t lose any excess weight. Those who improved their fitness levels saw a 40% reduction. For optimal health, being fit and maintaining a healthy weight are best. But if you are overweight and inactive, this study and others suggest that getting more activity is the best place to start to improve your health.

Kay Cahill Allison

Managing fluids is one step toward better bladder control

Kay Cahill Allison, Former Editor, Harvard Health

As many as 32 million American women and men have some degree of incontinence—the unintended loss of urine or feces that is significant enough to make it difficult to do ordinary activities without frequent trips to the restroom. The most common causes of incontinence are childbirth and aging in women; prostate disorders and their treatment in men. Treatments include exercises to strengthen the pelvic floor, fluid management, medications, and surgery. For people with urinary incontinence, fluid management is an easy place to start, explains Better Bladder and Bowel Control, a new Special Health Report from Harvard Medical School. This involves drinking only when you are thirsty, limiting your fluid intake from all sources to six to eight 8-ounce cups of fluid per day from all sources, and minimizing caffeinated and carbonated drinks, as well as alcohol.

Erectile dysfunction often a warning sign of heart disease

Patrick J. Skerrett, Executive Editor, Harvard Health

For many men, trouble getting or keeping an erection, formally known as erectile dysfunction, is often an early warning sign of heart disease or other circulatory problems. Atherosclerosis, the same disease process that clogs coronary arteries with cholesterol-filled plaque, does the same thing to the arteries that supply blood to the penis. Since an erection depends on extra blood flow to the penis, any obstructions can prevent an erection from occurring. According to Erectile Dysfunction, a Special Health Report from Harvard Medical School, blood vessel problems are the leading cause of erectile dysfunction and serve as an early warning sign of trouble in the heart or elsewhere in the circulatory system. Simple lifestyle changes like losing weight, exercising more, or stopping smoking can improve erections, as can Viagra and other erectile dysfunction drugs, devices, and sex therapy.

Peter Wehrwein

Alzheimer’s disease in its later stages: Some advice for caregivers

Peter Wehrwein, Contributor, Harvard Health

Alzheimer’s disease is a “disease of behaviors” that can wear down family and loved ones. In a talk called “Dementia and Cognitive Decline (Aging Gracefully)” Barbara Moscowitz, coordinator of geriatric social work for the Geriatric Medicine Unit at Harvard-affiliated Massachusetts General Hospital, offered helpful insights and tips into caring for people with Alzheimer’s disease. Moscowitz drew not only her 30 years of professional experience, but also on the personal experience of helping take care of her mother, who suffered from dementia the last several years of her life.

Change: One man’s steady struggle to become healthier

Patrick J. Skerrett, Executive Editor, Harvard Health

It isn’t easy to get rid of a harmful habit like drinking too much, or to make healthy changes like losing weight and exercising more. Media stories often sugar-coat changes like these, making them seem easier than they really are. In a moving essay in the American Journal of Health Promotion, Michael P. O’Donnell (the journal’s editor) describes his dad’s efforts to become healthier for his sake and the sake of his family. There was no monumental struggle, no epiphany—just a regular guy doing his best each day to become healthier for his sake and for his family. It’s a truly inspiring story.

Gaining weight? Beware potatoes—baked, fried, or in chips

Patrick J. Skerrett, Executive Editor, Harvard Health

Potato chips and potatoes (baked, boiled, and fried) were the foods most responsible for weight gained gradually over four-year periods among 120,000 healthy women and men in long-term studies. Other key contributors included sugar-sweetened beverages and red and processed meats. On the flip side, yogurt, nuts, whole grains, and fruits and vegetables were linked to weight loss or maintenance. Potatoes may be a “perfect food” for lean people who exercise a lot or who do regular manual labor. But for the rest of us, it might be safer for the waistline to view potatoes as a starch—and a fattening one at that—not as a vegetable.

Surprising findings on omega-3 fats, trans fats, and prostate cancer risk

Suzanne Rose, Former Editor, Harvard Health

A new study challenges the conventional wisdom that heart-healthy omega-3 fats from fish, walnuts, and other sources are good for the prostate and that artery-damaging trans fats are bad for it. Suzanne Rose, editor of Harvard Health’s Annual Report on Prostate Diseases, explains.

Harvey B. Simon, M.D.

Belly fat is the shape of cardiovascular risk

Harvey B. Simon, M.D., Editor, Harvard Health

Extra fat that accumulates around the abdomen goes by many names: beer belly, spare tire, love handles, apple shape, middle-age spread, and the more technical “abdominal obesity.” No matter what the name, it is the shape of risk.

Carolyn Schatz

Mindfulness meditation improves connections in the brain

Carolyn Schatz, Former Editor, Harvard Women's Health Watch

Mindfulness meditation can ease stress. It also seems to do a lot more, like help with physical and psychological problems from high blood pressure and chronic pain to anxiety and binge eating. New research shows that mindfulness meditation changes the way nerves connect.

Marc B. Garnick, M.D.

PSA blood test for prostate cancer doesn’t save lives

Marc B. Garnick, M.D., Editor in Chief, HarvardProstateKnowledge.org

Men have long been encouraged to have routine tests for prostate-specific antigen as a way to detect prostate cancer early. Although early detection should save lives, it doesn’t seem to work that way for slow-growing prostate cancer. The longest-running trial to date shows that PSA testing doesn’t help men live longer.