Energy and Fatigue Archive

Men may be less able to perform daily activities as they age, but there are ways to reverse these changes.

Most men would prefer to maintain strength and robustness as they age. There are many ways to maintain a high level of health and energy through the years, but disease, surgery, and Father Time sometimes gang up and make men feel as if their best years are behind them.

Still, you don't have to take frailty lying down. "It's never too late to treat frailty and recoup what you may have lost," says Dr. Marian T. Hannan, co-director of the Musculoskeletal Research Center at the Institute for Aging Research at Harvard-affiliated Hebrew SeniorLife.

In the journals

 Image: © Robert Daly/Getty Images

Cardio is often regarded as the exercise of choice for weight loss, but older adults can benefit from adding weight lifting too, as it helps preserve muscle mass more than aerobic workouts.

A study published online Oct. 30, 2017, by the journal Obesity divided 249 overweight or obese adults in their 60s into three groups. One followed a restrictive diet of 1,200 to 1,800 daily calories. Another followed the diet and also did weight-machine workouts (four 45-minute sessions per week, targeting the major muscle groups). The third group followed the diet plus a cardio program of walking (45 minutes, four days a week, at a moderate-intensity level).

Ask the doctors

Q. I feel like I'm tired all the time. Is this just a normal part of aging?

A. The short answer to your question is, no. Getting older may mean you have less endurance than you used to and you may feel tired sometimes, just like anyone else, but if you are experiencing long-lasting daily fatigue, there could be an underlying medical cause.

Ask the doctor

 Image: © s-c-s/Thinkstock

Q. I keep hearing that concussions can cause problems later in life. Should I be concerned about my grandkids playing sports, particularly football?

A. Sports teach kids many important life lessons, like the value of teamwork and hard work, and the importance of tenacity and resilience. The most popular sport in the United States is football. Yet evidence has emerged that repeated head injuries (common in football) may lead to a brain disease called chronic traumatic encephalopathy (CTE). This disease, which currently can be diagnosed only at an autopsy, causes difficulty thinking, severe mood swings, anger, violence — and death.

You may not be aware of physical changes that can make your old workout risky. Try these tips to ease into exercise.

Blame it on a job change, a chronic health issue, or simply a loss of motivation: whatever took you away from your regular exercise routine has led to a sedentary lifestyle. But don't assume you can jump back into the same exercise regimen you followed when you were younger. "Your body has aged, and things have changed," says Dr. Clare Safran-Norton, clinical supervisor of rehabilitation services at Harvard-affiliated Brigham and Women's Hospital.

What's different

Age-related physical changes aren't always obvious. "We lose muscle mass and strength as we get older, and the muscles become less flexible and less hydrated," says Dr. Safran-Norton. Arthritis weakens joints. And vision changes, neurological disease, joint pain, or problems inside the ear can throw off your balance.

This easy, stress-relieving exercise may help heal your heart.

If you have a heart attack or undergo stenting, improving your cardiovascular health should be a top priority. A great way to move toward that goal is to enroll in cardiac rehabilitation, a multiweek program of structured exercise paired with lifestyle and nutrition education.

Unfortunately, not all doctors refer their patients to such a program, which is recommended for a number of conditions, including most heart surgeries. Also, for a range of reasons, more than 60% of eligible people choose not to attend cardiac rehab. Sometimes travel and cost issues are barriers. But others worry that the exercise component of the program will be too difficult or tiring. For them, the ancient Chinese practice of tai chi may be a good alternative, according to a small study in the Oct. 11, 2017, Journal of the American Heart Association.

In the journals

Even if you get enough exercise, you are still at risk for blood clots from too much sitting in front of the TV, according to research presented at the American Heart Association's Scientific Sessions in November 2017.

Prolonged TV viewing has already been associated with heart disease involving blocked arteries, but this is the first study in a Western population to look at blood clots in the veins of the legs, arms, pelvis, and lungs known as venous thromboembolism.

Your daily habits and lifestyle — what you eat and drink, whether you exercise, how stressed you are, and more — affect your mental health every bit as much as your physical health. A growing body of research indicates that regular exercise and a healthful diet can help protect your memory from aging-related decline.

Exercise

Physical fitness and mental fitness go together. People who exercise regularly tend to stay mentally sharp into their 70s, 80s, and beyond. Although the precise "dose" of exercise isn't known, research suggests that the exercise should be moderate to vigorous and regular. Examples of moderate exercise include brisk walking, stationary bicycling, water aerobics, and competitive table tennis. Vigorous activities include jogging, high-impact aerobic dancing, square dancing, and tennis.

You needn't spend a cent on fancy equipment to get a good core workout. Many core exercises rely on your body weight alone. But with the help of some simple equipment, you can diversify and ramp up your workouts.

The following items can help you put a new twist on your core exercises. Most of them can already be found around your house or are available at low cost from a sporting goods store.