Exercise & Fitness Archive

Whether you're an exercise novice or a gym regular, these tips can help you get the most out of your workout.

When it comes to exercise, timing is everything — but not in the way we normally think about timing. What matters most is making the time to exercise regularly, not when it happens. That said, your personal experience and specific goals may influence what workout schedule works best for you.

"If you're just starting a physical activity routine, any time that you feel motivated and energized enough to exercise is the best time for you," says Dr. Beth Frates, clinical assistant professor of physical medicine and rehabilitation at Harvard Medical School. For some people, that's in the morning; for others, the afternoon works better. But if you can work out with a friend, choose a time that works best for both of you, she suggests. Teaming up with an exercise buddy is more enjoyable, and you can hold each other accountable.

News briefs

When you have knee pain, you just want it to go away so you can walk without having to limp or wince with every step. And a small, randomized trial published online Jan. 12, 2021, by Annals of Internal Medicine found that one type of shoe might be best for the job. Researchers took 164 people ages 50 or older with moderate or severe knee arthritis and randomly assigned half of the group to wear stable, supportive shoes with thick soles that didn't bend much. The other half was assigned flat shoes with thin, flexible soles, which are believed by some to provide a benefit by allowing more natural movement of the leg and foot. Both groups wore their assigned shoes for six hours per day and took part in activities such as walking during that time. After six months, 58% of people in the stable, supportive shoe group reported a reduction in knee pain while walking, compared with 40% of people reporting pain reduction after wearing the flat, flexible shoes. In both groups, the pain reduction probably was a benefit of regular walking. The people wearing flexible shoes were also twice as likely to develop ankle or foot pain, compared with those wearing sturdy shoes. So if you have knee pain, keep walking — in sturdy shoes.

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Exercising, avoiding pollutant exposure, controlling weight, and other strategies may help you breathe easier.

You may not know it, but your lungs — like many of your organs — have some backup power to get you through situations that stress your health. This excess capacity, called physiological reserve, helps your lungs weather infection and chronic disease.

Lung reserve is robust when we're young, but it diminishes over time as part of the normal aging process. Smoking or long-term lung diseases such as asthma, chronic bronchitis, or emphysema can accelerate that decline. Diminished reserve makes us more vulnerable to a new or sudden lung problem. "If you get a severe infection and start with lower lung function compared to when you were younger, you have less reserve capacity and you won't tolerate the infection as well," says Dr. Richard Schwartzstein, chief of the Pulmonary, Critical Care, and Sleep Medicine Division at Harvard-affiliated Beth Israel Deaconess Medical Center.

Inpatient, outpatient, and at-home rehab all aim to restore your function and independence.

Have shoulder pain? Recovering from traumatic illness, surgery, or a bad fall? Your doctor may well recommend physical rehabilitation or physical therapy to get you back to your daily routine and the activities you love. There are several options available, depending on your needs.

1. Inpatient rehab

Inpatient rehab is prescribed after a hospital stay, when you're not well enough to go home. It offers comprehensive care from doctors, nurses, therapists, and other health professionals. There are two types of this rehab.

You have the power to reduce certain risk factors for the disease.

We've come a long way in our understanding and treatment of age-related macular degeneration (AMD), the leading cause of vision loss for people ages 50 or older in the United States. We've learned that certain genes and lifestyle factors increase the risk for developing AMD, and discovered treatments that often slow the disease's progression.

Yet for all our advances, we still don't have a guaranteed way to prevent AMD. You are at greater risk if one of your parents had the condition. "One needs to be concerned, but it doesn't mean you're destined to get it. It's a complex disease, and it takes a combination of factors for it to develop," says Dr. Joan W. Miller, chief of ophthalmology at Harvard-affiliated ­Massachusetts Eye and Ear and ophthal­mology chair at Harvard Medical School.

It takes a one-two punch to lower these risks for heart disease, heart attack, and stroke.

High cholesterol has long been known as a bad actor in heart health. Too much LDL (bad) cholesterol in your blood can lead to fatty deposits in your arteries and the formation of artery-narrowing plaque (atherosclerosis), heart attacks, and strokes.

But LDL doesn't act alone. Chronic inflammation — a persistent activation of the immune system — also fuels heart attack and stroke risks. That means you must address both high LDL levels and chronic inflammation to protect your health.

Research we're watching

Surveys show that about one in five Americans uses a smartphone app or tracker for monitoring exercise. Evidence for the benefits of these tools is mixed, but a new review suggests they may encourage people to move a bit more.

Researchers pooled findings from 28 studies involving a total of nearly 7,500 people who took part in studies using a smartphone app or activity tracker. They found that these tools have a small to moderate effect in boosting physical activity, motivating people to take an average of 1,850 additional steps per day.

Research we're watching

Lifestyle changes may help to prevent symptoms related to gastroesophageal reflux disease (GERD), according to a research letter published online Jan. 4, 2021, by JAMA Internal Medicine.

Using data from the Nurses' Health Study II, a nationwide study that included 116,671 women, researchers found that among 9,000 women who had GERD symptoms, those who met five specific anti-reflux lifestyle criteria were 40% less likely to have GERD symptoms than women who did not meet any of them. These were having a normal body weight; never smoking; participating in 30 minutes of moderate or vigorous exercise each day; drinking no more than two cups of coffee, tea, or soda each day; and following a healthy diet. GERD symptoms were defined as reporting acid reflux or heartburn at least once a week.

Strengthening your core will rev up your balance and stability.

After a long winter with lots of isolating and maybe too little physical activity, it might be time to give your core muscles more attention.

These muscles, located throughout much of your trunk, are the key to supporting your lower back and helping you stand, get out of a chair, bend, lift, and maintain your balance. So regular maintenance and tune-ups of the core muscles are important.

News briefs

Living a healthy lifestyle may be one of the best things you can do to tame the heartburn of gastroesophageal reflux disease (GERD), suggests a research letter published online Jan. 4, 2021, by JAMA Internal Medicine. Harvard researchers analyzed the self-reported health information of about 43,000 middle-aged women who were followed for 10 years. Women who adhered to five healthy lifestyle factors, regardless of whether they took heartburn medication, appeared to prevent nearly 40% of their GERD symptoms each week. The pill-free approaches included maintaining a healthy body weight (a body mass index between 18.5 and 24.9); not smoking; getting 30 minutes daily of moderate-to-vigorous physical activity; limiting coffee, tea, or soda to no more than 2 cups per day; and eating a healthy diet. "Each one of these factors may prevent the inappropriate relaxation of the sphincter muscle between the stomach and the esophagus, helping to keep acid from refluxing up and causing heartburn. For example, carrying extra weight around the waist can push on the stomach, forcing stomach acid up into the esophagus," says Dr. Raaj S. Mehta, lead author of the study and a gastroenterology fellow at Harvard-affiliated Massachusetts General Hospital.

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