Exercise & Fitness Archive

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Ask the doctor: High-elevation hiking with heart attack history?

Acclimate before hiking at high elevations.

Q. I had a mild heart attack a few years ago but am now feeling fine. I'm planning a trip to Colorado. Is it safe for me to hike at high elevations?

A. If you're feeling well and don't have any cardiovascular symptoms, hiking in the Rocky Mountains should probably be fine, though you should check with your cardiologist first. Doctors used to advise people with cardiovascular conditions—even just high blood pressure—not to spend time at high altitudes. But there wasn't much evidence behind that recommendation. Now, there's a general consensus that ascending up to 12,000 feet should be fine for most people with heart disease. Exceptions include people with unstable cardiac disease, heart failure, or severe lung disease, such as pulmonary hypertension.

Battling breathlessness

Advanced cardiopulmonary testing can often help diagnose less common causes of breathlessness.

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Hidden causes of shortness of breath can make the problem tricky to treat.

The downside of too much sitting

During the day, make an effort to stand rather than sit, when possible.

Standing up more throughout the day may help you dodge heart disease and live longer.

Weight-loss drugs and your heart

Weight-loss drugs aren't for people hoping to lose just a few pounds.

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Some first-generation diet pills proved risky to the heart. New drugs may have expanded the options for treating obesity.

Osteoarthritis relief without more pills

It's possible to ease arthritis pain and stiffness without medication, but it takes some work.

Here are some steps you can take to reduce your reliance on medication to control symptoms and stay functional.

Moderate- and high-intensity workout both burn belly fat

What's better for you: moderate but prolonged exercise, or a shorter but more intense workout? A recent study in Annals of Internal Medicine found that both levels of exercise will help you lose about the same amount of belly fat if you burn the same number of calories. But only high-intensity exercise helped control blood sugar levels.

In the study, 300 people with abdominal obesity walked and jogged on treadmills at a moderate or high intensity, burning equivalent numbers of calories. The 217 people who stuck through the study for the entire six months lost on average 1.75 inches from their waistlines—about 5% to 6% of body weight. It made no difference whether they huffed through the higher-intensity workout or the more moderate regimen.

Core workout can cause muscle soreness

Many popular workouts that aim to strengthen your arms, legs, and abs give short shrift to many of the muscles that form your body's core (the group of muscles that form the sturdy central link connecting your upper and lower body). Strong core muscles are essential to improving performance in almost any sport — and are the secret to sidestepping debilitating back pain.

If you haven't been working your core muscles regularly — or if you challenge yourself with a new set of exercises — expect to feel a little soreness as you get used to your new routine.

Yoga's health advantages may extend to the heart

New research suggests yoga may be as good as moderate exercise for lowering heart disease risk.

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With its focus on body, mind, and breath, yoga shows promise for improving heart health.

Feeling young at heart may help you live longer

People who feel young at heart are more likely to pursue physical activity, even it's an activity that's challenging.

A youthful attitude may lead to better eating and exercising habits.

Could that leg pain be peripheral artery disease?

The pain of peripheral artery disease may be felt above or below the knee during activity, and will fade with rest.

Image: Thinkstock

The telltale sign is leg pain and fatigue that comes on with activity and goes away with rest.

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