Healthy aging and longevity Archive

The game requires agility and quick thinking. But it can leave you in a pickle if you overdo it or fall.

One of the fastest growing and popular sports among older adults is easy to play and lots of fun. But pickleball, with its funny name, comes with some serious risks. "It has a quick pace and a lot of stops, starts, and changes in direction that can lead to leg injuries and falls," says Clare Safran-Norton, clinical supervisor of rehabilitation services at Harvard-affiliated Brigham and Women's Hospital.

What is it?

Pickleball is a hybrid racquet sport that combines aspects of tennis, table tennis, and badminton. The game is played indoors or outdoors on a small court (20 feet by 44 feet, about the size of a badminton court) resembling the top of a giant Ping-Pong table. The net dividing the court is a few inches shorter than the net on a tennis court.

News briefs

Nuts are rich in healthy fat and calories, so you may not think of them as tools for weight control. But nuts may actually help in the battle of the bulge, suggests a Harvard study published online Sept. 23, 2019, by BMJ Nutrition, Prevention, and Health. Researchers analyzed questionnaire responses on dietary habits, physical activity, and weight changes from about 145,000 middle-aged and older men and women. People who went from never eating nuts to eating a daily average of at least half a serving (about half a handful) were 16% less likely to become obese over a four-year period compared with people who didn't eat nuts at all. Substituting a half serving of nuts per day for red meat, processed meat, French fries, desserts, or potato chips was also associated with less weight gain. "Nuts have protein and fiber which help us feel full longer and offset cravings for junk food. Although nuts are high in calories, up to 20% of calories from nut consumption will be excreted from our body," says Dr. Xiaoran Liu, one of the study authors and a research associate with the Harvard T.H. Chan School of Public Health.

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News briefs

It's tempting to try a direct-to-consumer (DTC) genetic test kit that predicts your risk for developing certain diseases, like Alzheimer's or Parkinson's. The kit is shipped to your home, where you collect cells (typically with a cheek swab or a saliva collection tube) and then send them to a lab for DNA analysis. But a report from British researchers, published in The BMJ on Oct. 16, 2019, warns that the tests commonly produce misleading predictions of high or low genetic risk for disease. In other words, a positive result for a particular gene doesn't necessarily mean you'll develop a related health problem, and a negative result doesn't automatically mean you'll dodge a particular condition. Study authors say that interpreting genetic data is complex and depends on the context of your individual and family medical history. If you want to try a DTC test, bring the results to your physician for more insight. If your doctor determines that further investigation is warranted, he or she can refer you for genetic testing that's more comprehensive than DTC tests, performed by an accredited laboratory. Those test results may be combined with genetic counseling to help you understand what to expect and what the information might mean for your health or the health of your family members.

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One of the first cultivated grains, wheat is now ubiquitous in the average American diet. In the United States, about 75% of all grain products (such as bread, pasta, tortillas, cakes, and pastries) are made with wheat. Unfortunately, most of these commonly consumed foods are made with white flour: wheat kernels that have been stripped of their outer bran and inner germ layers and milled into a fine powder. White flour is fortified with some of the vitamins and minerals removed during this refining process. But most of the fiber and other healthful plant-based chemicals found in intact whole grains are missing.

Eating more whole grains is linked to a lower risk of heart disease and cancer, which is why the federal dietary guidelines say to "make half your grains whole." But most people aren't even close to that goal. According to the CDC, whole grains account for only about 16% of the total grain-based food adults eat on any given day.

A recent study suggested that eating red or processed meats won't necessarily harm your health. What is the truth?

The news headlines were everywhere: "It's Okay to Eat Red Meat." The source for this statement was a study published online Oct. 1, 2019, in Annals of Internal Medicine.

An international team of researchers conducted five systematic reviews that looked at the effects of red meat and processed meat on multiple health issues, such as heart disease, cancer, diabetes, and premature death.

On call

Q. I started having side effects from a prescribed drug. I stopped taking it, but the side effects are still there. How long does it take for a drug to be out of your system?

A. Most drugs will be out of your system quite quickly, but the symptoms of side effects may remain for some time. It depends on the medication and what kind of side effect has developed. The majority of prescription drugs are cleared out of your body rapidly by your kidneys and liver. Trace levels of a medicine may remain in the system while the liver and kidneys finish their filtering job. But these levels are often too low to have any noticeable effect. Patients with kidney or liver disease, however, can continue to have elevated blood levels of a drug even after stopping it.

On call

Q. I'm 80 and no longer do colon cancer screening. However, I recently noticed some bleeding from my rectum. Does that change my need for a colonoscopy?

A. Screening for a disease means the person has no symptoms. Since you now have rectal bleeding, a colonoscopy would be considered not a screening test, but a diagnostic test. Whether you have it now or wait to see if more bleeding occurs depends upon many factors. The most important question is whether anything found on the colonoscopy will lead to treatment that improves your quality of life.

In the journals

If you have put off cataract surgery, consider this: the procedure could make you a safer driver, according to research presented in October 2019 at the Annual Meeting of the American Academy of Ophthalmology.

Cataracts, in which the lenses of the eyes become cloudy, are a normal part of aging. Vision changes due to cataracts occur slowly, so people often don't realize they have trouble seeing at night and struggle with depth perception. While cataract surgery is low-risk and effective, many people avoid it because they feel their cataracts don't interfere with their quality of life.

In the journals

People with high blood pressure may benefit from taking their antihypertension medication at bedtime instead of the morning, according to a study published online Oct. 22, 2019, by the European Heart Journal.

The researchers looked at about 19,000 people (most of them men) who took blood pressure medication. Participants took their daily dose either upon waking or before going to bed. Everyone's blood pressure was checked over 48 hours once a year for six years.