Healthy aging and longevity Archive

Take advantage of free medications, blood pressure screenings, and exercise classes to stay healthy and save money.

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Medical costs are soaring, but not every step you take to improve your health has to cost an arm and a leg. Some services are even free, regardless of your financial need. "These are incredibly helpful, although few of my patients know about many of them," says geriatrician Dr. Suzanne Salamon, an assistant professor at Harvard Medical School. The trick is knowing where to find the services, and this month we have suggestions on where to look.

Free exercise classes

Exercise is essential for overall health and mobility, especially as we get older. Many organizations support that by offering free exercise classes for older adults. Good places to find free classes: hospitals and senior centers. Give them a call, or look on the Internet to see an organization's event calendar.

These grains have more nutrients than regular whole grains, and they may be easier to digest.

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You know that whole grains are loaded with nutrients and fiber and are an important component of a healthy diet. Now an early harvesting method for grains — when they're just sprouts — is becoming popular, with sales of sprouted grains predicted to grow eightfold in the United States by 2018.

"It's one of those trends taking off as people are looking for the next big thing. And in some ways, sprouted grains are a step above regular whole grains," says Kristina Secinaro, a registered dietitian at Harvard-affiliated Beth Israel Deaconess Medical Center.

News briefs

The amount of sodium we're bringing home from the grocery store has dropped significantly in the past two decades, according to a study published online June 5, 2017, by JAMA Internal Medicine. Excess sodium intake is associated with a higher risk of heart disease. Researchers analyzed the sodium in about 1.5 million products purchased by more than 172,000 households in the United States from 2000 to 2014. Sodium in packaged foods brought into these homes declined from about 2,300 milligrams (mg) per person per day to about 1,900 mg per person per day. The declines were seen in all kinds of products — especially those notoriously high in sodium like condiments, sauces, dips, and salty snacks. The study can't tell us if the amount of sodium people consume is also declining. But it's a good reminder to keep an eye on your intake, since a salty diet can lead to high blood pressure, a major risk factor for heart disease and stroke. The American Heart Association says an ideal limit is 1,500 mg of sodium per day for most adults. That's hard to achieve, but being a savvy shopper for lower-sodium foods can help.

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News briefs

As we reported in March, the FDA has been debating whether to create a class of over-the-counter (OTC) hearing aids to inspire new products costing hundreds, not thousands, of dollars. Congress and the president pushed the effort forward over the summer, approving the Over-the-Counter Hearing Aid Act in August. It gives the FDA three years to establish the OTC hearing aid category and develop safety and labeling rules for the devices. Last December, the FDA said it would no longer require adults to receive a medical evaluation or sign a waiver before purchasing most hearing aids. So now people with mild to moderate hearing loss don't need a doctor's prescription to get an OTC hearing aid, and don't need to see an audiologist for a fitting. OTC hearing devices aren't the same as prescription hearing aids, however. They're amplification devices, and they may not be right for your particular type of hearing problem. Without an evaluation by a doctor, an underlying condition may go undiagnosed. Discuss the risks and benefits with your primary care doctor.

News briefs

Heavy alcohol drinking, abuse, or dependence among older adults is rising at unprecedented rates, suggests a study published online Aug. 9, 2017, by JAMA Psychiatry. The authors analyzed information about alcohol use among 43,000 adults ages 18 or older during 2001–02 and then compared it with information about alcohol use among 36,000 adults during 2012–13. In virtually all age, race, and socioeconomic groups, high-risk drinking and alcohol abuse and dependence increased over the decade. Among all age groups, the increase tended to be greater in people who were less affluent, less well educated, and members of racial minority groups. Although during both time periods adults ages 65 and older had lower rates than younger people, the increase in high-risk drinking (65%) and alcohol abuse (107%) was greatest in this older age group.

The study authors emphasize that older adults are at higher risk for disability, illness, and death from many alcohol-related chronic diseases, falls, and injuries. Your best bet: if you drink alcohol, limit it to one drink per day if you're a woman, and one or two if you're a man.

Research has associated increased happiness with longevity and a lower risk of illness. But can you make yourself happier?

What is the secret to happiness? The answer may be simpler than you think. Most of our ability to be happy is based on genes — some people are just naturally happier than others. But research suggests that 40% of people's happiness comes from the choices they make.

"The idea that you can't be happier is false," says Dr. Robert Waldinger, director of the longest-running study on happiness, the Harvard Study on Adult Development. "We now know a great deal about what does and does not contribute to wellbeing and happiness."

On call

Q. I seem to bruise more frequently as I get older. Even when I have not bumped into anything, I see bruises on my arms. What causes that, and should I be worried?

A. Easy bruising is a common issue for many older men. That's because of a combination of less subcutaneous (fat) tissue and more fragile blood vessels.

The inflammation of chronic sinusitis can be more than just an annoyance. Here's what you can do about flare-ups.

Stuffy nose? Constant blowing? A head on the verge of exploding? Everyone battles clogged sinuses at times, and often the discomfort goes away after a few days. However, if the condition lingers or becomes more severe, you could be battling chronic sinusitis, which can affect your quality of life.

"Besides the stress of dealing with the symptoms, the condition can interfere with your sleep, lead to depression, and keep you from being active," says Dr. Ahmad R. Sedaghat, an otolaryngologist with Harvard-affiliated Massachusetts Eye and Ear Infirmary.

Whether you run or walk, these popular local events can be an effective fitness motivator.

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Motivation can be one of the greatest obstacles to staying active. If your interest in exercise is waning, consider signing up for a local 5-kilometer (5K) race, which covers 3.1 miles.

"These events are ideal for older men because they can accommodate almost any fitness level and experience," says Michael Clem of the Harvard-affiliated Spaulding National Running Center.