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Healthy aging and longevity Archive

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Now hear this: You may need hearing aids

These tiny devices can improve your communication, your relationships, and even your brain function, but only if you use them. 


 Image: Huntstock/Thinkstock

Age-related hearing loss affects about a quarter of people ages 65 to 74 and half of those ages 75 and older, according to the National Institute on Deafness and Other Communication Disorders. Over all, though, it tends to be more male-oriented.

“By middle age, many men also have hearing nerve damage from long exposure to noises like power tools, music, and guns,” says Dr. Steven Rauch, an otologist with Harvard-affiliated Massachusetts Eye and Ear. Some career choices—like construction, manufacturing, or military service—also contribute.

What clinical trials can do for you

Participating in a medical study may benefit your health and perhaps that of millions of others.


 Image: grandaded/Thinkstock

If you've ever considered donating your body to science—or granting science a temporary loan—now's the time to do it. Researchers are always recruiting patients for studies of new treatments and preventive strategies for diseases ranging from Alzheimer's to zoster (shingles). In the simplest terms, these studies compare existing approaches to newer ones in similar groups of people and determine which is more effective.

"Clinical trials are the vehicle by which we transfer things that we think into things that we know or don't know," says Dr. Jeffrey Drazen, professor of medicine at Harvard Medical School and editor in chief of The New England Journal of Medicine.

Health advice for 2017: Simplify, simplify

You may be able to save time and money—and spare yourself frustration—by adopting a more minimal approach to preventing disease.


 Image: monkeybusinessimages /Thinkstock

As the Shaker lyrics go, "'Tis the gift to be simple," and simplicity is a gift you might want to grant yourself in the new year. If so, you'll have some help from health experts. In the past few years, complicated advice for diet and exercise has given way to simpler, more sustainable guidelines, and the FDA has come down in favor of simple soap and water over antimicrobial cleaners to prevent infectious diseases.

If you've vowed to make positive changes in your lifestyle this year, you're likely to be more successful if you don't take on complex new regimens. "People can achieve remarkable changes in their lives one small step at a time," says Dr. Edward M. Phillips, assistant professor of physical medicine and rehabilitation at Harvard Medical School and medical editor of the Harvard Special Health Report Simple Changes, Big Rewards (www.health.harvard.edu/change).

Should I restrict calories for longevity?

Some potential medicines appear capable, in animals, of producing the same changes in body chemistry that calorie restriction does. 

Where the worst type of fat is hiding in supermarket foods

Trans fats are undeniably bad for health, and they're still in many foods.


 Image: GPointsStudio/Thinkstock

Lurking on supermarket shelves, within colorful, seemingly harmless packages, is something that can cause serious harm to your health: trans fat. "No amount of trans fat is acceptable, from a health standpoint," says registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.

About trans fat

Still a danger

Meanwhile, food manufacturers are allowed to use partially hydrogenated oils in their products, and so are restaurants. And if you're not savvy about reading Nutrition Facts labels, you may not detect the trans fat in your food. "The FDA doesn't require trans fat to be listed until there's a half gram or more per serving," explains McManus, "so the label may show zero grams of trans fat, even if a serving contains almost half a gram."

Are small amounts of trans fat dangerous? "It adds up, especially if you eat several foods with trans fat each day," says McManus. Based on FDA estimates, researchers at the CDC report it is possible that eliminating trans fats in the diet may prevent as many as 10,000 to 20,000 heart attacks and 3,000 to 7,000 deaths from heart disease each year.

Become a detective

What about other fats?

All fat is high in calories (nine calories per gram of fat, versus four calories per gram of carbohydrate, for example). A high-calorie diet can lead to weight gain, which can lead to chronic health problems.

An excess of saturated fats (such as those found in whole milk, butter, and red meat) can increase "bad" LDL cholesterol and lead to heart disease. Limit saturated fats to less than 7% of your total daily calories or less than 12 grams in a 1,500-calorie diet.

Some fats, within calorie limits, are good for you. Such "good" fats include monounsaturated fat (such as those in olive and canola oils, most nuts, peanut butter, and avocados) and polyunsaturated fat (for instance, in salmon, mackerel, walnuts, and safflower oil). Both are associated with lower LDL cholesterol and total cholesterol when substituted for saturated fats.

Surprising sources of trans fat that list 0 grams on the Nutrition Facts label

Product type

Brand

Identifying ingredient

Frozen fish fillets

Sea Cuisine Potato-Crusted Cod

Partially hydrogenated soybean oil

Coffee drink mix

Hills Bros. Double Mocha Cappuccino

Partially hydrogenated coconut oil

Breakfast cereal

Kellogg's Apple Jacks

Partially hydrogenated soy-bean and/or cottonseed oil

Seasoned bread crumbs

Vigo

One or more partially hydrogenated oils (soybean, cottonseed, corn, canola)

 

 

 

Indoor cycling for older adults

Today's high-tech stationary bikes are ridden at top speed, with instructors telling cyclists when to coast, sprint, and climb.


 Image: JackF/Thinkstock

One of the hottest trends among the workout set springs from your old stationary bicycle. The new use for old wheels is a supercharged cardio workout called indoor cycling or Spinning (its trademarked name). First popular in the 1990s, the activity is still going strong and is now popular among older adults. "Many classes are specifically for seniors, with instructors who are familiar with modifications for your age group," says Jacob Girlinghouse, a physical therapist with Harvard-affiliated Brigham and Women's Hospital.

The workout and benefits

Is it right for you?

While indoor cycling classes are safe for most people, get your doctor's okay first, especially if you have a heart problem. If you have an injury, pain in your neck or back, or any serious medical conditions, it may be a good idea to ride a regular stationary bicycle at your own pace until your pain subsides. If you are unsure, ask your physician or your physical therapist.

If you have balance problems, a Spinning class can be a safe alternative to other forms of cardiovascular exercise because you exercise while seated. "If your balance is good enough to get on and off the bike safely, then you should be good to go. However, if you feel unsteady when mounting or dismounting, a stationary recumbent bike might be a better option for you," says Girlinghouse.

Making it work

Walking program linked to reduced disability

It appears that adopting a regular routine of moderate physical activity, such as walking, helps older adults remain mobile longer and may also help them to recover faster from physical disabilities. 

Say cheese?

Dairy products don't seem to harm the heart. But plant-based fats are probably a better choice than cheese.


 Image: AlexPro9500/Thinkstock

Health-conscious consumers know to steer clear of diets that include lots of meat—especially fatty, salty processed meat. But what's the deal with dairy? Nutrition experts have long recommended low-fat milk and yogurt as good choices for getting the two to three daily servings of dairy recommended by federal dietary guidelines.

Over the past few decades, Americans have been spooning up more yogurt and drinking much less milk. But the biggest change by far has been in our cheese consumption, which has skyrocketed since the 1970s (see "Trends in dairy intake: Less milk, more cheese and yogurt").

How winter’s chill can challenge your heart

A few simple precautions can minimize your risk.


 Image: robertiez/Thinkstock

Every time you venture out into the bone-shivering, teeth-chattering cold of a Northern winter, your heart and blood vessels kick into overdrive to keep your internal organs cozy. To accomplish this feat, the tiny blood vessels in outlying areas such as the fingers and toes constrict to stem the loss of body heat into the environment. The flip side of this protective maneuver is that the heart must beat against extra force to overcome the resistance it meets in the narrowed vessels.

Supply and demand mismatch

Smart precautions

You can minimize the impact of cold weather on your heart by taking steps to avoid situations that are likely to put you at risk.

Don't overexert. Remember that your heart is already working overtime to compensate for the cold temperatures. Therefore, don't push yourself with strenuous activities such as shoveling heavy snow or partaking in vigorous outdoor exercise unless you are in good physical shape.

Keep your body temperature steady. Put on warm outerwear including coat, gloves, and hat before facing the elements. This will guard against hypothermia, in which the body's internal temperature falls too low. Likewise, dress in layers that you can peel off if you get too warm. Overheating can lead to an abrupt and potentially dangerous drop in blood pressure.

Get a flu shot. A bout of seasonal flu can trigger a heart attack in people already at risk for heart disease. The flu causes a fever, which can make your heart beat faster. It can also cause dehydration, which can have a similar effect as the heart beats faster to maintain your blood pressure.

Keep your prescriptions filled. Icy conditions can make it difficult to get to the pharmacy to pick up a prescription, so make sure not to let your supply of heart medicines run low.

Heed the warning signs

 

 

 

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