Healthy aging and longevity Archive

What to consider when choosing a workout venue.

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If getting in shape tops your list of New Year's resolutions, you're in good company. During the first few months of the year, sign-ups at fitness centers and health clubs tend to trend upward. While these memberships can be costly, you may be able to find more affordable options or take advantage of discounts. But no matter what you pay, shelling out a monthly fee may encourage you to use the gym regularly to get your money's worth. If you do, your heart will likely reap the rewards: regular exercise is one of the best ways to boost cardiovascular health.

"The main advantage to joining a gym is to have access to a wide variety of exercise equipment," says Alex Petruska, a senior physical therapist at the Sports Medicine Center of Harvard-affiliated Massachusetts General Hospital. That includes machines for a cardiovascular workout, such as treadmills, elliptical trainers, stationary bikes, and stair steppers, as well as a variety of weight machines.

A better understanding of these rating systems can help you know how and when to use them.

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Many people make it a habit to check online reviews before purchasing products and services. But not everyone realizes that you can also find online ratings of many hospitals throughout the United States.

Granted, choosing your hospital isn't always an option (in the event of a heart attack, for example). Location and insurance issues may also come into play. But if heart disease is a concern, do you know how your local hospital's cardiac care stacks up? What if you need a non-emergency procedure? Where's the best place to go?

Most often, bulges in the aorta near the heart are found by accident. Should you be screened for this rare yet dangerous condition?

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The aorta, the body's largest blood vessel, arises from the heart's left pumping chamber, then curves up and over the heart in a gentle arc. In some people, a weak spot in the aorta's wall causes the vessel to bulge outward like a worn-out bicycle tire. Called a thoracic aneurysm, this stealthy condition develops slowly and silently, rarely causing symptoms. And while some thoracic aneurysms are relatively harmless, others cause catastrophic problems. An estimated one in 10,000 people has a thoracic aneurysm, although the exact prevalence is unknown.

"Most thoracic aneurysms are discovered on an imaging test done for some other reason," explains Dr. Eric Isselbacher, associate professor of medicine at Harvard Medical School and co-director of the Thoracic Aortic Center at Massachusetts General Hospital. For example, an aneurysm might be visible on an echocardiogram (heart ultrasound) done during testing for an irregular heartbeat. Because the condition is so uncommon, testing everyone for a thoracic aneurysm doesn't make sense. But certain people face a higher risk than others (see "Who needs to be checked?").

Wristwatch-style fitness monitors use a sensor that detects blood flow through the skin to estimate a person’s heart rate. Some brands are more accurate that others, but none are as accurate as chest-strap monitors. 

A persistent cough that remains after an infection has been treated can last for a month or two. There are several treatments that may offer relief, such as antihistamines or a bronchodilator inhaler. 

Splitting a pill into two equal halves is sometimes necessary when needing to adjust dosage, or as a means to save money buy purchasing higher-dose pills. However, splitting is not safe for all pills, so a person should always consult a pharmacist or doctor.

There are many opportunities to join a clinical trial, and you may be surprised at what you can learn about your health.

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You no doubt have seen advertisements asking people to join a clinical trial and thought they don't apply to you. But perhaps you should reconsider.

"People have a vested interest in the outcome of research trials, since these studies address many issues they want to avoid or better manage, such as cancer, diabetes, blood pressure, and dementia," says Dr. Howard Sesso, an epidemiologist with the division of preventive medicine at Harvard-affiliated Brigham and Women's Hospital.

Stopping exercise for 10 days can reduce brain blood flow by 20% to 30% in eight brain regions, including the hippocampus, which is responsible for learning and memory and is one of the first brain regions to shrink in Alzheimer’s disease.