Healthy eating for older adults Archive

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Vine-ripened, locally grown tomatoes are abundant in farmers' markets in August. Scientifically speaking, these vivid red (and sometimes yellow, brown, purple, or green) orbs are fruits. But the USDA, which issues the Dietary Guidelines for Americans, includes tomatoes in the red-orange vegetable group. Aim for about five to six cups per week of the foods in this group, which also includes carrots, squash, and sweet potatoes.

When good fresh tomatoes aren't available, canned tomatoes are a good substitute, especially in soups, stews, and pasta sauces. Eating tomatoes and tomato products may help lower cholesterol and improve blood vessel function, according to a 2017 article in Atherosclerosis.

Research we're watching

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The same diet that doctors recommend for dodging heart disease also may help preserve brain tissue, a new study finds.

Researchers scrutinized diet surveys from more than 4,200 people with an average age of 66 and ranked the quality of their diets on a scale of 0 to 14. A score of 14 was healthiest and included lots of fruits and vegetables, whole grains, nuts, dairy, and fish, but limited sugar. The volunteers provided data on other factors that might affect brain size, such as blood pressure, physical activity, and smoking. They also underwent brain scans to measure their brain size.

Eating five servings of fruits and vegetables can go a long way to protecting against heart disease and cancer.

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We've been told the importance of eating fruits and vegetables ever since childhood, and yet we still tend to ignore this nutritional advice. In fact, a CDC survey found that only 18% of adults eat the recommended five daily servings of fruits and vegetables.

"The main reason older men have trouble reaching this amount is lack of awareness," says Vasanti Malik, a research scientist in the Department of Nutrition of Harvard's T.H. Chan School of Public Health. "They are not always engaged in their nutrition or aware of the impact fruits and vegetables can have on their health."

On call

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Q. I take fish oil supplements for heart health, but now I hear they aren't helpful. What's the truth?

A. Fish intake remains an important part of a healthy diet, but the enthusiasm for fish oil supplements has been dampened by several recent studies that showed no benefit for a variety of conditions.

On call

Q. I am 65 years old and in good health, and I see my doctor once a year for an annual exam. Should I request a stress test at my next physical?

A. Although heart disease is common in men, routine cardiac stress testing is not recommended for otherwise healthy men. It may seem counterintuitive not to look for heart disease in healthy men, especially when many people know someone who unexpectedly had a heart attack or even died suddenly from a heart problem. Yet, stress testing does not accurately identify men at risk for sudden cardiac death.

In the journals

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Two recent studies have found that eggs do not raise the risk of heart disease, and in fact may even protect against it.

The first study, published online May 7, 2018, by The American Journal of Clinical Nutrition, looked at how egg consumption affected 128 people with prediabetes or type 2 diabetes; both conditions put people at a higher risk of heart disease and stroke. For three months, half of the participants ate 12 eggs a week, while the other half ate two eggs or fewer per week. Everyone also followed the same weight-loss diet that avoided saturated fats like butter and included healthier monounsaturated and polyunsaturated fats like avocado and olive oils.

How old you are when you go through menopause could be influenced by the foods you eat.

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Could the foods you eat help determine when you start menopause? They might, says a new study published online April 30 by the Journal of Epidemiology and Community Health. Researchers found that women who ate more fish and beans and other legumes started menopause at a later age, while women who ate a diet heavy on refined pasta and rice went through the change earlier.

Why do the results matter?

How old a woman is when she goes through menopause may have implications for her health. Past research has linked certain health risks to menopause that occurs either very early (before age 40) or late (age 55 or older). Going through menopause at an earlier age has been associated with lower bone density and a higher risk for osteoporosis, cardiovascular disease, depression, and — in some instances — premature death.

Ask the doctors

Q. Should pregnant or breastfeeding women and their children use sunscreen?

A. The American Academy of Dermatology recommends that people avoid applying sunscreen to the skin of babies younger than 6 months of age, and instead shield them from the sun, keeping them in the shade as much as possible. It's also a good idea to protect them from the sun using clothing, hats, and sunglasses.

Simple everyday objects can result in cuts, bruises, and broken bones.

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Everyday objects from pet supplies to kitchen appliances may seem innocuous, but they can cause injuries, including bone breaks, cuts, and burns. Doctors who treat these injuries often see some common themes. We asked Dr. Tamara Rozental, an associate professor of orthopedic surgery at Harvard Medical School, about what injuries she frequently sees from common items — and ways to stay safe.

Dog leashes

"I see many injuries from dog leashes. People often get tangled and pulled over," Dr. Rozental says. In other instances, fingers get bent, broken, or crushed when people get their hand stuck in the leash and the dog pulls.

Research we're watching

The FDA is warning consumers not to buy in to the idea that a pill can protect your skin from the sun.

In a statement issued May 22, FDA officials said they've found companies selling pills that are labeled as dietary supplements and that claim to protect skin from the sun.