Sleep Archive

Work with your body, not against it, for long-term weight maintenance.

For many people, their New Year's resolutions include some sort of weight-loss goal. However, while extra pounds often come off, evidence shows they rarely stay off. Among overweight or obese people who are able to lose 10% of their body weight, just one in six is able to maintain the weight loss for at least a year.

Experts say it's not surprising that weight loss rarely sticks, considering what they now know about how the body works. "Most people believe that obesity is caused by overeating, while we now recognize that the main driver of obesity is one or more disruptions in the body's normal regulation of the amount of fat we maintain," says Dr. Lee Kaplan, an associate professor of medicine at Harvard Medical School and director of the Obesity, Metabolism, and Nutrition Institute at Massachusetts General Hospital.

Learn when, how, and why you should keep track of your heartbeat.

Soon after you wake up tomorrow morning, before you even sit up in bed, take your pulse. It's fairly easy if you have a clock or timer nearby (see "Measuring your heart rate"). Known as your resting heart rate, this value ranges from 60 to 100 beats per minute in most adults.

"To get a good sense of your resting heart rate, check it every few mornings over the course of several weeks," advises cardiologist Dr. Aaron Baggish, director of the Cardiovascular Performance Program at Harvard-affiliated Massachusetts General Hospital. It's best to measure your resting heart rate when you've been getting your typical amount of sleep and exercise and aren't feeling ill or dehydrated.

No matter what your age, you can improve your fitness.

If it's been a long time since you've exercised and you're feeling less than fit, you might think that it's too late to make a change. But you're wrong. You can improve your fitness at any age.

"The stories in this area are actually very dramatic. Even people 100 years old or older can build muscle strength," says Dr. Edward Phillips, assistant professor of physical medicine and rehabilitation at Harvard Medical School.

News briefs

Drinking coffee or green tea is associated with many health benefits, such as better cardiovascular health, lower inflammation levels, and a reduced risk for developing chronic disease. Now, a study published online Oct. 20, 2020, by BMJ Open Diabetes Research & Care suggests tea and coffee consumption are also linked to a reduced risk for early death among people with diabetes. Researchers evaluated the health and self-reported lifestyle habits — including diet — of about 5,000 people in Japan over five years. Compared with people who didn't drink any coffee or green tea, people who drank the most had much lower risks of premature death from any cause: about 40% lower for people who drank either two cups of coffee or four cups of tea per day; and 63% lower for people who drank both four cups of tea plus two cups of coffee per day. The study is only observational and doesn't prove that the drinks keep people alive longer. But we know coffee and tea contain powerful plant compounds with anti-inflammatory and antioxidant properties that are good for health.

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News briefs

Getting enough vitamins through diet (or a multivitamin, if necessary) is one of the best ways to bolster your immune system. And you may wonder if vitamins can also ward off colds and other respiratory conditions. An observational study published Oct. 27, 2020, by BMJ Nutrition Prevention & Health offers encouraging news. Researchers evaluated the self-reported diet information of more than 6,000 British adults over eight years. People who reported the highest intakes of vitamins A and E from both diet and supplements, and high intake of vitamin D just from supplements, had the fewest complaints of respiratory illness, such as colds, asthma, and chronic obstructive pulmonary disease. The study doesn't prove that these vitamins prevented respiratory problems, but other studies have linked them to lower risks for respiratory disease. Vitamins are most effective when they come from diet. Good sources of vitamin A include liver; whole milk; cheese; carrots; and dark, leafy greens. Good sources of vitamin E include vegetable oils, nuts, and seeds. It's difficult to get enough vitamin D from food (such as fish or fortified milk), so taking 1,000 IU of vitamin D₃ provides some insurance.

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Research we're watching

Cosmetic procedures, including injection of neurotoxins (like Botox) and dermal fillers, have become very popular for their power to smooth wrinkles and minimize signs of aging. But the American Academy of Dermatology is warning that these procedures are not for DIYers. An article published in the April 2020 issue of the Journal of the American Academy of Dermatology outlined an uptick in the number of illegal injectable fillers and neurotoxins being sold to the public online. When used by trained providers, these products are generally safe, but serious complications can arise, including stroke, infections, blindness, and tissue death. In rare cases, improper use leads to fatal complications. Some people have been purchasing these products online and following Internet tutorials to inject the products themselves. If you are planning on having any of these treatments, be certain to have the procedure performed in a medical office by a licensed medical professional.

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On call

Q. I eat plenty of fruits and vegetables, but are whole grains also important?

A. Fruits and vegetables seem to get top billing on the healthy food list, but I put whole grains right up there. There are two types of grain: whole and refined. All grains grow as kernels, and each kernel has three layers:

Research we're watching

Good news if you take a more leisurely approach to your workouts: a recent study found that people who performed harder workouts didn't live any longer, on average, when compared with people who did more moderate workouts. Researchers studied a group of people in Norway who participated in five years of supervised exercise training. The participants included 790 women and 777 men (with an average age of 73), divided into three groups. Everyone followed federal recommendations to get 30 minutes of moderate exercise on most days of the week. But in addition to that, one group received two supervised weekly sessions of high-intensity interval training. A second group added two supervised moderate-intensity continuous training workouts per week. All three groups continued their assigned workouts for five years.

At the conclusion of the trial, 4.6% of the participants had died, but there was no significant difference in death rates between the group that followed the modest federal exercise recommendations and the two groups that did the more intense workouts. In addition, all groups had similar levels of cardiovascular disease and deaths from cancer. However, that's not to say that participating in regular high-intensity workouts wasn't linked to any benefits. The participants who did the harder workouts had better outcomes on certain measures of mental health and physical fitness.

People looking for new ways to strengthen their core can try walk-and-carry exercises, also known as "loaded carries," where they hold weights like dumbbells or kettlebells while walking. This type of movement teaches how to brace the core, which engages much of the entire core musculature, including your shoulders, back, and hips.

Schedule shifts can hurt your health. The New Year is a great time to hit the reset button.

Throughout most of human history, the pattern of daily life was regular. Dreary for many, but regular. In recent centuries, "modern" life has introduced many irregularities, including changing work schedules. Advances in information technology mean that many of us are always connected — and that we spend time connecting at all hours. And the COVID-19 pandemic has introduced whole new irregularities into daily life.

One thing is certain: "When your schedule changes, you can lose the regular self-care routines that kept you active, eating right, and managing stress — things we need to control weight and inflammation and fight disease," says Dr. Monique Tello, a primary care physician and healthy lifestyle specialist with Harvard-affiliated Massachusetts General Hospital.