Sleep Archive

Ask the doctors

Q. I'm considering using a telemedicine provider. Is there anything I should be aware of before I make my appointment?

A. The good news is that insurance coverage has expanded recently, due to the COVID-19 pandemic, which has allowed many people to access telehealth services who weren't able to in the past. Telehealth services can take many forms, from live video consultations to remote patient monitoring. But you should use some caution when taking advantage of these services to ensure that your privacy is protected.

There are plenty of ways to exercise when you're indoors.

When your gym is closed and exercising outdoors isn't an option, it's tempting to focus on a couch routine, working out your thumb on the TV remote. But exercising is a crucial way to keep your immune system healthy, boost your mood, and stave off chronic illness. And there are many options to keep exercising, even when you're stuck indoors.

Aerobic workouts

Aerobic activity often requires lots of space, but it doesn't have to. "Just stepping in place is a simple and effective workout," notes Harvard fitness expert and certified fitness instructor Michele Stanten.

Moving more doesn't have to be a drag.

Many people don't look forward to their daily workout so much as they look forward to getting through it. "Exercise is often a very negative term," says Dr. Edward Phillips, assistant professor of physical medicine and rehabilitation at Harvard Medical School. "People hear it as something they have to do. It becomes another thing on the list, and when they don't do it, they feel even worse."

If this sounds like you, it may be time to reframe your workouts. Exercise should feel like a gift, not a chore, says Dr. Phillips. Sound like a lofty goal? The first step toward achieving it is to change your thinking. Stop calling it exercise, he suggests; start referring to it as physical activity, and a whole new world of options will open up.

News briefs

Drinking coffee is linked to many health benefits, such as less weight gain, lower average daily blood pressure, and a reduced risk for diabetes and cardiovascular disease. But which brewing method will help you get the most from your cup? A study published online April 22, 2020, by the European Journal of Preventive Cardiology found that filtering coffee (for example, with a paper filter) — not just boiling ground coffee beans and drinking the water — was better for health, particularly for older people. Researchers analyzed the survey responses of more than 500,000 healthy coffee drinkers (ages 20 to 79) who were followed for about 20 years. People younger than 60 who drank one to four cups of coffee, particularly filtered coffee, had lower rates of artery disease and death. The lower rate of death with filtered coffee drinkers persisted in people ages 60 or older, but was lost in people who drank five or more cups per day. The study is observational and doesn't prove that filtered coffee is healthier than unfiltered coffee, but it makes sense. Unfiltered coffee contains diterpenes, compounds that can raise cholesterol, and researchers say a cup of unfiltered coffee contains 30 times more diterpenes than a cup of filtered coffee. So use that coffee filter, save the French press or Turkish unfiltered coffee for rare occasions, and consider limiting your coffee intake to less than five cups per day, on average.

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Obstructive sleep apnea affects an estimated 20% of the population, and if untreated it has negative effects on cardiac and metabolic health as well as quality of life. If the condition is moderate or severe, a CPAP machine is the first-line treatment, but there is less consensus about treatment of mild OSA.