Staying Healthy Archive

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Q. I'm 80 and no longer do colon cancer screening. However, I recently noticed some bleeding from my rectum. Does that change my need for a colonoscopy?

A. Screening for a disease means the person has no symptoms. Since you now have rectal bleeding, a colonoscopy would be considered not a screening test, but a diagnostic test. Whether you have it now or wait to see if more bleeding occurs depends upon many factors. The most important question is whether anything found on the colonoscopy will lead to treatment that improves your quality of life.

In the journals

If you have put off cataract surgery, consider this: the procedure could make you a safer driver, according to research presented in October 2019 at the Annual Meeting of the American Academy of Ophthalmology.

Cataracts, in which the lenses of the eyes become cloudy, are a normal part of aging. Vision changes due to cataracts occur slowly, so people often don't realize they have trouble seeing at night and struggle with depth perception. While cataract surgery is low-risk and effective, many people avoid it because they feel their cataracts don't interfere with their quality of life.

In the journals

People with high blood pressure may benefit from taking their antihypertension medication at bedtime instead of the morning, according to a study published online Oct. 22, 2019, by the European Heart Journal.

The researchers looked at about 19,000 people (most of them men) who took blood pressure medication. Participants took their daily dose either upon waking or before going to bed. Everyone's blood pressure was checked over 48 hours once a year for six years.

Exercises that promote strength and flexibility can help you improve your stance over time.

Chances are you do a lot to sabotage your posture during the course of an average day: reading a good book with your head down, sitting at a computer, or scrolling on your phone.

Activities like these can get your body in the habit of hunching or slouching. Over time this may lead to physical changes that make it harder to stand up straight and cause a curvature in your upper back, which doctors refer to as kyphosis.

Research we're watching

People who run — even in small amounts — are less likely to die during a given period compared with those who don't run, according to an analysis published online Nov. 4, 2019, by the British Journal of Sports Medicine. The benefit appears even among people who run for less than 50 minutes once a week, at speeds below 6 mph.

Researchers began their review of 14 studies, involving more than 200,000 people, in hopes of determining whether running can stave off deaths from heart disease, cancer, and other causes. They also sought to find out how much running people need to do to benefit. The studies tracked participants for periods ranging from five-and-a-half to 35 years. Over the course of these studies, 25,951 of the participants died. When comparing those people to those who lived until the end of the study, the researchers found that people who ran, no matter the amount, were 27% less likely than nonrunners to die from any cause during the study period. Runners also had a 30% lower death rate from cardiovascular disease and a 23% lower death rate from cancer. While running was linked with longer life and less disease in these studies, this doesn't necessarily prove that it was the running that actually caused better health. But the results suggest that lacing up those sneakers and going for a quick jog might improve your health.

Research we're watching

Need another reason to quit smoking? Smoking may increase your chances of developing schizophrenia or depression, says a study published Nov. 6, 2019, in Psychological Medicine. It's long been known that people with mental illness are more likely to smoke than those without mental illness. But no one ever looked at what came first — the smoking or the mental illness. Researchers decided to find out using a database containing data from more than 462,000 people, of whom 8% were current smokers and 22% former smokers. The team found that people who smoked not only had a higher risk of developing depression and schizophrenia, but that people with either conditions were also more likely to smoke (although the association was not as strong for schizophrenia). The bottom line: Smoking may be bad not only for your lungs, but also your mind.

Image: Zhang Rong/Getty Images

Research we're watching

People living in rural areas of the country appear to be more likely to die from preventable causes compared with people in more urban locations, says a CDC report. The report looked at deaths from 2010 to 2017 and found that people in rural locations were more likely to die from preventable conditions, including cancers and heart and respiratory diseases. In 2010, about 29% of cancer deaths in rural areas were potentially preventable, compared with 18% of cancer deaths in urban areas. In addition, 45% of heart disease deaths in rural locations were deemed preventable, compared with 24% of heart disease deaths in urban areas. The authors suggested several strategies to reduce disparities, including better screening programs and initiatives to encourage better eating and exercise habits, as well as smoking cessation.

Image: shaunl/Getty Images

Ask the doctor

Q. My family tends to be long-lived. I hear longevity is due to our DNA, and I also hear it's due to lifestyle. Which is it, and how do they make us live longer?

A. Both DNA and lifestyle can affect longevity, and they both do so in the same way: by altering our body chemistry. DNA controls the production of each of the natural chemicals in our body. It controls both the shape (and, hence, the effectiveness) of each chemical, and also controls how much of that chemical is made. So, it's not surprising that DNA could affect longevity. In the past 20 years, astonishing progress has been made in understanding the body chemistry that controls the aging process. And that knowledge has allowed scientists to extend the life of various animals through simple genetic manipulations.

Careful planning may help you avoid side effects.

It's always concerning when the doctor says you need a procedure that requires anesthesia. On top of worries about the procedure itself, you may wonder how you'll react to anesthesia, especially now that you're older. The answer is complicated.

Aging changes everyone's basic physiology. Anesthesia introduces some risk, but less so than the risk from underlying health conditions, the surgical procedure itself, and the care you receive after surgery," says Dr. Angela Bader, an anesthesiologist and founding director of the Weiner Center for Preoperative Evaluation at Harvard-affiliated Brigham and Women's Hospital.

The game requires agility and quick thinking. But it can leave you in a pickle if you overdo it or fall.

One of the fastest growing and popular sports among older adults is easy to play and lots of fun. But pickleball, with its funny name, comes with some serious risks. "It has a quick pace and a lot of stops, starts, and changes in direction that can lead to leg injuries and falls," says Clare Safran-Norton, clinical supervisor of rehabilitation services at Harvard-affiliated Brigham and Women's Hospital.

What is it?

Pickleball is a hybrid racquet sport that combines aspects of tennis, table tennis, and badminton. The game is played indoors or outdoors on a small court (20 feet by 44 feet, about the size of a badminton court) resembling the top of a giant Ping-Pong table. The net dividing the court is a few inches shorter than the net on a tennis court.