Vitamins, minerals & supplements Archive

Some plastic bottles, food containers, and linings of cans contain bisphenol A (BPA), a chemical that's been under close scrutiny because of its potential effects on human health. Most Americans have traces of BPA in their urine, and some research hints of a possible link between BPA exposure and cardiovascular disease. Now, a study in the September 2014 Hypertension finds that BPA exposure from cans may raise blood pressure.

Sixty older adults drank two servings of soymilk provided one of three ways: in two glass bottles (providing the least BPA), two cans (most BPA), or one glass bottle and one can. Two hours after participants drank from the cans, their urinary BPA levels were much higher than after they drank from two glass bottles. And their systolic blood pressure (the first number in a blood pressure reading) was roughly 4.5 mm Hg higher after two cans versus two glass bottles.

The proper role of fat in diet is not that complicated.

Atkins, South Beach, paleo, high-protein, low-carb, gluten-free—the march of the media darlings of dieting never ceases, along with the scientific controversy over which one works best. But for many health-conscious men, maintaining a lean physique isn't the only consideration when making dining decisions. What diet protects you best from heart disease and stroke?

Simple strategies can help you regain control.

As men age, the simple act of urinating can get complicated. Prostate surgery often leaves men vulnerable to leakage when they cough, sneeze, or just rise from a chair. Or the bladder may become impatient, suddenly demanding that you find a bathroom right now. "Thousands of years ago, it was not as much of an issue," observes Dr. Anurag Das, a urologist at Harvard-affiliated Beth Israel Deaconess Medical Center. "There were lots of trees, and you could just find one and go."

But tricky bladders can be whipped into shape. The first step is a careful assessment of what triggers those difficult moments. Then your doctor can suggest helpful strategies and possibly medication to improve urinary control.

Q. My doctor recently put me on Tenormin because my blood pressure was getting high. Now, when I run or row, I can't get my heart rate much above 115 beats per minute even though my peak heart rate should be 136. Is the beta blocker keeping me from getting the full benefit of exercise?

A. Although your heart now beats more slowly when you run and row, rest assured that your heart, arteries, lungs, muscles, and the rest of you are getting the full benefit of exercise.

Q. I took a low dose of the antidepressant desipramine for more than two years for chronic pain. Once I started physical therapy, my pain improved so much that I quickly tapered off the medication. I have been off of it for a month now, but am still experiencing "discontinuation symptoms." I can't sleep well and feel a little dizzy. What can I do for this?

A. It can be liberating to realize that you no longer need to take a medication. However, sometimes you can't just throw your pills away. There are many medications (both psychoactive and otherwise) that require you to taper off slowly when it's time to stop them. Stopping such a medication too quickly will cause what are called rebound side effects. Desipramine (Norpramin) is a tricyclic antidepressant, one of the drug categories that require a slow taper.

The Mediterranean diet consistently has been linked with an array of health benefits, including decreased risk of heart disease, diabetes, dementia, and cancer. In a study published online Dec. 2, 2014, by the medical journal BMJ, researchers at Harvard-affiliated Brigham and Women's Hospital linked the Mediterranean diet to longer life as well. The researchers analyzed information from 4,676 healthy women in the Nurses' Health Study who had completed a food questionnaire and whose telomere lengths had been measured. (Telomeres are repetitive DNA sequences at the ends of chromosomes that get shorter every time a cell divides, and thus are markers of cell aging.) They found that a greater adherence to the Mediterranean diet was associated with longer telomeres, and that even small changes in diet made a difference. In effect, the women who had followed the Mediterranean diet were biologically younger than those who hadn't.

The Mediterranean diet is rich in fruits, vegetables, whole grains, olive oil, nuts, seeds, beans, and legumes. Animal protein is furnished by seafood and moderate amounts of poultry, eggs, and dairy. Red meat and sweets are considered occasional treats. This study gives another reason to follow this healthy—and tasty—eating plan.

Give your body protection with fiber, good fats, whole grains, and omega-3s.

Inflammation is the body's response to an infection, injury, or some other stimulus that the body perceives as harmful. It can be helpful at first, but over time chronic inflammation can damage tissue, joints, artery walls, and organs. Fortunately, there are many healthy foods that can help lower inflammation in the body. "We focus on increasing fiber, whole grains, good fats, and omega-3s," says Debbie Krivitsky, director of clinical nutrition at the Cardiovascular Disease Prevention Center at Massachusetts General Hospital.

Be mindful of risks for fracture, low B12, and a spike in stomach acid.

Proton-pump inhibitors (PPIs) help treat symptoms of heartburn, but these powerful medications also carry their share of risks. "The risks are for long-term use," says Dr. Jacqueline Wolf, a Harvard Medical School associate professor. "Three months of use should be okay, but if someone needs a PPI longer than that, a doctor should be supervising use."

We often write in these pages that the Mediterranean diet is good for your heart and brain. Now it appears that the Mediterranean diet may also help protect your telomeres, according to a Harvard study published in the Dec. 2, 2014, BMJ. Telomeres sit at the ends of your chromosomes and help protect the ends from fraying. Telomere length is considered to be a biomarker of aging: shorter telomeres are associated with a lower life expectancy and higher rates of developing chronic diseases. After analyzing the detailed food questionnaires and telomere measurements of more than 4,600 women, Harvard researchers concluded that a greater adherence to the Mediterranean diet was associated with longer telomeres, and that even small changes in diet made a difference. The Mediterranean diet is rich in olive oil, fruits, vegetables, nuts, and fish; minimizes red meats and processed meats; and includes a moderate amount of cheese and wine.