Women's Health Archive

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Ask the doctor: Which supplements do I need?

Q. There seems to be agreement that supplements are worthless in supporting good health. I've been taking a multivitamin for older women for many years. I also take a calcium supplement since I am lactose intolerant. Should I discontinue the multivitamin, the calcium, or both?

A. You are definitely right about the recent consensus that most supplements, and certainly multivitamins, provide very little, if any, benefit to our health. So yes, stop taking the multivitamin. A far more important strategy to maintain good health is eating a diet containing lots of vegetables, fruit, whole grains, unsaturated fats, and small amounts of protein. Our bodies were designed to absorb nutrients from food, and that continues to be the best way to get them in our systems.

How you can drive safely at night

Changes in the aging eye may alter your night vision, but a few strategies can help you take to the road with confidence.

If you're over 50, you may be wondering if you should restrict your driving to the daylight hours. You may have read that your night vision declines at this age, or you may have noticed a little difficulty seeing in dim light. You may find glare from headlights bothersome.

Healthy travel: Don't let this common hazard spoil your best-laid plans

Long road trips also carry a risk of deep-vein thrombosis. Take a break to stretch your legs every hour or so.

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Long trips come with an increased risk of blood clots deep in the leg veins, which can have serious complications.

Pelvic organ prolapse: You're not alone

Exchanging information with friends is one way to remove the stigma of pelvic organ prolapse.

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Few women realize how common pelvic prolapse is—and how easily treated. Here are five things you should know.

Full bladder wakes women more often than thought

Two in three women over age 40 wake up at least once each night because of a full bladder, and nearly half make two or more nighttime trips to the bathroom. But only a quarter of women who get up to urinate during the night say they are bothered by having to do so.

That's the finding from a survey of more than 2,000 northern California women ages 40 and older. Factors that increased the likelihood that a woman woke at night to urinate included older age, past hysterectomy, hot flashes, and use of vaginal estrogen. However, the late-night bathroom breaks weren't caused by an overactive bladder or stress incontinence. The results were published in the January 2015 issue of the journal Obstetrics and Gynecology.

Feeling younger may mean living longer

Claiming to feel younger than your age isn't just whistling into the wind. It can also mean you have more years ahead than some of your former classmates. According to a report in the Dec. 15, 2014, issue of JAMA Internal Medicine, older people who felt three or more years younger than their chronological age had a lower death rate compared with those who felt their age or older.

Two researchers at University College London looked at the responses of about 6,500 men and women with an average age of 65 who answered the question, "How old do you feel you are?" About 70% reported that they felt three or more years younger than their years, while 25% felt close to their age, and 5% felt more than one year older than they were.

Stay a step ahead of urinary tract infections

Drink plenty of fluids to help flush out bacteria in the urinary tract. Drink enough each day so that your urine is almost clear in color.

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Keep hydrated, and empty your bladder often to stave off these risky infections.

How to preserve your posture

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You don't have to develop the stoop and "dowager's hump" that were once thought to be inevitable consequences of aging.

If you're over 50, the odds that you'll experience a major fracture because of osteoporosis are one in two. Although osteoporosis increases the risk of fractures in every bone of the body, the spinal bones (vertebrae) are particularly vulnerable. For women with osteoporosis, as little as a cough or a sudden movement can cause a compression fracture, creating pain and potential deformity.

Women over 70 may be getting unneeded radiation for breast cancer treatment

Although research suggests that women over 70 with early-stage breast cancer can skip radiation treatment, nearly two-thirds of women in that age group continue to receive it, according to findings published online Dec. 2, 2014, by the journal Cancer.

Researchers from Duke University sought to determine whether evidence from a large, randomized clinical trial published in 2004 had influenced treatment for early breast cancer. That study showed that adding radiation therapy to surgery plus tamoxifen does not reduce five-year recurrence rates or prolong survival in older women with early-stage tumors.

Study links Mediterranean diet to longevity in women

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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.

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