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HEALTH AFTER 50
What to Do When It's a Tough Act to Swallow by Health After 50. Most of us have experienced trouble swallowing, such as when we eat too fast. But if you regularly have difficulty initiating a swallow, take a long time to swallow, or cough or choke during the process, you mayhave a
BLOOD PRESSURE: THE TOP NUMBER A high systolic blood pressure (the top number) is a significant health concern, independent of diastolic blood pressure (the lower number). When systolic blood pressure is 140 or higher, but diastolic blood pressure is less than 90, the condition is called isolated systolic hypertension (ISH). This is the most common type ofhypertension in
ASK THE EXPERTS: SEX BEFORE PSA Avoiding ejaculation for 48 hours before a prostate-specific antigen (PSA) test is thus prudent. Otherwise, you may need to have the test repeated after abstaining if the result comes out elevated, causing unnecessary worry. PSA is a protein produced in the prostate gland and found at high concentration in semen. CALCIUM BEFORE BONE TEST? WELLNESS TIP by Berkeley Wellness. ADVERTISEMENT. If you’re scheduled to have a bone mineral density test that includes the spine, don’t take a calcium supplement beforehand. Many clinics as well as the American College of Radiology advise this because of concern that inadequately dissolved calcium in the intestines could be picked up by DEXA scansof
CEREBRAL SMALL VESSEL DISEASE: A HIDDEN HAZARD Cerebral small vessel disease is one of the most common neurological disorders of aging—nearly all of us develop some form of the disease as we get older. In 1999, the Rotterdam Scan Study found that of 1,077 people ages 60 to 90, more than 90 percent showed evidence of cerebral small vessel disease. A more recent study, published in 2017 in PARTIAL VS TOTAL KNEE REPLACEMENT: WHICH IS BETTER People with osteoarthritis who need a knee replacement may do just as well—or even better—with a partial replacement than a total replacement, according to a study published in The Lancet.. The large U.K. randomized clinical trial compared outcomes of 538 people (average age 65) who underwent knee replacements for osteoarthritis of the knee’s medial compartment—one of three SWITCHING ANTIDEPRESSANTS: WHAT TO EXPECT WHEN CROSS Cross-tapering: the slow transition. A common method of switching antidepressants is known as cross-tapering. This involves slowly decreasing, or tapering, the dose of your current antidepressant and simultaneously starting a new antidepressant, beginning with a low dose that is gradually increased, or titrated, until yoursymptomsimprove.
SYSTOLIC VS DIASTOLIC BLOOD PRESSURE: WHICH IS MORE Age and blood pressure. In 2017, the American College of Cardiology and American Heart Association updated blood pressure guidelines, which doctors use to diagnose and treat the condition, redefining high blood pressure to a lower threshold of 130 mmHg (millimeters of mercury) for systolic blood pressure and 80 mmHg for diastolic bloodpressure.
WHY IS MATERNAL MORTALITY SO HIGH IN THE U.S.? There is broad variation of maternal mortality by state, from a low of about six per 100,000 (California, Massachusetts) to a high of almost 41 per 100,000 (District of Columbia). This is probably due to a combination of things. The quality of care varies so greatly from site to site and I think partly that lower quality of care can be due to SHINGLES VACCINE: EVEN IF YOU NEVER HAD CHICKENPOX A. No. Even if they don’t remember having had chickenpox, they should still get the shingles vaccine—it wouldn’t give them chickenpox. There’s a new and improved shingles vaccine (Shingrix), which is approved for people ages 50 and over, even for those who received thefirst shingles vaccine (Zostavax). The CDC says thatdoctors need not
HEALTH AFTER 50
What to Do When It's a Tough Act to Swallow by Health After 50. Most of us have experienced trouble swallowing, such as when we eat too fast. But if you regularly have difficulty initiating a swallow, take a long time to swallow, or cough or choke during the process, you mayhave a
BLOOD PRESSURE: THE TOP NUMBER A high systolic blood pressure (the top number) is a significant health concern, independent of diastolic blood pressure (the lower number). When systolic blood pressure is 140 or higher, but diastolic blood pressure is less than 90, the condition is called isolated systolic hypertension (ISH). This is the most common type ofhypertension in
ASK THE EXPERTS: SEX BEFORE PSA Avoiding ejaculation for 48 hours before a prostate-specific antigen (PSA) test is thus prudent. Otherwise, you may need to have the test repeated after abstaining if the result comes out elevated, causing unnecessary worry. PSA is a protein produced in the prostate gland and found at high concentration in semen. CALCIUM BEFORE BONE TEST? WELLNESS TIP by Berkeley Wellness. ADVERTISEMENT. If you’re scheduled to have a bone mineral density test that includes the spine, don’t take a calcium supplement beforehand. Many clinics as well as the American College of Radiology advise this because of concern that inadequately dissolved calcium in the intestines could be picked up by DEXA scansof
CEREBRAL SMALL VESSEL DISEASE: A HIDDEN HAZARD Cerebral small vessel disease is one of the most common neurological disorders of aging—nearly all of us develop some form of the disease as we get older. In 1999, the Rotterdam Scan Study found that of 1,077 people ages 60 to 90, more than 90 percent showed evidence of cerebral small vessel disease. A more recent study, published in 2017 in PARTIAL VS TOTAL KNEE REPLACEMENT: WHICH IS BETTER People with osteoarthritis who need a knee replacement may do just as well—or even better—with a partial replacement than a total replacement, according to a study published in The Lancet.. The large U.K. randomized clinical trial compared outcomes of 538 people (average age 65) who underwent knee replacements for osteoarthritis of the knee’s medial compartment—one of three SWITCHING ANTIDEPRESSANTS: WHAT TO EXPECT WHEN CROSS Cross-tapering: the slow transition. A common method of switching antidepressants is known as cross-tapering. This involves slowly decreasing, or tapering, the dose of your current antidepressant and simultaneously starting a new antidepressant, beginning with a low dose that is gradually increased, or titrated, until yoursymptomsimprove.
SYSTOLIC VS DIASTOLIC BLOOD PRESSURE: WHICH IS MORE Age and blood pressure. In 2017, the American College of Cardiology and American Heart Association updated blood pressure guidelines, which doctors use to diagnose and treat the condition, redefining high blood pressure to a lower threshold of 130 mmHg (millimeters of mercury) for systolic blood pressure and 80 mmHg for diastolic bloodpressure.
WHY IS MATERNAL MORTALITY SO HIGH IN THE U.S.? There is broad variation of maternal mortality by state, from a low of about six per 100,000 (California, Massachusetts) to a high of almost 41 per 100,000 (District of Columbia). This is probably due to a combination of things. The quality of care varies so greatly from site to site and I think partly that lower quality of care can be due to SHINGLES VACCINE: EVEN IF YOU NEVER HAD CHICKENPOX A. No. Even if they don’t remember having had chickenpox, they should still get the shingles vaccine—it wouldn’t give them chickenpox. There’s a new and improved shingles vaccine (Shingrix), which is approved for people ages 50 and over, even for those who received thefirst shingles vaccine (Zostavax). The CDC says thatdoctors need not
LIFE BEFORE VACCINES: GROWING UP IN THE 1930S The first vaccine. People long knew that exposure to certain diseases made them immune; one could get certain illnesses only once. This was known about smallpox, which killed about 30 percent of those who caught it and often left facial scars on survivors.. In Asia, India, and Turkey, it was known that inoculation with smallpox scabs could lead to a mild disease that made one immune. BREATH TRAINING DEVICES: DO THEY WORK? The devices sell for anywhere from $25 to $600. The devices are meant to train the muscles involved in breathing—including the diaphragm and the intercostals (the muscles between the ribs)—using the principles of resistance training. That is, you inhale and exhale through the mouthpiece to work against resistance. CEREBRAL SMALL VESSEL DISEASE: A HIDDEN HAZARD Cerebral small vessel disease is one of the most common neurological disorders of aging—nearly all of us develop some form of the disease as we get older. In 1999, the Rotterdam Scan Study found that of 1,077 people ages 60 to 90, more than 90 percent showed evidence of cerebral small vessel disease. A more recent study, published in 2017 in THE PORTFOLIO DIET LOWERS BLOOD CHOLESTEROL It found that following the Portfolio Diet for four to 24 weeks, in conjunction with a low-saturated-fat diet, reduced LDL (“bad”) cholesterol by 27 percent compared to baseline—and compared to just 10 percent in people following low-saturated-fat “control” diets. That’s about as much as the starting dose of a lower-strengthstatin.
TREATMENT OPTIONS FOR LOW-GRADE PROSTATE CANCER Men with low-grade prostate cancer have four main options for treatment: active surveillance, radical prostatectomy, external beam radiation therapy, and brachytherapy.. In active surveillance, you forgo immediate treatment but are closely monitored for progression of the cancer. If the cancer progresses, you can decide at that point whether to have treatment. POTATOES AND CARDIOVASCULAR RISK Potatoes and Cardiovascular Risk. Many people think potatoes are an unhealtful food and fear they increase the risk of heart disease. Two studies from 2016 help clarify the issue. Potato intake is not associated with higher risk of heart attacks, stroke, or heart failure, according to a 13-year study of 69,000 Swedes, published inthe American
FLAXSEED BENEFITS FOR BLOOD PRESSURE Overall, flaxseed reduced systolic blood pressure (the top number) by nearly 3 points and diastolic (lower number) by more than 2 points, on average, with greater effects seen in trials that were 12 weeks or longer and, generally, for the seeds compared to the oil and lignan extracts. According to the researchers, the blood pressure benefits SYSTOLIC VS DIASTOLIC BLOOD PRESSURE: WHICH IS MORE Age and blood pressure. In 2017, the American College of Cardiology and American Heart Association updated blood pressure guidelines, which doctors use to diagnose and treat the condition, redefining high blood pressure to a lower threshold of 130 mmHg (millimeters of mercury) for systolic blood pressure and 80 mmHg for diastolic bloodpressure.
DO OLDER PEOPLE NEED LONGER EXERCISE RECOVERY? A: Yes, usually, but that shouldn't be a hindrance. Limited research and anecdotal reports suggest that with increasing age muscles tend to recover more slowly after a bout of exercise, whether it is strength or endurance training. Strenuous exercise can cause muscle damage, and it takes time for muscles to adapt and remodel—at any age. DEGENERATIVE MENISCAL TEARS: IS SURGERY THE BEST TREATMENT A growing body of evidence, however, has found little to no benefit for such surgery for most degenerative meniscal tears. In one recent study, published in February 2018 in the Annals of the Rheumatic Diseases, Finnish researchers reported that APM offers no benefit over sham (fake) surgery in relieving symptoms of knee locking. STRENGTH TRAINING FOR KNEE ARTHRITIS If you have osteoarthritis of the knee, do strength training, especially for your quadriceps, the muscles on the front of the thighs, which help extend the lower leg and stabilize the knee cap.. A new analysis of 15 studies, involving more than 8,000 people with (or at risk for) knee osteoarthritis, found that weak quadriceps were associated with worse symptoms and increased functional CEREBRAL SMALL VESSEL DISEASE: A HIDDEN HAZARD Cerebral small vessel disease is one of the most common neurological disorders of aging—nearly all of us develop some form of the disease as we get older. In 1999, the Rotterdam Scan Study found that of 1,077 people ages 60 to 90, more than 90 percent showed evidence of cerebral small vessel disease. A more recent study, published in 2017 in DO CALCIUM SUPPLEMENTS CAUSE DEPOSITS IN THE ARTERIES A: There’s no convincing evidence that the calcium you get from food or supplements increases calcium deposits (calcification) in plaque in coronary arteries and other blood vessels. Coronary calcification is a marker for increased cardiovascular risk. TREATMENT OPTIONS FOR LOW-GRADE PROSTATE CANCER Men with low-grade prostate cancer have four main options for treatment: active surveillance, radical prostatectomy, external beam radiation therapy, and brachytherapy.. In active surveillance, you forgo immediate treatment but are closely monitored for progression of the cancer. If the cancer progresses, you can decide at that point whether to have treatment. BLOOD PRESSURE: THE TOP NUMBER A high systolic blood pressure (the top number) is a significant health concern, independent of diastolic blood pressure (the lower number). When systolic blood pressure is 140 or higher, but diastolic blood pressure is less than 90, the condition is called isolated systolic hypertension (ISH). This is the most common type ofhypertension in
NICOTINAMIDE (VITAMIN B3) VS. SKIN CANCER Vitamin B3 vs. Skin Cancer. If you’ve had two or more nonmelanoma skin cancers (such as basal cell carcinoma or squamous cell carcinoma) in the past five years, ask your dermatologist about the advisability of taking a dietary supplement containing nicotinamide (also called niacinamide), a form of niacin (vitamin B3). It may help prevent skin MUSCLE PAIN FROM STATINS: HOW COMMON IS IT? The clearest risk from statins is muscle damage resulting in weakness, tenderness, or pain. These symptoms commonly occur in large muscles in the legs, chest, upper arms, shoulders, or lower back, but can occur elsewhere. Statin-related muscle inflammation and damage occur on a continuum. Most often the problem is mild and manifests itself as STRENGTH TRAINING FOR KNEE ARTHRITIS If you have osteoarthritis of the knee, do strength training, especially for your quadriceps, the muscles on the front of the thighs, which help extend the lower leg and stabilize the knee cap.. A new analysis of 15 studies, involving more than 8,000 people with (or at risk for) knee osteoarthritis, found that weak quadriceps were associated with worse symptoms and increased functional CEREBRAL SMALL VESSEL DISEASE: A HIDDEN HAZARD Cerebral small vessel disease is one of the most common neurological disorders of aging—nearly all of us develop some form of the disease as we get older. In 1999, the Rotterdam Scan Study found that of 1,077 people ages 60 to 90, more than 90 percent showed evidence of cerebral small vessel disease. A more recent study, published in 2017 in DO CALCIUM SUPPLEMENTS CAUSE DEPOSITS IN THE ARTERIES A: There’s no convincing evidence that the calcium you get from food or supplements increases calcium deposits (calcification) in plaque in coronary arteries and other blood vessels. Coronary calcification is a marker for increased cardiovascular risk. TREATMENT OPTIONS FOR LOW-GRADE PROSTATE CANCER Men with low-grade prostate cancer have four main options for treatment: active surveillance, radical prostatectomy, external beam radiation therapy, and brachytherapy.. In active surveillance, you forgo immediate treatment but are closely monitored for progression of the cancer. If the cancer progresses, you can decide at that point whether to have treatment. BLOOD PRESSURE: THE TOP NUMBER A high systolic blood pressure (the top number) is a significant health concern, independent of diastolic blood pressure (the lower number). When systolic blood pressure is 140 or higher, but diastolic blood pressure is less than 90, the condition is called isolated systolic hypertension (ISH). This is the most common type ofhypertension in
NICOTINAMIDE (VITAMIN B3) VS. SKIN CANCER Vitamin B3 vs. Skin Cancer. If you’ve had two or more nonmelanoma skin cancers (such as basal cell carcinoma or squamous cell carcinoma) in the past five years, ask your dermatologist about the advisability of taking a dietary supplement containing nicotinamide (also called niacinamide), a form of niacin (vitamin B3). It may help prevent skinHEALTH AFTER 50
Health News Asthma May Predict COPD by Health After 50. More than four in 10 middle-aged and older women with asthma go on to develop chronic obstructive pulmonary disease (COPD) as they age, according to aCanadian study.
BLOOD PRESSURE: THE TOP NUMBER A high systolic blood pressure (the top number) is a significant health concern, independent of diastolic blood pressure (the lower number). When systolic blood pressure is 140 or higher, but diastolic blood pressure is less than 90, the condition is called isolated systolic hypertension (ISH). This is the most common type ofhypertension in
WHICH VACCINES ARE ESSENTIAL? When: 9-12 years (2 or 3 doses given roughly 3 months apart) Why: To prevent cancer. Seriously. It is that simple. HPV is a very common virus, infecting one in four Americans, and it is an infection that can cause cervical, vaginal, vulvar, penile, anal and oral cancer.Each year, about 27,000 men and women are diagnosed with one of thesecancers.
KEEPING YOUR BALANCE AS YOU AGE Keeping Your Balance as You Age. by Berkeley Wellness. We all need balance in our lives. Literally. But having good balance is more complex than you may realize. It involves the integration of various sensory and motor systems, including: vision (to perceive direction and motion), the vestibular system in the inner ear (which monitorsmotion
WHEN DEPRESSION TREATMENT DOESN'T WORK Finding relief from depression is a long and arduous struggle for some people. Sagar V. Parikh, MD, who researches treatments for depression and bipolar disorder, answers questions about what to do when multiple depression treatments don't work. PARTIAL VS TOTAL KNEE REPLACEMENT: WHICH IS BETTER People with osteoarthritis who need a knee replacement may do just as well—or even better—with a partial replacement than a total replacement, according to a study published in The Lancet.. The large U.K. randomized clinical trial compared outcomes of 538 people (average age 65) who underwent knee replacements for osteoarthritis of the knee’s medial compartment—one of three DO OLDER PEOPLE NEED LONGER EXERCISE RECOVERY? A: Yes, usually, but that shouldn't be a hindrance. Limited research and anecdotal reports suggest that with increasing age muscles tend to recover more slowly after a bout of exercise, whether it is strength or endurance training. Strenuous exercise can cause muscle damage, and it takes time for muscles to adapt and remodel—at any age. HAD A COLD AND NOW YOU CAN'T SMELL ANYTHING? Q: I lost my sense of smell after a bad cold and it hasn't come back. Will it ever return? A: Possibly, but you should consult your health care provider to make sure this wasn't caused by something other than the cold. Total loss of smell (anosmia) or partial loss (hyposmia) often occurs during or after a bad cold or other upper respiratory tract infection (URI). ARE CALCIUM SUPPLEMENTS FROM ALGAE BETTER A: We’ve seen no good research to support the claims. Several pricey calcium supplements get the mineral from marine algae— that is, seaweed. Many questionable claims are made about the superior absorption and efficacy of these supplements for bone health. Their basic message is that “plant calcium” is better (“more bodyfriendly
COMMON EYE PROBLEMS: STYE VS CHALAZION If you develop a lump on your eyelid, you may think it’s a stye. And while it might well be, there’s a good chance it’s actually a different problem called a chalazion. Here's how to tell the difference and how to treat—and prevent—them both. This website stores data such as cookies to enable necessary site functionality, including analytics, targeting, and personalization. By remaining on this website you indicate your consent. Data StoragePolicy
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PILATES: MORE FOR THE CORE BY BERKELEY WELLNESS This movement-based exercise technique was originally developed for dancers nearly a century ago. Pilates not only increases core strength and stability but also range of motion, flexibility, and musclebalance.
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IS FLUORIDE SAFE?
BY KENG LAM, MD
Researchers caused a stir when they suggested that fluoride—a chemical used in toothpaste and added to the public water supply in much of the U.S. to help prevent dental cavities—may impair brain development in children. But don't swear off tap water and toothpaste just yet: The overwhelming evidence shows that the benefits of fluoride far outweigh the risks, especially for kids.*
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SUNFLOWER SEEDS: VITAMIN E WITH A CRUNCH BY BERKELEY WELLNESS Sunflower seeds supply folate, iron, manganese, selenium, vitamin B6, zinc, protein, and fiber, as well as essential linoleic acid.*
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