Saturday, April 21, 2018

Overcome exercise excuses

Although most people know that regular exercise is vital to good health, many find that it’s a hard habit to maintain. Just over half of adults in the United States meet the recommended advice to do moderate-intensity exercise (such as brisk walking) at least 30 minutes a day, five days a week.

Two of the main reasons people say they don’t exercise are 1) not having enough time, and 2) having joint pain, fatigue, or a chronic health condition. Even people who aren’t working full-time can still find it hard to make time for exercise. They may be caring for an ill spouse, taking care of their grandchildren, doing volunteer work, and filling their days with other pursuits. However, for some people in their 60s and 70s, reaching retirement age comes with a revelation.

“People wake up to the idea that exercise is a worthy thing to do. They make time for it because they realize it can help them enjoy a healthy life for as long as possible,” says Dr. Edward Phillips, assistant professor of physical medicine and rehabilitation at Harvard Medical School.

Practice piggybacking to get your exercise in

He encourages people to find creative ways to “piggyback” activity onto things you’re already doing regularly. One simple trick is to stand or walk every time you’re on the phone. Get earphones or a headset, which you can also use to listen to podcasts or audiobooks during a daily walk.

When you go shopping, don’t circle in your car looking for a spot near the store entrance — make it a habit to park far away. “You’ll get in some extra steps without spending much more time,” says Dr. Phillips, who also directs the Institute of Lifestyle Medicine at Spaulding Rehabilitation Hospital. If you can, walk or ride a bike to do your errands. Or park in a central location and walk to as many places as possible. “My 80-year-old mother-in-law does this and gets in nearly a mile’s worth of steps by walking to the post office, bank, and pharmacy rather than driving from place to place,” says Dr. Phillips.

You can even use toothbrushing time to get in a little balance exercise, as Dr. Phillips does. He uses an electric toothbrush that buzzes every 30 seconds, which prompts him to switch from standing on one leg to the other leg.

Think of the exercise guidelines as a goal to reach over time. If you haven’t been very active for a while, start slowly. Not sure you can commit to walking for 10 minutes at least four days of the week? Aim lower. Start with a goal of two days a week. When that becomes easy, add another day. Then start adding two more minutes to your walk, and then five minutes. Eventually, you’ll reach the goal of walking for 30 minutes, five days a week.

Exercising with physical limitations

Physical limitations from health conditions (especially arthritis) often make people reluctant to exercise. In fact, exercise nearly always makes you feel better, not worse — provided you make the right modifications, says Dr. Phillips. Do you have joint pain in your knees, hips, or ankles? Stick to non-weight-bearing exercises, such as swimming or doing water aerobics, or low-impact exercise, such as using an exercise bike or an elliptical machine.

Strengthening the muscles that support your joints can help ease pain. A physiatrist, physical therapist, or personal trainer experienced in working with people who have arthritis can help you choose and adapt activities that will work for you.


If you’ve never had a formal exercise program, or if you’ve allowed your exercise routine to lapse over the years because of illness, time pressures, or family obligations, check out Harvard Health Publishing’s online course Starting to Exercise. This program will help you create a safe, well-rounded exercise plan — one that fits your life and that you will be likely to stick with.

The post Overcome exercise excuses appeared first on Harvard Health Blog.



From: Julie Corliss https://www.health.harvard.edu/blog/overcome-exercise-excuses-2018042113685

"60 Minutes" report traces progression of Alzheimer's for 10 years

According to the Alzheimer's Association, every 65 seconds someone in the United States develops the disease. For a remarkable report airing on "60 Minutes" Sunday night, CBS News chief medical correspondent Dr. Jon LaPook followed one patient and her caregiver-husband for a decade to give an unprecedented look at the debilitating condition.

From: http://www.cbsnews.com/video/60-minutes-report-traces-progression-of-alzheimers-for-10-years/

Friday, April 20, 2018

Mayo Clinic Minute: Exercise helps prevent bone fractures and falls



From: Mayo Clinic https://www.youtube.com/watch?v=zC6KtAtjd1Q

Can Marijuana Be The Answer For Pain?

medical marijuana

As patients and doctors look for alternatives to addictive pain killers, many are turning to marijuana. While the plant is increasingly legal across the United States, research is limited into its effectiveness and potential side effects.



From: https://www.webmd.com/a-to-z-guides/news/20180420/can-marijuana-be-the-answer-for-pain?src=RSS_PUBLIC

Dog’s "cancer" turns out to be 4 chewed-up teddy bears

"We all know certain dogs​ enjoy chewing things they shouldn't but managing to devour four full teddy bears is quite a feat," the dog's vet said

From: http://www.cbsnews.com/news/dogs-cancer-turns-out-to-be-four-chewed-up-teddy-bears/

Wrist Device Shows Promise for Hand Tremors

Essential tremor affects upwards of 7 million Americans, according to the American Academy of Neurology. Its cause is unknown, and there is no cure.



From: https://www.webmd.com/healthy-aging/news/20180420/wrist-device-shows-promise-for-hand-tremors?src=RSS_PUBLIC

A Big Belly Bad for Your Heart

Those with a normal BMI (an estimate of overall body fat based on height and weight) but high levels of belly fat were about twice as likely to have a heart attack, procedures to open blocked arteries, or to die from heart problems during the follow-up than people without belly fat.



From: https://www.webmd.com/heart-disease/news/20180420/a-big-belly-bad-for-your-heart?src=RSS_PUBLIC

Apps accused of marketing plastic surgery to kids

More than 128,000 people have signed a petition asking app stores to remove the games or make them less appealing to children

From: http://www.cbsnews.com/news/controversial-apps-accused-of-marketing-plastic-surgery-to-kids/

Mission Impact: Letter from Barbara Byrd Keenan, CEO of The Endocrine Society

In the past year, we’ve worked with multiple other diabetes organizations to support all people living with and at risk for diabetes. In this edition of our Mission Impact letter, the Chief Executive Officer of The Endocrine Society shares her thoughts on why collaboration is so important:

Letter from Barbara Byrd Keenan, CEO of The Endocrine Society

I’ve greatly enjoyed the growing collaboration between the ADA and the Endocrine Society. I’m a firm believer that effective partnerships are the currency of 21st century success. And when I say effective partnerships I’m not talking about logo-slapping, where a collage of organizational logos gives the appearance of partnership, when maybe only one or two groups carried the load.

The ADA led a wonderful recent example of a successful collaboration. Last fall, the United States was beset by an unprecedented rapid succession of three very powerful hurricanes. The resulting damage, floodwaters, and power outages left many people with diabetes struggling to get the medication they desperately needed.

The ADA, JDRF, and Insulin for Life led the charge to meet this need, and more than that, they invited others to the table, including the Endocrine Society. We were grateful for the opportunity to contribute to the relief effort.

It’s clear to me that together we will accomplish so much more than we can individually. We share your passion to defeat diabetes as well as your sense of urgency. We understand that the problems we face are too big to solve on our own.

The diabetes epidemic continues to grow, and the endocrine workforce cannot keep pace. Because people with diabetes cannot always see an endocrinologist for treatment, they will be cared for by primary care and advanced care professionals, certified diabetes educators, nutritionists, and others.

How do we help ensure these groups have the education and training they want and need? I believe our collaboration can be an important part of the answer. Health care professionals benefit from a unified voice offering evidence-based guidance on the treatment of diabetes.

We’ve recently seen what happens when organizations disagree about effective treatment. The American College of Physicians (ACP) recently recommended blood glucose targets for A1C from 7 to 8 percent, which is not aligned with ADA’s recommendations. The waters were muddied, and health care providers and patients were left asking, “Who’s right?”

Each group with a concern about ACP’s guidance could have weighed in individually but the ADA invited the Endocrine Society, the American Association of Clinical Endocrinologists, and the American Association of Diabetes Educators to present a unified strong response. Because we were unified, our statement carried a greater gravitas, and the media took note of it with widespread coverage.

The disagreement with ACP strengthened my concerns about how we develop clinical practice guidelines. Currently each organization issues its own guidelines, but what if we worked closer together to present each guideline with that same gravitas that comes from unity? I think primary care providers and patients would love to know that our groups can offer unified guidelines that offer clear recommendations.

Effective collaborations are powerful, and I am eager to build them into our partnership. I read with great interest Dr. Felicia Hill-Briggs’s column in the previous issue of Mission Impact. She shared her passion about addressing health equity in diabetes by considering interventions based on social determinants of health. I found her column inspiring, and another example of a big issue that lends itself to partnering with others. We would love to join with you on this endeavor.

The ADA and the Endocrine Society share a passion to educate both providers and patients. We both advocate in the United States for greater access to health care and increased funding for diabetes research. And in the end, we both want to see diabetes defeated. I’d like to take our collaboration to the next level. On our own, we’ll each have our share of successes, but I have no doubt we are better together.

Barbara Byrd Keenan, FASAE, CAE
Chief Executive Officer
Endocrine Society



From: American Diabetes Association http://diabetesstopshere.org/2018/04/20/mission-impact-letter-from-barbara-byrd-keenan-ceo-of-the-endocrine-society/

Opioid Scripts Down, But Anti-Addiction Meds Up

pills and syringe on prescription

The number of people in the U.S. who received new prescriptions for medications to treat opioid addiction nearly doubled during 2017, from 42,000 to 82,000 per month.



From: https://www.webmd.com/mental-health/addiction/news/20180420/opioid-scripts-down-but-anti-addiction-meds-up?src=RSS_PUBLIC

How climate change is making allergy season worse

Warm weather is arriving up to 20 days earlier in some places; one study finds pollen counts have been rising every year since 2000

From: http://www.cbsnews.com/news/how-climate-change-could-be-making-your-allergies-worse/

Infectious Diseases A-Z: If you are over age 50, get your shingles vaccine



From: Mayo Clinic https://www.youtube.com/watch?v=8iPRmmJjRJ8

U.S. Better Able to Tackle Health Emergencies

While there were gains in two-thirds of states, there were also inequities. The highest-scoring state (Maryland, 8) was rated 25 percent higher than the lowest-scoring states (Alaska and Nevada, 6.4), according to the foundation's report, which was released Tuesday.



From: https://www.webmd.com/a-to-z-guides/news/20180420/us-better-able-to-tackle-health-emergencies?src=RSS_PUBLIC

Opioids Still Overprescribed After Surgery: Study

Overall, nearly two-thirds of opioids prescribed after surgery went unused by patients, the study found. These drugs wound up lingering in patients' homes, inviting abuse and the potential for addiction, Habermann said.



From: https://www.webmd.com/drug-medication/news/20180419/opioids-still-overprescribed-after-surgery-study?src=RSS_PUBLIC

Panel: FDA Should OK Marijuana-Based Epilepsy Drug

The committee recommended that Epidiolex, an oral solution, be approved for treatment of severe, early-onset forms of epilepsy in a small number of patients.



From: https://www.webmd.com/a-to-z-guides/news/20180419/panel-fda-should-ok-marijuana-based-epilepsy-drug?src=RSS_PUBLIC