Exercise & Fitness Archive

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Ask the doctor: I fractured my hip three years ago, but my leg still hurts when I exercise. Should I stop exercising?

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Q. I'm a 78-year-old athlete and dancer. Three years ago, I broke my hip. After it was repaired I completed extensive physical therapy. Since then, I've been working out at a gym using the treadmill, stationary bicycle, and rowing machine. But I still have tremendous pain in my thigh. Should I stop exercising? It helps me control my weight and blood pressure.

A. I applaud you for persisting with your exercise. You're not only keeping your weight and blood pressure down but you're also building stronger bones to help prevent fractures in the future.

6 ways to use your mind to control pain

Meditation with guided imagery, which often involves imagining yourself in a restful environment, may reduce your need for pain medication.

Relaxation, meditation, positive thinking, and other mind-body techniques can help reduce your need for pain medication.

Drugs are very good at getting rid of pain, but they often have unpleasant, and even serious, side effects when used for a long time. If you have backache, fibromyalgia, arthritis, or other chronic pain that interferes with your daily life, you may be looking for a way to relieve discomfort that doesn't involve drugs. Some age-old techniques—including meditation and yoga—as well as newer variations may help reduce your need for pain medication.

Why do women fall?

It's well known that women fall more often than men, but why is that so? A team of Canadian researchers tackled that question by looking for factors that tend to put women at higher risk than men for spills.

The researchers studied around 15,000 adults ages 65 and older who were enrolled in the Canadian Community Health Survey–Healthy Aging. All the participants were asked if they had suffered a fall serious enough to limit their normal activity. People who answered "yes" were then queried about their lifestyles and medical histories. When the researchers analyzed the answers, they determined that stroke, arthritis, and poor nutrition increased the risk of falls in both men and women. However, different risk factors were linked to falls for women, including being 85 or older, having at least one alcoholic drink a week, taking five or more medications, and having diabetes or osteoporosis. The findings were reported online Feb. 19, 2015, by the American Journal of Epidemiology.

Ask the doctor: Why am I getting shorter?

After age 40, people lose about half an inch in height with each decade, mainly in the spine.

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Q. Why do people over 60 lose height? I've lost a few inches over the years. Can this be prevented?

Don't just sit there

Stop sitting during TV commercial breaks. Jump up off the couch, and use the time to exercise.

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Easy ways to increase activity and cut down on sedentary time.

Healthy lifestyle protects women against heart disease

It's no secret that healthy living can reduce your risk for developing heart disease. But ever wonder how much it may help? Up to 92%, suggests a study published Jan. 6, 2015, in the Journal of the American College of Cardiology. It evaluated health habits of 70,000 young and middle-aged women during a 20-year period. The habits included not smoking; exercising for at least 2.5 hours each week; watching TV for fewer than seven hours a week; consuming a diet rich in vegetables, legumes, and whole grains but low in red meat, refined grains, and sugar; consuming no more than one alcoholic drink daily; and having a body mass index in the normal range. Compared with women who had none of those habits, women with all six reduced their risk of developing heart disease by 92%. Why do those habits provide so much protection against heart disease? "Limiting TV watching frees up time for exercise, and the other activities are known to reduce blood pressure, LDL cholesterol, and blood sugar, which reduce the three major risk factors for heart disease—hypertension, high levels of cholesterol and triglycerides, and diabetes," says Dr. Randall Zusman, a cardiologist and Harvard Medical School associate professor. And even though the study involved young and middle-aged women, Dr. Zusman reminds us that it's never too late to adopt a healthy lifestyle.

Image: Thinkstock

Ask the doctor: High-elevation hiking with heart attack history?

Acclimate before hiking at high elevations.

Q. I had a mild heart attack a few years ago but am now feeling fine. I'm planning a trip to Colorado. Is it safe for me to hike at high elevations?

A. If you're feeling well and don't have any cardiovascular symptoms, hiking in the Rocky Mountains should probably be fine, though you should check with your cardiologist first. Doctors used to advise people with cardiovascular conditions—even just high blood pressure—not to spend time at high altitudes. But there wasn't much evidence behind that recommendation. Now, there's a general consensus that ascending up to 12,000 feet should be fine for most people with heart disease. Exceptions include people with unstable cardiac disease, heart failure, or severe lung disease, such as pulmonary hypertension.

Battling breathlessness

Advanced cardiopulmonary testing can often help diagnose less common causes of breathlessness.

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Hidden causes of shortness of breath can make the problem tricky to treat.

The downside of too much sitting

During the day, make an effort to stand rather than sit, when possible.

Standing up more throughout the day may help you dodge heart disease and live longer.

Weight-loss drugs and your heart

Weight-loss drugs aren't for people hoping to lose just a few pounds.

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Some first-generation diet pills proved risky to the heart. New drugs may have expanded the options for treating obesity.

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