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Attitudes about sexuality and aging

Fantasies can help rev up your sex life. Myths, on the other hand, can stop desire dead in its tracks. Such myths aren't the legends from classical history. They're the stories we tell ourselves and each other to support the notion that older people shouldn't, can't, and wouldn't want to have sex. This type of myth, however, bears as little relationship to reality as do the fanciful sagas of ancient gods and goddesses. Here are some examples of the most popular sexual myths and the myth-busting truths.

1. The myth: Only the young are sexually attractive.

The culture we live in exalts youth. Turn on the TV or open a magazine and you'll be barraged with images of supple skin, firm flesh, and lustrous locks. But if your mirror is reflecting a different picture these days, you may feel like the party is going on without you.

What you need to know about calcium

Calcium is billed as the bone-building nutrient. But some experts argue that we should pay more attention to exercise and vitamin D.

Starting on your 51st birthday, current government guidelines say you're supposed to consume 1,200 milligrams (mg) of calcium daily. With advancing years, both men and women begin to experience a decline in the density of bones that makes them weaker and more likely to break. In essence, your bone becomes more porous, and calcium supposedly fills in the holes.

But the amount of calcium adults need continues to be debated. The critics say there's little evidence that high intake has more than a marginal effect on bone density and fracture prevention. They say exercise and reversing vitamin D deficiency are not promoted enough and are more important for bone health. Professor Walter Willett, chair of the nutrition department at the Harvard School of Public Health, is one of the leading lights in the critical camp.

Can vitamin C prevent a cold?

The nutrient appears to have modest prevention power.


Image: Wavebreakmedia Ltd/Thinkstock

Vitamin C is often touted as a natural cold remedy. The nutrient is featured in supplements promising to boost the immune system. Nobel laureate Dr. Linus Pauling famously claimed that taking large doses of vitamin C helps thwart a cold. Is there something to these claims? "The data show that vitamin C is only marginally beneficial when it comes to the common cold," says Dr. Bruce Bistrian, chief of clinical nutrition at Harvard-affiliated Beth Israel Deaconess Medical Center.

About vitamin C

Our bodies don't make vitamin C, but we need it for immune function, bone structure, iron absorption, and healthy skin. We get vitamin C from our diet, usually in citrus fruits, strawberries, green vegetables, and tomatoes. The Recommended Dietary Allowance for men is 90 milligrams (mg) per day, and for women, it's 75 mg per day.

Are cracking joints a sign of arthritis?

On call

Q. My knees have been cracking for a long time, but lately I've noticed my ankles and elbows sometimes crack and pop. Is this a sign of early arthritis?

A. The good news is that the usual painless joint cracking or popping does not represent an early form of arthritis, nor does it cause joint damage (despite what our mothers told us about cracking our knuckles). The cracking sound appears to come from tendons or muscles moving over the joint or from the popping of nitrogen bubbles normally found in the joint space.

Can you be overweight and still be fit?

Excess weight carries health risks. But how much is too much?


 Image: © FredFroese/Getty Images

The idea that someone can be "fat and fit" — that is, overweight but still healthy — has been around for some time. But don't be fooled.

"The latest science is quite clear that excess weight can carry considerable health risks, including a higher risk for heart attack and stroke," says Dr. Jorge Plutzky, director of preventive cardiology at Harvard-affiliated Brigham and Women's Hospital. "While there is no one-size-fits-all number when it comes to a person's ideal weight, men should not ignore significant weight gain and the implications it has for their future health."

Are you denying yourself medical care?

Fear of catching COVID-19 may keep you away from doctors' offices and emergency rooms. Will that hurt or help your health?

For many people, it's a daily debate: Do you risk getting COVID-19 by venturing outside your home and being around others — even if you wear a mask, observe social distancing, and use hand sanitizer? Or do you play it safe and stay inside? The answer is complicated, especially when the reason for leaving home is health-related.

People are understandably concerned about catching COVID while making a medical visit. But avoiding medical treatment because of this kind of thinking can be dangerous, and it appears to be taking a deadly toll.

Stop counting calories

Put the focus on food quality and healthy lifestyle practices to attain a healthy weight.

Most people have been taught that losing weight is a matter of simple math. Cut calories — specifically 3,500 calories, and you'll lose a pound. But as it turns out, experts are learning that this decades-old strategy is actually pretty misguided.

"This idea of 'a calorie in and a calorie out' when it comes to weight loss is not only antiquated, it's just wrong," says Dr. Fatima Cody Stanford, an obesity specialist and assistant professor of medicine and pediatrics at Harvard Medical School.

Reinvent your walking regimen

Switch the type of walking in your routine to stay motivated and active.

Putting one foot in front of the other is a simple way to trigger a cascade of health benefits. Regular brisk walks help lower LDL (bad) cholesterol; control blood sugar; and reduce the risk for high blood pressure, heart disease, stroke, and diabetes. Brisk walks also strengthen muscles, burn calories, and lift mood.

Just one problem: some people find walking boring. Boredom may diminish your motivation and interest in exercising. Before that happens, mix up your regimen with different types of walking that maximize physical, mental, and emotional health benefits.

Vaccination update

We don't yet have a vaccine to prevent COVID-19, but it's still important to get your regularly scheduled shots.

You're not alone if you're avoiding doctor visits because of concerns about COVID-19. But forgoing medical care means you may be skipping needed vaccinations. "That's a huge problem already. Possibly over a hundred million people the world over have missed their vaccinations because of the pandemic," says Dr. Shiv Pillai, an immunologist and professor of medicine at Harvard Medical School.

Going without vaccinations may increase your risk for illness, such as influenza. "We still are just as vulnerable to infection, and we need vaccines to be protected; COVID-19 doesn't change that," says Harvard Health Letter editor in chief Dr. Anthony Komaroff.

COVID-19 and flu season: What to expect

How can you protect yourself from both viruses?

With flu season here and the COVID-19 pandemic ongoing, what can people expect when these two illnesses meet?

It's anyone's guess.

"While we're in the midst of the COVID pandemic, there's a lot of uncertainty about what will happen when this collides with our yearly flu epidemic," says Dr. Mary Watson Montgomery, an infectious disease expert at Harvard-affiliated Brigham and Women's Hospital.

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