Staying Healthy Archive

Q. My doctor, an internist, just retired, and my health plan is asking me to designate a new primary care physician. I'm 75. Would there be advantages to choosing a geriatrician as my new doctor?

A. First, a disclaimer: I am a geriatrician. So my short answer is, "Yes, of course!" But my reasoned, unbiased answer would be, "It depends." If you are a generally healthy 75-year-old woman, a family physician or internist will be able to take excellent care of you. Geriatricians are trained to care for older adults with complex illnesses and are expert in managing the care of people who are frail. Improving your ability to function, and the quality of your life, are the guiding principles of geriatric medicine. We are expert at managing complexity and uncertainty, working with families, and caring for people with serious illnesses who are approaching the end of life. A geriatrician would be a good choice if you have physical or cognitive impairment, if you take a lot of medications, or if your friends and family are involved in your medical care. For people who have several medical problems, we emphasize the role of patient and family preference in making medical decisions, with the patient's goals as our primary focus.

Better support for your spine is key in avoiding neck ache.

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.

Using an iPad or other backlit electronic tablet in the hours before bedtime not only prevents you from falling asleep, it may also affect your alertness the next day, according to a report published in the Proceedings of the National Academy of Sciences, Dec. 22, 2014. Researchers at Harvard-affiliated Brigham and Women's Hospital found that the light emitted by the devices reset the body's circadian clock, which synchronizes the daily rhythm of sleep to daylight. As a result, people reading e-books took longer to fall asleep and were less alert the next morning than when they read print books instead.

During the two-week study, 12 men and women read digital books on an iPad for four hours before bedtime each night for five consecutive nights. They also followed the same routine using printed books. When they read the iPad, participants were less sleepy before bedtime but were less alert the following morning, even after eight hours of sleep.

Comprehensive exams and preventive care are the keys to eye health.

Q. Do the protective effects of alcohol extend to dessert wines and liqueurs, or do those have too much sugar?

Exercise, eat a healthy diet, and manage blood pressure and cholesterol to lower your odds.

Learn which ingredients will give your day a healthy start.

Grocery store shelves are filled with dozens of breakfast cereals all promising important health benefits. But how do you know if you're getting what you need? "Labels and marketing promises on boxes can be confusing. It's best to go cereal shopping with a plan," says Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital. She advises that you complement cereal with milk for protein and calcium and with fresh fruit for natural sweetness and some fiber. Don't worry if the cereal is organic or not. But do read ingredient lists carefully, and aim for the following markers of good nutrition.

Adding medications to foods and trying new swallowing techniques can help.

Swallowing pills can be difficult and downright unpleasant. It causes one in three people to gag, vomit, or choke. That may keep people from sticking to their medication routines, which can make them sicker. "We often see people who can swallow food and liquid just fine, but have difficulty with pills," says Denise Ambrosi, director of the Speech-Language Pathology Department at Harvard-affiliated Spaulding Rehabilitation Hospital.

Aerobic exercise is not enough to fight belly fat, according to researchers at the Harvard School of Public Health. They say that weight training is also key to fighting the battle of the bulge. Researchers analyzed physical activity, weight, and waist circumference data for more than 10,000 men ages 40 and older, and found that healthy men who did 20 minutes of daily weight training had less of an increase in age-related abdominal fat compared with men who spent the same amount of time doing aerobic activities. Aerobic exercise alone was associated with less weight gain compared with weight training. The best results came from combining weight training and aerobic activity. The findings were published online Dec. 22, 2014, in Obesity. "Engaging in weight training or, ideally, combining it with aerobic exercise could help older adults lessen abdominal fat while increasing or preserving muscle mass," says Dr. Rania Mekary, the study's lead author and a researcher in Harvard's Department of Nutrition.

Abdominal fat is linked to heart disease, diabetes, bone loss, and decreased bone strength. You can fight back by aiming for the recommended 150 minutes of moderate-intensity exercise per week and starting a weight-training program if your doctor approves.