Staying Healthy Archive

Most people don't benefit from colonoscopies after age 75, but before stopping they should have a discussion with their doctor.

A test called a coronary artery calcium (CAC) scan uses a special type of x-ray to look for plaque in the arteries of the heart, which raises the risk of heart-related problems. While CAC scans can be valuable for detecting people at higher risk of heart problems from plaque buildup, this test isn't right for everyone. It's typically most useful for people who don't yet have symptoms of heart disease, but who do have some risk factors. Determining how much plaque is in the arteries can help guide decision making about preventive strategies. The test is less useful for people at very low or very high risk for heart disease.

Getting adequate sleep may help improve a person's gait, and catching up on short sleep may help people avoid walking problems usually caused by fatigue.

Two categories of shoulder injuries are particularly common among older adults: rotator cuff injuries and shoulder bone fractures. The key to warding off shoulder injuries is to keep the joints healthy, strong, and flexible. Many of the strategies to do this are the same ones that will reduce fall or fracture risk. Examples include weight-bearing activity, stretching, improving balance, and eating a healthy diet. Other strategies include strengthening the shoulder muscles, stretching the shoulders right before activity that requires shoulder power, and removing fall hazards from the home.

Increasingly, tests that measure C-reactive protein are marketed to health-conscious consumers as a way of determining if they have chronic inflammation. However, the test is just one piece of evidence and should be interpreted by one's doctor. Without that expertise, a customer might not understand what the CRP test result means, and as a result might suffer unnecessary anxiety or pursue unnecessary tests. It's best to talk to one's doctor before seeking tests that measure CRP levels.

Studies of contestants from the TV show The Biggest Loser found that due to changes in metabolism, people who have lost large amounts of weight have to follow an extremely low-calorie diet in order to maintain the weight loss. Subsequent research indicates that these metabolic changes are related to calorie restriction while weight is being lost, but later become a function of sustained physical activity.

There are other conditions besides arthritis that can make walking difficult and even painful, such as peripheral artery disease, chronic venous insufficiency, lumbar spinal stenosis, and diabetic neuropathy.