Caregiving Archive

Some trends are high-tech, and some go back to basics.

One of the best ways to sustain an exercise regimen is to find an activity that appeals to you. And four new exercise trends may pique your interest. They're not age-specific and most can be tailored to your needs. But they do have pros and cons.

1. Circuit training

When people talk about circuit training in 2020, they're probably not referring to working out on a series of weight machines. Today's circuit consists of a series of exercises, set up at separate "stations" in various parts of a large exercise room. "The exercises focus on agility, balance, or strength, and they alternate between upper- and lower-body movements to avoid excessive fatigue in any one muscle group," says Michael Bento, a personal trainer at Harvard-affiliated Massachusetts General Hospital.

These are the most effective ways to protect yourself.

Here are some alarming statistics about heart attacks:

• Every 40 seconds, someone in the United States has a heart attack.
• Every year, about 805,000 Americans have heart attacks, 75% of which are first-time attacks.
• The average age of a first heart attack among men: 65.

However, the most troubling fact about heart attacks is that many people don't take steps to protect themselves, says Dr. Deepak L. Bhatt, executive director of interventional cardiovascular programs at Harvard-affiliated Brigham and Women's Hospital Heart & Vascular Center. "Reducing your risk of cardiovascular disease is the best way to guard against heart attacks," he says. "There are simple ways to do this, but unfortunately, many people still don't follow them as they should."

Here's a look at five ways you can protect yourself from cardiovascular disease, and thus possible heart attacks, and avoid being another statistic.

Research we're watching

If you have children in your house — even for a few hours at a time — be certain to store your medications safely. A study in the January 27 issue of Pediatrics found that more than half of the time, accidental poisonings with prescription medication occurred because adults had removed the medicine from a child-resistant container before the child discovered it.

CDC researchers examined calls made between February and September 2017 to five poison control centers to determine how these accidents most often occur. Most of the time, the pills that children encountered belonged to a parent, but in more than half of cases involving particularly harmful medication, it belonged to a grandparent. These medications included drugs to treat diabetes or cardiac conditions. Child-resistant packaging can help protect children, but it's often inconvenient for adults. Study authors found that most often when poisonings occurred, it was because adults put the pills into pill organizers that were not child-safe, stored them in small plastic bags, or left them out on a surface that a child was able to reach. In other cases, a child found a pill that was dropped on the floor.

This caregiver role has mental and physical health challenges.

You're not alone if you've suddenly found yourself raising your grandchildren. In the United States, three million older adults are primary caregivers to kids of all ages. Like any caregiver role, raising kids (especially young children) comes with many challenges, not the least of which is maintaining your health.

Physical challenges

The care of little kids — feeding, bathing, dressing, soothing, entertaining, lifting, carrying, and chasing after them — requires youthful energy and strength. As a grandparent you may be at a disadvantage, and not just because of age. "You may be slower from chronic conditions — like arthritis, heart problems, or diabetes — and from taking the medications needed to treat them," says Dr. Suzanne Salamon, associate chief of gerontology at Harvard-affiliated Beth Israel Deaconess Medical Center.

Approaches to using laxative solutions for colon cleansing have changed since your last colonoscopy.

Preparing for a colonoscopy isn't fun. Indeed, many people dread the colonoscopy prep more than the colonoscopy itself. Traditionally, you have had to change your diet for a few days, drink quarts of laxative solutions — and then spend hours in the bathroom enduring diarrhea and discomfort as your colon empties. In the past few years, though, the approach to taking laxative solutions has evolved to become a little less unpleasant.

Lower-volume preps

Instead of downing 4 liters of medicated liquid, which was once the standard, most people now need to drink about 2 liters (a bit more than 64 ounces). The reduced volume of laxative fluid is often combined with laxative pills, to help you clear your bowels.

How older men can approach the dating life again — and why they should.

One downside to aging is the higher likelihood that at some point you will not have a partner. No matter what the reason for your singlehood, a healthy remedy is to begin dating again.

"Pursuing a more robust social and romantic life is good medicine for your mental and physical health," says Dr. Sharon Bober, founding director of the Sexual Health Program at Harvard-affiliated Dana-Farber Cancer Institute.

A study published Feb. 17, 2020, in the journal Gut suggests that lower rates of chronic disease among people who eat a Mediterranean diet might be due to changes in the gut microbiome.

If you or someone else suspects early signs of memory loss, here's how you can find out if there's a problem.

There's no cure for dementia, and you cannot substantially reverse its effects, but there are ways to possibly slow its progression. But first, you need to know if you — or a loved one — may have a memory disorder. "Unfortunately, there is not one single test that confirms dementia while you are alive," says Dr. Julie Brody Magid, clinical director of the Harvard-affiliated McLean Hospital Memory Disorders Assessment Clinic. "The testing process is multilayered and takes many things into consideration. Going through this evaluation may help identify memory problems before they get worse."

Know the symptoms

Symptoms of dementia include memory loss, problem-solving difficulties, and language issues. Behavior and emotions also can be affected. Symptoms are often subtle early on, and then get progressively worse. They can increasingly interfere with daily life tasks, like remembering to attend appointments, take medication, or pay bills. People also may have trouble preparing meals or driving safely.

A simple exercise called the deadlift helps make everyday actions easier and safer.

Research shows that weight lifting is good medicine for healthy older adults. While there are many weight-lifting exercises, one move you should always include with your workouts is the deadlift.

The deadlift is a simple-looking movement. From a squatting position, you grab a weighted barbell and then stand while you lift the bar with straight arms. The barbell rises to about mid-thigh level. You hold for a second and return to the starting position.

News briefs

On Feb. 14, 2020, the FDA announced that two popular symptom-relief drugs can now be sold without a doctor's prescription. One is diclofenac sodium topical gel, 1% (Voltaren Arthritis Pain), which is used to temporarily relieve arthritis. The other is olopatadine (Pataday), which comes in eye drop form (in two strengths, for once-a-day or twice-a-day dosing) to relive itchy or red eyes from pollen, ragweed, grass, or animal hair or dander. Even though these medications are now available over the counter, they still have risks and benefits, so talk to your doctor before using any new treatment.

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