Healthy eating for older adults Archive

Here's how to tell if you may have a drinking problem.

Alcoholic beverages are a "social lubricant." At holiday and other parties, bouts of excessive drinking can seem like part of the celebration. But here's something to think about as you raise your glass: drinking too much alcohol at a party — or at any time — can be a sign of alcohol use disorder (AUD).

What is AUD?

AUD is the umbrella term for problem drinking that stems from alcohol abuse or alcohol dependence. While both are marked by problems stopping or controlling alcohol use, they're not the same.

News briefs

Last month we told you about new medications to treat migraine headaches. Now a small Harvard study published Aug. 8, 2019, in The American Journal of Medicine offers a reminder about the importance of limiting migraine triggers. For six weeks, 100 adults with frequent migraines were asked to record daily intake of caffeinated coffee, tea, soda, and energy drinks; alcohol intake; activity levels; stress; and sleep times. They also recorded their headache episodes. Researchers looked at each study participant's risk of having a headache on a given day in relation to his or her consumption of caffeinated beverages. Having three or more servings of caffeinated drinks in a day was associated with higher odds of having a migraine on that day or the following day. However, having one to two servings of caffeinated beverages was not associated with migraines. Does that mean people prone to migraines can safely enjoy up to two caffeinated drinks per day? Not quite. The study is only observational and doesn't prove that any amount of caffeine will or won't cause migraines. But if you are prone to migraines, watch your headache triggers, and perhaps keep a journal of daily activity (including caffeine intake) to help discover your trigger limits.

Image: Mike Watson Images/Getty Images

News briefs

Want to make fast food a little bit healthier? The key might be to make changes when you order a combination meal (like a burger, fries, and a drink), Harvard researchers suggest. Their study, published in the September 2019 American Journal of Preventive Medicine, found that combo meals far exceed guidelines for healthy eating, typically providing twice the recommended amount per meal for calories and sodium. Scientists analyzed the nutritional information of combination meals at 34 fast-food and fast-casual restaurants, and found that the average combo meal as advertised had about 1,200 calories, 14 grams of saturated fat, 2,100 milligrams of salt, and 68 grams of sugar. Those numbers dropped dramatically when low-calorie options were substituted for high-calorie choices — for instance, removing topping or dipping sauces, ordering small fries instead of large, and replacing sugar-containing soda with a zero-calorie drink. In that case, the average combo meal had about 750 calories, 11 grams of saturated fat, 1,800 milligrams of salt, and 10 grams of sugar: a smidge healthier. Of course, a truly healthful diet involves generally avoiding fast food altogether. But if you're on the road with no alternatives, order healthier drinks and sides.

Image: TheCrimsonMonkey/Getty Images

Also known as garbanzo beans, chickpeas are featured in an array of dishes throughout the world, including in Africa, India, the Middle East, and Europe. Chickpeas are rich in fiber, folate (vitamin B₉), manganese, and other minerals. Several studies have found that eating chickpeas may improve cholesterol levels and reduce blood sugar.

Americans may be most familiar with hummus, a blend of chickpeas and sesame paste that's so popular you can even find it in small convenience stores. But chickpeas are also being used in a range of other products, including pasta and rice as well as snack foods such as chips, fries, and "puffs."

Cardio not your exercise of choice? Weight training for an hour per week might appeal to you.

Cardio (aerobic) exercise is often touted as the exercise of choice for improving heart health. After all, a body of research supports how it can help lower blood pressure and cholesterol levels, reduce plaque buildup to improve blood flow, and help maintain a healthy weight.

Guidelines recommend that older adults get at least 150 minutes of moderate-intensity aerobic activity per week. But what if you can't do regular cardio because of health reasons or limitations — or you simply don't like cardio exercise?

Your blood pressure is one of the best ways to measure overall health and possible risk factors. Do you know your numbers?

There are many important health markers: cholesterol levels, blood sugar levels, weight — to name but a few. But men often fail to use one of the most important: blood pressure.

"Your blood pressure is one of the easiest and simplest measurements and can tell you so much about your current and possible future health," says Dr. Randall Zusman, director of the division of hypertension for Harvard-affiliated Massachusetts General Hospital's Corrigan Minehan Heart Center. "Yet most people don't know their number or check it on a regular basis, so they may not be doing everything they need to lower their risk of a heart attack or stroke."

In the journals

Even if obesity runs in your family, certain activities may help you lose the weight and keep it off, according to a study published online Aug. 1, 2019, by PLOS Genetics.

Researchers recruited more than 18,000 adults ages 30 to 70 and examined their individual genes and exercise routines. Genetic profiles were created from blood samples that looked for certain gene variants related to obesity. Exercise was defined as at least 30 minutes of activity performed three times a week.

In the journals

Need a sexual boost? Eat more nuts. A recent study found that men who added 60 grams — about 1/2 cup — of nuts to their daily diet improved several aspects of their sexual life. The results were published online June 19, 2019, by the journal Nutrients.

Researchers asked 83 healthy men to follow either a traditional Western-style diet without nuts, or a Western-style diet that also included 60 grams (about 360 calories) of a nut mixture made from almonds, hazelnuts, and walnuts every day. A questionnaire assessed their current sexual function.

A new study says you might not have to walk far to see benefits.

If you've invested in a fitness tracker, chances are you've heard that you should take 10,000 steps a day for better health. If that sounds daunting, there's good news: a study published online May 29 by JAMA Internal Medicine found that you may able to reap health benefits by taking half that number of steps each day.

Researchers found that in older women, taking as few as 4,400 steps per day was associated with a 41% lower risk of dying during the study period when compared with women who walked 2,500 steps a day or fewer. In addition, it didn't seem to matter if the women took those steps power walking or just moving around the house.

Ask the doctors

Q. My doctor recently told me I have prediabetes. Is this condition reversible?

A. Yes, it is possible to reverse prediabetes. Prediabetes is a condition that affects millions of Americans. The CDC estimates that as many as one in every three American adults has the condition, which is defined as having blood sugar that is elevated, but not high enough to meet the threshold for diabetes. Left untreated, prediabetes can progress to diabetes, a condition in which your body is not able to absorb glucose for energy properly, causing blood sugar to rise. If it's not managed properly, diabetes can lead to a number of health problems, from heart attack and stroke to blindness, kidney problems, and infections, among others. But making some lifestyle changes can reduce the risk that your prediabetes will develop into diabetes.