Managing chronic conditions Archive

Increasing evidence suggests that people who take a daily multivitamin pill have a lower risk of cognitive decline compared with people who don't take multivitamins. In particular, two randomized controlled trials published in the spring of 2023 found that people older than age 60 who take a multivitamin are less likely to experience a slight age-related cognitive decline, at least over the next three years, compared to those taking a placebo. The benefit appeared to be particularly true for people who had cardiovascular disease.

A 2023 review of 70 studies found that both unprocessed and processed red meat are linked to higher risks of cardiovascular disease and diabetes, with no apparent difference in risk between men and women.

Three group housing trends can help ward off loneliness and isolation in older age. One trend is specialized communities, which are private mini-neighborhoods that promote shared activities, involvement with neighbors, and sometimes shared goals (such as providing stable lives for foster children). The communities are run by the people who live there or by nonprofit organizations. Another trend is home sharing—taking on a boarder or sharing a home with friends. A third trend is residential care homes, which are small assisted living facilities in private homes licensed by the state.

About half of all falls take place in the home. To prevent them, it helps to eliminate fall hazards in every room of the home, such as floor clutter and throw rugs.

Many chronic conditions seem to be related. Examples include obesity, high blood pressure, type 2 diabetes, high cholesterol, and heart disease; hearing loss and dementia; obstructive sleep apnea and high blood pressure; various autoimmune diseases; and obesity and joint problems. People with chronic conditions should ask their doctors about the risk for associated diseases.In some cases, they should have certain health screenings to check for them. In other cases, additional screening isn't automatic.

Tens of millions of people who've had COVID-19 suffer with persisting symptoms. The condition is called long COVID. Symptoms, such as fatigue, difficulty concentrating, and disrupted sleep, can seriously impair the ability to function at work and at home. Vaccines and antiviral drugs appear to offer some protection against getting long COVID. But more information is needed. The National Institutes of Health has committed over $1 billion to discover how to better diagnose, effectively treat, and ultimately prevent long COVID.

Research into the health benefits of alcohol has not provided a clear answer. Some findings suggest that alcohol helps protect against heart disease and lowers the risk of heart attacks and strokes, and drinkers tend to live longer than nondrinkers. Other studies say these benefits are less clear. If you don't drink alcohol now, there are no health reasons to start drinking. If you do enjoy it, it's best to have no more than 2 drinks in the same day.

A 2023 study noted a sharp rise in injuries (from 2001 to 2020) among people who walked dogs on leashes. Dog walkers most commonly suffered broken fingers, shoulder sprains, and traumatic brain injuries.