Vitamins, minerals & supplements Archive

Adding an avocado a day to a healthy diet may lower harmful LDL cholesterol levels, according to a study in the Journal of the American Heart Association. Forty-five overweight or obese volunteers followed three different cholesterol-lowering diets, each for five weeks. One diet had 24% of calories from fat; the other two were 34% fat, one of which included an avocado per day. While participants were on the avocado diet, their LDL levels dropped an average of 13.5 points—nearly twice as much as when they were on the other two diets.

Hass avocados (the type used in the study) have bumpy, greenish-black skin. The creamy flesh is rich in monounsaturated fats, which help lower LDL cholesterol when swapped for saturated fat. But other compounds in avocados, such as fiber and plant sterols, may also contribute to their healthful benefits, say the authors. Avocados can be sliced into salads, spread on sandwiches, or mashed to make guacamole. Just be sure to go easy on the high-calorie, salty corn chips often served with the latter.

Tried-and-true methods, plus the latest electronic reminders and gadgets.

A youthful attitude may lead to better eating and exercising habits.

If you have high blood pressure, there may be better alternatives.

Anticholinergics, a group of medications that includes many over-the-counter and prescription drugs, are well known for causing confusion in older adults. Common medications with anticholinergic properties include medications to treat overactive bladder, such as oxybutynin (Ditropan); medications to treat allergies and sleeping problems, such as diphenhydramine (Benadryl, Sominex, Unisom); and medications used to treat depression, such as amitriptyline (Elavil). It's generally believed that confusion that may develop from anticholinergics clears up when someone stops taking the drugs. But now it appears that the medications are associated with a more permanent effect. A study published online Jan. 26, 2015, in JAMA Internal Medicine linked daily anticholinergic use among older adults for three or more years to an increased risk for developing dementia and Alzheimer's disease.

The study didn't prove that anticholinergics cause dementia; it only found an association between people who take the medications and people who develop dementia. Nevertheless, the researchers suggest that doctors avoid prescribing anticholinergics when possible, or at least limiting the medications to the lowest doses possible. If you're taking an anticholinergic, talk to your doctor about the risks the medication poses, including the risk of falls as a result of confusion.

Although these powerful pain relievers can be addictive, opioids are safe for most people when used properly.

Medications called anticholinergics are used to treat a host of conditions—overactive bladder, depression, allergies, and Parkinson's disease. They usually aren't recommended for older adults because one of the most common side effects is confusion and difficulty reasoning. Early studies have also indicated that long-term anticholinergic use is associated with an increased risk of dementia, and a recent study by researchers at the University of Washington adds more evidence to support that connection. The results were published online Jan. 26, 2015, by JAMA Internal Medicine.

The researchers tracked almost 3,500 men and women ages 65 and older who were free of dementia. When they matched prescription data for the previous 10 years with the participants' health outcomes, they determined that using anticholinergics was associated with an increased risk of developing dementia. Moreover, dementia risk increased with the dosage of the drugs and the length of time they were used. While people who had taken these drugs daily for the equivalent of three months had no increase in risk, those who had used them for over three years had a 54% greater risk than nonusers.

A study published in the Jan. 27, 2015, issue of The BMJ challenges the longstanding notion that weight gain protects against postmenopausal fractures. Data from the Women's Health Initiative (WHI) indicate that weight gain, as well as weight loss, is associated with increased risk of fractures in postmenopausal women. The analysis also suggested that which bones were most likely to break depended on whether women have gained or lost weight.

WHI researchers analyzed data on over 120,000 healthy postmenopausal women ages 50 to 79 at the start of the study. Each year, participants were weighed and asked to report fractures of their arms, legs, hip, pelvis, and spine.

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.