Staying Healthy Archive

The practice, known as intermittent fasting, has shown numerous health benefits and is easy for most healthy individuals to adopt.

Contrary to longstanding advice (and what you may have heard from your mother), a growing body of evidence shows that skipping meals may actually be good for your health.

Intermittent fasting — the practice of going for set periods of time without eating — is increasingly gaining acceptance among experts.

Building the strength of the central muscles in your torso can help improve your balance and mobility.

You probably don't give a lot of thought to your core muscles, but they play a starring role in your daily life.

"The core is critical for stability and functional motion day to day," says Dr. Beth Frates, clinical assistant professor of physical medicine and rehabilitation at Harvard Medical School. "For example, standing, bending, twisting, and sitting all require the core muscles. With a strong core, people can reach for glasses on high shelves and stay balanced while walking with heavy grocery bags."

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.

Good balance is key to preventing potentially disabling falls. It takes active coordination of many systems in the body to achieve good balance, but beginning in your 50s, you may start noticing subtle changes that can lead to difficulties. It's important to identify factors—such as inner ear problems, illnesses, medications, changes to your gait, weight gain or loss, pain, or foot problems—that might affect your balance, and look for solutions.

How gait affects balance

Gait encompasses the many distinct features that make up the way a person walks. Gait includes pacing, the length of the stride, the swing of the leg to put the foot forward, the shift of balance from one leg to the other, how the foot is planted (toe first, heel first), and how the weight is distributed through the step. Your gait is as distinctive as your voice and fingerprints, and even subtle changes to the way you walk can increase the risk of falls.

Some drugs that contain ranitidine (best known as Zantac) have been found by the FDA to have unacceptable amounts of N-nitrosodimethylamine (NDMA), a possible cancer-causing chemical (which also triggered recalls of certain lots of the blood pressure drugs called angiotensin-receptor blockers).

On April 1, 2020, the FDA requested that all forms of ranitidine (Zantac, generic versions), including prescription and over-the-counter products, be removed from the market. They may contain unacceptable levels of a potential cancer-causing substance known as NDMA, or N-Nitrosodimethylamine. In some samples tested by the FDA, the impurity appears to increase over time, especially when stored at higher temperatures. So far, tests of other acid blockers do not show this potential increased cancer risk. 

Cannabis use among older adults has been steadily increasing, due to lessening stigma and increased interest in using medical marijuana. But there are specific concerns for older people, so anyone considering this option should have a conversation with their doctor weighing the benefits and risks.

News briefs

You've heard (in these pages, and others) that a healthy lifestyle can stave off chronic disease. But just how many extra disease-free years might you get from that healthy lifestyle? A lot, suggests an observational Harvard-led study published online Jan. 8, 2020, by The BMJ. Researchers evaluated more than 30 years' worth of health data from 111,000 people who were free of cancer, diabetes, and cardiovascular disease at age 50. Compared with those who didn't follow any healthy lifestyle habits, those who followed four or five healthy habits had an additional decade of disease-free living. The elements of a healthy lifestyle will come as no surprise: don't smoke, limit alcohol intake, eat a healthy diet, maintain a healthy weight, and exercise at least 30 minutes per day. The surprise is just how many additional disease-free years a healthy lifestyle can give you.

Image: © Ridofranz/Getty Images

Getting the right amount is really about just listening to your body.

Many experts these days are advising women to drink lots of water to stay in good health, and women seem to be listening. It's common to see people toting around voluminous bottles of water and swigging from them all day long. And there's no question that water is necessary for optimal health: it keeps your urinary tract healthy, keeps food moving along your digestive tract, helps regulate your blood pressure and body temperature, and works to cushion and protect joints, organs, and other tissues.

One recent study suggested that not drinking enough water could also affect women's cognition. The study, published online in November 2019 by the European Journal of Nutrition, found that women with lower scores on a test that measured how hydrated they were (called serum osmolarity) also scored lower on cognitive tests that measured recall, attention, mental processing speed, and verbal fluency.