Up to 30% of Americans have above-normal levels of triglycerides, which many studies have linked to a higher risk of heart disease. Lifestyle changes that can lower triglycerides include losing weight if needed; avoiding simple carbohydrates, sweets, and alcohol; cutting back on saturated fats; and doing regular exercise. For people whose levels remain high (especially those at risk for heart disease), medications such as fibrates or icosapent ethyl (Vascepa) may be helpful.
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A heart rate below 60 beats per minute, called bradycardia, is fairly common in people older than 70. The most common permanent cause is age-related degenerative changes in the heart’s conduction system. Previous heart problems, including a heart attack or heart surgery, make the problem more likely. Medical issues including sleep apnea, hypothyroidism, and certain medications can also cause bradycardia. People experiencing a low heart rate and symptoms such as feeling dizzy, lightheaded, fatigued, or breathless should seek medical care right away.
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A 2024 study found that a smartphone-based mall walking program may motivate people—especially women and older adults—to walk more.
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People who routinely exercise far more than the federal activity guidelines recommend will likely reap heart and longevity benefits. But they should be sure not to neglect other heart-healthy habits, such as getting routine check-ups, keeping tabs on their risk factors, following a healthy diet, and paying attention to heart-related symptoms.
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Sleep problems such as insomnia, sleep apnea, and periodic limb movements can disrupt sleep. A lack of sleep or fragmented sleep can prevent people from getting enough restorative deep sleep and may cause unhealthy blood pressure surges. These problems may increase the risk of cerebrovascular disease (including stroke and unrecognized silent strokes) and cognitive issues.
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A thoracic aortic aneurysm (a weakened area in the wall of the upper section of the aorta) may require surgical repair if it grows too large. Aneurysms in the area called the descending aorta can sometimes be repaired with a less invasive endovascular technique.
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A second opinion from a cardiologist may be helpful for people considering whether to undergo a specialized heart procedure. Such consultations may be increasingly appropriate as new, minimally invasive treatments for various heart problems become more widely available and more specialized. Others who might seek a second opinion include people with heart-related symptoms that persist despite treatment, who have been told they have no more options.
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A 2023 study showed that about 50% of people will develop at least one mental disorder by age 75. Older adults are vulnerable to mental disorders because they are exposed to many life-changing and traumatic events like health issues, the death of loved ones, and physical limitations. Among men, the most common disorders were depression, phobias, and alcohol use disorder. Identifying the signs and symptoms of these disorders can help men seek appropriate medical treatment.
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Men’s diets should include plenty of whole foods like fruits, vegetables, legumes, and whole grains, while avoiding high amounts of processed foods. However, men should be mindful about reading food labels when shopping to ensure they get more of the healthiest nutrients and much less of certain substances. In particular, men should focus on adding more fiber and decreasing their intake of sodium and added sugar.
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