Weighing the dangers of extra weight

Standard definitions consider a healthy body mass index (BMI), a calculation based on a person’s height and weight, as between 18.5 and 24.9. Studies have found that a higher BMI increases risk for heart disease, diabetes, and some types of cancer. However, even if their BMI does not fall into the category of overweight, people who gain five or more pounds may be at risk for health problems, especially if the weight gain is belly fat. The best approach is a combination of aerobic exercise, strength training, and a healthy diet.

Content restricted. Requires subscription

Deep-vein blood clots: Are you at risk?

Every year, an estimated 600,000 people in the United States develop a blood clot deep inside the leg, known as deep-vein thrombosis. These clots usually develop in the lower leg, thigh, or pelvis but occasionally the arm. The affected area may be tender or painful, swollen, red or discolored, and warm to the touch. If a clot breaks free and travels to a lung, it can cause a pulmonary embolism. Symptoms of a pulmonary embolism include difficulty breathing that happens suddenly, a fast or irregular heartbeat, coughing up blood, and chest pain or discomfort, which usually worsens with a deep breath or coughing.

Content restricted. Requires subscription

Update on atrial fibrillation

New guidelines for managing atrial fibrillation focus on lifestyle habits to prevent and control the disorder. One recommendation is for people to limit alcohol to one drink per day, or ideally less. Another is for people who are overweight or obese to lose weight, either by striving for a body mass index no greater than 27 or by shedding at least 10% of their body weight. The guidelines also suggest that people get three to four hours of exercise per week. And people with afib who snore should consider getting tested for sleep apnea.

Content restricted. Requires subscription

Soleful aging

Like the rest of the body, the feet are vulnerable to the effects of aging. Women may be more susceptible to certain foot conditions due to hormone fluctuations during pregnancy and a higher incidence of decreased bone density with aging. But everyone’s soft tissues become less elastic, making foot problems more likely. Foot conditions that can develop or worsen with age include stress fractures, plantar fasciitis, bunions, flat feet, and osteoarthritis. Simple measures, such as resting the feet and wearing supportive shoes, can help ease pain.

Content restricted. Requires subscription

What is sepsis?

Sepsis is the immune system’s overwhelming response to infection. It can lead to a dramatic drop in blood pressure that damages vital organs and causes death. Sepsis risk factors include older age, recent surgery, chronic illness, artificial joints, or a suppressed immune system.

Content restricted. Requires subscription

The wide-ranging effects of psoriasis

Psoriasis causes skin cells to multiply far faster than normal, leading to scaly, itchy, painful skin plaques. While treatments have vastly expanded, stigma surrounding psoriasis persists. Skin lesions can affect what people wear, what they do, and how they relate to others. To better cope, people with psoriasis can get family members involved in care and treatment decisions, see a dermatologist for more advanced therapies, revisit which treatments may work for them, and connect with others with the disease.

Content restricted. Requires subscription