Category: harvardhealth_news_UNDEFINED

Many people who develop rheumatoid arthritis later in life don’t receive optimal medications to treat it, called disease-modifying antirheumatic drugs (DMARDs). Reasons for this include the high costs of DMARDs, concerns about drug side effects, coexisting conditions that complicate treatment, inaccessibility to health care, or perceived frailty that makes doctors nervous about prescribing DMARDs. People who feel they should be getting DMARDs (but aren’t) should ask about ways to make such treatment feasible.

A 2024 study of more than 215,000 people (ages 37 to 73) found a link between consuming a sodium-rich diet and increased risks of having eczema, an eczema flare-up, or severe eczema.

Older adults who received interpersonal exercise coaching (which included connecting with peers to learn and share information) improved their step counts and activity levels more than seniors who received intrapersonal coaching that was mostly self-focused, a 2024 study found. Finding an exercise partner (a spouse, friend, or neighbor) may help inspire people to exercise more. A group exercise class may provide the same benefit, in addition to providing structure, a trained instructor, and camaraderie.

People with post-traumatic stress disorder (PTSD) are especially vulnerable to cardiovascular problems, including a 40% increased risk of heart attack. The amygdala, a brain structure involved in processing anxiety, fear, and stress, is overactive in people with PTSD. But these people also have decreased activity in the ventromedial prefrontal cortex, which is responsible for regulating emotions and dampening the fear response. This brain activity imbalance triggers chronic activation of the body’s “fight-or-flight” response. The resulting physiological changes appear to underlie the development of atherosclerosis.

People with hypertension who monitor their blood pressure at home may be able to successfully self-titrate their blood pressure medications, a 2024 study suggests. First, they need to know their target blood pressure. Readings that remain above goal requires consultation with their doctor to create a plan for better BP control, such as specific steps for medication self-titration.

Contrary to previous recommendations, people who think they are having a heart attack or stroke should not take an aspirin on their own. Their symptoms might be caused by a different problem that might be made worse by taking aspirin.

Compared with people who eat out frequently, people who eat meals made at home tend to weigh less, have healthier cholesterol and blood sugar values, and are less likely to develop diabetes. Lack of time, not lack of skills, may be the biggest barrier. Tips for creating healthy, home-cooked meals include smart ways to stock a pantry, fridge, and freezer with legumes and whole grains. For example, people can use an electric pressure cooker to make a dozen or more half-cup servings of brown rice that can then be stored in the freezer. This technique, called batch cooking, can be used with dried beans as well as with flavor enhancers such as minced garlic and ginger.

A 2024 Harvard study of more than 14,000 women found that counting steps was just as effective as counting exercise minutes as a means of tracking whether a person is getting enough activity to reduce disease risk and boost longevity.

In 2024, the FDA approved the sale of pivmecillinam (Pivya), an antibiotic to treat urinary tract infections (UTIs) in women. When the drug becomes available in 2025, it will join the lineup of existing first-line antibiotic treatments for UTIs, such as trimethoprim/sulfamethoxazole (Bactrim) and nitrofurantoin (Macrobid). Doctors say having another treatment option on the same tier will be helpful, since some germs that cause UTIs have become resistant to existing antibiotics.

Age-related changes to the vocal cords can make the voice sound thin, reedy, raspy, breathy, lower, or higher. Certain strategies can help protect the voice. Examples include avoiding overuse, such as trying to speak over loud noise all day; staying hydrated, which keeps the vocal cords working well; avoiding spicy foods and irritants in the air such as smoke, which can inflame the vocal cords; and avoiding frequent throat clearing.