A 2024 randomized controlled trial provides more evidence that taking a daily multivitamin pill offers protection against cognitive decline. The study involved more than 5,000 people (ages 60 or older). Some took a daily multivitamin pill. Others took a placebo. After two years and tests measuring cognitive ability before and after the study period, people who took the vitamins showed slower cognitive decline than people who took a placebo. This was seen consistently in all groups of people.
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Home sleep tests are often the preferred approach to detect obstructive sleep apnea. They use less equipment and cost less than studies done in sleep labs. Because people get to conduct the test in their own beds, they are more comfortable than they would be in a sleep lab, and the test is more likely to capture a person’s natural sleep habits. But the tests aren’t always accurate. And someone with a serious chronic condition, such as heart failure or a breathing disorder, might need additional data from an in-lab study.
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Some medications can cause a metallic taste in the mouth. Strategies to cope with this sometimes-debilitating side effect include staying hydrated, rinsing thoroughly with water and a dash of salt or baking soda before meals, eating food that’s been chilled or brought to room temperature, eating whole foods that are prepared plainly, avoiding red meat, using bamboo or wood eating utensils instead of metal utensils, eating naturally sweet foods such as citrus, and brushing and flossing the teeth regularly.
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Most healthy diets easily provide adequate amounts of protein. For optimal heart health, people should pay more attention to the quality rather than the quantity of protein they consume. However, people who take weight-loss drugs and those who have kidney disease may need to track their protein intake more closely. Everyone should aim to include plenty of plant-based sources of protein (such as beans, nuts, and soy-based foods like tofu and tempeh) in their diets.
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Many strategies can help people avoid falls in public places. For example, people can wear shoes with nonslip treads in stores and office buildings, use a rollator for stability in crowded areas such as airports or shopping malls, hold handrails on public staircases (or avoid them), avoid parking too close to vehicles in parking lots, or use the handicap stall in public bathrooms. Another important strategy is regularly strengthening leg and core muscles and practicing balance exercises (such as standing on one leg).
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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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