Why it’s hard to change unhealthy behavior — and why you should keep trying
Adopting healthier lifestyle habits doesn’t happen at once, but is a process that happens in stages. Setbacks along the way are normal, but they provide opportunities for growth and learning.
High blood pressure? Treat the risk, not the number
People with a high risk for heart attacks and strokes might benefit from taking blood pressure–lowering medications, even if their blood pressure is in the normal or “high normal” range and they have no clear signs of cardiovascular disease.
New recommendation: Earlier colorectal cancer screening
The U.S. Preventive Services Task Force now recommends that people begin colon cancer screening at age 45 (instead of 50) and continue through age 75. Some evidence suggests that healthy people older than 75 may also benefit from screening.
Normal weight, but big belly? That raises heart disease risk
Excess fat in the belly brings a greater risk for developing heart disease, even if one has a normal body weight, according to an American Heart Association statement published online April 22, 2021, by Circulation.
A vaccine that can prevent shingles
The best way to avoid shingles and long-lasting pain that may result from it is to get the shingles vaccine (Shingrix), given in two doses. The vaccine contains a protein from a dead varicella-zoster virus. The shot is 90% effective and is recommended for adults ages 50 or older, even those who have had shingles before, received an older shingles vaccine called Zostavax, or don’t recall having had chickenpox. People should avoid the vaccine if they currently have shingles, are allergic to components of the vaccine, or are pregnant or breastfeeding.
The benefits of volunteering, without leaving home
Volunteering has many benefits, enabling people to gain a sense of purpose, connect with others, and get a break from their own problems. Those benefits are associated with better health, including greater levels of physical activity, better sleep quality, a healthier diet, reduced rates of cardiovascular disease, and even longevity. A person may be able to reap many of those benefits by volunteering from home, such as doing work for a nonprofit group via computer or phone.
Chronic gut inflammation: Coping with inflammatory bowel disease
Chronic inflammation in the gut may be due to inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis. It’s unclear what causes IBD. Doctors suspect it’s a combination of factors, such as eating an unhealthy diet or using certain medications; altered gut bacteria; having a leaky gut; or genetics. The goal of IBD treatment is remission: suppressed symptoms, lower blood levels of inflammatory markers, and normal-looking bowel and tissue biopsies. Approaches to achieve remission and prevent flare-ups include medication, a healthy lifestyle, and possibly surgery.
Top causes of blood clots in the legs and how to avoid them
Blood clots in the legs (deep-vein thrombosis, or DVT) can break loose and travel through the veins to the heart and then to the lungs, causing a dangerous pulmonary embolism. Common triggers for blood clots include being bedridden for long periods; sitting for long periods in a car, plane, or train; or getting too little activity and sitting too much. To avoid blood clots in the legs, it helps to hydrate, get up from sitting every hour or two and stretch the legs, move the legs while lying down, or wear compression stockings.
Will getting more sleep help protect me from dementia?
A study published online April 20, 2021, by the journal Nature Communications suggests thatgetting too little sleep in midlife increases the risk for dementia later in life. Researchers analyzed the sleep data of 8,000 middle-aged adults who were followed for 25 years. People who slept six hours per night at age 50 were 22% more likely to develop dementia, compared with people who slept seven hours. People who slept six hours per night at age 60 were 37% more likely to develop dementia, compared with people who slept seven hours. The study was observational and can’t prove causation.