Thursday, November 4, 2010

Blood Pressure: Part 1

Relax your way to lower blood pressure

The easiest way to lower blood pressure is by popping a pill. It takes just a few seconds and you are finished. But pills cost money and often have side effects. Fully relaxing your body and your mind for a few minutes a day could lower your systolic blood pressure (the top number of a blood pressure reading) by 10 points or more—at no cost, and with no side effects.

Researchers with the Benson-Henry Institute for Mind-Body Medicine at Harvard-affiliated Massachusetts General Hospital compared a stress management technique called the relaxation response with education about lifestyle changes such as sodium reduction, weight loss, and exercise. They found:

  • Blood pressure decreased more in the relaxation response group
  • 32% of the volunteers in that group were able to eliminate one blood pressure medication and still keep their blood pressure under control, compared with 14% of the lifestyle group.

The relaxation response, developed by Harvard's Dr. Herbert Benson, has been shown to reduce heart rate, blood pressure, breathing rate, and muscle tension. Here's how to do it:

  • Select a word (such as "one" or "peace"), a short phrase, or a prayer to focus on.
  • Sit quietly in a comfortable position and close your eyes.
  • Relax your muscles, progressing from your feet to your calves, thighs, abdomen, and so on, up to your neck and face.
  • Breathe slowly through your nose, silently saying your focus word, phrase, or prayer to yourself as you exhale.
  • When other thoughts come to mind, don't worry. Simply return your attention to your focus word, phrase, or prayer.
  • Do this for 10–20 minutes.
  • Sit quietly for a minute or so, then open your eyes.
  • Practice the relaxation response once or twice a day.

Blood pressure basics

Blood pressure is the force that a wave of blood propelled from the heart exerts on the arteries. It is measured at two points; each measurement is recorded in millimeters of mercury (mm Hg).

Systolic pressure gauges the pressure in the arteries at systole (SIS-tuh-lee), the instant when the heart contracts and pushes a wave of blood along the arterial tree (think "s" for squeeze). It is the top number of a blood pressure reading.

Diastolic pressure reflects the pressure during diastole (die-AS-tuh-lee), the brief period of relaxation between beats. It is the bottom number of a blood pressure reading.

Hypertension is the formal name for high blood pressure.

Blood pressure categories
Systolic Diastolic
Normal (optimal)less than 120andless than 80
Prehypertension120 - 139or80 - 89
Hypertension140 or higheror90 or higher

Healthy Living: Part 1

What to do now to stay independent in your later years

We all hope to stay active and independent for the rest of our lives. And most of us want to stay in the familiar surroundings of our own homes and neighborhoods, rather than move to an assisted living or continuing care community, or—worse—a nursing home, a prospect so devastating that, according to a study published in the medical journal BMJ, many older women who suffer hip fractures say they would rather die than face it.

Fortunately, there are ways to help ensure that you never have to make such a dire choice. Addressing a handful of health risks at midlife can profoundly affect your ability to continue living independently. Meanwhile, new concepts and technologies are helping to make staying in our own homes and communities an attainable goal for increasing numbers of us. Below are some steps you can take—and recommend to friends and aging parents.

Safeguarding your health

  • Smoking. Smoking increased the likelihood of a nursing home admission by 56% in the younger group and by 32% in the older group.
  • Inactivity. Among those ages 45 to 64, physical inactivity boosted the risk of entering a nursing home by 40% (although it had no significant impact at older ages).
  • Obesity. In the 65-to-74 age group, obesity increased the risk by 31% (although it had no significant impact at a younger age).
  • Diabetes. Among those ages 45 to 64, diabetes more than doubled the risk of eventually entering a nursing home.
  • High blood pressure. High blood pressure also increased the risk, by 35% in the 45 to 64 group and by 29% in the older group.

These problems contribute to many chronic illnesses that can cause disability and death as we age, including heart disease, stroke, osteoporosis, and certain cancers.

The effect was even greater when risk categories were combined. For example, diabetic smokers in the younger group were five times more likely to enter a nursing home than people the same age with no risk factors.

What to do

Taking steps to address these five factors could reduce not only the risk of a future nursing home admission but also the chance of premature death. Fortunately, most are within our control.

Here are several things you can do to preserve your independence throughout life. Keep in mind that these changes interact and reinforce one another; the more you adopt, the greater the potential payoff:

  1. If you smoke, talk to your doctor about options for quitting. We all know that smoking is bad for health, but here's a quick reminder of how bad: it's harmful from before birth to the end of life, raising the risk of cardiovascular disease, cancer, respiratory disease, osteoporosis, macular degeneration, and cataracts.
  2. Become more active. Just 30 minutes of brisk walking five days per week reduces the risk of heart attack, stroke, and diabetes; lowers blood sugar levels; decreases depression; and helps activate genes that clear fat and sugar from the bloodstream. Upping your physical activity level to 60 to 90 minutes most days of the week can help you lose weight—and keep it off.
  3. Improve your diet through some simple changes. Add more servings of dark green, red, orange, or yellow vegetables or fruits to your daily intake, with a goal of reaching nine servings per day. And switch to healthier fats: skip trans fats, choose fewer saturated fats, and get more healthy fats (monounsaturated and polyunsaturated oils and omega-3 fatty acids). Plant oils, nuts, and fish are all good sources.
  4. Get your blood pressure under control. Exercise regularly, don't smoke, and consider adopting the classic DASH eating plan (www.nhlbi.nih.gov/health/public/heart/hbp/dash ), a diet high in fruits, vegetables, and low-fat dairy products and low in red meats (and other sources of saturated fats), sweets, and sodium (salt). The OmniHeart trial, published in 2005, showed that you can lower blood pressure even more by eating fewer carbohydrates and more healthy fats and protein. If improved diet and increased exercise alone don't bring your blood pressure under control, prescription antihypertensive medications may help, as long as you take them consistently.
  5. Talk to your doctor about bone mineral density (BMD) testing. All women ages 65 and over should have their BMD tested. If you're at high risk for osteoporosis, your clinician may recommend screening at an earlier age. Be sure to get adequate calcium (1,000 to 1,200 mg per day) and vitamin D (800 to 1,000 IU per day).

Depression is another risk factor for nursing home admission. A 2007 European study that analyzed information from 11 countries on adults ages 65 and over receiving home care services found that the more severely depressed a person was, the more likely she or he was to be admitted to a nursing home. There are several possible explanations. Depression can chip away at immune function, heart health, self-care, and the ability to stay active and connected with others. If you think you might be depressed, talk to your clinician about antidepressants and psychotherapy.

Nutrition 101: Good eating for good health

Turn on your TV, open a newspaper, or boot up your computer and you're bound to get some confusing news about diet and health. Don't let it drive you to distraction—or to the donut shop. Instead, remember four key facts:

  1. What you eat affects your appearance, your energy and comfort, and—above all—your health.
  2. America is on the wrong track. Two out of every three of us are overweight or obese. Diabetes and high blood pressure are on the rise. Heart attacks, strokes, and cancer are distressingly common. Many factors contribute to these complex problems, but the basic reasons are simple: we eat too much, we choose the wrong foods, and we don't get enough exercise.
  3. Scientists know what diet is best for health (see below). The fine print has changed and is likely to change some more, but the key facts are in.
  4. Good eating is not a punishment, but an opportunity. If you know why it's important and what to do, you'll find it enjoyable and satisfying. And if you establish an overall pattern of healthful nutrition, you'll have plenty of wiggle room to savor the treats that matter most to you.

Your goals

For most people, TLC stands for tender loving care. For doctors, it stands for the Therapeutic Lifestyle Changes diet. The TLC diet provides sound goals for most Americans.

The TLC Diet
Total caloriesAdjusted in conjunction with exercise to attain or maintain a healthy body weight. (Your doctor or a nutritionist can help you figure out how many calories you, personally, should be taking in.)
Total fat25% - 35% of total calories
Saturated fatLess than 7% of total calories
Polyunsaturated fatUp to 10% of total calories
Monounsaturated fatUp to 20% of total calories
CholesterolLess than 200 mg a day
ProteinAbout 15% of total calories
FiberThe Institute of Medicine recommends:
  • men 50 years and younger get 38 grams per day
  • women 50 and younger get 25 grams per day
  • men over 50 get 30 grams per day
  • women over 50 get 21 grams per day

Making changes

Here are five tips to create a healthful diet that you can enjoy.

  • Learn to think about food in a new way. Years ago, meat and potatoes were the American ideal. Now we know that vegetables, fruits, whole grains, nuts, and fish are best.
  • Experiment with new recipes and meal plans. Be creative and take chances. Instead of dreading your new diet, have fun with it.
  • Change slowly. By the time you are 40, you'll have eaten some 40,000 meals—and lots of snacks besides. Give yourself time to change, targeting one item a week.

    Start with breakfast, switching from eggs, bacon, donuts, white toast, or bagels to oatmeal or bran cereal and fruit. If you just can't spare 10 minutes for a sit-down breakfast, grab high-fiber cereal bars instead of donuts or muffins.

    Next, try out salads, low-fat yogurt or low-fat cottage cheese, tuna or peanut butter sandwiches, and fruit for lunch.

    Snack on unsalted nuts, trail mix, fruit, raw veggies, Rye Krisp, or graham crackers. Try eating a few handfuls of a crunchy fiber cereal such as Kashi, or nibble on a cereal bar.

    For dinner, experiment with fish, skinless poultry, beans, brown rice, whole-wheat pasta, and, of course, salads and veggies.

    Fruit and low-fat frozen desserts are examples of desirable after-dinner treats. And there's nothing wrong with the occasional cake, pie, or chocolates as long as the portions are moderate.

  • Be relaxed about your diet. You will never find a perfect food. Not everything on your plate needs to have a higher purpose. Take your tastes and preferences into account. If roast beef is your favorite food, it is okay to eat it—but try to make it a Sunday treat instead of a daily staple. The choices are your—and the better your overall diet, the more "wiggle room" you'll have to indulge your passions.
  • Take a long-range view. Don't get down on yourself if you slip up or "cheat" from time to time. Don't worry about every meal, much less every mouthful. Your nutritional peaks and valleys will balance out if your overall dietary pattern is sound.

5 reasons people exercise PART 1

1. Exercise for work

For better or worse, not many 21st century Americans fill their exercise quotas in the workplace. As recently as the 1850s, about 30% of all the energy used for agriculture and manufacturing in the United States depended on human muscle power. No more. We've replaced hoes with tractors, brooms with vacuums, and stairs with escalators. Freed from physical work, people have used mental work to create a society of enormous convenience and comfort. In the process, though, we've created a hidden energy crisis—not a shortage of fossil fuels, but a shortage of the physical activity the human body needs to ward off disease and reach its full potential.

2. Exercise for health

Exercise is the best-kept secret in preventive medicine. Despite our other differences, we all need to exercise for health. Regular exercise provides essential protection against many of the diseases that plague our country. The list includes:

  • heart attack
  • stroke
  • high blood pressure
  • diabetes
  • obesity
  • osteoporosis and fractures
  • depression
  • colon and breast cancers
  • dementia (memory loss)

What does it take to get these benefits? Less than you might think. The key is what exercise scientists call isotonic exercise—activities that use your large muscle groups in a rhythmic, repetitive fashion without making your muscles work against heavy resistance. We used to call this "aerobic" exercise because we thought it had to be intense enough to boost your heart rate into the aerobic range (70% to 85% of your maximum heart rate). We also called it "endurance" exercise because we thought it had to be sustained continuously to be beneficial. But we now know that neither of these long-held beliefs is true. In fact, you can get all the health benefits you need from moderate exercise that won't make you huff and puff, even if you do it in little chunks—as long as it adds up to enough total activity.

Mix daily activities, formal workouts, and sports play to get the cardiometabolic exercise you need for health. And for best results, do some stretching nearly every day and some strength training two or three times a week. The older we get, the more we need these supplementary activities. And as the years roll on, most of us will also benefit from some simple exercises to improve balance and prevent falling, a major health problem for seniors.

3. Exercise for recreation

No need for an exercise tracking system, clock, or calendar here. If you're exercising for the fun of it, just go for it—as long as you meet your minimum needs for health.

But the recreational value of exercise brings up a point that's relevant for hard-working people who are "too busy to exercise." Exercise is a great way to dissipate stress and lift your spirits. If your work threatens to overload your psyche, consider using exercise to refresh your mind. For some, that will mean a trip to the gym to burn off some stress on a treadmill or elliptical; for others, it will be a walk or jog outdoors to get away from it all; and for others, it will be a bit of stretching or yoga at bedtime. But don't let exercise add to your stress; if you hit a truly overwhelming patch, you can take a few days off without losing your edge.

4. Exercise for competition

Here's where aerobic training comes in. To stay well, exercise for health fitness. To hit your peak for road running, racquet sports, basketball, biking, or any other competitive sport, work out for aerobic fitness. That means boosting your heart rate to 70% to 85% of its maximum and holding it there for 20 to 60 minutes. If you're like most of us, you'll have to build up slowly, and everyone who works out this hard should warm up before and cool down after aerobics. You'll also benefit from stretching, strength training, and if you're really going for it, interval training, or speed drills.

It's a lot to ask of your body, particularly as you get older. And strenuous exercise has potential pitfalls. People over 50 should get medical clearance before starting an intense exercise program. Those with diabetes, high blood pressure, obesity, abnormal cholesterol levels, or other cardiovascular issues require special care. And because intense exercise is more likely to cause problems than moderate exercise, it's particularly important for competitive athletes to listen to their bodies and react promptly to signals of distress.

Aerobic exercise has done a lot of good for many people. But because it is demanding, it has discouraged many others from exercising at all. That's why everyone should exercise for health and fitness, but only the motivated (and healthy) among us can set high-level aerobic fitness as a realistic goal.

5. Exercise for appearance's sake

Weight loss is the most common goal. You can get there with the moderate exercise you need for health—but for faster, more impressive weight loss, double your goal to about an hour of moderate exercise a day. It sounds like a lot, but remember that you can break it into chunks. Remember, too, that the little things you can build into your daily routine will make a big difference; climbing stairs and walking for transportation are prime examples. And to really make progress, cut down on the calories you consume as well as boosting the calories you burn with exercise.

Sorry to say, you can't selectively shed fat from your belly, butt, or thighs. But you can use calisthenics and strength training to firm up your muscles, which will make you look thinner and better.

Exercising your options

So how much exercise do you need?

Just enough to meet your goals. Make health your priority, and remember to get a check-up before you start a big new exercise push. Choose the activities that best fit your schedule, your budget, your abilities, and your taste. Construct a balanced program by adding the weight training, stretching, and exercises for balance that you need. Start slowly, build up gradually, and—above all—stick with it.

10 foods that lower cholesterol

10 foods that lower cholesterol—and some that raise it

It's easy to eat your way to an alarmingly high cholesterol level. At the same time, changing what you eat can lower your cholesterol and improve the kinds of fats floating through your bloodstream.

Improving your cholesterol through diet requires a two-pronged strategy:

  1. Add foods that lower LDL, the "bad" cholesterol.
  2. Cut back on foods that boost LDL.

In with the good

Different foods lower cholesterol in various ways. Some deliver soluble fiber, which drags cholesterol out of the body before it gets into circulation. Some give you polyunsaturated fats, which directly lower LDL. And some contain plant sterols and stanols, which block the body from absorbing cholesterol.

Here are 10 types of foods that work in one or more of these ways to lower cholesterol:

  1. Oats such as oatmeal or cold, oat-based cereal like Cheerios
  2. Barley and other whole grains
  3. Beans
  4. Eggplant and okra
  5. Nuts
  6. Vegetable oils such as canola, sunflower, and safflower
  7. Apples, grapes, strawberries, citrus fruits
  8. Foods fortified with sterols and stanols, which include foods ranging from margarine and granola bars to orange juice and chocolate
  9. Soy, such as tofu or soy milk
  10. Fatty fish

Out with the bad

To improve your cholesterol, the main things to cut from your diet are saturated and trans fats.

Saturated fats. The saturated fats found in red meat, milk and other dairy foods, and coconut and palm oils directly boost LDL.

Trans fats. Trans fats boost LDL as much as saturated fats do. They also lower protective HDL cholesterol, rev up inflammation, and increase the tendency for blood clots to form inside blood vessels. The Institute of Medicine recommends getting no more than two grams of trans fats a day; less is even better. Look on the label of packaged foods such as cookies and crackers to make sure they don't have trans fats. Fried foods in restaurants can also contain them.

Also make sure that you keep your weight under control, and get regular exercise. Excess weight boosts LDL, while inactivity depresses HDL. Losing weight if needed and exercising more reverse these trends.

Putting it all together

When it comes to investing money, experts recommend creating a portfolio of diverse investments instead of putting all your eggs in one basket. The same holds true for eating your way to lower cholesterol. Adding several foods that fight high cholesterol in different ways should work better than focusing on one or two foods.

That approach has been tested by Dr. David Jenkins of St. Michael's Hospital in Toronto and his colleagues. In a series of studies, their largely vegetarian "dietary portfolio of cholesterol-lowering foods" substantially lowered LDL, triglycerides, and blood pressure.

The portfolio included:

  • foods rich in soluble fiber, such as:
    • oats
    • barley
    • psyllium
    • okra and eggplant
  • margarine enriched with plant sterols
  • soy protein
  • whole almonds.

These were added to a diet with plenty of fruits and vegetables, whole grains instead of highly refined ones, and protein mostly from plants.

Shifting to a cholesterol-lowering diet takes more work than popping a daily cholesterol-lowering drug, such as a statin. It means expanding the variety of foods you put in your shopping cart and getting used to new textures and flavors. But it's a natural way to lower cholesterol, and it avoids the risk of muscle problems and other side effects that plague some people who take statins.

Just as important, a diet that is heavy in fruits, vegetables, beans, and nuts is good for the body in ways beyond lowering cholesterol. It keeps blood pressure in check. It helps arteries stay flexible and responsive. It's good for bones, digestive health, vision, and even mental health. That's a portfolio worth protecting.

Forgetfulness — 7 types of normal memory problems

Forgetfulness — 7 types of normal memory problems

It’s normal to forget things from time to time, and it’s normal to become somewhat more forgetful as you age, but it’s not normal to forget too much. But how much forgetfulness is too much? How can you tell whether your memory lapses are within the scope of normal aging or are a symptom of something more serious?

Healthy people can experience memory loss or memory distortion at any age. Some of these memory flaws become more pronounced with age, but — unless they are extreme and persistent — they are not considered indicators of Alzheimer’s or other memory-impairing illnesses.

Seven normal memory problems

1. Transience

This is the tendency to forget facts or events over time. You are most likely to forget information soon after you learn it. However, memory has a use-it-or-lose-it quality: memories that are called up and used frequently are least likely to be forgotten. Although transience might seem like a sign of memory weakness, brain scientists regard it as beneficial because it clears the brain of unused memories, making way for newer, more useful ones.

2. Absentmindedness

This type of forgetting occurs when you don’t pay close enough attention. You forget where you just put your pen because you didn’t focus on where you put it in the first place. You were thinking of something else (or, perhaps, nothing in particular), so your brain didn’t encode the information securely. Absentmindedness also involves forgetting to do something at a prescribed time, like taking your medicine or keeping an appointment.

3. Blocking

Someone asks you a question and the answer is right on the tip of your tongue — you know that you know it, but you just can’t think of it. This is perhaps the most familiar example of blocking, the temporary inability to retrieve a memory. In many cases, the barrier is a memory similar to the one you’re looking for, and you retrieve the wrong one. This competing memory is so intrusive that you can’t think of the memory you want. A common example is calling your older son by your younger son’s name, or vice versa.

Scientists think that memory blocks become more common with age and that they account for the trouble older people have remembering other people’s names. Research shows that people are able to retrieve about half of the blocked memories within just a minute.

4. Misattribution

Misattribution occurs when you remember something accurately in part, but misattribute some detail, like the time, place, or person involved. Another kind of misattribution occurs when you believe a thought you had was totally original when, in fact, it came from something you had previously read or heard but had forgotten about. This sort of misattribution explains cases of unintentional plagiarism, in which a writer passes off some information as original when he or she actually read it somewhere before.

As with several other kinds of memory lapses, misattribution becomes more common with age. Age matters in at least two ways. First, as you age, you absorb fewer details when acquiring information because you have somewhat more trouble concentrating and processing information rapidly. Second, as you grow older, your memories grow older as well. And old memories are especially prone to misattribution.

5. Suggestibility

Suggestibility is the vulnerability of your memory to the power of suggestion — information that you learn about an occurrence after the fact becomes incorporated into your memory of the incident, even though you did not experience these details. Although little is known about exactly how suggestibility works in the brain, the suggestion fools your mind into thinking it’s a real memory.

6. Bias

Even the sharpest memory isn’t a flawless snapshot of reality. In your memory, your perceptions are filtered by your personal biases — experiences, beliefs, prior knowledge, and even your mood at the moment. Your biases affect your perceptions and experiences when they’re being encoded in your brain. And when you retrieve a memory, your mood and other biases at that moment can influence what information you actually recall.

Although everyone’s attitudes and preconceived notions bias their memories, there’s been virtually no research on the brain mechanisms behind memory bias or whether it becomes more common with age.

7. Persistence

Most people worry about forgetting things. But in some cases people are tormented by memories they wish they could forget, but can’t. The persistence of memories of traumatic events, negative feelings, and ongoing fears is another form of memory problem. Some of these memories accurately reflect horrifying events, while others may be negative distortions of reality.

People suffering from depression are particularly prone to having persistent, disturbing memories. So are people with post-traumatic stress disorder (PTSD). PTSD can result from many different forms of traumatic exposure — for example, sexual abuse or wartime experiences. Flashbacks, which are persistent, intrusive memories of the traumatic event, are a core feature of PTSD.

Mirror or 2-Way Glass? The Fingernail Test



COATED SIDE - no gap between finger and reflection



UNCOATED SIDE - gap between finger and reflection

A Mirror or a 2-Way Glass?

How can you tell when you are in a room, restroom,
motel etc. with a mirror or a 2-way glass?

Here's how: I thought it was quite interesting! And I
know in about 30 seconds you're going to do what I did
and find the nearest mirror.

Do you know how to determine if a mirror is 2-way or
not? A policewoman who travels all over the US and
gives seminars and techniques for businesswomen passed
this on.

When we visit toilets, bathrooms, hotel rooms,
changing rooms, etc., how many of you know for sure
that the seemingly ordinary mirror hanging on the wall
is a real mirror, or actually a 2-way mirror (i.e.,
they can see you, but you can't see them)? There have
been many cases of people installing 2-way mirrors in
female changing rooms . It is very difficult to
positively identify the surface by looking at it.

So, how do we determine with any amount of certainty
what type of mirror we are looking at?

Just conduct this simple test: Place the tip of your
fingernail against the reflective surface and if there
is a GAP between your fingernail and the image of the
nail, then it is GENUINE mirror. However, if your
fingernail DIRECTLY TOUCHES the image of your nail,
then BEWARE! IT IS A 2-WAY MIRROR!

"No Space, Leave the Place" So remember, every time
you see a mirror, do the "fingernail test." It doesn't
cost you anything.

REMEMBER. No Space, Leave the Place:

Ladies: Share this with your girlfriends, sisters,
daughters, etc.

Men: Share this with your wives, daughters,
daughters-in-law, mothers, girlfriends and/or friends.