Staying Healthy Archive

Understanding risk and modifying your activities can cushion your joints from damage.

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Joints are a little bit like couch cushions. Over time, the padding between your bones, called cartilage, gets worn out and flattens down — a condition known as osteoarthritis. Unfortunately, dealing with worn joints is not as simple as fixing or replacing a couch. And whether your joints wear out may not be entirely in your control.

"Unfortunately, a lot of your risk depends on your genes," says Dr. Scott Martin, an orthopedic surgeon and associate professor of orthopedic surgery at Harvard Medical School. "If you have a history of arthritis in your family, you may get arthritis in your lifetime. That's one factor you can't control." Dr. Martin is the faculty editor for the Harvard Special Health Report Knees and Hips (www.health.harvard.edu/knees).

You can head off problems from nonprescription drugs by following instructions carefully and communicating with your doctor.

 Image: © Bill Oxford/Getty Images

Relief for your symptoms can be as close as the nearest drugstore. Over-the-counter medicines and supplements can offer quick results, whether you've got heartburn, a headache, or a stuffy nose. And many people assume these products are safe, simply because they don't need to visit the doctor to get them. Unfortunately, that's not always the case.

Any medication that works cannot be completely safe, says Dr. Gordon Schiff, associate professor of medicine at Harvard Medical School and associate director of Brigham and Women's Center for Patient Safety Research and Practice. The decision to make a drug available over the counter is often more a matter of marketing than safety, he says.

Research we're watching

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As many people have suspected, a new study confirms that standing more can help you burn more calories. But the number of calories it burns in the course of the day isn't even enough to work off a fun-size candy bar.

The results of a Mayo Clinic study, published online January 31 by the European Journal of Preventive Cardiology, found that adults who weighed 143 pounds, the average weight in the study, burned 0.15 more calories per minute while they stood than when they sat. So, in a six-hour day of standing instead of sitting, they would burn some 54 extra calories.

Research we're watching

A study published October 2017 in the Journal of the American College of Cardiology found that people who regularly skip breakfast may have more arterial plaque than those who don't. Researchers used ultrasound to scan the arteries of more than 4,000 adults in Spain who were categorized into three groups: those who ate a heavy breakfast, those who ate a light breakfast, and those who ate no breakfast at all. They found that nearly 75% of those who regularly skipped breakfast had signs of plaque buildup in their arteries, compared with only 57% of people who reported eating a big breakfast every day and 64% who ate a small meal in the morning.

It's not clear why this was the case, although the authors noted that the people in the study who skipped breakfast were more likely to be obese and to have high cholesterol, high blood pressure, or diabetes. However, even when the researchers adjusted for those factors, the differences in arterial plaque levels between the groups persist.

Harvard fitness expert Michele Stanten takes you through a simple routine that will safely elevate your heart rate to keep your fitness goals on track.

All you need are light clothing, a good pair of shoes and a few minutes of your day and Harvard exercise expert Michele Stanten will have you on your way to meeting your fitness goals.

Many people are bothered by double chins and try to conceal them behind turtleneck shirts and scarves. However, recent advancements have expanded the options for jowl removal beyond surgery to in-office treatments.

Cryolipolysis (Cool Mini)

This procedure, also known as "cool sculpting," treats a double chin. The clinician places a handpiece under the chin and chills fat cells there almost to the point of freezing, damaging their membranes so they are absorbed and metabolized by the body. The treatment itself takes about an hour, and results are seen over the subsequent two months. The procedure is usually effective and can be performed more than once. It can also be used to reduce love handles on the waist. The cost is approximately $1,000 per treatment.

Decades of research show that yoga can reduce the emotional and physical fatigue brought on by cancer treatment. In 2017, scientists reported for the first time that this is also true specifically for men undergoing treatment for prostate cancer. Men who took a yoga class twice a week during prostate cancer radiation treatment reported less fatigue, fewer sexual side effects, and better urinary functioning than men who did not.

The research team enrolled 50 men ages 53 to 85 who were diagnosed with early or advanced nonmetastatic prostate cancer. Of them, 22 were assigned to yoga classes and the rest did not participate in yoga. All the men received scheduled radiation treatments; 29 of them were also on hormonal therapy, and 19 had been treated previ-ously with surgery. The yoga and control groups were evenly balanced with respect to various cancer treatments as well as treatments for side effects.

If you're like most people, your posture could use some improvement. But how do you do that? The classic advice is to stand straight, with your head up, shoulders back, and belly in. While these are reasonable adjustments, tai chi takes a different approach that may be more effective. It aims to align the body in ways that afford safe, unstrained, and graceful postures—not the military-like, one-size-fits all, rigid stances many think of as good posture.

Instead, in tai chi, good posture centers around the principle of verticality. That means the head is centered over the torso, the torso rests over the hips, and the hips are centered over the legs and feet, your base of support. Here's how to do it.