Staying Healthy Archive

It's more important than ever to consider your particular health risks before popping a nonprescription pain reliever.

Have a headache, muscle strain, or maybe arthritis pain? Don't reach for just any over-the-counter (OTC) remedy. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin are commonly used OTC painkillers. So is acetaminophen (Tylenol). For decades, these drugs were thought to be entirely safe — justifying the ability to purchase them without a doctor's prescription.

But the thinking on OTC painkillers has changed now that we know more about their risks. And it's especially important to navigate these medications with care. Here are guidelines to help you narrow the options.

Ask the doctor

Q. You recommend eating fish twice a week. However, I've read that fish contain toxins and microplastics. Is it really safe to eat fish?

A. Most options in life contain both benefits and risks. Foods are no exception. Eating fish has potential benefits (largely from the omega-3 fats they contain) and risks (from the toxins). Do the benefits exceed the risks? That question has been addressed by research — much of it by colleagues here at Harvard. The answers are different for different people, and for different types of fish.

Asking some simple questions can help you determine what medical research to pay attention to and when to wait for more information.

Every day there's something new in the world of medical research, and sometimes the results conflict. Eggs are good for your heart, or not. First surgery is advised to repair tears to cartilage in the knee, then nonsurgical options are favored. Do this, not that, for better health. For many women, all this information is a little confusing. When should you change your health habits, and when should you wait for more information? How can you tell the difference?

"It can be difficult for the consumer to know what research study is preliminary at best and in need of replication, versus a study that should cause you to change your life," says Dr. Andrew Budson, a lecturer in neurology at Harvard Medical School and chief of cognitive and behavioral neurology at the VA Boston Healthcare System.

Some trends are high-tech, and some go back to basics.

One of the best ways to sustain an exercise regimen is to find an activity that appeals to you. And four new exercise trends may pique your interest. They're not age-specific and most can be tailored to your needs. But they do have pros and cons.

1. Circuit training

When people talk about circuit training in 2020, they're probably not referring to working out on a series of weight machines. Today's circuit consists of a series of exercises, set up at separate "stations" in various parts of a large exercise room. "The exercises focus on agility, balance, or strength, and they alternate between upper- and lower-body movements to avoid excessive fatigue in any one muscle group," says Michael Bento, a personal trainer at Harvard-affiliated Massachusetts General Hospital.

These are the most effective ways to protect yourself.

Here are some alarming statistics about heart attacks:

• Every 40 seconds, someone in the United States has a heart attack.
• Every year, about 805,000 Americans have heart attacks, 75% of which are first-time attacks.
• The average age of a first heart attack among men: 65.

However, the most troubling fact about heart attacks is that many people don't take steps to protect themselves, says Dr. Deepak L. Bhatt, executive director of interventional cardiovascular programs at Harvard-affiliated Brigham and Women's Hospital Heart & Vascular Center. "Reducing your risk of cardiovascular disease is the best way to guard against heart attacks," he says. "There are simple ways to do this, but unfortunately, many people still don't follow them as they should."

Here's a look at five ways you can protect yourself from cardiovascular disease, and thus possible heart attacks, and avoid being another statistic.

Research we're watching

If you have children in your house — even for a few hours at a time — be certain to store your medications safely. A study in the January 27 issue of Pediatrics found that more than half of the time, accidental poisonings with prescription medication occurred because adults had removed the medicine from a child-resistant container before the child discovered it.

CDC researchers examined calls made between February and September 2017 to five poison control centers to determine how these accidents most often occur. Most of the time, the pills that children encountered belonged to a parent, but in more than half of cases involving particularly harmful medication, it belonged to a grandparent. These medications included drugs to treat diabetes or cardiac conditions. Child-resistant packaging can help protect children, but it's often inconvenient for adults. Study authors found that most often when poisonings occurred, it was because adults put the pills into pill organizers that were not child-safe, stored them in small plastic bags, or left them out on a surface that a child was able to reach. In other cases, a child found a pill that was dropped on the floor.

This caregiver role has mental and physical health challenges.

You're not alone if you've suddenly found yourself raising your grandchildren. In the United States, three million older adults are primary caregivers to kids of all ages. Like any caregiver role, raising kids (especially young children) comes with many challenges, not the least of which is maintaining your health.

Physical challenges

The care of little kids — feeding, bathing, dressing, soothing, entertaining, lifting, carrying, and chasing after them — requires youthful energy and strength. As a grandparent you may be at a disadvantage, and not just because of age. "You may be slower from chronic conditions — like arthritis, heart problems, or diabetes — and from taking the medications needed to treat them," says Dr. Suzanne Salamon, associate chief of gerontology at Harvard-affiliated Beth Israel Deaconess Medical Center.

Approaches to using laxative solutions for colon cleansing have changed since your last colonoscopy.

Preparing for a colonoscopy isn't fun. Indeed, many people dread the colonoscopy prep more than the colonoscopy itself. Traditionally, you have had to change your diet for a few days, drink quarts of laxative solutions — and then spend hours in the bathroom enduring diarrhea and discomfort as your colon empties. In the past few years, though, the approach to taking laxative solutions has evolved to become a little less unpleasant.

Lower-volume preps

Instead of downing 4 liters of medicated liquid, which was once the standard, most people now need to drink about 2 liters (a bit more than 64 ounces). The reduced volume of laxative fluid is often combined with laxative pills, to help you clear your bowels.

A simple exercise called the deadlift helps make everyday actions easier and safer.

Research shows that weight lifting is good medicine for healthy older adults. While there are many weight-lifting exercises, one move you should always include with your workouts is the deadlift.

The deadlift is a simple-looking movement. From a squatting position, you grab a weighted barbell and then stand while you lift the bar with straight arms. The barbell rises to about mid-thigh level. You hold for a second and return to the starting position.