The Elite 8 – Summertime Edition

elite-eight_waterBernadette Keefe MD

Introduction

In U.S. collegiate sports, “The Elite Eight“, are the final eight teams in the national tournament; two from each region. The outcome of those four games becomes, “The Final Four”. However, for this summer time edition of The Elite Eight, we’re talking about the revered “eight glasses of plain water per day” health dictum.

While optimal hydration is essential for health, and water is considered the “gold standard” of hydration, we do not need 64 ounces of plain water a day. We do, however, need 64 ounces or 1.9 liters of total fluid obtained via drinks and food for optimal functioning and health, especially during the warm weather and exercise.

Furthermore, what makes the eight glasses of water per day advice “elite”/special is that consuming a zero calorie beverage might just be the antidote to the current epidemic of obesity and Type 2 diabetes. Americans typically satisfy their thirst with sugary beverages. Shockingly, these drinks contribute the majority of our daily ingestion of sugar! Continue reading

Health Literacy – Not “Feeling” It?

health-literacy

Bernadette Keefe MD

Health Literacy – It’s still not catching on.

The Center for Disease Control and Prevention (CDC) defines health literacy as

“the degree to which an individual has the capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions”.

 As a believer in improved general literacy for citizens, I have assumed that health literacy, achieved through quality health information, having been easily accessed and well understood, would be akin to the process of general literacy. But just as education involves more than the conveyance of information, it is similar for achieving health literacy.

Although considerable efforts have been made regarding the formulation and dissemination of health and self-care information, we are seeing little effect on health outcomes. All parameters of health and wellness in the U.S. remain stubbornly poor, including the high incidence of obesity, type 2 diabetes, heart disease, cancer, mental health, and addiction. Healthcare systems and healthcare professionals continue to tout patient engagement strategies and the importance of health literacy, but as Michael Friedman states in his excellent piece on the topic:

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Sugar High Halloween

Candy Corn

Candy Corn

Bernadette Keefe MD

It’s Halloween… but:

‘We need to start talking about how our food supply is making many of us sick.”

 “Sugar high” is the term used to describe the cascade of responses after eating a sugar load. A high sugar load, especially a pure sugar load, triggers is a rapid release of insulin to counteract the high blood sugar. With that response, glucose is absorbed into cells and the blood sugar plummets. We feel hunger with the low blood sugar and if we consume a sugary snack or meal, the cycle restarts. The taste of sugar is also ‘addictive’ over time. At this time we have a cultural sugar high, a palate tuned to the taste of sugar, across our nation and indeed the world. It has led to unprecedented levels of Type 2 diabetes and obesity. Continue reading

Aging: It’s A Good Thing!

adventure-is-out-there

 Honoring Active Aging Week 2015, September 27th– October 3rd.

From Active Aging Week website,

“This year’s Theme: Live Your Adventure!  Led by the International Council on Active Aging, Active Aging Week celebrates aging and active living. Each year event organizers engage participants in wellness activities in a safe, friendly and fun atmosphere.”

             my-adventure-book

 

Each day of active aging week has a corresponding theme, thus the “adventure book” has 7 Chapters, each devoted to a specific aspect of wellness in aging. Chapter details follow:

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Boomers, Got Fit (bit)?

Boomers – Got Fit (bit)?

Best-activity-trackers_banner-r1

Bernadette Keefe MD

“You can’t manage what you don’t measure.”                              

 (credited to by not said by W. Edwards Deming)

 Introduction

If you are 50 years of age or older you are a baby boomer, that means by 2030, there will be 77 Million people over the age of 65 in the U.S. alone. The U.S. National Institute of Aging has designated September as a Go-4-Life month: a national exercise and physical activity campaign for people 50+. The goal is to empower older adults to become more physically active. The last week in September marks the beginning of Active Aging Week (September 27 – October 3) for the United States, Canada and Australia. Each day is devoted to a specific healthy life habit: from walking to nutrition to social connection.

The importance of our lifestyle/behaviors, to overall health is now undeniable. It is thought that 70% of chronic disease is caused directly or indirectly by the poor lifestyle choices we make. Now we can seamlessly measure our daily behaviors through fitness trackers. Continue reading

Falls Prevention Day 2015: Will the real ______________, please stand up!

              National Falls Prevention Awareness Day ~ September 23, 2015

                                        “Take a Stand to Prevent Falls” 
fallPrevention

 Bernadette Keefe MD

 “One of every three older adults falls each year, but less than half talk to their healthcare providers about it.” – Lawrence Z. Rubenstein MD, MPH Chair Geriatrics – U. of Oklahoma Health Sciences Center

 Introduction

Tomorrow, September 23, 2015, the U.S. will celebrate the 8th Annual Falls Prevention Awareness Day. The announcement on the National Council for Aging (NCOA) Falls Prevention Day website reads:

“The 8th annual Falls Prevention Awareness Day (FPAD) will be observed on September 23, 2015 – the first day of fall. The event seeks to raise awareness about how to prevent fall – related injuries among older adults. The 2015 theme is Take A Stand to Prevent Falls and the official twitter hashtag for this year’s event is #FPAD15 Continue reading

The 100 Year Lifespan.

aging-fashion

The quality, not the longevity, of one’s life is what is important.

– Martin Luther King Jr.

100 Year Lifespan: The coming reality

The 100 Year lifespan is coming. As of 2014 there were 72,000 centenarians (U.S.) and projections of as many as 1 million by 2050. In the industrialized world, people over 90 years of age are the fastest growing segment of the population. By the end of this century the average life expectancy is expected to be 100 years. Notably, Japan’s centenarians, who number about 30,000, have quadrupled in the last 10 years.

Now there are 43 Million Americans over age 65 years age. By 2050 that number is expected to rise to 108 million. The number of those over 85 years could increase five-fold by that time.

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