Posts Tagged ‘exercise’

Fear of Falling

Thursday, September 23rd, 2010

Fear of falling in the elderly often due to psychological factors and not physiological.Older people are naturally concerned about falling because of the consequences a tumble can involve. A recent study by Neuroscience Research Australia has found that to much worry about falling – even if physiological tests indicate low risk – increases the probability that an individual will fall.  The study also found that older people who are at high physical risk of falling but tend to not think about it, fall less often than their more concerned counterparts.

Published in the British medical journal BMJ, the study followed 500 Sydney residents with an average age of 78 who underwent medical, physiological and neuropsychological tests.  The majority of participants were able to correctly evaluate their likelihood of falling, though one-third were wrong in their self assessments.  This group felt more or less susceptible than their strength, balance, reaction time and other physical characteristics indicated.  The research team labeled 11 percent as the “anxious” group, who had a higher perceived risk than was physiologically true.  Another 20 percent were called “stoics” and were at risk of falling even though they didn’t think about it very often.  Over the year of the study, the anxious people did have more falls, with 40 percent suffering injuries.  Only 33 percent of the so-called stoics fell, despite the fact they were at higher physical risk.

According to Stephen Lord, an applied physiologist who was part of the research team, “These anxious people were more likely to be depressed, to have restricted their activities, and it looks as though these factors feed on each other.  People who are fearful do less, and that leads to deconditioning, to a loss of strength and balance.  They become preoccupied with the possibility.  The stoics, by contrast, maintained more positive attitudes and more active lives despite their physical problems.

A Mixed Report on Americans’ Health

Tuesday, February 9th, 2010

One-third of Americans say they don’t feel very healthy.  A recent study by the National Center for Health Statistics reveals good news and bad news about the general health of the American public. The bad news is that approximately one-third of respondents say they don’t feel particularly well.  The percentage of Americans reporting they are in excellent health fell to 66.6 percent for the first half of 2009, compared with 69.1 percent in 1998.

Although more Americans report they exercise regularly, upwards of 25 percent are considered obese with a body mass index of 30 or more.  That’s a significant increase over the 19.5 percent reported in 1997.  Type 2 diabetes is also on the rise, with 8.8 percent of Americans diagnosed with the disease in 2009, compared with just 5.3 percent in 1997.  The rate of asthma rose to 8.3 percent in 2009, compared with 7.6 percent in 2001.  Ten percent of children under 15 are asthmatic.

Jeannine S. Schiller, a statistician with the health statistics center, noted that some significant changes exist between the 2008 and 2009 reports.  “Flu vaccines were up for people 18 to 49 years old, leisure-time activity was up, and the failure to attain needed medical care due to cost went up significantly in one year,” according to Schiller.  “Diabetes is also up over the short term.”

The report stressed that 15 percent of Americans do not have healthcare insurance, and lack resources they can access for basic medical care.

We All Need a Chief Wellness Officer

Thursday, September 17th, 2009

The prestigious Cleveland Clinic has taken a proactive stance on preventative healthcare by creating a Chief Wellness Officer position and putting Dr. Michael Roizen in the job.  Dr. Roizen is well known for his appearances on the “Oprah” show and as the co-author of health and lifestyle books with Dr. Mehmet Oz.  His impressive resume lists the position as the past chair of the Food and Drug Administration’s advisory committee.

small_clevelandmag_docsDr. Roizen has taken on the cause of preventive wellness through the Cleveland Clinic’s Lifestyle 180 program. Lifestyle 180 provides patients with chronic diseases with a proactive approach to improving their health.  Patients are closely monitored and coached to improve their health and well-being through diet, exercise and stress management.  Interestingly, the program has a dedicated space in an old corporate headquarters building  in Lyndhurst, OH.

By all indications, Lifestyle 180 appears to be an excellent approach to educating patients so they can attain improved health.  This raises a question.  Once patients complete the program, where do they go to maintain and continue to put into action the valuable information and lifestyle tools they have received?  Although patients are encouraged to come in for follow-up appointments – which are important – where do they go?

This is exactly where a medically based wellness and fitness center fills this void.  Patients need a comfortable, unintimidating medically directed facility that provides them with the information, tools and resources they need to continue their journey to improved health.

We all could use a chief wellness officer to pave the way to improved health, no question.  We also need a medically directed facility to put into action and maintain the life lessons that we have learned.  Kudos to the Cleveland Clinic for recognizing the need to improve health through comprehensive wellness strategies.  Now, let’s take it a step further and apply this proactive strategy to a comprehensive medically directed wellness and fitness center so we can live this healthy lifestyle forever.