Secrets for Keeping Active in Aging Men. What to do?

Many aging men are asking the question: how do I stay active? I have male patients, in their mid-60s and 70s, who are still going to the gym, skiing and playing basketball. Regardless of the exerci…

Source: Secrets for Keeping Active in Aging Men. What to do?

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Include eye test screens as part of Concussion screening

As concussion awareness rises, more parents and sport teams are doing baseline concussion screening. Many of these tests include balance and/or cognitive testing. Only some of them include eye test screening as well.


Photo credit: killy via BY-NC-ND

A brain injury is often only identified when moderate or severe head injuries have occurred, leaving mild cases undiagnosed and untreated. A mild head injury accounts for approximately 80% of reported trauma brain injury according to US department of defense statistics. That’s why it is important to develop simple tests that can identify mild cases. Tests that can also be done on field as well.

4 simple eye tests have been used by José Capó-Aponte, OD, PhD, from the Department of Optometry at the Womack Army Medical Center in Fort Bragg, North Carolina, as an effective screening tool for acute mild traumatic brain injury.

“Since approximately 30 areas of the brain and seven of the 12 cranial nerves deal with vision, it is not unexpected that the patient with traumatic brain injury may manifest a host of visual problems, such as papillary deficit, visual processing delays, and impaired oculomotor tracking and related oculomotor-based reading dysfunctions,” Dr Capó-Aponte pointed out.

The following tests were used by Dr Capó-Aponte and his team to identify reliable biomarkers of mild traumatic brain injury. The team looked for subtle visual changes that could be measured in the office or in the field.

  • Testing Pupil using a monocular infrared pupillometry:
  • near-point convergence
  • saccadic eye movement function with the King–Devick Test
  • Visual symptoms were assessed with the Convergence Insufficiency Symptom Survey (CISS).

These tests are used because patients with mild traumatic brain injury had significantly higher near-point convergence scores (receded near-point convergence) than control subjects, longer times to complete the King–Devick Test, and more symptoms on the CISS. The pupil test also revealed that average constriction velocity, average dilation velocity and time to 75% recovery of dilation were significantly different between mild traumatic brain injury and control subject.

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A Decrease in Muscle Strength in Aging Men, leads to an Increase Risk of Slips and Fall Incidents.

Dr. Ayse Zengin, PhD, Medical Research Council, Human Nutrition Research, Cambridge completed a study in the UK, looking at the relationship between muscle strength as men age and their risk of fracture and

Here are some highlights of the study:

  • A total of 301 men over the age of 40 years were involved in this study.
  • Lower limbs muscle force and power were measured by having the participants to perform a jumping mechanography, which involves a single two-legged jump on a ground reaction- force platform.
  • Why study men? While there are many studies done on bone and muscle strength in women,. there are relatively fewer studies of bone health in older men.
  • The Consequences of a Fracture in Men are Worse than in Women. Even though men have fewer fractures than women, they have increased mortality following a fracture.
  • As men grow older, their muscle strength drops, and this can serve as a significant predictor of bone fractures.
  • Muscle power is strongly associated with fall risk. An increased risk of falls is associated with decline in muscle power (a factor that reflects how fast someone can produce force)
  • Muscle Force and Power. Not Muscle Mass Alone. There is a far more rapid decline in muscle strength than muscle mass as men age. Younger and older men can have the same muscle mass, but older men cannot perform functional tests.

In another study conducted, in Australia

  • Mortality increases after hip fractures in women and more so in men. Little is known. 

These studies suggest that physical training involving strength and power in the lower limbs, may help to improve bone strength and decrease the risk of falling. Training should always involve some types of balancing as well.

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Pelvic Floor Exercise for Men

We often hear women doing pelvic floor exercise or Kegel exercise after giving birth. Men can also benefit from kegel exercise.

What are the benefits?

  • increase flood flow and nerve supply to pelvic region
  • prevention and treatment of urinary stress incontinence
  • improve sexual response and function

Here is a quick guide to Kegel Exercise for Men.


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Young Athletes. Play smart, play safe, and play hard!

The journey from backyard playing to a high level competitive arena for young athletes can be fun and rewarding. There will also be many challenges in between. Early morning practices, driving to T…

Source: Young Athletes. Play smart, play safe, and play hard!

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Osteoarthritis Doesn’t Mean the End of Your Workouts

Be Active Be Healthy

Many people stop working out with weights when they have been diagnosed with osteoarthritis (OA), usually because they experience pain. But don’t let that be you! Often your form and technique can be adjusted, and there are many exercises that you can perform that will not only be pain-free but help you to improve your strength and mobility.

Strengthening the muscles around the affected joint helps to keep the bones in their proper position. When the joint moves better, there is less stress. The endurance of the muscles needs to be increased as well, as Dr Cruz [link] mentioned earlier. The longer the muscles can withstand fatigue, the longer the joint is stable!

Let’s focus for now on the knee, since it is so commonly affected.

Technique: We always strive to keep the joint in alignment when working out. For example, your knee should always be in line with your…

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Spinal Osteoarthritis

Be Active Be Healthy

Doc, I was told that I have arthritis in my neck and lower back. Is it genetic or is it just aging?

This is a very common question I hear nearly daily. Some people may have a genetic disposition to Osteoarthirits (OA). Nevertheless, since we can’t change our genes or age, let’s focus on what we can change.

OA is most common in weight bearing joints, such as knees, hips and the spine. OA is also seen frequently in the shoulders and hands, with overuse and repetitive movements. It is common in the first toe (bunion) as well.

With OA in the knees, we may see swelling in the knees. With OA in the hands, we may see nodules in the fingers. OA in the spine may show with poor posture, such as forward head posture and poor sitting posture habits. Some people with OA in the spine may have…

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Changes in Diet affect the Brain

Dietary changes that reduce the incidence of, and prevent, mental health disorders are a cost-effective and efficacious means of improving mental health, urges a position statement that sets out a series of recommendations that will advance nutritional medicine in psychiatry.

burger and fries

photo by Brandon Morgan

The statement, released by the International Society for Nutritional Psychiatry Research (ISNPR), emphasizes that there is tested, basic scientific, and clinical evidence to show that diet both influences risk for, and outcomes of mental health disorders. Moreover, a number of nutrients are linked to brain health.

Felice N. Jacka, PhD, associate professor, Division of Nutritional Psychiatry Research, IMPACT Strategic Research Centre, Deakin University, Geelong, Australia, and president of the ISNPR, played a central role in the development of the consensus statement.

But it’s everywhere…  “The situation we find ourselves in around the world is one wherein unhealthy food products are ubiquitous. They’re heavily marketed, they’re socially acceptable and normalized, and we believe that they’re highly addictive,” she told Medscape Medical News.

“The changes to our diet globally have resulted in a tsunami of ill health, and an unhealthy diet is…understood to be the greatest cause of early mortality.

Mental Health Treatment “Suboptimal” In developing the statement, published in the 2015 October issue of World Psychiatry, the ISNPR says that although the outcomes achieved by current treatments of mental disorders are “suboptimal,” little attention is paid to prevention. As such, diet and nutrition are modifiable targets for the prevention of mental disorders and play a key role in the promotion of mental health.

A number of nutrients, it says, have a “clear link” to brain health, including omega-3 fatty acids, B vitamins, choline, iron, zinc, magnesium, S-adenosyl methionine, vitamin D, and amino acids, and that dietary consumption could be supplemented by the prescription of nutraceuticals.

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Get BACK into Fitness this Fall

Be Active Be Healthy

Let’s face it, you have had back pain in your life as an active person, or you know someone who has. And fall is that time of year that we get back into our fitness routines but have life tugging at us as well. Back pain is one of the most common injuries and major complaints. There are many reasons why you can have back pain, let’s focus on lower back pain.

First, think about your lifestyle that surrounds your workouts. Do you drive to your workouts right after getting out of bed or after a long day of sitting at work? Do you then drive home without doing a proper cool down? These are common realities of many people who work out in fitness clubs, local running groups, or yoga studios. Remember, your body needs time to warm up, maybe 5-10 minutes of cardiovascular work and then some light…

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Whiplash and Sport Injury

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