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Mayo Clinic Health Letter, July 2011 Highlights

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ROCHESTER, Minn. - (BUSINESS WIRE) - Here are highlights from the July issue of Mayo Clinic Health Letter. You may cite this publication as often as you wish. Reprinting is allowed for a fee. Mayo Clinic Health Letter attribution is required. Include the following subscription information as your editorial policies permit: Visit www.HealthLetter.MayoClinic.com or call toll-free for subscription information, 1-800-333-9037, extension 9771.

Weight Training Helps Older Adults Stay Active

ROCHESTER, Minn. -- Getting older doesn't need to mean getting significantly weaker. The July issue of Mayo Clinic Health Letter describes the benefits of weight training to help prevent loss of muscle strength in older adults.

Muscle strength is needed for everyday movements like mowing the lawn or playing with grandkids. With no strength training and little physical activity, age-related muscle loss and weakness can quickly become a downward spiral. A decline in muscle mass, strength and endurance makes everyday tasks harder as well as increasing fatigue and the likelihood of developing a disability.

While age takes a toll on the amount and quality of muscle in the body, studies have found that only 30 percent of the difference in strength between young adults and older adults is due to aging. That means 70 percent of strength loss is related to other factors, most notably a decline of physical activity.

This 70 percent loss doesn't have to occur, and if it has occurred, the loss can be regained. Older adults often experience remarkable improvement in strength within weeks or months of starting a strength training program. Stronger muscles can promote a healthier lifestyle, and also can influence health in other ways.

Improved bone health: Strength training increases bone density and reduces the risk of osteoporosis.

Reduced risk of injury: Weight training can contribute to better balance, coordination and agility -- reducing the risk of injury. Strengthening makes joints more stable and helps muscles take a greater role in absorbing stresses exerted on joints.

Improved weight control: Muscles burn calories. Muscle gains through strength training help burn more calories, making it easier to reduce body fat and control weight. At first, strength training may not result in much weight loss because muscle weight gains may offset losses in fat weight. Reduction in measurements such as waist size and a leaner overall body are likely to occur.

Reduced back pain: Strengthening lower back muscles is a proven way to ease back pain.

Improved cognition: A recent study found that older women who participated in strength training once or twice a week improved cognitive function.

A doctor, physical therapist or certified trainer can offer suggestions for a weight training program. Two or three sessions a week, lasting 20 to 30 minutes, are adequate for most people.

Malaria: A Vexing Parasitic Disease

ROCHESTER, Minn. -- Travelers headed to tropical locations -- central South America, Haiti, sub-Saharan Africa or South Asia -- should seek medical advice on malaria prevention a couple months before departure.

The July issue of Mayo Clinic Health Letter discusses malaria risks for travelers and the importance of prevention and treatment. Malaria can lead to serious illness and sometimes death. About 1,500 people in the United States are diagnosed with malaria each year. Most cases occur in travelers who didn't take preventive measures. Worldwide, malaria kills an estimated 1 million people every year.

Malaria is caused by microscopic parasites that are transmitted most commonly by mosquito bites. After a bite from an infected mosquito, parasites travel to the liver. They lie dormant for anywhere from 10 days to four weeks, although dormancy can last up to one year. Once the parasites mature, they leave the liver and infect red blood cells. Then, the signs and symptoms of malaria start to occur.

Malaria infections are categorized as either uncomplicated or severe. In uncomplicated malaria, symptoms may be similar to the flu and include moderate to severe chills, high fever, headache and vomiting. If not properly treated, it may become a life-threatening medical emergency.

Severe malaria may involve swelling of the brain, breathing problems, kidney and liver failure, severe damage to the red blood cells and dangerously low blood sugar.

Treatment involves one or more antimalarial drugs such as chloroquine (Aralen), hydroxychloroquine (Plaquenil), and mefloquine (Lariam). These drugs may be used to prevent malaria.

Effective treatment can cure malaria. People who experience high fever when visiting high-risk areas for malaria should talk to a doctor. Malaria should be considered when high fever occurs for up to a year after travel to high-risk locales.

Nightmares: An Adult Dilemma, too

ROCHESTER, Minn. -- Nightmares are common, typically starting in early childhood and tending to decrease after age 10. But teens and adults can be jolted by nightmares, too. The July issue of Mayo Clinic Health Letter explains why nightmares may occur in adults and ways to decrease their frequency.

Everyone has bad dreams occasionally, but nightmares tend to be more disturbing as they unfold. People are awakened from nightmares; often recall the dream in detail; and may feel fear, anxiety, anger, sadness or disgust from the dream. Returning to sleep may be difficult.

What causes nightmares isn't always clear. Daily life stressors as well as major life changes -- a death of a loved one or a move -- may trigger more frequent nightmares. Traumatic events, such as an accidents or injuries, may cause post-traumatic stress disorder (PTSD), where trauma-related nightmares may occur. Medications that affect neurotransmitters (chemicals in the brain) like norepinephrine, serotonin and dopamine can cause more frequent nightmares. Examples include drugs containing levodopa and reserpine (Serpalan) as well as beta blockers and antidepressants. Drinking alcohol can trigger nightmares, too. Alcohol is associated with more intense dreaming as well as better recall of dreams.

Occasional nightmares aren't a cause for concern. But if the thought of sleep causes anxiety and fear about recurring nightmares, checking with a physician is a good idea. Nightmares associated with an underlying medical condition or mental health condition can generally be managed by treating the underlying problem. Stress reduction techniques, counseling or therapy may be helpful.

A doctor may suggest keeping a sleep diary to track sleep patterns and factors that may affect sleep. For sleep that's severely disrupted, an overnight sleep study may be recommended to help determine causes and treatment options.

Mayo Clinic Health Letter is an eight-page monthly newsletter of reliable, accurate and practical information on today's health and medical news. To subscribe, please call 1-800-333-9037 (toll-free), extension 9771, or visit www.HealthLetter.MayoClinic.com.

Mayo Clinic
Ginger Plumbo
507-284-5005 (days)
507-284-2511 (evenings)
newsbureau@mayo.edu



 
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