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Slow heart rate recovery after exercise can be a telling sign

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Slow heart rate recovery after exercise can be a telling sign

Q: I’m 77 and train usually. I simply bought a health tracker to observe my coronary heart price, and so forth. I’ve at all times been very sluggish to get again to a resting coronary heart price. For example, if I get my price as much as 130 beats per minute throughout train, it will likely be at 90 half an hour later and at 70 after an hour. My resting coronary heart price is about 56 bpm. An internet supply means that the decline in my bpm is sluggish and might point out susceptibility to a coronary heart assault. I’ve mates as sluggish to chill down as I’m. Do you see any downside with this?

M.S.

A: There are various metrics to gauge cardiovascular health, and how briskly your coronary heart price returns to regular after train is a strong one. Nevertheless, the same old time intervals which can be referenced in research are normally 1 and 5 minutes, not 30 and 60 minutes.

If the guts price slows by 20 or extra beats within the minute after exercising, that may be a good signal. Slower restoration predicts better threat, with essentially the most harmful consequence being solely a 5 beat discount within the first minute after train. Sluggish response at 5 minutes additionally predicts a better diploma of threat.

The typical age in typical research is 57. The truth that you might be 77 makes associated information tougher to interpret for you.

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Common train stays an effective way for anybody to maintain up cardiovascular well being. When you do have a slower-than-ideal coronary heart price restoration, it’s worthwhile to think about extra remedies (presumably together with a statin or aspirin) that may scale back your threat. A heart specialist is the proper individual to debate this with.

Lastly, very strenuous train, the type that jacks your coronary heart price as much as its most, might be greatest averted except your heart specialist particularly provides you the OK to take part.

Q: I’ve been identified with mucous membrane pemphigoid with epithelial dysplasia. It impacts my gums underneath an higher denture. What sort of physician ought to I see for therapy, an internist or an immunologist? I had this for 2 years earlier than it was lastly identified after a second biopsy. I’m very scared.

D.V.

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A: Mucous membrane pemphigoid is a uncommon autoimmune illness that causes blisters and erosions within the mouth, however it could additionally have an effect on the eyes, nostril, higher airway and different mucous membranes. This illness tends to occur in older adults. Antibodies to a mobile construction referred to as the “basement membrane” are thought to trigger the signs, however what causes the physique to make the antibodies is unknown.

Therapy is designed at lowering the exercise of the immune and inflammatory methods. Corticosteroids akin to prednisone will be utilized on to the spot by the use of a gel or ointment, or by oral pill in additional extreme illness. Some specialists inject steroids into the realm of illness exercise, particularly if there’s a restricted space concerned. Extra extreme illness requires stronger brokers towards the immune system.

Dermatologists are the specialists in therapy of pemphigoid of all kinds however might actually seek the advice of with different specialists, together with dentists and different specialists as vital.

Q: My partner, now 61, had shingles two years in the past. Although the rash cleared up rapidly, the nerve ache has by no means subsided. Is the virus nonetheless at work, or does she have everlasting nerve harm? As a result of her physician has at all times stored her vaccines updated, we aren’t certain how she missed getting a shingles vaccine, except she was beneath the really useful age threshold at the moment.

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B.L.

A: Shingles is the reappearance of the chickenpox virus after it has lain dormant for years (normally many years) within the physique. It may very well be because the time of the unique chickenpox an infection or, much less seemingly, since vaccination with the varicella vaccine.

Throughout the time of the rash, and infrequently for every week or two afterward, the ache is because of irritation and harm to the nerve, referred to as acute neuritis. After 4 months, nonetheless, the analysis is now referred to as postherpetic neuralgia, and it’s a sort of neuropathy, the overall time period for nerve harm.

The older an individual is, the longer postherpetic neuralgia tends to final. About 20 p.c of individuals may have ache for his or her lifetime, however your partner remains to be extra prone to have the ache go away than final without end. I’m hopeful the nerves will get better and that the harm just isn’t everlasting.

Till her restoration, I hope she is getting some therapy to alleviate the ache. Gabapentin and pregabalin are essentially the most generally used remedies. If an individual can tolerate the total dose (it might take weeks to get individuals to tolerate the total dose of gabapentin, which is as much as 1200 mg thrice day by day), it may be very efficient, dramatically enhancing an individual’s high quality of life.

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The newer shingles vaccine, a two-dose recombinant vaccine with the model identify Shingrix, turned out there in 2017 and could be very efficient. Your spouse might need missed the brand new advice of getting it at age 50, because the outdated one-dose vaccine Zostavax (not out there within the U.S.) was really useful to be given over age 60. Readers over the age of fifty who haven’t had the two-dose Shingrix ought to get vaccinated, even when they’ve had the outdated shingles vaccine, and even when they’ve had a historical past of shingles prior to now.

Q: For the previous three years, my creatinine ranges have been just about regular. I’m 75 years outdated, and my blood stress is managed with medicine. Nevertheless, final week, my creatinine stage was elevated. On the eve of my lab take a look at with dinner I took a few laborious liquor drinks. Would this elevate my creatinine?

J.M.

A: Alcohol can completely harm the kidneys. Since creatinine is a take a look at of kidney perform, the alcohol may have affected the outcomes. In reality, a binge (outlined as 4 or extra drinks for girls, 5 or extra for males at anyone time) could cause acute kidney damage. “A pair” of drinks may meet standards for a binge, relying on how massive the drinks are. One and a half ounces of 80-proof liquor is a regular drink, and a few individuals pour a lot bigger parts.

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Nevertheless, what’s extra seemingly is that alcohol ingesting usually leads individuals to get volume-depleted. “Dehydrated” isn’t the proper time period, since individuals lose salt in addition to water, and I think that is the explanation your creatinine is elevated. Nonetheless, there are a lot of causes, and since your creatinine was greater than ordinary, it’s value rechecking. Be sure you drink loads of fluid and keep away from extra alcohol earlier than your subsequent blood draw.

Dr. Roach regrets that he’s unable to reply particular person letters, however will incorporate them within the column every time doable. Readers might e mail inquiries to ToYourGoodHealth@med.cornell.edu or ship mail to 628 Virginia Drive, Orlando, FL 32803.

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Should you stretch before exercise? After? Never? Here’s what to know

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Should you stretch before exercise? After? Never? Here’s what to know
Panamanian gymnast Hillary Heron stretches as she trains for the Olympics at the No Limits Gymnastics Center in Panama City, Saturday, June 15, 2024, ahead of the Games in Paris. Stretching can help make you more flexible, improve range of motion in your joints — and feel good. Credit: AP Photo/Matias Delacroix, File

For many people of a certain age, high school gym class began with reaching for their toes. Then, over the years, we were told it was better to stretch after exercise.

It turns out, both those things can be true, but the differing advice has created some confusion.

Stretching can help make you more flexible, improve range of motion in your joints—and feel good. David Behm, who researches human kinetics at Memorial University of Newfoundland in St. John’s, Canada, offers this advice on when to stretch and how to do it safely:

Warm up first

It’s almost always good to stretch, but it’s better if you warm up first, said Behm, author of “The Science and Physiology of Flexibility and Stretching.” He recommends a light aerobic activity such as jogging, walking or cycling for five or 10 minutes.

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Follow that with some static stretching, the traditional way of reaching and holding a position (think back to that gym class). You can then do activity-specific dynamic stretching, in which you warm up the muscles with repetitive movements like leg lifts.

Behm says one minute is “the magic number” for how long to do static stretching per muscle group without fatigue.

Should you stretch before exercise? After? Never? Here’s what to know
The Chicago Cubs mascot playfully stretches with Seiya Suzuki prior to a spring training baseball game against the Los Angeles Angels, Wednesday, March 6, 2024, in Mesa, Ariz. Stretching can help make you more flexible, improve range of motion in your joints — and feel good. Credit: AP Photo/Matt York, File

Expand your definition of ‘stretching’

Should you always stretch before exercising? If it’s traditional stretching, not necessarily.

The better question, Behm says, is, “Should people increase their range of motion? Should people have better flexibility? And that is yes, because it helps prevent injuries. It helps with health. But you don’t have to stretch to achieve that.”

Resistance training, for instance, can be an effective form of stretching, he said. Doing a chest press increases range of motion in your deltoids and pecs, whether with barbells, dumbbells or machines, so there is no need to stretch beforehand. Just make sure to start with a small amount of weight to warm up and then add more to train.

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“You probably don’t have to do extra stretching unless you’re a gymnast, a figure skater, or even a golfer who needs a great range of motion through that swing,” Behm said.

Nor do you need to stretch first if you’re going for a leisurely run. Simply start with a slow jog to warm up and then increase the pace.

Don’t do it if it hurts

After exercise, “light stretching is OK, as long as you don’t reach a point where you’re feeling pain,” Behm said. Since your muscles will be warm by that point, overdoing it makes you more likely to injure yourself.

Foam rollers can help with muscle recovery and have been shown to increases range of motion as well as stretching.

Should you stretch before exercise? After? Never? Here’s what to know
David Behm, author of “The Science and Physiology of Flexibility and Stretching,: Implications and Applications in Sport Performance and Health” stretches in Philips, Newfoundland, Canada, on May 27, 2024. Credit: David Behm via AP

Do some static stretching before sports

If you’re playing a sport, Behm said, static stretching beforehand helps reduce muscle and tendon injury.

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“If you’re going to do an explosive movement, change of direction, agility, sprint, any of these explosive activities that involve your muscles and tendons,” he said, “you’re going to be stronger if you do static stretching.”

People can especially get in trouble when they go back to a sport they used to play, whether it’s tennis, surfing or any sort of team activity.

Also, stretch both sides equally. Lacking flexibility on one side also can lead to injury.

Should you stretch before exercise? After? Never? Here’s what to know
David Behm, author of “The Science and Physiology of Flexibility and Stretching,: Implications and Applications in Sport Performance and Health” stretches in Philips, Newfoundland, Canada, on May 27, 2024. Credit: David Behm via AP

Sounds simple. Why all the confusion?

Different studies over the years have either encouraged or discouraged stretching before exercise. Behm says that partly because some studies didn’t reflect real-life conditions, or were designed with elite athletes in mind, not regular people.

“If you’re Usain Bolt, it makes a difference,” said Behm. Not so much for the rest of us.

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Daniela Hantuchová in Two-Piece Workout Gear Does a Deadlift

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Daniela Hantuchová in Two-Piece Workout Gear Does a Deadlift

Daniela Hantuchová is a commentator and retired tennis player. While she might no longer be playing professionally, she’s still training hard. In May, Hantuchová hit the gym, and shared a video of herself there on Instagram. In it, she is seen doing deadlifts, lunge squats with a barbell, and leg lifts while on an exercise ball. How does she stay so fit? Read on to see TK ways Daniela Hantuchová stays in shape and the photos that prove they work.

As you can see from her Instagram video, Hantuchová likes to lift weights to stay in shape. ACE Fitness states that lifting weights is a great workout. “Using maximal loads for compound (multi-joint) movements like the deadlift, squat-to-shoulder press, bent-over row or chest press can improve intermuscular coordination, which is the ability of many muscles to work together to generate and control high levels of force through multiple joints.”

Daniela Hantuchova/Instagram

Hantuchová is also seen doing lunge squats with a barbell in her Instagram video. ACE Fitness states that lunge exercises have a lot of benefits. “The lunge is one of the most effective exercises for targeting the lower body. It activates the quads, glutes and hamstrings, and helps improve lower-body strength, balance and stability. And if that isn’t enough to get you lunging, lunging activates the core muscles as well.”

Hantuchová likes to do Pilates to keep herself in shape. She shared this video on Instagram of herself doing exercises on a reformer. Hantuchová captioned the post, “As in life, focus on the balance in all you do.” The Cleveland Clinic states, “The benefits of Pilates are both therapeutic and preventive. The practice may help you recover from an existing injury or manage a chronic musculoskeletal issue. It may also help you establish a healthy baseline, so that when those injuries or issues arise, you’re able to bounce back faster.”

Hantuchová likes to set goals for herself each year. She talked about this in the caption of this Instagram photo. “Setting up goals for next year starts with understanding that it is a continuous work through out the entire year🫶♻️. Think long term, taking small steps every day.”

Tennis is naturally one of the main ways Hantuchová keeps herself in shape. She shared this video of herself on the court on Instagram. Hantuchová talked about her love of tennis in the caption. “Once a passion, forever a passion.🎾 For me playing tennis is like playing piano,it is the art and the beauty of every shot that makes our sport so special and what I was attracted to every since being a little girl🥰. And it is still the same feeling today🫶. What is your passion?”

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No, not sit-ups — here’s the one abs exercise you should do to strengthen your core without weights

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No, not sit-ups — here’s the one abs exercise you should do to strengthen your core without weights

Maybe you’re just bored of sit-ups or they’re off the table from back pain, tight hips, or limited mobility. Great news — you don’t them to build a stronger core. Here’s one abs exercise you can do without sit-ups or weights.

In recent years, the tides have turned as instructors turn their backs on sit-ups in favor of the best abs exercises that are low impact for your back. That doesn’t mean a sit-up doesn’t have value — just that you don’t need the ab exercise to strengthen your core.

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