Archive for the ‘lifestyle’ Category

Centenarian Filipina Reveals Secrets to Longevity

Thursday, July 29th, 2010

Excerpt from Marjorie Gorospe, loQal.ph

115-year-old I-Apayao native Rufina Daluyon reflects the healthy lifestyle of the I-Apayao tribe and despite her age, the centenarian shows no signs of serious illness.

Apo Rufina can still talk and can still walk but she only speaks Ilocano. She shares her stories to willing listeners through her great granddaughter Susan.

1. Lifelong Physical Activity
The I-Apayao tribe is related to Isneg tribe and both tribes are known as good farmers.

2. Diet – mostly vegetables
Susan says being a member of the I-Apayao tribe, Apo Rufina is very fond of vegetables.

3. Good Genes
Apo Rufina’s husband lived for 126 years. Apo Rufina has three children, but only one among the three is still alive at a still remarkable age of 90.

4. Spirituality and Gratitude

5. Discipline
“Napakahigpit nya (Rufina) lalo pagdating sa pag-uwi ng maaga sa bahay at tamang pagkain. (She is very strict, particularly on curfews and eating the right food),” says Susan in jest.

Centenarian Northern Philippines

Centenarian Northern Philippines

“Minsan tinatanong na rin nya kung bakit di pa sya namamatay at mukha daw nalimutan na siya ni Lord sunduin. (She often wonders why she’s still alive and that the Lord probably has forgotten about her),” says Susan who often visits her great grandmother and gives her a shower.

For her part, Susan says she is thankful for the life that God has granted Apo Rufina.

But Susan admits that things are getting harder for Apo Rufina. Susan says all they can do is to give her the love that she deserves while she is still alive.

Lifestyle Diseases (Sakit sa Puso) A Poem by JD

Thursday, July 1st, 2010

Lifestyle Diseases (Sakit sa Puso)

Sinulat ni JD Agapito

Sa dami ng sakit sa ating lipunan

Sakit ng katawan ay kayang pigilan

Lalo na’t sa puso ang pag-uusapan.

Disiplina ang siyang tanging kailangan

Bakit ko nasabi ang huli kong linya?

Dahil ang sakit ay tayo ang may gawa.

Alam na masamang kumain ng taba.

Hanap nitong dila’y karneng mamantika.

Kung may pera nama’y panay rin ang punta

Sa mga food chains na prito ang siyang tinda.

Sa order na chicken, balat ang inuuna.

Mataas na kolesterol siyang ‘di iniinda.

Bukod pa nga rito’y ang hindi paggalaw.

Panay ang pag-upo’t di man lang sumayaw.

Kahit na minsan lang sa buong isang araw.

Maglakad lakad ng taba ay matunaw.

Maging sa inumi’y di displinado.

Kung uminom ng softdrinks sadyang bigay todo.

Dapat ay minsan lang sa buong ‘sang linggo.

Mas maraming tubig ang dapat sa iyo.

Kaya’t mas marami ang may hypertension.

Dahil sa kinai’y mayr’ong alta presyon.

Dagdagan pa natin ng lahat ng tensyon.

Dala na rin mismo ng mga sitwasyon.

Kaya kung ikaw ay hindi magbabago.

Lalo pa kung ika’y naninigarilyo.

Tiyak ang buhay mo ay mamimiligro.

Sakit sa puso ang tatapos sa iyo.

Dito sa aking tula ‘y may hihilingin.

Pwede bang pagkain ay sadyang isipin

Para makontrol ang taba maging asin.

Mga simpleng bagay ‘wag ng problemahin.

Kaya’t sana ay hindi pa mahuli.

Itong aking payong hangad ay mabuti.

Upang maiwasan itong maatake.

At di na mangyari itong pagsisisi.

Dahil may dalanging kasama ang tula.

Itaas sa Diyos ang nais na sadya.

Sa kanyang patnubay lahat magagawa.

Kung buhay ay maayos, siya’y matutuwa.

Contributed by COMADD NIH Member
Prof JD
June 28, 2010 5:00

Preventing Alzheimer’s Part 2: The NIH Consensus 2010

Tuesday, May 4th, 2010

Part 2: Cognitive Engagement and Physical Activity

1. Cognitive Engagement.

Cognitive Training – modest benefits on cognitive functioning and a small but statistically significant effect on reducing the extent of age-related decline in cognitive function at a 5-year follow-up. Very small but statistically significant benefit on instrumental activities of daily living—for example, managing finances, managing medications, keeping house, and, in a subgroup analysis, benefit on driving performance in the elderly.

However, these results from a single trial must be replicated to confirm the benefits of cognitive engagement on preventing
cognitive decline over a longer time period and in study subjects with varying levels of baseline cognitive abilities before a firm recommendation can be made.

2. Physical Activity. Increased physical activity, including walking, may help maintain or improve cognitive function in normal adults.

Tai chi PGH Geriatric Clinic

Although encouraging, these data should be viewed as preliminary. Work is ongoing to further investigate the benefits of
physical activity.

Factors associated with decreased risk of Alzheimer’s disease and cognitive decline were cognitive engagement (as indicated by literacy and social enrichment), physical activities in later life, and a diet low in saturated fat and high in vegetable intake. Light to moderate alcohol intake
is reported to be associated with reduced risk of Alzheimer’s disease, but results are inconsistent for cognitive decline

Source: NIH State-of-the-Science Conference:
Preventing Alzheimer’s Disease and Cognitive Decline
April 26–28, 2010

Driving and Dementia

Monday, April 19th, 2010

The American Academy of Neurology has released a guideline on Driving among Patients with Dementia.

Concerned about the Driving Ability and Driving Safety of a patient, parent, friend or loved one?

Ask yourself the following questions.

QUESTIONNAIRE for FAMILY OR CAREGIVER :
1. How many times has the patient been stopped or ticketed for a traffic violation in the last three years? (0, 1, 2, 3, 4 or more)
2. How many accidents has the patient been in, or caused, within the last three years? (0, 1, 2, 3, 4 or more)
3. In how many accidents was the patient at fault in the last three years? (0, 1, 2, 3, 4 or more)
Use this scale to answer the following questions:
1 strongly disagree;2 disagree; 3 no opinion; 4 agree; 5 strongly agree.
1. I have concerns about the patient’s ability to drive safely.
2. Others have concerns about his/her ability to drive safely.
3. The patient has limited the amount of driving that he/she does.
4. He/she avoids driving at night.
5. He/she avoids driving in the rain.
6. He/she avoids driving in busy traffic.
7. The patient will drive faster than the speed limit if the patient thinks he/she won’t be caught.
8. The patient will run a red light if the patient thinks that he/she won’t be caught.
9. The patient will drive after drinking more alcohol than the patient
should.
10. When he/she gets angry with other drivers, the patient will honk the horn, gesture, or drive up too closely to them.

cartoon from telspatch.co.uk

cartoon from telspatch.co.uk


If you have numerous YES responses:
1. Seek help from the patient’s healthcare provider for an assessment of Dementia (neurologist, geriatrician).
2. Make sure the patient gets a vision and hearing check.
3. Review medications and drugs (including alcohol and sleeping pills) that may increase the risk of driving accidents.

Source: American Academy of Neurology Guidelines 2010
Published in: Neurology 74 April 20, 2010

Robotic Skeleton for Aging Farmers

Monday, April 12th, 2010

Excerpts from AFP 9 April 2010

Japanese robo-suit promises superpowers for greying farmers

TOKYO (AFP) – – While Robocop and Iron Man can dodge bullets and crush villains, a new powered suit from Japan promises its elderly users more modest powers, such as pulling up radishes without getting a backache.

Unlike its heavily-armed Hollywood counterparts, the Power Assist Suit aims to make life easier for Japan’s army of greying farmers.

japanese-robo-suit-AFP

The metal-and-plastic exoskeleton boasts eight electric motors that amplify the strength of the wearer’s arms and legs, as well as sensors that can detect movements and respond to commands through a voice-recognition system.

Professor Shigeki Toyama and his team developed the power-enhancing suit at the Tokyo University of Agriculture and Technology, and Toyama plans to set up a company to start producing the futuristic outfit by the end of the year.

“If the farmer bends over to grasp a radish, his back will be firmly supported,” said Gohei Yamamoto, one of the students working on the team, as he recently demonstrated the suit on his university campus.

“A brief vocal instruction will instantly straighten the rods along his legs, giving him the power he needs to pull the vegetable without effort.”

Robo-suits are making inroads in hospitals and retirement homes, where they can help carers lift patients or aid in physical rehabilitation exercises.

The suit should hit the Japanese market in 2012, when it will initially retail for about one million yen (11,000 dollars), a price tag its makers hope to halve if the device is mass-produced, the team said.

Tips to Reduce Clutter and Hoarding

Sunday, March 28th, 2010

Hoarding

Some people will hoard or save numerous items, including dirty clothes, food, and papers. Losing a meaningful role in life, work, friends, family, and a good memory can have an impact on a person’s need to hoard and or to “keep things safe”. Hoarding in this population is oftentimes triggered by the fear of being robbed.

When working with persons who have dementia, it is essential that you keep their safety in mind. Order, routine and simplicity are most helpful. A house or room that is relatively uncluttered is the ideal environment.

Ten Tips to Consider

1. Let go of ideal notions of cleanliness. Your patient may value items that appear to you as worthless. Parting with their belongings (even used paper cups) can cause severe emotional distress.

2. Ask your patient if they can donate or sell their belongings to charity.

3. Focus on fall prevention. Create pathways free of debris, loose cords or slippery rugs. Some frail patients hold onto furniture or other items while moving through the room; preserve their “props” until other assistive devices (canes, walkers) can be introduced.

4. Focus on fire prevention. Red flags include newspapers stored on top of or inside a hazardous area.

5. Be creative and negotiate. Consider photographing belongings, as this may help the patient part with things and preserve memories.

6. Begin by reorganizing a small corner of a room, a single table, or just a section of the table.

7. Have a friend or relative present during a major cleanout, preferably one who already has a supportive relationship with the patient. Clean-outs can be overwhelming to people with severe hoarding behavior. Have a back-up plan in case emergency psychiatric services are needed.

8. Discuss how to safeguard valuables in the cleaning process. Have a written contract. Agree on what to do with valuables that turn up, such as money, jewelry, or collectibles.

9. Consider relocating an individual to a new room if the clutter is the result of physical or mental frailty. A new environment can provide a fresh start and enable the patient to receive needed services sooner.

10. Plan for on-going maintenance and supervision to maintain a decluttered environment.

Adapted From: Weill Medical College of Cornell University

Pacquiao Wins Clottey Fight After Knocking Out Swine FLu

Sunday, March 14th, 2010

14 March 2010 Pacquiao defeats Clottey thus winning the unanimous decision to retain his World Boxing Organization welterweight title and his status as the world’s finest boxer.

A little known fact about this champion boxer is how he knocked out the campaign against swine flu or AH1N1.

The Philippines was one of the last countries affected by swine flu, and it arrived at the time when the boxing great Manny Pacquiao won his match against Ricky Hatton.

In a few ads for swine flu prevention, he was even compared to the beneficial VCO or virgin coconut oil. For example, a blog in talkph.net quotes: “Former Agriculture Secretary and President of the Federation of Free Farmers Rep. Leonardo Montemayor says virgin coconut oil (VCO) has natural properties that boost the immune system to avoid catching the strain. “ In this blog taking VCO was likened to Pacquiao’s training and preparation for the Hatton boxing match. “He has to train very well, strengthen himself and his body. Ganun din tayo, we have to strengthen our immune system against this very deadly virus,” says Montemayor.

The flu awareness campaign would have triumphed if this champ was hired to promote flu prevention. However, there was a negative buzz generated by Pacquiao’s refusal to be quarantined.

In this blog by Sunstar Network:

“MANILA — Boxing champion Manny Pacquiao will return to Manila as scheduled, ignoring advice from Philippine health officials to observe self-quarantine in the United States to help prevent the spread of swine flu.”

The Department of Health and WHO advised Pacquiao and his group to observe self-quarantine after their return from Las Vegas, but the boxing champ and his party chose to ignore the advise and arrived at the airport shaking hands and hugging fans. Could this fearless boxer possibly be taking VCO?

How to Make Wise Health Choices

Saturday, March 13th, 2010

Ask yourself these questions before following a health advise from a friend:

1. Is this person giving advise a friend or a salesperson?

2. Will I suffer from harm if I do not follow his/her health advise?

3. What kind of product or procedure is this person recommending?

4. What are the benefits?

a. what are the effects on my body/mind and are these the effects I desire?
b. how soon can the benefits be felt?
c. how long will the effects last?
d. how many in 10 who follow the advise will feel the benefit? how many in 100?
e. how many in 10 people tested represent my age group?


Watch out for testimonials or personal anecdotes! One person in ten may have benefited but you need to ask: “How many took the product? What happened to the nine others who took the product?”

5. Are there side effects or harmful outcomes?

how many in 10 persons will feel worse? how many in 100?

7. Will the cost/money/time I spend be worth the benefit?

8. Do I have enough information to make a wise health choice?

a. ask about scientific randomized trials or systematic reviews on the product or procedure in which all relevant studies are identified and those of adequate quality selected. Results from selected studies are usually pooled (using meta-analysis) to give the
best single estimate of effect.
b. ask for help from a trusted physician but avoid doctor shopping.
c. search trusted internet sites and peer reviewed medical journals.

Do your homework! Click any of these links for medical information on western and complementary medicine Medline Plus , the Cochrane Review of Complementary Medicine and Pubmed and the US Food and Drug Administration

Watch out for quacks and snake-oil salesmen!
You may be dealing with a quack if:
1. The information only includes stories of patients who benefit from the product.
2. You cannot obtain information on the number of people who do not improve after taking the product/procedure.
3. The advertiser is quiet about those who experience harmful side effects.

Reference: Irwig et al. Smart Health Choices. Allen and Unwin 1999.

Protect Seniors from Heat Stress

Tuesday, March 9th, 2010

Heat exhaustion is a form of heat-related illness that can develop after several days of exposure to high temperatures and inadequate or unbalanced replacement of fluids.

Warning signs vary but may include the following:

* Heavy sweating
* Paleness
* Muscle Cramps
* Tiredness
* Weakness
* Dizziness
* Headache
* Nausea or vomiting
* Fainting
* Skin: may be cool and moist
* Pulse rate: fast and weak
* Breathing: fast and shallow

To protect yourself from heat stress and heat stroke, follow these tips:

# Drink cool, nonalcoholic beverages. (If your doctor generally limits the amount of fluid you drink or has you on water pills ex. furosemide or hydrochlorothiazide, ask him how much you should drink when the weather is hot. Also, avoid extremely cold liquids because they can cause cramps.)
# Rest.
# Take a cool shower, bath, or sponge bath.
# If possible, seek an air-conditioned environment. (If you don’t have air conditioning, consider visiting an air-conditioned shopping mall or public building to cool off.)
# Wear lightweight clothing.
# If possible, remain indoors in the heat of the day.
# Do not engage in strenuous activities.

seniors swim
If you are living with or taking care of an older person

* Visit older adults at risk at least twice a day and watch them for signs of heat exhaustion or heat stroke.

* Encourage them to increase their fluid intake by drinking cool, nonalcoholic beverages regardless of their activity level.

Warning: If their doctor generally limits the amount of fluid they drink or they are on water pills, they will need to ask their doctor how much they should drink while the weather is hot.

* Take them to air-conditioned locations if they have transportation problems.

If You Don’t Have Air Conditioning:

• Take a cool shower, bath or sponge bath.
• Create cross-ventilation by opening windows on two sides of your house.
• Keep windows open at night.
• Keep curtains, shades or blinds drawn during the hottest part of the day.
• Cover windows when they are in direct sunlight.
• Electric fans may help, but when the temperature reaches the high 90s, fans won’t prevent heat-related illness.
• Go somewhere that’s air-conditioned like the shopping mall, the movies, the library, a senior center or a friend’s house. If you don’t have a car or no longer drive, ask a friend or relative to drive you. If necessary, take a taxi. Don’t stand outside waiting for a bus.

More heat stroke and heat stress information from the CDC link: Centers for Disease Control and Prevention USA

AHA Seven Secrets to a Long Life

Saturday, January 23rd, 2010

From the American Heart Association January 2010

“These seven factors — if you can keep them ideal or control them — end up being the fountain of youth for your heart,” said Dr. Donald M. Lloyd-Jones, a cardiologist who was lead author of the statement.

“You live longer, you live healthier longer, you have much better quality of life in older age, require less medication, less medical care.”

Specifically, those with ideal cardiovascular health can answer yes to the following seven questions:

• Never smoked or quit more than one year ago.

• Body mass index less than 25.

• Get at least 150 minutes of moderate exercise or 75 minutes of vigorous exercise each week.

• Meet at least four of these dietary recommendations: 4 1/2 cups of fruit and vegetables a day; two or more 3.5-ounce servings a week of fish; drink no more than 36 ounces of sugar-sweetened beverages a week; three or more 1-ounce servings of fiber-rich whole grains a day; less than 1,500 milligrams a day of salt.

• Total cholesterol of less than 200.

• Blood pressure below 120/80.

• Fasting blood glucose less than 100.

The online quiz calculates a score based on the answers, 10 being the ideal.

Log on to the online quiz at AHA My Life Check