Bone Health In Older Adults (Credit-Canva)
Strengthening your bones is not something that can happen overnight, it takes years for your body to build strong bones and even then, it is natural for them to lose their dexterity. All you can do is keep your body healthy to make sure it is prepared for any unexpected situations. For years, many older adults have been told to take vitamin D and calcium supplements to keep their bones strong and prevent falls. However, a new report from U.S. Preventive Services Task Force (USPSTF) is changing that advice. This report suggests that for most older people, these supplements don't actually prevent falls or broken bones. This might be surprising news, we must understand why falls happen more often as we age, what vitamin D and calcium do in the body, and most importantly, what you can do to stay safe and prevent fractures.
According to the report, vitamin D supplements don't seem to help prevent falls or broken bones for most people over 60. They also found that these supplements, especially with calcium, might increase the risk of kidney stones. This report doesn't mean people with weak bones (osteoporosis), low vitamin D, or who take vitamin D for other health reasons shouldn't take it. It just means that for most healthy older people, these supplements don't prevent falls and fractures.
There are many reasons why older people are more prone to breaking their bones. Our bones are strongest when we're in our 20s and 30s, and they get weaker as we age so naturally, they can break easily. It can also be harder to move around as we get older, sometimes because of problems like arthritis this can affect how we walk and make us less steady.
There are also different issues like neuropathy, which is a nerve problem that can also make it harder to feel your feet and keep your balance. Eyesight is also a culprit as it can cause you to feel dizzy and fall. Some medicines can also make people feel unsteady, and older people often take more medicines than younger people. Low vitamin D itself can also increase the risk of falls, so keeping vitamin D levels up is still important.
USPSTF recommends a few better ways to protect your bone health and prevent broken bones and falls.
Regular walks strengthen your muscles and bones, which helps you stay steady on your feet. It is as simple as practice makes perfect so the more you walk, the better it is. Walking also improves your balance, making you less likely to fall.
Strength training, like lifting weights or using resistance bands, makes your bones stronger and helps prevent fractures if you do fall. It is like a safety cushion, but you must be careful while doing so because it can lead to injuries if done too much.
Activities like tai chi, Pilates, and yoga can improve your balance and coordination, making you more stable and less prone to falls. These can also help you improve your muscle flexibility and strength that in turn helps your body be stronger.
If you have osteoporosis, talk to your doctor about medications that can help strengthen your bones and lower your risk of fractures. Many medications can also have unsavory side effects like weakened joints, losing muscle strength, etc.
A proper diet goes a long way when it comes to your entire body health. So to keep up with your body’s nutrition and muscle health, eat more protein along with a balanced meal that includes loads of fiber, healthy fats and carbs.
Having poor eyesight can be difficult, not only does it make life difficult without glasses, but it also increases the possibilities of getting into minor accidents like bumping into people and missing objects placed in front of us.
Getting enough sleep is also important because when you are not sleeping, you get disoriented and can ignore even obvious things like the last stair in the staircase. Make sure you get enough sleep to keep you fresh and focused.
There are many things that can cause you to have accidents, even in your home. To avoid such falls, make sure there are no lose ends like crooked floor panels, rugs that are sticking out or protruding furniture that can hurt your knees
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Breast cancer remains one of the most common and fatal cancers among women worldwide, and early detection is proven to play a crucial role in improving outcomes. While mammography remains the most effective screening tool, knowing when to start and how often to get screened can be confusing.
The changing medical guidelines, as with the new screening guidelines from the American College of Physicians (ACP), can also leave women confused about when to start mammograms and how often to repeat them. HealthandMe spoke to experts to understand the correct timing.
So, What Do The ACP Guidelines Say?
The new guidance statement developed by ACP's Clinical Guidelines Committee urged mammography screening once every two years in asymptomatic, average-risk adult females, instead of the annual recommendation.
The ACP guidelines further state that all average-risk females ages 50 to 74 must undergo biennial mammography. It added that women aged 75 years or older with asymptomatic and average-risk can also discuss stopping routine screening with their doctor.
In sharp contrast, the United States Preventive Services Task Force (USPSTF) urges starting annual screening at age 40 to save lives.
“Some cancer societies like the American Cancer Society say biennial, while NCCN says annually. We prefer annually starting at age 40 till the woman is in good health, as biennial screening may delay early diagnosis in some cases,” Dr. Ashwani Kumar Sharma, Vice Chairman - Manipal Comprehensive Cancer Centre and Onco Robotic Surgeries, Manipal Hospitals, Gurugram, told HealthandMe.
NCCN, or the National Comprehensive Cancer Network, is an alliance of 34 cancer centers in the US.
Dr. Sharma added that a practical and balanced approach would be to do biennial mammography from 40 to 50 years of age and annual mammography after 50 years of age for maximum benefit.
A mammogram is a low-dose X-ray that captures detailed images of breast tissue, capable of identifying cancers before any physical symptoms appear.
In women with a BRCA1 or BRCA2 gene mutation who are referred to as "high risk" or with a history of radiation to the chest between ages 10 and 30, screening may start as early as age 30 and include annual breast MRIs alongside mammograms.
Breast cancer in India is usually diagnosed at an advanced stage due to poor health awareness. But of late, there has been an increase in awareness, and more and more women are reporting in their earlier stages with a breast lump.
“Sometimes even this is too late. Breast cancer screening would help us diagnose this disease at an even earlier stage to help increase the chances of a cure from this deadly but treatable disease with the help of simple tests,” Dr Abhijit Kotabagi, Senior Consultant, Department of Surgical Oncology, Yatharth Hospital, Noida, told HealthandMe.
“I would endorse screening and women’s health awareness in our Indian population for women above 40 years after discussion of the pros and cons of screening with a clinician,” he added.
The Indian Council of Medical Research (ICMR) and other health organizations recommend the following guidelines:
1. Women Aged 30-40 Years
2. Women Aged 40-50 Years
3. Women Above 50 Years
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India is in the peak of summer, with heatwave conditions affecting several parts of the country. The India Meteorological Department (IMD) has predicted that these extreme heat conditions will continue over the next few days, especially across North and Central India.
According to IMD's latest bulletin, heat wave conditions are likely in isolated pockets of Bihar, Haryana-Chandigarh-Delhi, Punjab, East Rajasthan, Vidarbha, Chhattisgarh, and Jharkhand.
The IMD has also forecast a yellow alert for heatwave conditions at isolated places in Delhi from today, with maximum temperatures expected to climb between 41 °C and 44 °C through April 24. The state government has issued guidelines for all schools, focusing on hydration and safety measures.
As temperatures rise, health experts highlighted the disproportionate burden of heat on women and the related physical, social, and financial effects. Studies show women often have higher heat-related mortality rates and suffer from increased fatigue, dehydration, and reproductive health issues.
Women typically face higher risks during heatwaves than men due to
Heat stress is known to interfere with the endocrine system, which disrupts hormonal balance. This means that severe heat can cause delay or interrupt menstrual cycles, causing heavier or more painful periods, and, in severe cases, absence of menstruation. Women with conditions like PCOS or endometriosis face compounded stress.
"Many women report feeling unusually tired, irritable, or drained during heat waves, and hormones can play a role," Dr. Tripti Raheja, Director - Obstetrics & Gynecology at the CK Birla Hospital (R), Delhi, told HealthandMe.
Women are more likely to feel this during certain hormonal phases, such as menstruation, PMS, pregnancy, perimenopause, or menopause.
“Women’s core temperatures rise after ovulation. That, combined with a higher surface area-to-mass ratio, means they absorb heat more quickly,” Mike Tipton, professor and leading expert in applied physiology at the University of Portsmouth, was quoted as saying to Thisdaylive.com.
Women in perimenopause or menopause may experience hot flashes, night sweats, and sleep disturbances, making heat waves exhausting.
Also read:Heatwave Hassles: What Body Odour Could Say About Your Health
Iron deficiency or heavy bleeding can also lower energy levels, and extreme heat may worsen weakness.
Pregnant women naturally have higher metabolic demands, so dehydration and fatigue can set in faster.
Without sufficient hydration, blood flow to the placenta might be reduced, potentially harming the baby. Heat exhaustion in pregnancy can cause early labor or stillbirth. Thyroid disorders and PCOS can also contribute to fatigue and reduced overall energy levels, Dr. Raheja said.
"Long exposure to high temperatures can disrupt the balance between hormones such as estrogen, progesterone, and thyroid hormones, which regulate energy, mood, and metabolism," Dr. Sakshi Goel, Senior Consultant Obstetrics & Gynecology at Rainbow Children's Hospital, Delhi, told HealthandMe.
Dehydration further worsens this by affecting circulation and temperature control, leading to exhaustion, headaches, and dizziness.
Moreover, sleep disturbances from hot nights can impair melatonin production and disrupt overall hormonal rhythms. This leads to poor recovery and low energy the next day.
Read: Excessive Energy Drinks Damaging Young Adults’ Livers, Experts Warn
Understanding how heat affects hormonal health lets women take steps to manage fatigue and maintain overall well-being during extreme weather.
To cope better, the experts suggested prioritizing hydration and including ORS when needed.
Dr. Goel noted that even mild fluid loss can hurt circulation and lower the body’s ability to regulate temperature. This can lead to exhaustion, headaches, and dizziness. Other preventive measures include:
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We usually think of nature as something pleasant. A place to relax, unwind, and maybe take a break from routine. But over time, it is becoming clearer that it is not just about feeling good in the moment. Regular time in natural surroundings actually supports both mental and physical health in ways we often overlook.
Most of us spend our days indoors, moving from one closed space to another. Screens, artificial lighting, constant noise, and very little exposure to natural light or open air. It becomes normal, but the body does not fully adapt to it. The result often shows up as poor sleep, frequent fatigue, irritability, or a constant sense of mental heaviness.
Spending time in nature does not act like a quick fix. But it does help the system slowly come back into balance. It helps reduce stress at a deeper level.
Stress is not always obvious. It builds quietly in the background. Being in natural spaces helps bring it down in a way that does not require effort. When you are around trees, open skies, or even a small green space, the body begins to relax on its own. Breathing slows, muscles soften, and the mind becomes less tense.
This is why even a short walk outside can leave you feeling lighter. Not because your situation has changed, but because your body is no longer in a constant state of alert.
It supports anxiety and low mood. For people dealing with anxiety or feeling low, being in nature can create some distance from repetitive thoughts. The mind is usually busy replaying or anticipating things. In a natural setting, attention shifts outward. You begin to notice small details without trying.
That shift matters. It gives the mind a break from itself.
Over time, regular exposure to natural environments has been linked to better mood, improved focus, and a greater sense of emotional stability. It does not replace professional help when needed, but it can support recovery in a steady, quiet way.
It improves sleep and daily energy. Sleep is something a lot of people struggle with now, even if they don’t always connect it to their daily routine. When you spend most of your time indoors, your body doesn’t really get clear signals about when to be active and when to slow down.
Getting some natural light during the day, even for a short while, helps reset that rhythm. It tells your body that it’s daytime, which makes it easier to wind down later.
Something as simple as stepping out in the morning or taking a walk in the evening can make a difference over time. Sleep starts to feel more settled, and when that improves, you usually notice it in your mood, your focus, and your energy throughout the day.
It has an effect on physical health too. The impact is not just mental. Being in natural environments has been associated with lower blood pressure, better heart health, and improved immunity. Fresh air, movement, and reduced stress all contribute to this.
It is not about doing anything intense. Even something as simple as a slow walk, sitting in a park, or just being in a quiet outdoor space can make the body feel a little lighter.
It creates space without asking for effort. One of the reasons nature works so well is that it does not demand anything from you. You do not have to perform, improve, or follow a routine. You can show up tired, distracted, or stressed, and it still helps.
This makes it easier to return to, especially on days when everything else feels like effort. It can be part of everyday life. You do not need a big plan to make this work. A few minutes in sunlight, a short walk in a nearby park, sitting near a tree, or even noticing the sky at the end of the day can be enough to start with.
These small instances do not appear very significant; however, they accumulate over time and provide us with enhanced cognitive functioning, emotional stability, and an overall healthier body.
While Earth Day reminds us of the need for preserving the environment, it is crucial to note that our well-being is directly linked to the environment.
We perform better when we are one with it. Sometimes, all it takes for us to take care of ourselves is just stepping out into the natural world.
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