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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Kidney cancer has traditionally been considered a disease that primarily affects older adults, with most cases diagnosed in individuals over the age of 60. However, clinicians are increasingly encountering younger patients diagnosed with kidney cancer, raising questions about whether the disease profile is gradually changing.
Although kidney cancer remains relatively uncommon in young adults, it is not unheard of. Large surgical series have found that only about 5% of renal cell carcinoma (RCC) patients are younger than 40 years.
A study from the Cleveland Clinic reported that 3.4% of RCC cases occurred in individuals aged 20–40 years, while several reviews have estimated that approximately 3.4–7.5% of RCC cases are diagnosed before the age of 40. While these numbers remain relatively small, they highlight that kidney cancer can occur in younger populations and should not be considered a disease of older age exclusively.
Several factors may be contributing to earlier diagnoses. Rising rates of obesity, hypertension, and metabolic disorders among younger populations are emerging as important concerns. These conditions are well-established risk factors for kidney cancer and are being observed at increasingly younger ages. Additionally, lifestyle factors such as smoking, sedentary behavior, and unhealthy dietary habits may also contribute to long-term cancer risk.
Another reason for the apparent rise in younger diagnoses is the increased use of imaging technologies. Today, many kidney tumors are detected incidentally during ultrasounds, CT scans, or MRI scans performed for unrelated medical concerns. As a result, cancers that may have otherwise gone unnoticed until later stages are now being identified earlier and in younger individuals.
Genetic predisposition is another important consideration. Compared to older patients, younger individuals diagnosed with kidney cancer are more likely to have an inherited genetic syndrome or a strong family history of the disease. This highlights the importance of genetic counselling and evaluation in select cases.
One of the challenges with kidney cancer is that it often remains silent in its early stages. Symptoms such as blood in the urine, persistent back pain, unexplained weight loss, or fatigue may appear only when the disease has progressed. This makes awareness and timely medical evaluation particularly important.
Although there is currently no recommendation for routine kidney cancer screening in the general population, maintaining a healthy weight, controlling blood pressure, avoiding tobacco use, and seeking medical attention for persistent symptoms can help reduce risk and support early detection. As the health profile of younger populations evolves, greater awareness of kidney cancer among young adults may become increasingly important.
(By Dr. Vikram Kalra, Principal Director - Nephrology and Kidney Transplant, Aakash Healthcare Multi-Speciality Hospital, Dwarka)
Credit: AI generated image
While entrepreneurs debate 70-hour workweeks and professionals continue to slog through long working hours under relentless productivity pressures, basic health needs often take a back seat. The consequences may not be immediately visible, but the body's vital organs quietly bear the burden.
Among them, the kidneys are particularly vulnerable. Poor hydration, irregular eating habits, excessive caffeine intake, lack of sleep, and chronic stress can gradually damage kidney function without causing noticeable symptoms, potentially leading to serious health consequences over time, said experts on the occasion of World Kidney Cancer Day 2026.
World Kidney Cancer Day is observed annually on the third Thursday of June. Spearheaded by the International Kidney Cancer Coalition, the day raises global awareness about the disease, highlights risk factors, and advocates for early detection and patient support.
Also read: Trying to Quit Tobacco? Yoga Could Improve Your Chances, Suggests Study
The kidneys play a vital role in filtering waste from the blood, regulating blood pressure, maintaining fluid balance, and supporting overall metabolic function.
Speaking to HealthandMe, Dr. L K Jha, Principal Director – Nephrology & Renal Transplant at Yashoda Medicity, pointed out habits such as eating out frequently, inadequate hydration, excessive caffeine consumption, insufficient sleep, and chronic stress that have become routine parts of the workday.
While these behaviors may seem manageable in the short term, they can have significant consequences for kidney health over time. They are also associated with an increased risk of hypertension, obesity, and diabetes, conditions that can gradually impair kidney function. These are also the primary drivers of chronic kidney disease and a significant risk factor for certain kidney cancers.
Dr. Jha emphasized that "kidney diseases are particularly concerning because they often remain asymptomatic until substantial damage has already occurred."
He noted that prioritizing hydration, routine health checkups, regular physical activity, and stress reduction is not only important for maintaining good health but also an investment in long-term well-being and workplace performance.
Dr. Saurabh Shukla, Senior Consultant – Nephrology at Paras Health Gurugram, told HealthandMe that the "fast-paced corporate culture is inadvertently contributing to a growing health crisis, with kidney health emerging as one of its major casualties."
He pointed out that kidney-related conditions often progress silently, with few warning signs appearing until serious damage has occurred. Long hours spent sitting, constant workplace pressure, irregular meal schedules, and dependence on caffeine rather than water are quietly affecting the health of working professionals.
He also highlighted habitual dehydration, high-sodium processed foods, and delayed medical checkups as additional concerns.
From a clinical perspective, Dr. Shukla stressed that early detection is crucial.
"While symptoms such as blood in the urine, persistent lower back pain, unexplained fatigue, or swelling in the legs require prompt medical attention, many kidney conditions are identified incidentally during routine screenings," he said.
The experts underscored that protecting kidney health does not necessarily require drastic lifestyle changes. They suggested simple measures such as:
Dr. Shukla also emphasized the role of employers, suggesting that corporations should implement wellness programs that encourage healthier habits among employees.
In high-stress work environments, he noted, prioritizing kidney health is becoming increasingly important.
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Men often carry the responsibility for their families. They work hard and manage professional pressures to provide the best for their loved ones. Yet, many men tend to neglect their own health, the one thing that makes everything else possible.
Across age groups, men often seek medical attention only when the problem becomes severe or when symptoms become impossible to ignore. The most unfortunate thing regarding health is that many health conditions develop silently for years before showing signs. Taking care of yourselves is not selfish; it is essential. After all, the healthier you are, the better equipped you are to support your family, pursue your goals, and enjoy a fulfilling life for years to come.
One of the best ways to keep an eye on your health is by scheduling regular health screenings. Many conditions, including High BP, Diabetes, high cholesterol, liver disease, and kidney disorders, may not cause noticeable symptoms in the early stages. Annual health checkups can help identify potential problems way before they become serious.
Depending on age and family history, men should also discuss appropriate cancer screenings. Early detection leads to simpler treatment and better outcomes. Make preventive health checkups a routine. Just as a vehicle performs better with regular servicing, your body also needs regular monitoring.
Maintaining muscle mass is equally important for men as they age. Muscle plays a vital role in supporting metabolism. Even though it is important for improving insulin sensitivity, protecting bone health, and maintaining strength. You don’t need rigorous exercise daily.
Strength training two to four days a week is sufficient. It may also help support healthy testosterone levels and reduce the risk of chronic conditions like type 2 diabetes and heart disease. The best thing is that strength training doesn’t require spending hours in a gym. Consistency matters far more than perfection.
We often say that ‘sound mind in a sound body’. This is even true vice versa. Many men feel pressure to appear strong all the time, which can make things difficult. Stress, anxiety, and depression can affect anyone. Persistent fatigue, irritability, difficulty concentrating, or disrupted sleep may be warning signs.
Keep an eye on such changes. Discussion is not a sign of weakness. Talk to trusted family members, friends, or mental health professionals. It can make a significant difference.
Quality sleep is one of the most powerful tools for maintaining good health. Generally, adults need between seven and nine hours of sleep each night. It helps the body to repair tissues, regulates hormones, and supports brain function.
Poor sleep is linked to weight gain, increased stress, and weakened immune function. If your morning is often tiring or you are struggling with insomnia, then discuss it with your healthcare professional. Limit screen time before bed and avoid excessive caffeine late in the day. It can help improve sleep quality.
Heart disease remains one of the leading health risks for men worldwide. The good news is that many cardiovascular risk factors are largely preventable. A healthy weight, physical activity, and a balanced diet can significantly improve heart health.
Avoiding tobacco products and limiting alcohol consumption is also helpful. Add vegetables, fruits, lean proteins, whole grains, and healthy fats to your daily diet. Such a diet can support both heart and overall well-being. Daily brisk walk can help improve BP, cholesterol levels, and cardiovascular fitness.
(By Dr Shivam Sharma, Internal Medicine, Shalby International Hospitals, Gurugram)
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