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Ask an Expert
Junaid H. Khan, M.D., FACC, FACS
Eden Medical Center
My goal next year is to improve my overall health. Can you tell me if I should focus more on lowering my weight (as I'm a few pounds heavier than I should be), or concentrate more on exercising?
That is an excellent question. A study in the AHA journal Circulation, by Dr. Duck-Chul Lee from South Carolina, addressed this question. The title says it all: "Physical Fitness Trumps Body Weight in Reducing ... continue reading about My goal next year is to improve my overall health. Can you tell me if I should focus more on lowering my weight (as I'm a few pounds heavier than I should be), or concentrate more on exercising?
Ask the Expert Team
Sutter Health
I’m a 41-year-old woman who exercises regularly and eats healthy food. High cholesterol and high blood pressure run in my family. My blood pressure is borderline high. Are there natural ways to lower blood pressure without medications?
If your blood pressure is 130-140/80-90, then lifestyle modification should be your initial attempt to lower it. National Institute of Health guidelines include: Weight reduction if you&rsqu... continue reading about I’m a 41-year-old woman who exercises regularly and eats healthy food. High cholesterol and high blood pressure run in my family. My blood pressure is borderline high. Are there natural ways to lower blood pressure without medications?
Gary F. Milechman, M.D.
California Pacific Medical Center
I’m a healthy 50-year-old woman. My resting pulse is about 50-60 beats per minute. When I run on the treadmill at a 6 mph pace for two miles, my pulse will get to 172. I get 35-40 minutes of cardio five times a week. Is 172 too high?
The simple answer to your question is no, it is not too high. You sound like a very fit woman. A six mph (or a 10-minute) mile is a nice pace. I assume you are comfortable at this pace since you can keep it up ... continue reading about I’m a healthy 50-year-old woman. My resting pulse is about 50-60 beats per minute. When I run on the treadmill at a 6 mph pace for two miles, my pulse will get to 172. I get 35-40 minutes of cardio five times a week. Is 172 too high?
Ask the Expert Team
Sutter Health
I am 62 and have been doing Jazzercise aerobic exercise regularly for over a year. I started doing Jazzercise in the morning and began having knee pain. Should I quit this type of exercise? If so, what else should I do to stay in shape?
Hopefully you will not need to give up your regular Jazzercise class since it has worked for you this past year. Most likely you have "tweaked" a ligament or muscle that attaches to the knee. Even seasoned athl... continue reading about I am 62 and have been doing Jazzercise aerobic exercise regularly for over a year. I started doing Jazzercise in the morning and began having knee pain. Should I quit this type of exercise? If so, what else should I do to stay in shape?
James D. Kelly, M.D.
SPMF San Francisco HMO Network
I've been diagnosed with impingement in both of my shoulders. I don't want surgery, but I need a workout routine that does not rely on shoulders/pushups, as I can't support my body weight that way without having significant pain. Any suggestions?
I suggest you get treatment for your impingement. Impingement is a fairly simple thing to treat, and most patients recover well and are able to resume activities like push-ups. If you have had treatment but did... continue reading about I've been diagnosed with impingement in both of my shoulders. I don't want surgery, but I need a workout routine that does not rely on shoulders/pushups, as I can't support my body weight that way without having significant pain. Any suggestions?
Arfan Din, D.O.
Sutter Medical Foundation
I'm 56 and play racquetball two times a week, speed walk 6+ miles at a time, and play volleyball. My knees ache after I play. I ice after activities and have been taking Cellaplex for two months. How do I know if I am damaging my knees?
It is excellent that you are active. In fact, a New England Journal study showed that people who are active actually do better in terms of their arthritis versus people who are not active. This is counter to wh... continue reading about I'm 56 and play racquetball two times a week, speed walk 6+ miles at a time, and play volleyball. My knees ache after I play. I ice after activities and have been taking Cellaplex for two months. How do I know if I am damaging my knees?
Arfan Din, D.O.
Sutter Medical Foundation
I've started running to get back into shape and lose some extra pounds, but now I've got shin splints. What causes this, how can I get rid of them, and also how do I prevent them from coming back?
Shin splints are very common, especially when someone has just started a new exercise program or has increased their overall workout. Shin splints are actually best thought of as stress injuries (microscopic) o... continue reading about I've started running to get back into shape and lose some extra pounds, but now I've got shin splints. What causes this, how can I get rid of them, and also how do I prevent them from coming back?
Francine A. Yep, M.D.
Alta Bates Summit Medical Center - Alta Bates Campus
There are a ton of antimicrobial clothing and footwear options available right now. Is it good for my body to be encased in something that is antimicrobial? I've read a lot about a healthy microbiome.
Say "no thanks" and save your money. Common antibacterial agents like silver, triclosan, and trichlorocarban are found in germ- and odor-killing clothes and shoes. Researchers with the Swedish Chemical Agency f... continue reading about There are a ton of antimicrobial clothing and footwear options available right now. Is it good for my body to be encased in something that is antimicrobial? I've read a lot about a healthy microbiome.
Ask the Expert Team
Sutter Health
I am 51 years old and weigh 256 lbs. I have several medical problems, including knee pain. I also sit all day in my job and my long commute. I want to lose weight - where do I start?
Losing weight and becoming more active are fantastic goals! If you are mostly sedentary and knee pain is an issue for you, then I would start exercising with simple walking. Research shows that just 30 minutes ... continue reading about I am 51 years old and weigh 256 lbs. I have several medical problems, including knee pain. I also sit all day in my job and my long commute. I want to lose weight - where do I start?
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