- Behavioral Health, Heart CareGeneral Page Tier 3BlogWhile heart attacks are physical health problems, many people don’t realize they can create mental health issues as well. Feeling depressed after a heart attack isn’t uncommon. According to the American Heart Association, up to 33 percent of heart attack patients experience depression. When someone has a heart attack they’re typically doing something, such as running or walking up stairs. After the heart attack they may be afraid their heart is delicate and hesitate to complete common activities. Most heart attack patients experience feelings of shock or sadness after a heart attack, but some people can slip into a deeper depression. If these emotions continue for several weeks, it’s time to seek help. Because depression can affect physical health, addressing symptoms quickly can help avoid other problems down the road. I tell patients, “You’re going to go back to your usual life, as long as you take the right steps.” These steps include faithfully taking prescribed medications, eating a healthy diet and exercising. And cardiac rehabilitation can help. Cardiac rehab provides a safe environment to start increasing physical fitness. AAMC’s Outpatient Cardiopulmonary Rehabilitation Program includes counseling to help patients improve their health and reduce the risk of future heart problems. Oftentimes, patients who choose to participate in cardiac rehab have better outcomes than those who don’t. Family members and loved ones also play an important role in helping heart attack patients recover. If you think you know someone experiencing post-heart-attack depression, look for these warning signs: -Extreme changes in appetite -Extreme changes in sleeping patterns -Avoiding previously enjoyable activities -Insomnia -Restlessness -Fatigue -Feelings of worthlessness -Feelings of excessive or inappropriate guilt -Trouble concentrating Encourage people who show these signs to seek help. For some, support groups are a healthy environment to cope with depression after a heart attack. AAMC’s healthy hearts cardiac support group is available for those who have experienced heart issues. Call 410-507-3766 for more information. Heart attack patients can experience the same quality of life as they did before their heart attack, but sometimes they need to take extra steps to get there. Author Baran Kilical, MD, is a cardiologist and cardiac electrophysiologist with Anne Arundel Medical Center. Originally published Feb. 23, 2016. Last updated March 27, 2019.
- Men's Health, Weight Loss, Women's HealthGeneral Page Tier 3BlogSpring is officially here. As you’re rolling up your sleeves for spring cleaning, why not overhaul your cupboards and remove the foods that are sabotaging your health? Start eating healthy and purge your kitchen of processed foods, products with more than five ingredients, expired items, and sugary and salty snacks. Avoid foods with ingredients like high fructose corn syrup, sugar alcohols, artificial sweeteners, trans or saturated fats, and any other additives you cannot pronounce. Load up on lean proteins, such as tuna, sardines, salmon and low sodium beans. Trade out high-sugared cereals for oatmeal flavored with cinnamon and fruit. Try some new grains such as quinoa, faro or buckwheat. Declutter your freezer It’s easy to throw foods in the freezer and forget about them, or allow them to become buried by recent purchases. Get rid of anything with ice crystals forming on it. Foods with freezer burn not only lose flavor, but also their nutrient density, especially produce. Meats can keep up to nine months in the freezer. Make room for frozen fruits and vegetables to have on hand to supplement meals, shooting for the “My Plate” goal of making half your plate fruits and vegetables. Lighten up your fridge Even with plenty of frozen fruits and vegetables, you want to be sure to have room for fresh varieties. Aim for foods that keep for days such as oranges, cauliflower, apples and cabbage. Don’t cut up anything or pre-wash produce when you bring it home from the store. Although this may seem like a time saver, it will make the produce spoil sooner. Save food prepping for the night before to save time. Swap out creamy condiments like mayo, salad dressings and sour cream for mustard, flavored vinegars, lemon or lime juice, Greek yogurt and olive oil. Always have a carton of eggs for a quick protein that goes well with any snack or meal. Food storage Finally, put everything in its place. To make sure your healthy habits stick, it is important to put energy and time into where you are storing your foods. Keep the nutrient-dense options front and center and the treats in the back, perhaps out of sight out of mind. It is also key to keep the FIFO method of inventory in mind when restocking shelves, which means ‘first in, first out.’ In other words, rotate the items you already have to the front of the freezer, or cupboards and then put the newer items in the back. Authors By Ann Caldwell and Maureen Shackelford, nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them call 443-481-5555. Originally published April 3, 2017. Last updated March 25, 2019.
- Cancer Care, Weight LossGeneral Page Tier 3BlogWeight loss surgery has many health benefits for the obese, including lowering your risk of diabetes and heart disease. But many don’t realize lowering cancer risk is another reason to consider the procedure. According to the Centers for Disease Control and Prevention (CDC), obesity is linked to 40 percent of all cancers diagnosed in the U.S., including: Breast (in women past menopause) Colorectal Endometrial (lining of the uterus) Esophageal Gallbladder Kidney Liver Meningioma Multiple myeloma Ovarian Pancreatic Stomach Thyroid Uterine An important distinction the National Cancer Institute (NCI) makes is that obese people who have weight loss surgery appear to have lower risks of obesity-related cancers than obese people who don’t have the operation. NCI bases this off of a 2013 study on weight loss surgery, but more research continues to emerge. The Annals of Surgery published a study on bariatric surgery and cancer risk. Researchers followed 89,000 severely obese patients, including about 22,000 who had weight loss surgery, for an average follow-up of three and a half years. The patients who had weight loss surgery were 33 percent less likely to develop any cancer during the study, which ran from 2005 through 2014. When they looked specifically at obesity-related cancers, the numbers increased. Patients who had weight loss surgery were 41 percent less likely to develop obesity-related cancers, and 40 percent less likely to be diagnosed with tumors linked to obesity. There are a few types of weight loss surgery. The majority of the patients in this study had gastric bypass surgery in which a small stomach pouch is created and the small intestines are rerouted. Twenty-seven percent of people in the study had sleeve gastrectomy in which a portion of your stomach is removed. In this particular study, more than 80 percent of the participants were women. It’s important to note that researchers found a link between bariatric surgery and cancer risk in women, not men. Since many cancers take years to develop, the researchers noted it’s possible their research underestimates the impact of weight loss surgery on cancer risk. Research will continue, and we’ll get a better understanding of the link between obesity, weight loss and cancer risk. Until then, the reality is that there are nearly 15 million adults in the U.S. who are severely obese. Cancer prevention is just one of the many reasons to consider bariatric surgery. To learn more about weight loss surgery, attend a free seminar at AAMC. To learn more or register, visit luminishealth.org/weight-loss-surgery. Author Alex Gandsas, MD, is a bariatric surgeon at the LHAAMC Weight Loss and Metabolic Surgery Program. To reach his practice, call 443-481-6699. Originally published Jan. 22, 2018. Last updated July 5, 2023.
- Behavioral Health, Senior Care, Wellness, UncategorizedGeneral Page Tier 3BlogSeniors tend to face special risks from alcohol, even if they aren’t heavy drinkers. Even moderate drinking can be a problem in this age group. Health risks of alcohol in the aging Alcohol poses special risks for seniors for a variety of reasons. For example, alcohol can: Interact with medications. The older we get, the more likely we are to take medications, according to the American Society on Aging. And medicines—whether prescribed by a doctor or bought over the counter—often don’t mix well with alcohol. Alcohol can counteract or decrease the effects of some medications, such as those taken for high blood pressure,reflux disease or gout. Alcohol also can magnify a medication’s action. The combined sedative effects of alcohol with tranquilizers, sleeping pills or pain relievers can be particularly dangerous. Increase the risk of accidents. Alcohol impairs coordination and increases the likelihood of falls and other accidents. For older people, that raises an already increased risk for hip fractures and disability. Hide other health troubles. Alcohol can mask symptoms of other medical problems, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA). For example, the changes it causes in heart and blood vessels may dull the pain of angina—an important warning sign of heart attack. Cause problems in small amounts. The body’s ability to absorb and deal with alcohol changes as we age. Our tolerance level goes down, meaning it takes little alcohol to have a big effect. A diagnosis overlooked It’s not always easy to know when an older person is abusing alcohol, according to the NIAAA. They’re often retired, which eliminates occupational red flags like missing work or losing jobs. Older people also are more likely to drink alone at home, according to the American Geriatrics Society. That makes them less likely than younger drinkers to be arrested for fighting or drunk driving. In addition, some of the side effects of alcohol abuse may be dismissed as signs of “getting old.” Mental confusion caused by heavy drinking can be mistaken for symptoms of Alzheimer’s disease, for example. Depression, insomnia and poor eating habits are associated with aging—and alcohol abuse. So how can you tell if someone you love is abusing alcohol? If someone minimizes how much they drink, that’s a red flag. Or if someone takes offense when asked about their drinking, that’s a red flag. Other signs may include someone who: Drinks alone or hides his or her drinking from others. Feels irritable or resentful when he or she is not drinking. Uses alcohol to cope with problems like depression or sleeplessness. To get an idea of whether or not you might have a drinking problem, take this short quiz. If you think alcohol might be a problem for you or someone you love, seek the advice of a health care professional. He or she may suggest counseling or a treatment program. The good news is that older people tend to stick with treatment programs better than younger people. In fact, research has found that simply pointing out the ill effects of alcohol can significantly reduce an older person’s drinking. For more information about alcohol visit AAMC’s Pathways drug and alcohol rehabilitation center, askAAMC.org/Pathways. Originally published Dec. 23, 2014. Last updated Jan. 21, 2019.
- Orthopedics, Weight Loss, Women's Health, WellnessGeneral Page Tier 3BlogFrom Zumba® to barre to breakdancing, the fitness industry has seen a growing trend in dance fitness. Whatever dance fitness trend you choose, you can lose or maintain weight, become more active and have tons of fun with this type of exercise. But dance fitness can also cause injury if you aren’t careful. Problems like shin splints, knee pain, back strains and ankle sprains can take the spring out of your step. The good news: You can take steps to prevent injuries with these tips, says Apryl Riggins, physical therapist at AAMG Physical Therapy. GO EASY. “Always start slow. Try one class, or even half of a class, and see how your body responds,” Apryl says. “Injuries don’t typically occur from a single movement or class. Injuries more often occur as a result of repetitive movements over several days or weeks, and especially when you’re tired.” If you experience pain or fatigue, take a day or two off, make sure you’re pain-free, then resume your dance class to make sure you’re comfortable. WARM UP WISELY. Warm-ups should include a cardio component. Start with gentle arm and leg movements for five to 10 minutes, gradually picking up your pace. Once your muscles are warm, try some dynamic stretches, such as high knees, butt kicks or leg swings. COOL DOWN CORRECTLY. Slow your dance movements for five to 10 minutes. Then stretch your body, including your arms and legs, holding each stretch for 30 seconds to one minute. MIX THINGS UP. Try cross-training, or doing more than one form of exercise. Doing other types of exercise in addition to dance works different muscle groups. Cross-training can help you avoid overuse injuries. “Pilates and yoga are excellent additions to dance training,” says Apryl. “They focus on core strengthening and stabilization of your abdominal, pelvic and back muscles, which helps prevent injury.” TREAT YOURSELF RIGHT. “General muscle soreness is normal after a workout, but sharp pain is not,” Apryl says. “If you experience intense pain, talk to your doctor.” Conditioning and physical therapy can help relieve pain and prevent injuries from returning. For more information, call 443-481-1140 or visit AAMGPhysicalTherapy.com. Author Apryl Riggins is a physical therapist at AAMG Physical Therapy. Originally published Feb. 15, 2017. Last updated Jan. 7, 2019.
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