Category: Health

  • The Aloha State: A Model for Kūpuna Care

    by Margaret A. Perkinson, Ph.D., Center on Aging Director – University of Hawai‘I 

    Never in the history of humankind have so many people lived so long. Anthropologists estimate that on average, Neanderthals lived little more than 20 years; only a small percent reached 40. In 15th century Europe, the average life expectancy reached a scant 35 years. Around the turn of the 20th century, however, advances in public health (clean water, waste disposal, vaccinations) decreased infectious diseases, greatly reducing infant and child mortality and increasing life expectancy. Since WWII, global average life expectancy increased from 45 to 69.6 years. By 2040, the number of people expected to reach age 65 is projected to reach 79.7 million. The number of seniors expected to reach age 80 is projected to increase 233 percent by 2040.

    As a species, we have made greater gains in average life expectancy in the past 100 years than in the previous 200,000 years! To put it another way, half of all humans who ever reached age 65 are still alive today!ever in the history of humankind have so many people lived so long. Anthropologists estimate that on average, Neanderthals lived little more than 20 years; only a small percent reached 40. In 15th century Europe, the average life expectancy reached a scant 35 years. Around the turn of the 20th century, however, advances in public health (clean water, waste disposal, vaccinations) decreased infectious diseases, greatly reducing infant and child mortality and increasing life expectancy. Since WWII, global average life expectancy increased from 45 to 69.6 years. By 2040, the number of people expected to reach age 65 is projected to reach 79.7 million. The number of seniors expected to reach age 80
    is projected to increase 233 percent by 2040.

    Recent global declines in birth rates contributed to populations’ increased percentages of old compared to young. In the near future, persons aged 65 and over will outnumber children under age 5 for the first time in history.

    These population changes will have a great impact on both individual life experiences and social institutions. As the average size and composition of families change, with multiple generations and fewer members in each succeeding generation, fewer caregivers will be tending to more older adults, in addition to raising their own children!

    Older populations confront long-term, sometimes incurable health challenges, such as cardiovascular disease, cancer and dementia. Chronic conditions demand reformulated forms of health-care — community-based long-term care, in-home care and support systems to enable continued independence and quality of life.

    With its aloha spirit and extensive network of ‘ohana dedicated to elder well-being, Hawai‘i is the perfect place to assume a leadership role in developing service models to address the health and social challenges of aging in the modern world by providing optimal kupuna care.

    CENTER ON AGING — University of Hawai‘i at Mānoa
    2430 Campus Rd., Gartley Hall, 201B, Honolulu HI 96822

    808-956-6124  |  map3@hawaii.edu
    www.hawaii.edu/aging/

    Never in the history of humankind have so many people lived so long. Anthropologists estimate that on average, Neanderthals lived little more than 20 years; only a small percent reached 40. In 15th century Europe, the average life expectancy reached a scant 35 years. Around the turn of the 20th century, however, advances in public…

  • Maximizing Mobility as We Age

    by Julie Moon, Physical Therapist HEALTH

    As we age, we lose flexibility, strength and balance, which affects our general health and mobility. The good news is therapeutic exercise can help improve mobility and function.

    Balance, flexibility and strength are essential to improve mobility and maintain independence.

    Poor balance increases the risk of falls and when combined with osteoporosis can lead to fractures, which affect mobility. Good balance comes from strengthening the muscles of your core, back and lower extremities.

    Single Leg Balance With Clock Reach

    This easy exercise incorporates strengthening, stabilization and flexibility training.

    Imagine you are standing in the middle of a clock. Bend legs slightly, reach forward with one foot at 12 o’clock, then move it back to the starting position. Reach toward 3 o’clock, then back and continue toward 6 and 9 o’clock. Repeat 10 times. Keep your core tight and hips level when stepping. Hold onto a chair for balance as needed.

    It’s never too late to start increasing muscle strength and you don’t need fancy equipment to improve posture, mobility and function. Physical therapy can help increase mobility, return your independence and provide you with a renewed sense of confidence.

    Moon Physical Therapy, LLC
    320 Ward Ave., Ste. 107, Honolulu HI 96814

    Programs: Aquatic, Land-based & Manual Therapy, Cardiopulmonary Rehab

    808-597-1005 | www.moonpt.com
    Moon Physical Therapy, LLC

    by Julie Moon, Physical Therapist HEALTH As we age, we lose flexibility, strength and balance, which affects our general health and mobility. The good news is therapeutic exercise can help improve mobility and function. Balance, flexibility and strength are essential to improve mobility and maintain independence. Poor balance increases the risk of falls and when…

  • Pain Solutions with Acupuncture

    by James Carter, L.Ac. 

    More than one in four Americans suffer from a chronic pain condition. Pain is not only physically debilitating, but also affects our emotional and mental health. The primary causes of chronic pain are injuries, inflammation, poor circulation and age-related degeneration.

    The most common chronic pain afflictions occur in major joints and muscle groups. Left untreated, chronic pain can worsen over time, leading to immobility and loss of independence.ore than one in four Americans suffer from a chronic pain condition. Pain is not only physically debilitating, but also affects our emotional and mental health. The primary causes of chronic pain are injuries, inflammation, poor circulation and age-related degeneration.

    Fortunately, there are natural ways to alleviate these types of conditions that do not carry the side effects or risks associated with medications and surgery. Skillfully performed acupuncture and Chinese medicine treatments can alleviate chronic pain and treat a wide variety of pain conditions.

    From a Chinese medicine perspective, chronic pain is seen as the body’s inability to provide proper circulation of blood, oxygen and nutrients to these painful, affected areas. One of acupuncture’s most unique features is its ability to gently stimulate the body’s tiniest nerves and create a natural healing response in areas that are painful or not functioning well. Through a series of treatments, even some of the most chronic and painful conditions can be dramatically improved.

    LUNA ACUPUNCTURE & WELLNESS LLC

    503-853-2866 | James@LunaAcupunctureWellness.com
    www.LunaAcupunctureWellness.com

    by James Carter, L.Ac.  More than one in four Americans suffer from a chronic pain condition. Pain is not only physically debilitating, but also affects our emotional and mental health. The primary causes of chronic pain are injuries, inflammation, poor circulation and age-related degeneration. The most common chronic pain afflictions occur in major joints and…

  • Senior Dentistry: Concerns and Solutions

    According Harvard Medical School, the need for dentures in later life used to be a foregone conclusion. But today, three-quarters of the over-65 population retain at least some of their teeth. Although older people still suffer higher rates of gum disease, dental decay and tooth loss, they can still do a lot to keep their mouth looking and feeling younger than its years.

    Q: What are some areas of concern regarding seniors’ dental care?

    The main concerns for seniors as they age are maintaining their remaining teeth and minimizing further damage and loss. Receding gums can also be a big concern.
    In addition, insurance coverage may be minimal or nonexistent once a senior retires.

    Q: What are my options for a missing tooth?

    There are generally three options available when a person loses one or more teeth.

    1. Recommended is an implant — a standalone option that doesn’t require the presence of any of the other teeth for support. Though keep in mind:
    – implanting requires a surgical phase
    – multiple implants may need to support a bridge or denture
    – they can’t be used in every case
    – implants are generally more expensive

    2. A fixed/cemented bridge, which is basically two crowns(minimum) that act as anchors to support the missing tooth.

    Generally, teeth are needed on both sides of the space created by the missing teeth. In rare cases, the problem can be resolved with a fixed bridge with one anchor — but only if there is just one tooth missing, and the supporting teeth(anchors) must be in good health with adequate bone support, otherwise, the bridge could fail in the future, which could necessitate the need for dentures.

    3. Dentures, of which there are generally two types: A partial denture will replace some missing teeth, supported by remaining teeth. A complete or full denture is used when the teeth on one arch or both arches are missing.

    Both the partial and full dentures are removable prostheses or both can be implant-supported.

    They are the least costly of all the options unless they involve implants.

    What can seniors do to retain healthy teeth?

    Visit your dentist regularly — every six months as a minimum.

    Some insurance companies will allow for more than two teeth cleanings a year if you have diabetes (you would need to check with your respective insurance company on this).

    If you are having trouble holding the floss or toothbrush because of arthritis or diminished manual dexterity, use dental floss holders or floss picks. I recommend Cocofloss, which is especially good for those who have spaces between their teeth that constantly trap food.

    In addition, seniors can use an electric toothbrush with a large handle, which makes it easier to grip.

    A water flosser, such as a Waterpik, is also a great device that seniors can use if the task becomes too difficult.

    Mouth washes can be helpful as long as there is no alcohol in them, but they shouldn’t be used as an alternative to flossing and brushing.

    Remember, seniors’, teeth and gums need extra care and attention if they want them to stay healthy in their later years.

     


    LANCE TERAMOTO, DDS, INC.
    4747 Kilauea Ave., Ste. 101, Honolulu HI 96816
    808-725-2135 | www.smilesofaloha.com/

    According Harvard Medical School, the need for dentures in later life used to be a foregone conclusion. But today, three-quarters of the over-65 population retain at least some of their teeth. Although older people still suffer higher rates of gum disease, dental decay and tooth loss, they can still do a lot to keep their…

  • Manage Diabetes with Aquatic Therapy

    Diabetes affects people in different ways, but those with type 2 diabetes frequently suffer from heart disease, high blood pressure and nervous system damage, including impaired sensation or pain in the hands and feet. Physical activity and keeping a healthy weight can help to manage the disease and prevent diabetic problems. Although walking may be the most convenient mode of exercise, those with weight issues, peripheral neuropathy or severe weakness or pain may find weight-bearing activities difficult. However, water provides a low-impact, safe environment ideal for type 2 diabetics.

    The virtual weightlessness of being in water reduces stress on joints, bones and muscles. Water resistance provides the strength training needed to decrease blood sugar levels. Aquatic exercise burns calories more efficiently. A 30-minute walk on land burns 135 calories compared to 264 calories walking in water.

    Benefits also include less soreness, increased circulation and improved balance and flexibility.

    Don’t let diabetes drag you down. A safety-conscious aquatic-based therapy program can help keep you afloat by increasing energy, and improving physical and psychological well-being.

     


    MOON PHYSICAL THERAPY, LLC
    320 Ward Ave., Ste. 107, Honolulu HI 96814
    Aquatic, Land-based and Manual Therapy and
    Cardiopulmonary Rehab Programs
    808-597-1005 | www.moonpt.com
    Like me on Facebook: Moon Physical Therapy, LLC

    Diabetes affects people in different ways, but those with type 2 diabetes frequently suffer from heart disease, high blood pressure and nervous system damage, including impaired sensation or pain in the hands and feet. Physical activity and keeping a healthy weight can help to manage the disease and prevent diabetic problems. Although walking may be…

  • Acupuncture, Chinese Medicine & Kidneys

    Our kidneys make up an important system in our bodies. They are responsible for many vital functions, such as removing wastes from our blood, controlling blood pressure and keeping our bones strong, for example. Such an important organ system deserves our best care and effort so we can keep it functioning well for our entire lives. Unfortunately, however, over 31 million people — nearly 10 percent of the population of the United States — are estimated to suffer from kidney disease and the number is increasing. Risk factors include being over 60 years old and having diabetes, high cholesterol and heart disease. The current treatments for chronic kidney disease (CKD) and kidney failure consist of medications to control symptoms, dialysis, and in some cases, surgery or transplantation. While these procedures can save and prolong lives, they are invasive and can cause severe side effects.

    There are other options. One of the most helpful, effective and perhaps most unknown in America today is acupuncture and Chinese medicine. This 5,000-year-old medical science from ancient China has a long historical record of treatment of many different organ system diseases and a vast array of problems in the body. Within this system of healthcare, acupuncture treatment can be very effective in improving circulation and blood flow into areas of the body where there may be blockages or restrictions caused by kidney disease.

    Chinese medicine uses thousands of herbs that can be specially combined to strengthen and assist the kidneys. It can also promote and support our vital organs and functions in the body by increasing oxygen and nutrient content in the blood to support the body’s intrinsic self-regulation and healing mechanisms. When used in combination with correct nutrition and conventional care, these methods can often significantly improve the functioning of the kidneys. From a Chinese medicine perspective, many cases of kidney disease and failures are treatable.

    The healing power of our bodies is amazing.

     


    LUNA ACUPUNCTURE & WELLNESS LLC
    503-853-2866 | James@LunaAcupunctureWellness.com
    www.LunaAcupunctureWellness.com

    Our kidneys make up an important system in our bodies. They are responsible for many vital functions, such as removing wastes from our blood, controlling blood pressure and keeping our bones strong, for example. Such an important organ system deserves our best care and effort so we can keep it functioning well for our entire…

  • Walk With a Doc on O’ahu

    L–R: UHA Director Howard Lee (WWAD O‘ahu sponsor), Vic Harris, Dr. Theresa Wee, Lori Wallace and Dr. Craig Kadooka.
    Walking is low-impact and has the lowest dropout rate of any physical activity. In fact, walking as little as 30 minutes a day can have tremendous health benefits, such lower blood pressure and blood sugar levels, improved mood, reduced coronary heart disease and much more.

    Founded in February 2016, the Walk with a Doc (WWAD) on O’ahu program includes many ku¯ puna, along with family and friends of all ages. This collaborative effort between Dr. Theresa Wee and the UHA Health Insurance Company is a great example of how individuals and groups can work together to promote health in the community. This walk is free and open to all ages and fitness levels.

    The walk begins with a health tip by Dr. Wee or another qualified health professional, then a five-minute warmup. Each individual in the group walks at his or her own pace for 50 minutes, followed by a cooldown with fruit refreshments donated by Stay Fit Physical Therapy. Perhaps the greatest benefit of all is the support and motivation contributed by each participant. They share stories of successes, struggles, and create an instant bond and camaraderie.

    Walking is truly the miracle drug, especially for our ku¯ puna. Come out any Saturday at 8am at Central Oahu Regional Park (meet near the tennis courts) for exercise, fun and fellowship.

     


    WALK WITH A DOC
    808-677-9988 (Dr. Wee) | www.walkwithadoc.org

    Walking is low-impact and has the lowest dropout rate of any physical activity. In fact, walking as little as 30 minutes a day can have tremendous health benefits, such lower blood pressure and blood sugar levels, improved mood, reduced coronary heart disease and much more. Founded in February 2016, the Walk with a Doc (WWAD)…

  • Progressive Program Improves Balance

    balanceBalance. It’s something everyone takes for granted without a second thought about how crucial it is to daily living. However, it’s wise not to underestimate the importance of having good balance, especially in our senior years.

    In addition to an increased risk of falls, poor balance and mobility can limit daily living activities and participation in leisure-time activities. Thus, it is essential to incorporate balancebuilding exercises into physical activity programs. Equally as important is a proper training progression to not only maintain or improve balance, but to ensure safety while practicing these exercises.Below is an outline of the components of a properly progressive balance training program.

    Balance training exercises should start with placing the feet in a series of positions that gradually reduce the base of support, holding each stance for 10 to 30 seconds. These exercises provide subtle changes in balance, similar to those experienced in everyday life, allowing your body to learn how to respond appropriately so balance is maintained while standing still:

    • Feet together as close as possible
    • Semi-tandem (one foot ahead of the other as if taking a step)
    • Full tandem (heel of one foot directly in front of the toes of the other foot)
    • Standing on one foot
      Gradually, introduce additional exercises that do the following:
    • Add dynamic movements to react to disturbances and changes in balance (leaning or stepping in different directions, lateral and forward reaching, picking up an object from the floor and tandem walking)
    • Reduce visual input by closing the eyes or dimming the lights
    • Challenge the vestibular system by moving the head from side to side
    • Challenge the somatosensory system by standing on foam pads or another type of unsteady surface
      Another important progressive component is the modification of the use of hand support.
      General guidelines for a proper progression of hand support include:
    • Holding onto a chair with both hands
    • Holding on to the chair with only one hand
    • Using just one finger to balance
    • Moving both hands free of the chair, but keeping them nearby — just in case

    The key to balance exercises is to challenge yourself within your personal comfort zone. Progressing too rapidly can actually contribute to a fall. Many seniors perform these exercises with the assistance of wellness trainers as spotters. The spotter’s role is to stand by to steady participants, ensuring they do not fall, a necessary component of safety and effectiveness allowing seniors to challenge themselves and improve to more advanced types of exercises.

    Balance. It’s something everyone takes for granted without a second thought about how crucial it is to daily living. However, it’s wise not to underestimate the importance of having good balance, especially in our senior years. In addition to an increased risk of falls, poor balance and mobility can limit daily living activities and participation…

  • ‘It’s a Natural Part of Aging…’ Not So Fast!

    agingAches and pains, having to avoid certain things, imbalance — people often have the misconception that these problems are a natural part of aging. There are physiological changes that naturally occur with aging, but these should only be contributing factors rather than the determining factor. The key factor is that the human body is highly adaptable. The unfortunate aspect is that this applies to both the bad as well as the good.

    If the body is not challenged to move the correct way, it will naturally develop bad habits that ingrain deeper as time passes. The body’s high adaptability becomes a detriment in that it masks the problem until it grows big enough to cause pain. Higher levels of pain cause greater compensations, which in turn, cause greater deviation from normal, healthy movement.

    Like any bad habit, it can take a lot of mental effort to correct. Fortunately, in most cases, the amount of physical effort is minimal in comparison to the mental effort. So, by reversing the unconscious bodily bad habits into normal movement, pain, lack of mobility, instability, etc., should all be resolved.

    Muscles provide roughly 80 percent of the body’s stability and even 90-plus-year-old muscles retain high adaptability. Benefits can be achieved through therapy aimed at restoring normal protection and movement of muscles.

     


    PRIME PHYSICAL THERAPY, INC.
    600 Queen Street, C-2, Honolulu HI 96813
    808-286-0914 | www.primepthawaii.com

    Aches and pains, having to avoid certain things, imbalance — people often have the misconception that these problems are a natural part of aging. There are physiological changes that naturally occur with aging, but these should only be contributing factors rather than the determining factor. The key factor is that the human body is highly…

  • Homeopathy Demystified

    In the world of natural medicine, nothing is so commonly misunderstood as homeopathy. Even among well-educated consumers who can name the best supplements for every condition under the sun, mystery prevails…

    Homeopathy is vastly different than allopathic medicine. Food, herbs, supplements and most allopathic medicines work on the biochemical level: Chemical constituents are digested and utilized.

    homeopathyHomeopathy works on the bioenergetic level. Working through the body’s energy system and bearing some similarities to acupuncture, homeopathic medicine may deliver messages almost instantly through the body’s nerve pathways. Homeopathic medicines relieve everything from allergies to arthritis pain to flu symptoms.

    Developed by Dr. Samuel Hahnemann more than 200 years ago, “homeopathy” means “similar suffering.” By using trace amounts of natural substances, which at high doses caused symptoms similar to those he was aiming to treat, Hahnemann created nontoxic treatments that safely awakened the body’s healing response.

    One of the greatest appeals of homeopathy is its universal safety.

    Regardless of age, health conditions or the use of other medications, homeopathy is nontoxic.

    Today, hundreds of scientific studies have demonstrated homeopathy’s efficacy, and it’s now covered by many national healthcare plans.

     


    DR. KING’S NATURAL MEDICINE BY KING BIO
    1-800-237-4100 | www.kingbio.com/stores

    In the world of natural medicine, nothing is so commonly misunderstood as homeopathy. Even among well-educated consumers who can name the best supplements for every condition under the sun, mystery prevails… Homeopathy is vastly different than allopathic medicine. Food, herbs, supplements and most allopathic medicines work on the biochemical level: Chemical constituents are digested and…

  • A Better Reason to Eat More

    eat

    I have said for years that eating more may be better for weight loss than eating less. At first, people are a bit shocked to hear this until they realize that I mean eating more food — but still eating fewer calories. How is this possible? Here is a simple example. If you eat an average-sized apple, it would be about 90 calories. If you eat a muffin that is the same size (a large muffin), it could contain as many as 550 calories.

    Because of this vast difference in the concentration of calories, you would be better off eating three apples — which would be much more food but still less than half the calories (270 calories). The wide difference in calorie concentration, of course, is because muffins are made of processed food products such as flour, sugar and oil.

    Easier Weight Control
    The result of eating whole, unprocessed foods such as the apple is that you will feel full faster and remain full longer than if you eat a lot of processed food. This is important because it is much easier to control your weight when you become satisfied longer with fewer calories. A full explanation and table of foods that fit this description are included in The Peace Diet.

    eat

    Health Benefits
    Eating in this way carries a number of health benefits. Of course, we all know that controlling weight helps to reduce the risk of many diseases, such as diabetes, high blood pressure, arthritis, alzheimers disease and even cancer. It is also important to know that one of the most wellestablished ways to longevity is to restrict calories. By using this approach, controlling calories doesn’t have to feel like the deprivation of eating less food.

    New Findings
    Eating in this way is beneficial for possibly another very good reason, according to recent scientific research. Hundreds of new research projects are now finding that gut flora, i.e., the microorganisms that live in your intestinal tract, can affect your health dramatically. Research shows that gut flora from a rat that lost weight through a gastric bypass and implanted into an obese rat can cause weight loss in the obese rat without the bypass. This is a possible indication that the change in gut flora is what causes weight loss.

    Additional research suggests that even diabetes may be controlled by changing gut flora. In fact, the reason that participants in my health programs lose weight and find their diabetes disappearing may be a result of a change in gut flora induced by a change in diet. This may be the reason why eating more — that is, more whole, unprocessed foods such as apples, vegetables, beans and whole unprocessed grains — is better for you by providing the right fiber and nutrients for healthier gut flora.

     


    WELLNESS CENTER Complimentary & Alternative Medicine
    600 Queen St., Ste. C2, Honolulu HI 96813
    808-628-8784 | www.drshintani.com
    The Peace Diet book, available at www.PeaceDiet.org

    I have said for years that eating more may be better for weight loss than eating less. At first, people are a bit shocked to hear this until they realize that I mean eating more food — but still eating fewer calories. How is this possible? Here is a simple example. If you eat an…

  • Strategies to Ease Morning Stiffness

    Strategies
    Try using additional pillows for proper body alignment in bed.

    Difficulty getting out of bed in the morning? Or taking longer for joints and muscles to loosen due to stiffness?

    The basic causes of morning stiffness are lack of physical activity, not sleeping properly and chronic conditions like arthritis. Try these strategies to loosen up:

    Five minutes of movement in bed can ease discomfort. Performing simple and controlled stretches for 30 seconds before bed and after waking up is especially important. Anything less than 20 seconds will not allow the muscle fibers and tissues to lengthen.

    StrategiesHeat therapy. Use a heating pad while stretching in bed or perform a range-of-motion exercises in a warm shower.

    Additional pillows ensure proper alignment. Lay on your back or side with a pillow between your knees or in front to prevent rounding. The fetal position causes excessive spine curvature. Lying on your stomach stresses the neck.

    Use a proper pillow: Pillows piled too high push your chin into your chest; too low elevates your chin, compressing your upper spine. Place a towel roll under your lower back for support. Good night… and sweet dreams.

     


    MOON PHYSICAL THERAPY, LLC
    320 Ward Ave., Ste. 107, Honolulu HI 96814
    Aquatic, Land-based and Manual Therapy and
    Cardiopulmonary Rehab Programs
    808-597-1005 | www.moonpt.com

    Difficulty getting out of bed in the morning? Or taking longer for joints and muscles to loosen due to stiffness? The basic causes of morning stiffness are lack of physical activity, not sleeping properly and chronic conditions like arthritis. Try these strategies to loosen up: • Five minutes of movement in bed can ease discomfort.…