Category: Health

  • Check for Signs of Oral Cancer

    April is Oral Cancer Awareness  Month and it’s the time of year to remind seniors and loved ones to visit the dentist. Did you know a routine visit to the dentist also includes a screening for oral cancer? While they look for signs of decay (cavities) and gum disease, they’re looking for typical warning signs of cancer in the mouth.

    Female dentist talking to smiling senior patient at dental clinicPossible signs of oral cancer are white or red patches in the mouth; persistent sores, ulcers, or irritation in the mouth  cavity; difficulty in chewing, swallowing, moving the jaw or tongue; numbness in the tongue, a sore throat that does not go away; a constant toothache or pain in the jaw; or an earache. If you come across any of these signs, give your dentist a call right away. An early diagnosis can make a huge difference. Even if you don’t see any of the warning signs, you should still see your dentist twice a year for exams and routine cleanings, whether you have dentures or not.

    Every day, 132 people in the US will be newly diagnosed with oral cancer caused by lifestyle conditions, poor dental care and oral hygiene, age, poor nutrition, exposure to UV light, genetics and other medical conditions. Smoking and chewing tobacco can also contribute to oral cancer.

    See your dentist, brush twice a day and floss daily to prevent oral cancer. Find a dentist at www.HawaiiDentalService.com/FindADentist.


    HAWAII DENTAL SERVICE (501(c) 4 nonprofit)
    Kahala Howser, Wellness & Events Manager
    808-521-1431 | khowser@hawaiidentalservice.com
    www.HawaiiDentalService.com

    April is Oral Cancer Awareness  Month and it’s the time of year to remind seniors and loved ones to visit the dentist. Did you know a routine visit to the dentist also includes a screening for oral cancer? While they look for signs of decay (cavities) and gum disease, they’re looking for typical warning signs…

  • The Best Defense Against Glaucoma

    Although glaucoma is a leading cause of irreversible blindness, the most common presentation of glaucoma often has no noticeable symptoms in its early stages. When glaucoma develops, vision loss progresses so gradually that the people affected are often unaware of it until their sight has already been compromised. Due to the lack of symptoms in most cases of glaucoma, the American Academy of Ophthalmology advises the public that the best defense against developing glaucoma-related blindness is to maintain routine, comprehensive eye exams.

    “Like many illnesses that progress slowly over time, the best preventative measure against developing vision loss from glaucoma is by early detection of symptoms, only possible by having regular eye exams,” says Dr. Steven Rhee of Hawaiian Eye of Hawaiian Eye Center. “When glaucoma is in its early stages, most vision loss is preventable with early detection and medical intervention.”

    Open-angle glaucoma, in which the drainage angle for eye fluid remains open, is the most common presentation, with gradual onset of symptoms without pain. Less common types of glaucoma include closed-angle glaucoma and normal-tension glaucoma, which can come on gradually or suddenly. The sudden presentation may involve severe eye pain, blurred vision and other bodily symptoms.

    Those most at risk of developing glaucoma include those…

    • aged 40 and older.
    • who are siblings of people diagnosed with glaucoma or have a family history of glaucoma.
    • who are of African and Hispanic descent in older age groups.
    • diagnosed with diabetes or high blood pressure.
    • who have had an eye injury or eye surgery.

    Most known risk factors of glaucoma are not preventable and the optic nerve is unable to regenerate after any damage has occurred. However, glaucoma can be controlled with an early diagnosis and treatment to slow down or stop further damage. Treatment ranges from topical medications to laser surgery, which helps lower the eye’s internal pressure.

    People of older age groups or with a family history of glaucoma should have a comprehensive dilated eye exam every two to three years from an eye care professional to check for glaucoma and other eye diseases. People at higher risk of developing glaucoma should get eye exams annually, including those 40 and over or with other known risk factors.


    HAWAIIAN EYE CENTER
    Steven Rhee, DO, Medical Director and Cornea Specialist
    Wahiawa 808-621-8448 | Waipahu 808-678-0622
    www.hawaiianeye.com

    Although glaucoma is a leading cause of irreversible blindness, the most common presentation of glaucoma often has no noticeable symptoms in its early stages. When glaucoma develops, vision loss progresses so gradually that the people affected are often unaware of it until their sight has already been compromised.

  • Recognizing Substance Abuse in Older Adults

    Close-up image of unrecognizable senior woman holding pills and glass of water, medicine and recovery treatment, copy space. Photo of a elderly woman taking daily medicine. Healthcare concept.When people think about substance abuse and addiction, they often imagine young adults. While it’s true teenagers are at a higher risk for substance abuse as a group, research done on the elderly population is lacking. Despite the lack of research, it’s widely believed that substance abuse and addiction in the elderly is a hidden epidemic.

    While no one wants to even imagine that their parents or grandparents may have problems with substance abuse or addiction (especially if they have no history), it’s essential to keep an eye out for these challenges. This article aims to help explain the importance of the issue, how to recognize the signs of use and abuse of different substances, and how to help.

    Substance Abuse & Addiction Defined

    There are many terms used to describe the use of drugs or alcohol. The shortest description is: “Substance abuse is a coping mechanism developed in response to triggers, while addiction is a disease involving chemical dependency.”

    Those living with substance abuse generally have more control over the situation, often drinking or using drugs to deal with stress. They sometimes experience minimal disruption to their lives, but this should still be taken seriously because substance use or abuse of any level can exacerbate health problems — especially for seniors.

    Those who are addicted to substances tend to have their lives overtaken by their conditions. They usually have a chemical need for alcohol or drugs and very little ability to stop themselves from partaking. It affects their daily lives and relationships are often damaged.

    Substance Abuse Disorder is a Health Crisis

    There’s a common misconception that older adults don’t experience substance use disorder (SUD). However, a study revealed that nearly one million people over 65 were living with SUD.

    As people age, their need for pain relief is likely to increase. But because opioids are highly addictive, they risk abuse of or addiction to the drugs.

    Substances Commonly Abused by the Elderly

    ALCOHOL: Alcohol is the most commonly abused substance. Alcohol abuse can be hard to recognize, leading many to call it a “hidden epidemic.” Part of the challenge is that signs of alcohol abuse are very similar to signs of aging. Nonetheless, here are some signs of alcohol abuse disorder:
    • Frequent injuries
    • Increased tolerance for other medications
    • An overabundance of empty liquor bottles
    • Displaying signs of cognitive impairment (e.g., forgetfulness, unsteadiness, confusion, memory loss, etc.)
    • Slurred speech
    • Symptoms of depression or anxiety
    • Unpredictable mood swings
    OPIOIDS: Synthetic opioids, such as oxycodone (Percocet and OxyContin), hydrocodone (Vicodin), codeine, morphine and fentanyl, are commonly prescribed for severe or chronic pain. With an estimated 65 percent of older adults suffering from pain and 30 percent reporting chronic pain, many could be prescribed opioids — which are highly addictive. Signs of opioid addiction:
    • Hiding prescriptions
    • Running out of opioid medications quickly
    • Showing withdrawal symptoms (e.g., nausea, vomiting)
    • Signs of cognitive impairment
    • Using multiple pharmacies to fill prescriptions
    BENZODIAZEPINES (BENZOS): Benzodiazepines, such as diazepam (Valium), lorazepam (Ativan), alprazolam  (Xanax) and midazolam (Versed), are psychoactive relaxers that are commonly prescribed for people experiencing depression, anxiety, insomnia, muscle spasms or seizures (benzos are no longer recommended for treating insomnia in older adults because of the risk of Alzheimer’s). Signs of potential abuse include:
    • Decreased attention span
    • Drowsiness
    • Memory loss
    • Profuse sweating
    • Running into objects or walls frequently (difficulty with spatial reasoning)
    • Slurred speech

    Man hand holds plastic packet or bag with cocaine or another drugs, drug abuse and danger addiction concept, selective focus, tonedCOCAINE: It may seem odd that cocaine is on a list of substances commonly abused by seniors. But aging baby boomers are changing the landscape of drug use — cocaine wasn’t a widely used in previous generations at the same age. Cocaine is popular because it makes many people feel great — at least for a little while. They may have increased self-confidence, euphoria and desire to be social — all things older adults may miss from their youth. With no prescriptions allowed — the only way users can get cocaine is through dealers. Some signs your loved one could be addicted to cocaine include:
    • Dilated pupils
    • Excess energy and over-excitement
    • Experiencing paranoia
    • Little appetite
    • Not sleeping
    • Runny or red nose and sniffling often
    MARIJUANA: Marijuana can be either smoked or ingested by being mixed with foods (edibles). Medical marijuana is commonly prescribed to older adults because it’s believed to help treat Alzheimer’s, cancer, glaucoma and pain, among other things that frequently affect this population. For states where it’s legal to sell and purchase, you can walk into a cannabis shop or dispensary. For states where the drug is illegal, regular users would likely purchase from a dealer. Some signs your loved one might have a marijuana dependency include:
    • Consistently bloodshot eyes
    • Decrease in coordination
    • Lethargy and lack of motivation
    • Loss of memory
    • Using it every day or multiple times a day, especially if their doctors have recommended a lower frequency
    HEROIN: People addicted to prescription opioids are often at risk of turning to heroin, especially if it gets too difficult to procure prescriptions. The drug can ease their pain the same way the opioids did. Heroin is usually acquired through a dealer. Signs of heroin use include:
    • Constricted pupils
    • Sleepiness while on it; inability to sleep when it wears off
    • Slowed thoughts or movements
    • Visible injection marks on their skin, often called “track marks”
    • Pain, chills, vomiting, itchiness and nervousness when the heroin wears off

    How to Help

    Acknowledging there is a problem can be the first step to helping a loved one overcome addiction. Both caregivers and medical professionals can have important roles in getting assistance to someone suffering from SUD.
    Addiction Center: www.addictioncenter.com. Information on SUD and addiction, rehabilitation centers and other treatment options.
    National Institute on Drug Abuse: www.drugabuse.gov. Government resource provides answers to nearly every question you may have.
    Opioid Treatment Program Directory: dpt2.samhsa.gov/treatment. This directory helps you find opioid treatment in your state.
    RehabNet: https://rehabnet.com. Specifically designed for seniors living with drug and alcohol abuse or addiction. It provides a 24/7 hotline.
    SAMHSA National Helpline: www.samhsa.gov/find-help/national-helpline. This 24/7, confidential hotline is available to people living with or who care about someone with a substance use disorder. They can provide referrals to local assistance and send publications.


    Find the full article at www.premiernursingacademy.org.

    When people think about substance abuse and addiction, they often imagine young adults. While it’s true teenagers are at a higher risk for substance abuse as a group, research done on the elderly population is lacking. Despite the lack of research, it’s widely believed that substance abuse and addiction in the elderly is a hidden…

  • The Art & Science of COVID-19 Prevention

    It has long been established that consistently wearing a proper-fitting mask over your nose and mouth is critical in preventing the spread of COVID-19. In January, nearly two years into the pandemic, the Centers for Disease Control and Prevention (CDC) updated its mask recommendations, because as the SARS-CoV-2 coronavirus changes and mutates, producing a bounty of variants, we must adapt. The virus will continue to circulate and mutate as long as there are people to infect, so masks will likely remain a part of our lives for some time.

    Proper Fit is Essential

    Masks are made to contain droplets and particles you breathe, cough or sneeze out. They {Play} mostly protect others. If they fit closely to the face, they can also provide some protection from particles spread by others.

    Respirators fitting closely on the face to protect you by filtering out particles so that you don’t breathe them in. They can also contain droplets and particles you breathe, cough, or sneeze out so you do not spread them to others.

    While all masks and respirators provide some level of protection, properly fitting respirators provide the highest level of protection. N95s, KN95s and surgical-style masks, (when they are legitimate and fit properly) are more protective than cloth ones.

    Assuming the mask fits well and its filtration has been rigorously tested, these types of masks are some of the most protective face coverings you can buy.

    Whichever you chose, fit, comfort and consistent use are important to provide good protection.

    • Make sure your mask fits snugly against your face.
    • Pick a mask with layers to keep your respiratory droplets in and others’ out.
    • Choose a mask with a nose wire and bend it over your nose to fit it close to your face.
    • Use a mask fitter or brace over a disposable or cloth mask.
    • Check for gaps by cupping your hands around the outside edges of the mask.
    • Make sure no air is flowing from the area near your eyes or from the sides of the mask.
    • If the mask has a good fit, you will feel warm air come through the front of the mask and may be able to see the mask material move in and out with each breath.
    • If you use a cloth mask, make sure it has multiple layers of fabric, or wear a disposable mask underneath the cloth mask. The cloth mask should push the edges of the disposable mask against your face.
    • Knot the ear loops of a three-ply face mask where they join the edge and fold and tuck the unneeded material under the edges (instruction video: https://youtu.be/GzTAZDsNBe0.)

    The Genuine Article

    The New York Times’ “Wirecutter” features a selection of masks they consider to be the best options. They tested 39 models and confirmed the filtration claims of their favorites with government agencies or their own lab testing performed in collaboration with Colorado State University.

    Their picks have been confirmed to block at least 95 percent of 0.1-micron particles when worn with a secure seal, with good fit, feel and value. They vetted the sellers and manufacturers to confirm that you’re getting the genuine article.

    Go to www.nytimes.com/wirecutter/reviews/where-to-buy-n95-kn95-masks-online/#ourfavorite-respirator-masks to find legitimate N95, KN95 and surgical masks from trusted retailers. For reusable options, visit www.nytimes.com/wirecutter/reviews/best-cloth-face-masks.

    Read “12 Signs You Have a Fake N95, KN95, or KF94 Mask” at www.nytimes.com/wirecutter/blog/12-signs-you-have-a-fake-n95-kn95-orkf94-mask to ensure your mask’s legitimacy.

    How to Reuse Disposable Masks

    You may find that these disposable respirator masks cost $1 to $3 apiece. The cost can add up and used masks in our landfills can pile up. Fortunately, for most people and in most situations, you don’t need to dispose of your mask after each use or each day.

    Masks work the same way on any variant — by trapping virus-containing particles in their layers. But don’t try to save money or your local landfill by trying to wash or disinfect a mask, which can render it ineffective. You can have a steady supply of reusable masks by marking paper bags with the days of the week written on them. When you take off a used mask, put it in the appropriate bag, touching only the elastics. Then wash your hands. Store the bags by a sunny window to hasten decontamination.

    The coronavirus has an expected survival time of about 72 hours, so waiting seven days should be enough time for the mask to become clear of virus contaminants.

    When Should You Throw It Away?

    According to the CDC, a mask should still be wearable if its elastic bands continue to create a secure fit and the material looks clean and provides good airflow.

    However, consider where you’ve worn the mask and for how long. Someone who wears a mask in close quarters with others every day, for example, may need to throw it out sooner than someone who wears theirs to the grocery store every once a week.

    Whatever the circumstances, switch to a fresh mask if yours is dirty, thinning, damaged or hard to breathe through, or if it no longer maintains a good seal. Throw the mask away if you think you have been exposed to a virus load, such as, if you may have interacted with a person who has tested positive for COVID-19.

    For more information, go to the CDC website: www.cdc.gov/coronavirus/2019-ncov/preventgetting-sick/about-face-coverings.html.

    It has long been established that consistently wearing a proper-fitting mask over your nose and mouth is critical in preventing the spread of COVID-19. In January, nearly two years into the pandemic, the Centers for Disease Control and Prevention (CDC) updated its mask recommendations, because as the SARS-CoV-2 coronavirus changes and mutates, producing a bounty…

  • How to Make the Most of Your Doctor Visits

    General practitioner and her aged patient talking about heart diseasesMost people visit the doctor only  a few times a year, so it’s important to get the most out of each appointment. The more information you share, the better your doctor can take care of you.

    Bring a List to Your Appointment

    Before you go to the doctor, make a list of the questions. When you’re not feeling your best, write down your symptoms. Talking with your doctor can help pinpoint and address potential issues, enabling you to get better quickly.

    Write Down the Answers

    Take notes. Doctors are accustomed to discussing complex medical topics and simplifying them for easier understanding by their patients. Don’t be shy. Ask questions for better understanding.

    Follow Through

    Keep the notes from the doctor’s visit and follow through. Write down the changes you see during treatment so your doctor can see what’s working the next time you talk.

    Your doctor’s goal is to provide you with the care you deserve at every visit. You are a key component of your wellness, so it is important that you and your doctor work as a team to achieve your optimal health.


    MDX HAWAI‘I
    A statewide network of physicians, specialists, hospitals and ancillary providers (Humana HMO, Humana PPO, and AARP/UnitedHealthcare PPO Medicare Advantage Plans).
    500 Ala Moana Blvd., Ste. 2200, Honolulu, HI 96813-4993
    808-522-7500 | www.MDXHawaii.com

    Most people visit the doctor only  a few times a year, so it’s important to get the most out of each appointment. The more information you share, the better your doctor can take care of you.

  • Model Good Oral Health Habits for Keiki

    Smiling grandfather in bathroom kneeling beside grandson brushing teeth. staying at home in isolation during quarantine lockdown.Hawai‘i’s sandwich generation is confronted with both unique challenges and great opportunities as baby boomers care for their elderly parents, while also supporting their adult children and grandchildren. Multi-generational homes are very  common in Hawai‘i.

    Interdependence can strengthen families and provide valuable intergenerational opportunities to meet each other’s needs. February, which is National Children’s Oral Health Month, is the perfect time to put this into practice.

    Hawai‘i’s children have the highest prevalence of tooth decay in the nation. Tooth decay can affect their overall health and well-being, including their ability to concentrate in school. But grandparents can help their grandchildren and great-grandchildren maintain their oral health from an early age by showing — by example — the importance of properly brushing and flossing, and visiting a dentist on a regular basis for checkups. Children need to know a visit to the dentist is not scary!

    Millennial adult children can also share their knowledge about oral healthcare with their grandparents who may have diabetes or are taking medications that may make their mouth feel dry and affect their gums.

    Visit our website for more oral health tips.


    HAWAII DENTAL SERVICE (501(c) 4 nonprofit)
    Kahala Howser, Wellness & Events Manager
    808-521-1431 | khowser@hawaiidentalservice.com
    www.HawaiiDentalService.com

    Hawai‘i’s sandwich generation is confronted with both unique challenges and great opportunities as baby boomers care for their elderly parents, while also supporting their adult children and grandchildren. Multi-generational homes are very  common in Hawai‘i.

  • Massage: Good for the Body & Soul

    A common misconception is that massage is a luxury. Massage is becoming recognized as complementary medicine, along with other modalities, such as chiropractic care and acupuncture. An increasing amount of research is being conducted that demonstrates the scientific and medical benefits of massage.

    The most common types of massage are Swedish/ relaxation massage, lymphatic massage and reflexology. Seniors can benefit from them all.

    Senior woman having a massageSWEDISH/RELAXATION MASSAGE increases circulation and eases tension. As we age, our circulation may become less efficient due to inactivity. Poor circulation may lead to muscle cramps, pain and more. Think of Swedish massage as passive exercise, where the massage therapist is doing all the work for you! Another benefit of this type of massage is that it helps seniors retain muscle tone. As we age, we naturally lose muscle mass and strength. Massage helps maintain balance, which helps decrease the risk of falling. Maintaining muscle tone also increases an overall sense of well-being and vitality.

    LYMPHATIC MASSAGE is a very gentle massage that increases lymphatic system function. Our lymphatic and circulatory systems work together to function as our immune system. The lymph system may become stagnant due to lack of physical activity. One of the most common symptoms of a poorly functioning lymphatic system is swelling, also called “edema.”  Lymphatic massage aids the lymphatic system by helping to move the fluid that causes that swelling. Lymphatic massage benefits include better circulation and reduced swelling in the legs and ankles.

    REFLEXOLOGY focuses on the the feet, hands and ears. Traditional Chinese medicine tells us there are pressure points on your feet, hands and ears that correspond to other body parts. If you look straight down at your feet, you will see a reflection of your entire body. The outside of your pinky toes correlates with your shoulders and the inside of your feet with your spine. Reflexology can be relaxing and reduce pain. Reflexology also helps reduce joint pain and stiffness, improves joint mobility and function, and last but not least, promotes relaxation.

    Taking care of a loved one or your grandchildren may take a toll on your body. Maybe you have previous injuries or various health conditions that cause aches and pains in your body and may lead to arthritis. If you don’t address these issues, they may just get worse. Invest in a body tune-up — talk to your massage therapist about the type of massage that may benefit you the most.


    REJUVENATE WITH ARLENE
    92-695 Makakilo Dr., Kapolei, HI 96707
    808-888-8169 | arlene@rejuvenatewitharlene.com

    A common misconception is that massage is a luxury. Massage is becoming recognized as complementary medicine, along with other modalities, such as chiropractic care and acupuncture. An increasing amount of research is being conducted that demonstrates the scientific and medical benefits of massage.

  • Seniors Can Stay Stronger Through Exercise

    Photo of Debbie Kim MorikawaAn interview with Debbie Kim Morikawa,
    owner of GYMGUYZ

    Why is it important that seniors continue to work on their fitness?

    It’s always important to remain active to stay healthy and strong. Regular exercise is also great for brain health, boosting mood and energy, and speeding up recovery from an injury or illness. “Use it or lose it” applies to balance skills, agility, muscle strength and stamina.

    As we age, there’s a natural tendency to slow down and do things more cautiously, which is sensible. The active older adult can usually maintain functional strength through everyday activities. However, living a sedentary lifestyle increases the risk of feeling stiffer, getting weaker and becoming less coordinated. Adapting to these changes may seem easy — until the day it becomes very apparent that the activities are not only too difficult to do — but also scary!

    What are some warning signs that a fitness program may be needed?

    Maintaining mobility is critical to independence. When walking, we spend about 40 percent of the time on one leg. Not being able to stand on one leg for a minimum of 20 seconds can be an indicator of muscle weakness, decreased balance skills or impaired brain health.

    Other indicators of weakness or deconditioning are not being able to walk as far, feeling more tired or short of breath, or needing to take more rest breaks. Getting up from a low chair may take more effort or getting down to or up from the floor may require assistance.

    Feeling the need to grab onto something for stability while walking or going up and down stairs versus wanting to be cautious or safe is a sign that something is off.

    What should a senior look for when seeking out an exercise professional?

    Look for someone who’s willing to take the time to understand your needs and do a comprehensive assessment of your posture and biomechanics (how you move) to identify any asymmetries, muscle imbalances or loss of flexibility.

    Due to these imbalances, people often develop compensatory movement patterns or postural shifts that can affect balance skills, spinal alignment and joint integrity. Being unaware of any dysfunctional habits precludes your ability to correct them. Your training plan should address any issues revealed in the assessment while still focusing on your goals. You should be clear about the functional skills you want improved and ask how the assigned exercises will achieve those goals.

    When looking for an exercise professional, a personal training certification or therapy license are important credentials. Equally important are the professional’s experience and skill. Someone who has the right personality fit and  communication style can also have a great impact on the progress and success of your training program.

    What’s the difference between personal training and physical therapy?

    A licensed physical therapist’s skill is critical in the acute and rehabilitation phases of an injury or illness. Personal training can be complementary in the rehab phase and very beneficial post-rehab in progressing seniors to achieve their full functional capacity.

    Physical therapists are highly trained in assessment and therapeutic modalities to address specific disorders or pain.  Physical therapy is generally offered through a healthcare provider and is usually covered by health insurance. Therapists recommend the focus and length of treatment, but the insurance provider generally makes the final determination on how long a therapist can work with a client.

    Because seniors may take longer to recover, therapists must often discharge a client with a home program.

    This is where working with a personal trainer can be highly beneficial. A trainer can work with all areas in need of training and progress clients to achieve their maximum potential.

    When is it important to pay someone to help you maintain/regain skills you may have lost?

    When we lose the ability to function independently, when every movement causes pain or when we’re afraid to move because of a fear of falling or getting injured, we’ve lost some of our freedom to live well. Paying someone to keep us active and healthy, and to address these issues is simply a worthwhile investment in our health and quality of life.

    Should I sign up for a class, go to the gym or have someone come to my home?

    Not all instructors or classes are equal. If attending a class, it’s important to know your body and keep yourself safe in a class while getting the full benefit of the exercises.

    Find an instructor who pays attention to your form and asks you questions, or provides cues about what muscles to use or what you should be feeling. Sometimes, performing exercises improperly can cause more harm than good.

    Working out in a gym when properly trained on the equipment is a great way to focus on specific areas of strength and endurance. Even better is working with a trainer who understands functional fitness — exercises that help you with your everyday activities.

    In-home personal training is ideal for those who don’t have the time or don’t want to get dressed, drive to a gym or class, or have to wear a mask during a workout. Again, working with a trainer familiar with functional fitness provides for a more practical workout with fewer distractions in a home setting. An additional benefit is the trainer’s ability to assess clients’ functional safety and limitations in their home environment, allowing the exercises to be more tailored to the clients’ functional needs.

    What about virtual sessions?

    One-on-one or small group sessions can be as effective as in-person exercises, depending on the skill of the professional and your ability to utilize technology to provide enough information for your trainer to know what your body is doing.

    What is the typical cost?

    Personal training fees can range between $50 to $150 a session, depending on whether you’re working with an individual personal trainer, a franchise like GYMGUYZ, or an upscale professional gym or club.

    How must the industry change to meet the needs of an expanding senior population?

    There’s a large group of seniors who are more interested in functional fitness. At GYMGUYZ, we take a therapeutic approach to exercise with seniors. We can use a common daily activity, such as getting up from a chair or stair climbing, as part of our exercise routine to produce quicker functional results.

    What habits should soon-to-be seniors develop now for optimal fitness in the future?

    People of all ages should learn the proper way to do a “functional or modified bodyweight squat.” This movement is used in many daily activities — from getting up from a chair to lifting a grandchild. It is not a knee bend. Instead, bend at the hips, keep your back straight and push your butt back, allowing your knees to bend while keeping your weight on your heels. This protects your knees, strengthens your leg and butt, and keeps your bones strong. Repeat this squat five times whenever you sit and you’ve got the start to a great workout! It’s never too late or too early to begin a fitness routine and it can be as easy as transitioning from sitting to standing up.

    Why is it important that seniors continue to work on their fitness? It’s always important to remain active to stay healthy and strong. Regular exercise is also great for brain health, boosting mood and energy, and speeding up recovery from an injury or illness. “Use it or lose it” applies to balance skills, agility, muscle…

  • Tips to Help Minimize the Risk of Falling

    Do you ever feel faint or lose your balance? Are your legs unsteady or seem like they’ll give way? Would you feel safer using a walker or cane?

    If you answered yes to any of these questions, talk to your doctor about preventing falls that can lead to serious injury. Meanwhile, consider these other ways you can help fall-proof your life.

    ■ Get rid of clutter. It’s a good idea to remove cords, crowded furniture, slippery rugs and anything you can trip over at home. Good lighting is essential. Consider night lights for your bedroom, hallways and bathroom.
    ■ Wear it wisely. Replace slippery shoes with non-skid, safer alternatives. Avoid wearing long clothing, such as mu‘umu‘u or robes, and blankets that could get caught under your feet.
    ■ Adjust your glasses. If your glasses (bifocals, transition lenses) make it difficult to perceive changes in elevation, such as stairs, curbs and driveways, make an eye doctor appointment.
    ■ Check your medications. Some medications may cause side effects that can lead to a fall. It’s important to regularly review your medications with your doctor. (Be sure to include all over-the-counter medicines, supplements and herbal medications you take.)
    ■ Plan ahead. If possible, sign up for a medical alert system, or keep a portable or mobile phone nearby. Voice-activated devices such as smart watches and virtual assistants (Amazon Echo, Google Home) can also be used to call for help in a fall emergency. It’s a good idea to give a spare key to a family member or a friend, and to program their phone numbers in your phone.
    ■ If you fall and can’t get up… If you need help, try to make noise, shout, bang on something, call 911 or press your medical alert button. Move your legs, arms and lift your hips slightly to help prevent pressure sores from starting.
    ■ Improve balance with leg bends. Bend one knee so your foot comes up behind you and is level with your knee. Lower your foot to the floor. Repeat with the other leg. Hold on to a sturdy chair or wall. Be sure to talk to your doctor before doing this or any other exercise program.
    ■ Add strength to your core. Sit in a sturdy chair placed against a wall. Stand up without using your hands. If this is too hard, start by using a pillow on the chair until you get stronger. Repeat 10 to 15 times, if possible. Again, talk to your doctor before doing this or any other exercise program.


    KAISER FOUNDATION HEALTH PLAN, INC.
    711 Kapiolani Blvd., Honolulu, HI 96813
    808-432-5915 (TTY 711) | www.kp.org
    This article contains health and wellness or prevention information.

    Do you ever feel faint or lose your balance? Are your legs unsteady or seem like they’ll give way? Would you feel safer using a walker or cane? If you answered yes to any of these questions, talk to your doctor about preventing falls that can lead to serious injury. Meanwhile, consider these other ways…

  • Stress is Linked to Alzheimer’s Dementia

    Senior women sitting at a table and solve crosswords.Alzheimer’s, the most common cause of dementia, is a disease of the brain that leads to loss of memory and function due to damaged and dying brain cells. The early symptoms include forgetfulness, lack of focus, trouble with decision-making, confusion and poor judgement.

    Currently, doctors can only provide ways to help delay its progression and severity. But recent research has shown a few ways to prevent dementia. Aside from maintaining a daily exercise regime, healthy blood pressure, and healthy dietary fat and sugar levels, two additional measures can be used to help prevent the disease.

    As much as possible, avoid chronic emotional distress, which can trigger dementia symptoms. Toxic levels of stress have been shown to shrink the hippocampus, where memories are stored.

    Keep your brain busy and stimulated — in line with the “use it or lose it” adage. One must continually engage in and practice an ability or risk losing it. That applies to mental activity as well. A study revealed strong evidence that retiring early can speed up the onset of dementia, but showed a significant decrease in the risk of developing dementia with retirement at an older age. For example, there was a 14 percent reduction in Alzheimer’s in workers who retired at 65 over those who retired at 60 . There is no cure, yet, so the best treatment is to avoid stress and stay active.


    OHANA PACIFIC MEDICAL LLC
    428 Kawaihae St., #148, Honolulu, HI 96825
    808-930-9858 | opm@ohanapacific.org
    www.ohanapacificmedical.org

    Alzheimer’s, the most common cause of dementia, is a disease of the brain that leads to loss of memory and function due to damaged and dying brain cells. The early symptoms include forgetfulness, lack of focus, trouble with decision-making, confusion and poor judgement.

  • Better Posture, Better Health

    Mention posture and everyone sits or stands straighter. But are you truly aligned? Most people have some type of asymmetry and don’t even know it. It’s impossible to correct an imbalance you aren’t aware of.

    Properly aligned spine and joints, and functionally balanced muscles allow your body to move with optimum efficiency and minimize the risk of injury or permanent structural damage. Achieving this state requires self-awareness.

    How do you find your neutral? Start by standing in front of a mirror. Check if your shoulders are the same height. Are your thumbs pointing towards the mirror or do you see the backs of your hands? Is one hip higher than the other? Are your knees and ankles straight, or caving in or bowing out? Are you leaning forward or backward? Do
    you lock your knees?

    Close your eyes, move around and realign yourself. Open your eyes. If you’re still crooked, keep trying with your eyes shut until you have achieved proper alignment.

    Awareness is just the first step; next is exercise — stretching tight muscles and strengthening postural muscles to keep you aligned. Repetition is the key to developing habits that lead to improved balance, function and health.


    GYMGUYZ Urban Honolulu
    Home Personal Training & Mobile Fitness
    808-638-2525
    gymguyzurbanhonolulu@gymguyz.com
    www.gymguyz.com

    Mention posture and everyone sits or stands straighter. But are you truly aligned? Most people have some type of asymmetry and don’t even know it. It’s impossible to correct an imbalance you aren’t aware of. Properly aligned spine and joints, and functionally balanced muscles allow your body to move with optimum efficiency and minimize the…

  • See Your Dentist to Reduce Alzheimer’s Risk

    Your oral health directly impacts your overall health, which is why seeing a dentist is just as important as seeing your primary care physician. Your dentist can determine if you will come across issues such as gum disease, which may impact your quality of life and even raise your risk for systemic disease in your later years.

    Gum disease, or periodontal disease, is an inflammation of the gums due to plaque and bacteria buildup. When plaque isn’t removed, it hardens into tartar and produces toxins that break down the gum tissue, causing them to pull away from your teeth and form pockets that fill with bacteria. Without a solid routine that includes brushing twice a day, flossing daily and visiting a dentist for an exam and cleaning twice annually, this condition can increase your risk for heart disease, diabetes and Alzheimer’s disease.

    Studies show those who develop gum disease early in life are four times more likely to develop Alzheimer’s disease or dementia. The type of bacteria that cause gum disease can destroy brain neurons, a hallmark feature of Alzheimer’s. Your dentist can help target gum disease and may increase your cleanings throughout the year to prevent plaque and bacteria buildup, lowering your risk of disease.

    Find a dentist near you and schedule an appointment today to live well and smile more.


    HAWAII DENTAL SERVICE
    Kahala Howser, Wellness & Events Manager
    808-521-1431 | khowser@hawaiidentalservice.com
    www.HawaiiDentalService.com

    Your oral health directly impacts your overall health, which is why seeing a dentist is just as important as seeing your primary care physician. Your dentist can determine if you will come across issues such as gum disease, which may impact your quality of life and even raise your risk for systemic disease in your…