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Aging Robs You of Muscles

With aging, it takes more effort and time to walk up stairs, mow the lawn, fix a faucet or wash the dishes. Tasks that you did without effort when you were younger can become major ordeals that leave you exhausted when you are older. Dr. Jerome Fleg, a cardiologist at the National Heart, Lung, and Blood Institute, tested 800 men and women over several years and found that their ability to sustain exercise decreased rapidly as they aged. The older they became the faster they lost what researchers call aerobic capacity (Circulation, July 26, 2005). Aerobic capacity is a measure of your ability to use oxygen to do work. If your body can process more oxygen than that of another person, usually you will be able to run faster, walk or work longer, and have more energy than that person. The men and women lost three to six percent per decade in their 20's and 30's , and 20 percent per decade in their 70's. The men lost aerobic capacity faster than the women. The men lost 8.3 percent of aerobic capacity in their 40's and 23 percent per decade in their 70's.

This study was done with people who were healthy enough for vigorous exercise on a treadmill that measured their exercise capacity. People who have had heart attacks, strokes, diabetes or other wasting diseases would lose aerobic capacity much faster than healthy people. The results showed that a regular exercise program can increase exercise capacity by up to 25 percent, which would give the older participants the same exercise capacity as you would expect in people who are twenty years younger.

The loss of aerobic capacity with aging explains why older people cannot compete effectively against younger ones in endurance events. The good news is that a regular exercise program can increase your maximum heart rate. By exercising regularly and vigorously, your will develop stronger skeletal muscles. When you contract your leg muscles, they squeeze against the veins in your legs and pump blood toward your heart. When your leg muscles relax, the veins dilate and fill with blood. This alternate contacting and relaxing pumps extra blood toward your heart. The extra blood returned to the heart stretches and strengthens the heart muscle, causing it to beat faster and with more force. So strengthening your leg muscles increases your maximum heart rate, even as you age.

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Dear Dr. Mirkin: I believe I may have diabetes, but my doctor says my blood sugar is normal. Is there another test I should have done?

Yes; ask him to order a test called Hemoglobin A1C (HBA1c). Many doctors still diagnose diabetes only if your fasting blood sugar is above 126, or 180 two hours after eating. These are not reliable measures. The side effects of diabetes are caused by blood sugar levels rising too high after meals, causing sugar to stick to cells. Once stuck on a cell, sugar is converted to a poison called sorbitol that causes heart attacks, strokes, blindness, deafness and kidney damage. The test to measure how much sugar is stuck on cells is called HBA1C. If HBA1C is high, a person is headed for the side effects of diabetes, no matter whether you call this diabetes or not. See my report #1555.

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Dear Dr. Mirkin: If sorbitol is a poison, why is it used in candy and gum?

Sorbitol in food is harmless because you cannot absorb it; it passes right through and is excreted. Sorbitol is harmful when it is formed from sugar in your own body. (See the question above.)

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Dear Dr. Mirkin: My mother has lost a lot of weight in the last few months, without dieting. Should I insist that she see her doctor?

Yes. Whenever a person loses more that 10 pounds without intentional dieting or other obvious reasons, her doctor is obligated to do tests to rule out a cancer or other serious problems. One out of three cases will be caused by something wrong in the gastrointestinal tract, and one quarter will have cancers in the stomach, intestines, colon, liver or pancreas. Any older person who loses weight without trying to do so needs an x-ray of the stomach and colon, and a sonogram of the abdomen to look for cancers or obstructions. If the doctor still cannot find a cause, he must check for diseases that prevent the absorption of food from the intestinal tract.

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Recipes for Holiday Entertaining
Do yourself and your guests a favor -- offer at least a few choices that can be eaten with good conscience. Healthful food can be festive and delicious, too!

Ratatouille with Baby Potatoes
Red Pepper Soup
Artichoke-Wild Rice Salad
Fruit Bowl

Complete List of Diana's Healthful Recipes

June 26th, 2013
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About the Author: Gabe Mirkin, MD

Sports medicine doctor, fitness guru and long-time radio host Gabe Mirkin, M.D., brings you news and tips for your healthful lifestyle. A practicing physician for more than 50 years and a radio talk show host for 25 years, Dr. Mirkin is a graduate of Harvard University and Baylor University College of Medicine. He is board-certified in four specialties: Sports Medicine, Allergy and Immunology, Pediatrics and Pediatric Immunology. The Dr. Mirkin Show, his call-in show on fitness and health, was syndicated in more than 120 cities. Read More
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