Hearts Get 'Younger,' Even At Middle Age, With Exercise
Feeling Blue Around the Holidays? You're Not Alone
Get Off The Couch Baby Boomers, Or You May Not Be Able To Later
Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out
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Exercise","publishDate":1520899794,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Eventually it happens to everyone. As we age, even if we're healthy, the heart becomes less flexible, more stiff and just isn't as efficient in processing oxygen as it used to be. In most people the first signs \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1113/jphysiol.2011.218271/full\" target=\"_blank\" rel=\"noopener\">show up\u003c/a> in the 50s or early 60s. And among people who don't exercise, the underlying changes can start even sooner.\u003c/p>\n\u003cp>\"The heart gets smaller — stiffer,\" says \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\" rel=\"noopener\">Dr. Ben Levine\u003c/a>, a sports cardiologist at University of Texas Southwestern Medical Center and director of the Institute for Exercise and Environmental Medicine at Texas Health Presbyterian Hospital, in Dallas.[contextly_sidebar id=\"UJp77wAYFxSsTskHzbjUfLZVQstMILpG\"]\u003c/p>\n\u003cp>Think of the heart muscle as a rubber band, Levine says. In the beginning, the rubber band is flexible and pliable. But put it in a drawer for 20 years and it will emerge dry and brittle.\u003c/p>\n\u003cp>\"That's what happens to the heart and blood vessels,\" he says. And down the road, that sort of stiffness can get worse, he notes, leading to the breathlessness and other symptoms of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0022300/\" target=\"_blank\" rel=\"noopener\">heart failure\u003c/a>, an inability of the heart to effectively pump blood to the lungs or throughout the body.\u003c/p>\n\u003cp>Fortunately for those in midlife, Levine is finding that even if you haven't been an avid exerciser, getting in shape now may head off that decline and help restore your aging heart. He and his colleagues \u003ca href=\"http://circ.ahajournals.org/content/early/2018/01/03/CIRCULATIONAHA.117.030617\" target=\"_blank\" rel=\"noopener\">published\u003c/a> their recent findings in the American Heart Association's journal, \u003cem>Circulation\u003c/em>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We took these 50-year-old hearts and turned the clock back to 30- or 35-year-old hearts.'\u003ccite>Dr. Ben Levine\u003c/cite>\u003c/aside>\n\u003cp>The research team recruited individuals between the ages of 45 and 64 who were mostly sedentary but otherwise healthy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dallas resident Mae Onsry, an accounts payable manager, was 62 at the time. Raising two children and working full time, she says, she never had the flexibility to fit in exercise, although she knew it was important for her health.\u003c/p>\n\u003cp>\"I have my hobbies,\" says Onsry, including ballroom dancing and gardening. But it was nothing routine, nothing \"disciplined,\" she says.\u003c/p>\n\u003cp>So when she saw a flyer about Levine's study, she signed up — along with 52 other volunteers — for a two-year study.\u003c/p>\n\u003cp>\u003cstrong>Heart Health\u003c/strong>\u003cbr>\nParticipants were randomly assigned to one of two groups. The first group engaged in a program of nonaerobic exercise — basic yoga, balance training and weight training — three times a week. The other group, which Onsry was in, was assigned a trainer and did moderate- to high-intensity aerobic exercise for four or more days a week.\u003c/p>\n\u003cp>After two years, the group doing the higher-intensity exercise saw dramatic improvements in heart health.\u003c/p>\n\u003cp>\"We took these 50-year-old hearts and turned the clock back to 30- or 35-year-old hearts,\" says Levine. Their hearts processed oxygen more efficiently and were notably less stiff.\u003c/p>\n\u003cp>\"And the reason they got so much stronger and fitter,\" he says, \"was because their hearts could now fill a lot better and pump a lot more blood during exercise.\"\u003c/p>\n\u003cp>The hearts of those engaged in less intense routines didn't change, he says.\u003c/p>\n\u003cp>A key part of the effective exercise regimen was interval training, Levine says — short bursts of high-intensity exercise followed by a few minutes of rest. The study incorporated what are often referred to as \u003ca href=\"https://www.ntnu.edu/cerg/advice\" target=\"_blank\" rel=\"noopener\">4x4 intervals\u003c/a>.\u003c/p>\n\u003cp>\"It's an old Norwegian ski team workout,\" Levine explains. \"It means four minutes at 95 percent of your maximal ability, followed by three minutes of active recovery, repeated four times.\"\u003c/p>\n\u003cp>\u003cimg class=\" wp-image-341841 alignleft\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-800x450.jpg\" alt=\"\" width=\"520\" height=\"293\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-1920x1080.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-520x293.jpg 520w\" sizes=\"(max-width: 520px) 100vw, 520px\">Pushing as hard as you can for four minutes stresses the heart, he explains, and forces it to function more efficiently. Repeating the intervals helps strengthen both the heart and the circulatory system.\u003c/p>\n\u003cp>\"The sweet spot in life to get off the couch and start exercising [if you haven't already] is in late middle age when the heart still has plasticity,\" Levine says. You may not be able to reverse the aging of the vessels if you wait.\u003c/p>\n\u003cp>\"We put healthy 70-year-olds through a yearlong exercise training program, and nothing happened to them at all,\" Levine says. \"We could not change the structure of their heart and blood vessels.\"\u003c/p>\n\u003cp>Anyone considering beginning this, or a similarly strenuous exercise program, Levine says, should check with a doctor first and ask about individual health issues that might warrant a less intense program initially.\u003c/p>\n\u003cp>\u003cstrong>Mental Health\u003c/strong>\u003cbr>\nFor Onsry, who is now 65, the study was life changing. Today she exercises every day of the week, walking and jogging at least 5 miles around the lake near her home.\u003c/p>\n\u003cp>If she misses a day, she says, she just doesn't feel as good physically. And the regimen has helped her mental health, too.\u003c/p>\n\u003cp>\"I'm not moody,\" she says. \"I mean — I'm happy.\"\u003c/p>\n\u003cp>\u003ca href=\"https://nyulangone.org/doctors/1912084062/nieca-goldberg\" target=\"_blank\" rel=\"noopener\">Dr. Nieca Goldberg\u003c/a>, a cardiologist and medical director of the Joan H. Tisch Center for Women's Health at NYU Langone Medical Center, and a spokeswoman for the American Heart Association, says Levine's research is important.\u003c/p>\n\u003cp>\"Many studies that are done that look at [cardiovascular] health look at improvements in risk factors like high blood pressure, cholesterol and diabetes,\" Goldberg says. \"But this study specifically looked at heart function — and how heart function can improve with exercise.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Goldberg says the findings are a great start. But the study was small and needs to be repeated with far larger groups of people to determine exactly which aspects of an exercise routine make the biggest difference.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hearts+Get+%27Younger%2C%27+Even+At+Middle+Age%2C+With+Exercise&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"For those in midlife, getting in shape now may head off decline and help restore an aging heart.","status":"publish","parent":0,"modified":1547069061,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":929},"headData":{"title":"Hearts Get 'Younger,' Even At Middle Age, With Exercise | KQED","description":"For those in midlife, getting in shape now may head off decline and help restore an aging heart.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"440080 https://ww2.kqed.org/futureofyou/?p=440080","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/03/12/hearts-get-younger-even-at-middle-age-with-exercise/","disqusTitle":"Hearts Get 'Younger,' Even At Middle Age, With Exercise","source":"DIY Health","nprByline":"Patti Neighmond, NPR","nprImageAgency":"Maria Fabrizio for NPR","nprStoryId":"591513777","nprApiLink":"http://api.npr.org/query?id=591513777&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/03/12/591513777/hearts-get-younger-even-at-middle-age-with-exercise?ft=nprml&f=591513777","nprRetrievedStory":"1","nprPubDate":"Mon, 12 Mar 2018 16:06:00 -0400","nprStoryDate":"Mon, 12 Mar 2018 05:00:00 -0400","nprLastModifiedDate":"Mon, 12 Mar 2018 16:06:17 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/03/20180312_me_hearts_gets_younger_even_at_middle_age_with_exercise.mp3?orgId=1&topicId=1128&d=216&p=3&story=591513777&ft=nprml&f=591513777","nprAudioM3u":"http://api.npr.org/m3u/1592823667-03c52f.m3u?orgId=1&topicId=1128&d=216&p=3&story=591513777&ft=nprml&f=591513777","audioTrackLength":217,"path":"/futureofyou/440080/hearts-get-younger-even-at-middle-age-with-exercise","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/03/20180312_me_hearts_gets_younger_even_at_middle_age_with_exercise.mp3?orgId=1&topicId=1128&d=216&p=3&story=591513777&ft=nprml&f=591513777","parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Eventually it happens to everyone. As we age, even if we're healthy, the heart becomes less flexible, more stiff and just isn't as efficient in processing oxygen as it used to be. In most people the first signs \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1113/jphysiol.2011.218271/full\" target=\"_blank\" rel=\"noopener\">show up\u003c/a> in the 50s or early 60s. And among people who don't exercise, the underlying changes can start even sooner.\u003c/p>\n\u003cp>\"The heart gets smaller — stiffer,\" says \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\" rel=\"noopener\">Dr. Ben Levine\u003c/a>, a sports cardiologist at University of Texas Southwestern Medical Center and director of the Institute for Exercise and Environmental Medicine at Texas Health Presbyterian Hospital, in Dallas.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Think of the heart muscle as a rubber band, Levine says. In the beginning, the rubber band is flexible and pliable. But put it in a drawer for 20 years and it will emerge dry and brittle.\u003c/p>\n\u003cp>\"That's what happens to the heart and blood vessels,\" he says. And down the road, that sort of stiffness can get worse, he notes, leading to the breathlessness and other symptoms of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0022300/\" target=\"_blank\" rel=\"noopener\">heart failure\u003c/a>, an inability of the heart to effectively pump blood to the lungs or throughout the body.\u003c/p>\n\u003cp>Fortunately for those in midlife, Levine is finding that even if you haven't been an avid exerciser, getting in shape now may head off that decline and help restore your aging heart. He and his colleagues \u003ca href=\"http://circ.ahajournals.org/content/early/2018/01/03/CIRCULATIONAHA.117.030617\" target=\"_blank\" rel=\"noopener\">published\u003c/a> their recent findings in the American Heart Association's journal, \u003cem>Circulation\u003c/em>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We took these 50-year-old hearts and turned the clock back to 30- or 35-year-old hearts.'\u003ccite>Dr. Ben Levine\u003c/cite>\u003c/aside>\n\u003cp>The research team recruited individuals between the ages of 45 and 64 who were mostly sedentary but otherwise healthy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dallas resident Mae Onsry, an accounts payable manager, was 62 at the time. Raising two children and working full time, she says, she never had the flexibility to fit in exercise, although she knew it was important for her health.\u003c/p>\n\u003cp>\"I have my hobbies,\" says Onsry, including ballroom dancing and gardening. But it was nothing routine, nothing \"disciplined,\" she says.\u003c/p>\n\u003cp>So when she saw a flyer about Levine's study, she signed up — along with 52 other volunteers — for a two-year study.\u003c/p>\n\u003cp>\u003cstrong>Heart Health\u003c/strong>\u003cbr>\nParticipants were randomly assigned to one of two groups. The first group engaged in a program of nonaerobic exercise — basic yoga, balance training and weight training — three times a week. The other group, which Onsry was in, was assigned a trainer and did moderate- to high-intensity aerobic exercise for four or more days a week.\u003c/p>\n\u003cp>After two years, the group doing the higher-intensity exercise saw dramatic improvements in heart health.\u003c/p>\n\u003cp>\"We took these 50-year-old hearts and turned the clock back to 30- or 35-year-old hearts,\" says Levine. Their hearts processed oxygen more efficiently and were notably less stiff.\u003c/p>\n\u003cp>\"And the reason they got so much stronger and fitter,\" he says, \"was because their hearts could now fill a lot better and pump a lot more blood during exercise.\"\u003c/p>\n\u003cp>The hearts of those engaged in less intense routines didn't change, he says.\u003c/p>\n\u003cp>A key part of the effective exercise regimen was interval training, Levine says — short bursts of high-intensity exercise followed by a few minutes of rest. The study incorporated what are often referred to as \u003ca href=\"https://www.ntnu.edu/cerg/advice\" target=\"_blank\" rel=\"noopener\">4x4 intervals\u003c/a>.\u003c/p>\n\u003cp>\"It's an old Norwegian ski team workout,\" Levine explains. \"It means four minutes at 95 percent of your maximal ability, followed by three minutes of active recovery, repeated four times.\"\u003c/p>\n\u003cp>\u003cimg class=\" wp-image-341841 alignleft\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-800x450.jpg\" alt=\"\" width=\"520\" height=\"293\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-1920x1080.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/heart-health_wide-0fa361079eb45d51ec02f0d7448db4e125b1bd9b-1-520x293.jpg 520w\" sizes=\"(max-width: 520px) 100vw, 520px\">Pushing as hard as you can for four minutes stresses the heart, he explains, and forces it to function more efficiently. Repeating the intervals helps strengthen both the heart and the circulatory system.\u003c/p>\n\u003cp>\"The sweet spot in life to get off the couch and start exercising [if you haven't already] is in late middle age when the heart still has plasticity,\" Levine says. You may not be able to reverse the aging of the vessels if you wait.\u003c/p>\n\u003cp>\"We put healthy 70-year-olds through a yearlong exercise training program, and nothing happened to them at all,\" Levine says. \"We could not change the structure of their heart and blood vessels.\"\u003c/p>\n\u003cp>Anyone considering beginning this, or a similarly strenuous exercise program, Levine says, should check with a doctor first and ask about individual health issues that might warrant a less intense program initially.\u003c/p>\n\u003cp>\u003cstrong>Mental Health\u003c/strong>\u003cbr>\nFor Onsry, who is now 65, the study was life changing. Today she exercises every day of the week, walking and jogging at least 5 miles around the lake near her home.\u003c/p>\n\u003cp>If she misses a day, she says, she just doesn't feel as good physically. And the regimen has helped her mental health, too.\u003c/p>\n\u003cp>\"I'm not moody,\" she says. \"I mean — I'm happy.\"\u003c/p>\n\u003cp>\u003ca href=\"https://nyulangone.org/doctors/1912084062/nieca-goldberg\" target=\"_blank\" rel=\"noopener\">Dr. Nieca Goldberg\u003c/a>, a cardiologist and medical director of the Joan H. Tisch Center for Women's Health at NYU Langone Medical Center, and a spokeswoman for the American Heart Association, says Levine's research is important.\u003c/p>\n\u003cp>\"Many studies that are done that look at [cardiovascular] health look at improvements in risk factors like high blood pressure, cholesterol and diabetes,\" Goldberg says. \"But this study specifically looked at heart function — and how heart function can improve with exercise.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Goldberg says the findings are a great start. But the study was small and needs to be repeated with far larger groups of people to determine exactly which aspects of an exercise routine make the biggest difference.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hearts+Get+%27Younger%2C%27+Even+At+Middle+Age%2C+With+Exercise&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440080/hearts-get-younger-even-at-middle-age-with-exercise","authors":["byline_futureofyou_440080"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_532","futureofyou_259","futureofyou_743","futureofyou_61","futureofyou_279","futureofyou_1640"],"collections":["futureofyou_1093"],"featImg":"futureofyou_440081","label":"source_futureofyou_440080"},"futureofyou_438069":{"type":"posts","id":"futureofyou_438069","meta":{"index":"posts_1591205157","site":"futureofyou","id":"438069","score":null,"sort":[1514486358000]},"guestAuthors":[],"slug":"feeling-blue-around-the-holidays-youre-not-alone","title":"Feeling Blue Around the Holidays? You're Not Alone","publishDate":1514486358,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>This time of the year brings a lot of changes to the usual day-to-day life of hundreds of millions of people: The weather is colder, trees are naked, snowy days become plentiful and friendly critters are less visible around the neighborhood. Especially in the Western Hemisphere, this time of the year is also linked to a lot of joyous celebrations and traditions. Most children and many adults have been excited for this time of the year to come for months, and they love the aura of celebrations, with their gatherings, gifts, cookies, emails and cards.\u003c/p>\n\u003caside class=\"pullquote alignright\">While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting.\u003c/aside>\n\u003cp>Alas, there are also millions who have to deal with darker emotions as the world literally darkens around them.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.psychologytoday.com/blog/evidence-based-living/201712/what-we-know-about-the-holiday-blues\" target=\"_blank\" rel=\"noopener\">holiday blues\u003c/a> – that feeling of being in a lower or more anxious mood amid the significant change in our environment and the multitude of stressors that the holidays can bring – is a phenomenon that is yet to be researched thoroughly. However, as academic psychiatrists and neuroscience researchers, we have seen how several factors contribute to this experience.\u003c/p>\n\u003cp>\u003cstrong>Why feel blue in the red and green season?\u003c/strong>\u003c/p>\n\u003cp>There are many reasons to feel stressed or even downright overwhelmed during this time of year, in addition to the expectations set around us.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"2WRTWL17rLowdkqqZ0Ov6Hyxeef7nWVh\"]Memories of holidays past, either fond or sad, can create a sense of loss this time of year. We may find ourselves missing people who are no longer with us, and carrying on the same traditions without them can be a strong reminder of their absence.\u003c/p>\n\u003cp>The sense of burden or obligation, both socially or financially, can be significant. We can get caught up in the commercial aspects of gift giving, wanting to find that perfect item for family and friends. Many set their sights on special gifts, and we often can feel stretched thin trying to find a balance between making our loved ones happy and keeping our bank accounts from being in the black.\u003c/p>\n\u003cp>It’s also a time for gathering with those close to us, which can stir up many emotions, both good and bad. Some may find themselves away from or without close connections and end up isolated and withdrawn, further disconnected from others. On the other hand, many people find themselves feeling overwhelmed by the combination of potlucks and Secret Santas stacking up through multiple invitations, be it at school, work, or from friends and family – leaving us with the difficult position of not wanting to disappoint others, while not getting totally depleted by all the constant socializing.\u003c/p>\n\u003cp>\u003cstrong>Great expectations\u003c/strong>\u003c/p>\n\u003cp>[contextly_sidebar id=\"A4J6sCzzeaq033SaQDb2urG0j3Nl9TdB\"]People often feel disappointed when reality does not meet expectations. The larger the mismatch, the worse the negative feelings. One of us (Arash) often finds himself telling his patients: Childhood fairy tales can set an unrealistic bar in our minds about life. I wish we were told more real stories, taking the bad with the good, as we would get hurt less when faced with difficult realities of life, and learn how to especially appreciate our good fortunes.\u003c/p>\n\u003cp>These days viewers are showered with Christmas and New Year’s Eve movies, almost all of which sound and feel like fairy tales. People get married, get rich, fall in love or reconnect with their loved ones. Even unhappy events within “A Christmas Carol” conclude with a happy ending. These all, besides exposure to only happy moments and beautiful gifts (courtesy of Santa), dazzling Christmas decorations, and picturesque family scenes on social media, often set an unrealistic expectation for how this time of the year “should” feel.\u003c/p>\n\u003cp>Reality is different, though, and at its best is not always as colorful. There may be disagreements about hows, wheres, whats and whos of the celebration, and not all family members, friends and relatives get along well at parties. And as we feel lonelier, we may find ourselves spending more time immersed in TV and social media, leading to more exposure to unrealistic views of the holidays and feeling all the worse about our situation.\u003c/p>\n\u003cp>\u003cstrong>When is blue a red flag?\u003c/strong>\u003c/p>\n\u003cp>While many experience the more transient “holiday blues” this time of year, it is important not to miss more serious conditions like seasonal mood changes, which in its most severe case leads to clinical depression, including \u003ca href=\"https://www.nimh.nih.gov/health/topics/seasonal-affective-disorder/index.shtml\" target=\"_blank\" rel=\"noopener\">Seasonal Affective Disorder\u003c/a>. SAD consists of episodes of depression or a worsening of existing depression during the late fall and early winter. The person may feel depressed and hopeless, or they may find it difficult to focus, sleep, or be motivated – they can even feel suicidal. As our emotions can color our thoughts and memories, a depressed person may remember more negative memories, have a more negative perception and interpretation of the events, and feel upset about the holidays.\u003c/p>\n\u003cp>In such cases, the sadness is “coincident” with the holidays and not caused solely by its circumstances. It is important to seek professional help with SAD, as we have effective treatments available, such as medications and \u003ca href=\"https://www.mayoclinic.org/tests-procedures/light-therapy/about/pac-20384604\" target=\"_blank\" rel=\"noopener\">light therapy\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>What to do to minimize the blues?\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Set realistic expectations: One readily available strategy is simply reframing the beliefs we have about what the holidays “should” be like. Not all parties will go perfectly. Some decorations may break, or kids may wake up grumpy or not be exhilarated by their gifts – but it doesn’t have to stop us from enjoying all the good moments.\u003c/li>\n\u003cli>Set firm boundaries: Too many invitations to social events? Too many financial demands? Set clear limits about what you are able and willing to do, whether that means declining some social events and setting your own limit on spending this year, focusing more on meaningful experiences over expense. This can be spending time with loved ones or getting creative with homemade gifts.\u003c/li>\n\u003cli>Feeling alone? There are many ways to steer clear of isolating this time of year. Reaching out to friends, volunteering at animal shelters, local charities or attending community meetups or religious events can be a great way to stay connected while also bringing happiness to ourselves and others.\u003c/li>\n\u003cli>Making new memories: Starting a new tradition, either solo or with loved ones, can help create fond new memories of the holidays, no longer overshadowed by the past.\u003c/li>\n\u003cli>Take care of yourself: It’s important to remember the value of self-care, including eating and drinking in moderation (as alcohol can worsen a depressed mood), exercising (even a short walk), and treating yourself this holiday season by doing something you enjoy.\u003c/li>\n\u003c/ul>\n\u003cp>While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting. It also impairs daily functioning. For these symptoms it is often helpful and necessary to seek professional help. This can consist of counseling or use of medications, or both, to help treat symptoms.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Linda Saab is an Assistant Professor of Psychiatry at Wayne State University. Arash Javanbakht is an Assistant Professor of Psychiatry at Wayne State University. This article was originally published in \u003ca href=\"http://theconversation.com/\">The Conversation\u003c/a> on Nov. 21, 2017. Read the \u003ca href=\"https://theconversation.com/what-psychiatrists-have-to-say-about-holiday-blues-89210\">original article\u003c/a>.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Two psychiatrists explain why people feel blue during this time and share tips for how to take care.","status":"publish","parent":0,"modified":1514585619,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":1234},"headData":{"title":"Feeling Blue Around the Holidays? You're Not Alone | KQED","description":"Two psychiatrists explain why people feel blue during this time and share tips for how to take care.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"438069 https://ww2.kqed.org/futureofyou/?p=438069","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/12/28/feeling-blue-around-the-holidays-youre-not-alone/","disqusTitle":"Feeling Blue Around the Holidays? You're Not Alone","nprByline":"Linda Saab\u003c/br>The Conversation","path":"/futureofyou/438069/feeling-blue-around-the-holidays-youre-not-alone","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>This time of the year brings a lot of changes to the usual day-to-day life of hundreds of millions of people: The weather is colder, trees are naked, snowy days become plentiful and friendly critters are less visible around the neighborhood. Especially in the Western Hemisphere, this time of the year is also linked to a lot of joyous celebrations and traditions. Most children and many adults have been excited for this time of the year to come for months, and they love the aura of celebrations, with their gatherings, gifts, cookies, emails and cards.\u003c/p>\n\u003caside class=\"pullquote alignright\">While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting.\u003c/aside>\n\u003cp>Alas, there are also millions who have to deal with darker emotions as the world literally darkens around them.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.psychologytoday.com/blog/evidence-based-living/201712/what-we-know-about-the-holiday-blues\" target=\"_blank\" rel=\"noopener\">holiday blues\u003c/a> – that feeling of being in a lower or more anxious mood amid the significant change in our environment and the multitude of stressors that the holidays can bring – is a phenomenon that is yet to be researched thoroughly. However, as academic psychiatrists and neuroscience researchers, we have seen how several factors contribute to this experience.\u003c/p>\n\u003cp>\u003cstrong>Why feel blue in the red and green season?\u003c/strong>\u003c/p>\n\u003cp>There are many reasons to feel stressed or even downright overwhelmed during this time of year, in addition to the expectations set around us.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Memories of holidays past, either fond or sad, can create a sense of loss this time of year. We may find ourselves missing people who are no longer with us, and carrying on the same traditions without them can be a strong reminder of their absence.\u003c/p>\n\u003cp>The sense of burden or obligation, both socially or financially, can be significant. We can get caught up in the commercial aspects of gift giving, wanting to find that perfect item for family and friends. Many set their sights on special gifts, and we often can feel stretched thin trying to find a balance between making our loved ones happy and keeping our bank accounts from being in the black.\u003c/p>\n\u003cp>It’s also a time for gathering with those close to us, which can stir up many emotions, both good and bad. Some may find themselves away from or without close connections and end up isolated and withdrawn, further disconnected from others. On the other hand, many people find themselves feeling overwhelmed by the combination of potlucks and Secret Santas stacking up through multiple invitations, be it at school, work, or from friends and family – leaving us with the difficult position of not wanting to disappoint others, while not getting totally depleted by all the constant socializing.\u003c/p>\n\u003cp>\u003cstrong>Great expectations\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>People often feel disappointed when reality does not meet expectations. The larger the mismatch, the worse the negative feelings. One of us (Arash) often finds himself telling his patients: Childhood fairy tales can set an unrealistic bar in our minds about life. I wish we were told more real stories, taking the bad with the good, as we would get hurt less when faced with difficult realities of life, and learn how to especially appreciate our good fortunes.\u003c/p>\n\u003cp>These days viewers are showered with Christmas and New Year’s Eve movies, almost all of which sound and feel like fairy tales. People get married, get rich, fall in love or reconnect with their loved ones. Even unhappy events within “A Christmas Carol” conclude with a happy ending. These all, besides exposure to only happy moments and beautiful gifts (courtesy of Santa), dazzling Christmas decorations, and picturesque family scenes on social media, often set an unrealistic expectation for how this time of the year “should” feel.\u003c/p>\n\u003cp>Reality is different, though, and at its best is not always as colorful. There may be disagreements about hows, wheres, whats and whos of the celebration, and not all family members, friends and relatives get along well at parties. And as we feel lonelier, we may find ourselves spending more time immersed in TV and social media, leading to more exposure to unrealistic views of the holidays and feeling all the worse about our situation.\u003c/p>\n\u003cp>\u003cstrong>When is blue a red flag?\u003c/strong>\u003c/p>\n\u003cp>While many experience the more transient “holiday blues” this time of year, it is important not to miss more serious conditions like seasonal mood changes, which in its most severe case leads to clinical depression, including \u003ca href=\"https://www.nimh.nih.gov/health/topics/seasonal-affective-disorder/index.shtml\" target=\"_blank\" rel=\"noopener\">Seasonal Affective Disorder\u003c/a>. SAD consists of episodes of depression or a worsening of existing depression during the late fall and early winter. The person may feel depressed and hopeless, or they may find it difficult to focus, sleep, or be motivated – they can even feel suicidal. As our emotions can color our thoughts and memories, a depressed person may remember more negative memories, have a more negative perception and interpretation of the events, and feel upset about the holidays.\u003c/p>\n\u003cp>In such cases, the sadness is “coincident” with the holidays and not caused solely by its circumstances. It is important to seek professional help with SAD, as we have effective treatments available, such as medications and \u003ca href=\"https://www.mayoclinic.org/tests-procedures/light-therapy/about/pac-20384604\" target=\"_blank\" rel=\"noopener\">light therapy\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>What to do to minimize the blues?\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Set realistic expectations: One readily available strategy is simply reframing the beliefs we have about what the holidays “should” be like. Not all parties will go perfectly. Some decorations may break, or kids may wake up grumpy or not be exhilarated by their gifts – but it doesn’t have to stop us from enjoying all the good moments.\u003c/li>\n\u003cli>Set firm boundaries: Too many invitations to social events? Too many financial demands? Set clear limits about what you are able and willing to do, whether that means declining some social events and setting your own limit on spending this year, focusing more on meaningful experiences over expense. This can be spending time with loved ones or getting creative with homemade gifts.\u003c/li>\n\u003cli>Feeling alone? There are many ways to steer clear of isolating this time of year. Reaching out to friends, volunteering at animal shelters, local charities or attending community meetups or religious events can be a great way to stay connected while also bringing happiness to ourselves and others.\u003c/li>\n\u003cli>Making new memories: Starting a new tradition, either solo or with loved ones, can help create fond new memories of the holidays, no longer overshadowed by the past.\u003c/li>\n\u003cli>Take care of yourself: It’s important to remember the value of self-care, including eating and drinking in moderation (as alcohol can worsen a depressed mood), exercising (even a short walk), and treating yourself this holiday season by doing something you enjoy.\u003c/li>\n\u003c/ul>\n\u003cp>While the holiday blues are most often temporary, it’s important to identify when things have crossed over into clinical depression, which is more severe and longer lasting. It also impairs daily functioning. For these symptoms it is often helpful and necessary to seek professional help. This can consist of counseling or use of medications, or both, to help treat symptoms.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Linda Saab is an Assistant Professor of Psychiatry at Wayne State University. Arash Javanbakht is an Assistant Professor of Psychiatry at Wayne State University. This article was originally published in \u003ca href=\"http://theconversation.com/\">The Conversation\u003c/a> on Nov. 21, 2017. Read the \u003ca href=\"https://theconversation.com/what-psychiatrists-have-to-say-about-holiday-blues-89210\">original article\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/438069/feeling-blue-around-the-holidays-youre-not-alone","authors":["byline_futureofyou_438069"],"categories":["futureofyou_1"],"tags":["futureofyou_727","futureofyou_592","futureofyou_743","futureofyou_1275","futureofyou_1437"],"featImg":"futureofyou_438071","label":"futureofyou"},"futureofyou_435195":{"type":"posts","id":"futureofyou_435195","meta":{"index":"posts_1591205157","site":"futureofyou","id":"435195","score":null,"sort":[1504767708000]},"guestAuthors":[],"slug":"get-off-the-couch-baby-boomers-or-you-may-not-be-able-to-later","title":"Get Off The Couch Baby Boomers, Or You May Not Be Able To Later","publishDate":1504767708,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Count the number of hours you sit each day. Be honest.\u003c/p>\n\u003cp>\"If you commute an hour in the morning and hour after work — that's two hours, and if you sit at an eight-hour-a-day desk job that's 10,\" says epidemiologist \u003ca href=\"https://publichealthonline.gwu.edu/academics/faculty/profile/loretta-dipietro/\">Loretta DiPietro\u003c/a> of the Milken Institute School of Public Health at George Washington University.\u003c/p>\n\u003cp>\"Then you come home at, say, 6 p.m., eat dinner and crash into your recliner for another three to four hours,\" says DiPietro. \"That's 13 to 14 hours of sitting.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'Sitting and watching TV for long periods, especially in the evening, has got to be one of the most dangerous things that older people can do.'\u003ccite>Loretta DiPietro, Milken Institute School of Public Health\u003c/cite>\u003c/aside>\n\u003cp>Being immobile like that for many hours each day does more than \u003ca href=\"http://www.npr.org/2011/04/25/135575490/sitting-all-day-worse-for-you-than-you-might-think\">raise the risk of a host of diseases\u003c/a>. DiPietro and her colleagues have good evidence that, as the years wear on, it actually reduces the ability of older people to get around on foot at all.\u003c/p>\n\u003cp>In a \u003ca href=\"https://academic.oup.com/biomedgerontology/article/4056501/The-Joint-Associations-of-Sedentary-Time-and\">study\u003c/a> of sitting and walking ability that surveyed people ages 50 to 71 across 8 to 10 years, those who tended to sit the most and move the least had more than three times the risk of difficulty walking by the end of the study, when compared to their more active counterparts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some ended up unable to walk at all. The study appears in the current issue of \u003cem>The Journals of Gerontology: Medical Sciences\u003c/em>.\u003c/p>\n\u003cp>Prolonged sitting and TV watching were particularly harmful, DiPietro found, especially when combined with low levels of total physical activity. Young bodies may rebound from prolonged sitting with an hour at the gym, she says. But that seems less true in late middle age.\u003c/p>\n\u003cp>\"Sitting and watching TV for long periods, especially in the evening,\" she says, \"has got to be one of the most dangerous things that older people can do.\" And the period studied — the mid-1990s to 2005, or so — was even before the advent of rampant online streaming of shows, she notes. The problem today is likely even worse.\u003c/p>\n\u003cp>\"Before binge watching, at least when a show ended you got up and walked around,\" DiPietro says. \"It's now possible to watch several hours without moving.\"\u003c/p>\n\u003cp>Though being sedentary at work is also a risk, office employees tend to at least get up now and then, walk down the hall to the printer or restroom, and go to lunch, she says. Or at least workers used to do that. Increasingly, she says, many of us of all ages are engineering much of that \u003ca href=\"http://www.npr.org/2011/04/25/135575490/sitting-all-day-worse-for-you-than-you-might-think\">light activity\u003c/a> out of our lives.\u003c/p>\n\u003cp>\"We now use the Internet to go shopping, order groceries, send messages, and even gossip,\" DiPietro says. \"We used to walk down the hall and gossip; now we send it via email or text.\"\u003c/p>\n\u003cp>To measure the effect of prolonged sitting on mobility, DiPietro and colleagues took data from the large NIH-AARP Diet and Health Study of men and women ages 50 to 71. The participants were all healthy when the study started in 1995 and 1996.\u003c/p>\n\u003cp>The researchers recorded how much those in the study watched TV, exercised or did gardening, housework or other physical activity at the beginning of the investigation. They included \"light\" physical activity like \"puttering around, walking to get the mail, or walking to the car\" says DiPietro.\u003c/p>\n\u003cp>[contextly_sidebar id=\"JplsgjbFNSHSR0iTZQ6WE14V3wQoqauF\"]The results: Those who watched five or more hours of TV per day had a 65 percent greater risk of reporting a mobility disability at the study's end, compared with those who watched less than two hours per day. DiPietro says this association was independent of their level of total physical activity and other factors known to affect the ability to easily move around.\u003c/p>\n\u003cp>She offers an antidote: Get up at least every 30 minutes when staring at a screen.\u003c/p>\n\u003cp>\"And if you insist on staying seated during that 15 second interval between episodes,\" DiPietro says, \"at least stand up, march in place, jump around, kick legs — do anything to move about for at least one to two minutes.\"\u003c/p>\n\u003cp>The result of that would be \"phenomenal,\" to mobility, she says, and be at least a start toward heart health, too.\u003c/p>\n\u003cp>\u003ca href=\"https://www.nationaljewish.org/doctors-departments/providers/print/print-controller?printpath=/Doctors-Departments/Providers/Physicians/Andrew-M-Freeman&size=large\">Dr. Andrew Freeman\u003c/a>, who directs cardiovascular prevention and wellness at National Jewish Health in Denver, and represents the \u003ca href=\"https://www.acc.org/#sort=%40fcommonsortdate86069%20descending\">American College of Cardiology\u003c/a>, says people should do even more higher intensity exercise regularly — at least to the point of being \"breathless.\"\u003c/p>\n\u003cp>But that doesn't necessarily mean jogging around the neighborhood, he says. It can be as simple as walking at a slow pace.\u003c/p>\n\u003cp>In an older population, Freeman says if you're going to be sedentary, you should try to be \"as active\" as you can when not sedentary. That may sound like common sense, he says, but the findings of the DiPietro study underscore the importance. Just five minutes a day of brisk movement, he says, is beneficial.\u003c/p>\n\u003cp>For Denver businesswoman Liz King, that translates to a 20-minute daily walk during the week, and longer on the weekends. King says she's joined walking groups — including the national program \u003ca href=\"https://www.nationaljewish.org/treatment-programs/directory/cardiology/walk-with-doc\">Walk With A Doc\u003c/a> — as a way to build more activity into her day.\u003c/p>\n\u003cp>King is 61 years old and very busy starting a vegan food company in Denver — but does it, pretty much, sitting down, she says.\u003c/p>\n\u003cp>\"When you have your own business, you have a little more flexibility,\" she says. \"But I'll tell you one thing that's constant — that's eight hours, at least, of looking at the screen and sitting in the chair.\"\u003c/p>\n\u003cp>And, for her, being glued to the computer — and the chair — doesn't necessarily stop when the work day ends.\u003c/p>\n\u003cp>[contextly_sidebar id=\"2HaGoHwIzRO6oc9LT4do01EduUx8KarZ\"]\"The inbox that may be overflowing,\" she says. Or she's doing homework for an online course. She'll check in with a chat session or with other family and friends online.\u003c/p>\n\u003cp>Then there's about an hour or more of watching television, King says. It all adds up.\u003c/p>\n\u003cp>So she makes sure to get out and walk at least a little bit, every day. She varies the pace, she admits, and laughs.\u003c/p>\n\u003cp>\"If I'm walking solo I'm probably walking at a more leisurely pace,\" she says, \"because I tend to take a picture of the occasional wildflower, or the clouds that are in a wonderful formation.\"\u003c/p>\n\u003cp>But on a speedier walk with a group, she keeps up.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>It's all a big win for King's health, Freeman says, because she's away from the screen and moving. Exercise, he says, is nature's best medicine.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Get+Off+The+Couch+Baby+Boomers%2C+Or+You+May+Not+Be+Able+To+Later&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"If you sit too much during middle age — at work and at home — your ability to exercise or even walk in late decades is at risk, a study hints. And, of course, your risk of heart disease climbs, too.","status":"publish","parent":0,"modified":1504646406,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1136},"headData":{"title":"Get Off The Couch Baby Boomers, Or You May Not Be Able To Later | KQED","description":"If you sit too much during middle age — at work and at home — your ability to exercise or even walk in late decades is at risk, a study hints. And, of course, your risk of heart disease climbs, too.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"435195 https://ww2.kqed.org/futureofyou/?p=435195","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/09/07/get-off-the-couch-baby-boomers-or-you-may-not-be-able-to-later/","disqusTitle":"Get Off The Couch Baby Boomers, Or You May Not Be Able To Later","nprByline":"Patti Neighmond\u003c/br>NPR Shots","nprImageAgency":"Lily Padula for NPR","nprStoryId":"547580952","nprApiLink":"http://api.npr.org/query?id=547580952&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/09/04/547580952/get-off-the-couch-baby-boomers-or-you-may-not-be-able-to-later?ft=nprml&f=547580952","nprRetrievedStory":"1","nprPubDate":"Mon, 04 Sep 2017 08:43:00 -0400","nprStoryDate":"Mon, 04 Sep 2017 05:10:00 -0400","nprLastModifiedDate":"Mon, 04 Sep 2017 15:29:54 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/09/20170904_me_get_off_the_couch_baby_boomers_or_you_may_not_be_able_to_later.mp3?orgId=1&topicId=1128&d=208&p=3&story=547580952&t=progseg&e=548407186&seg=3&ft=nprml&f=547580952","nprAudioM3u":"http://api.npr.org/m3u/1548415579-0fe4ef.m3u?orgId=1&topicId=1128&d=208&p=3&story=547580952&t=progseg&e=548407186&seg=3&ft=nprml&f=547580952","path":"/futureofyou/435195/get-off-the-couch-baby-boomers-or-you-may-not-be-able-to-later","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/09/20170904_me_get_off_the_couch_baby_boomers_or_you_may_not_be_able_to_later.mp3?orgId=1&topicId=1128&d=208&p=3&story=547580952&t=progseg&e=548407186&seg=3&ft=nprml&f=547580952","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Count the number of hours you sit each day. Be honest.\u003c/p>\n\u003cp>\"If you commute an hour in the morning and hour after work — that's two hours, and if you sit at an eight-hour-a-day desk job that's 10,\" says epidemiologist \u003ca href=\"https://publichealthonline.gwu.edu/academics/faculty/profile/loretta-dipietro/\">Loretta DiPietro\u003c/a> of the Milken Institute School of Public Health at George Washington University.\u003c/p>\n\u003cp>\"Then you come home at, say, 6 p.m., eat dinner and crash into your recliner for another three to four hours,\" says DiPietro. \"That's 13 to 14 hours of sitting.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'Sitting and watching TV for long periods, especially in the evening, has got to be one of the most dangerous things that older people can do.'\u003ccite>Loretta DiPietro, Milken Institute School of Public Health\u003c/cite>\u003c/aside>\n\u003cp>Being immobile like that for many hours each day does more than \u003ca href=\"http://www.npr.org/2011/04/25/135575490/sitting-all-day-worse-for-you-than-you-might-think\">raise the risk of a host of diseases\u003c/a>. DiPietro and her colleagues have good evidence that, as the years wear on, it actually reduces the ability of older people to get around on foot at all.\u003c/p>\n\u003cp>In a \u003ca href=\"https://academic.oup.com/biomedgerontology/article/4056501/The-Joint-Associations-of-Sedentary-Time-and\">study\u003c/a> of sitting and walking ability that surveyed people ages 50 to 71 across 8 to 10 years, those who tended to sit the most and move the least had more than three times the risk of difficulty walking by the end of the study, when compared to their more active counterparts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some ended up unable to walk at all. The study appears in the current issue of \u003cem>The Journals of Gerontology: Medical Sciences\u003c/em>.\u003c/p>\n\u003cp>Prolonged sitting and TV watching were particularly harmful, DiPietro found, especially when combined with low levels of total physical activity. Young bodies may rebound from prolonged sitting with an hour at the gym, she says. But that seems less true in late middle age.\u003c/p>\n\u003cp>\"Sitting and watching TV for long periods, especially in the evening,\" she says, \"has got to be one of the most dangerous things that older people can do.\" And the period studied — the mid-1990s to 2005, or so — was even before the advent of rampant online streaming of shows, she notes. The problem today is likely even worse.\u003c/p>\n\u003cp>\"Before binge watching, at least when a show ended you got up and walked around,\" DiPietro says. \"It's now possible to watch several hours without moving.\"\u003c/p>\n\u003cp>Though being sedentary at work is also a risk, office employees tend to at least get up now and then, walk down the hall to the printer or restroom, and go to lunch, she says. Or at least workers used to do that. Increasingly, she says, many of us of all ages are engineering much of that \u003ca href=\"http://www.npr.org/2011/04/25/135575490/sitting-all-day-worse-for-you-than-you-might-think\">light activity\u003c/a> out of our lives.\u003c/p>\n\u003cp>\"We now use the Internet to go shopping, order groceries, send messages, and even gossip,\" DiPietro says. \"We used to walk down the hall and gossip; now we send it via email or text.\"\u003c/p>\n\u003cp>To measure the effect of prolonged sitting on mobility, DiPietro and colleagues took data from the large NIH-AARP Diet and Health Study of men and women ages 50 to 71. The participants were all healthy when the study started in 1995 and 1996.\u003c/p>\n\u003cp>The researchers recorded how much those in the study watched TV, exercised or did gardening, housework or other physical activity at the beginning of the investigation. They included \"light\" physical activity like \"puttering around, walking to get the mail, or walking to the car\" says DiPietro.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The results: Those who watched five or more hours of TV per day had a 65 percent greater risk of reporting a mobility disability at the study's end, compared with those who watched less than two hours per day. DiPietro says this association was independent of their level of total physical activity and other factors known to affect the ability to easily move around.\u003c/p>\n\u003cp>She offers an antidote: Get up at least every 30 minutes when staring at a screen.\u003c/p>\n\u003cp>\"And if you insist on staying seated during that 15 second interval between episodes,\" DiPietro says, \"at least stand up, march in place, jump around, kick legs — do anything to move about for at least one to two minutes.\"\u003c/p>\n\u003cp>The result of that would be \"phenomenal,\" to mobility, she says, and be at least a start toward heart health, too.\u003c/p>\n\u003cp>\u003ca href=\"https://www.nationaljewish.org/doctors-departments/providers/print/print-controller?printpath=/Doctors-Departments/Providers/Physicians/Andrew-M-Freeman&size=large\">Dr. Andrew Freeman\u003c/a>, who directs cardiovascular prevention and wellness at National Jewish Health in Denver, and represents the \u003ca href=\"https://www.acc.org/#sort=%40fcommonsortdate86069%20descending\">American College of Cardiology\u003c/a>, says people should do even more higher intensity exercise regularly — at least to the point of being \"breathless.\"\u003c/p>\n\u003cp>But that doesn't necessarily mean jogging around the neighborhood, he says. It can be as simple as walking at a slow pace.\u003c/p>\n\u003cp>In an older population, Freeman says if you're going to be sedentary, you should try to be \"as active\" as you can when not sedentary. That may sound like common sense, he says, but the findings of the DiPietro study underscore the importance. Just five minutes a day of brisk movement, he says, is beneficial.\u003c/p>\n\u003cp>For Denver businesswoman Liz King, that translates to a 20-minute daily walk during the week, and longer on the weekends. King says she's joined walking groups — including the national program \u003ca href=\"https://www.nationaljewish.org/treatment-programs/directory/cardiology/walk-with-doc\">Walk With A Doc\u003c/a> — as a way to build more activity into her day.\u003c/p>\n\u003cp>King is 61 years old and very busy starting a vegan food company in Denver — but does it, pretty much, sitting down, she says.\u003c/p>\n\u003cp>\"When you have your own business, you have a little more flexibility,\" she says. \"But I'll tell you one thing that's constant — that's eight hours, at least, of looking at the screen and sitting in the chair.\"\u003c/p>\n\u003cp>And, for her, being glued to the computer — and the chair — doesn't necessarily stop when the work day ends.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"The inbox that may be overflowing,\" she says. Or she's doing homework for an online course. She'll check in with a chat session or with other family and friends online.\u003c/p>\n\u003cp>Then there's about an hour or more of watching television, King says. It all adds up.\u003c/p>\n\u003cp>So she makes sure to get out and walk at least a little bit, every day. She varies the pace, she admits, and laughs.\u003c/p>\n\u003cp>\"If I'm walking solo I'm probably walking at a more leisurely pace,\" she says, \"because I tend to take a picture of the occasional wildflower, or the clouds that are in a wonderful formation.\"\u003c/p>\n\u003cp>But on a speedier walk with a group, she keeps up.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It's all a big win for King's health, Freeman says, because she's away from the screen and moving. Exercise, he says, is nature's best medicine.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Get+Off+The+Couch+Baby+Boomers%2C+Or+You+May+Not+Be+Able+To+Later&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/435195/get-off-the-couch-baby-boomers-or-you-may-not-be-able-to-later","authors":["byline_futureofyou_435195"],"categories":["futureofyou_1"],"tags":["futureofyou_532","futureofyou_1075","futureofyou_743","futureofyou_1275"],"featImg":"futureofyou_435196","label":"futureofyou"},"futureofyou_106539":{"type":"posts","id":"futureofyou_106539","meta":{"index":"posts_1591205157","site":"futureofyou","id":"106539","score":null,"sort":[1454371978000]},"guestAuthors":[],"slug":"can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out","title":"Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out","publishDate":1454371978,"format":"standard","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>Any day now, Ben Lecomte will plunge into the Pacific Ocean off a Tokyo beach toward San Francisco. He wants to become the first person to swim across the Pacific. He's already the first person to free swim across the Atlantic Ocean, without a kickboard.\u003c/p>\n\u003cp>No one knows how the physical feat of swimming 5,500 miles will affect Lecomte's heart, but cardiologists are anxious to find out. His swim offers a rare opportunity to study whether extreme athletic performance has a harmful effect on the heart.\u003c/p>\n\u003cp>[contextly_sidebar id=\"JuYUmV8doE13AUPgKViOiltqAlgnStNq\"]After he completed the swim across the Atlantic in 1998, the first words out of Ben Lecomte's mouth were \"never again.\"\u003c/p>\n\u003cp>Now this 48-year-old, French-born American is about to embark on a swim expected to take five to six months.\u003c/p>\n\u003cp>\"I'm not a fast swimmer,\" Lecomte says. But boy is he dedicated. \"Swimming is a passion,\" he says. \"You cannot just push it away.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lecomte, who lives in Austin, Texas, is diving back into the ocean to focus attention on environmental problems. He's worried about the future for his kids. During the swim, he will collect data on the Pacific, including the microbes and trash he encounters. People can follow along on his Facebook page, \u003ca href=\"https://www.facebook.com/TheLongestSwim\" target=\"_blank\">The Longest Swim\u003c/a>.\u003c/p>\n\u003cp>He will also collect data on himself, including how his heart holds up for eight hours of freestyle every single day. This data will go to \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\">Benjamin Levine, \u003c/a>a cardiologist at UT Southwestern Medical Center and director of the \u003ca href=\"http://www.ieemphd.org/\" target=\"_blank\">Institute of Exercise and Environmental Medicine\u003c/a> at Texas Health Resources.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-106548\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/pacific-swim.png\" alt=\"pacific-swim\" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim-400x300.png 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003c/p>\n\u003cp>\"My question has always been, how much exercise do you need to do to injure the heart?\" Levine says. \"Since Ben was planning to swim across the Pacific Ocean, we thought, hey, this might be a good opportunity.\"\u003c/p>\n\u003cp>After all, we're told more exercise is better — and generally, it is. Yet several \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> of extreme endurance athletes have called that idea into \u003ca href=\"http://circ.ahajournals.org/content/130/12/987.extract\">question.\u003c/a>\u003c/p>\n\u003cp>People who run marathons or do triathlons can have some scarring or fibrosis in the center of the heart, says \u003ca href=\"http://www.harthosp.org/findaphysician/default.aspx?view=detail&phyid=003j000000gd69maat\">Paul Thompson\u003c/a>, chief of cardiology at Hartford Hospital in Connecticut. \"Right where the two sides of the heart join each other — the septum.\"\u003c/p>\n\u003cp>This scarring at the septum is worrisome, Thompson says, particularly for people who have an underlying genetic condition that weakens the heart muscle.\u003c/p>\n\u003cfigure id=\"attachment_106550\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-full wp-image-106550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/swimmer.jpg\" alt=\"Lecomte will gather data on the environment and on his own health during the Pacific swim. \" width=\"300\" height=\"365\">\u003cfigcaption class=\"wp-caption-text\">Lecomte will gather data on the environment and on his own health during the Pacific swim. \u003ccite>(Bongani Mlambo/The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And there's a second area of concern. \"It's been shown in a couple of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> now that people who are lifelong endurance athletes have more coronary artery calcification than you would expect for their risk factors,\" Thompson says.\u003c/p>\n\u003cp>Calcification, meaning a \u003ca href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/cscan/\">buildup of calcium\u003c/a> in the heart, is not something you'd expect to find in people swimming long distances, running ultramarathons or tackling Ironman competitions. There could be a genetic explanation to both the calcium issue and the scarring, Thompson says. So he advises people to study up on their family history and see if there have been cases of \u003ca href=\"http://www.nih.gov/news-events/news-releases/nih-cdc-launch-registry-sudden-death-young\">sudden death\u003c/a>, then weigh the benefits and risks of extreme exercise.\u003c/p>\n\u003cp>\"We don't think that long-term exercise is dangerous, because long-term endurance athletes live longer than other people,\" Thompson says. But Thompson does want to figure out what's going on.\u003c/p>\n\u003cp>Which brings us back to Ben Lecomte and the tricky task of monitoring his heart from the middle of the ocean.\u003c/p>\n\u003cp>Using technology that\u003ca href=\"http://science.nasa.gov/science-news/science-at-nasa/2009/10jul_cardio/\"> NASA\u003c/a> uses for monitoring astronauts on the International Space Station, UT Southwestern's Levine will be able to monitor Lecomte's heart during his swim. It's a small echo machine, like an ultrasound for the heart, that will be on the support boat traveling with Lecomte. Once a month, while resting on the boat, Lecomte will turn the machine on and use a satellite phone to call the Johnson Space Center.\u003c/p>\n\u003cfigure id=\"attachment_106553\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-106553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/longest-swim-800x544.jpg\" alt=\"Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \" width=\"800\" height=\"544\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-400x272.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-768x522.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \u003ccite>(The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Someone there will tell Lecomte how to position the probe to give himself an echocardiogram.\u003c/p>\n\u003cp>From his desk in Dallas, Levine will see images of how fast Lecomte's heart is contracting, how quickly the blood flows in and out of the valves, and any stress where the two sides of the heart meet.\u003c/p>\n\u003cp>His prediction?\u003c/p>\n\u003cp>\"I think when he comes back he'll have signs of a little inflammation or irritation right where the right and left ventricle connect,\" Levine says. \"That's what we see in some other of these elite long-endurance athletes, and I think that's what we'll see in Ben.\"\u003c/p>\n\u003cp>For most people this inflammation is really of no consequence, Levine says. But for some people — for example, those who have pulmonary hypertension or other kinds of heart disease — it could cause problems.\u003c/p>\n\u003cp>He hopes studying Lecomte's heart will help reveal why extreme exercise changes the heart and determine whether there's a limit to how much exercise the human heart can handle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ben Lecomte is not worried. He thinks his heart can handle the enormous ocean, some 20-foot-high waves and the occasional shark.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 KERA Unlimited. To see more, visit \u003ca href=\"http://www.kera.org/\">KERA Unlimited\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Can+Extreme+Exercise+Hurt+Your+Heart%3F+Swim+The+Pacific+To+Find+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n","blocks":[],"excerpt":"Ben Lecomte wants to be the first person to swim across the Pacific Ocean — a 5,500-mile journey. Doctors will monitor his heart remotely to see how intensive exercise affects this vital muscle.","status":"publish","parent":0,"modified":1476936694,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":899},"headData":{"title":"Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out | KQED","description":"Ben Lecomte wants to be the first person to swim across the Pacific Ocean — a 5,500-mile journey. Doctors will monitor his heart remotely to see how intensive exercise affects this vital muscle.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"106539 http://ww2.kqed.org/futureofyou/?p=106539","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/02/01/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out/","disqusTitle":"Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out","nprImageCredit":"Bongani Mlambo","nprByline":"Lauren Silverman\u003cbr />NPR","nprImageAgency":"The Longest Swim","nprStoryId":"464457884","nprApiLink":"http://api.npr.org/query?id=464457884&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/02/01/464457884/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out?ft=nprml&f=464457884","nprRetrievedStory":"1","nprPubDate":"Mon, 01 Feb 2016 16:41:00 -0500","nprStoryDate":"Mon, 01 Feb 2016 04:43:00 -0500","nprLastModifiedDate":"Mon, 01 Feb 2016 16:41:37 -0500","nprAudio":"http://pd.npr.org/anon.npr-mp3/npr/me/2016/02/20160201_me_can_extreme_exercise_hurt_your_heart_swim_the_pacfic_to_find_out.mp3?orgId=77&topicId=1066&d=273&p=3&story=464457884&t=progseg&e=465098553&seg=3&ft=nprml&f=464457884","nprAudioM3u":"http://api.npr.org/m3u/1465106781-a4440c.m3u?orgId=77&topicId=1066&d=273&p=3&story=464457884&t=progseg&e=465098553&seg=3&ft=nprml&f=464457884","path":"/futureofyou/106539/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out","audioUrl":"http://pd.npr.org/anon.npr-mp3/npr/me/2016/02/20160201_me_can_extreme_exercise_hurt_your_heart_swim_the_pacfic_to_find_out.mp3?orgId=77&topicId=1066&d=273&p=3&story=464457884&t=progseg&e=465098553&seg=3&ft=nprml&f=464457884","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Any day now, Ben Lecomte will plunge into the Pacific Ocean off a Tokyo beach toward San Francisco. He wants to become the first person to swim across the Pacific. He's already the first person to free swim across the Atlantic Ocean, without a kickboard.\u003c/p>\n\u003cp>No one knows how the physical feat of swimming 5,500 miles will affect Lecomte's heart, but cardiologists are anxious to find out. His swim offers a rare opportunity to study whether extreme athletic performance has a harmful effect on the heart.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>After he completed the swim across the Atlantic in 1998, the first words out of Ben Lecomte's mouth were \"never again.\"\u003c/p>\n\u003cp>Now this 48-year-old, French-born American is about to embark on a swim expected to take five to six months.\u003c/p>\n\u003cp>\"I'm not a fast swimmer,\" Lecomte says. But boy is he dedicated. \"Swimming is a passion,\" he says. \"You cannot just push it away.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lecomte, who lives in Austin, Texas, is diving back into the ocean to focus attention on environmental problems. He's worried about the future for his kids. During the swim, he will collect data on the Pacific, including the microbes and trash he encounters. People can follow along on his Facebook page, \u003ca href=\"https://www.facebook.com/TheLongestSwim\" target=\"_blank\">The Longest Swim\u003c/a>.\u003c/p>\n\u003cp>He will also collect data on himself, including how his heart holds up for eight hours of freestyle every single day. This data will go to \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\">Benjamin Levine, \u003c/a>a cardiologist at UT Southwestern Medical Center and director of the \u003ca href=\"http://www.ieemphd.org/\" target=\"_blank\">Institute of Exercise and Environmental Medicine\u003c/a> at Texas Health Resources.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-106548\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/pacific-swim.png\" alt=\"pacific-swim\" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim-400x300.png 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003c/p>\n\u003cp>\"My question has always been, how much exercise do you need to do to injure the heart?\" Levine says. \"Since Ben was planning to swim across the Pacific Ocean, we thought, hey, this might be a good opportunity.\"\u003c/p>\n\u003cp>After all, we're told more exercise is better — and generally, it is. Yet several \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> of extreme endurance athletes have called that idea into \u003ca href=\"http://circ.ahajournals.org/content/130/12/987.extract\">question.\u003c/a>\u003c/p>\n\u003cp>People who run marathons or do triathlons can have some scarring or fibrosis in the center of the heart, says \u003ca href=\"http://www.harthosp.org/findaphysician/default.aspx?view=detail&phyid=003j000000gd69maat\">Paul Thompson\u003c/a>, chief of cardiology at Hartford Hospital in Connecticut. \"Right where the two sides of the heart join each other — the septum.\"\u003c/p>\n\u003cp>This scarring at the septum is worrisome, Thompson says, particularly for people who have an underlying genetic condition that weakens the heart muscle.\u003c/p>\n\u003cfigure id=\"attachment_106550\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-full wp-image-106550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/swimmer.jpg\" alt=\"Lecomte will gather data on the environment and on his own health during the Pacific swim. \" width=\"300\" height=\"365\">\u003cfigcaption class=\"wp-caption-text\">Lecomte will gather data on the environment and on his own health during the Pacific swim. \u003ccite>(Bongani Mlambo/The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And there's a second area of concern. \"It's been shown in a couple of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> now that people who are lifelong endurance athletes have more coronary artery calcification than you would expect for their risk factors,\" Thompson says.\u003c/p>\n\u003cp>Calcification, meaning a \u003ca href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/cscan/\">buildup of calcium\u003c/a> in the heart, is not something you'd expect to find in people swimming long distances, running ultramarathons or tackling Ironman competitions. There could be a genetic explanation to both the calcium issue and the scarring, Thompson says. So he advises people to study up on their family history and see if there have been cases of \u003ca href=\"http://www.nih.gov/news-events/news-releases/nih-cdc-launch-registry-sudden-death-young\">sudden death\u003c/a>, then weigh the benefits and risks of extreme exercise.\u003c/p>\n\u003cp>\"We don't think that long-term exercise is dangerous, because long-term endurance athletes live longer than other people,\" Thompson says. But Thompson does want to figure out what's going on.\u003c/p>\n\u003cp>Which brings us back to Ben Lecomte and the tricky task of monitoring his heart from the middle of the ocean.\u003c/p>\n\u003cp>Using technology that\u003ca href=\"http://science.nasa.gov/science-news/science-at-nasa/2009/10jul_cardio/\"> NASA\u003c/a> uses for monitoring astronauts on the International Space Station, UT Southwestern's Levine will be able to monitor Lecomte's heart during his swim. It's a small echo machine, like an ultrasound for the heart, that will be on the support boat traveling with Lecomte. Once a month, while resting on the boat, Lecomte will turn the machine on and use a satellite phone to call the Johnson Space Center.\u003c/p>\n\u003cfigure id=\"attachment_106553\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-106553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/longest-swim-800x544.jpg\" alt=\"Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \" width=\"800\" height=\"544\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-400x272.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-768x522.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \u003ccite>(The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Someone there will tell Lecomte how to position the probe to give himself an echocardiogram.\u003c/p>\n\u003cp>From his desk in Dallas, Levine will see images of how fast Lecomte's heart is contracting, how quickly the blood flows in and out of the valves, and any stress where the two sides of the heart meet.\u003c/p>\n\u003cp>His prediction?\u003c/p>\n\u003cp>\"I think when he comes back he'll have signs of a little inflammation or irritation right where the right and left ventricle connect,\" Levine says. \"That's what we see in some other of these elite long-endurance athletes, and I think that's what we'll see in Ben.\"\u003c/p>\n\u003cp>For most people this inflammation is really of no consequence, Levine says. But for some people — for example, those who have pulmonary hypertension or other kinds of heart disease — it could cause problems.\u003c/p>\n\u003cp>He hopes studying Lecomte's heart will help reveal why extreme exercise changes the heart and determine whether there's a limit to how much exercise the human heart can handle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ben Lecomte is not worried. He thinks his heart can handle the enormous ocean, some 20-foot-high waves and the occasional shark.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 KERA Unlimited. To see more, visit \u003ca href=\"http://www.kera.org/\">KERA Unlimited\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Can+Extreme+Exercise+Hurt+Your+Heart%3F+Swim+The+Pacific+To+Find+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/106539/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out","authors":["byline_futureofyou_106539"],"programs":["futureofyou_54"],"categories":["futureofyou_1060"],"tags":["futureofyou_741","futureofyou_743","futureofyou_742","futureofyou_740"],"featImg":"futureofyou_106540","label":"futureofyou_54"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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