House Calls

FALL 2016

House Calls Magazine is a quarterly publication that focuses on health and wellness. It includes a wide assortment of articles with topics on the latest health and wellness information, nutrition, safety, lifestyles, and more.

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Institute on Aging's Go4Life website, go4life.nia.nih.gov. Photos and instructions show moves you can do with free weights, inexpensive and lightweight resistance bands, and your own body weight (think leg lifts and wall pushups). For folks up for a physical challenge, workouts like power yoga and Pilates fit the bill too, Dr. Haenel notes. "Start a regular exercise routine and, before you know it, you'll have more energy," he says. Just be sure to check with your doctor before beginning a new regimen if you have a chronic condition or are currently inactive. While chronic fatigue often stems from your behaviors—especially lack of exercise, according to the Mayo Clinic—it may also be a symptom of a medical condition requiring treatment. Absolutely see a doctor if you're concerned about your energy levels, but especially if you feel tired despite maintaining healthy diet, exercise, and sleep habits, or if you're experiencing other symptoms. Because the medical causes of fatigue can range from anemia to depression, emphysema to heart disease, those symptoms can vary widely. However, Dr. Haenel points out a few common, treatable conditions that can cause extreme fatigue. One of the most prevalent is hypothyroidism, in which the gland that regulates metabolism makes too little of certain hormones. "Constipation, dry hair and skin, and unexplained weight gain are other markers of this problem," he says. Fatigue is also frequently related to metabolic syndrome, which Dr. Haenel describes as "a cluster of conditions including increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels that increase your risk of heart disease, stroke, and diabetes." While there aren't specific symptoms to watch for, know that the condition is closely linked to high body weight or obesity, inactivity, and insulin resistance. "Metabolic syndrome is best treated with dramatic changes to your diet and activity levels," says Dr. Haenel. A final biggie is obstructive sleep apnea—a condition, often resulting from obesity, in which a person experiences one or more pauses in breathing during sleep. Whether a major overhaul is needed or simply some lifestyle shifts, get to work on boosting your energy this autumn—you'll be surprised by just how much fun it is to feel great. 5 Talk to your doctor. "Start a regular exercise routine and, before you know it, you'll have more energy." —DR. LOU HAENEL + + + + + + + h o u s e c a l l s { fall 2016 } 33 Dr. Lou Haenel P H O T O G R A P H ( D R . H A E N E L ) B Y K R I S T I N A V E R R I N G T O N Delicious Duos To fill your belly and enjoy lasting energy, snack on healthy proteins paired with complex carbs (commonly found in whole or minimally processed foods). Here are seven yummy suggestions, courtesy of Duke University Student Health Nutrition Services. CARB + PROTEIN PAIRS Apple + low-fat string cheese Whole grain bread + peanut butter (or another nut butter, like almond or soy nut) Dried fruit such as raisins, apricots, plums, or craisins + nuts Blueberries + oatmeal Omelet + fruits and veggies like spinach, bell peppers, cherry tomatoes, and avocados Carrots + hummus Whole grain crackers + lean sandwich meat (turkey, chicken, ham, or roast beef)

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