2023 social events, meetings, clubs, and eating out

 The health research shows that older adults need socialization. That's the main reason the Covid lockdown was so hard on us.  The non-Covid deaths were higher than needed to be. Research like this showing the need for socialization was put on the shelf. Social isolation, loneliness in older people pose health risks | National Institute on Aging (nih.gov)   Collecting My Thoughts: Music is good for you, especially in your later years  

Our church, UALC, did not have an active older adult ministry for two years, unless a group met on ZOOM, and reopened in March 2022. Collecting My Thoughts: Older adult ministry at UALC   Collecting My Thoughts: A statement from Pastor Steve Turnbull, UALC, Columbus, Ohio    So when I record my social activities for 2023, I don't list Sunday School (most Sundays), or Women of the Word (fall, winter, spring small study groups using videos and workbooks), or Thursday morning Bible Study (taught by a pastor, often combined with Lenten or Advent services and lunch). Those pre-2020 church programs are in place now and not recorded here.  

I'm also not listing my trips to Lifetime Fitness about 4 times a week.  I do occasionally meet and talk to people there.  Like yesterday.  I met Karen, a very active athletic baby boomers who is recovering from a broken foot playing pickle ball. And you'll be happy I'm not recording grocery store visits to Aldi's and Marc's, or doctors' visits--but those add up and are "outings." These figures are estimates, although most I have recorded in my journal.

Dinners with friends and family at our home: 9

Dinners at friends' homes: 12 

Dinner or lunch with friends at restaurants (most often Rusty Bucket): 15

Dinner with Phoebe and Mark at restaurants (most often Rusty Bucket): 13

Party or Picnic: 9 

Art gathering: 13

OSU Librarians retirees' lunch: 3

Lenten/Advent worship/lunch at UALC: 6

Concerts: 9 (including a Jazz concert on Dec. 31, 2023)

Travel (Arizona, Indianapolis, Lakeside, D.C., Oberlin: 8

Funerals or visitations: 7

Coffee dates with friends: 11

Book Club: 6

House guests: 1 week

Congregational meeting: 2

Condo meeting: 2

Book Club December 2023

Condo Christmas Party, Wine Bistro, Lane Ave. 

Tulamo Visit, October 2023

July 4 party with neighbors

Visit with Bob's sister, Indianapolis, July

What's stressing you this season?

What's stressing you this holiday season? Each year we see articles like the one I saw at OSU Health:

 
"This year the top sources of stress for Americans are national and world affairs, higher prices putting a crimp on holiday budgets and increasing cases of respiratory illnesses, according to a recent national survey conducted here at The Ohio State University."

Most of the items (there were more) could be crossed off your list if Biden weren't in the White House. We'd all be richer, healthier and more secure. Five or 6 years ago Trump was being blamed and experts would recommend meditation and not getting together with Republican relatives.

 
So, in a way, this is progress. https://health.osu.edu/health/mental-health/holiday-stress?

Predicting the outcomes of the pandemic lockdowns

 This blog by a woman named Pam was published 6 years ago, well before the pandemic lockdown, but it shows what was going to happened multiplied 1000 times over. How Not To Let Yourself Go (Especially If You're Over 40) - Go Retro!

But then I was laid off in August last year and guess what? I did kind of start to let myself go, at least on some days. And let me tell you, it can be a dangerous slippery slope.

Getting up later then usual and lounging in my PJs on my laptop until 10:30 AM on most mornings became the norm.

I went quite a few days without wearing makeup, especially if I wasn't planning on leaving the house that day (who was going to see me? Before you answer "the UPS man" I can assure you we don't order much online and there really have not been many through the years that I would consider attractive.)

I normally wash my hair every other day, but sometimes I let that go an extra day because I was simply too lazy to deal with detangling and drying it. I took to throwing on an old rag of a top and jeans. With no employer to go to and nowhere I needed to be, there seemed no point in making myself look presentable.

Worst of all, I slacked off with my exercising routine...and ended up gaining 12 pounds.

And the saddest part is, I had no real excuse for it. I'm not a mom and I'm not holding down a job outside of the house. I'm also not depressed, so I have no explanation for it other than sheer laziness.

Read more--she comes around and makes suggestions for getting back on track.

Skin health and resistance training

"The beneficial effects of physical activity on human health are well-known. Making time for 150 minutes of moderate physical activity per week can reduce our risk of heart disease and stroke. Regular movement helps to counteract diabetes and metabolic syndrome risk, encourages stronger bones and can positively affect our mental health. But what about skin health?" Would you believe resistance training? https://www.technologynetworks.com/cell-science/news/resistance-training-promote-helps-to-rejuvenate-aging-skin-377368

The word on exercise

A quote from my new book, "Outlive," by Dr. Peter Attia (c. 2023).

"So if you adopt only one new set of habits based on reading this book, it MUST be in the realm of exercise. If you currently exercise, you will likely want to rethink and modify your program. And if exercise is not a part of your life at the moment, you are not alone--77% of the US population is like you. Now is the time to change that. Right now. Even a little bit of daily activity is much better than nothing. Going from zero weekly exercise to just 90 minutes per week can reduce your risk of dying from all causes by 14%. It's very hard to find a drug that can do that." p. 218

 
Dr. Attia has a podcast. Interviews interesting people.

Bob had an appointment with his cardiologist this morning and he said something very similar. Although Bob never took a pill before 2020, he now has a handful every morning. His doctor said that his regular exercise program is worth more than all of them.

Physical Exercise as a Preventive or Disease-Modifying Treatment of Dementia and Brain Aging - PMC (nih.gov)

Nap study mentioned by John Ed Mathison, Got a Minute

 Association of napping with incident cardiovascular events in a prospective cohort study - PubMed (nih.gov)

This study was mentioned in John Ed Mathison's "Got a Minute," 325 daily meditations. He's a retired Methodist pastor who was at Lakeside in 2021, and I attended his morning sermons. I bought this little book and have been using it for the opening meditations at the Lakeside Women's Club which meets at 1:30 on Tuesday.  I try to pick something that's appropriate for the day's program.  Any program about Lakeside would good for a study on napping.  I see a lot of it-- on the hotel porch, on park benches, on towels in the sun and I have a nap almost every day.  

John Ed says on p. 326, "a brief nap is healthy in releasing stress.  The Bible teaches about stress, anxiety, and good health.  I challenge you to put a 5 minute nap together with a reflection on what the Bible teaches.  It might be off the chart how much healthier you could be!"

John Ed usually doesn't give complete citations--after all, these meditations are on phone apps or radio announcements, and I like to think they are reaching people that churches don't, or someone who maybe has a church family but needs a little boost.  That's what librarians are for--we are finders so you can be keepers. That's why I give you the link to the research. And a copy of a painting I did years ago of a napper on the porch of Hotel Lakeside.

Ancestral Health--what is it?

Got me. I saw an article about the Ancestral Health Symposium (9th) held August 12 in California so have been searching for articles (it was sold out). In simple terms, it's probably about eating "natural." Came across something by a diabetes group on Paleo, Primal, real/whole food, keto etc. ways of eating, but nothing substantial. There is also a Vitamin D chapter in this group presenting on protections against SARS (many trials and published papers), Omega-6 group, seed oils, cognitive decline, the hidden health epidemic, the anti-meat ethics, bone health, African traditions, infections and psychiatric disorders, gateway drugs. This Youtube says there are 20 presentations. AHS21 - YouTube

Comparing apples and oranges and getting racism

In 2018, African American women were 50 percent more likely to be obese than non-Hispanic white women. 80% of Covid victims have been overweight or obese. They also have higher rates of hypertension, diabetes, and heart disease. But the higher rate of Covid among the black community is called--you got it, RACISM. 

Should the government step into the homes of black families and supervise what they eat? In 2018, African Americans were 20 percent less likely to engage in active physical activity as compared to non-Hispanic whites. Should the government step in and put blacks on treadmills and force them into jogging and running? Black female American children are 24.1% obese compared to 10.4% of white female children. Should the government step in. 10% isn't a good rate either--do we just want "equity" for this health problem?

My BMI is too high, also. I've been battling the bathroom scale since I was 21. I've probably lost over 100 lbs the last 60 years, and if you think losing weight at 25 is hard, just try it at 80! But I'm not asking the government to take over my life, and I certainly don't blame my ethnicity and ancestors (Irish-German American, whose ancestors arrived before the Revolution).

Here's how I would set up a health research project. If 50% of black women and 38% of white women had the same problem, I wouldn't rant about DISPARITY and RACISM to make the evening news. I'd look at what the 50% of the black women were doing who didn't have the problem and compare to the 50% who did. Income, education, marital status, personal life style, smoking, alcohol, drugs, number of children, religion, exercise, and so forth. That's how to do research. That's how to change lives. Adding an MSW to your research team and getting published in JAMA isn't worth it if you can't make some progress with the target group.

Sara thought she was making herself sick, but it has a name--guest blogger Sara Gruber

"After being told for years that my ailments were anxiety, I became a disbeliever in my own body. I stopped believing in my ability to decipher if I was physically ill or not. I spent the past two decades convincing myself that anxiety was the cause of my dizziness, weakness, heart palpitations, tightness of chest…

And like so many people with anxiety, I believed that it was my fault. I believed that I had these physical feelings because I wasn’t mentally and emotionally strong enough. My confidence was replaced with a chaotic dialogue. “You’re dizzy because you need to calm down… You’ve never passed out in the grocery store before so stop being ridiculous. You’re not going to pass out today…”

I fought anxiety. I fought so hard! I took medications. I worked out. I meditated. I changed my diet. I read self-help books. I listened to podcasts. Yet, I was still sick and I was still scared.

Learning that I had dysautonomia was the first step to regaining the belief that I was interpreting my body correctly. It freed this resounding roar of, “I knew it! I knew there was something else that wasn’t right.” So many of my symptoms that were from dysautonomia were attributed to anxiety. All too often, anxiety has become a crutch diagnosis. It is the label many are left with when tests don’t find answers. It puts a halt to people’s journeys to find answers and it even belittles those who are suffering from anxiety by being a catch all.

Year after year, day after day—I thought I wasn’t smart enough, determined enough, strong enough… and maybe even that I wasn’t deserving enough…

Thinking I was too sensitive to be in the heat, then discovering, “Hey, I actually don’t sweat anymore.”
Believing I wasn’t strong enough to be in leadership roles. My heart would beat uncontrollably in meetings with an aggressive supervisor. Not mild palpitations, I’m talking pass-out-quality pounding. I found myself looking for every opportunity to get out just to calm my heart. I know now that the type of dysautonomia I have, Hyperadrenergic POTS (Hyper POTS) causes massive adrenaline dumps during times of stress.

Feeling ashamed because I was too scared to drive long distances. I often felt like I couldn’t breathe when I was driving. I’ve since been able to track that my heart rate often increases over 40 bpm in this position. It goes up because my blood is not circulating properly and my heart is trying to compensate by working harder.

Thinking I was ridiculous for being scared to go into grocery stores. The combination of standing, reaching for items, and fluorescent lights was dizzying. I remember mustering up all of my energy to push through when all I wanted to do was leave. I would look around at people who were 40 years older than me and believed that they looked so much healthier than I felt.

Did I ever share that I felt this way with anyone? Never! It was crazy talk.

Now, I absolutely know that I also have anxiety. I think it would be hard to live through this and not. All of these ailments inspire anxiety; they draw it out of me and then that anxiety exacerbates everything. It’s still hard to know where the line between dysautonomia and anxiety lies. Maybe that’s because that line doesn’t end, it blurs.

Even if I had been fighting anxiety without dysautonomia, I wish I could have seen the bravery in that. I wish that my internal dialogue had been loving instead of self-deprecating. No one with anxiety chooses it. I never chose it! It’s like living in a prison of fear—the least we can do for ourselves is have self-compassion as a cell mate.

So here’s to self-compassion!

I have anxiety. I have dysautonomia. I am stronger than I thought. I am braver than I knew. "

I thought I was making myself sick – Blessings of Chronic Illness

Life has risk, Kelly Ripa

I heard it again.

Kelly Ripa (Live with Kelly and Ryan) is not willing to take the risk to see her or her husband's parents during this dangerous time. (It's Bob's favorite show and he never misses). Life comes at you fast, Kelly. It's been a year today since our 50 year old son (your age) had surgery for glioblastoma and about 6 months since he died. We are your parents age. Is this worth it? Not seeing them to protect them? Is Covid19 their only risk? No heart disease or cancer or falls? If one were to pass from H1N1 or a stroke, you could say, "At least it wasn't Covid?"

This summer of the pandemic and lockdowns:

1. We came early (end of May) and stayed late (mid-October) at our vacation home in Lakeside on Lake Erie. From purple iris to changing maples. It helped with grief, our health, and our happiness even with extreme cutbacks in activities.

2. We watched our neighbors at Lakeside handle this pandemic three ways.

a. Stayed home in Arizona, or New York or Florida where they went nowhere either due to governor lockdown or their own fears for their health.

b. Stayed inside their cottages in Lakeside leaving only long enough to feed the feral cats and go to Walmart for groceries.

c. Were outside attending events, visiting with friends, shopping at Walmart and Bassetts and Erie Rd Market, eating in local restaurants, and taking long walks (most people have dogs, we don't).

3. We've watched more TV than usual, but have enjoyed the porch for reading and chatting with friends and strangers through the screen. I've made frequent use of the "Little Free Library" on our street, found 3 keepers, and donated 5-6 titles.

4. We've done less entertaining, but

a. Celebrated our 60th wedding anniversary in a neighbor's yard, with prepackaged snacks, masks, social distancing, and 25 guests.

b. We invited a widower to have dinner with us--probably our only dinner guest, which is a cut back, but certainly important for him.

c. A neighbor who didn't have TV came over 2 nights to watch the RNC national convention in August.

d. We rented a cottage across the street and enjoyed the company of my husband's siblings who are also aging, and we don't see them often.

e. We rented a 6 seat golf cart to tour the town with our relatives, and a neighbor took our whole group on a wonderful sail boat ride.

  

f. We invited friends to have ice cream with us on our porch.

g. We hosted a niece and nephew for a week in our cottage.

5. The Chautauqua programs were limited, however,

a. We attended church most Sundays because Lakeside has a nice park, a gazebo with benches, responsible volunteers, preachers and musicians. Hymn singing and communion in pre-packaged cups.

   

b. I attended talks and lectures I would have skipped any other season, and enjoyed them all--especially being out and about and seeing people. Although everything was also available on-line, I only saw 2 such events. Some of the usual Chautauqua fare was only virtual--I skipped those.

c. We enjoyed many music programs in many genres--symphony, concert band, reenactment, jazz, blues, funk--almost all local (northern Ohio) and all as happy to see us as we were to see them.

   

5. We’ve eaten in several local restaurants, most inside.

a. The Patio in Lakeside, usually twice a week, for Sunday breakfast and mid-week perch. Inside, tables spaced and removed.

b. Marblehead Galley for prime rib, outside on deck.

c. Big Boppers for breakfast inside (very windy that day, and there is plenty of outdoor seating).

d. Crosswinds, inside, newly decorated, acrylic panels  between booths.

e. Tin Goose, small airport, inside.

f. Wednesday night picnic in Perry Park, Lakeside.

g. Hotel Lakeside, reservations, week-ends, Chef Stacy.

I walk 4-5 miles a day, but yesterday had to drive to Sandusky for new shoes to protect my feet. On this morning's walk I saw incredible beauty along the lakefront including two islands, pleasure boats, and freighters. The leaves are starting to turn, there are flowers I've never seen in the summer, and there seem to be so many construction projects, including several new homes. Somebody around here is living, and I'm one of them. Tomorrow might be too late.

                                                 Photo by Beth Sibbring, October 5, 2020

The Warren Gap fallacy—or how she promotes envy and sows discord

For Example:

There are three married couples; all named The Bruces. White, 8th generation, college educated Americans.   Bruces A are 20+ years old; Bruces B are 50+ years old and Bruces C are 65+ years old. From top to bottom, Bruces A, B, and C.

Bruces C are much wealthier than Bruces A and Bruces B. They have pensions, 403-b, 401-K, Social Security,  investments  and 2 homes. Bruces B have some savings, no investments, and 2 homes.  Bruces A have one house, no savings or investments.  There’s a wealth gap.

Bruces B have a much higher income than Bruces A and Bruces C.  There is an income gap.

Bruces A are much healthier than Bruces B and Bruces C.  There is a health gap.

Bruces A have minimal health insurance, some hospitalization coverage never used; Bruces B have great health insurance from large self insured employer—OSU; Bruces C have Medicare A & B, plus supplemental. Good, but not as great as Bruces B.  There is an insurance gap.

Bruces A take no medications at all.  Bruces B have minor conditions requiring little medication.  Bruces C have had heart, blood pressure, cancer, asthma, cholesterol problems, all treatable.  There is a health consumption gap.

Bruces A are usually employed or under employed—they are students or lower level employees; Bruces B are fully employed, or self-employed and are DINKS; Bruces C are not employed even irregularly.  There is an employment gap.

Bruces A rarely ever have a vacation or travel; Bruces B occasionally travel to visit relatives or vacation close to home; Bruces C travel to many countries and enjoy cruises, they eat out frequently, attend art events, pursue hobbies.  There is a leisure gap.

Which of the Bruces, A, B, or C, does Elizabeth Warren want to tax to "help" the other two?

Saint Luke

Today is October 18 and the day the Catholics, Orthodox and many Protestant denominations honor St. Luke, author of 2 volumes in the New Testament, Luke and Acts. Luke was most likely a Syrian (something to remember, too) and didn't know Jesus or his disciples, but thought it was critical to do the research of what was already written down and being preached in the churches. He did know Paul, and I'm sure those discussions were magnificent. He gives us fascinating insight into our Lord's life and heart, and particularly has a tender heart for the poor and not so powerful. He also provides a lot of focus on women. No one but Mary could have provided the details of the Infancy Narratives. Thank you Lord for the words of Luke.

Luke is the patron saint of artists; bachelors; bookbinders; brewers; butchers; glassworkers; goldsmiths; lace makers; notaries; painters; physicians; sculptors; stained glass workers; surgeons.

And so St. Luke, take care of my sweet, darlin' bachelor and the surgeons and physicians who are helping him. (Had brain surgery Oct. 8)

https://www.liturgytools.net/2018/07/hymns-feast-of-st-luke-evangelist-doctor-physician-artist-18-october.html

"As Luke with courage went
to heal, restore and teach,
obedient to his Lord
in spirit, action, speech,
give doctors, nurses, clergy too
the healing power that comes from you."

http://jocelynmarshall.org/texts/hymn_for_st_luke.html

Winter Friend, source unknown

AND THEN IT IS WINTER

You know time has a way of moving quickly and catching you unaware of the passing years. It seems like yesterday that I was young, just married, and embarking on my new life with my mate. Yet in a way, it seems like eons ago, and I wonder where all those years went.

I know that I lived them all. I have glimpses of how it was back then and of all my hopes and dreams. But, here it is... the winter of my life, and it catches me by surprise... How did I get here so fast? Where did the years go and where did my youth go? I remember well seeing older people through the years and thinking that those "older people" were years away from me and that winter was so far off that I could not fathom it or imagine fully what it would be like.

But, here it is...my friends are retired and getting grey... they move slower and I see an older person in myself now. Some are in better and some worse shape than me... but, I see the great change... Not like the ones that I remember who were young and vibrant...but, like me, their age is beginning to show and we are now those older folks that we used to see and never thought we'd be.

Each day now, I find that just getting a shower is a real target for the day! And taking a nap is not a treat anymore... it's mandatory! Cause if I don't on my own free will... I just fall asleep where I sit!

And so... now I enter this new season of my life unprepared for all the aches and pains and the loss of strength and ability to go and do things that I wish I had done but never did!! But, at least I know, that though the winter has come, and I'm not sure how long it will last... this I know, that when it's over on this earth... it's over. A new adventure will begin!

https://www.inspirational-words-phrases.com/AndThenItIsWinter.html

Yes, I have regrets. There are things I wish I hadn't done... things I should have done, but indeed, there are also many things I'm happy to have done. It's all in a lifetime.

So, if you're not in your winter yet... let me remind you, that it will be here faster than you think. So, whatever you would like to accomplish in your life, please do it quickly! Don't put things off too long!! Life goes by quickly. So, do what you can TODAY, as you can never be sure whether this is your winter or not!

You have no promise that you will see all the seasons of your life... so, LIVE FOR TODAY and say all the things that you want your loved ones to remember.. and hope that they appreciate and love you for all the things that you have done for them in all the years past!!

"Life" is a GIFT to you. The way you live your life is your gift to those who come after. Make it a fantastic one.

Remember: "It is Health that is real Wealth and not pieces of gold and silver."

~Your kids are becoming you......but your grandchildren are perfect!
~Going out is good.. coming home is even better!
~You forget names... but it's OK, because other people forgot they even knew you!!!
~You realize you're never going to be really good at anything.... especially golf.
~The things you used to care to do, you no longer care to do, but you really do care that you don't care to do them anymore.

~You sleep better on a lounge chair with the TV blaring than in bed. It's called "pre-sleep."
~You miss the days when everything worked with just an "ON" and "OFF" switch..
~You tend to use more 4 letter words ... "what?"..."when?"...???
~Now that you can afford expensive jewelry, it's not safe to wear it anywhere.
~You notice everything they sell in stores is "sleeveless?!"
~What used to be freckles are now liver spots.
~Everybody whispers.
~You have 3 sizes of clothes in your closet.... 2 of which you will never wear.

~But "Old" is good in some things:
Old Songs, Old movies ...
and best of all, our dear ...OLD FRIENDS!!

Stay well, "OLD FRIEND!"

With a little help from friends

We'll be heading to the hospital in a few hours to visit our son  as he continues down (up?) the difficult road after brain surgery on Tuesday. We've been overwhelmed with the prayers and kindness of his friends, our friends and total strangers. A neighbor I don’t know well just dropped by with a quiche for supper.  It is a huge comfort!

So I want to tell you a story from way back--maybe 1987, don't remember for sure. As the mother of teens, so close in age and so beautiful people used to think they were twins, I was at my wit's end and couldn't pray. So in addition to feeling like a total failure as a mother, I assumed I wasn't being a very good Christian either. No prayer could slip pass my clenched teeth.

At church one Sunday I ran into Judy Gibeaut and in about 30 seconds summed up my rage and frustration. She gave me a hug, told me not to worry about praying, that she'd do it for me so I could just focus on putting one foot in front of the other. I think she did call it intercessory prayer, but whatever she said, I've never forgotten it.

I'm not doing much praying since October 1 when this hit us like a ton of bricks, so we're relying on others. After so many years of Sunday worship, baptisms, Bible school, Sunday School, funerals and weddings, I think I've got the "Lord's Prayer" [Our Father] down pat--not very good at memorizing. Tertullian, 2nd-3rd century theologian, wrote that the Our Father was a summary of the Gospel so we can cover a lot of territory with that!  https://sites.google.com/site/aquinasstudybible/home/matthew-commentary/tertullian-on-the-our-father

What about NAD+

Highlights:  “NAD+ and sirtuins in aging and disease,” Shin-ichiro Imai and Leonard Guarente, Trends in Cell Biology, 2014, Aug. 24(8): 464-471. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112140/  71 references

• NAD ⁺ plays a key role in regulating metabolism and circadian rhythm through sirtuins.
  
• NAD ⁺ becomes limiting during aging, affecting sirtuins’ activities.
  
• NAD ⁺ decline is likely to be due to a NAD ⁺ biosynthesis defect and increased depletion.
  
• Supplementing key NAD ⁺ intermediates can restore NAD ⁺ levels and ameliorate age-associated pathophysiologies.
  

Another article (print full text, free) to read at the fitness center.
“NAD AND THE AGING PROCESS: ROLE IN LIFE, DEATH AND EVERYTHING IN BETWEEN” Mol Cell Endocrinol. 2017 Nov 5; 455: 62–74.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419884/

“NAD was discovered over a hundred years ago (Harden and Young, 1906), and now that it has achieved its status as a super-centenarian molecule, its role in the biological process of aging is being recognized (Braidy et al., 2011; Gomes et al., 2013; Lin et al., 2000; Massudi et al., 2012; Scheibye-Knudsen et al., 2014; Zhu et al., 2015). It has been shown that NAD levels decline during chronological aging, and that this decline is both a consequence of the aging process and also a contributor to the development of age-related cellular dysfunction (Braidy et al., 2011; Gomes et al., 2013; Massudi et al., 2012; Scheibye-Knudsen et al., 2014; Verdin, 2015; Zhu et al., 2015). It is possible that a vicious cycle exists in which molecular mechanisms involved in the aging process, such as oxidative stress, DNA damage, senescence, and inflammation, lead to tissue NAD decline which subsequently exacerbates the processes that caused its decline in the first place (Figure 1). To potentially intervene in this vicious cycle it is crucial that we understand the mechanisms that lead to cellular NAD decrease during aging and, in particular, whether the decrease is mediated primarily by changes in its degradation, synthesis, or both. Furthermore, it is critical to understand how oxidative stress, DNA damage, inflammation, and senescence impact cellular NAD metabolism during the aging process. In the current review we will present a critical analysis of this subject, and will provide new mechanistic hypotheses to explain the age-related NAD decline.”

The importance of exercise

“The experts call physical activity the “best buy” in public health. And the guidelines are based on evidence from thousands of studies. Based on this evidence, an expert panel concluded that exercise increases our lifespans, prevents that sneaky annual weight gain and reduces the risk of almost every chronic disease: cardiovascular disease, diabetes and many cancers. No other single behavior can do as much good for your health. By investing some time into exercise now, you get to cash in later. Think of it as the 401K for a long, healthy and happy life. “
I go to Lifetime Fitness 6 times a week, so that’s about 300 minutes of planned exercise, plus I may do another 10-15 at home on my exercycle.  I’m not seeing a big pay off, but then I’ve pretty much been a slug my whole life.  I don’t really enjoy exercise, but I can do 3 miles on a cycle if I take a magazine with me. or turn on Fox News. However, being a researcher from way back, the number of articles on exercise as the new life extender pill is stunning.
This article suggests move more, sit less, but since I’ve battled weight gain from all this exercise (I’m more hungry), I still hold to my old motto, “Move More, East Less,” or MMEL.  The author is exactly right, though, in saying it’s not difficult to add 5 minutes a day to your routine, and then when that’s settled, add another five.
As I’ve said before, I’ve seen some stunning role models at the gym—usually men who come in on walkers, or are using canes. One woman has an artificial below the knee prosthesis.  When I think the treadmill is too boring, I look at them and decide I don’t have it so bad.
https://theconversation.com/move-more-sit-less-great-advice-but-how-can-we-make-time-for-exercise-106741
I looked up the 2018 Physical Activity Guidelines Advisory Committee Scientific Report linked in the first  paragraph thinking I’d print it, but it turned out to be over 700 pages, so I just printed the Executive Summary, pp. 18-25.
https://health.gov/paguidelines/second-edition/report/pdf/PAG_Advisory_Committee_Report.pdf

Do you know the sex/gender terminology?

Grant #2011-JF-FX-0001  Urban Institute  “Access to Safety, Health Outcomes, Substance Use and Abuse, and Service Provision for LGBTQ Youth, YMSM, and YWSW Who Engage in Survival Sex “https://www.urban.org/research/publication/access-safety-health-outcomes-substance-use-and-abuse-and-service-provision-lgbtq-youth-ymsm-and-ywsw-who-engage-survival-sex   

This report provides a list of definitions for LGBTQ youth at risk for health problems. It was sort of wordy, so I condensed a bit.  In a discussion group we were noting the changing terminology.

Cisgender: Individuals whose experiences of their gender match the sex they were assigned at birth.

Gender expression: The aspects of behavior and outward presentation that may (intentionally or unintentionally) communicate gender to others in a given culture or society.

Gender nonconforming: People who have or are perceived to have gender characteristics or behaviors that do not conform to traditional or societal expectations. Gender-nonconforming people may or may not identify as transgender.

Sexual orientation: Whom a person is physically and emotionally attracted to. Sexual orientation is distinct from gender identity; transgender people may identify as heterosexual, bisexual, gay, lesbian, or any other sexual orientation.

Transgender: People whose gender identity (internal sense of being female, male, or another gender) is incongruent with their sex assigned at birth (physical body).

Young men who have sex with men (YMSM): Young men who may identify as heterosexual but have sex with members of the same sex, often in exchange for money and/or material goods.

Young women who have sex with women (YWSW): Young women who may identify as hetero-sexual but have sex with members of the same sex, often in exchange for money and/or material goods.

Exploiter: An individual who uses tactics involving force, fraud, and coercion to control a young person’s involvement in the commercial sex market.

Peer facilitator: A peer, who may or may not be engaged in survival sex, who provides nonexploitative support to someone engaging in survival sex, so the person engaging in survival sex does not have limited mobility; decides what they do and what they trade sex for; and is not subject to force, fraud, or coercion.

Youth engaged in survival sex: The phrases “youth engaged in survival sex” and “youth who exchange sex for money and/or material goods (e.g., shelter, food, and drugs)” are used here to reflect young people’s experiences of involvement in the commercial sex market in their own terms.

Gay family: An alternative familial network of LGBTQ people that may act as an alternative to the family of origin from which many LGBTQ people, particularly youth, have been excluded. The term may also be used to refer to drag houses in the ball scene.

Ball scene/house culture: A community consisting primarily of black and Latino and Latina LGBTQ people organized around anchoring family-like structures, called houses, and competitive balls. [I’d never heard of Ball Culture, but you can find a description in Wikipedia https://en.wikipedia.org/wiki/Ball_culture .  Apparently, Langston Hughes in the 1920s described it.)

Barrier and nonbarrier protection: Any contraceptive or other protective device or method used to prevent unwanted pregnancy or the transmission of human immunodeficiency virus (HIV) or other STDs.

 Interesting findings about the almost 300 youth in this study (this is the 3rd report):

99% of these LGBTQ at risk youth in this study were using contraceptives (barrier and nonbarrier). [A quick look shows that compares with about 50% of non LGBTQ teens)

93% were using the services of a helping agency, 99% accepted help from them and 94% said they would seek help from that agency again

only 5% in the study were white.

47% male, 36% female, 11% transwoman (i.e.biological male), 3% transman (biological female), 5% other, not specified, or wouldn’t say

These youth are at greater risk than heterosexual male and female youth for violence, abuse, sexual victimization, mental health risks,  sexually transmitted diseases, and homelessness

Other reports funded by this grant

https://www.urban.org/sites/default/files/publication/71446/2000424-Locked-In-Interactions-with-the-Criminal-Justice-and-Child-Welfare-Systems-for-LGBTQ-Youth-YMSM-and-YWSW-Who-Engage-in-Survival-Sex.pdf

Exercising at Life Time

I enjoy working out at Life Time Fitness (117 centers in 26 states and 34 major markets under the LIFE TIME FITNESS® and LIFE TIME ATHLETIC® brands in the United States and Canada) on Henderson Rd., near our home.  I really do. I’ve been going about 5-6 times a week since January—treadmill and resistance machines.  I think it’s helping my balance and the strength in my hands.   However, as I read through its magazine, "Experience Life," I do sense that focusing totally on oneself--personal empowerment--body, nutrition, well-being, fitness, breathing (mindfulness and other eastern quasi-religious exercises are big), and "connectedness"--is a tad shallow even if it is a billion dollar business. "Small acts of kindness. . . offer great health benefits and make us feel more secure" and so forth.

The Founder, Chairman, and CEO is Bahram Akradi, who immigrated to the U.S. from Iran as a teen-ager. His father was in the Iranian Air Force and sensed a revolution was coming so sent his son to the U.S. to live with his brother. He's positive that embracing respect as our guiding principle is good for our health and the country. See what you think and whether something is missing.

https://experiencelife.com/article/a-healthy-dose-of-respect/

https://gym.lifetimefitness.com/upper-arlington/gym-columbus

The president's health and the media

"President Donald Trump's in-house doctor reported Tuesday that the President is in excellent health and mentally fit to perform the duties of his office. This is unconditionally good news for the country, but a setback for non-doctors in the media who have been pronouncing our duly-elected President a “neo-fascist sociopath” or at least a “sick man” who is “not mentally stable.” " Wall St. Journal, James Freeman

And now, fat shaming.

"President Trump gets a physical and is found to be in very good health. He even takes a test to measure his cognitive ability and is found fit. Good news, right? Well, evidently the MSM thinks there MUST be a mistake. They questioned the doctor thoroughly. They asked, “since he is obese don’t you find that concerning?” The doctor replied that Trump is not obese. They wanted to know if the cognitive test covered signs of early stages of Alzheimer’s. They doctor assured them his mental capabilities are fine. They just wouldn’t stop. President Obama smoked and drank but those things NEVER came up in a briefing about his health.....now, why is that.....hmmmmmmm!!!" Jane Baird Lathem, blogger and Facebook friend.

Another sign the Democrats are losing it, along with their cronies in the media. But obviously, it's never going to stop. They are the crazy ones. Next, it will be the color of his ties, or his hair comb over, or his time on the golf course, oh wait, they've done that one.

Calculate your BMI and physical activity

I tried three different BMI calculators, and got three different answers (all within normal). But I like this one best because it took my sex and age into consideration and eliminated Asian Americans from the race category (they are smaller than European Americans). Also the site added some advice. https://www.smartbmicalculator.com/?ru=2 So if you're going to do the usual New Year's resolution, try this one.

I was surprised when reading this article on physical activity and its relationship to the deadliest killers, to see that 54% of American adults actually do get the recommended 150 minutes a week (about five 30 minute workouts).  There are at least six fitness/gyms within 2-3 miles of my residence, so someone in suburbia is working out.  I am registered at two of them, but I'm not very regular, except on my exercycle in my office. I prefer walking outside, but a slight hill bothers my bursitis.

https://www.yelp.com/search?cflt=gyms&find_loc=Upper+Arlington%2C+OH

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5327681/

"Adults who met the PA guidelines were significantly more likely not to report high cholesterol, diabetes, chronic obstructive pulmonary disease, arthritis, asthma, depression, or overweight. Furthermore, adults meeting the PA guidelines were significantly more likely to report having health insurance, consuming fruits daily, consuming vegetables daily, and not being a current cigarette smoker."