Exercise is Medicine

Rx from your doctor is - “ Exercise!”  The concept of exercise is medicine is based on its science evident role in both prevention and treatment of various illness conditions. Physical inactivity is a risk factor for many major chronic illnesses, including obesity, cardiovascular disease, Type 2 diabetes, metabolic syndrome, certain cancers (colon, breast and prostate), also affect brain functions, bone health and aging. 

Exercise is an effective prevention and treatment works better and cost less than drugs. Moderate aerobic activities, strength and balance training are providing great health benefits. 

Practice daily low intensity bodyweight exercise, which is an effective, sustainable strategy for muscle maintenance, improving functional strength, and enhancing mobility. It promotes active recovery by increasing blood flow without causing overtraining, making it ideal for maintaining muscle mass without the need for a gym.

Key Considerations for Daily Low-Intensity Training:

• Definition of Low Intensity: Focus on moderate, high-volume, or slow-tempo movements (e.g., bodyweight squats, planks, push-ups) rather than maxing out daily.
• Active Recovery vs. Overtraining: The goal is to feel energized, not exhausted. If you feel excessively sore or fatigued, reduce the volume.
• Muscle Maintenance: This approach is highly effective for maintaining existing muscle, especially when done consistently, but may not be optimal for significant muscle growth.
• Benefits: Increased consistency, better joint health, and improved cardiovascular health.
• Sample Routine: 10–15 minutes of light, varied exercises (lunges, push-ups, planks, pull-ups, power yoga posts, etc) performed at a comfortable pace.
• Daily low-intensity training helps keep muscles activated and prevents the strength loss often associated with inactivity.

It is never too late to start. Even if you are sedentary when young but started a regular exercise program later in life, the mortality rates reduction may drop as much as 50%. So, what are you waiting for? Get started now - it will not cost you an arm or leg, but a call for action to move more of your arm and legs. Fill up your body with energy and enjoy the active life.

Go to https://qualitylifeforum.weebly.com/2026-feb-exercise-is-medicine-update.html and learn more. 

The Most Valuable Gift

Follow www.qualitylifeforum.weebly.com for healthy aging support.

Health is the best gift you well-deserve. Life is busy, and to value health means to make it a priority in your life. Health is considered the most valuable, foundational asset, exceeding financial wealth by enabling a productive, fulfilling life and allowing enjoyment of the fruits of labor. It acts as a "life currency" required to pursue goals, maintain energy for work, and enjoy relationships. Health is your most valuable asset. It’s great if you have a good health insurance plan; however, investing in health is better than focus on health care. Protecting this asset requires consistent, long-term investments in physical and mental well-being. 

Life is a series of choices and as we get older, the choices we make have a lasting impact on us. Maintaining a healthy lifestyle is about more than showering regularly and brushing teeth at night. It’s about keep your body active through regular exercise and commitment to eat healthy. It’s about making good judgments on a series of life choices on daily basis. It’s about to keep up learning evidence based health science and not misled by myth or fraud. 

​Key actionable insights include:

​

• Foundation for Life: Good health is a prerequisite for a meaningful life, allowing for productivity and contribution to the world.
• Health is more than Wealth: Money is meaningless without physical and mental well-being.
• Active Investment Required: Daily maintenances —such as nutrition, exercise, and stress management—function as deposits into a "health savings account". 
• Longevity and Energy: Good health is more than free of illness or suffering. It also includes healthy weight and healthy life style maintenance, mental and physical wellbeing. A healthy body feels good, energetic, and full of life. Maintaining health provides the energy to pursue dreams and the longevity to enjoy them.
• Impact on Performance: Prioritizing well-being improves performance in both mentally and physically. 

Neglecting health can lead to a "debt" of, for example, high blood pressure or diabetes, whereas active management fosters long-term vitality. 

What healthy choices have you made to date? Have you been behaving consistently? Or if you have not been making these decisions consciously, think about your health value seriously. Prioritize your health; you are worth of it. Your health is most valuable. Don’t take it granted; it requires your commitment and you are accountable for life long maintenance effort. You are accountable for building your well-being. Act now, follow QualityLifeFroum.weebly.com; the healthy aging journey begins with your first step today and a small step every day.  

​Happy New Year!

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Blood Sugar Self-Management with Lifestyle Changes

Blood sugar is significant in human body chemistry and it is an important diagnostic indicator for diabetes.

What Are Normal Blood Sugar Levels? The normal range is less than 100 mg/dL after not eating (fasting) for at least 8 hours; and less than 140 mg/dL 2 hours after eating.

What are high blood sugar (hyperglycemia) levels?

• Fasting hyperglycemia - This is blood sugar that's higher than 130 mg/dL (milligrams per deciliter) after not eating or drinking for at least 8 hours.
• Postprandial or after-meal hyperglycemia - This is blood sugar that's higher than 180 mg/dL 2 hours after you eat. People without diabetes rarely have blood sugar levels over 140 mg/dL after a meal, unless it’s really large.

In addition, Hemoglobin A1C ( HbA1C) is a blood test that provides an estimated average of  blood sugar over the past 2-3 months. The testing result significance is indicated in the chart below, according to NIH –

Diagnosis       A1C (percent)     Fasting Plasma Glucose      Oral glucose tolerance test
                                                          
Normal            below 5.7            99 or below                                   139 or below
Pre diabetes   5.7 - 6.4                100 to 125                                      140 to 199
Diabetes          6.5 or above        126 or above                                 200 or above

High blood sugar damages pancreas, kidneys, vision, nerves overtime and hardening blood vessels. Hypertension is more common in people with diabetes.  Clinical Trials have shown that lowering BP reduces major cardiovascular events in those with diabetes. For cardiovascular and also renal protection, people with diabetes require good BP control and so most patients with diabetes and hypertension require combination therapy to achieve targets.  Furthermore, NIH study shows connections between glucose metabolism, Alzheimer’s pathology, and symptoms.

More evidences from recent studies suggest that high blood sugar is associated with cognitive decline.  Findings suggest that interventions that delay diabetes onset, as well as management strategies for blood sugar control, might help alleviate the progression of subsequent cognitive decline over the long-term. 

Hyperglycemia treatment guidelines for 2025 from the American Diabetes Association (ADA) emphasize personalized care, prioritizing cardiovascular and kidney outcomes, and recommending new pharmacotherapies and technologies. Intensive behavioral modification interventions focusing on diet, weight reduction and increasing activity levels are successful in reducing weight and improving glycemic management while, at the same time, reducing the need for glucose-lowering and other medications.   

To learn more about how aging may affect blood sugar level, pharmacological management and non-pharmacological management, as well as self-management strategies for regulate blood sugar naturally,  go to https://qualitylifeforum.weebly.com/2025-dec-blood-sugar-self-management-update.html

The take home messages from your health coach
 
1. Making lifestyle modifications will regulate blood sugar naturally.  It is an effective preventive strategy for risk reduction or work well in combination with medical interventions.

2. Blood sugar levels may increase with age as result of metabolic changes; therapeutic lifestyle changes will help to reduce cardiovascular and many other risks. Eat healthy, lose weight, and stay active are effective no-drug treatment.

3. Mindset and behavior transformation for life style changes can be very challenging.  For those who needs help for get motivated and get results, engage in a structured program is a viable option.   QualityLifeForum private health coaching will help you map out a plan, implement wellness strategies, take you through step by step for achieve results, and nurture the new health behavior become part of your life style.    

                                   

Lowering Cholesterol with Lifestyle Changes

 

Lipids are part of the important biochemistry in human body and play a major role in our health.

Lipid (cholesterol and triglycerides) is transported by lipoproteins through blood system within the body.  Cholesterol is a fat-like lipid that produced by the liver. It has important functions for the formation of cell membranes, certain hormones, and vitamin D. Triglycerides are another type of lipid as source of energy, which is stored in fat cells as reserve. When human consume more calories than the burn rate over time, triglycerides build up high. When blood contains too much cholesterol and triglycerides, it may raise risk of health problems, such as heart disease and stroke.  High cholesterol and high triglycerides typically do not have physical symptoms; it is detected by blood chemistry testing.

Cholesterol levels for adults

Cholesterol levels tend to increase with age.  Males tend to have higher levels of cholesterol than females. Cholesterol level often increases in menopausal females.

• Total cholesterol levels less than 200 milligrams per deciliter (mg/dL) are considered desirable for adults. A reading between 200 and 239 mg/dL is considered borderline high and a reading of 240 mg/dL and above is considered high.
• LDL cholesterol levels should be less than 100 mg/dL. Levels of 100 to 129 mg/dL are acceptable for people with no health issues but may be of more concern for those with heart disease or heart disease risk factors. A reading of 130 to 159 mg/dL is borderline high and 160 to 189 mg/dL is high. A reading of 190 mg/dL or higher is considered very high.
• HDL levels should be kept higher. A reading of less than 40 mg/dL is considered a major risk factor for heart disease. A reading from 41 mg/dL to 59 mg/dL is considered borderline low. The optimal reading for HDL levels is of 60 mg/dL or higher.

A high triglyceride level combined with low HDL cholesterol or high LDL cholesterol is linked with fatty buildups in artery walls. This increases the risk of heart attack and stroke.

• Normal triglyceride level is less than 150 mg/dL (1.69 mmol/L)
• Borderline  high triglyceride level is 150 to 199 mg/dL (1.69 to 2.25 mmol/L)
• High triglyceride level is 200 to 499 mg/dL (2.25 to 5.63 mmol/L)
• Very high triglyceride level is greater than 500 mg/dL (5.65 mmol/L)

Actions for high cholesterol risk reduction

The 2025 American College of Cardiology/American Heart Association guidelines for acute coronary syndromes (ACS) represent a meaningful evolution in lipid-lowering therapy (LLT), reflecting new evidence and broader consensus around early, more intensive treatment approaches. Historically, treatment focused on statins, with low-density lipoprotein cholesterol (LDL-C) ≥70 mg/dL as the threshold for treatment intensification, and nonstatins were reserved mainly for statin intolerance or inadequate response. The current guidelines move beyond this paradigm, incorporating advances in pharmacologic options and a deeper understanding of early and profound LDL-C–lowering benefits.

The 2025 cholesterol clinical practice guidelines emphasized

personalized risk assessment, which incorporate more risk modifiers beyond traditional calculators, including ethnicity, family history of premature heart disease, etc;

shared decision-making, using of "cardiovascular age" is encouraged to help patients better understand their individual risk and make informed decisions about their treatment,

the importance of a healthy diet (low in saturated fat, high in whole grains, vegetables, and fish) remains a cornerstone of the guidelines.

High cholesterol in older adults significantly increases the risk of cardiovascular diseases like heart attack and stroke, and is also linked to dementia and cognitive decline. While high cholesterol levels are common with age, they accelerate the hardening of arteries and plaque buildup, leading to critical events.

Generally, the earlier an adult starts living a healthy lifestyle, the better for their cholesterol levels. Cholesterol levels build over time.  Get blood chemistry checked at physical exam once a year; know your numbers (total cholesterol level, as well LDL cholesterol, HDL cholesterol, and triglyceride levels). The key proactive measure is making lifestyle changes (TLC), which includes diet, exercise, and weight management.

Weight Management is essential for lowering cholesterol and preventing it building up. Overweight people who reduce their weight can help lower LDL in the process. Losing weight is especially important for those with a group of risk factors that includes:

• high triglyceride levels
• low HDL levels
• overweight men with a waist measurement of more than 40 inches
• overweight women with a waist measurement of more than 35 inches

Regular physical activity of 30 minutes on most days is recommended for everyone. This will also help with weight management, which in turn helps with lowering cholesterol.  Make exercise as therapeutics. Remember: something is better than nothing and more is still more. Everyone should strive to meet or exceed recommended activity level for greater health benefit.

Other Lifestyle Changes:

Quit smoking: Smoking damages blood vessels and increases cholesterol levels.

Manage stress: Chronic stress can raise cholesterol levels.

Get enough sleep: Aim for 7-9 hours of quality sleep per night.

Consult a healthcare professional: Discuss your cholesterol levels and any lifestyle changes you are considering with your doctor. They can provide personalized guidance and monitor your progress.

To learn more, go to https://qualitylifeforum.weebly.com/2025-november-lowering-cholesterol-with-lifestyle-changes.html

 The Take Home Messages From Your Health Coach

1. Making therapeutic lifestyle changes is a key proactive measure and best wellness strategy for healthy aging.

2. Cholesterol and triglycerides levels tend to increase with age; healthy life style will help to reduce cardiovascular, and many other disease risks. 

3. Mindset and behavior transformation for life style changes can be very challenging.  For those who needs help for get motivated and get results, engage in a structured program is a viable option.   QualityLifeForum.net private health coaching will help you map out a plan, implement wellness strategies, take you through step by step for achieve results, and nurture the new health behavior become part of your life style. 

References:

https://www.jacc.org/doi/10.1016/j.jacc.2025.04.024

https://www.healthline.com/health/high-cholesterol#hdl-cholesterol

https://www.healthline.com/health/high-cholesterol#hdl-cholesterol
https://www.medicalnewstoday.com/articles/315900.php
https://mail.google.com/mail/u/0/#inbox/161a4759e29a09af
http://blog.myfitnesspal.com/much-really-need-walk-live-longer/?utm_source=mfp&utm_medium=email&utm_campaign=MFP_Newsletter_Workouts_20180217_ad2&os_ehash=55@sfmc:54599222
https://www.nhlbi.nih.gov/files/docs/public/heart/chol_tlc.pdf

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Regulate Blood Pressure for Healthy Aging Update

The American College of Cardiology (ACC) and the American Heart Association (AHA), in collaboration with a broad coalition of professional organizations, released updated hypertension guidelines in August, 2025. 

Hypertension prevalence increases significantly with age, rising from 22.4% in adults 18–39 to 54.5% in those aged 40–59, and reaching 74.5% among adults 60 and over.

Hypertension is also known as high blood pressure, which tends to develop gradually over time as a result of age with large artery stiffness and the build-up of fatty deposits in the arteries. It is sometimes called the “silent killer” because it produces few, if any, symptoms. High blood pressure directly increases the risk of coronary heart disease and brain attack.  If it’s untreated, this condition can lead to major cardiovascular and other events such as heart attacks, strokes, kidney disease, eye disease, and more serious problems. You may not know that your blood pressure became high and that’s why it’s so important to monitor your blood pressure regularly.  Fortunately, high blood pressure is easy to detect and, in most cases, controllable, with early intervention.

American Heart Association guide us that 

- There is stronger proof now that high blood pressure is linked to increased risk of cognitive decline and dementia.  Adequate blood pressure management may prevent cognitive decline and dementia .

 - High blood pressure is the leading risk factor for stroke and a number of heart conditions such as coronary artery disease, heart failure and atrial fibrillation (AFib).

- Everyone should know your numbers.  Early intervention is encuraged. Your personal blood pressure goal may depends on your age and other medical conditions under physician's care.

 

To learn more about blood pressure self-monitoring tips, healthy life style for blood pressure regulation and practical self-care strategies, go to https://qualitylifeforum.weebly.com/2025-oct-regulate-blood-pressure-for-healthy-aging.html

Mindset and behavior transformation for life style changes can be very challenging. For those who needs help for get motivated and get results, engage in a structured program is a viable option. QualityLifeForum.net private health coaching will help you map out a plan, implement wellness strategies, take you through step by step for achieve results, and nurture the new health behavior become part of your life style. Most importantly, you will feel great! Health is your freedom for golden years. 

Follow https://qualitylifeforum.weebly.com/ for healthy aging.

Practice Wellness and Enjoy Your Golden Years Freedom

Quality Life Forum  celebrates its 10^th anniversary in September, 2025. In the past decade, Quality Life Forum explores healthy aging and related topics; provided health aging coaching series of self-care, healthy eating, healthy living, golden age fitness, age-related health challenges, advocacy and empowerment, as well as pandemic support during COVID 19.

Quality Life Forum Health Coaching is Specialized in Active Adult Healthy Aging -

·       Mindset and behavioral transformation/Taking actions for self-care

·        Retrain aging awareness and learning healthy aging process

·        Overcome aging challenges with natural healing power

·        Develop strategies to help prevent or slow down existing disease conditions or process, with self-care confidence/competence

·        Maximize quality of life potential in the golden years

QualityLifeForum will continue to focusing on healthy aging challenges; healthy lifestyle, self-care education and skill learning for your wellness journey support. To learn more about the role of a health coach and virtual health coaching, go to Health Coaching. Follow QualityLifeForum commercial –free website @ www.qualitylifeforum.weebly.com for healthy aging open forum or go to Quality Life Forum Self-Care Health Coaching to choose customized programs.

QualityLifeForum is open to all and free of commercial advertising. Your support and donations are appreciated.

Loneliness Breakthrough Update

Loneliness is a personal perspective

Loneliness is subjective emotion, a painful feeling of not belonging or rejections, lack of social interactions and being disconnected with others. Loneliness is a complex problem, experienced subjectively and individually. It occurs when our personal social relationship quantity and/or quality falls below our satisfactory level.  Some of us feel lonely in a crowd, while others who do not feel lonely with fewer social contacts.

Loneliness is felt by us at some point in life at any age, transient or intermittent. Loneliness is reported most common among people who are not working, those living alone and individuals with lower household incomes. For those who reported a high rate of loneliness, they were also more likely to cope with social isolation. The risk factors often increase with age, including but not limit to – 

Personal

• Retirement
• Health status (chronic illnesses, mobility limitations, etc)
• Sensory loss
• Loss of loved ones or friends
• Personality and self-esteem

Environmental/social

• Moving/relocation
• Lack of transportation
• Demographics and cultural values
• Technology challenges

Loneliness and Aging

Getting older may change the dynamic of relationships, with family and with friends. Loneliness among older people becomes a major social problem. No one wants to be lonely in older age, but it appears that getting older and getting lonelier is increasingly correlated today. Retirement is a key factor: at this time social networks change, and partners often become a more important source of support. Other friendships become more difficult to maintain because of health or losses. The risk of ‘intimate loneliness’ is common for divorcees and also in unhappy relationships.

Older adults are at higher risk for social isolation and loneliness due to changes in health and social connections that may come with growing older, hearing, vision, and memory loss, disability, trouble getting around, and/or the loss of family and friends. Loneliness is often triggered by changes, losses, and compounded factors/situations. These can be internal (connections with social groups, personality, psychological response) or external (personal situations, environmental factors, life events/transitions).

Persistent feelings of loneliness or social isolation can impact our mood and emotions, cause symptoms of anxiety and depression, also increase risks of cognitive decline and dementia, as well as other health conditions, as it can activate the body’s fight or flight mechanism and keep cortisol chronically elevated, leading to inflammatory-based diseases such as heart disease, diabetes, stroke and leading to early death. 

Deep loneliness, also sometimes referred to as chronic loneliness, is an internal state of persistent detachment and emotional isolation from others and lack of meaningful connections and relationships with other people, according to psychology. Loneliness has a significant impact on wellness and quality of life.  With increasing number of older people living alone, loneness is commonly reported in aging population.  However, loneliness does not have age limit as it occurs in all ages. 

Understanding Positive Solitude

From psychological perspective, being alone has its benefits. 

A “positive solitude,” is a state that is associated with well-being, not loneliness, and finding the joys of solitude. Many considered alone time is essential for their mental health today.

Anxiety about being alone - This anxiety stems in large part from our culture’s deficit view of solitude. In this type of thinking, the desire to be alone is seen as unnatural and unhealthy, something to be pitied or feared rather than valued or encouraged. Our society is more likely to frame being alone negatively than positively. This type of bias shapes people’s beliefs. But the desire for solitude is not pathological, and it’s not just for introverts. Nor does it automatically spell social isolation and a lonely life.

True solitude turns attention inward. It’s a time to slow down and reflect. A time to do as we please, not to please anyone else. A time to be emotionally available to ourselves, rather than to others. When we spend our solitude in these ways, the benefits accrue: We feel rested and rejuvenated, we gain clarity and emotional balance, we feel freer and more connected to ourselves.

​It is true that if we don’t have a community of close relationships to return to after being alone, solitude can lead to social isolation. But it’s also true that too much social interaction is taxing, and such overload negatively affects the quality of our relationships. The country’s recent gravitational pull toward more alone time may partially reflect a desire for more balance in a life that is too busy, too scheduled and, maybe, too social.

Just as connection with others is essential for our well-being, so is connection with ourselves.

To learn more about identifying cause of loniless feelings, coping striteries, and actions to take, go to https://qualitylifeforum.weebly.com/2025-aug-loneliness-breakthrough-update.html

If you feel the pain of loneliness, do something about it now. Your first step is to open up and talk about it. Helps are available. Go to https://qualitylifeforum.weebly.com/loneliness-breakthrough.html. for personalized loneliness breakthrough self-care health coaching support. 

You are not alone; stay connected.