live • laugh • learn
Transcription
live • laugh • learn
LIVE • LAUGH • LEARN Pg 1.indd 1 4/25/14 11:47 AM WELCOME | LETTER Did you know? Drinking green tea can help boost your brain health. See page 18 for more smart tips. LIVE • LAUGH • LEARN STAY MENTALLY SHARP 4 BRAINBOOSTING FOODS FROM A TO Z REGIS PHILBIN SHARES HIS SECRETS OF SUCCESS ON THE COVER As active as ever, Regis Philbin shares with Renew his love of tackling new challenges. 2| pg 2.indd 1 NOW THAT’S SMART How’s this for a wellness plan? Eat more dark chocolate, play video games, join your friends on a fun adventure and enjoy another guilt-free hour or two of sleep each night. It sounds almost too good to be true, but when it comes to brain health, these activities (and a slew of others you’ll learn about on the following pages) are just what the doctor ordered. No wonder this issue of Renew has been so much fun to put together. Discovering easy ways to help keep our brains strong and healthy is inspiring. Take tango lessons? Sign us up! Gobble up more blueberries? Consider it done. And here’s a huge brainfitness bonus: The smart things we do for our gray matter are often beneficial for our bodies, too. Our cover celebrity, Regis Philbin, is definitely aboard the brain train. Wait till you read how he recently took up cooking — not only to stretch his mind muscles, but also to please his wife, Joy. How do you engage your brain? We’d love to hear about it! –Th e Renew Team “All we ever have is now.” – Bill Cosby 4/25/14 8:49 AM contents FEATURES | I SSUE 5 14 NEW ADVENTURES 22 FOOD FOR THOUGHT Regis Philbin shares thoughts with Renew about his better-than-ever life at age 82. How small (and easy) changes in your diet can yield big brain benefits. 18 A–Z BRAIN BOOSTERS Work your way through the alphabet — and toward better brain health — with our 26 tips. Meet Dr. You Look for this symbol to find simple tips on becoming your own health advocate and helping to improve your quality of life. | Brought to you by UnitedHealthcare | 3 pg 3.indd 1 4/25/14 8:49 AM CONTENTS | IN THIS ISSUE 26 What Do You Think? IN THIS ISSUE: 12 Travel: A Savannah Stroll 21 Ask the Expert: Alzheimer’s Disease 25 Health Check: Annual Wellness Visits 26 Keep Moving: Yoga 30 Your Health Your Wealth: Money Housekeeping Share your thoughts for the next issue of Renew. One in five U.S. adults provides unpaid care to another adult, according to the National Alliance for Caregiving. Perhaps you’re one of them. If so, you may be experiencing both the joy that comes from helping a loved one as well as the strain that can accompany some of the more demanding activities of caregiving. We’d like to hear from you. In 150 words or less, please answer one of the following questions: PLUS: 5 LIVE • LAUGH • LEARN 10 DR. YOU 27 BRAIN BOOSTER 29 ASK DR. REED 32 FIVE-MINUTE MEDITATION We’re Here For You We want to make sure you get the information you need. Have a question about your plan? Call the number on the back of your member ID card to speak with one of our friendly UnitedHealthcare® Customer Service representatives. 8 a.m. - 8 p.m. local time, 7 days a week Or log in to myAARPMedicare.com 4| pg 4.indd 1 y What do you love most about being a caregiver? y What do you find to be the most challenging aspect of providing care to a loved one? y How do you try to relieve the stress that can accompany caregiving? Share Your Thoughts Do you have comments about Renew or a great article idea? We’d love to hear from you. Submit your response or share your feedback and article ideas at renewMedicareRx.com Or write us at: UnitedHealthcare Renew P.O. Box 410018 Kansas City, MO 64141-0018 “Sometimes the best things in life take a while.” – Emily Beth 4/25/14 8:49 AM live • laugh • learn LIFE-BOOSTING TIPS & IDEAS SUMMER FRUIT: ¿ Scrub produce thoroughly under running water to remove dirt and bacteria. And leave peels on when possible to help retain fiber and nutrients. | Brought to you by UnitedHealthcare | 5 Pg 5.indd 1 4/25/14 1:47 PM live • laugh • learn WAYS TO STAY SAFE IN THE SUN WHAT’S NEW AT THE LIBRARY? BEYOND BOOKS If you’re only borrowing books at your local library, you may be missing out on… ` Free use of computers and Wi-Fi Internet for browsing and checking emails. ` CD and DVD loaning for music and movies (especially classics)! ` Electronic book downloads for your e-reader. ` Book clubs for like-minded readers. Love a good whodunit? Ask if your local library has a reading group — or start one yourself. Did you know? Most libraries offer free classes, seminars and author readings. 6| pg 6.indd 1 AVOID SUN EXPOSURE BETWEEN 10 A.M. AND 4 P.M. WEAR SUNSCREEN (SPF 15 OR HIGHER) AND REAPPLY IT EVERY FEW HOURS. Put on a hat — preferably one with a three-inch brim or wider. DRINK LOTS OF WATER. Wear sunglasses that meet ANSI UV requirements or prescription glasses with lenses that darken with sunlight. Mind your ears, scalp and neck. They’re easy to forget but are common areas for developing skin cancer. DON’T FORGET YOUR LIPS — USE LIP BALM WITH SUN PROTECTION. Cover up with SPF-treated clothing. CHECK YOURSELF MONTHLY FOR NEW OR CHANGING SKIN DISCOLORATIONS OR ISSUES. WEAR SUNSCREEN! (Did we say that already? We mean it.) Fedorable! The hats our fathers wore to work, fedoras, are having their second day in the sun as attractive toppers for both men and women. They also do a great job of protecting scalps, ears and necks from sun damage. Dapper Dad would be proud. “What you think you become.” – Buddha 4/25/14 8:50 AM live • laugh • learn Shopping for summer shoes? Seek out these foot-friendly attributes to help your feet look and feel great. } Natural materials. Canvas breathes best and flexes with your foot, so you can expect less blistering and tripping. And always opt for genuine leather over plastic or pleather. } Low heels. Be aware of height. Choose shoes with low heel height for optimal comfort. } Back straps or closed heels. Fire your flip-flops. Back straps and closed heels keep shoes on your feet and fitting properly. } Closed toes. Covering those little piggies is a must for hiking and biking. BY THE NUMBERS Lew Hollander Physicist. Ironman competitor. Daily heart-pumper. Octogenarian. 81 Lew’s age in 2011 when he became the oldest man to complete the Ironman, a race that consists of a 2.4-mile swim, a 111-mile bike ride and a 26.2-mile run 55 30 Lew’s age when he completed his first Ironman, in 1985 Minutes per day he spends stretching } Sporty soles. Shoes with grooved treads and grippy soles help prevent slips and falls. 23 } Adjustable straps. Feet tend to swell as the day progresses. Adjustable straps ensure just-right comfort morning, noon and night. Number of times he’s competed in the Ironman (so far) } Arch support. Cork and rubber are often molded in the arches, which works wonders for flatter feet. IT’S ONE STEP AFTER ANOTHER. YOU JUST KEEP GOING. 365 Days per year Lew exercises 0 Number of processed or canned foods Lew eats 84 Average age to which today’s 65-year-old man can expect to live We can’t all be like Lew, but we can put our best foot forward when it comes to our personal physical fitness. Ask your doctor about what kind of exercise program might be best for you. Photo courtesy of Bakke-Svensson/IRONMAN SOLID FOOTING | Brought to you by UnitedHealthcare | 7 pg 7.indd 1 4/25/14 8:49 AM live • laugh • learn {last laugh} GO WITH THE FLOW? NO! Let’s get proactive about urinary incontinence. I firmly believe that some things should be leaked — the secret start date of an upcoming flash sale at your favorite shoe store, or an accidental deal on airline tickets to Venice for only $79. Urine, however? That’s another story. More than 20 million women and six million men have experienced UI at some point in their lives, according to the National Institutes of Health. But contrary to popular myth, UI is not an inevitable side effect of living longer, and we do not need to settle for wearing absorbent pads and muddling through life with limited activity. UI isn’t fun, but here’s the good news: There have never been more options for managing it. Your first step? The American Urological Association encourages people to engage the help of their doctors. There is no need to be embarrassed. Simply say, “I’m having a bladder control problem. Are you the right person for me to talk to?” Your doctor may refer you to a specialist or recommend trying over-the-counter patches and prescription medications. If you prefer a more proactive approach, specialized physical therapy may help you resolve your UI issues without surgery or medication. There are many alternatives to accepting UI as untreatable. The sooner you talk to your doctor, the sooner you can get back to the dry life, where leaks are reserved for roofs, government officials and stock options. And when you stumble upon those $79 tickets to Venice, you can rest assured that the term “watery” describes the city — not you. Gretchen Gross is a clinical instructor at the University of Vermont College of Medicine. Want to learn more? Check out our infographic and humorous but helpful video on urinary incontinence at renewMedicareRx.com. 8| pg 8.indd 1 “Life is what we make it.” – Grandma Moses 4/25/14 8:54 AM HAVE YO HEARU D? We’re always looking for ways to help our members save. Member Perks from UnitedHealthcare offers exclusive savings on dozens of healthier foods and over-the-counter products. UnitedHealthcare makes it easy to tailor your savings to your own shopping list. Print the coupons you know you use or download them to your favorite store’s loyalty card. Offerings from your favorite retailers and manufacturers are updated frequently, so check back often. These exclusive deals are designed to help improve your wellness and your wallet. Stocking up on healthier items has never been simpler. For more information, sign in or register at UHCMemberPerks.com/magazine. Choose the “Register Now” button to create an account, then select the “my Member Perks” tab. REASONS to play video games 1 In a 2013 study from the University of California, San Francisco, participants who played a specially designed racing game saw a sharp uptick in their ability to multitask, while also seeing gains in both working memory and focus. 2 People age 63 to 92 who played video games tested higher for social function and lower for depression than non-gamers, according to 2013 North Carolina State University research. 3 You can “game” on the go on your smartphone, tablet or laptop. Try solitaire or Bejeweled. | Brought to you by UnitedHealthcare | 9 pg 9.indd 1 4/25/14 8:55 AM Look in the mirror and meet Dr. You. Use the helpful tips that UnitedHealthcare offers to become Dr. You, your strongest health advocate. How to Avoid a Hospital Readmission When health issues get serious, it’s important to have good hospital care. But you don’t want to find yourself back in the hospital soon after being discharged. Instead, follow these tips to help you stay healthy and stay home: Find a primary care provider. Having a doctor who knows you and sees you regularly can make a big difference to your health. If you don’t already have one, find a doctor you trust. Make sure you feel comfortable asking him or her questions. Whether you're going home or to a friend's home when you leave the hospital, have a plan in place for when you are discharged. (See the “After” list on page 11.) Let your caregivers know what you will need when you are discharged. Have one of them in the room with you when you are talking with your care team. Better yet, encourage your caregiver to take notes or even record the conversation to ensure that no details are missed. Avoid any confusion about post-op medications by getting detailed instructions — in writing — about what to take, what not to take and when to take medicines. And remember to inform your doctor about all the prescription medications you're already taking, including those not related to your hospital stay. Did you know? Sites like signupgenius.com can help your family coordinate your care. pg 10.indd 1 4/25/14 8:54 AM JEF F Q&A: Before: Q: How do I cope with all the changes in my life? } Be sure to get pre-operation tests as suggested by your doctor. } Arrange for any medical equipment or home care help you will need. } Confirm who will drive you home and stay with you for the first 24 hours. } Get written instructions, a phone number to call for advice, and medications. After: } Follow all post-op directions. } Take prescriptions as directed. } Let someone stay with you for 24 hours even if you’re feeling fine. } Go for your post-operative checkup. } Ask your doctor when you can resume normal activities. Emergency Surgery: Be ready if an accident or illness makes emergency surgery necessary. Carry a list of your doctor’s name and phone number, family phone numbers, medical issues, medicines and any allergies to medicines. . M.D F, Your Surgery: What to do? EYERHO YM F E R EMOTIONAL HEALTH A: Your world naturally changes as you age. While many changes are positive, others can be more challenging. Your body and mind may not work as well. It hurts to lose loved ones. But a positive outlook can work wonders. Look for inspiration in nature and books. Spend time with people who make you laugh. Make new friends — even if it’s been years since you’ve tried. Q: Can exercise really help my mood? What if I can’t handle it? A: No matter what your physical limitations, there is some activity you can do safely, whether it’s walking, gardening or just stretching. The important thing is to move. Getting the blood flowing actually changes the chemistry in your brain. It can help lower your stress and promote better sleep. Ask your doctor what kind of exercise is right for you. Q: It’s bothering me that I seem to be becoming more forgetful. What can I do to boost my brain health? A: It’s natural to have a harder time remembering things as we age. But there are ways for you to take more control of your brain health — and there’s a good chance you’ll feel more upbeat overall as a result. This issue of Renew magazine includes an inspiring list of “Brain Boosters” — 26 to be exact! Choose a couple items from the list (on page 18) to try right away. After all, why wait? Q: Feeling “blue” is just a normal part of life, right? A: No. If you have little energy and don’t enjoy things you used to, talk to your doctor. You may have depression, a serious but treatable illness. Jeffrey Meyerhoff, M.D., National Medical Director, UnitedHealthcare Medicare & Retirement, OptumHealth Behavioral Solutions. | Brought to you by UnitedHealthcare | 11 pg 11.indd 1 4/25/14 8:55 AM TRAVEL | SAVANNAH, GA A Stroll Through Savannah BY ANNABELLE CARR It’s hard to imagine a better walking city than Savannah, Georgia. An urban grid of 22 lush public squares allows visitors to stroll through nearly three centuries of history and architecture. Bonus: The park-like squares have benches — and loads of historic plaques — making it easy to take in this Southern city at your own pace. So put on your walking shoes and get started! 12 | pg 12.indd 1 DAY 1 To experience the heart of the South’s Hostess City — and get your bearings among the squares — start at bustling Forsyth Park, where ancient oaks drip with Spanish moss. Grab a latte or a vegetarian snack at the earthy Sentient Bean, then stroll north along Bull Street toward the Savannah River. Among the many breathtaking pre-Civil War homes and gardens, you’ll pass several landmarks from “The only disability in life is a bad attitude.” – Scott Hamilton 4/25/14 8:56 AM FLAME AZALEAS ARE A SAVANNAH NATIVE. Explore your hometown by foot. Check your local Parks Department for walking tours. the bestseller (and subsequent movie) Midnight in the Garden of Good and Evil, including Monterey Square’s Mercer Williams House Museum. When you get to Madison Square, pop into E. Shaver, Bookseller; then dig into your new page-turner at Public Kitchen and Bar, perched at a busy street corner where you can watch passersby over a bowl of creamy shrimp and grits. Farther along, towering over the northeast corner of Oglethorpe Avenue, the Juliette Gordon Low Birthplace is a stunning landmark that honors the founder of the Girl Scouts with a memorable home tour. Just across its namesake park and left on State Street, Wright Square Antique Mall is a must-stop for lovers of vintage treasures. You’ll soon glimpse the gold dome of City Hall ahead, marking the city’s steep descent to the Savannah River. (Look for the elevator to the right if you’d rather not navigate stairs.) But locals are just as likely to skip the descent and turn right for a delicious dinner at Vic’s on the River, where cargo ships the size of city blocks glide effortlessly past, bound for one of the biggest ports on the eastern seaboard. DAY 2 Most of Savannah’s best house museums open at 10 a.m., which will give you time to enjoy the homemade scones at your bed and breakfast. Walk off the carbs on your way to Columbia Square to explore the Isaiah Davenport House, the place where Savannah’s historic restoration movement began. Due west on State Street, the Owens-Thomas House allows you inside one of America’s best examples of English Regency architecture. (Admission here can also get you into the Telfair Museums’ two art treasuries, a halfmile due west on Telfair Square.) If you’ve seen enough history, make your way north on Abercorn to Broughton Street, Savannah’s “Main Street” and a pleasant detour for shopping and eating. Turn left to lose yourself in well-curated treasures at The Paris Market, buy house-made bath products at Nourish, sample healthful honey at Savannah Bee Co. or invest in local statement accessories at Satchel and Zia Boutique. Turn right for secret-recipe treats at Leopold’s Ice Cream, an old-timey parlor filled with signed movie posters from owner Stratton Leopold’s life as a Hollywood producer. As dusk settles in, head one block north on Whitaker Street to Circa 1875, a gorgeous gastropub that’s steeped in historic atmosphere. The dining room is lovely, but locals often eat their cassoulet or hamburger au poivre with truffle fries at the warm wood bar, where the darkened room is abuzz with cheerful gossip. If you like a heart-healthy glass of wine after dinner, you can sip while you stroll according to city law (as long as you stay north of Jones Street). When your feet get tired, hitch a Savannah Pedicab back to your hotel. Your peddler is likely to be a local art student with plenty more creative insights on how to make the most of your time in America’s 13th colony. Annabelle Carr is the editor of Savannah Magazine. Walk This Way Wherever your travels take you, be sure to walk once you get there! Hoofing it allows you to get up-close and personal with local landmarks. But your body benefits, too. A 2013 study published in Diabetes Care found that walking can lower your rate of weight gain. Other benefits? Walking can reduce dips in energy and enhance your mood. | Brought to you by UnitedHealthcare | 13 pg 13.indd 1 4/25/14 8:55 AM New Adventures with By Deborah Caulfield Rybak // Photos by Dan Hallman With a whip-smart take on staying mentally sharp, one of America’s alltime favorite talk show hosts proves he’s as fit, fun and friendly as ever. egis Philbin may not be actively pursuing the title, but he might as well be the poster boy for lifelong brain health. At 82 years old, Philbin (known to many in the industry as the “hardest working man in show business”) is keeping his brain nimble by firing endearing wisecracks during his frequent appearances on the Late Show with David Letterman, R 14 | pg 14.indd 1 cooking up a storm on The Rachael Ray Show and acting opposite fellow superstar Betty White in Hot in Cleveland. For Philbin, continually learning and growing is key to staying active throughout every season of life. “Let’s face it,” the former Who Wants to Be a Millionaire host tells Renew. “The brain is everything. You must stay active in “A day without laughter is a day wasted.” – Charlie Chaplin 4/25/14 1:58 PM NEW ADVENTURES WITH REGIS Dubbed the “hardest working man in show business,” Regis Philbin has dedicated his more than 50-year career to mentally and emotionally challenging himself. pg 15.indd 1 4/25/14 8:56 AM The brain is everything. You must stay active in your thinking, reading, listening and learning. your thinking, reading, listening and learning. It all helps.” That attitude is why Philbin quickly dismissed talk about his “retirement” when he stepped down from Live! With Regis and Kelly in 2011, bringing his 50-year career as a TV mainstay to a close. After years of talking about the news of the day — never with a script — the idea that he would somehow come to a complete stop mentally was unthinkable to Philbin. But he was ready to set aside the “mental and physical stress of such a demanding career.” Indeed, Philbin seems to have instinctively pursued a calmer (yet equally invigorating) path as he’s redefined his career throughout the past few years. “I do enjoy staying in touch with the business,” he admits. Today, Philbin’s show business work aligns closely with his personal passions and interests. Take competitive sports, for example. The admitted sports junkie hosts Crowd Goes Wild on Fox Sports 1 to indulge his love of football and baseball (he’s a huge fan of both the Notre Dame Fighting Irish and the Yankees), something he claims he wasn’t allowed to talk about much on the morning show. “Kathie Lee was known for looking at her nails when I talked sports,” Philbin once joked. “Kelly Ripa would look at her shoes.” Another personal passion? Cooking for his wife, Joy. It was in that spirit that he decided to start joining food phenom Rachael Ray in the kitchen of her daily televised talk show whenever possible. Philbin thinks it’s fun, yes — but he also believes in keeping his brain finely tuned by learning new skills. Philbin sings whenever he can (the wine cellar in his Greenwich, Conn., home is named after Dean Martin) and still enthusiastically pursues his other great love: the rant. “I was recently asked by WOR Radio in New York to take one minute and rant on anything I want to say about what’s going on in [New York City] or this country,” he explains. “You’d be Cook like Regis: Do you share Regis’s love of cooking? Don’t miss “Food for Thought” on page 22. pg 16.indd 1 4/25/14 8:56 AM NEW ADVENTURES WITH REGIS Pursue your passions to stretch and strengthen your mind. And, like Regis, try to discover new interests along the way! surprised how getting something off of your shoulders makes you feel. I’m loving it!” When it comes to embracing his 80s, Philbin is equal parts realistic and optimistic. “I hate to say it,” he confesses, “but the older you get, the tougher it is to stay fit under any circumstances. That’s no secret. But there are many ways to keep your mind going. Certain TV shows, movies, the newspapers. Watching the news and reading keeps you in touch. As for the physical end, I’ve spent all of my years in a gym lifting weights, running on treadmills and hoping to stay strong.” Perhaps the biggest plus for Philbin’s mental health is his relationship with his wife, Joy, which is now going on its fifth decade. They work at keeping mentally and physically fit as a team. “We both go to the gym together most of the time,” Philbin says. “We read the papers every day, and occasionally, Joy gives me a kiss and a hug.” With classic Philbin timing, he delivers the kicker a moment later: “Once every year.” Los Angeles Times reporter Deborah Rybak has covered the entertainment and movie industry for 10 years. PHILBIN FACTS The secret to Regis Philbin’s lifelong zest is keeping busy and trying new things. Here’s a glimpse into some of the life roles that have allowed him to do just that. FATHER Dad to four children: Amy, Joanna, J.J. and Daniel. MOVIE BUFF Heading to the cinema is his favorite leisure activity. TELEVISION MAINSTAY He’s spent nearly 17,000 hours in front of TV cameras, according to the Guinness Book of World Records. TENNIS PLAYER It’s his favorite sport to play. FITNESS ENTHUSIAST He exercises five days a week. HOST WITH THE MOST He hosted “Live!" for 28 years. AUTHOR He’s written three books: How I Got This Way, I'm Only One Man! and Who Wants to Be Me? EMMY WINNER He’s brought home five. SINGER He once sang a “Rudolph the Red-Nosed Reindeer” duet with Donald Trump on a Christmas album. SUPER FAN He follows the Notre Dame Fighting Irish football team with fervor. (It’s his alma mater.) ADMIRER “David Letterman has all the mental acuity one needs to do an interesting talk show every night,” Philbin says. | Brought to you by UnitedHealthcare | 17 pg 17.indd 1 4/25/14 9:29 AM A–Z BRAIN boosters BY BLAKE MILLER The brain is an amazing thing. It is the body’s Grand Central Smart eats: Get schooled on brainhealthy foods on page 22. Station of function, thought and memory. It’s what makes you you — which is why it’s necessary to keep your most important organ functioning at its peak. “People used to be taught that you were born with one set of brain cells,” says Vonda Wright, M.D., author of Fitness After 40: How to Stay Strong at Any Age and Guide to Thrive. “But we know now that’s not true. There’s never an age or skill level where we can’t maintain or rebuild our brains and bodies. Age is not a barrier.” Read on to see what easy steps you can take today to improve your health, memory and cognitive function. 18 | pg 18.indd 1 “A person who never made a mistake never tried anything new.” – Albert Einstein 4/25/14 9:36 AM A-Z BRAIN BOOSTERS A nything. As in doing anything you can to keep your brain strong and memory sharp. “I do everything to keep my mind healthy,” says Michael Roizen, M.D., chief wellness officer of the Cleveland Clinic. “I eat a Mediterranean diet, I exercise, I try to get more sleep than I ever have and I'm constantly exposed to new things.” B rain Games. Test your skills at renewMedicareRx.com with quick and fun brain games designed to adapt to you; once you pass certain levels, the games get more challenging. C offee. Love your daily cup of Joe? Drink up! In 2013, Nature Neuroscience reported that drinking coffee improved participants’ long-term memories just 24 hours after consumption. D ance. A 2011 study in the Journal of Sports Science and Medicine found that adults who learned to dance the cha-cha twice a week for six months showed marked improvement in memory and cognitive ability. E ngage. “Mental activities like reading, watching the news and volunteering help the mind to stay active and healthy,” says Mustafa Husain, M.D., a vice chair in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center. F ish. A 2013 University of Exeter Medical School study shows that a Mediterranean diet — one that’s chockfull of fruits, vegetables, whole grains, legumes, poultry and plenty of fish — may lower the risk of developing dementia. The goal: Eat fish one to two times per week. exercise improved memory consolidation in both healthy adults and those suffering from cognitive decline. J aques-Dalcroze Eurhythmics. Last year, Swiss researchers found that participation in a six-month eurhythmics class (where adults performed tasks such as walking to the rhythm of a piano while playing a percussion instrument) showed improved cognitive function and decreased anxiety. K oogle. “Simply Googling a subject matter you don’t know anything about will keep your brain stimulated,” says Wright. Did your granddaughter just start judo lessons? Spend 30 minutes online to get schooled on her new passion! “Kick It” into Higher Gear. According to Roizen, exercising for at least 20 minutes three times a week may have positive effects on the hippocampus, the section of the brain where your memory is processed. H L G ave Fun with Friends. “Establishing important social ties is a key aspect to remaining mentally vibrant,” says Sandra Bond Chapman, author of Make Your Brain Smarter. “Your mind hates status quo, so align with fellow adventurers to discover new areas of interest.” I nterval Training. Scientists at University of California Irvine’s Center for the Neurobiology of Learning and Memory reported in 2009 that short bursts of moderate augh. Love to clown around? Keep at it! Prevention magazine reported in 2011 that humor yields big brain benefits, including improving your memory and exercising your brain. M agnesium. Loading up on magnesium-rich foods (such as pumpkin seeds, soy beans, brown rice and bananas) can potentially reverse middle-age memory loss, according to 2010 MIT research. | Brought to you by UnitedHealthcare | 19 pg 19.indd 1 4/25/14 9:36 AM A-Z BRAIN BOOSTERS Read up: Learn more about brain science with The Brain That Changes Itself by Dr. Norman Dodge. N Q uit Multitasking. “Our brain is not wired to do more than one thing at a time,” explains Chapman. “Multitasking fatigues the brain and reduces productivity and accuracy." W O R hale. That blissful state of happiness and peace often achieved through breath-focused meditation can also increase blood flow to the brain. “As you practice regulating your attention and emotional response, you improve your ability to pay attention and regulate your emotions,” says Majid Fotuhi, M.D., in his book Boost Your Brain. ap. A 15-minute nap just might make your brain healthier, say Georgetown University researchers who recently suggested that our brains at rest are organizing memories and information critical for cognitive function. rgasm. “Mental exercises increase brain activity but only in relatively localized regions of the brain," reports Rutgers researcher Barry Komisaruk. “Orgasm activates the whole brain.” P ilates. “I meditate and practice Pilates three times a week,” says Naomi Judd. The Grammy Award–winning country singer also reads often to keep her “brain and memory healthy and strong.” REWIRE YOUR BRAIN BY TRYING ONE OF THESE “TOP 10” HOBBIES: Volunteering Playing Sports Gardening & Cooking Dancing Walking Travel Stretching, Yoga, Pilates Restoration (think tinkering) Swimming Creating (artful hobbies) Source: discoveryfitandhealth.com 20 | pg 20.indd 1 ap. “Memorizing new lyrics to songs, even rap, strengthens your mind,” says Wright. “It’s also a great way to connect with your grandkids!” S tress-Free. “The events of stress aren’t what age us; it’s our reaction to those events,” explains Roizen. T ea. Green tea may help boost brain cell production to aid memory, according to research published in Molecular Nutrition & Food Research in 2012. U nwind. “Make brain downtime a priority,” says Chapman. “Step away and disengage at least five times a day to free your mind for that next ‘aha’ moment.” V ino. It appears a glass of red wine a day does a body good. According to a 2011 study out of the Mount Sinai School of Medicine, polyphenols, antioxidants found in red wine, may reduce your risk of Alzheimer’s disease. atch Your Media Intake. In her Living the Good Long Life, book lifestyle guru Martha Stewart says, “I know that when I have too much input, there’s less output from my mind.” X Y ou. What interests you? Take the time to learn new hobbies and activities that you’ve always wanted to try. “We rewire our brains every day by how we use them,” says Chapman. Z zzzs. “Studies suggest that a good night’s sleep helps foster both mental and emotional resilience,” reports Harvard Health Publications. Blake Miller has written for SELF, Glamour, Women’s Health and Redbook. She lives in Charlotte, N.C. “It is never too late to be what you might have been.” – George Eliot 4/25/14 9:36 AM ALZHEIMER’S DISEASE | ASK THE EXPERT About Alzheimer’s Ruth Drew, Director of Family and Information Services at the Greater Illinois Chapter of the Alzheimer’s Association, sheds light on the disease. By Stephanie Ash Q At what point are most people diagnosed with Alzheimer’s? It really is all over the map. More people are getting diagnosed earlier. Earlier diagnosis can help families have time to plan, organize care and prevent some of the crises that can happen when they don’t know what’s coming. When you know what you’re dealing with, you can have conversations early — and the person with Alzheimer’s can have a voice. Q Why is Alzheimer’s sometimes recognized late? People often miss early signs or don’t really want to see the signs. And some people don’t know that Alzheimer’s is not a typical part of aging. But then something happens when you have to say, “No, this is not normal.” That said, there are some conditions that can look similar to Alzheimer’s but are treatable or curable. The point is, it’s always important to get a diagnosis. Q When are caretaking decisions typically made? It tends to be in the middle or late stages, but it’s different for every family. Some Alzheimer’s patients in the middle stages get anxious, and their families may therefore need to make changes earlier. At some point family members say, “We can’t do a good job at this anymore.” A change may be bringing a caretaker into the home. Or maybe it’s adult day care services or assisted living. My grandfather had Alzheimer’s. He was a strapping 6-foot-tall Swede. Providing all of his care became more than my grandmother could physically do. But it’s very hard to make that decision. Q Why are social connections important? It’s easy to get isolated and not do the things you used to do. So family and friends of people with Alzheimer’s should find ways of engaging them in meaningful activities. We all have a need for human connection. When people have that, when they are treated as individuals instead of as a disease, they tend to do better. Stephanie Ash is a Minneapolis freelance writer. Get involved: The Alzheimer’s Association has 80 chapters throughout the country. Visit alz.org to find one near you. Want to keep your brain muscles pumped up? Try a few fun, interactive BRAIN GAMES online at renewMedicareRx.com. | Brought to you by UnitedHealthcare | 21 pg 21.indd 1 4/25/14 9:37 AM FOOD FOR THOUGHT What can a tuna sandwich or a square of dark chocolate do to help improve brain function? More than you might think. BY JULIE KENDRICK pg 22-24.indd 1 4/24/14 1:10 PM Water CHEW ON THIS: You might be able to eat your way to a sharper brain. The American Journal of Clinical Nutrition suggests that wise food choices can fuel our brains to work better, sharpen our memory, improve our concentration and may help prevent conditions such as Alzheimer's disease or dementia. The best news? You can find all these high-nutrient foods at your local grocery store. Total Body Benefits Just like your body can suffer from eating poorly, so can your brain. If your diet doesn’t have a good balance of essential nutrients, it can put a damper on your ability to remember important topics and stay focused. And, since a “brain-healthy” diet is naturally high in better-for-you choices, eating foods that are good for your brain may also help your heart. Keeping your blood vessels open and healthy helps oxygen and nutrients get to your brain, your heart and your entire body. “The triangle connecting a healthy heart, a healthy brain and a healthful diet has a strong scientific base,” says Irwin Rosenberg, M.D., a professor of nutrition at Tufts University. Breakfast Boosters Eating a healthy morning meal can help keep short-term memory and attention at top performance levels all day long. Superstar foods for the brain include high-fiber whole grains, lean protein and whole fruit. Tomorrow morning, try replacing your go-to Danish with fresh fruit and a wholegrain bagel topped with salmon. And don’t skip that cup of coffee. The mild stimulant found in coffee and some teas improves mental acuity and boosts your ability to concentrate. pg 22-24.indd 2 Nutritionist and member of the Dr. You Health Team Amanda Albers advises patients to follow a simple “8x8” rule: Drink eight 8-oz. glasses of water every day. Dark Chocolate Not only does it pack powerful antioxidant properties, but dark chocolate also contains natural stimulants like caffeine, which can help maintain mental sharpness. An ounce a day is enough to yield benefits. THE FAB ADDING THESE BRAIN BOOSTERS TO YOUR DIET IS EASY! Leafy Greens A recent study from Harvard Medical School found that women who reported eating the largest amount of leafy greens and vegetables such as broccoli had a markedly lower rate of declining brain function compared with those who ate the least. Deep-Water Fish Salmon, sardines and herring are rich in the omega-3 essential fatty acids EPA and DHA, which are essential for brain function. EPA and DHA are also linked to a lower risk of dementia, along with improved focus and memory. 4/25/14 1:05 PM Easy Meal Additions What should you reach for the rest of the day? Diets that include a variety of fruits and vegetables help ensure that you get enough potassium, a mineral important for healthy blood pressure levels, which in turn helps to protect the brain and heart. All fruits have healthful properties, but blueberries (dubbed “brainberries” by admiring researchers) are especially beneficial to cognitive health. Eat them fresh, frozen or dried. Another powerhouse brain booster is spinach, which contains lutein. According to Elizabeth Johnson, M.D., of the Jean Mayer USDA Human Nutrition Research Center on Aging, lutein, which may improve brain performance, is also found in leafy greens as well as winter squash, corn, peas, broccoli, pistachios and egg yolks. Other foods that contribute to overall brain health include deep-water fish (stock up on tuna!) and good monounsaturated fats, such as those found in olives and tree nuts. A 2013 study in the Annals of Neurology found that women who consistently ate more healthy fats from nuts and olive and canola oils scored higher on cognitive function tests and were determined to be at a lower risk of mental decline. To get more monounsaturated fats in your diet, cook with vegetable oils like olive and canola, snack on tree nuts like walnuts and almonds, and swap out mayo and cheese for pureed avocado on your sandwiches. Eat Just Enough It’s also important to pay attention to portion size, since eating too much or too little can impact mental focus. While everyone knows that a rich and heavy meal can sap your energy, it’s also true that too few calories can result in distracting hunger pangs. The Japanese chain of islands called Okinawa has some of the longest-living, healthiest people on Earth. People there say “hara hachi bu” before every meal, which means, “Eat until you are 80 percent full.” The Mediterranean Model Folks in the sunlit Mediterranean countries have the right idea about diet and health. A 2012 study of 1,000 older Americans found that men and women had less damage to the small blood vessels in their brains when their diets included these Mediterranean trademarks: eating more fruits, vegetables, legumes, cereals and fish; mild to moderate alcohol intake; more monounsaturated fats than saturated fats; and eating fewer meat and dairy products. Small Changes, Big Benefits The best news about all this research is that so many of these smart-choice foods are also low-cost, widely available and delicious. Add just one or two of them to your regular meals and you’ll be on your way toward a healthier brain — and a stronger body, too. SIMPLE GREEK SALAD RECIPE ½ head of lettuce (green leaf, red leaf or romaine) cut into thin strips ½ cucumber, chopped ½ cup chopped tomatoes 1 15.5-oz can chickpeas (garbanzo beans), no salt added, drained and rinsed ½ red onion, finely sliced ½ cup crumbled fat-free or low-fat feta or shredded Parmesan 2 tablespoons extra virgin olive oil 2 tablespoons red wine or cider vinegar ½ teaspoon garlic powder ½ teaspoon black pepper 1. In a large bowl toss lettuce, cucumber, tomatoes, chickpeas, cheese and onion. 2. In a small bowl whisk olive oil, vinegar, garlic powder and pepper. 3. Pour dressing over salad mixture and toss. If desired, garnish with hard-boiled egg and Kalamata olives. Source: American Heart Association 24 | pg 22-24.indd 3 “People who love to eat are always the best people.” – Julia Child 4/25/14 1:05 PM ANNUAL WELLNESS VISIT | HEALTH CHECK Your Path to Wellness WHAT'S AN ANNUAL WELLNESS VISIT? Stay on track with your annual wellness visit. Quick quiz: Who’s the most important member of your health care team? (Hint: It’s the person who knows you best.) That’s right, you play the biggest role in making sure you get the care you need. But life is busy, and it can be hard to focus on your health — especially if you’re already feeling good. That’s why it’s so important to create your path to wellness with a proactive personal wellness plan. Your path to wellness follows three steps: 1 2 Prepare for good health by scheduling your annual wellness visit. 3 Maintain your prevention plan throughout the year by following up with necessary visits/exams. Act by working with your doctor at your wellness visit to create a personal wellness plan. Annual wellness visits are designed to lead you to an important goal: better health and well-being so you can enjoy life to the fullest. What to Expect During your annual wellness visit, your doctor will check your blood pressure, height and weight, and physical and emotional well-being. This is a pg 25.indd 1 Your annual wellness visit is an important part of your overall personal wellness plan. If you’re new to Medicare, your medical benefits include a one-time Welcome to Medicare visit during the first 12 months of coverage. After that, you can see your doctor for an annual wellness visit every 12 months. These visits are available at no additional cost to you and consist of a review of your medical history. Your doctor will also do a height, weight and bloodpressure measurement and provide counseling about preventive services and healthy behaviors. great chance for you to ask questions such as: } What can I do to help maintain or improve my overall health? } What types of physical activity are right for me? } Are the drugs, supplements and/ or vitamins I’m taking appropriate for me? } What screenings, immunizations or vaccinations do you recommend? By getting regular preventive care and taking control of your well-being, you can enjoy the peace of mind that comes with knowing you’re following doctor’s orders — the orders of the brilliant Dr. You. 4/25/14 9:37 AM KEEP MOVING | YOGA Stretch Your Mind Looking for a big-benefits way to keep your brain on its toes? Try yoga. BY EMILY GURNON More than 15 million Americans practice yoga, according to Yoga Journal — and nearly 20 percent of them are age 55 or older. You might be one of them. But do you know yoga’s full health benefits? Terrie Arfi does. She’s been a yoga instructor for decades and is well-acquainted with its healthful effects on her body and her stress levels. She also knows what others may just be discovering: that yoga’s combination of stretching, breathing, fitness and meditation can be just as good for your brain. “When I’m learning a new pose, I have to think about it and break down the steps of what I’m doing,” the 67-year-old says. It helps her stay sharp. Arfi sees the brain benefits of yoga frequently in her classes, including one especially for people with memory loss. “They need to practice following the instructions,” she says, like lifting one arm and pg 26.indd 1 then the other, “and that keeps their minds more alert.” Science backs her up: A 2013 study at the University of Illinois at Urbana-Champaign found that cognitive performance after a 20-minute yoga session was “significantly superior” to that after 20 minutes of aerobic exercise. YES, YOU CAN BE A YOGI! Despite its reputation for tricky balances and pretzel-like poses, yoga can be enjoyed by everyone. It’s also affordable (try instructional DVDs or inexpensive classes at many community and senior centers). Don’t let physical limitations stop you — some instructors provide chairs and other props to make the movements less challenging. As with all exercise programs, be sure to find an instructor who is properly trained, and always talk to your doctor before beginning any new exercise program. Before you know it, you’ll be listing yoga as one of your favorite hobbies. Emily Gurnon is a health and lifestyle writer whose work has appeared in the San Francisco Examiner. Read up: Get an in-depth look at the benefits of yoga by reading Your Brain on Yoga, by Harvard Neuroscientist Sat Bir Khalsa, PhD, with Jodie Gould. 4/25/14 9:36 AM BRAIN BOOSTER HOW WELL DO YOU KNOW YOUR State Names? 1 5 8 What state name is first alphabetically? Which four state names begin and end with the same letter? Two letters of the alphabet each start eight state names. What are those letters? 2 9 Alphabetically, what state name follows Iowa? 3 Which four state names end with an “o”? 6 Which four state names begin with the word “New”? Alphabetically, what state name precedes Rhode Island? 10 Which three state names have only four letters? 7 4 Which two state names end with a “t”? If spelled backward, what state name would be first alphabetically? (Find answers on page 28.) Check out fun, interactive brain games available only to UnitedHealthcare members at renewMedicareRx.com. BRAIN FITNESS 101 Sharpen your mind with brain training. We can do situps to strengthen our abs, squats to tone our legs and lift weights to improve our arms. But what can we do to give our brains a focused, results-driven workout? The answer is brain training. Unlike brain games, which are played mainly for fun (think crossword puzzles), brain training is more like taking your gray matter to the gym for targeted exercises designed to help improve attention, focus, memory and brain speed. BrainHQ, designed by neuroscientists at Posit Science, is one such online training program. “What sets BrainHQ apart is our commitment to science,” says Dr. Michael Merzenich, Posit Science’s chief scientific officer. “More than 70 published scientific papers show that using BrainHQ improves cognitive function. And those brain changes may enhance the quality of everyday life.” Did you know? Watch a helpful video about BrainHQ by visiting positscience.com and clicking on “Why BrainHQ.” | Brought to you by UnitedHealthcare | 27 pg 27.indd 1 4/25/14 9:37 AM NOTEWORTHY | INFO + ANSWERS BRAIN BOOSTER Answers: 1. Alabama; 2. Kansas; 3. Colorado, Idaho, New Mexico, Ohio; 4. Vermont, Connecticut; 5. Ohio, Alaska, Arizona, Alabama; 6. New Hampshire, New Jersey, New Mexico, New York; 7. Florida; 8. “M” and “N”; 9. Pennsylvania; 10. Iowa, Ohio, Utah. 28 | pg 28.indd 1 Please let us know if you no longer wish to receive Renew magazine. To remove your name from the Renew magazine mailing list, write us at UnitedHealthcare Renew, P.O. Box 410018, Kansas City, MO 64141-0018. Please be sure to give us your name, full address and your UnitedHealthcare member ID number. This publication is for informational purposes only and does not replace the care or advice of a doctor. Always talk with a doctor before beginning any exercise program, therapy or medication. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan's contract renewal with Medicare. AARP® MedicareRx Plans carry the AARP name, and UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. The products and services described are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the UnitedHealthcare grievance process. © 2014 UnitedHealth Group Incorporated “I never dreamed about success. I worked for it.” – Estée Lauder 4/25/14 9:38 AM FORGETFULNESS | ASK DR. REED Ask Dr. Reed Forgetfulness Q: Lately, I’ve noticed my memory seems to be slipping. What can I do about it? A: We all forget things sometimes (where we set our car keys, for example). Sound familiar? That’s because minor forgetfulness is normal and becomes more common with age. But that doesn’t mean it can’t be worrisome. Folks often tell me that serious memory loss is one of the things they’re most afraid of. And it’s no wonder — about 6.8 million Americans have dementia, including 5.2 million with Alzheimer’s disease. We all need to know how to recognize when simple forgetfulness becomes the first sign of something more serious. Be sure to see your physician if you or a loved one has some of the following warning signs: } Forgets how to perform basic tasks, like making change. } Gets lost in familiar places. } Neglects hygiene or safety. } Frequently repeats stories. } Has memory loss that disrupts daily life. Get a handle on your memory health with helpful tools and articles at renewMedicareRx.com. Give mental muscles a good workout every day to help keep your brain in tip-top shape: Learn a new skill, read regularly, exercise, eat a healthy diet and play thinking games, such as Scrabble or chess. If you are suffering from memory loss, there are some simple things you can do to help lessen the impact that it has on your life: } See your physician for a checkup and medication review. } Use daily to-do lists. } Put your wallet, keys and glasses in the same place each day. There’s no need to be scared or ashamed about memory loss. But you do want to take action. The earlier you detect memory loss, the better chance you have of stopping or even reversing it. It could even be as easy as changing medications. In short, put Dr. You in charge of your mental health just like you do your physical health. That way, you can get the help you need to stay sharp. Clarification from Renew “Your Health Team” article A physician assistant (PA) is a medical professional who works as part of a team with a physician. They are trained to perform physical examinations, diagnose and treat illnesses, order and interpret lab tests, perform procedures, assist in surgery, prescribe medications and provide patient education and counseling under the supervision of a physician. | Brought to you by UnitedHealthcare | 29 pg 29.indd 1 4/25/14 9:37 AM YOUR HEALTH, YOUR WEALTH | MONEY HOUSEKEEPING DO AN MRI ON YOUR FINANCES. Money Housekeeping A you-can-do-it checklist for getting organized — and gaining peace of mind. By Caralee Adams M any of us have folders with bills here, a drawer with bank statements there, and a safe deposit box stuffed with our important documents. If that mounting paperwork is stress- 30 | pg 30.indd 1 ing you out, it’s time to take a financial inventory. Making a list of what you have, what you pay monthly, and where you keep your legal documents can give you peace of mind — and give your family a head start should they ever have to step in and help you manage your affairs. “The mental burden of worrying isn’t worth it,” says Kerry Hannon, a Washington–based retirement and personal finance expert and author. “The only journey is the journey within.” – Rainer Maria Rilke 4/25/14 9:38 AM Clip & Save Money Housekeeping Checklist Instead, Hannon recommends doing an “MRI on your finances” to get a clear picture of expenses and income. If the job seems too overwhelming to tackle on your own, consider hiring a fee-only financial planner to help. So where do you start? Use the clip-and-save checklist on this page to tackle one item every few days. Then look back and say, "This is what I accomplished," advises life transitions expert and author Bart Astor. "Ultimately you'll feel better — and feel protected." Caralee Adams is a financial writer who's written for The Wall Street Journal and Family Circle. Legal documents. Get your will and power-of-attorney paperwork in order. For your will, you need to choose an executor to manage your estate. (Be sure to ask the person if he or she is willing to take on the responsibility.) A power of attorney might be the same person, or maybe you’ll choose a different relative or trusted adviser to make financial or health care decisions on your behalf while you are alive. Income statements. Chronicle all the sources and amounts of your regular income (pension, Social Security, dividends or other investments) and how it is disbursed (automatic deposit, monthly or quarterly checks by mail, etc.). Use a spreadsheet or personal finance software to review the performance of your investments regularly, making adjustments to stay diversified. Regular expenses. List all your ongoing bills and whether you pay them online or by check. IT'S TIME TO TAKE A FINANCIAL INVENTORY. Account information. Write down all bank accounts, investment accounts, credit cards, loans or other financial relationships you have; provide account numbers, account names and contact information. Professional contact info. Make note of your lawyer, accountant, doctor, minister or anyone else who might need to be consulted on your behalf. Passwords. This list grows over time, but it’s really important to share it with others in case of an emergency. For every account, list all usernames and passwords. And don’t just stop at the bank accounts. Your frequent flier plans or rewards clubs are probably worth something. Safe deposit box. Make a list of everything in your box; note where both the box and its key are. Charitable giving plans. If you want to give to your alma mater or another organization, let the charity know in advance. They might be able to set up a tax-advantaged mechanism for giving. Final wishes. What are your burial wishes, including guidance for the service and your preferred funeral home? Consider an “ethical will” or letter that conveys your values, memories or final thoughts to be read to loved ones when the time comes. Checklist completed? Good for you! Now be sure to tell a trusted friend or family member where to find everything listed here and share copies of key lists and papers. | Brought to you by UnitedHealthcare | 31 pg 31.indd 1 4/25/14 9:38 AM P.O. Box 219359 Kansas City, MO 64121-7287 OTXMPEN000_OVSP18014 Y0066_140415_000315 Accepted PRESORTED STANDARD U.S. POSTAGE PAID UNITEDHEALTHCARE Health and wellness or prevention information. FIVE-MINUTE MEDITATION 2014 Johns Hopkins University research findings suggest that the practice of meditation can help ease psychological stresses like anxiety and depression. Want to test the meditation waters? Find five minutes each day for the next week to give meditation a try, and then see how you feel. HERE’S HOW: } Find a quiet place to relax. Wear comfortable clothing and play soft music if you like. } Set a timer for five minutes, then close your eyes and focus on your breath as you deeply inhale and exhale. Relax any tense muscles — even those in your face. } Focus on the present moment. When distracting thoughts enter your mind, bring your concentration back to your breathing. } When the five minutes are up, return to your day more relaxed and refreshed. pg 32.indd 1 4/25/14 11:05 AM