DEAR DR. ROACH: Over the previous yr of pandemic lockdown, I’ve labored exhausting at decreasing energy to shed weight and growing my train on an elliptical coach. I’m 5 ft, 7 inches tall and age 70. I went from 202 kilos to 149.3. My weight purpose is 145. My waistline is 25.5 inches. I’ve achieved a dimension 14 in clothes, which is what I wore in 2002. In accordance with my digital scale, my BMI is now 23.4, and based on the BMI chart, I’m now within the good “wholesome weight” vary.
Additionally, in Could 2019 I had complete knee substitute surgical procedure and imagine that decreasing my weight can be helpful to my hips, knees, ankles and ft. Due to my continued bodily remedy train, in addition to shedding the additional kilos, I really feel steadier on my ft than I’ve felt in years.
I just lately learn that “older adults have a [BMI] of between 25 and 27, not below 25,” or they run the chance of osteoporosis. My final bone density scan confirmed that I had vital enchancment of my bone density, and I’d suppose that with all this strolling on the elliptical coach (30-60 minutes day by day), it’s going to show to be at the very least pretty much as good. As well as, I do some workout routines with small hand weights. I’ve no purpose to suppose I’m amongst the 24% of “older” girls who’ve osteoporosis of the backbone, and so on.
Ought to I be content material with a weight of 149? Ought to I acquire again some fats? — P.R.
ANSWER: I believe nutritious diet and common train are rather more vital than the load or BMI, at the very least for people who find themselves not very overweight. It’s true that carrying some further weight protects to some extent towards osteoporosis, and really skinny girls are at increased danger. Nonetheless, I’m so impressed together with your exercise and accomplishments over the previous yr that I’d suggest you proceed your train and let your weight keep the place it’s. You need to proceed to get bone density scans as beneficial, however you might be fairly proper that common weight-bearing train is especially good at sustaining bone well being, together with a weight-reduction plan together with satisfactory calcium and guaranteeing good vitamin D in case you are in danger for low vitamin D.
DEAR DR. ROACH: I’m a 58-year-old male. I had COVID and was given monoclonal antibody therapy as an outpatient two months in the past. I recovered from COVID with delicate to average signs. How do I decide if I’m shielded from getting COVID once more? I’d prefer to know if I ought to get a vaccine and if that’s the case once I ought to get it. — J.D.
ANSWER: Even individuals who have had COVID-19 could get the illness once more, in order that they do profit from the vaccine. Nonetheless, due to the monoclonal antibody you bought, it is strongly recommended you wait 90 days from the monoclonal antibody therapy to vaccine administration. You need to be capable of take the vaccine in about one other month.
There may be some partial immunity that comes from getting the illness, and you might be at low danger for 90 days after an infection. It seems that the vaccine provides profit, and I’d suggest the vaccine.
Dr. Roach regrets that he’s unable to reply particular person letters, however will incorporate them within the column at any time when potential. Readers could e mail inquiries to ToYourGoodHealth@med.cornell.edu or ship mail to 628 Virginia Dr., Orlando, FL 32803.
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