DEAR DR. ROACH: Over the previous 12 months of pandemic lockdown, I’ve labored exhausting at decreasing energy to drop some weight and rising 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 objective is 145. My waistline is 25.5 inches. I’ve achieved a dimension 14 in clothes, which is what I wore in 2002. Based on my digital scale, my BMI is now 23.4, and in accordance with 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 useful 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 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 important 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 can show to be not less than nearly as good. As well as, I do some workout routines with small hand weights. I’ve no motive to suppose I’m amongst the 24% of “older” girls who’ve osteoporosis of the backbone, and many others.
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 far more essential than the burden or BMI, not less than for people who find themselves not very overweight. It’s true that carrying some additional weight protects to some extent in opposition to osteoporosis, and really skinny girls are at greater danger. Nevertheless, I’m so impressed along with your exercise and accomplishments over the previous 12 months 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 really helpful, however you might be fairly proper that common weight-bearing train is especially good at sustaining bone well being, together with a food regimen together with enough calcium and guaranteeing good vitamin D if you’re in danger for low vitamin D.
DEAR DR. ROACH: I’m a 58-year-old male. I had COVID-19 and was given monoclonal antibody therapy as an outpatient two months in the past. I recovered from COVID-19 with delicate to reasonable signs. How do I decide if I’m protected against getting COVID-19 once more? I’d wish to know if I ought to get a vaccine and in that case once I ought to get it. – J.D.
ANSWER: Even individuals who have had COVID-19 might get the illness once more, in order that they do profit from the vaccine. Nevertheless, due to the monoclonal antibody you bought, it is suggested you wait 90 days from the monoclonal antibody therapy to vaccine administration. You need to have the ability to 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 each time doable. Readers might e-mail inquiries to ToYourGoodHealth@med.cornell.edu or ship mail to 628 Virginia Dr., Orlando, FL 32803.