Baptist Health Heart Screening – Stroke Prevention Testing & Screening Near Me

Stroke Prevention  as well as Screening near me
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5 Preventive Health Screenings for these Diseases:

 

 

Carotid Artery Disease – Baptist Health Heart Screening

An ultrasound is performed to evaluate the carotid arteries (a set of capillary in the neck that supplies blood to your brain) for the build up of fatty plaque. Baptist health heart screening.  This accumulation, called atherosclerosis, is one of the leading root causes of stroke.

Carotid (kuh-ROT-id) ultrasound is a secure, painless procedure that utilizes sound waves to analyze the blood circulation with the carotid arteries. Baptist health heart screening.

Your two carotid arteries  lie on each side of your neck. They deliver blood from your heart to your brain.

Carotid ultrasound  examinations for blocked or narrowed carotid arteries, which can  enhance the  threat of stroke. Baptist health heart screening.  The outcomes can aid your medical professional establish a therapy to lower your stroke danger.

Ischemic stroke. A carotid ultrasound is  executed to  evaluate for narrowed carotid arteries, which  enhance the  danger of stroke.

Carotid arteries are usually narrowed by a accumulation of plaque – made up of fat, cholesterol, calcium and various other substances that circulate in the blood stream. Early medical diagnosis and also therapy of a tightened carotid artery can reduce stroke risk.

Your physician will certainly suggest carotid ultrasound if you have transient ischemic attacks (TIAs) or particular kinds of stroke and may suggest a carotid ultrasound if you have medical problems that increase the danger of stroke, consisting of:

  • Hypertension.
  • Diabetes mellitus.
  • High cholesterol.
  • Family history of stroke or heart problem
  • Current short-term ischemic attack (TIA) or stroke.
  • Uncommon noise in carotid arteries (bruit), found by your doctor using a stethoscope.
  • Coronary artery  condition.

To evaluate for tightened or obstructed blood vessels in various other locations of the body, you might require additional examinations, including:

 Stomach ultrasound. Baptist health heart screening.  You might have an stomach ultrasound to evaluate for conditions influencing the capillary or body organs in your abdominal location.

Ankle-brachial index examination. This test steps as well as contrasts the blood pressure in between your ankle and also your arm. The examination reveals reduced or blocked blood flow to your legs.

Heart stress test. Baptist health heart screening.  This test shows how well your heart does when under stress, such as during exercise. Outcomes can show poor blood circulation to the heart.

Baptist health heart screening.  Your physician might likewise buy imaging tests to discover coronary artery disease.

Other  uses carotid ultrasound.
Your  physician  might  get a carotid ultrasound to:.

 Assess blood flow through the artery after  surgical procedure to  eliminate plaques (carotid endarterectomy).

Review the positioning as well as effectiveness of a stent, a mesh tube made use of to enhance blood circulation via an artery.

Find a collection of clotted blood (hematoma) that might protect against blood circulation.

 Find other carotid artery  irregularities that may  interfere with blood flow.

 

 

Outer Arterial Disease (PAD) – Baptist Health Heart Screening

Baptist health heart screening.  An Ankle-Brachial Index (ABI) examination is carried out making use of blood pressure cuffs on the arms as well as legs. It is necessary to evaluate for PAD due to the fact that it enhances the danger of coronary artery illness, cardiac arrest, or stroke.

Peripheral artery  illness ( likewise called peripheral arterial  condition) is a  usual condition in which narrowed arteries  minimize blood flow to the arms or legs.

In  outer artery disease (PAD), the legs or arms–  normally the legs– don’t  obtain enough blood  circulation to  stay on par with demand. Baptist health heart screening.  This might trigger leg discomfort when walking (claudication) as well as other symptoms.

Peripheral artery condition is generally a indication of a build up of fatty down payments in the arteries (atherosclerosis). Atherosclerosis causes narrowing of the arteries that can minimize blood circulation in the legs as well as, sometimes, the arms.

 Outer artery  condition  therapy  consists of  working out, eating a healthy  diet regimen  and also not smoking or  making use of tobacco.

 Signs.
 Many individuals with peripheral artery  illness have  moderate or no  signs and symptoms. Some  individuals have leg  discomfort when  strolling (claudication).

Claudication signs and symptoms include muscle discomfort or cramping in the legs or arms that starts during exercise and also ends with rest. Severe leg discomfort may make it hard to walk or do other types of physical task.

 Various other peripheral artery  condition  signs  might include:

  • Coldness in the lower leg or foot, specifically when compared with the opposite.
  • Leg pins and needles or weak point.
  • No pulse or a weak pulse in the legs or feet.
  • Painful cramping in one or both of the hips, upper legs or calf bone muscles after particular activities, such as strolling or climbing staircases.
  • Shiny skin on the legs. Baptist health heart screening.
  • Skin shade adjustments on the legs.
  • Slower growth of the nails.
  • Sores on the toes, feet or legs that will not {heal| recover,
  • Discomfort when utilizing the arms, such as aching and constraining when weaving, writing or doing other manual jobs.
  • Erectile dysfunction.
  • Hair loss or slower hair  development on the legs.

If  outer artery  condition gets worse, pain  might occur  throughout rest or when  relaxing. The  discomfort  might  disrupt sleep. Hanging the legs over the edge of the bed or walking may  briefly relieve the  discomfort.

Causes.
Advancement of atherosclerosis. Baptist health heart screening.  Peripheral artery illness is frequently triggered by a accumulation of fatty, cholesterol-containing down payments (plaques) on artery wall surfaces. This process is called atherosclerosis. It decreases blood circulation with the arteries.

Atherosclerosis affects arteries throughout the body. When it  happens in the arteries supplying blood to the  arm or legs, it  creates  outer artery  condition.

Less  usual  root causes of peripheral artery disease include:

  • Blood vessel swelling.
  • Injury to the arms or legs.
  • Modifications in the muscular tissues or ligaments.
  • Radiation exposure.
  • Threat factors.
  • Smoking or having  diabetic issues greatly  raises the risk of developing  outer artery disease.

 

Other things that  enhance the  danger of  outer artery  condition include:.

  • A family history of outer artery disease, heart problem or stroke.
  • High blood pressure.
  • High cholesterol. Baptist health heart screening.
  • High levels of an amino acid called homocysteine, which raise the threat for coronary artery disease.
  • Increasing age, especially after 65 (or after 50 if you have threat aspects for atherosclerosis).
  • Obesity (a body mass index over 30).

 

 Problems.
Complications of outer artery disease caused by atherosclerosis consist of:

Baptist health heart screening.   In this  problem, an injury or infection  triggers  cells to  pass away.  Signs and symptoms include open sores on the limbs that don’t heal. 

Stroke and also cardiac arrest. Plaque accumulation in the arteries can likewise impact the capillary in the heart as well as brain.

 Avoidance.
 The most effective  method  to stop leg  discomfort due to peripheral artery  illness is to  preserve a  healthy and balanced  way of life.

That  suggests:.

  • Don’t smoke.
  • Control blood glucose.
  • Eat foods that are low in hydrogenated fat.
  • Obtain routine workout – but get in touch with your care supplier about what kind and also just how much is best for you.
  • Keep a healthy and balanced weight
  •  Take care of  high blood pressure  as well as cholesterol.

 

Abdominal Aortic Aneurysm (AAA) – Baptist Health Heart Screening

Baptist health heart screening.  An ultrasound is performed to screen the stomach aorta for the existence of an enhancement or aneurysm. AAA can result in a ruptured aortic artery, which is a serious medical emergency situation.

An  stomach aortic aneurysm is an enlarged  location in the lower part of the  significant vessel that supplies blood to the body (aorta). Baptist health heart screening.  The aorta runs from the heart with the facility of the upper body and abdomen.

The aorta is the biggest capillary in the body, so a burst abdominal aortic aneurysm can cause life threatening blood loss.

 Depending upon the  dimension of the aneurysm  and also how fast it’s growing, treatment  differs from  careful waiting to  emergency situation surgery.

 Signs.
 Stomach aortic aneurysms  typically  expand  gradually without  recognizable  signs and symptoms, making them  tough to  identify. Some aneurysms never rupture. Many start small  and also stay  little. Others grow larger  in time,  often  swiftly. 

If you have an increasing the size of abdominal aortic aneurysm, you could discover:

  • Deep, continuous discomfort in the stomach location or side of the belly ( abdominal area).
  • Pain in the back.
  • A pulse near the belly button.

Causes.
Aneurysms can  create anywhere along the aorta, but  the majority of aortic aneurysms  take place in the part of the aorta that’s in the  stubborn belly area ( abdominal area).

Several points can play a role in the advancement of an stomach aortic aneurysm, including:

  • Setting of the arteries (atherosclerosis). Atherosclerosis takes place when fat as well as other compounds build up on the cellular lining of a blood vessel.
  • Hypertension. High blood pressure can damage and also compromise the aorta’s wall surfaces.
  • Blood vessel  conditions. These are  illness that  trigger  capillary to  come to be  swollen.
    Infection in the aorta. Hardly ever, a bacterial or fungal infection might cause an stomach aortic aneurysms.
  • Trauma. As an example, being wounded in a vehicle accident can create an abdominal aortic aneurysms.
  • Risk factors.

Abdominal aortic aneurysm risk elements consist of:

Smoking is the toughest danger variable for aortic aneurysms. Smoking cigarettes can weaken the walls of the aorta, boosting the threat of aortic aneurysm and also aneurysm rupture.

Age. Stomach aortic aneurysms take place most often in individuals age 65 and older.

Being  man. Baptist health heart screening.  Male establish stomach aortic aneurysms far more often than females do.
Being white. People  that are white  go to  greater  danger of  stomach aortic aneurysms.

Family history. Having a family history of abdominal aortic aneurysms increases the  threat of having the condition.

Other aneurysms. Having an aneurysm in  one more  big blood vessel, such as the artery behind the knee or the aorta in the  breast (thoracic aortic aneurysm), might  boost the  danger of an  stomach aortic aneurysm.

Baptist health heart screening.  If you’re at danger of an aortic aneurysm, your doctor may suggest various other steps, such as medicines to decrease your high blood pressure as well as relieve stress on damaged arteries.

Complications.
Rips in one or more of the layers of the wall surface of the aorta (aortic dissection) or a burst aneurysm are the primary complications. A rupture can cause deadly internal blood loss. Generally, the larger the aneurysm as well as the much faster it grows, the higher the danger of tear.

Symptoms and signs that an aortic aneurysm has actually fractured can include:

  • Sudden, intense as well as persistent abdominal or pain in the back, which can be referred to as a tearing experience.
  • Low high blood pressure.
  • Quick pulse.
  • Aortic aneurysms  likewise  raise the risk of  creating blood clots in the area. If a  embolism breaks loose from the inside  wall surface of an aneurysm and  obstructs a  capillary  somewhere else in your body, it can  create  discomfort or block blood  circulation to the legs, toes, kidneys or abdominal  body organs.

 

 Avoidance.
To avoid an aortic aneurysm or keep an aortic aneurysm from intensifying, do the following:

  • Don’t smoke or make use of tobacco products. Stopped smoking cigarettes or chewing tobacco and also prevent secondhand smoke. If you need assistance quitting, talk to your doctor about drugs and treatments that might assist. Baptist health heart screening.
  • Consume a healthy diet. Focus on eating a range of fruits and vegetables, entire grains, chicken, fish, and also low-fat dairy products. Avoid saturated and also trans fats as well as limit salt.
  • Maintain your blood pressure as well as cholesterol in control. If your doctor has recommended medications, take them as advised.
  •  Obtain regular exercise.  Attempt to  access least 150 minutes a week of moderate aerobic  task. If you haven’t been active,  begin slowly  and also build up.  Talk with your  physician about what kinds of activities are right for you. 

 

Atrial Fibrillation (AFib) – Baptist Health Heart Screening

A 6-lead electrocardiogram (EKG) is done by positioning sensors on the arms and also legs to screen for Atrial Fibrillation.  Baptist health heart screening. AFib can result in embolism, stroke, and heart failure, and also various other heart-related complications.

Atrial fibrillation (A-fib) is an irregular and also often extremely fast heart rhythm (arrhythmia) that can result in embolism in the heart. A-fib boosts the threat of stroke, heart failure and also other heart-related difficulties.

Throughout atrial fibrillation, the heart’s upper chambers (the room) beat chaotically as well as off-and-on – out of sync with the reduced chambers (the ventricles) of the heart. For many individuals, A-fib may have no symptoms. Baptist health heart screening.  Nonetheless, A-fib may trigger a fast, battering heartbeat (palpitations), lack of breath or weak point.

Episodes of atrial fibrillation may come and go, or they might be persistent. A-fib itself normally isn’t life-threatening, it’s a serious clinical problem that needs correct treatment to avoid stroke.

 Therapy for atrial fibrillation may  consist of  medicines,  treatment to reset the heart rhythm  and also catheter  treatments to block  damaged heart signals.

A person with atrial fibrillation may  additionally have a  associated heart rhythm  issue called atrial flutter.  Atrial flutter is a different arrhythmia, the  therapy is  rather  comparable to atrial fibrillation. 

Symptoms.
Some  individuals with atrial fibrillation (A-fib) don’t  observe  any type of  signs and symptoms. Baptist health heart screening.  Those that do have atrial fibrillation signs might have symptoms and signs such as:.

  • Sensations of a fast, trembling or battering heartbeat (palpitations).
  • Chest discomfort.
  • Wooziness.
  • Fatigue.
  • Lightheadedness.
  • Minimized ability to exercise.
  • Shortness of breath.
  •  Weak point.

 

Atrial fibrillation may be:

Periodic (paroxysmal atrial fibrillation). Some individuals with occasional A-fib demand treatment.

Persistent. With this type of atrial fibrillation, the heart rhythm does not go back to typical by itself. If a individual has A-fib signs, cardioversion or treatment with medications might be utilized to recover and also keep a typical heart rhythm.

Enduring relentless. This type of atrial fibrillation is constant and also lasts longer than 12 months.
Long term. Baptist health heart screening.  In this type of atrial fibrillation, the uneven heart rhythm can not be brought back. Medicines are needed to manage the heart price and to prevent embolism.

 Reasons.
To  recognize the  root causes of A-fib, it may be  practical to know how the heart typically beats.

The typical heart has 4 chambers – 2 upper chambers ( room) and 2 reduced chambers (ventricles). It produces the signal that starts each heart beat.

In a regular heart rhythm:

  • The signal travels from the sinus node through both upper heart chambers ( room).
  • The signal goes through a pathway in between the top as well as reduced chambers called the atrioventricular (AV) node.
  • The motion of the signal triggers your heart to squeeze (contract), sending blood to your heart and body.
  • In atrial fibrillation, the signals in the  top chambers of the heart are chaotic.  Consequently, the upper chambers shake (quiver). The AV node is then  pestered with signals trying to get through to the lower heart chambers (ventricles). This causes a  rapid  and also irregular heart rhythm. 

 

The heart  price in atrial fibrillation  might  vary from 100 to 175 beats a minute. The  regular  array for a heart  price is 60 to 100 beats a minute.

 Root causes of atrial fibrillation.
Problems with the heart’s  framework are the most common cause of atrial fibrillation. Baptist health heart screening.  Feasible sources of atrial fibrillation consist of:.

  • Coronary artery illness.
  • Cardiac arrest.
  • Heart problem that you’re born with (congenital heart defect).
  • Heart shutoff troubles.
  • Hypertension.
  • Lung conditions.
  • Physical tension as a result of surgical treatment, pneumonia or various other diseases.
  • Previous heart surgical procedure.
  • Issue with the heart’s natural pacemaker (sick sinus syndrome).
  • Rest apnea.
  • Thyroid illness such as an overactive thyroid (hyperthyroidism) and also other metabolic inequalities.
  • Use energizers, consisting of certain drugs, high levels of caffeine, tobacco and also alcohol.
  • Viral infections.

Some  individuals  that have atrial fibrillation have no  well-known heart problems or heart damage.

Danger aspects. Baptist health heart screening.
Things that can increase the risk of atrial fibrillation (A-fib) include:.

Age. The older a person is, the  higher the  threat of  creating atrial fibrillation.

Cardiovascular disease. Any individual with heart disease– such as heart shutoff problems, congenital heart disease, coronary infarction, coronary artery disease, or a background of cardiovascular disease or heart surgical procedure– has actually an increased risk of atrial fibrillation.

Hypertension. Having high blood pressure, particularly if it’s not well managed with way of living adjustments or medications, can boost the threat of atrial fibrillation.

Thyroid condition. In some people, thyroid problems may set off heart rhythm troubles (arrhythmias), including atrial fibrillation.

Various other persistent health and wellness problems. People with certain chronic problems such as diabetes, metabolic disorder, chronic kidney condition, lung illness or rest apnea have an raised danger of atrial fibrillation.

Drinking alcohol. For some individuals, drinking alcohol can trigger an episode of atrial fibrillation. Binge alcohol consumption more rises the danger.

Excessive weight.  Baptist health heart screening.  People that have weight problems are at higher threat of developing atrial fibrillation.

Family history. An raised danger of atrial fibrillation takes place in some families.

Problems.
Blood clots are a  hazardous  issue of atrial fibrillation that can  bring about stroke.

In atrial fibrillation, the  disorderly heart rhythm can cause blood to collect in the heart’s  top chambers (atria)  and also form clots. Baptist health heart screening.  If a blood clot in the left upper chamber (left room) breaks without the heart area, it can take a trip to the brain as well as create a stroke.

The risk of stroke from atrial fibrillation  raises as you grow older.  Various other  wellness  problems  additionally may  boost your  threat of a stroke  as a result of A-fib, including:.

  • Hypertension.
  • Diabetes.
  • Cardiac arrest.
  • Some valvular cardiovascular disease.
  • Blood thinners are commonly  suggested  to avoid  embolism and strokes in people with atrial fibrillation.

 Avoidance.
Healthy way of life choices can reduce the threat of heart disease as well as might prevent atrial fibrillation. Baptist health heart screening.  Below are some fundamental heart-healthy suggestions:

  • Eat a healthy diet plan.
  • Get routine exercise and keep a healthy weight.
  •  Do not smoke.
    Prevent or limit alcohol and high levels of caffeine.
  •  Take care of  anxiety, as  extreme  tension and anger can  trigger heart rhythm  troubles.

 

Osteoporosis Risk – Baptist Health Heart Screening

An ultrasound is  executed to  gauge the shin bone for  irregular bone mass density. Baptist health heart screening.  This can help examine the risk of osteoporosis, a disease where bones end up being weak and brittle.

Osteoporosis causes bones to come to be weak and weak – so brittle that a fall and even light stresses such as flexing over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or back.

Osteoporosis affects males and females of all races. White and also Asian ladies, particularly older ladies that are previous menopause, are at highest threat. Medicines, healthy and balanced diet and weight bearing exercise can aid stop bone loss or reinforce currently weak bones.

 Signs and symptoms.
There normally are no signs and symptoms in the onset of bone loss. Once your bones have actually been deteriorated by osteoporosis, you may have indications as well as signs and symptoms that consist of:

  • Neck and back pain, brought on by a broken or fell down vertebra.
  • Loss of elevation in time.
  • A stooped position.
  • A bone that  damages  a lot more  conveniently than  anticipated.

Causes.
Comparing the interior of a healthy bone with one that has become  permeable from osteoporosis.
 Weakening of bones  compromises bone.

 Exactly how likely you are to  create  weakening of bones depends  partially on how much bone mass you  achieved in your youth. Peak bone mass is  partially inherited  and also  differs  likewise by ethnic group. The  greater your  top bone mass, the more bone you have “in the  financial institution”  and also the less likely you are to develop osteoporosis as you age.

Risk  elements.
A number of factors can increase the possibility that you’ll establish osteoporosis– including your age, race, lifestyle options, and also medical problems as well as treatments. Baptist health heart screening.

Unchangeable  dangers.
Some risk variables for weakening of bones are out of your control, including:

  • Your sex. Ladies are a lot more most likely to develop weakening of bones than are guys.
  • Age. The older you get, the greater your threat of weakening of bones.
  • Race. You’re at best danger of weakening of bones if you’re white or of Asian descent.
  • Family history. Having a moms and dad or sibling with osteoporosis places you at greater risk, particularly if your mother or papa fractured a hip.
  • Body framework size. Men and women who have little body structures tend to have a greater threat since they may have much less bone mass to draw from as they age.
  • Hormone levels.

Weakening of bones is more typical in people who have way too much or too little of certain hormonal agents in their bodies. Instances consist of:

Sex  hormonal agents.  Decreased sex  hormonal agent  degrees  have a tendency to  deteriorate bone. The fall in estrogen  degrees in  ladies at menopause is one of the  best risk  elements for developing  weakening of bones.  Therapies for prostate  cancer cells that  minimize testosterone  degrees in men  and also  therapies for breast cancer that  lower estrogen levels in  females are likely to  increase bone loss. 

 Nutritional  variables.
 Weakening of bones is  most likely to occur in  individuals who have:

Low calcium intake. A long lasting absence of calcium contributes in the advancement of osteoporosis. Low calcium intake adds to diminished bone density, early bone loss as well as an boosted risk of fractures.

Eating disorders. Seriously limiting food intake as well as being underweight deteriorates bone in both males and females.

Long lasting use of dental or injected corticosteroid medications, such as prednisone and cortisone, disrupts the bone-rebuilding process. Baptist health heart screening.  Weakening of bones has additionally been connected with medications made use of to fight or stop:

  • Seizures.
  • Stomach reflux.
  • Cancer.
  • Transplant rejection.
  • Medical  problems.

The  threat of  weakening of bones is  greater in people who have  specific medical  troubles, including:.

  • Celiac disease.
  • Inflammatory bowel disease.
  • Kidney or liver illness.
  • Cancer cells.
  • Multiple myeloma.
  • Rheumatoid arthritis
  •  Way of life  options.

Some bad habits can raise your threat of osteoporosis. Instances consist of:

Sedentary way of living. Individuals that spend a lot of time sitting have a greater risk of osteoporosis than do those who are more energetic. Any type of weight bearing workout as well as activities that promote balance and also excellent stance are useful for your bones, yet strolling, running, jumping, dance and weight training appear especially practical.
 Too much alcohol  intake. Baptist health heart screening.  Normal intake of greater than 2 alcoholic drinks a day raises the threat of weakening of bones.

Cigarette usage. The exact function tobacco plays in osteoporosis isn’t clear, however it has been shown that cigarette use adds to weak bones.

Complications.
 Exactly how osteoporosis can cause vertebrae to crumple  as well as collapse.
Compression fractures.

In some cases, spinal fractures can  happen even if you  have not fallen. The bones that  comprise your spine (vertebrae) can  compromise to the point of  falling down, which can  lead to  neck and back pain, lost height and a  stooped forward  stance.

 Avoidance.
 Excellent nutrition  and also regular  workout are essential for  maintaining your bones  healthy and balanced throughout your life.

Calcium.
Men and women between the ages of 18 and 50  demand 1,000 milligrams of calcium a day. This  day-to-day amount increases to 1,200 milligrams when  females  transform 50 and  males turn 70.

Excellent resources of calcium consist of:

  • Low-fat milk items.
  • Dark eco-friendly leafy {vegetables| veggies
  • Canned salmon or sardines with bones.
  • Soy items, such as tofu.
  • Calcium-fortified  grains  and also orange juice.

 

The Health  as well as Medicine Division of the National Academies of Sciences, Engineering,  as well as Medicine recommends that total calcium intake, from supplements and  diet plan  integrated,  ought to be no more than 2,000 milligrams daily for people older than 50.

Vitamin D.
Vitamin D  enhances the body’s  capacity to  soak up calcium and improves bone health in other  means. Baptist health heart screening.  People can obtain a few of their vitamin D from sunshine, however this might not be a excellent resource if you reside in a high latitude, if you’re housebound, or if you frequently utilize sun block or avoid the sunlight due to the threat of skin cancer cells.

 Nutritional sources of vitamin D include cod liver oil, trout  as well as salmon.  Numerous  sorts of milk  as well as cereal have been fortified with vitamin D.

Most  individuals need  a minimum of 600  worldwide units (IU) of vitamin D a day. That  suggestion  boosts to 800 IU a day after age 70.

People without other resources of vitamin D and also especially with minimal sunlight exposure might require a supplement. A lot of multivitamin items consist of in between 600 and also 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is risk free for most individuals.

 Workout.
Workout can help you construct solid bones and sluggish bone loss. Baptist health heart screening.  Workout will profit your bones anytime you begin, yet you’ll get the most benefits if you start working out frequently when you’re young as well as remain to exercise throughout your life.

Weight-bearing workouts– such as walking, running, running, stair climbing, skipping rope, skiing as well as impact-producing sports– influence generally the bones in your legs, hips and reduced back. Equilibrium exercises such as tai chi can reduce your threat of falling specifically as you get older.

 

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