Ask Dr. Mia: Answers For Dementia Caregiving

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Dr. Mia talks with Dr. Rosanne Leipzig, a trailblazer in transforming the way we approach aging individually and as a society. In her 40+ year career, she has treated thousands of patients and trained hundreds of doctors and practitioners in all specialties of medicine. She is the Gerald and May Ellen Ritter Professor and Vice Chair, Emerita of the Brookdale Department of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai in New York City. We talked about her new book, Honest Aging: An Insider’s Guide to the Second Half of Life.
* Rosanne's inspiration for writing the book
* Ageism, both external and internal
* What is normal as we age and how to talk to loved ones about it
* How old is too old to hold public office
* Sex! No, older adults don't just stop having sex when they get to a certain age
You can purchase Honest Aging book from the publisher, on GoodReads, Bookshop, and Amazon.

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Video on Ask Dr. Mia YouTube channel
Transcripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies.
Email: [email protected]
Opinions expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders.

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In this episode, Dr. Mia and Dr. Kristin Beavers discuss the relationship between weight loss and bone health, emphasizing the importance of exercise, nutrition, and monitoring bone density through DEXA scans. They explore the impact of new diabetes medications GLP-1 inhibitors (such as ozempic, wegovy) on bone health and provide practical tips for maintaining bone density, particularly in older adults.

Kristen M. Beavers, PhD, MPH, RD, is a Professor of Internal Medicine, Section on Gerontology and Geriatric Medicine and an Associate Director of the Sticht Center for Healthy Aging and Alzheimer’s Prevention at Wake Forest University School of Medicine. She received her BS from Cornell University in Human Biology, Health, and Society; MPH and RD from The University of North Carolina at Chapel Hill in
Nutrition; and PhD from Baylor University in Exercise, Nutrition, and Preventive Health. Dr. Beavers’ academic and professional interests lie in the study of nutrition and exercise as interdisciplinary sciences, specifically as they relate to prevention and etiology of chronic disease and disability. She has been continuously funded by the NIH for the past decade and has developed a strong research program focused on mitigating loss of bone mass and strength in persons undergoing intentional weight loss, with three NIH-funded clinical trials underway.

Takeaways

• Weight loss can lead to bone loss, especially with caloric restriction.
• DEXA scans are crucial for assessing bone density and osteoporosis risk.
• Calcium and vitamin D are essential for bone health, especially during weight loss.
• Protein intake should be increased to help preserve bone and muscle during weight loss.
• Weight-bearing exercises are important for maintaining bone density.
• New diabetes medications GLP-1 inhibitors may be associated with bone loss, but more research is needed.
• Balance training is important to prevent falls and fractures in older adults.
• Older adults should be screened for osteoporosis, especially if they have risk factors.
• Maintaining adequate nutrient intake is challenging during weight loss.
• Prior fractures are a significant indicator of osteoporosis risk.

Chapters

00:00
Introduction to Bone Health and Weight Loss

02:56
Understanding Bone Loss During Weight Loss

05:56
DEXA Scans: Measuring Bone Density

08:59
Osteoporosis: Risk Factors and Screening

11:59
Emerging Diabetes Medications and Bone Health

14:57
Exercise: Loading Bones to Prevent Loss

17:57
Nutrition: Key Nutrients for Bone Health

20:59
Practical Tips for Maintaining Bone Density

23:57
Conclusion: Summary of Key Takeaways

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Video on Ask Dr. Mia YouTube channel
Transcripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies.
Email: [email protected]
Opinions expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders.

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Dr. Mia talks with Dr. Ashley Sanderlin about how to advocate for yourself or your love ones within the healthcare system.
Ashley H. Sanderlin, PhD is a passionate researcher that investigates modifiable risk factors and early interventions for Alzheimer’s disease. She was the first African American to attain a PhD in Neuroscience from Michigan State University. As an Assistant Professor in Biology at NC A&T State University, Dr. Sanderlin serves as the site Principal Investigator of the North Carolina Brain Health Registry and lead faculty in the Center for Outreach in Alzheimer’s Aging and Community Health (COAACH), which is the nation’s most prominent outreach and education centers focused primarily on the impact of Alzheimer’s on African Americans and their caregivers.

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Video on Ask Dr. Mia YouTube channel
Transcripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies.
Email: [email protected]
Opinions expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders.

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Dr. Mia talks with Dr. Sharma, dual board-certified in physical medicine & rehabilitation and pain management, about holistic pain solutions based on the 5R's in Dr. Sharma's book The Pain Solution: refuel (food), revitalize (exercise), recharge (sleep), refresh (meditation/mindset), and relate (social connections). This part 1 talks about the first 3 R's: refuel, revitalize, and recharge.
More info on Dr. Saloni Sharma
Johns Hopkins' Chair Yoga exercises
Kaiser Permanente meditation resources
NIA's short exercises for older adults on YouTube

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Video on Ask Dr. Mia YouTube channel
Transcripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies.
Email: [email protected]
Opinions expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders.

Send us a text

Dr. Mia talks about the difficult but common safety issues in Steve & Nina's story.
4 M's of safety problems in people with mild/early stage dementia: money, medications, meals, and mobility/driving.

• Driving safety: https://www.nia.nih.gov/health/driving-safety-and-alzheimers-disease
• Older adults & driving: https://www.nia.nih.gov/health/older-drivers
• Find an OT who does driving tests: https://www.aota.org/practice/practice-settings/driving-community-mobility/driving--community-mobility-toolkit-for-professionals
• Social security scams reporting: https://faq.ssa.gov/en-us/Topic/article/KA-02238
• Pillbox with alarm & other technology: https://www.alzstore.com/early-stages-of-alzheimers-s/1817.htm

4 common types of dementia: Alzheimer's dementia, vascular dementia, Lewy Body Dementia, and Frontotemporal dementia
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Support the show

Video on Ask Dr. Mia YouTube channel
Transcripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies.
Email: [email protected]
Opinions expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders.