Health
Study: Higher opioid doses lead to longer-term dosing

After an injury, workers who receive higher prescription doses of an opioid are at increased risk of longer-term use, according to researchers at the Workers Compensation Institute. Research focused on workers from 33 states who were injured in 2016.
The study found that among workers who received a 15-day to a 30-day supply of opioids within 90 days of an injury, about 9 percent had longer-term opioid needs. In the same group, among those who received a three-day supply or less, just 5 percent had a longer-term dosing need.
Those workers who were prescribed a dose of 500 milligrams or more were more likely to need opioids longer. About 10 percent fell into that category. Only 7 to 8 percent of workers prescribed small doses had longer-term dispensing.
Other factors contribute to longer-term opioid use and possible dependence. Among those was taking an opioid along with central nervous system depressants.
Which workers most likely to be prescribed opioids?
If you are from a small town, work in a small company, or work in the mining or construction industry, you are most likely to be prescribed opioids after an injury.
Injured workers at organizations with smaller payrolls (from 1 million to 4 million) were prescribed opioids 54 percent of the time. Those from larger companies were prescribed about 47 percent of the time.
Small-town workers with injuries were prescribed opioids 68 percent of the time, compared with larger metro areas where opioids were prescribed 54 percent of the time.
In mining, injured workers were prescribed opioids 62 percent of the time. In construction, the rate was 55 percent.
The study was conducted by the Workers Compensation Institute.
Health
How to follow the pegan diet

The pegan diet purports to focus on improving health by reducing inflammation and stabilizing blood sugar. Created by American physician Dr. Mark Hyman, it combines certain key principles from veganism and the paleolithic diet. Here’s a look at what the pegan diet entails.
Recommended food
Unlike veganism, this hybrid diet doesn’t prohibit eating meat. However, the pegan diet encourages eating grass-fed, pasture-raised sources of animal protein, and making meat a side dish rather than the main course. Fish and eggs are also permitted.
As for fruits and vegetables, they should make up three-quarters of your diet. However, low-sugar fruits and non-starchy vegetables are preferable. Gluten-free whole grains and sources of healthy fats, such as nuts and seeds, are allowed in limited quantities.
Restricted food
While the pegan diet is arguably less restrictive than a vegan or paleo diet, certain foods are strongly discouraged. These include:
• Gluten
• Sugar
• Processed foods
• Refined oils
• Food additives
• Dairy products
The diet also discourages eating most grains and legumes.
Pros and cons
On the plus side, the pegan diet focuses on consuming an abundance of healthy, nutrient-rich fruits, vegetables, and fats. Eating these foods can help foster good heart health, prevent disease and reduce inflammation.
The downside is that the diet restricts a number of healthy foods, which can potentially result in nutritional deficiencies. It can also be an expensive and time-consuming diet to maintain.
Always keep in mind that before you make a significant change to your diet, you should consult with your doctor, a nutritionist, or a dietitian.
Health
5 activities to boost your endurance
Some workouts get your heart pumping faster than others. If you’re looking for a way to improve your cardiovascular endurance, here are five activities to try.
1. Boxing. Fast footwork and dynamic punching combinations keep you on your toes, improving both your muscular and cardiovascular endurance. Boxing is also a great way to relieve stress and boost your confidence. If you prefer, you can opt for classes that focus on solo boxing drills rather than sparring.
2. Cross-country skiing. This sport provides a full-body, aerobic workout that can be sustained for hours. The smooth gliding motion is easy on your joints and improves your balance. Plus, you can enjoy winter landscapes as you ski along trails blanketed in snow.
3. Swimming. The sustained effort required to swim laps increases your heart rate and lung capacity but places limited stress on your joints. This makes swimming a low-impact workout that’s suitable for people of all ages. It also engages various muscle groups, especially if you learn different strokes.
4. Running. This activity is a simple way to boost your cardiovascular endurance, and it can be done almost anywhere. Keep in mind that speed isn’t key. Instead, start slow and focus on running longer distances to see improvements in your stamina.
5. Zumba. This fitness program combines Latin-inspired dance moves, muscle-toning exercises, and lively music to get your heart pumping and your hips swaying. Zumba is both a fun workout and a healthy way to burn calories and lose weight.
If you want to boost your endurance by participating in these activities, consider signing up for a class or joining a club in your area.
Health
5 reasons to increase your flexibility
Flexibility plays a key role in your overall fitness. In fact, stretching your muscles and joints on a regular basis can make a variety of everyday activities easier. Here are the five main benefits of increasing your flexibility.
1. It improves your posture and balance
2. It increases your range of motion
3. It reduces your risk of getting injured
4. It helps your muscles work more effectively
5. It reduces aches, pains, and muscle tension
Furthermore, stretching after your exercise facilitates muscle recovery and repair. It also prevents lactic acid from building up and causing muscle soreness.
Keep in mind that stretching shouldn’t be painful. Though it’s normal to feel a pulling sensation, a sharp or stabbing pain means you’ve over-extended your muscles or joints, which can result in injury.
Activities to try
Stretching is just one of many ways to improve your flexibility. You can also try yoga, tai chi, water aerobics, Pilates, ballet, and more. Consider signing up for a beginners’ class in your area.
Health
One cause of health problems can be mistaken for aging

One condition, not uncommon in women, can be misdiagnosed as a typical problem in aging.
An underactive thyroid gland (hypothyroidism) can be responsible for a number of conditions throughout the body. But, often patients just experience one of the many possible symptoms. To make matters worse, the symptoms resemble problems typical of normal aging.
Joint and muscle pain is a classic symptom, according to Harvard Health. Large muscle groups, like those in the legs, can begin to ache. Sometimes it is the only symptom of hypothyroidism in an older person.
If you suddenly start forgetting the names of your grandkids and maybe your memory seems shorter, it could be hypothyroidism, especially if it has gone undiagnosed for some time.
Another common symptom is depression. Like muscle pain, depression can be the only noticeable symptom of hypothyroidism. In severe, untreated cases, adults can even experience hallucinations.
Constipation may be dismissed as a routine problem, but it often accompanies low thyroid.
Unexplained high cholesterol can pop up in tests and be a sign that the thyroid should be checked.
Finally, low thyroid levels can even make your heart work poorly with weaker contractions and a slower heart rate.
Health
Make daikon part of your diet

Daikon is a sweet, mildly spicy root vegetable that resembles a plump white carrot. Also known as white or Japanese radish, daikon is popular in many types of Asian cuisine and a great addition to your winter meals.
Benefits
This crunchy cruciferous vegetable is an excellent source of vitamin C, folate, and antioxidants. In addition to being low in calories, some studies indicate that eating daikon:
• Helps protect against certain cancers and chronic conditions like heart disease
• Increases satiety and promotes a healthy body weight
How to eat it
Daikon can be served raw or cooked. Often, it’s thinly sliced for pickling or to be used as a garnish. However, it also makes a tasty addition to a variety of hot and cold dishes and can even be used in baked goods. This winter, try daikon pan-fried or roasted. Additionally, the greens can be used in salads, soups, and stir-fries.
How to store it
Keep daikon in a perforated plastic bag or wrapped in a damp towel in the fridge. It should last for several weeks. Store the greens separately.
Health
What are the health risks of vaping?
Electronic cigarettes are devices designed to heat a nicotine-based liquid into a vapor, which can then be inhaled. Here’s a look at the known health risks associated with vaping.
Exposure to nicotine
According to the Centers for Disease Control and Prevention, vaping is a less harmful option than smoking if you already smoke. However, since most e-cigarette liquids contain nicotine, they pose a number of health risks. Among other things, vaping can:
· Lead to addiction
· Cause behavioral problems
· Alter brain development
It should be noted that adolescents are particularly susceptible to the dangerous effects of nicotine. This is why it’s illegal to sell or give vaping products to anyone under the age of 21.
Exposure to other chemicals
The main liquids found in vaping products are vegetable glycerin, propylene glycol, and chemicals used for flavor such as diacetyl. When these substances are heated in a vaping device, they create a carcinogen called formaldehyde. Other toxins that can be found in e-cigarette vapor include nickel, tin, and aluminum.
Heart and lung disease
Inhaling the harmful chemicals found in e-cigarettes increases the risk of cardiovascular and lung disease. Health experts are also currently investigating the rise of a severe and potentially fatal lung disease referred to as vaping-associated pulmonary injury (VAPI).
While the potential long-term effects of vaping are still unknown, there’s no doubt that the use of e-cigarettes is hazardous. The best way to avoid the health risks associated with vaping is to not start or to ask a health-care professional for advice on how to quit.
The hazard of batteries
Vaping devices can be dangerous if they’re not properly used or stored. The lithium-ion batteries in electronic cigarettes can overheat, catch fire, or explode in your pocket if they come into contact with metal objects like loose coins or keys.