Losing Muscle As We Age

Posted on March 19, 2026 by Patrick Hercules

As we age, we start to lose muscle mass gradually. This is called sarcopenia.

Sarcopenia, a type of atrophy, is the age-related progressive loss of muscle mass, function, and strength.

Everyone loses muscle mass over time; however, people who have sarcopenia lose it more quickly. Sarcopenia usually begins around the age of 35 and accelerates between the ages of 65 and 80. Rates of this acceleration vary; however, as much as 8% of muscle mass is lost each decade.

The natural aging process is usually the main cause of sarcopenia as the body doesn’t produce the same number of proteins the muscles need to grow, which causes them to get smaller. However, researchers have discovered other possible risk factors of the condition, including:

· Physical inactivity

· Obesity

· Chronic diseases such as chronic obstructive pulmonary disease (COPD), kidney disease, diabetes, cancer, and HIV

· Rheumatoid arthritis

· Insulin resistance

· Malnutrition or inadequate protein intake

· Reduction in hormone levels

· Decrease in the ability to convert protein to energy

· Decline in the number of nerve cells that send messages from the brain to the muscles telling them to move

Sarcopenia affects the musculoskeletal system and is a major factor in increased frailty, falls, and fractures. These conditions can lead to hospitalizations and surgeries, which increase the risk of complications, including death.

This condition can also affect people with a high body mass index (BMI), which is called sarcopenic obesity. People suffering from obesity and sarcopenia have a greater risk of complications than those with obesity or sarcopenia alone.

The most common symptom of sarcopenia is muscle weakness. Other symptoms may include:

· Decrease in muscle size

· Difficulty performing daily activities

· Poor balance and falls

· Loss of stamina

· Trouble climbing stairs

· Walking slowly

A healthcare provider may diagnose sarcopenia after they perform a physical exam and ask you about your symptoms. They may also ask you to complete a questionnaire based on your self-reported symptoms called the SARC-F, which stands for:

· Strength

· Assistance with walking

· Rising from a chair

· Climbing stairs

· Falls

You score each factor with a number between 0 and 2, with the highest maximum and total SARC-F being 10. A SARC-F score of 4 or more warrants more testing.

There is no single test that can diagnose sarcopenia. A healthcare provider may recommend several tests to help diagnose and then determine the severity of sarcopenia. These tests include:

· Muscle tests:

Handgrip test
Chair stand test
Walking speed test
Short Physical Performance Battery (SPPB)
Timed-up and go test (TUG)

· Imaging tests for measurement of muscle mass

Dual-energy X-ray absorptiometry (DEXA or DXA)
Bioelectrical impedance analysis (BIA)

The treatment for sarcopenia usually includes lifestyle changes, as they can treat and help reverse the condition. These lifestyle changes include:

· Physical activity, which includes resistance-based strength training

· A healthy diet

Sarcopenia is not fully preventable. However, there are steps you can take to slow the progression of the disease, including:

· Making healthy food choices

· Exercising regularly

· Attending routine physicals

If you or a loved one is experiencing symptoms of sarcopenia, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Type 3 Diabetes

Posted on November 14, 2025 by Patrick Hercules

Diabetes is a chronic disease that occurs when the body doesn’t produce enough insulin or can’t use the insulin it produces effectively. There are two main types of diabetes: type 1 and type 2. Another type of diabetes is gestational diabetes, which develops exclusively in pregnancy when blood sugar levels are too high.

However, another type of diabetes, type 3 diabetes, has been linked to Alzheimer’s.

Insulin helps control blood sugar levels by enabling glucose to enter cells. Insulin also affects metabolism, nerve cells, how neurons communicate, and the brain’s cognitive functions.

When a person develops insulin resistance, it can reduce the supply of glucose to the brain and cause changes to the protein involved in the development of dementia called tau. Additionally, the brain can become damaged, and the connection between the regions of the brain can be weakened when it doesn’t receive a sufficient amount of glucose.

Type 3 diabetes occurs when the brain becomes resistant to the effects of insulin. This insulin resistance is believed to lead to symptoms that are commonly associated with Alzheimer’s disease.

It is important to note that type 3 diabetes isn’t officially recognized by the American Diabetes Association and other major health organizations. However, some experts have called Alzheimer’s disease type 3 diabetes because of the pathological implications that address a major decrease in glucose levels and how that affects brain cognition and memory.

Researchers call Alzheimer’s type 3 diabetes due to the similar features that are present in diabetes, memory deficits, and a decline in thinking abilities in older adults. A study in 2020 listed the potential risk factors for developing type 3 diabetes, such as:

A diet that is high in calories, sugar, and fat, but low in fiber

A low socioeconomic status

Exposure to stress

Race and ethnicity

A lack of physical activity

Genetics

Family history

Birth weight

The study also indicated that high blood pressure and impaired lipid, or fat, transportation play a role in the development of Alzheimer’s. The Alzheimer’s Society notes that diabetes is a risk factor for developing dementia.

Although there isn’t a cure for Alzheimer’s and many other types of dementia, treatment for the disease includes medications that slow the progression of the condition or treat its symptoms.

It is important to note that there is another type of diabetes known as type 3c diabetes mellitus that occurs when endocrine dysfunction affects the pancreas, such as damage to the exocrine glands, which harms the endocrine glands. This condition is distinctive and shouldn’t be confused with type 3 diabetes.

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Chair Exercises for Older Adults

Posted on October 17, 2025 by Patrick Hercules

Physical activity can reduce not only the risk of heart disease but also cognitive decline. It can also help you to sustain your ability to perform everyday activities. Maintaining physical fitness as we age becomes increasingly important for our overall well-being. However, for many older adults, high-impact workouts may not be suitable or comfortable, especially if they have challenges with balance or mobility.

Fortunately, engaging in seated or standing chair-based exercises has many health benefits that can help older adults stay active safely.

Doing chair-based exercises offers many health benefits to older adults, including:

Improved flexibility
Improved balance
Improved stamina and endurance
Helps build strength
Helps burn calories
Helps maintain muscle mass
Contributes to weight management

Some seated chair-based exercises include:

Seated leg extensions
Pelvic tilts
Seated calf raises
Toe raises
Shoulder blade squeezes
Thigh squeezes
Arm raises
Bicep curls
Seated marches
Side bend stretches
Seated shoulder stretches
Seated hamstring stretches
Seated neck rotations
Sit-to-stands
Knee extensions
Seated torso twists

Some standing chair-based exercises include:

Standing leg curls
Chair planks
Standing side leg raises
Calf raises
Standing marches
Standing torso twists

Older adults should aim to do chair-based exercises regularly. It is recommended to engage in these exercises at least two to three times a week to maintain and improve strength, flexibility, and balance. Consistency is key to experiencing the full benefits.

Whether you are looking to maintain your current level of fitness or start a new journey towards better health, these chair-based exercises offer a safe and effective way to achieve your goals.

It is recommended that you consult your doctor before starting a new exercise routine. You can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486.

Healthy Aging Month

Posted on September 5, 2025 by Patrick Hercules

September is Healthy Aging Month, a month observed to encourage people to focus on their health and take steps to help them face the challenges that come with aging.

As we age, we become aware of changes in our mental and physical health, as well as shifts in our social needs. You can take charge of your well-being by taking steps to age with a healthy mind and body. Flushing Hospital Medical Center would like to offer these tips to help boost your health as you age:

Get moving
- It is important to consult your doctor before exercising. Start slow, know your limitations, and modify activities if needed
- Aim for at least 150 minutes of moderate-intensity physical activity each week
Maintain a healthy diet
Eat proper portion sizes
Avoid excess processed foods
Stay hydrated
Stay socially active
- Stay in touch with friends and family
- Try doing something new that interests you
Balance your body and mind
- Keep a positive attitude
- Keep your mind active by reading or doing puzzles
- Keep your body active with yoga and stretches
Be proactive
- Receive regular checkups, physicals, and medical tests when needed
- Take vitamins, supplements, and medications as prescribed or needed

Healthy Aging Month is a time to celebrate life and the positive aspects of growing older. Healthy living is healthy aging. Developing and maintaining healthy aging practices throughout your life contributes to greater resilience and opportunities to thrive as we age. Making small changes in your daily life can help you live longer and better.

If you have questions about any medical issues that may arise as you age, you can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486.

Senior Summer Health Tips

Posted on July 9, 2025 by Patrick Hercules

Extreme heat can be unbearable for everyone. It can be even worse for senior citizens, as they are particularly vulnerable to heat-related illnesses. Some heat-related illnesses include:

Heat exhaustion

Dehydration

Heatstroke

Heat syncope

Heat cramps

Heat edema

Heat rash

Sunburn

Older adults are at higher risk for heat-related illnesses and death. Factors that put older adults at greater risk include:

Health problems, such as heart, lung, or kidney disease

Skin changes that are caused by normal aging

Any illness that causes weakness or results in a fever

Drugs, such as diuretics, sedatives, tranquilizers, and some heart and high blood pressure medications, can make it harder for the body to cool itself off

Being on several prescription drugs at the same time

Being obese, overweight, or underweight

Drinking alcoholic beverages

Living in places without air conditioning or fans

Dehydration

Hot summer days can make it difficult for the body to regulate its temperature. Especially for older adults. Here are some tips to keep older adults safe and prevent them from heat-related illnesses:

Stay away from direct sun exposure as much as possible

Spend as much time in air-conditioned spaces as possible

Stay hydrated

Wear loose and light-colored clothing and a wide-brimmed hat

Take cool showers and baths

Avoid exercising outdoors and other physical activity when it is hot

Wear broad-spectrum sunscreen that is SPF 15 or higher, and reapply throughout the day

Find out if certain medications can contribute to heat-related illnesses

If you or a loved one is experiencing any symptoms of a heat-related illness, you can schedule an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486. If you or a loved one is experiencing an emergency, please call 911 right away.

Tips for Strength Training as You Age

Posted on January 29, 2025 by Patrick Hercules

As we age, concerns about strength, balance, and mobility arise. Age-related mobility limitations are a fact of life for many older adults. Studies have shown that about 30% of adults over 70 years of age have trouble walking, getting up out of a chair, or climbing stairs. In addition to making everyday tasks difficult, mobility limitations are also linked to higher rates of falls, chronic disease, nursing home admission, and mortality.

Weight lifting and stretching are useful at any age, but there are specific benefits for older adults such as preventing or delaying the onset of many age-related ailments. Integrating resistance training and stretching into your routine can keep you feeling healthy and strong.

Committing to and maintaining a strength training program, whether it is at the gym or at home can improve your strength, balance, and mobility.

Your strength training program should include:

Three weekly sessions
Work out your whole body
Consistency

Here are six strength exercises for an effective and comprehensive full-body workout:

One-leg balance
Squat
Wall pushup
Resistance band row
Bird dog
Glute bridge

Unless otherwise noted, do three sets of 10-12 reps of each exercise.

Here are five stretches to include in your fitness routine to hit all of the major body parts and help improve your flexibility and mobility:

Hamstring stretch
Seated hip stretch
Chest opener
Side-lying thoracic rotation
Side-to-side reach

If not indicated, hold each stretch for about 30 seconds total. As you focus on breathing, deep inhale, deep exhale, and try to go deeper into the stretch.

Please note that when beginning strength training, your healthcare provider must clear you before starting. Start slowly and gradually increase your physical activity level over time.

If you experience medical problems while exercising, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Tips for Helping Children with Autism During the Holidays

Posted on December 16, 2024 by Xavia Malcolm

The holiday season can be overwhelming for children with autism spectrum disorder (ASD). Bright lights, loud noises, various scents, large crowds, busy schedules, festive dishes, and social gatherings are all common this time of year. These experiences can result in hypersensitivity to stimuli or sensory overload, making what is exciting for most children a stressful environment for those with ASD.

Preparation is essential for avoiding triggers that may cause stress and anxiety in children. Here are a few tips to make the holidays less stressful and more enjoyable for children with ASD:

Maintain routines or minimize disruptions to an established routine
Prepare your child for the holiday by communicating what they should expect. You can do this with the help of visual aids.
Decorate your home gradually
Consider avoiding holiday decorations with bright or blinking lights
Plan meals ahead of time
Prepare your child for conversations they may have with relatives or guests ahead of time
Practice unwrapping gifts or inform your child about the gifts they are unwrapping to avoid surprises or minimize anxiety
Practice giving gifts
Bring comfort or safety items such as earphones, ear plugs, or fidgets to gatherings or events
Create a quiet area where they can go and relax if needed

Understanding your child’s limits can help you select appropriate activities and anticipate challenges they may encounter. By using effective strategies, you can minimize stress and anxiety for children with ASD, allowing the holiday season to be a joyful time for everyone.

National Family Caregivers Month

Posted on November 8, 2024 by Patrick Hercules

November is observed as National Family Caregivers Month. It is dedicated to recognizing and honoring the selfless individuals who provide essential care and support to ill, disabled, or elderly loved ones.

National Family Caregivers Month was established to recognize their significant contributions and raise awareness about their challenges. President Bill Clinton officially proclaimed it in 1997 as a time to honor and support caregivers across the country.

Celebrating family caregivers during National Family Caregivers Month enables all of us to:

Raise awareness of family caregiver issues
Celebrate the efforts of family caregivers
Educate family caregivers about self-identification
Increase support for family caregivers
Reduce feelings of isolation

Families are often the primary source of support for older adults and people with disabilities. Today in America, more than 53 million family caregivers provide unpaid care.

There are several ways to get involved and show your support for family caregivers during National Caregivers Month, including:

Express your gratitude
Offer assistance
Join support groups
Advocate for caregiver rights
Donate to caregiver organizations

Family caregivers should be celebrated every day. This is a time to recognize and honor caregivers nationally, raise awareness around caregiving issues, educate communities, and work to increase support for our nation’s caregivers.

Healthy Aging Month

Posted on September 4, 2024 by Patrick Hercules

September is recognized as healthy aging month. The observation was created to encourage people to focus on their health and take steps to help them face the challenges that come with aging.

As we age, we become aware of changes in our mental and physical health, and changes in our social needs. You can take charge of your well-being by taking steps to age with a healthy mind and body. Flushing Hospital Medical Center would like to offer these tips to help boost your health as you age:

Get moving
- It is important to consult your doctor before exercising. Start slow, know your limitations, and modify activities if needed
- Aim for at least 150 minutes of moderate-intensity physical activities each week
Maintain a healthy diet
Eat proper portion sizes
Avoid excess processed foods
Stay hydrated
Stay socially active
- Stay in touch with friends and family
- Try doing something new that interests you
Balance your body and mind
- Keep a positive attitude
- Keep your mind active by reading or doing puzzles
- Keep your body active with yoga and stretches
Be proactive
- Receive regular checkups, physicals, and medical tests when needed
- Take vitamins, supplements, and medications as prescribed or needed

Healthy aging month is a time to celebrate life and the positive aspects of growing older. Healthy living is healthy aging. Developing and maintaining healthy aging practices throughout your life contributes to greater resilience and opportunities to thrive as we age. Making small changes in your daily life can help you live longer and better.

If you have questions about any medical issues that may arise as you age, you can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486.

National Senior Citizens Day

Posted on August 21, 2024 by Patrick Hercules

August 21^st, 2024 is National Senior Citizens Day. It’s a day that recognizes seniors who have contributed to society and impacted everyone’s lives for the better.

In 1988, President Ronald Reagan honored senior citizens by signing Proclamation 5847, establishing August 21st as National Senior Citizens Day.

A senior citizen is anyone 60 years of age and older. They are pioneers of science, medicine, psychology, civil rights, and more. Their valuable contributions to our communities have made them better places to live. The day honors their achievements and encourages us to support them in living their lives to the fullest and as independently as possible.

In honor of National Senior Citizens Day, Flushing Hospital Medical Center is offering these health tips for older adults:

Stay physically active for a healthy body and mind
Stay socially active with friends and family
Follow a healthy, well-balanced diet
Don’t neglect yourself, schedule checkups and stick to them
Take all medications as directed by your doctor

There are many ways that you and your loved ones can observe National Senior Citizens Day, including:

Donate to a nursing/retirement home- one of the kindest and most rewarding things you can do is to donate essential goods or gifts to a nursing/retirement home.
Reach out to a senior family member- visit and spend time with a family member who is a senior citizen. If you can’t see them, call them.
Have fun- if you are a senior citizen, the day is about you. Spend time with your favorite people, and do something fun and exciting. Live it up and treat yourself.
Take the time to recreate your family’s traditions. Be sure to include your grandparents and other elderly people in your family.

National Senior Citizen Day is a day to acknowledge and celebrate the seniors in our lives. Let’s make them know how much we care about and appreciate them.