Geriatric disease prevention methods include

The combination of these three methods, including pre-intervention with targeted early screening, lifestyle adjustments adapted to individual conditions, and dynamic management and control of basic chronic diseases, can cover the prevention needs of more than 80% of common geriatric diseases.

In the five years I have been doing community health education for the elderly, I have met too many elderly people who say, "I am in such good health that I don't need to check." Last month, there was Aunt Zhang in the community. A free bone density test in the community last year showed that her T value had reached -2.6, which is typical of osteoporosis. The community doctor asked her to take calcium supplements daily, get more sun, and not do too strenuous movements. She thought she could carry ten kilograms of rice up to the fifth floor without any problems. But last week, when she was mopping the floor, her foot slipped and she fractured her femoral neck. She had to have a joint replacement when she was lying in the hospital. She suffered from the old sin. Regarding the choice of early screening, different medical systems also have different opinions: Western medicine system recommends that people over 60 years old should undergo targeted special screening once a year. In addition to routine hematuria and liver and kidney function, low-dose spiral CT (the gold standard for early screening of lung cancer), carotid artery ultrasound (to screen for the risk of cerebral infarction), bone density testing (to prevent and control osteoporosis), and gastrointestinal endoscopy should be done every 3-5 years. Those with a family history of diabetes should also have glycated hemoglobin tested to determine the average blood sugar level in the past three months. ； The traditional Chinese medicine system is more focused on daily "pre-disease warnings", such as observing whether the tongue coating is thick and greasy in the morning, whether there is frequent bleeding when brushing teeth, and whether there is inexplicable fatigue and chest tightness. These small signs often appear 3-6 months earlier than the physical examination indicators. Use diet therapy, moxibustion, and meridian massage in advance to nip problems in the bud.

Many people think that they can sit back and relax after checking that there are no major problems. In fact, small habits in daily life are the main force in fighting against geriatric diseases. Don't believe the nonsense on the Internet that "if you do these ten things, you can live to be a hundred years old." Everyone's physical condition is different, and the suitable methods are also completely different. Let’s just say that Uncle Li downstairs was diagnosed with high blood pressure two years ago. He used to eat braised pork every day. You asked him to stop completely? Impossible. The method he discussed with his nutritionist was to eat braised pork once a week, with two small pieces each time, and half a pound of green leafy vegetables for the rest of the meal. The oil and salt were reduced to one-third of the previous amount. His blood pressure has been very stable in the past two years. It is much better than those old people who say they have given up meat completely and secretly hide at home to eat sauced pork elbows. There is also the topic of exercise. It has been widely rumored on the Internet that walking 10,000 steps a day is necessary for health. Many elderly people have damaged their knees just to make up for the steps. In fact, experts from different departments have different opinions: experts in sports medicine recommend that elderly people with good cardiopulmonary function can walk 6-8,000 steps a day and do more gentle exercises such as aerobics and Tai Chi. ； However, orthopedic experts emphasize that for elderly people who already have degenerative knee disease, walking 4,000 steps a day is enough. The key is to walk with correct posture and wear soft-soled shoes that fit your feet. It is not that the more steps you take, the better. I have also seen many elderly people ignore the impact of emotions. There was a 72-year-old Aunt Chen. After her son divorced, she was so worried that she couldn't sleep every day. She had good blood sugar control, but her fasting blood sugar soared to 11. Later, she was dragged by her old sister to join the elderly model team. She rehearsed and performed every day without even increasing the dosage of medicine. In three months, her blood sugar dropped back to 6.2. Do you think it's amazing?

If you already suffer from basic diseases such as hypertension, diabetes, and hyperlipidemia, controlling the indicators is the core of preventing serious complications such as myocardial infarction, cerebral infarction, and renal failure. I met Uncle Wang at a free clinic before. He took antihypertensive drugs for three years and felt that his blood pressure was stable. I also heard from my neighbor that the antihypertensive drugs hurt the liver and kidneys, so I secretly stopped taking the medicine. As a result, he suffered a cerebral infarction six months later and was sent to the emergency room. Half of his body is still in poor condition now, which I regret even talking about. Regarding the plan for chronic disease management and control, different schools also have different ideas: The core proposition of Western medicine is "lifelong monitoring + individualized medication". Don't stop and change medications at will. Check relevant indicators every 3 months, and adjust the dosage according to the indicators. The side effects of most chronic disease drugs are far less harmful than those of out-of-control indicators. ； Traditional Chinese medicine advocates that on the premise that the indicators are stable for six consecutive months, diet therapy, acupuncture, Baduanjin and other methods can be used to assist conditioning, and the dosage of medicine can be gradually reduced. However, this must be done under the guidance of a professional Chinese medicine practitioner, and the medicine must not be stopped privately.

In fact, after all is said and done, there is really no unified standard answer to the prevention of geriatric diseases. The methods that others use that work well may not be suitable for you. After all, everyone’s genetics, living habits, and underlying diseases are different. The most important thing is to pay more attention to your body’s small signals, don’t take it for granted, and communicate with your doctor if you have any questions. This is much more reliable than the messy Internet celebrity health prescriptions.