Get motivated to exercise regularly like these gym rats in their 70s and 80s
Exercising as you age is important. It's not only good for physical health to help prevent falls or enable you to do basic tasks — exercise is also superb for the mind.
'If you want to be cognitively active, it is so important to be physically active,' explained Dr. Amy Eyler, a professor of public health at Washington University in St. Louis. 'There is a such a strong connection between these two behaviors.'
Why make exercise part of my routine?
First, regular exercise helps maintain bone density and muscle strength. It also lowers the risk of heart disease and certain types of cancer.
For older people, regular exercise helps maintain strength and balance and allows them to live independently. Research also suggests the immune system may get a bump from physical activity.
There is also a psychological component. Successfully completing a daily exercise can improve one's mood and sense of self-satisfaction.
How to get started
Getting into the habit of doing regular physical activity can be difficult for some. The motivation to get moving is different for everyone.
Initially you'll need external motivation — I want to be able to play with my grandkids or keep driving the car — until you see results and the motivation shifts to internal, Eyler said.
'When you set a goal, you should ask yourself on a scale of 1 to 100, how confident am I that I can do this?' Eyler explained. 'It has to be over the 90% level of confidence or you're not going to do it. Lots of people set these goal too high and then fail.'
Build to your goals.
'Just walk whenever you can,' Eyler said. 'You can walk for 10 minutes pretty much anywhere — indoors, at work, at home.'
And, if you're trying to encourage others, look for positive reasons rather than nagging.
'Telling someone they will be more independent if they take their blood pressure medicine is better than — take your blood pressure medicine,' she said.
Here are some tips about how to start — and how to stay with it — from three gym rats between the ages of 77 and 86. All got started late and have stayed with it. All three work out with Dr. Irv Rubenstein, an exercise scientist who runs STEPS Fitness in Nashville, Tennessee.
I always hated gym class
Kathryn Dettwiller, 77, got pushed into exercising 34 years ago by her husband.
'I always hated gym class,' she said. 'I always hated getting down on the floor.'
She works out in a gym twice a week with a trainer, which she said gives her added discipline and motivation.
'The external has become internal because I realize I need it,' she said. She cautioned beginners to expect some setbacks — minor injuries — and not to be discouraged.
'Try it as soon as your body starts playing out on you,' she said. 'It's like a game of Whack-A-Mole. One time your leg hurts, the next time it's your back.'
It added structure to his life
Rick Bolsom, 82, enjoys the structure of having a trainer. In his case, his wife got him started almost two decades ago and he's into a three-times-a-week routine.
'I kept doing it because I had a sense of feeling better,' he said. 'The key to me was probably doing it with a trainer. The structure really helped me to continue with it. Now it's just become part of my life.'
'I couldn't imagine quitting it,' he added. 'I work out as vigorously as I did 15, 18 years ago. It turned out to be the smart thing to do.'
Bolsom also added in the social aspect to training in a gym or studio.
'I retired a few years ago. You do miss the connectivity with people.'
Flattery will get you everywhere
Dr. Grover Smith, a retired radiologist, is 86 and still going strong. He attributes this partly to training regularly in a gym three times a week, a habit he didn't start until he was 74 and well into retirement. He was coaxed to go after several visits to his cardiologist.
He said he went after the fourth time his cardiologist suggested it, although he was not having any specific heart problems. His plan was to go once to appease the cardiologist and that would be it. That was more than a decade ago.
'Medicine was basically my life and it was very time consuming,' Smith said. 'It was sometimes seven days a week and I didn't have time for a lot of other things.'
He's not only fit, but now he also gets flattered.
He tells the story about a recent visit to a doctor who, after looking at his charts, told him: 'Dr. Smith, you look 15 years younger than your age.'
Smith laughed as he added the punchline.

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CNN
2 days ago
- CNN
I wiped with bamboo and recycled paper to find the best eco-friendly toilet paper
The best eco-friendly toilet papers we tested Best eco-friendly toilet paper: Who Gives A Crap 100% Bamboo Toilet Paper Best recycled toilet paper: Aria 100% Recycled Toilet Paper Living a more sustainable life can take many forms, from shopping locally and reducing single-use plastics to using a reusable water bottle or composting. However, one area you might not consider when trying to reduce your carbon footprint is your bathroom. Most toilet paper in the US market is made from trees cut down from forests in Canada, and 'industrial logging claims more than a million acres of boreal forest every year,' according to a report by the Natural Resources Defense Council (NRDC) titled 'The Issue With Tissue.' Installing one of the best bidets can help you cut down on toilet paper use, but if you want to limit your impact, using the best eco-friendly toilet paper is critical too. To find the best eco-friendly toilet paper, I researched the most sustainable options, using the NRDC's 'The Issue With Tissue' Sixth Edition Scorecard, and ran standardized tests on 10 of the most popular and planet-friendly options. After a thorough testing process, I found the two best eco-friendly toilet papers you can buy. Who Gives A Crap 100% Bamboo Toilet Paper This toilet paper from Who Gives A Crap is incredibly soft and strong thanks to its 100% bamboo construction. It scored a B on the NRDC scorecard, but it had the best combination of absorption, durability and feel of any toilet paper I tested. Aria 100% Recycled Toilet Paper Recycled toilet paper is more sustainable than bamboo options, but some recycled toilet papers lack durability or feel rough. Aria's 100% recycled toilet paper is the softest and plushest option I tried, and it's durable enough for most. If you want a high-performing toilet paper that's easier on the planet, look no further than Who Gives A Crap's 100% Bamboo Toilet Paper. It's strong and soft, and although it only scored a B on the NRDC's scorecard, Who Gives A Crap's other sustainable efforts will win you over. During my product testing, I found that bamboo toilet papers normally offer a softer and more durable build than options made from recycled toilet paper. Case in point: Who Gives A Crap's bamboo paper. Even though it was one of the softest toilet papers I tested, it was also one of the most durable. It tied as the top scorer in my standardized durability test and my general wiping comfort test. I use a bidet, and the added water can make wiping with low-quality toilet paper an awful experience. But even with that extra difficulty, the Who Gives A Crap bamboo toilet paper stayed solid, with little to no rips, in both my wet and dry wipe tests. Besides durability, the other standout feature of the Who Gives A Crap paper is its softness. This roll was the second softest of all the toilet papers I tested, coming in just behind the Aria 100% Recycled Toilet Paper. In addition to its soft and smooth feel, I never had any issues with the texture, unlike some of the other recycled toilet papers I tested, which can sometimes feel very rough and thin. The Who Gives A Crap bamboo toilet paper scored well in my absorption test, has a convenient subscription where you can buy in bulk and was even in the top half of rolls when I calculated cost per sheet. While this roll stood out in nearly every test I ran, one area where it — and all the bamboo toilet papers I tested — fell a bit short was in its NRDC score. All the bamboo toilet papers I tested scored a B, which is the lowest score I allowed into the testing pool. These toilet papers are still miles better than options that use virgin paper, but they aren't quite as sustainable as recycled options. Even though the paper itself didn't score as high as others on the NRDC scorecard, the other sustainability efforts of Who Gives A Crap are far above almost any other brand I researched. Who Gives A Crap is a certified B Corporation and FSC certified, and it donates 50% of its profits to help provide access to clean water and toilets to communities across the globe. If you're looking to spend your money on a brand that does good in the world, Who Gives A Crap was one of the best options I tested. If you need a sustainable toilet paper that's soft and strong and can help make a difference, Who Gives A Crap's 100% Bamboo Toilet Paper is the roll for you. Not only was it the best-performing toilet paper I tested, but the mission behind the brand makes swapping out whatever toilet paper you have now a no-brainer. If you want toilet paper that's even better for the planet than bamboo options, Aria's 100% Recycled Toilet Paper is what you need. It's made from completely recycled content, plus it's free of dyes, inks and fragrances, which helped earn it an A+ on NRDC's scorecard. An A+ is the highest a product can score, and only four toilet papers I tested achieved this feat. Of those four, the plush feel of Aria's toilet paper made it a standout pick. While most recycled toilet papers didn't feel as soft as bamboo options, Aria bucked that trend. It was the softest, most plush toilet paper I tested by far, thanks to its extravagant three-ply construction. It has the closest feel to traditional toilet paper of anything in my testing pool. While the softness was its shining feature, the Aria roll didn't slack in other areas either. Notably, it had top-notch absorption, scoring in the top three during my tests. Its one downside is durability, which is par for the course for recycled toilet papers. In my standardized test, the Aria sheets were tied at the bottom with the worst durability score. But in day-to-day use, those durability results didn't translate to ripped toilet paper when I wiped. In fact, during my wiping tests, the Aria toilet paper was one of the best performers. Even so, given its poor durability rating in my other test, you should expect some ripping or crumbling depending on the situation — it is made from recycled paper after all. While it won't happen as much as with other recycled toilet papers, if durability is a top priority for you, go with a bamboo option instead. Besides its stellar score from the NRDC, Aria has decent sustainability efforts as well. It's FSC certified, it comes in recyclable paper packaging and the brand even partners with the Arbor Day Foundation to help plant trees. I wish there were more information about this partnership and other initiatives on Aria's website so consumers could learn more about its sustainability efforts in all areas. There is one small caveat to Aria's sustainability, though, and it's related to its paper packaging. Reducing plastic packaging is great, and the Aria toilet paper I got was wrapped in paper. Unfortunately, the paper packaging was wrapped in a plastic Amazon bag since I bought it on Amazon. Currently, Aria is only widely available online at Amazon, so I hope to see it offered at other retailers that are more committed to reducing plastic in the shipping process, such as Grove Collaborative, soon. If you're willing to sacrifice a bit of durability for a more sustainable material, Aria's 100% Recycled Toilet Paper should be in your bathroom. It's supremely soft, strong enough for most and tied with the highest NRDC score of all the toilet papers I tested. To find the very best eco-friendly toilet paper, I got 10 of the most popular and sustainable options and put them to the test. Here are the tests I ran. Performance Absorption: I weighed six sheets of each toilet paper, soaked them in water, then weighed them again to measure how much water they could absorb. Durability: I secured one sheet of toilet paper underneath the lid of a canning jar, then dropped a marker from 15 inches high. I increased the number of sheets until the toilet paper was able to stop the marker from going through. Wiping comfort: I used each toilet paper, and conducted dry and wet wiping tests after using a bidet. General feel and softness: I felt each toilet paper and ranked them from softest to roughest. Design NRDC score: I researched each toilet paper's score on the NRDC scorecard. Other sustainability efforts: I researched any other sustainability efforts or certifications each brand had. Cost per sheet: I calculated how much each toilet paper costs and ranked them. Subscription availability: I researched if the toilet papers had any sort of subscription or automatic delivery service. There are two main types of sustainable toilet paper: bamboo and recycled. Bamboo tends to be softer and stronger, since it's made from a virgin material. However, since bamboo is a grass, it grows back incredibly fast and is a much more eco-friendly option compared to using wood pulp from trees. Recycled toilet paper, on the other hand, is a more sustainable material because it repurposes paper that has already been used for something else. In my testing, I found these toilet papers to be less durable than bamboo options, and they often feel rougher, too. But when it comes to sustainability, nothing beats recycled toilet paper. Choosing the right eco-friendly toilet paper depends on your preferences. If you want something more sustainable, sacrificing a bit of durability and comfort with recycled toilet paper is the way to go, but if you want a paper that performs better, bamboo will likely be your preference. Once you know what kind of toilet paper you want, finding a brand that has the right price and amenities is just as important. Some toilet paper companies offer subscriptions, either through their websites or on Amazon. And if you want to use your money to support sustainable or charitable causes, finding a brand that donates some of its profits could be an important factor in your buying decision. Who Gives A Crap 100% Recycled Toilet Paper This recycled toilet paper scored an A from the NRDC, but it just wasn't durable enough in my tests. If the Who Gives A Crap recycled toilet paper were more durable, it would have been a shoo-in for the crown of best recycled toilet paper. It's not as soft as the Aria, but the brand's charitable initiatives really bumped up this paper's overall sustainability score. When wiping, I found it to rip and crumble more than most other papers I tested, which knocked it down a few pegs. Grove Collaborative 3-Ply Bamboo Toilet Paper A close contender for the bamboo title, this roll is a great alternative to Who Gives A Crap. If I could have named a runner-up for the best bamboo toilet paper, it would have been this set from Grove Collaborative. It was similar in strength to the Who Gives A Crap rolls, but it was just a touch rougher. I also love how Grove Collaborative is a certified B Corp and has a program to help remove plastic from nature. Plus, this was one of only two rolls to be delivered completely plastic-free (the other was Reel). Reel Bamboo Toilet Paper The bamboo toilet papers I tested were all great, and this roll from Reel was no exception. It was just a little bit rougher and less durable than Who Gives A Crap, which knocked it down. If you choose Reel's bamboo toilet paper over Who Gives A Crap's for whatever reason, I can't blame you. It's nearly as soft and strong, but it just couldn't quite match the stellar performances of our winner. However, it's still a great roll from a great brand that has some good sustainability initiatives too. 365 by Whole Foods Market Sustainably Soft Bath Tissue This recycled toilet paper did decently well in my tests and has a stellar A+ score from the NRDC. This recycled toilet paper was one of the stronger recycled options I tested. Similar to the Aria roll, you'll probably only get a little ripping or crumbling when using this toilet paper. It wasn't nearly as soft and didn't absorb as much as the Aria paper, which kept it out of the winning circle. Marcal 1646616PK 100% Recycled 2-Ply Bath Tissue This was the strongest recycled toilet paper I tested, but it just felt too rough to be a winner. The Marcal rolls surprised me with just how durable they were, even though they're made from recycled paper. However, this was the roughest toilet paper I tested, and it felt like something you'd find in a public bathroom. Even though the Marcal is strong, I think the added comfort of the Aria makes it the better pick. Green Forest Premium 100% Recycled Bathroom Tissue Another A+ scorer on the NRDC list, this toilet paper just couldn't stand out above the competition. These recycled rolls from Green Forest weren't bad, but they didn't soar above the competition either. The toilet paper absorbed a lot of water but had middling durability and comfort. It's not a bad toilet paper by any means, but I think there are better options out there. Seventh Generation 100% Recycled Bath Tissue This toilet paper didn't have the best durability, and it didn't shine in my comfort tests either. Seventh Generation's recycled toilet paper is another solid, but not special, option. It didn't perform well in my standardized durability tests and had just OK results from my wiping tests. You probably won't be mad if you buy this toilet paper, but I think you'll be happier with one of our winners. Trader Joe's Bath Tissue (only sold at brick-and-mortar Trader Joe's locations) The Trader Joe's recycled toilet paper had pretty good results in most of my tests. It absorbed quite a bit of water, felt nice to wipe with and got an A+ from the NRDC. It fell in the middle of the pack out of the recycled toilet papers when it came to durability and feel, and it is the cheapest toilet paper I tested. It wasn't quite good enough to beat out the other toilet papers I tested, but it's a good option to snag if you're already shopping at Trader Joe's. The following FAQs were answered by Kai Burkhardt, this guide's writer and CNN Underscored's sustainability editor. Is bamboo toilet paper eco-friendly? Is bamboo toilet paper eco-friendly? Yes, bamboo toilet paper is eco-friendly. Bamboo is a much more sustainable option than toilet paper made from virgin wood pulp; however, the most eco-friendly alternative is recycled toilet paper. What is eco-friendly toilet paper? What is eco-friendly toilet paper? Normal toilet paper is made from trees that are cut down just to be flushed in your toilet. Eco-friendly toilet paper is made from either recycled paper or bamboo, both of which are more sustainable materials that have a smaller impact on the planet. CNN Underscored editors thoroughly test most of the products we cover and provide full transparency about how we test them. We have an experienced team of writers and editors with many years of testing experience who ensure each article is carefully edited and products are properly vetted. The writer of this story, Kai Burkhardt, is CNN Underscored's outdoors, pet and sustainability editor. For this guide, he acquired all the eco-friendly toilet paper mentioned in this story and tested the rolls himself. He performed standardized tests and also used them in day-to-day life to discover the best.


Medscape
2 days ago
- Medscape
Violence Against Nurses Surges in ‘Tinderbox' A&Es
Violence against A&E staff in England has almost doubled over the past 5 years, with nursing leaders warning that chronic understaffing, long waits, and corridor care are fuelling the rise. The Royal College of Nursing (RCN) said that more than 4000 incidents of physical violence were recorded in 2024, compared with just over 2000 in 2019. It urged the government to take decisive action, warning that without change its 10-Year Health Plan would 'fail completely'. In one Kent hospital, cases of violence against staff increased by more than 500%, from 13 in 2019 to 89 last year. At a Bristol hospital, incidents almost doubled from 83 to 152 in the same period. Punching, spitting, and acid attack threats were among the behaviours staff in emergency departments regularly face, according to the RCN. The figures came from a Freedom of Information request sent to NHS trusts, with 89 out of a possible 129 trusts responding. Long Waits Fuel Tensions Analysis of NHS data by the RCN also found that waits of more than 12 hours in A&E had risen more than 20-fold over the same period. On a typical working day, a member of emergency department staff in England is attacked every hour, the RCN said. Long delays were also causing anger among patients who were not typically violent. Senior charge nurse Rachelle said that 'even patients you would expect to be placid are becoming irate because of just how long they have to wait'. One senior A&E nurse described her hospital as a 'tinder box' for violence. She had seen colleagues punched, kicked and threatened with a gun, and had herself been spat at and threatened with an acid attack. The incidents caused depression and anxiety, prompting her to take a secondment in research to step away from the frontline. Recruitment Concerns Earlier this week, the government launched a Graduate Guarantee scheme, promising jobs for newly qualified nurses and midwives. However, one nurse warned that the level of violence was unlikely to help with retention or recruitment. 'If you think you're going to be clobbered every shift, why would you stay?' she said. RCN general secretary and chief executive Professor Nicola Ranger said: 'Nursing staff not only go to work underpaid and undervalued but now face a rising tide of violence. It leads to both physical and mental scarring, lengthy time off, and sometimes staff never returning. You can't fix the health service when vital staff are too scared to even go into work.' 'Shocking' Levels of Abuse The 2024 NHS Staff Survey found that 14.38% of staff had experienced at least one incident of physical violence from patients, service users, relatives, or members of the public over the course of a year. A further 25.08% reported at least one incident of harassment, bullying, or abuse. 'Behind these shocking figures lies an ugly truth,' Ranger said. 'Dedicated and hard-working nursing staff face rising violent attacks because of systemic failures that are no fault of their own.' She urged the government to move beyond recording incidents and focus on reducing them. NHS Response NHS England said it was committed to supporting colleagues in violence prevention, security management, and other high-risk roles. It offers courses and programmes to help staff prevent and reduce the risk of violence and to support their wellbeing. 'Measures to keep staff safe day-to-day are crucial,' said Ranger. 'But the stark reality is that unless the government does something about lengthy waits, corridor care, and understaffed nursing teams, more nursing staff will become victims of this utterly abhorrent behaviour.'
Yahoo
2 days ago
- Yahoo
Nurses punched, spat at and threatened with weapons over A&E wait times
Nurses are being punched, spat at and threatened with weapons by patients who are not prone to violence but are becoming angry after long waits in A&E.