Take stock of your health with this post-lockdown checklist
‘We did the best to cope and get through this extraordinary year, and now we can think about how we start to heal and re-engage in our own health,’ one expert says.
As more people in the United States are vaccinated against COVID-19, and some areas experience a slowdown in virus infections, the nation is slowly starting to reopen.
According to healthcare professionals, post-lockdown life should start with taking stock of your health.
“It’s a great time to do a reboot,” said Dr. Kathryn M. Rexrode, chief of the division of women’s health at Brigham and Women’s Hospital and an associate professor of medicine at Harvard Medical School in Boston. “We did the best to cope and get through this extraordinary year, and now we can think about how we start to heal and re-engage in our own health.”
Know your numbers
Keep track of your blood pressure, cholesterol and A1C, which is a measure of average blood sugar over the prior three months.
While blood pressure and weight can be tracked at home, a doctor’s visit might be the easiest way to get the most up-to-date measurements of total cholesterol, triglycerides and blood sugar.
“Because we’ve been less active in many cases and because our eating patterns have been less healthy, those things definitely could have gotten out of whack,” said Dr. Donald Lloyd-Jones, a cardiologist, epidemiologist and chair of preventive medicine at Northwestern University Feinberg School of Medicine. “Unless you get with your doctor and measure them carefully, you won’t know your numbers, and you won’t know what you need to address.”
Schedule cancer screenings
Rexrode, a primary-care doctor, says people should schedule any necessary or overdue mammograms, Pap smears, colonoscopies and other cancer screenings, which many postponed during the pandemic. Most states allow people to schedule their own screenings.
“We may have missed opportunities to pick up cancer at an earlier stage, when treatment is usually easier and less invasive than if we detect it at a later stage,” she said. “It’s important to review that list and see what you’re overdue for.”
Iin March 2020 alone, more than 800 lung-cancer screening appointments at the University of Cincinnati Cancer Center were postponed because of coronavirus restrictions, according to a recent study in the Journal of the American College of Surgeons.
Even more people should now be screened for lung cancer after the U.S. Preventive Services Task Force recently updated recommendations for low-dose CT scans for lung cancer. The task force now urges screenings for people 50 to 80 years old who have a 20 “pack-year” or more smoking history and currently smoke or have quit in the past 15 years.
See the dentist
An American Dental Association survey found three-quarters of people responding had postponed dental checkups during the spring of 2020, and more than 12% avoided the dentist even though something was bothering them.
That could have far-reaching consequences beyond your pearly whites.
“Chronic inflammation of the gums can introduce whole-body inflammation, and there are some links to an increase in cardiovascular disease,” Rexrode said. “Taking care of your teeth is an investment for your future self.”
Address mental health
Mental health also has taken a hit during the pandemic, with self-reported depression and anxiety way up.
“The pandemic and the stresses and strains of isolation, the loss of jobs and, in some cases, homes have magnified the problems of mental health,” said Lloyd-Jones, who is president-elect of the American Heart Association.
He advises people struggling with anxiety, depression or other mental health problems to reconnect with their therapist or primary-care doctor, a social worker or a social service organization.
“There are many ways to start to get connected, but it’s important to acknowledge you’re having a problem and get involved in the care pathway,” he said. “The earlier you identify a problem and get connected, the sooner we can get help for you.”
A recent study in JAMA Network Open of measurements from Internet-connected smart scales suggests shelter-in-place orders might have affected waistlines, with adults gaining more than half a pound every 10 days. Obesity increases the risk for heart disease, Type 2 diabetes and many cancers.
That’s why it’s important to get moving. Vaccinated people can safely return to the gym, Lloyd-Jones said, though he suggests sticking with facilities that enforce social distancing and — as the city of Chicago requires of fitness clubs — wearing masks.
With the weather getting warmer, he said exercise is as easy as taking a walk around the block.
Rexrode and Lloyd-Jones advise their patients to eat a diet rich in fruits and vegetables, whole grains and lean protein, minimizing processed items, fast food and sugary drinks.