Houston Chronicle

Take steps to avoid home-desk hazards

- DRS. MICHAEL ROIZEN AND MEHMET OZ Drs. Oz and Roizen Contact Drs. Oz and Roizen at sharecare.com.

Q: It’s so painful to work at home — my back and neck are killing me. I think it’s from setting up my computer on the kitchen table. How can I make it more comfortabl­e? Stan R., Buffalo, N.Y.

A: Before the pandemic, around 7 percent of Americans worked from home; now, no matter how the back-to-work solution rolls out, we bet more folks will find that they’re working from home some of the time, because it’s convenient and cost effective.

But for many people, it’s also a pain in the neck, elbows, arms, wrists, back and legs! That’s because plopping down your laptop willy-nilly at a kitchen table or at your kid’s desk is a formula for developing numbness or a burning sensation in your hand; pain, stiffness or swelling in your wrists, forearms, elbows, neck or back; headaches; and a reduced range of motion. So what’s the solution?

Your desk: You want clearance for your knees, thighs and feet. If your desk is too low, place blocks under the legs. Too high? Raise your chair and use a footrest to support your feet and legs, if needed.

Your chair: It should support your lower back and allow your feet to rest flat on the floor or on a foot cushion. Your thighs should be parallel to the floor.

Your monitor: Once you’ve positioned your desk and chair, place the monitor (on a stack of books) so it’s directly behind your keyboard and the top of the screen is at or just below eye level.

With a laptop, you’ll need an auxiliary keyboard. The monitor should be an arm’s length away from you.

Your keyboard and

mouse: Your fingers should be in a straight line with your forearm — it helps if you tip the keyboard away from you (opposite of how it’s usually done). The mouse should be next to the keyboard.

We hope this helps! Keep fiddling until it feels good. And remember to stand up, take a screen break and walk for three minutes every 30 minutes.

Q: I feel overwhelme­d by all the advice about healthy living — and although I want to sail into older age without any major problems, I just can’t do everything right! Can you give me some targeted recommenda­tions? Gail K., Youngstown, Ohio

A: You’re right that there are a lot of ways that you can protect your health and ward off chronic conditions. There’s meditating, eating nuts, standing up every 30 minutes during the day, giving up red meat — we could go on and on with a list of ideas big and small. But a recent Danish study has narrowed it down. The research, published in JAMA, found that the key to living past 50 without any major chronic diseases comes down to being physically active, maintainin­g a normal weight, avoiding smoking and consuming a moderate amount of alcohol (one drink a day). Those four rules, the researcher­s say, “confer the lowest risk of total mortality and chronic, noncommuni­cable disease, particular­ly cardiovasc­ular disease.”

But if you’ve sailed toward your golden years without paying much attention to the golden rules, and you’re overweight, smoke, drink a bit too much and/or eat junk food, all is not lost!

Adopting those healthy habits can extend your chance to live without developing chronic disease (Type 2 diabetes, coronary artery disease, stroke, cancer and asthma) by two to six years, say the researcher­s. And we say, if you adopt those healthy habits later in life and do develop diabetes or atheroscle­rosis, you may be able to reverse that by sticking with those lifestyle upgrades and expanding the time you spend exercising — 10,000 steps daily or the equivalent — and controllin­g the quality of your diet (no highly processed foods or processed and red meats).

To help you tackle these challenges, find an exercise or weight-management buddy (try ClevelandC­linicWelln­ess.com/ programs). And join support groups to quit smoking. The North American Quitline Consortium lists all quitlines in the country.

Vaping while pregnant is a big hazard

There’s a laundry list of things to avoid when you’re pregnant — using a sauna, drinking alcohol or more than one cup of coffee a day and, of course, smoking. Most women get that, but not everyone.

An alarming 7.3 percent of women in the U.S. smoke cigarettes while pregnant, according to a 2016 report from the Centers for Disease Control and Prevention. A study published in JAMA Pediatrics last year says that 3.6 percent of pregnant women are smoking e-cigs, slightly more than the number of nonpregnan­t women who use them (3.3 percent). It’s possible many don’t think vaping is as harmful as regular cigarettes.

But new research published in American Journal of Physiology­Lung Cellular and Molecular Physiology says that in fetuses, e-cigarettes are associated with an underdevel­oped respirator­y system and lung disease in adulthood. While this research was conducted on mice, not humans, it’s a clear indication that pregnant women, especially, should stay away from e-cigarettes.

If you’re pregnant and smoke e-cigarettes, talk to your doctor about how to quit. The earlier in your pregnancy you quit, the better the outcome for your child. There are smoking cessation tools, including pharmacolo­gical options, available to you. Your doctor can help you assess which are safe during pregnancy and most effective.

Also, consider starting cognitive behavior therapy to help you cope with the stress of going smoke-free and keep you focused on your goal of a healthy pregnancy. If your partner smokes, quit together, since secondhand smoke from any source is harmful to the fetus and mom.

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