Shoveling: When a Simple Winter Chore Turns Life-Threatening

Published in Blackstone Valley Call & Times on January 27, 2026

With an upcoming winter storm forecast for New England, Michelle Clark, Executive Director of the Southern New England American Heart Association, is urging older Rhode Islanders to take extra precautions when shoveling snow. She warns that sudden physical exertion in cold temperatures may lead to an increased risk of heart attack or sudden cardiac arrest.

This historic winter storm is already impacting the South and has brought destructive ice and heavy snow across 34 states, including the Midwest and Northeast. The arctic blast has brought extremely cold temperatures to the Eastern U.S. from Sunday through the week.

According to RINewsToday, Rhode Island has receive 16.5″ of light and fluff, on average.  Specifically, official observations compiled by weather services, here are some specifics: Providence and nearby areas saw around 14 5 to 16.8 inches; West Warwick (15 inches); East Greenwich (12.1 to 12.3 inches); Westerly and North Kingston (11 to 13.5 inches); North Providence (18.4 inches); East Providence (12.1 inches); and Pawtucket (13.5 to 14 inches).

Snow Shoveling Can Be Hazardous to Your Health

With heavy snow accumulation comes the responsibility of clearing sidewalks. However, shoveling snow in extreme cold can be dangerous—and even deadly—if proper safeguards are not taken.

“Older adults, especially those with a history of heart disease or major risk factors such as high blood pressure, high cholesterol, overweight or obesity, or who currently smoke, should not be shoveling snow under any conditions,” Clark says.

Snow shoveling is a physically demanding activity that can place significant stress on the heart, particularly for individuals who are not accustomed to regular exercise. Numerous scientific studies over the years have documented the dangers of snow shoveling for people both with and without known heart disease.

“The risk is especially concerning for people with cardiovascular risk factors, including a sedentary lifestyle, obesity, current or former smoking, diabetes, high cholesterol, or high blood pressure, as well as those who have previously had a heart attack or stroke,” Clark explains.

Clark points to a 2020 AHA scientific statement, “Exercise-Related Acute Cardiovascular Events and Potential Deleterious Adaptations Following Long-Term Exercise Training: Placing the Risks Into Perspective—An Update,” which identifies snow shoveling as a high-risk activity that places added strain on the heart, particularly among individuals who are not accustomed to regular physical activity.

“Research has found that the strain of heavy snow shoveling can be as demanding on the heart as a treadmill stress test,” Clark says. “Shoveling relies heavily on arm work—known as isometric or static exertion—which is more taxing on the heart than leg work. While lifting heavy shovelfuls of snow, people often unconsciously hold their breath, causing increases in heart rate and blood pressure,” she notes.

 Combined with the effects of extreme cold, Clark warns, snow shoveling creates “a perfect storm” for a heart-related event. “The impact can be worse people who are the least fit,” she adds.

 Clark cautions older adults against viewing snow shoveling as routine household work. “The movements are extremely demanding and can cause significant spikes in heart rate and blood pressure. Cold air also constricts blood vessels, forcing the heart to work harder under conditions that limit its ability to function efficiently.”

She emphasizes that warning signs—such as chest pain or pressure, lightheadedness, heart palpitations, or irregular heart rhythms—should never be ignored. “If symptoms occur, stop immediately,” Clark says. “Call 9-1-1 if symptoms do not subside shortly after stopping. If someone collapses while shoveling, call for help right away and begin Hands-Only CPR if the person is unresponsive and has no pulse.”

 Tips to Reduce the Risk of Snow Shoveling

 Clark recommends that individuals with known or suspected heart disease—or significant risk factors—ask someone else to handle snow removal whenever possible.

“If you must shovel, start slowly and pace yourself,” she advises. “Push or sweep the snow rather than lifting and throwing it, which requires less exertion. Cover your mouth and nose, dress in layers, and wear a hat and gloves.”

 She also cautions against shoveling during windy conditions, noting that wind chills make temperatures feel colder and increase strain on the body. 

When possible, Clark recommends using an automated snow blower instead of a shovel. “While caution is still necessary, research shows that using a snow blower doesn’t elevate heart rate as much as shoveling,” she says. “Snow blowing typically raises heart rate to about 120 beats per minute, compared to around 170 beats per minute during shoveling.”

Study: Communication Gap Exists Between Elderly and Their Children

Published in the Pawtucket Times on May 21, 2001

Everyone knows that communication gaps oftentimes occur between teenagers and their parents. According to the findings of a newly released AARP study, this problem also occurs in the later years too, between elderly parents and their adult children.

The AARP study found that most adult children never talk with their elderly parents about their aged-related needs until a crisis occurs.

Of those surveyed, two out of three adult children have never had this conversation with their aging parents.

Additionally, the findings indicated that more adult children and their older parents believed that their parents had a problem that affected their independence.

Moreover, the researchers say that the elderly parents are more than twice as likely as their adult children to say that their offspring had given them no help when they had a problem in the past five years.  While many elderly parents would seek information f rom their adult children about how to live independently, one in three adult children don’t know what type of information to give their parents or even where to locate it.

Grace Lebow, Co.-Director, of Aging Network Services, a nationwide care management service based in Bethesda, Maryland, believes “it’s never too late to open up communication with your elderly parents.”

However, “Many aging baby boomers find it difficult to see their parents age and become less parental to them,” states the clinical social worker specializing in working with older persons.

“Sometimes both older parents and grown children will think they are protecting each other by not addressing delicate subjects such as finances, wills, medical, durable power of attorney, and prepaid funerals,” Lebow tells The Times.

“The longer you avoid discussing these sensitive issues, the harder it will become when a future crisis occurs.”

Adult children often complain that their parents avoid or even refuse any discussions. Meanwhile, even if elderly parents are willing to talk with their adult children, oftentimes it’s the aging baby boomer children who are the ones who are in denial,” Lebow says.

“The adult children must become more receptive to listening to their signals instead of changing the subject and turning off the conversation.” She urges the aging baby boomers to tune in and pick up the parent’s lead.

For both generations, Lebow calls each to “listen to each other and become open for discussion.”

Sometimes a sibling might block needed conversations about age-related issues.

To circumvent this obstacle, consider writing a letter to this sibling and to the elderly parent, Lebow recommends, stating your feelings and how important you consider holding a family meeting to discuss your older parent’s needs.

Or consider bringing in the family friend or professional to get the dialogue jumpstarted, Lebow adds.

“It may even take the personal experiences of a friend of the parent to bring the issues home to both the elderly parent and adult children.”

Professionals, like family physicians or lawyers, who the older person trusts might be brought into the communication impasse as an alley to discuss the importance and the need for taking steps such as signing a living will, durable power of attorney or the need for prepaid funerals.

Aging specialist Nora Jean Levin, quoted in AARP’s brochure “Family Conversations that Help Parents Stay Independent,” notes that a conversation can help “plan for the future.”

She recommends working with older parents to create personal and financial profiles, including information such as the parent’s Social Security numbers, insurance coverage, medical records, and financial status.  By gathering this information, you might uncover current or potential needs for help.

As your older parent’s health and financial needs continue to change over time, continue to keep up your conversations on a regular basis.

To receive a pamphlet, “Family Conversations that Help Parents Stay Independent,” call Betsy L. Draper, of AARP, at 617 723-7600; or for information on Aging Network Services or to order a copy of Coping with Your Difficult Older Parents: A Guide for Stressed Out Children, by Grace Lebow & Barbara Kane, call 301 657-4329.