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Women’s Health

Presented By:

Bill Byron10/19/1010/19/10

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Workshop Agenda

What is a Healthy Woman?History of Women’s HealthLeading Causes of DeathAre you at Risk?Making A Difference in Your Health

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What is a Healthy Woman?

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Healthy is…

• Living well despite your inescapable illnesses and diseases.

Total Wellness is…• The balance and integration of the

physical, intellectual, emotional, spiritual, occupational, environmental, and social aspects of the human condition.

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7 Dimensions of Wellness

Occupational

Spiritual

EmotionalPhysical

Intellectual

environmental

Social

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“Women’s health has moved beyond something people just talk about at the policy

level.”

Elena Rios, MD,

Executive Director of the National Hispanic Medical Association

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History of Women’s Health

Past (10-15 years ago)

Heart attacks misdiagnosed

Standard diagnostic tests

Screenings were unimportant

Lack of communication

Present

Symptoms in women are well known and treated effectively

More reliable testing (gender specific)

Screenings and prevention are extremely important

Easier and more supportive environment

National Institute of Health

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What are the 3 leading causes of death in women?

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Leading Causes of Death for Women

#1Heart Disease

#2 Cancer

#3 Stroke

CDC, National Vital Statistics Report, 2007

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Heart Disease“The Silent Killer”

#1 killer in both women and men

2/3 of women who suffer a heart attack do not make a full recovery.

500,000 women die yearly

Study from American Heart Association identifies how many women considered heart disease as the #1 killer.

1997 = 33% 2006 = more than 50%

American Heart Association, 2007

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Heart Disease

Risk Factors

Genetic makeup Family History Gender Race Aging Process

Smoking Lack of Physical Activity Depression Stress Diet (cholesterol) High Blood Pressure Diabetes Obesity

American Heart Association, 2007

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Shortness of breathNausea/vomitingBack or jaw painIndigestion or

Abdominal painVague complaints

Women vs. MenFeels like…

a mouse vs. an elephant

on chest

American Heart Association, 2007 Mayo Clinic, 2007

As with men, women’s most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some

of the other common symptoms particularly:

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The Problem??Heart disease in women is difficult to diagnose

Why?1. Don’t show a clear clog

2. Women tend to down play their own symptoms

“Women don’t always present with one big kink in the garden hose.”

Dr. Sujoya Dey, University of Michigan Cardiovascular Center

American Heart Association, 2007

Mayo Clinic, 2007

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Cancer#2 leading cause of death in women

What are the top 3 cancers in women?

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#1 Lung Cancer

#2 Breast Cancer

#3 Colorectal Cancer

CDC, National Vital Statistics Report, 2007

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Lung Cancer 79% of lung cancer is caused by smoking. More Americans die from lung cancer than from breast, prostate and colorectal cancers

combined.

Risk Factors:k

• Smoking and being around others' smoke

• Things around us at home or work (such as radon gas)

• Personal traits (such as having a family history of lung cancer)

American Cancer Society, 2007

19 American Lung Association, 2007

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Smoking Risks for Women

Heart disease, lung cancer, cervical cancer, osteoporosis

Spontaneous miscarriages & abortions

Early menopause InfertilityLow birth weight

babiesAmerican Lung Association, 2007

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Healthy Lung Diseased Lung

American Lung Association, 2007

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Breast Cancer

Most common cancer except for skin cancer

In 2007, over 178,480 women will be diagnosed with invasive breast cancer vs. 212,920 in 2006

In 2007, over 40,460 or 1 in 35 women died from breast cancer

Death rates have declined due to better treatment and earlier detection – 2 ½ million breast cancer survivors in the US.

Susan G. Komen Breast Cancer Foundation, 2007

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Risk FactorsUncontrollable

Being a woman Getting older Family History Biopsy (Pre-Cancerous

Condition) 1st period before age 12 Menopause after 55 Positive testing for breast

cancer gene (BRCA1 & BRCA2)

Controllable

More than 1 alcoholic drink a day

Obesity after menopause Weight gain as an adult Recent use of oral

contraceptives Never having children 1st child after age 30 Current/recent use of HRT

Susan G. Komen Breast Cancer Foundation www.komen.org

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Some

New lump in the breast or underarm (armpit). Thickening or swelling of part of the breast. Irritation or dimpling of breast skin. Redness or flaky skin in the nipple area or the breast. Pulling in of the nipple or pain in the nipple area. Nipple discharge other than breast milk, including blood. Any change in the size or the shape of the breast. Pain in any area of the breast.

Warning Signs of Breast Cancer

Centers for Disease Control

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Breast Health Care ~

Perform breast self-exams each month.

Have mammograms and clinical breast exams as recommended by health care provider.

Susan G. Komen Breast Cancer Foundation, 2007

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Colorectal CancerOccurs in digestive system

26,699 women die annually in the US (ACS2004)

Risks Factors WomenFamily history & ethnic

backgroundPersonal historyAge, diet, lack of exercise,

overweight, smoking, & alcohol use

Centers for Disease Control, 2007

American Cancer Society, 2007

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Colorectal cancer first develops with few, if any, symptoms. However, if symptoms are present, they may include:

SymptomsBlood in or on the stool A change in bowel habits Stools that are narrower than usual General, unexplained stomach discomfort Frequent gas, pains or indigestion; Unexplained weight loss Chronic fatigue

Colorectal Cancer

Centers for Disease Control

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Screening Saves Lives You should begin screening for colorectal cancer soon

after turning 50. It is estimated that at least 50%–60% of colorectal cancer

deaths could be prevented if all men and women aged 50 years or older were screened routinely.

Centers for Disease Control

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Stroke “Brain Attack” Blood flow cut off to the brain or blood vessel

bursts Leading cause of long-term disability in the U.S.

(American Heart Association, 2004) 46,000 more women than men have a stroke

annually (American Heart Association, 2007)

Risk Factors: Family history or personal history Age Smoking, heart disease, diabetes, high

blood pressure

American Stroke Association

www.strokeassociation.org

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If you believe someone is having a stroke…

www.ninds.nih.gov

Call 911 immediately!

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If you think someone may be having a stroke, act F.A.S.T. and do this simple test:

Act F.A.S.T.

FACE    Ask the person to smile.Does one side of the face droop?

ARMS    Ask the person to raise both arms.Does one arm drift downward?

SPEECH  Ask the person to repeat a simple sentence.Are the words slurred?  Can he/she repeat the sentence correctly?

TIME    If the person shows any of these symptoms, time is important. Call 911 or get to the hospital fast. Brain cells are dying.

National Stroke Association

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Are You at Risk?

• Risk Factors you can control:

– High Cholesterol

– High Blood Pressure

– Diabetes

– Obesity/Overweight

– Physical Inactivity

– Smoking

• Risk Factors you can’t control:

– Age

– Gender

– Heredity and Race

– Previous medical conditions

National Stroke Association

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Know Your NumbersCholesterolYour total blood cholesterol levelDesirable — Less than 200 mg/dLBorderline high risk — 200–239 mg/dLHigh risk — 240 mg/dL and over

LDL “bad cholesterol”Less than 100 mg/dL Optimal100-129 mg/dL Near Optimal130-159 mg/dL Borderline High160-189 mg/dL High190 & above Very High

HDL “good cholesterol”50 mg/dL or higher

National Women’s Health Resource Center

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Blood Pressure – Less than 120/80 mmHg “Normal”

– 120 to 139 / 80 to 89 “Pre-hypertension”

– 140 over 90 “High”

Know Your Numbers

Special Considerations for Women:• Taking the birth control pill

• Pregnancy

• Overweight

• Following menopause

• African American

• Family history American Heart Association

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Diabetes is a disease in which the body does not produce or properly use insulin.

• Type 1

• Type 2

• Gestational Diabetes

• Common Symptoms:

• Thirst, frequent urination, tired, blurred vision, frequent infections, slow wound healing.

•Screening: Fasting Glucose Less than 100 mg/dL

Know Your Numbers

American Heart Association

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Obesity/Overweight• 64% of adults are overweight in the U.S.

• Obesity is the second leading cause of unnecessary deaths.

• Women with excess body fat are at a higher risk of heart disease – even if they don’t have other risk factors.

Screening:

•Body Mass Index

•Waist Circumference

Know Your Numbers

American Obesity Association

http://obesity1.tempdomainname.com

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• Lifestyle Changes – Be Active!

• Pick something you love to do and get moving!• Aim for 30 minutes most days of the week.

Lower Your Risk…

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There is no doubt, women are There is no doubt, women are the stronger speciesthe stronger species

With some biological factors going against us likeWith some biological factors going against us like

• HormonesHormones

• PregnancyPregnancy

• MenopauseMenopause

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The Average WomenThe Average Women

Loses about 5 pounds of muscle every decade. Adds about 10 pounds of fat every decade. Reduces her muscle mass by 1/3 by the age of 50.

Strength loss is 12-14% per decade after the age of 50.

Can have half her original muscle tissue by 60, with a high percentage of body fat

Might not have enough muscle mass. This will absolutely increase the risk of serious problems such as lower back pain, heart disease, stroke, diabetes and bone loss.

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Train to MaintainTrain to Maintain

Between the ages of 40-70 it is estimated that our fat free mass declines by 40%!

Each pound of lean tissue burns approximately 35 to 50 calories per day. A loss of just ½ lb. Of muscle could cause weight gain of almost 3 pounds in 1 year.

This could extend to 25 pounds in 10 years, 50 pounds in 20 years and 75 pounds in 30 years!

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• Lifestyle Changes – Healthy Diet– Focus on fruit (fresh, frozen, canned or dried)– Vary your veggies (eat more dark green & orange)– Get your calcium-rich food– Make half your grains whole– Go lean with protein Find your balance between food

and physical activity

– Remember the 80/20 Rule!!!

Lower Your Risk…

USDA-Mypyramid.gov

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NUTRIENTWOMENS

ESSENTIALSDAILY

DOSAGE

VITAMIN EVitamin E is a powerful

antioxidant that is helpful during the menstrual cycle

200 IU

VITAMIN B'SB Vitamins help with energy,

metabolism and hormone production

Folic Acid: 400 mcg B-1: 1 to 2 mg B-6: 2 mg B-12: 5 mcg

VITAMIN C Supports immune system 500 - 1000 mg

CALCIUM MAGNESIUM

AND IRON

Essential for bone support and the prevention of

osteoporosis

Pre menopausal 1,000 mg

Menopausal 1,500 mg

MULTIVIVITAMINProvides 26 essential vitamins and minerals

One a day

FISH OIL

Omega-3 fatty acids support a healthy heart and maintain triglyceride and cholesterol levels in the normal range

1,000 to 3,000 mg

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• More Lifestyle Changes– Maintain a healthy weight

– Moderate alcohol use

– Prevent/control Diabetes

– Be smoke free

– Reduce your stress

– Get routine exams & Screenings

– Know your family history

– Be good to yourself

Lower Your Risk…

Centers for Disease Control

"The way you treat yourself sets the

standard for others."

~ Sonya Friedman

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Prevention Is The Key:

• ½ of Chronic Illness is related to lifestyle & behavioral factors.

• 47% of premature deaths in US could be prevented by modifying lifestyle behaviors.

American Heart Association

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A balance of weight training, lower intensity cardio, sleep

and adequate food intake including carbohydrates,

fiber and fluids.-Scott Josephson, M.S. Exercise Physiologist

& Dietitian

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Are You Ready To Make A Change?

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Ok, Now What?Ok, Now What?

Make a Difference in Your Make a Difference in Your Health and Take Action!Health and Take Action!

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Create an Action Plan:Create an Action Plan:

1. Decide what you want (your goal)

2. Visualize achieving this goal

3. Write it down

4. Include details

5. Reread it often

6. Take small steps, don’t expect to change behaviors over night!

7. Reward yourself

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Take Care of Your Body Take Care of Your Body NowNow

So you’re in

good shape

for the future!

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Helpful Websites

Go Red for Women www.goredforwomen.org Centers For Disease Control www.cdc.gov The Way To Eat www.thewaytoeat.net The National Women’s Health Information Center

www.4women.gov The Mayo Clinic www.MayoClinic.com National Cancer Institute www.cancer.gov National Osteoporosis Foundation www.nof.org Womens Health www.womenshealth.gov American Heart Association www.americanheart.gov American Stroke Association www.strokeassociation.org National Stroke Association www.stroke.org Susan G. Komen www.Komen.org

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Questions

Thank You!!Thank You!!