Women

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Womens Health
Presented By Bill Byron
10/19/10
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Workshop Agenda

• What is a Healthy Woman?
• History of Womens Health
• Leading Causes of Death
• Are 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
Social
Occupational
environmental
Spiritual
Intellectual
Emotional
Physical
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• Womens 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 Womens 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

• 1
• Heart Disease
• 2 Cancer
• 3 Stroke

CDC, National Vital Statistics Report, 2007
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Heart DiseaseThe 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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As with men, womens 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

• Shortness of breath
• Nausea/vomiting
• Back or jaw pain
• Indigestion or Abdominal pain
• Vague complaints

• Women vs. Men
• Feels like
• a mouse vs. an elephant
• on chest

American Heart Association, 2007 Mayo Clinic, 2007
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The Problem??Heart disease in women is difficult
to diagnose

• Why?
• 1. Dont show a clear clog
• 2. Women tend to down play their own symptoms

• Women dont 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 Factorsk
• 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
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American Lung Association, 2007
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Smoking Risks for Women

• Heart disease, lung cancer, cervical cancer,
  osteoporosis
• Spontaneous miscarriages abortions
• Early menopause
• Infertility
• Low birth weight babies

American 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 Factors

• Uncontrollable
• 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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Warning Signs of Breast Cancer

• 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.

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 Cancer

• Occurs in digestive system
• 26,699 women die annually in the US (ACS2004)

• Risks Factors Women
• Family history ethnic background
• Personal history
• Age, diet, lack of exercise, overweight, smoking,
  alcohol use

Centers for Disease Control, 2007 American Cancer
Society, 2007
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Colorectal Cancer

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

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 5060 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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(No Transcript)
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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
Call 911 immediately!
www.ninds.nih.gov
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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 cant control
• Age
• Gender
• Heredity and Race
• Previous medical conditions

National Stroke Association
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Know Your Numbers
Cholesterol Your total blood cholesterol
levelDesirable  Less than 200 mg/dLBorderline
high risk  200239 mg/dLHigh risk  240 mg/dL
and over LDL bad cholesterol Less than 100
mg/dL Optimal 100-129 mg/dL Near
Optimal 130-159 mg/dL Borderline
High 160-189 mg/dL High 190 above
Very High HDL good cholesterol 50 mg/dL or
higher
National Womens Health Resource Center
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Know Your Numbers

• Blood Pressure
• Less than 120/80 mmHg Normal
• 120 to 139 / 80 to 89 Pre-hypertension
• 140 over 90 High

• Special Considerations for Women
• Taking the birth control pill
• Pregnancy
• Overweight
• Following menopause
• African American
• Family history

American Heart Association
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Know Your Numbers

• 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

American Heart Association
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Know Your Numbers

• 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 dont have other risk factors.
• Screening
• Body Mass Index
• Waist Circumference

American Obesity Association http//obesity1.tempd
omainname.com
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Lower Your Risk

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

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There is no doubt, women are the stronger species

• With some biological factors going against us
  like
• Hormones
• Pregnancy
• Menopause

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The 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 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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Lower Your Risk

• 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!!!

USDA-Mypyramid.gov
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Lower Your Risk

• 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

"The way you treat yourself sets the standard for
others." Sonya Friedman
Centers for Disease Control
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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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Making A Difference In Your Health
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Stages of Behavior Change

• Precontemplation
• Contemplation
• Preparation
• Action
• Maintenance
• Relapse

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Are You Ready To Make A Change?
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Ok, Now What?

• Make a Difference in Your Health and Take Action!

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Create an Action Plan

• Decide what you want (your goal)
• Visualize achieving this goal
• Write it down
• Include details
• Reread it often
• Take small steps, dont expect to change
  behaviors over night!
• Reward yourself

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Put it in writing!

1. Write down your goal.
2. List 5 benefits you will enjoy as a result.
3. What is your current status?
4. When are you going to accomplish this goal?
5. List 5 obstacles you will have to overcome.
6. What knowledge will you need to acquire?
7. Identify the people and organizations whose
   assistance you will need.

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Take Care of Your Body Now

• So youre in
• good shape
• for the future!

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Believe
anything is possible!
The only reason the bumble bee can fly is
because no one told her that she cant!
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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 Womens 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!!