Presented By:

Womens Health
Bill Byron
10/19/10

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

What is a Healthy Woman?

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 Intellectual

Spiritual

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

History of Womens Health

Past (10-15 years ago) Heart attacks misdiagnosed 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

Standard diagnostic tests Screenings were unimportant

Lack of communication
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National Institute of Health

What are the 3 leading causes of death in women?

Leading Causes of Death for Women

#1 Heart Disease #2 Cancer #3 Stroke
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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%

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American Heart Association, 2007

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

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American Heart Association, 2007

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
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Women vs. Men

Feels like a mouse vs. an elephant on chest

American Heart Association, 2007 Mayo Clinic, 2007

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
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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

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CDC, National Vital Statistics Report, 2007

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)
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American Cancer Society, 2007

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American Lung Association, 2007

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

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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 million breast cancer survivors in the US.

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Susan G. Komen Breast Cancer Foundation, 2007

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.

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Centers for Disease Control

Breast Health Care ~

Perform breast selfexams each month. Have mammograms and clinical breast exams as recommended by health care provider.
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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
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Centers for Disease Control, 2007 American Cancer Society, 2007

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 50%60% of colorectal cancer deaths could be prevented if all men and women aged 50 years or older were screened routinely.

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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
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American Stroke Association www.strokeassociation.org

If you believe someone is having a stroke

Call 911 immediately!

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www.ninds.nih.gov

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?
Ask the person to repeat a simple sentence. Are the words slurred? Can he/she repeat the sentence correctly? If the person shows any of these symptoms, time is important. Call 911 or get to the hospital fast. Brain cells are dying.

SPEECH

TIME

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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

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National Stroke Association

Know Your Numbers

Cholesterol
Your total blood cholesterol level
Desirable Less than 200 mg/dL Borderline high risk 200239 mg/dL High risk 240 mg/dL and over

LDL bad cholesterol

Less than 100 mg/dL 100-129 mg/dL 130-159 mg/dL 160-189 mg/dL 190 & above Optimal Near Optimal Borderline High High Very High

HDL good cholesterol

50 mg/dL or higher
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National Womens Health Resource Center

Know Your Numbers

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

Special Considerations for Women:

Taking the

birth control pill

Pregnancy Overweight Following menopause African American

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Family history

American Heart Association

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
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Less than 100 mg/dL

American Heart Association

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

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http://obesity1.tempdomainname.com

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 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!!!

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USDA-Mypyramid.gov

NUTRIENT

WOMENS ESSENTIALS
Vitamin E is a powerful antioxidant that is helpful during the menstrual cycle

DAILY DOSAGE
200 IU

VITAMIN E

VITAMIN B'S

B 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 500 - 1000 mg Pre menopausal 1,000 mg Menopausal 1,500 mg

VITAMIN C

Supports immune system

CALCIUM MAGNESIUM AND IRON

Essential for bone support and the prevention of osteoporosis

MULTIVIVITAMIN

Provides 26 essential vitamins and minerals Omega-3 fatty acids support a healthy heart and maintain triglyceride and cholesterol levels in the normal range

One a day

FISH OIL

1,000 to 3,000 mg

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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

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Centers for Disease Control

Prevention Is The Key:

of Chronic Illness is related to lifestyle & behavioral factors. 47% of premature deaths in US could be prevented by modifying lifestyle behaviors.

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American Heart Association

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

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Precontemplation Contemplation Preparation Action Maintenance Relapse

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:

1. 2. 3. 4. 5. 6. 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! 7. Reward yourself
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Put it in writing!
1. 2. 3. 4. 5. 6. 7. Write down your goal. List 5 benefits you will enjoy as a result. What is your current status? When are you going to accomplish this goal? List 5 obstacles you will have to overcome. What knowledge will you need to acquire? 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!!
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