Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Women's Heart Smarts: Top Ten List for a Heart Healthy Life
1.
2. Heart Disease
Number one killer of women.
Kills 1 in 2 women (1 in 3 men).
Often undiagnosed and undertreated.
A very dangerous, but very preventable problem.
"Women are like teabags; you never know how strong they are
until they're put in hot water."
— Eleanor Roosevelt
5. 10. Get a Good Night’s Sleep
Risk of high blood pressure increases when you sleep less than 7
hours per night.
The risk doubles when you get less than 5 hours per night.
If you have high blood pressure and sleep less than 7 hours per night,
your risk for heart attack is increased.
REM sleep is responsible for reducing stress.
Muscle tissue repair increases during sleep.
Have good sleep habits.
If you have sleep apnea, TREAT IT!
8. Sleep Apnea
An estimated 20 to 30 percent of Americans have some degree of
sleep apnea.
If you have sleep apnea, wear your CPAP.
Weight loss is often curative.
Sleep apnea affects men and women.
11. 9. Know and Manage Your Blood Pressure
The risk for stroke is decreased 30% by lowering the systolic
blood pressure from greater than 140 mmHg to 130 mmHg.
Only 30% of patients being treated for high blood pressure in the
United States actually have control.
The ideal is less than 120/80.
Blood pressure higher than 130/80 should be treated.
12. Prevalence of High Blood Pressure in
Americans Age 20 and Older by Age and Sex
NHANES IV: 1999-
2000
p18
Source: Health, United States, 2003, CDC/NCHS.
Note: NA = data not available. Prevalence estimates for women ages
20-34 are considered unreliable.
13. Hypertension
Prior to 1990 the incidence of hypertension was declining.
Data from 1999-2002 showed that the incidence had risen to
28.6% of the US population.
As of 2006, only one-third of Americans with hypertension had
control of their blood pressure.
15. 8. Eat a Smart, Healthy Diet
Always eat breakfast, it can save you from a heart attack.
Avoid processed foods, especially foods with High Fructose Corn
Syrup (HFCS).
When in season, shop at a farmer’s market at least twice per
month or join a Community Sponsored Agriculture.
Avoid fast food.
Avoid saturated and trans-fats.
16. Fast Food
Fast food is designed to be fast, not nutritious.
Fast food is often cooked in oil and the amount of sugar, salt, and fat is
maximized to increase flavor.
Fast food is usually eaten by hand and is quickly consumed allowing
customers to eat greater quantities (supersize) before they realize they
are full.
17. Processed Food
Many foods are now processed to contain corn products such as HFCS,
which increase caloric load.
Processing often introduces chemicals designed to trigger parts of the
brain to crave that particular food.
Many foods are predigested with enzymes or are tumbled to make them
easier to eat.
18. 7. Know and Manage Your Cholesterol
Weight loss
Medications
Diet changes
Exercise
Know your numbers
> Total
> Triglycerides <150
> HDL >40 men, >50 women
> LDL <70 with DM CAD, <100
> Total/HDL <5.0
19. Cholesterol
LDL particles cause atherosclerosis.
LDL concentration (gm/dl) is measured.
LDL particles may be large or small, so the concentration does not
tell the number of particles present.
If LDL is mostly small particles, more particles are present, greater
risk for atherosclerosis.
20. 6. Make Three Little Choices Every Day
Conscious decisions to do something good for your health.
Simple choices: walking, taking the stairs, turning off the TV
earlier, fruit for dessert, extra 30 minutes of exercise.
These little choices add up to have a huge impact.
They also confirm your dedication to good health.
22. Age-Adjusted Prevalence of Obesity in
Americans Ages 20-74 by Sex and Survey
NHES, NHANES I, NHANES II, NHANES III, NHANES
IV: 1960-62, 1971-74, 1976-80, 1988-94 and 1999-2000
Note: Obesity is defined as a BMI of 30.0 or higher.
p33
Source: CDC/NCHS.
23. Prevalence of Overweight Among Students
in Grades 9-12 by Sex and
Race/Ethnicity United States: 2001
p33
Note: Overweight is defined as BMI 95th
percentile or higher by age and
sex of the CDC growth chart.
Source: YRBS, MMWR, Vol. 51, No. SS-4, June 28, 2002, CDC/NCHS.
24. Weight
For thousands of years, weight had been stable with no significant
change.
In 1960, the average weight of the American woman aged 20-29
was 128 lbs.
By 2000, the average weight was 157 lbs.
As of 2007, 74.1% of Americans were overweight or obese.
WHY???
28. Prevalence of High School Students Using
any Tobacco Product Within the Last 30
Days by Race/Ethnicity and Sex
United States: 2001
p27
Source: YRBS, MMWR, Vol. 51, No. SS-4, June 28, 2002, CDC/NCHS.
29. A Smoking Problem
Approximately 25% of Americans smoke (27% men, 22.6%
women).
1 in 2 chance of smoking-related death.
Average life years lost from smoking: 12
Cancers: lung, mouth, larynx, throat, oral, esophagus, urinary
tract, kidney, pancreas, and cervix.
Most smokers die of heart disease first.
30. Smoking
Quit
Use whatever means is necessary
Replace the activity
If not for you, for those around you
32. Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 1990
No Data Less than 4% 4% to 6% Above 6%
33. Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 1991-92
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
No Data Less than 4% 4% to 6% Above 6%
34. Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 1993-94
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
No Data Less than 4% 4% to 6% Above 6%
35. Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 1995-96
No Data Less than 4% 4% to 6% Above 6%
36. Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 1995
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
No Data Less than 4% 4% to 6% Above 6%
37. Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 1997-98
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
No Data Less than 4% 4% to 6% Above 6%
38. Source: Mokdad et al., Diabetes Care 2001;24:412.
Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 1999
No Data Less than 4% 4% to 6% Above 6%
39. Source: Mokdad et al., J Am Med Assoc 2001;286(10).
Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 2000
No Data Less than 4% 4% to 6% Above 6%
40. Source: Mokdad et al., J Am Med Assoc 2001;286(10).
Diabetes and Gestational Diabetes Trends Among
Adults in the U.S., BRFSS 2002
No Data Less than 4% 4% to 6% Above 6%
41. Diabetes Now and in the Future
2010 National Incidence: 14%
Projected Incidence 2050: 33%
42. Normal Type 2 Diabetes
Courtesy of Wilfred Y. Fujimoto, MD.
Visceral Fat Distribution
Normal vs Type 2 Diabetes
44. Metabolic Syndrome: “Pre-Diabetes”
3 of These 5 Risk Factors
Risk Factor Defining Level
Abdominal obesity
Men
Women
Waist Circumference
>102 cm (>40 in)
>88cm (>35 in)
Triglycerides >150 mg/dl
HDL-C
Men
Women
<40 mg/dl
<50 mg/dl
Blood Pressure >130/>85 mmHg
Fasting Glucose >110 mg/dl
45. Diabetes
If you have metabolic syndrome, high probability of developing
diabetes within 5 years.
Metabolic syndrome and diabetes have the same cardiovascular
risk as established coronary artery disease.
Are you still sure?
47. 2. Drink Plenty of Water
Americans far under-consume water.
Water is essential for every system in the body to function
normally.
Consuming alcohol or sweetened soft drinks often defeats the
purpose of drinking and adds empty calories.
Water helps us maintain normal body weight.
Rule of thumb: eight 8oz glasses per day, more with exercise,
warm weather, altitude, or thirst.
48. 1. Exercise
5 to 7 days per week.
Minimum of 30 minutes, more is better.
Exercise: Aerobic activity and strength.
49. Leisure-time Physical Activity (PA)
Patterns Among Overweight Adults by
Race/Ethnicity and Sex
BRFSS: 1998
p31
Source: MMWR, Vol. 49, No. 15, April 21, 2000, CDC/NCHS.
51. Exercise
Lowers blood pressure.
Improves cholesterol, lowers LDL and raises HDL.
Can help treat/cure diabetes.
Can help weight control.
Improves endothelial function and reduces risk of heart attack and
stroke.
Improves lean muscle mass and bone density.
52. Design an Exercise Program
Pick activities you enjoy
Start slow, build as you go
Do it more days than you don’t
Sequester your exercise time
Get a partner, if you need one
Follow your progress
If it helps, think of exercise as medicine
53. Check Your Progress
Compare objective data
> Weight, BP, cholesterol, glucose control
> Speed, strength, endurance
Compare subjective data
> How do you feel?
54.
55. Conclusion
10. Get plenty of sleep.
9. Know and manage your blood pressure.
8. Eat a smart, healthy diet.
7. Know and manage your cholesterol.
6. Make 3 little choices every day.
56. Conclusion
5. Maintain a healthy weight.
4. Quit smoking.
3. Avoid or cure diabetes.
2. Drink plenty of water.
1. Exercise
57. "I am what I am today because of the choices I
made yesterday"
— Eleanor Roosevelt
58. For more tips and information
www.theactiveheart.blogspot.com
Coming in May 2011
www.theactiveheart.com
Notas del editor
And this is just a CT scan through a normal person with mostly organs and – organs with a little bit of scattered omental fat and Type 2 diabetes. You can see that their waist size might not be much different here, but in this person there’s a lot – sort of packed – the abdomen is packed with fat.