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2Copyright © 2014 Paras Hospitals. All rights reserved.
My INTRODUCTION
MBBS, MS – SMS, Jaipur Senior Registrar Senior Research Associate Junior Consultant (Pool
Officer), AIIMS, New Delhi
• Consultant & Unit Head,Paras Hospital
3Copyright © 2014 Paras Hospitals. All rights reserved.
From family to careers, typically the last
area women attend to are their own health
They focus instead on their partners & their
children
What we say is “Take care of yourself first”
Women’s Health Concerns
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5 Medical Conditions that are of great concern
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"An ounce of prevention is worth a pound of cure"?
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Wellness: What is it?
Wellness- Harmony of body & mind
Well balanced nutritional diet
Physical fitness
Lifestyle & stress management
Is it just the absence of disease?
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Why is it important ???
Linked to the child
Linked to the family Whole society
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Key Factors For Wellness
Optimum nutrition
Balanced hormonal level
Vitamins, minerals, supplements
Adequate intake of water
Exercise, meditation
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Key Factors For Wellness
Deep relaxation
Adequate Sleep
Strive for balance & be good to yourself!
Enhance Detoxification
Boost metabolism
Calm Your Mind
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Wellness Diet: Nutrition for Life
WHAT TO EAT?
Variety and fresh foods are key
Whole grains, beans, winter squashes
Fresh fruits
Dark leafy greens, berries
Olive oil instead of vegetable oil or processed ghee
Carrots, peaches, sweet potatoes, tomatoes
Green tea
Organic food
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Wellness Diet: Nutrition for Life
WHAT TO AVOID?
Foods made with hard flour and sugar, especially bread &
sweet bakery products
packaged snack foods
Foods with artificial sweetener
Avoid: high- GLUCOSE intake
Other animal proteins, full-fat dairy products
chicken skin, fatty meats
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Everyday Activities
Taking the stairs
Parking farther away
Getting off the bus a few stops
early
Gardening
Taking fitness breaks at work
Exercise: How Much? What kind?
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Exercise , How much? What kind?
At least 30 to 60 minutes/day
Brisk walking, running, bicycling, jumping
rope, dancing & swimming
Weight lifting, push ups
Walking, jogging in the park
Yoga, pranayama & meditation
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POSITIVE EFFECTS OF EXERCISE Improved cardiorespiratory & muscular fitness
Improved bone health
Improved cardiovascular & metabolic health biomarkers
Favourable body composition
Lower risk of coronary heart dz, stroke, BP, DM & early death
Lower risk of cancer breast, colorectal, lung, endometrium
Prevention of weight gain
Reduced depression
Better cognitive function (for older adults)
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Women are the world’s best jugglers
Health consequences:
– Digestive issues
– Compromised immune function
– Sleep disorders
– Weight gain
CDC estimates that 75% to 90% doctor visits are stress
related
Manage Stress
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2006 survey by the American Psychological Association indicates women are more effected by stress than men:
More women report engaging in unhealthy behaviours
Women report feeling the effects of stress on their physical health more than men
Women & Stress
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Different concerns &
requirements at different ages
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WOMEN AT ALL AGES
From adolescence to menopause
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TEENAGERS
Menstrual hygiene
HPV & Tdap vaccination
Pubertal problems
Polycystic Ovaries
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TWENTIES & THIRTIES
Contraception & starting a family
successfully;
Regular pap smear;
Screening for rubella virus;
Folic acid for to-be-moms
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A Time of Choices
Balancing career
& family
20s or late 30s
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Healthy Pregnancy
• Start with preconception care
• Take a multivitamin multimineral
with at least 400 mcg of folic acid
• Get early & regular prenatal care
• Be active, stay fit
• If you smoke or drink alcohol, STOP
• Avoid or control caffeine intake
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Time of Change
Late 30s to Late 40sHormonal
changes of
perimenopause
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FORTIES, NEW YOUNG AGE
Contraception once again;
Menopausal symptoms;
Tendency to gain weight;
Consider calcium
Lipid profile
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A Time for Living Well
Late 40s to 50 Plus
Managing chronic
disease
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FIFTIES
menopausal hot flashes;
frequent urinary infections & vaginal dryness;
natural drop in bone density & need for calcium;
check for blood pressure & diabetes;
mammography & bone density scan
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The time leading upto the menopause
Natural part of aging that signals the end of
your reproductive years
Ovaries shut down, make less estrogen &
progesterone
Perimenopause
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SIXTIES & BEYOND
Exercise, healthy diet & weight management is
helpful;
Risk of heart disease, ovarian, uterine & breast
cancer is highest;
Benign causes of discomfort are uterine & vaginal
prolapse & osteoarthritis
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The Average Woman
Loses 5 pounds of muscle every decade.
Adds 10 pounds of fat every decade.
By 50 - reduces muscle mass by 1/3
By 60 – reduces muscle mass by ½, with a high %
of body fat
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Why screening tests are important
To diagnose even before symptoms
develop
Easier to treat in early stage
WHICH ONE depends on your age,
family history, your own health history
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HPV Vaccination
Best for women under 26
The vaccines don't protect against all the cancer-
causing strains of HPV, however.
So routine Pap smears are still important
Gardasil & Cervarix
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BONE DENSITY - OSTEOPOROSIS
Bones become weak and fragile
DEXA to measure bone strength, predict future breaks
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Screening For Skin Cancer
Look for any moles or freckles
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High Blood Pressure
<120/80 mmHg - Normal”
120 to 139 / 80 to 89 - Pre-hypertension
140 over 90 - High
Know Your Numbers
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Your blood cholesterol
<200 mg/dL
LDL “bad cholesterol”
<100 mg/dL
HDL “good cholesterol”
>50 mg/dL or higher
High Cholesterol
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• Type 1
• Type 2
• Gestational Diabetes
DIABETES
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VITAMIN D DEFICIENCY
D-fence for your health
Muscle and bone pain
Increases risk of Type I
Diabetes
SUNLIGHT
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It is essential for women to
No Matter What Stage……
Eat healthy
Be active
Manage stress
Supplement wisely
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The beauty of a woman
Must be seen from in her eyes;
Because that’s the doorway to her heart,
The place where love resides
The beauty of a woman
Isnt in a facial moie;
But true beauty in a woman,
Is reflected by her soul
It’s the caring that she cares to give,
The passion that she shows;
And the beauty of a woman
With passing years only grows
The Beauty of a Woman
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Meet your own individual health needs
Enjoy healthier, more active lifestyle today
Promote prevention for life
Targeted Solutions