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The Wisdom of Women’s Health Presented by: Earlexia Norwood, MD Date: May 19, 2011. Program Objectives:. Understand the key health issues facing women today Understand why prevention is key to maintaining good health and minimizing the risk of disease.

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The Wisdom


Women’s Health

Presented by:

Earlexia Norwood, MD

Date: May 19, 2011

Program objectives
Program Objectives:

  • Understand the key health issues facing women today

  • Understand why prevention is key to maintaining good health and minimizing the risk of disease.

  • Become knowledgeable of recommended screenings and tests

  • Learn how to communicate effectively with your doctor

  • To understand the mind, body and soul connection as it relates to health

Key health issues facing women
Key Health Issues Facing Women

  • Heart Disease

  • Breast Cancer

  • Osteoporosis

  • Depression

Heart disease
Heart Disease

  • Fact

    Heart disease is the leading cause of death in American women. The latest data show that 1 in every 3 women die of cardiovascular disease. It is estimated that nearly 35% of the women in the United States presently have cardiovascular disease

  • Fact

    Men and women both may experience chest

    pain as the most common warning sign for heart attacks. Women, however, may also report other symptoms, such as indigestion, heavy arms, or fatigue on exertion.

Heart disease1
Heart Disease

  • Fact:

    Some tests such as the standard treadmill exercise test are less reliable for diagnosing heart disease in women

Diagnosing coronary heart disease chd in women
Diagnosing Coronary Heart Disease (CHD) in Women

  • Electrocardiogram

  • Exercise treadmill test

  • Stress echocardiogram

  • Stress thallium


Atherosclerotic vessel

Normal vessel

Breast cancer
Breast Cancer

  • Breast cancer is the most common cancer in women

  • The earlier breast cancer is found, the better the chance of survival

  • Survival rates for localized

    breast cancer exceed 95%

Primary breast cancer risks
Primary Breast Cancer Risks

  • Early menarche (before age 12)

  • Late menopause (after age 55)

  • Family or personal history

  • Bearing children after 30, or not at all

  • Age (women over 50)

  • Consumption of high fat foods and excessive alcohol

  • Overweight

  • Use of postmenopausal hormone therapy

Breast cancer reducing risk and early detection
Breast Cancer: Reducing Risk and Early Detection

  • Women age 35-40: need a baseline

  • Women age 40-69: Have a mammogram every 1-2 years, and a clinical breast exam every year.

  • Women at increased risk may need to be examined earlier or more often. Be sure to consult your doctor!


  • It affects more than 1 out of 24 Americans

  • Another 1 out of 13 Americans has enough bone loss to be at risk

  • Women are 4 times more likely to develop it than men

  • One out of 2 women versus 1 in 8 men over 50 will break a bone in their lifetime because of it

  • Risk increases as we get older

Osteoporosis risk factors
Osteoporosis Risk Factors

  • Menopause

  • Absence of periods before menopause

  • Certain medications (steroids, thyroid hormone, antacids and others)

  • Genetics

  • Poor diet – low calcium intake

  • History of multiple fractures

  • Increased parathyroid hormone

  • Excessive alcohol use

  • Physical inactivity

  • Smoking

Osteoporosis what does it look like
Osteoporosis: What Does It Look Like?

Normal Bone

Osteoporotic Bone

Consequences of osteoporosis
Consequences of Osteoporosis

  • More than 1.5 million broken bones each year result, in part, from osteoporosis.

    • 300,000 hip fractures

    • 700,000 spine fractures

    • 250,000 wrist fractures

    • 300,000 fractures in other

      parts of the body

Common Fracture Sites

Screening for osteoporosis
Screening for Osteoporosis

  • DEXA – The T score compares your bone density with that of the average healthy young adult woman

Osteoporosis prevention
Osteoporosis Prevention

  • Get enough calcium (1000 -1200mg) and vitamin D (800 – 1000IU)

  • Limit protein and salt – may decrease calcium absorption.

  • Avoid smoking – smokers have less bone density

    Limit alcohol – may reduce the intestinal absorption of calcium and interfere with vitamin D conversion

  • Exercise regularly

    • Weight bearing – bone is living tissue and responds to exercise by becoming stronger

    • Resistance

Major depression
Major Depression

  • Depression is more common than diabetes and occurs more often in women than men

  • Biological, psychosocial, and cultural factors contribute to depression risk

Symptoms of major depression
Symptoms of Major Depression

  • Difficulty concentrating, remembering details, and making decisions

  • Fatigue and decreased energy

  • Feelings of guilt, worthlessness, and/or helplessness, hopelessness

  • Irritability, restlessness

  • Overeating or appetite loss

  • Loss of interest in activities or hobbies , including sex

  • Persistent sad, anxious, or “empty” feelings

  • Insomnia, early-morning wakefulness or excessive sleeping

Major depression1
Major Depression

  • Never be afraid to discuss

    depressive symptoms

    with your doctor

  • Treatment consists of

    medications and/or talk


  • Allow time for therapies to


What should the numbers be
What Should The Numbers Be?

  • Blood Pressure –

    Less than 120/80mmHG

  • Blood Sugar – Fasting

    • Normal - lower than 100mg/dl

    • Pre-diabetic - 100 -126mg/dl

    • AIC - less than 7

  • Waist Circumference

    • Men – less than 40 inches,

    • Women - less than 35 inches

  • Body Mass Index –

    - Based on height and weight

What should the numbers be1
What Should The Numbers Be?

  • Total Cholesterol – less than 200mg/dl

  • Low-density lipoprotein (LDL) – less than 100mg/dl

  • High-density lipoprotein (HDL)

    • Women greater than 50mg/dl

    • Men greater than 40mg/dl

  • Triglycerides – less than 150mg/dl

How do we find the numbers
How Do We Find the Numbers?

By partnering with

your health care

provider and

scheduling your



Bmi chart


BMI Chart

Weight in Pounds

Height in Inches


The mind body relationship
The Mind/Body Relationship

  • Physical health and

    mental health are


  • Stress and psychological

    events that are potentially

    negative worsen health

The mind body relationship1
The Mind/Body Relationship

  • Physical illness can

    increase risk of

    developing depression

    and anxiety disorders

  • Getting support has been

    shown to improve health

The benefits of relationships
The Benefits of Relationships

  • Relationships are vital sources of emotional support and good health. It is important to have:

  • Someone to talk to about things at work or at home

  • Someone who regularly helps with responsibilities and tasks

  • Someone who regularly helps with the children

You and your doctor
You and Your Doctor

  • Good communication is the key to a successful relationship!

  • Go prepared to the office visit by making a list of your concerns and be as specific as possible.

You and your doctor1
You and Your Doctor

  • Your doctor is your health care partner. It is important to choose doctors who will give you good care and who you can work well with.

    How to Choose a Doctor

  • Look for a doctor who accepts your insurance and who is in your network (if you have an HMO or PPO)

  • Internists and family practice doctors are good choices for a primary care doctor

  • Ask relatives and friends for recommendations

In summary to stay healthy practice prevention
In Summary: To Stay Healthy, Practice Prevention

  • Eat healthy

  • Exercise regularly

  • Avoid tobacco use and limit alcohol

  • Manage stress

  • Get regular check-ups and recommended health screenings

  • Know your numbers and your family history

Thank you for participating in today s workshop
Thank you for participating in today’s workshop!

  • HAP encourages you to take an active role in managing your health.

  • We offer iStriveSM for better health, a digital health coaching program to HAP HMO and Alliance members.

  • The iStriveSM programs make it easy for you to achieve better health.

    HAP’s Vision: Enhancing the Health and

    Well-Being of the Lives We Touch

Resources references

  • Women and Cardiovascular Disease in Michigan Fact Sheet – MDCH Feb.2009

  • What Your Cholesterol Levels Mean –

  • Heart Disease Health Center – Her Guide to a Heart Attack: Recognizing Female Heart Attack Symptoms –

  • Depression Guide

  • National Institute of Mental Health

  • Osteoporosis – National Osteoporosis Foundation