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Womens Health and Wellness

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Women are twice as likely to die if they have a heart attack, than a man ... Many women don't recognize or believe they are having a heart attack ... – PowerPoint PPT presentation

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Title: Womens Health and Wellness


1
Womens Health and Wellness
  • Lisa Zaynab Killinger, DC

2
Overview of Womens Issues
  • Leading health concerns
  • Heart Disease-1 Killer of women
  • Cancer- 2nd leading cause of death
  • Stroke- 3rd leading cause of death
  • Osteoporosis- Common to almost all older women
  • Dementia- Leading cause of nursing home placement
  • Menopause-A quality of life issue for 1/3 of
    women
  • Concerns of younger women Menstrual issues,
    nutrition, fertility, overweight, exercise

3
Heart Health in Women
  • Heart disease Leading cause of death
  • Whats special about women?
  • Women are twice as likely to die if they have a
    heart attack, than a man
  • Womens heart attacks are often
    missed/mis-diagnosed
  • Disproportionate of heart attacks happen at 9
    am Monday morning
  • Many women dont recognize or believe they are
    having a heart attack
  • Heart attacks present differently in women-
  • Neck, jaw or arm pain (or no pain)
  • Panicky or uneasy feeling
  • Shortness of breath
  • General discomfort or tightness in chest
  • Sweating
  • Any of the above, exacerbated by exertion or
    stress

4
Why are heart attacks more deadly in women?
  • Women have smaller blood vessels with thinner
    walls (fragile)
  • Emergency room staff and medical professionals
    often miss the diagnosis due to unusual/mild
    symptoms
  • Women, often too busy to go to the doctor, may
    endure pain/discomfort in silence.

5
Heart Disease Prevention ?
  • Advise patients to quit smoking
  • Keep patient adjusted
  • Recommend regular physical activity
  • Monitor/control blood pressure cholesterol
  • Manage stress effectively-yoga, relaxation
    techniques, biofeedback, exercise

6
Heart Disease and Nutrition
  • Mediterranean Diet-Shown to lower risk of heart
    attack (More fruit, veggies, grains, less animal
    fat/red meat, more fish, etc.)
  • Whole bran foods-Oats, Wheat bran etc. (increase
    fiber intake)
  • Lower sodium intake
  • Vitamin E, other antioxidants, selenium

7
Heart Health Nervous System
  • The Heart is innervated by
  • Related Spinal Levels are
  • Thoracic spine T4-6

8
Cancers and Women
9
Lung Cancer
  • Leading cause of cancer death in women
  • Very preventable!
  • Most cases are related to smoking or radon
  • Have home checked for radon gases
  • Advise pts to quit smoking
  • Provide good smoking cessation materials
  • http//www.surgeongeneral.gov/tobacco/quits.htm

10
Lung Dis-ease and the Spine
  • Lungs are Innervated by
  • Spinal Levels Related to Lung

11
Breast Cancer
  • Breast Cancer-
  • 200,000 cases/year 40,000 deaths/year
  • Risks
  • Obesity, sedentary lifestyle
  • Alcohol use
  • High fat diet
  • Family history (only 10 of cases)
  • Genetics (BrCA1 and BrCA2 genes)

12
Breast Health and the Spine
  • Breast tissue is innervated by
  • Related spinal levels are

13
Colo-Rectal Cancer
  • Third leading cause of cancer death
  • Prevention recommendations
  • Diet high in fiber
  • Diet low in animal fat
  • High calcium intake
  • Resources www.cancer.org

14
The Colon the Nervous System
  • The Colon is innervated by
  • The related spinal levels are

15
Stroke The 3rd Leading Cause of death in women
  • Risks
  • Smoking
  • Overweight
  • Sedentary lifestyle
  • Use of oral contraceptives/hormone replacemt.
  • High blood pressure or cholesterol

16
Stroke Patient Presentation
  • Headache or neck pain-Severe
  • Dizziness
  • Speech disturbance (may be mild or none)
  • Vision disturbance (may be mild or none)
  • Unusual weakness, numbness, etc (not injury
    related)

17
Strategies for Stroke Prevention in Chiropractic
Practice
  • Adjusting Strategies
  • In patients with risk factors
  • Avoid extension and rotational vectors
  • Employ a least invasive to most invasive strategy
  • Do not adjust if stroke symptoms are present
  • Recommend Stroke Prevention For Your Patients
  • Exercise!!
  • Quit Smoking
  • Increase fruits, vegetables, and whole grains
  • Decrease animal fat and red meat
  • Consume more fish

18
Osteoporosis The silent thief
  • Osteoporosis is silent
  • Often patient knows nothing about their bone loss
    until a fracture occurs
  • 1/3 of women over 70 have osteoporosis
  • 84 of women over 70 have low bone mass
    (osteopenia)
  • Osteoporosis is PREVENTABLE

19
Identify who is at risk… Controllable
risks Uncontrollable risks
  • Low calcium intake
  • Sedentary lifestyle
  • Hi caffeine intake
  • Alcohol use
  • Smoking
  • Soda pop drinks
  • European or Asian descent
  • Fair skinned
  • Sm. framed/lo weight
  • Family history of OP
  • Early hysterectomy

20
Recommendations for Bone Health
  • Exercise Walking or other axial loading
    exercises, weight lifting
  • Calcium Supplementation 1,200-1,500 mg/day
  • Avoid smoking, caffeine, alcohol, soda pop, etc

21
Menopause
  • 1/3 of women in the US are menopausal
  • Process starts in mid forties w/ pre-menopause
  • Night sweats, mood swings, depression, sexual
    changes.
  • Patients seek help!

22
Menopause and Health
  • Post menopausal increase in risks
  • Breast, uterine, cervical, ovarian cancer
  • Osteoporosis
  • Heart Disease/Stroke
  • Dementia/memory problems

23
Help Natural remedies
  • Isoflavones
  • Black Cohosh
  • Red Clover
  • DongQuai
  • Alfalfa
  • Passion Flower
  • Wild Yam

24
Especially….
  • Black Cohosh Used for relief of
    general menopausal symptoms, nervousness,
    anxiety, hot flashes, vaginal dryness
  • Resources Whiting, Clouston, Kerlin. M J
    Australia 2002177(8)440-443.
  • Leiberman J Womens Health 19987(5)525-529.

25
What herbs for what?
  • Herbs For Bone Loss
  • Wild Yam natural progesterone source
  • Chaste Berry-LH/Progesterone stimulant
  • Red Clover All 4 isoflavones
  • Daidzen, Genistein, Formononetin, Biochanin
  • Source Nestel et al. J Clin Endocrinol Metab.
    1999 84(3)895-8.
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