Is Life Expectancy Heading Downward?


shutterstock_309649415 (1)Have we reached the tipping point?

An interesting article recently appeared in the prestigious Journal of American Medicine Association (JAMA) about life expectancy and death rates in the US. The Centres for Disease Control and Prevention in the US (CDC) noted that death rates for the first nine months of 2015 increased significantly most notably due to obesity. Leading some to predict that life expectancy would decline in the United States by the middle of the 21st century.
The CDC report suggests that a “tipping point may have been reached beyond which technological advances may no longer compensate.” The article goes on to point out that between l961 and l983, life expectancy increased in a relatively consistent fashion throughout the United States. However, between 1983 and 1991 life expectancy decreased significantly for men in 11 US counties and 180 counties for women. The counties were those most severely affected by the obesity epidemic.
Some experts like David S. Ludwig, MD, PhD, of the New Balance Foundation Obesity Prevention Centre in Boston predict that the downward trend will almost certainly accelerate as the current generation of children- with high body weights earlier in life than ever before—reaches adulthood.

You might be aware that death rates have been dropping. This is largely due to modern medical care that may be able to prevent premature deaths among adults who develop obesity at a young age, by prescribing blood pressure and cholesterol lowering medications, heart bypass surgery, and various other medical interventions.

But over time, some experts are predicting that obesity-related chronic diseases might outstrip the ability for technology to counteract the rise in obesity and its consequences.

As a physician, I can tell you that the most important step you can do for yourself and your family is to choose to live a healthy lifestyle and make healthy choices.That means getting regular exercise of at least thirty minutes a day, five days a week,eating fresh fruit and vegetables, legumes and nuts while eliminating high fat, processed foods and added sugars in your diet.

Read labels on packaged food and educate yourself and your family on the value of eating nutritional foods and not to be swayed by advertising.

A few actions today may forestall the predictions that children of today and tomorrow will lead a shorter less healthy life than their parents.

Disclaimer
The material contained in this blog is for informational and educational purposes. Great efforts have been made to maintain the quality of the content.  However, it is strongly recommended that the treatment/management of any medical conditions mentioned here, should not be used by an individual/visitor of this blog, on their own, without consulting competent persons such as your doctor, or health care provider.   As always we encourage your comments on this blog or any others and hope you will join discussions.

 

 

 

 

 

Top Trends in Preventative Healthcare

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Science and Technology Converge
Part I

As a passionate advocate of preventative healthcare and wellness, I am glad to see that there will be an increased focus on prevention, because many older people continue to have chronic diseases which overwhelm their daily activities and are not enjoying a good quality of life in their later years. It is worth emphasizing that while most of us will face some sort of illness in our later years, it is important to live a healthy lifestyle; get enough exercise, eat a healthy diet, avoid smoking, excessive drinking, sugar, salts and unhealthy fats and processed foods. That way we will cope with illness, aging and any disability in a strong and independent manner.

Advances in technology and science are making it easier for people to focus on preventative healthcare. In order to maintain a healthy lifestyle and for a more health conscious society, let’s look at some of the possibilities and opportunities.

 Wearable Technology will continue to grow! And why do I love it?

It seems we need to quantify every step, every workout, every morsel of food and every waking and sleeping minute of the day and as a result there is an ever-expanding range of technologies to support our need to chronicle our daily lives. Interest in mobile apps such as activity trackers like Fitbit will continue to capture consumer interest. According to a report by international consulting firm, PwC, “Adoption of health-related smartphone apps doubled in two years, from 16 percent in 2013 to 32 percent in 2014 and will continue. There are many fitness and activity trackers on the market today, it can be confusing.   PcMagazine, has an excellent article comparing various trackers and recommends you try them out before you buy. Once you’ve bought a fitness tracker, the next step is to integrate it into your daily routine, which I recently wrote about. “You’ve bought a fitness tracker—Now what!

What has worked for me is the challenge of maintaining my commitment by using my Fitbit, trying really hard to maintain that 10,000.00 steps per day. I appreciate a measurable outcome. And yup, I have learned once again, that “hectic does NOT equal aerobic”.

Disclaimer

The material contained in this blog is for informational and educational purposes. Great efforts have been made to maintain the quality of the content.  However, it is strongly recommended that the treatment/management of any medical conditions mentioned here, should not be used by an individual/visitor of this blog, on their own, without consulting competent persons such as your doctor, or health care provider.   As always we encourage your comments on this blog or any others and hope you will join discussions.

New Intrauterine System (IUS) – Advances the IUD Concept

shutterstock_174197693.jpgMore Choices Available for Long Acting Birth Control
Perhaps you may remember the IUD or the Copper T that was first introduced in the 1980’s. Now there’s a new birth control device called IUS or Intrauterine System. Like the IUD (Intrauterine Device) it’s placed in the uterus and made of soft flexible plastic in the shape of a T, only its smaller than the IUD’s of the past and releases a small daily amount of progestin hormone. The hormone thins out the lining of the uterus making implantation of a fertilized egg more difficult. The T shape makes it difficult for sperm to move through the womb to reach an egg.
For those that don’t want to think of birth control on a daily basis, the IUS could be an ideal solution. The hormonal IUS is a long-acting contraceptive method. It works for five years or three years, depending on the type and is approximately 99% effective in preventing pregnancy. It is also a non-permanent form of birth control, meaning you can have it removed at any time by your healthcare provider and try to become pregnant right away. It may also provide for lighter periods

The CHOICE Project Research Findings –IUS Lowers rate of unwanted pregnancies
In a recent research project, the IUS was provided at no cost to teens as part of The CHOICE Project in the United States. The teen pregnancy and abortion rates were reduced dramatically; the teen pregnancy rate was 34.0 per 1,000 teens compared to the national average of 158.5 per 1,000 teens. Additionally, the abortion rate for teens in the CHOICE project was 9.7 per 1,000 teens compared to the national average of 41.5 per 1,000 teens.
Birth control is a personal choice. It is important to choose a method that fits your life. What is right for one woman may not be right for another. Sometimes that can be overwhelming and as always I would suggest you consult a health care professional to discuss your options.

#birthcontrol #choice #women #health

Disclaimer

The material contained in this blog is for informational and educational purposes. Great efforts have been made to maintain the quality of the content.  However, it is strongly recommended that the treatment/management of any medical conditions mentioned here, should not be used by an individual/visitor of this blog, on their own, without consulting competent persons such as your doctor, or health care provider.   As always we encourage

Brain Drain and Menopause: Reality or Myth ?

shutterstock_57740512Is there such a thing as Brain Drain and Menopause?
Research shows that the female sex hormone, estrogen, plays a key role in brain function. Estrogen declines during menopause, but that doesn’t mean your brain function will decline along with it. Although estrogen produced by our bodies helps the brain function, there’s no clear clinical evidence to support the notion that the brains of women after menopause don’t work as well as they did in the past.  What we are learning is the difference between changes with menopause and normal age-related changes in function.
Often, postmenopausal women do have memory slips or difficulty concentrating. However, research suggests a variety of potential underlying causes. These include disturbed sleep, extra stress, or depression. If you’re awakened by night sweats several times during the night, that’s often enough to interfere with your ability to concentrate or remember details for the next days’ meeting.

Should hot flashes be the reason for your insomnia and the fuzzy thinking and memory glitches that follow a sleepless night, try reducing their hold on you with some lifestyle changes. Exercising daily is linked to a lower incidence of hot flashes. And some products designed to lower your temperature, such as the menopod, may be helpful. And if you’re a smoker, this may be the motivation you need to finally quit: Women who smoke have more intense and more frequent hot flashes than nonsmoking women.
If you think you might be depressed, which can cause difficulty concentrating, make an appointment with your doctor. Menopausal hormone fluctuations can be linked to depression in some women. Feeling occasional sadness isn’t the same as being depressed.
If your stress level is noticeably high, you may be able to control and reframe your intensity by practicing some form of relaxation. One of the simplest ways to combat stress is deep breathing. Meditation, yoga, tai chi, or gentle stretching are also good ways to reduce stress. If stress, memory slips, or other menopausal symptoms continue to bother you, consult your doctor. The key is to take action that will let you feel more in control.
Now what was I saying?

#woman #brainhealth #healthy #menopause

Chilling hot flashes? You might want to check out the Menopod. (www.menopod.com)- It contains a cooling technology inside the device. There are no fans or moving parts. When you turn the power on, it instantly drops to a cool temperature) so that you can discreetly place it on the back of your neck to stop the hot flash.

 Disclaimer
The material contained in this blog is for informational and educational purposes. Great efforts have been made to maintain the quality of the content.  However, it is strongly recommended that the treatment/management of any medical conditions mentioned here, should not be used by an individual/visitor of this blog, on their own, without consulting competent persons such as your doctor, or health care provider.   As always we encourage your comments on this blog or any others and hope you will join discussions.

CAFFEINE-THE UPS AND DOWNS. HOW MUCH IS TOO MUCH?

shutterstock_433348924 (1)Millions of us rely on coffee to wake us up, keep us going and improve concentration and focus. But how much is too much and what is the difference between caffeine and coffee. Caffeine is a naturally occurring chemical found in more than 60 plants including coffee beans, tea leaves, kola nuts and as we know used to flavour soft drink colas. It is also found in cacao pods used to make chocolate products. Man-made caffeine is sometimes added to foods, drinks and medicines. So caffeine is not just found in coffee.
Up to 400 milligrams of caffeine a day appears to be safe for most healthy adults.
That’s roughly the amount of caffeine in four cups of brewed coffee. For children, 100 milligrams a day is the most a child should be allowed, although I would not recommend that children drink coffee.
Caffeine and Medications
Heavy caffeine use among adults can cause unpleasant side effects and may not be a good choice for people who are highly sensitive to its effects or take certain medications.
For instance, caffeine is used in painkillers such as aspirin and acetaminophen and for simple headaches. It’s also used in drugs such as 222’s because caffeine helps absorb the codeine – so certain medications include caffeine.
Some people are more sensitive to caffeine than are others. If you’re susceptible to the effects of caffeine, just small amounts — even one cup of coffee or tea — may prompt unwanted effects, such as restlessness and sleep problems. Here are some of the side effects. How you react to caffeine may be determined in part by how much caffeine you’re used to drinking. People who don’t regularly drink caffeine tend to be more sensitive to its negative effects. Other factors may include body mass, age, medication use and health conditions such as anxiety disorders. Research also suggests that men may be more susceptible to the effects of caffeine than are women.

  • Nervousness
  • Restlessness
  • Irritability
  • Stomach upset
  • Fast Heartbeat
  • Insomnia

So I would say yes to a cup or two but no to a pot!

 #coffee #caffeine #healthy #breakfast 

DISCLAIMER
T
he material contained in this blog is for informational and educational purposes. Great efforts have been made to maintain the quality of the content.  However, it is strongly recommended that the treatment/management of any medical conditions mentioned here, should not be used by an individual/visitor of this blog, on their own, without consulting competent persons such as your doctor, or health care provider.   As always we encourage your comments on this blog or any others and hope you will join discussions.

Travel alerts internationally for polio and measles outbreaks this summer. Check your vaccinations before traveling

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Travel alerts for polio worldwide & the resurgence of measles outbreaks in Canada, Europe and Africa, highlight the need for Canadians to get vaccinated before traveling to affected areas. Measles is a virus that can affect anyone and is highly contagious for individuals that have not previously had measles, or have not been vaccinated.

As long as measles is affecting children in other parts of the world, Canada will be affected as well. That’s why it’s extremely important for parents to ensure their children are vaccinated twice. Once when they are 12-15 months old, and again when they are 4-6 years old. Adults born before 1970 are likely immune, and everyone else needs to check their records. Polio, which has been eliminated from most countries, continues to occur in some areas of the world. The Public Health Agency of Canada recommends that travelers get vaccinated against polio when going to countries where polio has not been eliminated: Pakistan, Afghanistan, Nigeria, Cameroon, Equatorial Guinea, Ethiopia, Syria, and Iraq.  As for polio, our travel clinics have been busy answering questions from travelers about getting the vaccine even when not travelling in affected areas.  My advice is to have one shot for polio, called IPV as an adult, if you have not already done so.
Measles is a respiratory disease caused by a virus of the same name. It causes fever, runny nose and a characteristic rash all over the body. Most people recover, but the infection is fatal between one and three of every 1,000 cases. Polio is a contagious disease. It is spread from person to person through contaminated food and water. Polio can attack the central nervous system and destroy the nerve cells that activate muscles, which may cause paralysis and death.
So please check your vaccinations before travelling this summer.

#travel #summer #healthy

Disclaimer
The material contained in this blog is for informational and educational purposes. Great efforts have been made to maintain the quality of the content.  However, it is strongly recommended that the treatment/management of any medical conditions mentioned here, should not be used by an individual/visitor of this blog, on their own, without consulting competent persons such as your doctor, or health care provider.   As always we encourage your comments on this blog or any others and hope you will join discussions.

 

Flu Season is here!!!

   Flu HRPA email blast (4)                    

      Ontario has already documented a few cases of flu and the vaccine is HERE

      Influenza vaccines authorized for use in Canada are safe and associated with minimal side effects and can be administered to anyone over 6months of age. *We know that between 10% and 20% of all Canadians will get the flu this winter.  And for some of us it can be severe, life threatening and perhaps even life ending. About 4000 Canadians die every year of flu and related complications. Generally the very young and the very old are most at risk, but we know pregnant women, children under 5, those with asthma, COPD, heart disease and diabetes are also at significant risk compared to the general population.  And even if you personally are not a high risk individual, chances are you will spread this easily to others in your family or community who are at greater risk.  You need to protect yourself and others!
Does the flu shot eliminate every case of flu? NO.  But if you have been immunized, but still get the flu, chances are it will be much less severe than if you were unprotected.  So you are less likely to need the emergency room and in- hospital treatment.  And that’s what it’s all about.  We can’t avoid every case of influenza, but we can decrease our chance of a serious episode!

      I can’t emphasize enough how important it is to get a flu shot.  I have taken mine, immunized my family, my staff and my coworkers!  Have you had yours?

      Aside from having flu shot,  here are everyday preventative measure to protect you from colds and flu

Top ways to fight the flu*
Wash your hands with soap and water
Avoid touching your eyes, nose and mouth as germs spread this way
Sneeze into your arm or sleeve
After or blowing your nose with a tissue, throw away the tissue and wash your hands.
Stay home and avoid crowds if you feel sick

*Health Canada, Flu Watch