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Tune Up for Life: Live Smarter, Live Healthier

Provided by

Pfizer, Inc.Updated by NH Local Government Center, Safety

and Health Department

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It’s True: Men Don’t Ask for Directions

• Life expectancy for men is 75.4 years* – 5 years less than women (80.2)

• Men see physicians 28% less often than women.

* http://www.cdc.gov/nchs/data/hus/hus06.pdf#027

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Periodic Maintenance Versus a Complete Overhaul

“Trying to keep the hood sealed for 100,000 miles (or even 50, or 60,000) means somebody – factory authorized

or not – will eventually have plenty of work to do under the hood.”

Motor Age, October 1997

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The Leading Men’s Health “Potholes”

• Heart disease• High blood pressure• High cholesterol• Diabetes• Enlarged prostate

• Prostate Cancer• Depression• Erectile dysfunction• HIV/AIDS

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Cardiovascular Disease (CVD): Damaging Your Pump, Clogging

Your Pipes

• CVD affects 58 million Americans• It claims more lives than next seven leading

causes of death combined.*• Most common type of of CVD is high blood

pressure.• Major risk factors: aging, gender and family

history• What’s your risk profile?

* http://www.mayoclinic.com/health/mens-health/MC00013

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Heart Disease Death Rates, 1999 – 2003

Adults 35 Years and Older, By County

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High Blood Pressure, or Permanent Overdrive

• Normal blood pressure: 120/80• High blood pressure: >= 140/90• Percentage of men with High Blood Pressure is

higher for some groups:– Non-Hispanic white 24.4%*– Puerto Rican 15.6%**– Non-Hispanic Black 35%*

* National Health and Nutrition Examination Survey III (NHANES III)

** Hispanic Health and Nutrition Examination Survey (HHANES)

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Keep Your Blood Pressure on Track

• Get tested regularly• Reduce salt

consumption• Maintain ideal weight

• Exercise• Limit alcohol

consumption• Stop smoking

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High Cholesterol: The Sludge in Your Fuel Lines

• Too much LDL (bad) cholesterol can clog the arteries that feed the heart and brain.

• HDL (good) cholesterol helps to clear the body of excess LDL cholesterol and keep blood vessels happy.

• The key is a happy balance between the two.

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Finding the Right Weight

• Ideal cholesterol– Total cholesterol less

than 200 mg/dL

– HDL cholesterol should be greater than 35 mg/dL

– Ratio of total to HDL cholesterol should be less than 4:1

• Borderline high total cholesterol– 200 to 239 mg/dL

• High Cholesterol– 240 mg/dL or greater

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It’s Never Too Late to Change the Oil

• Know your cholesterol levels

• Avoid saturated fats• Exercise

• Stop smoking• Drink alcohol only in

moderation

Photos courtesy of Scott Memmer, www.Edmunds.com

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Diabetes: Sugar in the Tank

• Diabetes leads to high sugar levels (glucose) in the blood.

• 20.8 million Americans have diabetes.*

• About 34% of those with diabetes don’t know they have it.*

• Damage to the arteries in the feet can lead to poor circulation and thus amputations.**

*American Diabetes Association, http://www.diabetes.org/diabetes-statistics.jsp

**American Diabetes Association, http://www.diabetes.org/type-2-diabetes/foot-complications.jsp

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Diabetes: Road Blocks and Indicator Lights

• Risk Factors– Over 45 years old– Family history of

diabetes– Lack of regular

exercise– Being overweight– Low HDL-C and high

LDL-C and triglycerides

• Warning Signs– Frequent urination

– Unusual thirst

– Extreme Hunger

– Unexplained weight loss

– Extreme fatigue

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Preventing and Managing Diabetes

• Consider getting tested for diabetes if you have any risk factors or warning signs

• Help prevent diabetes and manage existing diabetes– Maintain ideal weight– Eat a healthy diet– Exercise regularly– Keep glucose levels normal

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Enlarged Prostate: Common as an Automatic Transmission• Greater than 50% of men 60 years and older and

80% to 90% of men 80 years and older have benign prostate enlargement

• Talk to your doctor if you experience:– Incomplete emptying of the bladder during urination

– Frequent urination, especially at night

– Stopping and starting during urination

– Difficulty postponing urination

– Weak urine stream

– Pushing or straining to begin flow

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Prostate Cancer: Detect It Early and Live to Be a Classic Car

• Prostate cancer is the most commonly diagnosed cancer in American men.

• It is the 2nd leading cause of male cancer-related deaths

• Approximately 8 million cases go undetected

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Prostate Cancer: Risk and Screenings

• Are you at increased risk?– Greater than 50 years

old

– African American

– Family history of prostate cancer

• Screenings recommended for men 50 to 75 years– Blood test and digital

rectal exam

– Before age 50 years in men with risk factors

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Fixing a Flat: Depression

• 18 million Americans have some form of depression.

• 7% of men or 6 million-plus men suffer from depression annually*

• Depression is increasing amongst men• Depression can strike anyone regardless of

ethnicity, age, gender or socioeconomic status*

*http://menanddepression.nimh.nih.gov/infopage.asp?id=10 National Institute of Mental Health – Men and Depression

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Depression: Risk Factors and Symptoms

• Risk factors– Alcohol abuse

– Family history of depression

– Major life stressors

– Bereavement

• Common symptoms– Feeling sad or anxious

most of the time

– Loss of interest in activities

– Change in appetite/weight

– Disruption in sleep habits

– Lack of energy

– Trouble with concentration or memory

– Restlessness

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Erectile Dysfunction (ED): Getting Stuck in Neutral

• Total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections*

• ED is sometimes called impotence• Affects approximately 30 million American men

to some degree• More than 50% of men with ED are aged 40 to 70

years• Only 1 in 10 seek treatment

* http://kidney.niddk.nih.gov/kudiseases/pubs/impotence/index.htm - National Institute of Diabetes and Digestive and Kidney Diseases – Erectile Dysfunction

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Common Medical Conditions – The ED Intersection

• Heart Disease• High Blood Pressure• Depression• Kidney Disease

• High Cholesterol• Diabetes• Prostate Surgery• Spinal Cord Injury

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The Doctor, Discomfort and ED

• 88% realize ED is a problem, yet nearly 40% have never discussed it with their doctor.

• 74% labeled patient discomfort as the reason for not discussing it with their doctor.

• 36% believed doctors are comfortable having a detailed conversation about ED.

• 64%, despite discomfort, wish to learn more about ED and its treatments.

Ipsos Public Affair Study on ED

http://www.menshealthnetwork.org/library/EDsurvey2008.pdf

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HIV/AIDS: The Immune System Breakdown

• In 2006, the United Nations AIDS program and the World Health Organization estimate between 34.1 and 47.1 million people across the globe are living with HIV/AIDS*

• More than 75% from heterosexual transmission.

• 77% of people infected in the United States are men**

• The age group 35 – 44 years of age accounted for 38% of all AIDS cases in 2005**

• Second leading cause of death in the United States among adults aged 25 to 44

* http://www.avert.org/worldstats.htm – AVERT - AVERTing HIV and AIDS

** http://www.avert.org/statsum.htm - AVERT - AVERTing HIV and AIDS

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HIV/AIDS: Denial Can Be Deadly

• Risk factors include:– Sexual intercourse without a condom– Unsafe sex that has already led to a sexually

transmitted disease (STD)– Intravenous drug use (including

steroids)/needle sharing

• Get tested if you’ve engaged in any risky behavior

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Lifestyle Modifications: Keep Running on All Your Cylinders

• Cigarette/cigar smoking– Most preventable cause of premature death in the U.S.

• Alcohol– Major risk factor for high blood pressure, high

cholesterol, heart disease and stroke

• Lack of regular exercise– Increases mortality risk

• Stress– Accelerates memory loss, infections, and bone loss

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Conclusion: Are Men Lagging Behind?

• Shorter life expectancy

• Visit doctors almost 30% less often than women

• Reduced quality of life compared with women

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Watch Out for Potholes: Leading Men’s Health Issues

• Heart disease, high blood pressure, high cholesterol

• Diabetes

• Enlarged prostate & prostate cancer

• Depression

• Erectile dysfunction

• HIV/AIDS

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Gentlemen, Start Your Engines: See Your Doctor

Regularly

“Just as tune-ups [are] never the whole story in traditional auto maintenance, there’s more to modern maintenance than mere spark plug replacement.”

-Motor Age, October 1997

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Helpful Websites

Centers For Disease Control www.cdc.govThe Way To Eat www.thewaytoeat.netThe Mayo Clinic www.MayoClinic.comNational Cancer Institute www.cancer.govMens Health www. menshealth.govAmerican Heart Association

www.americanheart.govAmerican Stroke Association

www.strokeassociation.orgNational Stroke Association www.stroke.org

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Questions

Thank You!!Thank You!!