Beyond Exercise – Fitness Will Save Your Life

There is a lot written about “exercise”. We all know we need to exercise, eat right and control our weight – but most of us don’t do any of those things with enough regularity to change either our shape or our health. If we did 66% of us wouldn’t be overweight and chronic lifestyle diseases like diabetes wouldn’t be epidemic.

In the May 20, 2009 issue of the Journal of the American Medical Association researchers in Japan analyzed data from 33 previous studies that included a total of 102,980 subjects whose fitness had been measured. They wanted to see how fitness related to developing cardiovascular disease or preventing death.

Read this post to see what they found.

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Asbestos - Have You Been Exposed?

The folks at Asbestos.com contacted me to ask me to give you a heads up about mesothelioma, an environmental cancer. If you are like me, when you hear “asbestos” and “mesothelioma”, you think of those TV commercials for lawyers asking you to call them if you know have been exposed.

On page 79 of my book I write: “We are only beginning to understand the extent to which toxins (or poisons) in our environment are increasing the occurrence of cancers. Substances like pesticides, herbicides, asbestos, arsenic, nickel, nuclear waste, and industrial emissions have all been implicated in causing cancer.“

My advice? If you think you are at risk - read this post, contact your health provider, and check out Asbestos.com before your call a lawyer.

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Is It Bad to Take Medications?

This blog is dedicated to helping non-medical consumers make smart choices about how to handle their health and health care. Nowhere, and I mean nowhere, is there more misinformation or more misconceptions than where medications are concerned.

Sometimes when I advise prescription drugs to treat uncontrolled medical conditions patients react as if I am literally trying to poison them. I find the majority of patients, regardless of their intelligence, are not well educated about either the danger of not treating certain conditions or the benefit of treatment with the right drug at the right dose.

Read this post if you are willing to set your preconceptions aside and look at the whole medication question from a health professional’s perspective.

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Smart Women Missing Stroke Risks and Warning Signs

Stroke is the third leading cause of death in both men and women (right behind heart disease and cancer). It occurs equally in men and women until age 75. After age 75 women are at much greater risk for stroke than men. Stroke incidence has been increasing in women of all ages. In recent years strokes have surged in the age 45 to 54 age groups – groups usually at low risk for stroke. Why? Experts believe it’s because of an increase in risk factors that lead to stroke.

In a recent study published in the February 2009 issue of the medical journal Stroke researchers reported that 215 women, all having at least one risk factor for stroke, were unable to identify their risks. Furthermore they did not consider themselves to be at risk and were doing nothing to reduce their risk. The researchers concluded “Educational strategies must advocate for and target high-risk women.”

Read this post to learn the risks and warning signs of stroke these women missed.

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Living Longer on the Sunny Side of the Street

Optimists have lower death rates and are less likely to be hypertensive, diabetic or be smokers than pessimists. Wow! So maybe attitude IS everything!

An interesting study titled Psychological Traits and Total Mortality in the Women’s Health Initiative was presented in March 2009 at the American Psychosomatic Society’s 67th annual meeting by Dr. Hilary Tindle, assistant professor of medicine at the University of Pittsburgh. Dr. Tindle and her colleagues found optimistic postmenopausal women fared better over time than pessimists.

Read this post and learn more.

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Consumers are the Ultimate Stakeholder in Health Care Reform

This week President Obama invited “stakeholders” in the health care system to the White House to seek their input about the best ways to reform health care. Representatives from hospitals, the insurance industry, medical device and pharmaceutical companies, labor and physicians came to discuss ways to lower health care costs across the board. Neither consumers nor nurse practitioners were among the invited stakeholders.

Also this month the Deloitte Center for Health Solutions (a subsidiary of the international consulting company Deloitte and Touche) published their analysis of a survey they did of 4,001 American adult health care consumers. The survey (administered either in English or Spanish) sought information about the behaviors and attitudes of consumers regarding health care.

Read this post to learn what we as consumers - the ultimate stakeholders in health care reform - say we want.

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Your Lifestyle Choices: Are You Preventing Disease – or Inviting It?

Maverick Health and my book, A Nurse Practitioner’s Guide to Smart Health Choices, are all about using your lifestyle behaviors to prevent or control chronic diseases. I’ve been at this for over a decade now and every day I read studies and hear news-bites that only validate what I write about on this blog and talk about in my book.

But until you know what I know and, more importantly, act on what you know all this information is useless. Read this post about a study in Europe that looked at how well people controlled their risk factors after they’d already had a heart attack or serious cardiac event. Hint: reviewers that read the study found its results “ominous”.

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Synch to Your Body’s Own Clock and to Mother Earth for Better Health

In March 2009, Proceedings of the National Academy of Sciences published research done at the Division of Sleep Medicine at Brigham and Women’s Hospital in Boston. Researchers studied 10 subjects – 5 men and 5 women – to see what happened to their cardiovascular and metabolic systems if their behavioral and circadian rhythms were disrupted.

If you want to know what effect being out of synch with your body’s own clock and the rhythms of the Earth has on your health, read this post.

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What Is Insulin Resistance and Why Should You Care?

Insulin resistance is a silent condition that, unrecognized and untreated, leads to diabetes. According to the Centers for Disease Control and Prevention, 57 million adults are estimated to have insulin resistance – also known as “impaired glucose tolerance”, “impaired fasting glucose”, “prediabetes” and “metabolic syndrome”.

And you know what? You have more power over this condition than your health professional does. A diagnosis of diabetes is a life changing event. Read this post to see what you can do to head diabetes off at the pass and prevent it.

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How Much Exercise is (Really) Enough?

In February 2009, the American College of Sports Medicine published Appropriate Physical Activity Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults. In this position statement they revised their 2001 position and raised the bar on the amount of exercise they recommend - from 150 minutes to 250 minutes a week. 

In my book, A Nurse Practitioner’s Guide to Smart Health Choices, I went out on a limb and exceeded the ACSM guidelines at the time and recommended 240 minutes of exercise a week at your target heart rate as the minimum amount of exercise needed for good health and weight maintenance. I went even further and, in the book, recommended 300 minutes of exercise a week if you are really serious about losing weight.

Before you click me off, just read this post.

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