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Page 1: Women 's health and Wellness

1Copyright © 2014 Paras Hospitals. All rights reserved. 1

Dr Nupur Gupta

Page 2: Women 's health and Wellness

2Copyright © 2014 Paras Hospitals. All rights reserved.

My INTRODUCTION

MBBS, MS – SMS, Jaipur Senior Registrar Senior Research Associate Junior Consultant (Pool

Officer), AIIMS, New Delhi

• Consultant & Unit Head,Paras Hospital

Page 3: Women 's health and Wellness

3Copyright © 2014 Paras Hospitals. All rights reserved.

From family to careers, typically the last

area women attend to are their own health

They focus instead on their partners & their

children

What we say is “Take care of yourself first”

Women’s Health Concerns

Page 4: Women 's health and Wellness

4Copyright © 2014 Paras Hospitals. All rights reserved.

5 Medical Conditions that are of great concern

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5Copyright © 2014 Paras Hospitals. All rights reserved.

Women should take charge of their health

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6Copyright © 2014 Paras Hospitals. All rights reserved. 6

Page 7: Women 's health and Wellness

7Copyright © 2014 Paras Hospitals. All rights reserved.

Who do you think is a Healthy Woman?

Page 8: Women 's health and Wellness

8Copyright © 2014 Paras Hospitals. All rights reserved.

Page 9: Women 's health and Wellness

9Copyright © 2014 Paras Hospitals. All rights reserved. 9

"An ounce of prevention is worth a pound of cure"?

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10Copyright © 2014 Paras Hospitals. All rights reserved.

Wellness: What is it?

Wellness- Harmony of body & mind

Well balanced nutritional diet

Physical fitness

Lifestyle & stress management

Is it just the absence of disease?

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11Copyright © 2014 Paras Hospitals. All rights reserved. 11

Why is it important ???

Linked to the child

Linked to the family Whole society

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12Copyright © 2014 Paras Hospitals. All rights reserved.

Key Factors For Wellness

Optimum nutrition

Balanced hormonal level

Vitamins, minerals, supplements

Adequate intake of water

Exercise, meditation

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13Copyright © 2014 Paras Hospitals. All rights reserved.

Key Factors For Wellness

Deep relaxation

Adequate Sleep

Strive for balance & be good to yourself!

Enhance Detoxification

Boost metabolism

Calm Your Mind

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14Copyright © 2014 Paras Hospitals. All rights reserved.

Wellness Diet: Nutrition for Life

WHAT TO EAT?

Variety and fresh foods are key

Whole grains, beans, winter squashes

Fresh fruits

Dark leafy greens, berries

Olive oil instead of vegetable oil or processed ghee

Carrots, peaches, sweet potatoes, tomatoes

Green tea

Organic food

Page 15: Women 's health and Wellness

15Copyright © 2014 Paras Hospitals. All rights reserved.

Wellness Diet: Nutrition for Life

WHAT TO AVOID?

Foods made with hard flour and sugar, especially bread &

sweet bakery products

packaged snack foods

Foods with artificial sweetener

Avoid: high- GLUCOSE intake

Other animal proteins, full-fat dairy products

chicken skin, fatty meats

Page 16: Women 's health and Wellness

16Copyright © 2014 Paras Hospitals. All rights reserved.

Everyday Activities

Taking the stairs

Parking farther away

Getting off the bus a few stops

early

Gardening

Taking fitness breaks at work

Exercise: How Much? What kind?

Page 17: Women 's health and Wellness

17Copyright © 2014 Paras Hospitals. All rights reserved.

Exercise , How much? What kind?

At least 30 to 60 minutes/day

Brisk walking, running, bicycling, jumping

rope, dancing & swimming

Weight lifting, push ups

Walking, jogging in the park

Yoga, pranayama & meditation

Page 18: Women 's health and Wellness

18Copyright © 2014 Paras Hospitals. All rights reserved.

POSITIVE EFFECTS OF EXERCISE Improved cardiorespiratory & muscular fitness

Improved bone health

Improved cardiovascular & metabolic health biomarkers

Favourable body composition

Lower risk of coronary heart dz, stroke, BP, DM & early death

Lower risk of cancer breast, colorectal, lung, endometrium

Prevention of weight gain

Reduced depression

Better cognitive function (for older adults)

Page 19: Women 's health and Wellness

19Copyright © 2014 Paras Hospitals. All rights reserved.

Women are the world’s best jugglers

Health consequences:

– Digestive issues

– Compromised immune function

– Sleep disorders

– Weight gain

CDC estimates that 75% to 90% doctor visits are stress

related

Manage Stress

Page 20: Women 's health and Wellness

20Copyright © 2014 Paras Hospitals. All rights reserved.

2006 survey by the American Psychological Association indicates women are more effected by stress than men:

More women report engaging in unhealthy behaviours

Women report feeling the effects of stress on their physical health more than men

Women & Stress

Page 21: Women 's health and Wellness

21Copyright © 2014 Paras Hospitals. All rights reserved.

Different concerns &

requirements at different ages

Page 22: Women 's health and Wellness

22Copyright © 2014 Paras Hospitals. All rights reserved.

WOMEN AT ALL AGES

From adolescence to menopause

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23Copyright © 2014 Paras Hospitals. All rights reserved.

TEENAGERS

Menstrual hygiene

HPV & Tdap vaccination

Pubertal problems

Polycystic Ovaries

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24Copyright © 2014 Paras Hospitals. All rights reserved. 24

TWENTIES & THIRTIES

Contraception & starting a family

successfully;

Regular pap smear;

Screening for rubella virus;

Folic acid for to-be-moms

Page 25: Women 's health and Wellness

25Copyright © 2014 Paras Hospitals. All rights reserved.

A Time of Choices

Balancing career

& family

20s or late 30s

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26Copyright © 2014 Paras Hospitals. All rights reserved. 26

Healthy Pregnancy

• Start with preconception care

• Take a multivitamin multimineral

with at least 400 mcg of folic acid

• Get early & regular prenatal care

• Be active, stay fit

• If you smoke or drink alcohol, STOP

• Avoid or control caffeine intake

Page 27: Women 's health and Wellness

27Copyright © 2014 Paras Hospitals. All rights reserved.

Time of Change

Late 30s to Late 40sHormonal

changes of

perimenopause

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28Copyright © 2014 Paras Hospitals. All rights reserved.

FORTIES, NEW YOUNG AGE

Contraception once again;

Menopausal symptoms;

Tendency to gain weight;

Consider calcium

Lipid profile

Page 29: Women 's health and Wellness

29Copyright © 2014 Paras Hospitals. All rights reserved.

A Time for Living Well

Late 40s to 50 Plus

Managing chronic

disease

Page 30: Women 's health and Wellness

30Copyright © 2014 Paras Hospitals. All rights reserved.

FIFTIES

menopausal hot flashes;

frequent urinary infections & vaginal dryness;

natural drop in bone density & need for calcium;

check for blood pressure & diabetes;

mammography & bone density scan

Page 31: Women 's health and Wellness

31Copyright © 2014 Paras Hospitals. All rights reserved.

The time leading upto the menopause

Natural part of aging that signals the end of

your reproductive years

Ovaries shut down, make less estrogen &

progesterone

Perimenopause

Page 32: Women 's health and Wellness

32Copyright © 2014 Paras Hospitals. All rights reserved.

SIXTIES & BEYOND

Exercise, healthy diet & weight management is

helpful;

Risk of heart disease, ovarian, uterine & breast

cancer is highest;

Benign causes of discomfort are uterine & vaginal

prolapse & osteoarthritis

Page 33: Women 's health and Wellness

33Copyright © 2014 Paras Hospitals. All rights reserved.

The Average Woman

Loses 5 pounds of muscle every decade.

Adds 10 pounds of fat every decade.

By 50 - reduces muscle mass by 1/3

By 60 – reduces muscle mass by ½, with a high %

of body fat

Page 34: Women 's health and Wellness

34Copyright © 2014 Paras Hospitals. All rights reserved.

Why screening tests are important

To diagnose even before symptoms

develop

Easier to treat in early stage

WHICH ONE depends on your age,

family history, your own health history

Page 35: Women 's health and Wellness

35Copyright © 2014 Paras Hospitals. All rights reserved.

PREVENTIVE GYNECOLOGY

Women Health Check

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36Copyright © 2014 Paras Hospitals. All rights reserved.

www.parashealthcare.com

EVERY WOMAN NEEDS

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37Copyright © 2014 Paras Hospitals. All rights reserved.

Cancer

Mammography

Ultrasound

Page 38: Women 's health and Wellness

38Copyright © 2014 Paras Hospitals. All rights reserved.

Cancer

Page 39: Women 's health and Wellness

39Copyright © 2014 Paras Hospitals. All rights reserved.

Pap

Page 40: Women 's health and Wellness

40Copyright © 2014 Paras Hospitals. All rights reserved.

HPV Vaccination

Best for women under 26

The vaccines don't protect against all the cancer-

causing strains of HPV, however.

So routine Pap smears are still important

Gardasil & Cervarix

Page 41: Women 's health and Wellness

41Copyright © 2014 Paras Hospitals. All rights reserved.

BONE DENSITY - OSTEOPOROSIS

Bones become weak and fragile

DEXA to measure bone strength, predict future breaks

Page 42: Women 's health and Wellness

42Copyright © 2014 Paras Hospitals. All rights reserved.

Screening For Skin Cancer

Look for any moles or freckles

Page 43: Women 's health and Wellness

43Copyright © 2014 Paras Hospitals. All rights reserved.

COLORECTAL CANCER

Polyps

Page 44: Women 's health and Wellness

44Copyright © 2014 Paras Hospitals. All rights reserved.

High Blood Pressure

<120/80 mmHg - Normal”

120 to 139 / 80 to 89 - Pre-hypertension

140 over 90 - High

Know Your Numbers

Page 45: Women 's health and Wellness

45Copyright © 2014 Paras Hospitals. All rights reserved.

Your blood cholesterol

<200 mg/dL

LDL “bad cholesterol”

<100 mg/dL

HDL “good cholesterol”

>50 mg/dL or higher

High Cholesterol

Page 46: Women 's health and Wellness

46Copyright © 2014 Paras Hospitals. All rights reserved.

• Type 1

• Type 2

• Gestational Diabetes

DIABETES

Page 47: Women 's health and Wellness

47Copyright © 2014 Paras Hospitals. All rights reserved.

GLAUCOMA

Baseline eye examination at 40

Page 48: Women 's health and Wellness

48Copyright © 2014 Paras Hospitals. All rights reserved.

VITAMIN D DEFICIENCY

D-fence for your health

Muscle and bone pain

Increases risk of Type I

Diabetes

SUNLIGHT

Page 49: Women 's health and Wellness

49Copyright © 2014 Paras Hospitals. All rights reserved.

ASK YOUR DOCTOR ABOUT SCREENINGS

Page 50: Women 's health and Wellness

50Copyright © 2014 Paras Hospitals. All rights reserved.

Page 51: Women 's health and Wellness

51Copyright © 2014 Paras Hospitals. All rights reserved.

Take Care of Your Body Now

Page 52: Women 's health and Wellness

52Copyright © 2014 Paras Hospitals. All rights reserved.

It is essential for women to

No Matter What Stage……

Eat healthy

Be active

Manage stress

Supplement wisely

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53Copyright © 2014 Paras Hospitals. All rights reserved. 53

Celebrate Women’s Health

Page 54: Women 's health and Wellness

54Copyright © 2014 Paras Hospitals. All rights reserved.

Preventive Health

Checks

26% Discount

Page 55: Women 's health and Wellness

55Copyright © 2014 Paras Hospitals. All rights reserved.

The beauty of a woman

Must be seen from in her eyes;

Because that’s the doorway to her heart,

The place where love resides

The beauty of a woman

Isnt in a facial moie;

But true beauty in a woman,

Is reflected by her soul

It’s the caring that she cares to give,

The passion that she shows;

And the beauty of a woman

With passing years only grows

The Beauty of a Woman

Page 56: Women 's health and Wellness

56Copyright © 2014 Paras Hospitals. All rights reserved.

Meet your own individual health needs

Enjoy healthier, more active lifestyle today

Promote prevention for life

Targeted Solutions

Page 57: Women 's health and Wellness

57Copyright © 2014 Paras Hospitals. All rights reserved.

Thank You!!