Tune Up for Life Live Smarter Live Healthier

Tune Up for Life: Live Smarter, Live Healthier • Provided by • Pfizer, Inc. • Updated by NH Local Government Center, Safety and Health Department 1

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. 2 * http: //www. cdc. gov/nchs/data/hus 06. pdf#027

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 3

The Leading Men’s Health “Potholes” • • • 4 Heart disease High blood pressure High cholesterol Diabetes Enlarged prostate • • Prostate Cancer Depression Erectile dysfunction HIV/AIDS

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? 5 * http: //www. mayoclinic. com/health/mens-health/MC 00013

Heart Disease Death Rates, 1999 – 2003 Adults 35 Years and Older, By County 6

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) 7 ** Hispanic Health and Nutrition Examination Survey (HHANES)

Keep Your Blood Pressure on Track • Get tested regularly • Reduce salt consumption • Maintain ideal weight 8 • Exercise • Limit alcohol consumption • Stop smoking

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. 9

Finding the Right Weight • Ideal cholesterol – Total cholesterol less than 200 mg/d. L – HDL cholesterol should be greater than 35 mg/d. L – Ratio of total to HDL cholesterol should be less than 4: 1 10 • Borderline high total cholesterol – 200 to 239 mg/d. L • High Cholesterol – 240 mg/d. L or greater

It’s Never Too Late to Change the Oil • Know your cholesterol levels • Avoid saturated fats • Exercise 11 • Stop smoking • Drink alcohol only in moderation Photos courtesy of Scott Memmer, www. Edmunds. com

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

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 13 • Warning Signs – – Frequent urination Unusual thirst Extreme Hunger Unexplained weight loss – Extreme fatigue

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 14 – Maintain ideal weight – Eat a healthy diet – Exercise regularly – Keep glucose levels normal

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: 15 – – – 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

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 2 nd leading cause of male cancerrelated deaths • Approximately 8 million cases go undetected 16

Prostate Cancer: Risk and Screenings • Are you at increased risk? – Greater than 50 years old – African American – Family history of prostate cancer 17 • Screenings recommended for men 50 to 75 years – Blood test and digital rectal exam – Before age 50 years in men with risk factors

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

Depression: Risk Factors and Symptoms • Risk factors – Alcohol abuse – Family history of depression – Major life stressors – Bereavement 19 • 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

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 20 * 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 • • 22 Heart Disease High Blood Pressure Depression Kidney Disease • • High Cholesterol Diabetes Prostate Surgery Spinal Cord Injury

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 23 http: //www. menshealthnetwork. org/library/EDsurvey 2008. pdf

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

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 25

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 26 – Accelerates memory loss, infections, and bone loss

Conclusion: Are Men Lagging Behind? • Shorter life expectancy • Visit doctors almost 30% less often than women • Reduced quality of life compared with women 27

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 28

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 29

Helpful Websites ü Centers For Disease Control www. cdc. gov ü The Way To Eat www. thewaytoeat. net ü The Mayo Clinic www. Mayo. Clinic. com ü National Cancer Institute www. cancer. gov ü Mens Health www. menshealth. gov ü American Heart Association www. americanheart. gov ü American Stroke Association www. strokeassociation. org ü National Stroke Association www. stroke. org 30

Questions Thank You!! 31