Healthful Living - For Men
Staff Writer, January 20, 2008

Life Expectancy
Controllable diseases

- What are the things to do with your doctor

Emphasis

- Smoking
- Weight

Life Expectancy

Between 1945 and 2005, the life expectancy has increased from 45 years to 80 years.

Model for Longevity

- Maximum expected life 120 years
- Disease process reduces
- To see the Mean Additional Years table, visit www.aboutjoints.com/patientinfo/topics/generalinformation/malelifeexpect.htm


Cause of death for 100,000 people of 65 years old (yo) in one year

- Heart
- Cancer
- Strokes
- COPD (Chronic Obstructive Pulmonary Disease caused due to cigarette smoking)
- Pneumonia
- Diabetes
- Accident
- Motor vehicle
- Nephritis
- Alzheimer
- Septicemia
- Others


Compare 65 yo to 25-44 yo

- HIV and Suicide are the causes of death for 25-44 year old in addition to the above.

Controllable diseases

Controllable risks


• Heart risk factors • Metabolic syndrome (group of risk factors)
- Smoking - Diabetes
- Diabetes - Hypertension
- Hypertension - High Cholesterol
- High Cholesterol - Over weight
- Family History

Hypertension


- resting systolic blood pressure over 140
- very dynamic with activity/stress
- diabolic over 90
- long term risk not acute risk


Family History


- Choose your parents well


Diabetes


- Fasting blood glucose over 127
- Prediabetics over 110


Cholesterol


- The lower the better
- LDL goal 160 without risk
- 130 with two
- 100 if high risk
- HTL is good cholesterol; higher the better; can be accomplished by doing exercise


Obesity


- Ideal body weight 105 lbs + 5 lbs per inch over 5 feet (Also see BMI index)


History and Physical


- Yearly? (Yearly check is advisable for men unlike women for whom it is mandatory)
- Cholesterol every 5 years
- Glucose
- Exercise
- Skin cancers
- Dental hygiene


Starting at 50 years


- Aspirin to decrease heart attack and stroke (2 "baby" aspirins a day*)
- Colonoscopy first at 50 then every 5 to 10 years (more fiber less likely)
- ? cardiac stress test
- Prostate check and blood test PSA
- Vaccines: Pneumonia (60 yo), tetanus, flu

Emphasis

Smoking


- Number one health
- 8 years reduced life expectancy (last 20 years minimal activity)
- Emphysema major morbidity


Four part approach to quit smoking


- Educate reasons why to quit for motivation
- Special tools (nicotine patch/gum, zyban)
- Counseling to identify strategies/substitutions/support
- Plan with quit date


Nutrition


- Essential amino acids
- Diary products balanced amino acids
- Vitamins
- Minerals
- Calories
- BMI (Body Mass Index) = Weight (kg)/ Height (in meters squared)

BMI of 18.5 to 25 may indicate optimal weight


- For BMI Calculator, visit www.healthatoz.com/healthatoz/Atoz/tl/cl/bmi/bmi.jsp?UserSource=google&Campaign=TOOLS&AdGroup=BMI_CALC&LinkType=search&Creative=01&KeyWord=bmi_chart


Weight Loss


- 3000 Kcal = one pound
- One 100 Kcal cookie a day
- Very strong feedback control
- Exercise verses diet


Feedback Mechanisms


- Glucose spikes
- Volume of food
- Frequency
- Acidity of stomach
- Taste
- Social
- Exercise


Fastest Absorption


- Pure Sugar 4 cal/g (Soda, Cookie)
- Simple carbs (bread, rice, pasta)
- Complex carbs

o Starchy carbs (brown rice, baked and sweet potatoes, oatmeal, brown pastas and whole grains.)
o Fibrous carbs (asparagus, broccoli, cauliflower, onions, mushrooms, spinach and peppers and can also be found in most varieties of dark green leafy vegetables.)

Quality of Life


- Arthritis – glucosamine* 1500 mg, chondrotin* 1200 mg a day reduces most pains by half
- Difficulty urinating – prostate med or surgery
- Memory – use it or lose it
- Dental care – correlation to health
- Muscle strength
- Endurance
- Mental health after retirement
- Stress


Summary


- If you smoke quit
- If you have disease control it
- See your doctor for preventive measures

*Disclaimer: Please consult with your doctor before taking any medication and the information provided here is for reference purpose only.


Excerpts from the Sunday lecture addressed by Dr. Chris Hogan, M.D. at the Islamic Center of Southern California, Los Angeles on January 20, 2008.