The document discusses health challenges faced by individuals after the age of 40, emphasizing the importance of midlife health check-ins to prevent chronic conditions like obesity, heart disease, and diabetes. It outlines common health issues, including arthritis, osteoporosis, cardiovascular diseases, vision and hearing loss, and mental health concerns, along with solutions such as diet modification, exercise, and proper healthcare habits. The document warns against the effects of modern lifestyle choices like poor diet, lack of exercise, and neglecting health screenings.

1. HEALTH CHALLENGES
AFTER
40
DR AVINASH BHONDWE
FAMILY PHYSICIAN
WRITER & SPEAKER ON HEALTH

3. TURN YOUR HEALTH AROUND
• Want look and feel young into your 40s and
beyond? Now's the time to hit the refresh
button.

4. TURN YOUR HEALTH AROUND
• IN 20S AND 30S, WE THINK WE ARE FOREVER
• BUT HEALTH AND LIFESTYLE ERRORS CAN SNEAK UP ON
YOU IN MIDLIFE AND,
• NEXT THING YOU KNOW, A ROUTINE CHECKUP FINDS
YOUR BLOOD PRESSURE'S UP OR YOUR BLOOD SUGAR'S
OUT OF CONTROL
• IF YOU'RE NOT USING 40 AS THAT CHECK-IN POINT AND
THAT TURNOUT TIME, THOSE ISSUES WILL START
COMPOUNDING, LEADING TO CHRONIC CONDITIONS, LIKE
HEART DISEASE AND DIABETES

5. OBESITY & METABOLIC SYNDROME
• 60 PERCENT OF 40+ POPULATION IS OBESE

6. OBESITY

7. EFFECT OF MODERN LIFESTYLE

8. HEALTH RISK GUIDE LINES
• Waist measurement greater than
40 inches in men,
35 inches in women (apple-shaped body)
• Triglyceride level of 150 mg/dL or higher
• HDL "good" cholesterol level less than
40mg/dL in men,
 50 mg/dL in women
• Blood pressure of 130/85 or higher
• Fasting glucose level of 110 mg/dL or higher

9. PROBLEMS & SOLUTIONS
• WOMEN IN PERI-MENOPAUSE AND MENOPAUSE
TEND TO ACCUMULATE FAT AROUND THE WAIST
AND HIPS, AND MEN GET THE GUT.
THE BEST WAY TO FIGHT IT WITH –
• INCREASING EXERCISE,
• REDUCING ALCOHOL INTAKE -- BECAUSE A LOT OF
ALCOHOL CALORIES GO RIGHT TO THE GUT -- AND
REDUCING CALORIE INTAKE.
• INCREASE YOUR HEALTHY FAT INTAKE -- OMEGA-3
FATTY ACIDS AND UNSATURATED FATS.
• ELIMINATE TRANS FATS COMPLETELY BECAUSE
THERE'S NO SAFE AMOUNT OF THOSE.

10. PROBLEMS & SOLUTIONS
• AVOIDING FOODS SWEETENED WITH HIGH-
FRUCTOSE CORN SYRUP. THE COMMON
SWEETENER IS FOUND IN EVERYTHING
FROM SODAS TO BREAKFAST CEREAL TO
LOW-FAT YOGURT.
• IN MIDDLE AGE, WE SHOULD EAT FOODS AS
CLOSE TO NATURALLY PREPARED AS
POSSIBLE.

11. ARTHRITIS
• 50 % OCCURRENCE
• OLD INJURIES
• HIGH HEELS
• PRICE OF 2 LEGGED
ANIMAL
• EXERCISE & DIET
• WEIGHT REDUCTION-
• 5 KG REDUCTION 50%
LESS CHANCES

12. OSTEOPOROSIS
• AGING + NUTRITIONAL
DEFICINECY
• LACK OF SUNSHINE
• PREGNANCY & LACTATION
• VIT D3 + CALCIUM +
MINERALS
• 44 MILLLION PEOPLE
• DIET+ WEIGHT BEARING
EXERCISE
• GIVE UP SMOKING
• ALCOHOL
• 1000-1200 CALCIUM
• 1000 UNITS OF D3

13. VITAMIN D SOURCES

14. CANCERS
• RISK INCREASES WITH AGE
• WOMEN- MULTIPLE PREGNACIES- CERVIX
• NO ISSUES, UNMARRIED, NO BABY, BREAST FEEDING- BREAST
CANCER
• MEN- PROSTATE, LUNGS, COLON
• NECK AND FACE- TOBACCO & PRODUCTS

15. CARDIO-VASCULAR DISEASES
• 35 % MEN & WOMEN
• WEGHT REDUCTION
• 30-45 MINUTES
RIGOUROUS WALKING
• GIVE UP SMOKING
• REDUCE ALCOHOL
• HIGH FIBER DIET
• LOW SALT
• AVOID JUNK FOOD
• CONTROL BP
• REGULAR CHECK

16. CARDIOVASCULAR DISEASES
• HEART DISEASE,
• ARRHYTHMIA,
• HEART FAILURE,
• HYPERTENSION,
• ORTHOSTATIC
HYPOTENSION,
• STROKE,
• CONGENITAL HEART
DISEASES

17. VISION LOSS
• AGE-RELATED EYE DISEASES –
• MACULAR DEGENERATION,
• CATARACT,
• DIABETIC RETINOPATHY,
• GLAUCOMA
• AFFECT 119 MILLION PEOPLE AGED 40
AND OLDER, ACCORDING TO THE 2000
CENSUS.
• THAT NUMBER IS EXPECTED TO DOUBLE
WITHIN THE NEXT THREE DECADES.

18. HEARING LOSS
• TWENTY-NINE PERCENT OF THOSE WITH
HEARING LOSS ARE 45-65
• HEARING LOSS TAKES A TOLL ON THE
QUALITY OF LIFE AND CAN LEAD TO
• DEPRESSION
• WITHDRAWAL FROM SOCIAL ACTIVITIES.
• ALTHOUGH HEARING AIDS CAN HELP,
ONLY ONE OUT OF FOUR PEOPLE USE
THEM.

19. TEETH
• ONLY ABOUT 25% OF
PEOPLE OVER AGE 40
WEAR DENTURES TODAY.
• 60% HAVE DENTAL
PROBLEMS
• DENTAL CARE,
• PROPER BRUSHING
TECHNIQUE NEVER USED
• NEW BEGINNING

20. MENTAL HEALTH
• STRESS- WORK, FAMILY,
MONEY, OTHER
• MULTITASKING
• LACK OF PROPER SLEEP
• SUBSTANCE ABUSE
• ANXIETY
• DEPRESSION
• MEMORY LOSS
• BEHAVIOURAL PROBLEMS
• SUICIDES

21. SOLUTIONS
• MEDITATION
• FRIENDS & FAMILY
• HOBBIES
• HAPPYNESS
• SPIRITUALITY
• EXERCISE
• INDOOR & OUTDOOR
GAMES
• TIME FOR BROODING
• VACATION

22. EFFECTS OF MODERN LIFE
• ADDICTION TO MOBILES, TV SHOWS,
COMPUTERS
• NOT MAKING SLEEPING TIME A PRIORITY
• SOCIALISING Vs VIRTUAL FRIENDS
• NOT MAKING A DAILY ROUTINE OF EATING,
SKIPPING THE MEALS
• NOT FLOSSING TEETH, MORNING & BEDTIME
BRUSH
• WARNING SIGNS IGNORED

23. EFFECTS OF MODERN LIFE
• SMOKING & ALCOHOL- A SOCIAL ACCEPTANCE
• JUNK FOOD, PROCESSED FOOD,
• STREET FOOD
• MORE SALT, FATS, SWEETS
• TAKING LESS WATER & LIQUIDS
• AVOIDING MILK & DAIRY PRODUCTS
• TOO MUCH COFFEE, TEA, COLA DRINKS, SOFT DRINKS
• NO EXERCISE
• BINGE DRINKING
• SEX- OVER & UNDER INDULGENCE

24. EFFECTS OF MODERN LIFE
• LIES WITH DOCTOR
• NOT TELLING TRUE FAMILY HISTORY
• NOT DOING REGULAR HEALTH CHECK-UPS
• NOT TAKING VACCINES
• NOT TAKING PREVENTIVE CARE
• BELIVING TOOOOO MUCH ON
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