The body and its functions change after the age 40. What precautions you should take. What Challenges you get?

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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