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1Copyright © 2014 Paras Hospitals. All rights reserved. 1
Dr Nupur Gupta
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
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
4Copyright © 2014 Paras Hospitals. All rights reserved.
5 Medical Conditions that are of great
concern
5Copyright © 2014 Paras Hospitals. All rights reserved.
Women should take charge of their
health
6Copyright © 2014 Paras Hospitals. All rights reserved. 6
7Copyright © 2014 Paras Hospitals. All rights reserved.
Who do you think is a Healthy
Woman?
8Copyright © 2014 Paras Hospitals. All rights reserved.
9Copyright © 2014 Paras Hospitals. All rights reserved. 9
"An ounce of prevention is worth a pound of cure"?
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?
11Copyright © 2014 Paras Hospitals. All rights reserved. 11
Why is it important ???
Linked to the child
Linked to the family Whole society
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
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
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
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
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?
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
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)
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
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
21Copyright © 2014 Paras Hospitals. All rights reserved.
Different concerns &
requirements at different ages
22Copyright © 2014 Paras Hospitals. All rights reserved.
WOMEN AT ALL AGES
From adolescence to menopause
23Copyright © 2014 Paras Hospitals. All rights reserved.
TEENAGERS
 Menstrual hygiene
 HPV & Tdap vaccination
 Pubertal problems
 Polycystic Ovaries
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
25Copyright © 2014 Paras Hospitals. All rights reserved.
A Time of Choices
Balancing career
& family
20s or late 30s
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
27Copyright © 2014 Paras Hospitals. All rights reserved.
Time of Change
Late 30s to Late 40s
Hormonal
changes of
perimenopause
28Copyright © 2014 Paras Hospitals. All rights reserved.
FORTIES, NEW YOUNG AGE
 Contraception once again;
 Menopausal symptoms;
 Tendency to gain weight;
 Consider calcium
 Lipid profile
29Copyright © 2014 Paras Hospitals. All rights reserved.
A Time for Living Well
Late 40s to 50 Plus
Managing chronic
disease
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
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
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
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
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
35Copyright © 2014 Paras Hospitals. All rights reserved.
PREVENTIVE GYNECOLOGY
Women Health Check
36Copyright © 2014 Paras Hospitals. All rights reserved.
www.parashealthcare.com
EVERY WOMAN NEEDS
37Copyright © 2014 Paras Hospitals. All rights reserved.
Cancer
Mammography
Ultrasound
38Copyright © 2014 Paras Hospitals. All rights reserved.
Cancer
39Copyright © 2014 Paras Hospitals. All rights reserved.
Pap
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
41Copyright © 2014 Paras Hospitals. All rights reserved.
BONE DENSITY - OSTEOPOROSIS
 Bones become weak and fragile
DEXA to measure bone strength, predict
future breaks
42Copyright © 2014 Paras Hospitals. All rights reserved.
Screening For Skin Cancer
 Look for any moles or
freckles
43Copyright © 2014 Paras Hospitals. All rights reserved.
COLORECTAL CANCER
Polyps
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
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
46Copyright © 2014 Paras Hospitals. All rights reserved.
• Type 1
• Type 2
• Gestational Diabetes
DIABETES
47Copyright © 2014 Paras Hospitals. All rights reserved.
GLAUCOMA
Baseline eye examination at 40
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
49Copyright © 2014 Paras Hospitals. All rights reserved.
ASK YOUR DOCTOR ABOUT
SCREENINGS
50Copyright © 2014 Paras Hospitals. All rights reserved.
51Copyright © 2014 Paras Hospitals. All rights reserved.
Take Care of Your Body Now
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
53Copyright © 2014 Paras Hospitals. All rights reserved. 53
Celebrate Women’s Health
54Copyright © 2014 Paras Hospitals. All rights reserved.
Preventive Health
Checks
26% Discount
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
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
57Copyright © 2014 Paras Hospitals. All rights reserved.
Thank You!!

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Women 's health and Wellness

  • 1. 1Copyright © 2014 Paras Hospitals. All rights reserved. 1 Dr Nupur Gupta
  • 2. 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
  • 3. 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
  • 4. 4Copyright © 2014 Paras Hospitals. All rights reserved. 5 Medical Conditions that are of great concern
  • 5. 5Copyright © 2014 Paras Hospitals. All rights reserved. Women should take charge of their health
  • 6. 6Copyright © 2014 Paras Hospitals. All rights reserved. 6
  • 7. 7Copyright © 2014 Paras Hospitals. All rights reserved. Who do you think is a Healthy Woman?
  • 8. 8Copyright © 2014 Paras Hospitals. All rights reserved.
  • 9. 9Copyright © 2014 Paras Hospitals. All rights reserved. 9 "An ounce of prevention is worth a pound of cure"?
  • 10. 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?
  • 11. 11Copyright © 2014 Paras Hospitals. All rights reserved. 11 Why is it important ??? Linked to the child Linked to the family Whole society
  • 12. 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
  • 13. 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
  • 14. 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
  • 15. 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
  • 16. 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?
  • 17. 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
  • 18. 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)
  • 19. 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
  • 20. 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
  • 21. 21Copyright © 2014 Paras Hospitals. All rights reserved. Different concerns & requirements at different ages
  • 22. 22Copyright © 2014 Paras Hospitals. All rights reserved. WOMEN AT ALL AGES From adolescence to menopause
  • 23. 23Copyright © 2014 Paras Hospitals. All rights reserved. TEENAGERS  Menstrual hygiene  HPV & Tdap vaccination  Pubertal problems  Polycystic Ovaries
  • 24. 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
  • 25. 25Copyright © 2014 Paras Hospitals. All rights reserved. A Time of Choices Balancing career & family 20s or late 30s
  • 26. 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
  • 27. 27Copyright © 2014 Paras Hospitals. All rights reserved. Time of Change Late 30s to Late 40s Hormonal changes of perimenopause
  • 28. 28Copyright © 2014 Paras Hospitals. All rights reserved. FORTIES, NEW YOUNG AGE  Contraception once again;  Menopausal symptoms;  Tendency to gain weight;  Consider calcium  Lipid profile
  • 29. 29Copyright © 2014 Paras Hospitals. All rights reserved. A Time for Living Well Late 40s to 50 Plus Managing chronic disease
  • 30. 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
  • 31. 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
  • 32. 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
  • 33. 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
  • 34. 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
  • 35. 35Copyright © 2014 Paras Hospitals. All rights reserved. PREVENTIVE GYNECOLOGY Women Health Check
  • 36. 36Copyright © 2014 Paras Hospitals. All rights reserved. www.parashealthcare.com EVERY WOMAN NEEDS
  • 37. 37Copyright © 2014 Paras Hospitals. All rights reserved. Cancer Mammography Ultrasound
  • 38. 38Copyright © 2014 Paras Hospitals. All rights reserved. Cancer
  • 39. 39Copyright © 2014 Paras Hospitals. All rights reserved. Pap
  • 40. 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
  • 41. 41Copyright © 2014 Paras Hospitals. All rights reserved. BONE DENSITY - OSTEOPOROSIS  Bones become weak and fragile DEXA to measure bone strength, predict future breaks
  • 42. 42Copyright © 2014 Paras Hospitals. All rights reserved. Screening For Skin Cancer  Look for any moles or freckles
  • 43. 43Copyright © 2014 Paras Hospitals. All rights reserved. COLORECTAL CANCER Polyps
  • 44. 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
  • 45. 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
  • 46. 46Copyright © 2014 Paras Hospitals. All rights reserved. • Type 1 • Type 2 • Gestational Diabetes DIABETES
  • 47. 47Copyright © 2014 Paras Hospitals. All rights reserved. GLAUCOMA Baseline eye examination at 40
  • 48. 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
  • 49. 49Copyright © 2014 Paras Hospitals. All rights reserved. ASK YOUR DOCTOR ABOUT SCREENINGS
  • 50. 50Copyright © 2014 Paras Hospitals. All rights reserved.
  • 51. 51Copyright © 2014 Paras Hospitals. All rights reserved. Take Care of Your Body Now
  • 52. 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
  • 53. 53Copyright © 2014 Paras Hospitals. All rights reserved. 53 Celebrate Women’s Health
  • 54. 54Copyright © 2014 Paras Hospitals. All rights reserved. Preventive Health Checks 26% Discount
  • 55. 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
  • 56. 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
  • 57. 57Copyright © 2014 Paras Hospitals. All rights reserved. Thank You!!