Healthy Living for Life – Men VS Women Health (Full Version)


living longer living healthier living
better than ever before welcome to Mountain-Pacific’s Healthy
Living for Life a weekly series that gives you the information education and
expert insight you need to become an active participant in today’s ever
changing health care climate here now as today’s program hosts there are all
kinds of health conditions that affect all of us no matter our gender but did
you know they may affect us differently because of our gender the same illness
may show different symptoms in men than they do in women and knowing those
differences it could be life-saving welcome to Healthy Living for Life a
show dedicated to helping you do just that I’m your host Beth Brown today we
have a battle of the sexes but we’re focusing on how we can all battle common
health conditions don’t go away welcome back heart disease is the
leading cause of death in America taking the lives of more than 600,000 men and
women every year but the risks and symptoms can be different in women than
they aren’t in men we start this morning talking about heart health with dr.
Douglas Kuntzweiler and family nurse practitioner Erin Kuntzweiler thanks
for being with us today so dr. Kuntzweiler maybe we could start
with you can you first talk about what we mean when we say heart disease what
conditions fall under that umbrella well there are a lot of different kinds of
heart disease you can be born with problems where your heart’s not formed
right you can have trouble with your valves and the heart you can have
trouble with the rhythms of your heart but mostly what we’re talking about is
clogging of the arteries that causes what people think of as heart attacks
okay and are there certain heart diseases that develop with age that we
should be more aware of as we get older yeah and again heart attacks are more
common as we get older and it’s a it’s a dynamic process where the arteries
slowly plug with deposited cholesterol and fat and then a clot forms around
that and that cuts off the blood flow to part of the heart and then that muscle
dies if if it doesn’t get fixed in time okay
does heart disease develop differently in men than it does in women the process
is the same in both although it tends to
develop later in women they get some protective effect we think from estrogen
but the process is the same however women often have slightly different
symptoms than men do okay so you mentioned the heart attack let’s talk
about the symptoms for that first of all the similarities men and women can
experience similar heart attack symptoms what are those the main thing that
people complain of is chest pain or sometimes they’ll just say heaviness or
tightness that feels like there’s an elephant sitting on my chest they may
also have shortness of breath they may have nausea they may feel light-headed
they may break out in a sweat and the symptoms may be experienced in other
parts of their body the neck the jaw the shoulders the arms for instance okay and
then what are some of the symptoms that might vary depending on your gender in
women their symptoms tend to be more subtle they don’t complain so much of
chest pain they complain more shortness of breath feeling light-headed or
heaviness they’re less likely to complain of pain the way men do okay I
read that women complain of often suffer what’s called a silent heart attack what
is that basically that’s on without chest pain where they have dizziness and
they have shortness of breath or maybe they are just sweaty and don’t feel
quite right but they don’t have the classic chest pain that we think of okay
so what’s your advice then for both men and women who aren’t sure whether their
symptoms are a heart attack well anytime you’re worried about that you should
seek care and the best way to do that is to call 911 ambulance come our medics
are trained to diagnose heart disease in the field and that’s really the quickest
way to get the care that you need okay great so maybe we could turn
to you now and talk a little bit about strokes our heart disease can lead to
stroke is there a difference between men and women when it comes to stroke women
are more likely to have a stroke and some of that correlation is with age
women tend to live longer than men so we have a higher incidence of of
stroke but the risk factors for heart attack or stroke are really the same for
men and women and I think it’s important Doug had said you know about calling
9-1-1 but the other thing for prevention in regards to stroke or heart attack is
seeing your primary care provider on a regular basis so you can identify risk
factors whether you’re a woman or a man and and treat risk factors to prevent a
stroke or heart attack from happening so whether that be if you’re diabetic or
have high cholesterol overweight things like that
I think prevention is key to prevent people from ending up in the ER okay
great and I understand too that obvious we come more susceptible to heart
disease or heart issues after menopause because of the role that hormones play
can you would speak to that a little bit yeah menopause doesn’t cause a heart
attack we think there might be a correlation estrogen has an effect on
our the lining of our blood vessels making them more elastic and flexible
and when we lose that estrogen and that if that goes away you know the risk goes
up but some of that too is age-related you know okay and as you mentioned the
good news here is that heart attack stroke they are preventable heart
disease is preventable is there anything else that you would throw out to folks
of what they can do to make sure they prevent a heart or at least help prevent
a heart attack or a stroke I think the basic things and that we talk about a
healthy diet and physical activity there’s been a lot of research on you
know sedentary life and moving daily is is really important some of the biggest
risk factors are smoking diabetes high blood pressure so if you’re a smoker or
you live with a smoker you should do everything you can to reduce your
exposure to that and you should see your primary care physician to take care of
diabetes high blood pressure if you develop
conditions okay great are there things that women should be doing more than men
or men should be doing more than women or is prevention the same regardless of
your gender I would say pretty much the same yeah okay there’s not a lot of
difference in when it comes to prevention okay perfect well that’s all
the time we have for that topic we tackled the big one by addressing some
of the things that come with heart health but we’re just getting started
next we’ll talk about another major health issue that affects both men and
women cancer so don’t go away we’ll be right back after these messages welcome back when it comes to your
health men and women can often face different challenges for common
illnesses or conditions today we are discussing some of those differences dr.
Douglas Kuntzweiler and Erin Kuntzweiler are still with us to talk about
them so thanks for sticking around you too so dr. Kuntzweiler we talked about
heart disease and as you know that’s the number one leading cause of death in the
United States the second one is cancer is one end are more susceptible to
cancer than the other no I think the people of all ages people of both
genders can be stricken with cancer tends to be more common the older you
get okay are there common types of cancer that impact men yeah prostate
cancer is is the leading cancer in men lung cancer is number two but lung
cancer is the leading killer of cancer deaths in men and then colorectal cancer
colon cancers also very common in a minute okay and Erin how about common
types of cancer among women so breast cancer lung cancer and colorectal cancer
okay gonna be the three most common in women just to add into that though there
is cervical cancer too and you know we do have screening for that with pap
smear so I think that’s important to mention as a preventive measure okay
great thank you so you both mentioned lung and colorectal cancer that has an
impact on both genders can you tell us things we can do to help lower our risk
for those let’s maybe start with lung cancer yeah far and away the the most
important thing is to stop smoking stop your exposure to smoke if you’re if
you’re around secondhand smoke some of them are related to two work-related
things like exposure to asbestos but far and away smoking use of tobacco products
of any kind are the most important okay and then what about colorectal or colon
cancer are there things we can do to avoid the risks there I think screening
is important knowing your personal risks with family history because if you do
have a first degree relative with colon rectal cancer screening should start
earlier than the recommended age for 50 so knowing your risk factors alcohol
use also we talked about smoking a lot but alcohol is linked with cancers also
okay okay so I think we do we’ve all heard that that smoke and tobacco are
bad for you what exactly is the tie-in with alcohol and cancer do you know that
it’s clear from studies that alcohol is associated with with higher incidence of
many different types of cancer and there are some very recent studies that show
that it really doesn’t matter much what degree or how much alcohol you drink
even moderate consumption can be associated with higher rates of cancers
oh okay so let’s go back and talk then about the
cancer specific to men or women I’m Erin can you talk a little bit about risk
factors that make women more I guess a better candidate for like a better term
for breast cancer breast cancer so there’s a number of risk risk factors
early menarchy or when you started menstruating so before the age of 12 or
late menopause this has to do with your exposure to estrogen not having any
pregnancies or having pregnancies later in life
certainly family history and genetics smoking alcohol use there’s not that
having dense breasts as a risk factor but knowing if you have dense breasts
they can make mammograms a little more difficult to read so again back to I
think it’s important knowing your risks and you know seeing your family provider
on a regular you know yearly basis is important all the risk factors yeah you
got all the big ones yeah so a lot of those risk factors are very specific to
women but men can get breast cancer too right they can mm-hmm and they typically
present with a lump and so it’s not really different so much as far as the
presentation with women men tend to put things off in regards to
their health care more than women so a lot of times they’re presenting at a
later stage sometimes with you know nipple dish but
a nipple discharge but okay it’s not very common so I think men don’t think
about it but if they have a lump that is new they should have that investigated
okay well and then let’s keep talking about men the number one cancer in men
is prostate cancer what are some of the common risks there that men should be
aware of the main one is genetics if there’s a family history of prostate
cancer then then there’s more chance that you would suffer from that and we
know that african-american males have a higher incidence of prostate cancer than
the rest of the population so if you have a family history then you
should see your physician and get screened early okay and so those are
risk factors that you know they can’t do much about it’s their genetics so any
advice that you would make sure you would want men to know if you have
symptoms especially if you’re having trouble emptying your bladder then then
you should see your provider and again as with all the other cancers we talked
about smoking and alcohol or risk factors that are controllable okay and
is that the main symptom for prostate cancer than having trouble yes okay yes
alright great anything else just in general for men or women that they
should know about when it comes to helping prevent their chances of getting
cancer right you know I met explai is a role but I think we have to remember
that our lifestyle choices are really important and you know sometimes can
overpower the genetic part of it too so all the things that we talked about as
far as managing there are risk factors smoking alcohol physical activity
healthy dietary choices okay okay all right well that’s great because we need
to take another break but what are some of the other differences when it comes
to men and women’s health we still have a lot more to talk about don’t go away
we’ll be right back after these thanks for staying with us we are
talking about the health conditions that affect women and men differently after a
discussion on stroke heart disease and cancer we are now shifting to more
general conditions that impact our health depending on our gender so thanks
for staying with us doctor Erin Kuntzweiler let’s talk about men’s
health is life expectancy really that much less than it is with women it is
it’s about five years or so less for men than women
and why is that do you think well part of it is men have a higher rate of death
from trauma especially young men more motor vehicle accidents motorcycle
accidents hunting accidents they have more deaths associated with the work
that they do in general men tend to to do the more dangerous types of work and
so that plays into it and then men tend to die younger of cardiovascular disease
heart attacks and strokes and and so the net result of all that is that men tend
to live shorter lives than women on average okay and I understand too that
men are about three times more likely to die from suicide than women can you talk
about that a little bit as that mental health issues depression why are so many
men we think that depression rates are probably about the same among men and
women but men are more likely to act on it and actually kill themselves and some
of that has to do with gun access and that kind of thing but it is history
that men are more likely to suicide especially middle-aged and older men and
alcohol is often a factor in that as well
okay so what’s the solution there what should then do to get help or why are
they not getting help and turning to suicide men are less likely to seek help
for depression I think there are attitudes that are in our society that
men are supposed to be strong and it’s a sign of weakness if you you know cry or
you feel down you’re supposed to just suck it up and keep going
so I think if you feel that you know something’s not right in your life you
you’d go talk to your primary care provider about that and they can do
screening for depression and get you some treatment okay great
so men are higher in suicide rates but women are actually higher when it comes
to depression so maybe Erin could you take that one on a little bit why do you
think women are higher in depression well I I think the incidents of
depression as Doug was saying is is fairly equal but definitely I think more
women seek out treatment for it and again probably because there’s still a
stigma about mental illness in our country and there is you know good
treatment for depression both pharmacological or medications and
counseling and I think to a lot of symptoms of depression you know we think
of the common ones you feel down or you’re having crying spells or hopeless
but a lot of a lot of times symptoms are physical so lack or inability to sleep
or sleeping too much or lack of appetite weight gain weight loss you know even
headaches and stomachaches you know that don’t have another etiology for so I
think you know in general women seek treatment for all of those kinds of
things but I think it’s important to know that you know that the physical
manifestations may be the only ones you have and you know I would encourage men
and women to seek seek treatment for those okay great thank you for that and
so we talked about that women do the longer than men are there other health
conditions or issues that affect women more than men especially as we age you
know I think we tend to screen women more for things like osteoporosis for
example but men get osteoporosis you know just as much as women do so I think
it’s important really as opposed to separating you know to think about you
know that that we need to be looking at both genders equally with with those
kinds of diseases okay there any ones that you can
well osteoporosis I think is one of the big uns that we think of as being
exclusive to women and certainly that’s not true men you know have a lot of
trouble with their emptying their bladders as they get older and so that
leads to a variety of things that women generally don’t suffer from and I think
women have a lot of pelvic conditions because yeah our different Anatomy that
they get into it and even going back to depression and I think we have to
remember with women that they’re you know is perinatal depression postpartum
depression there can be post menopausal depression so things that are more
unique to women because of those life changes you know that men don’t have but
again back to that with pelvic issues and neurological issues with women just
because of the nature that you know you’ve given birth or whatever that’s
more unique to women as we age and I think you know we talk a lot too about
hormones with with it because of menopause and some of the other things
that they go through with estrogen but there are things that men can go through
with testosterone too right health issues that happen if testosterone goes
down those kind of things yeah and there are things that actually cause by trying
to treat another condition men with prostate cancer are given drugs to
counteract testosterone then that can lead to problems osteoporosis being and
maybe we could talk a little bit more about prevention
are there different preventive I guess recommendations or guidelines when it
comes to men or women especially when we talk about vaccinations so so no in
regards to vaccinations and I’ll just go through you know the recommended ones we
recommend getting your influenza vaccination on a yearly basis we
recommend the shingles vaccination starting at age sixty and there is a new
shingles vaccination that has just come out and it is supposed to be more
effective than the previous ones so that it’s recommended to get that one even if
you’ve had the previous shingles vaccination
there’s to pneumonia vaccinations starting at age 65 that men and women
should get or they should get it earlier if they have underlying diseases like
chronic lung disease or diabetes shouldn’t forget tetanus you get it
every ten years and that has the pertussis in it also so and there’s no
real difference between recommendations from men and women as far as I know of
okay productions okay and we’ve talked a lot too about prevention as far as
healthy eating and not smoking and watching your alcohol intake and those
kind of things are some of those recommendations different obviously we
know men are built differently than men are built differently than women so what
are some of the recommendations there as far as exercise healthy eating I think
for women and when we start losing our bone mass in our 30s and we don’t really
start thinking when we’re thirty you know about osteoporosis one more 70s so
it’s really important even for younger women you know to have a good intake of
calcium and vitamin D and fruits and vegetables and fibers and for both men
and women in regards to physical activity we know moderate physical
activity most days of the week is a reasonable guideline to use but I would
encourage people to incorporate weight training into their physical activity
regimen for prevention of osteoporosis helps you prevent Falls – it’s been
shown that if you carry more muscle mass into your later years you’re less likely
to be bothered with Falls fractures physical activity for all of the things
we’ve talked about heart disease stroke and cancer is a good prevention for all
of them okay thank you very much you’re – we’re out of time so that’s all we
have for this week we hope you’ll join us again next week until then stay fit
stay well and stay healthy for life with Healthy Living for Life
Have a great week Healthy Living for Life is brought to
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