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Community

• Diabetes

• Memory Concern

• Obesity

• Multiple Sclerosis

• Menopause and Mobility impairment
  

DIABETES

• Diabetes – What is it?
  Diabetes is a disease in which your body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar (or glucose), starches and other food into energy needed for daily life. When insulin is absent or ineffective, the sugar in your bloodstream is too high and is not being used by your cells to make energy. High sugar levels in your bloodstream can lead to changes in your blood vessels and nerves. Diabetes is known as a silent disease; you can have diabetes for many years and not know it. It is during this time that you can develop complications such as vision loss, high blood pressure, heart disease, stroke, kidney and foot problems.
• Am I at risk for diabetes?
  Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders. Your risk for developing diabetes also increases if: you are over age 45, have a sedentary or inactive lifestyle, or are overweight. Other risk factors include: having high blood pressure (at or above 135/85); a family history of diabetes; or having diabetes during pregnancy or having a baby weighing more than 9 lbs at birth. If you have any of these characteristics, you should see your physician every three years to be tested for diabetes.
• What changes can I make to my lifestyle now?
  You can lower your risk of developing diabetes by keeping your weight in control; staying active, and eating low fat meals that are high in fruits, vegetables and whole grain foods.
• For more information on diabetes:
  • www.diabetes.org (American Diabetes Association)
  • www.niddk.nih.gov (National Institute of Diabetes and Digestive and Kidney Disease)
  • www.aadenet.org (American Association of Diabetes Educators)
  • http://www.dshs.state.tx.us/diabetes/ (Texas Diabetes Council)
• When should I contact my physician?
  Contact your doctor if you have any of these warning signs: being very thirsty; urinating often, blurred vision, or significant weight loss without trying.
  

MEMORY CONCERNS

• Memory lapse, loss, concerns, problems, impairment – What is it?

  We rely on our memories to function in everyday activities. Many older adults notice memory lapses and worry about incidents of forgetting. Although the majority of elders will not experience significant memory loss, there is an increase of cognitive impairment that accompanies aging. Cognition covers a much broader ground than just memory.

• Am I at risk?

  It is important to think about your memory as containing many aspects. In addition to memory, cognitive function includes aspects such as attending, judging, learning, perceiving, problem-solving, reacting, socializing, and thinking. We know that genetics play a part in memory impairment, as does the restriction of blood flow to the brain seen in strokes and vascular dementia. New findings also indicate that women with high cholesterol levels showed more problems with memory and thinking. If you believe you are losing memory function, particularly that which affects your ability to pay bills accurately, cook meals at home, or take medication properly, you may want to see a professional gerontologist or geriatric physician.

• How can I change my lifestyle to reduce my risk?

  It depends on your state of health. You may be interested in prevention
  (enhancement) if you see no signs of memory loss. If you are experiencing some
  memory impairment, (diagnosis), you may be interested in strategies to compensate
  for the loss or to strengthen existing memory. If you are experiencing memory
  disability (treatment), you may be interested in investigating drug therapy. It is
  important to know that many scientific studies of cognitive aging are currently in
  progress in the U.S. and elsewhere around the globe. It may be beneficial to enroll
  in a NIH-funded research study where state-of-the-art technology and treatments
  are being tested. Information may be found at: http://www.alzheimers.org/trials/.
  Stress, anxiety, or depression can make a person more forgetful. This sort of
  forgetfulness is usually temporary and goes away when the feelings fade. In
  addition, prescription and over-the-counter medications may cause memory loss.

• Where can I get more information?

  First, the National Institute on Aging’s (NIA) 1-800-222-2225 telephone number and
  website at http://www.nia.nih.gov both are very helpful. The NIA
  maintains a publication list, one of which is Age Page, a series of topics relevant to
  health and aging. Second, the Alzheimer’s Disease Education and Referral
  (ADEAR) website at http://www.alzheimers.org contains many dimensions such as the Combined Health Information Database, and an Alzheimer’s Disease Bibliographic Database
  Thesaurus and Complete Term Index.

• When should I contact my physician?

  Many individuals fear developing a cognitive impairment such as dementia or Alzheimer’s disease. Memory problems can have other causes, such as hearing loss, poor diet, adverse reactions from medications, and excessive alcohol consumption. Symptoms of dementia or Alzheimer’s are: becoming lost in familiar places, asking the same questions repeatedly, neglecting personal safety or hygiene, and getting disoriented about time, people and places. Because memory problems can have varying causes, it is important to have a diagnostic evaluation by a geriatrician, so that reversible or treatable conditions can be addressed.

 

OBESITY: QUESTIONS AND ANSWERS

FROM AN EXPERT:

Dr. Lorraine Walker,
Associate Director, and Director, Theory, Research Methods and Technology Core, Center for Health Promotion Research, and Principal Investigator on a major research project funded by the National Institutes of Health, National Institute of Nursing Research, to examine overweight mothers in the postpartum period.

 

• Obesity: What is it? Am I overweight?

  Many of us want to lose weight to look better or more like the latest fashion model. For health reasons, though, we need to ask ourselves two things:

• Is my weight in a range that may have negative consequences for my health? and,
• Is my body fat located in spots that are worrisome from a health point of view?

To answer these questions, you need to know your body mass index and your waist circumference.

To learn how to estimate your body mass index (BMI), click on the following link, and fill in your height and weight: http://www.nhlbisupport.com/bmi

For your waist circumference, measure your waist with a flexible, non-stretchable measuring tape at the smallest point below the ribs and above the navel.

Here is a website with a graphic representation of the growing problem of obesity in the U.S.:
http://health.msn.com/reports/obesity/default.aspx?GT1=8307

 

• Am I at-risk?

  If your body mass index--BMI--is 25-29.9, you are in range of weight currently defined as overweight. If your BMI is 30 or over, you are in a range currently defined as obese. If your waist circumference is more than 35 inches (women) or 40 inches (men), you may be at increased risk for health conditions associated with obesity, such as diabetes or heart disease.
  
  To find out more, check out definitions of "obesity" and its health-related risks, at the website of the American Heart Association: http://216.185.112.5/presenter.jhtml?identifier=4639

  To find out how many different health problems stem from obesity, visit the American Obesity Association website:http://www.obesity.org

 

• How can I change my lifestyle to reduce my risk?
  
  Many people believe that weight lost is always regained. But new research of people who have lost weight and kept it off gives hints on how to be successful, so see http://www.lifespan.org
  
  For strategies to help you lose weight, check out the National Institutes of Health at:
  http://win.niddk.nih.gov/

  Where can I get more information?
  
  You can get more information about obesity from
  • the American Heart Association: http://www.americanheart.org
  • the American Obesity Association: http://www.obesity.org
  • the National Institutes of Health:
    http://www.niddk.nih.gov/health/nutrit/nutrit.htm
  • the Centers for Disease Control and Prevention: http://www.cdc.gov/nccdphp/dnpa/obesity/index.htm
  • the American Dietetic Association:
    http://www.eatright.org
  • the North American Association for the Study of Obesity:
    http://www.naaso.org

  
  You can get more information about nutrition and weight at:

  • http://www.health.gov/dietaryguidelines/dgac/pdf/2kdiet.pdf
    
    

  Your can get more information about excercise, physical activity and weight at

• http://www.cdc.gov/nccdphp/dnpa/phys_act.htm

• When should I contact my physician?

Many of the health problems that are associated with obesity(such as high blood pressure or diabetes) are slow in onset so we do not notice them readily. Thus, it is a good idea to see your health care provider on a regular basis for preventive care. Call or talk with your health care provider about how often you need a check-up based on your age and health circumstances.

If your health care provider is not familiar with overweight management, mention the following resource, a Practical Guide from NIH:

• http://www.nhlbi.nih.gov/guidelines/obesity/practgde.htm

If you would like to do something in your community about weight, see the Surgeon General's Call to Action:

• http://www.surgeongeneral.gov/topics/obesity/calltoaction/toc.htm

(P.S. Let us know if you found this website page on obesity helpful by emailing us at: lwalker@mail.nur.texas.edu)


 

MULTIPLE SCLEROSIS (MS)

• What is it?

  Multiple sclerosis is a progressive disease of the central nervous system. Common problems that people may experience with MS include: fatigue, numbness and tingling, weakness, muscle stiffness or spasms, tremors, slurring speech, difficulty swallowing or walking and problems with balance. Some individuals may also experience changes in their vision, memory, bowel, bladder or sexual function, and unpredictable changes in emotions. Although these are some of the most common symptoms people with MS may notice, everyone is different. Therefore people with MS can experience any of these problems, and some may not have any of these problems. For more information about the problems that people with MS experience you may want to look at the following link provided by the National Multiple Sclerosis Society - http://www.nationalmssociety.org/Symptoms.asp

• Who is at risk for MS?

  Multiple sclerosis is usually diagnosed in persons between the ages of 20 to 50 and affects women about two to three times more frequently than men. While some genetic factors may increase the likelihood of developing MS, there is not proof that MS is inherited. This disease does occur more in people of Northern European descent, but people with other backgrounds including African American, Asian, and Hispanic have been diagnosed with MS as well.

• How do lifestyle factors affect MS?

  Attention to healthy choices in lifestyle can help to keep people with MS healthy and prevent problems associated with inactivity. Recent research has indicated that stress management and staying physically active are especially important for persons with MS. Some suggestions for a healthy lifestyle include:

• Stay as active as possible, both mentally and physically.
• Avoid high fat foods and controlling portion size to prevent weight gain.
• Include variety in your diet - whole grains, fruits and vegetables.
• Get plenty of rest and conserve energy for important activities.
• Practice meditation or relaxation exercises.
• Avoid hot humid weather and hot showers.
• Set priorities.
• Ask for help when needed.
  
• Where can I get more information?
  If you would like more information about multiple sclerosis the following websites may prove helpful:
  
  • The National Multiple Sclerosis Society at http://www.nmss.org/
  • The Multiple Sclerosis Foundation at http://www.msfacts.org/
  • The Multiple Sclerosis International Federation at http://www.msif.org/language_choice.html
  • The Multiple Sclerosis Association of America at http://www.msaa.com/
  • The Multiple Sclerosis Education Network at http://www.healthtalk.com/multiplesclerosis/
  • The National Institute of Neurological Disorders and Stroke (NINDS) at http://www.ninds.nih.gov/disorders/multiple_sclerosis/multiple_sclerosis.htm
  • Multiple Sclerosis Information and Support at http://www.msworld.org/

MENOPAUSE AND MOBILITY IMPAIRMENT

• As part of Decisions for Transitions, a study funded by the National Institutes of Nursing Research, Heather Becker and Janet Morrison developed Hormone Therapy: Is it the right choice for me? For women with mobility impairments.  Produced after the discontinuation of the Women's Health Initiative, the booklet provides as much specialized information about menopausal health issues for women with mobility impairments as was available in summer 2003.  It also includes brief case studies describing how women with mobility impairments might go about weighing information about taking hormone therapy.  Its purpose is to prepare women for an informed discussion with their health care provider about the pros and cons of taking hormone therapy or alternative therapies for managing menopause.
  
  
  
  • Hormone Therapy: Is it the right choice for me? A Decision Aide For Women With Disabilities