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® UnderstandingYourTests. ® Whats Your Wellness Score? Get a Good Grade In Your Health.

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Presentation on theme: "® UnderstandingYourTests. ® Whats Your Wellness Score? Get a Good Grade In Your Health."— Presentation transcript:

1 ® UnderstandingYourTests

2 ® Whats Your Wellness Score? Get a Good Grade In Your Health

3 ® Body Mass Index (BMI) BMI = Weight (in kg) Height 2 (in meters) BMI = Weight (in kg) Height 2 (in meters) Lbs/ inches 2 x 703 Lbs/ inches 2 x 703 A BMI of A BMI of <25 = desirable 25 – 29.9 = overweight >30 = obese Tells us if you are over weight Tells us if you are over weight

4 ® Relationship of BMI to Excess Mortality 300 Age at Issue Bray GA. Overweight is risking fate. Definition, classification, prevalence and risks. Ann NY Acad Sci 1987;499: Mortality Ratio Body Mass Index (kg/[m 2 ]) Low Risk 4035 High Risk Moderate Risk

5 ® Waist/Hip Ratio Waist/Hip Ratio Ideal: <.80 Woman and <.95 Man Tells us if you are Over-Fat. Skinny fat person can have normal BMI and high body fat. Tells us if you are Over-Fat. Skinny fat person can have normal BMI and high body fat. Adipose Tissue is the largest endocrine gland in the body and produce: Adipose Tissue is the largest endocrine gland in the body and produce: Inflammatory chemicalsInflammatory chemicals EstrogenEstrogen CortisolCortisol

6 ® Blood Pressure & Resting Pulse Blood Pressure Blood Pressure Systolic less than or equal to 110mm-Good Diastolic equal to or less than 70mm-Good Greater than 130/85mm is Mildly Hypertensive In Blood Pressure above 11/5/75, a 10 point jump in Diastolic BP (bottom number), causes a 2-fold increase in death from heart disease In Blood Pressure above 11/5/75, a 10 point jump in Diastolic BP (bottom number), causes a 2-fold increase in death from heart disease Medications?? Medications??

7 ® Sugar Biomarkers Fasting Glucose Fasting Glucose mg/dl If Fasting Glucose is above 100 mg/dl then consider HbA1C- Glycosylated Hemoglobin If Fasting Glucose is above 100 mg/dl then consider HbA1C- Glycosylated Hemoglobin Normal range is %. In poorly controlled diabetes, its 8.0% or above, and in well controlled patients it's less than 7.0% The predictive value of HbA1C for total mortality was stronger than that documented for cholesterol concentration, body mass index and blood pressure. Khaw, K-T, et al, BMJ, 2001, Vol 322: 1-6 Also consider Fasting Insulin Also consider Fasting Insulin Increased insulin production causes insulin resistance Sign of Insulin Resistance with levels over 15 uU/ml

8 ® Lipid Biomarkers Lipids, fractionated lipids Lipids, fractionated lipids Total Cholesterol-under 200Total Cholesterol-under 200 Triglycerides-under 150, preferably under 100Triglycerides-under 150, preferably under 100 HDL-over 50 (male) and over 60 (female)HDL-over 50 (male) and over 60 (female) LDL-under 130LDL-under 130 Trig/HDL ratio- under 2.0Trig/HDL ratio- under 2.0 Chol/HDL ratio- under 3.0Chol/HDL ratio- under 3.0 Triglyceride/HDL ratio predicts a heart attack 17 times more accurately than just Cholesterol numbers. Triglyceride/HDL ratio predicts a heart attack 17 times more accurately than just Cholesterol numbers.

9 ® Medical Symptoms Questionnaire (MSQ) - -Identifies symptoms in most body systems - -Quantifies patients level of symptoms - -Provides a simple metric to track patient improvement Consider an MSQ- Systems Evaluation

10 ® EPIC HEALTHY LIVING STUDY Participants with all 4 factors to the right had a 78% lower risk of developing a chronic disease (diabetes 93%; myocardial infarction 81%; stroke 50% and cancer 36% than participants without engaging in healthy factors. Participants with all 4 factors to the right had a 78% lower risk of developing a chronic disease (diabetes 93%; myocardial infarction 81%; stroke 50% and cancer 36% than participants without engaging in healthy factors. Arch Intern Med. 2009;169(15): BMI Under Hours of Physical Activity Per Week Activity Per Week 3. Following a Healthy Diet (fruits, vegetables, Diet (fruits, vegetables, beans, whole grains, beans, whole grains, nuts, seeds, and nuts, seeds, and limited amounts of meat) limited amounts of meat) 4. Never Smoking

11 ® How to Identify Patients with Metabolic Syndrome National Cholesterol Education Program (NCEP) definition is the presence of 3 or more of the following: Waist CircumferenceMen >40 in, Women >35 in Triglycerides150 mg/dL HDL Cholesterol TG/HDL Ratio 3 Men <40 mg/dL; Women <50mg/dL Blood Pressure130/85 mmHg Blood Glucose100 mg/dL According to the CDC if you have any two of these symptoms you have double the risk of death from coronary heart disease and if you have 4 of the above you have 3.5 times the risk.

12 ® General Features of Metabolic Syndrome Abdominal obesity Abdominal obesity Men – waist > 40 inches, or waist is larger than hips Men – waist > 40 inches, or waist is larger than hips Women – waist > 35 inches, or waist is greater than 80% the size of hips Women – waist > 35 inches, or waist is greater than 80% the size of hips Altered blood lipids (fats) Altered blood lipids (fats) High triglycerides, trig/HDL ratio High triglycerides, trig/HDL ratio Small LDL cholesterol particles Small LDL cholesterol particles Low HDL cholesterol Low HDL cholesterol Raised blood pressure Raised blood pressure Insulin resistance ( glucose intolerance) Insulin resistance ( glucose intolerance) Pro-thrombotic state (blood clotting tendency) Pro-thrombotic state (blood clotting tendency) Increased Fibrinogen and PAI-1 Increased Fibrinogen and PAI-1 Pro-inflammatory state Pro-inflammatory state Increased IL-6 and hs-CRP Increased IL-6 and hs-CRP firstline therapy

13 ® Weight Management/Nutrition What is Food?

14 ® Food is a Mixture Protein 20 g Carbohydrate 30 g Fat 10 g

15 ® What Hormone is secreted when your eat sugar? Understanding Glycemic Index

16 ®

17 ® Understanding Food Labels

18 ® Use your hand as your guide Carbohydrate- Fist Protein- Palm Fat- Thumb

19 ® Question? How many teaspoons of sugar in a 20 ounce soda? How many teaspoons of sugar in a 20 ounce soda? Bonus question – what is the average pH of a soda (diet or regular)? Bonus question – what is the average pH of a soda (diet or regular)?

20 ® Are you eating like a BEAR or a DEER? Eats Big Meals 2-3 times a day!Eats Small Meals 5-7 times a day!

21 ® Eating Out Eating Out Dont look at the menu Dont look at the menu The average restaurant portion size is 4-5 X a normal size The average restaurant portion size is 4-5 X a normal size The calories add up quickly The calories add up quickly No Starch-Double Vegetable No Starch-Double Vegetable Split meals and ask for the to go container ahead of time Split meals and ask for the to go container ahead of time No bread before dinner! No bread before dinner!

22 ® Good Fat vs. Bad Fat 70 Trillion Cells in the Human Body!!

23 ® Power of Habits


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