Daily activities like washing dishes reduced heart disease risk in seniors

Infographic: Daily Life Movement and Cardiovascular Disease


Daily life movement includes all activity done while moving on one’s feet during activities such as housework, gardening, cooking and self-care activities. CREDIT Herbert Wertheim School of Public Health and Human Longevity Science at University of California San Diego

Seniors take note, running or brisk walking is not the only way to reduce the risk of heart disease. Simply being “up and about” performing routine activities, referred to as daily life movement, including housework, gardening, cooking and self-care activities like showering can significantly benefit cardiovascular health.

Compared to women with less than two hours per day of daily life movement, those women with at least four hours of daily life movement had a 43% lower risk of cardiovascular disease, 43% lower risk of coronary heart disease, 30% lower risk of stroke and notably, a 62% lower risk of cardiovascular disease death.

Reporting in the Feb. 22, 2022 online edition of the Journal of the American Heart Association, a multi-institutional team led by researchers at the Herbert Wertheim School of Public Health and Human Longevity Science at University of California San Diego studied the impact of daily life movement to cardiovascular disease risk.

“The study demonstrates that all movement counts towards disease prevention,” said first author first author Steve Nguyen, Ph.D., M.P.H., postdoctoral scholar at the Herbert Wertheim School of Public Health. “Spending more time in daily life movement, which includes a wide range of activities we all do while on our feet and out of our chairs, resulted in a lower risk of cardiovascular disease.”

Researchers used a machine-learning algorithm to classify each minute spent while awake into one of five behaviors: sitting, sitting in a vehicle, standing still, daily life movement, or walking or running. Daily life movement encompasses activities occurring when standing and walking within a room or patio, such as when getting dressed, preparing meals or gardening.

As part of the Women’s Health Initiative Objective Physical Activity and Cardiovascular Health study, researchers measured the physical activity of nearly 5,416 American women, who were aged 63 to 97 and who did not have heart disease at the start of the study.

Participants wore a research-grade accelerometer for up to seven days to get accurate measures of how much time they spent moving and, importantly, the types of common daily life behaviors that result in movement and are not often included in prior studies of light and moderate-to-vigorous intensity physical activity. Those prior studies typically focused on intensity and duration of activities like running and brisk walking while the current study measured smaller movements at varying intensity during activities like cooking.

Cardiovascular disease continues to be the leading cause of death among both women and men in the United States with rates highest in adults aged 65 or older.

In this study, 616 women were diagnosed with cardiovascular disease, 268 with coronary heart disease, 253 had a stroke, and 331 died of cardiovascular disease.

“Much of the movement engaged in by older adults is associated with daily life tasks, but it may not be considered physical activity. Understanding the benefits of daily life movement and adding this to physical activity guidelines may encourage more movement,” said senior author Andrea LaCroix, Ph.D., M.P.H., Distinguished Professor and chief of the Division of Epidemiology at the Herbert Wertheim School of Public Health.

What is Endometriosis? A GP reveals everything you need to know

Endometriosis is unseen and therefore often misdiagnosed disease that only affects women. The chronic condition can have an impact on both emotional wellbeing and physical health, yet so many still don’t fully understand what it is, its symptoms or the full extent of the condition.

Here,  Dr Giuseppe Aragona, GP and Online Doctor for PrescriptionDoctor.com a UK based online pharmacy and doctor service providing customers with a safe, convenient and discreet way of accessing treatments, provides answers to 7 key questions surrounding the condition. The answers should provide some clarity, help aid awareness and highlight the challenges those face whose lives have been affected by the condition.

What actually is Endometriosis?

“Endometriosis is a long-term condition, which only affects women, whereby tissue (a bit like the lining of the womb) begins to develop and grow in other places in the body such as the fallopian tubes and the ovaries. We know that each month, as part of natural hormonal changes, a woman’s tissue lining in her womb builds and then breaks down. When no egg has been fertilised, the tissue lining exits the woman’s body as a period, but for women living with endometriosis, its slightly different and not quite as straightforward. When the tissue breaks down during the hormonal change in a woman living with endometriosis, it is unable to exit the body so the blood stores inside the body – making it very painful for some women.”


How does it develop?

“Firstly, you can’t catch it, and you can’t pass it on.  Although there are several theories on hormones, genetics and the way women menstruate; there is no known singular cause. Whilst the condition does tend to run in families, its not been exclusively proven and its likely that a combination of multiple elements cause the condition.”

What are the symptoms?

“As with any condition, there are some typical symptoms of endometriosis however it is really important to note that symptoms can vary from women to women. You may have a friend or family member who has been diagnosed with endometriosis, but their symptoms are completely different. Some women have no noticeable symptoms and the condition appears ‘hidden’ whilst other women may have severe symptoms both physically and mentally. For some women, unfortunately, endometriosis can be linked with a low mood and feelings of depression; this is because the condition can have a detrimental impact on day-to-day life.”

The main symptoms of endometriosis are:

  • Period pain; women with endometriosis are more likely to have painful periods and this can be anywhere from mild pain to excruciating pain meaning that they aren’t able to do normal day to day activities;
  • Pelvic pain; usually in the lower abdomen or the lower back.
  • Heavy or irregular periods;
  • Nausea, diarrhoea or constipation;
  • Pain during sex;
  • Difficulty when trying to get pregnant or infertility (not all women with endometriosis will have fertility problems and not all women will need treatment to get pregnant).

Who does it affect? 

“Endometriosis affects 1 in 10 women in the UK. Endometriosis is a chronic and detrimental disease, impacting women (and girls) of childbearing age, and it is estimated that around 1.5 million women in the UK are currently living with the condition.”

How can you manage it? 

“Although there is no cure for endometriosis, there are so many treatments for women and these can help with the symptoms of the condition.  Depending on the symptoms you have, your circumstances and the severity of both the symptoms and the disease, will affect what treatments are available for you.”

How can you treat it?

“If your symptoms are mild, there may be no need for treatment and you may find that your symptoms get better on their own.

Some treatments will focus on relieving the pain such as painkillers which may supress some of the symptoms. Other women will be prescribed hormone medicines and different contraceptive treatments to help manage the condition by trying to control the level or stopping the production of oestrogen in their body.

A symptom and complication of endometriosis is the difficulty women may be faced with when trying to get pregnant. There are treatments available to help improve the chances of conceiving and slow the growth of the endometriosis tissue such as surgery to remove the tissue during a laparoscopy. The surgeon will be able to destroy parts of the affected tissue with a laser.

Whilst every effort can be made to treat the condition, the outcome may be to have surgery to remove all or part of the areas that are affected by the endometriosis tissue. This can, in some cases, mean that surgery may be required to remove the womb, also known as a hysterectomy. This is an option that your GP or gynaecologist will discuss with you depending on your circumstances”

When should you visit your GP? 

“We’ve mentioned that endometriosis can often be misdiagnosed especially because of the difference in symptom levels and many other conditions may cause similar symptoms. It is however really important to see a GP if you think you have symptoms of endometriosis.

Some general advice would be to write down your symptoms before your appointment, this is because the GP may decide to examine the pelvic area and whilst symptoms can get better by themselves, equally, left untreated, the condition may worsen. 

Your GP will be able to advise you if they suspect there is a possibility that you do have endometriosis and they may refer you to a gynaecologist to test for the condition. The only way to be certain whether you do have endometriosis will be from the test results, following either an internal or external ultrasound scan and a laparoscopy. The gynaecologist will be able to discuss your options for treatment depending on the results of your tests.”

This piece has been brought to you by Prescription Doctor

https://www.prescriptiondoctor.com/

For more information please contact Helen@helenkathleen.co.uk

What is Endometriosis? Here’s everything you need to know


This week is  Endometriosis awareness week, it’s the unseen and therefore often misdiagnosed disease that only affects women. The chronic condition can have an impact on both emotional wellbeing and physical health, yet so many still don’t fully understand what it is, its symptoms or the full extent of the condition.

Here, Dr Giuseppe, GP and Medical Advisor at Prescription Doctor, a UK based online pharmacy and doctor service providing customers with a safe, convenient and discreet way of accessing treatments, provides answers to 7 key questions surrounding the condition. The answers should provide some clarity, help aid awareness and highlight the challenges those face whose lives have been affected by the condition.

What actually is Endometriosis?

Endometriosis is a long-term condition, which only affects women, whereby tissue (a bit like the lining of the womb) begins to develop and grow in other places in the body such as the fallopian tubes and the ovaries. We know that each month, as part of natural hormonal changes, a woman’s tissue lining in her womb builds and then breaks down. When no egg has been fertilised, the tissue lining exits the woman’s body as a period, but for women living with endometriosis, its slightly different and not quite as straightforward. When the tissue breaks down during the hormonal change in a woman living with endometriosis, it is unable to exit the body so the blood stores inside the body – making it very painful for some women.

How does it develop?

Firstly, you can’t catch it, and you can’t pass it on.  Although there are several theories on hormones, genetics and the way women menstruate; there is no known singular cause. Whilst the condition does tend to run in families, its not been exclusively proven and its likely that a combination of multiple elements cause the condition.

What are the symptoms?

As with any condition, there are some typical symptoms of endometriosis however it is really important to note that symptoms can vary from women to women. You may have a friend or family member who has been diagnosed with endometriosis but their symptoms are completely different. Some women have no noticeable symptoms and the condition appears ‘hidden’ whilst other women may have severe symptoms both physically and mentally. For some women, unfortunately, endometriosis can be linked with a low mood and feelings of depression; this is because the condition can have a detrimental impact on day-to-day life.

The main symptoms of endometriosis are:

  • Period pain; women with endometriosis are more likely to have painful periods and this can be anywhere from mild pain to excruciating pain meaning that they aren’t able to do normal day to day activities;
  • Pelvic pain; usually in the lower abdomen or the lower back.
  • Heavy or irregular periods;
  • Nausea, diarrhoea or constipation;
  • Pain during sex;
  • Difficulty when trying to get pregnant or infertility (not all women with endometriosis will have fertility problems and not all women will need treatment to get pregnant).

Who does it affect? 

Endometriosis affects 1 in 10 women in the UK. Endometriosis is a chronic and detrimental disease, impacting women (and girls) of childbearing age, and it is estimated that around 1.5 million women in the UK are currently living with the condition. 

How can you manage it? 

Although there is no cure for endometriosis, there are so many treatments for women and these can help with the symptoms of the condition.  Depending on the symptoms you have, your circumstances and the severity of both the symptoms and the disease, will affect what treatments are available for you.

How can you treat it?

If your symptoms are mild, there may be no need for treatment and you may find that your symptoms get better on their own.

Some treatments will focus on relieving the pain such as painkillers which may supress some of the symptoms. Other women will be prescribed hormone medicines and different contraceptive treatments to help manage the condition by trying to control the level or stopping the production of oestrogen in their body.

A symptom and complication of endometriosis is the difficulty women may be faced with when trying to get pregnant. There are treatments available to help improve the chances of conceiving and slow the growth of the endometriosis tissue such as surgery to remove the tissue during a laparoscopy. The surgeon will be able to destroy parts of the affected tissue with a laser.

Whilst every effort can be made to treat the condition, the outcome may be to have surgery to remove all or part of the areas that are affected by the endometriosis tissue. This can, in some cases, mean that surgery may be required to remove the womb, also known as a hysterectomy. This is an option that your GP or gynaecologist will discuss with you depending on your circumstances.

When should you visit your GP? 

We’ve mentioned that endometriosis can often be misdiagnosed especially because of the difference in symptom levels and many other conditions may cause similar symptoms. It is however really important to see a GP if you think you have symptoms of endometriosis.

Some general advice would be to write down your symptoms before your appointment, this is because the GP may decide to examine the pelvic area and whilst symptoms can get better by themselves, equally, left untreated, the condition may worsen. 

Your GP will be able to advise you if they suspect there is a possibility that you do have endometriosis and they may refer you to a gynaecologist to test for the condition. The only way to be certain whether you do have endometriosis will be from the test results, following either an internal or external ultrasound scan and a laparoscopy. The gynaecologist will be able to discuss your options for treatment depending on the results of your tests.

This piece has been brought to you by Prescription Doctor

https://www.prescriptiondoctor.com/

For more information please contact Helen@helenkathleen.co.uk

Worldwide Views on Menstruation – What Can You Expect?


In the UK, there have been many prolific movements aimed at normalising periods for women of all ages. This has even stretched to the addition of a period emoji to smartphones, after a public vote by Plan International UK in 2017. However, the most popular choice (a pair of pants marked by blood) was rejected by the regulatory group Unicode Consortium.

While periods are an inevitable aspect of life for most women, the experience of menstruation isn’t universal. In fact, it can differ notably depending on factors such as geography and cultural beliefs.

So, does this signify that we are only scratching the surface when it comes to tackling the menstrual taboo? We’re taking a menstrual tour around the world, looking at the perception of periods and how this can affect a girl’s understanding of their own cycle.

Afghanistan

In Afghanistan, girls are wary of getting their first period and the way in which they manage their flow is determined by cultural and economic factors. Period management products are accessible in the UK, but in Afghanistan, one sanitary towel can cost the equivalent of £3.24 and this simply isn’t feasible for many women. The inability to access period pads leads to women improvising. 62% of Afghani schoolgirls have been found to tear strips of their clothing and use these to manage their flow.

There’s an array of period taboos which women are told to live by too. These include not drinking hot water, not sitting on wet ground and not washing during a period. Generally, a sense of shame and secrecy is distilled into girls when they get their period, leading them to wash their used cloth strips at night to keep them out of sight.

This attests to the overall lack of education on the topic of periods. In some of the strictest, most conservative regions of the country, science teachers are told not to cover the topic of puberty at all.

Various charities are targeting the poor sanitation and misinformation on menstruation, and awareness within the country is also growing — menstrual hygiene management classes were introduced at Mehri Herawi High School in Herat, moving towards reshaping girls’ beliefs about their own periods.

Bolivia

Girls in Bolivia have a similar experience and periods have been historically hushed and dismissed based on cultural beliefs and tradition. In fact, one of the most prolific myths is that menstrual blood is dangerous and could cause diseases such as cancer if it is mixed in with general rubbish. This has resulted in girls carrying around used sanitary towels in their school bags. This isn’t the only menstrual myth in Bolivia. Some women believe eating mayonnaise could help shorten the length of a period!

Furthermore, in the advertisement of sanitary products, big brands use words like ‘dirty’ and ‘stain’ in their branding, portraying a negative image of menstruation.

Attitudes towards periods are changing in Bolivia though. UNICEF has been working with rural communities in the country helping to invalidate these myths through education. The charity has also led an increased focus on improving school bathroom facilities, providing products such as non-applicator tampons and sanitary waste bins. Furthermore, some of the country’s ancient beliefs celebrate menstruation and they are being taught to young women to help reshape understandings of the menstrual cycle. [CH1] 

India

Many women in the western world can access sanitary products readily and must manage the aches and pains that come as a result of periods. However, for women in India, menstruation is treated as a physical burden. In small Indian villages, some women are made to leave their village and go to a gaokor — a small, basic hut where girls must spend the duration of their period. There’s no kitchen in a gaokor, as women are forbidden from cooking while on their periods. While here, they’re open to all the elements, making it a difficult experience — endured simply because they are menstruating. This ritual is prevalent among groups such as Gond and Madiya communities, and it is representative of the extent to which period education is lacking. A shocking 23% of girls drop out of school when they start menstruating, showing how damaging these attitudes can be.

The country is also known for preventing menstruating women from entering certain religious sites and temples. This is rooted in the belief that periods are impure. This policy has come under fire through, targeted by movements such as #HappyToBleed, initiated by Nikita Azad. The campaign was triggered by a comment from the chief of the Sabarimala temple, after a court ruling established that women aged between 10-50 (typically menstruating age) could enter the holy site. The movement encouraged women of all ages to take to social media and spread awareness of the need for India to modernise its stance on menstruation. The call for change has spread across all media and a recent documentary titled Period. End of Sentence gave women across the country the opportunity to discuss their menstrual health, tackling the shame which is associated with periods.

Picking up sanitary essentials such as tampons seems so ordinary to the Western world that it’s hard to imagine a situation where others are stigmatised for doing so, or don’t even have access to such products. However, as we’ve discovered, there are charities and movements calling for worldwide period equality – let’s hope their messages get through. [CH2] 

Sources:

https://www.independent.co.uk/voices/period-emoji-unicode-menstruation-iphone-android-poverty-stigma-a8772166.html

https://inews.co.uk/news/technology/blood-droplet-period-emoji-period-pants-stigma-shame-126210

https://undark.org/article/afghanistan-menstruation-taboo/

https://www.unicef.org/afghanistan/stories/busting-myths-and-breaking-taboos

http://www.bolivianexpress.org/blog/posts/menstruation-its-myths-and-removing-its-shame

https://khoobsurati.com/why-girls-arent-allowed-in-the-temples-during-periods.htmlhttps://www.independent.co.uk/news/world/asia/indian-women-launch-happy-to-bleed-campaign-to-protest-against-sexist-religious-rule-a6748396.html