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Tammy Elizabeth Southin
BellaOnline's Menopause Editor

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Staying Healthy
Guest Author - Denise Howard, M.D., M.P.H.

An expected consequence of aging is the development of health related issues. These issues can turn into problems if they are not addressed. Health problems can potentially shorten your life expectancy or at minimum decrease the quality of the remaining years of your life.

There are many factors that contribute to one’s likelihood of developing health problems. These factors are either intrinsic or extrinsic. Intrinsic factors are those that are within an individual’s body. An example of this is elevated cholesterol due to a genetic predisposition. Extrinsic factors are those that come from outside the body and can be self inflicted or the result of environmental exposure. An example of this is heavy smoking over a long period of time. In addition extrinsic factors may interact with intrinsic ones increasing the chance of a life ending event. An example of this is heavy smoking in an individual with elevated cholesterol resulting in a major heart attack at an early age.

Take control of your life and your health! There are many things that you can do to stay healthy. Even though there are numerous things that are outside of our individual control there are many more things that are within our control.

The steps involve self assessment, visualization of changes required to become healthier, establishing reasonable goals and then executing the plan.

The following are steps you can take to become a healthier and happier person:


I. Self Inventory
A. Physical
1. Assess physical health:
• Do I get tired easily?
• Am I out of breath climbing stairs or after a short walk?
• Do I feel good?
• Do I feel strong?

2. Assess eating practices
• Do I eat breakfast?
• Do I eat a balanced diet?
• How much water do I drink?
• Do I snack on sweets and drink sweetened beverages?
• How often do I eat during the course of the day?
• Do I understand what a portion is?

3. Assess other habits that pose health risks
• Do I smoke?
• Do I drink alcohol in excess?
• Do I undertake risky behavior?

B. Emotional
1. Evaluate level of stress
• Do I know what my stress trigger points are?
• How do I manage job related stress?
• Have I had any significant stressful events (death, divorce, new job, etc) occur or coming up?
• How do I deal with other life stresses?

2. Evaluate if personal relationships are sources of stress
• Family
• Friends
• Social Groups/Organization
C. Spiritual
• Do you have a personal belief system?
• Do I understand the body mind connection as it relates to personal well being?

II. Self Vision
A. Visualize being at the ideal place in your life
• How do I look?
• How do I feel?
• What am I doing?
III. Action Plan
A. Life style changes
• Set fitness goals
• Create a physical fitness plan that will enable you to achieve those goals.
• Create an eating strategy / diet plan that supports your fitness goals.
• Seek out opportunities to stop unhealthy habits. For example: a smoking cessation class or support group

B. Seek appropriate counsel
• See you physician for a physical examination and undergo the recommended medical screening test to detect health issues early
• Get some nutritional guidance
• Nourish your spirit

C. Develop relationships that are supportive to you achieving your goals

IV. Execution phase

A. Get started now
• Initiate your fitness strategy
• Initiate your nutritional strategy
B. Measure your progress
• Log / record your actual physical activity versus your planned activity
• Periodically measure where your are versus your planned goals
• Record what you eat; measure calories, protein, carbohydrate, and fat consumption
• Adjust your exercise and or diet to achieve your goals
C. Self reward
• Incrementally reward yourself for small successes


Being healthy is not an easy undertaking. It is your life, and it is within your control to be healthy and age well. The best advice that I have is to take charge of your health. Follow the plan outlined above. Be medically vigilant. Utilize the current recommended medical screening tests for your age group and work with your health care providers to manage and control issues that arise.


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Content copyright © 2009 by Denise Howard, M.D., M.P.H.. All rights reserved.
This content was written by Denise Howard, M.D., M.P.H.. If you wish to use this content in any manner, you need written permission. Contact Tammy Elizabeth Southin for details.

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