This has been a tough 5 weeks, I’ve seen a friend die of Breast Cancer - age 36, a dear friend and mentor of mine is fighting his final battle of a losing war against Brain and Lung Cancer - age 63, and a colleague and close friend (age 41) was informed this week that some of his key health indicators if unchanged will lead to a health crisis or worse still, early death.
If I were to ask you to recall your “Financial Indicators” (ie. bank account, mortgage, RRSP, Investments, etc), I think most of you would know these numbers, or at least have access to them. However, if I were to ask what your “Health Indicators” are (ie. BMI, HDL/LDL, Triglycerides, blood pressure, internal pH, resting pulse, etc.), I suspect if you’re like most North Americans, many of you may not know what these indicators mean, their importance to your long-term health, or what their values are. So why do we know more about our financial health and not our physical health, especially when you can have all the money in the world, but if you don’t have your health, you're living on borrowed money.
Knowing your health indicators and maintaining their values is one of the easiest ways to prevent a future health crisis from occurring. That said, “Knowledge is power, but action flicks the switch.” If you’re a regular reader of my blog you’ve obviously heard me encourage my readers to make their personal health a life priority. Not only is this good for your personal health, it’s also good for our unsustainable healthcare system. As Dr. Kenneth Cooper (the father of modern day aerobics) said, “If you don’t make time for your health now, you’ll have lots of time to be sick in the future.” I’m very interested in my future health; say 30 to 40 years from now. Thinking about health over the long term forces me to make good lifestyle choices today. This strategy appears to be working. At age 54, I can’t remember when I was last sick and I can still hold my own riding with competitive cyclists that are 20 to 30 years my junior, and according to my doctor my health indicators are typical of her healthiest 25 year old male patients.
Like your personal finances, health is a long term investment that should start when you’re young and be monitored throughout your life with on-going action and adjustments to maintain optimal health indicators. Just think if you started to prepare for your retirement when you’re 55 or 60, chances are you won’t be enjoying that retirement lifestyle you envisioned, that is unless you win the lottery. The same holds true for your health, don’t wait for the “Cancer-Cure-Lottery” to bail you out of a health crisis after you’ve neglected your health for 20 to 30 years. Illness prevention is a lifetime commitment and is your best course of action for living a long, high-quality life. A good friend of mine rode his mountain bike this summer to the base of Mt Everest at the age of 62. At an age when many of his peers are slowing down and some are dying of degenerative diseases, he’s living life like a 25 year old with money and wisdom.
Maintaining your health indicators throughout your life is the key to maximizing your potential throughout your years, regardless of your age. And help is on the way; software vendors, corporations, provincial healthcare organizations, HMO’s, etc are all investigating solutions to make it easier for all of us to track our very own “Personal Health Records.” In the near future, we will have access to technology that will enable us to track our health indicators as easy as it is to track our bank balances or investment performance. In fact, TELUS Health Solutions has just introduced this solution to the Canadian marketplace and made it available as an internal pilot for its employees to ensure their “Future is Friendly.”
The following are 10 key indicators that you want to monitor on a regular basis. If you maintain these indicators by making healthy lifestyle choices, chances are you will enjoy good health throughout your life.
10 health indicators you should know and monitor throughout your life:
1) Blood Pressure Normal: < 120 / < 80 |
According to the Heart Lung and Blood Institute, 1 in 3 North Americans have high blood pressure. When a nurse wraps that cuff around your arm, she's taking a reading of the force on the walls of your arteries, which is subject to fluctuating pressure as the heart beats to push blood through your body. The trouble is high blood pressure doesn't have any telltale symptoms, so a person might be living with hypertension unknowingly. Over the long haul, elevated blood pressure can damage organs and fuel a cascade of problems. The higher number (systolic) represents the pressure while your heart is beating. The lower number (diastolic) represents the pressure when your heart is resting between beats. Your blood pressure can change from minute to minute when you change your position or physical activities, or when you are stressed or resting. High blood pressure can damage the walls of your arteries. Action to lower blood pressure can include medications, but diet and exercise are your best way to really beat those numbers back into submission. A diet high in veggies, fruit, fish, and whole grains and low in red meat, fat and sugar—has been shown to lower blood pressure significantly. And research has suggested that this diet packs an especially powerful wallop when people simultaneously work to reduce salt intake, a known blood pressure booster. |
2) Body Mass Index (BMI) Underweight: < 18.5 |
Overweight and obesity in North America are now at epidemic levels, not to mention a tremendous financial burden on our healthcare systems. Body Mass Index (BMI) is a number calculated from your height and weight. The accuracy of the BMI in determining your body fat is influenced by factors such as your fitness level, muscle mass, bone structure, sex, and ethnic origin. The catch however, is that it is not always entirely accurate. A person in excellent condition who has a lot of muscle mass may have a high BMI. But for the majority of us, BMI still provides a reliable indicator of body fat. Too much excess weight is associated with diabetes, heart disease, stroke, some cancers, sleep apnea, osteoarthritis, liver disease, and complications in pregnancy. See BMI calculator to know your number. |
3) Total Cholesterol Desirable: < 200 |
Your body produces all the cholesterol it needs; however, cholesterol is also added to your body from the foods you eat—mainly saturated fats. Foods rich in saturated fat include butter fat in milk products, red meat, and tropical oils such as coconut oil. If you keep your total cholesterol level within the desirable range, you may reduce your chances of heart attack and stroke. However, cholesterol is composed of both "good" and "bad" parts, which also need to be considered. Two important parts of cholesterol are low-density lipoprotein (LDL) and high-density lipoprotein (HDL). See items 4 & 5 below. |
4) HDL, or "Good" Cholesterol Low: < 40 |
HDL cholesterol, or "good" cholesterol, helps clear away cholesterol that can stick to your arteries and damage them. The higher the concentration of HDL in your blood, the less likely you are to develop coronary heart disease. The amount of HDL cholesterol you have may be increased in a number of ways, including getting regular physical activity, not smoking, losing weight and eating a healthy diet. |
5) LDL, or "Bad" Cholesterol Optimal: < 100 |
LDL cholesterol, or "bad" cholesterol, is a major contributor to blockages in the arteries that can cause heart attack, stroke, and poor circulation. The higher your LDL concentration, the more likely you are to develop these conditions. LDL cholesterol may be decreased by reducing trans fats and saturated fats that you eat and by eating more fiber-rich foods. If you have eaten within 12 hours before having this test, your LDL level may be incorrect. |
6) Fasting Triglycerides Normal: < 150 |
Triglycerides are in a class of blood fats known as "lipids." If you have eaten within 12 hours of having your blood tested, your level may be falsely high. A high triglyceride level can result in hardening of the arteries, a condition called "coronary artery disease." High levels of triglycerides are more common in people who are overweight, have diabetes, and/or who do not process fat properly. Your triglyceride levels may be reduced by decreasing your intake of simple sugars (sweets), alcohol and by increasing your physical activity. |
7) Fasting Glucose Normal: 60-99 |
Over time, high blood sugar levels associated with diabetes can damage nerves and blood vessels. This can spur the buildup of fat on blood vessel walls, which can impede blood flow and promote atherosclerosis. Having diabetes increases one's risk of cardiovascular disease. Three quarters of those with diabetes die of heart or blood vessel disease. A fasting glucose test shows the amount of sugar in your blood. If you have eaten within 8 hours before this test, your glucose level may be falsely elevated. Glucose rises rapidly after meals but should return to near fasting value within 2 hours. A high blood glucose level may be a sign of diabetes or pre-diabetes. |
8) Waist Circumference High Risk Levels |
A waist circumference measurement assesses abdominal fat. Importantly, a higher waist circumference indicates distribution of fat around the abdomen and packing fat around vital organs, which research has indicated is more dangerous than carrying weight in the thighs or buttocks. Be sure you're measuring properly. The correct waist circumference measurement is taken by wrapping a measuring tape around the natural waist at the belly button, not around the hips. Too much abdominal fat is an "independent risk factor" for high cholesterol and heart disease, regardless of your BMI score, which could be normal. A large waist circumference is also associated with an increased risk for type 2 diabetes and hypertension. |
9) Resting Pulse Rate Between 60 & 80 BPM (Beats per Minute) |
A lower resting pulse value suggests your cardiovascular system is more efficient. I’ve been training and competing in endurance events for over 3 decades and I still have a resting heart rate of 37 beats/minute. And while the research is still emerging on how one's resting heart rate predicts about heart disease risk, a picture is beginning to take shape. There is recent evidence to suggest that a higher resting heart rate is associated with heart disease. This effect seems to be more pronounced in women than in men, but a January 2010 study in the Journal of Epidemiology and Community Health suggested that in women up to the age of 70, every 10-beats-per-minute increase in resting heart rate boosted the risk of dying from heart disease by 18 percent. In men, the risk was increased by 10 percent for every extra 10 beats per minute, and age didn't have an impact. The study also found that women who engaged in high levels of physical activity were able to reduce their risk of death due to heart disease considerably, compared with those who did little or no activity. |
10) Internal pH 4.5 - 5.75 very acidic 5.75 - 6.5 acidic 6.75 - 7.5 optimal 7.5 - 9.0 too alkaline Measured via Urine or Saliva with pH strips
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Your blood’s pH should be slightly alkaline (7.35 - 7.45). Slightly below or above this range means you will experience symptoms of disease and sickness. High acidity is a common problem because the North American diet is heavily acidic and a source of destructive Free Radicals. When highly acidic foods and drinks are introduced into your diet (ie. meat, fast food, processed food, soft drinks, alcohol, etc.) your body will “steal” alkaline minerals from whatever source it can to maintain the blood's healthy pH of 7.39. This usually means that minerals are taken from your bones and vital organs. Over many years this weakens the organs, muscles and bones. Some of the common health problems resulting from high acidity within the body, include:
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So what is meant by, “Good Lifestyle Choices?”
You will hear healthcare experts and health advocates like myself refer to “good lifestyle habbits”. Now that I’ve armed you with 10 key health indicators to monitor throughout your life; what actions, or lifestyle choices will drive long-term positive health outcomes? Tune in next week and learn more about the smart lifestyle choices you can make today that will produce positive health outcomes you can track and measure.
Until next time…Enjoy the Ride …. Rob
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