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Men’s health


It is well known that men are often reluctant to admit they have a health problem. A survey found that 75% of men said they felt embarrassed or ashamed of their problem and more than 80% said they would ignore it and hope that it would get better.

Facts

  • Men are twice as likely to suffer from heart attacks than women
  • Men are more prone to the risk of a stress related illness
  • One in nine men will be diagnosed with prostate cancer
  • One in six men will suffer from depression or anxiety during their lifetime
  • More than 3 million men have Type 2 Diabetes but are not aware of it
  • Alcohol misuse related illness is on the increase amongst men of all ages in the UK

It makes sense in light of the above to take care of both your mental and physical health.

Do not ignore health issues – always see your GP to get things checked out.

Developing a healthier lifestyle has been shown to significantly reduce the risk of developing cancer, diabetes, depression and heart disease.

Ignoring health problems increases your risk of developing more serious conditions.

A Healthy Lifestyle

Research has shown that adopting a healthy lifestyle may significantly reduce the incidence of many of the major illnesses.

Choosing a healthier lifestyle will not only help you feel better thus increasing your energy but will also boost your confidence and wellbeing.

The suggestions below may help you achieve change.

Keep active

Exercise is either aerobic such as walking, running or swimming or anaerobic exercise which is strength-based such as sprinting or weight training. It helps your ‘staying power’ and it should be fun, whether taken indoors or outdoors.

Aerobic exercise helps your heart and circulation. It should be of moderate intensity, undertaken for a reasonable period of time, such as walking for 30 minutes per day; you should see benefits in fitness even from this activity.

Some tips to help you start

Reducing a sedentary lifestyle – (couch potato type) and increasing activity with dancing or sport, gardening or walking the dog. At work increasing the use of stairs instead of the lift and walking during lunch breaks will all build stamina and a feeling of well being.

Importance of a good well-balanced diet

A balanced and healthy diet includes fruit and vegetables (your 5 portions a day!). It is based on starchy foods (such as wholegrain rice, bread and pasta). It is also low in fat, salt and sugar.

Our bodies need energy and nutrients to carry out work and keep healthy. A balanced diet would include carbohydrates, proteins and fats.

Try and eat five portions of fruit and vegetables a day. To give you some idea, one portion might be:

  • 1 apple, banana, pear, orange or other similar sized fruit
  • ½ a grapefruit or avocado
  • 3 heaped tablespoons of vegetables (raw, cooked, frozen or tinned)
  • a dessert bowl of salad
  • 3 heaped tablespoons of beans and pulses (however much you eat, beans and pulses count as a maximum of one portion a day)
  • 1 heaped tablespoon of dried fruit (such as raisins and apricots).

You should never skip breakfast – it gets your metabolism started for the day.

If dining out we are often tempted to eat more than we need:

  • Go for grilled, boiled or steamed dishes – you don’t need to clear your plate
  • Avoid cakes and sticky puddings – choose the lighter options.

Men’s Health – Sleep

Stress and anxiety can cause erratic or disturbed sleep. Getting sufficient sleep can be hard if you are feeling pressured or perhaps you work during the night or do shift work.

  • Reducing or cutting out alcohol consumption can help, as alcohol can disturb sleep.
  • Make sure your bedroom is comfortable and airy with no clutter
  • Take some daily exercise but not too close to bedtime
  • Take some time to relax before going to bed, letting go of your worries or writing down things you need to remember for the following day.

If you can’t sleep then get up and help to take your mind off things by reading a newspaper, magazine or watching the TV. Making a warm non-caffeinated drink may help you to relax. You should before long feel tired again, and ready for bed.

Men’s Health – Happiness

Happiness is a quality of life we all aim for. Sometimes, it can seem illusive but taking the following simple steps can help bring it that much closer:

  • Cultivate happy and positive thoughts over negativity and feeling miserable
  • Take responsibility for yourself and your life
  • Do something you enjoy every day if you can
  • Make friends
  • Make only commitments you can keep.

Men’s Health – Relaxation

Being able to relax is an important factor in staying healthy. There are many ways that you might help yourself to relax. Here are a few which all come under the heading of ‘me time’.

  • Relaxation tapes and CDs
  • Read a good book
  • Tai Chi and Yoga
  • Having a bath
  • Meditation.

Spend time with people you like

As men are at greater risk of stress-related illness it makes sense to plan time to be with people who make you feel good.

  • Make time to be with family and friends
  • Try to find ways of becoming more active as a family.

Think positively

Developing a positive outlook on life can have a real effect on your health and ability to cope with the daily stresses of life.

How you think can affect your thoughts/feelings and behaviour.

It is not what happens but the way you interpret or perceive what happens that influences how you react and deal with situations. Your thinking style affects how stressed you get in any given situation.

Talking helps

Men can often bottle things up. Talking about feelings is sometimes seen as something that men don’t do. However, no matter who you are, a problem shared with someone you trust can make all the difference if you are feeling low or anxious. Talking to your partner, close family or a friend is a good start.

Men’s Health – Weight Management

Two thirds of adults in the UK are now considered overweight. Being overweight significantly increases your risk of heart disease, cancer and diabetes.

  • More men than women in the UK are overweight
  • Men are less likely to make use of weight reduction programmes at GP surgeries than women
  • Being obese can take up to nine years off your lifespan.

Being a little bit overweight does not cause too many noticeable problems. But once you’re carrying a few extra stones, your daily life will undoubtedly be affected.

Being obese means you have put on weight to the point that it could seriously endanger your health.

Eating too many calories and not doing enough physical exercise will cause you to be overweight.

How do I know if I am overweight?

Over-weight and Obesity are measured in terms of your Body Mass Index (BMI) – a relationship between your height, weight and gender.

If your BMI is 18.5 – 25 you are an ideal weight for your height

A BMI of 25 – 30 is considered overweight for your height

A BMI of over 30 is considered obese for your height

BMI is not accurate if you are athletic and muscular as muscle is heavier than fat. Your BMI can be increased, even if you do have a healthy level of fat.

Waist circumference is now thought to be a more accurate measure of potential health risks than BMI alone.

Extra weight retained around your middle is considered to put you at greater risk than weight retained around your hips or thighs

A rough guide for men: if your waist is larger than 94cm (37 inches) your risk of cardiovascular disease, colon cancer, osteoarthritis and diabetes increases when combined with lack of exercise.

To measure your waist, put a tape measure around the narrowest point between your ribs and hips (at your navel). Breathe out and take the measurement.

Your GP will be able to advise you about your ideal weight, or you can find information on NHS Direct.

What are the health risks of being overweight or obese?

Being obese may cause you everyday problems such as shortness of breath but it is the long-term health risks that are more serious.

The immediate symptoms of obesity include:

  • Breathlessness
  • Sweating a lot
  • Snoring
  • Difficulty sleeping.

Longer-term problems might include:

  • Type 2 diabetes
  • High blood pressure
  • Heart disease and stroke
  • Some types of cancer
  • Sleep apnoea (when breathing stops for short periods during sleep)
  • Osteoarthritis (wearing away of the joints)
  • Gallbladder disease
  • Liver disease
  • Depression.

Several factors determine how good your body is at using the energy you consume as food or drink. The type of food you eat also matters. Too much fat and starch in your diet will tend to make you put on weight, for example.

What can I do about it?

To maintain a stable weight, you need to use up as much energy as you take in.

To lose weight you need to use more energy than you take in. Energy is measured in calories.

  • Three pints of beer can add up to 500 calories to your diet
  • Walking briskly for 20 minutes burns up 100 calories

Once you start to take in more energy than you can use, your body will start to store it as fat, under your skin and around your body organs.

Regular exercise and a healthy diet are the keys to weight loss and weight control.

Losing weight can:

  • Help you feel better
  • Build your confidence
  • Increase your energy levels.

Talk to your GP about any concerns you might have.

Men’s Health – Depression

Everyone has times when they feel unhappy and down. If the feelings go on for a period of time you may find yourself unable to move on. Doctors will consider your depression to be clinical – in need of treatment – if your symptoms last for more than two weeks.

Depression can be caused by a number of reasons such as:

  • A traumatic or upsetting life event (relationship break-up /childbirth /financial worries/ bereavement-loss)
  • Changes in your life.

One in five men will experience depression in their lifetime.

A GP may ask you to complete a questionnaire to help determine whether you are depressed or anxious.

How will I know the signs?

Evidence suggests some symptoms of depression are more common in men than women: Irritability, sudden anger, increased loss of control, greater risk taking and aggression. Men are also more likely to attempt suicide.

Psychological symptoms might also include:

  • Feeling hopeless or helpless
  • Low self-esteem
  • Being tearful
  • Lack of motivation
  • Feeling anxious.

Many symptoms are physical such as:

  • Difficulty sleeping
  • Loss of appetite
  • Loss of interest in sex.

Your friends or family might notice you are:

  • Having difficulties in home and family life
  • Not performing well at work
  • Taking part in less social activities and avoiding contact with friends
  • Losing interest in hobbies and exercise.

What can I do to improve my mood and outlook when I am depressed?

Sometimes, in order to cope, a person may turn to alcohol or drugs.

Men often withdraw from company and lose interest in looking after themselves.

Options like these are unhelpful as they can lead to further problems of their own.

Talk to your GP. Your doctor will be able to prescribe medication for you, if that is appropriate. Your doctor will also be able to refer you for counselling or a course of cognitive behavioural therapy. Sometimes you will be offered both medication and a talking therapy.

There are also many self-help books and websites to help you manage your depression.

Suicidal thoughts

Research has shown men are more likely to attempt suicide than women.

Unemployed men who live on their own are the most likely to act on suicidal thoughts.

More men attempt suicide when they experience one or more of the following:

  • Depression
  • Alcohol and drug problems
  • Schizophrenia
  • Personality disorders
  • Long-term physical illness.

If you are having suicidal thoughts there is always someone to listen to you at Samaritans.

If you are concerned that someone is having suicidal thoughts – ask them. Your main concern will be the person’s immediate safety and the causes of their depression.

Persuading them to seek appropriate help, such as contacting their GP, will be important too.

For further information visit our section on depression

Men’s Health – Cancer

Cancer will affect more than one in three people in the UK during their life time.

Men are nearly twice as likely as women to develop and die from virtually all cancers that can affect both sexes. The reasons for this are not entirely clear, although lifestyle is known to play a significant role.

  • There are more than 200 different kinds of cancer
  • Each has its own name and treatment

The three most common cancers in men are:

  • Prostate cancer – 23% of all new male cancer diagnoses
  • Lung cancer – 16% of diagnoses
  • Large bowel cancer – 14% of diagnoses.

Testicular cancer represents only 1 per cent of all cancers in men – but is the single, biggest cause of cancer-related deaths in men aged 15-35 years in the UK – it is a good idea to know how to check your testicles and to do it regularly. Read more about testicular cancer.

When cancers are found early they are usually easier to treat and cure.

Evidence suggests that half of all cancers could be prevented by making some simple lifestyle changes:

  • Stopping smoking
  • Watching your weight
  • Cutting down alcohol
  • Eating a balanced diet
  • Taking regular exercise
  • Protecting yourself from the sun.

You know your body – talk to your doctor if you notice anything unusual.

Men’s Health – Diabetes

Diabetes is a condition where there is too much glucose (sugar) in the blood.

Glucose if formed by the digestion of starch foods like potatoes, breads, pasta and sweets.

Insulin is the hormone that controls the levels of glucose in the blood, by helping cells absorb it to use as energy.

There are two major forms of diabetes, called Diabetes Type 1 and Type 2:

  • Type 1 diabetes (Insulin-dependent) occurs when your body cannot make any insulin. It is the least common form and usually appears before the age of 40. It is treated by insulin injections and diet. Exercise is also recommended
  • Type 2 diabetes (Non-insulin-dependent) happens when your body makes some insulin – but not enough or when the insulin you produce does not work properly.

It is the more common of the two main types and develops progressively, usually in people over 40 but often appears in South Asian and African-Caribbean people after the age of 25. More children are being diagnosed with the condition.

If you have this type of diabetes it can be treated by changes to your lifestyle such as adopting a healthier diet, losing weight and increasing your physical activity. Sometimes tablets and/or insulin may also be required to help you achieve normal blood glucose levels.

Diabetes – Symptoms

Symptoms of diabetes can include:

  • Increased thirst
  • Going to the toilet (for a pee) all the time – especially at night
  • Extreme tiredness
  • Weight loss
  • Blurred vision
  • Genital itching or regular episodes of thrush
  • Slow healing of wounds.

Your likelihood of developing diabetes increases if you have one or more risk factors

Diabetes – Risk factors

Some of the common risk factors for diabetes include:

  • High blood pressure or previous heart attack or a stroke
  • A close member of your family has Type 2 diabetes (parent, brother or sister)
  • Being overweight – your waist measures 35 inches or over for Asian men and 37 inches or over for white and black men
  • Impaired glucose tolerance or impaired fasting glycaemia
  • Severe mental health problems.

The more risk factors that apply to you, the greater your risk of having diabetes.

Your GP Practice can test you for diabetes or you can get a test done at certain, larger pharmacies.

The main aim of treatment of both types of diabetes is to achieve blood glucose, blood pressure and cholesterol levels as near to normal as possible.

This, together with a healthy lifestyle, will help to improve well-being and protect against long-term damage to the eyes, kidneys, nerves, heart and major arteries.

Living with diabetes

Being diagnosed with diabetes can have a significant emotional impact.

Adapting to changes or getting your work life balance right can all help to reduce pressure. Talking to someone about how you feel can help.

Work and diabetes

Being diabetic should not prevent you from having a fulfilling and active work life. Although most people with diabetes would not consider themselves disabled, the Equality Act covers them. The act protects people with disabilities from being treated differently from other employees.

Food and diabetes

Diet is important in maintaining blood sugar levels. Managing your diet will be an important part of your new lifestyle if you are diagnosed with diabetes.

Eating a healthy and balanced diet can help reduce the risk of your developing diabetes.

Alcohol and diabetes

You won’t have to stop drinking if you have diabetes but alcohol makes hypoglycaemia – a ‘hypo’ (low blood glucose levels) – more likely to occur.

Men’s Health – Heart and Circulation

  • Cardiovascular disease is the second most common problem experienced by men in the UK and accounts for about 21% of the deaths for men each year
  • Over 1.5 million men are estimated to have had either angina or a heart attack.

Heart attack

Heart attacks happen when a blood clot forms in one of the blood vessels supplying the heart itself with blood causing it to become blocked. It usually causes severe chest pain and the area of muscle affected will stop working properly if the clot is not dissolved quickly by medication.

When the arteries around the heart start to become blocked you may experience angina (pains in the chest).

Heart Attack – Risk factors

Men are more likely to suffer from heart attacks than women.

  • A number of factors are known to put you at greater risk of heart attacks:
  • A family history of heart problems
  • High blood cholesterol
  • High blood pressure
  • Smoking
  • If you have diabetes Type 1 or Type 2
  • Being overweight
  • Stress
  • Lack of exercise.

If you are concerned about the risks in your life, consult your GP.

If you think someone is suffering from a heart attack dial 999 and wait for the ambulance. It is important the person gets to the hospital as quickly as possible.

Stroke

Men aged between 45 – 85 may suffer a stroke.

A stroke is a brain injury. It happens when the blood supply to a part of the brain is suddenly cut off or reduced. Without oxygen the affected brain cells can be damaged or die.

The signs of a stroke are:

  • Facial weakness
  • Arm or leg weakness
  • Speech problems
  • A loss to half of the visual field.

These signs may only last a few hours but must not be ignored.

If you think someone has had a stroke dial 999 immediately.

Cholesterol

Cholesterol is a fatty substance, made mainly in the body by the liver from saturated fats in food. It plays an important part in the way that all of our body cells work. The body also uses it to make bile acid, hormones and vitamin D.

High cholesterol levels in the blood can be a factor in hardening of the arteries. Fatty materials get deposited on the artery walls and eventually calcify – restricting or blocking the flow of blood.

A high level of cholesterol is one of the most important factors for coronary heart disease.

There are two types of cholesterol, LDL cholesterol and HDL cholesterol.

A simple blood test can determine the level of cholesterol in your blood. Self-testing kits can be bought over the counter at pharmacies. A more accurate test, giving the ratio of LDL to HDL cholesterol can be taken at your GP surgery.

  • The average blood cholesterol level for people living in England is 5.5mmol/litre
  • Doctors recommend a level of 4mmol/litre

Reducing the total amount of fat you eat by cutting down on cakes, crisps, chips and biscuits and replacing them with healthier alternatives such as fruit can help reduce your cholesterol level.

If your cholesterol is very high, your GP might offer you medication to help control the levels.

Heart Disease or Strokes – What can I do?

There are several things you can do to reduce the risk of having a stroke or other heart disease:

  • Get your blood checked for pressure, glucose and cholesterol
  • Tackle stress and depression by seeing your GP or other health professional
  • Eat a healthy diet
  • Take more exercise
  • Give up smoking
  • Cut down on your alcohol intake.

Always seek help from your GP if you have concerns.

Men’s Health – Smoking

Smoking is banned in all enclosed public places in England, Scotland, Wales and Northern Ireland. If you smoke, now might be a good time to think about how smoking is affecting your health and the health of others:

  • Smoking causes 90% of deaths from lung cancer
  • Smokers under 40 have 5 times greater risk of heart attack than non-smokers
  • Smoking has been associated with increased sperm abnormalities
  • Smoking is a cause of impotence
  • Second-hand smoke exposure harms babies and children.

You may be thinking about giving up smoking. You will need motivation, inspiration, support and methods that work if you are going to succeed. You are considering giving up an addiction.

If you smoke, giving up is the most important thing you can do to improve your health.

Your local NHS Trust may be running a Stop Smoking Service. You will find support at classes.

Your GP should be able to put you in touch with a support group.

Nicotine replacement therapy (NRT) can double your chances of quitting smoking. Nicotine patches and gum are a popular form of NRT.

Hypnosis is sometimes used to help smokers to give up – but there is no scientific evidence to prove that it is successful.

workplacewellbeing.com assumes no responsibility for the content of linked websites.

Useful Websites

www.nhs24.com

www.weightconcern.org.uk

www.macmillan.org.uk/

www.bhf.org.uk/

www.diabetes.org.uk/

www.mind.org.uk

http://breathingspace.scot/

https://www.nhs.uk/smokefree

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