Family Self-Care Handbook
Growing Fast, Growing Strong: Children, Birth to Age 12
Changing Bodies, Changing Needs: Teens, Ages 13 to 19
Woman to Woman: Women, Ages 20 to 45
Man to Man: Men, Ages 20 to 65
Pregnancy Primer: Tips for a Healthy Pregnancy
Wise and Wonderful: The Mature Woman
Staying Healthy, Staying Strong: Seniors, Age 65 and Beyond
Family Health: General Health Information
Resources: For More Information
Main
Man to Man: Men, Ages 20 to 65
You have more power than you may realize to improve your health and quality of life and perhaps prolong your life. Even if you are feeling great, following these tips will help keep you in tip-top shape, inside and out:
SAFETY
Always wear your seat belt when riding in a motor vehicle. Obey all rules of the road. Don't be a distracted or an aggressive driver. Limit cell phone use and don't use other electronic devices while driving.
Use condoms to reduce risk of sexually transmitted infections or an unplanned pregnancy.
Don't strain your body when moving heavy objects. Use your knees and legs and not your back for leverage. Ask for help, if you need it.
Wear appropriate protective gear for your eyes and ears whenever using construction equipment, lawn mowers, leaf blowers and snow blowers at home or work.
Never use a grill indoors or in a garage, breezeway, carport, porch or under an awning. Place the grill at least 10 feet away from your house or any building. When grilling, never leave the grill unattended, especially when small children and pets are present, and keep a fire extinguisher handy and know how to properly use it.
NUTRITION AND EXERCISE
Eat foods low in saturated fat. Avoid junk food whenever possible.
Eat breakfast every day. Munch a piece of fruit at snack time. Reduce portion sizes of your meals, especially when eating out.
Reduce the portion sizes of your meals.
Eat plenty of whole grains (oatmeal, for example) and other high-fiber foods.
Choose low-fat or fat-free dairy products and baked goods.
Maintain a healthy weight.
Get active. Begin and end each workout with a five- to 10-minute warm-up and cool-down. Aim for 30 to 60 minutes of moderate-intensity physical activity (such as brisk walking) on most and preferably all days of the week.
WELLNESS
Know your family medical history. Pursue health screenings for those diseases for which you may be at greater risk, such as colon cancer, prostate cancer and heart disease.
Get an annual checkup. Starting at age 50, have an annual digital rectal exam and an annual prostate-specific antigen (PSA) blood test.
If you drink alcohol, limit your consumption to no more than two drinks per day. (One drink equals one 12-ounce bottle of beer or wine cooler, one five-ounce glass of wine or 11/2 ounces of 80-proof distilled spirits.)
Don't use tobacco. If you smoke, discuss ways to quit with your health care professional. Consider nicotine replacement therapy products that include self-help programs, if appropriate.
Notice early-warning signs of stress, such as tension in your shoulders and neck, grinding your teeth or clenching your hands into fists.
Don't be a weekend sports warrior. Exercise moderately if you aren't normally active. Use over-the-counter pain relievers to treat mild exercise-related aches and pain.
  Sources: American Social Health Association; American Heart Association; American Cancer Society; American Academy of Family Physicians; National Institute on Alcohol Abuse and Alcoholism; National Safety Council; and the U.S. Centers for Disease Control and Prevention's National Institute for Occupational Safety and Health
Cholesterol Primer
Cholesterol is a waxy, fat-like substance that can build up on the walls of your arteries if your blood cholesterol level remains too high. This fatty buildup narrows arteries, which slows down or blocks blood flow to the heart. Eventually, this can lead to heart disease, chest pain or heart attack.

High blood cholesterol has no immediate symptoms or warning signs. Everyone age 20 and older should have a cholesterol screening test at least once every five years. The most informative test is the "lipoprotein profile," which gives information about total cholesterol, LDL and HDL cholesterol and triglyceride levels. This screening test is done after a nine- to 12-hour fast.

The ranges below are for healthy individuals. Your cholesterol goals will be different if you have one or more risk factors for heart disease.

Total cholesterol
Desirable less than 200 mg/dL*
Borderline High 200-239 mg/dL
High 240 mg/dL and above
Low-density lipoprotein (LDL or "bad cholesterol") is the main source of cholesterol buildup and blockage in the arteries. The lower your LDL level, the better for your heart.
Optimal less than 100 mg/dL
Near/Above Optimal 100-129 mg/dL
Borderline High 130-159 mg/dL
High 160-189 mg/dL
Very High 190 mg/dL and above
High-density lipoprotein (HDL or "good cholesterol") helps keep cholesterol from building up in the arteries. The higher your HDL level, the better for your heart.
Optimal 60 mg/dL or more
Low/Undesirable less than 40 mg/dL
Triglycerides (another form of fat in the blood); high levels can raise heart disease.
Ideal under 100 mg/dL
Normal 149 mg/dL or lower
Borderline High 150-199 mg/dL
High 200 mg/dL and above
*Cholesterol levels are measured in milligrams (mg) of cholesterol per deciliter (dL) of blood. Values indicate degree of risk for developing heart disease.
  Sources: National Heart, Lung, and Blood Institute
Home Screening Tests
A variety of health screenings can be performed at home. While they can be convenient, home screening tests should not replace regular medical exams and screenings by a health care professional.
Perform home screening tests exactly as explained in the kit directions for accurate results. If you develop symptoms of potentially serious illness, such as visible blood in your urine or stool, chest pain or testicular pain, see a health care professional immediately. Home tests include:
Blood glucose monitoring (if you have diabetes): Check your blood-glucose level as often as recommended by your physician. Talk to your doctor or diabetes educator about additional ways of managing your illness.
Blood-pressure monitoring: If your health care professional recommends it, buy a blood pressure kit or a digital monitor. Keep a running log of your blood-pressure readings to share with your health care team.
Urinalysis: Home tests generally detect any traces of blood in the urine, which could indicate a urinary tract infection or kidney problem.
Blood cholesterol level: Most home test kits determine only total cholesterol level, but when total cholesterol level is high, your LDL ("bad cholesterol") level may be high, too. Some kits provide immediate results; others must be sent to a lab for analysis.
Fecal occult blood test (stool test): Using a test kit (obtained from a physician), you put a small piece of stool on a test card for three consecutive bowel movements. Then you return the test cards to the doctor or a lab, to check the stool samples for blood, which could indicate intestinal bleeding. This test should be done every year.
HIV test: You perform a finger-stick to produce a dried-blood spot specimen on filter paper. Identified by an anonymous code number, the specimen is mailed to a laboratory for HIV antibody testing. You call a toll-free phone number to obtain your results, and if necessary, counseling and referrals.
Testicular self-exam: Once a month, check for swelling on the scrotal skin and roll each testicle gently between your thumbs and fingers. If you feel any pain or abnormalities, see a urologist.
  Sources: American Urological Association; American Diabetes Association; American Heart Association; U.S. National Library of Medicine; American Society for Clinical Laboratory Science; and the U.S. Centers for Disease Control and Prevention
Understanding Blood Pressure
Blood pressure - the force of blood against the walls of arteries - is recorded as two numbers: systolic pressure (as the heart beats) over diastolic pressure (as the heart relaxes between beats). For example, a blood pressure measurement of 120/80 mm hg (millimeters of mercury) is expressed verbally as "120 over 80." Normal blood pressure is less than 120/80. Between 120/80 mm hg and 139/89 mm hg is considered prehypertension. High blood pressure, or hypertension (140/90 mm hg or above), increases your risk for heart disease, kidney disease and stroke. Hypertension often has no warning signs or symptoms. Once high blood pressure develops, it usually lasts a lifetime.
You can help to prevent or control high blood pressure by:
Eating healthfully
Reducing salt (sodium) in your diet
Maintaining a healthy weight
Being physically active
Limiting your alcohol intake
Quitting smoking
Taking blood pressure-lowering medication, as prescribed by your health care professional
  Source: American Heart Association
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