From infancy to old age, women are
simply healthier than men. Out of the 15 leading causes of death, men lead
women in all of them except Alzheimer's
disease, which many men don't live long enough to develop. Although the gender
gap is closing, men still die five years earlier than their wives, on average.
While the reasons are partly biological, men's approach to their health plays a
role too, experts tell WebMD.
"Men put their health last,"
says Demetrius Porches, DNS, RN, editor in chief of the American Journal of Men's Health. "Most men's thinking is,
if they can live up to their roles in society, then they're healthy."Men
go to the doctor less than women and are more likely to have a serious condition
when they do go, research shows. "As long as they're working and feeling
productive, most men aren't considering the risks to their health," says Porches.But even if you're feeling healthy, a
little planning can help you stay that way. The top threats to men's health
aren't secrets: they're known, common, and often preventable. WebMD consulted
the experts to bring you this list of the top health threats to men, and how to
avoid them.
Cardiovascular
Disease: The Leading Men's Health Threat
They call it atherosclerosis, meaning "hardening of the
arteries." But it could as easily be from the Latin for "a man's
worst enemy.""Heart disease and stroke are the
first and second leading causes of death worldwide, in both men and
women," says Darwin Labarthe, MD, MPH, PhD, director of the Division for
Heart Disease and Stroke Prevention at the CDC. "It's a huge global
public health problem, and in the U.S. we have some of the highest
rates."In cardiovascular disease, cholesterol plaques gradually block the
arteries in the heart and brain. If a plaque becomes unstable, a blood clot
forms, blocking the artery and causing a heart attack or stroke.
One in five men and women will die
from cardiovascular disease, according to Labarthe. For unclear reasons,
though, men's arteries develop atherosclerosis earlier than women's.
"Men's average age for death from cardiovascular disease is under
65," he says; women catch up about six years later. Even in adolescence,
girls' arteries look healthier than boys'. Experts believe women's naturally
higher levels of good cholesterol (HDL) are partly responsible. Men have to
work harder to reduce their risk for heart disease and stroke:
Get your cholesterol
checked, beginning at age 25 and every five years. Control your blood pressure
and cholesterol, if they're high. If you smoke, stop. Increase your physical activity level to 30 minutes
per day, most days of the week. Eat more fruits and vegetables and less saturated
or Trans fats."There's a saying that 'children should know their
grandparents,'" says Labarthe. "This is fatal or disabling condition
that causes
Lung Cancer:
Still a Health Threat to Men
Lung cancer
is a terrible disease: ugly, aggressive, and almost always metastatic. Lung cancer spreads early, usually before it
grows large enough to cause symptoms or even show up on an X-ray. By the time
it's found, lung cancer is often advanced and difficult to cure. Less than half
of men are alive a year later. Tobacco smoke causes 90% of all lung cancers.
Thanks to falling smoking rates in the U.S., fewer men than ever are dying of
lung cancer. But lung cancer is still the leading cancer killer in men: more
than enough to fill the Superdome every year.
No effective screening test for lung
cancer is available, although a major study is going on to learn if CT scans of
the chests of high-risk people can catch cancer early enough to improve
survival. Quitting smoking at any age reduces the risk for lung cancer. Few
preventive measures are as effective -- or as challenging -- as stopping
smoking. But new tools are available that work to help men quit. Your doctor
can tell you more.
Prostate
Cancer: A Leading Cancer for Men:
This is one health problem men can lay
full claim to - after all, women don't have prostates. A walnut-sized gland
behind the penis that secretes fluids important for ejaculation, the prostate
is prone to problems as men age. Prostate cancer
is the most common cancer in men other than skin cancer. Close to 200,000 men will develop
prostate cancer this year in the U.S. But while one in six men will be
diagnosed with prostate cancer in his lifetime, only one in 35 will die from
it. "Many prostate cancers are slow-growing and unlikely to spread, while
others are aggressive," says Djenaba Joseph, MD, medical officer for cancer
prevention at the CDC. "The problem is, we don't have effective tests for
identifying which cancers are more dangerous."Screening for prostate
cancer requires a digital rectal exam (the infamous gloved finger) and a blood
test for prostate specific antigen (PSA).
But in fact, "Screening has never
definitively been shown to reduce the chances of dying from prostate
cancer," according to Joseph. That's because screening finds many cancers
that would never be fatal, even if undetected. Testing then leads to aggressive
treatment of relatively harmless cancers, which causes problems like impotence
and incontinence.
Should you get screened for prostate
cancer? Some experts say yes, but "the best solution is to see your doctor
regularly and talk about your overall risk," says Joseph. "All men
should understand the risks and benefits of each approach, whichever you
choose."
Depression
and Suicide: Men Are at Risk
Depression isn't just a bad mood, a
rough patch, or the blues. It's an emotional disturbance that affects your
whole body and overall health.
Depression
and Suicide: Men Are at Risk continued...
In effect, depression proves the
mind-body connection. Brain chemicals and stress
hormones are out of balance. Sleep, appetite, and energy level are disturbed.
Research even suggests men with depression are more likely to develop heart
disease. Experts previously thought depression affected far more women than
men. But that may just be men's tendency to hide depressed feelings, or express
them in ways different than women's.
"Instead of showing sadness or
crying, men get angry or aggressive," says Porches. "They feel it's
not OK for them to say, 'I'm depressed,' so they cope in other ways, like
drinking too much." Men are also less likely to seek help for depression.
The results can be tragic. Women attempt suicide more often, but men are more
successful at completing it. Suicide is the eighth leading cause of death among
all men; for young men it's higher.
Most men and women respond well to depression treatment with medications,
therapy, or both. If you think you might be depressed, reach out to your doctor
or someone close to you, and seek help.
Diabetes:
The Silent Health Threat for Men:
Diabetes usually begins silently, without
symptoms. Over years, blood sugar levels creep higher, eventually spilling
into the urine. The resulting frequent urination and thirst are what finally
bring many men to the doctor. The high sugar of diabetes is anything but sweet.
Excess glucose acts like a slow poison on blood vessels and nerves everywhere
in the body. Heart attacks, strokes, blindness, kidney failure, and amputations
are the fallout for thousands of men.
Boys born in 2000 have an alarming
one-in-three chance of developing diabetes in their lifetimes. Overweight
and obesity are likely feeding the diabetes epidemic. "The combination of
diabetes and obesity may be erasing some of the reductions in heart disease
risk we've had over the last few decades," warns Labarthe.
Exercise, combined with a healthy
diet, can prevent type 2 diabetes. Moderate weight
loss -for those who
are overweight - and 30 minutes a day of physical activity reduced the chance
of diabetes by more than 50% in men at high risk in one major study.
Erectile
Dysfunction: A Common Health Problem in Men
Erectile dysfunction may not be life threatening, but it's
still signals an important health problem. Two - thirds of men older than 70
and up to 39% of 40-year-old men have problems with erectile dysfunction. Men
with ED report less enjoyment in life and are more likely to be depressed. Erectile
dysfunction is most often caused by atherosclerosis - the same process that
causes heart attacks and strokes. In fact, having ED frequently means that
blood vessels throughout the body are in less-than-perfect health. Doctors
consider erectile dysfunction an early warning sign for cardiovascular disease.
You've probably heard more about the
numerous effective treatments for ED than you ever cared to just by
watching the evening news. Treatments make a fulfilling sex life possible
despite ED, but they don't cure the condition. If you have erectile
dysfunction, see your doctor, and ask if more than your sex life is at risk.
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