Women s Health in Mid Life

Conceptualizing menopause and midlife : Chinese American and Chinese women in the US . ... 7 Hunter , M. S. and O'Dea , I. Perception of future health risks in mid - aged women : estimates with and without behavioral changes and hormone ...

Women s Health in Mid Life

This book highlights the needs and healthcare concerns of women in their midlife. Women, in their middle ages, are often overlooked by medical practitioners. From the end of childbearing to old age, approximately ages 40 to 65, their health needs are complex and changing. This is a time of challenge and opportunity when the physician and woman working collaboratively can change her health and future. Midlife healthcare is far more than hormones. Healthy behaviours such as good nutrition and exercise can be promoted that will result in lower risk and sometimes improved care of heart disease, hypertension and diabetes. Adequate screening and treatment can prevent diseases and complications. The burgeoning literature on allopathic and complementary medicine is critically evaluated and compared to established medical care. Written by 20 primary care physicians, this book will help family practitioners provide the best possible healthcare for these women.

The Healthy Boomer

In this comprehensive guide, three experts in midlife health draw on interviews, the latest research, and their own expertise to help men, women, and couples on the journey from midlife turbulence to midlife mastery.

The Healthy Boomer

In North America, some eighty-eight million boomers are facing the physical and personal challenges of midlife. But midlife can also be a time of tremendous vitality, confidence, and joy. In this comprehensive guide, three experts in midlife health draw on interviews, the latest research, and their own expertise to help men, women, and couples on the journey from midlife turbulence to midlife mastery. The Healthy Boomer provides easy-to-use decision-making tools, accurate information, and practical advice on such topics as: The male and female menopause; how to make a decision about hormone replacement therapy; alternative health care; preventing heart disease, cancer, and osteoporosis; prostate health and impotence; healthy relationships and great sex in midlife; anti-aging techniques; weight control, exercise, and healthy eating; the importance of spiritual well-being; handling midlife stress; what to do if you can't remember names any more. For the many North American boomers who are experiencing midlife challenges, The Healthy Boomer is required and reassuring reading.

Menopause Confidential

Be forewarned. This is not your mother’s menopause book. It is the most up-to-date, scientifically accurate, and practical guide to navigating one of the most challenging times of your life.

Menopause Confidential

An authoritative guide to understanding and navigating the hormonal changes and health issues women experience in midlife and beyond, from one of the leading medical experts in the field. The physical changes that occur after women turn forty are unavoidable—and can be unnerving. Menopause affects every aspect of life—from sex and sleep to mood and mental clarity to weight and body temperature. While there are a number of resources available, many are confusing and contradictory. Now, Manhattan gynecologist Dr. Tara Allmen, an experienced, nationally board-certified menopause practitioner and the recipient of the 2015 Doctor’s Choice National Award for Obstetrics & Gynecology, shares her knowledge to help women be their happiest and healthiest, and turn this challenging time into an exciting one. Written in her effervescent yet assured voice, Menopause Confidential provides simple strategies and cutting-edge information on: hormonal changes and the symptoms of perimenopause and menopause; the health risks associated with midlife—from cutting through the conflicting opinions and advice about health screenings (Do I really need a colonoscopy? How often should I get a mammogram?) to common medical conditions, such as osteoporosis; various remedies, both allopathic and natural, to combat symptoms and empower women to make the best choices for their individual needs; practical tips and resources for mitigating the effects of menopause. Fifty-one-year-old Dr. Allmen knows firsthand what women are going through, and shares stories of her own personal travails and solutions. Women can’t turn back the clock, but they can take control of their health and flourish in midlife. Menopause Confidential encourages them to be informed, be proactive, and be their greatest selves.

Perceived Change of Health related quality of life Among Women Attending a Midlife Women s Clinic

The aging of the baby-boomer generation has resulted in a rise of the population of women in the United States between the ages of 45 and 54 years.

Perceived Change of Health related quality of life Among Women Attending a Midlife Women s Clinic

The aging of the baby-boomer generation has resulted in a rise of the population of women in the United States between the ages of 45 and 54 years. The hallmark health issue of midlife women is menopause and the menopause transition (MT). Symptoms associated with the female aging process have been shown to significantly affect health-related-quality-of-life (HRQoL). An increase in complex decision making factors and lack of updated knowledge in menopause treatment, have resulted in deferment by providers to treat menopausal symptoms. Studies have concluded inadequate updated of midlife women's care is a detriment to women, leads to fragmentation of health care delivery and potentially reduces HRQoL. Health-related-quality-of-life has been recognized by the National Institutes of Health and the Centers for Disease Control as a significant indicator of population health and wellbeing. An organizational change to address the gap of women's care during the menopause and MT, was the development of a consultative Midlife Women's Clinic. The theory of Transistions, and the Steven's Ace Star Model of Knowledge Transformation, provided the theory and evidence-based practice model for the development of the project. The objective of the project was to evaluate the perceived change of HRQoL of women attending a Midlife Women's Clinic. The goal of the project was to improve HRQoL of women in midlife by providing an opportunity for education, decision making and treatment of menopause symptoms. The perceived change of HRQoL was evaluated by the self-administered Menopause Rating Scale (MRS), a menopause specific HRQoL tool. Evaluation was accomplished by comparing the completed MRS questionnaire from the initial and follow up clinic visits. The results of the project demonstrate a statistically significant improvement in the perceived HRQoL severity scores were compiled and interpreted from the Evaluation Form of the MRS. Recent literature identifies a gap of care for women in midlife related to treatment and knowldedge of menopause and the MT that can adversely affect HRQoL. The implementation of a Midlife Women's Clinic appears to improve the perceived HRQoL menopause symptoms of women who were in attendance. Recommendations for future study would include; educational opportunities for student healthcare providers to learn updated menopause treatments by participation in this specialty clinic, development of community based seminars to disseminate knowledge about the menopause transition, and further study on the long term effect of the treatments offered on the impact of HRQoL.

Self awareness and Symptom Evaluation

However, this model does not include self-awareness. An as yet unexplored and unanswered question is whether self-awareness might have a role in symptom evaluation.

Self awareness and Symptom Evaluation

Approximately 65% - 75% of women experience one or more symptoms during the menopausal transition (MT) (Santoro, 2008), and much research has focused on hot flash (HF) frequency. However, individual women experience hot flashes at different levels of intensity and bother - not every HF is equally problematic. For this reason, examining HF severity is important. HF severity is an evaluation of perceived sensory information (physiologic symptoms) that is a separate and distinct process from physically registering those symptoms (Petersen, van den Berg, Janssens, & Van den Bergh, 2011). A cognitive model of symptom perception has been developed that includes concepts such as anxiety, stress, beliefs, and perceptions about the menopausal transition (Hunter & Chilcot, 2013). However, this model does not include self-awareness. An as yet unexplored and unanswered question is whether self-awareness might have a role in symptom evaluation. Self-awareness is posited as a possible component in symptom evaluation due to its identification as part of what "works" in yoga interventions (Gard, Noggle, Park, Vago, & Wilson, 2014). Yoga has been associated with decreased HF bother and unchanged HF frequency (Booth-LaForce, Thurston, & Taylor, 2007). It seems plausible that self-awareness might have a role in symptom evaluation in settings beyond yoga intervention trials. The purpose of this dissertation project is to explore self-awareness and its potential role in symptom evaluation. Two subscales from the Self-Consciousness Scale (Internal State Awareness and Self-Reflectiveness) are utilized to explore self-awareness. Additional concepts to be tested in a causal model of effects on HF severity are attitudes towards menopause, health perceptions, stages of reproductive aging, anxiety, and stress. The first paper is a concept analysis of self-awareness, differentiating it from interoception, mindfulness, somatosensory amplification, and disassociation. Results include the defining attributes of self-awareness to be self-directed perception, interoception, emotion, and physicality. In all articles reviewed, it was clear that self-awareness always involved self-directed perception. The focus was on the self, not on others or one's environment. Interoception has been described as "the material me" (Cameron, 2001). The action of perceiving sensations such as coolness, warmth, heartbeat, dyspnea, and thirst are not only physical, somatic experiences. Interoception is both unconscious (the nervous system regulating heart rate) and conscious. Self-awareness is an emotional experience, too. We do not solely perceive coolness or warmth, we also relate to the temperature (coolness feels very differently if we are in the snow or if we are on a sunny beach). Likewise, feeling a sensation of warmth may be very appealing and comforting (an emotional experience) if we have just taken a plunge into cold water on New Year's Day (Fogel, 2009). Physicality refers to the fact that, literally, a person must be alive, with physical and mental functions intact, in order to be self-aware. Also identified were antecedents (developmental process, age, education, bodily integrity, cognitive functioning, functional capacity of the nervous system to interocept, capacity to perceive and reflect) and consequences (evaluation of symptoms along a continuum from mild to moderate to severe, bothersome, or interfering). Self-awareness may influence subsequent health-seeking behaviors (practicing self-care, seeking healthcare, or pursuing unhealthy behaviors to mask/evade perceived symptoms). Empirical referents indicate how a researcher might test this concept "in the real world" and are indicated by questionnaires that have been designed to measure self-awareness (Self-Consciousness Scale; Somatic Interpretation Questionnaire; Multidimensional Assessment of Interoceptive Awareness). The second paper tested the factor structure of the Self-Consciousness Scale (SCS) using confirmatory factor analysis (CFA). The purpose of this analysis was to ascertain the validity of the SCS in the Seattle Midlife Women's Health Study dataset. If deemed valid, the SCS data would then be used in building and testing a causal model of HF severity. The SCS was developed by Fenigstein, Scheier, and Buss (1975), and has been used in multiple studies since it was first introduced. A four-factor model was hypothesized to best fit the data. Also hypothesized was that construct validity could be established for ISA and SR subscales with associated psychological concepts such as depression, anxiety, somatic amplification, and coping. ISA has been defined as balanced self-awareness and indicates a positive or neutral state of self-evaluation (Anderson, Bohon, & Berrigan, 1996; Trapnell & Campbell, 1999). SR has been defined as self-oppression, a ruminative type of self-mistrust (Anderson et al., 1996), and is positively correlated with depression, anxiety, and low self-esteem (Anderson et al., 1996; Chang, 1998; Trapnell & Campbell, 1999). The four-factor model displayed poor fit indices (CFI = .81; TLI = .79; RMSEA = .07). However, good fit indices were found for individual subscales ISA (CFI = 1.00; TLI = 1.03; RMSEA

Menopause and Women s Health Transitions Through Mid life

Contribution of Psychosocial Factors to Socioeconomic Differences in Health . ” The Milbank Quarterly 76 ... “ Symptom Experiences in Midlife Women : Observations from the Seattle Midlife Women's Health Study . " Maturitas 25 : 1-10 .

Menopause and Women s Health Transitions Through Mid life


Principles and Practice of Sleep Medicine E Book

Cyclicity of breast tenderness and night-time vasomotor symptoms in mid-life women: information collected using the Daily ... Kuh DL, Hardy R, Wadsworth M. Women's health in midlife: the influence of the menopause, social factors and ...

Principles and Practice of Sleep Medicine E Book

For nearly 30 years, Dr. Meir Kryger’s must-have guide to sleep medicine has been the gold standard in this fast-changing field. This essential, full-color reference includes more than 20 unique sections and over 170 chapters covering every aspect of sleep disorders, giving you the authoritative guidance you need to offer your patients the best possible care. Evidence-based content helps you make the most well-informed clinical decisions. An ideal resource for preparing for the sleep medicine fellowship examination. New content on sleep apnea, neurological disorders, legal aspects of sleep medicine, dental sleep medicine genetics, circadian disorders, geriatrics, women’s health, cardiovascular diseases, and occupational sleep medicine, keeps you fully up to date. Updates to scientific discoveries and clinical approaches ensure that you remain current with new knowledge that is advancing the diagnosis and management of sleep disorders.

Primary Care Sleep Medicine

Cyclicity of breast tenderness and nighttime vasomotor symptoms in mid-life women: information collected using the ... Kuh DL, Wadsworth M, Hardy R. Women's health in midlife: the influence of the menopause, social factors and health in ...

Primary Care Sleep Medicine

Primary Care Sleep Medicine – A Practical Guide was among the first books to address sleep medicine for a primary care audience. It remains the primary text oriented to the primary care physician with an interest in sleep disorders medicine. Since this title published, there have been many changes in the sleep field. A new text oriented towards supporting the primary care physician in the practice of sleep medicine is needed; an updated second edition of Primary Care Sleep Medicine – A Practical Guide could fill this knowledge gap. This second edition will include updated information on insomnia medications, post-traumatic stress disorders, home sleep testing protocols, complex sleep apnea and the defined role for primary care physicians in sleep medicine.

Departments of Labor Health and Human Services Education and Related Agencies Appropriations for 1993 National Institutes of Health

One of our 1993 initiatives within the Center will be targeted to women's health , particularly to mid - life processes . We want to look at the complexities surrounding mid - life ; such as , helping women overcome sleeplessness ...

Departments of Labor  Health and Human Services  Education  and Related Agencies Appropriations for 1993  National Institutes of Health


Nutrition and Diet in Menopause

Pathways to depressed mood for midlife women: observations from the Seattle Midlife Women's Health Study. Res Nurs Health. 1997;20:119–29. 27. Greene JG. The psychosocial vulnerability model of the menopause. In: Aso T, Yanaihara T, ...

Nutrition and Diet in Menopause

Nutrition and Diet in Menopause is a single comprehensive source that will provide readers with an understanding of menopause. Holistic in its approach, this volume is divided into five sections covering psychological, endocrine and lifestyle factors, metabolism and physiology, bone and nutrition, cancer and nutrition, cardiovascular factors and dietary supplements in menopause. In-depth chapters review the potential long term consequences of menopause on the overall health of women, not only at the physical level including hot flushes (flashes) , alterations to the genitourinary system, skin changes, decreased cardiovascular functions, hypertension, headache, back pain, and constipation. Written by international leaders and trendsetters, Nutrition and Diet in Menopause is essential reading for endocrinologists, cardiologists, nutritionists and all health care professionals who are interested in women’s health.

Monthly Catalogue United States Public Documents

Improving women's health through biomedical and behavioral research : hearing before the Committee on Labor and Human ... on examining the health of mid - life and older women , focusing on the health effects of menopause and its ...

Monthly Catalogue  United States Public Documents


Annual Review of Nursing Research Volume 19 2001

Employment During Midlife and Menopause. The health of women in midlife was the focus of the Seattle Midlife Women's Health Study by Woods and Mitchell which includes extensive data gathered through interviews with a population-based ...

Annual Review of Nursing Research  Volume 19  2001

This book demonstrates that nurses have made an important contribution to the advancement and expansion of women's health knowledge. Selecting the health issues of most importance to women, the editors have assembled leading nurse researchers to review, summarize, and critique nursing research within each area. A general overview of the field is also provided. Contributors include Angela McBride, Linda Andrist, Janice Humphreys, and Jacquelyn Campbell. Also contributing are Kathleen MacPherson and Nancy King Reame, nurse members of the original Boston Women's Health Collective, which authors OUR BODIES, OURSELVES.

Health Care for Women

Age and gender as factors in cancer therapy . Clin Geriatr Med 1993 Feb ; 9 ( 1 ) : 145-55 . Garner CH . Midlife women's health . NAACOGS Clin Issu Perinat Womens Health Nurs 1991 ; 2 ( 4 ) : 473-81 . Goldstein MZ , Perkins CA.

Health Care for Women

The development & implementation of women's health activities across the U.S. Public Health Sevice (PHS) is based on a set of criteria for defining women's health issues: conditions or diseases unique to women, more prevalent or more serious in women, or for which the risk factors or interventions are different for women. This biblio. addresses a number of key issues influencing health care for women in the U.S., arranged in 9 major categories, including sections on underserved populations; financial access barriers; lifestage considerations; health care provider concerns; & a broad range of issues pertaining to maternal-infant health, reproductive health & health behaviors (e.g., smoking & substance abuse) & health conditions (e.g., cancer & HIV/AIDS). This biblio. lists references in English language literature on women's health care issues published as monographs, journal articles, govt. reports, tech. reports, hearings & news items from Jan. 1990 through July 1993.

Counseling the Contemporary Woman

... in midlife. Health Psychology, 37(3), 247–56. http://dx.doi.org/10.1037/hea0000589 Condon, M. C. (2004). Women's ... Transitions, wellness, and life satisfaction: Implications for counseling midlife women. Journal of Mental Health ...

Counseling the Contemporary Woman

"This book provides a unique perspective on the development, challenges, and needs of women as they navigate through life. It includes culturally diverse case studies, interventions, and best practices for counselors working with women across the lifespan. Topics include normative developmental issues, relationships, self-esteem, body image, addictions, parenting, caregiving, and loss"--

Zest for Life

Highlighting how and why the concerns of lesbians are often overlooked during the “change of life,” this book draws on lesbians’ menopausal experiences to illustrate how menopause can be a time to rejoice, not despair.

Zest for Life

Highlighting how and why the concerns of lesbians are often overlooked during the “change of life,” this book draws on lesbians’ menopausal experiences to illustrate how menopause can be a time to rejoice, not despair. Hormone replacement therapy, health services, body image, and homophobia are some of the topics discussed in this illuminating guide that doctors, heterosexual, and homosexual women will learn from and enjoy.

Stress Concepts Cognition Emotion and Behavior

Health in middle-aged and elderly women: a conceptual framework for healthy menopause. Maturitas. 2015;81:93–98. Folkman S, Lazarus RS. ... Observations of perceived stress from the Seattle Midlife Women's Health Study. Menopause.

Stress  Concepts  Cognition  Emotion  and Behavior

Stress: Concepts, Cognition, Emotion, and Behavior: Handbook in Stress Series, Volume 1, examines stress and its management in the workplace and is targeted at scientific and clinical researchers in biomedicine, psychology, and some aspects of the social sciences. The audience is appropriate faculty and graduate and undergraduate students interested in stress and its consequences. The format allows access to specific self-contained stress subsections without the need to purchase the whole nine volume Stress handbook series. This makes the publication much more affordable than the previously published four volume Encyclopedia of Stress (Elsevier 2007) in which stress subsections were arranged alphabetically and therefore required purchase of the whole work. This feature will be of special significance for individual scientists and clinicians, as well as laboratories. In this first volume of the series, the primary focus will be on general stress concepts as well as the areas of cognition, emotion, and behavior. Offers chapters with impressive scope, covering topics including the interactions between stress, cognition, emotion and behaviour Features articles carefully selected by eminent stress researchers and prepared by contributors representing outstanding scholarship in the field Includes rich illustrations with explanatory figures and tables Includes boxed call out sections that serve to explain key concepts and methods Allows access to specific self-contained stress subsections without the need to purchase the whole nine volume Stress handbook series

Women s Health Book The

As a woman, looking after your health is the most important step you can take towards creating a healthy, happy family and a thriving community.

Women s Health Book  The

The definitive guide to health and wellbeing for every woman in all stages of her life As a woman, looking after your health is the most important step you can take towards creating a healthy, happy family and a thriving community. But in today’s busy world, with so many demands on your time, it’s not always easy to find information you can trust. The Women’s Health Book is written specifically for women by health professionals who specialize in women’s health. The Royal Women’s Hospital is the largest health facility specializing in women’s health in Australia and is well placed to help you look after your physical, mental, and social wellbeing. Here you’ll find information and advice for every stage of your life, from adolescence through to older age. Covering everything from menstruation, sexuality, and bullying, to diet, infections, and pregnancy, to mental health, cancer, and arthritis, this is an essential reference for every Australian woman’s shelf. This book is designed to help you participate as an equal partner in your health care. Armed with the real facts, you will be empowered to ask more questions and then make better choices that can help to improve your health, reduce any health risks you face, and even prevent future health problems.

Optimizing Women s Health through Nutrition

It is no surprise that women and men experience biological and physiological differences fundamentally and throughout the lifecycle.

Optimizing Women s Health through Nutrition

It is no surprise that women and men experience biological and physiological differences fundamentally and throughout the lifecycle. What is surprising is that faced with such a self-evident truth, there should be so little consideration to date of how these differences affect susceptibility to disease and metabolic response to dietary treatment. Understanding these differences and developing a gender-based approach focusing on the specific needs and conditions of women is crucial to achieve effective nutritional strategies for women’s health. Expanding the knowledge-base regarding sex, nutrition, and medicine, Optimizing Women’s Health through Nutrition presents the biology, physiology, and metabology unique to women. The book demonstrates in a practical, accessible manner the scientific application of this data addressing lifecycle changes, disease prevention, and treatment. Based on sound research and supported by extensive references, it begins by describing recent research on biological and physiological differences and how these differences translate into varying disease trends between the sexes. Contributions describe the nutritional needs of women during the lifecycle, particularly during adolescence, pregnancy and lactation, premenopause, and menopause and midlife stages. The bulk of the book addresses each of the common major diseases or conditions that specifically affect the health of women. It emphasizes the role of nutrition in disease risk reduction as well as management and treatment of disease. Specific disease selection was dictated by those in which women are more vulnerable or have a higher incidence than men. The concluding section identifies areas for future research and strategic areas of investigation for researchers and health professionals, government regulators, and food industry professionals involved in creating novel foods that enhance women’s health.

The Woman s Book of Yoga and Health

The Woman's Book of Yoga and Health is the first comprehensive book about women's health issues and how to treat them with yoga.

The Woman s Book of Yoga and Health

The Woman's Book of Yoga and Health is the first comprehensive book about women's health issues and how to treat them with yoga. The authors offer a complete yoga program for general health as well as pose sequences that address specific health problems—all in the Iyengar tradition, which targets health needs more than other forms of yoga. For example, in the first part of the book, Patricia Walden has organized three chapters showing yoga poses with clear instructions that tell how to get into each pose and describe its benefits: chapter one is the Essential Sequence for all women, and includes modifications for people who cannot or should not do all the poses; chapter two is the Restorative Sequence for stress relief and relaxation; chapter three contains advanced poses that energize and tone. The second part is presented in four sections that broadly represent the stages of a woman's life: teen years and early twenties, later twenties and thirties, midlife, and wisdom years. Each section contains chapters offering specific information about a particular health issue from author Linda Sparrowe, as well as sequences of yoga poses from Patricia Walden that address the problem. For example, the back care chapter includes information about common back problems and their causes (scoliosis, arthritis, lordosis, sciatica, kyphosis, among others) with an emphasis on: emotional and psychological roots of some back problems; physiological information about the spine and back muscles; general information about how yoga addresses different areas of the back; and finally, Patricia Walden's sequences of poses that target different back problems with the goal of not only relieving back pain but of strengthening, and healing old injuries and misalignments. Sections of the book include: • Teens and Early 20s: Eating disorders, menstrual health, immune support • 20s and 30s: Back care, pregnancy, headaches • Midlife: Depression, menopause, digestion • Wisdom Years: Osteoporosis, postmenopause, the heart The final section of the book includes listings of yoga centers, instructional videos, yoga equipment, and where to go for more information about yoga.