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9780684855196

Healthy Women, Healthy Lives : A Guide to Preventing Disease, from the Landmark Nurses' Health Study

by ; ; ;
  • ISBN13:

    9780684855196

  • ISBN10:

    0684855194

  • Format: Hardcover
  • Copyright: 2001-07-10
  • Publisher: Free Press

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Summary

In 1976, a team of physicians and researchers at Harvard Medical School heard from more than 120,000 women in response to a two-page questionnaire. Twenty-five years later, the Nurses' Health Study is still going strong. One of the largest, longest running, and most comprehensive health studies ever conducted, it has helped answer many key questions about the long-term health of American women. It is a remarkable story of dedicated researchers and study participants -- nurses who meticulously documented their everyday activities; filled out long, detailed forms; and even provided blood and tissue samples when asked...solely for the sake of advancing the health of women.

Individual results of this study are familiar to everyone. The Nurses' Health Study was among the first to show that using postmenopausal hormones increases the risk of breast cancer but that eating a high fat diet does not; that gaining weight in adulthood raises the risk of heart disease, diabetes, and some cancers but that doing simple exercises like walking can lower those risks. There's more. The Nurses' Health Study has also helped answer these important questions: Which vitamins really protect against cancer? How does the type of fat in food contribute to heart disease and cancer? What are the risks and benefits of postmenopausal hormones and birth control pills? And how big are the benefits of quitting smoking?

For twenty-five years, the Nurses' Health Study has followed more than 120,000 real women, leading real lives, to find what works -- and what doesn't -- to improve the health of women. Its findings over the years have resulted in hundreds of professional papers and newspaper headlines. Now, for the first time, the most important findings from this study have been gathered together, summarized along with the results of other major research studies, and made accessible to the general public in book form.

But Healthy Women, Healthy Lives goes beyond simply labeling preventive factors and risky behavior -- it provides practical tips and strategies for making healthy lifestyle changes from clinical experts at Harvard Medical School. Here are the best ways to lower your risk of chronic disease as well as tips for losing weight, stopping smoking, eating healthily, and exercising regularly.

No matter how many other health books you own, Healthy Women, Healthy Lives is a unique addition. With easy-to-read graphics that clarify complex information at a glance, easy-to-follow strategies and personal tips from Harvard physicians, and personal stories from nurses who have contributed to the study, it is a valuable book created for all women.

Author Biography

Susan E. Hankinson, R.N., Sc.D., is Associate Professor of Medicine at Harvard Medical School and Associate Professor of Epidemiology at the Harvard School of Public Health and at Channing Laboratory at Brigham and Women's Hospital.

Table of Contents

Acknowledgments v
Introduction xix
Donna Shalala
Preface xxi
Contributors xxv
PART ONE: GETTING STARTED
An Exciting Time for Women's Health
3(6)
Personal Health Choices
4(3)
Health Choices in the Real World
7(2)
What Is the Nurses' Health Study?
9(11)
The Nurses' Health Study
9(5)
Other Research Studies
14(6)
Making Sense of Health Research
20(13)
Absolute Risk
20(1)
Relative Risk
21(5)
Drawing Conclusions
26(2)
The Boundaries of Research
28(5)
PART TWO: LOWERING THE RISK OF DISEASES
Lowering the Risk of Coronary Heart Disease
33(37)
Background
33(4)
Factors You Cannot Control
37(2)
Factors You Can Control
39(24)
What It All Means
63(2)
What I Tell My Patients About Lowering Their Risk of Coronary Heart Disease
65(5)
Dr. Carol Bates
Lowering the Risk of Breast Cancer
70(40)
Background
70(5)
Factors You Cannot Control
75(8)
Factors You Can Control
83(11)
Reproductive Factors
94(7)
What It All Means
101(1)
What I Tell My Patients About Lowering Their Risk of Breast Cancer
102(8)
Dr. Nancy Rigotti
Lowering the Risk of Lung Cancer
110(10)
Background
110(2)
Factors You Cannot Control
112(2)
Factors You Can Control
114(4)
What It All Means
118(1)
What I Tell My Patients About Lowering Their Risk of Lung Cancer
118(2)
Dr. Celeste Robb-Nicholson
Lowering the Risk of Stroke
120(26)
Background
120(5)
Factors You Cannot Control
125(2)
Factors You Can Control
127(14)
What It All Means
141(2)
What I Tell My Patients About Lowering Their Risk of Stroke
143(3)
Dr. Carol Bates
Lowering the Risk of Diabetes
146(23)
Background
146(7)
Factors You Cannot Control
153(1)
Factors You Can Control
154(11)
What It All Means
165(1)
What I Tell My Patients About Lowering Their Risk of Adult-Onset Diabetes
165(4)
Dr. Nancy Rigotti
Lowering the Risk of Colon Cancer
169(20)
Background
169(3)
Factors You Cannot Control
172(2)
Factors You Can Control
174(10)
What It All Means
184(1)
What I Tell My Patients About Lowering Their Risk of Colon Cancer
185(4)
Dr. Carol Bates
Lowering the Risk of Osteoporosis
189(18)
Background
189(3)
Factors You Cannot Control
192(2)
Factors You Can Control
194(9)
What It All Means
203(1)
What I Tell My Patients About Lowering Their Risk of Osteoporosis
203(4)
Dr. Nancy Rigotti
Lowering the Risk of Endometrial Cancer
207(14)
Background
207(2)
Factors You Cannot Control
209(1)
Factors You Can Control
210(5)
Reproductive Factors
215(3)
What It All Means
218(1)
What I Tell My Patients About Lowering Their Risk of Endometrial Cancer
218(3)
Dr. Celeste Robb-Nicholson
Lowering the Risk of Ovarian Cancer
221(15)
Background
221(3)
Factors You Cannot Control
224(2)
Factors You Can Control
226(4)
Reproductive Factors
230(3)
What It All Means
233(1)
What I Tell My Patients About Lowering Their Risk of Ovarian Cancer
234(2)
Dr. Celeste Robb-Nicholson
Lowering the Risk of Skin Cancer
236(18)
Background
236(3)
Factors You Cannot Control
239(4)
Factors You Can Control
243(4)
What It All Means
247(1)
What I Tell My Patients About Lowering Their Risk of Skin Cancer
248(6)
Dr. Carol Bates
Lowering the Risk of Asthma, Arthritis, Age-Related Eye Disease, and Alzheimer's Disease
254(21)
Asthma
254(5)
Arthritis
259(3)
Age-Related Eye Disease
262(5)
Alzheimer's Disease
267(4)
What I Tell My Patients About Asthma, Arthritis, Age-Related Eye Disease, and Alzheimer's Disease
271(4)
Dr. Carol Bates
PART THREE: CHANGING BEHAVIORS
Physical Activity
275(18)
Background
275(4)
The Benefits of Physical Activity
279(8)
The Risks of Physical Activity
287(3)
What It All Means
290(1)
What I Tell My Patients About Physical Activity
290(3)
Dr. Celeste Robb-Nicholson
Weight Control
293(26)
Background
293(4)
The Risks of Being Overweight and Gaining Weight
297(14)
A Few Benefits of Being Overweight and Gaining Weight
311(3)
What It All Means
314(2)
What I Tell My Patients About Weight Control
316(3)
Dr. Nancy Rigotti
Smoking
319(30)
Background
319(3)
The Risks of Smoking
322(14)
Passive Smoking
336(3)
What It All Means
339(1)
What I Tell My Patients About Successfully Quitting Smoking
339(10)
Dr. Nancy Rigotti
The Major Nutrients---Fat, Carbohydrates, Fiber, and Protein
349(23)
Background
349(2)
Dietary Fat
351(6)
Carbohydrates
357(5)
Fiber
362(3)
Protein
365(4)
What It All Means
369(1)
What I Tell My Patients About the Major Nutrients
369(3)
Dr. Celeste Robb-Nicholson
Foods
372(18)
Background
372(3)
Fruits and Vegetables
375(3)
Nuts
378(1)
Whole Grain Foods
378(4)
Red Meat
382(1)
Fish
383(1)
Eggs
384(2)
What It All Means
386(1)
What I Tell My Patients About Foods
386(4)
Dr. Celeste Robb-Nicholson
Alcohol
390(10)
Background
390(1)
The Benefits of Moderate Alcohol Consumption
391(2)
The Risks of Moderate Alcohol Consumption
393(3)
What It All Means
396(1)
What I Tell My Patients About Drinking Alcohol
397(3)
Dr. Celeste Robb-Nicholson
Vitamins and Minerals
400(28)
Background
400(4)
Vitamin A and Carotenoids
404(4)
Vitamin D
408(1)
Vitamin E
409(2)
Vitamin C
411(1)
Folate
412(3)
Vitamins B6 and B12
415(2)
Sodium (Salt)
417(1)
Calcium
418(3)
Magnesium
421(1)
Potassium
422(1)
Selenium
423(1)
Iron
424(1)
What It All Means---Vitamins and Minerals
425(1)
What I Tell My Patients About Vitamins and Minerals
426(2)
Dr. Nancy Rigotti
Postmenopausal Hormones
428(31)
Background
428(2)
The Benefits of Postmenopausal Hormones
430(7)
The Risks of Postmenopausal Hormones
437(5)
What It All Means
442(1)
Strategies for Postmenopausal Hormone Use
443(6)
What I Tell My Patients About Postmenopausal Hormones
449(10)
Dr. Celeste Robb-Nicholson
Birth Control
459(26)
Background
459(1)
Birth Control Pills
460(9)
Hormonal Implants and Injections
469(1)
IUDs (Intrauterine Devices)
470(2)
Barrier Methods
472(2)
Tubal Ligation
474(3)
Natural Methods
477(1)
Strategies for Birth Control Use
478(5)
What I Tell My Patients About Birth Control
483(2)
Dr. Carol Bates
Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
485(16)
Background
485(2)
Benefits of Aspirin and Other NSAIDs
487(7)
Risks of Aspirin and Other NSAIDs
494(2)
What It All Means
496(1)
What I Tell My Patients About the Proper and Safe Use of Aspirin and Other NSAIDs
497(4)
Dr. Carol Bates
Appendix A Types of Epidemiologic Studies 501(4)
Appendix B Being an Informed Consumer of Health Information 505(4)
Appendix C Some Useful Tables 509(4)
Glossary 513(8)
Selected Readings 521(4)
Index 525

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The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

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