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SPRING 2010 health|SENIOR styles Making Waves at Any Age www.gnpweb.com Bolster Your Defenses Keep Your Immune System Strong Don’t let it make you paranoid, but danger is all around. Your body must deal with a steady onslaught of viruses, bacteria, fungi, parasites, malignant cells, and other marauders out to do you harm. Fortunately, you have one of the best defense systems in existence, as long as you keep it in good shape. Your immune system stands ready to destroy, devour, or deactivate the invaders to protect your health. Its arsenal consists of white blood cells, antibodies, certain proteins, and other substances. Keep It Fortified The immune system commonly weakens as you age, beginning after young adulthood. When the body is exposed to microorganisms, fewer protective antibodies may form or they may develop at a slower rate. Later in life, the immune system becomes less able to detect malignant cells, and cancer risk increases as a result. But there are steps you can take to keep your immune system strong: eat a well-balanced, nutrient-rich diet; take dietary supplements if necessary; exercise regularly; minimize stress; get sufficient sleep; and avoid substances and activities that can suppress or degrade immune function. These measures are effective even in older adults, so a decline in immunity is not inevitable. ➤ continued on page 2 Who, What, Where, When? Questions to Ask Before Taking Medication • Why is this being prescribed to me? • What are the possible side effects? • Is there a generic form? • Should I take it with or without food? • Will this cause any interactions with other drugs, vitamins, or supplements I am taking? • Are there foods I should avoid while on this medication? • How many should I take per day? • How long do I need to be on this medication? Keep Your Immune System Strong ➤ continued from page 1 Eat Well Insufficient intake of vitamins and minerals can undermine your body’s defense system. A diet rich in fruits and vegetables, whole grains, legumes, and low-fat dairy products should provide the nutrients needed for healthy immunity. But some people – especially older adults – may need a supplement to ensure they get adequate levels of vitamins B12 and D. Exercise, But Not to Extremes Regular workouts boost the immune system. Physical activity may help by flushing microbes out of the lungs and eliminating cancer-causing cells by increasing urine and sweat output. Circulating the body’s defense cells through your bloodstream more quickly may also help. The temporarily increased body temperature from exercising may inhibit bacterial growth. And exercise slows the release of stress-related hormones. Talk to your primary care physician about an exercise routine that works for you. Get Some R&R Other activities that ease stress, besides exercise, may also improve immune function. Massage, meditation, maintaining a positive attitude, and enjoying social time with family and friends can help you relax. Lack of sleep impairs immunity, so try to change your sleep habits if you sleep less than seven to eight hours a night or are often tired during the day. Urinary Incontinence If you experience urinary incontinence, or loss of bladder control, you know it’s no laughing matter. Although men can have this problem, it is twice as common in women. But, it doesn’t need to control your life. Incontinence can be treated, so don’t let embarrassment keep you from seeking help. What Is Incontinence? Temporary incontinence may be caused by a urinary tract infection, a medication, or constipation. This kind of condition improves when you eliminate the problem that caused it. Chronic incontinence, however, is ongoing. It falls into two main categories: stress incontinence, the most common, and urge incontinence. Some women have both. Stress incontinence comes about as a result of physical changes from pregnancy and childbirth, weight gain, or menopause. The pelvic muscles can stretch and weaken, no longer supporting the bladder. If this happens you can lose the ability to tighten the muscles that close off the urethra, which allows urine to leak into the urethra when you laugh, cough, sneeze, exercise, or perform other actions that cause pressure on your bladder. Urge incontinence is the result of damage to the urinary tract or to the nerves that control urination. With this kind of bladder control problem, you may urgently feel the need to urinate suddenly or often. The sensation often comes without much warning, so you might leak enough urine to soak your clothes because you can’t get to the bathroom in time. This kind of incontinence is sometimes called overactive bladder. Can It Be Treated? Most bladder control problems can be improved or cured. Talk openly with your primary care physicians. Describe the symptoms, severity, and frequency. Your doctor can help you find the combination of treatments that will help. 2 HealthStyles SENIOR Quiz: Will Osteoporosis Affect You? Osteoporosis is a disease that affects millions of Americans. According to the National Osteoporosis Foundation, an estimated 10 million Americans currently have the condition and another 34 million have low bone mass, which puts them at a higher risk of developing the disease. What Is Osteoporosis? Osteoporosis, sometimes called porous bone, is a disease characterized by low bone mass that can lead to weak bones. These weakened bones can often fracture from a small fall or even a cough. Fortunately there are ways to predict if you are more prone to the disease, and actions to take to prevent it. Take this true/false quiz to learn more. Questions 1. Osteoporosis affects men and women across all races and ethnicities equally. True or False 2. An individual with a small, thin body frame has a higher risk for osteoporosis. True or False 3. Taking calcium supplements is the best way to prevent osteoporosis. True or False 4. Avoiding physical activity helps to preserve the bone strength you already have. True or False 5. Checking family history is the best way to diagnose osteoporosis. True or False 6. An individual with osteoporosis may not have any symptoms of the disease. True or False Answers 1. False. Caucasian women who have gone through menopause have the highest risk for osteoporosis. Women of other ages and races, as well as men and children, can also be affected. 2. T rue. Thin or small-framed men and women have less bone mass – and less protection from osteoporosis as they age. 3. F alse. Obtaining the calcium you need is best accomplished by eating foods rich in calcium as well as vitamin D. These include fruits, milk, vegetables, and cheese. Ask your doctor if you should also take a calcium supplement for bone health. 4. F alse. Incorporating weightbearing exercise is a way to help prevent osteoporosis while strengthening your bones. 5. F alse. In addition to asking about your family history of osteoporosis, a physician will conduct a physical examination and take a complete medical history. A bone density test may be done to measure bone density of the hip, wrist, or spine. 6. True. Those affected by osteoporosis may not develop any noticeable symptoms. It’s important to talk to your doctor about osteoporosis. You can ask about a bone density test and discuss your risk factors for the disease. Looking Forward By making a few small changes to your daily routine, you may help prevent osteoporosis. Eat a diet rich in calcium and vitamin D, avoid smoking and excessive alcohol, and add regular weight-bearing and strengthening exercise to your workouts. To learn more about preventing and treating osteoporosis, contact your primary care physician. Sign Up for the GNP HealthStyles Electronic Newsletter Interested in receiving news from GNP in your e-mail inbox? Sign up today for GNP’s HealthStyles e-newsletter. Arriving in your inbox six times a year, the e-newsletter offers timely health-related articles, GNP announcements, and information on upcoming events and meetings. With quick links back to the GNP website, you will have easy access to the information and resources you need. To sign up for our e-newsletter please visit www.gnpweb.com. Click on the sign-up icon and fill out the required information. Registration is free and you may unsubscribe at any time. Once you submit your e-mail address you will receive a confirmation e-mail from GNP. Then watch for our next issue to come to your inbox! (866) 934-5137 | www.gnpweb.com 3 health|SENIOR styles Making Waves at Any Age GNP Contracts with these Health Plans: Senior Plans Blue Shield 65+....................................(800) 776-4466 OneCare by CalOptima........................(800) 960-9070 SCAN Health Plan (closed)..................(800) 559-3500 Secure Horizons by United Healthcare...(800) 228-2144 Greater Newport Physicians Medical Group Inc. P.O. Box 6270 Newport Beach, CA 92658 www.gnpweb.com Commercial Plans Aetna.................................................................. (800) 756-7039 Blue Cross........................................................... (800) 288-6921 Blue Shield......................................................... (800) 424-6521 Cigna.................................................................. (800) 832-3211 Health Net.......................................................... (800) 522-0088 PacifiCare/United Healthcare.......................... (800) 624-8822 Member Contact Information: Local GNP Member Services........................... (949) 574-4575 Toll-Free GNP Member Services..................... (800) 553-6537 Department of Managed Health Care........... (888) 466-2219 Office of the Patient Advocate........................ (866) 466-8900 This publication does not constitute professional medical advice. Although it is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. If you have a medical question, consult your medical professional. Images may be from one or more of these sources: ©Thinkstock, ©iStock, ©Fotolia. ©2010 Priority Publications, Inc. priorityresults.com Greater Newport Physicians Welcomes 4 New Primary Care Physicians! Greater Newport Physicians is pleased to announce the addition of four new physicians to our network. These primary care physicians are eager to serve the needs of our members, and they are all currently accepting new patients. Refer a Friend to GNP! If you know someone who is turning 65 this year, Greater Newport Physicians accepts the Medicare Advantage Senior plans listed above. To speak with a sales representative who can answer questions and enroll new members in plans accepted by GNP, call Nautilus Health Insurance Services at (888) 876-2688. Rakhi Barkowski, MD (Internal Medicine) Newport Beach Chrystene Nguyen, MD (Family Practice) Costa Mesa Rejan McCaskill, MD (Internal Medicine) Newport Beach Thao Nguyen, MD (Family Practice) Costa Mesa For more information about our new physicians, visit Find a Doctor on our website or call Greater Newport Physicians at (866) 582-2439.