Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among …

CMHS - Who Attended

Approximately 575 people attended the screenings, a rate of 23 per hour
Of this number, 323 took advantage of the cardiovascular risk assessment
Those attending included Members of Congress and their spouses,
Congressional staffers, Capitol Police, employees of the Architect of the
Capitol, and other employees of Congress

Health behaviors are learned at an early age, and men are notorious for
avoiding checkups and delaying visits to the doctor Part of the purpose
for diversifying the screenings has been to encourage younger men to
participate so that they might become accustomed to making appointments for
regular check-ups There has been some success in this effort as reflected
by the ages of those attending

The ethnic diversity of Congressional workforce is reflected in the
attendance at the CMHS

CMHS - The Results
Senate and House Participants

The results noted in this section refer to the overall results reported
for
all who participated in the screenings Detailed results for persons who
participated in the Cardiovascular Risk Assessment for the Senate and the
House are found elsewhere in this report That analysis includes:
Analysis of age, sex, and ethnic participation
Detailed analysis of blood pressure levels
Detailed analysis of cholesterol levels
Coronary Heart Disease risk by age
Smoking status
Diabetes and elevated glucose analysis

Prostate specific antigen PSA results
According to the American Cancer Society, the PSA is protein made by the
prostate gland Levels of PSA in the blood often go up in men with prostate
cancer The PSA test is used to help find prostate cancer as well as to
monitor the results of treatment Intelihealthcom reports that high
levels of PSA may indicate a cancerous condition but can also can be found
in other conditions that are noncancerous, including prostatitis
inflammation of the prostate and benign prostatic hyperplasia, or BPH,
an enlargement of the prostate

The American Urological Association reports that chances of having prostate
cancer depend on age and the PSA level As a rule, PSA levels below 40
ng/ml are
considered normal However, about 20 of prostate cancers are
found in men whose PSA level is less than 40 ng/ml Further evaluation
should be considered for any level over 40 ng/ml or if the DRE is
abnormal

There have been attempts to adjust normal PSA levels for age Georgia
Urology wwwgeorgiaurologycom/psashtml states that while the normal PSA
range is 0 - 40 ng/cc, younger men typically have lower PSAs and age
adjusted PSAs have been determined

PSA Age Adjustment Guidelines

|Ages |PSA results |
|40-49 |0 - 25 |
|50-59 |0 - 35 |
|60-69 |0 - 45 |
|70 plus |0 - 65 |

Results of PSA tests taken at the CMHS indicate that 28 of participants
had PSA levels of 41 or above This compares with 34 of those who
participated in the year 2000 event

Cholesterol Results:
The National Health, Lung and Blood Institute at NIH recommends that
everyone age 20 and older have their cholesterol measured at least once
every 5 years It is best to have a blood test called a lipoprotein
profile to find out cholesterol numbers This blood test is done after a 9-
to 12-hour fast and gives information about:

Total cholesterol

LDL bad cholesterol–the main source of cholesterol buildup and
blockage in the arteries
HDL good cholesterol–helps keep cholesterol from building up in the
arteries
Triglycerides–another form of fat in your blood

If it is not possible to get a lipoprotein profile done, knowing total
cholesterol and HDL cholesterol can give a general idea about cholesterol
levels If the total cholesterol is 200 mg/dL or more or if HDL is less
than 40 mg/dL, the person will need to have a lipoprotein profile done
Cholesterol levels are measured in milligrams mg of cholesterol per
deciliter dL of blood

Diabetes risk factors

The American Academy of Family Physicians
familydoctororg/handouts/347html reports that you are at higher risk
for diabetes if it runs in your family, or if you are Native American,
Hispanic American, Asian American, African American or a Pacific Islander
Gestational diabetes or having a baby who weighs more than 9
pounds may
also mean that you may have a tendency to develop diabetes

If you have such a tendency, the following risk factors make you more
likely to develop high blood sugar and diabetes:
Obesity being overweight
Older age
Sedentary lifestyle not exercising
Unhealthy diet

According to the American Diabetes Association, doctors diagnose diabetes
on the basis of too-high levels of glucose in the blood If you have
diabetes, your blood glucose levels rise because of the foods you eat
Foods have little effect on blood glucose in people without diabetes
Normally, insulin, a hormone that is made in the pancreas, allows glucose
to enter your bodys cells and be used as fuel Insulin is the main tool
your body uses to lower your blood glucose level

The Association states that the goal of blood glucose tests is to find out
whether you have a very large amount of glucose in your blood There are
two types of tests: screening tests and diagnostic tests Screening tests
are performed on people who have no symptoms of diabetes

Blood Pressure results:
Approximately 30 of those who had their blood pressure taken and who
participated in the cardiovascular
risk assessment were found to have high-
normal blood pressure or hypertension stages 1, 2, or 3 294 in the
House, 31 in the Senate Details can be found in the Cardiovascular Risk
Assessment and Data Analysis for both the Senate and House in this report

According to the American Heart Association wwwamericanheartorg
elevated blood pressure causes the heart to work harder than normal That
means both the heart and arteries are more prone to injury High blood
pressure increases the risk of heart attacks, strokes, kidney failure,
damage to the eyes, congestive heart failure and atherosclerosis When high
blood pressure exists with obesity, smoking, high blood cholesterol levels
or diabetes, the risk of heart attack or stroke increases several times

If high blood pressure isnt treated, the heart may have to work harder and
harder to pump enough blood and oxygen to the bodys organs and tissues to
meet their needs When the heart is forced to work harder than normal for
an extended time, it tends to enlarge and weaken A slightly enlarged heart
may work well, but one thats significantly enlarged has a hard time
meeting the demands put on it

The American Heart Association explains
that the higher systolic number
represents the pressure while the heart is beating The lower diastolic
number represents the pressure when the heart is resting between beats
Blood pressure of less than 140 over 90 is considered a normal reading for
adults A systolic pressure of 130 to 139 or a diastolic pressure of 85 to
89 needs to be watched carefully A blood pressure reading equal to or
greater than 140 over 90 is considered elevated

| |Congressional |June 12-13-14, 2001 | |Sampling of | |Mens Health Network |wwwmenshealthnetworkorg |Total Cholesterol |200 mg/dl | |Percent |Under 30 |196 |30-40 |138 |41-50 |86 |51-60 |68 |61 |20 |No answer |02 |Total |51 | |HDL Cholesterol |60 mg/dl | |Percent |Under 30 |121 |30-40 |61 |41-50 |67 |51-60 |36 |61 |20 |No answer |02 |Total |31 | |Ratios |35 | |Percent |Under 30 |121 |30-40 |61 |41-50 |67 |51-60 |36 |61 |20 |No answer |02 |Total |31 | |Glucose | |Percent | | | | | | | | | | | | |Under 30 |289 |30-40 |238 |41-50 |217 |51-60 |168 |61 |47 |No answer |06 |Total |965 | |Age range of | |Percent | | | | | | | | | | | | | | | | |Under 30 |297 |30-40 |251 |41-50 |222 |51-60 |174 |61 |56 |Total |100 |
Mens Health Screenings |
|
|
cholesterol and glucose results - Senate and House |
|
|
|
|200-239 mg/dl |240 mg/dl |
|Percent |Percent
|
|59 |40 |
|62 |46 |
|81 |53 |
|73 |33 |
|26 |13 |
|02 |02 |
|30 |19 |
|
|40-59 mg/dl |40 mg/dl |
|Percent |Percent |
|112 |58 |
|76 |114 |
|63 |87 |
|74 |63 |
|20 |20 |
|02 |02
|
|35 |34 |
|
|35-50 |50 |
|Percent |Percent |
|112 |58 |
|76 |114 |
|63 |87 |
|74 |63 |
|20 |20 |
|02 |02 |
|35 |34 |
|
|160 Non Fasting |160 Non Fasting | |
|Percent | |
| | |
|
| |
| |Totals may not |
| |equal 100 due to |
| |rounding of |
| |numbers |
|06 | |
|13 | |
|04 | |
|06 | |
|06 | |
|00 | |
|35 | |
|
those participating in cholesterol and glucose screening |
| |
|Approximately 575 attended |

| |
|Male / Female 883 / 117 |
| |
|W 747 B 189 A |
|34 H 30 |
| |
|Youngest 18 Oldest 87 |
| |
| |
| |
| |
| |
| |
CMHS - The Results

Cardiovascular Risk Assessment and Data Analysis - House

Members and Staff from the

US House Of Representatives

Achieving NCEP, and JNC VI Goals

June 12 and 13, 2001

Provided as a Service by:

Mens Health Network
Supported in Part by Pfizer, Inc

CHD Risk Assessment and Data Analysis

Introduction

As part of the National Mens Health Week 2001 initiative and health-
screening program at the Rayburn House Office Building on June 12 and June
13, 2001, a subset of participants number221 elected to take part in the
CHD Risk Assessment Program Participants entering the CHD risk program
were shown the Coronary Heart Disease CHD Risk Calculator This software
helped to illustrate how important changes in reaching blood pressure BP,
glucose, and cholesterol targets or smoking cessation can have dramatic
impact on their risk of developing heart disease In this way, the program
encourages adherence to therapeutic lifestyle changes TLC
such as TLC
diet, weight management and increased physical activity, as well as
compliance with drug therapy Utilizing the CHD Risk Calculator provided
each participant with an assessment of their risk of coronary heart disease
over the next 10 years compared with a standard risk for a person of the
same age and sex based on data from the Framingham Heart Study1-3 Only
de-identified data was collected during this program This report reviews
the data obtained from those entering the CHD Risk Program at the Rayburn
House Office Building

Background Information

Coronary heart disease CHD is one of the leading causes of disability and
death in the United States, claiming over half a million lives annually4
Landmark studies such as the Scandinavian Simvastatin Survival Study 4S5
and the West of Scotland Coronary Prevention Study Group WOSCOPS6 have
increased the awareness among members of the medical community that
treatment of patients/employees with hypercholesterolemia can decrease
morbidity and mortality from cardiac events In addition, hypertension,
low high density lipoprotein cholesterol HDL, family history of
premature
CHD and age have been determined to be major risk factors for CHD

The significance of lipid disorders and their proper management prompted
the National Heart, Lung and Blood Institute of the National Institutes of
Health to form the National Cholesterol Education Panel NCEP and convene
the Expert Panel on Detection, Evaluation, and Treatment of High Blood
Cholesterol7 The panel developed guidelines to assist health care
practitioners in the treatment of lipid disorders The guidelines identify
low-density lipoprotein LDL cholesterol concentrations as a major
cardiovascular predictor and specify treatment goals based on LDL Despite
publication and dissemination of these guidelines, it has been reported in
the literature that 15 to 43 of patients met their NCEP goal8 Data from
the National Health and Nutrition Examination Survey NHANES III9
revealed that 57 of adults older than age 20 with two or more risk factors
were not at the LDL target level and 85 of employees with CHD were not at
their target level

The Sixth Report of the Joint National Committee on Prevention, Detection,
Evaluation, and Treatment of High
Blood Pressure JNC VI provided further
guidance on the management of hypertension Since 1993 JNC V, age-adjusted
stroke rates have risen slightly and coronary heart disease declines are
now leveling10,11 Also, rates have increased for both the incidence of
end-stage renal disease, and the prevalence of heart failure wherein a
large majority of patients have antecedent hypertension12,13 Three-
fourths of patients with hypertension do not have adequate control ie
140/90 mm Hg14

Objectives

1 To evaluate Cholesterol, BP and Serum Glucose goal attainment for
staff at the Rayburn House Office Building
2 To evaluate the presence of risk factors within the employee
population
3 Present gathered study information to assess and identify areas for
improvement
4 Make recommendations to improve care

Method

Staff from the Rayburn House Office Building that elected to participate in
the CHD Risk Assessment Program were evaluated by health professionals
using the CHD Risk Calculator software during the Mens Health Networks
health screening on June 12TH and June 13TH, 2001 Each participant signed
a consent form to
agree to participate in the program and to allow their
data to be part of the review and analysis Each participant was assigned
a random number and all information was de-identified

Data Points Collected:

1 Age, gender, presence of CAD, cardiac risk factors diabetes, family
history, smoking, etc
2 Initial total cholesterol, TG and HDL determination, date
3 Systolic and Diastolic Blood Pressure

Limitations Of The Analysis:

CHD risk assessment software was limited to the major risk factors for CHD
The LDL was unavailable for review Data was not available to determine
the true presence or absence of CHD or other clinical forms of
atherosclerotic disease We are unable to determine the extent and
potential impact of life habit risk factors obesity, physical inactivity
and atherogenic diet or potential emerging risk factors ie lipoprotein
a, homocysteine, prothrombic and proinflammatory factors, impaired fasting
glucose, and sub-clinical atherosclerotic disease may have on the risk of
developing CHD

Results Of The Screening

Part I Demographics

Gender

Age

Percent Of Employees By Age Category

Percent Of Employees By Ethnic Category

Part 2 Blood Pressure

Percent of Employees at JNC VI Category

Part 3 Total And HDL Cholesterol Level Results

|Total Number Of Employees 221 |
| |Range Mg/Dl |Average Mg/Dl |
|Total Cholesterol |108-421 |2024 |
|HDL Cholesterol |15-100
|471 |

Total Cholesterol Category By Number Of Employees

|Total Cholesterol TC |ATPIII Classification |Number of Employees |
| |TC |percent |
|Desirable |200 |105 475 |
|High Normal Borderline|200-239 |76 344 |
|High |240 |40 281 |

HDL Cholesterol Category by Number of Employees

|HDL Category |Level mg/dL |Framingham Point |Number of Employees |
| | |Scores |Percent |
|Unfavorable |40 |2 |67 303 |
|Acceptable |40-49 |1 |46 208 |
| |50-59 |0 |71321 |
|Favorable | 60 |-1 |37 167 |

The Framingham Point Scores are used to estimate the 10-year risk of
developing CHD The higher the number of points the higher the potential
risk for CHD Having a HDL 40 is considered a major risk factor
that
modify the LDL goals HDL 60 counts as a negative risk factor, since
its presence removes one risk factor from the total point count

HDL Category by Percent of Employees

PART 4 CHD Risk Category by Total Population

CHD risk category is compared with the Standard Risk of developing CHD
event The Standard Risk is the risk of a cardiovascular event in the
next 10 years for someone of the same age and sex that is a nonsmoker with
a total cholesterol of 180 mg/dL, high-density lipoprotein HDL
cholesterol of 45 mg/dL in males and 55 mg/dL in females, a systolic blood
pressure of 120 mm Hg, and absence of left ventricular hypertrophy LVH
and diabetes

CHD Category Number of Employees Percent

1 Below standard 70 3167

2 1 - 2 x standard 64 2896

3 2 - 3 x standard 35 1584

4 3x standard 52 2353
Total 221

CHD Risk Category Compared to Standard Risk for Employees

Hard and Total CHD Risk by Age Range

Part 5 Smoking Status

Percent Smokers versus Non-Smokers by Age
Category

Part 6 Diabetes And Elevated Glucose

Only two 09 individuals out of 221 employees reported that they had
diabetes Below are the glucose levels that were reported It is unknown
whether these levels are fasting or non-fasting Diabetes is now considered
a CHD equivalent with 20 CHD risk

Glucose Categories by Number of Employees

Summary:
This population was predominantly male 94, with a mean age of 415
years In this subpopulation of 221 employees, 706 had normal to optimal
blood pressure Conversely, 294 of the population had high normal to
elevated blood pressure Approximately 525 had borderline or high total
cholesterol and 303 had unfavorable HDL levels 40 mg/dL
Approximately 40 had 2x standard risk for CHD event Only 11 of the
populations currently smoked cigarettes Only 2 09 reported they had
diabetes, however potentially elevated glucose levels 140 mg/dL,
nonfasting were seen in 5 of the employees Not surprisingly both total
and hard includes MI and coronary death CHD risk increased with age This
analysis provided information that many employees failed to reach goal for
blood pressure,
cholesterol, glucose and smoking cessation, which may
increase their risk for CHD events, as well as affect their quality of life
and work productivity

Recommendations:

Actions taken with the CHD Risk Assessment Program to improve care
included:
1 All participants had their CHD risk calculated and estimated for the
next 10 years
2 All individuals that had elevated BP, cholesterol, weight, glucose or
smoked cigarettes were encouraged to set-up an appointment to share
this data with their doctor
3 Educational material on TLC diet, weight reduction, increased physical
activity and other topics were provided in oral and written form
4 The attached report was completed to assist in the analysis of the
health status of the participants for selected conditions

Suggested further actions:
1 Individuals with total cholesterol 200 mg/dL or HDL 40 mg/dL
should have a follow-up lipoprotein profile as recommended by ATPIII
guidelines
2 Continue to increase awareness of the risk and consequences of
elevated BP, cholesterol, glucose, etc through various educational
activities
including consumer awareness literature, newsletters,
screenings, lunch and learn programs
3 Ensure all participants are clear on the specific desired targeted
goals
4 High-risk groups should be targeted to the greatest extent
5 Exercise, lifestyle modification, appropriate drug therapy and
regular follow-up with an employees primary care physician will be
the key to reducing cardiac risk in the future
6 Consider ATP III screening guidelines: Risk assessment requires LDL-C
as part of the lipoprotein analysis and identification of accompanying
risk determinates If the testing opportunity is non-fasting, only
the total cholesterol and HDL will be usable
7 Consider expanding the analysis to include current treatments to
determine how many participants are getting to goal with their current
therapies
8 Compare future screening with this screening to determine trends of
improvement or decline in health status ie ability to reach target
or optimal levels

CMHS - The Results

Cardiovascular
Risk Assessment and Data Analysis - Senate

Members and Staff from the

U S Senate

Achieving NCEP, and JNC VI Goals

June 14, 2001

Provided as a Service by:

Mens Health Network
Supported in Part by Pfizer

CHD Risk Assessment and Data Analysis

Introduction

As part of the National Mens Health Week 2001 initiative and health-
screening program at the Hart Senate Office Building on June 14, 2001, a
subset of participants number102 elected to take part in the CHD Risk
Assessment Program Participants entering the CHD risk program were shown
the Coronary Heart Disease CHD Risk Calculator This software helped to
illustrate how important changes in reaching blood pressure BP, glucose,
and cholesterol targets or smoking cessation can have dramatic impact
on
their risk of developing heart disease In this way, the program
encourages adherence to therapeutic lifestyle changes TLC such as TLC
diet, weight management and increased physical activity, as well as
compliance with drug therapy Utilizing the CHD Risk Calculator provided
each participant with an assessment of their risk of coronary heart disease
over the next 10 years compared with a standard risk for a person of the
same age and sex based on data from the Framingham Heart Study1-3 Only
de-identified data was collected during this program This report reviews
the data obtained from those entering the CHD Risk Program at the Rayburn
House Office Building

Background Information

Coronary heart disease CHD is one of the leading causes of disability and
death in the United States, claiming over half a million lives annually4
Landmark studies such as the Scandinavian Simvastatin Survival Study 4S5
and the West of Scotland Coronary Prevention Study Group WOSCOPS6 have
increased the awareness among members of the medical community that
treatment of patients/employees with hypercholesterolemia can decrease
morbidity
and mortality from cardiac events In addition, hypertension,
low high density lipoprotein cholesterol HDL, family history of premature
CHD and age have been determined to be major risk factors for CHD

The Sixth Report of the Joint National Committee on Prevention, Detection,
Evaluation, and Treatment of High Blood Pressure JNC VI provided further
guidance on the management of hypertension Since 1993 JNC V, age-adjusted
stroke rates have risen slightly and coronary heart disease declines are
now leveling10,11 Also, rates have increased for both the incidence of
end-stage renal disease, and the prevalence of heart failure wherein a
large majority of patients have antecedent hypertension12,13 Three-
fourths of patients with hypertension do not have adequate control ie
140/90 mm Hg14

Objectives

1 To evaluate Cholesterol, BP and Serum Glucose goal attainment for staff
at the Rayburn House Office Building
2 To evaluate the presence of risk factors within the employee population

3 Present gathered study information to assess and identify areas for
improvement
4 Make recommendations to improve care

Method

Staff from the Hart Senate Office Building that elected to participate in
the CHD Risk Assessment Program were evaluated by health professionals
using the CHD Risk Calculator software during the Mens Health
Networks
health screening on June 14, 2001 Each participant signed a consent form
to agree to participate in the program and to allow their data to be part
of the review and analysis Each participant was assigned a random number
and all information was de-identified

Data Points Collected:

1 Age, gender, presence of CAD, cardiac risk factors diabetes, family
history, smoking, etc
2 Initial total cholesterol, TG and HDL determination, date
3 Systolic and Diastolic Blood Pressure

Limitations of the analysis:

Results Of The Screening

Part I Demographics

Gender

Age

Percent Of Employees By Age Category

Percent Of Employees By Ethnic Category

Part 2 Blood Pressure

|Diastolic Blood Pressure |
|Range 60-100 |
| | Employees |Per Cent |
|Optimal 80 subset of |37 |37 |
|normal | | |
|Normal 85
|81 |81 |
|High Normal 85-89 |8 |8 |
|Hypertension Stage 1 |8 |8 |
|90-99 | | |
|Hypertension Stage 2 |4 |4 |
|100-109 | | |
|Hypertension Stage 3 |0 |0 |
|110 | | |

|Systolic Blood Pressure |
|Range 100-188 |
| | Employees |Per Cent |
|Optimal 120 subset of |43 |43 |
|normal | | |
|Normal 130 |69 |69 |
|High Normal 130-139 |20 |20 |
|Hypertension Stage 1 |11 |11 |
|140-159 | | |
|Hypertension Stage 2 |0
|0 |
|160-179 | | |
|Hypertension Stage 3 |1 |1 |
|180 | | |

Part 3 Total and HDL Cholesterol Level Results

Range

|Total Number of Employees 95 |
| |Range mg/dL |Average mg/dL |
|Total Cholesterol |123-341 |204 |
|HDL Cholesterol |15-100 |48 |

Total Cholesterol Category By Number Of Employees

|Total Cholesterol |ATPIII TC Range |Number of employees |
| | |Per Cent |
|Desirable |200 |52 55 |
|High Normal |200-239 |25 26 |
|High |240 |18 19 |

HDL Cholesterol Category by Number of Employees

|HDL Cholesterol |ATPIII HDL Range |Number of employees |
| | |Per
Cent |
|Unfavorable |40 |31 33 |
|Acceptable |40-59 |44 46 |
|Favorable |60 |20 21 |

PART 4 Blood Sugar Non-fasting

Part 5 Diabetes and Elevated Glucose

Only four 4 individuals out of 102 employees had glucose levels over 140
mg/dl It is unknown whether these levels are fasting or non-fasting
Diabetes is now considered a CHD equivalent with 20 CHD risk

Summary:
This population was predominantly male 76, with a mean age of 38 years
In this subpopulation of 102 employees, 69 had normal to optimal systolic
blood pressure Conversely, 31 of the population had high normal to
elevated systolic blood pressure Approximately 45 had borderline or high
total cholesterol and 33 had unfavorable HDL levels 40 mg/dL Elevated
glucose levels 140 mg/dL, nonfasting were seen in 4 of the employees
This analysis provided information that many employees failed to reach goal
for blood pressure, and cholesterol, which may increase their risk for CHD
events, as well as affect their quality of life and work
productivity

Recommendations:

Suggested further actions:
1 Individuals with total cholesterol 200 mg/dL or HDL 40 mg/dL
should have a follow-up lipoprotein profile as recommended by ATPIII
guidelines
2 Continue to increase awareness of the risk and consequences of
elevated BP, cholesterol, glucose, etc through various educational
activities including consumer awareness literature, newsletters,
screenings, lunch and learn programs
3 Ensure all participants are clear on
the specific desired targeted
goals
4 High-risk groups should be targeted to the greatest extent
5 Exercise, lifestyle modification, appropriate drug therapy and regular
follow-up with an employees primary care physician will be the key to
reducing cardiac risk in the future
6 Consider ATP III screening guidelines: Risk assessment requires LDL-C
as part of the lipoprotein analysis and identification of accompanying
risk determinates If the testing opportunity is non-fasting, only
the total cholesterol and HDL will be usable
7 Consider expanding the analysis to include current treatments to
determine how many participants are getting to goal with their current
therapies
8 Compare future screening with this screening to determine trends of
improvement or decline in health status ie ability to reach target
or optimal levels

CMHS - The Results

Cardiovascular Risk Assessment and Data Analysis - References

References:
1 Anderson KM Wilson PWF, Odell PM, Kannel WB An updated coronary risk
profile: a
statement for health professionals Circulation
1991;83:356-362
2 Scott G, Pasternack R, Greenland P, Smith S, Fuster V Assessment of
cardiovascular risk by use of multiple-risk-factor assessment equations:
a statement for healthcare professionals from the American Heart
Association and the American College of Cardiology Circulation 1999;
10013:1481-1492
3 DAgostino RB, Russell MW, Huse DM, Ellison RC, Silbershatz H, Wilson
PWF, Hartz SC Primary and subsequent coronary risk appraisal: New
results from The Framingham Study Am Heart J 2000; 1392:272-281
4 Consensus Conference Lowering blood cholesterol to prevent heart
disease JAMA 1985; 253:2080-6
5 Randomized trial of cholesterol lowering in 4444 employees with coronary
heart disease: the Scandinavian Simvastatin
Survival Study 4S Lancet 1994:344:1383-1389
6 Prevention of Coronary Heart Disease with Pravastatin in Men with
Hypercholesterolemia NEJM 1995;333:1301-1307
7 Expert Panel on Detection, Evaluation and Treatment of High Blood
Cholesterol in Adults Summary of the second report of the
National
Cholesterol Education Program NCEP Expert Panel on Detection,
Evaluation and Treatment of High Blood Cholesterol in Adults Adult
Treatment Panel III JAMA 2001 28510: 2486-2497
8 Marcelino JJ, Feingold KR: Inadequate treatment with HMG CoA reductase
inhibitors by health care providers Am J Med 1996; 100:605-10
9 Hoerger TJ: National center for health statistics: National health and
nutrition examination survey III; 1994 data collected 1988-1991
10 The Sixth Report of the Joint National Committee on Prevention,
Detection, Evaluation, and Treatment of High Blood Pressure Arch Intern
Med 1997; 157:2413-2446
11 National Heart Lung Blood Institute Fact Book Fiscal Year 1996
Bethesda, MD; US Department of Health and Human Services, National
Institutes of Health 1997
12 Levy D et al The progression from hypertension to congestive heart
failure JAMA 1996;275:1557-1562
13 US Renal Data System USRDS 1997 Annual Report US Dept of Health and
Human Services, National Institute of Diabetes and Digestive and Kidney
Disease 1997
14 Burt VL, et al Prevalence of hypertension in the US adult
population:
results from the third National Health and Nutrition Examination Survey
1988-1991 Hypertension 1995; 25:305-313
15 American Diabetes Association: Management of Dyslipidemia in Adults
With Diabetes Position Statement Diabetes Care 22 Suppl
1:S56,1999
16 Stamler J, Stamler R, Neaton JD Blood pressure, systolic and
diastolic, and cardiovascular risks: US population data Arch Intern
Med 1993; 153:598-615
17 American Diabetes Association Standards of Medical Care for Patients
with Diabetes Mellitus Diabetes Care 2000; 23suppl 1:S32-S42
18 American Diabetes Association Management of Dyslipidemia in Adults
with Diabetes Diabetes Care 2000; 23suppl 1:S57-60
19 Grundy SM, Benjamin IJ, Burke GL, Chait A, Eckel RH, Howard BV, Mitch
W, Smith SC, Sowers JR Diabetes and Cardiovascular Disease: A
Statement for Healthcare Professionals From the American Heart
Association Circulation 1999; 100:1134-1146
20 Mosca L, Grundy SM, Judelson D, King K, Limacher M, Oparil S, Pasternak
R, Pearson TA, Redberg RF, Smith SC, Winston M, Zinberg S, Guide to
Preventive Cardiology
for Women AHA/ACC Scientific Statement:
Consensus Panel Statement Circulation 1999: 99:2480-2484

Congressional Mens Health Screenings - 2001
Cosponsors

Senate

Senator Richard Shelby
Senator Bill Frist
Senator Tom Harkin
Senator Jesse Helms
Senator James Inhofe
Senator Daniel Inouye
Senator Rick Santorum

House

Representative Randy Cunningham
Delegate Eleanor Holmes-Norton
Representative Charles Stenholm
Representative Sheila Jackson-Lee
Representative John Conyers
Representative John Lewis
Representative Michael Bilirakis
Representative Thomas Davis
Representative Eliot Engel
Representative James Greenwood
Representative Patrick Kennedy
Representative Peter King
Representative Jim McDermott
Representative Charles Pickering

National Mens Health Week - 2001
Governors Proclamations

Gubernatorial Proclamations for

Mens Health Week

View at: wwwmenshealthweekorg
Some states
do not issue proclamations every year

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Idaho

Illinois

Indiana

Iowa

Kansas

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Nebraska

Nevada

New Hampshire

New Mexico

New Jersey

New York

North Carolina

North Dakota

Ohio

Oklahoma

Pennsylvania

Rhode Island

South Carolina

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Mens Health As A Public Health Issue

Mens health info here and CDC recent ambulatory report info

Mens Health Network

The Mens Health Network MHN was created in 1992 as an educational
campaign to significantly improve male health, longevity, and quality of
life

Goals:
The goals of the Network are as follows:
to save mens lives by reducing the premature mortality of men and
boys;
to foster health care education and services that implement positive
lifestyle decisions for men of all ages, and their families;
to increase the physical and
mental health of men so that they can
live fuller and happier lives;
to significantly reduce the cycles of violence and addiction that
afflict so many men;
to energize government involvement in mens health activities so that
existing government health networks can be utilized to increase the
health and well-being of men and boys, and;
to encourage women to expand on their traditional role as the leader
of health care for the family and activist for the enhancement of
health care services

Spokespersons:
Two physician members of the MHN Board of Directors take an active role in
reviewing health content and as well as being spokespersons during National
Mens Health Week Jean Bonhomme, MD, MPH is founder of the National Black
Mens Health Network and a researcher with Emory University David
Gremillion, MD, FACP, a retired Air Force Colonel and past president of the
Society of Air Force Physicians, is currently an Associate Professor of
Medicine at the North Carolina School of Medicine

Other spokespersons include: Betty Gallo, founder of the Dean and Betty
Gallo Prostate Cancer Center; Armin Brott, syndicated radio host and author
of
19 Ways to Save Your Husbands Life and several best-selling parenting
books; Tracie Snitker, Director of Public Affairs for MHN; and Andrew
Kimbrell, founder of the International Center for Technology Assessment,
general editor of The Green Lifestyle Handbook, and author of The Human
Body Shop, The Masculine Mystique, and 101 Ways to Save the Earth

Educational materials:
MHN has developed an array of health brochures which provide information on
prostate, testicular cancers, a Check It Out screening guideline
Specific guidelines for different populations outlining increased risk
factors have been developed and Spanish translations have been made

Workplace Health Awareness and Education Programs:
MHN works with health care entities to develop protocols for workplace
health programs designed to engage men in proactive health care activities
and networks with government entities, private employers and health care
providers to bring health information and screenings to the workplace

The recently launched MHN HealthZone, a new mens health initiative
designed to encourage a renewed commitment to mens health care by making
screening services more attainable to consumers, hospitals,
health clinics,
community centers and large employers, is part of this outreach MHN
HealthZone provides free health screenings for cholesterol, diabetes,
hypertension, obesity, prostate cancer, and erectile dysfunction

The first MHN HealthZone screening was conducted June of 2001 at the Rotary
International Conference in San Antonio Over 450 men and women from 31
different countries took this opportunity to be screened and to consult
with health educators

A flyer will be sent out to over 3,000 hospitals, employers and other
health entities to announce the availability of a free Health Zone planning
kit created to help activate organizations nationwide to conduct their own
mens health screenings

Advocacy:
Mens Health Network accomplishments and programs include advocating for
the Congressional passage of National Mens Health Week Sponsored by
Senator Bob Dole and Congressman Bill Richardson it was signed into law by
President Clinton on May 31, 1994, and is recognized each year as the week
leading up to and including Fathers Day Each year during this time MHN
asks that the Governors of each state declare a Mens Health Week in their
state Governors, public health officials,
and health activists are
encouraged to use this event to focus media attention on mens health
needs

Cancer Education Awareness:
MHN is honored to participate in a number of prestigious efforts in the
fight against cancer, including the National Dialogue on Cancer, One Voice
Against Cancer, and the National Prostate Cancer Coalition One Voice
Against Cancer is an unprecedented coalition of over 35 major cancer
organizations supportive of increased research efforts at NIH and NCI and
increased support for the prevention, awareness, and early detection
programs at CDC
———————–
Percent Of Participants

Age Category

Percent Of Particpants

Age Category

|Ethnicity |Count |
| |Percent |
|African-Americ|45 20 |
|an | |
|Asian |4 18 |
|Caucasian |163 74 |
|Hispanic |4 18 |
|Other |5 23 |
|Total |221 100|

Percent

JNC VI Category for Blood Pressure

Percent

HDL mg/dL

Risk Category

Percent

Hard risk includes MI and coronary death Total CHD includes angina,
recognized and unrecognized MI, unstable angina, and coronary death

Age Category

Percent

Age Category

Number

Glucose Level mg/dL

|Age of Participants |
| |Senate|House|
|Average |383 |389 |
|Median |38 |37 |
|Oldest Male |68 |80 |
|Youngest Male |19 |18 |
|Oldest Female |87 |60 |
|Youngest |20 |20 |
|Female | | |

Source:patientpowered.org

del.icio.us:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

digg:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

spurl:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

newsvine:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

blinklist:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

furl:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

reddit:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

fark:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

Y!:Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among ...

Diabetes Treatments

Diabetes mellitus is a collection of serious diseases affecting nearly 16 The diabetes death rate among Asian Americans is increasing faster than among …

Recent Diabetes Treatments Articles

Categories