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Hello,  

It must have been 20 years or so since I organised an Activity Holiday in Portugal at the invitation of a practicing GP in the Algarve. The theme of the week was ‘living healthily into old age’, something with which the doctor was very familiar as his surgery was based in a holiday resort where many Brits had chosen to retire.
 
It was a wonderful week, thoroughly enjoyed by the nine guests who joined us. I taught healthy eating and we did some workouts whilst the doctor gave very interesting talks on health and how we could live longer. In one lecture, I was fascinated when he started with the words ‘HRT is a magic drug!’
 
I was already a big fan of HRT as, after hitting what felt like a brick wall in my early 50s when I lost confidence, energy and my general ‘joie de vivre’, my doctor put me on HRT. I have taken it ever since and intend to do so for the rest of my life. But HRT does much more than just reduce those menopausal symptoms. It strengthens our bones and I honestly believe that if I were not on HRT, I would have broken various bones in recent years when I have fallen heavily on my hip or wrist.
 
BONE HEALTH
Our bone health is absolutely critical to our long-term health and ability to live life to the full. Thankfully, whether we use HRT or not, there is lots we can do to keep our bones stronger which is particularly important as we get older and lose bone density. By eating calcium rich foods and exercising regularly we really can make a difference.
 
Consuming sufficient calcium also helps to keep our teeth healthy, helps to regulate our muscle contractions (including our heartbeat), and helps our blood to clot normally should we cut ourselves. It is therefore clear to see that calcium is a critical nutrient we need for our general health.
 
The good news is that we should be able to get enough of it from eating a normal healthy diet, particularly if we take milk in our beverages and on cereal. Calcium can be found in a variety of foods especially:

  • milk, yogurt, cheese and other dairy foods
  • green leafy vegetables – such as curly kale or okra - but not spinach (spinach does contain high levels of calcium but the body cannot digest it all)
  • soya drinks with added calcium
  • bread, cereal, and anything made with fortified flour
  • fish where you eat the bones – such as sardines and pilchards

Whilst food plays an important role in helping us to have stronger bones, exercise plays a vital role too. Mary will explain this later but it helps to understand that strength exercise, for instance when we workout with a resistance band or hand weights which causes our muscles to work harder, we very effectively help our bones to become stronger. This happens because when our muscles have to work harder, and with the muscles being attached to the bones, they send a message to the bones to become stronger.
 
MENOPAUSE
Going through the menopause can cause all kinds of issues as well as hot flushes, lack of energy, and brain fog, but it can also be the reason behind recurrent UTIs (urinary tract infections) which can be particularly debilitating. If you or anyone you know is suffering from this very uncomfortable condition, your GP will be able to carry out a simple test to see if you are peri-menopausal or going through the menopause and it is possible that HRT may help as a solution. You may also find our videos on Menopause, HRT & Osteoporosis and UTIs helpful.
 
The more I learn about the wide range of benefits of eating healthily and exercising regularly, the more I wonder why everyone doesn’t do it! It just makes such great sense.

Recipe of the Week

Serves 4
Per serving: 130 Calories, 1.7% fat
Prep time: 5 mins
Cook time: 2½ hrs
 

1 pt (500ml) semi-skimmed milk
25g pudding rice
50g sugar
pinch of nutmeg (optional)
Blueberries to serve (optional)
 

  1. Stir the milk, rice and sugar together in an ovenproof dish. Sprinkle the nutmeg.
  2. Cook in the oven for 2 - 2½ hours at 150°C, 300°F, or Gas Mark 2.
  3. If the pudding is still sloppy 30 - 40 minutes before it is to be eaten, raise the oven temperature to 160°C, 325°F, Gas Mark 3.
  4. Serve hot or cold. If you intend to serve cold, remove from the oven while still very moist as it will become stiffer and drier when cool. Spoon into serving bowls and sprinkle with further nutmeg, or a few blueberries, as desired.
For more recipes click here to visit the website

Fun, Facts & Fitness from Mary Morris MSc.


I can't remember when I started to think more about what was going on on the inside rather than on the outside of my body.  I am referring to the fact that at some point I became much more conscious about how my body was working rather than how it was looking! This is an important transition and one I hope you too have made, as it changes quite fundamentally what we do each and every day.

That is not to say I don't care about how I look anymore, it's just that I put my health as a top priority, and I think it began during the menopause.  I started HRT when I was just 47 as I was suffering debilitating hot flushes, sleepless nights and was pretty stressed. I was working full-time, looking after elderly parents and still fussing over my three kids, so life was unquestionably hectic. And by the time I was 50 I was studying for my Masters degree!  That's when I started researching in depth the effects of the menopause on women and how it affects us both physically and mentally and most importantly what we can do about it. The good news is there is a lot we can do!
 

Heart Disease Risk

It is a fact that when women reach the menopause their risk of heart disease becomes equal to that of men, giving us a strong reason to make sure we do plenty of exercise that keeps our cardiovascular system in great condition.  Exercise has been shown to increase the amount of high-density lipoproteins (HDL, or good cholesterol) and reduce the levels of low-density lipoproteins (LDL or bad cholesterol) which then significantly lowers our chance of having heart problems.

Our daily walk that we recommend every single week plays a really big part in this, as does any rhythmic activity such as aerobic dancing, swimming and cycling. It is critical to our good health that this type of exercise must feature in our weekly activities.   

 

Bones

There is unquestionably a connection between the menopause and increased bone loss. This aggressive period of bone loss can account for as much as a 20% reduction which is very significant. The first 3 - 6 years after menopause are critical to the strength of our postmenopausal bones. To try to counter this we need to ensure we eat good quality nutrition to boost our bone health (including a good calcium-rich diet combined with adequate Vitamin D) as well as the right type of exercise (weight bearing, such as whole-body strength training) to encourage bone strength.  Whether it is you or a family member who falls into that age category, please do take note. 

The great news is that bone strength can be improved no matter what our age but we have to work at it. One lady I know in her mid-70s has recently been taken off all osteoporotic medication as her bone strength has increased enough simply through her commitment to making those significant lifestyle changes. It just shows it can be done.

 

Plumbing

How is your plumbing?  A strange question I know and you are possibly wondering why I am asking it in the first place, but this came up on one of our 'girlie ' walks recently and I thought it was worth sharing that discussion with you. It all began with a chat about how all post-menopausal women have concerns about the nearness of a toilet whenever we go out, particularly on our longer walks. 

The general consensus was that it was closely related to the fact we are of a certain age and it was to be expected. The need for a strong pelvic floor to help reduce stress-incontinence is vital in helping with this problem and we show you some Pelvic Floor Exercises on our website. Practised regularly you can make such a difference to the risks of any leakage.

Also, make sure you avoid constipation. The eating plan in The 28-Day Immunity Plan includes plenty of fresh salad, vegetables, and some fruit, and this plays a vital part in keeping us regular. Combine this with plenty of exercise to help that food move through the body smoothly and efficiently, and we feel so much better for it.  

 

Mental Health

This is such a hot topic and one that is not going away anytime soon. We are so much more aware of the effects of poor mental health on our overall well-being and quite rightly we need to address it.  Problems often start during the menopause as many find it hard to accept the changes that are taking place. Sometimes this can lead to weight gain and a changing body shape, or just difficulty coping with everyday situations.

Talking to others in the same situation can be not only helpful but a real tonic and can make you feel less alone with your symptoms. Social interaction at any age is vital to our mental health as others can help you put any issues into perspective and lower your sense of anxiety and stress.  Also, if you are living alone, try to make every effort to mix with others as often as possible. There are always various groups that you could connect with, so do find what is on offer in your area.

 

It was a delight to listen to one of our Leicestershire Police team (with whom Rosemary and I have been working for the last two years in an effort to improve their wellbeing), say how much her menopausal symptoms had reduced significantly since following The 28-Day Immunity PlanThis is music to our ears as the programme touches on all the issues raised above and although you cannot completely alleviate all those bodily changes that cause so much discomfort, you can at least make them more tolerable.

This Week's Fitness Challenge


  1. Do the Pelvic Floor Exercises and learn how to keep your pelvic floor strong. Practise them every day this week. The beauty of doing them regularly is that no-one needs to know as they can be done anytime and in any place!
     
  2. On your daily 30+ minute walk, make sure you get out of breath at some point, if only for a few seconds. It is essential for improving all those elements that keep your heart healthy.
     
  3. Let's also focus on your bones this week with three strength workouts. Do the Standing Weights Workout or the Standing Band Workout using hand-weights or a resistance Toning Band.
Did you know... 

While encouraging the intake of dairy as a source of Calcium, we are also conscious of the increasing number of people who have lactose intolerance. Lactose is a sugar found in dairy products and intolerance to it is due to the lack of the lactase enzyme in the small intestine. The lactase enzyme breaks down the lactose into the more easily absorbed glucose and galactose.

Symptoms of lactose intolerance may include abdominal pain, bloating, diarrhoea, flatulence, and nausea and typically start as quickly as 30 minutes after eating or drinking something containing lactose.

Most people who develop lactose intolerance quickly learn how much dairy they can or cannot tolerate. Fortunately, as the condition is becoming more widely recognised, dairy substitutes such as oat milk, almond milk or soy milk are becoming widely available. All are rich in calcium.

For those that prefer the taste of dairy milk, lactose-free milk such as the Lacto FREE brand can be found in most supermarkets. Alternatively, liquid lactase enzyme can be bought online and can be used to treat standard milk at home by adding a few drops to every pint and leaving it for a few hours to break down the lactose before consuming.


Further information is available on the NHS website

And finally...

I hope our advice and information in this week’s Newsletter will help you and your loved ones to understand more about addressing any issues that are troubling you and preventing you from living life to the full.

It can be just one area of our body that isn’t working properly and that can really bring us down. It is worth getting to the root of it if you possibly can. I know doctors are under pressure but that doesn’t mean they don’t have time to see you.

Have a great week.

With love and best wishes,

Rosemary Conley CBE DL

LIVE LONGER | LIVE HEALTHIER | LIVE HAPPIER

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