How Healthy Are You?

Easy Ways of Assessing Your Own Health

You don’t have to get your knee struck with a rubber hammer or a vein stung with a needle to find out health status. Do these easy self-checks on general health.

How is Your Heart Health?

1. Waist circumference

Belly fat is a genuine time bomb. Women whose waist measures more than 35 inches have a 79 percent greater overall risk for dying from all causes, including heart disease and cancer, than those with a 28-inch or smaller waist. Place a tape measure around the widest part of your middle, usually right near your navel.Abs are mostly made in the kitchen. Eat seven to nine servings of fruit and veggies and three servings of whole grains daily and two weekly servings of omega-3-rich fish, such as salmon. Aim to get 30 grams of fiber and at least 50 grams of lean protein a day. Work out, too, with an hour of cardio three or more days a week and strength training twice weekly.

2. Resting heart rate

Your RHR (resting heart rate) is a good measurement of fitness: The lower it is, the better shape you’re in. Before you get out of bed in the morning, use your index and middle finger to find your pulse on your inner wrist. Count the beats for 10 seconds and multiply that number by six (this will give you your heart’s beats per minute, or bpm).

> 80 bpm = Fair (Though questionable) 60 to 80 bpm = Good (Normal)

Some superfit people have an RHR of under 60, which is great. But an RHR under 60 or above 80 could indicate dehydration or an underlying medical problem like thyroid disease or anemia. If your numbers fall into either category and you’re relatively fit and well hydrated, see your doctor. All cardio helps lower your RHR, but the best way to do that is through interval training. Short bursts of high-intensity exercise increase your anaerobic threshold, which turns your heart into a more efficient muscle. Add 30 to 60 seconds speed intervals to a bike ride, an elliptical session, or a run once or twice a week.

3. Heart rate recovery

The faster your heart returns to its normal rate after exercise, the healthier it is. If your ticker’s rate doesn’t drop at least 12 beats within a minute post-exercise, you’re at a higher risk for cardiac disease and even death. Figure out your target heart rate with this equation:

(220 – age) × 0.6 = low end of target heart rate (220 – age) × 0.8 = high end of target heart rate E.g.: a 39-year-old woman (220 – 39) × 0.6 = 109 for low end (220 – 39) × 0.8 = 145 for high end

Work out – run or cycle – until you hit that zone. To measure it, use a heart rate monitor. Stop and immediately take your pulse. One minute after you stop exercising, take your pulse again. Subtract the second number from the first.

< 12 = Poor > 12 = Good

If your number is less than 12, your goal is to get at least 150 minutes weekly – or five 30-minute sessions – of steady aerobic exercise, like power walking. Nothing too intense: On a scale of 1 (easy for you) to 10 (extremely hard), shoot for a 4 or 5. See your doctor for a checkup before you get started if you’re not used to exercise. As you gain cardiovascular fitness and your heart rate recovery number gets higher, bump up your workout length and intensity.

4. Earlobe creases

These creases form during your adult years and are linked to coronary artery disease, high cholesterol, and diabetes. Heart disease doesn’t cause earlobe creases, nor do the creases cause heart disease, but they seem to be a marker for an unhealthy lifestyle. One study found a correlation of as great as 80% between diagonal ear creases in people under age 40 and coronary artery disease. To check for creases, look for a line running at an angle from the bottom of your ear opening toward the edge of your lobe.

Crease = Poor (Higher Risk) No Crease = Good (Lower Risk)

Although you can’t make creases disappear, you can minimize your risk factors for heart disease. Know your family history; keep your weight, blood pressure, and cholesterol within a healthy range; exercise regularly; eat healthfully; and do whatever you can to reduce stress.

Are Your Joints Healthy?

5. Osteoarthritis risk Twenty-seven million people in the United States over age 25 suffer from osteoarthritis, a condition that happens when the cartilage in your joints deteriorates and moving the joint is painful, according to the National Institutes of Health.

To help gauge your risk, hold up one hand and take a look. If your index finger is shorter than your ring finger, you may be nearly twice as likely to develop osteoarthritis. The finger-length discrepancy points to lower-than-average levels of estrogen, which may be a cause of the condition.

Index finger shorter than ring finger = Poor (Higher Risk) Index finger equal to or longer than ring finger = Good (Lower Risk) Help prevent osteoarthritis by regularly doing a variety of exercises and maintaining a healthy weight, which puts less strain on joints.

Are You Getting Enough Sleep?

6. Sleep evaluation Chronic sleep deprivation contributes to obesity, heart disease, and diabetes, among other health hazards. Use the Stanford Sleepiness Scale below to evaluate how you feel throughout the day. Check at around 9 a.m. and 9 p.m., when people are usually most alert, as well as at several other points during the day, including right after breakfast and lunch and while you’re driving. Degree of sleepiness rating: Feeling active, vital, alert, or wide awake Functioning at high levels but not at peak; able to concentrate Awake but relaxed; responsive but not fully alert Somewhat foggy Foggy; losing interest in remaining awake; moving slowly Sleepy, woozy, fighting sleep; prefer to lie down About to fall asleep; having dreamlike thoughts Usually

> 3 = Poor Usually < 3 = Good

Aim for seven to eight hours of sleep at the same time every night. Designate your bed for only sleep and sex – no eating, no television – avoid caffeinated beverages after 2 p.m. and limit alcohol. If you’re still feeling groggy during the day, consult your doctor; you may have sleep apnea.

Can You Think Fast?

7. Verbal fluency How easily you can come up with words while writing or talking is a metric of how well you can recall and use information stored in your long-term memory. To test your fluency, pick one of these three-letter word stems: fin-, win-, cap-, gro-. In 60 seconds, write down as many words as you can that begin with those letters. For example, if you choose fin-, options include financial, finish, final, finicky, and finch.

< 3 = Poor 3 to 9 = Fair > 10 = Good

8. Mental acuity This is a blanket term for attention, focus, planning, memory, and abstract thinking. When mental acuity declines significantly, it may be a sign of Alzheimer’s disease or dementia. To put yours to the test, grab a pen and a timer and time yourself as you connect the dots in the game to the right in this way: number, letter, number, letter, tracing from 1 to A to 2 to B to 3 to C and so on.

> 120 seconds = Poor 75 to 120 seconds = Fair < 75 seconds = Good Playing brain or word games – online, on your phone, or on paper – may help increase your brain speed and flexibility. Recommendation is 15 to 20 minutes a day, five to six days a week.

What’s Your Diabetes Risk?

10. Diabetes risk Adults with this chronic metabolic diseases such as diabetes are two to four times more likely to have a stroke or develop heart disease than those without. Give yourself

1 point for items that apply to you:

Your age is 40 to 45. ___

Your ethnicity is any other than white/Caucasian. ___

You’ve had gestational diabetes. ___

You have a family history of diabetes. ___

You’ve been diagnosed with high blood pressure. ___

Your menstrual cycle is irregular. ___

You’ve had a baby that weighed more than nine pounds at birth. ___

You exercise three to five days a week but not more. ___

Your BMI is 25 to 29.9 (use an online body mass calculator). ___

Give yourself 2 points for Items that apply to you. You are older than 45. ___ Your BMI is 30 or higher. ___

You exercise fewer than three days a week. ___

Your Total Score ___

> 5 points = Poor < 4 points = Good

Proper weight management is essential for lowering your risk for type 2 diabetes. Shoot for at least 150 minutes of physical activity every week and fill your plate with healthy fare.

Your Checkup Health Score

Tally your good (3 points), fair (2 points) and poor (1 point) ratings here to see where you rank.

POOR _______ × 1 = _________ FAIR ________ × 2 = _________ GOOD ______ × 3 = _________ Overall score _________

How Good Your General Health State Is?

25 to 30 If health is wealth, you’re loaded. Keep doing what you’re doing.

19 to 24 Looking good! Work on your problem areas using our expert recommendations, then take the test again next month.

11 to 18 You’ve got room for improvement but you’ve already taken the first step. See your doctor about any concerns and use our Rx plans to help get yourself in fighting shape in no time.

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