Healthy Eating 92 Beginning Fitness . . . 94 Painful Remedy - ISSUES 96 •Z Women's health has RUTHAN BRODSKY Special to the Jewish News moved up the research ladder over the last 12 years. Dr. Lisa Finkelstein: Some things are not "inevitable. " I n the past 10 years, the interest in health issues for women over 50 has increased greatly. From a physiological perspective, women's health now refers to the prevention, diagnosis and management of conditions or diseases that may be unique to women, be more prevalent in women, or manifest differently in women than men. This change from a focus on reproductive issues came with the establishment of the Office of Research in Women's Health (ORWH) in 1990 by the U.S. National Institutes of Health to fill serious gaps in women's health research. ORWH is now conducting the Women's Health Initiative, the largest, most ambitious study of women's health in the world. The 15-year study has enrolled 164,500 postmenopausal women in the U.S. It will answer questions about hormone replacement therapy (HRT), calcium supplements, and diet in the preven- tion and treatment of heart disease, osteoporosis, and breast and colorectal cancer. The results of this study and recent studies of menopause are particularly important because, although women live 6.4 years longer than men, they suffer poorer health outcomes and greater disability from disease. One study, "The International Position Paper on Women's Health and Menopause: A Comprehensive Approach," was published in May Susan Hendrix, D.O., Department of Obstetrics and Gynecology, Wayne State University School of Medicine and Hutzel Hospital in Detroit, was a major author. "The menopause offers the health care provider an opportunity to assess each woman's health, her con- cerns, and the need for health promotion and disease prevention measures," says Dr. Hendrix, who is not Jewish. "Today's health care provider has to consider a bewildering array of changing 'facts' and sees increasing- ly informed patients with strong personal convictions about the menopause and their need for medication. "The provider must be prepared to discuss a variety of age-related topics, and decide what to recommend for a specific woman — often in less time than ever before." Although some women have no problem with menopause, others are miserable, and most fit some- where in between. Symptoms related to the menopause transition include hot flashes and night sweats, sleep- 6/21 2002