CXXIII : Health Fairs

One particular aspect I absolutely enjoy about being a pharmacy student is attending health fairs. I like being able to translate those medical connections into terms that other people can understand. I want people to understand their own health and how to take care of themselves. What can they do for themselves. Because ultimately, it is the patient who is in charge of how their health will progress. Will they get better? Will they stay the same? Will they get worse? Participants who come to the health fairs are people who need to understand in order to prevent developing health problems such as hypertension (high blood pressure), diabetes (high blood glucose), dyslipidemia (high cholesterol and/or triglycerides), osteoporosis (low bone density); people who are interested in learning more about certain diseases such as heartburn, sexually transmitted infections, and asthma; people who want to take advantage of getting a free flu shot and find that they learn about vaccines as well; people who know they have health problems or are at risk of developing health problems and want to know how to combat it.

This is what I am Director of...

I want to tell people all that I can about over-the-counter medications, but what do people want to know? What do people know? What have they tried? What are their experiences? Some people don't feel comfortable revealing any of this, which makes it difficult to talk to them.

I participated in a health fair yesterday in a primarily Chinese community, so I was forced to use my limited Mandarin skills to counsel participants on body fat. We used a machine that measures a person's BMI and % body fat. It's called a BIA and it sends electric signals through your body as you hold its two metal sides, and it detects the conductance of these electric signals. Muscles conduct electricity more than fat does, so a slower conductance registers as increased fat content. Since water and food could potentially make the measurement inaccurate, it is best to measure your body fat in the morning before you eat. The BMI is calculated using your height and weight, so it sees whether your weight is acceptable/healthy for your given height. It does not tell you if your body is composed more of fat or of muscle. BMI should not be 25 or greater, as that is generally indicative of being overweight. At the health fair yesterday, most of the participants were Asian and had good BMI. However, their fat % reached as much as 40%, which is obviously too high. The recommended body fat % for women is 22-25% and for men is 15-18%.

So how does it make sense to have a normal, good BMI, but have a high body fat percentage? This is because high weight does not always correlate to fat, and normal weight does not always correlate to less fat. Fat may not be evenly distributed in the body, so when you lose weight, you may not be losing fat, you might be converting muscle into fat instead. It is important to know that just because you see your BMI is 24.9 doesn't mean you should go on a diet or you should immediately think you have to lose weight. What you should be doing is modifying your lifestyle. Exercise, again, is a key factor. Consuming less glucose foods (because excess glucose to your body means more conversion to fat to store energy for later) doesn't mean avoiding fruits. It is better to consume mono and polyunsaturated fatty acids than saturated. Completely avoid trans fats.

So I had to say this and more in Chinese to the participants, who kept coming nonstop for a good 4.5 hours. It was the busiest health fair I've been to, which was a good experience, though it did have it's negative aspects. I wasn't able to rest so sometimes I'd feel compelled to say less to a participant just to get them over with. Usually, we hope to get to know the participant's lifestyle to help them make beneficial small changes that can help with their health, but at health fairs that are nonstop busy, it gets impossible to do so. This makes me want to open a clinic to provide these services to people. Have them feel comfortable talking about themselves, their lifestyles, their concerns with a health care professional who wants to help them control their health to the best they can. This is just one possible future I can have...