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Speaker 1: Coming up this Thursday night, there's going to be a

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Speaker 1: men's health seminar at the Freemason Center for Male Health

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Speaker 1: and Well Being. Two decades of groundbreaking research in fact

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Speaker 1: into men's health. They're going to cover a whole range

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Speaker 1: of different things, testosterone, obesity, skeletal muscle, mental health, sleep, apnea,

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Speaker 1: erectal dysfunction, use of health services by men, improving men's

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Speaker 1: engagement with primary care, and preventing diabetes through muscle gain

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Speaker 1: and fat loss, which is probably very good advice. So

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Speaker 1: you know, getting men to some men anyway, to the

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Speaker 1: point of wanting to find out about what is good

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Speaker 1: for us fellas is sometimes difficult, sometimes not the easiest

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Speaker 1: task in the world, and far easier just to keep

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Speaker 1: going on the way we are and push anything else

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Speaker 1: off to the side. Let's have a chat about the

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Speaker 1: Men's Night, and it's actually at Samary and in the

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Speaker 1: auditorium and this is on North Terrace of course free,

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Speaker 1: but registration is essential. Let's speak with profess a Professor

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Speaker 1: Gary Whittart, who is on the line. Gary, good evening,

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Speaker 1: Thanks for your time, Good.

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Speaker 2: Evening, Matthew, thanks for having me on the show.

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Speaker 1: All right, so this is coming up soon on Thursday night.

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Speaker 1: I just ran through all the topics there while you

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Speaker 1: were just coming on chatting to the jest. But obviously

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Speaker 1: you're canvassing a great deal.

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Speaker 2: Yeah, So Thursday night, sixteenth of October in the Samurai

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Speaker 2: Auditorium from five to seven, and you know, everyone in

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Speaker 2: the public from the public's welcome to attend and come

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Speaker 2: in here about what we've learned about studying men in

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Speaker 2: the cohort that we follow. That means a group of

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Speaker 2: men that we've been following since two thousand and two

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Speaker 2: who live in the northwestern suburbs and have been kind

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Speaker 2: enough to share their lives with us and help us

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Speaker 2: learn something that we can translate into practice and improve

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Speaker 2: the well being of all men.

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Speaker 1: How many group, how many in the group in your cohort.

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Speaker 2: So we combined what was the Flory Adelaide Male Aging Study,

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Speaker 2: which was over one thousand men with another group to

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Speaker 2: make a total of two thousand and six hundred, and

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Speaker 2: that gradually whittles away over time. But that was two

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Speaker 2: waves of follow up, and then a sleep study that

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Speaker 2: we ran in twenty ten, which was about eight hundred

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Speaker 2: and sixty men who had home sleep studies. We followed

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Speaker 2: that up, although that collided with COVID, so we had

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Speaker 2: about three hundred follow up sleep studies and then a

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Speaker 2: follow up after COVID to look at mental health in

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Speaker 2: the group.

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Speaker 1: Okay, and did you find anything surprising or is this

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Speaker 1: something you want to say for Thursday night?

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Speaker 2: Oh? Oh, I'm happy to say because the things are

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Speaker 2: so surprising they're worth saying repeating. I think top of

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Speaker 2: my list is that men don't want to neglect or

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Speaker 2: they don't deliberately neglect their health, but they behave differently

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Speaker 2: in relation to healthcare. So for example, if a blood

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Speaker 2: gets something that is not familiar with, then they tend

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Speaker 2: to self monitor and see how it goes, a bit

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Speaker 2: like the rattle in the car. You might tinker with

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Speaker 2: it and see how it goes. Whereas men who know

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Speaker 2: they've got a particular problem and know what it's about

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Speaker 2: generally take pretty prompt action. So the issues are how

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Speaker 2: much you know and how much you understand, and how

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Speaker 2: accessible care is to you. And then there's a problem

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Speaker 2: of once men get into the healthcare environment, how the

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Speaker 2: practitioner interact with them. Some men prefer certain styles of communication,

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Speaker 2: so directness, breaking tension with humor, being asked questions and

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Speaker 2: not waiting to have to volunteer information. So we think

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Speaker 2: that that by improving health literacy in men, so that

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Speaker 2: how they understand health information, how they access it, how

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Speaker 2: they use it, how they participate in their care can

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Speaker 2: be used to drive the process of care with their

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Speaker 2: general practitioners and the chief better outcomes. And we're going

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Speaker 2: to be talking about a project that we're doing in

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Speaker 2: that regard.

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Speaker 1: What's the biggest issue. Is it blug's being overweight, is

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Speaker 1: it blugs neglecting prostate issues? What's the biggest thing?

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Speaker 2: Well, I think the biggest thing is probably the same

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Speaker 2: things for everybody. We're seeing an epidemic of chronic health conditions,

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Speaker 2: largely driven by obesity and lifestyle factors, So diets that

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Speaker 2: have got lots of highly processed foods, alcohol, insufficient fruit

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Speaker 2: and vegetables, insufficient exercise, and then this problem of not

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Speaker 2: getting quite enough sleep. One of the things we found

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Speaker 2: with the Sleep study is one in two men over

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Speaker 2: the age of forty have got this condition called obstructive

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Speaker 2: sleep APNA, where airway gets blocked at night when people

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Speaker 2: are trying to breathe, and the oxygen level in the

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Speaker 2: blood drops. So about half of those men have moderate

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Speaker 2: to severe and half again severe, and this is associated

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Speaker 2: with things like high blood pressure, risk of stroke, risk

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Speaker 2: of heart disease, diabetes, sexual dysfunction, cognitive dysfunction, and just

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Speaker 2: generally feeling poor.

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Speaker 1: Okay, so how you wouldn't necessarily know you've got this potential.

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Speaker 2: This is the thing, and we were very surprised how

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Speaker 2: frequent it was. But no, it's something people wouldn't realize

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Speaker 2: that they've got. And the other things are you know,

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Speaker 2: there's very frequent to get lower urinary tract symptoms, so

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Speaker 2: getting up at night, to pass urine, uriney frequency or

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Speaker 2: urgency during the day, and it's commonly attributed to the prostate,

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Speaker 2: but in fact, what we find is that even when

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Speaker 2: there's a big prostate, there are many other disorders that

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Speaker 2: are actually causing this problem, one of which is sleep

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Speaker 2: at near another of which is high blood pressure. It's

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Speaker 2: also linked to diabetes and high disease and inflammation, insufficient

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Speaker 2: physical activity, and certain dietary habits. So by addressing all

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Speaker 2: of these things that it's kind of like a canary

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Speaker 2: in the coal mine, and so many of these things

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Speaker 2: converge back onto the original problem. So one of the

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Speaker 2: things we think is if general practitioners just asked men

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Speaker 2: two questions, are you getting up at night to pass urine?

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Speaker 2: And are you having trouble with your erections? That would

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Speaker 2: lead to a search for a whole range of risk

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Speaker 2: factors and chronics disorders. If one of those two things was.

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Speaker 1: Present, Wow, all right, So would it be I mean,

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Speaker 1: if you were getting up in the middle of the

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Speaker 1: night to go and wait? Would it be an every

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Speaker 1: night thing or is it only an occasional thing?

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Speaker 2: It can be occasional and sometimes it's obviously people are

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Speaker 2: drinking a lot of water before bed or drinks. But

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Speaker 2: you know there are people who are getting up two

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Speaker 2: or three times a night to pass urine. It can't

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Speaker 2: be attributed to what they drink. Necessarily. It's maybe not

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Speaker 2: every night, but certainly most nights. And when you find

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Speaker 2: the cores and treat it, it's luck turning off a tap,

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Speaker 2: so important red flag. Same with the rectile's function. There's

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Speaker 2: a twofold increased risk of a heart attack over the

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Speaker 2: next two to three years in people who have a

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Speaker 2: problem with their erections. Another interesting thing is people men

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Speaker 2: think that testosterone goes down with age, and what we

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Speaker 2: were able to show is, in fact, it's not a

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Speaker 2: function of age, but a function of obesity and health status.

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Speaker 2: So men who are accumulating fat around the belly and have

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Speaker 2: abnormal blood sugar and blood fats, those are the guys

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Speaker 2: that are getting a decrease in testosterone. It's not their

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Speaker 2: age for health, and so that can be improved along

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Speaker 2: with everything else by getting more physical activity, losing some weight,

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Speaker 2: fixing up sleep and so on.

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Speaker 1: So look, I imagine if you're getting more physical activity,

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Speaker 1: you're probably in proving on your sleep and all at all.

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Speaker 2: It's all a sort of circular thing, you know, many

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Speaker 2: converging things, and so once you start breaking the cycle

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Speaker 2: and bringing it back and you know, most of these

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Speaker 2: treatment approaches are easy to get. They just and generally free.

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Speaker 2: Exercise doesn't cost much if you're going out for a

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Speaker 2: walk or doing some home resistance activity. And there are

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Speaker 2: also very good ways of improving your diet without it

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Speaker 2: being particularly expensive. It's really a matter of how we

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Speaker 2: understand what makes us healthier, the simple approaches, what to

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Speaker 2: be worried about in terms of our health, and when

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Speaker 2: to be worried about it. One of the other problems

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Speaker 2: we found, and you know, there's a problem of suicide

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Speaker 2: in men, which is tragically so common and much more

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Speaker 2: common than it is in women, and yet far fewer

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Speaker 2: men are diagnosed with depression than a woman, which doesn't

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Speaker 2: make any sense if you think about it. And the

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Speaker 2: argument has been, well, men don't go to the doctor.

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Speaker 2: Actually we found that men go to the doctor just

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Speaker 2: as frequently as women once you discount women going for

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Speaker 2: reproductive services. And we also showed, as did another national

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Speaker 2: study which is the Tend to Men Study run by

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Speaker 2: the Australian Institute of Family Studies, that the problem is

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Speaker 2: what happens in primary care is that depression is not

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Speaker 2: recognized and that we find men with depression in fact

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Speaker 2: are going more frequently for their symptoms than all other men,

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Speaker 2: but it's just not being recognized either by them necessarily

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Speaker 2: or their healthcare practitioners.

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Speaker 1: How is depression not recognized? What masks it?

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Speaker 2: Well, maybe somatic symptoms, so it may be fatigued, It

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Speaker 2: may be a sleep disturbance, It may be irritability, which

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Speaker 2: is not generally part of the criteria for depression in

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Speaker 2: the standard manuals that are used, but typically affects men,

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Speaker 2: it may be engaging in high risk behavior. Excessive cohol

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Speaker 2: consumption are all important red flags for depression in men

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Speaker 2: not getting on with their partners and so on.

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Speaker 1: Okay, wow, so irritability the grumpy man syndrome. But how

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Speaker 1: do you know? I mean, if I get for instance,

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Speaker 1: if I get it, and I did today, I got

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Speaker 1: irritable with somebody who rang me. I didn't know the numbers.

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Speaker 1: I've answered it, I really do. Incidentally, anyway, I answered it,

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Speaker 1: and she said, oh, hi, it's you know, I don't

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Speaker 1: know Jane from and I'm I'm Margaret's assistant at and

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Speaker 1: she used the initials for the company and it's a

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Speaker 1: reasonably well known but not top of mind company and

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Speaker 1: and and I said, well, what does you know x Y?

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Speaker 1: It wasn't that What does x Y mean? And she

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Speaker 1: told me? And I said, you expect me to know

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Speaker 1: what that is when you just say I'm from x Y. Anyway,

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Speaker 1: and now and again, so am I depressed?

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Speaker 2: It's that's an indication of depression. But someone who habitually

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Speaker 2: becomes irritable and that's not their character. And you know,

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Speaker 2: the kids might point out, you know, Dad is just

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Speaker 2: irrigable all the time kind of things, you know, that

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Speaker 2: kind of behavior, people getting into unusual fights or or

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Speaker 2: you know, unpleasant situations. And men will talk about stuff

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Speaker 2: if you if you raise it in a in a

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Speaker 2: reasonable manner. So so it's not that blogs are in

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Speaker 2: talk bloks will talk.

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Speaker 1: Yeah, okay, it's just just how isn't it. It's opening

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Speaker 1: the door and.

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Speaker 2: Absolutely amazing. So we'd be very happy to talk to

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Speaker 2: men about these problems, hope to you know, share some

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Speaker 2: information with them. Here back from them, we'll be having

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Speaker 2: a pannel discussion with including a psychologist who's got fantastic

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Speaker 2: expertise in men's mental health. We've got a colleague who

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Speaker 2: works in multicultural men's health that we work with in

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Speaker 2: a number of projects, and we'll be sharing some of

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Speaker 2: the ongoing work that we're doing in the center.

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Speaker 1: All right, Gary, for people that want to come along, now,

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Speaker 1: this is in the Samarai Auditorium, as I said on

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Speaker 1: North Terrace, so she's greater the best way to book

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Speaker 1: and it's free, but you do need to books obviously, spaces.

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Speaker 2: There's a link on the university website. We've posted it

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Speaker 2: on LinkedIn with the link, so it should be reasonably

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Speaker 2: easy to locate. But if it's not, no one's going

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Speaker 2: to get turned away. Please come along.

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Speaker 1: Okay, all right, I suspect I know you're there five

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Speaker 1: two seven, I think with the times I read out earlier. Yeah,

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Speaker 1: but I suspect you're going to have a lot of

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Speaker 1: people on the side at the end saying hey, I've

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Speaker 1: got this, can you help me out with Well.

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Speaker 2: We can't help with individual problems, but we're hoping the

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Speaker 2: collective information and we'll try and point people to resources

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Speaker 2: where they can get some extra information.

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Speaker 1: Yeah, all right, very important to do. But you know,

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Speaker 1: the crux of what you've said seems to be eat

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Speaker 1: a bit healthier, walk a bit more and or move

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Speaker 1: a bit more, whichever you do, and drink a bit

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Speaker 1: less booze, well.

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Speaker 2: A lot less bous. I mean the right amount is

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Speaker 2: probably nothing. And paying careful attention to sleep, and getting

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Speaker 2: not just physical activity, but engaging with other people, being

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Speaker 2: socially connected. Those are all important things. And in places

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Speaker 2: like the Okinawa Islands off Japan, where people routinely lived

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Speaker 2: to very old age, have good genes for sure, but

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Speaker 2: they also have a lifestyle where they're physically very active.

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Speaker 2: They don't smoke they don't drink alcohol. They're either a

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Speaker 2: very healthy diet. They work in the fields all the

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Speaker 2: time or a lot of the time. They have very

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Speaker 2: good sense of humor, that they spiritual people, and they're

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Speaker 2: very well socially connected.

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Speaker 1: It doesn't sound a lot, doesn't. The work in the

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Speaker 1: fields bothers me a bit, but the rest is okay.

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Speaker 2: Well. I once mentioned on a chat show on the

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Speaker 2: ABC about the Okinawa Centenarians, and there's a conversation with

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Speaker 2: Peter Gurz and I think David Bevan was involved in

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Speaker 2: Matt Abraham when he was there, and they said to Peter, well,

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Speaker 2: what are you going to do about all of his

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Speaker 2: advices as well? I think I'll just bugger off to Okinawa.

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Speaker 1: He would do. Good on you, Gary, thank you for

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Speaker 1: your time tonight. And again, so I link on the

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Speaker 1: Adelaide University website. It's at Samary. Does this have a

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Speaker 1: name the Freemason Center for Male Health and Well Being Seminar?

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Speaker 1: I suppose would that google?

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Speaker 2: Of right, it's just called a public semini ment health

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Speaker 2: two decades of discovery.

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Speaker 1: Okay, that's changing lives, all right, terrific. Well people will

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Speaker 1: find it with that just google those words. Or some

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Speaker 1: of them and it'll come up this Thursday night Samary

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Speaker 1: Auditorium five till seven and a free event. Just need

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Speaker 1: to register to Guy so there's a seat for you.

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Speaker 1: Good on your Gary, Thank you so much for your

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Speaker 1: time tonight. Thanks always a fascinating chat, Thank you, Gary,

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Speaker 1: with a professor of medicine at Union of Adelaide and

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Speaker 1: Ego fellas everything you needed to know about your health

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Speaker 1: and sleeping and sleeping near and all of that. And

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Speaker 1: if you can't make it on Thursday night, may be

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Speaker 1: a trip to the just a general chat with your

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Speaker 1: g P