Healthy Living in the North

Screening & follow-up care to prevent cardiovascular disease in women in Prince Rupert

This article was co-authored by Justine Derksen and Janice Paterson

Doctor in scrubs

Evidence has shown that pregnancy is a great place to evaluate cardiac risk. In Prince Rupert, Dr. Marius Pienaar has developed a screening program and software to identify and support women with cardiovascular risks.

Scientific evidence has shown that pregnancy is a great place to evaluate cardiac risk. In Prince Rupert, Dr. Marius Pienaar, a gynecologist, has developed a screening program and software which uses the data collected during a woman’s pregnancy to assess for cardiovascular risks and to coordinate referral and follow-up to prevent cardiovascular disease.

During the pregnancy, some basic measurements such as blood pressure and weight are recorded and a panel of blood tests are performed, including blood lipids and glucose. This data is then entered into the program to calculate a risk score for future cardiovascular disease. Women with elevated risk are then offered interventions, and their primary care provider is informed of this risk.

We have a golden opportunity to evaluate pregnant women with cardiovascular risk and this should not be missed. -Dr. Marius Pienaar

Dr. Pienaar explains that if a woman has diabetes in pregnancy, she is at a higher risk of having diabetes later in life and should be tested 6 weeks to 6 months after pregnancy. Currently, only about 20% of women are tested after pregnancy. Dr. Pienaar’s new software actively follows his patients and has created a referral and reminder system where every patient can be contacted and given opportunities to attend the North Coast Maternal Health Clinic for evaluation.

Walking in snow with mountain background.

Dr. Pienaar is hoping to make this unique program and software available across the province.

Currently, Dr. Pienaar’s clinic seeks to intervene by providing clinical care to at-risk women as well as offering smoking cessation resources, on-site dietitians and diabetes nurses, and more. 100% of postpartum patients who are screened and are identified as having increased risk are offered the postpartum health clinic visit. The program is expected to increase patient awareness of their own risk of cardiovascular disease and support women to access additional health care services to help reduce their risk.

I am very appreciative of the care and information I received in the North Coast Maternal Health Clinic. This program provided me with valuable information/assessment regarding future health risks. Such insight allows me to intervene early in order to improve my modifiable risk factors and ensure my future health and well-being. -Cherie Harvey-Malthus

The clinic has been a success so far and is very efficient and cost effective. Dr. Pienaar has seen success with this quality improvement project and hopes to make the program and software available across the province. There has already been interest from Fraser Health and the Lower Mainland to emulate the clinic model at other hospitals. This is the first such clinic in B.C. and the first rural clinic in Canada specifically geared to evaluate cardiovascular risk in postpartum patients.

Check out the full version of this article: An Innovative Program in Prince Rupert is Screening and Providing Follow-up Care for Women with Risk for CVD

Justine Derksen

About Justine Derksen

Justine works for Northern Health in Medical Affairs as the Coordinator, Physician Engagement Initiatives in Prince George. Justine loves the north and enjoys the seasonal activities with her husband and adorable Bernese Mountain dog any chance she gets. Justine is currently pursuing her masters of Public Health degree, which she was inspired to pursue through her work with Northern Health. When not at work, Justine enjoys cooking, outdoor recreational activities and crafting.


Healthier You: Spring 2016

Cover of magazine

In the Spring 2016 issue of Healthier You, Minister Shirley Bond shares her thoughts on healthy living and more!

Have you seen the newest issue of Healthier You magazine yet?

I’m really excited about this issue because we were able to showcase some amazing voices to talk about women’s health in northern B.C.

Take a look through the issue and you’ll find:

  • Minister Shirley Bond – a grandmother, former Health Minister, and proud resident of northern B.C. – sharing her thoughts on healthy living, connecting with family, and taking small steps to live a healthier life.
  • Kitselas Councillor Judy Gerow reflecting on family, role models, spiritual health, and aging well.
  • Dr. Anne Pousette sharing her passion for physical activity and the unique role that northern B.C. residents played in contributing to a new provincial Physical Activity Strategy.

In addition to these inspiring women, the issue has stories about:

Take a look through these local stories below or look for a hard copy of the magazine in local doctors’ offices, clinics, and Northern Health facilities near you!


Vince Terstappen

About Vince Terstappen

Vince Terstappen is a Project Assistant with the health promotions team at Northern Health. He has an undergraduate and graduate degree in the area of community health and is passionate about upstream population health issues. Born and raised in Calgary, Vince lived, studied, and worked in Saskatoon, Victoria, and Vancouver before moving to Vanderhoof in 2012. When not cooking or baking, he enjoys speedskating, gardening, playing soccer, attending local community events, and Skyping with his old community health classmates who are scattered across the world. Vince works with Northern Health program areas to share healthy living stories and tips through the blog and moderates all comments for the Northern Health Matters blog. (Vince no longer works with Northern Health, we wish him all the best.)


Mirror, mirror on the wall: Body image impacts mental health

This post was co-authored by Marianne Bloudoff (population health dietitian), Sandi DeWolf (Eating Disorders Clinic), and Marta Torok (Eating Disorders Clinic). It originally appeared in the spring issue of Healthier You magazine, which focused on the topic of women’s health.

Body image and disordered eating resources

February 1-7 is Eating Disorder Awareness Week in B.C. If you think that you or someone you love has an eating disorder, please contact the Northern Health Eating Disorders Clinic at 250-565-7479.

What is body image?

It is the way each of us perceives our physical appearance, and includes our thoughts and feelings about how we look. Our self-esteem, or sense of self-worth, is often closely linked with body image.

There are many things that can contribute to a negative body image. The mass media is one that many women can relate to. The media often presents women with an idealized image of female beauty that is impossible for the majority of women to attain. The images we often see are of thin, tall, photoshopped women, who represent only one body type that few real-life women possess.

Body image is also influenced by family relationships, cultural beliefs, sports involvement, peers and past traumas. Women with a negative body image are more likely to suffer from depression, social isolation and low self-esteem.

Negative body image is a risk factor in developing disordered eating patterns and eating disorders. Up to 65% of women report engaging in disordered eating patterns and 10% of women display symptoms that meet the criteria of an eating disorder, such as anorexia or bulimia. The physiological and psychological effects of disordered eating can have significant impacts on a woman’s physical and mental health, interpersonal relationships, day-to-day functioning, and quality of life. Eating disorders are complex conditions that most often require professional intervention.

If you think that you or someone you love has an eating disorder, please contact the Northern Health Eating Disorders Clinic at 250-565-7479.

Understanding and awareness is important so women can understand how their own body image affects their life and others around them. Over one-half of teenage girls and nearly one-third of teenage boys use unhealthy weight control behaviors, such as food restriction.

Research has shown that daughters are more likely to have ideas about weight and dieting if their mothers participate in “fat talk” (self-degrading statements about one’s body, food, or eating) or dieting. Children pay attention to what parents say and do, even if it doesn’t seem like it. Parents are role models to their children, and can help support their children to focus less on their external appearance and more on overall wellness and personal successes.

There are many things women can do to improve their body image, such as:

  • Appreciate everything your body can do, not what it can’t.
  • Remind yourself that true beauty is not defined by your physical appearance.
  • Choose to wear clothes that are comfortable and make you feel good.
  • View media messages with a critical eye.
  • Focus your time and energy on positive things instead of worrying about food, calories, or weight.


Poster with the phrase: Your weight is not your worth.

The Provincial Eating Disorders Awareness Campaign (PEDAW) is a great resource if you or someone you love needs support. (Poster artwork by Gillian Berry / Courtesy of PEDAW)

Marianne Bloudoff

About Marianne Bloudoff

Born and raised in BC, Marianne moved from Vancouver to Prince George in January 2014. She is a Registered Dietitian with Northern Health's population health team. Her passion for food and nutrition lured her away from her previous career in Fisheries Management. Now, instead of counting fish, she finds herself educating people on their health benefits. In her spare time, Marianne can be found experimenting in the kitchen and writing about it on her food blog, as well as exploring everything northern B.C. has to offer.