#15 Adopting a healthy lifestyle Flashcards

1
Q

In the U.S. More than ____ percent don’t have a diet that is optimal for their health.
Nearly ___ percent are overweight or obese.
Almost ___ percent do not get enough exercise to reach a threshold for health benefit.

A

80%
70% overweight or obese
70% don’t get enough exercise for threshold benefits

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2
Q

In 2013 what were the top 3 reasons people died?

A

45% suicide infections, kidney failure, lung failure and other
32% cardiovascular disease
23% cancer
Summary:
70% of causes of death lifestyle related and preventable

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3
Q

findings from 1972 long term study in Louisiana of how early heart disease began

A

Heart disease can start in children and is evident at five to eight years of age.
Poor diet and sedentary living lead to health risks, which lead to disease.
Lifestyles and behaviors are learned early in life.
Chronic disease prevention in adults should begin in childhood.

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4
Q

T/F
unborn babies can be affected by their mothers’ lifestyle habits. In other words, the nutritional status of the mother was linked to the presence of fatty streaks in the coronary vessels of the unborn fetus.

A

TRUE

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5
Q

CABG

A

coronary artery bypass grafting While CABG can bypass the area of blockage in a coronary artery, the graft itself will become 30–50 percent blocked after five to seven years

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6
Q

balloon angioplasty and balloon angioplasty with stenting

A

After four to six months, 30–50 percent of ballooned arteries re-close, and 20–30 percent of arteries propped open by stents re-close

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7
Q

The American Cancer Society has stated that eliminating smoking could inhibit _____ of all new cancer diagnoses, and another ____could be avoided with proper diet and regular exercise

A

1/3 and 1/3

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8
Q

In a national survey of thirteen thousand obese adults who had recently had a routine medical exam, only ____ percent of them were counseled by their physicians to lose weight. Only ____ percent of those surveyed reported that their physician mentioned regular exercise as an important part of good health

A

42% lose weight

35% regular exercise

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9
Q

About 50% of the population of the United States only spends ____ of the healthcare dollars. The other 50% are spending ___ of healthcare dollars

A

3%

97%

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10
Q

just 5 percent of the population responsible for almost ___ percent of all spending. At the other end, half of the population accounts for just 3 percent of spending.

A

50%

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11
Q

Rising prices per unit of service have played a larger role than ________ as a determinant of recent expenditure growth.

A

rising utilization rates

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12
Q

Key drivers of rising unit prices and higher utilization include

A

advances in medical technology, rising treated prevalence rates for chronic disease, and increased provider consolidation and market power.

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13
Q

US spending for health care has been on a relentless upward path—reaching $2.5 trillion in the aggregate, _____ per person, and ____ percent of GDP in 2009.

A

$8,100 per person

17.6 % GDP

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14
Q

As more people are being diagnosed with and treated for chronic conditions, including many linked to rising obesity rates, high health spending has spread to a larger segment of the population. The spending distribution remains ____ _____

A

highly concentrated

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15
Q

Higher spending for hospital care and physician and clinical services accounted for ____ of the increase in total national health spending between 2005 and 2009, and more than ____ percent of the increase in private insurance premiums over the period.

A

half

80%

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16
Q

T / F Since 1997, national health expenditures have consumed a larger and larger portion of the gross domestic product with part of the burden also being shared by the individual consumer.

A

True

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17
Q

From this figure, you can see that ___ percent of the population is responsible for only 3.1 percent of the spending. Furthermore, only 10 percent of the population is responsible for 63.6 percent of the spending, and a very small percentage of the population, only 5 percent, is responsible for nearly half of the spending (47.5 percent). With this kind of realization, it is not hard to see that current spending trends are not sustainable.

A

50%

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18
Q

who are the highest spenders on health care

A

Persons over age 55 are the highest spenders.

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19
Q

5 most expensive health conditions in order

and what % of spending do they account for?

A
heart disease
cancer
trauma
mental disorders
pulmonary conditions
account for 37% of spending
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20
Q

The most expensive poor-health condition is heart disease, but more than ____ percent of heart disease cases are preventable with lifestyle modification.

A

70%

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21
Q

Healthy people is:

A

Healthy People is a set of goals and objectives with ten-year targets designed to guide national health promotion and disease prevention efforts to improve the health of all people in the United States.

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22
Q

Healthy people goals for 2020

A

Increase quality and years of healthy life.
Eliminate health disparities.
Increase incidence of people reporting “health days.”
Increase incidence of people reporting “active days.”
Increase access to health information and services for all people.

23
Q

When polled about important social values, ____ of adults in the United States identified “being in good health” as one of their major concerns.

A

99%

24
Q

Health status varies greatly depending on

A

income, gender, age, and family origin.

25
Q

During the past century, the life expectancy of the average person has increased by more than ____%

A

60%
A child born in 1900 was expected to live a maximum of forty-seven years. By 1930, the life expectancy had increased by more than ten years; today, life expectancy is just under eighty years.

26
Q

While we are experiencing the longest life expectancy, it is unfortunate that only about seventy of those years are healthy life, with approximately twelve years being characterized as ________ or lacking a high quality of life.

A

dysfunctional

27
Q

leading causes of death 1900 and now

A

Leading causes 1900:
pneumonia, tuberculosis, diarrhea enteritis, heart disease stroke, nephritis, accidents, cancer senility, diphtheria

Now:
heart disease
cancer
stroke
chronic respiratory disease
accidents
diabetes
alzheimers
pneumonia / influenza
nephritis / nephrosis
septicemia
28
Q

T/F Many studies indicate that employee wellness programs could be more beneficial to an organization’s bottom line than the actual health care savings due to factors like less absenteeism and greater productivity.

A

True

29
Q

results of researchers study on employees in companies

A

results showed that there was no significant difference in health care costs for those who participated in the wellness program and those who did not participate in the wellness program. The researchers did identify a positive association, however, between wellness program participants and how seldom they were absent from work. Program participants missed three fewer days of work than non-participants, which translated to $15.60 saved for every dollar spent on the program due to increased productivity

30
Q

built environments

A

describe the human-made surroundings that provide the setting for human activity. This could include the way the environment is designed to support a more active lifestyle through accessibility, safety, and enjoyment

31
Q

Blood pressure

A

Systolic (Diastolic) Blood Pressure levels
<120 (<80) Normal
120–139 (80–89) Early High Blood Pressure
140–159 (90–99) High
≥160 (≥100) Dangerous

32
Q

cholesterol levels

A

Cholesterol Levels
<200 Normal
200–239 Borderline High
>240 High risk

33
Q

BMI

A

<19 Underweight
19–24 Ideal weight, low risk
25–29 Overweight, moderate risk
30 Obese, high risk

34
Q

In one study conducted by Steven Aldana, the author of The Culprit & The Cure, and other researchers, they discovered that participants made significant risk profile changes in just ____ weeks of lifestyle change

A

8

35
Q

lifestyle change habit results from study in culprit and cure

A

Those with the highest diastolic blood pressure experienced a seven-point drop, and those with high cholesterol experienced a 12 percent reduction. After the first eight weeks, the researchers continued to follow the study participants for six months. After six months, participants in the treatment group were maintaining and, in some cases, improving their healthy lifestyle patterns and seeing the benefits persist over time.
The following shows the changes in diastolic blood pressure and blood cholesterol for some of the participants in this study. For those that already had ideal diastolic blood pressure, there was still a 3.5 point drop and for those with normal total cholesterol there was a 9.2% decrease.

36
Q

Metabolic Syndrome or Syndrome X

A
A condition characterized by:
insulin resistance
presence of obesity from abdominal fat
high blood cholesterol
high blood pressure
37
Q

____% of adults would prefer to alter their diet to improve health rather than take medicine.

A

66

38
Q

___ out of ___ people indicate that regular physical activity is important to their health.

A

9 out of 10

39
Q

____ of adults feel “great stress” at least one day a week and would like to reduce their stress levels.

A

2/3

40
Q

James Prochaska and colleagues developed the Transtheoretical Model (TTM), or the Stages of Change Model.

A

effective ways to promote change
involves helping an individual understand their readiness to act on a new, healthier behavior, then providing strategies to help him or her move forward to an eventual stage of maintenance.

41
Q

Stages of change

A

precontemplation, comtemplation, preparation, action, maintenance

42
Q

pre-contemplation

A

is the stage in which there is no intention to change behavior in the foreseeable future. Many individuals in this stage are unaware or under-aware of their problems.

43
Q

contemplation

A

is the stage in which people are aware that a problem exists and are seriously thinking about overcoming it but have not yet made a commitment to take action.

44
Q

preparation

A

is the stage that combines intention and behavioral criteria. Individuals in this stage have unsuccessfully taken action in the past year and are intending to take action again in the next month.

45
Q

action

A

is the stage in which individuals modify their behavior, experiences, or environment in order to overcome their problems. Action involves the most overt behavioral changes and requires a considerable commitment of time and energy.

46
Q

maintenance

A

is the stage in which people work to prevent relapse and consolidate the gains attained during action. For addictive behaviors, this stage extends from six months to an indeterminate period past the initial action.

47
Q

PRECEDE-PROCEED model

A

In this model, current health behavior is said to be influenced by individual and environmental factors. The PRECEDE part of the model stands for Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation.

Predisposing factors include knowledge, attitudes, and beliefs. Reinforcing factors are those factors that reward or reinforce the desired behavior change. Enabling factors are skills or physical factors needed for change and which facilitate achievement of change. There are also personal factors related to the individual and their characteristics.

48
Q

factors for reaching and staying at maintenance phase

A

personal
predisposing
enabling
reinforcing

49
Q

personal factors

A

affect health behaviors but are often out of your personal control.
age
gender
heredity

50
Q

predisposing factors

A
create an opportunity for an individual to ask questions like, "Am I able to make a change?", or, "Is it worth it for me to make a change?" These factors are important in getting you started with the process of change.
“Am I able?” and “Is it worth it?”
knowledge
beliefs
enjoyment
attitudes
self-confidence
51
Q

enabling factors

A

are important in moving you from the beginning steps of change to action and maintenance.
self-management skills
access
environment

52
Q

reinforcing factors

A

are important in adhering to lifestyle changes.
family
peers
health professionals

53
Q

self-efficacy

A

confidence that you can perform a certain task

54
Q

SMART goals

A

Specific: Be precise about what you plan to achieve and when and how it will happen. Write down the details.
Measurable: Include a way to gauge your success—time spent exercising, number of workout sessions, or drop in cholesterol or BP.
Achievable: Make sure your goal is realistic. Set a goal that is comfortable for you yet causes you to go beyound what you’re doing now.
Relevant: Your goal should be your own. Although it’s good for your spouse, kids, boss, parents, and friends to want you to be successful, your goal should matter to you first and foremost.
Trackable: You’ll have milestones along your journey to help you mark your course and see how much you’ve accomplished.