Early impacts on health Flashcards
what challenges in utero might have lasting impact on health?
infection
maternal nutrition
maternal illness
maternal medication
environmental factors
what nature and nurture influences long term health?
nature:
- genetics
- epigenetics
- perinatal influences
nurture
- environment
- family, neighbourhood, school
- nutrition
- social behaviours (care giver behaviour, substance use)
- health provisions
what is the barker hypothesis?
growth in utero linked with later health
adults who had a coronary event had been small at birth and thin at 2 -> rapidly put on weight after
risk of coronary events was more strongly related to tempo of childhood BMI gain than to the BMI at any particular age
undernutrition in utero and overnutrition as child -> increased risk metabolic syndrome - increased CV events
what is the early life origins concept
associations between early environmental exposures and:
- CVD
- T2DM
- Lung disease
- Cancer risk
- Neurological, special sense and intellectual development
- Allergic and allo-immune diseases
what do the symbols represent on a genogram?
what are the fundamentals of a good screening test for the disease being screened?
should be able to be identified early/ before critical point
treatable
prevent/ reduce morbidity/ mortality
what are the fundamentals of a good screening test for the screening itself?
acceptable/ easy to administer
cost-effective
reproducible and accurate results
what are the aims of the NHS health child programme?
prevent disease and promote good health (universal healthcare and reduce health inequalities)
what is involved in the NHS healthy child programe?
health promotion (obesity prevention is key)
supporting caregiving and caregivers
screening (newborn check, hearing screening, blood spot check-day5)
immunization
identification high risk families/ indiiduals for additional support
signposting (accident prevention & dental hygiene)
