evolution of health and disease Flashcards
health determinants are _ or _
proximal or distal
proximal determinants
physiological causes of disease
are proximal or distal determinants easier to affect?
proximal
distal determinants
underlying causes of disease
categories of distal determinants
biologic, behavioral, societal
types of biological determinants
genetic or developmental
developmental plasticity
we can change phenotype to match environment, but only a good thing if our future environment matches
societal determinants include:
exposures and status
health risks from our genome
aneuploidy, single gene mutations, snps
susceptibility to disease (5)
exposure to environment conditions that we can’t adapt to, post reproductive loss of selection pressure, co evolution with mutating virulent pathogen, harmful allele has benefit to heterozygous, evolutionary design constraints
Example: exposure to environment conditions that we can’t adapt to
diabetes, osteoarthritis
example: post reproductive loss of selection pressure,
RA
example:co evolution with mutating virulent pathogen
TB, HIV
example: harmful allele has benefit to heterozygous
sickle cell
example: evolutionary design constraints
low back pain, choking