L22: Non-Communicable Diseases (CHD & DM) Flashcards
Def of NCD
- Impairment in body function or structure that necessitates modification in personβs lifestyle or has persisted for a long length of time.
Examples of NCD
βΆ Cardiovascular diseases (hypertension, coronary disease, stroke)
β· Cancer
βΈ Diabetes
βΉ Respiratory (asthma, emphysema, bronchitis)
βΊ Obesity
β» Renal (nephritis, nephrotic syndrome)
βΌ Accidents
β½ Nervous and mental (mania, depression)
βΎ Musculoskeletal (arthritis)
βΏ Degenerative disorders
Communicable diseases were main causes of death worldwide
β¦
Magnitude of NCD Problem
- After 2WW
- Medical achievements: vaccination, antibiotics &
improving life conditions. - NCDs started to be major problems in developed
countries especially.
Magnitude of NCD Problem
- By the End of 20th Century
- NCDs were Increased in developing countries with double burden of infective & non-infective diseases in a poor environment & inadequate health systems
Magnitude of NCD Problem
- Today
Four diseases that cause 36 million deaths each year.
βΆ CVDs
β· Cancers
βΈ chronic respiratory diseases
βΉ DM
The first cause of death globally is β¦..
CVD
In developed countries β-> Cancer is the β¦. leading cause of death next to CVDs
2nd
In developing world β> it is the β¦.. cause of death.
4th
Estimated prevalence of hypertension in Egypt was β¦. (Egyptian Health Issues Survey, 2020)
26.3%
Estimated prevalence of DM in Egypt was β¦β¦
16.6%
Magnitude of NCD Problem
- The Future
Challenges for prevention of NCD
β¦
Challenges for prevention of NCD
- Demographic Transition
Challenges for prevention of NCD
- Epidemeologic Transition
Challenges for prevention of NCD
- Nutrition Transition
Challenges for prevention of NCD
- The Multifactorial Nature of the Risk Factors for NCDs
Challenges for prevention of NCD
- International Communications
Risk factors for CHDs
Non-Modifiable & Modifiable
Non-Modifiable Risk factors for CHDs
- Age
- Sex
- family Hx
- Genetic Factors
- Type A Personality
Non-Modifiable Risk factors for CHDs
- age
Non-Modifiable Risk factors for CHDs
- Sex
Non-Modifiable Risk factors for CHDs
- Family Hx
- Higher risk in individuals with a history of CHD and DM
Non-Modifiable Risk factors for CHDs
- Genetic Factors
play a role in dyslipidemia
Non-Modifiable Risk factors for CHDs
- Type A personality
Aggression impatience & time urgency Competition
Modifiable Risk factors for CHDs
- Lifestyle Risk Factors
- Disease as Risk Factor
Modifiable Risk factors for CHDs
- Life Style RF
Modifiable Risk factors for CHDs
- Life Style RF (Dietary Factors)
Modifiable Risk factors for CHDs
- Life Style RF (mental Stress)
can Increase CHD risk,
e.g Depression β Anger β Fear β Anxiety β Lack of social support
Modifiable Risk factors for CHDs
- Life Style RF (Smoking)
Modifiable Risk factors for CHDs
- Life Style RF (Alcohol)
Increase risk of dyslipidemia, hypertension & affects clotting factors.
Modifiable Risk factors for CHDs
- Diseases at Risk Factors
Modifiable Risk factors for CHDs
- Diseases at Risk Factors (Dyslipidemia)
Modifiable Risk factors for CHDs
- Diseases at Risk Factors (HTN)
A major risk factor for CHD.
Modifiable Risk factors for CHDs
- Diseases at Risk Factors (Obesity)
Modifiable Risk factors for CHDs
- Diseases at Risk Factors (Gout)
hyperuricemia is a risk for CHD
Causes of Type I DM
See Table
Incidence of Type I DM
Age of Type I DM
RF of Type I DM
Causes of Type II D.M
Incidence of Type II D.M
Age of Type II D.M
RF for Type II D.M
Prevention of CHD & DM
- Primary, Secondary & Tertiary
Def of Primary prevention
interventions designed to modify adverse levels of risk factors once they are present (Prevention & management of risk factors)
What does Primary prevention Include?
- Lifestyle modification
- Prevention & control of any underlying medical condition
Primary Prevention of CHD & DM
- Lifestyle Modification
Prevention of CHD & DM
- Prevention & control of any underlying medical condition
βΆ HTN
β· DM
βΈ Obesity
βΉ Hypercholesterolemia
Policies & strategies to prevent smoking (MPOWER package)
Dietetic recommendations to prevent CVDs & facilitate healthy eating
Policies and strategies to facilitate physical activity needs β¦β¦
Multifactorial approach
Policies and strategies to facilitate physical activity
- Health Sector
Health professionals
- Should encourage exercise habits to life time activity for all (30 min of moderate PE / day for at least 5 days per week.
Medical centres:
- staff and facilities for fitness and exercise prescription
Policies and strategies to facilitate physical activity
- Education Sector
School based programs; physical education and providing greater opportunities for physical activities during school day
Policies and strategies to facilitate physical activity
- Urban Design & Transport
- Design urban environment that encourage people to rely less on personal cars and prioritize walking and cycling
- Enforce security and road safety legislations
- Designing natural recreational spaces
Policies and strategies to facilitate physical activity
- Workplaces
- Exercise breaks for sedentary workers
- fitness programs in the work place
Primary prevention of DM
Secondary Prevention of CHD & DM
Tertiary Prevention of CHD & DM
- Rehabilitation of disabled CHD patients.
- Preventive care for eyes, kidneys & feet for diabetic patients.
Therapeutic diet for hypertension (DASH)
Done
..