Lifestyle, disease, diet and health Flashcards

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1
Q

How is BMI measured?

A

BMI = body mass/kg / height2/m2

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2
Q

What is BMI not accurate for?

A

Athletes, children, people over 60 or people with long term heart conditions.

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3
Q

How are lipoproteins formed (soluble cholesterol)?

A

Cholesterol (insoluble) + Hydrophilic globular protein (soluble) = Lipoprotein (soluble)

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4
Q

How does obesity increase blood pressure?

A

Blood vessels are longer, so the heart must pump harder to counteract peripheral resistance.

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5
Q

What are unstable radicals?

A

Atoms with unpaired electrons, which result from reactions in the body.

  • Highly reactive, can damage cell components like enzymes.
  • This damage has been linked to dev. of cancer, CHD.
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6
Q

How can free radicals be counteracted?

A

Vitamins like Vit C, beta-carotene which provide hydrogen atoms that stabilise the radical theough bonding.

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7
Q

Why is a high salt diet a risk factor for CVD?

A

High salt diet causes kidneys to retain water, higher fluid levels in the blood cause hypertension.

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8
Q

Why is stress a risk factor for CHD?

A

Release of adrenaline causes arteries and arterioles to constrict, raising BP. Stress can also lead to more alcohol consumption or overeating.

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9
Q

Why is alcohol a risk factor for CVD?

A
  • Direct tissue damage
  • Hypertension
  • Contributes to obesity
  • Irregular heartbeat
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10
Q

What effect do the genes APOA, APOB, APO E have when inherited?

A

Apoa-Produces protein component of HDL, less HDL production so less LDL removed.

Apob-Produces protein component of LDL, LDLs are the wrong shape to bind to receptors so they circulate in blood.

Apoe-Produces protein component of LDL & HDL, allele 4 slows LDL removal.

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11
Q

Outline a drug that controls blood pressure

A

ACE inhibitors
Effect - Lowers bp.
How - Reduces production of angiotensin 2, which causes vasoconstriction.
SE - Reduction in kidney function, dizziness, dry cough.

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12
Q

Outline a diuretic drug

A

Diuretics
Effect - Decrease in blood plasma volume and cardiac output, lowers BP.
How - Increases urine volume, rids body of excess salt and fluids.
SE - Dizziness, cramp, nausea.

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13
Q

Outline a drug that reduces BC

A

Statins
Effect - Lowers BC.
How - Inhibit enzymes involved in LDL production in the liver.
SE - Vomiting, diarrhoea, headache.

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14
Q

Very briefly outline atherosclerosis

A
  1. Irritants, high LDL, cig smoke or high BP.
  2. Endothelium damaged.
  3. Inflammatory resp. - WBCs enter artery wall.
  4. Cholosterol accum. due to WBCs, causing atheroma to form.
  5. Ca2+ and fibrous tissue accum. causing hard plaque - limits artery elasticity, higher BP.
  6. Plaques narrow lumen, rise in BP, more stress on other lumens - more plaques.
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15
Q

What is the function of blood clotting?

A

Seals breaks in blood vessels and prevents pathogen entry.

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16
Q

Describe the clotting cascade.

A
  1. Platelets and damaged tissue release thromboplastin protein.
  2. Thromboplas. activates enzyme that catalyses conversion of prothrombin –> thrombin (VIT K AND CA2+ IONS MUST B PRESENT).
  3. Thromb. catalyses conversion of soluble plasma protein fibrinogen into insoluble protein fibrin.
  4. Mesh of fibrin forms –> traps platelets and RBCs to form a clot.
17
Q

How does smoking increase risk?

A

CO combines with haemoglobin and reduces the amount of oxygen available to tissues. Nicotine makes platelets more sticky –> blood clots more likely

18
Q

How is the waist to hip ratio measured?

A

Waist circumference divided by hip circumference

19
Q

Describe the two different types of cholesterol

A

HDL: decreases chol. levels when they’re too high and transports chol. to the liver where it’s excreted or recycled. Composed mainly of protein.
LDL: increases chol. levels when they’re too low and transports chol. from the liver into the bloodstream. Composed mainly of lipid.