lifestyle factors and cardiovascular disease Flashcards

1
Q

what is the importance of lifestyle factors in CVD? 2

A
  • elimination of modifiable risk factors- including unhealthy lifestyles would prevent 80% of cases of cardiovascular disease
  • can cause acute or chronic physiological changes that lead to CHD
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2
Q

name some physical risk factors? 3

A
  • age
  • sex
  • family history
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3
Q

name some psychosocial (modifiable) risk factors? 4

A
  • health behaviours
  • stress
  • depression
  • social support
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4
Q

what is metabolic syndrome? 6

A
  • a group of risk factors which are more likely to cause CVD
  • overweight and abdominal fat distribution
  • hypertension
  • insulin
  • resistance
  • hyperglycemia
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5
Q

what is the epic norfolk study for diet? 3

A
  • compared to those eating 5 a day, other people were
  • 1.7 x more likely to die early from CVD
  • 1.4 x more likely to have stroke
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6
Q

what is the US nurses health study for diet? 2

A
  • compared to people in the lowest 20% of total fat intake

- top 20% of total fat 1/3 x more likely to develop CVD

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7
Q

what are the secondary preventions for diet? 2

A
  • interventions which can improve diet and lower death rates and lower risk of further cardiac events
  • top 20% saturated fat= 1.5 x more likely to develop CVD
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8
Q

what is the epic norfolk study for smoking? 3

A
  • compared to non smokers, smoker were
  • 1.9 x more likely to die early from CVD
  • 1.7 x more likely to have stroke
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9
Q

what is the secondary prevention for smoking? 3

A
  • compared to CHD patients who keep smoking, quitters had
  • 1.3 x more likely to die early from CVD
  • 1.3 x more likely to have stroke
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10
Q

describe demographic and psychosocial factors for CVD? 7

A
  • lower social classes have a greater CVD risk
  • compares with top 20%, lowest 20% income have
  • 2.7x greater risk of CVD death
  • 4.3 x greater risk of acute MI
  • after adjustment or behavioural risk factors (smoking, diet, exercise) lowest 20% income have
  • no greater risk of CVD death
  • 2.8 x greater risk of acute MI
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11
Q

what are men more likely to say their MI was due to? 2

A
  • poor diet

- hard work

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12
Q

what are women more likely to say their MI was due to? 2

A
  • chance

- bad luck

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13
Q

explain how getting to hospital on time is important for MI? 7

A
  • outcome of MI is strongly associated with the speed of treatment- factors linked to shorter time to get to hospital
  • being male
  • being married
  • believing MI has more serious consequences
  • active coping style
  • using problem, focused coping
  • more non-pain symptoms (breathlessness/ dizziness)
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14
Q

describe 4 different responses to stress?

A
  • physical=fight or flight
  • behavioural= poor diet, smoking, drugs
  • emotional= anxiety, anger depression
  • cognitive= poor concentration
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15
Q

name 2 responses to stress?

A
approach= problem solving 
-avoidance= distraction
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16
Q

how do these studies show that stress affects CVD?

  • epidemiological studies
  • animal studies
  • experimental studies
A
  • acute= stress associated with MI and cardiac death
  • chronic stress= induced atherosclerosis, lowers threshold for arrhythmia
  • acute stress= triggers ischaemia in patients with CHD associated with cardiovascular changes
17
Q

what falls under chronic lifestyle risk? 9

A
  • standard
  • age
  • sex
  • history
  • smoking
  • cholesterol
  • hypertension
  • depression
  • low support
18
Q

what falls under acute lifestyle risk? 3

A
  • acute stress/ anger
  • acute exercise
  • CV reactivity
19
Q

what personality type has more risk to CVD? 5

A
  • type A
  • hard-driving competitive behaviour
  • vigorous speech characteristics
  • impatience
  • potentially for hostility (most important component to CHD)
20
Q

explain depression and CVD? 3

A
  • 2-3 times more common after MI
  • more severe based on the severity and age of the cardiac event
  • associated to poorer adherence to medication or lifestyle modification post MI