other new stuff Flashcards

(90 cards)

1
Q

Steric acid

A

May lower LDL
Increased endothelial cell dysfunctino
Colorectal cancers

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2
Q

Lauric acid

A

Found in coconuts

Increased HDL and LDL

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3
Q

Palmitic

A

Most common
heart disease
Palm oil

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4
Q

Mystiric acid

A

Coconut and palm kernal oil, small amounts in nutmeg and palm oil
‘harmful’

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5
Q

Benefits of fibre x 6

A

Constipation
Cholesterol
Colon cancer

Stablises blood sugar
Diabetes risk
Satiety and cravings

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6
Q

Average fibre intake daily for americans

A

18g

only 3% getting recommended

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7
Q

Micronutrients definition

A

chemical elements of substances that are essential for growth and health - include vitamins and minerals

Separate from non-nutrients

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8
Q

Value of micronutrients

A

High in antioxidants - decrease oxidation and inflammation

Increase cell healthy - strength of immune system

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9
Q

Carotenoids

A

Stimulate NK cells that fight foreign inflammation

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10
Q

Processed meat is a known X carcinogen for XXX

A
Group 1
Colon cancer
Stomach cancer
PAncreatic cancer
Prostate cancer
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11
Q

Red meat is known X carcinogen for XXX

A

Group 2A

Red meat

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12
Q

3 harmful fats

A

Trans
Oxidised - heat and rancidity
Solid

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13
Q

Foods that cause inflammation

A

RM
Harmful fats (TF, oxidised, solid)
PM
Refined grains

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14
Q

Plant sterols and stanols

A

nuts and seeds, sprouts, avocado, wheat germ, brussel sprouts, soybeans, green peas - also vegetable oils but they are highly processed

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15
Q

Specific hyperlipid prescription

A
Replace sat and trans with poly-unsat (omega 3s)
Increase fibre intake
Handful of nuts
Omega-3
Sterols and stanols
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16
Q

Specific HTN prescription

A

Sat Fat
Caffeine
Alcohol
Salt

Increase:
Mg/K/Ca and garlic

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17
Q

Salt - biggest sources

A

75% are from processed foods

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18
Q

Specific DM2 prescription

A

Fibre and low GI foods

SF/TF
Processed sugars and grains
High GI
Calories

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19
Q

Specific cancer prescription

A

Increase antioxidants
Increase fibre
Decrease inflammatory foods (unhelathy fats, PM and RM, processed grains, sat fat)

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20
Q

Stepwise drop in DM

A
NV 1
SV 0.72
PV 0.49
LOV 0.39
Veg 0.22
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21
Q

Soy and nuts – LDL

Stanols – LDL

A

5%

and 10% redcution

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22
Q

AICA - the plate

A

2/3rds whole food at most 1/3rd meat

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23
Q

WHO salt intake

A

less than 5g = sodium <2g

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24
Q

fibre and DM

A

insoluble prevents

soluble controls

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25
OSA - depresison, HTN, stroke, arrythmia - when you wake up your BP spikes
OSA - depresison, HTN, stroke, arrythmia - when you wake up your BP spikes
26
3-5 year olds need 10-13 hours sleep | 13-18 need 8-10 hours
3-5 year olds need 10-13 hours sleep | 13-18 need 8-10 hours
27
Someone in their 20s sleeps __ than 70s
1.5 hours more
28
Nocturnal carb intake...
No differences in sleep patterns were observed in either gender, except in the percentage of stage 1 sleep, which was greater in men. Different correlations were observed between sleep and dietary variables according to gender. The correlation between dietary and sleep variables in men indicated a negative relationship between nocturnal fat intake and the sleep latency, including REM sleep. The percentage of nocturnal fat intake correlated with sleep efficiency, sleep latency, REM latency, stage 2 sleep, REM sleep, and wake after sleep onset (WASO) in women. The percentage of nocturnal caloric intake correlated with sleep latency and efficiency in women.
29
Sugar and non-sugar carbs at night
more noctural arousals during sleep
30
smokers 30-40% higher..
DM2
31
exercise for mental health
helps depression, less evdience of anxiety tai chi/quijong not that helpful for depression in the data
32
After the AUDIT C what to do?
full AUDIT - then BI if not depedent, and BI + referral if dependent.
33
``` Precontemplation Contemplation Preparation Action Relapse ```
Pre - raise awareness Con - resolve ambivilence, choose positive over current situation Prep - strategy choose most appropriate for current situation Act - Carry out plan MAint - learn new skills
34
DM and ETOH
low drinking slightly beneficial | any drinking - increased cancer risk
35
Smoking quit - not ready
personalised motivational messages best
36
Varencicline SE -
nausea
37
nicotine and physiological effects? | and neurotransmitter effects?
increases BP, HR, RR | increases glutamate, GABA, DA and NA
38
Nutrition labels
100 cals/serving is mod, 400 is high
39
``` P- Plantain + Potatoes O - bambOO shoots ( had to creative!) T - Turtle beans A - Adzuki beans S - Soybeans S - Squash I - LIma beans U - nUts M - Mushrooms ```
h
40
Inter stroke. Hopefully someday our passionate dialogue about lifestyle produces decent change
(hypertension, smoking, obesity, PA, DM, alcohol, Lipids, psychological stress, depression, cardiac causes)
41
PHQ 2 sens and spec
Sensitivity: 80-90% Specificity: 70-85%
42
PHQ 2 sens and spec
Sensitivity: 80-90% Specificity: 70-85%
43
PHQ9 scores
Scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression
44
PHQ2 scoring
Scoring 0-3 | 0 = not at all 1 = some days 2 = >1/2 days 3 = nearly every day
45
DSM anxiety
half days, 6 months uncontrolled worrying and feeling on edge ``` + 3 of: Restlessness Easily fatigued Difficulty concentrating Irritability Muscle tension Sleep disturbance ``` AND significant impairment has occurred due to worry or physical symptoms AND symptoms above are not substance misuse related OR secondary to other disorders (e.g. OCD, anorexia, PTSD)
46
PHQ4 - whats is mild/mod
mild (3-5) to moderate (6-8) on the mixed depression and anxiety assessment may be managed with education or resources and should be re-screened at future visits
47
Depression and CAD --- acronym!
a) increased abnormal platelet adherence b) Endothelial dysfunction c) Lowered HRV d) Worse adherence to lifestyle changes HELP
48
Exercise is comparable to what? in tx of depression
CBT
49
TCA NNT
7-16
50
MBSR helps with chronic disease alleviating (4)
inflammation response to chronic pain anxiety / depression addiction
51
3 domains of agility in doctors...
Focus - controlled to wandering Awareness - low/narrow/specific to high/wide Content - detail to big pic
52
8 mindfulness states for doctors
Present awareness Imagining Thinking and evaluating Flow (focus/absorption) Collaboration Mind wandering Creative thinking Strategic thinking
53
ADHD lacks what?
effective inhibitiion
54
DM and exercsie
combination of aerobic and resistance better than either alone
55
Borg scale -
``` 9-10 somewhat light 11 fairly light 12-14 is moderate intensity/somewhat hard 15-16 hard 17-18 very hard ```
56
Global RFs for morality top 4
HTN 13% Smoking 9% BM 6% And then PI
57
Commonest occ ca
lung
58
Relapse goes too...
contemplation
59
Depression an increased risk of...
cardiac stroke cancer diabetes
60
Work stressors do what in women
cause diabetes mildy attuenuated by obesity and other helath behaviour adjustments
61
PSQ which Qs are negative?
1,2, 3/6/9, 10 1 and 2, 9 and 10 multiple of 3
62
Depression an increased risk of...
cardaic stroke cancer diabetes
63
2.5% can multitask
tada
64
beta cell death
CLOGD ``` cytokines leptin oxidative stress glucotoxicity dyslipidaemia ```
65
deconditioning
more common than HTN or DM
66
single episode of exercise and BM
insulin sensitivity improves | mental function improves
67
PA and cancers from 2018 guidelines 'especially' chronic diseases
Breast, colon, oesophagus, prostate, endometrium, bladder, kidney, lung, stomach HTN, DM2, OA
68
strength training stretching balance
2-3 in adults, 2 in older, 2-3 in chronic disease 2-3 in all - more benefit in adults if done daily 3 or more in older adults
69
Aerobics longitudinal study: | men/women
``` CRF 16/17 Smoking 8/9 HTN 15/7 Cool 4/1 DM 4/1 Obesity 2/3 ```
70
non-vig PA and mort
2.5 hours 19% reduction, 7 hours 24%
71
US cool guideliens
TC <200 (5.2) Trigs <150 LDL <70 if have CAD (1.8) <100 at risk of CAD or have DM (2.6) <130 if no CAD
72
Strating aerobic
Start at 15 minutes, 3-4 week, progress to 30 minutes Improvement stage is 4-8 months increasing intensity and duration until meeting guidelines
73
Grandes -
young 7% increase meeting PAG | NNT overall 26
74
PA and cancer prevention - requires 3-4 hours
in breast reduction is 20-30%, also reduces mortality/recurrence
75
structured exercise in physical disability
improves function by 18% and improves SPPB
76
ACSM obesity and PA guidelines
advises 250 minutes a week, 60-90 a day | NEAT can burn 350cals a day
77
PA and weight
if overweight and PA = normal weight and PA | if obese and PA then same years of life lost as normal weight and didn't exercise (4.5 and 4.7)
78
Stress management and lifestyle
91% reduction in angina 44% increase in exercise capacity 24 days
79
Fratteroli
10% fat, PA, stress management 12 weeks and 800 men 400 women 74% angina free, 9% reduced, similar to CABG studies -
80
By 2050 100million will have DM2
5% of people have DM1 (with DM) | that's 1/3rd of US pop
81
How many prediabetics? and in the over 65s?
80 million 48.3% over 65 Based on 2015 data
82
Total number worldwide DM
422m in 2014 and 18 in 1980
83
Adiponectin
``` DETTH Depression Endothelium Trigs TNF Hippocampal growth ```
84
NfKb increased by and decreased by
inflammation and free radicals phytonutrients and antioxidants VEGF, TNF, adhesion, cytokines, telomerase
85
Heme iron
diets rich in heme iron increase DM2 and IR
86
BMR =
0.9 * weight in KG * 24 hours
87
1 MET =
3.5 VO2s
88
5% animal protein
30% DM increase
89
butyrate
``` IS glycolysis in liver satiety chol/trigs mineral absorption ```
90
WFPB reverses DM retinopathy
an has 71% adherence at 5 years (LHS) and 4 years (neuropathy study)