PPT 4 Flashcards

1
Q

Whitehall I study had how many participants and from where

A

18 000 men in the British Civil Service

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2
Q

Were men in the lowest employment grades much likely to die prematurely than men in the highest grades

A

yes

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3
Q

What was not fully accounted for by differences in well-known risk factors, such as smoking

A

Socio-economic inequalities

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4
Q

what year was the Whitehall I study

A

1967

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5
Q

what year was the Whitehall II study

A

1985

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6
Q

Whitehall II study was to determine what

A

other factors that might contribute to this social gradient in death and disease, and to include women

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7
Q

Is Whitehall II study a world-class study of ageing

A

yes

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8
Q

What did the Whitehall II study combine over 30 years

A

Data on social inequalities and chronic disease

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9
Q

what did the social determinants of health involve in relation to social class difference

A

Involved social class differences in health on the map and investigate

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10
Q

social determinants of health involved contribution of three factors

A

1- unhealthy behaviours
2- traditional risk factors in heart disease and diabetes
3- psychological factors

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11
Q

List some of the psychological factors that the social determinants of health involved

A

1- work stress
2- unfairness
3- work-family conflict to socio-economic inequalities

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12
Q

Whitehall I and II study published how many research papers on the data collected

A

500

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13
Q

Did the Whitehall II research contribute to policy making in Britain and globally

A

yes

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14
Q

Mike evans stated that walking reduced the % in many different pt, give exampls of pt

A

1- Knee arthritis 1h treatment 3x/week reduced by 47%
2- Reduced dementia and Alzheimers by 50%
3- Pt high risk diabetes reduced by 58%
4- Post meno women reduced hip fx by 41%
5- Reduced anxiety by 30-47%

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15
Q

Mike evans most important improved exercise has is increased…

A

QOL

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16
Q

Stephen looked at the aerobic longitudinal study and stated that the most risk was

A

CRF: low fitness was the strongest predictor of death

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17
Q

Define attributable factors

A

estimate of the # of deaths in a population that would have been avoided if that risk factor was erased

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18
Q

What did the study in Japan state about walking

A

every increase in 10 minutes of walking leads to a 12% dec in high bp

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19
Q

What is mike evans main question

A

can you limit your sitting and sleeping to just 23.5 hours a day

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20
Q

Who had less cardiac events with pt who exercised and pt who received a stent

A

exercise pt

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21
Q

Is the proper assessment or measurement of physical activity a challenge, especially in free-living individuals.

A

yes

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22
Q

Why are accurate assessments needed (2 reasons)

A

1- Understand the specific amounts of physical activity that are needed for health benefits
2-Determine if a particular behavioral intervention was successful in changing activity behavior

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23
Q

What are the 3 considerations when determining the accuracy of an assessment tool?

A

1- validity
2- reliability
3- sensitivity

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24
Q

Define validity

A

measuring what you’re supposed to be measuring

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25
Define reliability
no matter who measures, the same result should appear. Reliable on several types of test and people.
26
Define sensitivity
how precise, is it able to detect small enough changes
27
Name some subjective measures
questionnaires surveys interviews logs
28
subjective measures can vary by two ways
1- complexity | 2- time frame of recall
29
Name the two factors associated with complexity
1- Self-administered to interviewer administered | 2- Single question to multiple components
30
Name the 1 factor associated with time frame of recall
Past day, past week, past month, past year, historical/lifetime
31
subjective measures; name types of activities assessed (4)
Leisure, occupational, household/self care activities, transportation
32
Name 4 pros of a recall survey
1- non reactive 2- Practicality+ Applicability 3- Accuracy 4- FITT
33
Name 5 cons of a recall survey
``` 1-Does not reflect total energy expenditure 2-Reliability and validity 3-Misinterpretation across different populations 4-Social Desirability Bias 5-Proxy? ```
34
Name 3 pros of logs/diary
Practicality + Applicability FITT? Good for small groups
35
Name 4 cons of logs/diary
Responsiveness Social desirability Proxy? Long
36
Name 3 objective measures
1-Energy Expenditure 2-Indirect Calorimetry 3-Doubly-labeled water
37
Define Indirect Calorimetry
Uses respiratory gas analysis to measure energy expenditure.
38
Define Doubly-labeled water
Uses biochemical markers to estimate energy expenditure
39
Name 3 objective monitors
pedometer activity monitors heart rate monitor
40
What does a pedometer do
Record steps taken and offer the ability to estimate the distance walked, if stride length is known
41
Pros of pedometer 6
``` 1- small 2- cheap 3- easy 4- good for big groups 5- measures walking 6- used in many settings ```
42
cons of pedometer 3
1- does not measure FITD 2- no context 3- no reactivity
43
What does an activity monitor do
Assess the acceleration of the body in one or more planes of movement
44
Pros of activity monitor 3
- FITD - small - easy
45
cons of activity monitor 4
expensive large groups? no context heavy analysis
46
example of why a pedometer is not valid
measures squats as steps
47
Heart rate is a direct indicator of what
one’s physiological response to physical activity
48
Heart rate is an indirect indicator of what
estimate of energy expenditure
49
is exercise workload/intensity, heart rate and energy expenditure a linear relationship
yes
50
What is the linear relationship between exercise workload/intensity, heart rate and energy expenditure
As workload/intensity increases, heart rate and energy expenditure increases
51
3 factors of subjective
- less accurate - rely on opinion - social desirability bias
52
2 factors on objective
- accurate | - impartial
53
Define physical fitness; A set of attributes that...
A set of attributes that individuals have or can achieve that relates to the ability to perform physical activity.
54
physical fitness 5 components
1- Cardiorespiratory fitness 2- Muscular fitness (Muscular strength, Muscular endurance) 3- Body composition (DEXA, skin folds) 4- Flexibility
55
How is Cardiorespiratory fitness measured directly/indirectly
Can be measured directly using maximal exercise testing (VO2max) or indirectly using submaximal exercise and field test protocols
56
Maximal Oxygen Uptake (VO2max) is used as an objective measure of CR?
yes
57
is VO2 max and epidemiology studies time consuming
yes
58
VO2 max and epidemiology studies: 4 factors that influence PA and fitness
1- gender 2- Genetics 3- Age 4- Relative weight
59
Examples of indirect calorimetry
- stationary cycle ergometer | - douglas bag vs. metabolic cart
60
When are submaximal VO2 tests an option
for large Epidemiological Studies
61
submaximal VO2 tests what do you use to predict O2 consumption
HR
62
Are HR and exercise workload/intensity linear relationship
yes as workload/intensity increase, HR increases
63
How to estimate VO2 max in field tests
prediction equations
64
2 factors used to estimated vo2 max in field test
1-Distance covered in a predetermined time | 2-Amount of time it took to cover a predetermined distance