Public Health and Nutrition Flashcards

1
Q

What are the convincing and probable risk factors for cancer of the oesophagus?

A
Convincing = Body fattness and alcoholic drinks
Probable = Mate (hot herbal drink in S America)
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2
Q

What are the probable risk factors for cancer of the Stomach?

A

Probable = Body fattness, alcohol, preserved/salted food, processed meat

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3
Q

What are the convincing and probable risk factors for cancer of the colon and rectum?

A
Convincing = processed meat, alcohol and body fattness
Probable = red meat
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4
Q

What are the convincing and probable preventative measures for cancer of the oesophagus?

A
Convening = physical activity
Probable = Whole grains, dietary fibre, dairy, calcium supplements
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5
Q

What percentge of colorectal cancers could be prevented by diet and lifestyle modification?

A

45%

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6
Q

What is the alcohol guideline?

A

No more than 14 units a week for men and women

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7
Q

What is the fibre guideline?

A

30g fibre per day

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8
Q

What is the redand processed meat guideline?

A

< 70g a day or 500g per week with as little processed meat as possible

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9
Q

How can obesity cause breast cancer?

A

Hyperoestrogenaemia from aromatase

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10
Q

How does obesity cause most GI cancers?

A

Inflammation and growth factors, tissue damage and acid reflux and gall stones

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11
Q

What proportion of adults in the UK are overweight/obese?

A

2/3rds are overweight or obese with 1/3rd being obese

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12
Q

High BMI worsens the mortality for colorectal cancer and exercise post diagnosis can improve prognosis, QoL and decrease recurrence. T or F?

A

True

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13
Q

Does Link syndrome increase the risk of colorectal cancer and what can be given as prophylaxis?

A

Yes- especially in obese subjects. Linch gene predisposes obesity.
Asprin given as prophylaxis

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14
Q

Are people at high risk of colon and breast cancers and going to screening aware of the risk factors?

A

Some of them, not all of them and knowledge doesn’t necessarily translate to behaviour

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15
Q

Nutrition can be used in the prevention, management and prognosis of disease. True or false?

A

True. Prognosis is mostly related to under nutrition

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16
Q

What are the lifestyle influences on nutrition choice?

A

Individual preferences, social and community influences, liviing and working conditions, general socioeconomic, cultural and environmental conditions

17
Q

What parentage of total dietary energy should be free sugars?

18
Q

How many portions of fish a week?

A

2 with one being oily fish

19
Q

Are there differences in eating habits by gender and age?

A

Yes both. Men tend to be worse and you tend to make better choices as you get older

20
Q

Which ethnic group have the worst diets?

A

White British

21
Q

Do eating habits change with levels of deprivation?

A

Yes. Worse diet in more deprived areas. This is reflected in obesity levels being worse in deprived areas

22
Q

How much of our total food and drink expenditure is on alcohol?

23
Q

Knowledge, motivation and behaviour are all individual factors when it comes to behaviour change. true or false?

24
Q

Most people are not contemplating whether to change their diet. True or false?

25
What must be done alongside education to help people to change their diets?
Access and availability, acceptability (cultural norms + marketing), affordability
26
What can doctors and health professional do to help people improve their diets?
``` Advocy (policy and government) Signpost Brief interventions Provide written advice Refer to dietitian ```
27
Do people generally under or over estimate their weight?
Under estimate
28
What are the 5 As (The basic principles of behaviour change counselling)?
1) Ask 2) Assess 3) Advise 4) Agree on goals 5) Assit (self monitoring tools, social support, referral, prevent relapse