Second Half Of The Content Flashcards
Drug use vs misuse vs abuse
Use - taking drugs properly & as intended
—>prescribed, correct dose, when needed
Misuse - using drugs in a way that is not intended
—> someone else’s prescription or wrong dose
Abuse - excessive use of a drug
—> excessive use is determined individually
What is Addiction?
A persistent, compulsive dependence on a substance/behaviour
What are a few Aspects that define addiction?
- excessive use of a substance or behaviour
- frequent incapacitation due to use
- gives up regular activities to use/engage in addiction
- continues use despite problems caused
- exhibits withdrawal if not using
What is Tolerance?
Progressively larger dose is required to obtain desired effects
What is Withdrawl?
It is experienced by individuals addicted to a drug/experience when they are not using the drug/behaviour
—> symptoms are generally the opposite of those experienced when using substance
What are the 4 signs of Addiction & what are they?
1.) Compulsion - obsessive preoccupation with a substance & overwhelming need for it
2.) Loss of Control - inability to predict whether involvement with the substance will be healthy or damaging
3.) Negative Consequences - physical damage, legal trouble, financial ruin, relationship challenges, etc
4.) Denial - inability to see the problem
Gambling:
- what is it?
- who does it more?
- what % experience this addiction in the past year?
- inability to control urge to gamble
- more men than women
- increasing amongst students
- 67% of households have experienced it in the past year
Shopping:
- what is it?
- what can it lead to?
Excessive spending on purchases
- can lead to compulsive borrowing
Exercise Addiction:
- what is it?
- what are some warning signs of this?
Exercise is a powerful mood enhancer & is an addiction when it is used in place of self-induced vomiting or if used compulsively
- Warning signs include:
- always workout alone, 2+ hours a day (even if sick), missing things to workout, obsessed with weight/nutrition
Technology Addictions:
- what are they
- what % of students are on socials for 5+ hrs a day
Addiction to technology devices & social media platforms
- 16% of Canadian students spend 5+ hrs a day on social media
What are a few common signs that a hobby has become an addiction?
- not eating
- neglecting physical & mental health
- prioritizing the addiction
- ## self isolation
Caffeine Addiction:
- what is it?
- what are the common symptoms?
- how do you check if you’re addicted?
- what are the severe effects of this addiction?
- It’s brought on by excessive caffeine use
- Symptoms include - insomnia, irritability, anxiety, headaches, muscle twitches, etc
- Have no caffeine for 4 hours and if headaches occur than one has an addiction
- Severe effects occur if 10+ cups are consumed in 24hrs
- Severe effects include; ringing in ears, spots in eyes, numbness in limbs, etc
Tobacco Addiction:
- what is it?
- how many people killed from it a year?
- what are a few percentage facts?
- It is heavy use of tobacco products such as cigarettes
- Kills about 5 Million people a year around the world
- Account for 17% of all deaths & 10% of hospital stays
- 85% start smoking before 16
What are the old recommendations of alcohol consumption?
- Recs for low risk drinking?
- Recs for special occasion drinking?
-
Low Risk - no more than 10 a week & no more than 2 a day for women & no more than 15 a week & no more than 3 a day for men
Special Occasions - no more than 3 (women) or 4 (men) drinks per occasion & stay within weekly limits
What is Binge Drinking?
It is drinking to become intoxicated (generally 4-5 drinks per occasion)
- Increases risk of death (injury, violence, heart disease, high BP, etc) & second hand effects (road crashes, child abuse, violence, etc)
Alcohol & Pregnancy:
- can you drink when pregnant?
- what happens when pregnant & drinking?
- how long does it take for a drink to be out of one’s breast milk?
When pregnant or planning to be, there is NO safe dose of alcohol
- increases miscarriage chances
- hypertension occurs
- placental abnormalities
- FASD
Takes about 2 hours for 1 drink to be out of your milk
What does FASD stand for?
Fetal Alcohol Spectrum Disorder
Alcohol Use & Youth:
- alcohol use is a leading behavioural risk factor for death & social issues
- most commonly used psychoactive substance
- ## often consumed as a form of binge drinking
What are 5 types of cardiovascular diseases that alcohol is a risk factor for?
Heart disease:
1 - hypertension
2 - Heart failure
3 - high blood pressure
4 - atrial fibrillation
5 - hemorrhagic stroke
What are 3 main health risk factors of consuming alcohol?
1 - Cancer
2 - Heart Disease
3 - Liver Disease
Alcoholism - Biological & Family Factors
Alcoholism is 4-5x more common in children of alcoholics
What are the 4 components influencing alcoholism?
1 - Biological Components
2 - Physiological Components
3 - Social & Cultural Components
4 - Environmental Components
What is a Type I Alcoholic?
Make up 75% of alcoholics
- atleast 1 parent was an alcoholic
- were encouraged to drink
- conscious about others feelings & avoid harmful situations
What is a type II alcoholic ?
Include men under 25 who’s dads were violent alcoholics
- don’t seek social approval, lack inhibition, & prone to novelty seeking actions
What is the average age Canadians start drinking?
12 years old
What are some Social/Cultural Factors of alcoholism?
- Peer Pressure
- Lowers stress, grief, & disappointment
- ## Social factors such as feeling like the weak link in the fam
How can you you manage an addiction?
1 - Intervention
- planned confrontation by significant others so that the Addict can see the destructive nature of their addiction
2 - Therapy
- Individual therapy where they can identify their feelings that their addictions have been medicating
- Group therapy where they learn to be honest with self & others
- Family therapy helps entire family recover
What is the 12-step Therapy Model of Addiction?
A peer support group modelled to be like an Alcoholics Anonymous program for addicts & their families
- focus’s on honest acknowledgment of shortcomings & mutual support
What are Chronic Diseases?
Diseases that are persistent & generally slow in progression
- can be treated but not cured
- they are most costly but most preventable
What are 2 other ways of saying “chronic diseases”
Non-communicable Diseases
Or
NCD’s
What is Epidemiology?
Study of the distribution & determinants of health-related events & the application of the studies to control the problem
What are the determinants of health diseases?
Determinants are the causes & other factors that influence disease occurrence
What health problems/events are studied in epidemiology?
1 - environmental exposures
2 - infectious diseases
3 - injuries
4 - non-infectious diseases
5 - natural disasters
6 - terrorism
Where can epidemiological data be collected?
- medical/hospital records
- physicians records
- health insurers
- provinces & registries
- individuals
- interviews & surveys
What does “incidence” mean when measuring disease occurrence?
It is a measure of risk
The # of new cases occurring in a specified time period within an at risk population
How can incidence be calculated?
Number of new cases divided by population at risk
What does “prevalence” mean when measuring disease occurrence?
- one point about it
It is the # of affected people present in the population at a given time
- doesn’t determine when disease developed
What is a Risk Factor?
A characteristic more common among people who have a particular disease than those who don’t
- increased likelihood of something developing
What are the 3 types of risk factors?
1: Modifiable - risk factors that can be changed
2: Non-Modifiable - risk factors you can’t change
3: “Other” - varying factors leading to disease
What are Intermediate Conditions?
- are they risk factors?
- what are 4 examples
They’re also considered risk factors as they are above normal health measurements such as;
- Hypertension
- Obesity
- Dyslipidemia
- Elevated blood glucose levels
What are Disease Endpoints?
- what area few examples?
Diagnosis of disease & significant events
- cardiovascular disease
- cancer
- Type 2 diabetes
Cancer
- what is it?
Uncontrolled, abnormal growth & spread of cells that invades healthy tissues
Diabetes:
- what is it?
- what are it’s 4 types?
High blood glucose levels caused by issue secreting insulin or defect in insulin sensitivity
- Per-diabetes
- Type 1
- Type 2
- Gestational
Cardiovascular Disease:
- what is it?
- what are a few different types with examples?
Any problem with blood circulation it the heart, brain, organs, or limbs
- Blood vessel constriction (hypertension)
- Blood vessel blockage (atherosclerosis)
- Lack of blood flow to organs (heart attack & stroke)
- Blood vessel rupture (aneurism)
What is obesity?
Excess or abnormal body fat that has a negative impact on health
What common illnesses/diseases are associated with obesity?
- hypertension
- stroke
- type 2 diabetes
- cancers
What does BMI stand for?
Body Mass Index
What is the waist circumference size showing one is obese?
- how big for men?
- how big for women?
Men - greater or equal to 40inches (120cm)
Women - greater or equal to 35inches (88cm)
Smoking:
- how many cancers is it linked to?
- what are some negative side effect for this with diabetes?
Linked to 16 different cancers - mostly lung cancer
Increases risk of developing type 2 diabetes
Worsens diabetes by altering blood glucose levels, infections, & kidney & nervous diseases
What are 2 main things that can increase due to physical inactivity?
Increased risk of chronic disease & increased tendency to be overweight/obese
Physical activity & its relation to cancer:
- what 2 cancers does it reduce the risk of?
-
Physical Activity reduces risk of breast & colon cancers by regulating hormones & transit times of food in the intestine
- more intense & longer PA decreases cancer risk more
What are the reasons for being physically active as someone with Pyle 2 diabetes?
- what is the weekly goal for physical activity?
- Blood glucose levels decrease
- decreases tendency for obesity
- improves circulation
- 30mins for 5 days a week (moderate intensity)
Screening:
- what is it & what does it do?
Screening for risk or early signs can reduce the incidence & mortality through lifestyle changes, drug therapy, & surgery
What are a few examples of screening for…
- cancer?
- Cardiovascular Disease?
- Diabetes?
Cancer - self exams, mammograms, Pap test, colonoscopy
CVD - BP checks & blood lipids (cholesterol)
Diabetes - checking blood glucose levels
Define “Overweight”
Weight that i greater than expected for a specific height
Define “Obesity”
An accumulation of body fat associated with health risk
What are the 2 types of body fat?
Essential & Storage
What is the purpose of essential body fat?
- what % of weight is it in men & women
Needed for psychological function
3-7% of weight in men & 10-25% of weight in women
What are a few examples of INDIRECT methods for assessing body fat?
Underwater weighing, skin folds, Bod Pod, & bio electric impedance analysis (BIA)
What are fat cells also called & what are 2 factors that determine degrees of fatness?
Also called adipocytes & degree of fatness is determined by size & number of fat cells
What are the 2 ways fat is increased in the body?
- what are they
1.) Hyperplasia - new fat cells form
2.) Hypertrophy - size of existing cells increases
What are the 2 critical stages of Hyperplasia?
1.) Infancy
2.) Adolescence growth spurt
** once formed, fat cells are yours for life
What is the Critical Stage of Hypertrophy?
Anytime!
What are the 3 key risk factors for obesity?
1 - if you’re a child of obese parents (1 parent = 40% & both = 80%)
2 - Genetic Predisposition
3 - Obesity genes
What are a few hormone/endocrine influences for obesity?
1 - Ghrelin levels rise to signal hunger
2 - Leptin levels rise to signal fullness/satiety
3 - GLP-1 levels rise & suppresses appetite
What does BMR stand for & what is it?
Basal Metabolic Rate
- energy expenditure of the body when at rest
What are a few influencing factors of ones BMR?
- Age
- Body composition
- Self-Protective mecahnisms
What does the “set-point theory” state?
The body has a weight at which it is most comfortable
What is Body Image?
How you see yourself & your appearance
- how comfortable one is with their body
Negative vs Positive Body Image
Negative - distorted perception/feelings of discomfort, shame, & anxiety
Positive - true perception of appearance, accepts self, & celebrates uniqueness
What are a few key factors influencing Body image?
Media, Family, Cultural groups, Communities, Physiological & Psychological factors, etc
What is the “Fitspiration” Movement?
Social media posts & influencers who are meant to motivate people to be “healthy” are always exercising, eating well, taking care of bodies & thin
What is Body Dysmorphic Disorder (BDD)?
An obsessive concern with appearance (distorted view), perceived lack of muscle, facial blemishes, etc
- may use steroids, excessive body building, & cosmetic surgery
What is Social Physique Anxiety (SPA)?
Anxiety experienced at perceives a valuation of your body by others
- One my spend too much time fixation on body, working out, performing ego-centred activities
What is Disordered Eating?
- Atypical eating behaviours to achieve lower weight but not clinically diagnosed
What are a few common behaviours of disordered eating?
- Habitual or chronic restrained eating
- compulsive eating
- diet pills & laxatives
- hunger & satiety are ignored
What are Eating Disorders?
Serious disturbance in eating behaviour & unhealthy efforts to control body fat & weight
- unrealistic views on body weight & shape
- relates to low self-esteem
-
How many Canadians have diagnosed eating disorders?
Approximately 1million
what is Anorexia Nervosa?
Persistent, chronic eating disorder characterized by deliberate food restriction & severe life threatening weight lodd
What are a few criteria’s for Anorexia Nervosa?
- refusal to maintain normal body weight
- intense fear of gaining weight
- denial of seriousness of current low body weight
What are a few physical & mental Consequences of Anorexia Nervosa?
- altered levels of neurotransmitters causing depression, anxiety, lack of sleep, fainting, etc
- thinned hair & brittle nails
- iron & electrolyte levels dangerously low
- decreased immune system
- constipation, abdominal pain, bloating
- loss of muscle tissue & bone density
What is Bulimia Nervosa?
Binge eating then purging such as self induced vomiting, laxatives, diuretics, etc
- includes fasting & excessive exercise
- occurs in secrecy
What are some criteria for those with Bulimia Nervosa?
Recurrent episodes of binging & purging at least once a week for 3 months
- body weight & shape unduly influence self-evaluation
What are some mental & physical consequences of Bulimia?
- inflamed throat & glands in neck, face, & jaw
- depression, anxiety’s, dizziness, seizures, etc
- ruptured or enlarged stomach & ulcers/bleeding
- dehydration & kidney malfunction
What is binge eating disorder (BED)?
Recurrent binge eating episodes but no purging
- generally no abnormal dieting or body image attitudes
What are a few criteria’s for Binge eating disorders?
Recurrent episodes of binge eating associated with 3+ of the following:
- (1) eating more rapidly than normal; (2)eating until
uncomfortably full; (3) eating large amounts when not hungry; (4) eating alone because embarrassed of how much food is consumed; (5) feeling disgusted with oneself after over-eating
What are Eating Disorder Not Other Specified (ED-NOS)?
- what are some common behaviours?
Unclear diagnosis of eating & body image issues
- Common behaviours include; purging after normal eating, chewing repeatedly then spitting out, irregular binge eating & purging
What is Anorexia Athletica?
- what is it?
- what are a few symptoms?
Compulsive exercising to control weight (not a recognized diagnosis)
Symptoms Include;
- over-exercising
- using work, social, or school time to exercise
- focus on calorie burning
- Justifying excessive behaviours by insisting the
exercise behaviours are healthy
What does RED-S stand for?
- what is it & when does it occur?
Relative Energy Deficiency in Sports
- occurs when body consistently has a deficit in available energy
What are some Physical & Psychological symptoms of RED-S?
- No period (amenorrhea)
- stress fractures & overuse injuries
- significant weight loss
- anxiety/depression
- claims of being fat when thin
- difficulty concentrating
Who typically develops an eating disorder?
Men & women but mostly women
- athletes under pressure to maintain ideal body weight for performance
What are a few warning signs of an eating disorder?
- desire for weight loss when normal weight already
- sudden weight loss
- skipping of lunches/meals or snacks
- change in personality & social interactions
- frequent bathroom breaks
- complaints of feeling cold, hair loss, lack of concentration, & mood swings
- loss of menstrual cycle