Section 5 - Health, Disease and the Development of Medicines Flashcards

1
Q

What is the World Health Organisation definition of health?

A

Complete physical, mental and social well-being, and not merely the absence of disease or infirmity.

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2
Q

What is a disease?

A

A condition where part of an organism doesn’t function properly.

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3
Q

What are the two sorts of disease?

A

Communicable and non-communicable.

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4
Q

What is a communicable disease?

A

A disease that can be spread between individuals.

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5
Q

What is a non-communicable disease?

A

A disease which cannot be spread between individuals.

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6
Q

How does having a disease affect your chances of developing another?

A

It increases since the body is weakened. The immune system is busy fighting off one disease so the body cannot as easily defend against more diseases.

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7
Q

What are pathogens?

A

Organisms, such as some viruses, bacteria, fungi and protists, that cause communicable diseases.

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8
Q

What are some examples of communicable diseases?

A
Cholera
Tuberculosis
Malaria
Stomach Ulcers
Ebola
Chalara Ash Dieback
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9
Q
What is Cholera?
What causes it?
What are its symptoms?
How does it spread?
How can its spread be reduced or prevented?
A

A communicable disease that affects humans.
Caused by the bacterium Vibrio cholerae.
Its main symptom is diarrhoea.
It spreads via contaminated water sources.
it can be prevented by making sure people have access to clean water supplies.

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10
Q
What is Tuberculosis?
What causes it?
What are its symptoms?
How does it spread?
How can its spread be reduced or prevented?
A

A communicable disease that affects humans.
Caused by the bacterium Mycobacterium tuberculosis.
Its main symptoms are coughing and lung damage.
It spreads through the air when infected individuals cough.
To reduce and prevent its spread infected individuals should avoid crowded public spaces, practice good hygiene, sleep alone and make sure their homes are well ventilated.

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11
Q
What is Malaria?
What causes it?
What are its symptoms?
How does it spread?
How can its spread be reduced or prevented?
A

A communicable disease that affects humans.
It is caused by a protist.
Its main symptoms are damage to red blood cells and in severe cases the liver.
It is spread by using mosquitoes as an animal vector, they pass it on to humans but don’t get the disease themselves.
To prevent and reduce the spread of the disease people should put up mosquito nets, and use insect repellents to prevent malaria-carrying mosquitoes from biting people.

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12
Q
What are Stomach Ulcers?
What causes them?
What are their symptoms?
How do they spread?
How can their spread be reduced or prevented?
A

A communicable disease that affects humans.
They are caused by the bacterium Helicobacter pylori.
Their main symptoms are stomach pain, nausea and vomiting.
They are spread orally when swallowing contaminated water and food.
The spread can be prevented by having clean water supplies and hygienic living conditions as well as making sure all food is properly cooked.

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13
Q
What is Ebola?
What causes it?
What are its symptoms?
How does it spread?
How can its spread be reduced or prevented?
A

A communicable disease that affects humans.
It is caused by the Ebola virus.
Its main symptom is Haemorrhagic fever (a fever with bleeding).
It is transmitted via bodily fluids.
Its spread can be reduced and prevented by isolating infected individuals and sterilising any areas where the virus may be present.

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14
Q
What is Chalara Ash Diebach?
What causes it?
What are its symptoms?
How does it spread?
How can its spread be reduced or prevented?
A

A communicable disease that affects ash trees.
It is caused by a fungus that infects ash trees.
Its main symptoms are leaf loss and bark lesions.
It spreads by the air and is carried by the wind, similarly, it can spread when infected trees are moved between areas.
Its spread can be reduced and prevented by removing young, infected ash trees and replanting with different species, it can also be prevented by the restriction of the import or movement of ash trees.

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15
Q

How do viruses reproduce?

A

They infect living cells and use them to reproduce.

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16
Q

What are the two parts of the virus life cycle?

A

The lytic pathway and the lysogenic pathway.

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17
Q

What happens in the lytic pathway of the virus life cycle?

A

The virus attaches itself to a specific host cell and injects its genetic material into the cell.
The virus uses proteins and enzymes in the host cell to replicate its genetic material and produce the components of new viruses.
The viral components then assemble.
The host cell splits open releasing more viruses which go on to infect more cells.

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18
Q

What happens in the lysogenic pathway of the virus life cycle?

A

Following the virus’ injection into the cell during the first stage of the lytic pathway, its DNA incorporates itself into the genome. of the host cell.
The viral genetic material is replicated along with the host DNA during cell division, but the virus is dormant, so it doesn’t actively produce new viruses.
This can repeat numerous times.
Eventually, a trigger, like the presence of a specific chemical, causes the viral genetic material to leave the genome and resume the lytic pathway.

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19
Q

What are STIs?

A

Sexually transmitted infections, they spread through sexual contact, including sexual intercourse.

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20
Q
What is chlamydia?
What is it caused by?
What are some of its symptoms?
How is it spread?
How can its spread be prevented or reduced?
A

A communicable disease, more specifically an STI.
It is caused by the bacterium Chlamydia trachomatis.
Its main symptoms include random and abnormal discharges from the genitals as well as infertility in both sexes.
It is spread through sexual contact.
Its spread can be prevented through the use of condoms, screening individuals so they can be treated for the infection and the complete avoision of sexual contact.

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21
Q
What is HIV?
What is it caused by?
What are some of its symptoms?
How is it spread?
How can its spread be prevented or reduced?
A

A communicable disease, more specifically an STI.
It is caused by the Human Immunodeficiency Virus.
Its main symptom is AIDS, Acquired Immune Deficiency Syndrome, because the virus attacks white blood cells.
It is spread through bodily fluids.
Its spread can be prevented through the use of condoms, drug users should avoid sharing needles and medication can reduce the risk of an infected individual passing on the virus during sex, so screening and proper treatment are also important.

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22
Q

How do plants defend themselves physically against pathogens and pests?

A

Most plant leaves and stems have a waxy cuticle which provides a barrier to stop pathogens from entering the plant and stop pests from damaging them. This also prevents water from building up on the leaves, which reduces transmission of waterborne pathogens.
Plant cells themselves are surrounded by cell walls made from cellulose to provide a physical barrier against the pathogens that do make it past the cuticle.

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23
Q

How do plants defend themselves chemically against pathogens and pests?

A

many plants produce chemicals to prevent damage to the plant, such as antiseptics to kill off bacterial and fungal pathogens, they also produce pest deterrents such as toxins or repellents.

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24
Q

How have plant chemicals been used in medicine?

A

Quinine comes from the bark of the cinchona tree and it was the main treatment for malaria for many years.
Aspirin is used to relieve pain and fever, it was developed from a chemical found in the bark and leaves of willow trees.

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25
Q

How can plant diseases be detected in the field?

A

In the field plant diseases are normally discovered by observation, plant pathologists recognise the symptoms such as galls, abnormal growths, which may indicate crown gall disease in many types of plant.
Some plants may show symptoms of diseases caused by environmental conditions. By changing the environmental conditions, such as adding more nutrients to the soil, and observing the change it is possible to determine if the plant was infected or if the symptoms were something else.
Pathogens spread in different ways, by analysing the distribution of diseased plants it is possible to identify the type of pathogen responsible, patches of infection may suggest soil and contact transfer whereas random distribution could suggest that the pathogen is airborne.

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26
Q

How can plant pathogens be detected in the lab?

A

The identification of unique antigens and the detection of pathogen DNA.

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27
Q

How are plant pathogens detected through the identification of unique antigens?

A

Pathogens have unique proteins on their surface called antigens, these antigens will be present in a plant infected by that pathogen, which can be detected in a sample of plant tissue using monoclonal antibodies. The detection of an antigen unique to a particular pathogen allows that pathogen to be identified and the disease to be diagnosed.

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28
Q

How are plant pathogens detected through the detection of pathogen DNA?

A

If a plant is infected with a pathogen, its DNA will be present in the plant’s tissues.
Scientists can use various techniques to detect even small amounts of pathogen DNA in a sample of plant tissue allowing them to identify the particular pathogen that is present and to diagnose the disease.

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29
Q

What physical barriers does the human body have to prevent pathogens from entering the body?

A

The skin acts as a physical barrier.
Blood clots seal cuts to prevent pathogens from entering the body.
Hairs and mucus in the nose trap particles that could contain pathogens.
Cells in your trachea and bronchi produce mucus to trap pathogens and other cells in the airways have cilia which waft the mucus up to the back of the throat so that it can be swallowed.

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30
Q

What chemical barriers does the human body have to prevent pathogens from entering the body?

A

The stomach produces hydrochloric acid which kills most swallowed pathogens.
The eyes produce the chemical lysozyme in tears which kill bacteria on the eyes surface.

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31
Q

How does the immune system combat pathogens?

A

White blood cells travel around the body in search of pathogens.
B-lymphocytes are a type of white blood cell that is involved in the specific immune response.

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32
Q

How does the specific immune response work?

A

Every pathogen has unique molecules on its surface called antigens.
When a B-lymphocyte comes across an antigen on a pathogen they start to produce proteins called antibodies, which bind to the invading pathogen so it can be found and destroyed by the other white blood cells. the antibodies produced are specific to that pathogen and won’t affect any other pathogen.

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33
Q

Why does the body’s first response to a pathogen take a long time?

A

The body has never dealt with that pathogen before, so it had to create enough of the specific antibody to overcome the disease.

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34
Q

Why does the body’s later responses to a pathogen take much less time than the first response?

A

When the body interacts with a foreign antigen, it produces memory lymphocytes as well as antigens, these memory lymphocytes stay in the body for a long time and “remember” a specific antigen.
The person is then immune to that pathogen since the body can react quickly to a second infection.
If the same pathogen enters the body again, there are more cells that will recognise and produce antibodies against it so the second response is both faster and stronger than the first, and will often remove the pathogen before the infectee display any symptoms.

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35
Q

How does medical immunisation take place?

A

A dead or inactive form of the pathogen is injected into the body, they’re antigenic so the body will still produce antibodies to destroy them despite them being harmless.
This also produces memory lymphocytes so if a live version of that type of pathogen were to get into the body there will already be the necessary memory lymphocytes in place to begin a rapid secondary immune response.
This makes it less likely for someone who has been immunised to ever show symptoms of the disease.

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36
Q

What are the advantages of immunisation?

A

Large outbreaks, called epidemics, can be prevented so long as a large percentage of the population is immunised. This makes it less likely that non-immunised people will come into contact with an infected which makes it less likely for them to contract the disease, this is called herd immunity.
It has led to multiple diseases being virtually wiped out in many areas of the globe, such as smallpox measles and polio.

37
Q

What are the disadvantages of immunisation?

A

It doesn’t always work, and it may not give someone immunity.
Some can be highly allergic to vaccines, but this is rare and not everyone has to be vaccinated to be benefited due to her immunity.

38
Q

What are monoclonal antibodies?

A

Identical antibodies.

39
Q

How are monoclonal antibodies made?

A

Antibodies are produced by b-lymphocytes.
Lymphocytes don’t easily divide so they must be fused with a specific type tumour cell, called a myeloma cell, to produce a hybridoma, which produces the desired antibody as well as divides easily.
They can be cloned to produce lots of identical cells, which all produce the same antibodies, which can be collected and purified.

40
Q

Why are monoclonal antibodies so useful?

A

They can be made to target any molecule, such as the antigen on one type of cell, or a chemical in the body, which gives them a variety of uses, such as in pregnancy tests, cancer treatments and finding blood clots.

41
Q

How are monoclonal antibodies used in pregnancy tests?

A

The hormone HCG is found in the urine of a woman only when she is pregnant, pregnancy testing sticks detect this hormone.
On the part of the stick the woman wees on there are antibodies to the hormone attached to a blue dye particle.
The test strip has more antibodies to the hormone stuck to it, so they don’t move.
If the woman is pregnant, the hormone binds to the antibodies on the dye particles, the urine would then move up the stick, carrying the hormone and dye with it, where it would bind to the antibodies in the test strip holding it in place and turning the strip blue.
If the woman wasn’t pregnant, the dye would be carried past the test strip since there would be nothing to bind the dye to the strip, so it wouldn’t turn blue.

42
Q

How are monoclonal antibodies made to target cancer cells?

A

Cancer cells have unique proteins on their surface that don’t appear on normal cells, these are called tumour markers.
This means that monoclonal antibodies made to bind to the tumour markers will only target cancer cells and not normal cells.

43
Q

How are monoclonal antibodies used to diagnose cancer?

A

First, cancer-targeting antibodies are labelled with a radioactive element.
These antibodies are then given to the patient through a drip where they enter the blood and are carried through the body.
When the antibodies come into contact with the cancer cells, they bind to the tumour markers.
A picture of the patient’s body is taken using radioactivity-detecting cameras, any cancer cells show as bright spots due to the radioactive labels on the antibodies.
This shows doctors exactly where the cancer is, its size and whether it’s spreading.

44
Q

How are monoclonal antibodies used to deliver medication in cancer treatment.?

A

An anti-cancer drug is attached to the monoclonal antibodies.
They are then given to the patient through a drip.
The antibodies target the tumour markers on the cancer cells since they bind to them only.
The drug kills the tumour cells but doesn’t affect normal body cells near the tumour.
Other cancer treatments like chemotherapy and radiotherapy can affect normal cells as well as the cancer cells, which means that monoclonal antibody-based drug treatments are much lower than normal methods of treatment.

45
Q

How are monoclonal antibodies used to find blood clots?

A

When blood clots, proteins in the blood join together to form a solid mesh.
Monoclonal antibodies can be designed to attach to these proteins.
These antibodies are tagged with a radioactive element and injected into the body.
A picture is then taken using a radioactivity-detecting camera.
The blood clot will show up as a bright spot due to the antibodies being attached to it.
This is useful in detecting and removing blood clots before they seriously harm the patient.

46
Q

What are antibiotics?

A

Drugs that kill bacteria.

47
Q

How do antibiotics work?

A

By inhibiting the processes in bacterial cells without affecting the host organism. For example, preventing the construction of bacterial cell walls, which prevents bacteria from dividing which eventually kills the bacteria, but doesn’t affect the human host since animal cells don’t have cell walls.

48
Q

Why are there various types of antibiotic?

A

Different antibiotics attack different types of bacteria, so one will not work on all bacteria.

49
Q

Why don’t antibiotics work on viruses?

A

Viruses reproduce using the host cell, it is difficult to kill the bacteria without killing the host cells as well.

50
Q

What are the three stages of drug development?

A

The discovery of the drug.
Preclinical Testing
Clinical Testing
Approval by a medical agency

51
Q

How was penicillin discovered?

A

The scientist Alexander Fleming was cleaning out Petri dishes containing a bacteria he was investigating, he noticed one dish contained a mould and an area clear of bacteria around it. The mould was producing penicillin and was killing the bacteria.

52
Q

What was the most common way to discover a drug before modern chemistry and biology?

A

Normally it was discovered through luck and accident.

53
Q

What is the most common way to discover drugs in modern times?

A

Through the use of biological and chemical knowledge, most scientists try to identify molecules which may be able to be used as drugs to carry out a specific purpose, often as antibiotics.

54
Q

How is preclinical testing carried out?

A

In preclinical testing, drugs are first tested on human cells and tissue cultures in a lab, however, this cannot be used to test the effect on whole or multiple bodily systems.
The next step is to test on live animals, provided the drug didn’t kill the human tissues, this is to test that the drug works in the desired way, as well as find out how toxic it is and what the best dosage would be.

55
Q

How is clinical testing carried out?

A

If the drug passes the preclinical testing it will be tested on human volunteers in a clinical trial.
The first test is on healthy volunteers to make sure there are no harmful side effects for the normal human body.
If the first trial goes well the drug can be tested on people suffering from illness, this is to find the optimum dose, which is most effective while causing the fewest side effects.
Patients are split randomly into two groups, one is given the new drug and the other is given a placebo. This allows them to account for the placebo effect.
The clinical trials are blind and often even double-blind so that the doctors monitoring the results aren’t subconsciously biased.

56
Q

What is a placebo?

A

A substance that looks like the drug being tested, but has no effects whatsoever, often trials will use a sugar pill.

57
Q

What is the placebo effect?

A

Where a patient expects and fully believes a treatment to work and so they feel better, even though the treatment isn’t actually doing anything.

58
Q

What does it mean if a trial is done blind?

A

The patient doesn’t know what group is the placebo and which is on the actual drug.

59
Q

What does it mean if a trial is done double-blind?

A

Neither the doctors nor the patients know which group is the placebo and which is on the actual drug.

60
Q

Why must a drug be approved by a medical agency?

A

It prevents one firm from copying another’s drugs, as well as making sure all of the reporting was both accurate and truthful. This ensures the drugs are as effective and as safe as possible.

61
Q

How are bacteria grown in a lab?

A

Bacteria (and other microorganisms) are cultured in a growth medium containing the carbohydrates, minerals, proteins and vitamins they need to grow.
The growth medium can be a nutrient broth solution or agar jelly.
Bacteria grown on agar “plates” will form visible colonies on the jelly’s surface or will spread out to give an even covering.

62
Q

Describe how an agar plate is made and how bacteria colonies are grown on it.

A

To make an agar plate, hot agar jelly is poured into a Petri dish.
When it cools and sets, an inoculating loop can be used to transfer bacteria to the jelly. Alternatively, a sterile pipette and a spreader could be used to create an even covering. the organisms then multiply.

63
Q

What temperature should microorganism cultures be kept at, at school? Why might this be different in science labs?

A

In schools, cultures are kept at about 25°C because harmful pathogens are less likely to grow at this temperatures. Other labs may use higher temperatures to provide a more optimal temperature for growth.

64
Q

How would a bacteria culture be used to investigate the effects of various antiseptics and antibiotics on bacteria?

A

Place paper discs soaked with the different substances on an agar plate that has an even bacterial covering, leaving plenty of space between the discs.
The substance should diffuse into the agar.
When testing the substances it is important to use a control disc, which hasn’t been soaked in any substance, to show any differences between the growth of bacteria around the plates are due to the chemicals and not any outside factors.
The dish should be sealed and left for about 48 hours at 25°C
If the bacteria is resistant it will keep growing on the agar around the disc, non-resistant bacteria will be killed, leaving a clear area around the disc, this is called an inhibition zone.
The larger the zone, the more effective the substance.

65
Q

What is aseptic technique?

A

The prevention of contamination by unwanted microorganisms.

66
Q

Why is aseptic technique essential when creating microorganism cultures?

A

Contamination by other microorganisms will affect the results of any tests done and could be dangerous if certain pathogens were allowed to grow in the dishes.

67
Q

How is aseptic technique carried out when making a tissue culture?

A

The Petri dishes and growth medium should be sterilised before use. This can be done in an autoclave, which uses steam at high pressure and temperature to kill any microorganisms present.
Before using it to transfer the microorganisms, the inoculating loop should be sterilised by passing it through a flame, to kill any unwanted microorganisms. It can be dipped in ethanol beforehand.
Liquid bacterial cultures should be kept in a culture vial with a lid, the lid should only be removed briefly when transferring microorganisms to prevent other microbes from entering.
After transferring microbes to a Petri dish, it should be covered with a lid which is then lightly taped on, this stops microorganisms from the air getting in.
Petri dishes should be stored upside down to stop drops of condensation falling onto the agar from the lid.
The process should be carried out next to a bunsen burner to draw air away from the culture.

68
Q

What are risk factors?

A

Things that are linked with an increase in the likelihood of developing a certain disease at some point in life.

69
Q

What are some examples of unavoidable risk factors?

A

Age and biological sex.

70
Q

What are some examples of lifestyle risk factors?

A

Drugs, exercise and diet.

71
Q

What is cardiovascular disease?

A

Any disease related to the heart of blood vessels.

72
Q

What is a major risk factor in cardiovascular disease?

A

Smoking, the nicotine in cigarette smoke increases heart rate, which increases blood pressure.
High blood pressure damages artery walls, which contributes to the build-up of fatty acids in the arteries. This constricts blood flow and increases the risk of heart attack and stroke.
Additionally, smoking increases the risk of blood clots forming in arteries, which can restrict blood flow leading to heart attack and stroke.

73
Q

What major non-communicable diseases can a poor diet cause?

A

A diet with too few nutrients leads to malnutrition, often deficiency diseases such as scurvy, a diet with too many nutrients leads to malnutrition too, often leading to obesity.

74
Q

What major non-communicable diseases can a lack of exercise lead to?

A

Obesity and cardiovascular disease, due to the build-up of sugar and fat in the body as well as the lack of heart exercise, weakening it.

75
Q

What major non-communicable diseases can excessive alcohol consumption lead to?

A

Liver disease, such as cirrhosis, and cardiovascular disease, due to toxic byproducts of the breaking down of alcohol by the liver, this can lead to permanent liver damage. Liver damage also increases the likelihood of cardiovascular disease.

76
Q

What effects can poor lifestyles have on surrounding areas?

A

An area with high levels of smoking, alcohol consumption and poor diet may have a high occurrence of certain non-communicable diseases such as cardiovascular and liver diseases, which puts pressure on the resources of local hospitals.
This can affect the entire nation since the NHS has to provide the resources for the hospitals and many non-communicable diseases prevent people from working, which strains the economy since they would require additional benefits to pay for necessities.
Non_communicable diseases also have knock-on effects globally. Cardiovascular disease is the number one cause of deaths worldwide and malnutrition is a major problem in developing nations, which can hold back a country’s development.

77
Q

What is BMI?

A

BMI, or body mass index, is a measure of someone’s weight (in kilograms) compared to their height (in meters squared) as a guide as to whether they are underweight, normal, overweight or obese.

78
Q

What is the main drawback of the BMI scale?

A

It isn’t always reliable since muscle weighs more than fat, someone who exercises regularly and is more muscular may show as overweight on the BMI scale despite being extremely healthy.

79
Q

How are the BMI values classified?

A
Bellow 18.5           Underweight
18.5 - 24.9         Normal / Healthy
25 - 29.9               Overweight
30 - 40             Moderately Obese
Above 40           Severely Obese
80
Q

What is waist to hip ratio?

A

A measurement of someone’s waist circumference compared to their hip circumference (both in centimetres).

81
Q

What does a higher waist to hip ratio suggest?

A

That you are carrying more weight around your abdomen.

82
Q

What does a waist to hip ratio above 1 for men and 0.85 for women suggest? What is the name given to this and what does it mean?

A

That they are carrying too much weight around their abdomen, this is called abdominal obesity and it puts them at a higher risk of developing obesity-related diseases such as type 2 diabetes.

83
Q

What is cholesterol?

A

A fatty substance that the body needs to make things like cell membranes.

84
Q

What does can happen if someone has too much cholesterol in the blood?

A

It builds up in fatty deposits in arteries, restricting blood flow, most often in areas where the artery wall has been damaged, often by high blood pressure.
These fatty deposits trigger blood clots to form, which can block blood flow completely. If this a blood vessel supplying the heart, the heart will be cut off from any oxygen, causing a heart attack, a blockage in the brain deprives the brain of oxygen and causes a stroke.

85
Q

How can cardiovascular disease be treated?

A

Lifestyle changes, medication and surgery.

86
Q

How are lifestyle changes used to treat cardiovascular disease?

A

Changing to a healthy balanced diet which is low in saturated fat, as well as exercising regularly and not smoking decreases the chances of developing CVD or suffering from the symptoms further.

87
Q

How is medication used to treat cardiovascular disease?

A

When lifestyle changes aren’t enough, medication is sometimes used to help people reduce the symptoms of CVD.
Statins reduce the levels of cholesterol in the bloodstream, slowing down the rate that fatty deposits form, reducing the chance of heart attacks or strokes. However, they can cause negative side effects like aching muscles or even liver damage.
Anticoagulants are drugs which make blood clots less likely to form, but this can lead to excessive bleeding if the person gets hurt.
Antihypertensives reduce blood pressure, preventing damage to the blood vessels and reduce the risk of fatty deposits forming, but can cause headaches and fainting.

88
Q

How are surgical procedures used to treat cardiovascular disease?

A

Stents are tubes that are inserted in arteries, they keep them open so that blood can pass through, lowering the risk of heart attacks. The artery can close up again, the stent can irritate the artery forming scar tissue and patients must take anticoagulants to prevent blood clots forming on the stent.
If a blood vessel is blocked, a healthy section of vessel can be used to bypass the blockage, known as coronary bypass surgery.
The entire heart can be replaced if necessary by a heart transplant, but donor hearts don’t always work, and patients must take drugs to prevent rejection.
All cardiovascular procedures carry risks of bleeding, clotting and infection.