Topic 1 Flashcards
Def Causal relationship
a change in one variable brings about a change in another but a strong correlation between 2 variables doesn’t prove a causal link between them.
Characteristics of a Cohort study:
Large groups followed over time to see who develops disease
Prospective; at start nobody has disease
Exposure to suspected risk factors recoreded
Expensive
Time consuming
Characteristics case control studies
group with disease compared to control group of individuals who do not have disease
retrospecitve
Features of a well designed study
- Clear: aim hypothesis or question
- Representative participants to sample of population results applied
- No bias
- Sufficient numbers of people
- Clearly defined symptoms
- Measurements truly reflect what they were trying to measure
- Reliable method
- Other variables associated with disease taken into account
- Timescale suitable to exposure and disease development
- Data provides info on what study set out to measure
CVD risk factors (6)
high BP obesity smoking inactivity genetic inheritance dietary- blood cholesterol
Def blood pressure
measure of hydrostatic force of blood on blood vessel walls.
Highest- arteries
Measured in kilopascal (but in medical practice millimetres of mercury, mmHg).
Factors determining BP (3)
- Contact between blood and walls of blood vessels (peripheral resistance)
- Contraction of smooth muscle = lumen narrower= inc. resistance and inc. bp
- arterioles/ arteries constrict due to: loss of elasticity (age), release of hormones (adrenaline), high salt diet.
Odema def
Building up of fluid in tissues, causing swelling
Causes odema
- Arterial end of capillary: blood under pressure, so fluid and small molecules forced through tiny gaps between the cells of the capillary wall, into the inter cellular space. Forms tissue fluid.
- Cells absorb nutrients and O2 from fluids, and give out waste
- Tissue fluid moves back into capillaries by osmosis.
When BP raised, more fluid forced out into capillaries, which accumulates causing odema
What is 1 calorie
quantity of heat required to raise the temp of 1cm3 of water by 1 degree C
General formula: Carbohydrate
Cx (H2O)n
Monosaccharide def
Single sugar unit- monomer
Dissaccharide def
2 single sugar units combined in condensation reaction
3 Monosaccharides
Glucose
Galactose
Fructose
When is Maltose produced
when amylase breaks down starch (germinating seeds)
3 Dissacharides
Maltose
Sucrose
Lactose
3 Polysaccharides
Starch
Cellulose
Glycogen
Characteristics Polysaccharides
Compact molecules
Low solubility in water
Means they do not diffuse across cell membranes and do not affect concentration of water in the cytoplasm, so do not affect movement of water into or out of cell by osmosis
what are Lipids
fats and oils
organic molecules found in every type of cell
Insoluble in water
soluble in organic solvents e.g. ethanol
Saturated, LDL fats def
contains max number of hydrogen atoms
Long and straight hydrocarbon chain, with no C=C. This means can pack together closely with strong intermolecular bonds between triglycerides.
Solid at room temp
Unsaturated, HDL fat def
Monounsaturated. One C=C in each fatty acid chain.
Polyunsaturated: 2 or more C=C.
Double bonds cause a kink in hydrocarbon chain, which prevent them packing closely together. Inc distance between molecules, weakening intermolecular forces.
Liquid at room temp.
How to make unsaturated fats solid at room temp (saturated)
add hydrogen to double bonds.
“hydorgenated” or “trans-fats”
Processed foods
Is cholesterol a lipid
yes
Cholesterol def
short lipid molecules essential for good health
Vital component of cell membranes with roles in:
cell organisation and functioning
where is cholesterol made and form what
liver
saturated fats eg. eggs, meat, dairy
fat provides us with… (3)
energy
essential fatty acids the body cannot synthesise
fat soluble vitamins: A, D, E, K
BMI calculation:
Body Mass/kg DIVIDED BY (height)2/m2
Waist to hip ratio def
continuous, positive correlation, risk of heart attack
Men not over: 0.85
Women 0.90
Waist to hip ratio calculation
Waist circumference DIVIDED BY hip circumference
Consequences of obesity
increased risk
CHD
High BP
high lipid levels
Type 2 diabetes
what is insulin
hormone related to blood glucose levels produced by pancreas.
Type 2 diabetes due to:
continuous high Blood glucose levels due to frequent consumption of sugar rich foods can reduce sensitivity of cells to insulin