Trial Flashcards
The use of epidemiology to describe health status.
Does not tell us why inequities exist, doesn’t accurately indicate quality of life, does not account for social, cultural, and economic factors that shape health.
What is Epidemiology
The study of patterns and causes of disease in given groups or populations.
Prevalence - number of cases diseases that exist.
Incidence - number of new cases of disease occurring.
Distribution - extent
Apparent causes - determinants.
Groups experiencing health inequities
Aboriginal and Torres strait islanders. Socioeconomically disadvantaged People in rural and remote areas Overseas born people The elderly People with disabilities
Statistics about aboriginal and Torres Strait islander.
- Leading causes of death: circulatory disease, cancer, diabetes and respiratory diseases.
- 4-5 times more likely to die from preventable causes.
- More likely to die from transport accidents, intentional self harm, assault.
What are the measures of epidemiology ?
Life expectancy
Morbidity
Mortality
Infant mortality
Nature and extent of health inequities of ATSI
The gap between indigenous and non indigenous is about 17 years.
Infant mortality and mortality rates three times higher.
What contributes to the poor health of ATSI?
Social factors: dispossession, dislocation, discrimination.
Disadvantages: lower education attainment, lower rates of home ownership, income, higher unemployment, lower incomes
Health inequities experienced by rural and remote people
Poorer health status, higher death rates, lower life expectancy
How can poorer health status be explained ? Rural and remote
Lack of access to health services
Lower socioeconomic status
Occupational hazards
Poorer living conditions
What are three major CVD conditions ?
Coronary heart disease
Stroke
Peripheral vascular disease
What is CVD
All the diseases and conditions of the heart and blood vessels.
Risk factors of CVD
Non modifiable - age, hereditary, gender.
Modifiable - smoking, high BP, high blood fats, overweight, and obesity, lack of physical exercise
Protective factors for CVD
Maintain healthy blood pressure and blood cholesterol, healthy lifestyle choices (not smoking, food, physical activity, weight)
What are the four classification of cancer?
Carcinoma - cancer of epithelial cells ( skin, mouth, breaths, lungs)
Sarcoma - cancer of bone, muscle of connective tissue
Leukaemia - cancer of blood - forming organs.
Lymphoma - cancer of infection - fighting organs.
Trends/statistics of cancer
Second most common cause of death
Increase in cancer incidence
What are the groups at risk for cancer
Smokers, socio economically disadvantaged, high fat, low fibre diet, family history, fair skin, sun exposure, women who have never given birth
Growing and ageing population
65 years and over add up to 13% of population
Leading cause of death in this age group is heart disease and cerebrovascular disease.
What is causing the ageing population to grow?
Families having fewer children
Living longer.
What is community care?
A program to assist the elderly to manage daily activities within their home.
Likelihood to be exposed to the following risk factors for ATSI
Tobacco use, alcohol consumption, overweight obesity, illicit drug use.
Roles of governments addressing the health inequities for ATSI
Agencies Co-ordinate indigenous health services (office of ATSI health)
Assist with health services - substance use/abuse, housing and community and services, development and research.
Roles of community in addressing inequities for ATSI
Improve access and stronger deliver of primary health care.
Services provided:
- Health education, clinical care, promotion, screening, immunisation and counselling
- transport to appointments, hearing health, sexual health, substance use and mental health.
Individuals addressing health inequities for ATSI
Individuals need to increase their protective health behaviours. Factors include age, family history, community support, education, role modelling, access to health services.
Access to health services and education have the greatest impact on ATSI
Socioeconomically disadvantaged nature and extent
Increased mortality and morbidity Increased infant mortality Decreased education about health - less informed Increased heart disease Increased prevalence of smoking Decreased use of health services
Government, community and individuals reducing health inequities
Medicare, PBS, funding for education
Media promoting health, fun runs
People in rural and remote
Increased mortality, increased heart disease, injury, diabetes, suicide and accidental death.
Poor access to health services and low Socioeconomic statues contributes to these health inequities.
Role of government, community and individuals addressing inequities for rural and remote
H
Australians born overseas
Enjoy high levels of health
Decreased death rates
Only people experiencing good health can immigrate
Increased rate of lung cancer (U.K) and diabetes (Asia)
Suffer from mental health problems due to resettlement, have difficulties accessing health services, socioeconomically disadvantaged
The elderly inequities
Australia has an ageing population Elderly are living longer Leading causes of death CHD and cancer Arthritis is most coming condition Other conditions include hypertension, visual and hearing loss, dementia and fracture
People with disabilities inequities
Disability - lack of ability to perform everyday functions
Handicap - disadvantage resulting from impairment that limits or prevents everyday activities
Most frequent include arthritis, hearing loss, mental disorders and musculoskeletal disorders
What are two types of residential aged care?
Low level - assistance with meals, laundry, cleaning and personal care.
Hugh level - provides nursing care, meals, laundry, cleaning and personal care.
Levels of responsibility
Individual
Government
Non government organisations
Community
How to identify priority health issues.
Social justice principles Prevalence of condition Potential for prevention and early intervention Cost to the individual and community Priority population groups
Types of training
Aerobic
Anaerobic
Strength
Flexibility
Types of aerobic training
Continuous
Fartlek
Interval
Circuit
Types of flexibility training
PNF
Dynamic
Ballistic
Static
Types of strength training
Resistance (concentric)
Weight training (isotonic, concentric, eccentric)
Isometric
Energy systems
ATP/PC
Lactic acid
Aerobic
ATP/PC (source of fuel, efficiency, duration, cause of fatigue, rate of recovery, by product, example)
Creative phosphate and ATP Very efficient 10-12 seconds Unable to re-synthesise Heat 2 minutes - 50%, no longer than 4 minutes Weight lifter, long jumper
Lactic acid system (source of fuel, efficiency, duration, cause of fatigue, rate of recovery, by product, example)
Carbohydrates and glycogen
Efficient
30 secs - just over 3 minutes ( varies with intensity)
20minutes - 2 hours to remove lactic acid.
Lactic acid build up, OBLA
400m sprint
Aerobic system (source of fuel, efficiency, duration, cause of fatigue, rate of recovery, by product, example)
Carbohydrates, fats, protein in extreme cases Efficient and endless at low intensities Intensity dependant, last hours Hours to days, correlation between intensity and recover. Carbon dioxide (expired)and water (sweat)
Principles of training
Progressive overload Specificity Variety Reversibility Training thresholds Warm up and cool down
Progressive overload
Gradually increasing the load that your body is working against. Alter the intensity and volume of sessions and the frequency of training.
Specificity
Implies a close relationship between training activities and those used in an event.
Muscles - appropriate muscle groups being trained.
Movement - movement patterns being used Mirror those performed in competition.
Metabolic - energy systems are being trained in the proportions to which they are used in performance.
Reversibility
The effects of training can reverse as a result of de training.
Variety
Used to avoid boredom, associated with repetitious, eg training for endurance events.
Promotes enthusiasm and motivation. Eg stationary training for cyclists
Training thresholds
Points that indicate the zone for athletic improvement to occur.
Aerobic threshold - 60-80% maximum HR. Gives max fat burning and health benefits from cardioVascular activity.
Anaerobic threshold - OBLA occurs, results in fatigue and trains in aerobic system again. Training causing increase tolerance to lactic acid
Warm up and cool down
Reduce risk of injury
Prepares athlete mentally
Increase body temp and enzyme activity to promote faster muscle contractions.
Stimulate respiratory and cardiovascular system to increase blood flow to muscles.
Brings HR back to normal
Prevents muscle soreness