Women, Heart Disease, & Research - Dr. Granek Flashcards
Lifestyle medicine (pillars of health)
- Exercise/movement (non-sedentary)
- Diet (whole food, plant based)
- Sleep
- Mental health (mindfulness, mind-body connection)
- Social connections (relationships, social support)
Goals of Preventive Medicine
Recognize extent of CVD in women, describe the symptoms of heart attack in women, list the risk factors for heart disease, identify resources online, identify the major research studies in women.
Office on Women’s Health (OWH)
Works to improve the health and well being of women and girls in the US. Established in 1991, first head: Vivian Pinn
National Institute of Health (NIH)
Bernadine Healy: first woman to be a director
Office of Research on Women
Focused on women’s health as a specialized issue for government action and attention.
US Preventative Service Task Force
Makes recommendations of what (in general) the public should do for their health.
National Black Women’s Health Project
Addressed the health and reproductive rights of African American women.
Cohort Study
Follow specific groups over a long period of time to track how they develop a disease, some even go long enough to follow the children of the original participants.
» Cohort studies are used to study incidence, causes, and prognosis
Controlled Clinical Trial/Experimental
Treatments given under controlled conditions, use double blind method and random assignment to reduce bias.
Congestive Heart Failure
Result of an overworked heart muscle if you have uncontrolled high blood pressure for a long period of time.
Lifestyle Medicine
People focusing on evidence based behavioral changes that you can make to prevent disease and make outcomes for people already diagnosed with a disease better.
Blood Pressure
Most important risk factor for heart disease.
Sex Lens
Biological dimensions, use terms such as sex/sex differences/sex assigned at birth/female/male
Gender Lens
Social dimensions, use terms such as gender/gender differences/man/woman/transgender
Heart failure
Heart cannot pump; blockages can result in heart attacks.
Women’s Health Initiative
3 trials: Hormone replace, diet modification, and Calcium/Vitamin D
Women’s Health Initiative Estrogen & Progestin Trial Purpose
- To test the hypothesis that estrogen + progestin will reduce rates of CHD and osteoporosis-related fracture
- To assess whether E+P increases the risk of breast cancer
- To determine the balance of risks and benefits of estrogen + progestin on the overall health of postmenopausal women.
Absolute Risk Summary (of the hormone trial)
Excess risk per 10,000 person-years on E+P
- 7 more women with CHD
- 8 more women with stroke
- 8 more women with PE
- 8 more women with breast cancer
Nurses Health Study
An important observational study that spans across generations and studies birth control, cigarette smoking, postmenopausal hormone therapy, etc
Framingham Heart Study
Studying the risk factor for heart disease.