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Flashcards in Overnutrition and Cardiovascular Disease Deck (39)
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1

Obesity increases mortality in men and women across all age strata from 35 to 89. Increased mortality is due to what specific causes?

Ischemic heart disease, stroke, diabetes, cancer and live disease

2

Obesity shortens lifespan. Therefore how much weight loss can increase lifespan via lower mortality and blood pressure, decreasing risk of DM and improving lipid profile?

10kg

3

Cardiovascular disease is responsible for what percent of male and female deaths?

32% of male deaths
23% of female deaths

4

If your relative risk is greater than 3 then what disease outcomes are you at risk for?

Type 2 diabetes
Hypertension
Breathlessness
Insulin resistance
Dyslipidemia
Sleep Apnea

5

If your relative risk about 2-3 then what disease outcomes are you at risk for?

Coronary heart disease/heart failure
Osteoarthritis (knees)
Hyperuricaemia and gout
Gall Bladder disease

6

If your relative risk is about 1-2 then what disease outcomes are you at risk for?

Pregnancy complications
Cancer (breast and endometrium)
Impaired fertility/polcystic ovary

7

In terms of mortality what are the benefits of 10kg of weight loss?

20-25% fall in total mortality
30-40% fall in diabetes-related death
40-50% fall in obesity-related cancer deaths

8

In terms of blood pressure what are the benefits of 10kg of weight loss?

Fall of 10mm Hg in systolic and diastolic

9

In terms of diabetes what are the benefits of 10kg of weight loss?

Risk of developing diabetes reduced by less then 50%
Fall in 30-50% in fasting blood glucose
Fall of 15% in HbA1c

10

In terms of lipids what are the benefits of 10kg of weight loss?

Fall of 10% in total cholesterol
Fall of 15% in low density lipoprotein
Fall in 30% in triglycerides
Increase of 8% in high density lipoprotein (HDL)

11

How does cardiovascular disease develop?

Atherosclerosis ---- unstable plaque ---- rupture---- thrombosis ---- ischemia ----arrhythmia ---morbidity and mortality

12

What are the factors that help contribute to the development of atherosclerosis?

Clotting
Blood pressure
Dyslipidemia
Inflammation

13

What two factors are directly related to obesity?

blood pressure and inflammation

14

What is the role of cholesterol?

Higher cholesterol is associated with increased mortality from CHD when comparing countries
---there are big differences between populations, but it is a poor discriminator when comparing CHD risk within a country

15

_________ is a better indicator of CHD risk/

Triacylglycerol
(have to measure when fasting)

16

Increased TAGs are associated with what things?

Decreased HDL and increased LDL
Intolerance to dietary fat
Pro inflammation and Pro thrombosis

17

A major part of the risk for CVD is modifiable by what?

Diet and lifestyle
--66% of the risk is modifiable by diet

18

What are the main risks in the diet associated with CVD?

1. Too much salt -- coming from processing of foods, not added at the dinner table and processing of foods replaces K with Na
2. Too much and the wrong type of fats and carbs
3. Not enough fiber, fruits, veggies and nuts

19

Fruits and Veggies give us what?

High potassium with low sodium
--processed foods will always have more sodium and less potassium

20

How does diet affect blood pressure?

1. Excess salt and low potassium increase risk of HTN
2. Fruits and veggies reduce the risk

21

Which dietary fats are good and bad for our diets?

Saturated and trans fat are bad
----dyslipidemia caused by marked elevation of triglycerides and cholesterol.
--cholesterol only has an effect on serum cholesterol and not triglycerides

22

MUFA have no effect on clotting or inflammation but does help to decrease what?

Cholesterol

23

N-6 PUFA and N-3 PUFA have what effects on cholesterol and triglycerides?

N-6: decreases cholesterol, but are pro-inflammatory and thrombotic
N-3: decreases triglycerides and are anti-inflammatory and anti-thrombotic
--there needs to be a good balance.

24

What is the current advice about dietary fat?

1. If obesity is target: reduce total fat
2. Heart disease: fat quality
---atherogenesis: reduce SFA/trans fat and increased PUFA and MUFA n-3 with oily fish
-clotting/inflammation: increase n-3 with oily fish (to improve eicosanoid balance)

25

Fish oil is urged as a supplement for what kind of patients?

Heart attack patients

26

In summary explain the effects of n-3, n-6, mono--unsaturated, saturated/trans/cholesterol on CVD

n-3: decreased clotting, inflammation and triglycerides
n-6: increases clotting, decreases cholesterol and increased inflammation
mono-unsaturated: decreases cholesterol
Saturated/Trans: increases triglycerides and increased cholesterol
Cholesterol: increases cholesterol

27

How do carbs affect CVD?

1. Eating too much of the wrong type --- high glycemic index (GI)
--which is related to how quickly the blood glucose falls and rises after consumption
2. Low glycemic index
3. Not enough fiber (non starch polysaccharides)

28

Low glycemic index diets improve what?

Improve blood lipids, esp triglycerides

29

What is the equation for glycemic load?

Glycemia index x Amount of carbs

30

Which fibers are shown to lower cholesterol?

Soluble fibers