weeks 4-5 Flashcards
test 2 (125 cards)
Outline Dr Gill’s views on the current state of Australia’s health
- there has been an improvement in Australia’s health
- Australia has better nutrition than other countries
- Life expectancy is at a peak
- To improve health further need to address the following: alcohol, diet, sleep, exercise and smoking
- ‘fit and fat’ debate - argued that cardiovascular performance was dictated by number of hours of exercise per week, not weight
- key metabolism phases - in neutro, early adulthood (most health deterioration), older age (lose appetite and lose muscle mass)
Outline Dr Yoganthan’s views on the current state of Australia’s health
- Australian doctors focusing too much on increasing life expectancy over quality of life
- argues that fundamental health is dictated by improving metabolic rate
- Australians consume too many calories, but not enough nutrients
- there has been a normalisation of obesity and diseases which can be avoided through correct diet
what are the short term benefits of nutrition on our health?
- Short term benefits (not specified = within 24-48hrs)
o Increased energy
o Improved digestion
o Sport performance and recovery (48-72 hours)
o Focus
o Mood
o Sleep
o Hair skin and nails (over a few weeks)
o Weight loss or muscle gain (months)
what was Australia’s national expenditure on the healthcare system? how much has this increased from years before?
o National expenditure was $170.4 billion in 2015-2016
3.6% increase from years before
what is epidemiology?
Epidemiology – the mathematical research of death and disease within the population.
what are the 3 chronic illnesses associated with ageing in Australia?
o Cancers
o CVD
o Type 2 diabetes
outline the non-modifiable risk factors of chronic disease
o Age
o Family history/genetics
o Ethnicity
o Already having metabolic diseases like diabetes
outline the modifiable risk factors of chronic disease. what % of CVD patients reported having these factors?
o Tabacco use – most preventable cause of mortality in Australia. Cause hypertension and blood clotting. Smokers x5 to develop CVD, x2 to have a stroke or coronary heart disease, when stopping smoking reduce risk of sudden death from CVD
o Body mass index – associated with high bad cholesterol
4/5 had 3 or more
outline the findings of the 2018 Australian Health survey.
chronic disease represented 85% of disease in Australia
o Largest contributors – cancer (16%), cardiovascular disease (14%)
o Diet and body mass index accounted for 11% and 9% of risk factors associated
which diseases have the largest mortality rates in Australia?
o Stroke → 2nd largest
o Heart failure and cardiomyopathy → 3rd largest
o Hypertensive disease → 4th largest for males
o Peripheral vascular disease → 4th largest for females
what are the factors which are putting Australian’s at risk of chronic disease?
o Child’s sedentary behaviour
o Unhealthy life and diet from a young age
o Lack of awareness on prevention from young age
* Australian’s Current negative dietary habits
o Convenience foods
o High in salt, sugar and fat
o Not enough fibre and fluids
o Excessive smoking and drinking
how common is CVD in Australia?
o 1/6
o 1 person every 12 minutes dies of CVD
what are the signs and symptoms of CVD?
o Fatigue
o Limbs in pains
o Some people have no awareness of having it due to no symptoms until something severe happens
how can be prevent/treat people with CVD?
o Healthy diet
Main areas – fruit and veg and whole grain, legumes, lean proteins and limiting red meet to 1-3 times a week, increasing healthy fats and oils
Smoking – stop smoking
Blood pressure – manage blood pressure (e.g reduction of salt)
Physical activity
Kidney health
Stress management
what are cardiac blues?
- Cardiac blues – feeling overwhelmed when given the CVD diagnosis
How common is Type II diabetes in Australia?
- 1.2 million have type II diabetes
- More prevalent than type one – accounts for 85% of cases
what are the risk factors associated with type II diabetes?
o Genetic history
o Over age of 40
o Over age of 45 with obesity and high blood pressure
o Certain ethnic groups
- people from rural areas
why are indigenous people more at risk of type II diabetes?
higher levels of visceral fat and higher risk of insulin resistance
Indigenous people are x3.5 more likely to have diabetes, and x4 likely to die or be hospitalised from it
how can be prevent type II diabetes?
o Weight management – obesity is a risk factor
Changes in diet
Types of carbohydrates being eaten – should focus on complex > simple or processed
Not cutting out foods, but you should cut back and look at the quality and the portion
what are some of the challenges associated with being diagnosed by type II diabetes?
a lot of change – diabetes stress (stress over new daily tasks)
o being diagnosed with one of these diabetes leads to higher risk of developing another disease e.g CVD
how can we prevent cancer through our diet? why does this work?
Reduction of carcinogenic compounds
Reduction of unhealthy foods to reduce risk of GORD (stomach acid moves up oesophagus leading to ulcers. If this happens too much, cells mutate = cancer)
what is BMI?
body composition measurement used since 1800s
calculated by doing weight/height squared
what are the BMI classifications?
- Under 18.5: Underweight with low risk of co-morbidities but potential clinical concerns
- 18.5 to 24.9: Normal range
- 25 to 29.9: Overweight with increased risk of co-morbidities
- 30 to 34.9: Class I obesity with moderate risk
- 35 to 39.9: Class II obesity with severe risk
- Over 40: Class III obesity with very severe risk
what are the limitations of BMI?
- Developed for population studies not individuals
o Rugby player vs fat person = same weight means same BMI - Doesn’t account for:
o Muscle mass vs fat mass
o Body fat distribution
o Ethnic variations in body composition
o Age related changes in body composition
o Gender differences