Cardiac Physiology and Arrhythmias

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Questions and Answers

What was Susruta's contribution to the understanding of fitness?

  • He emphasized the role of nutrition in fitness.
  • He warned against the consequences of neglecting physical activity.
  • He advocated for daily exercise as essential medicine. (correct)
  • He questioned the need for exercise.

Which of the following best describes health-related fitness?

  • Attributes that enhance athletic performance.
  • Components related specifically to extreme sports.
  • The ability to perform daily activities effectively. (correct)
  • A measure of life expectancy.

What does the Health Continuum illustrate?

  • The spectrum from optimum wellness to disease or death. (correct)
  • The strict separation between fitness professionals and health care professionals.
  • The importance of athletic performance in defining health.
  • The financial aspects of health care across different nations.

How do lifestyle choices influence overall health according to the content?

<p>Regular exercise is generally associated with healthier diets. (B)</p> Signup and view all the answers

What key concept was established in the Lalonde Report of 1974?

<p>A framework emphasizing the importance of lifestyle and environment for health. (D)</p> Signup and view all the answers

Which country had the longest life expectancy according to the information provided?

<p>Japan (B)</p> Signup and view all the answers

What is Healthy Life Expectancy (HALE)?

<p>Life expectancy minus years lived with serious health issues. (C)</p> Signup and view all the answers

Which health professional focuses primarily on promoting health within the health continuum?

<p>Health Care Professionals (C)</p> Signup and view all the answers

What model highlights the multifaceted nature of mental illness?

<p>Bio-Psycho-Social Model (D)</p> Signup and view all the answers

What is a potential consequence of addressing cultural expectations in mental health?

<p>Improved mental health outcomes (A)</p> Signup and view all the answers

What is a significant predicted shortage in Canada's health care by 2028?

<p>Primary care doctors (D)</p> Signup and view all the answers

Which factor is NOT typically associated with improved life expectancy?

<p>Smoking prevalence (B)</p> Signup and view all the answers

How is the health care system in Canada funded?

<p>A combination of federal and provincial funding (B)</p> Signup and view all the answers

What is the average life expectancy in Canada for 2024?

<p>83.11 years (B)</p> Signup and view all the answers

Which of the following statements about Clozapine is accurate?

<p>It carries a small risk of death but can be used with caution. (A)</p> Signup and view all the answers

What percentage of health spending in Canada is allocated to hospitals?

<p>26% (C)</p> Signup and view all the answers

What is a potential psychological diagnosis for the 32-year-old woman post car accident?

<p>Post-traumatic stress disorder (C)</p> Signup and view all the answers

Which of the following is NOT a consequence of a shortage in health care workers?

<p>Increased funding for hospitals (C)</p> Signup and view all the answers

What is a common misconception regarding the relationship between socioeconomic status and life expectancy?

<p>Wealthier individuals tend to have shorter life expectancies. (B)</p> Signup and view all the answers

Which option describes a significant challenge faced by Canada's health care system?

<p>Lack of preventive care funding (C)</p> Signup and view all the answers

In what area is Canada ranked low compared to other developed countries?

<p>Number of healthcare workers (C)</p> Signup and view all the answers

What is the caloric value of carbohydrates per gram?

<p>4 kcal/g (A)</p> Signup and view all the answers

Which essential nutrient is NOT considered a macronutrient?

<p>Vitamins (D)</p> Signup and view all the answers

During pregnancy, how much additional energy is typically needed in the 2nd and 3rd trimesters?

<p>250 kcal/day (D)</p> Signup and view all the answers

What is the recommended maximum intake of total sugars per day according to health guidelines?

<p>100g (B)</p> Signup and view all the answers

What do trans fats typically contribute to in terms of health risks?

<p>Increased heart disease risk (C)</p> Signup and view all the answers

Which classification of carbohydrates provides immediate energy options?

<p>Sugars (C)</p> Signup and view all the answers

Which nutrient is essential for maintaining fluid balance in the body?

<p>Proteins (A)</p> Signup and view all the answers

What does the term 'Glycemic Index' (GI) refer to?

<p>Impact of carbohydrates on blood glucose levels (D)</p> Signup and view all the answers

Which of the following is NOT classified as a macronutrient?

<p>Minerals (B)</p> Signup and view all the answers

Which type of fat should be consumed for optimal heart health?

<p>Monounsaturated fat (B)</p> Signup and view all the answers

What is the primary role of dietary fiber?

<p>Aid digestion and prevent diseases (B)</p> Signup and view all the answers

What is the minimal recommended water intake for a typical adult?

<p>2 liters (C)</p> Signup and view all the answers

Which nutrient category includes both essential and non-essential amino acids?

<p>Proteins (B)</p> Signup and view all the answers

Which of the following micronutrients is classified as a fat-soluble vitamin?

<p>Vitamin D (C)</p> Signup and view all the answers

What is the primary purpose of Evidence-Based Medicine (EBM)?

<p>To integrate clinical expertise with the best available evidence (D)</p> Signup and view all the answers

Which stage of the Behavior Change Model involves actively engaging in new health behaviors?

<p>Action (D)</p> Signup and view all the answers

What distinguishes lifespan from healthspan?

<p>Lifespan is the number of years lived, while healthspan focuses on years spent without illness (A)</p> Signup and view all the answers

Which level of evidence is considered the highest in the Evidence-Based Medicine hierarchy?

<p>Level I evidence from randomized controlled trials (D)</p> Signup and view all the answers

What is a common misconception about chronic diseases and older age demographics?

<p>Chronic diseases are often more prevalent in older age demographics (D)</p> Signup and view all the answers

Approximately what percentage of Canadians aged 65 or older report having very good or excellent health?

<p>50% (C)</p> Signup and view all the answers

Which factor is NOT typically considered in the Evidence-Based Medicine process?

<p>Cost-effectiveness analysis (C)</p> Signup and view all the answers

Which of the following is NOT a type of complementary and alternative medicine (CAM)?

<p>Prescription medication (B)</p> Signup and view all the answers

What percentage of Canadians reported having used some form of CAM according to the Fraser Institute?

<p>80% (A)</p> Signup and view all the answers

Which of the following examples illustrates a natural substance used in medicine?

<p>ICT2588 from wildflowers (B)</p> Signup and view all the answers

What is the primary goal at the Maintenance stage of behavior change?

<p>To sustain changes over time (B)</p> Signup and view all the answers

Which of the following statements is a limitation of Evidence-Based Medicine?

<p>It cannot incorporate individual patient values (D)</p> Signup and view all the answers

According to the content, which statement best reflects the interaction between EBM and CAM?

<p>Both EBM and CAM can contribute to patient care (B)</p> Signup and view all the answers

What is the primary function of the Sinoatrial (SA) Node in the heart?

<p>To generate electrical impulses at a higher frequency than other nodes (D)</p> Signup and view all the answers

Which measurement indicates the total blood ejected from the heart per minute?

<p>Cardiac Output (Q) (D)</p> Signup and view all the answers

What happens during tachycardia?

<p>The heart rate exceeds 100 bpm (D)</p> Signup and view all the answers

Which component of the heart's conduction system is designed for one-way signaling?

<p>Atrioventricular Node (AV Node) (D)</p> Signup and view all the answers

What is the role of baroreceptors in blood pressure regulation?

<p>To detect changes in blood pressure (D)</p> Signup and view all the answers

Which blood vessels primarily carry oxygenated blood away from the heart?

<p>Arteries (B)</p> Signup and view all the answers

What characterizes the heart sounds known as 'Lub Dub'?

<p>The closing of heart valves during contraction and relaxation (A)</p> Signup and view all the answers

Which of the following conditions is characterized by an irregular heart rhythm?

<p>Atrial Fibrillation (D)</p> Signup and view all the answers

What does blood pressure regulation primarily depend on?

<p>Cardiac Output and Total Peripheral Resistance (A)</p> Signup and view all the answers

How is stroke volume (SV) primarily determined?

<p>Preload, afterload, and contractility (D)</p> Signup and view all the answers

What is a significant disadvantage of public healthcare systems?

<p>Longer wait times for treatment (A)</p> Signup and view all the answers

Which healthcare system primarily operates on payroll deductions for coverage?

<p>German Insurance-Based System (B)</p> Signup and view all the answers

How does the Canadian healthcare model ensure access to services?

<p>By providing universal coverage for medically necessary services (B)</p> Signup and view all the answers

What is one of the primary goals of the Affordable Care Act (Obamacare)?

<p>Reduce the number of uninsured Americans (D)</p> Signup and view all the answers

What is a common characteristic of out-of-pocket healthcare systems?

<p>Patients pay for services directly without insurance (B)</p> Signup and view all the answers

What amount of moderate physical activity is now recommended per week for adults?

<p>150 minutes (C)</p> Signup and view all the answers

The average wait time for an MRI in Canada is approximately how long?

<p>11.1 weeks (B)</p> Signup and view all the answers

Which of the following is a primary benefit of private healthcare systems?

<p>Faster access to care (D)</p> Signup and view all the answers

Which population group is specifically encouraged to engage in physical activity throughout pregnancy?

<p>Pregnant women (D)</p> Signup and view all the answers

Which type of training is recommended for healthy adults with spinal cord injury?

<p>Functional electrical stimulation (C)</p> Signup and view all the answers

What do SMART goals stand for in the context of effective time management?

<p>Specific, Measurable, Attainable, Relevant, Time-based (A)</p> Signup and view all the answers

Which is a recommended strategy for managing time effectively during study sessions?

<p>Using the Pomodoro Technique (C)</p> Signup and view all the answers

What is a key benefit of regular physical activity as highlighted in the guidelines?

<p>Reduced disease risk (A)</p> Signup and view all the answers

What aspect of health is primarily illustrated in the health triangle model?

<p>Mental, physical, and social health (A)</p> Signup and view all the answers

What should special populations, including those with disabilities, also consider along with physical activity?

<p>Sleep patterns (B)</p> Signup and view all the answers

Which of the following is considered NOT a characteristic of effective time management?

<p>Rigid scheduling (D)</p> Signup and view all the answers

For youth aged 5-17 years, what is the minimum recommended daily activity?

<p>60 minutes (A)</p> Signup and view all the answers

Why might someone prefer a mixed healthcare system?

<p>Reduction of inequality in healthcare access (B)</p> Signup and view all the answers

What is a primary focus of the revised Canadian Physical Activity Guidelines?

<p>Strength training twice weekly (C)</p> Signup and view all the answers

Which of these strategies can reduce anxiety related to time management?

<p>Creating a structured routine (D)</p> Signup and view all the answers

How did Canada’s Physical Activity Guidelines evolve from 1998 to 2011?

<p>Included varied population needs (D)</p> Signup and view all the answers

Which type of exercise is recommended for improving outcomes in individuals with Parkinson’s Disease?

<p>Strength and flexibility activities (D)</p> Signup and view all the answers

What is a significant concern regarding Canadians’ current state of physical activity?

<p>Lack of adherence to recommendations (A)</p> Signup and view all the answers

What type of activities are recommended for children aged 0-4 years?

<p>Unstructured physical activity (B)</p> Signup and view all the answers

What is a primary takeaway regarding physical activity recommendations?

<p>Strong focus on sleep and sedentary behavior (A)</p> Signup and view all the answers

Which guideline emphasizes incremental changes in daily activity for substantial health improvements?

<p>Surgeon General's Report (A)</p> Signup and view all the answers

What should adults aged 18-64 focus on in addition to physical activity?

<p>Maintaining a balanced sleep schedule (B)</p> Signup and view all the answers

What is a critical indicator of balance in health according to the health triangle?

<p>Balance among physical, mental, and social well-being (A)</p> Signup and view all the answers

Which of the following is NOT commonly identified as a sign of a mental health crisis?

<p>Stable energy levels (A)</p> Signup and view all the answers

In the SF-36 Health Survey, what do the response categories assess?

<p>Social functioning and emotional problems (C)</p> Signup and view all the answers

Which aspect of locus of control is associated with better academic performance?

<p>Internal locus of control (B)</p> Signup and view all the answers

What can indicate a high level of intrinsic motivation?

<p>Personal interest and care (C)</p> Signup and view all the answers

Which mental illness is most prevalent among young adults according to the WHO?

<p>Major depression (B)</p> Signup and view all the answers

What is a common concern regarding second generation anti-psychotic drugs introduced in the 1990s?

<p>Potential side effects like agranulocytosis (D)</p> Signup and view all the answers

Which factor has been correlated with rising mental health issues in Fiji?

<p>Introduction of television (B)</p> Signup and view all the answers

What was identified as a method to cope with stress according to cognitive appraisals?

<p>Cognitive restructuring (D)</p> Signup and view all the answers

What role do daily hassles play in mental health?

<p>They can accumulate and affect mental health (B)</p> Signup and view all the answers

What is stress defined as?

<p>A state in which homeostasis is threatened (A)</p> Signup and view all the answers

In Dr. Stewart Wolfe's study, what was noted as a key factor for low rates of heart attacks in Roseto, Pennsylvania?

<p>Strong social support and community ties (B)</p> Signup and view all the answers

Which of the following is a type of negative stress?

<p>Academic pressures (D)</p> Signup and view all the answers

What disease is NOT primarily linked to hereditary genetic factors?

<p>Physical injuries (B)</p> Signup and view all the answers

What physiological response is triggered during an acute stress response?

<p>Elevated heart rate and breathing rate (B)</p> Signup and view all the answers

What impact did the COVID-19 pandemic have on York University undergraduates?

<p>Increased prevalence of mental health issues (A)</p> Signup and view all the answers

What is a characteristic of an external locus of control?

<p>Belief that external factors dictate outcomes (D)</p> Signup and view all the answers

Which hormone is primarily associated with the body's stress response?

<p>Cortisol (C)</p> Signup and view all the answers

How does chronic stress affect cognitive function?

<p>Impairs cognitive function (C)</p> Signup and view all the answers

What type of stress is considered beneficial and often motivational?

<p>Eustress (B)</p> Signup and view all the answers

What is an implication of combining poor dietary habits with stress?

<p>Increased accumulation of abdominal fat (C)</p> Signup and view all the answers

What is the main function of the hypothalamo-pituitary-adrenal (HPA) axis in response to stress?

<p>Secretion of cortisol (A)</p> Signup and view all the answers

Which stress management technique can help mitigate stress effects?

<p>Breathing exercises (B)</p> Signup and view all the answers

How many kilograms of carbohydrates does a person consume in a lifetime, according to the data?

<p>8,000 kg (A)</p> Signup and view all the answers

Which nutrient provides the highest amount of calories according to the lifetime consumption data?

<p>Fats (C)</p> Signup and view all the answers

What effect can prolonged stress have on health?

<p>Increased risk of cardiovascular issues (C)</p> Signup and view all the answers

What is the primary role of the right ventricle in the heart's function?

<p>To pump deoxygenated blood to the lungs. (A)</p> Signup and view all the answers

Which chamber of the heart has the thickest muscular walls?

<p>Left ventricle (D)</p> Signup and view all the answers

What is the primary focus of studying nutrition in relation to health?

<p>Food's impact on health (B)</p> Signup and view all the answers

What does heart rate variability (HRV) indicate?

<p>The ability of the heart to adapt to stressors. (C)</p> Signup and view all the answers

What is a potential drastic consequence of acute stress?

<p>Broken heart syndrome (B)</p> Signup and view all the answers

How many chambers are there in the human heart?

<p>Four (C)</p> Signup and view all the answers

During which phase of the cardiac cycle does the heart experience isovolumetric contraction?

<p>Isovolumetric Contraction Period (D)</p> Signup and view all the answers

At rest, the heart typically pumps how much blood per minute?

<p>5-6 liters (C)</p> Signup and view all the answers

What is the primary function of the atria in the heart?

<p>To receive blood and transfer it to the ventricles. (D)</p> Signup and view all the answers

Which layer of the heart is responsible for its muscle contractions?

<p>Myocardium (A)</p> Signup and view all the answers

What happens to blood during the ventricular ejection period of the cardiac cycle?

<p>Blood is ejected into the aorta and pulmonary arteries. (A)</p> Signup and view all the answers

Which system governs the control of heart rate?

<p>Autonomic nervous system (D)</p> Signup and view all the answers

What major role does coronary circulation serve?

<p>It supplies the heart muscle with oxygen and nutrients. (C)</p> Signup and view all the answers

How does chronic stress affect heart rate variability (HRV)?

<p>It decreases HRV, raising health risks. (C)</p> Signup and view all the answers

What is the heart's average lifespan in terms of beats over a lifetime?

<p>2.5 billion beats (D)</p> Signup and view all the answers

What is the role of the epicardium in the heart?

<p>It houses the coronary blood vessels. (B)</p> Signup and view all the answers

What is the primary purpose of serving sizes on food labels?

<p>To provide consistent comparison among foods (C)</p> Signup and view all the answers

Which of the following is NOT a requirement for a product to be labeled fat-free?

<p>Must have a minimum serving size (D)</p> Signup and view all the answers

What is a key risk associated with the consumption of natural health products (NHPs)?

<p>Potential severe side effects (C)</p> Signup and view all the answers

What are common examples of genetically modified foods?

<p>Soy, corn, and sugar beets (B)</p> Signup and view all the answers

How does physical inactivity impact health economically?

<p>It is associated with significant healthcare costs (D)</p> Signup and view all the answers

Which health-related fitness component focuses primarily on muscle performance?

<p>Muscle strength (D)</p> Signup and view all the answers

What is the definition of physical activity (PA)?

<p>All forms of movement that contribute to energy expenditure (B)</p> Signup and view all the answers

Which of the following is a correct statement about nutrient content claims?

<p>Reflects a minimum percentage of nutrient reduction (B)</p> Signup and view all the answers

Which of the following best describes ergogenic aids?

<p>Substances aiming to enhance athletic performance (A)</p> Signup and view all the answers

How does the level of education impact physical activity rates in Canadians?

<p>Higher education correlates with higher activity levels (C), Lower education leads to higher inactivity rates (D)</p> Signup and view all the answers

Which type of sugar is considered calorie-free per serving?

<p>Any sugar with less than 5 kcal per serving (B)</p> Signup and view all the answers

What can be said about activity levels among Canadian adults based on the 2004 CCHS data?

<p>Less than 45% engage in sufficient physical activity (B)</p> Signup and view all the answers

What is the purpose of the Dietary Reference Intakes (DRIs)?

<p>To promote health and prevent nutrient deficiencies. (C)</p> Signup and view all the answers

Which macronutrient should constitute 10-35% of total caloric intake according to Acceptable Macronutrient Distribution Ranges (AMDR)?

<p>Protein (B)</p> Signup and view all the answers

Which of the following years marked the introduction of Canada’s Food Guide?

<p>1961 (B)</p> Signup and view all the answers

What significant shift occurred in the 2019 update of Canada’s Food Guide?

<p>An emphasis on flexible approaches and plant-based foods. (B)</p> Signup and view all the answers

What is a key criticism of the new Canada’s Food Guide?

<p>It is considered too expensive to follow. (C)</p> Signup and view all the answers

Which of the following is part of Canada’s Healthy Eating Strategy?

<p>Improving access to healthy food information. (B)</p> Signup and view all the answers

What is the impact of marketing regulations for children under 13 in Canada?

<p>It limits the use of mascots in marketing unhealthy foods. (C)</p> Signup and view all the answers

What does Front-of-Pack (FOP) labeling aim to simplify?

<p>Nutritional information for easier decision-making. (D)</p> Signup and view all the answers

Which nutrient is NOT included in the Nutrients of Concern for labeling?

<p>Dietary Fiber (B)</p> Signup and view all the answers

What does the Adequate Intake (AI) refer to in the context of dietary recommendations?

<p>The average daily nutrient level sufficient for most individuals. (A)</p> Signup and view all the answers

Which dietary guideline emphasizes the importance of social eating?

<p>Enjoyment of Food (C)</p> Signup and view all the answers

Which of the following is not a feature of the 2019 Canada’s Food Guide?

<p>Standardized caloric limits for all demographic groups. (A)</p> Signup and view all the answers

What are Acceptable Macronutrient Distribution Ranges (AMDR) designed to accommodate?

<p>A diverse range of nutritional needs. (B)</p> Signup and view all the answers

What is the recommended daily limit for sodium intake as highlighted in recent dietary guidelines?

<p>Less than 2300 mg/day (B)</p> Signup and view all the answers

Flashcards

Physical Fitness

The ability to perform daily activities effectively.

Health-Related Fitness

Components of fitness that are directly related to good health and well-being in daily life.

Performance-Related Fitness

Attributes that enhance athletic performance, such as speed, power, and flexibility.

Health Continuum

A visual representation that shows the range of health from optimal wellness to disease and death. It highlights that health is a spectrum, not just an on or off state.

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Lalonde Report (1974)

A document that outlined the importance of lifestyle and environmental factors in influencing health.

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Health Expenditure per Capita

The spending on healthcare per person in a particular country or region.

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Healthy Life Expectancy (HALE)

The average number of years a person is expected to live, taking into account years lived without serious health issues.

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Exercise Physiology

The study of the physical and mental benefits of exercise and how it impacts overall health.

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Government-Controlled Healthcare

A healthcare system where the government is primarily responsible for providing and funding healthcare services. This model aims for universal coverage and equal access for all citizens.

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Insurance-Based Healthcare

A healthcare system where private insurance companies play a dominant role in covering healthcare costs. Individuals often pay premiums for coverage through their employer or directly.

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Combination Healthcare Model

A healthcare system that combines elements of both government-funded and private insurance models. This approach aims to ensure universal access while offering some flexibility in healthcare options.

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Out-of-Pocket Healthcare

A healthcare system where individuals are primarily responsible for paying for their healthcare costs out of their own pockets. This is common in many developing nations.

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Affordable Care Act (ACA)

The Affordable Care Act, also known as Obamacare, was enacted in 2010 with the goal of increasing access to affordable health insurance for US citizens. It aimed to expand coverage and regulate insurance practices.

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Canadian Healthcare Model

The Canadian healthcare system, known for its universal coverage, provides access to medically necessary services for all residents, regardless of their ability to pay. It focuses on ensuring equal access based on need.

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Time Management

The practice of managing one's time effectively by making informed decisions about how to allocate time and energy towards achieving valued goals.

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Setting Priorities

Identifying and prioritizing areas that are most important to you and ensuring your activities are aligned with these priorities.

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SMART Goals

A mnemonic acronym used to set effective goals that are Specific, Measurable, Achievable, Relevant, and Time-bound.

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Task-Based Goals

Goals that focus on completing specific tasks and activities compared to goals aimed solely at achieving specific grades or outcomes.

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Creating Structure and Routine

Creating a consistent routine that reduces decision fatigue and allows for more mental energy for studying. This includes establishing a regular sleep schedule and planning your days in advance.

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Utilizing Planning Tools

Using tools such as calendars, to-do lists, and apps to organize tasks and schedule activities by term, month, week, and day. Include breaks and self-care to avoid burnout.

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Breaking Down Tasks

Breaking down large projects or assignments into smaller, more manageable steps. This approach reduces overwhelm and makes tasks feel less daunting.

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Health Triangle

The Health Triangle is a model that illustrates the interconnectedness of mental, physical, and social health. It emphasizes that these aspects are interdependent and contribute to overall well-being.

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Origin of the Health Triangle

The Health Triangle was originally developed as a project for an Alaskan middle school in 1997. It has since been adopted by the World Health Organization (WHO) as a useful framework for understanding health.

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WHO Definition of Health

A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.

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Mental Health Crisis Signs

Signs indicating a mental health crisis, including rapid mood swings, agitation, aggressive behavior, confused thinking, expressions of self-harm, and changes in energy levels.

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SF-36 (Short Form 36) Health Survey

A psychometric tool evaluating health by assessing social functioning and emotional problems, including interference of emotions in everyday life and role limitations due to emotional issues.

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Intrinsic Motivation

Motivation stemming from personal interest and care, driven by internal factors.

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Extrinsic Motivation

Motivation driven by accountability to others, stemming from external factors.

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Locus of Control

A person's belief about the control they have over their life outcomes.

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Internal Locus of Control

The belief that one controls their own destiny, linked to higher achievements, motivation, and better coping strategies.

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External Locus of Control

The belief that external factors determine life outcomes, potentially leading to procrastination and underachievement.

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Genetic Vulnerability in Mental Illness

The tendency for certain mental illnesses to be passed down through generations, raising questions about disability status.

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Psychopharmacological Treatments for Mental Illness

Drugs used to treat mental illnesses, including first-generation anti-psychotics (1950s) and second-generation anti-psychotics (1990s), with varying efficacy and side effects.

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Environmental, Social, and Cultural Factors in Mental Illness

The impact of environmental, social, and cultural factors on mental health. For example, the introduction of television in Fiji was linked to an increase in eating disorders.

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Post-Traumatic Stress Disorder (PTSD)

A psychological state where individuals experience intense fear, anxiety, and distress following a traumatic event, often triggered by reminders of the trauma.

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Cognitive Restructuring

A method of managing stress by identifying negative thoughts and replacing them with rational responses, aiming to alleviate distress.

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Life Events and Daily Hassles as Stressors

Significant life events and minor everyday irritations that contribute to stress levels. The death of a spouse is considered the most stressful event, while daily hassles, such as relationship problems, can accumulate and affect mental health.

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Bio-Psycho-Social Model

A model of mental health emphasizing the interconnectedness of biological, psychological, and social factors in influencing mental well-being.

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Roseto

A social community that seemed to experience unusually good mental health, likely due to strong social cohesion and support.

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Schizophrenia

A serious mental health disorder characterized by disrupted thinking, perceptions, and emotions.

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Clozapine

A medication used to treat schizophrenia, but with a potential side effect of death.

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Mental Health Disorder Emergence

The increase in incidence of a mental disorder, often observed after a significant cultural change.

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Canadian Health Care System

A complex system of healthcare provision in Canada, involving both federal and provincial funding.

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Ontario Health Insurance Plan (OHIP)

The official health insurance plan in Ontario, providing coverage to eligible residents.

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Total Health Spending

The total amount of resources dedicated to healthcare in Canada, including government spending, private insurance, and out-of-pocket payments.

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Regionalized Medical Model

A model of healthcare delivery where patients navigate a tiered system, starting with primary care and progressing to specialized services as needed.

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Public Health Care

Healthcare provided by the government, aiming for equitable access to essential services.

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Private Health Care

Healthcare provided privately, where patients pay for services directly, often with faster access and more options.

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Mixed Health Care Model

A combination of public and private healthcare systems, aiming to leverage the strengths of each.

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Life Expectancy

The average number of years a person is expected to live in a given place.

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Lifespan

The total duration of a person's life.

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Healthspan

The period of life spent in good health, without serious illness or disability.

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Evidence-Based Medicine (EBM)

A systematic approach to patient care that uses the best available evidence, clinical expertise, and patient values.

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Level I Evidence

The highest level of evidence, coming from properly designed randomized controlled trials (RCTs) or meta-analyses.

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Level II Evidence

Evidence from well-designed controlled trials without randomization, or cohort/case-control studies.

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Level III Evidence

Opinions from respected authorities based on clinical experience or descriptive studies.

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Complementary and Alternative Medicine (CAM)

Medical products and practices not part of standard medical care, aiming for wellness and disease prevention.

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Behavior Change Model

A model that describes the stages of behavior change, from unawareness to sustained change.

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Precontemplation

The first stage of the behavior change model, characterized by unawareness of the need for change.

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Contemplation

The second stage of the behavior change model, where individuals start considering change within the next six months.

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Preparation

The third stage of the behavior change model, where individuals plan to make a change within the next 30 days.

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Action

The fourth stage of the behavior change model, where individuals actively engage in new health behaviors.

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Maintenance

The fifth and final stage of the behavior change model, where individuals sustain changes over time.

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ICT2588

A compound from wildflowers that is being researched for its potential to treat solid tumors.

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Exendin-4

A substance derived from lizard saliva that is used to treat diabetes.

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Macronutrients

Energy-yielding nutrients that provide calories for the body.

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Caloric Value

The amount of energy released when 1 gram of a nutrient is burned.

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Basal Metabolic Rate (BMR)

The rate at which your body burns calories at rest.

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Physical Activity Level (PAL)

A measure of how much energy you expend through physical activity.

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Simple Carbohydrates

Carbohydrates that are quickly broken down into sugar, providing a quick energy boost.

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Complex Carbohydrates

Carbohydrates that take longer to digest, providing sustained energy.

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Soluble Fiber

A type of fiber that dissolves in water, helps lower cholesterol and blood sugar levels.

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Insoluble Fiber

A type of fiber that doesn't dissolve in water, aids in digestion and may prevent colon cancer.

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Glycemic Index (GI)

A measure of how quickly a carbohydrate food raises blood glucose levels.

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Saturated Fats

Fats that are solid at room temperature, found in animal products and some plant-based foods.

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Unsaturated Fats

Fats that are liquid at room temperature, found in plant-based foods like olive oil and avocados.

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Trans Fats

Fats that are created through a process called hydrogenation, linked to increased risk of heart disease.

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Essential Nutrients

Essential nutrients that the body cannot produce on its own and must be obtained through diet.

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Amino Acids

The building blocks of protein that are essential for growth, repair, and various bodily functions.

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Micronutrients

Essential nutrients required in small amounts that regulate metabolism and growth.

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Stress

A state where the body's internal balance is threatened, often caused by internal or external factors.

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Homeostasis

The body's natural ability to maintain a stable internal environment, like a thermostat keeping your house at a set temperature.

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Stressors

Anything that disrupts homeostasis, causing stress. Examples include exams, deadlines, or even a sudden change in temperature.

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Distress

Stress that has negative effects on your well-being, often causing anxiety, fatigue, or illness.

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Eustress

Positive, motivating stress that can help you thrive, like a challenge you enjoy overcoming.

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Fight-or-Flight Response

The body's immediate response to a perceived threat, preparing you to fight or flee, involving increased heart rate, alertness, and blood flow to muscles.

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Chronic Stress

Prolonged exposure to stress, leading to harmful effects like impaired cognitive function, heart problems, and digestive issues.

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Hypothalamic-Pituitary-Adrenal (HPA) Axis

A complex network of brain and body parts involved in stress response, releasing cortisol (a stress hormone).

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Cortisol

The main stress hormone, released by the HPA axis, increasing alertness but causing negative health effects when chronically elevated.

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Stress-Related Weight Gain

The tendency to gain weight, especially abdominal fat, due to the interaction of stress and poor diet.

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Stress Management Techniques

Techniques to manage stress and its effects on your body and mind. Examples include breathing exercises, relaxation, and physical activity.

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Broken Heart Syndrome

A sudden weakening of the heart muscle due to emotional distress, triggered by acute stress.

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Importance of Stress Management

The understanding that some stress is necessary for healthy functioning, but it needs to be managed for optimal well-being.

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Control Over Stress Response

The ability to control your reactions to stress instead of letting it take control of you.

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Acute to Chronic Stress Transition

The transition from acute stress to chronic stress can have significant health consequences, emphasizing the importance of stress management.

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Health Benefits of PA

Physical activity that helps in preventing diseases and improving physical functions like better heart health and blood pressure.

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Surgeon General's Report on PA

The Surgeon General's report recommends 30 minutes of brisk walking per day for significant health benefits. Even small increases in activity can improve your health.

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PA Guidelines for Adults

Engaging in moderate physical activity most days of the week is recommended for overall health benefits.

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Amount of PA and Health Benefits

Increased amounts of physical activity are associated with greater health benefits. The more you move, the healthier you become.

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Evolution of Canadian PA Guidelines

The Canadian Physical Activity Guidelines have evolved since 1998 to adapt to the needs of different age groups, from children to older adults.

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Latest Canadian PA Guidelines

The latest guidelines emphasize reducing sedentary behavior and promoting a variety of physical activities.

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2011 Canadian PA Guidelines

Canadian Physical Activity Guidelines recommend at least 150 minutes of moderate to vigorous physical activity per week, broken into sessions of 10 minutes or more, along with strength training twice a week.

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24-Hour Movement Guidelines

The 24-Hour Movement Guidelines focus on a holistic approach, emphasizing physical activity, sleep, and reducing sedentary behavior.

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Target Groups for 24-Hour Movement Guidelines

These guidelines provide specific tailoring for children (0-4 years), youth (5-17 years), adults (18-64 years), and older adults (65+ years).

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Canadian Physical Activity Status

The Canadian Health Measures Survey indicates that many Canadians still do not meet the recommended physical activity levels.

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Special Population Guidelines

Tailored guidelines address the specific needs of individuals with disabilities, chronic diseases, and pregnant women.

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Revised PA Guidelines Significance

The revised activity guidelines prioritize a comprehensive understanding of exercise needs across various demographics, focusing on type, amount, and suitability for individual needs.

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Encouraging PA in Everyday Life

The challenge lies in encouraging Canadians to incorporate physical activity into their everyday lives, for a healthier and happier future.

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Serving Size

A standard measure used to compare similar foods, reflecting typical Canadian consumption in one sitting.

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Sinoatrial Node (SA Node)

The primary pacemaker of the heart, located in the right atrium, responsible for generating electrical impulses at a rate of 60-100 beats per minute (bpm) at rest.

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Sugars on Ingredient Lists

These include white sugar, brown sugar, agave syrup, and high fructose corn syrup.

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Atrioventricular Node (AV Node)

A specialized node located between the atria and ventricles, the only pathway for electrical signals to travel from the atria to the ventricles. It also acts as a secondary pacemaker if the SA node fails.

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Fat-Free Label

Foods with less than 0.5g of fat per serving qualify for this label.

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Electrical Conduction System

The pattern of electrical conduction within the heart, crucial for healthy contractions. This pattern allows for efficient signal transmission through the heart.

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Stroke Volume (SV)

The volume of blood ejected by the ventricles with each beat, influenced by factors such as preload, afterload, and contractility.

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Lower Fat Label

Foods with at least 25% less fat than the original version qualify.

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Cardiac Output (Q)

Total blood ejected from the heart per minute, calculated as Q (L/min) = HR (bpm) X SV (ml).

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Genetically Modified Foods (GMOs)

Purposely altering the genetic makeup of foods, often referred to as 'Franken-foods.'

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Blood Pressure (BP)

The force of blood exerted on vessel walls, calculated as BP = Q x TPR (Total Peripheral Resistance), influenced by factors like autonomic nervous system, exercise, and stress.

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What is the purpose of Dietary Reference Intakes (DRIs)?

Dietary Reference Intakes (DRIs) aim to promote health and prevent nutrient deficiencies. They are developed collaboratively between the USA and Canada.

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Common Genetically Modified Foods

Examples include soy, corn, canola oil, and sugar beets.

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What is the Estimated Average Requirement (EAR)?

The Estimated Average Requirement (EAR) represents the average daily intake level of a nutrient that is estimated to meet the needs of half of the healthy individuals in a specific life stage and gender group.

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Baroreceptors

Specialized receptors that are located in the carotid artery and aorta, detecting changes in blood pressure.

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Natural Health Products (NHPs)

Products designed for over-the-counter use without a prescription, including vitamins, supplements, and herbal remedies.

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Tachycardia

A condition where the heart rate is elevated, exceeding 100 bpm.

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What is the Recommended Dietary Allowance (RDA)?

The Recommended Dietary Allowance (RDA) is the average daily intake level of a nutrient that is considered sufficient to meet the needs of 97–98% of healthy individuals in a specific life stage and gender group.

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Ergogenic Aids

Substances used to improve athletic performance, such as caffeine, creatine, and beta-alanine.

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Bradycardia

A condition where the heart rate is reduced, falling below 60 bpm.

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Physical Activity (PA)

Includes Activities of Daily Living (ADL), Leisure Time Physical Activity (LTPA), and structured exercise.

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What is the Adequate Intake (AI)?

The Adequate Intake (AI) is a recommendation for daily intake of a nutrient when sufficient scientific evidence to establish an EAR and RDA is not available. It is based on experimentally determined intake levels that appear to be adequate for groups of healthy people.

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Exercise

Activities done regularly, planned, and aiming to improve fitness.

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What is the Tolerable Upper Intake Level (UL)?

The Tolerable Upper Intake Level (UL) is the highest daily intake level of a nutrient that is likely to pose no risk of adverse health effects to almost all individuals in a specific life stage and gender group.

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Atrial Fibrillation

The irregular heartbeat that can be life-threatening.

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Activities of Daily Living (ADL)

The ability to perform activities of daily living efficiently and effectively.

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How are energy needs calculated?

The Estimated Energy Requirement (EER) calculates individual energy needs based on factors like age, gender, weight, height, and physical activity level.

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What are Acceptable Macronutrient Distribution Ranges (AMDR)?

The Acceptable Macronutrient Distribution Ranges (AMDR) provide recommendations for the proportion of calories from macronutrients.

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Leisure Time Physical Activity (LTPA)

Activities done for enjoyment and relaxation.

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What is the AMDR for carbohydrates?

The AMDR for carbohydrates is 45-65% of total caloric intake.

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5 Components of Health-Related Fitness

The fitness movement shifted from 'no pain no gain' to a holistic view, emphasizing overall health and well-being.

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Cardiorespiratory Fitness

This component encompasses the abilities to perform activities requiring continuous use of large muscle groups for extended periods.

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What is the AMDR for protein?

The AMDR for protein is 10-35% of total caloric intake.

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Muscle Strength

This component involves applying force against resistance to move objects or your own body.

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What is the AMDR for fat?

The AMDR for fat is 20-35% of total caloric intake.

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What are the main points of the Dietary Guidelines for Canadians?

The Dietary Guidelines for Canadians go beyond just the food consumed. They emphasize mindful eating habits, cooking more often, enjoying food, and social eating.

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What is Front-of-Pack (FOP) labeling?

Front-of-Pack (FOP) labeling has been introduced to provide simplified nutritional information on packaged foods. The aim is to help consumers make healthier choices.

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What are some nutrients of concern highlighted by FOP labeling?

The FOP labeling aims to promote healthier choices by focusing on nutrients of concern, such as sodium, sugars, and saturated fat.

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What are the key takeaways from the 2019 Canada’s Food Guide and Dietary Guidelines?

The 2019 Canada’s Food Guide and the Dietary Guidelines for Canadians aim to promote healthier eating habits across the population. They emphasize a flexible, varied diet and the importance of mindful eating.

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What is the heart?

The heart is a hollow muscular organ, about the size of a fist, that acts as a dual-pump system, delivering blood throughout the body.

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How many chambers does the heart have, and what are their functions?

The heart has four chambers: two atria (upper chambers) and two ventricles (lower chambers). The atria receive blood and transfer it to the ventricles, while the ventricles pump blood out to the lungs and the body.

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What is cardiac output, and how does it vary?

Cardiac output is the amount of blood the heart pumps per minute. It is measured in liters per minute. At rest, the heart pumps around 5-6 liters per minute, while elite athletes can exceed 40 liters per minute during exercise.

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What is heart rate variability (HRV)?

Heart rate variability (HRV) measures the variation in the time between heartbeats. A healthy heart rate shows variability, meaning it adapts well to stress and activity.

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Describe the cardiac cycle.

The cardiac cycle describes the phases of a heartbeat, starting with ventricular filling (relaxation) and ending with ventricular ejection (contraction). It includes periods of relaxation and contraction for both atria and ventricles.

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How is heart rate controlled?

The heart is controlled by the autonomic nervous system, balancing the sympathetic (fight or flight) and parasympathetic (rest and digest) responses. Factors like exercise, drugs, and stress can influence heart rate.

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What are the three layers of the heart?

The endocardium is the inner lining of the heart, the myocardium is the muscular layer responsible for contraction, and the epicardium is the outer layer.

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What is coronary circulation?

Coronary circulation is the blood supply to the heart itself. It delivers oxygen and nutrients to the heart muscle and is essential for its function.

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Describe the flow of blood through the heart.

Deoxygenated blood flows from the body to the right atrium, then to the right ventricle, and then out to the lungs via pulmonary arteries. Oxygenated blood returns to the left atrium from the lungs, then to the left ventricle, and then to the body via the aorta.

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What is remarkable about the heart's endurance?

The heart has amazing endurance and beats over 2.5 billion times in a lifetime. Each beat pumps blood, providing oxygen and nutrients to the body.

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Why is it important to understand the cardiovascular system?

Understanding the cardiovascular system is crucial for understanding the human body and its health. The heart's efficiency, adaptability, and endurance are key to its incredible role.

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How extensive is the cardiovascular network?

The human body has approximately 100,000 kilometers of blood vessels, which is enough to wrap around the Earth twice.

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How much blood does the heart pump at rest and during exercise?

At rest, the heart pumps around 5-6 liters of blood per minute, but this can increase to over 40 liters per minute during intense exercise.

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How many times does the heart beat each day, and how much blood does it pump?

The heart beats over 100,000 times a day, pumping about 7,500 liters of blood daily.

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Study Notes

Heart's Pacemaker System

  • Sinoatrial Node (SA Node):
    • Primary pacemaker, setting the heart's rhythm.
    • Generates impulses at 60-100 bpm at rest.
  • Atrioventricular Node (AV Node):
    • Only pathway for signals from atria to ventricles.
    • Can act as a secondary pacemaker if the SA node fails, at ~40 bpm.
    • Facilitates one-way signal flow.

Electrical Conduction System

  • Crucial for coordinated heart contractions.
  • Non-conductive tissue in the atria, conductive tissue in the ventricles.

Heart Sounds and Monitoring

  • Heart produces "Lub-Dub" sounds from valve closures.
  • Electrocardiogram (ECG/EKG) represents electrical activity, showing normal sinus rhythm and arrhythmias.

Arrhythmias

  • Tachycardia: Heart rate over 100 bpm.
  • Bradycardia: Heart rate below 60 bpm.
  • Atrial and Ventricular fibrillation: Irregular rhythms, potentially life-threatening.

Key Cardiac Measures

  • Heart Rate (HR):
    • Measured in bpm.
    • Influenced by pacemaker cells, exercise, nervous system.
  • Stroke Volume (SV):
    • Volume of blood ejected per beat.
    • Determined by preload, afterload, and contractility.
  • Cardiac Output (Q):
    • Total blood ejected per minute.
    • Calculated as Q = HR x SV.
    • Normal values: Rest (40-80 bpm, 50-70 ml, 5 L/min); Max Exercise (HR max = 220-age, SV 120-200 ml, Q 20-35 L/min).

Blood Vessels and Functions

  • Arteries: Carry oxygenated blood away from the heart (except pulmonary arteries), with high pressure tolerance.
  • Veins: Return deoxygenated blood to the heart, acting as capacitance vessels with valves.
  • Capillaries: Smallest vessels for gas and nutrient exchange.

Blood Pressure Regulation

  • Blood Pressure (BP): Force exerted by blood on vessel walls.
  • Calculated as BP = Q x TPR (Total Peripheral Resistance).
  • Regulated by the autonomic nervous system (SNS, PNS).
  • Baroreceptors detect BP changes, triggering vasoconstriction or vasodilation.

Additional Facts

  • Body has ~100,000 km of blood vessels (2x Earth).
  • Heart beats ~100,000 times a day and pumps ~7500 liters of blood/day.

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