Podcast
Questions and Answers
What does the incidence rate of a disease specifically measure?
What does the incidence rate of a disease specifically measure?
- The number of new cases of a disease reported during a specific time period. (correct)
- The total number of people affected by a disease at a specific point in time.
- The proportion of a population affected by a disease.
- The number of deaths caused by the disease in a specific time period.
Which of the following best describes the relationship between prevalence and incidence rates?
Which of the following best describes the relationship between prevalence and incidence rates?
- Prevalence rate is usually lower than the incidence rate.
- Prevalence rate is usually higher than the incidence rate. (correct)
- Prevalence rate is usually the same as the incidence rate.
- Prevalence rate is not related to the incidence rate.
What does a relative risk value of 24 for lung cancer in heavy smokers, compared to non-smokers indicate?
What does a relative risk value of 24 for lung cancer in heavy smokers, compared to non-smokers indicate?
- Smokers have a 24% chance of developing lung cancer, and non-smokers do not.
- The number of people who develop lung cancer is 24 times higher in smokers compared to non smokers.
- The rate of lung cancer death is 24 times higher in heavy smokers compared to non-smokers. (correct)
- The risk of lung cancer is 24 times lower for heavy smokers.
If a disease is common in one population but rare in another, what is most suggested by this?
If a disease is common in one population but rare in another, what is most suggested by this?
If the rates of stomach cancer have decreased among Japanese immigrants in the US, and colon cancer rates have increased, what does this suggest?
If the rates of stomach cancer have decreased among Japanese immigrants in the US, and colon cancer rates have increased, what does this suggest?
A disease is observed to have a higher prevalence rate than incidence rate. What can be inferred from this observation?
A disease is observed to have a higher prevalence rate than incidence rate. What can be inferred from this observation?
When determining the risk of a disease, what role do genes play in the context of exposure to tobacco smoke?
When determining the risk of a disease, what role do genes play in the context of exposure to tobacco smoke?
Which of the following is NOT considered a lifestyle-related risk factor for disease?
Which of the following is NOT considered a lifestyle-related risk factor for disease?
What is the primary risk factor associated with obesity?
What is the primary risk factor associated with obesity?
Which condition is characterized by progressive dementia and memory loss?
Which condition is characterized by progressive dementia and memory loss?
What percentage of the population over 65 is affected by Alzheimer's disease?
What percentage of the population over 65 is affected by Alzheimer's disease?
What is the concordance rate for monozygotic twins with a history of alcoholism?
What is the concordance rate for monozygotic twins with a history of alcoholism?
Which disorder is known for having a recurrence risk of 8 to 10 percent if one parent is affected?
Which disorder is known for having a recurrence risk of 8 to 10 percent if one parent is affected?
What factor is primarily associated with early onset alcoholism?
What factor is primarily associated with early onset alcoholism?
What is the likelihood of developing schizophrenia when both parents are affected?
What is the likelihood of developing schizophrenia when both parents are affected?
Which condition has a concordance rate of approximately 40 percent in monozygotic twins?
Which condition has a concordance rate of approximately 40 percent in monozygotic twins?
What is a significant environmental factor that can affect the development of psychological disorders?
What is a significant environmental factor that can affect the development of psychological disorders?
What genetic factor has been found to influence susceptibility to alcohol addiction?
What genetic factor has been found to influence susceptibility to alcohol addiction?
Which one of the following is NOT typically associated with Alzheimer's disease?
Which one of the following is NOT typically associated with Alzheimer's disease?
Which psychological disorder has the general population affected rate of about 0.5 percent?
Which psychological disorder has the general population affected rate of about 0.5 percent?
What typically indicates a higher genetic influence on a disorder?
What typically indicates a higher genetic influence on a disorder?
What component is essential in reducing risks for genetic disorders?
What component is essential in reducing risks for genetic disorders?
What is a defining characteristic of multifactorial inheritance?
What is a defining characteristic of multifactorial inheritance?
Which of the following statements about twin studies is true?
Which of the following statements about twin studies is true?
What is the recurrence risk for multifactorial diseases compared to single gene diseases?
What is the recurrence risk for multifactorial diseases compared to single gene diseases?
How do dizygotic twins differ from monozygotic twins genetically?
How do dizygotic twins differ from monozygotic twins genetically?
What does a higher concordance rate in monozygotic twins suggest about a trait?
What does a higher concordance rate in monozygotic twins suggest about a trait?
In the context of multifactorial traits, what is the significance of environmental factors?
In the context of multifactorial traits, what is the significance of environmental factors?
What happens to the recurrence risk for multifactorial diseases in more distant relatives?
What happens to the recurrence risk for multifactorial diseases in more distant relatives?
What was the historical view of twin studies as research tools?
What was the historical view of twin studies as research tools?
Why might monozygotic twins show discordance for certain traits?
Why might monozygotic twins show discordance for certain traits?
What does a study reveal if adopted children of parents with a disease develop that disease more often than the control population?
What does a study reveal if adopted children of parents with a disease develop that disease more often than the control population?
What common misconception exists about monozygotic twins?
What common misconception exists about monozygotic twins?
In multifactorial diseases like diabetes, what type of conditions are influenced by the combination of genetic and environmental factors?
In multifactorial diseases like diabetes, what type of conditions are influenced by the combination of genetic and environmental factors?
What does the threshold of liability concept refer to in multifactorial diseases?
What does the threshold of liability concept refer to in multifactorial diseases?
What is a major influence in the expression of traits like blood pressure?
What is a major influence in the expression of traits like blood pressure?
What is the risk increase for an individual with a positive family history of coronary heart disease?
What is the risk increase for an individual with a positive family history of coronary heart disease?
What is the main contributor to the development of Type 1 diabetes?
What is the main contributor to the development of Type 1 diabetes?
Which factor is least likely to increase the risk of developing coronary heart disease?
Which factor is least likely to increase the risk of developing coronary heart disease?
What percentage of breast cancer cases is accounted for by BRCA1 and BRCA2 mutations?
What percentage of breast cancer cases is accounted for by BRCA1 and BRCA2 mutations?
Which of the following is a key risk factor for Type 2 diabetes?
Which of the following is a key risk factor for Type 2 diabetes?
Which condition is associated with a 20 to 50 percent lifetime risk due to a BRCA1 mutation?
Which condition is associated with a 20 to 50 percent lifetime risk due to a BRCA1 mutation?
Environmental factors play an important role in the development of which disease?
Environmental factors play an important role in the development of which disease?
What is a characteristic of Type 2 diabetes?
What is a characteristic of Type 2 diabetes?
For colorectal cancer, what is the effect of having one affected first-degree relative?
For colorectal cancer, what is the effect of having one affected first-degree relative?
What is the concordance rate for identical twins with Type 1 diabetes?
What is the concordance rate for identical twins with Type 1 diabetes?
Congenital malformations can be considered multifactorial disorders that are:
Congenital malformations can be considered multifactorial disorders that are:
What is a significant environmental risk factor for hypertension?
What is a significant environmental risk factor for hypertension?
What is the lifetime breast cancer risk for women with a BRCA2 mutation?
What is the lifetime breast cancer risk for women with a BRCA2 mutation?
What is the prevalence range of hypertension worldwide?
What is the prevalence range of hypertension worldwide?
Flashcards
Incidence Rate
Incidence Rate
The number of new cases of a disease reported during a specific period (typically a year).
Prevalence Rate
Prevalence Rate
The proportion of a population affected by a disease at a specific point in time.
Relative Risk
Relative Risk
The increased rate of disease among individuals exposed to a specific risk factor compared to those not exposed.
Risk Factors
Risk Factors
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Epidemiology
Epidemiology
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Disease Frequency Changes
Disease Frequency Changes
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Genetic Predisposition
Genetic Predisposition
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Lifestyle Factors and Disease
Lifestyle Factors and Disease
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Multifactorial Inheritance
Multifactorial Inheritance
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Polygenic Trait
Polygenic Trait
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Recurrence Risk
Recurrence Risk
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Threshold of Liability
Threshold of Liability
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Monozygotic Twins
Monozygotic Twins
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Dizygotic Twins
Dizygotic Twins
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Concordant Twins
Concordant Twins
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Discordant Twins
Discordant Twins
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Twin Studies
Twin Studies
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Adoption Studies
Adoption Studies
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Familial Aggregation
Familial Aggregation
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Empirical Risk
Empirical Risk
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Increased Familial Risk
Increased Familial Risk
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Severity of Expression
Severity of Expression
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Rapid Risk Reduction
Rapid Risk Reduction
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Overweight
Overweight
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Obesity
Obesity
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Alzheimer's Disease
Alzheimer's Disease
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Alcoholism
Alcoholism
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ADHD (Attention-Deficit/Hyperactivity Disorder)
ADHD (Attention-Deficit/Hyperactivity Disorder)
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Family History and Heart Disease
Family History and Heart Disease
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Schizophrenia
Schizophrenia
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Risk Factors for Heart Disease
Risk Factors for Heart Disease
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Bipolar Disorder (manic depressive disorder)
Bipolar Disorder (manic depressive disorder)
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Lifestyle Factors and Heart Disease
Lifestyle Factors and Heart Disease
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Case-Control Studies
Case-Control Studies
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Cohort Studies
Cohort Studies
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Hypertension
Hypertension
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Penetrance
Penetrance
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Cancer and Family History
Cancer and Family History
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Familial Correlation
Familial Correlation
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Tobacco Use and Cancer
Tobacco Use and Cancer
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Breast Cancer Family History
Breast Cancer Family History
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BRCA Genes and Cancer Risk
BRCA Genes and Cancer Risk
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Early Onset
Early Onset
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Type 1 Diabetes
Type 1 Diabetes
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Familial Predisposition
Familial Predisposition
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Type 2 Diabetes
Type 2 Diabetes
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Exercise and Type 2 Diabetes
Exercise and Type 2 Diabetes
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Obesity Definition
Obesity Definition
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Twin Studies and Disease
Twin Studies and Disease
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Study Notes
Incidence and Prevalence of Diseases
- Incidence rate: Number of new disease cases in a specific period (typically one year).
- Prevalence rate: Proportion of a population affected by a disease at a specific time. Prevalence is usually higher than incidence. Factors like disease survival duration affect the comparison.
Risk Factors
- Relative risk: Increased disease rate among exposed individuals compared to unexposed individuals. Calculated as (exposed/unexposed)
- Example: Lung cancer study showed a 24-fold increased risk of death for heavy smokers compared to non-smokers.
- Risk factors can be genetic (e.g., genes involved in tobacco metabolism) or lifestyle-related (e.g., age, gender, diet, exercise, family history).
Multifactorial Inheritance
- Multifactorial traits: Variation caused by combined effects of multiple genes and environmental factors.
- Examples: Height, blood pressure, many adult diseases (e.g., hypertension, heart disease, diabetes, some cancers).
- Threshold of liability: Diseases where presence or absence is determined by multiple genes and environmental variables. This sometimes presents a distinct threshold where disease develops. Examples include pyloric stenosis, where rates differ by sex.
Recurrence Risk and Transmission
- Recurrence risk increases if multiple family members are affected.
- Recurrence risk is influenced by severity of the disease in affected family members.
- Risk is higher if less commonly affected sex is affected.
- Recurrence risk decreases more rapidly for multifactorial diseases compared to single-gene diseases as you move further out in family relationships.
Twin and Adoption Studies
- Twin studies help separate genetic and environmental factors in disease risk.
- Monozygotic (identical) twins share identical genes; differences in their traits are due to environmental factors.
- Dizygotic (fraternal) twins share similar environmental factors but have different genes, similar to siblings.
- Concordance rate: Percentage of twin pairs where both members share a trait.
- Adoption studies: Examine whether children adopted to households without a disease develop the disease. Evidence is that similar genetic effects are seen compared with the biological parent who developed the disease.
Common Diseases with Genetic and Environmental Factors
- Diseases like heart disease, cancer, diabetes, and others, are a combination of genetic and environmental factors.
- Genetic susceptibilities may be heightened risk factors as opposed to being necessarily causational of the disease.
- Lifestyle factors (diet, exercise) can drastically influence disease risk.
- Examples of Multifactorial Diseases:
- Heart disease
- Cancer (various types)
- Diabetes (Type 1 and Type 2)
- Obesity (familial component but environmental impact is key)
- Alzheimer's disease
- Alcoholism
- Schizophrenia
- Bipolar disorder
Specific Disease Details
-
Heart disease: Leading killer in the US; risk factors include obesity, smoking, hypertension, high cholesterol, and family history (2-7x increased risk if a first-degree relative is affected)
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Cancer: Genetic and environmental factors are involved; tobacco use is a significant factor (1/3 of cases). Specific cancers:
- Breast cancer: Common in women, risk doubled with an affected first-degree relative. BRCA1/2 genes increase risk.
- Colorectal cancer: Second most deadly cancer. Risk 2-3 times higher in affected first-degree relatives.
- Prostate cancer: Second most common cancer in men. Risk 2-3 times higher.
-
Type 1 diabetes: Autoimmune disorder (genetic or environmental trigger?).
-
Type 2 diabetes: Insulin resistance, common in obese individuals; risk influenced by family history and obesity.
-
Alzheimer's disease is a progressive disorder and is characterized by genetic and environmental interplay; genetics is most prominent in early cases. Risk increases with older age and first-degree family history.
-
Alcoholism has both genetic and environmental components. Some genes affect alcohol metabolism. Risk increased in blood relatives.
-
Schizophrenia has a strong genetic component; risk significantly higher in relatives with schizophrenia.
-
Bipolar disorder is influenced by both genetics and environment. Risk increases with affected first-degree relatives.
Further Considerations
- Identifying specific genetic factors related to diseases can lead to better preventive measures and treatment strategies.
- Lifestyle modifications (diet, exercise, stress reduction) are key for reducing the risk of many diseases, especially for individuals with a genetic predisposition.
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