Summary

This document provides an overview of stress, cardiovascular disease, risk factors, and various health conditions. It details the effects of stress and other key health concerns. The document discusses various measures and factors involved in managing stress and preventing or mitigating certain diseases.

Full Transcript

-​ Stress: the general physical and emotional state that accompanies reactions to a stressor -​ Stressor: a physical or psychological event or condition that produces physical and emotional reactions -​ Nervous system controls our emotions involuntarily -​ Sympathetic: stimu...

-​ Stress: the general physical and emotional state that accompanies reactions to a stressor -​ Stressor: a physical or psychological event or condition that produces physical and emotional reactions -​ Nervous system controls our emotions involuntarily -​ Sympathetic: stimulates breathing, muscles and heart rate, it releases cortisol and epinephrine (fight or flight) -​ Parasympathetic: controls digestion, relaxation, and directs blood away from muscles to kidneys and the gut. Stress hormones are inhibited -​ Allostatic load: the cost of chronic exposure to elevated or fluctuating endocrine or neural responses resulting from chronic or repeated situations of stress -​ Stress can be determined by personality, gender, cultural background, and past experiences -​ Type A: impatient, perfectionist, highly competitive, sometimes hostile, and can be excessively angry with poor coping skills -​ Type B: relaxed and thoughtful, responds evenly to stress -​ Type C: repressed anger and less able to express emotion, feel hopelessness and exaggerated response to stress -​ Type D: negative emotions like anxiety and depression, avoids socialization -​ Hardiness: optimistic view of conflict, loss, and stress -​ Resilience is the ability to respond to stressful situations in groups of people who are more likely to experience stress -​ Non Reactive, homeostatic, and positive growth -​ Negative effects of high cortisol and epinephrine -​ Immune system (diseases involving inflammation such as diabetes) -​ CV disease (causes an increase in BP) -​ Digestive functions (IBS, ulcers, constipation, etc) -​ People who exercise regularly react to stress with milder physical stress before, during, and after exposure to a stressor -​ A healthy, balanced diet can also help cope with stress -​ Sleep can affect levels of stress -​ Need 7-9 hrs -​ 70 million Americans suffer from sleep disorders -​ Social support and communication can help manage stress -​ Conflict resolution: clarify the issue, find out what each person wants, decide how to negotiate, and solidify the agreement -​ Spiritual wellness is associated with greater coping skills and higher levels of overall wellness -​ Time management -​ Set priorities, schedule tasks, consolidate tasks, delegate responsibility, give yourself a break -​ Cognitive techniques and relaxation techniques can help manage stress -​ Cardiovascular disease: the array of conditions that affect the heart and the blood vessels -​ Coronary artery disease: condition in which the arteries that supply the heart muscle with oxygen and nutrients are narrowed by fatty deposits such as cholesterol and triglycerides -​ Arteriosclerosis: generalized disease where medium sized arteries become hardened and thickened -​ Atherosclerosis: disease characterized by the buildup of fatty deposits called plaque in the arteries -​ Ischemia is insufficient blood flow to any tissue -​ Causes Angina Pectoris (generalized pain in the chest, neck and arms) -​ Thrombus is a stationary blood clot -​ Embolus: blood clot that dislodges and blocks flow in another area -​ Stroke: a brain injury that occurs when arteries supplying the brain become blocked or damaged -​ Risk factor analysis is a systematic investigation of factors that increase risk for CV disease -​ It helps to screen people who may be at risk for disease, educate people about risk factors, and get baseline measurements -​ Non modifiable major risk factors -​ Personal and family history -​ Age (men over 45, women over 55) -​ Gender (men are more likely) -​ Modifiable major risk factors -​ Hypertension -​ High BP, results in destruction of inner lining of blood vessels and deposition of plaque -​ Treatment: exercise, weight loss, less stress -​ Smoking -​ Causes damage to inner walls of arteries, encourages formation of blood clots, and decreased HDL levels -​ Excessive body fat -​ Makes heart work harder, increases triglyceride levels and lowers HDL -​ Strongly linked to diabetes -​ Diabetes -​ Body can't control BP, damages blood vessels and higher likelihood of having high cholesterol levels and high BP -​ Treatment: carefully controlled diet and aerobic exercises -​ High cholesterol -​ Associated with the blockage of arteries, can be improved by decreasing intake of saturated fats and getting enough vitamin C and E -​ Physical inactivity -​ Exercise can decrease BP, reduce body fat, decrease stress, cholesterol, and triglycerides, and increase HDL -​ Contributing risk factors include elevated blood triglyceride levels, elevated homocysteine, stress, and an abnormal EKG -​ EKG: graphical representation of the electrical activity of the heart -​ Normal EKG has a heart rate between 60-100 bpm, regular heart rhythm, identical P wave, PR interval between.12 and.20, and a QRS less than.12 -​ Abnormal EKG has heart rate between 300-600 an irregular rhythm, no P wave, and baseline of QRS -​ Treatment for CV disease -​ Atherosclerosis: angioplasty, CABG, medications -​ Blood clots: blood thinners -​ Cancer: abnormal, uncontrolled multiplication of cells -​ Responsible for 1 in 4 US deaths -​ Second leading cause of death -​ Tumor: mass of tissue that serves no physiological purpose -​ Benign, malignant -​ Metastasis: spread of cancer cells from one part of the body to another -​ Main causes of cancer are genetic factors, lifestyle factors, and environmental factors -​ Smoking is responsible for 90% of lung cancer -​ 1 in 5 deaths -​ Eating too much fat, meat, and omega-6 can cause cancer -​ Alcohol is associated with several cancers -​ Acrylamide: probable human carcinogen found in starch based foods cooked at high temps (very bad for you) -​ Lack of fiber can cause cancer -​ Phytochemicals have cancer fighting properties -​ Ingested chemicals are carcinogens in the environment -​ Some food additives are potentially dangerous including nitrates and nitrites -​ General environmental pollution can cause cancer -​ All sources of radiation are potentially carcinogenic -​ About 15-20% of cancers are caused by microbes (such as HPV) -​ When we metabolize alcohol, we produce acetaldehyde -​ Generate reactive oxygen species -​ Impair our abilities to absorb nutrients -​ High levels of estrogen -​ Most common cancers: -​ Women: breast, lung, colon and rectal -​ Men: prostate, lung, colon and rectal -​ Nonmelanoma skin cancer is actually most common -​ Lung cancer symptoms are persistent cough and chest pain -​ Chemotherapy: treatment of cancer with chemicals that destroy cancerous cells -​ Lung cancer has a 15% survival rate -​ 90% of colon cancer is in people age 50+ -​ 64% survival rate -​ Risk factors of breast cancer: early menstruation, having no children, being obese, and alcohol and tobacco use -​ Can be detected by a mammogram, 98% survival rate -​ Prostate cancer can be detected by a PSA blood test -​ Slow growing tumor, almost 100% survival rate -​ Pap test: scraping of cells from cervix -​ HPV is the main cause of cervical cancer -​ Basal cell carcinoma is ok, melanoma is bad -​ Still 94% survival rate -​ ABCDE test -​ Treatment for cancer can be surgery, chemotherapy, or radiation therapy -​ Immunotherapy

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