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26 Cards in this Set

  • Front
  • Back
Epidemiology
the study of the distribution and determinants of health related problems in specified populations and the application of this study to the control of the health problems
Physical activity epidemiology
investigating the relationship between physical activity/exercise and various diseases and conditions in a population
2 fundamental assumptions of epidemiology
human disease does not occur at random.
human disease has causal and preventive factors that can be identified through scientific investigation
primary goal of epidemiology
to identify the determinants of a disease to decrease mortality and morbidity within a population
physical activity
any bodily movement produced by skeletal muscle that results in energy expenditure
exercise
physical activity that is planned, structured, and repetitive and results in the improvements or maintenance of one or more facets of physical fitness
risk factors
biological, environmental, and behavioral factors that are shown to be associated with the increase in risk of a chronic disease process
primary risk factors
work independently of other risk factors, modifiable, non-modifiable
example of primary risk factor
Coronary artery disease;
Non-Modifiable=heredity,
Modifiable= high blood pressure
Secondary risk factor
plays a role in development only when a related primary factor is present
Example of secondary risk factor
Coronary Artery Disease;
stress, obesity, diabetes
Rate and what the fraction is
the measurement of the amount of disease in a population;
the fraction is the # of people with disease/ total number of people in the population
Mortality rate
rates of death
Morbidity rate
the rates of individuals with the disease
incidence rates
an estimate of the number of individuals within a population who develop that disease within a specific time period
prevalence rates
an estimate of the number of people who already have the disease in a population at a particular point in time
when does prevalence of a specific disease increase (3 reason)
-the number of new cases increases (incidence)
-the duration of the disease increases
-Both duration of disease and incidence increase
biological plausibility
the fact that the hypothesis and the relationship being proposed are in harmony with the scientific information; plays a key role in sound epidemiological research
confounding variables
a variable with an effect that is entangles with the effect of physical activity; its difficult to separate the effects of the confounder from physical activity
Example of confounding variable
age and physical activity on the development of diabetes
what is a Physical Activity Survey?
a subjective recall of the activity engaged in over a specific period of time; must be specifically designed for the type of physical activity and health outcome in question
epidemiology study designs (3)
-Experimental: powerful, conclusive, expensive
-Observational: popular, less conclusive, easier to administer
-Clinical Trials: most powerful, efforts are made to prevent or delay the onset of a disease process, individuals free from disease are randomly assigned to intervention or control groups, follow up assessments are made
Observational Designs
-Cross-Sectional:Collect info about health outcome and potential risk factor at the same time within the same group.
-Retrospective (Case-control design):questioning of people with and without the disease about their past exposure to specific risk factors.
-prospective design(longitudinal): strongest of observational study method, identify and follow up individuals initially free of disease and establish if the risk factor in question contributed to the causation
The surgeons general report-1996
-a national statement on the importance of physical activity
-told what was known about physical activity status
-required reading for ex science students
prevalence of physical inactivity
25% of all US adults dont engage in any leisure time physical activity
New Exercise guidelines
-30 mins a day of accumulated moderate physical activity
-targeted at 25% thats inactive
-greatest benefit is seen in those who need it the most