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621 Cards in this Set

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  • Back
What is health? (WHO 1948)
A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity
What is health? (WHO 1986)
Seen as a resource for everyday life, Health is a positive concept emphasizing social and personal resources, as well as physical capabilities
What type of construct is wellness?
Individual
What is wellness?
The ability to live life fully with meaning and vitality
What is wellness largely determined by?
Decisions you make about how you live your life
Is wellness a static goal?
No, a continuous process of change and growth
What are the seven dimensions of wellness?
Physical, interpersonal or social, mental or intellectual, occupational, emotional, environmental, and spiritual
What does physical wellness require?
Healthy eating, exercise, learning about disease, and regular check-ups
What does physical wellness influence?
Health related quality of life
What is health related quality of life?
Personal sense of physical and mental health, requiring a full range of domains and abilities
What does interpersonal wellness involve?
Learning effective communication skills, developing the capacity for intimacy, and cultivating a support wellness
What does interpersonal wellness require?
Participating in and contributing to your community, country and world
What does mental wellness include?
An openness to new ideas, a capacity to think critically, and to learn new skills
What does mental wellness require?
The ability to process and use information
What is occupational wellness?
A sense of personal satisfaction derived from career and career development
What does occupational wellness involve?
Attaining a work/ life balance
What does emotional wellness include?
Optimism, trust, self-esteem, self-control and an ability to monitor and share feelings
What does emotional wellness require?
Monitoring feelings, identifying obstacles to emotional well-being, and finding solutions to your emotional problems
What does environmental wellness involve?
The health of the planet and environment, and taking action, doing what you can to eliminate hazards
What does environmental wellness require?
Learning about and protecting yourself
What does spiritual wellness include?
Having a set of guiding beliefs, principles and values giving life meaning
What does spiritual wellness involve?
The capacity for love, compassion, forgiveness, joy, hope, and fulfillment
What is spiritual wellness a resource for?
Decreasing personal stress
What is an infectious disease? Examples?
Communicable from one person to another. Tuberculosis, diptheria, common cold, HIV, AIDS, SARS, H1N1
What is a chronic disease? Examples?
Develop and come worse over a period of time, caused in part or totally by lifestyle factors. Cancer, heart disease, stroke
What did the adoption of vaccinations and development of antibiotics allow?
The control of major infectious diseases, controlling morbidity and mortality
What is morbidity?
The presence of illness or disease
What is mortality?
Death
What do people expect from modern medicine?
That is can cure any illness
What are common modern health threats?
Chronic diseases
What is the best course of action when referring to chronic diseases?
Prevention
Health in Canada is better in what region?
In and west of Ontario
When does life expectancy increase?
When levels of education increase, and unemployment levels decrease
What is the Pan-Canadian Healthy Living Strategy goal?
Decrease chronic diseases by addressing risk factors and societal conditions that contribute to them
What type of approach does the Pan-Canadian Healthy Living Strategy use?
Population health approach
What does the Pan-Canadian Healthy Living Strategy consider?
Personal behaviour, social influences, economic influences, environmental influences, and lifestyle choices
What does the Pan-Canadian Healthy Living Strategy emphasize?
Healthy eating, physical activity, healthy weights
What are common health goals of students?
Eliminate or reduce alcohol consumption, stop smoking, eliminate or reduce caffeine consumption, develop better sleeping patterns, increase physical fitness, and eat more nutritiously
What must individuals know when changing behaviour?
That a behaviour is associated with or causes health problem
What must individuals understand when changing behaviour?
That the behaviour makes them susceptible to health problems
What must individuals recognize when changing behaviour?
That risk reduction strategies exist that can decrease their risk for the health problem
What must individuals believe when changing behaviour?
That the benefits of the newly adopted behaviour will be more reinforcing than the behaviour given up
What must individuals feel when changing behaviour?
That significant others want them to alter their high-risk health behaviours and will support their eforts
What is another name for the Transtheoretical Model for Behavioural Change?
Stages of Change
How many stages does the Transtheoretical Model for Behavioural Change have?
Six predictable stages
What is precontemplation?
No intention of changing behaviour within the next six months
What is contemplation?
Aware of the problem, see themselves taking action within the next six months
What is preparation?
Plan to take action within a month, have already started to make small changes
What is action?
Plans for change are implemented, made and sustained for six months
What is maintenance?
New behaviour maintained for at least six months, lasting 6 months to 5 years
What is termination?
Exiting the cycle of change, new habits are well-established and efforts are complete after 5 years
What does psychosocial health encompass?
Mental, emotional, social and spiritual dimensions of health
What is psychological normality?
Close to average
Can psychological health be determined based on symptoms?
No
What is the negative definition of psychological health?
Absence of mental sickness
What is the positive definition of psychological health?
The presence of mental wellness
Who was studied in the development of the hierarchy of needs?
Individuals who lived full lives
What are the five steps in the hierarchy of needs?
Psychological needs, safety, love and belonging, esteem, and self actualization
What does the hierarchy of needs describe?
An ideal of mental health
According to the hierarchy of needs, what is psychological health characterized by?
Realism, acceptance, autonomy, capacity for intimacy, and creativity
What is self-actualization?
An ideal to strive for
What is important about feeling comfortable with yourself?
Experiencing the full range of human emotion but are not overcome by them
What is important about interacting with others?
Being able to give and receive love, having satisfying relationships
What is important for meeting the demands of life?
Responding appropriately to problems, accept responsibility, establish realistic goals
Where should there be balance in your life?
All aspects
What is resilience?
The ability to recapture a sense of psychological wellness within a reasonable time after encountering a difficult situation
What can an increased self esteem offset?
Self destructive behaviour
What is a balanced self esteem?
A balance between yourself and your idealized self
What are the traits of hardiness?
High level of commitment to something or someone, a sense of control, welcoming challenge
What is depression? (Mosby 1997)
An emotional state characterized by feelings of sadness, melancholy, dejection, worthlessness, emptiness and hopelessness that are inappropriate and out of proportion to reality
When does depression become an illness?
When feelings of sadness and emptiness are severe, last for several weeks, and begin to interfere with aspects of one's life
Are women or men more likely to be clinically depressed?
Women are twice as likely
How many depressed people seek help?
35%
What is primary depression?
Begins for no apparent reason and is likely caused by brain chemistry
What is secondary depression?
Developing depression after a period of difficulty
What is dysthymia?
Mild or moderate depression for two or more years or more in adults, one year or more in children
What is the most effective depression therapy?
Psychotherapy and medications
What is psychotherapy?
Cognitive-behavioral therapy teaching to recognize and deal with life situations in a constructive fashion
What is drug therapy?
Use of antidepressive medications
What are the classes of antidepressant medications?
MAO's, TCA's, SSRI's, and SNRI's
What are other treatment options for depression?
Physical activity, electroconvulsive therapy, and other complimentary treatments
What is suicide often associated with?
Severe depression
What do suicidal individuals tend to become?
Overwhelmed by self destructive emotions
What do most suicidal individuals have?
Depressive disorders
What is mania?
Characterized by excessive elation, irritability, talkativeness, inflated self esteem, expansiveness
What is bipolar disorder?
Alternating periods of depression and mania?
What is bipolar often treated with?
Mood stabilizers
Who is most often diagnosed with bipolar?
Men and women in equal numbers
What does schizophrenia involve?
A disturbance in thinking and perceiving reality
What are symptoms of schizophrenia?
Disorganized thoughts, inappropriate emotions, delusion, hallucinations, and deteriorating functioning
How common in schizophrenia?
1 in 100 people
How intense are anxiety disorders?
Often debilitating, people often think they're going to die
How long does anxiety last in anxiety disorders?
Long lasting, persisting after the danger or event has passed
Does anxiety affect basic life?
Causes significant interference with life
What are anxiety disorders?
Group of disorders which affect behaviour, thoughts, emotions, and physical health
How common are anxiety disorders?
1 in 10 people
Who are anxiety disorders most common in?
Females
What is a simple phobia?
Persistent and excessive fear of a specific object, activity or situation
What is a social phobia?
Feelings of dread or embarrassment while being observed by others
Who does panic disorder affect?
2 Million Canadians
Who commonly seeks help for panic disorder?
67% of women affected
What is panic disorder characterized by?
Panic attacks with severe physical symptoms
What is agoraphobia?
Fear of being in places and situations which would be difficult to escape from or find help in
What is generalized anxiety disorder?
Intense and nonspecific anxiety for at least 6 months often out of proportion to the situation
What is GAD often accompanied with?
Depression
What is OCD characterized by?
Obsessions, recurrent intrusive thoughts and compulsive behaviour aimed at reducing anxiety associated with the obsession
What is PSD?
Reaction to severely traumatic events that produce a sense of terror or helplessness
What is PSD characterized by?
Reliving traumatic events through dreams, flashbacks, and or hallucinations
What is PSD often accompanied by?
Sleep disturbances, withdrawal, and symptoms of anxiety and depression
When do symptoms of PSD begin?
Usually within 3 months of the event
What is the biological medical model?
Mind's activity depends on the brain whose composition is genetically determined, still acknowledging influences of environment and learning
What is the biological medical model common treatment?
Pharmacological treatments
What is the behavioral model?
Focusing on what people do rather then brain chemistry, analyzed in terms of stimulus, reinforcement and response
What is the behavioral model's common treatment?
Exposure
What is the cognitive model?
Behaviour results from complex attitudes, expectations and motives
What is the cognitive model's common treatment ?
Cognitive, changing negative thoughts
What is the psychodynamic model?
Emphasizes thoughts, unconscious emotions, ideas, impulses, and the role in the past in changing the present
What is the psychodynamic model's common treatment?
Interpersonal, humanistic, existential, experimental
What does the cognitive behavioral therapy emphasize?
Exposure as well as changing problematic patterns of thinking
What does the cognitive behavioural therapy involve?
Approximately 10 sessions with a therapist plus homework
What is cognitive behavioural therapy combined with?
Drug therapy for treatment of depression, anxiety, and schizophrenia
What is a stressor?
Situations that trigger physical and emotional reactions
What is a stress response?
Reaction to the stress/ stressor
What is stress?
The general physical and emotional state that accompanies stress response
What control systems are responsible for the physical response of stress?
Nervous system and endocrine system
What division of the nervous system is in control during relaxation, digestion, energy storage, growth and promotion?
Parasympathetic division
What division of the nervous system is in control during arousal and emergency situations?
Sympathetic divison
What does the sympathetic division of the nervous system release?
Norepinepherine, commanding the body to mobilize energy resources
What is the endocrine system?
System of glands, tissues and cells releasing hormones and other chemical messangers
What does the endocrine system prepare the body for?
Responding to a stressor
What happens to the hypothalmus when stressed?
Releases chemicals to the pituitary gland, releasing ACTH into the bloodstream
What happens when adrenocorticotropic hormone reaches the adrenal glands?
Releases cortisol and other key hormones into the bloodstream
What does the sympathetic nerves instruct adrenal glands to do?
Release epinepherine, triggering several bodily functions
What is homeostasis?
A state in which blood pressure, heart rate, hormone levels, and other vital functions are maintained within a narrow range of normal
What initiates the restoration of homeostasis?
The parasympathetic division of the autonomic nervous system
What is the fight or flight response?
A survival mechanism that is part of out biological heritage
What does fight or flight prepare the body for?
Physical action whether or not it is an appropriate response
What is tend and befriend?
Response to stress with social and nuturant behaviour
Who is tend and befriend characteristic of?
Females
What is GAS?
General adaptation syndrome (for stress)
What is the alarm stage of GAS?
Initial stressor, flight or fight response, body is prepared to deal with crisis, more susceptible to disease
What is the resistance stage of GAS?
Continued stress, new level of homeostasis achieved
What is the exhaustion stage of GAS?
Prolonged exposure o stress, considerable amount of resources utilized in previous stages, resulting in psychological exhaustion and low resistance to disease
What is allostatic load?
Long term wear and tear of the stress response, exposure to stress hormones linked to health problems
What is allostatic load dependent on?
Genetics, life experiences, emotional and behavioural responses to stressors
What is high allostatic load linked with?
Heart disease, hypertension, obesity, decreased brain and immune function
What is psychoneuroimmunology?
The study of the interactions among the psychological processes and the nervous and immune systems
How does stress affect health?
Impairing the immune system
What is acute stress?
Enhancement of immune response
What is chronic stress?
Negative effects on immunity
What are conditions associated with short term stress?
Colds, infections, headaches, stiffness, allergies, stomach ache
What are conditions associated with long term stress?
CV disease, high blood pressure, impaired immune, type 2 diabetes, cancer, and psychological problems
How common is high and very high stress in youth?
1 in 5 youth
What are the top youth stressors?
School, money, body appearance
How many youths keep their problems to themselves?
42%
How many youths routinely seek help with stress?
19%
How many Canadians are self identified workaholics?
31%
How many Canadians worry they don't spend enough time with family and friends?
65%
How many Canadians reported not having enough time for fun?
56%
Does working more increase quality of life?
Not usually
What are the traits of a workaholic?
Unsatisfying work/ life balance, working more hours than average, working doesn't give a sense of accomplishment, feelings of stress, stuck in a routine, inability to finish a to do list, exaggerated sense of work's role in life
What is subcutaneous fat?
The fat located just beneath the skin, accounts for about 80% of body fat
What is visceral fat?
The fat surrounding internal organs
What is ectopic fat?
The fats located on or within the internal organs
Most weight problems are attributed to what?
Lifestyle problems
What is a major cause of being overweight or obese?
Slow weight gain
Who is weight management important for?
Everyone
What is overweight?
Having a body fat that falls above the recommended range for good health
What is obesity?
The condition of having a BMI of 30 or higher, of having a body fat percentage of 25% or higher in men and 33% or higher for women
What is the best time to adopt healthy behaviour?
Childhood and early adulthood
What is body image?
The mental representation a person holds bout his or her body at any given moment in time, consisting of perceptions, images and thoughts, attitudes and emotions about the body
Low self-esteem and negative emotions often accompany what?
Weight problems
What does a good body image involve?
Setting realistic goals, engaging in positive self talk, and stopping the negative self talk, and problem solving
What is often used as a coping mechanism?
Food
What are healthy coping mechanisms?
Fostering communication skills, learning to manage interpersonal conflict, creating and maintaining healthy relationships, using food properly, obtaining adequate amounts of sleep
What is developing a positive body image important for?
Psychological wellness
What are people with negative body images more likely to do?
Diet destructively, eat compulsively, or develop other forms of disordered eating
What does the average model weigh in comparison to the average woman?
Thinner then 95% of the population, and weighs 23% less then the average woman
What percentage of girls described themselves as beautiful?
4%
What percentage of women feel pressure to be beautiful?
72%
What is reflected appraisal?
We see ourselves as others see us or as we think they do, which are perceived reactions. Females tend to attach more importance to physical appearance then males, the link between how we see ourselves and how others see us.
What is social comparison?
Rating ourselves in relation to others, points awarded for similarities, points deducted for differences, which can be dangerous. Usually based on standards set by popular culture.
When speaking about weight and weight management, what CAN\T you change?
Heredity, body weight and body shape, which are both influences by heredity.
When speaking about weight and weight management, what CAN you change?
Lifestyle, individuals can engage in regular physial activity, obtain adequate nutrition, maintain healthy eating habits
What is the weight trend in Canadian children?
Increasingly overweight and obese
What percentage of children are overweight or obese?
Overweight: 19.8%, obese 11.7%, 31.5% in total
What is childhood obesity linked to?
Insulin resistance, type 2 diabetes, discrimination, and decreasing social well being
What is the general purpose of CHAMP?
To develop, implement, and assess the effectiveness of a lifestyle intervention for obese pre-pubescent children at risk for type 2 diabetes and their families
What are the specific objectives of CHAMP?
Primary Objective: To increase physical activities during and following the intervention, as well as to improve psychological outcomes, and dietary patterns and self-efficacy.
Who were the participants in CHAMP?
(2008)- 8 females, 7 males aged 8-14
(2009)- 12 females, 7 males, aged 10-12
With a BMI in the 95th percentile
What was the CHAMP intervention?
4 week group based lifestyle intervention, with monthly post-intervention "booster sessions", with follow up assessments at 6 and 12 months
What did the CHAMP intervention consist of?
Group based physical activity for children, group-based educational sessions related to nutrition, physical activity, and behaviour modification, weekly training sessions for guardians, and post-intervention support for children and families
What were the CHAMP program details?
4 week program, from 9am-4pm. Transportation was provided, and family members attended a total of 4 weekend family education sessions (10am-2pm). The program was $200 dollars, and included field trips, but no food.
What was each week at CHAMP?
Week 1: sports week, week 2: healthy eating around the clock, week 3: olympic week, week 4: adventure week
How did CHAMP recruit families?
Physicians, newspapers, radio, posters displayed in community settings, additional poster locations, television
What were the three research components of CHAMP?
Initial meeting including a DXA scan, consent, ascent. Then fasting blood work and physical assessment, followed by a phone conversation with a CHAMP dietitian.
What is nutrition?
The science of food and how the body uses it in health and disease
What does nutrition do for the body?
Provides the body with nutrients required to produce energy, repair damaged tissue, and promote tissue growth, and regulate physiological processes
What does choosing a healthy diet include?
Knowing which nutrients are necessary and in which amounts, and translating those requirements into a diet consisting of foods you like and are available/affordable to you
What is the best diet?
The one you can live with forever
What is a kilocalorie?
The amount of energy it takes to raise 1L of water by 1 degree Celcius
What does the body require?
Essential nutrients: fats, proteins, carbohydrates, vitamins, minerals and water
What does essential mean in reference to health?
these substances must come from foods, because body is unable to manufacture them (or not enough to meet the physiological needs)
How does the body obtain nutrients?
Through digestion
How much energy is provided by each nutrient?
Fats provide 9 calories per gram, proteins provide 4 calories per gram, and carbohydrates provide 4 calories per gram
How are excess nutrients stored?
Converted into fat and stored int he body
Where are proteins found?
In every living cell
What do proteins do?
Promote growth and maintenance of body tissues, and form important parts of blood, enzymes, some hormones, and cell membranes
What are are proteins components of?
Muscles and connective tissues, made up of amino acid chains
What is a complete protein?
Foods that contain 9 essential amino acids
What is an incomplete protein?
Foods that contain less than 9 essential amino acids
How many amino acids are there?
20 amino acids
How do proteins help with weight management?
The consumption of protein with carbohydrates delays carbohydrate absorption and attenuates the body's insulin response, also proteins tend to more satisfying than carbohydrates
What percentage of energy should come from proteins?
Over 15%, or muscle loss can occur
Do high protein diets lead to weight loss?
They do not unless calorie intake is also reduced
What do fats help with?
The absorption of fat-soluble vitamins A, D, E, K, as well as cushioning out internal organs and bones
What are the forms of dietary fats?
Saturated fats, monounsaturated fats, and polyunsaturated fats
What are saturated fats?
Typically solid at room temperature, found naturally in animal products
What are monounsaturated fats?
Typically liquid room temperature, usually come from plant sources
What are polyunsaturated fats?
Typically liquids at room temperature, usually from plant sources, including 2 essential fatty acids
What are trans fatty acids?
Unsaturated fatty acids
What are trans fatty acids used for?
Increasing the stability of oil so it can be reused for deep frying to increase the texture of foods, and to increase the shelf life
What is low density lipoprotein?
LDL is a "bad cholesterol" in which saturated and trans fatty acids increase in blood levels, unsaturated fatty acids decrease in blood levels.
What is high density lipoprotein?
HDL is a "good cholesterol" which may increase monounsaturated fatty acids in blood levels, and trans fatty acids may decrease in the blood levels in large amounts
How does fats effect weight management?
High fat diets contribute to the most cardiovascular disease, as well as coronary heart disease
Which fats are healthiest in the diet?
Unsaturated fats, mono and poly, as well as omega-3 fats
What are carbohydrates?
Sugars, primary energy source, supplying energy to cells in the brain,nervous system, and blood, occurring in three forms?
What are the three main forms of carbohydrates?
Monosaccharides, disacchharides, and polysaccharides
What are starches?
They are among the most important sources of dietary carbohydrates, found primarily in grains, legumes, and yams
What are complex carbohydrates?
Unrefined whole grains, high in fibre, vitamins, minerals and other compounds, taking longer to digest and entering the bloodstream more slowly
What is fibre?
Nondigestable carbohydrates provided by planes, that pass through the intestinal tract and provide bulk for feces in large intestine
What are the two types of fibre?
Soluble and insoluble
What is soluble fibre?
Turns to a gel in the intestinal tract, binds to liver bile made from body's cholesterol, helps decrease blood glucose and cholesterol levels
What is insoluble fibre?
It absorbs water in the intestinal tracts, increase in fecal bulk, and helping prevent constipation.
What are vitamins?
Organic micronutrients are required in small amounts for normal growth, reproduction, and maintenance of health
What do coenzymes do?
Facilitating action of enzymes to help initiate a variety of body responses, such as energy production, use of minerals, growth of healthy tissues
How many vitamins are essential to the body?
13 essential vitamins, 4 fat soluble and 9 water soluble
is it possible to retain toxic amounts of vitamins?
Water soluble vitamins in excess are excreted in urine, while fat soluble vitamins may be held in the body in toxic amounts
Which vitamins are fat soluble?
A, D, E and K
Which vitamins are water soluble?
8 vitamin B complexes, and vitamin C
What are minerals?
Inorganic micronutrients which compose about 5% of the body
What are minerals used for?
Function primarily as structural elements in teeth, muscles, hemoglobin and hormones, and are also critical in the regulation of muscle contraction, heart function, blood clotting, protein synthesis, and red blood cell formation.
How many minerals are necessary in the body?
17
What are major minerals?
Macrominerals, where the body needs greater then 100 mg per day, therefore existing in relatively high amounts in the tissues.
What are trace minerals?
Microminerals in which the body requires relatively small amounts, also located in the tissues of the body, essential for good overall health
What is our most essential nutrient?
Water
What is water used for in the body?
Used in digestion and absorption, provides medium for nutrient and waste transport, controls body temperature, and regulates nearly all of the body's chemical reactions
How much water is needed per day for health?
About 13 cups for males, and about 9 cups for females
How often should you eat?
Every 2-3 hours, helping prevent hunger, and may help control blood glucose level and weight
Which hormones trigger hunger?
Leptin and ghrelin
How important is food in regards to weight management?
Attributes 80-90% of it`
What is a major predictor for weight loss?
Adherence to the diet, must be individualized
What doubles a chance of diet success?
Keeping a food diary
How can you re-engineer your food environment?
Use smaller bowls, plates, utensils, keep healthy foods in view, eat at home as often as possible, eat regular meals and snacks, assess and reduce liquid calories, eating together with family, and mindful eating.
When was Canada's new food guide release and what did it feature?
February 2007, featuring increased information about the food recommendations for age and gender
What can following Canada's food guide help with?
Meeting the needs for vitamins, minerals and other nutrients, reducing the risk of type 2 diabetes, heart disease, certain types of cancer, and osteoporosis, and contributing to overall health and vitality
What does Canada's food guide encourage?
Enjoying a variety of foods from the food groups, and satisfying thirst with water.
What is the recommended daily intake of fruits and vegetables? (19-50)
Females: 7-8, Males: 8-10
What are the specific recommendation for fruits and vegetables?
At least one dark green and one orange serving per day, prepared with little to no added at, sugar or salt.
What is the recommended intake for grains? (19-50)
Females: 6-7, Males:8
What are the specific recommendations for grains?
At least half of your grains whole grain, choose low in fat, sugar and salt, use small amounts of sauces and spreads
What is the recommended daily intake for dairy products?
Females: 2, Males: 2
What are the specific recommendations for dairy?
Drink skin, 1% or 2%, select lower fat milk alternatives
What is the recommended daily intake for dairy products?
Females :2, Males:3
What are the specific recommendations for meat and alternatives?
Have meat alternatives, eat at least two servings of fish during a week, and select lean meats and alternatives with little to no added fats or salt
What is the recommendation for fats and oils?
Small amount of unsaturated fats (2-3 tbsp) per day
When did nutrition labeling become mandatory?
December 2005
What does "source of fibre" mean?
Must contain at least 2 grams of fibre in the serving specified in the nutrition facts table
What does "low in fat" mean?
Food must contain no more than 3 grams of fat in the serving specified in the nutrition facts table
What does "cholesterol free" mean?
Product must have a negligible amount (under 2 mg) of cholesterol per serving specified in the nutrition facts table
What does "sodium-free" mean?
Must contain less than 5mg of sodium in the serving specified by the nutrition facts table
What does "reduced in calories" mean?
Must have at least 25% less calories than the food it is being compared to
What does "light" mean?
Means either reduced in fat, reduced in calories, and can also be used to describe sensory characteristics such as light tasting
What is a list of ingredients?
A mandatory list on packaged foods which list all ingredients in descending order by weight
What is the only food that can sustain human life for the first 6 months after birth?
Breast milk
What species are suited for breast milk?
Breast milk from any mother is species specific, the mother makes perfectly suited breast milk for her babies requirements for growth and development
What does breast milk provide?
All of the fluid and nutrients for optimal growth and development, while protecting the infant from many viruses and bacteria
What does breast milk adapt to?
The age of the infant, as well as its constantly changing nutritional needs
What are the hormones involved in breast feeding?
Estrogen, progesterone, prolactin, and oxytocin
What are the short term benefits of breast feeding for the baby?
Increased protection from infections, SIDS, decreased mortality, increasingly healthy weight, healthy temperature and respiratory regulation systems, as well as pain relief.
How does breastfeeding contribute to decreased chances of infant infection?
The dose response relationship between the duration and exclusivity of breastfeeding and protection from many types of infections is noted in many studies, even partial daily feedings decreased risk on infection in preterm babies by 50%
How is breast feeding related to SIDS?
Not breastfeeding increases the chances of the infant dying from SIDS, a 2007 meta-analysis found that breastfeeding was associated with a 36% risk reduction
How does breastfeeding contribute to decreased infant mortality?
Not breastfeeding significantly increases a child's risk of dying in infancy, especially in developing countries where they cannot afford formula so it is watered down frequently, often with unclean water, adding many other potential dangers to the babies life
How is breast feeding associated with a healthy weight?
Increased breast feeding duration is associated with decreased rates of childhood obesity, not breastfeeding increases a child's risk of being overweight and obese
How does breast feeding relate to temperature and respiratory regulation in infants?
Oxygen saturation and body temperature found to be significantly lower in preterm infants who were bottle fed instead of breast fed bottle feeding increases the risk of physiological instability
How does breast feeding associate with infant pain?
Not breastfeeding tends to increase an infants response to pain, an analysis of 11 studies showed that both breast feeding and human milk are pain relieving
What are the long term benefits of breast feeding?
Decrease risk of childhood cancers, decreasing risk of asthma, increased cognitive and brain development, and decreased risk of type 1 and 2 diabetes.
How does breast feeding link to childhood cancers?
several studies have found an increased risk of childhood cancers including leukemia, lymphoma, and Hodgkin's disease when children had NOT been breast fed
How is asthma linked to breast feeding?
Not breastfeeding increases the risk of asthma in childhood, breastfeeding for at least 3 months can decrease the risk by 30% if there is no family history, and 60% if there is a family history of asthsma
How is breast feeding associated with cognitive and brain development?
Not breastfeeding associated with decreased scores on developmental and cognitive screening tools, the percentage of expressed human milk that infants receive correlates significantly with IQ scores
How are type 1 and 2 diabetes associated with breast feeding?
Children who are formula fed have an increased chance of developing diabetes, breastfeeding decreased the sick of type 1 diabetes by 39%
What are the risks associated to a mother who does not breastfeed?
Increased prevalence of hypertension, diabetes, hyperlipidemia, cardiovascular disease, and metabolic syndrome, increased risk of breast cancer, ovarian cancer, rheumatiod arthritis, and post partum depression, as well as a reduction in bone health, increased sleep disturbances, and decreased post partum weight loss
What are the hazards of bottle feeding?
Milk based powdered formulas serve as an ideal substrate for bacterial growth, pathogen contamination has been detected in commercially produced powdered formula, the chemical modification and additives such as melamine can cause death, the phytoestrogens in soy has effects on reproductive, immune and thyroid functions, BPA in bottles act as an endocrine disruptor, and a financial burden
What is the baby friendly initiative?
A global campaign to promote, protect and support breastfeeding, sponsored by the WHO and UNICEF
What is the WHO code?
The international code of marketing of breast milk substitutes. provides minimum requirements to protect and promote appropriate infant and young children feeding practices, , mainly focusing on the regulation of marketing of infant feeding formula and products associated with bottle feeding. The WHO code focuses on how the infant formula industry influences the health care providers.
What is the WHO tenth step to successful breastfeeding?
Provide a seamless transition between the service provided by the hospital, community health services and peer support systems
How much exercise is necessary for health benefits?
When talking about health, every little bit counts
What is the most important action you can take to increase wellness?
Exercise
What effects does exercise have on disease, energy, immune function and emotional well being?
Decrease impact of disease, increased energy, increased immune function and an increase emotional well being?
How does exercise affect heart disease?
Reduces the risk of heart disease, regular exercise strengthens the heart and enables it to work more efficiently
How does exercise affect bone health?
Exercise improves bone health, regular weight bearing exercise improves the strength and density of bone, regular aerobic exercise improves the integrity of cartilage in synovial joints
How does exercise affect metabolism?
It increases the metabolism, physically fit people are better able to generate energy and regulate hormones
How does exercise affect free radicals?
Exercise protects against free radical damage, and activates antioxidant enzymes that prevent free radical damage and maintain health of body cells
How does exercise affect body composition?
Improves body composition, through diet and direct energy expenditure and improving fat mass to fat free mass ratio
How does exercise affect longevity?
Decreases risk of death regardless of body composition, people who exercise are less likely to die from all causes then sedentary people
What are the quality of life benefits of exercise?
Decreased stress, decreased anxiety and depression,increased self image, increased learning and memory, and enjoyment
What is physical fitness?
A set of health or performance-related attributes related to the ability to engage in physical activity
What are the 5 components of physical fitness?
Cardiorespritory fitness, muscular strength, muscular endurance, flexibility, body composition
What is cardiorespritory fitness?
The ability to perform prolonged, large muscle, dynamic exercises, depending on how well your heart, lungs,and circulatory system are working
What is muscular strength?
The amount of force a muscle can produce with a single maximal effort, developed by weight training and resistance training exercises
What is muscular endurance?
The ability of a muscle group to remain contracted and to resist fatigue, important for postural muscles to hold the spine in the correct alignment and decrease strain, developed through weight training
What is flexibility?
The ability to move joints though a full range of motion
What is body composition?
The proportion of fat to fat free mass in the body
What are contributing factors to the development of cardiovascular disease?
Physical inactivity increases the risk by 50-240%, other factors are having a sedentary lifestyle, smoking, unhealthy cholesterol levels, increased blood pressure, diabetes and obesity
How can we best prevent the ill effects of CVD?
Through improved cardiovascular endurance by aerobic exercuse, and numerous studies have confirmed the protective effects of exercise on the cardiovascular system
What is cardiac rehabilitation?
Aiming to restore individuals who have suffered from a heart attack, back to optimal health, achieved through either an exercise only program or a comprehensive program
What are the risk factors for cardiovascular disease?
A sedentary lifestyle, smoking, unhealthy cholesterol levels, increased blood pressure, diabetes and obesity. Physical inactivity increases the risk of CVD by 50-240%
How can the ill effects of CVD be prevented?
Numerous studies have confirmed the protective effects of exercise on the cardiovascular system, improved cardiorespritory endurance through aerobic exercise
What is cardio rehabilitation?
Aims to restore who have suffered a heart attack back to optimal health, achieved through either an exercise only program or a comprehensive program
How does exercise affect cancer?
Some studies show relationship between increased physical activity and decreased risk for all types of cancer, with strong evidence to suggest that regular exercise decreases the risk of colon cancer, with data suggesting exercise decreases the risks of breast, reproductive cancers, and pancreatic cancer
How does exercise affect breast cancer?
Support found across studies indicating the benefits of exercise in the population, exercise is shown to be effective during the course of medical management, as well as in stages of non-medical treatment or remission
How many Canadians have diabetes?
More than 2 million Canadians have diabetes, 10% have type 1 diabetes, 90% have type 2
What is the number of people with type 2 diabetes contributed to?
Rising rate of obesity, and Canadian lifestyles, increasing sedentary, contributing to approximately 41400 Canadians per year, costing about 13.2 billion
What does type 2 diabetes put people at risk for?
Heart disease, stroke, kidney disease, blindness, peripheral neuropathies, circulation insufficiency leading to amputations, and muscularskeletal injuries
What is osteoporosis and how can it be prevented?
Osteoporosis is having large amounts of weak porous bone, which can be delayed or prevented by adopting healthy behaviour at a young age
Who gets osteoporosis?
1 in 4 women, 1 in 8 men
What are the most common fracture sites?
Hip, Spine, and arm/wrist
When is peak bone mass? When does it decrease?
Peak bone mass is about the age of 30, and decreases after that point. In women, it decreases especially after menopause
What are the major factors contributing to bone health?
Genetics, hormones, nutrition, and physical activity.
What are the major risks of osteoporosis?
Age about 65 years, a history of vertebrae fractures, fractures with minimal trauma, long term steroid use, a history of falls, and early menopause
What are the minor risks of osteoporosis?
RA, Extended anticonvulsant, extended use of blood thinners, a body body weight under 125lbs, a low calcium intake, a high use of caffeine or alcohol, and smoking
Why is early detection of osteoporosis important?
It is a potentially crippling disease, determining one's factor in independence, preventative actions can be successful and progression can be stopped
What is used for early detection?
Bone density scan
Why is calcium important for the bones?
If you meet your daily calcium requirement, the body uses that calcium, if there is not enough calcium taken in, the calcium it needs must be taken from the bones in the body
Can bone be renewed?
Yes, it is a living tissue
Why is resistance training important for bone health at all ages?
Before 30, it can assist in achieving a high baseline bone mineral density, after 30 it can help maintain bone density, and in older age it can slow the process of bone loss and increase balance, decreasing the risk of bone breaking falls
What is psychology?
Study of behaviour and mental processes
What is health psychology?
Devoted to understanding psychological influences on how people stay healthy, why they become ill and how they respond when ill
What do health psychologists study?
Issues in health psychology
Optimum state of health
Balance between mental, physical and social well being
What is at the core of health psychologists conception of health?
Wellness
What do health psychologists promote?
Interventions to help people stay well or get over illness
Trephination/ rituals
Evil spirits exercised through treatment process
In the early times, when did disease believe to arise?
Evil spirits enter the body
Humoral theory
Ascribed disease states to bodily factors
What did Hippocrates believe?
Factors had an impact on mind
Hippocrates
4th century, father of modern medicine, ascribed disease states to bodily factors
Health Care System & Formulation of Health Policy
Develop recommendations for improving health care, impact of health institutions & health professionals on people's behaviour
Etiology
Origins or causes of illness
Etiology & Correlates of Health/ Illness
Behavioural & social factors that contribute to health/ illness, include alcohol consumption, smoking, exercise, etc.
Middle Age
Supernatural explanations of illness dominated
What were forms of treatment in the middle age?
Prayer, torture, "good works"
Renaissance
Growth in scientific understanding and technological basis of medical practice
What did medicine look into in Renaissance era?
Bodily factors rather than mind
Freud (1856- 1939)
Rise of modern psychology, like between unconscious conlict and physical disturbances
Psychosomatic Medicine
1930s+, linked personality to specific illness, many ideas persist today despite criticisms
What did psychosomatic medicine believe?
Bodily disorders (ie. ulcers, colitis, hyperthyroidism, etc.) caused by emotional conflicts
What did psychosomatic medicine lay the groundwork for?
Change in beliefs about relation of the mind and body
Biopsychosocial Model
Health & illness are consequences of biological, psychological, and social factors
What is known today about health?
Physical health is interwoven with psychological & social environment
Mind & Body
Cannot be spereated in matters of health and illness
Biomedical Model
Illness caused by biological malfunction, emphasize illness
What does the biomedical model assume?
Mind- body dualism, reductionistic
Mind- body dualism
Seen as seperate entities
Reductionistic
Reduce illness to cellular level
What did the biomedical model govern?
Thinking of most health practitioners over past 300 years
Systems theory
Change in one level will effect change in other levels
Advantages of Biopsychosocial Model
Emphasizes both health & illness, practitioners understand both social and psychological factors contributing to illness
Macrolevel processes
Depression, social support
Microlevel processes
Cellular disorders, chemical imbalances
What do macrolevel and microlevel processes combine to do?
Produce a state of health or illness
Adherence
Sticking to/ faithfully conforming to standard of behaviour in order to meet some goal
What percentage of adults who start an exercise program withdraw?
20-50%
Within what time frame do most people drop out of an exercise program?
First 6 months
Determinants of exercise adherence?
Social factors, program factors, situational factors, personal factors
Are people sticking to recommended exercise requirements?
Majority of population is not active at levels sufficient to result in health benefits or disease prevention
Demographics
Income, education, occupation, age, gender; higher income, higher occupational status, males are more active
Cancer
Abnormal and uncontrolled growth of cells
Tumor
A mass of cells with no physiological purpose
Benign tumor
Only dangerous if it interferes with other body functions
Malignant tumor
Cancerous, can spread to surrounding tissues ("metastasis")
What percent of people get cancer in their lifetime?
45% men, 40% women
Aging population and cancer
89% diagnosed at age 55 years or older
What position is cancer ranked in causing death in canada?
2nd after heart disease
Young Adult Cancer Risk
Female more likely than male to be diagnosed but ment more likely than females to die from cancer
Signs/ symptoms of cancer
Lumps in body (ie. neck, breast, testes); isolated pain, fatigue
Most challenging in young adult cancer group
Rare cancer types, unknown risk factors, aggressive progression, delayed daignosis/ treatment
Suggestions to prevent cancer onset
Regular physical examinations, prevention & screening, awareness of bodily changes, research on risk factors
Lung Cancer
Leading type of cancer in women and men in all ages
What does smoking do?
Makes people more susceptible to all types of cancer NOT just lung cancer
What percentage of lung cancer cases are avoidable?
87%
What percentage of cancer deaths are lung cancer?
85%
What percentage of cancer is caused by smoking?
30% of all cancer deaths
What percentage of cancer is preventable?
50% (1/2) because of dietary factors (ie. alcohol, smoking, poor diet, obesity, etc.)
What does new evidence show about cancer?
Lifestyle factors are related to modifications in DNA
Carcinogens/ cancer initiator
Mutagens that cause cancer
Tumor suppressor gene
Normal function to control cell growth
Mutagens
Substances that causes mutation in DNA (not all mutations lead to cancer)
Oncogene
If mutated, over- activated, cancer causing
What percentage of Melanoma counts for skin cancer causes?
6.7%
What percentage of skin cancer causes death?
75%
How many people with Melanoma diagnosed will die?
16.7%
How many people with Melanoma will be die?
970 people
How many people with Non- melanoma will be die?
320 people
How many people with Non- melanoma diagnosed will die?
0.39%
How many people with Melanoma will be diagnosed?
5,800 people
How many people with Non- melanoma will be diagnosed?
81,300 people
Detection of skin cancer
ABCD screen test
Prevention of skin cancer
Avoid long term exposure to sun, avoid blistering/ pealing sunburns
Melanoma
More dangerous/ deadly form
How prevelant is non- melanoma?
Most common, 1/3 of all cancer cases
Non- melanoma types
Sasal, squamous
Causes of melanoma
Sun burns and sun tans
Melanoma (Skin Cancer)
Easily detected & curable when detected early, exposure to UV rays
How much more likely are you to develop melanoma using tanning bed?
75%
Malignant melanoma
Severe, progressive, worsens
What is melanin?
Skin colour pigments that darken when exposed to UV light
Where are melanocytes
Top layer (epidermis) of skin, cluster together to form moles, produce melanin
How does melanoma start?
As scab/ sore, that doesn't heal, may bleed or itch
Where does melanoma start?
Melanocytes
People at high risk for skin cancer
Blonde/ red hair, 50+ moles, blue eyes, fair complexion
Causes of malignant melanoma
More often found in men (between shoulders/ hips) and women (arms and legs)
D: diameter
Larger than pencil eraser and/ or increased in size
C: colour
Of mole varies throughout, a new colour appears / or andmore than one colour
B: border
Jagged, irregular edges
A: asymmetry
One half of mole differs from other half
15-29 year olds and melanoma
Second most common form of cancer
25-29 year olds and melanoma
Most common form of cancer
Ontarians age 15-34
2nd most common cancer in men and women (skin cancer)
What happens when one has 5+ sun burns?
Risk of skin cancer is doubled
What percentage of skin cancer is caused by sun exposure?
More than 90%
How many more times likely are you to die from Non- melanoma than from Melanoma?
45x
Health Canada & Environment Canada
Plan to assess chemicals in use in Canada
What is the 7th step to health?
Avoid cancer causing substances
What is the 6th step to health?
Get screend regularly
What is the 5th step to health?
Eat a healthy diet and limit alcohol
What is the 4th step to health?
Visit your doctor and dentist regularly
What is the 3rd step to health?
Protect yourself from the sun
What is the 2nd step to health?
Be physically active on regular basis
What is the 1st step to health?
Avoid smoking and second hand smoke
Physical Activity Context: Preferences of University (2006), how many participants were there? Male and female?
601, 198 male, 403 female
What demographic information was collected in the Physical Activity Context: Preferences of University (2006)?
Age, gender, weight, height
What were students asked in the Physical Activity Context: Preferences of University (2006)?
To identify their most and least preferred contexts for aerobic activity and strength training
In the Physical Activity Context: Preferences of University (2006), what were the available contexts for physical activity?
Structured class setting, with others outside of a structured setting, alone in an exercise setting, or completely alone
What was the most preferred context for aerobic activity in the Physical Activity Context: Preferences of University (2006)?
With others outside of a structured setting, for both males and females
What was the least preferred context for aerobic activity in the Physical Activity Context: Preferences of University (2006)?
In a structured class setting for males, and completely alone for females
What was the most preferred context for strength training in the Physical Activity Context: Preferences of University (2006)?
With others outside of a structured setting for both males and females
What was the least preferred context for strength training in the Physical Activity Context: Preferences of University (2006)?
In a structured class setting for males, and completely alone for females
Research supporting a conclusion about exercising alone compared to with others, shows what?
Exercising with others is superior to alone
What were the results of the individual adherence study by Atienza (2001)?
Exercise adherence was higher for home-based exercise compared to group-based exercise
The meta-analysis by Van der Bij, Laurant & Wensing (2002) resulted in what?
Adherence in home vs. group based interventions were small, comparable and short-lived
What was the purpose of :Group Versus Individual Approach? A Meta-Analysis of the Effectiveness of Interventions to Promote Physical Activity(2006)?
To compare the relative merits of contexts typically employed in the physical activity intervention literature in terms of adherence behaviour
What were the physical ativity contexts in Group Versus Individual Approach? A Meta-Analysis of the Effectiveness of Interventions to Promote Physical Activity(2006)?
Home based contact, home based isolation, collectives, and true groups
What were the adherence measures taken in Group Versus Individual Approach? A Meta-Analysis of the Effectiveness of Interventions to Promote Physical Activity(2006)?
Drop-outs, attendance, lateness, early departures, and return rates
What were the results of adherence to the contexts provided in Group Versus Individual Approach? A Meta-Analysis of the Effectiveness of Interventions to Promote Physical Activity(2006)?
Most effective were true groups, then collectives, then home contact, then home isolation, though home contact and collectives were statistically extremely closely related
What was found to be one of the most important factors in exercise adherence?
Contact and social support
What was the purpose of Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005)?
To examine whether exercising with others is superior to exercising alone in terms of the likelihood that university student will meet the CDC/ACSM Guidelines for aerobic physical activity.
What were the four possible contexts for physical activity in the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005)?
Structured class setting, with others outside of a structured setting, alone in an exercise setting, or completely alone
Who were the participants in the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005)?
594 kinesiology undergrads, 196 males, 398 females
What were the participants asked in the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005)?
Whether they engage in physical activity in each of the four contexts, then questions about the frequency, duration, and intensity
How many participants of the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005) were not involved in any contexts of physical activity?
5.7%
What percentage of participants from the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005) met the CDC/ACSM guidelines?
42.6%
What percentage of female participants from the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005) met the CDC/ACSM guidelines?
31.1%
What percentage of male participants from the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005) met the CDC/ACSM guidelines?
48.2%
What percentage of participants from the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005) were only active in one context?
9.9%
What percentage of participants from the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005) were active in two contexts?
28.9%
What percentage of participants from the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005) were active in three of more contexts?
61.2%
In the Physical Activity Context and University Student’s Propensity to Meet the Guidelines for the Centers for Disease Control and Prevention/American College of Sports Medicine (2005), what context was found to be the most likely?
With others outside of a structured setting
What are the theoretical approaches to exercise adherence?
Health Belief Model, Theory of Reasoned Action, Theory of Planned Behaviour
What is the Health Belief Model?
Likelihood of engaging in preventative health behaviours depends on one's perception of the severity of a potential illness vs. the appraisal of costs and benefits of taking action
What is the Theory of Reasoned Action?
The intentions are the best predictors of actual behaviour, and are the product of attitudes towards a particular behaviour and subjective norms
What is the Theory of Planned Behaviour?
Intentions cannot be the sole predictor of behaviour, especially in situations where people lack control over the behaviour, percieved behavioural control will also influence intentions and therefore behaviour
What is addictive behaviour?
Habits that have gotten out of control, resulting in a negative impact on persons health
What are characteristics typically associated with addictive behaviours?
Reinforcement, compulsion craving, loss of control, escalation, negative consequences
Do all people engaging in addictive behaviours develop problems?
Most people do not develop problems
When is the addictive behaviour likely to become a central focus?
If a person becomes dependent and a tolerance develops
What is the cause of addiction?
There is no single cause
Who is more susceptible to addiction?
Individuals with trouble dealing with stress, and some genetic predisposition
What does psychoactive mean?
A blanket term to include drugs and other substance
What are "drugs"?
Chemicals other than food that are intended to affect the structure or function of the body
What do drugs include?
Prescription medications, OTC substances, illegal substances
What are the characteristics of substance abuse?
One of the following: failure to fulfill major responsibilities, use in hazardous situations, legal problems, use despite social or interpersonal problems, physical dependence
What are the characteristics of substance dependence?
Three or more during a 12 month period: developing a tolerance, experiencing withdrawal, taking larger amounts, expressing desire to cut down, pending time obtaining, using and recovering from a substance, giving up important responsibilities and activities
What are the characteristics of casual/ non-problematic use?
Recreational, casual, other use with negligible health or social affects
What are the characteristics of beneficial use?
Use with a positive health, spiritual or social impact
What are the characteristics of problematic use?
Use that begins to have negative consequences for individual, friends, family or society
What are the characteristics of chronic dependence?
Use that becomes habitual and compulsive despite negative health and social effects
What factors place people at a higher than average risk for trying illegal drugs?
Being male, young, exposure to drugs, disinterested in school, risk-taking personality, poverty
Drug use is less common in young people with what characteristics?
Attending school regularly, getting good grades, have strong personalities, are religious, have a good relationship with their parents, are independent thinkers
What is the best treatment method for substance abuse?
No single best method
What types of treatment have a high relapse rate?
All treatments
What must abuse treatment programs deal with?
The reasons behind drug use and helping to develop positive behaviours, attitudes and a social support
Do individuals need to reach rock bottom before getting help?
No
Can individuals who don't want to be treated, get better?
Yes
What type of problem is drug abuse not related to?
Will power
What is a treatment that cannot work with addictions?
Medications
How many Canadians reported alcohol consumption in 2004?
79.3%
How many Canadians in 2004 reported drinking weekly?
44%
Which group of Canadians in 2004 reported drinking more?
Males over females
What was the highest age range reporting drinking in Canada in 2004?
18-24 years
What estimated percentage of university student consume alcoholic beverages?
95%
What is the psychoactive ingredient in alcoholic beverages?
Ethyl alcohol
Where is alcohol absorbed in the bloodstream?
Small intestine, stomach, colon
What is the main site of alcohol metabolism?
Liver
What is the average metabolic rate for alcohol?
1/2 to 3/4 of a standard drink per hour
What does blood alcohol concentration depend on?
Sex, weight, BF%, water content, concentration of alcohol, rate of consumption, volume of alcohol
What is cirrhosis?
Liver cells destroyed and replace with fibrous scar tissues (fibrosis)
What does pancreatic inflammation cause?
Nausea, vomiting, abnormal digestion, abdominal pain
What effects does chronic alcohol use have on the heart?
High blood pressure, weakening of the heart muscle
What cancers does chronic alcohol use have an increased risk?
Oral cancer, esophagus cancer, liver, stomach, pancreas, and possibly breast cancer
What can drinking during pregnancy result in?
Miscarriage, stillbirth, fetal alcohol syndrome, or alcohol-related neurodevelopmental disorder
What are the psychiatric problems related to chronic uses of alcohol?
Paranoia, memory gas
What does alcohol dependence involve?
Extensive problems with alcohol use, usually including physical tolerance and withdrawal
What are warning signs of alcohol abuse?
Drinking alone or secretively, using alcohol to preform or get through certain situations, feeling uncomfortable in situations where it is not available, increasing the consumption pattern, drinking in the morning or other unusual times
What is binge drinking defined as?
A pattern of alcohol use that brings a person's BAC up to 0.08% or above
How many students reported binge drinking on at least one occasion in the two weeks prior to being surveyed?
44%
How many students were frequent binge drinkers, at least three binges in the two week period before bring surveyed?
23%
Who is more likely to binge drink?
Men`
What ethnicity has the highest rates of binge drinking?
White students
What percentage of students abstained from alcohol in the two weeks prior to being surveyed?
19%
What behaviours are binge drinkers more likely to engage in then non binge drinkers?
Unplanned or unprotected sex, to get hurt or injured, miss classes, fall behind in schoolwork, argue with friends
How are non binge drinkers bothered by binge drinking related behaviours?
Sleep and study disturbances, taking care of a student, unwanted sexual advances, violence or assault
What organs are negatively effected by smoking?
Nearly every organ and overall health
How many diseases and conditions are the negative effects of smoking related to?
Over two dozen
How many chemicals are in cigarette smoke?
Over 4000
How many chemicals in cigarette smoke are carcinogenic?
40-50
What is the average effect of smoking on life expectancy?
10-15 years less then non-smokers
What is environmental tobacco smoke?
Secondhand smoke
What does secondhand smoke consist of?
Mainstream smoke and sidestream smoke
What is mainstream smoke?
Smoke exhaled by smokers
What is sidestream smoke?
Smoke from burning of the end of the cigarette, cigar or pipe
Which type of secondhand smoke contains more carcinogens?
Sidestream smoke
What percentage of secondhand smoke is sidestream smoke?
85%
Regular exposure to ETS increases the chances of contracting lung disease by what percent?
25%
Regular exposure to ETS increases the chances of contracting heart disease by what percent?
10%
How many non-smokers die from ETS in Canada per year?
At least 1000, 300 from lung cancer and 700 coronary heart disease
How do children react to ETS smoke?
They have a higher metabolism, breathe more quickly and absorb more smoke then adults
How many cases of bronchitis, pneumonia and other respiratory infections in children are triggered y ETS per year?
150000-300000 causes
What percentage of children under 12 years of age are regularly exposed to ETS in Canadian homes? (2006)
10%
What percentage of Canadian pregnant women use tobacco throughout pregnancy? (2007)
20-30%
What percentage of female smokers quit when they find out they are pregnant? (2007)
13-21%
What percentage of women who quit smoking while pregnant relapse within 6 months? A year? (2007)
50%, 80%
What happens to the risk of miscarriage in pregnant women who smoke?
Doubles
How many infant deaths due to premature delivery and problems with the placenta are caused by smoking per year?
4600
What chemical can cross the placenta barrier and decrease blood flow to the baby?
Nicotine
What percentage of SIDS deaths are attributed to maternal tobacco use?
18%
How many "current smokers" over the age of 15 were there in Canada in 2009?
18% of the population
How many "current smokers" over the age of 15 were male in Canada in 2009?
19%
How many "current smokers" over the age of 15 were female in Canada in 2009?
16%
What was the annual smoking rate in Canada in 2003?
21%
What was the annual smoking rate in Canada in 2008?
18%
In 2009, what was the Canadian smoking rate in youth 15-19?
13%
In 2009, what was the Canadian smoking rate in young adults 20-24?
23%
What is being implemented to protect citizens from ETS?
City by-laws and provincial policies
What are the levels of ETS protection in Canada?
0, 1 and 2
What is a level 0 protection in Canada?
No real protection, smoking may be regulated, but there is still exposure to smoke in indoor places, effecting 5% of Canadians
What is level 1 protection in Canada?
Some protection, smoking not allowed in most public places and not in open areas of restaurants, but may be allowed in enclosed an separately ventilated smoking rooms, effecting 21% of Canadians
What is level 2 protection in Canada?
Complete protection, smoking banned in virtually all venues and there are no provisions for designated smoking rooms, effecting 74% of Canadians
What is the ETS protection level in PEI?
Level 1
What is the ETS protection level in Nova Scotia?
Mostly level 1, some level 2
What is the ETS protection level in Newfoundland?
Level 2
What is the ETS protection level in New Brunswick?
Level 2
What is the ETS protection level in Ontario?
Level 2
What is the ETS protection level in Alberta?
Mostly level 0, some level 1 and even less level 2
What is the ETS protection level in Manitoba?
Level 2
What is the ETS protection level in Saskatchewan?
Mostly level 1, some level 2
What is the ETS protection level in BC?
Mostly level 1, some level 2
What is the ETS protection level in the territories?
Mostly level 2, some level 0
What can increased happiness lead to?
Longer life, increased health, resilience, increased performance
What are many decisions rooted in?
The desire to be happy
How much do Americans spend on self help books?
750 million
How much do Americans spend on motivational speaking?
Over 1 billion
What is positive psychology?
Science of happiness
Who does money buy happiness for?
People who lack basic needs
What does our imagination show us?
Perpetual gloom or happily ever after
How is age associated with happiness?
Positively correlates
Which age group of men are the most happy?
Over 65
Which age group of men are the least happy
18 to 29
Are married people or single people happier?
Married
How is education related to happiness?
Higher education level tends to be happier
How is religion related to happiness?
Religious people tend to be happier
Is it possible to lift out biologically set range of happiness?
Only to a small extent if you work at it
What do all cultures happiness depend on?
Close family and other human relationships
Who created the "World Map of Happiness"?
Adrian White
What did the "World Map of Happiness" study use data from?
Subjective responses of 80000 people to map well being in 178 countries
Why was the "World Map of Happiness" developed?
In part due to increased political interest in using measures of happiness as a national indicator along with wealth
What are the strongest determinants of national happiness?
Health levels, prosperity, access to basic education
What population sized countries scored highest?
Smaller countries scored highest
Where was Canada on the happiness ranking?
10th
What are the top 3 happiest countries?
Denmark, Switzerland, Austria
What do experts say would make you more happy, a new car or a trip to Europe?
Europe
What are the two types of smiles?
Duchenne and Pan American
What is a Duchenne smile?
Genuine, corners of mouth turn up, skin around eyes wrinkle, involuntary, hard to fake
What is a Pan American smile?
Inauthentic, expression of courtesy and politeness rather than inner joy
What might putting more joy in our smiles do for us?
Might positively influence health and happiness
How is a sense of humor associated with self-reported physical health?
Increased
How is a sense of humor associated with self-esteem?
Increased
How is a sense of humor associated with psychological symptoms related to negative lie events?
Decreased
How is a sense of humor associated with ability to relax?
Increase
How is a sense of humor associated with loneliness, depression, and stress?
Decrease
How is a sense of humor associated with quality of life?
Increased
What are the two types of laughter?
Duchenne laughter and non-Duchenne laughter
What is Duchenne laughter?
Genuine, spontaneous, emotionally driven, most often a result of something unexpected
What is non-Duchenne laughter?
Inauthentic, self-generated, emotionless, conversational, expressing courtesy and politeness
When do infants begin to vocalize laughter?
2-6 months
What is laughter evoking contects and interpretations influenced by?
Cultural norms and learning
What is speaker laughter?
Used to smooth interactions, promote positive feelings
What is nervous laughter?
Expressed in response to stress, signals and anxiety
What is laugh-speak utilized for?
To influence attitudes and behaviours of others
What are the physiological benefits of laughter?
Increased endorphins, increased immune function, decreased pain levels, decreased stress hormones, decreased blood pressure, decreased muscle tension, decreased inflammation
How much less likely to laugh are those with heart disease versus those without?
40%
How do people with heart disease respond to everyday situations?
Less humorously and with more anger and hostility
What are the psychological affects of laughter?
Increased mood, decreased negative responses to stress, less anxiety, enhanced communication, increased creativity
What is the social purpose of laughter?
Makes and strengthens human connections
How does group size affect reactions to humorous materials?
Increased group size = increased audience laughter response
How does laughter influence cohesiveness and cooperation?
Increases cooperation and cohesiveness, promotes integration of new individuals in groups
How is conversational laughter used socially?
Lightens the mood, makes listeners more receptive, increased in group feelings
Who uses humor in social situations and why?
Dominant individualism more than subordinates to control the emotional climate of the situation
How much laughter a day is recommended for health benefits?
30 minutes
How often do children laugh per day?
250 to 500 times
How often do adults laugh per day?
12 to 50 times