Labette Community College
PE 116

REVIEW
• Women and men differ in their amount of MM due primarily to?
• Whether you are a “rabbit” (more
FT fibers) or a “turtle” (mucho ST fibers) is determined by??
• To tone & trim you should do… lower/higher… weight & reps???

• Americans spend $9,000 per person on health care annually…
• Our first 1/3 of life determines the quality of our last 1/3…
• More Americans are obese (34%) than overweight (33%)…
• USA ranks 48 th in life expectancy (M 75/W 81)…
• 1 st time in history- life expectancy of children born today is less than that of their parents…
• Access to education, prevention, and health care is a basic human right and not a privilege of wealthy!!!
-John Seffrin CEO –
American Cancer Society

2009/CDC
• Coronary Heart Disease (CHD)- 599,413
• Cancer- 567,628
• Chronic respiratory diseases: 137,353
• Stroke- 128,842
• Accidents- 118,021
• Alzheimer's disease- 79,003
• Diabetes- 68,705
• Influenza/Pneumonia- 53,692

Extra Credit Homework Assignment-
Longevity Prediction
• Google Northwestern Mutual…
• Play “The Longevity Game” using your personal data
• Identify both your current age and predicted longevity age
• List 10 of the major health & lifestyle factors that can either increase or decrease YOUR longevity!

Cardio-Vascular Disease (CVD)
Non-Modifiable Factors
- Risks that theoretically can NOT be modified or improved via lifestyle choice and habits!
Largely genetically determined (thanks Ma & Pa)
VS…
Modifiable Factors
- Risks that are greatly influenced by personal daily lifestyle …

Stand & Sit Lifestyle Awareness
Everyone Please Stand and You Get to Sit
If Yesterday…???
• You did not accumulate 30-60+ mins of physical activity..
• You did not drink 5-6 glasses of H 2 O…
• You used any tobacco or were stuck around any second hand smoke…
• You skipped breakfast…

Everyone Please Stand and Sit If continued…
• You accumulated more than 3 hours of TV or computer “screen time”…
• You had 3 or more cups of regular coffee or 24 oz of caffeinated soda…
• You ate a “meal” at a fast fat food restaurant
• You did not get eight (8) hours of sleep
*** Major League Congratulations to everyone still standing***

Non-Modifiable C-V Risk Factors
• Age- 45+ for M & 55+ for W
•
- Chronological vs Physiological? (Real age.com)
• Gender- middle age risk is greater for M or W??
- Women are protected because of higher???
• Race
• African/Hispanic/Oriental-Americans are at higher risk than whites
• Family History- if disease is present before age…
- in a brother or father… 50-55 M
- in a sister or mother… 60-65 W

Modifiable C-V Risk Factors
• Physical Activity or Exercise Level
• Tobacco
• Obesity
• Cholesterol/Blood Profile
• Blood Pressure
• Stress
- AHA- Major 4 Risk factors are… ???
- SG’s 4 Public Health Reports were…???

Physical Activity or Exercise Level
Surgeon General- Physical Activity Focus
• 25% Couch Potatoes
• 40% Active 
• 60% Not active
ACSM- Exercise or Physical Fitness Focus
• 15% Active 
• 85% Need Improvement
* Steven Blair- All adults need to accumulate 30 minutes of walking (3 X 10 mins)

Personal Blood Profile
Total Blood Cholesterol (TBC)
< 200  Low risk butttt…
- 200-239 mg/dl Moderate
>240  High risk
Triglycerides- circulating fat <100-150 mg/dl
• HDL - > 40-60 mg/dl
LDL - < 100 mg/dl (recent attention/focus)
“Ratio”- Total Cholesterol/HDL < 4.5
* PSU Health Services- $14.00 for screening  *

HYPERTENSION-
HIGH BLOOD PRESSURE
“Silent Killer”
• Systolic = top #
• Diastolic = lower #
• Normal or Healthy “120-80” mmHg
- Desirable is b/t 100-120/60-80
- Younger healthy 110/70 is preferable
• High is any # greater than 140/90 and puts you at greater risk for stroke and heart disease

C-V DISEASE RISK ASSESSMENT
Calculate your risk!
• Cigarette Smoking
• Total Blood Cholesterol (TBC)
• Blood Pressure (BP)
• Physical Activity Level
• Excess Body Weight or use BMI
* HW Assignment – www.americanheart.org
complete My Life Check, bring a copy (1 st page)!
http://mylifecheck.heart.org/ http://www.goredforwomen.org/
* The Life’s Simple Seven Action Plan includes ???????

Life’s Simple Seven Action Plan
1.
Physical Activity
2.
Healthy Weight
3.
Healthy Diet
4.
BP
5.
Blood Sugar
6.
Blood Cholesterol (TBC)
7.
Smoking Status

Tobacco- Cigarette Smoking
450,000 deaths per year
Gateway Drug
> cigarette use = > alcohol & drug use
Major risk factor for:
• CHD
• Cancer
• Stroke
• Chronic Respiratory Disease
Ecological Approach
• Education/Cessation Programs
• Enact & Enforce Smoke-free Policies
• Increase Tobacco Taxes
Health Care Costs - $$$$$$$ YOUR Insurance Premiums!!!

SYNDROME X
“Metabolic Syndrome”
• High Triglycerides 150+
• Hypertension 130/85
• Blood Sugar 110-125+
• Abdominal Obesity >35” W & 37-40” M
• HDL <50 W & 40 M
Major Causes are…
 Upper Body Fat/Abdominal Obesity
 Smoking
 Stress (distress vs eustress)
 Physical Inactivity
 Alcohol (1 oz/day = >HDL)

ABCDE’s of CVD Prevention
• Aspirin
• Beta-Blockers
• B Vitamins
• BP control
Meds
• Cholesterol
• Diet baby aspirin 81 mg high risk MI patients
Vit B6 & Vit B12
>149/90 Lifestyle-
TBC < 200 Ratio < 4.5
AHA Step I vs Step II

ABCDE’s of CVD Prevention
• Diabetes
• Exercise
• Estrogen
• Social Support
• Smoking Cessation
• Stress Mngt
Type I vs Type II
30-60-90 mins
HDL- post –menopausal W of family & friends

One 6190 Calorie Meal  http://blogs.abcnews.com/theworldnewser/2009/07/what
-exactly-does-a-6190-calorie-lunch-do-to-your-body.html
Results shows… (watch this clip)
* one meal can effect your BP, heart rate & blood vessels for up to six hours
* chronic poor meals thus directly lead to CVD and CHD

Food for Thought?
??????????????????????

Attendance Questions
1.
What are the major 4 Modifiable risk factors for CVD?
2.
The A#1 way to assure yourself the right to die prematurely is to…. ?
3.
The next big Surgeon General Report on
Americans health will probably be focused upon…. ?

Midterm Study Questions
1- The AHA’s mission is to reduce and hopefully eliminate what two major causes of premature adult death?
2- One should strive for a blood profile with a Ratio < _____ & LDL < _____ ml/dl
3- Your Life’s Simple Seven Action Plan includes improving
____________________________!
4- The A#1 most dangerous health habit one can have that assures you will die prematurely is?
5- One very poor meal can effect your blood vessels for up to ________ hours. A poor quality diet leads directly to __________ disease!

Smoking Cessation Web Sites
American Cancer Society- 1-800-227-2345 www.cancer.org.
Nicotine Anonymous- 1-877-879-6422 www.nicotine-anonymous.org
QuitNet- www.quitnet.com
Centers for Disease Control and Prevention- 1-800-232-4636 (1-800-CDC-INFO)
Office of Smoking and Health- www.cdc.gov/tobacco (1-800-QUIT-NOW)
National Cancer Institute- (1-800-4-CANCER) www.cancer.gov
1-877-448-7848 Direct tobacco www.smokefree.gov
American Heart Association- 1-800-242-8721 www.americanheart.org
Environmental Protection Agency (EPA)- 202-272-0167 www.epa.gov
www.epa.gov/smokefree, or at 1-866-766-5337 (1-866-SMOKE-FREE)