1 Think about… 23.1 Meaning of health and disease 23.2 Effects of lifestyles on health Recall ‘Think about…’ Summary concept map 2 A Hong Kong Health Index survey has recently been completed. 3 It measured the health status of Hong Kong people. 4 Some of the survey results: 16.1% of people have chronic diseases (長期病患) 5 Some of the survey results: 40.1% of people do not exercise regularly 6 Some of the survey results: 30.4% of people have had sleep problems in the past week 7 1 What is health Are people without diseases considered healthy 8 2 What are the health benefits of regular exercise 9 3 How is health affected by insufficient sleep 10 23.1 Meaning of health and disease • a disease is a condition in which any body part cannot function normally • recognized by signs (病徵) and symptoms (症狀) 11 23.1 Meaning of health and disease What is a sign? • can be noticed by the patient, doctor, nurse and other observers • examples: fever and irregular heart rate 12 23.1 Meaning of health and disease What is a symptom? • can only be felt by the patient • examples: headache and tiredness 13 23.1 Meaning of health and disease Meaning of health by World Health Organization (WHO) (世界衛生組織): • a state of complete physical, mental and social well-being 14 23.1 Meaning of health and disease Meaning of health physical • the body parts function normally 15 23.1 Meaning of health and disease Meaning of health physical mental • the body parts function normally • one feels good about oneself 16 23.1 Meaning of health and disease Meaning of health physical mental Health social • the body parts function normally • one feels good about oneself • one gets along well with other people 17 23.1 Meaning of health and disease 1 A disease is a condition in which any body part cannot function normally .It is recognized by signs and symptoms . 18 23.1 Meaning of health and disease 2 Health is a state of complete physical , mental and social well-being. 19 23.2 Effects of lifestyles on health • some diseases (e.g. genetic diseases) are inborn • many other diseases are related to the way we live (e.g. diet, exercise) 20 23.2 Effects of lifestyles on health Diet • a balanced diet helps maintain a healthy body and provides a suitable amount of energy food pyramid 21 23.2 Effects of lifestyles on health 1 Eating too little • deficiency in any one food substance can lead to deficiency diseases Deficiency in Deficiency disease Protein Kwashiorkor Vitamin A Night blindness Vitamin C Scurvy 22 23.2 Effects of lifestyles on health 1 Eating too little • deficiency in any one food substance can lead to deficiency diseases Deficiency in Deficiency disease Vitamin D Rickets Calcium Rickets Iron Anaemia 23 23.2 Effects of lifestyles on health 1 Eating too little • no single food can provide all food substances people who are selective about their diets must plan their diets well e.g. vegetarians should eat a variety of plant foods 24 23.2 Effects of lifestyles on health 1 Eating too little • people with anorexia nervosa refuse to eat thin and weak various deficiency diseases and even death 25 23.2 Effects of lifestyles on health 2 Eating too much • excess cholesterol (膽固醇) can block the arteries to the cardiac muscles heart attack (心臟病發作) and stroke (中風) cholesterol wall of artery 26 23.2 Effects of lifestyles on health 2 Eating too much • acid is produced when sugar is metabolized by oral bacteria acid dissolves the enamel of teeth tooth decay (蛀牙) 27 23.2 Effects of lifestyles on health 2 Eating too much • some foods like salted fish have a high salt content high blood pressure (高血壓) damage to the brain and kidneys 28 23.2 Effects of lifestyles on health 2 Eating too much • when energy input > energy output, we gain weight obesity heart disease, diabetes and arthritis (關節炎) 29 23.2 Effects of lifestyles on health Exercise 1 Strengthen the heart and lungs • aerobic exercise (需氧運動) involves contraction of large muscles jogging swimming cycling 30 23.2 Effects of lifestyles on health Exercise 1 Strengthen the heart and lungs • the heart and lungs work harder to meet the body’s increased oxygen demand • 30 minutes of aerobic exercise daily 31 23.2 Effects of lifestyles on health Exercise 2 Keep bones and muscles strong • strength training exercise requires muscles to work against force or weight increases bone density muscles get stronger and bigger 32 23.2 Effects of lifestyles on health Exercise 3 Improve suppleness • some exercise involves a range of movement of joints improves suppleness (柔軟性) less likely to have injuries or pain suffered by stiffness in joints 33 23.2 Effects of lifestyles on health Exercise 4 Promote mental and social well-being • exercise stimulates endorphin (內啡肽) production • endorphins reduce the feeling of pain and anxiety 34 23.2 Effects of lifestyles on health Exercise 4 Promote mental and social well-being • exercise enables people to gather with friends 35 23.2 Effects of lifestyles on health Exercise 5 Reduce the risk of diseases • when exercising, energy is obtained by breaking down glycogen and fats manage body weight and prevent obesity 36 23.2 Effects of lifestyles on health Exercise 5 Reduce the risk of diseases • regular exercise lowers the risk of: - high blood pressure, heart disease and stroke - osteoporosis (骨質疏鬆症) - diabetes 37 23.2 Effects of lifestyles on health Rest • helps recover both physically and mentally • adults need 7–9 hours of sleep each day • teenagers need 9.5 hours 38 23.2 Effects of lifestyles on health Rest • during sleep, the release of growth hormone (生長激素) is at its peak • growth hormone stimulates growth • insufficient sleep affects our alertness, judgment, reaction time, memory and mood 39 23.2 Effects of lifestyles on health Rest • insufficient sleep also links to: - high blood pressure - diabetes - obesity - depression (抑鬱症) 40 23.2 Effects of lifestyles on health Rest • develop good rest and sleep habits: Avoid working continuously for long hours. Take a break to recover from stress and fatigue. 41 23.2 Effects of lifestyles on health Rest • develop good rest and sleep habits: Avoid heavy meals close to bedtime. Digestive processes can disturb sleep. 42 23.2 Effects of lifestyles on health Rest • develop good rest and sleep habits: Maintain regular bedtime and waking time. 43 23.2 Effects of lifestyles on health Rest • develop good rest and sleep habits: At bedtime, keep your bedroom dark and quiet. 44 23.2 Effects of lifestyles on health Old people need less sleep. 45 23.2 Effects of lifestyles on health In fact, old people have less sleep because they are more easily disturbed by light or noise than young people. 46 23.2 Effects of lifestyles on health Personal hygiene • many diseases are caused by viruses, bacteria, protists, fungi, etc. • keeping ourselves clean can reduce the chance of catching or spreading diseases 47 23.2 Effects of lifestyles on health 1 Hygiene of hair • sebum (皮脂) is an oily substance secreted from the skin makes the hair and skin supple • excess sebum may result in the formation of dandruff (頭皮屑) • hair should be washed with mild shampoo at least twice a week 48 23.2 Effects of lifestyles on health 1 Hygiene of hair • after washing, dry the hair thoroughly • do not share combs and hats prevent the spread of head lice (頭虱) • head lice suck blood from the scalp, causing itchy spots scratching may lead to inflammation 49 23.2 Effects of lifestyles on health 2 Hygiene of hands • hands can pick up disease-causing agents easily • we may catch diseases when touching our eyes, nose or mouth with contaminated hands • wash our hands frequently 50 23.2 Effects of lifestyles on health 3 Hygiene of skin • our body smells when bacteria break down chemicals in the sweat • take a bath every day to reduce body odour (體臭) 51 23.2 Effects of lifestyles on health 3 Hygiene of skin • athlete’s foot (腳癬/香港腳) is a skin disease caused by fungi • to prevent this: - dry the skin with a towel after taking a bath - do not share towels, socks and other clothes 52 23.2 Effects of lifestyles on health 4 Oral hygiene • good oral hygiene reduces bad breath and prevents dental diseases • good habits for oral health: a) brush your teeth properly and regularly 53 23.2 Effects of lifestyles on health 4 Oral hygiene b) use toothpaste containing fluoride (氟化物) - alkaline in nature: neutralizes the acid produced by oral bacteria - fluoride: helps prevent tooth decay 54 23.2 Effects of lifestyles on health 4 Oral hygiene b) use toothpaste containing fluoride (氟化物) - abrasive (磨料): removes plaque (牙菌膜) 55 23.2 Effects of lifestyles on health 4 Oral hygiene c) use dental floss (牙線) to remove plaque between teeth d) do not eat too much sugary food and bite very hard materials 56 23.2 Effects of lifestyles on health 4 Oral hygiene e) have a balanced diet with adequate calcium, phosphorus and vitamin D f) have a dental check-up at least twice a year 57 23.2 Effects of lifestyles on health Smoking, alcohol and drug abuse 1 Smoking • cigarette smoke contains over 4000 chemicals: - tar (焦油) - nicotine (尼古丁) - carbon monoxide 58 23.2 Effects of lifestyles on health i) Smoking-related diseases • tar and other chemicals may lead to cancers of the mouth, throat, stomach, pancreas and kidneys • responsible for 90% of lung cancer cases 59 23.2 Effects of lifestyles on health annual death rate per 100 000 men i) Smoking-related diseases 300 250 200 150 100 50 0 0 1-14 15-25 >25 number of cigarettes smoked per day 60 23.2 Effects of lifestyles on health i) Smoking-related diseases • tar irritates the lining of air passages chronic bronchitis (慢性支氣管炎) - air passages are narrowed less oxygen reaches the air sacs 61 23.2 Effects of lifestyles on health i) Smoking-related diseases • emphysema (肺氣腫) - walls of the air sacs are broken down - surface area for gas exchange is reduced difficulty in breathing 62 23.2 Effects of lifestyles on health i) Smoking-related diseases • nicotine increases heart rate and causes constriction (收縮) of blood vessels • carbon monoxide reduces ability of red blood cells to carry oxygen increased risk of heart attack and other heart diseases 63 23.2 Effects of lifestyles on health i) Smoking-related diseases • nicotine is addictive 64 23.2 Effects of lifestyles on health ii) Effects of smoking on pregnancy • chance of miscarriage (流產) increases • chance of premature delivery (早產) increases • babies born are smaller and lighter 65 23.2 Effects of lifestyles on health iii) Passive smoking (吸食「二手煙」) • increases the risk of: - lung cancer - asthma (哮喘) - heart diseases • smoking in public areas is banned in HK 66 23.2 Effects of lifestyles on health 2 Alcohol abuse (酗酒) • drinking too much alcohol or too often leads to health, work or relationship problem 67 23.2 Effects of lifestyles on health i) Immediate effects of alcohol • a depressant (抑制藥) slows down the function of central nervous system 68 23.2 Effects of lifestyles on health i) Immediate effects of alcohol • a depressant (抑制藥) • affects: - judgment - physical co-ordination - blurred vision - slurred speech - loss of balance 69 23.2 Effects of lifestyles on health i) Immediate effects of alcohol • drinking a large quantity at one time: - unconsciousness - a coma - death 70 23.2 Effects of lifestyles on health ii) Long-term effects of alcohol • drinking a large quantity over time causes addiction and other problems: - inflammation of stomach lining, pancreas and liver - cirrhosis (肝硬化) fibrous scar tissue 71 23.2 Effects of lifestyles on health ii) Long-term effects of alcohol • drinking a large quantity over time causes addiction and other problems: - high blood pressure, heart disease and stroke - cancers of the mouth, oesophagus and throat 72 23.2 Effects of lifestyles on health iii) Effects of alcohol on pregnancy • alcohol can pass through the placenta rapidly and harm the foetus • increases the risk of: - miscarriage - baby born dead - low birthweight 73 23.2 Effects of lifestyles on health iii) Effects of alcohol on pregnancy • babies whose mothers drink heavily are more likely to have: - mental retardation - poor coordination 74 23.2 Effects of lifestyles on health 3 Drug abuse (濫用藥物) • taking of drugs without following medical advice • use of dangerous drugs for non-treatment purposes 75 23.2 Effects of lifestyles on health 3 Drug abuse (濫用藥物) • some commonly abused drugs: Heroin Cannabis MDMA 76 23.2 Effects of lifestyles on health 3 Drug abuse (濫用藥物) • some commonly abused drugs: Ketamine MethylCough amphetamine medicine 77 23.2 Effects of lifestyles on health 3 Drug abuse (濫用藥物) • health problems caused by heroin: - breathing and menstrual problems - overdose may result in a coma 78 23.2 Effects of lifestyles on health 3 Drug abuse (濫用藥物) • health problems caused by cannabis, MDMA, ketamine or methylamphetamine: - thinking is affected - reduced concentration, poor motor control and slow response 79 23.2 Effects of lifestyles on health 3 Drug abuse (濫用藥物) • many drugs are addictive withdrawal symptoms (戒斷症狀) occur when stop taking drugs • many drugs have interactions with other substances death 80 23.2 Effects of lifestyles on health 1 Deficiency in Deficiency disease Protein Kwashiorkor Vitamin A Night blindness Vitamin C Scurvy 81 23.2 Effects of lifestyles on health 1 Deficiency in Deficiency disease Vitamin D Rickets Calcium Rickets Iron Anaemia 82 23.2 Effects of lifestyles on health 2 Excess of Health problem Cholesterol Heart attack , stroke Sugar Tooth decay , obesity Salt High blood pressure 83 23.2 Effects of lifestyles on health 3 Health benefits of exercise: a Exercise strengthens the heart and lungs . 84 23.2 Effects of lifestyles on health 3 Health benefits of exercise: b Exercise keeps bones and muscles strong. 85 23.2 Effects of lifestyles on health 3 Health benefits of exercise: c Exercise improves suppleness of the body. 86 23.2 Effects of lifestyles on health 3 Health benefits of exercise: d Exercise promotes mental and social well-being. 87 23.2 Effects of lifestyles on health 3 Health benefits of exercise: e Exercise reduces the risk of diseases such as diabetes. 88 23.2 Effects of lifestyles on health 4 Insufficient sleep affects alertness, judgment, reaction time , memory and mood. It is also linked with high blood pressure, diabetes, obesity and depression. 89 23.2 Effects of lifestyles on health 5 Hand washing can remove disease-causing agents from our hands. This reduces our risk of catching and spreading diseases. 90 23.2 Effects of lifestyles on health 6 Smoking can cause lung cancer, chronic bronchitis , emphysema and heart diseases. Smoking during pregnancy can also lead to miscarriage and premature delivery . 91 23.2 Effects of lifestyles on health 7a Immediate effects of alcohol include poor judgment and physical co-ordination, blurred vision , slurred speech and loss of balance. 92 23.2 Effects of lifestyles on health 7b Long-term consumption of alcohol can lead to addiction , inflammation , cirrhosis, high blood pressure, heart disease, stroke and cancer . 93 23.2 Effects of lifestyles on health 8 Drug abuse is the taking of drugs without following medical advice , or the use of dangerous drugs for non-treatment purposes. 94 23.2 Effects of lifestyles on health 9 Drug abuse can cause breathing and menstrual problems, affect thinking , lead to reduced concentration, poor motor control , slow response , a coma or even death. 95 1 What is health? Are people without diseases considered healthy? Health is not just an absence of disease. It is a state of complete physical, mental and social well-being. 96 2 What are the health benefits of regular exercise? Regular exercise benefits different body parts, such as the heart, and promotes mental and social well-being. 97 3 How is health affected by insufficient sleep? People without sufficient sleep think and act slowly. Lack of sleep is also linked with high blood pressure, diabetes, obesity and depression. 98 Health is not just an absence of includes disease mental physical social well-being well-being well-being 99 Health affected by diet rest exercise personal hygiene smoking, alcohol and drug abuse 100