This document discusses risk factors for coronary heart disease (CHD). It separates risk factors into two categories: non-modifiable and modifiable. Non-modifiable risk factors include age over 45, male sex, family history, and genetic susceptibility. Modifiable risk factors that can be improved through lifestyle changes include hypertension, hyperlipidemia, smoking, diabetes, low HDL, and obesity.
Blood Test is one of the simplest and earlier ways of detecting any underlying medical conditions. Let us see in this article top 10 blood tests that are mostly performed in every lab or clinic.
Hormones are chemicals made in the body. They control how cells and organs work. With respect to hormone therapies, the only significant factor is whether the molecular structure of the replacement hormone exactly matches that of the natural hormone it is replacing. Our body identifies them as human-identical hormones and metabolizes them just as if our body had made them. As information about BHRT became available, interest in BHRT increased significantly. Now a day, Pharmaceutical companies are producing the hormone based drug which is containing same molecular formula but having different brand names. And their delivery to the body is also different.
Omega−3 fatty acids, also called Omega-3
oils, ω−3 fatty acids or n−3 fatty acids,
are polyunsaturated fatty acids (PUFAs)
characterized by the presence of a double
bond three atoms away from the terminal
methyl group in their chemical structure.
They are widely distributed in nature, being
important constituents of animal lipid
metabolism, and they play an important
role in the human diet and in human
physiology.
https://www.slideshare.net/DauRamChandravanshi1
Blood Test is one of the simplest and earlier ways of detecting any underlying medical conditions. Let us see in this article top 10 blood tests that are mostly performed in every lab or clinic.
Hormones are chemicals made in the body. They control how cells and organs work. With respect to hormone therapies, the only significant factor is whether the molecular structure of the replacement hormone exactly matches that of the natural hormone it is replacing. Our body identifies them as human-identical hormones and metabolizes them just as if our body had made them. As information about BHRT became available, interest in BHRT increased significantly. Now a day, Pharmaceutical companies are producing the hormone based drug which is containing same molecular formula but having different brand names. And their delivery to the body is also different.
Omega−3 fatty acids, also called Omega-3
oils, ω−3 fatty acids or n−3 fatty acids,
are polyunsaturated fatty acids (PUFAs)
characterized by the presence of a double
bond three atoms away from the terminal
methyl group in their chemical structure.
They are widely distributed in nature, being
important constituents of animal lipid
metabolism, and they play an important
role in the human diet and in human
physiology.
https://www.slideshare.net/DauRamChandravanshi1
This presentation deals with the various non-steroidal antiinflammatory drugs used in day-to-day practice enumerating their mechanism of action, uses, adverse effects, etc.
This presentation deals with the various non-steroidal antiinflammatory drugs used in day-to-day practice enumerating their mechanism of action, uses, adverse effects, etc.
Alcohol, Digestion, Energy BalanceNTR 300 – Fundamenta.docxgalerussel59292
Alcohol, Digestion, Energy Balance
NTR 300 – Fundamentals
Dr. Lorna Shepherd
Alcohol/Ethanol Consumed by ~60% of AmericansProvides 3% of total energy intake7kcal/gm Is a narcotic Reduces sensation, consciousness, central nervous system depressant
Sources Beer5-11%Wine 5-14%Distilled spirits >22%Liquors Alcohol listed as “proof” which is double the alcohol content
A standard drink15gm of alcohol12oz beer5oz wine10oz wine cooler1.5oz hard liquor
Moderate ETOH Consumption One drink daily for femaleTwo drinks daily for males Does not require digestionAbsorbed by simple diffusion Easily crosses cell membranes but does damage as it passes through
Metabolism of ETOHThe cells of the GI tract metabolize 10- 30% of the alcohol ingested The remainder is metabolized by the liverNot stored so takes priority in metabolization alcohol –> acetaldehyde –>acetyl Co-A
Potential Benefit of ETOHModerate intake reduces risk of CVDReduces LDL
High Alcohol intake With high ETOH intake the liver uses an alternate path (microsomal ethanol oxidizing system) MEOSMore efficientRequires energyIncreases tolerance Decrease ability to metabolize drugs
Health Effects of AlcoholIncrease blood pressure and stroke Cirrhosis of liverPoor food intake Deficiency of B vitamins Niacin needed for alcohol metabolismThiamin absorption affectedIncreased excretion of B6May impair absorption of B12
Excessive Intake of ETOHIncreased risk of Brain damageOral and esophageal CABreast CAIrritation of stomach liningCirrhosis of liver Pancreatitis and pancreatic CA Impaired nutrient use Fetal alcohol syndrome
Fetal Alcohol Syndrome 1 in every 1000First 12 – 16 weeks of fetal development most critical Fetal alcohol effect Short attention span Learning and behavioral difficultieshyperactivity
Actual Picture
Energy Metabolism Substrates Converted to Acetyl CoA and enter to Kreb’s cycle to produce energyCarbohydrates – 4kcal/gmLipids – 9kcal/gmProteins – 4kcal/gmAlcohol – 7 Kcal/gm
Metabolism
Ketone Bodies Produced by liver and (kidney)The brain uses it during periods of fasting when glucose is not available
Hormones involved in Energy Metabolism (Regulation)InsulinGlucagonThyroid
Energy Balance
Basal Metabolic Rate (BMR)The minimum amount of energy needed when resting and fasting
Factors that affect BMRMuscle massBody surface areaGender body temperature Thyroid hormoneStages of growth Stimulants Sedatives
Methods of Calculating Energy Requirement Predictive equations Harris-BenedictSimple method – 30-35kcal/kg
Harris Benedict Equation Male66.5+(13.8xWt)+(5xHt)-(6.8xage)Females655.1+(9.6xWt)+(1.9xHt)-(4.7xage)Activity factorSedentary – 1.0Low – 1.1Active - 1.26Very active – 1.46
BMI Formula
Body Mass IndexInterpretation of BMI:Under weight <18.5 Healthy – 18.5 to 24.9Over weight – 25 to 29.9Obese - >30
Ideal Body Weight (IBW)
HamwiMalesFirst.
the aim of sharing this material to help students and provide delayed information regarding topic.You all are most welcome for you suggestion to make i more easy, graspable and attractive.(easy to learn in creative way)
1. CHD RISK FACTORS
NON-MODIFYABLE MODIFYABLE
AGE > 45 HYPERTENSION
MALE SEX HYPERLIPIEMIA
SMOKING
FAMILY HIST. DIABETES
GENETIC SUSP. LOW HDL
OBESITY
2. ATP III: The Metabolic Syndrome*
Risk Factor Defining
Abdominal obesity
(waist circumference)
Men >102cm (>40 in)
Women >88cm (>35 in)
TG ≥150 mg/dL
HDL-C
Men <40 mg/dL
Women <50 mg/dL
Blood pressure ≥130/ ≥85 mm Hg
Fasting glucose ≥110 mg/dL
* Diagnosis is established when ≥3 of these risk factors are present.
- Abdominal obesity more highly correlated with metabolic risk factors than BMI.
- Some men develop metabolic risk factors when circumference is only marginally increased.
3. EAT HEALTHY FOR YOUR HEART
Do Not Eat Eat
ORGAN MEAT: liver, brain, etc. * WHITE MEAT/FISH
SATURATED FATS/LARD * VEGETABLES/FRUITS
EGGS (YOLK) * BRAN/GARLIC ??
COCONUT OIL/ PALM OIL * VEGETABLE OIL
WHOLE MILK * SKIM MILK
CHOCOLATE * VITAMIN E or C ??
MAYONNAISE/CROISSANTS * FISH OIL