Social Medicine · MU Sofia

32. Major determinants of non-communicable chronic diseases (NCD); prevention and control strategies

Inside: 2 sections · 15 flashcards · 5 min

Topic 32 of 50 in the MU Sofia syllabus for Social Medicine (Medicine, Years 2 and 3). The free AceMed note covers it in 2 sections, about 690 words (5 min of reading), with 15 flashcards.

In this note

  1. Major determinants of non- communicable chronic diseases (NCD).Strategies for prevention & control of NCD (1/2)
  2. Major determinants of non- communicable chronic diseases (NCD).Strategies for prevention & control of NCD (2/2)

Major determinants of non- communicable chronic diseases (NCD).Strategies for prevention & control of NCD (1/2)

1) Risk factors for health – classification:

Primary and secondary risk factors:

  • Primary: Inactivity, obesity, high blood pressure, high levels of cholesterol, stress and tension, smoking.
  • Secondary: fatigue, injury, overweight, pain, bowel/bladder problems.

On the level of the individual and on the level of the public health:

  • Individual health: state of health/fitness, our life styles, our posture and out work habits
  • Public health: unsafe sex, unsafe water, sanitation and hygiene.

2) Life style and health:

Nature of the lifestyle:

  • Life style is the way in which a person lives.
  • Health behaviour- action taken by an individual to maintain, attain good health and prevent any illness. Such as exercising regularly, eating a balanced diet etc.
  • Prevention health behavior: activity undertaken by an individual who believes himself to be healthy.
  • Illness behavior: an activity that under taken by an individual who perceives himself to be ill.

Types of risk factors from the lifestyle, Contribution of the lifestyle for the impairment of health:

  • Diet and nutrition: eating healthy helps maintain a good diet and reduces the chances of becoming ill, excess weight puts strain in the entire circulatory system. Also make people have high cholesterol; high blood pressure and diabetes, all of which cane increase stoke risk.
  • Physical Activity: regular physical activity will improve overall health and fitness, and reduce the risk of chronic diseases.
  • Tobacco use and smoking: smoking doubles the risk of stroke when compared to non-smokers. Smoking increases clot formation thickens blood and increases the amount of plaque build-up in the arteries.
  • Alcohol: use has been linked to stroke in many studies. Drinking too much alcohol can increase blood pressure and risk of stroke.

3) Heredity, as a risk factor for health- contribution:

  • Family history is often one of the strongest risk factors for common disease complexes, such as cancer, cardiovascular disease (CVD), diabetes.
  • A person inherits a complete set of genes from each parent.
  • Inherited genetic variation within families clearly contributes both directly and indirectly to the pathogenesis of disease.

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