Stress and Disease Revised Ch. 3

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    Review Stress Response Life- stressor

    Perceive as a threat

    ALARMHippocampus (leads to an emotion) SEAT OF EMOTIONS- Limbic System (physical response)

    RETICULAR ACTIVATING SYSTEM(mind-body link)

    SUPERVISOR- Hypothalamus (endocrine and autonomic)

    EndocrineHormones (cortisol and vasopressin)

    Autonomic- Sympathetic =ON, Parasympathetic =OFF

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    Hot Reactors People who react to stress with an all-out physiological

    reaction.

    This type of person tends to: Become angry easily

    Be anxious or depressed

    Urinate frequently

    Nausea and vomiting

    Experience gastrointestinal problems

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    Psychosomatic DiseaseNot all in the mind involves both mind

    and the body.

    Psychosomatic disease may be:

    Psychogenic

    Somatogenic

    At least 75%, if not more, of doctor visitsare believed to have a stress component

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    Psychogenic-A physical disease caused by emotional

    stress without a microorganism involved. The mind changes the bodys physiology so that body part

    breaks down.

    Ulcers

    Asthma

    Somatogenic-A disease that results from the mind

    increasing the bodys susceptibility to:

    Disease causing organisms (germs)

    Natural degenerative processes

    Cancer

    Arthritis

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    Stress and Immunology Stress can decrease your white blood cell count

    which will lead to poor health.

    Immunological system includes the following whiteblood cell groups which identify and destroy foreign

    substances:

    Phagocytes-destroyers

    Lymphocytes

    T cells

    B cells

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    Stress and Serum Cholesterol Significantly increases during stress.

    Accumulates on the walls of your blood vessels

    blocking the flow of oxygenated blood to theheart and brain.

    Studies show that ones perception of a stressful

    situation can increase serum cholesterol levels. Final Exams

    Tax Accountants (April 15th)

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    Hypertension (High Blood Pressure) Excessive pressure of blood against the walls of arteries

    Ruptured arteries to the heart can result in a Myocardial

    Infarction (Heart Attack)

    Ruptured arteries to the brain can cause a cerebral

    hemorrhage (Stroke)

    41% of Americans age 20-74 are Hypertensive

    16% of Americans age 20-24 are Hypertensive

    Most dont know it because it occurs without S/S.

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    Hypertension:20% of America has hypertension

    Systolic-force against the arterial walls whenthe heart contracts and blood is pumped out.Diastolic-force against the arterial walls

    when the heart is relaxed.

    Normal: 120/80High: 140/90

    High blood pressure

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    Hypertension: Causes

    High sodium intake

    Kidney disease

    Cushing's syndrome

    Oral contraceptives

    Narrow heart/bloodvessels

    Smoking

    Sedentariness

    Obesity

    Stress

    Personality traits

    10% Known 90% Speculation-essential hypertension

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    Hypertension: Personality TraitsUpset by criticism

    Upset by imperfection

    Pent up anger, bitterness

    Low self-confidence

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    Migraine HeadachesConstriction and dilation of the carotid

    arteries on one side of the head.

    Prodrome- preattack or constriction

    phase of a migraine headache.

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    Coronary Heart Disease Heart attacks kill more Americans than any other single

    cause of death. (Myocardial Infarction)

    Major risk factors associated with CHD:

    High serum cholesterol

    Hypertension

    Smoking

    Obesity

    Stress and a Type A behavior linked to CHD

    Aggressive Competitive

    Time urgent

    Multitasking

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    Coronary Heart Disease

    Other Risks Genetics Sedentariness High fat intake Personality traits: anger / hostile / resentful / bitter

    Occupation: the more stressful the job, the more

    prevalent is heart disease Day of the week Monday vs. Friday

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    Prevention of CHD Reduce Fat Intake

    Move Daily

    Stop Smoking Life style (Stress Management)

    Heart Transplant

    Forgive others Forgive yourself

    Mend fences in relationships

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    Life may begin at forty, but heart

    disease can begin at four.

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    Stress Flow Chart.1. .

    2. .

    3. .

    4. .5. .

    6. .

    7. .8. .

    9.

    10.

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    If four jumbo jets crashed every

    day of the year in America, howanxious would you be to get on a

    plane?

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    Thats how many people die of

    cancer every day in Americaitsthe second leading cause of

    death, behind heart disease.(1500 people)

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    Cancer Definition: Unbridled multiplication of cells

    that leads to tumors, organ damage, andeventual death.

    Metastisis: 4-part cycle of malignant tumor

    Shed

    Spread

    Colonize Grow

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    Cancer The marvel of your immune system is its ability to

    distinguish between whats you and belongs fromwhats new and doesnt belong.

    AntigenAny new substance that triggers your immune

    response

    Cancer Fighters Interpheron, Interlucken2, Lymphotoxin,

    T-Lymphocytes

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    CancerChronic stress may disable the

    immune system in some people withsome types of tumors

    (Not stating stress causes cancer!)

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    Seven Danger Signs of Cancer Sores that dont heal

    Lump or thickening

    Unusual bleeding / discharge

    Persistent cough / hoarseness

    Persistent indigestion

    Change in wart or mole Change in normal bowel / bladder habits

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    Characteristics

    Inability to forgive

    Use of self-pity Difficulty developing / maintaining personal

    relationships

    Poor self-image

    of people prone to cancer

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    Bernie Seigal

    cancer surgeon

    Importance of Perception

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    Reducing Cancer Risk Dietary Intake (35% of

    cancers) Lower fat intake to 20% Increase fiber, whole

    grains

    Increase fruits, vegetables

    Moderate alcoholconsumption

    Avoid salt and nitratecured foods

    Avoid smoked foods

    Stress Management Maintain healthy coping

    techniques

    Limit unnecessarystressors

    Strengthen relationships

    Exercise Down time

    Stop smoking (30% of cancers)

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    Reduced or Fat Free Alternatives Fruit

    Vegetables

    Skim milk

    Nonfat sour cream Fat free cream cheese

    Fat free mayonnaise

    Water based soup

    Rice

    Tomato based sauces

    Turkey

    Cereal/oatmeal/cream ofwheat

    Tuna

    Pretzels

    Low fat cottage cheese

    Low fat yogurt Graham crackers

    Baked fish

    Chicken (skinless andbaked)

    Low fat bisquick Low fat muffin mix

    Noodles

    Bread

    Potatoes

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    Top Five Nutritious FruitsWatermelon

    Vitamin C, carotenoids, good fiber, low in calories

    Papaya Vitamin C, carotenoids, lots of potassium and fiber

    Orange Vitamin C, folate, lots of fiber

    Grapefruit Vitamin C, cholesterol lowering, pectin

    Apricots Beta-carotene, potassium and fiber

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    Top Five Vegetables Spinach Beta-carotene, vitamin C, folate, iron potassium,

    calcium

    Sweet Potatoes Potassium, vitamin C, beta-carotene, fiber Collard greens

    Beta-carotene, cancer prevention power, vitamin C,folate, calcium, fiber

    Carrots Beta-carotene and fiber

    Sweet Red PepperVitamin C, beta-carotene, fiber