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Presented by: Patricia Adams, Ronda Mott, Amy Lewis, Kyle (Kurt) Freund & Beth Hesselink

Cholesterol. Presented by: Patricia Adams, Ronda Mott, Amy Lewis, Kyle (Kurt) Freund & Beth Hesselink. Introduction. Cholesterol Dietary and exercise habits Risk factors Genetic Modifiable. What is Cholesterol?. HDL (Good), LDL (Bad) & Triglycerides. The Numbers.

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Presented by: Patricia Adams, Ronda Mott, Amy Lewis, Kyle (Kurt) Freund & Beth Hesselink

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  1. Cholesterol Presented by: Patricia Adams, Ronda Mott, Amy Lewis, Kyle (Kurt) Freund & Beth Hesselink

  2. Introduction Cholesterol Dietary and exercise habits Risk factors • Genetic • Modifiable

  3. What is Cholesterol? HDL (Good), LDL (Bad) & Triglycerides

  4. The Numbers Total Cholesterol: < 170 LDL: < 70, < 100 if no CAD HDL: >60 (women) >50 (men) Triglycerides: <150

  5. Where is Cholesterol Produced? http://www.nano.org.uk/news/jan2009/1743.gif

  6. Synthesis of Hormones!!! Behavior & Mood Swings Anti-inflammatory Vitamin D Bile Salts Needed for Survival http://wbblog.wautier.com/wp-content/uploads/2011/11/Happy-People-Big-Stock.jpg

  7. Risks of High Cholesterol Age Gender Diabetes Diet Obesity Physical Inactivity Hereditary

  8. Dietary Cholesterol Sources earhttp://www.healthyandbeauty-blog.com/tag/good-cholesterol/

  9. America's Cholesterol Burden • 71 million high LDL, “bad,” cholesterol • 1 out of every 3 has the condition under control • Less than half get treatment • High total cholesterol = 2x risk of heart disease http://www.cdc.gov/cholesterol/facts.htm

  10. Levels Vary by Ethnicity Race or Ethnic Group Men (%) Women (%) All 32.5% 31.0% Non-Hispanic Blacks 34.4% 27.7% Mexican Americans 41.9% 31.6% Non-Hispanic Whites 30.5% 32.0% CDC.Vital signs: prevalence, treatment, and control of high levels of low-density lipoprotein cholesterol. United States, 1999–2002 and 2005–2008. MMWR. 2011;60(4):109–14.

  11. Air Pollution Seasonal Changes Second Hand Smoke (Passive Smoking) Environmental Risks Factors Effecting Cholesterol www.zmescience.com/ecology/environmental

  12. Air Pollution The effects of air pollution may extend to more than your lungs Ultrafine particles in polluted air and LDL or “bad” cholesterol may work together to accelerate the narrowing and blockage of blood vessels

  13. www www.libraryjunction.net/wikilitem/environmental-pollution

  14. Tips for Risk Reduction Check the Environmental Protection Agency’s Daily Air Quality Advocate for better air Avoid exercise near heavy traffic areas wwww.handyelectrician.com/blog/protect-your-health

  15. ww.dreamstime.comww.dreamstime.com Seasonal Changes Cholesterol levels were highest during the winter months and the lowest during the summer months Men’s total cholesterol levels being the highest in December Women’s total cholesterol levels being the highest in January www.dreamstime.com

  16. h Affects the cardiovascular system Increases risk of cardiac disease Makes platelets stickier Causes inflammation Reduces HDL cholesterol levels Increases LDL cholesterol levels Increases insulin resistance www.smokernewsworld.com/know-facts-smoking Second Hand Tobacco Smoke Passive Smoking

  17. e

  18. Health Belief Model: Cholesterol Cues to Action • Family History of HTN, CAD, Stroke, or MI • Television Advertisement • Physician referral Perceived Susceptibility • Cholesterol levels • Age • Gender • Poor diet • Lack of exercise Perceived Benefits • Low cholesterol levels on cardiac health • Physical activity • Healthy BMI and weight CHOLESTEROL Perceived Seriousness/Severity • Consequences of Hyperlipidemia • Stroke, MI, CVA • Diabetes • CAD Perceived Barriers • Compliance of diet and medication use • Sedentary Lifestyle • Education about cholesterol • Money Modifying Factors • Diet • Weight • Exercise • Knowledge of cholesterol Pender, Murdaugh, & Parsons, 2010, p.39

  19. Healthy People 2020 Goal Reduce the proportion of adults with high total cholesterol levels • Current: 15% Cholesterol >240 mg/dl • Goal: 13.5% Goal Reduce the mean total blood cholesterol levels among adults • Current: 197.7 mg/dl • Goal: 177.9 mg/dl

  20. How Will This Happen? • Education and cholesterol screening • School Lunch Changes • Fast Food • Social and physical environment improvement • Smoking bans

  21. https://www.youtube.com/watch?v=mOPy1f9-L38 You Can Make Changes too!

  22. Conclusion • Sources: liver production & dietary intake • Essential for life although elevated levels increase the risk of health problems such as cardiovascular disease • Ethnicity, genetics, environment and behavior contribute to cholesterol levels • The Health Belief Model identifies it as a modifiable disease subject to individual motivation to change • Nationwide health crisis

  23. Questions? Deleted Scenes

  24. References Araujo, J. A., Barajas, M., Keinmann, X., Wang, B. J., Bennett, K. W., Gong, M.,...Harkema, C. (2008). Ambient particulate pollutants in the ultrafine range promote early atherosclerosis and systemic oxidative stress. Circulation, 102(5), 589-96. Barnoya, J., & Glantz, S. (2008). Cardiovascular effects of secondhand smoke. Circulation, 111, 2684-98. Retrieved from http://www.circ.ahajournals.org CDC (2011). Vital signs: Prevalence, treatment, and control of high levels of low-density lipoprotein cholesterol. MMWR, 60(4), 109-14. Clark, R. (2008, November). The cholesterol - heart disease scam: How the medical-industrial complex is raking in billions at our expense. Retrieved from http://www.opednews.com/articles/The-cholesterol--heart-di-by- Richard-Clark-081121-736.html

  25. References DeGuzman, P. B., & Kulbok, P. A. (2012). Changing health outcomes of vulnerable populations through nursing's influence on neighborhood built environment: A framework for nursing research. Journal of Nursing Scholarship, 44(4), 341-348. Iganatavicius, D. D., & Workman, M. L. (2010). Medical-surgical nursing: Patient centered collaborative care (6th ed., pp. 850-1033). St. Louis, MO: Saunders Elsevier. Kavitha, I. S. (n.d.). Are you afraid of cholesterol? Retrieved from http://www.infovalleyart.blogspot.com/2012/09/are-you-afraid-of- cholesterol.html Ockene, I. S. (2004). Seasonal variation in serum cholesterol levels: Treatment implications and possible mechanisms. Arch Intern Medicine, 164(8), 863-70. Pender, N., Murdaugh, C., & Parsons, M. (2011). Health promotion in nursing practice (6 ed.). Upper Saddle River, NJ: Pearson Education, Inc.

  26. References Retrieved from http://www.health.harvard.edu/newsweek/Understanding_ Cholesterol.htm San, C. (2013). Good Cholesterol. Retrieved from http://www.healthandbeauty- blog.com/tag/good-cholesterol Upadhyey, U. D., Needham Waddell, E., Young, S., Kerker, B. D., Berger, M., Mattle, T., & Angell, S. (2010, April). Prevalence, awareness, treatment, and control of high LDL cholesterol in New York City, 2004. Retrieved from http://www.ncbi.nlm.nih. gov/pmc/articles/PMC2879993/ U.S. Department Of Health And Human Services (2013, March). 2020 Topics & objectives - objectives a-z. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist aspx?topicld=21

  27. HDL: Quality not Quantity

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