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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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slide1

Cholesterol

Presented by:

Patricia Adams, Ronda Mott, Amy Lewis,

Kyle (Kurt) Freund & Beth Hesselink

introduction
Introduction

Cholesterol

Dietary and exercise habits

Risk factors

  • Genetic
  • Modifiable
what is cholesterol
What is Cholesterol?

HDL (Good), LDL (Bad) & Triglycerides

the numbers
The Numbers

Total Cholesterol: < 170

LDL: < 70, < 100 if no CAD

HDL: >60 (women)

>50 (men)

Triglycerides: <150

slide5

Where is Cholesterol Produced?

http://www.nano.org.uk/news/jan2009/1743.gif

slide6

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

risks of high cholesterol
Risks of High Cholesterol

Age

Gender

Diabetes

Diet

Obesity

Physical Inactivity

Hereditary

slide8
Dietary Cholesterol Sources

earhttp://www.healthyandbeauty-blog.com/tag/good-cholesterol/

america s cholesterol burden
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

levels vary by ethnicity
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.

slide11

Air Pollution

Seasonal Changes

Second Hand Smoke

(Passive Smoking)

Environmental Risks Factors

Effecting Cholesterol

www.zmescience.com/ecology/environmental

slide12
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

slide13

www

www.libraryjunction.net/wikilitem/environmental-pollution

slide14

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

slide15

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

slide16

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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

health belief model cholesterol
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

healthy people 2020
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
how will this happen
How Will This Happen?
  • Education and cholesterol screening
  • School Lunch Changes
  • Fast Food
  • Social and physical environment improvement
  • Smoking bans
conclusion
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
questions
Questions?

Deleted Scenes

references
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

slide25

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.

slide26

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