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Physical Activity Trends Healthy People 2010 goal is to increase daily physical activity by 30% in adults. As of now 60% of the population is not active enough 23- 29% not active during leisure time Women report less physical activity during leisure time compared to men 50% of youth are not vigorously active http://www.cdc.gov/mmwr/preview/mmwrhtml/ss 5104a1.htm Physical Activity Levels of Adolescents and Young Adults, by Age and Gender Adult Physical Activity Mississippi Health Facts Ranked 49th in Health this year when compared to other states We have the highest infant mortality among states – 10.5d eaths/1000 live births highest in the country 27% above the average state for heart disease Highest Heart Disease Rate 352.5 deaths per 100,000 population Ranked 45th in all combined risk factors Prevalence of smoking increased from 23.5% tp 25.3% Infectious disease has increased from 27.3 o 35.2 cases per 100,000 population Diseases associated with Lack of Physical activity Hypokinetic Disease coronary heart disease hypertension hypercholesterolemia cancer obesity musculoskeletal disorders Recommendation for Physical Activity Every U. S. adult should accumulate 30 minutes or more of moderate-intensity physical activity on most, preferably all, days of the week Cardiovascular Disease CVD responsible for more than 42% of all deaths 1/6th are under age 65 one out of every four Americans have some form of CVD Unalterable Risk Factors Age Gender Race Heredity Alterable Risk Factors Obesity Diabetes Mellitus High Fat Diet Type-A Personality Physical Inactivity Cholesterol Level Low Levels of Cardiorespiratory Fitness High Blood Pressure Coronary Heart Disease (CHD) CHD accounts for more deaths annually than any other disease. Higher in Blacks than in Whites, Hispanics has a lower prevelance than Whites. Caused by a lack of blood supply to the heart muscle resulting from atherosclerosis. Atherosclerosis A progressive, degenerative disorder. result of a build up of fatty deposits and plaque in the intima of the coronary artery restricts blood flow to the heart producing angina can result in myocardial infarction occlusion more of the coronary arteries by 80% or Hypertension Most common form of CVD A persistent elevation of blood Pressure Normal <140 systolic / <90 diastolic Blacks and Hispanics have a greater prevelance up to age 55 men have greater prevelance Hypercholesterolemia Smoking Increases heart rate and blood pressure Inhibits naturally occurring anticoagulants May cause irregular heart beats or arrythmias Increases risk of developing atherosclerosis Diabetes Mellitus 90 - 95% of individuals with Diabetes have type II or non-insulin dependent diabetes Usually the result of overeating and underexercising Physical activity may reduce the risk of NIDDM; and attenuate its affects Negative consequences of Obesity Increase Risk for: CHD Hypertension Stroke NIDDM High Cholesterol Other Negative Effects: several types of cancer osteoarthritis degenerative joint disease menstrual irregularities pyscholgical burdens Risk Classification Health Evaluation detects presence of disease assesses the initial disease risk classification