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Chapter 16

CHAPTER 16.docx

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University of Toronto Scarborough
Steve Joordens

CHAPTER 16- LIFESTYLE, STRESS, AND HEALTH CULTURAL EVOLUTION: LIFESTYLE CHOICES AND CONSEQUENCES Cultural Evolution- a cultures adaptive change to recurrent environmental pressures; driven mainly by psychological forces; a product of human intellect and physical capacity---both of which have strong genetic components. Lifestyle- aggregate behavior of a person; the way in which a person leads his or her life. Cultural evolution has been the primary agent involved in shaping lifestyle. For our prehistoric ancestors, lifestyle was pretty much the same for everyone. Today, there is no predominant lifestyle; cultural evolution has afforded us to the luxury of choosing among many alternatives. Cultural evolution has resulted in a much higher standard of living than that of our prehistoric or even our relatively modern ancestors. However, cultural evolution has also produced threats to our health and safety and survival (e.g. people can be hit and killed by cars or trucks; excessive use of alcohol can lead to illness). Although the consequences of unhealthy lifestyle behaviors have obvious negative biological implications, the behaviors themselves can be acquired and maintained by both biological and psychological factors. Law of Effect- states that behaviors that produce favorable consequences tend to be repeated, and those that produce unfavorable consequences tend not to be repeated. It undoubtedly plays a powerful role in cultural evolution. Many unhealthy behaviors have reinforcing consequences in the short run and damaging consequences in the long run. They are maintained because they tend to be available on a version of revolving credit (e.g. teens who smoke cigarettes receive immediate rewards). HEALTHY AND UNHEALTHY LIFESTYLES Healthy lifestyle- one that enhances an individuals well-being---both physical and psychological. Unhealthy lifestyle- one that diminishes physical and psychological well-being. Nutrition - Diets too high in saturated fats (fats found in animal products and a few vegetable oils) and too low in fibre have been linked with specific health disorders, such as coronary heart disease (CHD) (the narrowing of blood vessels that supply nutrients to the heart) and cancer (a malignant and intrusive tumor that destroys body organs and tissue). - Heart disease and stroke are the leading causes if death in developed countries. - 36% of annual deaths in Canada are attributable to CHD and 29% to cancer. - Serum cholesterol- chemical that occurs naturally in the bloodstream, where it serves as a detoxifier; chief culprit in CHD. - Cholesterol- also the source of lipid membranes of cells and steroid hormones, thus, it is a vital substance. Has 2 major forms: 1. HDL (High-Density Lipoprotein)- sometimes called good cholesterol because high levels are inversely associated with CHD; it seems to play a protective role. 2. LDL (Low-Density Lipoprotein)- often called bad cholesterol because high levels are associated with the formation of atherosclerotic plaques, which clog arteries. - It has been estimated that lowering serum cholesterol to acceptable levels by reducing fat intake would reduce adult deaths by 2% per year. - Cultures having the highest death rates due to breast cancer are those whose citizens consume relatively large amounts of fats (high fat intake). - Based on Cohens work, we would seem likely to decrease our risk for both CHD and cancer by choosing to eat foods that are not only low in fat but also high in fiber. Fiber is an important dietary component that may help reduce LDL cholesterol levels. - Why might we prefer high-fat foods and sweets? In the past, our ancestors who faced starvation would be best served by eating fat, which provides high caloric value. Sweet tastes usually indicate that food is safe, not poisonous. - These preferences have been passed genetically along to us, although because our living conditions differ from those of our ancestors, they are not always adaptive now. In the long run, a diet centered on sweet and fatty foods is unhealthy. Physical Fitness - Lack of exercise is correlated with increased risk of CHD. - People who engage in exercise at least twice a week are 41% less likely to develop CHD than people who do not exercise at all. - People who exercise regularly appear to accumulate less body fat and to be less vulnerable to the negative effects of stress. - Kaplan has summarized the extensive research literature as showing that physical fitness decreases the risk of death due to a wide variety of causes, including diabetes mellitus, CHD, and cystic fibrosis. - Regular exercise reduces high blood pressure, increases lung capacity, and decreases the ratio of bad (LDL) cholesterol to good (HDL) cholesterol. - Prolonged exercise activates dopamine---endorphin that helps reduce negative emotions and promote positive ones. - Aerobic exercise- physical activity that expends considerable energy, increases blood flow and respiration, and thereby stimulates and strengthens the heart and lungs and increases the bodys efficient use of oxygen (e.g. running, walking, bicycling, and swimming are superior to other forms of exercise for improving cardiovascular health). - Researchers found that students who reported lower levels of physical activity also reported higher levels of fatigue and tension. Also, low physical activity is associated with increased stress levels and increased perceived hassles. - In contrast, students who exercise report an increase in self-esteem and well-being. - Starkweather found that people between the ages of 60 & 90 who exercised reported improvements in mood, stress levels, and overall quality of life. Cigarette Smoking - In Canada, the expected number of premature deaths among lifelong smokers was found to be nearly twice that expected among people who have never smoked. - People who use tobacco also face increased risks of bronchitis, emphysema, and strokes. - The severity of these risks is directly related to the amount of carbon monoxide and tars contained in cigarette smoke. - Passive smoking- inhalation of smoke from others cigarettes. It is related to CHD, an increased risk of brain hemorrhage, and nasal and sinus cancer. - Children are particularly susceptible to the effects of second-hand smoke. - In addition to risk of cancer and heart disease, children who live in homes where adults smoke are more likely to develop middle-ear disease, lower respiratory tract infections, and an increase in sensitivity to allergies. - Peer pressure strongly contributes to the acquisition of smoking habit during adolescence. As well, adolescents who have favorable impressions of a smoker are likely to imitate that persons actions, including smoking. There is also good evidence of intergenerational transmission of smoking, particularly of a positive relationship between mother and child smoking patterns. - Researchers have found a strong positive relationship between the amount of exposure to cigarette advertising and smoking among adolescents in the United States. Adolescents who try smoking are twice as likely to smoke when they become adults. - Cigarette smoking, like other forms of drug use, is addictive. To say that a person is addicted to a drug means 2 things: 1. It means that a persons nervous system may have developed a tolerance to the drug (for some drugs, such as cocaine, sensitization, not tolerance, occurs). 2. It means that a person has become physically dependent on the drug. - Tolerance- means that the neurons in the central nervous system (CNS) respond progressively less and less to the presence of the drug; larger doses of the drug therefore are required to produce the same CNS effects that smaller doses produced earlier. - Physical dependence- means that CNS neurons now require the presence of the drug to function normally. Without the drug in the CNS, the individual will experience withdrawal symptoms---uncomfortable physical conditions such as sweating, tremors, and anxiety. - Many drugs, including nicotine in cigarette smoke, also produce psychological dependence---craving to use the drug for its pleasurable effects. - Reinforcing drug- one that strengthens or maintains the behavior that continues seeking, acquiring, and using the drug. - Nicotine from cigarette smoke exerts powerful effects on the CNS and heart by stimulating post-synaptic receptors sensitive to acetylcholine (a neurotransmitter). This stimulation produces temporary increases in heart rate and blood pressure, decreases in body temperature, changes in hormones released by pituitary gland, and the release of adrenaline from adrenal glands. It also causes dopamine to be secreted in brain, which is reinforcing, so it contributes to the maintenance of cigarette smoking. - Cigarette smoking also may be maintained by negative reinforcement. People who try to quit smoking usually suffer from withdrawal symptoms, including headaches, insomnia, anxiety, and irritability, that are relieved by smoking another cigarette. - Nicotine and other toxic substances like carbon monoxide and tars found in cigarette smoke, cause these health risks. - Carbon monoxide in smoke- deprives the heart of the oxygen needed to perform its work properly. The smokers heart undergoes stress because it is working harder with fewer nutrients than normal. - Diminishing health risks posed by smoking by switching to low-nicotine cigarettes is undermined by the fa
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