Lifestyle is the interests, opinions, behaviours, and behavioural orientations of an individual, group, or culture . The term was introduced by Austrian psychologist Alfred Adler in his 1929 book, The Case of Miss R. , with the meaning of "a person's basic character as established early in childhood". The broader sense of lifestyle as a "way or style of living" has been documented since 1961. Lifestyle is a combination of determining intangible or tangible factors. Tangible factors relate specifically to demographic variables, i.e. an individual's demographic profile, whereas intangible factors concern the psychological aspects of an individual such as personal values, preferences, and outlooks.
98-488: Sedentary lifestyle is a lifestyle type, in which one is physically inactive and does little or no physical movement and/or exercise. A person living a sedentary lifestyle is often sitting or lying down while engaged in an activity like socializing , watching TV , playing video games , reading or using a mobile phone or computer for much of the day . A sedentary lifestyle contributes to poor health quality, diseases as well as many preventable causes of death . Sitting time
196-417: A coronary care unit for possible complications (such as cardiac arrhythmias – irregularities in the heart rate). Depending on the risk assessment, stress testing or angiography may be used to identify and treat coronary artery disease in patients who have had an NSTEMI or unstable angina. There are various risk assessment systems for determining the risk of coronary artery disease, with various emphasis on
294-619: A healthy diet , regularly exercising , maintaining a healthy weight, and not smoking. Medications for diabetes, high cholesterol, or high blood pressure are sometimes used. There is limited evidence for screening people who are at low risk and do not have symptoms. Treatment involves the same measures as prevention. Additional medications such as antiplatelets (including aspirin ), beta blockers , or nitroglycerin may be recommended. Procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) may be used in severe disease. In those with stable CAD it
392-521: A sedentary lifestyle as a lifestyle that involves "longer than six hours a day" of sedentary behavior. Effects of a sedentary work life or lifestyle can be either direct or indirect. One of the most prominent direct effect of a sedentary lifestyle is an increased BMI leading to obesity. A lack of physical activity is one of the leading causes of preventable death worldwide. At least 300,000 premature deaths, and $ 90 billion in direct healthcare costs are caused by obesity and sedentary lifestyle per year in
490-656: A combination of genetic predisposition and environmental factors. Organizations such as the Indian Heart Association are working with the World Heart Federation to raise awareness about this issue. Coronary artery disease is the leading cause of death for both males and females and accounts for approximately 600,000 deaths in the United States every year. According to present trends in the United States, half of healthy 40-year-old males will develop CAD in
588-410: A continuous supply of oxygen and glucose for optimal performance; decreased circulation hampers this supply, resulting in cognitive sluggishness and decreased mental sharpness. Sitting, particularly with poor posture, often involves craning the neck forward to look at screens or documents. Such forward head posture puts excessive strain on the cervical vertebrae , leading to muscle tension and pain in
686-471: A desire for emulation of the ones identified as superior. Max Weber intends lifestyles as distinctive elements of status groups strictly connected with a dialectic of recognition of prestige: the lifestyle is the most visible manifestation of social differentiation, even within the same social class, and in particular it shows the prestige which the individuals believe they enjoy or to which they aspire. Georg Simmel carries out formal analysis of lifestyles, at
784-705: A few minutes, and improve with rest. Shortness of breath may also occur and sometimes no symptoms are present. In many cases, the first sign is a heart attack . Other complications include heart failure or an abnormal heartbeat . Risk factors include high blood pressure , smoking , diabetes , lack of exercise, obesity , high blood cholesterol , poor diet, depression , and excessive alcohol consumption. A number of tests may help with diagnosis including: electrocardiogram , cardiac stress testing , coronary computed tomographic angiography , biomarkers ( high-sensitivity cardiac troponins ) and coronary angiogram , among others. Ways to reduce CAD risk include eating
882-405: A given age also decreased between 1990 and 2010. In the United States in 2010, about 20% of those over 65 had CAD, while it was present in 7% of those 45 to 64, and 1.3% of those 18 to 45; rates were higher among males than females of a given age. The most common symptom is chest pain or discomfort that occurs regularly with activity, after eating, or at other predictable times; this phenomenon
980-490: A heart attack or myocardial infarction, and immediate emergency medical services are crucial. With advanced disease, the narrowing of coronary arteries reduces the supply of oxygen-rich blood flowing to the heart, which becomes more pronounced during strenuous activities during which the heart beats faster and has an increased oxygen demand. For some, this causes severe symptoms, while others experience no symptoms at all. Symptoms in females can differ from those in males, and
1078-422: A large shift from manual labor jobs (e.g. farming, manufacturing, building) to office jobs which is due to many contributing factors including globalization, outsourcing of jobs and technological advances (specifically internet and computers). In 1960, there was a decline of jobs requiring moderate physical activity from 50% to 20%, and one in two Americans had a physically demanding job, while in 2011 this ratio
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#17329309558661176-413: A lifestyle is a means of forging a sense of self and to create cultural symbols that resonate with personal identity. Not all aspects of a lifestyle are voluntary. Surrounding social and technical systems can constrain the lifestyle choices available to the individual and the symbols they are able to project to others and themself. The lines between personal identity and the everyday doings that signal
1274-431: A myocardial infarction but does not change the overall risk of death. Aspirin therapy to prevent heart disease is thus recommended only in adults who are at increased risk for cardiovascular events, which may include postmenopausal females, males above 40, and younger people with risk factors for coronary heart disease, including high blood pressure , a family history of heart disease, or diabetes . The benefits outweigh
1372-499: A negative association between exposure to an existing urban motorway and moderate to vigorous physical activity. The proportion of physically active individuals was higher in high- versus low- walkability neighborhoods. Rising rates of being overweight, obesity, and physical inactivity in China's rapidly growing cities and urban populations have been due to urban development practices and policies. Occupational sedentary behaviour accounts for
1470-404: A neuropsychological assessment. There are a number of treatment options for coronary artery disease: It is recommended that blood pressure typically be reduced to less than 140/90 mmHg. The diastolic blood pressure however should not be lower than 60 mmHg. Beta-blockers are recommended first line for this use. In those with no previous history of heart disease, aspirin decreases the risk of
1568-419: A particular lifestyle become blurred in modern society. For example, " green lifestyle " means holding beliefs and engaging in activities that consume fewer resources and produce less harmful waste (i.e. a smaller ecological footprint ), and deriving a sense of self from holding these beliefs and engaging in these activities. Some commentators argue that, in modernity , the cornerstone of lifestyle construction
1666-472: A primary structural protein in tendons and ligaments, tends to harden when not regularly stretched and mobilized, which leads to decreased flexibility and increased risk of injury in the back. Physical inactivity reduces the efficiency of the cardiovascular system. Sluggish blood flow allows for the accumulation of fatty acids and lipids in the blood vessels. These deposits can adhere to the vessel walls, forming plaques ( atherosclerosis ), which eventually narrow
1764-427: A role. The diagnosis of CAD depends largely on the nature of the symptoms and imaging. The first investigation when CAD is suspected is an electrocardiogram (ECG/EKG), both for stable angina and acute coronary syndrome. An X-ray of the chest , blood tests and resting echocardiography may be performed. For stable symptomatic patients, several non-invasive tests can diagnose CAD depending on pre-assessment of
1862-558: A safe and feasible procedure that may offer some advantages over conventional CABG though it is more expensive. As of 2010, CAD was the leading cause of death globally resulting in over 7 million deaths. This increased from 5.2 million deaths from CAD worldwide in 1990. It may affect individuals at any age but becomes dramatically more common at progressively older ages, with approximately a tripling with each decade of life. Males are affected more often than females. The World Health Organization reported that: "The world's biggest killer
1960-446: A sedentary lifestyle can lead to decreased productivity and increased absenteeism from necessary activities like work. A sedentary lifestyle contributes to or can be a risk factor for: Extended periods of sitting reduce overall blood circulation. This diminished blood flow leads to reduced oxygen delivery to the brain ( cerebral hypoxia ), impairing cognitive functions such as concentration and alertness. The brain relies heavily on
2058-476: A significant proportion of sitting time for many adults. Some workplaces have implemented exercise classes at lunch, walking challenges among coworkers, or allowing employees to stand rather than sit at their desks during work. Workplace interventions such as alternative activity workstations, sit-stand desks, and promotion of stair use are among measures implemented to counter the harms of a sedentary workplace. A 2018 Cochrane review concluded that "At present there
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#17329309558662156-416: A significant role in stiffening the arteries and inducing the early phase of coronary arteriosclerosis . This can be seen in a so-called metastatic mechanism of calciphylaxis as it occurs in chronic kidney disease and hemodialysis . Although these people have kidney dysfunction, almost fifty percent of them die due to coronary artery disease. Plaques can be thought of as large "pimples" that protrude into
2254-506: A simple derivative of lifestyles, or at least as their collateral component, but rather as a constitutive element. In the beginning, this perspective focussed mainly on consumer behaviour , seeing products acquired as objects expressing on the material plane individuals' self-image and how they view their position in society. Subsequently, the perspective broadened to focus more generally on the level of daily life, concentrating – as in authors such as Joffre Dumazedier and Anthony Giddens – on
2352-525: Is a "culture industry" in which the mass media is involved, but that the term "mass culture" is inappropriate: In our drafts, we spoke of "mass culture." We replaced that expression with "culture industry" in order to exclude from the outset the interpretation agreeable to its advocates: that it is a matter of something like a culture that arises spontaneously from the masses themselves, the contemporary form of popular art. The media culture of advanced capitalism typically creates new "life-styles" to drive
2450-454: Is a common measure of a sedentary lifestyle. A global review representing 47% of the global adult population found that the average person sits down for 4.7 to 6.5 hours a day with the average going up every year. The CDC found that 25.3% of all American adults are physically inactive. Screen time is a term for the amount of time a person spends looking at a screen such as a television, computer monitor, or mobile device. Excessive screen time
2548-570: Is another way of risk assessment. In one study the relative risk of incident coronary events was 91% higher among participants at high genetic risk than among those at low genetic risk. Up to 90% of cardiovascular disease may be preventable if established risk factors are avoided. Prevention involves adequate physical exercise , decreasing obesity , treating high blood pressure , eating a healthy diet , decreasing cholesterol levels, and stopping smoking . Medications and exercise are roughly equally effective. High levels of physical activity reduce
2646-410: Is available. In the absence of ST-segment elevation, heart damage is detected by cardiac markers (blood tests that identify heart muscle damage). If there is evidence of damage ( infarction ), the chest pain is attributed to a "non-ST elevation MI" (NSTEMI). If there is no evidence of damage, the term "unstable angina" is used. This process usually necessitates hospital admission and close observation on
2744-507: Is called a myocardial infarction (commonly referred to as a heart attack). It leads to damage, death, and eventual scarring of the heart muscle without regrowth of heart muscle cells. Chronic high-grade narrowing of the coronary arteries can induce transient ischemia which leads to the induction of a ventricular arrhythmia , which may terminate into a dangerous heart rhythm known as ventricular fibrillation , which often leads to death. Typically, coronary artery disease occurs when part of
2842-503: Is characterized by heart problems that result from atherosclerosis. Atherosclerosis is a type of arteriosclerosis which is the "chronic inflammation of the arteries which causes them to harden and accumulate cholesterol plaques (atheromatous plaques) on the artery walls". CAD has several well-determined risk factors that contribute to atherosclerosis. These risk factors for CAD include "smoking, diabetes, high blood pressure (hypertension), abnormal (high) amounts of cholesterol and other fat in
2940-473: Is consumption behavior, which offers the possibility to create and further individualize the self with different products or services that signal different ways of life. Lifestyle may include views on politics, religion, health, intimacy, and more. All of these aspects play a role in shaping someone's lifestyle. In the magazine and television industries, "lifestyle" is used to describe a category of publications or programs. Three main phases can be identified in
3038-415: Is found in cardiac muscle; it is a 'cytolinker' that connects actin and desmin to facilitate cytoskeletal function and vesicular movement. The endocytic pathway is further modulated by changes in tubulin , a key microtubule protein, and fidgetin , a tubulin-severing enzyme that is a marker for cardiovascular risk identified by genome-wide association study . Protein recycling would be modulated by changes in
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3136-474: Is important even within an urban scope. The nature of the neighborhood in which a person resides affects the set of lifestyles available to that person due to differences between various neighborhoods' degrees of affluence and proximity to natural and cultural environments. For example, in areas near the sea, a surf culture or lifestyle can often be present. A lifestyle typically reflects an individual's attitudes, way of life, values, or world view . Therefore,
3234-491: Is inferior to non-invasive imaging methods due to the risk of false negative and false positive test results. The use of non-invasive imaging is not recommended on individuals who are exhibiting no symptoms and are otherwise at low risk for developing coronary disease. Invasive testing with coronary angiography (ICA) can be used when non-invasive testing is inconclusive or show a high event risk. The diagnosis of microvascular angina (previously known as cardiac syndrome X –
3332-453: Is ischemic heart disease, responsible for 13% of the world's total deaths. Since 2000, the largest increase in deaths has been for this disease, rising by 2.7 million to 9.1 million deaths in 2021." It is estimated that 60% of the world's cardiovascular disease burden will occur in the South Asian subcontinent despite only accounting for 20% of the world's population. This may be secondary to
3430-687: Is linked to an increased risk of coronary disease. The consumption of different types of fats including trans fat (trans unsaturated), and saturated fat , in a diet "influences the level of cholesterol that is present in the bloodstream". Unsaturated fats originate from plant sources (such as oils). There are two types of unsaturated fats, cis and trans isomers. Cis unsaturated fats are bent in molecular structure and trans are linear in structure. Saturated fats originate from animal sources (such as animal fats) and are also molecularly linear in structure. The linear configurations of unsaturated trans and saturated fats allow them to easily accumulate and stack at
3528-494: Is linked to negative health consequences. Sedentary behavior is not the same as physical inactivity : sedentary behavior is defined as "any waking behavior characterized by an energy expenditure less than or equal to 1.5 metabolic equivalents (METs), while in a sitting, reclining or lying posture". Spending most waking hours sitting does not necessarily mean that an individual is sedentary, though sitting and lying down most frequently are sedentary behaviors. Esmonde-White defines
3626-481: Is low‐quality evidence that sit‐stand desks may reduce sitting at work in the first year of their use. However, the effects are likely to reduce with time. There is generally insufficient evidence to draw conclusions about such effects for other types of interventions and for the effectiveness of reducing workplace sitting over periods longer than one year." An intervention to encourage office workers to stand and move reduced their sitting time by 22 minutes after 1 year;
3724-465: Is more effective than hemoglobin A1c (HbA1c) for detecting dysglycemia in patients with coronary artery disease. The study highlighted that 2-hour post-load glucose levels of at least 9 mmol/L were strong predictors of cardiovascular outcomes, while HbA1c levels of at least 5.9% were also significant but not independently associated when combined with OGTT results. A diet high in fruits and vegetables decreases
3822-489: Is most commonly used to provide rapid relief for acute angina attacks and as a complement to anti-anginal treatments in patients with refractory and recurrent angina. When nitroglycerine enters the bloodstream, it forms free radical nitric oxide, or NO, which activates guanylate cyclase and in turn stimulates the release of cyclic GMP. This molecular signaling stimulates smooth muscle relaxation, ultimately resulting in vasodilation and consequently improved blood flow to regions of
3920-533: Is no evidence that they change mortality, the risk of revascularization procedures, or the rate of non-fatal myocardial infarction. Antibiotics for secondary prevention of coronary heart disease Early studies suggested that antibiotics might help patients with coronary disease to reduce the risk of heart attacks and strokes. However, a 2021 Cochrane meta-analysis found that antibiotics given for secondary prevention of coronary heart disease are harmful for people with increased mortality and occurrence of stroke. So,
4018-626: Is preventing further sequelae of already established disease. Effective lifestyle changes include: Aerobic exercise , like walking, jogging, or swimming, can reduce the risk of mortality from coronary artery disease. Aerobic exercise can help decrease blood pressure and the amount of blood cholesterol (LDL) over time. It also increases HDL cholesterol. Although exercise is beneficial, it is unclear whether doctors should spend time counseling patients to exercise. The U.S. Preventive Services Task Force found "insufficient evidence" to recommend that doctors counsel patients on exercise but "it did not review
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4116-541: Is termed stable angina and is associated with narrowing of the arteries of the heart . Angina also includes chest tightness, heaviness, pressure, numbness, fullness, or squeezing. Angina that changes in intensity, character or frequency is termed unstable. Unstable angina may precede myocardial infarction . In adults who go to the emergency department with an unclear cause of pain, about 30% have pain due to coronary artery disease. Angina, shortness of breath, sweating, nausea or vomiting, and lightheadedness are signs of
4214-434: Is unclear if PCI or CABG in addition to the other treatments improves life expectancy or decreases heart attack risk. In 2015, CAD affected 110 million people and resulted in 8.9 million deaths. It makes up 15.6% of all deaths, making it the most common cause of death globally. The risk of death from CAD for a given age decreased between 1980 and 2010, especially in developed countries . The number of cases of CAD for
4312-515: The cardiac muscle due to a build-up of atheromatous plaque in the arteries of the heart . It is the most common of the cardiovascular diseases . CAD can cause stable angina , unstable angina , myocardial ischemia, and myocardial infarction . A common symptom is angina, which is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Occasionally it may feel like heartburn . In stable angina , symptoms occur with exercise or emotional stress , last less than
4410-521: The US alone. The risk is higher among those that sit still more than five hours per day. It is shown to be a risk factor on its own independent of hard exercise and BMI . People that sit still more than four hours per day have a 40 percent higher risk than those that sit fewer than four hours per day. However, those that exercise at least four hours per week are as healthy as those that sit fewer than four hours per day. Indirectly, an increased BMI due to
4508-612: The US population, prevalence of sitting watching television or videos at least 2 h/d was high in 2015-2016 (ranging from 59% to 65%); the estimated prevalence of computer use outside school or work for at least 1 h/d increased from 2001 to 2016 (from 43% to 56% for children, from 53% to 57% among adolescents, and from 29% to 50% for adults); and estimated total sitting time increased from 2007 to 2016 (from 7.0 to 8.2 h/d among adolescents and from 5.5 to 6.4 h/d among adults). Lifestyle (social sciences) A rural environment has different lifestyles compared to an urban metropolis . Location
4606-510: The amount of time spent sitting or lying down and positively affect the intention to be active physically. Recent innovations in AI technology have led to the development of exercise prescription systems designed to reduce sedentary behavior. These systems deliver personalized exercise plans by analyzing individual health metrics, potentially decreasing the prevalence of a sedentary lifestyle and its associated health risks. Some evidence has been found of
4704-413: The arterial walls when consumed in high amounts (and other positive measures towards physical health are not met). High levels of cholesterol in the bloodstream lead to atherosclerosis. With increased levels of LDL in the bloodstream, "LDL particles will form deposits and accumulate within the arterial walls, which will lead to the development of plaques, restricting blood flow". The resultant reduction in
4802-596: The arteries and restrict blood flow. This condition increases the risk of coronary artery disease and heart attacks as the heart struggles to receive adequate oxygen and nutrients. One study found that interrupting sitting with 20 minutes of light-intensity walking each hour significantly reduced systolic and diastolic blood pressure in healthy participants or 3 minutes of light intensity walking every 30 minutes. A sedentary lifestyle contributes to decreased muscle activity, which affects glucose metabolism . Reduced muscle activity leads to lower insulin sensitivity , prompting
4900-422: The basic point of intersection between the structure of the field and processes connected with the habitus. The approach interpreting lifestyles as principally styles of thought has its roots in the soil of psychological analysis. Initially, starting with Alfred Adler , a lifestyle was understood as a style of personality, in the sense that the framework of guiding values and principles which individuals develop in
4998-543: The blood (dyslipidemia), type 2 diabetes and being overweight or obese (having excess body fat)" due to lack of exercise and a poor diet. Some other risk factors include high blood pressure , smoking , diabetes , lack of exercise, obesity , high blood cholesterol , poor diet, depression , family history , psychological stress and excessive alcohol . About half of cases are linked to genetics. Smoking and obesity are associated with about 36% and 20% of cases, respectively. Smoking just one cigarette per day about doubles
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#17329309558665096-573: The bone morphogenic proteins are members of the TGF-beta superfamily, and likewise impact Treg differentiation. Several of the transcripts ( TMEM98 , NRCAM , SFRP5 , SHISA2 ) are elements of the Wnt signaling pathway, which is a major determinant of Treg differentiation. Limitation of blood flow to the heart causes ischemia (cell starvation secondary to a lack of oxygen) of the heart's muscle cells . The heart's muscle cells may die from lack of oxygen and this
5194-473: The channel of an artery, causing partial obstruction to blood flow. People with coronary artery disease might have just one or two plaques or might have dozens distributed throughout their coronary arteries . A more severe form is chronic total occlusion (CTO) when a coronary artery is completely obstructed for more than 3 months. Microvascular angina is a type of angina pectoris in which chest pain and chest discomfort occur without signs of blockages in
5292-510: The circulating immune system would be related to the immune synapse . One of the most differentially expressed genes, fibromodulin (FMOD), which is increased 2.8-fold in CAD, is found mainly in connective tissue and is a modulator of the TGF-beta signaling pathway. However, not all of the RNA changes may be related to the immune synapse. For example, Nebulette , the most down-regulated transcript (2.4-fold),
5390-441: The consumption of new commodities: Diversity is more effectively present in mass media than previously, but this is not an obvious or unequivocal gain. By the late 1950s, the homogenization of consciousness had become counterproductive for the purposes of capital expansion; new needs for new commodities had to be created, and this required the reintroduction of the minimal negativity that had been previously eliminated. The cult of
5488-410: The core of which is an analysis of the relations between mental and behavioural variables, bearing in mind that socio-cultural trends influence both the diffusion of various lifestyles within a population and the emerging of different modalities of interaction between thought and action. Analysis of lifestyles as action profiles is characterized by the fact that it no longer considers the action level as
5586-409: The diameter of their blood vessels, leading to decreased progression of atherosclerosis. In contrast, females who had high levels of work-related stress experienced a decrease in the diameter of their blood vessels and significantly increased disease progression. Having a type A behavior pattern , a group of personality characteristics including time urgency, competitiveness, hostility, and impatience,
5684-533: The different variables above. A notable example is Framingham Score , used in the Framingham Heart Study . It is mainly based on age, gender, diabetes, total cholesterol, HDL cholesterol, tobacco smoking, and systolic blood pressure. When predicting risk in younger adults (18–39 years old), the Framingham Risk Score remains below 10–12% for all deciles of baseline-predicted risk. Polygenic score
5782-535: The doorway to health. Once they reestablished their own health, we had in common our interest in food. If one can use that overworked word lifestyle, we shared a sugarfree lifestyle. I kept in touch with many of them in campuses and communes, through their travels here and abroad and everywhere. One day you meet them in Boston. The next week you run into them in Southern California. Lifestyle research can contribute to
5880-400: The dynamics of negation both diachronically in its restless production of new and "different" commodities and synchronically in its promotion of alternative "life-styles." Coronary artery disease Coronary artery disease ( CAD ), also called coronary heart disease ( CHD ), or ischemic heart disease ( IHD ), is a type of heart disease involving the reduction of blood flow to
5978-638: The effect was 3-times greater when the intervention included a sit-to-stand desk. The intervention also led to small improvements in stress, wellbeing and vigor. The majority of time children are in a classroom, they are seated (60% of the time). Children who regularly engage in physical activity are more likely to become healthy adults; children benefit both physically and mentally when they replace sedentary behavior with active behavior. Despite this knowledge and due in part to an increase in sedentary behaviors, children have 8 fewer hours of free play each week than they did 20 years ago. Several studies have examined
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#17329309558666076-520: The effects of adding height-adjustable standing desks to classrooms, which have reduced the time spent sitting. However, associating the reduction in sitting with health effects is challenging. In one study conducted on Australian school children, known as the Transform-Us! study, interventions reduced the amount of time children spent sitting in the classroom, which was associated with lower body mass index and waist circumference. The interventions used in
6174-421: The evidence for the effectiveness of physical activity to reduce chronic disease, morbidity, and mortality", only the effectiveness of counseling itself. The American Heart Association , based on a non-systematic review, recommends that doctors counsel patients on exercise. Psychological symptoms are common in people with CHD, and while many psychological treatments may be offered following cardiac events, there
6272-793: The evidence is weak. Specifically, its use does not change the risk of death in this group. In those who have had a stent, more than 12 months of clopidogrel plus aspirin does not affect the risk of death. Revascularization for acute coronary syndrome has a mortality benefit. Percutaneous revascularization for stable ischaemic heart disease does not appear to have benefits over medical therapy alone. In those with disease in more than one artery, coronary artery bypass grafts appear better than percutaneous coronary interventions . Newer "anaortic" or no-touch off-pump coronary artery revascularization techniques have shown reduced postoperative stroke rates comparable to percutaneous coronary intervention. Hybrid coronary revascularization has also been shown to be
6370-431: The first teacher for every child. Everything that parents do will be very likely transferred to their children through the learning process. Adults may be drawn together by mutual interest that results in a lifestyle. For example, William Dufty described how pursuing a sugar-free diet led to such associations: I have come to know hundreds of young people who have found that illness or bingeing on drugs and sugar became
6468-573: The first years of life end up defining a system of judgement which informs their actions throughout their lives. Later, particularly in Milton Rokeach 's work, Arnold Mitchell 's VALS research and Lynn R. Kahle 's LOV research, lifestyles' analysis developed as profiles of values, reaching the hypothesis that it is possible to identify various models of scales of values organized hierarchically, to which different population sectors correspond. Then with Daniel Yankelovich and William Wells we move on to
6566-436: The harms most favorably in people at high risk for a cardiovascular event, where high risk is defined as at least a 3% chance over a five-year period, but others with lower risk may still find the potential benefits worth the associated risks. Clopidogrel plus aspirin (dual anti-platelet therapy) reduces cardiovascular events more than aspirin alone in those with a STEMI . In others at high risk but not having an acute event,
6664-450: The heart affected by atherosclerotic plaque. Stable coronary artery disease (SCAD) is also often called stable ischemic heart disease (SIHD). A 2015 monograph explains that "Regardless of the nomenclature, stable angina is the chief manifestation of SIHD or SCAD." There are U.S. and European clinical practice guidelines for SIHD/SCAD. In patients with non-severe asymptomatic aortic valve stenosis and no overt coronary artery disease,
6762-466: The heart muscle). Diagnosis is clear-cut if ECGs show elevation of the " ST segment ", which in the context of severe typical chest pain is strongly indicative of an acute myocardial infarction (MI); this is termed a STEMI (ST-elevation MI) and is treated as an emergency with either urgent coronary angiography and percutaneous coronary intervention (angioplasty with or without stent insertion) or with thrombolysis ("clot buster" medication), whichever
6860-428: The heart muscle). If part of the heart seems to receive an insufficient blood supply, coronary angiography may be used to identify stenosis of the coronary arteries and suitability for angioplasty or bypass surgery . In minor to moderate cases, nitroglycerine may be used to alleviate acute symptoms of stable angina or may be used immediately before exertion to prevent the onset of angina. Sublingual nitroglycerine
6958-426: The heart of which can be found processes of individualisation, identification, differentiation, and recognition, understood both as generating processes of, and effects generated by, lifestyles, operating "vertically" as well as "horizontally". Finally, Pierre Bourdieu renews this approach within a more complex model in which lifestyles, made up mainly of social practices and closely tied to individual tastes, represent
7056-783: The heart's blood supply due to atherosclerosis in coronary arteries "causes shortness of breath, angina pectoris (chest pains that are usually relieved by rest), and potentially fatal heart attacks (myocardial infarctions)". The heritability of coronary artery disease has been estimated between 40% and 60%. Genome-wide association studies have identified over 160 genetic susceptibility loci for coronary artery disease. Several RNA Transcripts associated with CAD - FoxP1 , ICOSLG , IKZF4/Eos , SMYD3 , TRIM28 , and TCF3/E2A are likely markers of regulatory T cells (Tregs), consistent with known reductions in Tregs in CAD. The RNA changes are mostly related to ciliary and endocytic transcripts, which in
7154-497: The history of lifestyles studies: Earlier studies on lifestyles focus on the analysis of social structure and of the individuals' relative positions inside it. Thorstein Veblen , with his 'emulation' concept, opens this perspective by asserting that people adopt specific 'schemes of life', and in particular specific patterns of 'conspicuous consumption', depending on a desire for distinction from social strata they identify as inferior and
7252-512: The immune synapse, there were numerous transcripts that related directly to T cell function and the control of differentiation. Butyrophilin is a co-regulator for T cell activation. Fibromodulin is a modulator of the TGF-beta signaling pathway, a primary determinant of Tre differentiation. Further impact on the TGF-beta pathway is reflected in concurrent changes in the BMP receptor 1B RNA (BMPR1B), because
7350-428: The increased troponin T (above 14 pg/mL) was found associated with an increased 5-year event rate of ischemic cardiac events ( myocardial infarction , percutaneous coronary intervention , or coronary artery bypass surgery ). Diagnosis of acute coronary syndrome generally takes place in the emergency department , where ECGs may be performed sequentially to identify "evolving changes" (indicating ongoing damage to
7448-404: The larger coronary arteries of their hearts when an angiogram (coronary angiogram) is being performed. The exact cause of microvascular angina is unknown. Explanations include microvascular dysfunction or epicardial atherosclerosis. For reasons that are not well understood, females are more likely than males to have it; however, hormones and other risk factors unique to females may play
7546-633: The most common symptom reported by females of all races is shortness of breath. Other symptoms more commonly reported by females than males are extreme fatigue, sleep disturbances, indigestion, and anxiety. However, some females experience irregular heartbeat, dizziness, sweating, and nausea. Burning, pain, or pressure in the chest or upper abdomen that can travel to the arm or jaw can also be experienced in females, but females less commonly report it than males. Generally, females experience symptoms 10 years later than males. Females are less likely to recognize symptoms and seek treatment. Coronary artery disease
7644-412: The myocardium. Stable angina is short-term chest pain during physical exertion caused by an imbalance between myocardial oxygen supply and metabolic oxygen demand. Various forms of cardiac stress tests may be used to induce both symptoms and detect changes by way of electrocardiography (using an ECG), echocardiography (using ultrasound of the heart) or scintigraphy (using uptake of radionuclide by
7742-401: The neck and shoulders. Over time, this can cause the cervical vertebrae to become misaligned permanently, leading to chronic neck pain and potential nerve impingement. The intervertebral discs , which act as cushions between the vertebrae, are subjected to constant pressure when sitting for prolonged periods. This compression can lead to disc degeneration and herniation. Additionally, collagen,
7840-415: The new that had been the prerogative of art throughout the modernist epoch into the period of post-war unification and stabilization has returned to capital expansion from which it originally sprang. But this negativity is neither shocking nor emancipatory since it does not presage a transformation of the fundamental structures of everyday life. On the contrary, through the culture industry capital has co-opted
7938-501: The pancreas to produce more insulin to maintain normal blood glucose levels ( metabolic syndrome ). Chronic overproduction of insulin can exhaust the pancreas and contribute to insulin resistance, a precursor to type 2 diabetes . Prolonged sitting impedes venous return from the legs to the heart, leading to venous stasis (slow blood flow in the veins). This can cause fluid to pool in the lower extremities, resulting in swelling (edema) and varicose veins. Also, sluggish blood flow increases
8036-416: The proteasomal regulator SIAH3 , and the ubiquitin ligase MARCHF10 . On the ciliary aspect of the immune synapse, several of the modulated transcripts are related to ciliary length and function. Stereocilin is a partner to mesothelin , a related super-helical protein, whose transcript is also modulated in CAD. DCDC2 , a double-cortin protein, is a modulator of ciliary length. In the signaling pathways of
8134-418: The question of the relevance of the class concept. The term lifestyle was introduced in the 1950s as a derivative of that of style in art : "Life-styles", the culture industry's recycling of style in art, represent the transformation of an aesthetic category, which once possessed a moment of negativity [shocking, emancipatory], into a quality of commodity consumption. Theodor W. Adorno noted that there
8232-466: The rare coronary artery disease that is more common in females, as mentioned, is a diagnosis of exclusion. Therefore, usually, the same tests are used as in any person suspected of having coronary artery disease: Stable angina is the most common manifestation of ischemic heart disease, and is associated with reduced quality of life and increased mortality. It is caused by epicardial coronary stenosis which results in reduced blood flow and oxygen supply to
8330-460: The risk of CAD. Lack of exercise has been linked to 7–12% of cases. Exposure to the herbicide Agent Orange may increase risk. Rheumatologic diseases such as rheumatoid arthritis , systemic lupus erythematosus , psoriasis , and psoriatic arthritis are independent risk factors as well. Job stress appears to play a minor role accounting for about 3% of cases. In one study, females who were free of stress from work life saw an increase in
8428-486: The risk of cardiovascular disease and death. Vegetarians have a lower risk of heart disease, possibly due to their greater consumption of fruits and vegetables. Evidence also suggests that the Mediterranean diet and a high fiber diet lower the risk. The consumption of trans fat (commonly found in hydrogenated products such as margarine ) has been shown to cause a precursor to atherosclerosis and increase
8526-418: The risk of clot formation, potentially leading to deep vein thrombosis (DVT), a condition where blood clots form in the deep veins, which can travel to the lungs and cause a life-threatening pulmonary embolism . Adults and children spend long amounts of time sitting in a workplace or at a school, which is why interventions have been focused in these two areas. Mass media campaigns might also be able to reduce
8624-541: The risk of coronary artery disease by about 25%. Life's Essential 8 are the key measures for improving and maintaining cardiovascular health, as defined by the American Heart Association. AHA added sleep as a factor influencing heart health in 2022. Most guidelines recommend combining these preventive strategies. A 2015 Cochrane Review found some evidence that counseling and education to bring about behavioral change might help in high-risk groups. However, there
8722-410: The risk of coronary artery disease. Evidence does not support a beneficial role for omega-3 fatty acid supplementation in preventing cardiovascular disease (including myocardial infarction and sudden cardiac death ). There is tentative evidence that intake of menaquinone ( Vitamin K 2 ), but not phylloquinone ( Vitamin K 1 ), may reduce the risk of CAD mortality . Secondary prevention
8820-492: The risk profile. Noninvasive imaging options include; Computed tomography angiography (CTA) (anatomical imaging, best test in patients with low-risk profile to "rule out" the disease), positron emission tomography (PET), single-photon emission computed tomography (SPECT)/nuclear stress test/myocardial scintigraphy and stress echocardiography (the three latter can be summarized as functional noninvasive methods and are typically better to "rule in"). Exercise ECG or stress test
8918-414: The smooth, elastic lining inside a coronary artery (the arteries that supply blood to the heart muscle) develops atherosclerosis . With atherosclerosis, the artery's lining becomes hardened, stiffened, and accumulates deposits of calcium, fatty lipids, and abnormal inflammatory cells – to form a plaque . Calcium phosphate (hydroxyapatite) deposits in the muscular layer of the blood vessels appear to play
9016-464: The so-called AIO approach in which attitudes, interests and opinions are considered as fundamental lifestyles' components, being analysed from both synchronic and diachronic points of view and interpreted on the basis of socio-cultural trends in a given social context (as, for instance, in Bernard Cathelat 's work). Finally, a further development leads to the so-called profiles-and-trends approach, at
9114-543: The study done by Case et al. (2002), when a 0-3-year-old child has a mother who practices a healthy lifestyle , this child will be 27% more likely to become healthy and adopt the same lifestyle. For instance, high income parents are more likely to eat more fruit and vegetables, have time to exercise, and provide the best living condition to their children. On the other hand, low-income parents are more likely to participate in unhealthy activities such as smoking to help them release poverty-related stress and depression. Parents are
9212-469: The study included stand-up desks and easels, the use of timers, and sport and circus equipment in the classroom. Teachers also made lessons more active, and added breaks to lessons to promote active time. In the US, another intervention for children is promoting the use of active transportation to and from school, such as through the Safe Routes to School program. Over the last hundred years, there has been
9310-406: The use of antibiotics is not currently supported for preventing secondary coronary heart disease. A thorough systematic review found that indeed there is a link between a CHD condition and brain dysfunction in females. Consequently, since research is showing that cardiovascular diseases, like CHD, can play a role as a precursor for dementia, like Alzheimer's disease, individuals with CHD should have
9408-571: The use of time, especially loisirs, and trying to study the interaction between the active dimension of choice and the dimension of routine and structuration which characterize that level of action. Finally, some authors, for instance Richard Jenkins and A. J. Veal , suggested an approach to lifestyles in which it is not everyday actions which make up the plane of analysis but those which the actors who adopt them consider particularly meaningful and distinctive. A healthy or unhealthy lifestyle will most likely be transmitted across generations. According to
9506-492: Was insufficient evidence to show an effect on mortality or actual cardiovascular events. In diabetes mellitus , there is little evidence that very tight blood sugar control improves cardiac risk although improved sugar control appears to decrease other problems such as kidney failure and blindness . A 2024 study published in The Lancet Diabetes & Endocrinology found that the oral glucose tolerance test (OGTT)
9604-516: Was one in five. From 1990 to 2016, there was a decrease of about one third in manual labor jobs/employment. In 2008, the United States American National Health Interview Survey found that 36% of adults were inactive, and 59% of adult respondents never participated in vigorous physical activity lasting more than 10 minutes per week. According to a 2018 study, office based workers typically spend 70-85% sitting. In
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