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Topic: Miscellaneous
Number of pages / Number of words: 4 / 948
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Sex

? slow, gradual decrease in frequency

? menopause

? cessation of women's menstrual periods

? may be accompanied by emotional, physiological changes

? highly variable: most women report no major problems

? men: no equivalent to menopause (although some hypothesize

"andropause"

? generally, slow decline in testosterone

? may lead to some degree of erectile dysfunction

? 75% of dysfunction due to physiological problems

? much of this associated with lifestyle (smoking, drinking,

nutrition)

HEALTH IN MIDDLE ADULTHOOD

? fewer accidents, more diseases

? few infectious, mostly chronic

? heart disease most common, then cancer

? sex differences

? men

? more: heart disease, cancer, stroke

? divorced men: greater incidence

? women

? nonfatal illnesses (i...


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Subclinical to Threshold of Chronic Diseases

? 40 y, chronic diseases are mostly still in sub-clinical state

? 50 y, reach a threshold to become clinical disease

? 60 y, if untreated, then disease becomes severe

? examples:

i/ atherosclerosis

? lifetime of smoking, poor nutrition and lack of exercise

? by the 40 ?s, lesions (plaques) found in arteriogram

? by the 50's, pain reported in extremities

? in some cases: angina, stroke, heart attack occur before 60

ii/ diabetes

? lifetime of poor nutrition (especially obesity), no exercise, some

medications

? by the 40's, elevated blood glucose

? by the 50's, sugar in urine

? may require treatment (insulin)

2...


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