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Question-and-answer flashcards covering the key concepts from the lecture notes on health, wellness, well-being, determinants, physical activity, fitness, sedentary behavior, and ICD-11.]
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How is health defined in the modern framework described in the notes?
Health is the balance between demands and capacity (homeostasis), an adequate functioning state, not just an endpoint.
What is wellness in relation to health in the current framework?
Wellness is viewed as its own overarching product or dimension, representing a state of well-being rather than merely the process of getting healthy.
What is well-being according to the lecture notes?
The subjective evaluation of your state of being within a specific dimension (e.g., emotional, social).
Name three social determinants of health discussed in the notes.
Education level, access to health care (insurance/coverage), and environmental/transportation/safety factors that affect health outcomes.
What are the five dimensions of the wellness model mentioned?
Physical, emotional, intellectual, social, and spiritual.
What does the notes say about Michigan’s wellness model compared to the five-dimension model?
Michigan is described as mandating a nine-dimension model, while the class focuses on a five-dimension model.
What is the difference between health-related and performance-related fitness?
Health-related fitness includes aerobic fitness, body composition, muscular strength/endurance, and flexibility; performance-related fitness includes agility, coordination, balance, power, reaction time, and speed; there is overlap between the two.
What are the four domains of physical activity listed in the notes?
Activities of daily living (ADLs), occupational physical activity, transportation physical activity, and leisure-time physical activity.
What trend is described regarding occupational vs. leisure-time physical activity in modern times?
Occupational physical activity has declined while leisure-time physical activity has increased; overall activity may still be insufficient due to high sedentary time.
How are MVPA and vigorous intensity defined in terms of METs and heart rate reserve (HRR)?
MVPA: 3–6 METs and 40–60% HRR; Vigorous: >6 METs and HRR >60%.
What is the endpoint perspective on sedentary behavior?
Sedentary is viewed as the low end of a continuum from sedentary to vigorous, making measurement easy with devices like accelerometers.
What is the independent-construct perspective on sedentary behavior?
Sedentary is its own construct separate from activity; measurement includes daily sitting time, and health risk depends on the combination of sitting and activity.
What paradox about exercise is discussed in the notes?
We may exercise more than ever, but we are still not active enough due to large amounts of sedentary time.
What is ICD-11 and why is it important in health systems?
ICD-11 is a digital international standard for diagnosing and coding diseases; it enables consistent tracking, epidemiology, and billing across nations.
What is meant by the underlying cause of death in cause-of-death classification?
The disease or condition that initiated the sequence leading to death, used to avoid vague codes like 'died of old age' and to better understand public health risks.
Why is there discussion about a country withdrawing from the World Health Organization (WHO) in the notes?
Some argue withdrawal makes cause-of-death tracking harder; the notes present this as a criticism and discuss the implications for public health monitoring.
What careers are associated with ICD-11 coding and medical billing?
Medical billing specialists and chart coders who review and correct medical charts to ensure proper coding and insurance reimbursement.
What is 'garbage coding' in cause-of-death data?
Unhelpful coding like 'old age' that provides little actionable information about the true causes of death.
How do life events affect wellness measurements, according to the notes?
Well-being measures can show state-dependent changes due to life events; repeated surveys may yield consistent results, but measurement sensitivity can vary with context.