Learning Objectives

• Describe the influence of health determinants over the course of life which increase the risk of chronic disease in adulthood
• Describe the role of stress as a social determinant of chronic disease
• Identify common behavioural risk factors for chronic disease
• Outline the steps required to undertake a health needs assessment in order to prioritise issues and strategies to reduce risk factors for chronic disease

Fetal Origins of Adult Disease (FOAD)

• what are the main3 risk factors for chronic disease?
• when do SDoH start influencing health? how?
• what are some examples of fetal stressors?
• what do fetal stressors during development lead to?
• what is the Barker/ thrifty phenotype hypothesis?
• how does the maternal environment impact the fetus?
• what is programming/ metabolic imprinting?
• what type of adaptations predispose LBW offspring to chronic disease?
• what is the relationship between birth weight and CHD?

Psychosocial Stress

• what biopsychosocial factors influence stress predisposition?
• describe the physiology of chronic stress?
• what are psychosocial stressors?