Unit  5    HEART DISEASE

Task 1

Before you read an article, think of what you already know about the subject. Discuss the following
questions with a partner.

1.      What do we know today about the causes of heart disease that people fifty years ago did not
know?

2.      What ways do we have to prevent heart disease and treat it?

Task 2

For each paragraph, read the first sentence and think of a question that you expect this paragraph
to answer. Then choose the question below that is most like your question. The first paragraph has
been done as an example.

__ A  How has the change in attitude affected people´s behaviour?

__ B   How are attitude and behaviour changes affecting people´s health?

__ C   How are people´s attitudes changing?

_1_ D   What are the effects of these discoveries about heart disease?


Heart Disease and Changing Attitudes

1                    In the last decades of the twentieth century, medical researchers showed that
heart disease is associated with certain factors in our daily lives: stress, smoking, poor
nutrition, and lack of exercise. Doctors and other health experts began to emphasise the fact that
we can reduce the risk of heart disease by paying attention to these factors. As a result, many
people realize that there is a connection between heart disease and lifestyle.

2                    This new awareness is changing public attitudes about health. In the past,
people tended to think that it was sufficient to have access to doctors on whose expertise they
could rely. Now people understand that merely receiving the best treatment for illness or injury is
not enough. They have learned to take more responsibility for maintaining and improving their own
health.

3                    The shift in attitude can be seen in some behavioural changes that have
occurred since the 1970s. In the United States today, many smokers have broken the habit and fewer
people take it up. The percentage of smokers is far below the level of the 1960s and 1970s. People
are becoming more serious about reducing stress. Many have changed their diets and are eating food
with less fat and cholesterol. More people are aware of the benefits of regular and frequent
exercise like walking, running, and swimming; some even walk or bicycle to work instead of driving
or using public transportation.

4                    The health effects of these changes in attitude and behaviour are clear. Since
the 1950s, the number of deaths from heart disease per 100,000 has fallen. A partial explanation
for this is that better diagnosis and treatment is helping people avoid or survive heart attacks.
However, health experts have no doubt that much of the improvement has occurred because a
better-educated public has become aware of the benefits of prevention.

Task 3

Identify the sentence that best expresses the main idea of the article.

a)      Better methods of diagnosis and treatment have reduced the number of deaths from heart
disease in the United States.

b)      Medical research has shown that people should reduce the amount of fat they eat.

c)      As a result of information about the causes of heart disease, people are changing the way
they think about health care and are leading healthier lives.

d)      The percentage of Americans who smoke today is much lower than it was in the 1970s.

Task 4

Look back at the article to answer the following questions.

1.      What factor does the writer NOT associate with heart disease?

a)      Unhealthy food

b)      Cigarettes

c)      Poverty

d)      Lack of regular exercise

2.      The article suggests that doctors in the past did not always inform their patients about
the importance of exercise and good nutrition for health. True or false?

3.      What change in attitude does the writer describe?

4.      It is still too early to see results from the change in attitude that the article
describes. True or false?

Task 5

Find words in the article that are similar in meaning to the following:

-          To be connected with something (par. 1)

-          To give special importance to sth. (par. 1)

-          Knowing sth. (par. 2)

-          Enough (adjective)  (par. 2)

-          A change in position or direction (par. 3)

-          Happened, existed (par. 3)

-          A feeling of being uncertain or not believing sth. (par. 4)

-          Helpful effect (par. 4)

Task 6

Complete the sentences below with suitable words from 5.

1.      A vitamin deficiency occurs when a person´s diet does not have __________ vitamins to
maintain good health.

2.      The article raised _________ about how effective the new drug really was.

3.      As far as I´m _________ nobody did anything about it.

4.      Sugar ___________ naturally in fruit.

5.      We´ve seen a __________ in power away from workers towards employers.

6.      She ___________ how little was known about the disease.

 (adapted from Pakenham, K.J. Making Connections. CUP, 2004)

Task 7   Listening

(http://www.ted.com/talks/richard_weller_could_the_sun_be_good_for_your_heart#t-240382)


Watch a TED talk to find out about the link between sunlight and heart disease.