Explain why a person who smokes cigarettes and has a diet high in saturated fat is at greater risk of developing cardiovascular disease than a non-smoker with a healthy diet.

Eduqas GCSE Biology — 3.4 Non-communicable diseases in humans · Explain · 4 marks · View as Markdown

Written & reviewed by James Millett — Biology (Imperial College London), PGCE Science (University of Cambridge).

Model answer (4 marks)

Smoking and a diet high in saturated fat both promote the formation of fatty deposits (plaques) in the arteries, leading to atherosclerosis.

The plaques narrow the arteries, restricting blood flow and reducing the oxygen supply to the heart muscle.

Smoking also raises blood pressure and makes blood more likely to clot.

These effects together increase the risk of a heart attack, coronary heart disease and stroke.

Examiner tips

  • Use the exact terms ‘plaques’, ‘atherosclerosis’, ‘narrowed arteries’, ‘blood pressure’ and ‘blood clots’.
  • Show the causal chain: build‑up of plaques → narrowed arteries → reduced oxygen → heart attack.
  • Mention the extra risk from smoking’s effect on blood pressure and clotting.
  • Keep each point short and to the point to fit the 4 marks.

Common mistakes

  • Mixing up ‘atherosclerosis’ with ‘hypertension’ or ‘stroke’ as the cause rather than the effect.
  • Using vague phrases like ‘bad habits’ instead of specific mechanisms such as ‘plaque build‑up’ or ‘clot formation’.
  • Leaving out the link between narrowed arteries and reduced oxygen supply to the heart.

Mark scheme (4 marks)

  1. Smoking/saturated fat causes a build-up of fatty deposits (plaques) in the arteries / causes atherosclerosis
  2. Narrowed arteries restrict blood flow / reduce oxygen supply to the heart muscle
  3. Smoking raises blood pressure / causes blood clots to form more easily
  4. This combination increases the chance of a heart attack / coronary heart disease / stroke

Key terms in this question

cardiovascular disease · saturated fat

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