2nd 30 Flashcards

1
Q
Order of Growth:
	Length 
	Breadth
	Diameter of wall
	Calcification 

Repeat
Until mature

A

Bone Growth

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2
Q

Factors influencing bones
Heredity
Physical activity <- environment
Nutrition ß environment
Grean leafy vegetables
Dairy

A

Strong bones

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3
Q

1.5 hours of weight-bearing activity (load the bones) daily
Normal diet (healthy)
Sunlight and vitamin D

A

Environment

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4
Q
Goal is high fracture point
Bend more, break less
What contributes?
Bone size (breadth)
Bone density 
Bone thickness (diameter)
A

Fracture point

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5
Q

When does it begin? 35,55,75?
Bone loss is greater than gain after age 35 years
Less replacement in the inactive adult
3% of decalcification by astronauts in 4-14 days
Muscle loss begins in men at age 20 years
Muscle loss in women begins at 40 years

A

Aging

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6
Q

1 cm per decade after age 40
More rapid after age 70
1-3 inches loss depending upon how long you live!

A

Stature

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7
Q

Increases in men to age 55, women age 65
May increase as much as 30%
Central fat (around organs) increase
Subcutaneous fat decreases with advancing age

A

Body Fat

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8
Q

The muscle mass was significantly associated with serum free-tester one, physical activity, cardiovascular disease, and IGF1 in the men

In women, the muscle mass was significantly associated with total fat mass and physical activity. Estrogen was not associated with muscle mass or strength in women

Physical activity is an important predictor of muscle mass in both sexes.

A

Predictors of skeletal muscle mass in elderly men and women.

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9
Q

Loss of muscle mass is associated with the decline in strength in older adults; strength decline is much more rapid than loss of muscle mass

Suggesting a decline in muscle quality

Maintaining or gaining muscle mass does not prevent aging-associated declines in muscle strength

Both men and women lost strength, with men losing almost twice as much strenght as women.

Blacks lost about 28% more strength than did whites.

A

Longitudinal study

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10
Q

65 years and above

150 minutes of moderate intensity aerobic physical activity each week or 75 minutes of vigorous
(Minimum of 10 minutes per bout Additional benefits from 300 and 150 respectively )

With poor mobility should perform activities to improve balance and prevent falls 3 days per week
Muscle strengthening 3 or more days per week
If you cant do this, do as much as possible

A

World health organization

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11
Q

Lower rates of CVD, certain cancers, diabetes
Healthier body mass and composition
Healthier bones
Higher levels of functional health, a lower risk of falling, better cognitive function.
Reduced depression.

A

Benefits for older adults

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12
Q

Never too late to start
Mental health
Reduced disease
Healthier body

A

Older Adults

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13
Q

Sarcopenia, or the gradual loss of muscle mass, is a common consequence of aging

Hormones

Activity

A

Anthropometric Aging

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14
Q

Max VO2 declines in older adults: loss of skeletal muscle
Muscle decreases strength decreases more rapidly

Why?

Older adults have reduced muscle mass
	Predicts Max VO2
	Enhances balance
Older adults are afraid of falling
Older adults are less active
A

Performance and Anthropmetry

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15
Q

Each of you is getting older
Currently more than 35 million people over 65 years old
By 20130 that will be over 70 million

Living longer but not better
Increased prevelance of chronic disease
Health care costs escalating
Quality of life poor at the end

A

Why is aging important?

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16
Q

Biological (physical domain)
Developmental (not miniature adults)
Individual (structural)

A

Physiology

17
Q

Cardiovascular

	Aerobic
	Anaerobic 
Muscle strength 
Flexibility 
Body composition
A

Underlying systems

18
Q

Goal is meeting the physical activity guidelines
Understand underlying factors that may influence children (and not adults) or
Factors that do not change across childhood

A

Why physiology

19
Q

How do we examine change?
BA (biological age)
Ca (chronological age)
Size (body surface

To what do we compare
Genders 
Adults 
Young adults
Trained and untrained kids or adults

What else to consider
Seated versus supine
Relative versus absolute strength

A

Developmental physiology

20
Q

Heart rate (decreases)
Stroke volume (increases)
Cardiac output (increases=SV *HR
Maximal oxygen consumption
Two factors during childhood that determine Max VO2
Aerobic enzyme activity (decreases as body size increases)
Skeletal muscle (increases)

A

Cardiovascular development

21
Q

System grows that determines Max V02
Lungs
Heart
Skeletal muscle

Therefore maximal aerobic power increases during childhood
Between 6 and 12 years of age boys double aerobic capacity
Girls are lower (200ml/min lower
Males increase dramatically at puberty
Females plateau at puberty

When corrected for size
Males steady durin childhood (50-52 mlKg)
Females decline from age 8 years on through 15 where m=42 Ml
kg

A

Aerobic Capacity

22
Q

So, girls
Max V02 increases at puberty (and levels)
Relative to body mass it decreases 2 years before and after menarche

What about fat?
1/m/kg produces ~ 17% gender difference
1/m/kg lbm produces at 6% gender difference

So the underlying cardiovascular gender differences are small
Performance difference are larger

A

.

23
Q

Other cardiovascular issues
Children have less hemoglobin per unit of blood
Must pump more blood to deliver same oxygen
At rest children “work harder” than adults

Younger children have less skeletalal mass than older children
Capillaries increase during childhood
Less muscle and less capacity to deliver oxygen
Running Economy increases during childhood

A

.

24
Q

Endurance improves
Sub-maximal endurance is not predicted by V02 max
Habitual activity does not predict in kids
Exercise economy does not predict exercise endurance
Correcting for size and fat males and females have similar endurance
True VO2 max “gender” difference is about 5% in children
Peripheral factors do predict age realted changes in performance
Skeletal muscle pumps blood back to heart
Arteriolar dilation

A

.

25
Q

Strength is one repetition maximum

Endurance is number or % of max that can be repeated

A

strength and endurance

26
Q

Related to the cross-sectional size of the muscle
Number of fibers
Size (hypertrophy) of fibers
More and/or larger fibers=stronger

For specific task other factors include
Training
Length of levers

A

Strength

27
Q

Corrected for weight - no difference

Body dimensions also a factor (shorter levers)

Corrected for size is better correlated to field measure

Circum-pubertal responses to training
Less benefit from training
Focus on endurance (low resistance, high repetitions)
Increased number of muscle fibers

A

Muscle strength

28
Q

Mile run or pacer
Sit up or curl up (abdominal endurance)
Pull up, arm hang or push up (upper body endurance)

A

Fitness in youth

29
Q

Vertical jump, horizontal jump

Push ups, pull ups

These have a “skill” component

Most strength tests have a learning curve
First 3 weeks of training the increase is technique
After 8 weeks the increases is likely muscle related

A

Field tests

30
Q

Three levels

Presidential physical fitness award (85th percentile)
National fitness award (50th percentile)
Participant physical fitness award (does all events but is

A

President challenge

31
Q
Pacer or mile run
Pull-ups or push ups
Curl ups
Chest lifts
Back saver sit and reach
BMI or skin folds
A

Fitnessgram test

32
Q

A lack of high-quality studies supporting a strong link between any specific musculoskeletal fitness test item and health outcomes in youth

The link between musculoskeletal fitness and health in adults has extended beyond low-back health to other outcomes, such as personal independence and quality of life, cardiovascular dieasese, risk of fracture, and cognitive functional ability

A

Musculoskeletal fitness