Exam 2 Flashcards

1
Q

mediators

A

things that sit in-between exposure and outcome.

Responsible for causing the outcome to happen

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2
Q

moderators

A

variables that are not in a causal sequence but that alter the relation or effect between an independent variable and a dependent variable

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3
Q

examples of facilitators

A

Childlessness​

Education*​

Gender (male)*​

Income/SES*​

Exercise enjoyment*​

Expected benefits*​

Perceived health/fitness*​

Self-efficacy*​

Self-motivation*​

Dietary habits*​

Coping with barriers

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4
Q

examples of inhibitors

A

Age*​

Blue-collar occupation

PA intensity​

Heart disease

PA perceived effort* ​

Marital status​

Race/ethnicity*​

Lack of Time​

Mood disturbance*​

Poor body image​

Social isolation​

Climate/season*

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5
Q

exercise prescription should…

A

be flexible in the different combinations of frequency and/or time/duration​

Allow individuals to self-select frequency and time may influence adherence to exercise interventions.​

Theories provide a framework for understanding why people do/don’t exercise, and can thus help individualize programs

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6
Q

social cognitive theory (SCT)

A

based on the principle that the individual, behavior , and environment all interact to influence future behavior. ​

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7
Q

task self-efficacy

A

refers to an individual’s belief that they can actually do the behavior, whereas

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8
Q

self efficacy

A

SCT is rooted

refers to one’s beliefs in their capability to successfully complete a course of action (i.e. exercise).

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9
Q

barrier self-efficacy

A

refers to whether an individual believes they can regularly exercise in the face of common barriers (i.e. lack of time, poor weather, fatigue). ​

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10
Q

Social Cognitive Theory and Self-Efficacy​

A

The higher the sense of efficacy, the greater the effort, persistence, and resilience an individual will exhibit, especially when faced with barriers or challenges.​

Self-efficacy is one of the most consistently found correlates of PA in adults and youth. ​

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11
Q

self-monitoring

A

person’s ability to:​

Set goals (later in semester)​

Monitor progress toward those goals (assessments: coming up)​

Problem solve when faced with barriers (earlier in notes)​

Take a moment and think about how the end of the semester poses barriers ​

Engage in self-reward (treat yourself!)​

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12
Q

self-determination theory (SDT)

A

The theory proposes that motivation exists on a continuum from amotivation (low self-determination) to intrinsic motivation (high self-determination)

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13
Q

cognitive strategies

A

focus on changing the way individuals think, reason, and imagine themselves in regard to exercise behavior​

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14
Q

behavioral strategies

A

refer to individual actions and reactions to environmental stimuli. Because actions and reactions are thought to be learned, the behavioral approach posits that these actions and reactions can be unlearned or modified​

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15
Q

SMART goals

A

Specific: Goals should be precise​

Measureable: Goals should be quantifiable​

Action-oriented: Goals should indicate what needs to be done​

Realistic: Goals should be achievable​

Timely: Goals should have a specific and realistic time frame​

Self-determined: Goals should be developed primarily by the patient/client

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16
Q

extrinsic rewards

A

include tangible, physical rewards (e.g., new pair of shoes) and social reinforcement (e.g., praise).​

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17
Q

intrinsic rewards

A

ome from within, such as a feeling of accomplishment. Individuals are more likely to adhere to exercise over the long term if they are doing the activity for intrinsic reasons such as for fun, enjoyment, and challenge. ​

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18
Q

social support

A

guidance (advice, information)​

reliable alliance

reassurance of worth

attachment

social integration (a sense of belonging and feeling comfortable in group exercise situations)​

opportunity for nurturance

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19
Q

VO2 Application

A

VO2 for several forms of physical activity can be estimated​

VO2 can be easily transferred into energy cost (kcals)​

Exercise prescription & programming can be individualized to meet a client’s goals & needs.

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20
Q

absolute oxygen consumption

A

Volume of O2 consumed by the individual per unit of time (minutes), expressed in liters per minute (L/min) or milliliters per minute (mL/min)​

Each liter of O2 consumed equals an EE of ~ 5 kcals (you will see this again throughout these notes)​

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21
Q

relative oxygen consumption

A

O2 consumption relative to the individual’s body weight, expressed in mL/kg/min​

Resting (VO2 rest) = ~3.5 mL/kg/min​

Maximal (athlete; VO2max) = upwards of 80 mL/kg/min​

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22
Q

to calculate METs

A

Divide the relative O2 consumption by 3.5​

Ex:
35 mL/kg/min = 10 METs​

35 mL/kg/min ÷ 3.5 mL/kg/min = 10 METs​

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23
Q

calorie

A

Used to describe the energy from food & the energy used during both PA & at rest

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24
Q

MET-min

A

An index of EE that quantifies the total amount of physical activity performed in a standardized manner across individuals and types of activities. Calculated as the product of the number of METs associated with one or more physical activities and the number of minutes the activities were performed (i.e., METs × min).​​

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25
Q

Rationale for Measuring VO2

A
  1. baseline
  2. follow up
  3. motivation
  4. individualized program prescription
  5. diagnosis/prognosis of disease
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26
Q

Low levels of cardiorespiratory fitness (CRF) have been associated with …

A

an increased risk of premature death from all causes and CVD​

More physical activity = Higher CRF, overall health​

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27
Q

VO2 peak

A

is the highest rate of oxygen consumption, in the absence of a VO2 plateau​

everyone will have some VO2 value that (by default) was the highest value during the exercise test​

…but that doesn’t mean that it was the highest value they were capable of reaching…therefore we call that the VO2 peak​

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28
Q

absolute vo2 (l/min OR mL/min

A

related to body size

A grown adult will have higher absolute VO2 values than an adolescent (but may not reflect actual fitness comparison)​

If you want to compare improvements in cardiorespiratory functioning against yourself (and not include the influence of weight – this is option to use)

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29
Q

relative vo2 (mL/kg/min)

A

Allows comparison of fitness level amongst different populations/body sizes

(VO2 is relative to your body weight)

29
Q

The decision to use a maximal or submaximal exercise test depends largely on: ​

A

Resources ​

Expertise ​

Rationale/ Health

30
Q

maximal tests

A

require participants to exercise to the point of volitional fatigue, which may be inappropriate for some individuals and may require the need for emergency equipment​

Exercise professionals often rely on submaximal exercise tests to assess CRF because maximal exercise testing is not always feasible in the health/fitness setting ​

31
Q

test organization

A

Have all equipment (calibrated), thermoneutral environment​

No eating 4 hours prior, exercise 24 hours before test, caffeine 12 hours before test, note any medications​

Explain RPE scale (6 - 20) – participant is always in control​

All resting measurements taken​

Test administrator is prepared, confident, and knowledgeable​

Allow participant to ask questions​

32
Q

submaximal aerobic test

A

85% of age-predicted HR max​

(220-age) * .85​

Participant can no longer comply with test demands​

Participant stops the test

33
Q

vo2 max test

A

VO2 plateau​

Lactate > 8 mmol/L​

RER > 1.15​

Failure of HR to increase, within +/- 10 beats of age-predicted max

34
Q

maximal vs submaximal

A

Maximal: provides the best assessment of exercise safety and disease presence and most accurate data (e.g., true peak/max HR) for exercise prescription purposes, but… ​

Submaximal: takes less time to perform, is less expensive, and generally does not require physician supervision (safer for those with established disease)

35
Q

duration

A

8 - 12 minutes

3 minute stages

36
Q

protocol selection

A

Should be specific to mode of exercise subject is accustomed to​

Is it a maximal test or a submaximal test​

You can utilize published common protocols or customized protocols​

Bottom line – all tests are to be completed within 8-12 minutes

37
Q

interpretation of results

A

Organize data and discuss with participant​

Sources of error​

Prediction of HR max​

Equipment calibration​

Accurate physiologic measurements​

Did they reach steady state?​

Protocol compliance

38
Q

What can we do with VO2 measurements? USE the data to make training sessions/programs informed with scientific data!​

A

Translation and identifying training zones​

Identify disease presence​

Establish baseline values​

Monitor training progress

39
Q

VO2

A

cardiac output (Q) x a-VO2 diff

Q = HR X SV

40
Q

main cardiovascular changes

A

Cardiac output ​

Stroke volume​

Heart rate ​

Arteriovenous oxygen difference​

Heart size​

Blood volume​

Blood flow

41
Q

principle of adaptations

A

if a specific physiologic capacity is taxed by a physical training stimulus regularly, the physiologic capacity expands.

42
Q

training threshold

A

the point beyond which the physiologic capacity must be challenged to affect a training stimulus; required for adaptations.

43
Q

progression

A

is needed as the physiologic capacities of the body increase.​

44
Q

detraining

A

a cessation or diminution of training that results in a decrease in physiologic capacity. Linked with principle of reversibility​

45
Q

overtraining

A

is when the overload is excessive relative to the amount of time allotted for recovery, resulting in a chronic overtaxing of physiologic systems and a decrease in performance.

46
Q

specificity

A

physiologic systems that are appropriately trained will adapt.

47
Q

adaptations following 3 month aerobic training: VO2

A

rest: stays the same

submaximal exertion: stays the same

max: increases

48
Q

adaptations following 3 month aerobic training: Q (cardiac output)

A

rest: stays the same

submaximal exertion: stays the same

max: increases

49
Q

adaptations following 3 month aerobic training: HR

A

rest: decreases

submaximal exertion: decreases

max: stays the same

50
Q

adaptations following 3 month aerobic training: SV (stroke volume)

A

rest: increases

submaximal exertion: increases

max: increases

51
Q

adaptations following 3 month aerobic training: aVO2 diff

A

rest: stays the same

submaximal exertion:

max: increases

52
Q

low to moderate initial fitness

A

<40 mLkgmin

recommended minimum intensity:
30% VO2R or HRR

53
Q

average to good initial fitness

A

40 - 51 mLkgmin

recommended minimum intensity:

45% VO2R or HRR

54
Q

high initial intensity

A

52 - 59 mLkgmin

recommended minimum intensity:

75% VO2r or HRR

55
Q

very high initial intensity

A

> /= 60 mLkgmin

recommended minimum intensity:

90% - 100% VO2R or HRR

56
Q

how much to improve fitness: moderate

A

300 min/wk

57
Q

how much to improve fitness: vigorous

A

150 min/wk

58
Q

volume from purposeful exercise should be…

A

> 1,000 kcal/wk

2,000 - 4,0000 recommended

59
Q

intensity threshold for improving cardiorespiratory fitness

A

When selecting intensity for clients, know the initial fitness level. ​

Higher %VO2 peak or %VO2 reserve levels result in greater improvements of cardiorespiratory fitness versus lower intensities.​

Interval training, versus continuous training, may enhance cardiorespiratory fitness to a greater degree.​

Interval training has been shown to be safe in patients with cardiac and metabolic diseases​

60
Q

maximal HR

A

208 - 0.7 (age)

61
Q

Steps in establishing the target workload​

A

Select the desired intensity in %VO2R units.​

Calculate the target VO2.​

Convert the target VO2 to a workload using the ACSM metabolic equations.

62
Q

caloric cost of exercise

A

1 L of O2 = 5 kcal · min-1​

3.5 mL/kg/min (i.e., 1 MET) = 1 kcal/kg/hr​

Significant reductions in cardiovascular risk occur when weekly caloric expenditure exceeds 1,000 kcal.​

Optimal caloric expenditure is from 2,000 – 4,000 kcal/week.

63
Q

Lactate threshold

A

the point at which an exponential inflection of lactic acid in bloodstream (crossover effect).

64
Q

exercise progression

A

The recommended rate of progression depends on the individual’s health status, fitness, training responses, and exercise program goals. ​

Progression may consist of modifying any of the FITT components of exercise prescription.

65
Q

Ventilatory threshold

A

point at which ventilation (L*min) exponentially increases with no further increase in VO2

66
Q

rate of progression

A

An increase in exercise time/duration per session of 5–10 min every 1–2 wk over the first 4–6 wk of an exercise training program is reasonable for the average adult.​

After the individual has been exercising regularly for at least 1 month, the FIT of exercise is gradually adjusted upward over the next 4–8 months — or longer for older adults and very deconditioned individuals — to meet the recommended quantity and quality of exercise presented in the Guidelines text.

67
Q

exercise progression

A

The recommended rate of progression depends on the individual’s health status, fitness, training responses, and exercise program goals.

68
Q

“initiation” stage

A

aka tough beginning

Allow time for adaptation to occur​

At lower intensity and duration compared to later stages, especially in those who are not previous exercisers​

Goal is to limit extreme fatigue and muscle soreness.​

In other words, you are starting small and building to towards an enhanced exercise capacity.

69
Q

Indicators of progression that is too rapid (overtraining) include the following:

A

Loss of interest​

HR stays same or increases​

Inability to complete​

Excessive muscle soreness

70
Q

Frequency, intensity, and duration influence weekly training volume – consider keeping increases in weekly kcal expenditure to around….

A

10%