Exam 2 Flashcards

1
Q

What does direct calorimetry measure?

A

Heat production to determine energy expenditure.

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2
Q

What does indirect calorimetry estimate

A

Energy expenditure via oxygen consumption and CO₂ production.

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3
Q

What is the purpose of the Haldane transformation?

A

Corrects for differences in expired air volume.

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4
Q

How is the respiratory exchange ratio (RER) calculated?

A

CO₂ released divided by O₂ consumed.

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5
Q

What does RER indicate?

A

Relative fat vs. carbohydrate utilization.

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6
Q

Why is indirect calorimetry inaccurate during nonsteady-state exercise?

A

Oxygen uptake underestimates total energy cost.

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7
Q

How does hyperventilation affect RER?

A

It may artificially elevate RER.

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8
Q

Why does indirect calorimetry not account for protein oxidation

A

t only considers carbohydrate and fat metabolism.

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9
Q

Why does anaerobic energy contribution make indirect calorimetry less accurate?

A

Oxygen uptake underestimates the total energy cost.

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10
Q

What isotopes are used to measure energy metabolism?

A

Carbon-13 and doubly labeled water.

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11
Q

What does basal metabolic rate (BMR) measure?

A

Energy required for essential physiological functions.

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12
Q

What is a more practical measurement than BMR?

A

Resting metabolic rate (RMR).

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13
Q

What factors influence BMR?

A

Fat-free mass, surface area, age, temp, stress, hormones.

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14
Q

How does exercise intensity affect metabolic rate?

A

Higher intensity increases metabolic rate.

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15
Q

What are the two components of oxygen uptake during exercise?

A

Slow and fast phases.

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16
Q

What is V̇O₂ drift?

A

Slow increase in oxygen uptake at constant workload.

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17
Q

What is the difference between V̇O₂ max and V̇O₂ peak?

A

V̇O₂ max is the true maximal aerobic capacity.

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18
Q

Does V̇O₂ max predict endurance performance?

A

No, other factors contribute.

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19
Q

What does EPOC stand for?

A

Excess postexercise oxygen consumption.

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20
Q

What happens at the lactate threshold?

A

Blood lactate begins rising quickly.

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21
Q

How does training affect lactate threshold?

A

it increases with aerobic training.

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22
Q

What are some contributing factors to EPOC

A

ATP-PCr restoration, lactate clearance, oxygen storage, body temp.

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23
Q

What does economy of effort refer to

A

More efficient movement reduces energy expenditure.

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24
Q

What factors influence the energy cost of activity?

A

Exercise type, intensity, duration, age, sex, weight.

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25
Q

How is fatigue defined?

A

Decline in performance with continued effort.

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26
Q

What are four primary causes of fatigue?

A

Energy depletion, metabolite accumulation, contractile failure, neural changes.

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27
Q

What happens to PCr levels during intense exercise?

A

They decrease, contributing to fatigue.

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28
Q

How does ATP depletion affect exercise?

A

Reduces energy availability.

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29
Q

How does glycogen depletion relate to fatigue?

A

Muscle and liver glycogen depletion can cause fatigue.

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30
Q

Which muscle fibers deplete glycogen faster

A

Fast-twitch fibers.

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31
Q

What happens to glycogen in different muscle groups?

A

Active muscles deplete glycogen first.

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32
Q

What happens to blood glucose when liver glycogen is depleted?

A

Blood glucose drops, impairing performance.

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33
Q

Why does glycogen depletion impair ATP production?

A

Less fuel is available for glycolysis.

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34
Q

What metabolic by-products contribute to fatigue?

A

Inorganic phosphate, heat, hydrogen ions.

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35
Q

How does inorganic phosphate accumulation cause fatigue?

A

It disrupts calcium handling in muscles.

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36
Q

How does high body temperature affect muscle function?

A

Impairs metabolism and increases fatigue.

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37
Q

Which molecule is often wrongly blamed for fatigue?

A

Lactate; hydrogen ions are the real culprit.

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38
Q

How can neural transmission contribute to fatigue?

A

Impaired neurotransmitter release affects muscle activation.

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39
Q

What role does the central nervous system play in fatigue?

A

It can limit performance through central fatigue mechanisms.

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40
Q

When does acute muscle soreness occur?

A

During or immediately after exercise.

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41
Q

When does delayed-onset muscle soreness (DOMS) occur?

A

24–48 hours post-exercise.

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42
Q

What is the primary cause of DOMS?

A

Structural muscle damage.

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43
Q

What immune response is involved in DOMS?

A

White blood cell activation and inflammation.

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44
Q

What is the sequence of DOMS development

A

Muscle damage → inflammation → swelling → pain.

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45
Q

How does DOMS affect performance?

A

Reduces strength, power, and coordination.

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46
Q

How can DOMS be minimized?

A

hrough gradual training progression

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47
Q

What causes exercise-associated muscle cramps (EAMC)?

A

Muscle fatigue.

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48
Q

What causes heat cramps?

A

Sodium loss and dehydration.

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49
Q

What is one limitation of direct calorimetry?

A

It is expensive and slow.

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50
Q

What is one advantage of indirect calorimetry over direct calorimetry?

A

It is more practical for measuring exercise metabolism.

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51
Q

What is the typical range for RER values?

A

0.7 to 1.0.

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52
Q

What does an RER of 0.7 indicate?

A

Predominantly fat oxidation.

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53
Q

What does an RER of 1.0 indicate?

A

Predominantly carbohydrate oxidation.

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54
Q

Why is RER above 1.0 possible?

A

Due to hyperventilation and CO₂ buffering.

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55
Q

What factors can affect RER accuracy?

A

Hyperventilation, nonsteady-state exercise, protein oxidation.

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56
Q

How does doubly labeled water estimate energy expenditure?

A

By tracking isotopes in body fluids over time.

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57
Q

What is a major advantage of doubly labeled water?

A

It allows for free-living energy expenditure assessment.

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58
Q

What is a drawback of isotopic methods?

A

High cost and time-consuming analysis.

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59
Q

How is resting metabolic rate (RMR) measured?

A

in a relaxed state, without fasting requirements.

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60
Q

What is the largest determinant of RMR?

A

Fat-free mass.

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61
Q

How does aging affect RMR?

A

RMR decreases with age due to muscle loss.

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62
Q

How does body temperature affect metabolic rate?

A

Higher temperatures increase metabolic rate.

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63
Q

How do hormones influence metabolic rate?

A

thyroid hormones and catecholamines increase it.

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64
Q

How does psychological stress affect metabolic rate?

A

Increases due to elevated sympathetic activity.

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65
Q

What is the relationship between exercise intensity and oxygen consumption

A

Oxygen consumption increases with intensity.

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66
Q

What is oxygen deficit?

A

The difference between oxygen needed and oxygen consumed at exercise onset.

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67
Q

What happens to V̇O₂ when transitioning from rest to steady-state exercise?

A

It gradually increases.

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68
Q

What is the relationship between V̇O₂ max and aerobic performance?

A

Higher V̇O₂ max generally allows for better endurance.

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69
Q

What is a limitation of V̇O₂ max?

A

it does not account for efficiency or lactate threshold.

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70
Q

How long does it take for V̇O₂ max to plateau with training?

A

8–12 weeks.

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71
Q

Why does endurance performance continue to improve despite a V̇O₂ max plateau?

A

Due to increases in lactate threshold.

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72
Q

What is a typical range for lactate threshold in untrained individuals?

A

Around 50–60% of V̇O₂ max.

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73
Q

What is a typical lactate threshold in elite endurance athletes?

A

70–80% of V̇O₂ max.

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74
Q

How does the economy of effort impact endurance performance?

A

A better economy reduces oxygen demand for a given pace.

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75
Q

What factors contribute to a better economy of effort?

A

Technique, muscle fiber type, and biomechanics.

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76
Q

What is peripheral fatigue?

A

Fatigue occurring at the muscle level.

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77
Q

What is central fatigue?

A

Fatigue caused by the central nervous system.

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78
Q

Why does PCr depletion contribute to fatigue?

A

PCr provides rapid ATP resynthesis.

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79
Q

When is PCr depletion most significant?

A

During high-intensity, short-duration exercise.

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80
Q

How does glycogen depletion contribute to fatigue?

A

Less fuel is available for ATP production.

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81
Q

Which muscle fibers use glycogen the fastest?

A

Type II (fast-twitch) fibers.

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82
Q

How does glycogen depletion differ between muscle groups?

A

Active muscles deplete glycogen first.

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83
Q

How does glycogen depletion in the liver affect performance?

A

Blood glucose drops, reducing brain function and muscle performance.

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84
Q

What metabolic by-product is strongly associated with fatigue?

A

Inorganic phosphate (Pi).

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85
Q

How does Pi accumulation affect muscle function?

A

It reduces calcium release, impairing contraction.

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86
Q

How does heat accumulation affect performance?

A

It increases carbohydrate use and accelerates glycogen depletion.

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87
Q

Why does dehydration contribute to fatigue?

A

Reduces plasma volume, decreasing oxygen delivery.

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88
Q

What happens to muscle function when body temperature exceeds optimal levels?

A

Muscle enzyme activity declines.

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89
Q

What is the role of hydrogen ions in fatigue?

A

They lower muscle pH, inhibiting enzyme function.

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90
Q

How does neural transmission contribute to fatigue?

A

Disrupted neurotransmitter release and receptor function impair contraction.

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91
Q

What role does the CNS play in limiting performance?

A

The brain may reduce neural drive to prevent damage.

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92
Q

What is the primary cause of acute muscle soreness?

A

Fluid accumulation and metabolite buildup.

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93
Q

What types of exercise commonly cause DOMS?

A

Eccentric exercises like downhill running and resistance training.

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94
Q

What type of muscle fibers are most affected by DOMS?

A

Fast-twitch (Type II) fibers.

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95
Q

What structural damage occurs with DOMS?

A

Sarcomere and connective tissue disruption.

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96
Q

What immune response contributes to DOMS?

A

White blood cells trigger inflammation.

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97
Q

What enzyme is a marker of muscle damage?

A

Creatine kinase (CK).

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98
Q

How does DOMS affect strength

A

Reduces force production for days after exercise.

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99
Q

What are two strategies to reduce DOMS?

A

Gradual training progression and proper recovery.

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100
Q

Why is some muscle damage beneficial?

A

It stimulates muscle adaptation and growth.

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101
Q

What are exercise-associated muscle cramps (EAMC)?

A

Cramps caused by muscle fatigue.

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102
Q

What is a common cause of heat cramps?

A

Sodium depletion and dehydration.

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103
Q

How can heat cramps be prevented?

A

adequate hydration and electrolyte intake.

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104
Q

How can EAMC be relieved?

A

Stretching and neuromuscular relaxation techniques.

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105
Q

What is the relationship between lactate accumulation and fatigue?

A

Higher lactate levels correlate with increased fatigue.

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106
Q

How does endurance training affect glycogen depletion?

A

Improves glycogen storage and utilization.

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107
Q

How does altitude affect energy expenditure?

A

increases oxygen demand and metabolic rate.

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108
Q

How does energy expenditure differ between men and women?

A

Men generally have a higher expenditure due to greater muscle mass.

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109
Q

What is the effect of caffeine on endurance performance?

A

It may delay fatigue by mobilizing fat stores.

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110
Q

How does dehydration impair aerobic performance?

A

Reduces blood volume, oxygen delivery, and heat dissipation.

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111
Q

How does body composition affect resting metabolic rate?

A

More lean mass increases RMR.

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112
Q

How does endurance training affect resting metabolic rate?

A

It can slightly increase RMR due to muscle maintenance.

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113
Q

What role do mitochondria play in energy metabolism?

A

They produce ATP through oxidative phosphorylation.

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114
Q

How does exercise duration impact fuel utilization?

A

Longer exercise shifts reliance to fat metabolism.

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115
Q

Why does carbohydrate consumption before exercise affect RER?

A

It increases RER, indicating higher carbohydrate oxidation.

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116
Q

What is the relationship between EPOC and exercise intensity?

A

Higher intensity leads to greater EPOC.

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117
Q

How does resistance training influence EPOC?

A

It prolongs post-exercise oxygen consumption due to muscle repair.

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118
Q

What happens to energy expenditure during sleep?

A

it decreases but remains active for essential functions.

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119
Q

How does hydration status affect metabolic rate?

A

Dehydration can lower metabolic efficiency.

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120
Q

What effect does altitude have on metabolism?

A

Higher altitude increases energy expenditure due to oxygen demand.

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121
Q

Why do endurance athletes experience ‘hitting the wall’?

A

Glycogen depletion leads to a reliance on fat metabolism, reducing intensity.

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122
Q

What is central governor theory?

A

the brain limits muscle activation to prevent damage.

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123
Q

How does neuromuscular fatigue affect performance?

A

Impaired signal transmission reduces muscle force output.

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124
Q

How do antioxidants influence fatigue?

A

They may reduce oxidative stress but can also blunt training adaptations.

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125
Q

How does acidosis impact muscle function?

A

it impairs enzyme activity and cross-bridge cycling.

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126
Q

What is the primary cause of fatigue in ultra-endurance events?

A

Glycogen depletion and dehydration.

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127
Q

Why do fast-twitch fibers fatigue more quickly than slow-twitch fibers?

A

They rely more on anaerobic metabolism, which leads to faster metabolite buildup.

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128
Q

How does chronic stress affect fatigue?

A

Increases cortisol levels, impairing recovery and performance.

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129
Q

What impact does overtraining have on fatigue levels?

A

It leads to persistent fatigue and decreased performance.

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130
Q

How does sleep deprivation influence fatigue?

A

It impairs recovery, reaction time, and endurance.

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131
Q

What is the repeated bout effect?

A

Prior eccentric exercise reduces future DOMS.

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132
Q

How do foam rolling and massage affect DOMS?

A

They can improve circulation and reduce soreness.

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133
Q

What is the role of compression garments in recovery?

A

They may reduce swelling and enhance blood flow.

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134
Q

How does protein intake aid muscle recovery?

A

It helps repair muscle fibers and reduce soreness.

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135
Q

Why do NSAIDs sometimes hinder muscle recovery?

A

They can reduce inflammation but may slow adaptation.

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136
Q

How does hydration impact muscle soreness?

A

Proper hydration helps flush metabolic by-products.

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137
Q

What is the role of cryotherapy in muscle recovery?

A

It may reduce inflammation and perceived soreness.

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138
Q

How does active recovery aid in reducing soreness?

A

Low-intensity movement improves circulation and removes waste products.

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139
Q

Why is DOMS more common in untrained individuals

A

They lack the adaptations to withstand eccentric stress.

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140
Q

How does stretching before exercise impact soreness?

A

It does not prevent DOMS but may improve flexibility.

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141
Q

How does fatigue contribute to exercise-associated muscle cramps?

A

It alters neuromuscular control, leading to involuntary contractions.

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142
Q

Why does sodium depletion lead to muscle cramping?

A

It disrupts electrolyte balance, impairing nerve signaling.

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143
Q

How does neuromuscular overload contribute to cramps?

A

High-intensity contractions without proper relaxation can cause spasms.

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144
Q

Why are night cramps common in athletes?

A

Dehydration and electrolyte imbalances accumulate over the day.

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145
Q

How does potassium influence muscle cramping

A

it helps maintain normal nerve and muscle function.

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146
Q

Why does pickle juice sometimes relieve cramps?

A

It triggers a neural reflex that inhibits muscle cramping.

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147
Q

How does proper warm-up reduce the risk of cramping?

A

It prepares muscles for activity and improves circulation.

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148
Q

What is the best strategy to prevent muscle cramps

A

Adequate hydration, electrolyte balance, and proper training progression.

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149
Q

How do muscle cramps differ from spasms?

A

Cramps are prolonged involuntary contractions, while spasms are brief and often painless.

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150
Q

What is the effect of magnesium on muscle function?

A

It plays a role in muscle relaxation and nerve function.

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151
Q

How does aerobic training improve fatigue resistance?

A

It enhances oxygen delivery and mitochondrial function.

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152
Q

Why does muscle fiber type impact endurance performance?

A

Slow-twitch fibers resist fatigue better due to oxidative capacity.

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153
Q

How does creatine supplementation influence energy expenditure

A

It enhances PCr availability, delaying fatigue in short-duration efforts.

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154
Q

How does glycogen loading benefit endurance athletes?

A

it increases stored carbohydrates for prolonged exercise.

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155
Q

Why does interval training improve lactate threshold?

A

It trains the body to tolerate and clear lactate more efficiently.

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156
Q

What is the difference between anaerobic and aerobic fatigue?

A

Anaerobic fatigue is rapid due to metabolite buildup, while aerobic fatigue is gradual due to fuel depletion.

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157
Q

Why do highly trained athletes recover faster from exercise?

A

They have better metabolic efficiency and faster lactate clearance.

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158
Q

How does tapering before competition enhance performance?

A

it allows full recovery while maintaining fitness.

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159
Q

Why is the ability to buffer hydrogen ions important for performance?

A

It helps maintain muscle pH and delay fatigue.

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160
Q

How does high-intensity exercise affect mitochondrial function?

A

It increases mitochondrial density, improving aerobic metabolism.

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161
Q

Why do trained individuals have a lower RER at the same intensity as untrained individuals?

A

They rely more on fat metabolism, sparing glycogen.

162
Q

How does resistance training affect muscle endurance?

A

It improves fatigue resistance by increasing capillary density and metabolic efficiency.

163
Q

What role does myoglobin play in oxygen consumption?

A

It transports oxygen within muscle cells to support metabolism.

164
Q

Why is energy expenditure higher during weight-bearing exercise?

A

It requires greater muscular effort and stabilization.

165
Q

How does chronic high-altitude training affect energy systems?

A

It enhances red blood cell production and oxygen transport.

166
Q

What is the role of beta-alanine in buffering fatigue?

A

It increases carnosine levels, helping maintain muscle pH.

167
Q

How does chronic dehydration affect metabolism?

A

It impairs thermoregulation and nutrient transport.

168
Q

Why do females generally have lower V̇O₂ max than males?

A

Due to differences in muscle mass and hemoglobin levels.

169
Q

How does caffeine improve endurance performance?

A

It stimulates the central nervous system and increases fat oxidation.

170
Q

What effect does overtraining have on resting heart rate?

A

it can increase due to excessive sympathetic activation.

171
Q

Why is post-exercise protein intake important?

A

It supports muscle repair and glycogen replenishment.

172
Q

How does mental fatigue impact physical performance?

A

It reduces motivation and neuromuscular drive.

173
Q

How does carbohydrate periodization enhance endurance adaptation?

A

Training low on glycogen improves fat oxidation efficiency.

174
Q

What role does vasodilation play in heat dissipation?

A

It increases blood flow to the skin for cooling.

175
Q

How does sleep deprivation impair recovery?

A

It disrupts hormone regulation and muscle repair.

176
Q

What is the optimal timing for carbohydrate intake post-exercise?

A

Within 30–60 minutes to maximize glycogen resynthesis.

177
Q

Why does iron deficiency impair endurance performance?

A

It reduces oxygen transport capacity in the blood.

178
Q

How does neuromuscular coordination affect energy efficiency?

A

Better coordination reduces unnecessary energy expenditure.

179
Q

What is the impact of chronic stress on metabolism?

A

It can increase cortisol, leading to muscle breakdown.

180
Q

Why is post-exercise cooling important?

A

It prevents excessive heat buildup and promotes recovery.

181
Q

How does gut training improve endurance performance?

A

It increases carbohydrate absorption and reduces gastrointestinal distress.

182
Q

What is the primary determinant of energy cost during running?

A

Running economy and biomechanics.

183
Q

How does muscle fiber recruitment influence energy expenditure?

A

More efficient recruitment patterns reduce fatigue.

184
Q

Why is low-intensity exercise better for active recovery?

A

it promotes circulation without adding excessive stress.

185
Q

How does proper hydration impact endurance capacity?

A

It maintains blood volume and thermoregulation.

186
Q

How does the crossover concept explain the shift between fat and carbohydrate metabolism?

A

As exercise intensity increases, carbohydrate use rises while fat oxidation decreases.

187
Q

Why do trained athletes have a lower respiratory exchange ratio (RER) at the same intensity compared to untrained individuals?

A

They rely more on fat metabolism, sparing glycogen stores.

188
Q

How does exercise intensity influence glycogen depletion?

A

Higher intensities use glycogen faster, leading to earlier fatigue.

189
Q

Why is lactate not just a waste product but an important fuel source?

A

It can be converted back to glucose via the Cori cycle or used by other tissues.

190
Q

How does muscle glycogen depletion affect performance in endurance exercise?

A

It forces greater reliance on fat oxidation, which is slower and less efficient for high-intensity work.

191
Q

How does body temperature affect metabolic rate during exercise?

A

A higher core temperature increases metabolic rate and energy expenditure.

192
Q

Why is protein generally a minor energy source during exercise?

A

It is primarily used for tissue repair and enzyme function rather than energy production.

193
Q

What is the primary determinant of energy cost during walking versus running?

A

Walking speed and gait mechanics; running economy at different paces.

194
Q

How does a high-fat diet influence energy metabolism during endurance exercise?

A

It may increase fat oxidation but could impair high-intensity performance.

195
Q

Why do trained endurance athletes have higher muscle glycogen storage capacity?

A

Their muscles adapt to store more glycogen to delay fatigue.

196
Q

What is the primary function of the heart?

A

To pump blood throughout the body.

197
Q

What is the pacemaker of the heart?

A

The sinoatrial (SA) node.

198
Q

Q: What type of muscle tissue makes up the myocardium?

A

A: Highly oxidative cardiac muscle fibers.

199
Q

Q: What does an ECG measure?

A

A: The electrical activity of the heart.

200
Q

Q: What are the three extrinsic factors that control heart rate?

A

A: Parasympathetic nervous system, sympathetic nervous system, endocrine system.

201
Q

Q: What is bradycardia?

A

A: A heart rate lower than 60 beats per minute.

202
Q

Q: What is stroke volume?

A

A: The volume of blood pumped in one heartbeat.

203
Q

Q: What is cardiac output?

A

A: The total volume of blood pumped per minute.

204
Q

Q: What is ejection fraction?

A

A: The percentage of blood ejected from the left ventricle per beat.

205
Q

Q: How does endurance training affect resting heart rate?

A

A: It decreases resting heart rate, sometimes below 40 bpm.

206
Q

Q: What do arteries do?

A

A: Carry blood away from the heart.

207
Q

Q: What do veins do?

A

A: Carry blood back to the heart.

208
Q

Q: What is systolic blood pressure?

A

A: The pressure in arteries during heart contraction.

209
Q

Q: What is diastolic blood pressure?

A

A: The pressure in arteries during heart relaxation.

210
Q

Q: What is hypertension?

A

A: Chronically high blood pressure.

211
Q

Q: What is the function of capillaries?

A

A: Exchange of oxygen, nutrients, and waste between blood and tissues.

212
Q

Q: What is intrinsic control of blood flow?

A

A: Local factors that dilate or constrict blood vessels.

213
Q

Q: What is the function of baroreceptors?

A

A: Detect changes in blood pressure and help regulate it.

214
Q

Q: What helps return blood to the heart?

A

A: Muscle pump, respiratory pump, venous valves.

215
Q

Q: What is the role of the aorta?

A

A: Distributes oxygenated blood to the body.

216
Q

Q: What is the average blood volume in adults?

A

A: 4-6 liters.

217
Q

Q: What are the main components of blood?

A

A: Plasma, red blood cells, white blood cells, platelets.

218
Q

Q: What protein in RBCs carries oxygen?

A

Hemoglobin

219
Q

Q: What is anemia?

A

A: A condition with low red blood cell or hemoglobin levels.

220
Q

Q: What stimulates red blood cell production?

A

A: The hormone erythropoietin (EPO).

221
Q

Q: How does dehydration affect blood viscosity?

A

A: It increases blood viscosity.

222
Q

Q: How does exercise affect blood volume?

A

A: Blood volume increases with training.

223
Q

Q: Why is high blood viscosity dangerous?

A

A: It makes the heart work harder to pump blood.

224
Q

Q: What is hematocrit?

A

A: The percentage of blood volume made up of red blood cells.

225
Q

Q: How does altitude affect red blood cell production?

A

A: It increases RBC production to improve oxygen transport.

226
Q

Q: What is the myocardium?

A

A: The heart’s muscular layer responsible for contraction.

227
Q

Q: Why is the myocardium highly oxidative?

A

A: To sustain continuous contractions with high endurance.

228
Q

Q: What is the function of the right atrium?

A

A: To receive deoxygenated blood from the body.

229
Q

Q: What is the function of the left atrium?

A

A: To receive oxygenated blood from the lungs.

230
Q

Q: What is the function of the right ventricle?

A

A: To pump deoxygenated blood to the lungs.

231
Q

Q: What is the function of the left ventricle?

A

A: To pump oxygenated blood to the body.

232
Q

Q: What are the four chambers of the heart?

A

A: Right atrium, right ventricle, left atrium, left ventricle.

233
Q

Q: What is the sinoatrial (SA) node?

A

A: The heart’s natural pacemaker.

234
Q

Q: Where is the SA node located?

A

A: In the right atrium.

235
Q

Q: What is the atrioventricular (AV) node?

A

A: A secondary pacemaker that delays impulses before passing them to the ventricles.

236
Q

Q: What does the bundle of His do?

A

A: It transmits electrical signals from the AV node to the ventricles.

237
Q

Q: What are Purkinje fibers?

A

A: Specialized fibers that conduct electrical impulses to the ventricles.

238
Q

Q: What is an ECG?

A

A: A recording of the heart’s electrical activity.

239
Q

Q: What is the normal resting heart rate (HR)?

A

A: 60–85 beats per minute.

240
Q

Q: How low can an elite athlete’s resting HR be?

A

A: Below 40 beats per minute.

241
Q

Q: What is tachycardia?

A

A: A resting heart rate above 100 bpm.

242
Q

Q: What is bradycardia?

A

A: A resting heart rate below 60 bpm.

243
Q

Q: What does the parasympathetic nervous system do to heart rate?

A

A: Decreases heart rate.

244
Q

Q: What does the sympathetic nervous system do to heart rate?

A

A: Increases heart rate.

245
Q

Q: How does the endocrine system affect heart rate?

A

A: It releases hormones like epinephrine to increase HR.

246
Q

Q: What is the cardiac cycle?

A

A: All mechanical and electrical events in one heartbeat.

247
Q

Q: What is stroke volume?

A

A: The amount of blood pumped per beat.

248
Q

Q: What is cardiac output?

A

A: The total blood pumped per minute.

249
Q

Q: What is ejection fraction?

A

A: The percentage of blood ejected from the left ventricle per beat.

250
Q

Q: What is ventricular fibrillation?

A

A: A life-threatening, uncoordinated contraction of the ventricles.

251
Q

Q: What is atrial fibrillation?

A

A: Rapid, irregular atrial contractions.

252
Q

Q: What is ventricular tachycardia?

A

A: A rapid heartbeat originating in the ventricles.

253
Q

Q: What does PVC stand for in cardiac arrhythmias?

A

A: Premature Ventricular Contractions.

254
Q

Q: What is systole?

A

A: The contraction phase of the heart.

255
Q

Q: What is diastole?

A

A: The relaxation phase of the heart.

256
Q

Q: What is preload?

A

A: The volume of blood returning to the heart.

257
Q

Q: What is afterload?

A

A: The resistance the heart must overcome to pump blood.

258
Q

Q: How does exercise affect stroke volume?

A

A: Increases stroke volume.

259
Q

Q: What is the Frank-Starling mechanism?

A

A: The greater the heart fills, the stronger the contraction.

260
Q

Q: What is blood pressure?

A

A: The force of blood against arterial walls.

261
Q

Q: What is systolic blood pressure?

A

A: Pressure during heart contraction.

262
Q

Q: What is diastolic blood pressure?

A

A: Pressure during heart relaxation.

263
Q

Q: What is mean arterial pressure?

A

A: The average blood pressure in arteries.

264
Q

Q: What is vasoconstriction?

A

A: Narrowing of blood vessels.

265
Q

Q: What is vasodilation?

A

A: Widening of blood vessels.

266
Q

Q: What regulates blood vessel diameter?

A

A: The autonomic nervous system.

267
Q

Q: What is blood volume?

A

A: The total amount of blood in the body.

268
Q

Q: What is the normal blood volume in adults?

A

A: 4-6 liters.

269
Q

Q: What is the function of platelets?

A

A: Blood clotting.

270
Q

Q: How does exercise affect blood volume?

A

A: Blood volume increases with training.

271
Q

Q: What happens to blood flow during exercise?

A

A: More blood is directed to working muscles.

272
Q

Q: What is the function of white blood cells?

A

A: Immune response.

273
Q

Q: What is the role of plasma?

A

A: Transports nutrients, hormones, and waste.

274
Q

Q: What is hypoxia?

275
Q

Q: What effect does altitude have on RBC production?

A

A: Increases RBC production to improve oxygen transport.

276
Q

Q: What is cardiovascular drift?

A

A: A gradual increase in heart rate during prolonged exercise due to dehydration and rising body temperature.

277
Q

Q: How does endurance training affect resting heart rate?

A

A: Lowers resting heart rate due to increased vagal tone.

278
Q

Q: What is the primary fuel for the heart at rest?

A

A: Fatty acids.

279
Q

Q: What is the primary fuel for the heart during intense exercise?

A

A: Carbohydrates.

280
Q

Q: What is the Fick equation?

A

A: VO₂ = Cardiac Output × (a-v)O₂ difference.

281
Q

Q: What does (a-v)O₂ difference measure?

A

A: The difference in oxygen content between arterial and venous blood.

282
Q

Q: What is VO₂ max?

A

A: The maximum oxygen consumption during intense exercise.

283
Q

Q: What is the main determinant of VO₂ max?

A

A: Cardiac output.

284
Q

Q: How does endurance training affect stroke volume?

A

A: Increases stroke volume.

285
Q

Q: How does stroke volume respond to exercise intensity?

A

A: Increases up to about 50-60% of VO₂ max, then plateaus.

286
Q

Q: What is oxygen debt?

A

A: The amount of oxygen required to restore the body to its resting state after exercise.

287
Q

Q: How does training affect blood volume?

A

A: Increases blood volume due to plasma expansion.

288
Q

Q: How does training affect capillary density in muscles?

A

A: Increases capillary density, improving oxygen delivery.

289
Q

Q: How does training affect heart size?

A

A: Increases left ventricular volume and wall thickness.

290
Q

Q: What is cardiac hypertrophy?

A

A: Enlargement of the heart muscle due to chronic training.

291
Q

Q: How does resistance training affect the heart?

A

A: Increases left ventricular wall thickness without major chamber enlargement.

292
Q

Q: What is the lactate threshold?

A

A: The point at which blood lactate accumulates during exercise.

293
Q

Q: How does endurance training affect lactate threshold?

A

A: Increases the lactate threshold, allowing higher intensity before fatigue.

294
Q

Q: What is the role of nitric oxide in the vascular system?

A

A: It causes vasodilation, improving blood flow.

295
Q

Q: What happens to heart rate recovery time with training?

A

A: It shortens, indicating better cardiovascular fitness.

296
Q

Q: How does chronic exercise affect resting blood pressure?

A

A: Lowers both systolic and diastolic blood pressure.

297
Q

Q: How does heart rate respond to submaximal exercise after endurance training?

A

A: Decreases for a given workload.

298
Q

Q: What cardiovascular adaptation helps endurance athletes sustain high-intensity exercise?

A

A: Increased mitochondrial density and capillary supply to muscles.

299
Q

Q: How does maximal cardiac output change with training?

A

A: Increases due to a larger stroke volume.

300
Q

Q: What is hypertension?

A

A: Chronically high blood pressure (≥130/80 mmHg).

301
Q

Q: What is the leading cause of death in the U.S.?

A

A: Cardiovascular disease.

302
Q

Q: What is atherosclerosis?

A

A: The buildup of plaque in the arteries, narrowing blood flow.

303
Q

Q: What are the primary risk factors for cardiovascular disease?

A

A: Smoking, high blood pressure, high cholesterol, physical inactivity, obesity, diabetes.

304
Q

Q: What is an ischemic stroke?

A

A: A stroke caused by a blocked artery, reducing blood flow to the brain.

305
Q

Q: What is a hemorrhagic stroke?

A

A: A stroke caused by a ruptured blood vessel in the brain.

306
Q

Q: What is myocardial infarction?

A

A: A heart attack, caused by blockage of coronary arteries.

307
Q

Q: What is angina pectoris?

A

A: Chest pain due to reduced blood flow to the heart.

308
Q

Q: What are HDL and LDL?

A

A: High-density lipoprotein (good cholesterol) and low-density lipoprotein (bad cholesterol).

309
Q

Q: What is the role of cholesterol in heart disease?

A

A: High LDL contributes to plaque buildup in arteries.

310
Q

Q: What is heart failure?

A

A: The heart’s inability to pump enough blood to meet body demands.

311
Q

Q: What is arrhythmia?

A

A: An irregular heartbeat.

312
Q

Q: How does exercise help prevent cardiovascular disease?

A

A: Lowers blood pressure, increases HDL, improves circulation.

313
Q

Q: What is the effect of chronic stress on heart health?

A

A: Increases risk of hypertension and heart disease.

314
Q

Q: How does diabetes increase cardiovascular disease risk?

A

A: High blood sugar damages blood vessels and increases inflammation.

315
Q

Q: What is metabolic syndrome?

A

A: A cluster of conditions increasing heart disease risk, including obesity, high BP, high blood sugar.

316
Q

Q: What are beta-blockers?

A

A: Medications that lower heart rate and blood pressure.

317
Q

Q: What is the role of aspirin in heart disease prevention?

A

A: It reduces blood clot formation.

318
Q

Q: What is a pacemaker?

A

A: A device that regulates heart rhythm.

319
Q

Q: What is angioplasty?

A

A: A procedure to open narrowed arteries using a balloon and stent.

320
Q

Q: What is coronary bypass surgery?

A

A: Surgery that reroutes blood around blocked arteries.

321
Q

Q: What is the impact of smoking on the cardiovascular system?

A

A: Increases plaque buildup, reduces oxygen transport, raises blood pressure.

322
Q

Q: What is the American Heart Association’s recommended physical activity level?

A

A: At least 150 minutes of moderate or 75 minutes of vigorous exercise per week.

323
Q

Q: What are the warning signs of a heart attack?

A

A: Chest pain, shortness of breath, nausea, cold sweat, dizziness.

324
Q

Q: How does obesity affect heart health?

A

A: Increases blood pressure, cholesterol, and inflammation.

325
Q

Q: What is sudden cardiac arrest?

A

A: A sudden loss of heart function due to electrical disturbances.

326
Q

Two systems coordinating physical activity?

A

Nervous and endocrine (neuroendocrine system

327
Q

Front: Function of endocrine glands?

A

Back: Secrete hormones to regulate cells/organs

328
Q

Front: What do target cells contain?

A

Back: Specific hormone receptors

329
Q

Front: Steroid hormones are derived from?

A

Back: Cholesterol

330
Q

Front: Are steroid hormones lipid-soluble?

331
Q

Front: Nonsteroid hormones are made of?

A

Back: Peptides and amino acids

332
Q

Front: Are nonsteroid hormones lipid-soluble?

333
Q

Front: What regulates hormone secretion?

A

Back: Negative feedback

334
Q

Front: Effect of downregulation?

A

Back: Decreases receptor number

335
Q

Front: Effect of upregulation?

A

Back: Increases receptor number

336
Q

Front: How do steroid hormones act?

A

Back: Bind receptors in membrane, cytoplasm, nucleus

337
Q

Front: What do steroid hormones activate?

A

Back: Gene transcription (mRNA synthesis)

338
Q

Front: How do nonsteroid hormones work?

A

Back: Via secondary messengers (e.g., cAMP)

339
Q

Front: What effect does exercise have on hormones?

A

Back: Increases hormone release

340
Q

Front: Anterior pituitary hormones?

A

Back: Growth hormone, prolactin

341
Q

Front: Thyroid gland hormones?

A

Back: Thyroxin, triiodothyronine

342
Q

Front: Adrenal medulla hormones?

A

Back: Epinephrine, norepinephrine

343
Q

Front: Adrenal cortex hormones?

A

Back: Aldosterone, cortisol, sex hormones

344
Q

Front: Pancreatic hormone increasing glucose?

A

Back: Glucagon

345
Q

Front: Pancreatic hormone decreasing glucose?

A

Back: Insulin

346
Q

Front: Hormones increasing plasma glucose?

A

Back: Glucagon, epinephrine, norepinephrine, cortisol

347
Q

Front: What increases muscle glucose uptake?

A

Back: Insulin and exercise

348
Q

Front: What controls lipolysis rate?

A

Back: Insulin, epinephrine, norepinephrine, cortisol, growth hormone

349
Q

Front: Why is fluid balance important?

A

Back: Supports metabolic, cardiovascular, thermoregulation

350
Q

Front: Posterior pituitary hormone for fluid balance?

A

Back: ADH (vasopressin)

351
Q

Front: What triggers ADH release?

A

Back: Increased plasma osmolality

352
Q

Front: Adrenal cortex hormone for fluid balance?

A

Back: Aldosterone

353
Q

Front: What triggers aldosterone release?

A

Back: Low blood volume and pressure

354
Q

Front: What organ also regulates fluids?

A

Back: Kidneys

355
Q

Front: Primary appetite center?

A

Back: Hypothalamus

356
Q

Front: What nucleus controls satiety?

A

Back: Ventromedial nucleus

357
Q

Front: What nucleus controls hunger?

A

Back: Lateral hypothalamus

358
Q

Front: Function of CCK?

A

Back: Satiety signal

359
Q

Front: Function of GLP-1?

A

Back: Satiety signal

360
Q

Front: Function of PYY?

A

Back: Satiety signal

361
Q

Front: Function of ghrelin?

A

Back: Increases hunger

362
Q

Front: What hormone decreases appetite?

363
Q

Front: What happens to leptin in obesity?

A

Back: Increases

364
Q

Front: Effect of vigorous exercise on PYY, GLP-1?

A

Back: Increases

365
Q

Front: Effect of vigorous exercise on ghrelin?

366
Q

Front: Does exercise training alone affect ghrelin?

367
Q

Front: What increases ghrelin after weight loss?

A

Back: Exercise training

368
Q

Front: Example of steroid hormone?

369
Q

Front: Example of nonsteroid hormone?

370
Q

Front: Function of epinephrine?

A

Back: Increases heart rate, metabolism

371
Q

Front: Function of norepinephrine?

A

Back: Vasoconstriction, alertness

372
Q

Front: Function of cortisol?

A

Back: Increases glucose, suppresses inflammation

373
Q

Front: Function of aldosterone?

A

Back: Retains sodium, increases BP

374
Q

Front: What is negative feedback?

A

Back: Hormone secretion inhibition when levels are high

375
Q

Front: What does growth hormone do?

A

Back: Promotes muscle/bone growth

376
Q

Front: What organ secretes insulin?

377
Q

Front: What does oxytocin do?

A

Back: Stimulates childbirth contractions

378
Q

Front: What organ releases ADH?

A

Back: Posterior pituitary

379
Q

Front: What increases plasma glucose?

A

Back: Glucagon, epinephrine, cortisol

380
Q

Front: How does insulin lower glucose?

A

Back: Increases muscle glucose uptake

381
Q

Front: Role of thyroid hormones?

A

Back: Increase metabolism

382
Q

Front: What happens to insulin during exercise?

383
Q

Front: What stimulates glucagon release?

A

Back: Low blood glucose

384
Q

Front: What triggers cortisol release?

A

Back: Stress, low glucose

385
Q

Front: Role of hypothalamus?

A

Back: Regulates appetite, metabolism

386
Q

Front: What do mineralocorticoids regulate?

A

Electrolytes

387
Q

Front: What happens if ADH is low?

A

Back: Increased urine output

388
Q

Front: How does exercise impact fluid balance?

A

Back: Increases water loss

389
Q

Front: What suppresses ghrelin?

390
Q

Front: What does leptin do long-term?

A

Back: Regulates body fat

391
Q

Front: Function of prolactin?

A

Back: Milk production

392
Q

Front: What stimulates PYY release?

A

Back: Food intake

393
Q

Front: What does GLP-1 do?

A

Back: Enhances insulin secretion

394
Q

Front: What is cAMP?

A

Back: Secondary messenger for nonsteroid hormones

395
Q

Front: Role of secondary messengers?

A

Back: Amplify hormone effects

396
Q

Front: What does exercise do to cortisol?

A

Back: Increases during prolonged activity

397
Q

Front: What gland releases thyroid hormones?

398
Q

Front: What stimulates the adrenal medulla?

A

Back: Sympathetic nervous system

399
Q

Front: What hormone retains sodium?

A

Aldosterone