Exam 3 Flashcards
body composition
Examining Height and Weight are not enough predict healthy weight
Body Mass Index
BMI=weight(lb)*703/height^2 (in^2)
or
BMI=weight(kg)/height(m^2)
BMI is an ok measure in the right circumstances
Valid- children & sedentary
- Invalid- many athletes
assessing body composition
body s chemical and molecular composition
body s chemical and molecular composition
Fat around internal organs, nerves, in muscle
component of fat mass: Sex specific
~9% above essen+al
- Needed for proper hormone release
component of fat mass: Storage fat
Subcutaneous and visceral
Subcutaneous and visceral
- Muscle
- Bone
- Blood
- Viscera
- etc
Large portion is water
body composition Provides more information
- Height and weight not enough to know fitness status
- increase Percent body fat, decrease performance
Body composition measured several ways
- Densitometry/hydrostatic weighing
- DEXA
- Air plethysmography
- Skinfold
- Bioelectric impedance
Densitometry
measures body density Hydrosta.c (underwater) weighing • Gold Standard - Muscle heavier than water, fat lighter than water - Most commonly used method - Accurate to within 1-2%
hydrostatic weight
Use body density to calculate %BF
- Mass in air
- Mass in water
- Volume (calculated)
Limitations of hydrostatic weighing
Lung air and intestinal volume confounding variable oConversion of body density to percent fat oFat-free density varies among people Different %BF equations exist Siri Equation (General Population
• Air plethysmography (Bod Pod)
- Another densitometry technique
- Air displacement (instead of water)
- Easy for subject, difficult for operator, expensive
- Similar limita+ons as underwater weight
- Similar accuracy as well
Dual-energy X-ray absorptometry(DEXA)
- Quantifies bone and soft-tissue composition
- Precise and reliable
DEXA Limitations
expensive to run
-$700-$1500 depending on location
size of the individual
-Table and imaging cameras only cover a certain area
skinfold
- Most widely used field technique
- Measures thickness at a minimum of three sites
- Number of sites vary and sites may vary by location with gender
skinfold: Reasonably accurate
- ~3% accurate when tester is trained
• Pinch pressure is important - Visceral fat is not measured
Bioelectric impedance
- Electrodes on ankle, foot, wrist, hand
- Current passes from proximal to distal sites
- Fat-free mass good conductor, fat poor conductor
Bioelectrical Impedence: Tanita Unit
- Fast and easy means of
measuring %BF
Bioelectrical Impedence: Limitations
- Reasonably accurate
- May be affected by hydration status
adipose cells are like muscles
as adults we are considered to have a set number of cells
large genetic component to obesity
Obese individuals will develop a greater number of adipose cells which will store fat
weight loss with obesity
no such thing as spot reduction
exercise & diet
manageable exercise volume and intensity to start
- aerobic and resistance training
- workout with a buddy for good adherence
reduce caloric intake but not drastically
-200-300 / day drop
physiological factors:obesity
- heredity/genetic
- hormonal imbalances
- altered basic homeostatic mechanisms
lifestyle factors:obesity
- cultural habits
- inadequate physical activity
- improper diets
adipose connective tissue
- stores energy
- endocrine function
risks of fat/obesity
- inflammation
- high blood pressure
- narrowing of arteries
- clots in arteries
- type 2 diabetes
type 2 diabetes
NON-insulin dependent
- used to be called “adult on set diabetes” but has changed due to prevalence of children developing the disease
- 90% of all diabetes cases
diabetes prevalence
- 2% of world population has diabetes
- 9.4% of U.S. population has diabetes
- 22 million
diabetes: fasting glucose range
126 or more mg/dL
prediabetes: fasting glucose range
100-125 mg/dL
normal: fasting glucose range
99 or less mg/dL
prediabetes prevalence
86 million in U.S.
>1/3 of adults
-90% of them undiagnosed
a generally reversible condition characterized by higher than normal blood sugar
-will turn to type 2 diabetes in less than 10 years
true test for prediabetes and diabetes :
oral glucose tolerance test (OGTT)1
type 2: progressive disease related to lifestyle with a strong genetic link
as many as 220 genes have been implicated in T2DM
type 2: characterized by insulin resistance
cells not responding to insulin
type 2:
during initial years, beta cells are normal and may even increase in number
thoughts on causes of diabetes
- huge genetic link
- chronic inflammation and oxidative stress
- obesity
obesity : thoughts on causes
- Healthy adipose tissue releases cytokines that help maintain normal healthy blood vessels
- Increased adipose tissue releases:
• Inflammatory cytokines
• Resistin that interferes with insulin response
• Lower Adiponectin levels
type 2 initial signs:
polyuria- increased urination
–with glucose
weight loss???
type 2 symptoms:
- polydipsia
- polyphagia
- fatigue
complications: atherosclerosis-plaques
- coronary and systemic
- can lead to gangrene
- possibly stroke or heart attack
complications: neuropathy
loss of feeling and motor control
complications: glomeruloclerosis
thickening in kidney that limits function
complications: retinal deterioration
remember retinal deterioration
type 2: tx initially lifestyle intervention
diet
-low glycemic load diets
exercise
– depletes sugar stores in muscle and helps to naturally increase glucose
uptake (without need for insulin)
» Overtime will increase insulin sensi2vity
- Lowers blood pressure, lower heart rate and more efficient control of blood vessels
- Fat loss for improved adipokine balance
- Decreases stress
progressive tx: oral hypoglycemics
- increase insulin in blood during all blood glucose levels
- so ingested sugar will have less effect
progressive tx: insulin
in late stage type 2, beta cells may die off or sop functioning, no longer producing insulin
endothermic
produce our own heat internally
-70kcal/hr or 81 watts
homeothermic
same core body temp in all environments
-core body temp: 36.5-37.5° C
body fluid
~60% of body weight
Types of Mechanisms of Heat Transfer
Radiation
Conduction
Convection
Evaporation
Evaporation is
of water from body surfaces or breathing passages cool the body
radiation is
objects exchange radiation with each other andw ith the sky. warmer objects lose heat to cooler objects
convection is
heat is loss by convection when a stream of air (wind) is coolere than body surface temperature
conduction is
the direct transfer of heat when objects of different temperatures come into contact
heat sources for body
- Metabolic heat
- Environment
- Radiation
- Conduction
- Convection
heat loss from body
- Radiation • Primary during rest - Conduction - Convection - Evaporation • Primary during exercise
heat balance equation
M ± R ± C ± K - E = 0 heat balance
heat loss equation
If M ± R ± C ± K - E < 0
heat gain equation
If M ± R ± C ± K - E > 0
core
temperaturearound organs needed to survive
shell:
Changesthickness to allow for heat loss or insula+on
2 gradients to consider:
- core to shell
2. shell to environment
41 C is
fatal in prolonged exposure
42 C is the
highest recorded for short period
40 C normally
reached in heavy exercise
39.5 C
stop exercise in most labs
negative feedback mechanism for heat
receptor
integration center
effectors
receptors
- skin
- hypothalamic blood temp
integration centerq
-anterior hypothalamus
effectors
- skin blood vessels
- eccerine sweat glands
increased body temp
- Muscle metabolism
- Environment
• Convection - If warmer than skin temp
• Radiation
measurements of body temp
skin and core
cardiovascular changes
- Vasodilate blood vessels in the skin to increase radia+on and convective heat loss
- increase Heart rate and contractility in the heart
• More blood circulating to the skin and less filling time lead to a decrease in SV •
responses to exercise in the heat
cardiovascular changes
sweating
sweat electrolyte content
sweating
- Hot environmental temperatures > skin, core temperatures
- C, K, R: heat gain, E only avenue of heat loss
- Eccrine sweat glands controlled by POAH
sweat electrolyte content < plasma
- Light sweating: very dilute sweat • Duct reabsorbs some Na+, Cl-
- Heavy sweating: less dilute (more Na+, Cl- loss)
sweat is also occurring
- Typical sweat rate 1.5 - 2.0 L/hr
• Sweat is ultimately produced from blood plasma
• 2-3% of body weight per hour - increase sweating will lead to decrease blood volume
• Relative increase in hematocrit; which increase blood viscosity - Greater resistance to blood flow
• Further decrease stroke volume
hormonal response
exercise and body water loss stimulate adrenal cortex and posterior pituitary gland
hormonal control of fluid balance
loss of water, electrolytes triggers release of aldosterone and ADH
Aldosterone: reating Na+ at kidneys
ADH (vasopressin) retains water at kidneys
hot dry environment
- very warm air
- high solar radiation
- high reflective radiation
- low humidity
hot wet environment
- warm air
- high humidity
- evaporation is less effective
- increase sweating and faster dehydration
acclimatization
- Adaptation which occurs as an individual undergoes prolonged repeated exposure to a natural stressful environment
acclimation
- Adaptations that occur in artificial environment
• Lab setting
Repeated exercise in heat: rapid changes for better performance in hot conditions
- Fast short term response (~10 days)
- Need ~1.5 hours of heat exposure per day