EXAM 3 Study Guide Flashcards

1
Q

Know which energy transfer systems predominate during different types of exercise

A
  1. ATP (last for 0-4s) for Strength and Power
    -power lift, high jump, javelin throw, golf swing, tennis serve
  2. ATP-PCR (immediate; lasts for 8 seconds ) -Sustained power
    -sprints, fast breaks, football line play, gymnastics routine
  3. ATP + PCR + Lactic Acid (last for up to 1 min) Anaerobic power-endurance
    -200-400 m dash, 100m swim
    These three energy transfer system classified as immediate/short-term non-oxidative systems.
  4. Electron Transport -Oxidative Phoshphorylation (up to 3 mins)
    -Aerobic endurance (beyond 800 m run)
    -uses aerobic-oxidative system
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2
Q

What is the overload principle?

A

regular application of a specific exercise overload enhances physiologic function to induce training response
*Overload principle -Exercising at intensities higher than normal stimulates highly specific adaptations so the body functions more efficiently

Overload- in order to keep making gains or achieve training adaptations, the body must be stressed by working beyond normal
Achieving health-related benefits of regular exercise requires lower exercise intensity and increased duration than required to improve aerobic fitness.
-

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3
Q

*What is the specificity principle ?

A

Specificity principle (exercise training) - adaptations in metabolic and physiologic functions that depend upon the type and mode of overload imposed.
specificity refers to Specific adaptations to Imposed demands
-use muscle mass and movement patterns required by same sport

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4
Q

*What is the reversibility principle?

A

Reversibility principle - the DETRAINING that occurs rapidly when a person terminates participation in regular physical activity
(lose training improvements after 1 or 2 weeks of detraining)

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5
Q

*understand adaptations in the ventilatory system with exercise

A

Exercise training allows for Sustained, exceptionally HIGH levels of submaximum ventilation
exercise training also INCREASES Inspiratory muscle capacity to generate force and sustain a given level of inspiratory pressure (reduce energy exercise demands, reduce lactate production by ventilatory muscles during intense, prolonged exercise; enhance how ventilatory muscles metabolize circulating lactate as metabolic fuel )

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6
Q

*Understand anaerobic system changes: lactate accumulation, PCr, ATP, glycolytic capacity, glycogen content, muscle fibers

A

Anaerobic system changes with training

  • INCREASED levels of anaerobic substrates (PCr, ATP glycogen content)
  • INCREASED quantity and activity of key enzymes that control the anaerobic phase of glucose catabolism
  • INCREASED capacity to generate high levels of blood LACTATE during all out exercise.
  • Increased glycolytic capacity
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7
Q

*Differentiate between functional and pathologic cardiac hypertrophy

A

Functional cardiac hypertrophy- due to TEMPORARY stress- were exercise training imposes only a temporary myocardial stress so rest periods provide time for recuperation and demonstrates normal systolic and diastolic functions and superior functional capacity for stroke volume and cardiac output
Pathologic cardiac hypetrophy- due to DISEASE that can induce cardiac enlargement and this “hypertrophied” Heart represents an enlarged, distended, and functionally inadequate organ unable to deliver sufficient blood to satisfy minimal resting requirements

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8
Q

*Understand the concept of “lactate stacking”

A

Lactate stacking describes the process of completing 1-minute maximum exercise and repeating this same exercise after 3-5 minutes of recovery; this produces a higher blood lactate level than just one-all out exhaustive effort.
(blood lactate rises to near-peak levels)
you are overloading your muscles when lactic acid is already present )

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9
Q

Differentiate between overload, overreaching and overtraining syndrome

A

Overload- A planned, systematic and progressive increase in training to improve performance
Overreaching: UNPLANNED, Excessive overload with Inadequate rest. Poor performance is observed in training and competition. Successful recovery should result from short-term interventions
Overtraining syndrome- UNTREATED overreaching that produces long-term decreased performance and impaired ability to train. Other associated problems may require medical attention

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10
Q

**How does leptin, adiponectin and Melanocortin 4 receptor levels/mutations contribute to obesity ?

A

These are all mutant genes that are linked to human obesity

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11
Q

*How does Leptin contribute to obesity?

A

Leptin - Congenital ABSENCE of this hormonal body weight-regulating substance produced by fat (adipocytes; Ob gene in fat) and released into bloodstream that acts on hypothalamus, will produce CONTINUAL HUNGER and MARKED Obesity
-Neither short nor long-term exercise meaningfully affects leptin
people who have absence of leptin are always hungry, never feel satiated (full)

normal function of leptin (if present) in blood is to reduce or stop the drive to eat after reaching set pont for body’s fat content (inhibit hunger)

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12
Q

*Describe how Adiponectin contributes to obesity

A

Adiponectin (ADIPOQ gene)- Hormone produced by adipocytes
It targets muscle and liver cells to induce FAT burning and glucose utilization.
If have DEFECTIVE gene variants: reduces adiponectin production, lead-in to pre-metabolic syndrome (like obesity)
decreases in adiponectin linked to obesity

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13
Q

*How does Melanocortin 4 receptor contribute to obesity?

A

*Melanocortin 4- receptor (MC4R)-
-G-protein coupled receptor that binds alpha-melanocyte stimulating hormone (induced by leptin ) located on paraventricular nucleus (PVN) of the hypothalamus
-DEFECTIVE gene variants: Lack of satiety and early onset-severe obesity)
defective gene gets no feedback signal of being fed

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14
Q

Understand hypertrophy vs hyperplasia with adipocytes in regards to weight gain/loss and obesity
(how do they differ ?)

A

Fat cell Hypertrophy- Existing adipocytes ENLARGE or Fill with fat
Fat cell Hyperplasia- Total adipocyte NUMBER increases
Weight Loss- in adults, major change in adipose cellularity in weight loss I SHRINKAGE of Adipocytes with NO change in cell number
-Weight GAIN: in general moderate weight gain from overeating in adults Enlarges adipocytes rather than stimulating new development (no increase in cell number)

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15
Q

Understand the anaerobic threshold model

A

A

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16
Q

Know the reasons why lactate threshold occurs

REVEIW

A

Exercise intensity form lactate threshold reflects the capability of PERIPHERAL Vasculature and active muscles to sustain steady-rate aerobic metabolism
see how hard you can push yourself, measure intensity in endurance sports
if threshold exists (threshold duration) , it depends on tniteraction of total work accomplished, exercise intensity, training frequency and initial fitness levels.

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17
Q

Know what we discussed regarding the set-point theory and spot reduction (fat)

A

We discussed how both set-point and spot reduction is NOT TRUE and cannot be supported with research)

Set-point theory- states that all persons (thin or fat) have a well-regulated internal control mechanism located deep within lateral hypothalamus that maintains with relative ease a preset level of body weight and or body fat within a tight range
-each time body weight decreases, below pre-establish set point, internal adjustments (affecting food intake and regulatory thermogenesis will resist change and conserve/replenish body fat
NOT a believed/true theory

Spot reduction theory- states that increase in muscle’s metabolic activity stimulates relatively greater fat mobilization from adipose tissue in proximity to active muscle. (Ex: performing large number of sit ups or side-bends will reduce excessive abdominal and hip fat)
-NOT TRUE

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18
Q

Understand how fat is mobilized in the body

REVIEW

A

COME BACK

Regular physical activity will increase sensitivity for epinephrine, for fat to be mobilized
also any form of stress cause fatty acids to be related form adipose cell, increase level of glucagon and epinephrine in blood, hormones bind to receptor on surface of adipose cell; this binding causes cascade of reactions to occur and hormone sensitive lipase hydrolyze triacylglycerides into free fatty acids
-hormones hormone sensi lipase

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19
Q

Understand the fat patterning (android vs gynoid) and how fat mobilization correlates

A

Male fat pattern - ANDROID (apple shape); Central type obesity
fat deposition in abdominal area, particularly internal visceral deposits; shows greater metabolic responsiveness
Female fat pattern- GYNOID (pear shape)
-peripheral obesity, fat in gluteal and femoral regions
Decreases in body fat reduce upper-body subcutaneous and deep abdominal fat Rather than more “resistant Fat deposits in gluteal and femoral regions
men generally respond more favorably than women to effects of exercise on weight loss due to :
-gender difference in body fat distribution
-women may more effectively preserve energy balance with increased physical activity, and men often reduce energy intake with exercise, while depression of food intake with exercise LESS for women.

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20
Q

Know the difference between essential and storage fat

A

Essential fat- fat in heart, lungs, liver, spleen, kidneys, intestines, muscles, and lipid rich tissues, of central nervous system and bone marrow
-normal physiological functioning requires this fat.
Storage fat- Fat primarily in ADIPOSE tissue
-83% pure fat, 2% protein and 15% water.
-VISCERAL fat, (stored deep inside belly)

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21
Q

*Understand the values and limitations of BMI (body mass Index)

A

Body Mass Index- derived from body mass and stature (used to assess normalcy for body weight)
BMI= Body mass (kg) divided by stature (m^2)
BMI 18.5-24.9 desirable
BMI 25-29.9 (overweight)
BMI > than or equal to 30 (Obese)
BMI limitations:
1. current classification for overweight assumes that relationship between BMI and percentage body weight remains independent of age, gender, ethnicity and race
2. Fails to consider body’s proportional composition or body fat distribution n
3. Factors other than excess body fat, such as bone, muscle mass and increased plasma volume induced by exercise training affect numerator of BMI equation
4. The possibility of misclassifying someone as overweight pertains particular to some athletes

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22
Q

Understand the basics of measuring fat mass using bioelectric impedance analysis

A

Bioeletrical impedance Analysis- non-invasive, safe, relatively easy and reliable means of assessing total body water

method: Use and electrical current. The small alternation current flowing between two electrodes passes more rapidly though HYDRATED fat-free tissues and extracellular water than through fat or bone tissues because of LOWER electrical RESISTANCE of Fat-free tissues
- requires standardized conditions: electrode placement, body position, hydration status, plasma osmolarity and skin temperature, etc

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23
Q

*Be able to name the numerous ways of determining body composition

A

Numerous ways of determine body composition:
1. Direct measurement by chemical analysis of the animal carcass or Human cadaver
-one technique dissolves the body in chemical solution to determine its mixture of at and fat-free components
-another technique physically dissects fat, fat-free adipose tissue, muscle and bone
2. INDIRECT estimation:
1.hydrostatic weighing using:
2. Archimede’s principle,
3.. skin fold thickness and girth measurements,
4. X-ray and magnetic resonance imaging, ultrasound,
5.computed tomography,
6. Near-infrared interactance
7. X-ray and magnetic resonance imaging, 8. total body electrical conductivity
or bioimpedance
9 Air plethysmography

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24
Q

*Know the health risks associated with excessive body fat

A

Health risks of excessive body fat:

  • IMPAIRED glucose tolerance and diminished quality of life emerge even in obese children and adolescents
  • Hypertension, elevated blood sugar, postmenopausal breast cancer, elevated total cholesterol and LOW High density lipoprotein(HDL)-cholesterol increases the risk of poor health at any level of excess weight
  • INCREASED loads on major joints can lead to pain and discomfort, complications form osteoarthritis, inefficient body mechanics, and reduced mobility
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25
Q

*Know the basics of weight loss that we discussed in class

A

Weight loss- major change in adipose cellularity is SHRINKAGE of adipocytes (no change in cell number)
- First law of thermodynamics says weight loss occurs whenever energy OUPUT EXCEEDS energy intake (regardless of energy’s macronutrient mixture)
Factors affecting Weight loss:
1. Hydration level- 70% of weight lost over first week of energy deficit consists of water loss; then water loss progressively lessens while body fat loss increases (25% to 70%) . Restrict water during 1st days of caloric deficit causes more total weight loss, but additional weight lost comes form water(as dehydration progresses)
2. Duration of energy deficit: Caloric equivalent of weight lost increases as duration of caloric restriction progresses. After 2 months on a diet, the caloric equivalent of weight loss exceeds twice that in first week
-most individuals, poetical for successful long-term weight loss maintenance generally varies inversely with initial degree of fatness

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26
Q

Understand repetition maximum

A
Repetition Maximum (RM)- maximum weight lifted one time using proper form
(you only need 1 RM for weight gain)
27
Q

Understand gender differences regarding muscle strength and allometric scaling

A

Gender differences in muscle strength;

  • muscle’s cross sectional area (men have greater cross section)
  • Absolute basis as total force exerted
  • Architectural characteristics
  • Relative strength indexed to estimates of body composition

Allometric scaling- mathematical procedure that tries to establish a proper relationship between body size variable and muscular strength (provides statistical adjustment to evaluate the relative contribution of diverse independent variables on dependent measure of interest

28
Q

Understand periodization- particularly, how volume and intensity changes over the training period

A

Periodization- subdivides a macrocycle into mesocyclones with each mesocyclone separated into weekly microcycles
*-Progressively DECREASES Training Volume and INCREASES intensity to maximize gains in muscular strength and power
-adjusitng training variables (include intensity, volume, frequency, cycles or periods) to maximize training adaptations and increase performance
phases
preparation phase: high volume, low intensity
first transit phase; moderate volume , moderate intensity
competition phase- Low volume, high intensity
Second transition phase- Active recovery

29
Q

Understand the adaptations to resistance training- neural, muscle fiber, hypertrophy, muscle remodeling

A

Look at numbers 30-33

30
Q

Neural adaptations

A

Neural adaptations to resistance training will Increase muscle strength
-Greater efficiency in neural recruitment patterns, increased motor neuron excitability, increased CNS activation, improved motor unit synchronization, and increased firing rates, and Lowering of neural inhibitory reflexes

31
Q

Hypertrophy

A

A

32
Q

muscle fiber

A

A

33
Q

muscle remodeling

A

Muscle cell remodeling:

34
Q

Understand changes to body compositon with diet an for exercise

A

if total food calories exceed daily energy expenditure, excess calories accumulate and store as fat

  • energy balance equation: body mass remains CONSTANT when caloric intake equals caloric expenditure
  • unbalance equation and produce weight loss:
  • REDUCE caloric intake below daily energy requirements
  • MAINTAIN caloric intake and INCREASE energy expenditure
  • DECREASE daily caloric intake AND INCREASE daily energy expenditure
35
Q

Know concentric, eccentric and isometric movements

A

Concentric, eccentric are types of DYNAMIC contraction (produces movement of skeletal body such as upper or lower limb or trunk)
Isometric is type of STATIC contraction (muscle activation without observable change in muscle fiber length

36
Q

*What is concentric movement?

A

Concentric movement: occurs when the muscle SHORTENS and Joint movement occurs as tension develops
example of dynamic contraction

37
Q

*What is eccentric movement ?

A

Eccentric movement: Occurs when external resistance Exceeds muscle force and the muscle LENGTHENS while developing tension
example of Dynamic contraction

38
Q

*What is isometric movement?

A

Isometric movement: Occurs when a muscle generates force and attempts to shorten but cannot overcome external resistance
example of Static contraction

39
Q

*Know the benefits of core training

A

Core: includes 29 pairs of muscles that hold trunk steady, and balance and stabilize bony structures

core: four-sided muscular frame (with abdominal muscle in front, paraspinals/gluteals in back, diaphragm at top and pelvic floor and hip girdle frame bottom
* A properly functioning core :
- appropriate distribution of forces
- optimal control and efficiency of movement
- adequate absorption of ground-impact forces (like walking)
- An absence of excessive compressive translation, and shearing forces on kinetic chain joints

40
Q

“*Understand the resistance training guidelines for different groups

A

Resistance Training Guidelines:

  • Competitive Athletes: OPTIMIZE muscular strength, power and hypertrophy with High intensity
  • Middle-aged and Older Adults: Focus on maintenance of muscle and bone mass and muscular strength and muscular endurance to enhance overall health and physical fitness
  • Children: SUPERVISED resistance training using Concentric-only muscle actions with relatively High repetitions and LOW resistance
41
Q

**Understand the basics of different resistance training strategies-isometric, isokinetic, plyometric, kinetic-chain, circuit

A

Resistance training strategies:
Isometric -when muscle generates force and attempts to shorten but CANNOT overcome external resistance (ex: planks)
isokinetic -provides muscle overload at CONSTANT SPEED, while the muscle mobilizes its force-generating capacity throughout the full ROM (range of motion; ex: bike, leg curl machine)
plyometric -requires various JUMPS in place or rebound jumping to mobilize the inherent stretch-recoil characteristics of skeletal muscle and its modulation (via stretch or myotonic reflex)
-involves rapid stretching followed by shortening of muscle group during dynamic movement
kinetic-chain training - the DISTAL Segment bears the body weight or part of body weight. This activates both agonists and antagonists muscles about a joint, including other muscle groups along kinetic chain
circuit training - provides more- general conditioning that improves body composition, muscular strength, endurance and cardiovascular fitness
circuit training deemphasizes brief intervals of heavy, local-muscle overload in standard resistance training
-participants moves one from resistance exercise to the next, to complete circuit, composed of 8 to 15 different exercises with short periods of rest

42
Q

*Know how different resistance training strategies can affect DOMS
REVIEW

A

Eccentric muscle actions induce greater DOMS than concentric-only or isometric actions
-A single exercise bout protects against DOMS and muscle damage from subsequent exercis e
-The body initiates adaptive cellular events to unaccustomed exercise that produces DOMS.
factors that may produce DOMS;
1. minute tears In muscle tissues or damage to contractile components
2. Osmotic pressure changs
3. Muscle spasms
4. Overstretching and tearing of portions of muscle’s connective tissue harness
5. Acute inflammation
6. Alteration in cell’s calcium regulation
7. Combinaton of above factors

43
Q

**Know the physical activity terms (physical activity, exercise, physical fitness, health, health-related fitness, longevity)

A

Physical activity terminology:
1. Physical activity- body movement produced by muscle action that increases energy expenditure (is HR going up?)
2. Exercise- planned, structured, repetitive and purposeful physical activity
3. Physical fitness: attributes related to how well one performs physical activity
(training adaptation in nervous and muscular system- recruit more motor units, more firing, better reaction time)
4. Health: Physical, mental and social well-being, not simply absence of disease
5. Health-related physical fitness: Components of physical fitness associated with some aspect of good health and or disease prevention
6. Longevity- length of life

44
Q

Understand the four components of health -related fitness

A

Four components of Health-Related fitness

  1. Cardiovascular (aerobic ) fitness ; keep Heart rate up to, keep tissue healthy.
  2. Abdominal muscular strength and endurance
  3. Body composition (lean to fat ratio) : keep FFM (fat free mass) Up, and maintain healthy fat amount
  4. Flexibility of lower back and hamstrings (hamstring for strength and balance; Also lower back and abdominal muscle form core (so strengthen core) )
45
Q

*Understand how eccentric and concentric strength declines

A

concentric strength declines slowly at first and then more rapidly after middle age
Eccentric strength declines at a later age, and progresses more slowly than concentric strength
COME BACK FOR REVIEW

46
Q

*Know the emphasis for prehabillitation programs

A

Prehabillation REDUCES sports and recreational INJURIES
-It ENSURES readiness for participation; reduces exercised-induced disability
-EMPHASIZES joint stretching, Muscle activation, core stability and strength, balance and muscle coordination
-ENSURES maximum motor unit recruitment and joint stability
-

47
Q

**Differentiate between power capacity vs maximal strength decline

A

Power capacity DECLINES FASTER than maximal strength

48
Q

Differentiate between eccentric vs concentric strength decline

A

Concentric strength declines slowly at first, and then more rapidly after middle age

  • ECCENTRIC strength DECLINES at a Later age and Progresses more Slowly than concentric strength
  • concentric declines first and then later eccentric declines (this is good since we eccentric is how we build skeletal muscle; able to increase that)
49
Q

**Understand why muscle mass decreases with age

A

Motor unit remodeling is a normal continuous process that involves motor endplate repair and reconstruction

  • Remodeling will lead to DENERVATION muscle atrophy, which if magnified by reduced physical activity, will progressively reduce muscle cross section, mass and function
  • *Hence primary cause of reduced strength between ages 25 and 80 is due to 40 to 50% reduction in muscle mass from muscle fiber atrophy, and loss of motor units, even among healthy, physically active adults
50
Q

How does neural function change during aging? how does training affect this?

A

-*NEURAL Function DECREASES as we age
(losing neurons and lose speed in neurons)
Aging leads to a 40% decline in spinal cord axon number and a 10% decline in nerve conduction velocity
-changes related to age-related DECREMENT (decrease) in neuromuscular performance
-Physical active lifestyle and specific exercise training can POSITIVELY AFFECTS Neuromuscular functions at any age, to SLOW DOWN age-related decline in cognitive performance.

51
Q

How does Simple and complex movement time affect aging? how does training affect this?

A

*Old active individuals have greater simple movement and complex movement times (move faster) than young non-active individuals
complex movement- trained individuals should be better
simple movement- young active have quickest movement time (takes them less time)
Old active better than young-non active.
Old non active takes the longest time to move (drop in speed)
-Complex movement: trends are same

52
Q

**How does Endocrine system change with aging? how does training affect this?

A

40% of people 65 to 75 years, and 50% those greater than 80 years have IMPAIRED GLUCOSE TOLERANCE leading to type 2 diabetes

  • pituitary gland DECREASES thyrotropin release- leads to reduced metabolic function- decreased metabolic rate, glucose metabolism and protein synthesis
  • Hormonal system Changes due to aging:
  • Hypothalamic-pituitary gonadal axis leading to MENOPAUSE (reduce estradiol_ and ANDROPAUSE (decreased testosterone levels)
  • Adrenal cortex leading to REDUCED output of DHEA
  • growth hormone/insulin-like growth factor axis leading to SOMATOPAUSE (decline in levels of Growth Hormone and IGF-1)
53
Q

***How does Pulmonary system change with aging? how does training affect this?

A

Pulmonary function Changes with aging:
-Mechanical constraints cause DETERIORIATION in static and dynamic lung function
-SLOWING of pulmonary ventilation and gas exchange kinetics during transition from rest to sub maximal exercise (takes more time for elderly’s body to respond)
Training effects:
-In elderly men, aerobic training INCREASES gas exchange kinetics to levels approaching values similar to fit young adults
-Older-endurance trained-athletes demonstrate GREATER pulmonary function capacity than sedentary counterparts
exercise in healthy, elderly men will

54
Q

*How does Cardiovascular system change with aging? how does training affect this?

A

Cardiovascular function
-VO2 max DECLINES 1% yearly (as we age) and occurs twice as fast in sedentary compared to physically active
-
Regular aerobic exercise CANNOT FULLY PREVENT age-related decline in aerobic power with aging
- *Exercise maximal heart are DECLINES with age ( calculation: 220- age)
-Maximum Cardiac Output DECREASES in trained and untrained due to LOWER maximal heart rate and stroke volume
-Compliance of Large arteries DECLINES form changes in arterial wall properties
-DECREASED capillary; muscle fiber ratio and arterial cross-section causes lower blood flow to muscle.
-exercise in healthy, elderly men will ENHANCE heart’s systolic and diastolic properties and increase VO2 max to same extent as younger adults
you can increase capillalrization with increased exercise

55
Q

Understand body composition changes with age and how training can affect these changes

A

Waist Girth, Waist: Hip Ratio, Sum of Skin folds, and percentage of body fat INCREASES
-Fat-Free Mass DECREASES with age

56
Q

Know the effects of regular activity on related depression/anxiety

A

Regular physical activity helps DECREASE trait and state anxiety and depression
trait anxiety-occurs on a daily basis
-State anxiety - induced by a situation (such as diagnosis of cancer)

57
Q

**Know the effects of regular physical activity on cancer and depression/anxiety

A

Physical activity helps DECREASE trait and state anxiety and depression
The effects of regulator physical activity on cancer occurrence
1. LOWERS circulation levels of blood glucose and insulin
2. INCREASES anti-inflammatory cytokines
3. INCREASES corticosteroid hormones
4. AUGMENTS insulin-receptor expression in cancer fighting T-cells
5. PROMOTES interferon production
6. STIMULATES glycogen synthesis
7. ENHANCES leukocyte function
8. IMPROVES ascorbic and metabolism
9. EXERTS beneficial affects on provirus or oncogene activation

58
Q
  • Know ways in which regular physical activity reduces blood pressure
A

Ways that physical activity reduces blood pressure:

  • Systolic and diastolic blood pressure DECREASE with aerobic physical activity in previously sedentary individuals
  • Regular physical activity controls tendency for blood pressure increase over time in those at risk
  • contributing factors for lowering blood pressure:
    1. REDUCED sympathetic nervous system activity and possible normalization of arteriole morphology to decrease peripheral resistance to blood flow
    2. ALTERED renal function facilitates kidneys’ elimination of sodium which reduces fluid volume
59
Q

What happens to Heart rate, cardiac output, and peripheral factors as we age?

A

Maximum heart rate DECLINES with age

  • reflects Reduced medially outflow of sympathetic activity (men and women)
  • Maximum Cardiac output DECREASES with age in trained and untrained due to lower maximum heart rate and stroke volume
  • stroke volume DECLINE reflects combined effects of reduced left ventricular systolic and diastolic myocardial performance
  • REDUCED peripheral blood flow capacity accompanies age-related decrease in muscle mass.
60
Q

extra What are the factors that lead to successful aging?

A

factors that allow for Successful aging

  1. Maintain physical and cognitive functions
  2. Maintain positive spirituality
  3. Minimize risk of disease and disability
  4. Continue engagement with life
61
Q

extra Explain the relationship between physical activity, obesity and dementia

A

physical activity reduces obesity, reduced vascular risk.
Reduced obesity leads to reduced vascular risk
-reduced inflammatory markers done by physical environment
obesity is an inflamed state.
physical activity contribute to ENHANCE neural function
-reducing obesity, increase physical acitivies collectively lead to reduced cognitive decline and dementia
-if someone in your family has dementia, you are at higher risk to develop dementia
aerobic exercise will help with prevention of this.

62
Q

***extra: Discuss the different factors that contribute to muscle mass

A

factor that contribute to muscle mass;

  1. Physical activity
  2. Genetics
  3. Nutritional status
  4. Endocrine influences
  5. environmental factors
  6. Nervous system activation
63
Q

What are the specific health risks for excess body fat?

A

Specific health risks for excess body fat:

  • Impaired cardiac function from Increased mechanical work and autonomic and left-ventricular dysfunction
  • hypertension, stroke, and deep-vein thrombosis
  • increased insulin resistance in children and adults and type 2 diabetes (80% patients overweight)
  • Renal disease
  • Sleep apnea, mechanical ventilatory constraints and pulmonary disease form impaired function due to added efforts to move chest wall
  • problems receiving anesthetics during surgery (resistance)
  • Osteoarthriits, degenerative joint disease and gout
  • endometrial, breast, prostate and colon cancers
  • abnormal plasma lipid and lipoprotein levels
  • Menstrual irregularities
  • Gallbladder disease
  • Enormous psychologic burden and social stigmatization and discrimination