Lecture 35 Flashcards

Health

1
Q

what is physical activity

A

any movement, by muscles, casing increased energy expenditure (including exercise)

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2
Q

what is exercise

A

physical activity planned, structured and repetitive often for fitness or health

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3
Q

an exercise ‘dose’ reflects …

A

combination of frequency, intensity and time

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4
Q

what is health

A

physical, mental and social wellbeing - not just absence of disease

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5
Q

pattern of a stress or stimulus can determine what

A

whether the outcome is healthy or unhealthy

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6
Q

what are the categories of factors that govern fitness, health and risk of disease

A
  • inherited / biological
  • environmental
  • behavioural
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7
Q

what factors related to fitness are modifiable

A

environment and behavioural

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8
Q

physical activity helps prevent and treat

A

most major diseases and their risk factors

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9
Q

how are dose response relationships differ between people, e.g those with more room to improve

A
  • biggest fitness gain in least fit
  • biggest health gain in least healthy (e.g., BP or glucose)
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10
Q

how does the dose response relationship change between conditions

A
  • lipids require a large PA dose
  • insulin sensitivity doesn’t
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11
Q

high fitness associates strongly lowers risk for

A

lung and colorectal cancers

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12
Q

high fitness associates some reduction for

A

oesophageal and breast cancers

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13
Q

high fitness associates higher risk for

A

malignant melanoma (skin)

also prostate ?

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14
Q

how does physical activity increase cardiac function

A
  • its vasculature and metabolism
  • heart rate, size, contractility, compliance
  • stress protective proteins and antioxidants
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15
Q

how does physical activity decrease TPR (due to vessel number, size and function)

A
  • increased endothelial function
  • increased blood volume
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16
Q

in what ways does physical activity favour autonomic activity

A

increase PNS

decrease SNS

17
Q

how does physical activity normalise the blood glucose profile

A
  • increase uptake independently of insulin during and after exercise
18
Q

what else does physical activity normalise in the blood

A
  • blood clotting mechanism
  • blood lipid profile
19
Q

physical activity increases brain … (3)

A

increases brain blood flow and its control

increases brain derived neurotrophic factors

increases brain glucose sensitivity

20
Q

how is cognitive function increased due to physical activity

A

increased brain blood flow and control

21
Q

how many NZ adults are ‘physically active’ - meaning they accomplish the activity guidelines

A

fewer than half of NZ adults

22
Q

what is the physical activity in non maori compared to maori like

A

similar

23
Q

what is the population attributable risk

A

the proportion of a disease incidence that is due to exposure to that risk factor

24
Q

what is the largest population attributable risk for coronary heart disease even though it has similar relative risk as primary risk factors

A

physical inactivity because this is what widely affects the population

25
Q

mortality from coronary heart disease is decreased by what % from activity

A

mortality decreased by 25%

26
Q

what is pre hypertension considered

A

blood pressure above 120/80

27
Q

what is stage 1 hypertension

A

blood pressure greater than 130/90

27
Q

how does hypertension develop

A
  • increased sodium
  • change in vascular structure
  • increase in SNS and chronic inflammation
28
Q

what is the acute effect of exercise on hypertension

A

large decrease after exercise

28
Q

what is the chronic benefit to exercise on hypertension

A

comparable to pharmacological

28
Q

what is the evidence like for the value of physical activity for coronary heart disease

A

strong