midterm 1 Flashcards
if you want to do one thing to improve your health what should you do?
regular physical activity, avoiding excessive sitting, proper nutrition, avoiding addictive behaviour
what are the three components that determine our health and longevity?
- environment, behaviour, genetics
- only environment and health behaviours are controllable factors
what is the difference between allostasis and homeostasis ?
allostasis helps the body to adapt to changes in the environment, homeostasis works to maintain a balance for the conditions in the body
what are the big six factor of death related to lifestyle choices?
- smoking
- high blood pressure
- high body mass index
- physical inactivity
- high blood sugar
- high total cholesterol
What is the recommended amount of moderate intensive physical activity MIPA and Vigerous intensive physical activity one should do in a week?
150- MIPA
75 min- VIPA
what are some long term adaptions for ET- exercise ?
- maintain “youthful” left ventricular compliance and distensibility- more blood can pump out of heart and more blood into the heart
- reduce central arterial stiffness
- reduce central blood pressure
What are some complication for too much exercise?
-accelerated coronary artery calcification
(calcium buildup within the walls of the arteries)
- Myocardial fibrosis (increase in the collagen volume of myocardial tissue)
- partial fibrillation ( irregular heath rhythm (arrhythmia) due to electrical signals disturbances in the heart)
- higher rise of sudden cardiac death
how does exercise help brain function?
- increases blood flow to the brain
- facilitates removal of metabolites
- preventing the build up of plaques
- prevent dementia and Alzheimer’s later in life
- release of the protein-deprived neurotrophic factor (strengthening connections between brain cells)
- increases dopamine, glutamate, norepinephrine and serotonin
what does sitting disease cause?
- firstly it is a prolonged sitting over 4 hours a day
- increased disease risk: even for individuals who exercise 5 times/week for 30 minutes/session
- metabolic problems such as reduced insulin sensitivity and increased abdominal fat
what is the solution to Sitting disease or inactivity in one’s life?
increase NEAT and reduce sedentary lifestyle
- stand and move after every 30 minutes of inactivity
take intermittent 5-minute breaks for every half hour of uninterrupted sitting
- 1000 steps per day
what is NEAT stand for?
non-exercise activity thermogenesis
is known under a new category of movement
what is exercise?
requires planned, structured, and repetitive bodily movement
- improves or maintains one or more components of physical fitness
what is physical activity (PA)
bodily movement produced by skeletal muscles requires energy expenditure
-light, moderate to vigorous PA
examples of health-related fitness?
- ability to perform activities of daily living without undue fatigue
- cardiorespiratory or aerobic edurance
- muscular fitness (which refers to muscular strength and endurance)
- muscular flexibility
- body composition
what is skill-related fitness
fitness components important for success in skillful activities and athletic events
- agility and balance
- coordination and reaction time
- speed and power
required for general health promotion and wellness
what are examples of light PA ?
uses <150 calories/day
- walking to and from work, taking stairs, and household chores
what are examples of moderate PA?
uses 150 calories/day or 1000 calories/week
- brisk walking or cycling and raking leaves
What are examples of vigorous PA ?
requires > 6 METs energy per day
- sports and exercise
What is MET?
amount of/unit of energy people consume
what are the two types of external obstacles to healthy behaviour?
physical and social obstacles in the environment
- these obstacles promote unhealthy practices and social norms called anchor points
what are anchor points?
anchor points are social norms that individuals use as a reference when considering a new behaviour
- just because everyone else does it
- going lunch 12
- social norms trends that they are going to take cars everywhere
what are some examples of anchor points?
lack of sidewalks, bike lanes
- unhealthy choices in grocery stores
- classrooms and workplaces built for sitting
- uninterrupted sitting while watching tv
what part of the brain forces us to create habits and practice what we enjoy?
basal ganglia
what does substantia nigra / basal ganglia/striatum release?
dopamine, thoughts, emotion, movement-related
what is dopamine?
- gives us sensation of pleasure, and happiness, and contributes to our movement
what fights against basal ganglia in the brain?
the prefrontal cortex- planning, changing core values and overruling instant reward as we seek long-term gratification
what is the prefrontal cortex responsible for?
- reminding us who we are
-it puts a brake on impulsive behaviour - predicts likely outcomes based on prior experience
- serotonin is released
healthy levels of serotonin, the confidence chemical, is critical for delayed gratification
what are the 4 theories of behavioural change?
- learning theories (increased knowledge of obesity)
- problem-solving model (for example reducing BP changing habits and reduce BP it will be rewarding )
- social cognitive theory - behaviour change is influenced by the environment and personal factors. (family and friends)
- relapse prevention model - people are taught to anticipate high-risk situations and develop action plans to they won’t happen again
What do the SMART goals stand for?
Specific
measurable
acceptable
realistic
time specific
why does body composition matter?
establishes the risk for premature illness and death is increased for overweight or underweight individuals
what is the calculation of BMI?
weight (kg)/height(m) squared
what is an obese range of BMI
> 30kg/m2
what is underweight BMI?
<BMI 18.5 kg/m2
what is overweight BMI?
25.0 to 29.9 kg/m2
what are some limitations of BMI?
- one does not associate fat mass (fat) with fat-free mass (muscle on the bone)
- is the fat mass located around the heart, around the abdomen, visceral, internal, or subcutaneous
what does BMI have that other ways of seeing fat don’t?
direct relationship with cardiovascular diseases, high BMI higher risk of cardiovascular diseases etc…
- linear relationship
define obesity?
body mass index of 30 kg/m2 or higher is used to identify obesity
- obesity is the result of complex relationships between genetic, socioeconomic, and cultural influences
what are the two different types of obesity that tell us where people most commonly store fat?
android obesity - fat stored in the trunk of or abdominal area more common in males
gynoid obesity- fat stored around the hips and thighs
more common in females
what is the two-component (dimension) model
fat+fat free mass ( don’t say whether it is muscle, bone, or muscle) body component
- limitation we don’t know what fat-free mass is bone density, water, or muscle
- more precise than BMI
what are the assumptions in the two-component model for body composition?
- the density of Fat for everyone is = 0.9
- not true some people it’s dense some people it is loose - Density of Fat-free mass= 1.11
- not true density of bone more than protein - densities of the various tissues composing FFB (fat-free mass) are constant within an individual
- densities of fat and FFB components are the same for everyone
- Individuals in society are compared to the reference body only in the amount of body fat
- does not consider different ethnic backgrounds or females and males
what is the multi-component model of body composition?
- eliminate systematic error
- measure %water and % bone mineral density
- puts body mass into water, fat mass, protein mass
- reference model/method (gold standard test)
- population-specific reference and formulas predict from age, sex, ethnicity
what is essential fat?
needed for normal physiological function
- found within tissues such as muscles, nerve cells, bone marrow, intestines, heart, liver and lungs
what is storage fat?
stored in adipose tissue
- subcutaneous fat
- visceral fat
what is subcutaneous fat?
found just beneath the skin `
- assists in releasing beneficial hormones, suppressing appetite, burning stored fat, and increasing insulin sensitivity
- NOT BAD creates insulin activity
what do males have more compared to women in terms of body comp?
more muscle
what do females have more compared to men in terms of body comp?
essential fat
what do females and males have in common in terms of body comp?
storage fat
- bone marrow density is almost the same slightly higher for males
what is visceral fat?
found around the major body organs
- also known as intra-abdominal fat
- poser greater health risk for disease than subcutaneous fat
- metabolizes into fatty acids more readily than subcutaneous fat
- regular exercise leads to a significant reduction of visceral fat
what are the functions of storage fat?
stores calories when needed
- releases hormone that controls metabolism
- helps in retaining body heat
- acts as padding against physical trauma
subcutaneous right under the skin or visceral fat around organs
- calorie, helps with energy
- important to release hormones for appetite and metabolism
- more storage fat surplus appetite keeps you from eating too much
- helps maintain heat