Options C & D Flashcards
Habitual Physical Activity
any regular movement associated with energy expenditure
Exercise
physical activity that is planned, purposeful, and meant to improve physical fitness
Sport
organized activity with rules and competition
Physical Fitness
determination of health and sometimes skill
Hypokinetic Disease
disease associated with a lack of physical activity
What are some examples of hypokinetic disease? (3)
- coronary heart disease
- obesity
- type 2 diabetes
Epidemiology
branch of medical science that studies occurrence, transmission, and control of epidemic diseases by studying large groups of people
Disease Prevalence
estimates how common a particular disease is
What are some societal changes that lead to hypokinetic disease? (3)
- introduction of motor vehicle
- changes in employment
- changes in diet
How has the introduction of the motor vehicle led to more hypokinetic disease?
there is now more sitting
How have changes in employment led to more hypokinetic disease?
jobs are more office based leading to increasing sedentary bouts
How have changes in diet led to more hypokinetic disease?
increase in fast food resulting in higher saturated fats and sugars
Cardiovascular Disease
term given to a group of disorders of the heart and blood vessels
What are examples of cardiovascular disease? (3)
- hypertension
- coronary heart disease
- stroke
Coronary Heart Disease
develops when the arteries of the heart cannot deliver enough oxygen-rich blood to the heart
Coronary Circulation (3)
- circulation of blood in vessels that supply heart muscle
- coronary arteries supply oxygenated blood to heart
- cardiac veins drain away deoxygenated blood
Right Coronary Artery
supplies oxygenated blood to right side of heart
Left Anterior Descending Artery
supplies oxygenated blood to left side of heart
Coronary Artery Disease
heart’s arteries can’t carry needed oxygen & nutrients to itself due to arteries being damaged, diseased, or blocked
Atherosclerosis (2)
- accumulation of fat, cholesterol, and other substances in artery walls forming hard structures called plaques
- narrowing of arteries
What can atherosclerosis lead to? (2)
- heart attack
- stroke
Heart Attack
blood clot around a broken plaque blocks blood flow to heart causing death of heart muscle
Stroke
blockage in a blood vessel carrying oxygen/nutrients to brain is blocked causing death to brain tissue
What are heart disease risk factors? (4)
- smoking
- sex
- diabetes
- race
Why is smoking a risk factor for heart disease?
damages blood vessels
Why is sex a risk factor for heart disease?
estrogen is cardioprotective
Why is diabetes a risk factor for heart disease?
damages blood vessels and nerves that supply heart
Why is race a risk factor for heart disease?
rates of heart disease are higher in African-Americans
Metabolic Syndrome (2)
- conditions occurring together that increase the risk of heart disease, stroke, and type 2 diabetes
- the proportion of sedentary time is strongly related to metabolic risk
What types risk factors for cardiovascular disease are physically inactive people likely to have? (4)
- high blood pressure
- low HDL-cholesterol
- type 2 diabetes
- obesity
What precautions should physically inactive people take to reduce risk of heart disease? (2)
- reduce sedentary activity
- increase regular physical activity
How does habitual exercise lower coronary heart disease risk? (3)
- increasing the size of the coronary arteries and making them less likely to get blocked
- improving the ability of arteries to vasodilate to increase blood supply
- help to maintain high levels of HDL-cholesterol which removes excess cholesterol from the body
Obesity
excess of body fat so that health is endangered
How is obesity indirectly measured? (2)
- BMI
- waist circumference
BMI equation
weight/height^2
What are some consequences of obesity? (3)
- cardiovascular disease
- hypertension
- type 2 diabetes
How is cardiovascular disease a consequence of obesity?
pro-inflammatory cytokines produced by adipose tissue induces cardiac dysfunction and promote atherosclerotic plaques
How is hypertension a consequence of obesity?
obesity activates the sympathetic nervous system and the renin-angiotensin system
How is type 2 diabetes a health risk of obesity?
obesity causes increased levels of fatty acids and inflammation, leading to insulin resistance
Energy Balance
balance of energy intake compared to energy expenditure
Energy Expidenture
combination of basal metabolic rate and physical activity
What is the energy balance formula for weight gain?
energy intake > energy expenditure
What is the energy balance formula for weight loss?
energy intake < energy expenditure
What is the energy balance formula for stable weight?
energy intake = energy expenditure
How can stable energy balance be maintained?
through having a physically active lifestyle
What is energy balance affected by? (3)
- food intake
- resting metabolic rate
- physical activity
What does decreased energy intake lead to?
↓ metabolic rate & energy pay out
What does increased energy intake without exercise lead to?
weight gain and increased metabolic rate
What controls appetite regulation? (2)
- hormones (leptin and ghrelin)
- they pass to appetite control center in brain that regulates feelings of hunger and satiety
Where are hormones produced after eating? (2)
- stomach
- small intestine
Leptin (4)
- inhibits hunger
- secreted by fat cells and works on brain
- affected by stress and sleep
- plays major role in hypertension and cardiovascular disease
Ghrelin (3)
- promotes hunger
- secreted by cells of stomach when stomach is empty or stretched
- works on the brain
Diabetes (2)
- disease characterized by elevated blood glucose concentrations
- occurs when your body doesn’t use insulin properly or does not make enough insulin
Insulin
hormone made in your pancreas that signals the movement of glucose into cells for ATP production
Type 1 Diabetes (3)
- individuals with type 1 diabetes don’t produce insulin
- caused by autoimmune destruction of beta cells in pancreas
- occurs before 40
How can type 1 diabetes be treated?
injections of insulin to control blood glucose
Beta Cells
pancreatic cells that produce insulin
Type 2 Diabetes (4)
- insulin resistant diabetes
- cells can’t recognize insulin or effectively import glucose
- preventable disease
- occurs in overweight adults over 40
How can type 2 diabetes be treated? (2)
- diet and exercise
- oral medication or insulin
What are risk factors for diabetes? (3)
- obesity
- physical inactivity
- diet high in saturated fats and sugars
What are some health effects of diabetes? (3)
- blindness
- kidney disease
- nerve damage
How can blindness be a consequence of diabetes?
excess blood glucose damages capillaries of the retina and causes cataracts
How can kidney disease be a consequence of diabetes?
excess glucose damages blood vessels in kidneys that filter waste from blood
How can nerve damage be a consequence of diabetes?
excess glucose damage capillaries to nerves
Bone density (4)
- amount of minerals in a certain volume of bone
- determines bone strength
- increase from birth to 35-45 years of age, then decreases
- females have lower peak density than males
Osteoporosis (2)
- progressive disease resulting in decreased bone mass and density
- causes increased fragility and susceptibility to fracture
What are risk factors for osteoporosis? (3)
- increased age
- sex
- diet
How is sex a risk factor to osteoporosis?
women are increased risk as bone density drops rapidly with estrogen after menopause
How is diet a risk factor for osteoporosis?
the body needs calcium and vitamin D or it is taken from the bones
What are consequences of osteoporosis? (2)
- increased fragility
- increased susceptibility to fracture
What can osteoporosis cause? (3)
- disability
- reduced quality of life
- financial and psychosocial consequences
What factors influence the development of osteoporosis? (2)
- peak bone mass as a young adult
- rate of bone loss with ageing
What can improve bone health in children and adolescents?
increased physical activity
What type of lifestyle is associated with osteoporosis?
sedentary
How is weight-bearing exercise essential for bone health? (3)
- increases bone density
- specific to bones involved in exercise
- resistance training gives greater changes in bone density than endurance training
What can overly intense training give rise to? (3)
- low body weight
- eating disorders
- gives rise to menstrual dysfunction and bone demineralization
What are the exercise recommendations for people ages 5-17?
- 60 minutes of aerobic activity per day
- 3 days with intense activity
- 3 days should include muscle and bone strengthening
What are the exercise recommendations for people ages 18-64? (3)
- 150-300 minutes of moderate activity per week
- aerobic activity sessions should be at least 10 minutes
- muscle strengthening for two or more days
What are exercise recommendations for people ages 64+? (4)
- 150-300 minutes of moderate activity
- aerobic activity session should be at least 10 minutes
- muscle strengthening for two or more days
- adults with poor mobility do activity to enhance balance and prevent falls 3 or more days per week
What are the aims of exercise in people with hypokinetic disease? (3)
- alleviate symptoms
- reduce need for medication
- reduce risk of disease recurrence
What are barriers to physical activity? (3)
- uncontrolled disease
- existing musculoskeletal injuries
- triggering other health issues
Mood
state of emotional arousal of varying duration
What is exercise mentally useful for? (3)
- reducing tension, fatigue, anger
- improving sleep quality
- enhancing self-esteem
What are the psychological mechanisms of mood enhancement? (3)
- feeling of success
- positive social interactions
- improved self-esteem
What are the physiological mechanisms of mood enhancement? (3)
- increases blood and oxygen supply to brain
- reduces muscular tension
- increases neurotransmitters (endorphins and serotonin)
Endorphin
pain relief and feelings of well-being
Serotonin (2)
- increases feelings of well-being
- deficiencies contribute to anxiety and depression