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
Clinical Depression (3)
- considered a mental illness clinical condition
- treated with medication
- physical inactivity has been shown to be related to higher levels of depression
What are some features of exercise programs that alleviate depression? (3)
- enjoyable
- no competition
- self-paced
Anxiety
excessive worry over prolonged periods causing distress that interferes with everyday life
What are some personal barriers to physical activity? (3)
- demographics (age or sex)
- cognitive variables (thinking they are too old or fat)
- bad habits
What are some environmental barriers to physical activity?
- cultural norms within ethnic groups
- lack of effective role models
- characteristics of physical activity offered
What are some strategies for enhancing adherence to exercise? (3)
- environmental approaches
- reinforcement approaches
- social support from significant other
Environmental Approaches
prompts, contracting, perceived choice of exercise
Reinforcement Approaches
rewards for attendance and participation
Social Support from Significant Others
others joining in and providing motivation
What can negative addictions to exercise cause?
cause negative life choices and relationship issues
What are symptoms of negative exercise? (3)
- withdrawal
- awareness of compulsion
- increase priority of exercise
Digestive System
group of organs involved in digestion of food
Ingestion
act of taking food into body
Digestion
chemical and mechanical breakdown of food into nutrient molecules
Mouth (2)
- site of mechanical and chemical digestion
- digestion begins in mouth
Mechanical Digestion in the Mouth
chewing of food
Chemical Digestion in the Mouth
saliva with enzyme molecules breaking down food
Esophagus
receives bolus from mouth and uses peristalsis to transport food into stomach
Stomach (2)
- hollow, muscular digestive organ made of rugae, mucosa, and lumen
- does mechanical and chemical digestion
Rugae
inner folded layer
Mucosa
protective lubricant made by mucous membrane
Lumen
hollow space for mechanical and chemical digestion
How does the stomach mechanically digest food?
muscle contractions mix bolus into chyme and empty into small intestine
How does the stomach chemically digest food?
gastric juice with hydrochloric acid breaks down food and activates digestive enzymes
Small Intestine (2)
- further digests food and absorbs nutrients
- composed of duodenum, jujenum, ileum, villi, and microvilli
What is the function of the duodenum?
chemical digestion
What is the function of the jejunum and ileum?
nutrient absorption
Villi and Microvilli
small finger-like structures that increase surface area for nutrient absorption into blood
Liver
organ that assists with metabolism, digestion, detoxification, and elimination of substances from body
What are the functions of the liver? (2)
- produces and secretes bile into small intestine
- production of lymph for the transport of fat
Gallbladder
stores and releases bile
Pancreas
produces digestive enzymes that are secreted into upper part of small intestine and hormones
What are functions of the pancreas? (2)
- make enzymes that help with digestion
- makes hormones to control blood sugar
Large Intestine
roles in water balance and vitamin absorption
What are functions of the large intestine? (3)
- absorb water and electrolytes
- main site of solid feces production
- stores feces until discharged by intestinal muscle movements
Enzymes
proteins that speed up chemical reactions
Digestive Enzymes
enzymes that break down carbs, fats and proteins into small, absorbable molecules
What are digestive enzymes secreted from? (5)
- salivary glands
- stomach
- pancreas
- liver
- small intestine
What conditions must an enzyme have to function best? (2)
- optimum temperature
- optimum pH
What is the optimum pH for digestive enzymes of the mouth?
5.5 - 7.5
What is the optimum pH for digestive enzymes of the stomach?
1.0 - 4.0
What is the optimum pH for digestive enzymes of the small intestine?
6.0 - 8.0
What enzymes break down carbohydrates? (2)
- salivary amylase
- pancreatic amylase
Salivary Amylase
speeds up breakdown of complex carbs such as starch and glycogen in mouth
Pancreatic Amylase
secreted into upper part of small intestine to speed up breakdown of complex carbs
What enzymes break down proteins? (2)
- pepsin
- trypsin
Pepsin
breaks down proteins in stomach
Trypsin
breaks down proteins in small intestine
Emulsification
fat is dispersed into small globules using bile from liver
What enzyme breaks down fats?
lipase
Lipase
produced by pancreas and secreted into small intestine to digest fats into fatty acids
What is the process of absorption in the small intestine? (5)
- move through the brush-border membrane (microvilli center increase surface area for absorption)
- pass through cytosol of absorptive cells
- pass through basolateral membrane
- glucose and amino acids enter the capillary network to get to blood
- fats enter lymphatic system then blood
Why is water essential? (3)
- it is a medium for chemical reactions
- it regulates body temperature
- it transports nutrients to cells and wastes from cells
How much of total body mass is water?
50 - 70%
What is the ratio of fat to water relative to total body mass in obese people?
there is more fat contributing to mass rather than water
What is the ratio of fat to water relative to total body mass in trained athletes?
there is more water contributing to mass rater than fat
Intracellular fluid
inside cells, 45% of body water
Extracellular fluid
outside cells, 55% of body water
What are examples of extracellular fluids? (3)
- saliva
- blood plasma and lymph
- fluid in eyes
How is water homeostasis (balance) maintained?
by monitoring variables and making changes as necessary using negative feedback
What does the body do in response to too much water?
bladder fills and signals urine release
What does the body do in response to too little water? (2)
- water is retained
- we perceive thirst
How is water replaced in the body? (3)
- ingestion of food
- drinking fluids
- metabolism
How does the brain respond to low body fluid levels? (3)
- receptors in the hypothalamus are stimulated
- leads to increased thirst
- leads to stimulation of pituitary gland to release ADH
What happens when ADH acts on the kidneys? (2)
- increases water permeability of renal tubules and collecting ducts
- leads to increased reabsorption of water
osmolarity
amount of dissolved solutes in a solution
In how many steps does the kidney the maintain water balance?
5
What are the steps that the kidney maintains water balance?
- glomerulus filters out large proteins from water and electrolytes in blood
- filtered fluid moves into the descending loop of Henle
- water is lost from descending loop of Henle to medulla
- salt is lost from the ascending loop of Henle to medulla
- water is reabsorbed by body from the collecting duct
Glomerulus
bundle of capillaries
Loop of Henle (5)
- medulla tissue has a high osmolarity
- wall of descending loop if permeable to water, but not salts
- water is absorbed passively into medulla
- wall of ascending loop is permeable to salts, but not water
- salts are actively pumped out of ascending loop into medulla
ADH (2)
- regulates how much water is lost from the collecting duct
- increases permeability of collecting duct walls
What does is mean when blood osmolarity is increased?
increased sodium concentration
How does ADH maintain water balance when sweating? (5)
- increased blood osmolarity stimulate hypothalamus
- causes pituitary gland to secrete ADH
- ADH ats on kidneys to increase reabsorption of water
- increases permeability of collecting ducts to water
- less water is eliminated
How is hydration status monitored? (2)
- body mass monitoring
- urine analysis
body mass monitoring
mass is measured before and after training and drinking behavior recorded
urine analysis
monitor urine concentration using color, specific gravity, osmolarity
Why must water intake be increased during training?
to compensate for dehydration, heat exhaustion, or heat stroke
Heat stroke
body loses ability to cool
What are consequences of heat stroke? (3)
- organs swell
- heart stops
- brain shuts down
What happens to electrolytes during exercise?
sweating during long exercise causes electrolytes to be lost
How are electrolytes retained or replenished? (2)
- electrolyte regulatory hormone is released (ADH)
- drinking proper amounts of electrolytes in drinks
What are the three routes the body expends energy? (3)
- basal metabolic rate
- thermic effect of feeding
- thermic effect of activity
Basal Metabolic Rate
rate of metabolism under standard conditions
Thermic Effect of Feeding
energy needed to digest food and to absorb, transport and store the nutrients from it
Thermic Effect of Activity
energy used in any type of physical activity
Where is energy acquired from?
food
Why do we have energy stores?
to make ATP
How is energy stored for each macromolecule? (3)
- fats in adipose tissue
- carbs in muscle and liver
- proteins are not used often
Body composition (2)
- fat mass
- fat free mass
Lean Body Mass
all body mass minus nonessential fat
How is body composition measured? (2)
- fat calipers
- bioelectrical impedance
Bioelectrical Impedance
electricity flows easier through muscle with increased water content, there is less impedance through fat
What is variation in FM and FFM based on? (4)
- gender
- diet
- level of physical activity
- sports
Why are endurance athletes leaner? (3)
- weight bearing tasks are demanding for those with a high percentage of body fat
- too much much muscle mass is a lot to carry
- body fat limits endurance and movement through space
Why do strength and power athletes tend to be muscular?
higher amounts of fat contribute no strength and can limit speed
What is essential to bone health?
weight bearing exercise
How can fat free mass be increased? (2)
- strength training causes muscle hypertrophy with positive energy balance
- need adequate protein intake
How can fat mass be decreased? (4)
- low carb diets to decrease insulin secretion and induce ketosis
- high fiber foods to enhance satiety
- creatine monohydrate
- increase high intensity exercise
What are dietary practices to change body composition? (4)
- gaining muscle mass
- reducing body fat
- dehydration
- carb loading
Dehydration (as a method of reducing body composition)
some restrict food and fluid intake to temporarily achieve a lower body mass for a weight advantage
Carb Loading (2)
- eating carbs before competition maximizes glycogen stores
- used to delay fatigue
How do athletes lose electrolytes?
sweating
What does drinking fluids with carbohydrates allow for?
providing glucose that can be taken up by muscles and used for ATP
Sodium (4)
- the major ion lost in sweat
- the major electrolyte in the extracellular fluid
- maintains transmembrane electrical and chemical gradients
- stimulates glucose absorption
ergogenic aid
technique or substance used for the purpose of enhancing performance
What are examples of ergogenic aids? (3)
- sports drinks
- bars
- gels
What are some nutritional ergogenic aids in sports? (3)
- caffeine
- creatine
- bicarbonate
What is the mechanism of caffeine as an ergogenic aid? (3)
- CNS stimulant
- reduces discomfort and effort
- increases force
What is the benefit of caffeine as an ergogenic aid?
increase exercise performance at a range of intensities
What is the adverse reaction of caffeine as an ergogenic aid? (2)
- anxiety
- insomnia
What is the mechanism of creatine as an ergogenic aid? (2)
- increases muscle creatine content
- increases PCr resynthesis and muscle anabolism
What is the benefit of creatine as an ergogenic aid?
benefits strength, power, and sprinting
What is the adverse reaction of creatine as an ergogenic aid?
increased body mass
What is the mechanism of bicarbonate as an ergogenic aid?
increased burning tolerance to lactic acid
What is the benefit of bicarbonate as an ergogenic aid? (2)
- continue anaerobic high-intensity exercise for longer
- increased performance
What is the adverse reaction of bicarbonate?
gastrointestinal upset
Why must proteins be consumed daily? (2)
- the body has no storage capacity for protein
- proteins are constantly broken down into amino acids and resynthesized into proteins for various functions
What is the recommended intake of protein for adults?
0.8 gram/kg of body mass per day
What are good sources of protein? (2)
- meat and fish
- nuts
Who must protein intake increase for? (4)
- growing children
- people recovering from illness
- breastfeeding mothers
- those engaged in training
What are protein needs for olympic weightlifters? (2)
- protein intakes consumed at three to four meals will maximize muscle protein synthesis
- the best time for protein ingestion is after training for microscopic muscle repair
Glucose (3)
- carbohydrate
- primary fuel for activity
- stored in the body as glycogen
Type 1 Muscles (3)
- endurance activities require more ATP for fibers to contract longer
- more mitochondria
- lower glycogen content
Type 2A Muscles (3)
- high intensity activities require fast contraction with high muscle forces so anaerobic glycolysis is used
- less mitochondria
- medium glycogen content
Type 2B Muscles (2)
- maximum effort also requires anaerobic glycolysis for increase in speed and force
- high glycogen stores
What is a training strategy that can be used before a competition?
- 7-4 days prior to event low carb diet to increase glycogen synthase activity
- allows for minimal insulin releases
- beneficial for endurance
Tapering
reducing intensity and duration of workout 1 week before an important competition
What are the benefits of tapering? (4)
- increases amount of glycogen available for muscles
- keeps adaptations and eliminates fatigue and muscle soreness
- increases blood volume and red blood cell count
- improve performance
Glycemic Index
ranking system for carbohydrates based on how quickly food increases blood glucose levels
What should diet be like after competition?
high GI index foods
What is the benefit of a low GI diet?
low GI foods take longer to digest and raise blood sugar levels more slowly