Physiology wk11 Flashcards

1
Q

what are the main mortality factors

A

obesity
smoking
low CRF (cardio-respiratory fitness), highest risk
hypertension
high cholesterol
diabetes

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2
Q

immediate benefits of physical activity

A

less anxiety
lower bp
better sleep

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3
Q

long term benefits of activity

A

brain/heart health
cancer prevention
bone strength
balance/co-ord
healthy weight

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4
Q

what does 1 met refer to

A

your resting/relative vo2
3.5ml o2/kg/min

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5
Q

what amount of physical activity needs to occur to see health benefits

A

150-350 mins of moderate intensity
75-150 mins of vigorous intensity

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6
Q

what is the FITT principle

A

freq
intensity
time
type

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7
Q

what is the additional version of FITT

A

fitt-vp, includes volume (freq x intensity x time) and progression

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8
Q

what is an acute response

A

occurs within one or several exercise bouts but do not improve further

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9
Q

what are rapid responses

A

benefits occur early and then plateau

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10
Q

what are linear and delayed gains

A

l - small gains made continuously over time
d - occur after numerous bouts of training

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11
Q

what are the thresholds in terms of mets for different bouts of exercise

A

low - 1.1-2.9 METS
moderate - 3-5.9 METS
high - over 6 METS

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12
Q

why is HIIT better than MICT

A

more body fat loss
higher vo2 peak
lactate threshold
exercise ecnomoy

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13
Q

when is cardiac arrest risk highest

A

in non active ppl but also when completing vigorous activity
working at near 100% vo2

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14
Q

what are the recommendations to solve CRF

A

work at 60-80% vo2
work min 2 days a week

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15
Q

risk factors for chronic diseases

A

genetics - age/sex/race
environmental - physical/socioeconomic/family
behavioral - smoking/diet/inactivity

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16
Q

what % does inactivity have towards major diseases

A

approx 23 and 22% respectively for heart disease and cancer

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17
Q

what is atherosclerosis

A

thickening of inner lining if arteries
causes stroke and heart attack

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18
Q

risk factors for CHD

A

family
smoking
sedentary
obesity
hypertension

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19
Q

what is hypertension

A

blood pressure of higher than 130/80
systolic/diastolic
normal = 120/<80

20
Q

what is post exercise hypotension

A

caused by extenuation of exercise-induced vasodilation
this from exercise paired with lower dose hypertensive meds will help hypertension

21
Q

how does exercise affect hypertension

A

exercise helps blood pressure by lowering resting SBP by 3-10mm Hg and DBP by 2-6 mm Hg

22
Q

what does obesity refer to

A

excess body fat and increased weight, measured using BMI

23
Q

what is at more risk due to obesity

A

CHD
stroke
hypertension
type2 diabetes
cancer

24
Q

why is inflammation so dangerous

A

causes pathological remodeling of blood vessel walls, results in plaque build up
causes vessels to rupture and leads to heart attacks and strokes

25
why is obesity dangerous
promotes inflammation and accelerate disease process can release cytokines that are either inflammatory (IL-6/TNF) or anti-inflammatory (adiponectin)
26
what do statin drugs do
lower LDL-C and CRP reduce cardiovascular disease
27
what does a mediterranean diet cause
includes fruit, legumes, whole grains and olive oil reduced CRP and IL-6
28
how does physical activity help
lower levels of IL-6
29
what is metabolic syndrome
Metabolic syndrome is the medical term for a combination of diabetes, high blood pressure (hypertension) and obesity
30
individuals need 3 or more of what to have metabolic syndrome
over 102(m) or 88 (w) waist cm hypertriglyceride (over 1.7mmol/l in blood) low HDL cholesterol (less than 1 in m and less than 1.2mmol/l w) high bp inability to control blood sugar
31
what causes metabolic syndrome
low grade chronic inflammation increased oxidative stress - increased production of free radicals causing cellular damage
32
how to treat metabolic syndrome
reduce sedentary time increase moderate intensity
33
what are some major differences between type1 and 2 diabetes
type 1: rapid symptoms development of ketoacidosis beta cells destroyed decreased insulin need injections
34
what causes exercise induced hyperglycemia
not appropriate insulin prior to exercise
35
what happens to glucose levels in type1 during exercise
sly increase in liver gly output major increase in muscle glucose uptake lower blood glucose conc
36
signs of type1
frequent urination extreme hunger rapid weight loss, weakness and fatigue irritability/nausea
37
what does high insulin lead to in type1
hypoglycemia -> insulin shock
38
what does too little insulin do to type1
hyperglycemia and ketosis -> diabetic coma
39
how to exercise and lower hypoglycemia odds
altering diet and insulin uptake alter intensity,freq,dur
40
when do you need medical clearance to be active with diabetes
if you want to perform above 60% HRR
41
what problems are associated with high blood glucose
autonomic neuropathy - abnormal hr/bp peripheral neuropathy -pain, weakness, less proprioreception retinopathy - blood pressure abnormalities
42
how to diagnose type 2 diabetes
75g sugary drink consumed blood glucose and insulin levels tested for several hours
43
how to reverse typ2
exercise and diet change if necessary diabetic drugs
44
risks for coronary artery disease
smoking sedentary obesity hypertension dyslipidemia prediabetes
45
what is the link between heart failure and exercise
exercise causes higher quality of life and exercise tolerance whilst decreasing chances of hospitilisation