Principles of Exercise Prescription Flashcards
What does FITT-VP stand for?
Frequency Intensity Time Type Volume Progression
What are general considerations for exercise prescription?
- Avoid physical inactivity
- Overuse injury
- Bone Health - Weight bearing or resistance exercises
What are the components of an exercise training session?
- Warm-up
- Conditioning
- Cool-down
- Stretching
How frequently should exercise be performed?
Three to five days per week
- Plateau to benefits is reached at 5 days per week
- Vigorous activity performed >5 days per week may increase incidence of musculoskeletal injury
- Less risk of injury with increased variety of mode– can more safely engage in increased frequency with increased variety in mode
What are the aerobic exercise frequency recommendations?
- Moderate intensity at least 5 d/wk
- Vigorous intensity at least 3 d/wk
- combination of moderate ov vigorous intensity exercise 3-5 x/wk
What are the aerobic exercise intensity recommendations?
- Moderate (40-59% of HRmax) to vigorous (60-<90% of HRmax) intensity for most adults
- Light (30-39% HRmax) to moderate intensity for those who are deconditioned
- Intervals are effective to increase total volume and/or average intensity performed during a session
What are the methods to estimate intensity?
- Preferred methods:
1. Percentage of Heart Rate Reserve (HRR)
2. Percentage of Maximal Oxygen Uptake Reserve (VO2R) - Other methods:
3. Percentage of HRmax (220-age) - Ideal to use the measured HRmax, rather than an estimate
4. Caloric Expenditure
5. Absolute oxygen uptake
6. Metabolic Equivalents (METs)
What RPE represents very light, light, moderate, vigorous, near maximal-maximal intensity?
very light= very light (<9) light = very light- fairly light (9-11) mod = Fairly light-somewhat hard (12-13) vig = Somewhat hard to very hard (14-17) near max/ max = >/= very hard (>/=18)
What %VO2max represents very light, light, moderate, vigorous, near maximal-maximal intensity?
very light = <37 light = 37-45 mod = 46-63 vig = 64-90 near max/ max = >/=91
What is a met?
A MET is an index of energy expenditure.
- comparative ratio of how much more energy is expended during physical activity compared to at rest.
- 1 MET = 3.5 mL/kg/min
What does a MET-min allow for?
Standardization of energy expenditure during PA
- Another method of measure energy expenditure is Kilocalories (kcal), or how much energy is needed to increase the temperature of 1 kg of water by 1 degree Celsius.
- METs can be converted to kcal/min with the following equation: Kcal/min=[(METs x 3.5 ml/kg/min x Body Weight (in kg)) / 1000] x 5
What are current recommendations for duration of exercise?
- MODERATE intensity exercise: 30-60 minutes per day or >/150 minutes per week
- VIGOROUS intensity exercise: 20-60 minutes per day or >/75 minutes per week
- <20 minutes per day can still be beneficial, especially in sedentary
- For weight management, >/60-90 min/d may be necessary
- May be continuous or intermittent (at least 10 minute bouts per session)
- Shorter bouts may still be beneficial in those who are deconditioned
What are the current recommendations for exercise volume (quantity) for energy expenditure?
- > /500-1000 MET-min/week
- Consistent association with lower rates of CVD and premature mortality
- product of freq, intensity, and time
- METmin/ wk x kCal/wk
- dose-response association btwn volume and health/ fitness outcomes
- no min or max dose established
What are the exercise groups for modes of aerobic exercise?
A = endurance activities requiring minimal skill or physical fitness to perform- for all adults B = vig intensity endurance requiring minimal skill - for adults who are habitually physically active and/or at least avg physical fitness C = endurance activities requiring skill to perform - for adults with acquired skill and/or avg physical fitness levels D = recreational sports - for adults with a regular exercise program and at least avg physical fitness
What considerations housed be made for progression?
- Health status
- Physical fitness
- Training responses
- Exercise program goals