stressors and impact on health Flashcards

1
Q

what is stress

A

constellation of events, consisting of stimulus, precipitates a reaction in brain (stress perception), activate physiological fight or flight response

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2
Q

acute stress

A

stress lasts for period of minutes to hours

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3
Q

chronic stress

A

stress that persists for several hours per day, weeks or months

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4
Q

stressors that lead to immunodepression in team sport athletes

A

training load/intensity, competition
international travel
sleep
life stress
adverse environmental conditions

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5
Q

factors contributing to URTI

A

increased exposure to pathogens - lung ventilation, skin abrasions, foreign travel, household illness, crowds more susceptibility to illness
physiological and psychological stress
environmental stress
inadequate sleep/diet
all lead to immunosuppression

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6
Q

what does intensified training lead to

A

state of overreaching, performance is temporarily reduced, following a period of tapering and recovery, super compensation occurs

inadequate recovery, continual decline in immune function, state of immunosuppression, increase period of open window, increasing athletes illness risk

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7
Q

recommendations for intensified training

A

manipulate training volume to manage load
keep size increments and volume to 5-10% per week, especially in winter
implement recovery activities
permit athletes at heightened risk of illness several weeks of active recovery after end of season/major competitions

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8
Q

travel and risk of illness

A

ventilated enclosed environment, hyperbaric hypoxia (1800-2400m), dry humidity and close proximity to others, increasing risk for infection transmission

long haul - disrupt body temp, hormonal circadian rhythms and sleep wake cycles, cause jet lag

desynchronisation of rhythmic immune parameters with travel

mucosal linings dry out, more susceptible to pathogens, keep them moist

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9
Q

travel recommendations

A

seat at front or back of the plane
face mask
probiotics 2 weeks before
hydrated by drinking bottled water
clean your hands, touch points with antimicrobial wipes
sufficient recovery before commencing training/competing
consider circadian variation, strategies to shift circadian phase to new time zone
updated on vaccines

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10
Q

sleep recommendations

A

7 hours or more sleep
regular bed and wake times
avoid restricting sleep over many days or catching up
daytime naps may be beneficial
optimise sleep hygiene - create calm environment 1 hour pres sleep, reduce psychological strain, no devices or screens (blue light)
darkness (melatonin increases in dark)

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11
Q

effect of exercising in hot or cold

A

imposes significant physiological strain
elicits substantial increases in circulating stress hormones

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12
Q

elevations in cortisol and catecholamiens

A

main mediators related to a reduction in number of immune functions
therefore hot or cold conditions invoke greater immune perturbation, higher incidence of URI

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13
Q

cold environments leads to

A

peripheral cooling of nose and upper airways, increase URI symptoms

cooling may inhibit cell trafficking and create suitable environment for viral replication

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14
Q

adverse environments recommendations

A

carefully manage training and recovery with additional heat

acclimatisation to adverse conditions may limit influence of environmental extremes on immune health

extra precautions to avoid long periods of breathing large volumes of cold air, think in winter west face covering to protect airway linings

well hydrated

increase carb intake

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15
Q

psychological stress on infection risk

A

well known and marked influence
same pathways of action as other stressors, reasonable to assume similar result

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16
Q

short term stress

A

can lead to immuno protection - better vaccine uptake

can also get increase immuno pathology - increase pro- inflammatory and autoimmune disease

17
Q

long term stress

A

immuno pathology - pro inflammatory auto immune disease

immuno suppression - less vaccine uptake, decreased resistance to infections cancer

18
Q

stress recommendations

A

monitor athletes daily questionnaires
education around stress management techniques
unnecessary life stress to minimum
sport psychologist