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KIN 3535 Exam 2 Papadopolous Practice Test
- Warm up/initiation
- Conditioning
- Cool down
Components of exercise training session
- Before or after conditioning phase When should flexibility exercise (stretching) be added into an exercise session
- Warms body muscles Recommended to perform light to mod- erate activities Decreases injury
- HITT sessions of 15 - 20 mins SIT sessions 10 or less mins
- ~6 mins so blood pressure can return to normal
Warm up phase
Conditioning phase
Cool down phase
- Multiply METs by 3.5 to get VO2max How do we estimate the absolute intensity of exercise
- %HRR %VO2R %HRmax %VO2max %METs
What are the methods of estimating relative intensity of exercise
- [(HRmax — HRrest) × % intensity desired] HRR method
- [(VO2max− VO2rest ) × % intensity de- sired] + VO2rest
VO2R method
- HRmax x % intensity desired HRmax method
KIN 3535 Exam 2 Papadopolous Practice Test
- VO2max x % intensity desired VO2max method
- [(VO2max) /3.5 mL/kg/min] × % intensity MET method desired
- Frequency x Intensity x Duration of the exercise session
Exercise volume
- Hypertrophy an increase in the size of a muscle or increase in the muscular cross-sectional area
- DXA scan - gives lean body mass Ultrasound - see specific muscles and thickness
How do we measure muscle hypertrophy
- Motor unit motor nerve or nueron along with the muscle fibers that are innervated with the nerve or neuron.
- Power The product of force and velocity
- Neural adaptations Rapid improvements in muscular fitness of un- trained individuals are likely attributed to.
- 2; 48 For novice trainers, each major muscle group should be trained at least days per week with a minimum of hours between training sessions for the same muscle group
- Concentric Type of contraction in which the muscle is shortening
- Coactivation
in reach and range of motion as the movement is repeated several times
- Static stretching involves slowly stretching a muscle/tendon group and holding the position for a period of time. can be active or passive
- Active stretching involves holding the stretched position using the strength of the agonist muscle as is com- mon in many forms of yoga
- Passive stretching involves assuming a position while holding a limb or other part of a body with or without the assistance of a partner or device
- Proprioceptive neuromuscular facilita- tion (PNF)
isometric contraction of the selected mus- cle/tendon group followed by a static stretch- ing of the same group
- Neuromotor exercise training involves motor skills, such as balance, coor- dination, gait, and agility, and proprioceptive training.
- Metabolic heat production the rate of transformation of chemical energy into heat
- Radiation Conduction Convection Evaporation
- Metabolic heat Environmental heat (radiation + conduc- tion + convection)
We lose heat through
We gain heat through
- Radiation Heat loss or gain through electromagnetic waves
- Conduction Transfer of heat from our body to an object through direct contact
- Convection Transfer of heat to or from water or air
- Evaporation Increase in blood flow to skin produce sweat, conversion of water to gases.
- Receptors in the skin and core detect en- How is body temperature regulated with heat? vironmental temperature and send sig- nals to the Hypothalamus
- Hypothalamus Which part of the brain acts as a thermostat
- Vasodilation & sweating Hypothalamus responds to heat with?
- Vasoconstriction shivering Catecholamine release Thyroxin release
- Evaporative heat loss increase Convective loss increases slightly Radiative loss is constant
- Temperature of the environment Rate of heat production
Hypothalamus responds to cold with?
Heat dissipation during exercise in a cool en- vironment
Sweat rate increases proportionally to:
- Hyperthermia Elevated internal body temperature
- If metabolic heat > heat loss When will you see hyperthermia develop
- DO NOT Those with exertional heat exhaustion DO/DO NOT have hyperthermia?
- Heat exhaustion The incapacity to perform exercise in the heat due to a combination of factors, such as car- diovascular insuflciency, hypotension, energy depletion, and fatigue
- Exertional heat stroke Caused by hyperthermia, profound CNS dys- function, multiple organ system failure that results in delirium, convulsion, or coma.
- Exertional heatstroke Symptoms are: Disorientation, dizziness, ir- rational behavior, apathy, headache, nausea, vomiting, hyperventilation, wet skin
- Exertional Heat Exhaustion Low blood pressure, elevated heart rate and respiratory rates, skin is wet and pale, headache, weakness, dizziness, decreased muscle coordination, chills, nausea, vomiting, diarrhea
- Heat Syncope Heart rate and breathing rates are slow; skin is pale; patient may experience sensations of weeakness, tunnel vision, vertigo, or nausea before syncope
- Exertional Heat Cramps Begins as feeble, localized wandering spasms that may progress to debilitating cramps
- Acclimation Fitness Clothing
Factors that influence the risk of heat illness
Environmental Humidity Metabolic Rate Environmental Temperature Wind Hydration
- Warm/hot THR is achieved at a lower absolute workload when exercising in a environment
- Heat acclimitazation The improvement in heat tolerance that comes from gradually increasing the intensity or du- ration of work performed in a hot setting
- Increase plasma volume No change in plasma electrolytes Lower exercise HR Lower body temperature Earlier onset of sweating and greater sweat rate Lower lactate during submaximal exer- cise Decreased use of muscle glycogen Improved exercise performance
Heat acclimatization results in:
- Hypothermia Develops when heat loss exceeds heat pro- duction causing a negative heat balance (core temp <35 C)
- Wind Chill temperature (WCT) integrates wind speed and air tempature to provide an estimate of cooling power of the environment
- Gangrene
breath, cough often with blood-tinged spu- tum. Precedes AMS
- Altitude acclimitization, adequate hydra- Preventative measures for HAPE tion
- Ataxia Uncontrolled movements and muscle contrac- tions
- Hyperbaric therapy Breath in 100% oxygen in a pressurized envi- ronment
- 7.35-7.45 What is the normal range our pH should be
- Alkaline If pH increases it becomes more
- Acidic If pH decreases it becomes more
- Decreases = Acidosis When CO2 increases what happens to pH
- Increases = Alkalosis When CO2 decreases what happens to pH
- Genomic instability Telomere attrition Epigenetic alerations Loss of proteostasis Deregulated nutrient sensing Mitochondrial dysfunction Cellular senescence Stem cell exhaustion Altered Intercellular communication
Hallmarks of aging
- Age related physiological changes in the brain
Decereased Neurogenesis Increased Neurodegeneration Increased cognitive alterations
- Decreased maximal cardiac output Increased Blood pressure Decreased blood volume Decreased Endothelial function Decreased Autonomic function Decreased vagal tone
- Decreased ventilation Decreased gas exchange
- Decreased muscle strength, endurance, quality, mass Decreased muscle protein synthesis Decreased balance and mobility Decreased motor performance Decreased flexibility and ROM
- Decreased Bone mineral density Increased regional adiposity Decreased Resting metabolic rate Decreased fat oxidation
Age related physiological changes in the car- diovascular system
Age related physiological changes in the pul- monary system
Age related physiological changes in the Mus- culoskeletal system
Other age related physiological changes
- Frailty A biologic syndrome of decreased reserve and resistance to stressors, resulting from cumu- lative declines across multiple physiologic sys- tems, and causing vulnerability to adverse out- comes
- Deregulated nutrient sensing
- Malnutrition Unintentional weight loss Physical inactivity Disuse event Anabolic resistance Chronic diseases Chronic inflammation Insulin resistance
After age , we involuntary lose of mus- cle mass per decade
Potential factors contributing to etiology of sarcopenia
- Anabolic resistance Aging has been associated with a reduced muscle protein synthetic response to protein intake, termed
- Muscle quality Micro and macroscopic changes in muscle ar- chitecture and composition
- A)For healthy older adults: 1 - 1.2g pro- tein/kg BW / day B) For older adults with chronic illness or at risk of malnutrition: 1.2 - 1.5g pro- tein/kg BW / day
How much protein is recommended for older adults?
- Delay in age-related changes that impair Health benefits of physical activity for older exercise capacity Optimizes age-related changes in body composition Promotes psychological and cognitive well-being Ameliorates chronic diseases
adults
Reduces the risk of Physical disability Increases longevity
- Activities of daily living (ADLs) Fundamental skills required to independently care for oneself
- Instrumental activities of daily living (IADLs)
- 6-minute walk test 2-minute step test
Fudamental skills required to independently care for oneself that requires more complex thinking skills, including organizational skills
Methods for assesing CRF in older adults
- Physical performance Objectively measured whole body function re- lated with mobility
- Higher risk of disability, cognitive dys- function, hospitalization, falls, and mor- tality
- Short physical performance battery (SPPB)
- Increased falls, cognitive impairment, disability, hospitalization
- Eating and physical activity patterns Genetics Illnesses and medications Social determinants of health
What is low gait speed associated with?
Brief test of lower-extremity function that con- sists of gait speed, a balance test, and a chair stand test
Adverse outcomes associated with low SPPB
Causes of Obesity
- Metabolic syndrome A clustering of risk factors associated with an increased incidence of CVD, diabetes, and stroke
- High blood glucose
- Low levels of HDL-C
- High levels of triglycerides
- Large waist circumference
- High blood pressure
- Overweight or obese Insulin resistance Race and sex Age
- Minimal Clinical Important Difference (MCID)
Diagnostic criteria for metabolic syndrome (>/= 3)
Risk factors for metabolic syndrome
Smallest ditterence in scores in the domain of interest which patients perceive as beneficial
- Placenta previa Placenta sits low and blocks the cervical open- ing; High risk of bleeding during labor and typically requires C-section
- Very high blood pressure Increase risk of stroke Organ failure Swelling of hands and legs Excretion of protein in urine
Preeclampsia