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Karvonen formula
(HRmax - RHR) THR + RHR
Borg Rating of Perceived Exertion
Scale from 6-20 to obtain a subjective estimate of how hard a person feels like he/she is working when exercising
FITT VP
Frequency
Intensity
Time
Type
Volume
Progression
5 basic principles of fitness
Progression
Overload
Specificity
Reversibility
Individuality
Recovery
Myocardial Infarction
Technical name for a heart attack due to lack of blood flow to the heart
Edema
Represents a “swelling” or “filling” of fluid in the body
Ischemic
The most common type of stroke which is caused by a blockage of blood flow to the brain
Valvulitis (inflammation of the valves)
Most common cause of rheumatic heart disease which is permanent damage to the heart
Angina
Temporary loss of blood supply to the heart and causes chest pain
Congenital heart disease
The leading cause of heart related death the first year of life, due to a defect/disease present at birth
Congestive
This term describes the type of heart failure that occurs when both the left and right side of the heart are “backed up”
Hypertension
High blood pressure
Coronary Artery Disease (CAD)
Can lead to myocardial infarction
Stroke
Occurs when blood flow to the brain is interrupted due to a blockage or a burst blood vessel
Heart failure
Left: there is a backup in the pulmonary veins and lungs leading to shortness of breath and pulmonary edema
Right: blood backs up into the liver and abdomen
Congestive: when both the left and right are blocked
Intake documents
PAR-Q
PAR-Q +
Informed consent
Health history questionnaire
Which energy system is used primarily for activities lasting less than 15 seconds?
ATP-PCr
Which macronutrient provides the majority of ATP during long duration, low intensity exercise?
Fat
What is the net ATP yield per glycogen molecule during anaerobic glycolysis?
3
Role of the Cori cycle
It converts lactate back into glucose in the liver
What is the primary function of the electron transport chain in aerobic metabolism?
Transferring e- from NADH and FADH2
Which energy system has the highest ATP yield per molecule of substrate?
Oxidative metabolism
What is the primary benefit of the ATP-PCr system in high intensity exercise?
Provides immediate ATP resynthesis
What is an RER/RQ that we would expect to see if someone is burning fat for energy?
0.70
Explain the cross over concept
When your body fist starts low intensity exercise you burn FAT, but as the intensity remains constant your body transitions to burning CHO for the duration of exercise.
High intensity = burning CHO
Low intensity = burning FAT
Describe the process where lactate is used in metabolism rather than being a waste product
It is used in the Cori cycle, and is converted into glucose in order to be used again to replenish the ATP supply in the glycolytic cycle.
Define RMR, BMR, and TEE. How are they different?
RMR - resting metabolic rate is when your body is in a fasted state, and is the amount of calories you are burning (does not need to be measured by sleep study)
BMR - basal metabolic rate needs to be measured right when you wake up and needs to be during a sleep study (also a way to measure calories burned at rest)
TEE - is measured by using your weight and age to determine how many calories you can/are burning per day, hour, and minute
In the ____ of O2, pyruvate can be converted to ____ and shuttled into the ____.
presence, Acetyl CoA, Kreb’s Cycle
AMDR (Acceptable Macronutrient Distribution Ranges) recommendations
PRO: 10-35%
CHO: 45-65%
FAT: 20-35%
What does FEV1 measure?
The amount of air forcibly exhaled in the first second of a forced breath
Amount of air moved in and out of the lungs during normal breathing
Tidal volume (TV)
Which condition is most likely to reduce FEV1 while keeping FVC normal?
Asthma
What is a key factor influencing body weight that is regulated by energy balance?
Basal metabolic rate (BMR)
Which body composition assessment method is considered the most accurate but most expensive?
Dual-Enery X-Ray Absorptiometry (DEXA)
FEV1/FVC Ratio
The percentage of total forced exhalation completed in the first second
Residual Volume (RV)
The amount of air left in the lungs after maximal exhalation
Maximum Voluntary Ventilation (MVV)
The maximum air exchanged in deep, rapid breathing over a short period
Explain the difference between obstructive and restrictive lung diseases in terms of spirometer levels
Obstructive: cause the RV to increase; the TV stays the same, and the IRV & ERV will both decease
Restrictive: cause everything to decrease slightly, so they can appear to be normal when tested. Especially FVC & FVC1 appear unchanged
Describe one evidence based weight management strategy mentioned in the slides, explain why it is effective
Weight training coupled with aerobic training can work well for a lot of patients. These strategies both burn a good amount of fat and help to keep patients healthy after a long period of time. Nutrition plays a big role in this as well, but weight & aerobic training can burn calories and get patients stronger.
Type of measuring the BODPOD uses
Air displacement plethysmograohy
Role of chemoreceptors during exercise
To detect pH/CO2 changes and adjust ventilation
Where does gas exchange occur in the lungs?
Alveoli
What is the Bohr effect?
O2 delivery improved to working muscle during exercise
Physical traits that usually define elite endurance athletes
High VO2 max
High LT
High % type I fibers
Efficient/economic
High pain tolerance
Large lungs
What is cardiac drift?
A slow drift from reliance on SV to drive Q to reliance on HR