Open Textbook of Exercise Physiology - Chapter 9: Homeostasis And its Disturbance During Exercise

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A comprehensive set of 140 vocabulary-style flashcards covering key terms and concepts from the Chapter 9 notes on homeostasis, thermoregulation, hydration, and acid-base balance during exercise.

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115 Terms

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Homeostasis

Maintenance of stable internal conditions during exercise via integrated responses of multiple physiological systems.

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Thermoregulation

Control of core body temperature through mechanisms like sweating, skin blood flow, and heat production.

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Heat stress

Challenge to homeostasis caused by elevated body heat during activity.

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Heat strain

State of heat storage approaching capacity, with impaired cooling and cardiovascular strain.

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Heat injury

Tissue damage from excessive heat storage, potentially leading to organ failure.

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Heat stroke

Severe heat illness with extreme hyperthermia and risk of organ failure.

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Dehydration

Fluid deficit resulting from losses exceeding fluid intake.

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Hyponatremia

Low plasma sodium concentration due to dilution from excess water or electrolyte imbalance.

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Diuresis

Increased urine production used to adjust fluid and electrolyte balance.

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Euhydration

State of optimal hydration with balanced body fluids.

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Fluid balance

Equilibrium between fluid intake and losses through sweat, urine, respiration, and other routes.

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Osmolality

Concentration of solutes in body fluids, guiding water movement between compartments.

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Strong-ion difference (SID)

Difference between sums of strong cations and strong anions in plasma; drives acid‑base balance.

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Acid-base balance

Regulation of acidity in blood and fluids via buffers, gas exchange, and ion shifts.

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Sweat

Fluid excreted by sweat glands to enable evaporative cooling.

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Evaporative cooling

Heat loss by evaporation of sweat from the skin.

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Convection

Heat loss through movement of air or fluid over the body's surface.

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Radiation

Heat loss by emission of infrared energy from the body to the environment.

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Conduction

Heat transfer through direct contact with solids.

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Evaporative requirement (E)

Total heat load that must be removed by evaporation to balance metabolic and environmental heat.

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Heat storage (S)

Net gain of heat in the body during activity (S = (M − W) − E + R + C).

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Metabolic heat production (M)

Heat produced by cellular metabolism during exercise.

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Work (W)

Mechanical energy output; part of energy balance contributing to heat.

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Esophageal temperature (Tes)

Core body temperature measured via the esophagus.

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Skin temperature (Tskin)

Temperature at the skin surface influencing sweating and vasodilation.

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Core temperature

Temperature of the body’s internal, central compartments.

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Blood volume (BV)

Total volume of circulating blood; decreases with dehydration and fluid shifts.

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Extracellular fluid (ECF)

Fluid outside cells, including plasma.

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Plasma volume (PV)

Volume of plasma within the blood; reduced with dehydration.

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Total Body Water (TBW)

Sum of all body fluid compartments.

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Glycerol hyperhydration

Pre-exercise strategy to increase total body water by glycerol administration.

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Glycerol dose

Common regimen: 1–1.5 g glycerol per kg body weight in 25 mL·kg of water 60–90 minutes before exercise.

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Sports gels

Carbohydrate-electrolyte gels used to maintain energy and hydration; require water intake.

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Electrolyte solution

Hydration beverage containing ions (Na+, K+, Ca2+, Mg2+) to replace sweat losses.

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Gatorade

A commercially popular electrolyte beverage used to support rehydration.

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Sodium (Na+)

Primary extracellular cation; essential for fluid balance and osmolality.

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Potassium (K+)

Key intracellular/extracellular cation involved in excitability and acid-base balance.

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Chloride (Cl-)

Major extracellular anion; contributes to SID and acid-base regulation.

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Calcium (Ca2+)

Mineral essential for muscle contraction and signaling; present in plasma and sweat.

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Magnesium (Mg2+)

Mineral involved in many enzymatic processes; lost in sweat.

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Lactate

Metabolite from anaerobic metabolism; increases with high-intensity exercise and affects SID and acid-base.

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Phosphocreatine (PCr)

High-energy phosphate reserve; hydrolysis releases energy and influences SID.

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Weak ions

Non-fully-dissociating species (proteins, amino acids, phosphate) affecting Atot.

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Atot

Total concentration of weak acids in solution.

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pH

Measure of acidity (negative log of hydrogen ion concentration).

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PCO2

Partial pressure of carbon dioxide in plasma; influences acid-base status.

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Hydrogen ion (H+)

Concentration defines acidity and pH.

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HCO3-

Bicarbonate; primary buffer in blood.

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Henderson-Hasselbalch equation

pH = pK + log([HCO3-]/PCO2); links pH to bicarbonate and CO2.

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Stewart approach

Acid-base model using SID, Atot, and PCO2 as independent variables.

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Strong ions

Fully dissociated ions (Na+, K+, Ca2+, Mg2+, Cl-, lactate, etc.).

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Weak acids/buffers

Proteins, amino acids, phosphate that buffer pH (Atot components).

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Arterial plasma

Oxygen-rich blood from lungs; acid-base status differs from venous blood.

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Venous plasma

Blood returning from tissues; contains metabolites like lactate.

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Acid-base disturbances

Imbalances in pH caused by shifts in SID, Atot, or PCO2 during exercise.

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Hyponatremia case (ultramarathon)

Dilutional low plasma Na from excessive water intake during long events.

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Plasma [Na+] normal range

Typically 135–145 mmol/L; below 135 is hyponatremia.

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Endurance exercise acid-base balance

Multifactorial; dehydration and water intake affect Atot and SID.

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Lungs and acid-base during exercise

Hyperventilation reduces PCO2, influencing arterial pH.

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Arterial vs venous lactate

Lactate concentration differs between arterial and venous blood due to tissue exchange.

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Ventilation and acid-base

Chemoreceptors and ventilation regulate CO2 and pH during exercise.

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Respiratory alkalosis

Alkalosis from excessive ventilation reducing PCO2.

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Thermal hyperpnea/Tachypnea

Increased breathing rate associated with heat stress.

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Heat acclimatization

Adaptive response to repeated heat exposure improving sweating, plasma volume, and HR.

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Sweat onset threshold

Temperature at which sweating begins; lowers with heat acclimatization.

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Plasma volume expansion

Increase in plasma volume occurring within days of heat exposure; aids exercise in heat.

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Heat acclimation time frame

Full adaptations typically require about 14 days of regular exercise in heat.

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Inflammation and fever effects

Inflammation and fever can influence heat regulation and perceived heat stress.

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Heat syncope

Dizziness or fainting due to overheating; an early heat injury symptom.

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Heat exhaustion vs heat stroke

Progressive heat illnesses from heat storage to organ failure at extreme levels.

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Exercise training and heat response

Regular training alters heat production, evaporation, and cardiovascular responses.

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Sweat rate ranges

Typical 1–2 L/h during moderate exercise; can exceed 3 L/h with acclimation and intensity.

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Gels and rehydration

Hydration gels provide energy and electrolytes but require water for absorption.

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Plasma osmolality during sweating

Increases with dehydration; diluting fluids can lower osmolality and trigger thirst.

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Rates of water loss vs intake

Imbalance leads to dehydration or dilutional hyponatremia depending on intake.

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Table 9-2 composition data

Data comparing plasma, sweat, and sports drink ion concentrations.

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Table 9-1 case data

Case data illustrating hydration status and electrolyte balance during exercise.

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Gatorade origin

First recognized electrolyte beverage developed for athletes.

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Cumulative heat load during exercise

Total heat from metabolism plus environmental heat that must be dissipated.

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Wind chill and heat loss

Wind can increase heat loss via convection, affecting rate of heat storage.

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Rates of heat dissipation in different temps

Convection more effective with cooler ambient temperatures; evaporative cooling dominates heat loss in heat.

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Exercise in protective gear

Gear can impede heat loss, increasing heat storage and risk of heat strain.

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Room for cooling methods

Evaporation, convection, radiation, and conduction all contribute to cooling.

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Arm and leg exercise heat responses

Submaximal exercise shows distinct patterns of skin blood flow and sweat rate with temperature.

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Renal response to hyponatremia

Kidneys increase water excretion to correct plasma osmolality, often losing ions in process.

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Electrolyte balance in recovery

Electrolyte-containing drinks enhance Na and other ion recovery after exercise.

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Osmotic shifts during dehydration

Water shifts from plasma to interstitial/cellular spaces, raising osmolality.

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Post-exercise electrolyte replacement

Essential to restore plasma ion balance and acid-base status after exercise.

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Acid-base balance in performance

Maintaining pH supports enzyme function and muscle performance during exercise.

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Acid-base software tool

Acid-base.org is referenced as a tool to solve Stewart-based equations.

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Major take-home of hydration

Maintain balanced intake of water and electrolytes to optimize performance and thermoregulation.

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Hydration recommendations for athletes

Small volumes of electrolyte-containing fluids at frequent intervals during exercise and after.

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Pre-exercise hydration recommendations

Aim to start exercise in a euhydrated state and avoid drastic dehydration.

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Exercise duration and heat response

Longer exercise increases sweat and fluid losses, heightening dehydration risk.

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Glycerol acclimation cautions

Glycerol can aid hyperhydration but may cause headaches or GI upset; use with caution.

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Hypoventilation vs thermoregulation

Thermal drive can conflict with chemoreceptor signals, affecting ventilation.

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Sodium intake before and during exercise

Sodium helps maintain plasma osmolality and fluid balance during long events.

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Alcohol and exercise hydration

Not advised in these notes; focus is on electrolyte solutions for hydration.

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Heat acclimatization vs acclimation

Acclimatization is physiological adaptation to repeated heat exposure; acclimation in exercise improves response.

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Preventing hyponatremia in endurance events

Balance water with electrolytes to avoid dilutional hyponatremia during long events.