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Leading cause of death in the U.S. are directly related to
inactivity and dietary choices (cancer, heart disease, diabetes)
Genetic predisposition
the increased likelihood to develop a condition due to one’s genetic make up
Modifiable risk factor
diet and activity
Nonmodifiable risk factor
genetics
Optimizing genetic potential
developing ones genetic traits through proper health practices in order to reach one’s highest level of physiological function
Physical activity
general movement
Physical fitness
acquisition of skill, involves: structure, dedication, planning, autonomy
ADL
activities of daily living, this is what OT’s strive to help people maintain
What are the 2 forms of physical fitness?
health and sports related
Is health or sports related physical fitness more transient?
sports related
What should we focus on?
Health related fitness and lifestyle eating patterns
Health related fitness components
Healthy body weight and composition
cardiovascular - respiratory fitness
adequate muscular strength and endurance
sufficient flexibility
Sports related fitness components
strength
power
speed
endurance
neuromuscular motor skills
Unstructured physical activity
ADL that are not generally planned like walking and cycling, climbing stairs, yard work, and games
Structured physical activity
planned program of physical activities focusing on intensity and duration designed to improve fitness
Principle of overload
gradually increasing intensity, duration, frequency and/or resistance to improve fitness
principle of progression
extension of overload principle, gradual increase in overload with training
Principle of specificity
specific adaptations the body makes in response to type of exercise and overload
Principle of recuperation
periods of rest within exercise session and/or between exercise sessions encourage muscle growth and body system improvements
Principle of individuality
effect of exercise on each individual is different, what works for one does not work for all
Principle of reversibility
Use it or lose it
Principle of overuse
excessive exercise may induce adverse health effects
SeDS
sedentary death syndrome, decrease in longetivty due to chronic disease
Gene expression
the process by which information encoded in a gene is turned into a function
Misexpression
when the code is not translated correctly so malfunction occurs
Physical inactivity causes
genes to misexpress proteins producing metabolic dysfunctions
Exercise encourages ______ gene expression
favorable
Cytokines
small proteins that act as chemical messengers in your immune system and can influence gene expression
Chronic vs Acute inflammation
Chronic = health disparities (diseases)
Acute = defense mechanism, sudden, temporary
Adipokines
promote chronic, low grade inflammation, directly leading to metabolic diseases
PA releases ____ and ____ which may prevent chronic diseases
myokines, heat shock proteins
A beneficial hormetic stress response occurs
upon the release of HSP and CSP
can foods increase HSP?
yes, (hot, spicy, capsaican in chille peppers, allylisothiocyandte)
HSP
released at body temps of 100-104, core temp should not exceed 104
Is exercising in the cold or heat a safer alternative?
cold
True or False: naturally occurring fruits and veggies are shown to increase and/or improve HSP and CSP release
True
An efficient PA plan should include
an individualized plan, aerobic exercise, muscle-strengthening, flexibility and balance
Inactive
only meeting basic movement requirements for ADL
Insufficiently active
<150 minutes of moderate-intensity activity per week
active
150-300 minutes of PA a week + muscle strengthening 2 or more days a week
Highly active
>300n minutes of PA a week + muscle strengthening 2 or more days per week
The ACSM recommends maintaining a range of _____ of HRR for cardiorespiratory conditioning
40-89%
MET’s
sitting still = 1 MET
moderate intensity exercise = 3-6 MET
vigorous intensity exercise = >6 MET
Cardiovascular exercise recommendations for adults (18-65)
atleast 150-300 mins a week of moderate intensity, or 75-150 mins of vigorous PA
Cardiovascular activity for children
60 minutes daily
Are Americans meetings PA guidelines?
No, only 22.5%
_______ plays a vital role in dietary practices
culture
Nutrition
the sum total of processes involved in the intake and utilization of food substances by living organisms, including ingestion, digestion, absorption, transport, and metabolism of nutrients in food
We measure human energy in the form of _____
calorie
Nutrient dense
food sources that provide high nutrient content per calorie
Carbohydrate food sources
plants which include all vegetables, fruits, and grains, and also processed food using any of those
Protein food source
primarily meat sources but also high protein plant sources like beans, nuts, and seeds or a combination of plant sources
Fat food sources
may be provided through plants or meat sources
Whole foods
referring to those foods which are nutrient dense, naturally occurring, not ultra-processed plant, fat, protein sources
True of false: nutritionally non-essential means a nutrient is not needed by the body
False
True or false: nutritionally essential means we need to take them in
True
List the 6 classes of nutrients below
carbohydrates, fats, proteins, vitamins, minerals, water
Macronutrient
needed in large amounts
Micronutient
needed in small amounts
What are the 3 basic functions of nutrients in food
promote growth and development
provide energy
regulate metabolism
Nutritional literacy
the ability to understand general nutritional information, translate it accurately, and communicate it effectively
On average americans of all ages consume to few of
vegetables, fruits, and high fiber grains
On average americans consume more
protein than we assume
We americans consume too much of
added sugars, saturated fats, refined grains, and sodium
consumer terms referring to refine grains
heated, milled, sifted, ground
True of false: the eating plan that was most recently retired was the old food guide pyramid
False
The 4 overall goals of the new dietary guidelines plan are
eat real food
follow a lifelong eating plan for health, not a temporary one
meet food group needs with nutrient dense foods and beverages
customize and enjoy nutrient dense food and beverage choices to reflect personal preferences, cultural traditions, and budget considerations
9 overall general guidelines
prioritize protein at every meal
consume full-fat dairy with no added sugar
eat vegetables and fruits throughout the day
incorporate healthy fats from whole food such as meats, seafood, eggs, nuts, seeds, olives, avocados
focus on whole grains
limit added sugar and artifical flavors
eat the right amount of food for you
choose water and unsweetened beverages to support hydration
limit alcohol consumption for better overall health
single serving size of protein
3 oz meat; ½ cup beans, lentils, soy
single serving size of dairy
1 cup of milk which is 8oz
single serving size of vegetables
raw or cooked: 1 cup, leafy greens: 2 cups
single serving size of fruit
raw: 1 cup, dried: ½ cup
single serving size of whole grains
cooked oats or rice: ½ cup, bread: 1 slice
single serving size of healthy fats
1 tbsp
How many servings of whole grains are we allotted per day
2-4 servings
How many servings of saturated fat are we allotted per day
limited to 10% of TDC
How many servings of proteins are we allotted per day
3-4 servings
How many servings of vegetables are we allotted per day
3 servings
How many servings of fruits are we allotted per day
2 servings
How many servings of dairy are we allotted per day
3 cups of whole milk
Carbohydrate AMDR
45-65% of TDC
Protein AMDR
10-35% of TDC
Fat AMDR
20-35% of TDC
Ergogenic aid
any means to increase work output
Different forms of ergogenic aids
mechanical, psychological, pharmacological, nutritional
Nutrient competition
increasing 1 supplement easily causes malabsorption of another
Ways to recognize nutritional/health misinformation
is it a quick fix?
does it contain some magical ingredient or formula
is it marketed by popular personalities
does it exaggerate the truth
does it question the integrity of the scientific or medical establishment
BMI over 25
is health risk (overweight)
anything over 25 is at risk
obese is > 30
waist to hip ratio
men > 40 in; women > 35 in are at risk
Power
how fast work is done
Bioenergetics
the flow of energy in a biological system primarily through the conversion of macronutrients-carbs, proteins, fats- into usable forms of energy
Endergonic reactions
require energy and for anabolic processes (building up processes)
Exergonic reactions
energy-releasing reactions that are catabolic (breaking down)
3 main energy systems
Phosphagen or ATP-PCr system
Anaerobic glycolysis system
Aerobic glycolysis system (oxygen system)
Is there a “bad” energy system?
No
The phosphagen energy system
produces energy at the fastest rate compared to the other energy systems and does not require cellular oxygen as a catalyst
Phosphates are ____ compounds
salt
ATP
is a high energy molecule and acts as an energy carrier used to express body energy
When ATP is depleted
other sources help restore it (usually through carbs, fats, or protein)