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Health
A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
The dimensions of wellness
Physical, occupational, social, intellectual, spiritual, and emotional
DoW- physical
physical function of the body
ex. fitness, injury, self-care, sleep
DoW- Occupational
Personal satisfaction and enrichment in ones work life
ex. attitude and satisfaction with work
DoW- social
contributing to society/relationships
ex. supportive and caring friendships
DoW- spiritual
Search for meaning and purpose in human existence
ex. peace and conectedness
DoW- emotional
Awareness and acceptance of ones feelings
ex. stress and anxiety, depression
DoW- intellectual
Creative and stimulating mental activity
ex. hobbies, interests, exploring new things
Physical activity
any bodily movement and action
ex. lecturing, moving arms and legs (mindless)
exercise
physical activity that enhances and aspect of fitness
ex. specific and intentional actions (20 mins)
Fitness (fit)
attainment of specific criteria to function efficiently and effectively
ex. muscular index, Vo2 max, exercise and eating well daily
Physical activity (behavior) domains
occupational: working at a hospital will get lots of steps and movement
leisure time: where exercise happens the most
domestic: cleaning apartment for 45 mins
transport: walking to class
fitness dimensions
health related aspects, skill related aspects, metabolic fitness and bone fitness
health related aspects
cardiovascular endurance, muscular endurance, muscular strength, flexibility, and body composition
skill related aspects
agility (moving quickly), balance (control of body), coordination, power, speed, and reaction time
metabolism fitness
blood glucose, blood lipid, and blood hormone levels
bone fitness
bone density and structural integrity
Public health
science and practice of protecting, promoting, and improving the health of populations and communities. The shift over the last 100 years has been from infectious diseases to now chrinic illness.
Areas of specialization
epidemiology, environmental health, health promotion and education, health administration and policy, and biostatistics
epidemiology
study of distribution and determinants of disease and disability in populations
environmental health
external factors (water filter, clean air)
health promotion and education
strategies and dealing with health threats through our behavior
health administration and policy
delivering public health services (managing deliveries)
biostatistics
analysis of data, interpretation of study results.
Basic research designs
case study, cross sectional study, case control, longitudinal study, and experimental study
Case study
describes what happens to one or a few individuals
ex. measure physiological during exercise
cross sectional study
compare groups of people at a given period of time
ex. descriptive data of fit and unfit individuals
case control
individuals with a certain condition compared to those without
ex. PA levels of those with and without cancer
longitudinal study
groups of people followed over time
ex. over 40 years, study PA behavior and heart disease
experimental study
examine a group before and after training (pre/post)
ex. what happens to group of individuals that do workout vs. dont workout
What happens during exercise
stress that is placed on the body, challenge to maintain homeostasis, muscles contract which requires energy (ATP)
this alters PH levels, increase in core temp, stress on joints
Graded Exercise Test (GXT)
person wears a mask to collect gas samples (exchange) during exercise.
-Looking at the exchange of oxygen and carbon dioxide to learn the amount of oxygen used and needed.
-Intervals of an advanced stage on a treadmill or bike until the person is working at a maximal or submaximal effort.
-Measure oxygen at each stage, BP, and HR
This determines the maximal aerobic capacity (Vo2 max), normal response during exercise for that individual
MET
metabolic equivalent - energy requirement per movement
-1MET = resting energy expenditure
-1 MET = 3.5 ml/kg/min
-1 MET = 1kcal/kg of body weight/hour
Energy Expenditure
energy required
-Gross EE = PA plus resting EE
-NET EE = energy expenditure only through PA (Gross - 1 MET)
Light intensity activity
less than 3 METS
ex. sleeping, writing, watching TV
moderate intensity activity
3 to 6 METS
ex. bicycling stationary, home exercise, walking at 3.0 mph
vigorous intensity activity
more than 6 MET
ex. jogging, jumping jacks, rope jumping
Cardiovascular exercise variables
Heart rate, blood pressure, stroke volume, cardiac output
Heart Rate
frequency of heart beats (beats/minute)
60/80 average
Blood pressure
Systolic- pressure when heart is contracting (pumping) upper #
Diastolic- pressure when heart is relaxed (filing) bottom #
Stroke Volume
amount of blood pumped per beat
Cardiac Output (Q)
amount of blood pumped per minute (L/min)
Q = heart rate x stroke volume
O2 extraction
amount of oxygen removed from blood
aVo2 difference
difference between artery and venous oxygen valves in the muscle
Vo2
volume of oxygen utilized during exercise
-directly related to intensity of exercise (intense workout=more oxygen required)
-function blood pumped and oxygen extracted
Vo2 Max
amount of oxygen used at maximal exercise
Short term changes during one bout of exercise
all changes are increase except for BP (diastolic) is maintained
-stretching: all are slightly increased
-weight training: all changes are increased
Kinesiology
study of the physiological processes and anatomy of the body during movement.
sliding filament theory
series of chemical reactions
-Need ATP
-Proteins slide over each other
-muscle contrations
Muscle fiber types
fast twitch (light), slow twitch (dark)
-not everyone has the same proportions and we cannot change that
Fast twitch
anaerobic, recruited for strength and speed
Slow twitch
aerobic, recruited for endurance efforts
Bioenergetics
Transfer of energy in living systems
Energy = food consumed
Fats, carbs, and protein
ATP
energy
adenosine triphosphate
This is split into 3 different areas
Physical activity (20-30%)
When not active, BMR gets the PA percentage
Thermic effect of food (10-15%)
Basal metabolic rate (55-60%)
Calories your body needs for basic daily functions
aerobic energy system
(with oxygen) (endurance-based) (longer periods of working out) Long-term source
-oxidative system
-uses oxygen to get energy from fat
-slower energy production, long-lasting (3+ mins)
anaerobic energy system
(without oxygen) (short-period workout) (high intensity)
Immediate source
Phosphagen system (10 sec)
Fastest, short-lasting
Short-term source
Glycolysis - Glucose stored in cell and within the muscle
Fast, intermediate duration (20-120 seconds)
ATP stored in muscles
available for immediate use (1-2 seconds)
marathon
oxidative system mainly
1,500m run
glytotic system mainly
100m sprint
phosphagen system mainly
Principals of training
specificity, overload, progression, reversibility
Specificity
which aspect of fitness do I want to change? speed? strength?
overload
challenge at a level beyond which normally accustomed
FITT (frequency, intensity, time, and type)
Progression
adaptations that occur (increase)
ex. walk 5 mins, run 1 —> 2 weeks later walk 5 mins, run 5
reversability
gains are lost when overload is removed
Lactate threshold
The accumulation of lactate (indication of glycolysis)
Vo2 (long term changes)
same, same, increase
HR (LT change)
decrease, decrease, same
BP systolic (LT)
decrease, decrease, increase
BP diastolic (LT)
decrease, decrease, same
Stroke volume (LT)
increase, increase, increase
Cardiac Output (LT)
same, same, increase
avo2 difference (LT)
slight increase, increase
Coronary circulation
increase, increase, increase
resistance HR (LT)
same, decrease, same
resistance BP (LT)
decrease, decrease, increase
resistance Vo2 (LT)
same