HHP Exam 3

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Last updated 1:59 PM on 4/13/26
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22 Terms

1
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  • Cells are _________ coupled and can transmit forces (_________ _________) and _________ can sense and respond to force

    • Force → ____________________________________

  • Without gravity and loaded movement muscles _________

  • After spaceflight, _________ proteins (i.e. proteins of the _________) are lost in disproportionate amounts to other cellular proteins

  • Cells are mechanically coupled and can transmit forces (adherens junctions) and proteins can sense and respond to force

    • Force → cell signaling eventsexpression of proteins

  • Without gravity and loaded movement muscles atrophy

  • After spaceflight, contractile proteins (i.e. proteins of the sarcomere) are lost in disproportionate amounts to other cellular proteins

2
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Body Mass Index: BMI

• What is it: Screening tool for _______ ________

  • Only considers ________ and ________

  • BMI equation = ________________________

• Interpret with caution:

  • Incomplete information

  • Does not quantify ________ or ________ ________ (fat mass vs. fat-free mass, i.e. body fat %)

Body Mass Index: BMI

• What is it: Screening tool for disease risk

  • Only considers height and weight

  • BMI equation = weight (kg) / height (meters^2)

• Interpret with caution:

  • Incomplete information

  • Does not quantify fitness or body composition (fat mass vs. fat-free mass, i.e. body fat %)

3
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  • Correlation between BMI and disease risk

    • Observational study = measuring and collecting data without ________ ________

    • Study observed:

      • (Increasing/Decreasing) deaths (i.e. decreased survival) with (Increasing/Decreasing) BMI due to ________ and all-cause mortality

  • Generally, (increased/decreased) fitness = (increased/decreased) health risk

    • Recently, there has been interests in understanding health risk of _______ _________, but this is still being actively investigated

  • Correlation between BMI and disease risk

    • Observational study = measuring and collecting data without experimental manipulation

    • Study observed:

      • Increasing deaths associated with Increasing BMI due to CVD and all-cause mortality

  • Generally, increased fitness = decreased health risk

    • Recently, there has been interests in understanding health risk of extreme exercise, but this is still being actively investigated

4
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What is Fitness?

• 5 components of fitness: ______________________

• Cardiovascular Fitness: Measurement of an individual's _______ _______ capacity

  • Ability to uptake, transport, and utilize _________

  • Quantified by ________ ________

    • L/min or ml/kg/mi

What is Fitness?

• 5 components of fitness: Cardiovascular, muscular strength, muscular endurance, flexibility, body composition

• Cardiovascular Fitness: Measurement of an individual's aerobic exercise capacity

  • Ability to uptake, transport, and utilize oxygen

  • Quantified by oxygen uptake

    • L/min or ml/kg/mi

5
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Influence of BMI and Fitness on health outcomes?

  • Both cardiovascular fitness and BMI are correlated with health outcomes,

  • Generally:

    • CF has (positive/negative) health attributes

    • BMI associated with (positive/negative) health attributes

  • Common health metrics assessed:

    • ________ disease risk

    • ________ mortality

Influence of BMI and Fitness on health outcomes?

  • Both cardiovascular fitness and BMI are correlated with health outcomes,

  • Generally:

    • CF has positive health attributes

    • BMI associated with negative health attributes

  • Common health metrics assessed:

    • Cardiovascular disease risk

    • All-cause mortality

6
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<p>Influence of BF% and Fitness on health outcomes</p><ul><li><p>Black bars = <strong>________________________________</strong></p></li><li><p>White bars = <strong>________________________________</strong></p></li><li><p>RR = <strong>________________________________</strong></p></li><li><p>Higher values = <strong>________________________________</strong></p></li></ul><p></p>

Influence of BF% and Fitness on health outcomes

  • Black bars = ________________________________

  • White bars = ________________________________

  • RR = ________________________________

  • Higher values = ________________________________

Influence of BF% and Fitness on health outcomes

  • Black bars = least fit men in each BF% category (lowest quartile of oxygen uptake)

  • White bars = fittest men in each category

  • RR = relative risk compared to control (fit, lean men)

  • Higher values = increased risk of dying from CVD

<p>Influence of BF% and Fitness on health outcomes</p><ul><li><p>Black bars = <strong>least fit men in each BF% category (lowest quartile of oxygen uptake)</strong></p></li><li><p>White bars = <strong>fittest men in each category</strong></p></li><li><p>RR = <strong>relative risk compared to control (fit, lean men)</strong></p></li><li><p>Higher values = <strong>increased risk of dying from CVD</strong></p></li></ul><p></p>
7
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<ul><li><p>Increasing BF% (<strong>inc/dec) </strong>RR of CVD (increasing height of <strong>(black/white) </strong>bars)</p><ul><li><p>BUT – Fittest men within each category had <strong>(inc/dec) </strong>risk of CVD (<strong>(black/white) </strong>bars are shorter than all <strong>(black/white) </strong>bars)</p></li></ul></li></ul><ul><li><p>Authors conclude: The health benefits of leanness are limited to fit men, and being fit may reduce the hazards of obesity.</p></li><li><p>Key takeaway for future health or fitness professionals: De-emphasize the need/focus for _________, encourage _________ even if body weight is unchanging.</p><ul><li><p>Sometimes, you just cannot see the positive physiological/cellular changes that accompany _________</p></li></ul></li></ul><p></p>
  • Increasing BF% (inc/dec) RR of CVD (increasing height of (black/white) bars)

    • BUT – Fittest men within each category had (inc/dec) risk of CVD ((black/white) bars are shorter than all (black/white) bars)

  • Authors conclude: The health benefits of leanness are limited to fit men, and being fit may reduce the hazards of obesity.

  • Key takeaway for future health or fitness professionals: De-emphasize the need/focus for _________, encourage _________ even if body weight is unchanging.

    • Sometimes, you just cannot see the positive physiological/cellular changes that accompany _________

  • Increasing BF% increased RR of CVD (increasing height of black bars)

    • BUT – Fittest men within each category had decreased risk of CVD (white bars are shorter than all black bars)

  • Authors conclude: The health benefits of leanness are limited to fit men, and being fit may reduce the hazards of obesity.

  • Key takeaway for future health or fitness professionals: De-emphasize the need/focus for weight loss, encourage PA even if body weight is unchanging.

    • Sometimes, you just cannot see the positive physiological/cellular changes that accompany PA

<ul><li><p>Increasing BF% <strong>increased </strong>RR of CVD (increasing height of <strong>black </strong>bars)</p><ul><li><p>BUT – Fittest men within each category had <strong>decreased </strong>risk of CVD (<strong>white </strong>bars are shorter than all <strong>black </strong>bars)</p></li></ul></li></ul><ul><li><p>Authors conclude: The health benefits of leanness are limited to fit men, and being fit may reduce the hazards of obesity.</p></li><li><p>Key takeaway for future health or fitness professionals: De-emphasize the need/focus for <strong>weight loss</strong>, encourage <strong>PA </strong>even if body weight is unchanging.</p><ul><li><p>Sometimes, you just cannot see the positive physiological/cellular changes that accompany <strong>PA</strong></p></li></ul></li></ul><p></p>
8
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  • Physical Activity: ___________________

  • Physical Inactivity: the inverse of physical activity

  • Quantitatively inactivity would be less than ______________ (< (#) minutes / week)

    • If (#)% Americans report meeting activity recommendations, then (#)% of Americans quantitively considered inactive

  • Physical Activity: any bodily movement

  • Physical Inactivity: the inverse of physical activity

  • Quantitatively inactivity would be less than activity recommendations (< 150 minutes / week)

    • If 25% Americans report meeting activity recommendations, then 75% of Americans quantitively considered inactive

9
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The Dallas Bed Rest Study (1966)

  • 5 healthy 20-year-old men

  • (#) weeks at complete bed rest with no weight bearing allowed

    • At the time, standard patient care protocol after ___________

  • "Thus, 3 weeks of bed rest at age 20 years reduced ___________ capacity more than (#) years of aging."

  • Altered the way heart attack patients cared for

    • Encouraging ___________ and ___________ rehabilitation programs

The Dallas Bed Rest Study (1966)

  • 5 healthy 20-year-old men

  • 3 weeks at complete bed rest with no weight bearing allowed

    • At the time, standard patient care protocol after heart attack

  • "Thus, 3 weeks of bed rest at age 20 years reduced cardiovascular capacity more than 30 years of aging."

  • Altered the way heart attack patients cared for

    • Encouraging movement and cardiac rehabilitation programs

10
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  • What is Cell Signaling: _____________________

  • Receptors throughout the body detect changes and respond to ________ ________

  • Utilized to monitor and communicate conditions that are regulated through ________ _______

    • (Positive/Negative) feedback is the most common

    • Few instances of normal (Positive/Negative) feedback in human function

  • What is Cell Signaling: The processes by which cells communicate with each other

  • Receptors throughout the body detect changes and respond to maintain homeostasis

  • Utilized to monitor and communicate conditions that are regulated through feedback loops

    • Negative feedback is the most common

    • Few instances of normal positive feedback in human function

11
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Cellular messaging system

  • Cells respond to changes in the environment

    • Cells may respond to a ________ stimuli that increases other ________ in their membrane

    • ________ signals the cell to position glucose transport channels into its membrane

  • Cell to Cell Communication

    • Direct Communication: _______________________

    • Contact Dependent: _________________________

    • Contact Independent: _________________________

Cellular messaging system

  • Cells respond to changes in the environment

    • Cells may respond to a chemical stimuli that increases other proteins in their membrane

    • Insulin signals the cell to position glucose transport channels into its membrane

  • Cell to Cell Communication

    • Direct Communication: Signals pass from the cytosol of one cell to an adjacent cell

    • Contact Dependent: Membrane bound signaling molecules

    • Contact Independent: Messenger molecule is released to communicate

12
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Contact Independent Cell Signaling

  • Autocrine: _________________________________________

    • Auto- = ______ / -crine = ______

    • Example: ___________________________________________

  • Paracrine: ________________________________________

    • Para- = ____________

    • Example: _____________________________________

  • Endocrine: ____________________________________________

    • Endo = _______

  • Neurotransmitter: ________________________________________

Contact Independent Cell Signaling

  • Autocrine: An autocrine messenger stimulates the cell that originally secreted the signal

    • Auto- = self / -crine = secrete

    • Example: Immune System Function (white blood cells stimulate their own replication)

  • Paracrine: Chemical messengers that act on cells in the local environment

    • Para- = beside/adjacent

    • Example: Histamine during allergic reactions; protective response against viruses

  • Endocrine: Chemical messengers released by glands that utilize the blood to travel to target cells

    • Endo = internal/within

  • Neurotransmitter: Chemical messengers secreted by neurons to adjacent cells

13
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Steps in Cell Signaling (Overview)

  1. _____________/______________

  2. ______________

  3. ______________

Steps in Cell Signaling (Overview)

  1. Signal Reception/Receptor Activation

  2. Signal Transduction

  3. Cell Response

14
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Membrane Receptors (extra/intra-cellular)

  • Receptors on the cell membrane bind signaling molecule (______)

  • Receptor produce their own signal (i.e. produce a second signal)

    • This signal is called a _______________

  • Common receptors include:

    • ___________________

    • ___________________

Membrane Receptors (extracellular)

  • Receptors on the cell membrane bind signaling molecule (ligand)

  • Receptor produce their own signal (i.e. produce a second signal)

    • This signal is called a secondary messenger

  • Common receptors include:

    • G-protein Coupled Receptors

    • Receptor Tyrosine Kinases (RTKs)

15
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Intracellular Receptors

  • Similar role to membrane receptor, just ____________

  • Some chemical messenger can cross through the __________

    • (Don’t need/Need) bind to a membrane receptor

    • Very (large/small) molecules

    • Or (hydrophobic/hydrophilic) messengers

Intracellular Receptors

  • Similar role to membrane receptor, just inside the cell

  • Some chemical messenger can cross through the membrane

    • Do not need bind to a membrane receptor

    • Very small molecules

    • Or hydrophobic messengers

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What determines if a signaling messenger binds to an extracellular receptor vs. an intracellular one?

  • Chemistry! (______________ and ______________)

  • ______ hormones, like _______, bind extracellular receptors

    • Because they are (hydrophobic/hydrophilic)

    • They (can/cannot) diffuse through the lipid bi-layer

  • ______ hormones, like _______, bind intracellular receptors

    • Because they are (hydrophobic/hydrophilic)

    • They (can/cannot) diffuse through the lipid bi-layer

What determines if a signaling messenger binds to an extracellular receptor vs. an intracellular one?

  • Chemistry! (lipid solubility and membrane permeability)

  • Peptide hormones, like insulin, bind extracellular receptors

    • Because they are hydrophilic

    • They cannot diffuse through the lipid bi-layer

  • Steroid hormones, like cortisol, bind intracellular receptors

    • Because they are hydrophobic

    • They can diffuse through the lipid bi-layer

17
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________ _________ – Adding phosphates

  • Often (simple/multistep) processes

  • Need to (transmit/amplify) signal

  • Common steps involve adding/removing a phosphate group to a ________

    • ______________/_______________

  • Phosphorylation cascades: ____________________________

Signal Transduction – Adding phosphates

  • Often multistep processes

  • Need to amplify signal

  • Common steps involve adding/removing a phosphate group to a protein

    • Phosphorylation/dephosphorylation

  • Phosphorylation cascades: chain reaction of kinases phosphorylating other kinases

18
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  • Kinases and Phosphatases: Enzymes that add or remove ___________

    • (Kinase/Phosphatase) adds

    • (Kinase/Phosphatase) removes

  • These enzymes commonly activated during ___________________

  • Either can activate/deactivate

    • Depends on ___________________

  • Common for phosphorylation to "turn (on/off)"

  • Modifying an already made protein is called ________________________

  • Kinases and Phosphatases: Enzymes that add or remove phosphate groups

    • Kinase adds

    • Phosphatase removes

  • These enzymes commonly activated during cell signaling/transduction

  • Either can activate/deactivate

    • Depends on the protein they are modifying

  • Common for phosphorylation to "turn on"

  • Modifying an already made protein is called post-translational modification (PTM)

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Signal Transduction - Secondary Messengers

  • Second messengers: _____________________

  • Cyclic AMP (cAMP)

    • Adenylyl Cyclase: enzyme catalyzes ATP -> _____

  • Calcium (Ca2+)

Signal Transduction - Secondary Messengers

  • Second messengers: small molecules or ions that relay signals

  • Cyclic AMP (cAMP)

    • Adenylyl Cyclase: enzyme catalyzes ATP -> cAMP

  • Calcium (Ca2+)

20
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  • G Protein Coupled Receptors: ____________________________

    • _______ __________ binding protein

  • G Protein w/ GDP = (OFF/ON)

  • G Protein w/GTP = (OFF/ON)

    • Example: G protein can activate _______ ________ to produce cAMP

  • G Protein Coupled Receptors: Membrane bound receptor protein that binds a "G protein"

    • Guanine nucleotide binding protein

  • G Protein w/ GDP = OFF

  • G Protein w/GTP = ON

    • Example: G protein can activate Adenylyl Cyclase to produce cAMP

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Cell Response (fast and slow)

  • Cell response varies by ________ type and ________ type

  • Many pathways lead to the activation of ____________________

  • May involve the alteration of (intra/inter-cellular) structural proteins (fast/slow)

    • ________ changes if movement is related to response

  • May affect the function of transcription factors (fast/slow)

    • Changes the expression of ________

    • Commonly seen in (intra/inter-cellular) receptor pathways

Cell Response (fast and slow)

  • Cell response varies by cell type and signal type

  • Many pathways lead to the activation of one or more enzymes

  • May involve the alteration of intracellular structural proteins (fast)

    • Actin changes if movement is related to response

  • May affect the function of transcription factors (slow)

    • Changes the expression of genes

    • Commonly seen in intracellular receptor pathways

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3 Steps in Cell Signaling (Details)

  • Receptor Activation: ____________________________

  • Signal Transduction: ____________________________

  • Cellular Response

    • Cell response varies by ________ type and ________ type

    • Many pathways lead to the activation of ____________________

    • May involve the alteration of (intra/inter-cellular) structural proteins (fast/slow)

      • ________ changes if movement is related to response

    • May affect the function of transcription factors (fast/slow)

      • Changes the expression of ________

      • Commonly seen in (intra/inter-cellular) receptor pathways

3 Steps in Cell Signaling (Details)

  • Receptor Activation: Signaling molecule binds to the receptor on the target cell causing a conformational change in the receptor to activate function

  • Signal Transduction: Initial signal is converted to a different signal inside the cell; this is carried out through proteins that form a signal transduction pathway

  • Cellular Response

    • Cell response varies by cell type and signal type

    • Many pathways lead to the activation of one or more enzymes

    • May involve the alteration of intracellular structural proteins (fast)

      • Actin changes if movement is related to response

    • May affect the function of transcription factors (slow)

      • Changes the expression of genes

      • Commonly seen in intracellular receptor pathways