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PHYSICAL ACTIVITY
Any bodily movement produced by the contraction of skeletal muscles that result in a substantial increase over resting energy expenditure
EXERCISE
Planned and structured physical activity designed to improve or maintain physical fitness
FITNESS
ability to perform physical work.
Requires cardiovascular functioning, muscular strength and endurance, and musculoskeletal flexibility
Based on direct or indirect measurement of the body's maximal oxygen consumption
influenced by age, gender, heredity, inactivity, and disease
Estimation of maximal oxygen consumption
MAXIMAL OXYGEN CONSUMPTION (VO2max)
Measure of body's capacity to use oxygen
Expressed as mL/kg/min
ENDURANCE
The ability to work for prolonged periods of time and the ability to resist fatigue.
Muscular
Cardiovascular
two types of endurance
AEROBIC EXERCISE TRAINING (Conditioning)
Augmentation of the energy capacity of the muscle by means of an exercise program.
Training is dependent on exercise of sufficient intensity, duration, and frequency(FIT/FITT)
Training produces cardiovascular and/or muscular adaptation and is reflected in an individual’s endurance.
Specificity principle: individual improves in the exercise task used for training and may not improve in other tasks.
ADAPTATION
Significant changes can be measured in a minimum of 10 - 12 weeks
Results in increased efficiency of the cardiovascular system and active muscles
Dependent on ability of organism to change and training stimulus threshold
Will adapt to the training stimulus over time
Myocardial Oxygen Consumption
Measure of oxygen consumed by the myocardial muscle
heart rate
systemic blood pressure
myocardial contractility
after load
Need for oxygen determined by
DECONDITIONING
Occurs with prolonged bed rest
Effects of _______are seen in the patients who had an extended, acute illness or long-term chronic condition
1 . muscle mass
2. strength
3. cardiovascular function
4. total blood volume
5. plasma volume
6. orthostatic tolerance
7. exercise tolerance
8. bone mineral density
DECONDITIONING Decrease in
ENERGY EXPENDITURE
Energy is expended by individuals engaging in physical activity and is often expressed in kilocalories.
Activities can be categorized as light, moderate or heavy by determining the energy cost
Kilocalorie
is a measure expressing the energy value of food.
amount of heat necessary to raise 1 kilogram (kg) of water 1°C.
MET
defined as the oxygen consumed (milliliters) per kilogram of body weight per minute (mL/kg).
equal to approximately 3.5 mL/kg per minute.
1800 to 3000 kcal per day
The average individual engaged in normal daily tasks expends
more than 10,000 kcal per day
Athletes engaged in intense training can use
Stress testing
serves as a basis for determining exercise levels or the exercise prescription.
– Have had a physical examination.
– Be monitored by ECG and closely observed at rest, during exercise, and during recovery.
– Sign a consent form
three to four times a week
Optimal frequency of training is generally
Overload
stress on an organism that is greater than that regularly encountered during everyday life
40-50% VO2max
Intensity for sedentary or deconditioned
80-90% HRmax(advanced clients/ athletes)
Intensity for Athletes
40-60% HRmax
Intensity for Geriatrics
70% HRmax
Intensity for Healthy young individuals
220 minus age
Determine Maximum Heart Rate (HRmax)
HRrest + 60–70% (Heart Rate Reserve/HRmax-HRrest)
Determine Exercise Heart Rate
shorter, longer
The greater the intensity of the exercise, the___ the duration needed for adaptation; and the lower the intensity of exercise, the ____the duration needed
20- to 30-minute session
______ session is optimal at 60% to 70% MHR
45-minute continuous exercise period
When the intensity is below the heart rate threshold, ________exercise period may provide the appropriate overload.
10 to 15 minute exercise periods
With high-intensity exercise, _____exercise periods are adequate
3 five-minute daily periods
_______ daily periods are effective in some deconditioned patients
Reversibility Principle
Detraining occurs rapidly when a person stops exercising.
After only 2 weeks of detraining, significant reductions in work capacity can be measured, and improvements can be lost within several months.
Warm-Up Period
To enhance the numerous adjustments that must take place before physical activity.
The ____ should be gradual and sufficient to increase muscle and core temperature without causing fatigue or reducing energy stores.
10 minute period, 20 beats/min
Characteristics of the warm up period include:
– A _____ period of total body movement exercises, such as calisthenics, and walking slowly.
– Attaining a heart rate that is within ______ beats/min of the target heart rate
Aerobic Exercise Period
the conditioning part of the exercise program.
The ____ period must be within the person’s tolerance, above the threshold level for adaptation to occur, and below the level of exercise that evokes clinical symptoms
Continuous
Interval
Circuit
Circuit-interval
Four methods of training that challenge the aerobic system
Continuous
it is a method with no rest with intensity not lower than THR
Interval
it is a method with rest, same modes of exercise is done
Circuit
it is a method with a series of exercise activities
Circuit-interval
it is a method rest, different modes of exercise is done
Cool-Down Period
Prevent pooling of the blood in the extremities
Prevent fainting by increasing the return of blood to the heart and brain as cardiac output and venous return decreases.
Enhance the recovery period with the oxidation of metabolic waste and replacement of the energy stores.
Prevent myocardial ischemia, arrhythmias, or other cardiovascular complications
Total-body exercises such as calisthenics and static stretching are appropriate.
The period should last 5 to 10 minutes