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Target Heart Rate (THR) Calculation Formula
220-age
target zone= 60-90% MHR
Pulse Counting Method for Heart Rate
Count the number of heartbeats (pulse) for 10 seconds and multiply by 6
Aerobic Workout Frequency and Duration Recommendations
20-60 minutes per session, 5 days per week (preceded by a 5-10 minute warm-up and followed by a 5-10 minute cool-down)
Resistance Training Frequency Recommendation
2-3 days per week
Primary Medical Screening Criteria Before Exercise Initiation
Consult a physician if previously inactive AND: Male > 40 years old OR female > 50 years old OR having a history of hypertension, diabetes, or cardiovascular disease
Immediate Energy Sources (0-10 seconds)
Stored ATP: 2-4 seconds (anaerobic)
Phosphocreatine (PCr_: ~10 seconds (anaerobic breakdown into creatine + phosphate to re-form ATP)
Anaerobic Glucose Breakdown (30 seconds to 3 minutes)
Fuel source: carbohydrates (glucose)
Byproduct: lactic acid (causes muscle fatigue)
Example event: 400-meter sprint
Aerobic Energy Pathways (2 minutes to 3 hours)
Occurs under oxygenated conditions; supplies 95% of the body’s ATP needs during endurance activities (e.g., cross-country running)
Glycogen Source: Muscle vs. Liver by Duration
Events < 30 minutes: utilizes muscle glycogen directly
Events > 1 hour: utilizes liver glycogen (released into blood). Depletion causes “bonking” or “hitting the wall”
Carbohydrate Intake During Prolonged Exercise (>1 hour)
30-60 grams of carbohydrates per hour
Primary Fuel Source During Rest and Low-Intensity Activity
Fat (broken down into 3 fatty acids and 1 glycerol molecule). As fitness improves, fat utilization increases
Daily Carbohydrate Requirements for General Fitness vs. Endurance
General recommendation: ~60% of total calories (minimum 5g/kg of body weight daily)
Endurance athletes (> 60 min activity): 7-10 g/kg of body weight daily
Glycogen Storage Capacity per 100g of Muscle
Untrained muscle: 13 grams
Trained muscle: 32 grams
Carbohydrate-loaded muscle: 35-40 grams
Carbohydrate Loading Protocol
Begins 1 week prior to events > 60 min. Daily carbohydrate percentage increases up to 70% of total calories while exercise intensity tapers down to zero the day before.
Side effect: muscle stiffness/heaviness (due to excess water storage)
Daily Dietary Fat Recommendations for Athletes
Approximately 35% of total calorie intake
Protein RDA vs. Athlete Requirements
Sedentary Adult RDA: 0.8 g/kg
Athletes: 1.0-1.6 k/kg
Muscle maintenance: ~1.2 g/kg
Adverse Effects of Excess Protein Intake
Increases urine production, leading to dehydration and fatigue
Body Fat Percentage Standards: Average vs. Athlete
Males: Average = 8-24%, Athlete = 5-18%
Females: Average = 20-35%, Athlete = 17-28%
Energy Expenditure and Caloric Deficit Guidelines
Moderate physical activity burns: 5-8 kcal/minute
Caloric reduction for safe weight loss: decrease intake by 200-500 calories/day
Risk threshold: intake < 1400 kcal/day makes meeting micronutrient needs difficult
Female Athlete Triad
Disordered eating (low BMI)
Amenorrhea
Osteoporosis
Ergogenic Aids: Approved vs. Harmful/Banned
Permissible: Vitamins/minerals, energy bars, sports drinks, meal replacement drinks
Banned: Anabolic steroids, growth hormones, GHB, blood doping
Daily Fluid Baseline & Pre/Post-Exercise Fluid Replacement
Daily baseline intake: 11-15 cups/day
2-3 hours before exercise: 1.5-2.5 cups
Post-exercise replenishment: 2.5-3 cups of water per pound of body weight lost
Critical Weight Loss Threshold & Hydration Indicators
Critical Threshold: Body weight loss > 3% due to sweat severely impairs performance and risks fatal heat illness
Hydration status indicator: Clear to pale yellow urine = hydrated; dark yellow = dehydration risk
Differential Diagnosis: Heat Exhaustion vs. Heat Cramps vs. Heatstroke
Heat Cramps: Painful muscle spasms when fluid is replaced but sodium remains low
Hat exhaustion: High sweat, dizziness, nausea/vomiting, cool/flushed skin
Heatstroke: body temp reaches > 104* F, sweating STOPS, hot/dry skin, confusion, seizures, coma
Indication for Sports Drinks vs. Plain Water
Events < 60 minutes: Plain water is best
Events > 60 minutes: Sports drinks are recommended to supply carbohydrates (glucose) and replace lost electrolytes (sodium and potassium)