Week 4 - Fitness and Lifestyle
How many steps is enough?
10,000 steps per day = Maintain Health
12,000 - 15,000 steps per day = Slow healthy Weight Loss
Importance of Walking
Qualified fitness professional (QEP) need to get more sedentary individuals walking/daily (results)
Relating Basic Cardiorespiratory Physiology to Fitness Assessment
Muscle responds to exercise via:
Increase in blood flow (vasodilation)
increase in oxygen utilization
Increase in ‘waste’ removal (CO2 & LA)
Heart muscle responds to exercise via:
Increase in heart rate (HR)
Increase in stroke volume (SV)
Leads to an increase in cardiac output (Q)
Linking Central Adaptations to Aerobic Fitness Training
Increase in blood supply / vascularization to heart muscle
Increase in stroke volume
Increase in cardiac output
Increase in left ventricular volume
Increase in ventricular wall thickness
Aerobic Tests
Direct Max VO2
+/- 2-3% error
Lab Tests
+/- 10-20% error
Field Tests
+/- 20-25% error
Why?
Review METS
One Resting MET = 3.5 ml/kg/min
Therefore, 12 METS = 42 ml/kg/min
Section 4, about page 34
Remember… Energy Expenditure Equations
Energy (kcal) utilized with exercise depends on oxygen consumption (or MET level), body mass & duration:
Example Conversion from VO2 max to kcals OR METS to kcals
HOEING WAS THE ACTIVITY THAT MADE EVERYBODY LAUGH
Cardiometabolic Risk
Traditional Risk Factors and Emerging Markers Contributing to Cardiometabolic Risk
Keeping it Simple
Age
Gender
Lipid profile
Smoking
Type II Diabetes (hyperglycemia)
BLOOD PRESSURE
The “Heavyweights” of modifiable Cardiovascular Disease (CVD) Risk Factors
Hypertension
Cholesterol (LDL) (HDL)
Diabetes
Smoking
Global CVD Risk
Obesity BMI
Others
Factors Contributing to Cardiometabolic Risk
Global CVD Risk from traditional risk factors +
A new CVD Risk factor (Metabolic Syndrome?) =
Global Cardiometabolic Risk
Metabolic Syndrome
Clinical Classification of the Metabolic Syndrome
CT SCan: intra-abdominal (visceral) Fat Accumulation in Equally Overweight men (same age, BMI, Fat Mss)
2 cm is a huge difference in terms of metabolic syndrome for health
Beneficial Impacts of Physical Activity on Body Fatness and Metabolic Risk of Men with Abdominal Obesity
Is waist circumference better than body mass index to predict cardiometabolic risk?
Outside
Waist circumference
Inside
Intra-abdominal or visceral fat
Criteria for the Clinical Diagnosis of the Metabolic Syndrome
Simplified Model of the “Portal” Theory
What is Ectopic Fat Accumulation?
Why is the Fatty Liver Dangerous for Cardiovascular Health Risk?
Obese Individuals with a Preferential Accumulation of Intra-Abdominal Adipose Tissue (AT): Subgroup at High CVD Risk
Improvements in Cardiometabolic Risk Factors Induced by Regular Exercise
BONUS QUESTION: Karyn Humber was wearing an NHL pin and breast cancer ribbon