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ACSM Certification Review Chapter 3
Certification Review Chapter 3
113
Physiology
Graduate
03/16/2010

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Term
Age groups: Neonatal
Definition
birth to 3 weeks
Term
Age groups: Infancy
Definition
3 weeks to 1 year
Term
Age groups: Early Childhood
Definition
1 to 6 years
Term
Age groups: Middle Childhood
Definition
7 to 10 years
Term
Age groups: Later/Puberty
Definition
girls, 9 to 15 years; boys, 12 to 16 years
Term
Age groups: Adolescence
Definition
6 years following puberty
Term
Age groups: early Adulthood
Definition
20 to 29 years
Term
Age groups: Middle adulthood
Definition
30 to 44 years
Term
Age groups: Later adulthood
Definition
45 to 64 years
Term
Age groups: Senescence, Young-old
Definition
65 to 74 years
Term
Age groups: Senescence, Old
Definition
75-84 years
Term
Age groups: Senescence, Old-old
Definition
85 to 99 years
Term
Age groups: Senescence, Oldest Old
Definition
100 years and older
Term
What factors are included in aging?
Definition
Genetics, Lifestyle, Disease, etc.
Term
How much of our population will be 65 years or older by 2030?
Definition
20%
Term
How much physical activity should children ages 5-12 accumulate?
Definition
at least 60 minutes, and up to several hours on all or most days of the week.
Term
True or False: Resting and exercise heart rate are higher in children?
Definition
True
Term
Why are resting and exercise heart rate higher in children?
Definition
Most likely as a compensation for lower stroke volume and cardiac output relative to body mass.
Term
How do children compensate for higher levels of cardiac output and submaximal oxygen consumption?
Definition
Increased oxygen extraction, which is acheived by increased blood flow through skeletal muscle.
Term
How is Vo2 max determined?
Definition
By the capacity of the cardiovascular system to deliver oxygen to the working muscles and the capacity of the muscles to extract oxygen.
Term
True or false, blood pressure at rest is higher in children than in adults
Definition
False
Term
When does an increase in exercise capacity and Vo2 max occur?
Definition
It is dramatically accelerated in puberty, especially in boys, before leveling off after maturity.
Term
What happens to relative Vo2 max during puberty.
Definition
It plateaus in boys and shows a slight decline in girls.
Term
When does an individuals total number of muscle fibers become fixed?
Definition
before adolescence.
Term
How much less muscle mass do adolescent females have compared to males?
Definition
30-60%
Term
Define: endochondral ossification.
Definition
the process of the development of the human skeleton in the embryo.
Term
Where does ossification begin in the long bones? Where does secondary ossification occur?
Definition
In the diaphysis. In the epiphysis
Term
What happens when the ephiphyseal plates close?
Definition
Adolescents, usually between the ages of 16-18, stop growing.
Term
When does bone mass reach its peak.
Definition
For men and women between 25-30 years of age.
Term
List all of the things mentioned that improve during development.
Definition
motor skills, reaction time (particularly at 8 years of age), speed of movement, improvement of skill following a practice session.
Term
What are the gender differences in skill performance before adolescence?
Definition
minimal
Term
What are the gender differences in skill and performance during adolesence?
Definition
Skills requiring strength, running, jumping, etc, plateau in girls and continues to improve in boys. Girls often outperform boys in skills requiring fine motor patterns.
Term
How much muscle mass is typical in 17 year old boys and girls? What about before puberty?
Definition
42% for girls, 53% for boys. 43% for girls, 45% for boys.
Term
What are acceptable body fat percentages for prepubescent children?
Definition
10%-15%
Term
True or false. Children can tolerate exercise in the heat better than adults.
Definition
False.
Term
True or false. 1) Sweating rate for children is less than adults. 2) Children have less sweat glands than adults.
Definition
1) True
2) False
Term
What children are at the highest risk for heat related illness?
Definition
Children with diseases affecting the sweating mechanism (i.e. cystic fibrosis, diabetes), children with diseases affecting the cardiovascular system, children with obesity, and children with a history of heat stroke.
Term
How fast does maximal heart rate decrease in adults.
Definition
6 to 10 beats per minute.
Term
What happens to resting stroke volume and maximal stroke volume as people age?
Definition
Resting remains relatively unchanged, and maximal decreases.
Term
What causes a decrease in maximal cardiac output as one ages?
Definition
decreases in both maximal heart rate and stroke volume.
Term
What causes increases in SBP and DBP with age?
Definition
decreased arterial compliance and increased arterial stiffness.
Term
What does the decrease in skeletal muscle capillary density cause?
Definition
decreased muscle blood flow and oxygen extraction.
Term
How much does VO2 max decrease with age?
Definition
typically 5-15% per decade after the age of 25.
Term
Aging brings a ___% increase in the work of respiratory muscles, but a decrease in the ________ of these muscles
Definition
20%, strength
Term
Why does muscle atrophy occur?
Definition
Because of a decrease in the number and size of muscle fibers, particularly fast twitch (type IIB) fibers.
Term
How much muscle mass do sedentary individuals lose over the course of their adult life?
Definition
20-40%
Term
When does muscle strenght peak?
Definition
In the mid 20's, and it remains stable in the 30's.
Term
How much does muscle strength decline the decades after one's 30's?
Definition
approximately 15% per decade in the fifth, sixth, and seventh decades, and approximately 30% per decade thereafter.
Term
Define: Osteoporosis
Definition
a condition characterized by a decrease in bone mass and bone density, producing bone fragility.
Term
What is the peak bone mass in women compared to men?
Definition
About 10% below that of men.
Term
When do men begin to lose bone mass?
Definition
between 50 to 55 years of age.
Term
When do women begin to lose bone mass?
Definition
between 30-35 years of age.
Term
Of those affected by osteoporosis __% are women.
Definition
80%
Term
What are the risk factors associated with bone loss. (13 factors)
Definition
1) being caucasian or asian. 2) being female. 3) being thin-boned or petite. 4) having low peak bone mass at maturity. 5) family history. 6) premature or surgically induced menopause. 7) alcohol abuse. 8) cigarette smoking. 9) sedentary lifestyle. 10) inadequate calcium intake. 11) Chronic steroid use. 12) Vitamin D deficiency. 13) Advanced age.
Term
Aging is associated with __________ and increased ___________ of collagen fibers. (which causes decreased flexibility)
Definition
degradation, crosslinkage
Term
When does loss of flexibility begin? Why does it begin?
Definition
Young adulthood. Because of disuse, deterioration of joints, and degeneration of collagen fibers.
Term
How many people over the ages of 65 and 75 will experience at least one fall per year?
Definition
65, 30%. 75, 50%.
Term
Age-related changes in the _______, _______, and ___________ systems result in diminished feedback to the postural centers.
Definition
vestibular, visual, somatosensory
Term
The ________ ________ may lack the capacity to respond appropriately to disturbances in postural stability.
Definition
muscle effectors
Term
How much slower do healthy older adults prefer to walk compared to healthy younger adults?
Definition
20% slower.
Term
The reduced ____ _____ is largely attribuatble to decrease in stride length.
Definition
gait speed.
Term
What neurophysiologic changes occur with aging that affect motor performance? (5 things)
Definition
1) Decrease visual activity. 2) Hearing loss. 3) Deterioration of short-term memory. 4) Inability to handle several pieces of information simultaneously. 5) Decreased reaction time.
Term
Which skills are maintained through adulthood?
Definition
1) skills requiring accuracy of movement. 2) Movement patterns.
Term
What skills are decreased throughout adulthood?
Definition
1) skills requiring speed and strength of movement.
2) range of motion
3) reaction time
4) movement time
5) coordination
Term
Body Composition: What decreases and increases with aging?
Definition
Fat free mass and basal metabolic rate decrease. Fat mass increases.
Term
What factors go in to fat mass increases with age?
Definition
1) Inactivity (the primary factor)
Term
Where on the body are age-related increases in fat mass most visible?
Definition
primarily in the central areas (abdomen), as opposed to peripheral areas.
Term
When does skeletal muscle mass begin to decline noticeably?
Definition
At approximately 45 years of age.
Term
What are the underlying mechanisms that cause declines in skeletal muscle mass?
Definition
1) intrinsic changes in the muscle and central nervous system. 2) changes in hormonal stimuli. 3) lifestyle factors.
Term
Where does sarcopenia occur the most? Lower or upper extremities?
Definition
Lower.
Term
How much does body mass tend to decline after 70 years of age?
Definition
1-2kg in the eighth decade and accelarting thereafter.
Term
What are the primary determinants of sweating rate?
Definition
acclimation, fitness, hydration, and genetics.
Term
What factors can impair thermoregulation in older adults?
Definition
1) reduced total body water.
2) exposures to prolonged heat stress in elderly men.
3) the fact that heart rate, blood pressure, and oxygen consumption, expressed as a percentage of maximum are higher in the older adult.
4) Decreased tolerance for exercising in hot environments.
Term
When does loss in circulating growth hormone occur? What are the effects?
Definition
early thirties. It contributes to the loss of muscle mass and strength.
Term
For men, when does loss in circulating testosterone levels occur? What are the effects?
Definition
Early thirties. Loss of muscle mass and strength.
Term
What are the effects of a drop in circulating levels of estrogen and progesterone?
Definition
an increased risk of heart disease and osteoporosis.
Term
How should one go about training preadolescents?
Definition
There is no greater risk of injury with strength training in children with proper supervision. One rep max should be avoided though.
Term
What should happen with children with heart murmurs?
Definition
Murmurs do no impair normal cardiovascular function, and it does not necessarily exclude children from physical activity. Exercise should be prescribed according to physicians recommendation.
Term
What are common symptoms associated with dysrhytmias? (6)
Definition
1) Sensation of "skipped beats"
2) Headache
3) Vomiting.
4) Loss of vision.
5) Syncope
6) Near-syncope.
Term
What is vasopressor, orthostatic, and cardiovascular syncope?
Definition
Vasopressor - caused by external stimuli (anxiety, emotion)
Orthostatic - caused by pooling of blood in the lower extremities.
Cardiovascular - caused by some form of heart disease.
Term
Symptoms of presyncope (4)
Definition
1) Dizziness
2) Cold and clammy appearance.
3) Diaphoresis
4) Significantly decreased blood pressure.
Term
What has the greatest effect for enhancing bone mass in children?
Definition
Weightlifting and compressive exercises (i.e. gymnastics)
Term
Where do stress fractures commonly occur?
Definition
1) Tibia, fibula, or foot in running sports.
2) Femur, pelvis, or patella in jumping sports.
3) Humerus, first rib, or elbow in overhand throwing and racquet sports.
Term
Risk factors of stress fractures. (5)
Definition
1) Training error. Increased total volume or increased rate of progression of training intensity (beyond 10% per week)
2) Muscle-Tendon imbalance
3) Anatomic malalignments (basically if one limb is longer than the other)
4) High-Impact forces during running and jumping sports.
5) Growth.
Term
Asthma affects how many children in the United States?
Definition
5%-15%
Term
What does exercise-induced asthma consist of?
Definition
Cough, wheeze, chest tightness, chest pain, and/or breathlessness.
Term
Typically, _____ and _______ bouts of exercise are more likely to induce EIA.
Definition
Short, intense
Term
What is the difference between children and adults in regards to submaximal, relative oxygen for cycling, running and walking?
Definition
No difference for cycling.
10-20% higher for children when running or walking.
Term
True or False. Anaerobic capacity is lower in children.
Definition
True.
Term
Children recover quicker than adults do in what areas. (not worded well)
Definition
1) when it comes to reaching metabolic steady state.
2) lower oxygen deficit.
3) recovery of heart rate
4) recovery of blood pressure
Term
Cardiac output at a given oxygen consumption is ______ _____ in children than in adults.
Definition
slightly lower.
Term
Heart rate at a submaximal load is ______ in children than in adults because of the _______ _____ ____ and ______ ______ in children
Definition
higher, smaller heart size, stroke volume.
Term
Absolute maximal minute ventilation is _____ in children.
Definition
Lower
Term
Relative minute ventilation during maximal exercise is _______. (children and adults)
Definition
Similar
Term
True or false. Muscle hypertrophy is consistently associated with strength gains in preadolescent children.
Definition
False.
Term
Children and adults are not similar when it comes to changes in what area during cardiovascular training?
Definition
VO2 max.
Term
How many adults 75 years and older report no physical activity?
Definition
54% of men and 66% of women.
Term
What is the minimum level of VO2 max necessary for independent living?
Definition
13 mL.kg-1.min-1
Term
What is the recommended starting point for exercise intensity for deconditioned older adults?
Definition
40% VO2R or heart rate reserve (HRR)
Term
True or false. Increases in the VO2 max of older (>60 years) adults are similar to increases in younger people.
Definition
True.
Term
What causes improvements in VO2 max in men? women?
Definition
increased cardiac output, and increased arteriovenous oxygen difference.

for women, it is primarily increased arteriovenous oxygen difference.
Term
How much does low-intensity endurance training lower SBP and DBP in older adults?
Definition
8-10 mm Hg
Term
When does the decline of muscle strength, power, and endurance begin to accelerate?
Definition
After 50-60 years of age.
Term
What changes are included in the accelerated decreases of muscle strength, power, and endurance? (6)
Definition
1) decreased muscle fiber size (especially Type II)
2) decreased muscle fiber number
3) decreased mitochondrial proteins and glocolytic, anaerobic, and oxidative enzyme activities.
4) Decreased impulse conduction velocity
5) Loss of motor units.
6) Increased intramuscular fat, especially in women.
Term
Which decreases to a greater extent with age? Strength or power?
Definition
Power.
Term
What factors are attributed to decreased balance with age?
Definition
1) muscle weakness
2) inflexibility
3) degradation of neuromotor function
4) obesity
5) visual and vestibular deterioration
Term
What is of greater importance to osteogenic stimulation? Magnitude of load, or number of loading cycles?
Definition
Magnitude of load.
Term
What activities should individuals with advanced osteoporosis abstain from?
Definition
high-impact activities or deep forward flexion exercises such as rowing.
Term
Of the three, what does not contribute to an increased risk for insulin resistance? Physical inactivity, obesity, or aging?
Definition
Aging.
Term
What factors are related to orthopedic injuries in active older adults? (4)
Definition
1) inadequate warm-up.
2) muscle weakness
3) sudden violent movements
4) rapid increases in exercise prescription.
Term
How many 65 year old adults does osteoarthritis affect? 75 year old adults?
Definition
50% of 65 year olds.
85% of 75 years and older.
Term
True or false. Stroke volume and cardiac output are similar in healthy young and old adults.
Definition
True.
Term
True or false. Maximal stroke volume and cardiac output are similar between older and younger adults.
Definition
False.
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