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Exercise Prescription
exercise prescription for chronic disease
118
Psychology
Undergraduate 4
07/10/2012

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Term
Direct Calorimetry
Definition
measurement of energy expenditure
Term
Indirect calorimetry
Definition
Measure VO2, convert to EE
Term
Absolute VO2 or EE
Definition
total amount of oxygen body is using
Term
Relative VO2 or EE
Definition
liters per minute per kilogram body is using
Term
Gross
Definition
total amount
Term
Net
Definition
the amount above rest (gross amount - rest amount = net amount)
Term
equation for Gross VO2
Definition
resting VO2 + net VO2
Term
equation for relative VO2
Definition
Gross VO2 - 3.5 = net VO2
Term
workload on a bicycle equation
Definition
kg(setting) * distance (pedal revolution) * rpm (revolutions per minute)
Term
Monark bicycle workload equation
Definition
kg(settings) * 6m * rpm
Term
how many kgm/min in a Watt
Definition
6kgm/min = 1 Watt
Term
when doing steps, what concentric and eccentric is happening
Definition
one leg is always doing concentric while other is eccentric.
Term
what is energy expenditure during exercise?
Definition
how many calories a person is burning
Term
convert mph to m/min
Definition
1 mph = 26.8 m/min
Term
convert kg to lbs
Definition
1 kg = 2.2 lb
Term
convert watts to kgm/min
Definition
1 watt = 6kgm/min
Term
convert inches to m
Definition
1 in = 2.54 cm = 0.0254m
Term
convert Mets to ml/min*kg
Definition
1 MET = 3.5 ml/min*kg
Term
convert ml/min*kg to kcal/hr*kg
Definition
3.5 ml/min*kg = 1kcal/hr*kg
Term
Convert L of O2 to kcal of energy
Definition
1 L O2 = 5 kcal of energy
Term
convert lb of fat to kcal of energy
Definition
1 lb of fat = 3500 kcal of energy
Term
convert L/min to mL/min
Definition
L/min x 1000/(kg of body mass) = mL/min*kg
Term
Surgeon General's 1996 report results
Definition
1) exercise for 30min at moderate intensity, most days of week will improve fitness and reduce risk of disease
2) Greater duration is more effective
3) Greater intensity is more effective
Term
exercise for 30min at moderate intensity most days of week will improve fitness and reduce risk of what according to Surgeon General's 1996 Report
Definition
-Heart disease
-Hypertension
-Diabetes
-Obesity
-Cancer
-Osteoporosis
Term
According to 2008 guidelines, how much exercise should be done for children 6-17yr
Definition
1 hour or more of physical activity every day, primarily moderate or vigorous intensity aerobic activity at l
-vigorous intensity aerobic activity at least 3 days a week
-overall activity should include muscle and bone-strengthening activity at least 3 days per week
Term
According to 2008 guidelines, how much exercise should be done for adults 18-64 yr
Definition
-2 hr 30 min of moderate intensity or 1 hr 15min of vigorous intensity aerobic activity per week or combo of two
-5hr of moderate intensity or 2 hr 30 min of vigorous aerobic activity
-muscle strengthening for all major muscle groups at least 2 days per week
Term
2008 exercise guidelines for adults 65 and older
Definition
-Follow guidelines to extent they're able
-Should do exercises to maintain or improve balance if at risk of falling
Term
2008 exercise guidelines for pregnant and postpartum women
Definition
-If already doing vigorous intensity aerobic activity, or high amounts of activity, should continue as they are able with physician consultation
-If not already doing vigorous intensity activity, should do 2hr 30 min moderate intensity activity per week
Term
2008 exercise guidelines for individuals with disabilities
Definition
should follow the age-specific guidelines to the extent they're able
Term
Describe moderate intensity aerobic activity
Definition
Can talk but not sing
ie: brisk walking
Term
Describe vigorous intensity aerobic activity
Definition
-can say only a few words without stopping to catch breath
ie: jogging
-people with diagnosed conditions (such as diabetes, heart disease) and without symptoms (such as chest pain, dizziness) do not need permission from a physician
Term
ACSM FITT Principle guidelines
Definition
Frequency
Intensity
Time
Type
Term
ACSM Frequency
Definition
3-5 days per week but can be daily
Term
ACSM Intensity
Definition
30/40-89% of VO2 Reserve
~30-40% for deconditioned
~40-60% moderate and 60-89% vigorous for most adults
Term
ACSM Time
Definition
20-60 minutes
Term
ACSM Type
Definition
continuous, rhythmic, large muscles
Term
Karvonen et al, 1957
Definition
First use of HRR for establishing exercise intensity
Term
ACSM position in 1990 on HRR and VO2R
Definition
%HRR is equivalent to %VO2max for purposes of exercise prescription
Term
Swain and Leutholtz position on HRR and VO2R in 1997
Definition
%HRR is equivalent to %VO2R, not to %VO2max
Term
ACSM position on HRR and VO2R in 1998
Definition
Adopted Swain and leutholtz position
Term
Satomayor in 2011 on those with no physical activity
Definition
-baseline risk for cardiovascular disease
Term
Satomayor in 2011 on those who exercise for 150 minutes
Definition
Had a 14% reduction in CVD risk
Term
Satomayor in 2011 on those who did 75 minutes of exercise
Definition
Had a 14% reduction in CVD risk
Term
Satomayor in 2011 on those who did 300minutes of exercise
Definition
had 20% reduction in CVD
Term
Satomayor in 2011 on those who did 5 times recommendation of exercise
Definition
25% reduction in CVD
Term
When is steady state reached?
Definition
when ventilation doesn't change
Term
What is ventilatory threshold?
Definition
when exercising at highest intensity
Term
Time for the FITT principle
Definition
10-60 minutes
30-60 minutes if moderate at least 150min/wk
20-60 minutes if vigorous at least 75 min/wk
Term
For general masses, which is better? running or swimming? and why?
Definition
running is better because using legs and arms in running, but in swimming using mostly arms
Term
which exercise is MOST beneficial
Definition
cross country skiing
Term
What is the HRR method?
Definition
difference between max HR and resting HR
Term
why is it hard to prescribe 70%HR to everyone if their max HR is 200 and resting is 60?
Definition
people have different HR
Term
Purpose of 1957 Karvonen et al study
Definition
what intensity of exercise was best for improving aerobic fitness
Term
What did they do in the Karvonen study
Definition
6 med students, all male and relatively fit ran on treadmill for four weeks at either 60% HRR or a little bit more than 70% (3 did each)
Term
Karvonen study results
Definition
exercising at 70% got better, 60% did nothing
-at least 70% of available range of pulse rates is required for a training effect.
Term
Who stated "In order to cause an increase of the maximum oxygen uptake, training must be intense. Misguided philanthropism in the administration of athletic training programs may deprive them of their major effects."
Definition
Karvonen
Term
Swain and Leutholtz results
Definition
VO2 reserve was musch better for general population
Term
Using VO2Reserve improves the accuracy of the relationship, particularly at what part of the intensity scale?
Definition
the lower end
Term
It is incorrect to relate HRR to a level of VO2 that starts at what rather than a resting level?
Definition
zero
Term
ACSM Gudielines 2000,2006 recommends an intensity of exercise corresponding to what?
Definition
between 40/50% to 85% of oxygen uptake reserve (VO2R) or HR reserve
Term
ACSM position stand 2011 for VO2/HRR
Definition
30-59% of VO2R or HRR for deconditioned
40-89% for most adults
Term
Swain and Franklin results
Definition
Minimal Intensity for healthy subjects
-45% of VO2R is threshold training intensity if VO2max > 40 ml/min*kg
-30% of VO2R is minimal effective training intensity if VO2max < 40 ml/min*kg
Term
Swain and Franklin results of clients with higher initial fitness?
Definition
baseline of 58ml/min*kg had 9% increase with intervals at 85%
Term
if you have a low starting intensity, what will help improve?
Definition
any movement
Term
Gormley 2008 results
Definition
higher intensity provides better results
Term
Most people physically active had how much reduction in heart disease?
Definition
30%
Term
Which intensity is best at reducing incidence of CHD and several risk factors for CHD?
Definition
Vigorous intensity is better than moderate
Term
Vigorous intensity is better than moderate intensity exercise at what?
Definition
-reducing blood pressure
-improving glucose control
-improving aerobic fitness
Term
DiPietro et al studied what?
Definition
Studied exercise intensity and insulin sensitivity:
elderly women exercising at 80% VO2max vigorous intensity and 65% VO2max moderate intensity for 1200 kcal/wk for 9 months
Term
Dipietro et al results
Definition
Only vigorous group increased insulin sensitivity
Term
Wisloff studied what?
Definition
Interval vs continuous training in heart failure
Term
Wisloff results?
Definition
-Interval group increased by almost 50%
-Moderate group changed VO2max but not as much
Term
%HRmax Method A% VO2R corresponds to what?
Definition
57/64-95%HRmax
Term
30% VO2R is what for %HRmax
Definition
57% HR max
Term
Workload when prescribing intensity
Definition
30/40-89% VO2R
Term
40% VO2R is what for %HRmax
Definition
64%HR max
Term
60% VO2R is what for %HRmax
Definition
77%HR max
Term
89%VO2R is what for %HRmax
Definition
95%HRmax
Term
95%HRmax is equivalent to what?
Definition
89% VO2R
Term
77% HRmax is equivalent to what?
Definition
60% VO2R
Term
64% HR max is equivalent to what?
Definition
40% VO2R
Term
57% HRmax is equivalent to what?
Definition
30% VO2R
Term
Equation for Target HR
Definition
(int. fraction) (HRmax - HRrest) + HRrest
Term
Borg perceived exertion goes to what values and why?
Definition
6-20, client is guessing own heart rate between 60 and 200
Term
%VO2R equivalents to RPE
Definition
30% VO2R = 9 RPE
40% VO2R = 12 RPE
60% VO2R = 14 RPE
89P VO2R = 17 RPE
Term
Equivalent Intensities for 30% VO2R
Definition
30% HRR
57% HRmax ACSM
9 RPE
Term
Equivalent Intensities for 40% VO2R
Definition
40% HRR
64% HRmax ACSM
12 RPE
Term
Equivalent Intensities for 60% VO2R
Definition
60% HRR
77% HRmax ACSM
14 RPE
Term
Equivalent Intensities for 89 VO2R
Definition
89% HRR
95% HRmax ACSM
17 RPE
Term
Warm UP: purpose and what to do?
Definition
5-10 minutes of light intensity aerobic exercise prior to workout
-warms up muscles
-gets breathing ready
Term
Cool down: purpose and what to do
Definition
5-10 min of light intensity aerobic exercise after workout
-helps remove lactic acid
-eliminate blood pooling
(muscle squeezes vein inside to push blood, then when athlete suddenly stops, the pump stops and blood pools)
-not important unless going to do steady bouts of an exercise
Term
is stretching a warm-up by itself?
Definition
no, do aerobic warm up first then stretch
Term
Training for performance, may be able to hold 85% VO2max for an hour, but most can only do what?
Definition
50%
Term
Training for Performance equation for speed
Definition
Speed = (economy)(% of max sustained)(Vo2max)
Term
what is an endurance workout?
Definition
continuous effort at one speed over certain amount of time
-improving economy of walking by doing it over and over again
Term
What is an aerobic workout?
Definition
Very hard effor, can only handle for 3-5 mintues
-Pacing, but effort is close to VO2max, hold for 3-5, then 3-5 min easy intensity, and repeat
Term
What is a Pace workout?
Definition
Hard intensity that can only be maintained for 20-30minutes
-low duration for a basic workout
-aimed at the lactate/ventilatory threshold
Term
Ways to avoid overuse injuries
Definition
-Warm up
-Not increasing the intensity or volume of exercise too rapidly
-Get sufficient rest between workouts
Term
Treatment of Injuries
Definition
RICE
Term
Average sweat production for a person during exercise
Definition
1 L per hour
-can be 2-3 L p hr when acclimated to the heat
Term
Exercising at 12 kcal/min for 1 hr, we MAKE how much H2O from where?
Definition
110ml of H2O from the carbs we burn
Term
Exercising at 12kcal/min for 1 hour, we RELEASE how much H2O from where?
Definition
490ml of H20 from glycogen
Term
If we sweat 2 L in that hour, how much comes from body fluids and needs to be replaced?
Definition
less than half
~40L0m
Term
Sweat has how much sodium?
Definition
0.5-2.3g/L
-1.2 g/L on average is lost
Term
How much sodium is in blood plasma?
Definition
3.2 g/L
approx: 135-145 mEq/L in blood
Term
how much sodium is in Gatorade and V8 and which is best?
Definition
Gatorade - 0.5 g/L
V8 - 2.0 g/L
V8 is best
Term
what is hyponatremia?
Definition
diluted blood plasma
-not enough salt in the blood stream
Term
What could cause Hyponatremia
Definition
Drinking too much water, or even gatorade to replace sweat will dilute the blood plasma
Term
what are symptoms of Hyponatremia?
Definition
-nausea
-fatigue
-unconsciousness
-death
Term
What can Hyponatremia cause?
Definition
swelling of tissues, including cerebral edema
Term
How can you tell the difference between hyponatremia or heat illness?
Definition
-plasma Na+ < 135 mEq/L
-rectal temp >38deg
Term
How much water should you drink?
Definition
8oz every 15min, even if not thirsty
-drink based on thirst
Term
What to drink when exercising less than one hour?
Definition
plain water
Term
What to drink if exercising more than one hour?
Definition
:Add Na: at least as much as in Gatorade
:Add carbs: 40-80 g/L of sugar (Gatorade is 60) or complex carbs in endurance drinks (perpetuem)
Possibly add other electrolyltes and some protein
Term
What to drink after exercise
Definition
-consume carbs (100g) and protein (33g) immediately, and after 2 hours
-drink enough to finish rehydrating
Term
Heat stress prevention:
Definition
-Slow down
-use ice sock
-drink cold fluids
-Exercise indoors
Term
Heat exhausting:
Definition
-stop, move to cool location
-apply cold, wet towel
-drink cold fluids
Term
Heat stroke signs
Definition
-stop sweating
-cool them off as fast as possible, dump buckets of ice on them
-call 911
-do the burrito
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