Chpt 1 Intro - Physical Activity, Fitness, & Health

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    SPS 311 Physical Conditioning

    Mohd Fadzil b. Hj. Kamarudin

    UiTM

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    Introduction to the Active Life

    Healthy Habitsy Regular physical activity

    yAdequate sleep

    yA good breakfast

    y Regular meals

    y Weight control

    y Self-discipline from smoking & drugs

    y Moderate use of (or self-discipline from)alcohol (applied for non-muslim)

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    Introduction to the Active Life

    Physical Activity

    yAs many as 250,000 lives are lost annually

    because of the sedentary lifestyle

    y Lack of physical activity is now considered

    as important a risk factor for Heart disease

    high blood cholesterol, high blood pressure,

    and Cigarette smoking

    y Inactivity contributes to a substantial

    numbers of deaths from heart disease (34%)

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    Introduction to the Active Life

    Healthy Food Choices

    y Poor food choices contribute directly to:

    Overweight

    Obesity Heart disease

    Diabetes

    Cancer

    Indirectly to other problem such as depression

    y Poor diet, coupled with lack ofexercise, causes at

    least 300,000 deaths a year, mostly from heart

    disease, & contributes to an increased risk of

    diabetes, cancer, & other ills.

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    Introduction to the Active Life

    Weight controly Dieting for weight loss is the most unsuccessful health

    intervention in all of medicine

    yWorse yet, many weight-loss programs contribute toobesity

    y The active life, combined with healthy food choices,& behavior therapy if necessary, is the answer tolifelong weight control

    y Activity maintains or builds the lean tissue (muscle) thathas the capability to burn calories

    y Diet, by itself, leads to the loss of muscle & a reductionin daily caloric expenditure, resulting in an increasedstorage of fat

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    Introduction to the Active Life

    Stress management

    y Stress is ouremotional to events in life

    y Stress has been linked to heart disease, cancer,

    ulcers, & other ills

    y Regular moderate activity is the ideal way to cope

    with stress because it is effective, long lasting, &

    much less expensive than drugs.

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    Introduction to the Active Life

    Other Healthy Behaviors

    y the active life includes elimination of negative

    behaviors such as:

    Addiction to tobacco & drugs

    Use of alcohol

    AIDS (HIV infection)

    Including from motor vehicle accidents

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    The Activity IndexBased on your regular daily activity, calculate your activity index by multiplying your score for eachBased on your regular daily activity, calculate your activity index by multiplying your score for eachcategory (Score = Intensity X Duration X Frequency)category (Score = Intensity X Duration X Frequency)

    ScoreScore Daily activityDaily activity

    IntensityIntensity 55

    44

    33

    22

    11

    Sustained heavy breathing & perspirationSustained heavy breathing & perspiration

    Intermittent heavy breathing & perspirationIntermittent heavy breathing & perspiration as in tennis, racquetballas in tennis, racquetball

    Moderately heavyModerately heavy as in recreational sports & cyclingas in recreational sports & cycling

    ModerateModerate as in volleyball, softballas in volleyball, softball

    LightLight as in fishing, walkingas in fishing, walking

    DurationDuration 44

    33

    22

    11

    Over 30 minuteOver 30 minute

    20 to 30 minute20 to 30 minute

    10 to 20 minute10 to 20 minute

    Under 10 minuteUnder 10 minute

    FrequencyFrequency 55

    44

    33

    22

    11

    Daily or almost dailyDaily or almost daily

    3 to 5 times a week3 to 5 times a week

    1 to 2 times a week1 to 2 times a week

    Few times a monthFew times a month

    Less than once a monthLess than once a month

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    The Activity Index

    Evaluation & Fitness CategoryEvaluation & Fitness Category

    ScoreScore EvaluationEvaluation Fitness category*Fitness category*

    10010080 to 10080 to 100

    60 to 8060 to 80

    40 to 6040 to 60

    20 to 4020 to 40Under 20Under 20

    Very active lifestyleVery active lifestyleActive & healthyActive & healthy

    ActiveActive

    Acceptable (could be better)Acceptable (could be better)

    Not good enoughNot good enoughSedentarySedentary

    HighHighVery goodVery good

    GoodGood

    FairFair

    PoorPoorVery poorVery poor

    * Index score is highly related to aerobic fitness* Index score is highly related to aerobic fitness

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    Blood Pressure Evaluation

    SystolicBPSystolicBP Diastolic BPDiastolic BP ActionAction

    Normal BPNormal BP

    BordelineBordeline

    HypertensionHypertension

    Stage 1Stage 1

    Stage 2Stage 2

    Stage 3Stage 3

    Stage 4Stage 4

    210

    120

    Retest annuallyRetest annually

    Retest in 6 monthRetest in 6 month

    RecheckRecheck

    See doctor soon*See doctor soon*

    See doctor very soonSee doctor very soon

    See doctor now!!See doctor now!!

    *for recheck, diet, weight loss, activity, stress reduction, & possible medication*for recheck, diet, weight loss, activity, stress reduction, & possible medication

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    GeneralBenefit Aerobic Activity on

    Cardiovascular System

    Efficiency of the heart

    Heart Size

    Blood Supply Blood Distribution

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    Efficiency of the Heart

    Regular activity reduces the workload of

    the heart

    Changes in skeletal muscle

    Improved oxygen-using (aerobic)

    enzymes & enhanced fat metabolism

    Allow the heart to meet exercise

    demands with a lower heart rate

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    Heart Size

    Hypertrophy on left ventricle

    y Greater stroke volume

    Serious long-term resistance trainingy Increase in thickness of the heart muscle as

    it work to pump blood against the vascular

    resistance provided by contracting muscle.

    yExercise-induced cardiac hypertrophy, or theathletes heart, is a healthy response to

    systematic training

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    Blood Supply

    Physical activity improves the circulationwithin the heart.

    Moderate activity enhances the

    development of coronary collaterals,alternative circulatory routes that helpdistribute blood & minimize theeffects ofnarrowed coronary arteries.

    Increase in diameter of the coronaryarteries to help minimizing theeffect ofplague formation.

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    Blood Distribution

    Regularexercise activity teaches the

    body to better distribute the blood to

    muscle during exercise, further reducing

    the workload of the heart.

    10 to 15% increase in blood volume that

    comes with endurance training further

    enhances the performance of both theheart & skeletal muscles.

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    PHYSICAL ACTIVITY REDUCES THE RISK OF

    CHRONIC DISEASES

    HYPERTENSION & STROKE

    y Increases the risk of stroke & kidney failure

    y Inactivity increases the risk developing

    hypertension by 35%

    y Regularenduranceexercise lower systolic &

    diastolic pressure about 10 mm Hg

    y Risk of stroke decrease as activity increases

    y With more vigorous activity (heavy lifting),

    the trend may reverse

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    PHYSICAL ACTIVITY REDUCES THE RISK OF

    CHRONIC DISEASES

    CANCER & IMMUNITYyActive lifestyle is associated with a lower risk

    of certain type of cancer

    y Frisch et al. 1985 women who wereactive in their youth have fewer cancers ofthe breast & reproductive system

    y Regular moderate physical activityenhances the function of the immunesystem, whereas high levels of stress orexhaustiveexercise seem to suppress thesystem

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    PHYSICAL ACTIVITY REDUCES THE RISK OF

    CHRONIC DISEASES

    DIABETES & OBSESITY

    y Obesity & high blood lipids (fat) seem to

    foster a resistance to insulin

    Whereas exercise increases insulin sensitivity

    & the movement of glucose into working

    muscle

    y Regular activity has returned to a place of

    prominence in the treatment of diabetesy Regular active adults have a 42% lower risk

    of diabetes

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    PHYSICAL ACTIVITY REDUCES THE RISK OF

    CHRONIC DISEASES

    ARTHRITIS, OSTEOPOROSIS, & BACKPROBLEMSy This group of musculoskeletal problems accounts for

    significant pain & suffering

    y All these problems can be treated with activity Regular moderate activity is an essential treatment for arthritis

    y Osteoporosis (loss of bone mineral) cause by cigarettesmoking, poor diet, lack of activity, & after menopause Adequate calcium intake, regular weight-bearing exercise will

    slowed the bone mineral loss process

    y back problems result from acute or chronic assault tounderused & undertrained bodies

    The risk can be minimized with regular attention to abdominal &lower back exercises & flexibility of the back & hamstringmuscles.

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    Adult preventive care timeline: recommendations of major authorities