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An Invitation to Health The Joy of Fitness Prepared by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College of SC 3.14.16 What you will learn from this Chapter… Five health-related components of physical fitness Benefits of physical activity (play) Physical Activity Guidelines for Americans Principles of exercise Performance-enhancing drugs Measuring body composition Chapter Objectives Distinguish between the five components of healthrelated fitness and the six components of skill-related fitness. Relate fitness to all of the dimensions of health. Illustrate how the implementation of the physical activity guidelines can combat a sedentary lifestyle. Discuss the importance of the principles of exercise in developing any physical training plan. Chapter Objectives List the potential health risks of strength-enhancing drugs and supplements. Identify the various methods for determining body composition. Discuss the importance of the principles of exercise in any physical activity plan. Identify at least three specific behavioral changes that you can incorporate I order to achieve and maintain a desired level of fitness. What Is Physical Fitness? Definition The ability to respond to routine physical demands, with enough reserve energy to cope with a sudden challenge. The Five Health-Related Components of Physical Fitness 1. Aerobic and Cardiorespiratory Endurance 4. Flexibility 5. Body Composition 2. Muscular Strength 3. Muscular Endurance Athletic or Skill-Related Fitness Agility Balance or equilibrium Coordination Power Reaction time Speed or velocity Benefits: Fitness And The Dimensions Of Health Physical • Reduces risk of disease • Increases energy and stamina Emotional • Lowers tension, anxiety and stress • Improves mood, lifts depression, promotes positive self image Social • Meet new people Intellectual • Greater alertness, concentration and creativity Occupational • Miss fewer work days and are more productive Spiritual and Environmental • Appreciation for mind-body connection • Deeper appreciation of physical world Physiological Differences Between Men and Women? Female Male Percent fat 27% 15% Lean body mass 107.8 pounds 134.2 pounds Blood volume 4.5-5 liters Maximum oxygen 3-3.5 liters per minute consumption 5-6 liters 5.5-5.9 liters per minute Fig. 8.2, p. 228 The Inactivity Epidemic In America 1 in 4 Americans reports no physical activity 2 in 4 Americans exercise, but not at recommended levels Only 1 in 4 Americans meets the levels of physical activity recommended How Active are Today’s College Students? Why Exercise? Healthier Heart and Lungs Protection Against Cancer Less Risk of Obesity/Diabetes Brighter Mood Better Mental Health and Functioning Stronger Bones Higher Metabolism/Lower Weight Sexual Wellbeing Decreased Effects of Aging Longer Life The Benefits of Exercise Increases your respiratory capacity. Improves your digestion and your fat metabolism. Lowers your body fat and reduces your weight. Increases your muscle strength and tone. Improves your mood, reduces psychological symptoms, and sharpens your thinking. Reduces your risk of heart disease. Strengthens your bones and increases joint flexibility. Improves your circulation. Four Dimensions of Progressive Overload F Frequency I T Aerobic activity most days Strength training 2-3 days per week Intensity Need to reach a level above ‘normal’ in all types of exercise Time 30 minutes daily at minimum (sets & repetitions for strength training) Type Vary type of exercise T “Use It Or Lose It” If you stop exercising, you can lose as much as 50% of your fitness improvements within 2 months If you are too busy to maintain your routine, keep intensity of work-outs constant and decrease the time Continuous Aerobic Activities Aerobic Exercise Physical activity in which sufficient or excess oxygen is continually supplied to the body. Examples • Brisk walking, jogging, swimming, cycling, water aerobics, and rope skipping. • Improves cardiorespiratory endurance. Monitor Exercise Intensity With Heart Rate How 1. Use middle finger and forefinger 2. Feel pulse in your neck 3. Count for ten seconds and multiply by six or count for 15 seconds and multiply by 4 Practice while sitting or lying down Monitor Exercise Intensity With Heart Rate When 1. While resting 2. During exercise 3. Three minutes after heavy exercise Your heart rate should return to resting level quickly after exercise Interpret Maximum HR = 220 — age HR Exercise in your target range: Start at 55-65% of your maximum HR Target Heart Rate for Different Ages and Various Levels of Activity Rating of Perceived Exertion (RPE) 0 Nothing at all 0.5 Extremely weak (just noticeable) Revised Scale for Rating of Perceived Exertion (RPE) 1 Very weak 2 Weak (light) 3 Moderate 4 Somewhat strong 5 Strong (heavy) Correlate to target heart rate 6 7 Very strong 8 9 10 Extremely strong (almost maximum) Monitor Intensity With ‘Talk Test’ Try to talk during exercise • If you can’t speak, you’re beyond your aerobic zone Try to sing during exercise • If you can sing ‘Row Row Row Your Boat’, but have to take breath every other word, you are within aerobic zone Creating An Aerobic Workout Plan Incorporate Three Stages 1 Warm-up Warm-up, stretching and balance exercises 2 Aerobic Activity 30- 60 minutes 3 Cool Down 5-10 minutes Aerobic activities: • Walk or run • Cycle • Step training • Swim or Row • Aerobic dance • Kick-boxing Aerobic Options • Stepping Out: Walk the Walk • American on the Move • • Jogging and Running • • Distance vs. interval training Swimming • • • 10,000 steps or 5 miles per day. At least 20 minutes per session. Note: your heart beats more slowly in water than on land. Cycling • • Target heart rate for at least 20 minutes. Be safe. Other Aerobic Activities Spinning Cardio Kickboxing Rowing Skipping Rope Aerobic Dancing Step Training Stair-Climbing Inline Skating Tennis Building Muscular Fitness Muscular Fitness Muscular Strength The maximal force that a muscle or group of muscles can generate for one movement Muscular Endurance The capacity to sustain repeated muscle actions Anaerobic Activities Anaerobic Exercise Physical activity in which the body develops an oxygen deficit. Examples • Sprinting, weight lifting • High intensity activities of short duration, usually lasting only about 10 seconds to 2 minutes. Contraindications to Starting a Weight Training Program • • • • • • • High Blood Pressure Recent Surgery Orthopedic/Joint Problems Infection Chronic Diseases Such as Heart Disease Existing Hernia Pregnancy (Starting a Program) Strength Training Methods Isotonic Exercise Isometric Exercise Isokinetic Exercise Core Strength Conditioning Core Strength: • The ability of the muscles to support your spine and keep your body stable and balanced. Benefits: • Improvements in posture, breathing, appearance, and performance in sports, while reducing your risk of muscle strain. Muscles of the Core: • Transverse abdominus; external and internal obliques; rectus abdominus. Photo taken from Robbins, Powers, and Burgess, A Wellness Way of Life, sixth edition, McGraw-Hill Publishers, 2004. Creating A Muscular Fitness Plan Components Repetitions Single performance of exercise Sets Number of reps of the same exercise Recovery 48 to 96 hours Details Allow breathing to return to normal between sets Use multiple sets per exercise Incorporate all primary muscle groups Pectoralis minor Rectus abdominus Internal oblique Trapezius Deltoid Pectoralis major Serratus anterior Biceps brachii External oblique Sartorious Quadriceps femoris Primary Muscle Groups Primary Muscle Groups Rhomboid minor Rhomboid major Erector spinae Serratus posterior Trapezius Triceps Latissimus dorsi Gluteus maximus Hamstrings Gastrocnemius Issues Within the Fitness Industry Anabolic Steroids Human Growth Hormone Other Ergogenic Aids Muscle Dysmorphia Primarily affects male body builders Characteristics Rigid maintenance of workout and diet regimen Avoiding situations that involve bodily exposure Preoccupation with body that interferes with daily life Continued use of diet and substances despite potential for harm Performance-Enhancing Drugs Anabolic Steroids Description Drugs derived from testosterone and approved for medical use, but often used by athletes to increase musculature and weight. Effects Of Anabolic Steroids Women Men Breast Development Baldness Shrinking Testes Reduced Sperm Count Infertility Acne Deep Voice Menstrual Cycle Changes Facial Hair CHANGES ARE PERMANENT Anabolic Steroids Are Dangerous Aggression Delusions Paranoid jealousy Homicidal episodes Wild mood swings Impaired judgment Extreme irritability Warnings About PerformanceEnhancers ‘Andro’ Androstenedione Creatine GBL Gamma butyrolactone • Controlled Substance – Illegal • Doesn’t build muscle or increase testosterone May cause dehydration, heat-related illness, electrolyte imbalances, reduced blood volume • Unapproved drug • Associated with death, becoming comatose and unconscious Warnings About PerformanceEnhancers Human Growth Hormone Increases lean body mass, but does not affect aerobic endurance or exercise capacity Other Ergogenic Aids • Caffeine—may cause jitteriness • Baking Soda—explosive diarrhea, abdominal cramps, bloating, nausea • Glycerol—hyper-hydration What is Flexibility? Definition Other Factors Affecting Flexibility Types of stretching • Variables that effect it Genetics, age, gender, and body composition The Benefits of Flexibility Prevention of Injuries Better Athletic or Art Performance Ross Sisters '44 Improved Posture Relief of Soreness After Exercise Relief of Muscle Strain Relaxation Types of Stretching Static Stretching A gradual stretch held for a short time of 10 to 30 seconds. Passive Stretching A stretching technique in which an external force or resistance (your body, a partner, gravity, or a weight) helps the joint move through their range of motion. Active Stretching A technique that involves stretching a muscle by contracting the opposing muscle. Ballistic Stretching Rapid bouncing movements. FIT(T) Guidelines for Flexibility Development Frequency At first, five to seven times a week. Later, (6 to 8 weeks) two or three times a week. Intensity Stretch to the point of mild discomfort or stretch to 10% beyond the muscles normal length. Bring back to the starting point gradually. Time Hold each stretch for at least 10 seconds and no longer than 60 seconds. Repeat each stretch two to three times. Type Favor static exercises (safer) Mind-Body Approaches Yoga • • Consists of various breathing and stretching exercises that unite all aspects of a person. Benefits: improved flexibility; stronger, denser bones; lower blood pressure; lower levels of the stress hormone cortisol; lower blood sugar in people with diabetes; reduced pain. Copyright 2008 ParadeNet, Inc. Mind-Body Approaches Pilates • • Pilates exercises involve very few, but extremely precise, repetitions in several planes of motion. Benefits: improved flexibility and joint mobility, and strengthens the core by developing pelvic stability and abdominal control. Pilates Exercise System The Pilates training system was originally developed in the 1920s by German physical therapist Joseph Pilates. This training technique emphasizes controlled breathing, correct spinal and pelvic alignment, and concentration on smooth, flowing movements. A series of exercises will help to strengthen the body’s core muscle groups while at the same time promote graceful movements and flexibility. Photo taken from Robbins, Powers, and Burgess, A Wellness Way of Life, sixth edition, McGraw-Hill Publishers, 2004. Mind-Body Approaches T’ai Chi • • An ancient Chinese practice designed to exercise body, mind and spirit. Benefits: Gently works muscles, focuses concentration, and improves the flow of “qi”, the vital life energy that sustains health. Strategies for a “Healthy Back” When Standing: • Shift your weight from one foot to the other or place your foot 4 to 6 inches off the ground. • Hold in your stomach. • Tilt your pelvis toward your back. • Tuck in your buttocks. When Sitting: • Sit in a straight chair with a firm back. • Avoid slouching. When Driving: • Keep your seat so your knees are raised to hip level. • Do not fully extend your right leg. • A small pillow or towel can help support your lower back. Strategies for a “Healthy Back” When Sleeping: • • • Sleep on a flat, firm mattress. Sleep on your side with both knees bent at right angles to your torso. Keep your head on your pillow in such a manner that it is in line with your body. When Lifting: • • • • Bend at the knees, not from the waist. Get close to the load. Tighten your stomach muscles and don’t hold your breath. Let your leg muscles do the work. Common Causes of Overweightness “Creeping Obesity” Decline in activity with age Decline in BMR with age (Secondary to a loss of LBM) Heredity – somatotype Altered set point Gland problems (~2% of cases) Baby fatness (~ Weight and Health Body Mass Index (BMI) • A mathematical formula that correlates with body fat; the ratio of weight to height squared. • • Healthy: 18.5 to 24.9 Overweight: BMI > 25.0-29.9 • • Associated with an increased risk of diseases such as hypertension, cardiovascular disease, adult-onset diabetes (type 2), and sleep. Obesity: BMI >30.0 • Associated with an increased risk of early death. Obesity vs. Overweight Obesity (overfat) A body fat composition that exceeds that which is desired for good health. Extreme overfatness. Body fat estimation which exceeds 33% in women (28% in men). Overweight Weight exceeds that from the life insurance tables for gender, frame size, and height. Weight and Health Classifications by Body Mass Index (BMI) Fig 7.1, page 195 Body Composition Waist Circumference • • Abdominal fat (“central” obesity), unlike fat in the thighs or hips, increases the risk of high blood pressure, type 2 diabetes, high cholesterol, and metabolic syndrome. Risky waist measurements: • Men: > 40 inches; Women: >35 inches Waist-to-Hip Ratio (WHR) • • The proportion of one’s waist circumference to one’s hip circumference. Risky waist-to-hip ratio readings: 1.0 or higher is considered “at risk” for undesirable health consequences, such as heart disease and other ailments associated with being overweight. Determining Waist-to-Hip Ratio (WHR) Example: Male with a 34 inch waist measure and a 42 inch hip measure The WHR would be 1.0 (he is starting to enter a moderate risk area) Regional Fat Distribution and Disease Risk Pear Gynecoid Obesity Fat stores around hips predominate Apple Android Obesity Fat stores around waist predominate Fig 8.9, page 251 Estimating Body Fat Skinfold Measurements Home Body Fat Analyzers Bioelectrical Impedance Analysis (BIA) Hydrostatic (Underwater) Weighing Dual-Energy X-Ray Absorptiometry (DXA) The Bod Pod Carefully Evaluate Fitness Products and Programs Exercise Equipment Athletic Shoes Low-Cost Fitness Aids Fitness Centers How to Buy Exercise Shoes Well-padded tongue prevents extensor tendonitis and irritation of dorsum of foot Laces not too long so they stay tied longer High rounded toe box (at least 1 1/2” in. high) prevents sublungual hematomas (“black toes”) Studded sole absorbs shock and provides traction in mud and snow Well-molded Achilles pad prevents irritation of Achilles tendon Firm heel counter for hindfoot stability Flared heel stability and beveled or rounded heel for quick roll-off Soft, raised Flexible midsole helps heel wedge to prevent Achilles absorb impact tendon problems at heel strike Sports Nutrition How Much Water Should I Drink While Exercising? 24 Hours Before Exercise: Consume a nutritionally balanced diet and drink adequate fluids. 2 Hours Before Exercise: 17 ounces of fluid During Exercise: Start drinking early and in regular intervals. Exercise Sessions Lasting 1+ hours: Drink fluids with carbohydrates and electrolytes Thinking of Temperature • Heat Cramps • Muscle cramps caused by profuse sweating and consequent loss of electrolytes. • Coping with Cold • • • Heat Syndromes • • Heat Exhaustion Heat Stroke Less severe Frostbite • • • • Frostnip More severe Superficial vs. deep Hypothermia Avoiding Injury • Get proper instruction. • Make sure you have good equipment. • Always make sure that stretching and exercises are preventing, not causing, injuries. • Use reasonable protective measures. • For some sports, recruit a buddy. • Take each outing seriously. • Never combine alcohol or drugs with any sport. Taking Care of Injuries “PRICE” Protect Rest Ice Compression Elevation Photos taken from Conditioning: Health & Physical Activity Series, University of Florida, Kendall/hunt Publishing Co. 2005. Shaping Up Evaluate your readiness for change. Consider your fitness goals. Think through your personal preferences. Schedule exercise into your daily routine. Assemble your gear. Start slowly. Progress gradually. Take stock. The End Slide show was developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College (SC) All Rights Reserved