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96 Cards in this Set

  • Front
  • Back
Who is at risk for PA addiction
Intense, high achieving individuals
perfectionist
thoses with low self esteem who find gratification
previous or current eating disorders
dysmorphia: distorted body image
Denial is a ______ and a ____
Characteristic and a risk
The obsession bites back
Chronic injuries, illness, relationship and job problems.
do it because you love it not because u need it
exercise enhances life but should not be whole life
if it gets in the way of living to your fullest, its a problem
You might be addicted if
Miss social obligations and family events to exercise.
giving up other interest to have more workout time
missing a workout makes your irritable
only feeling content while or after exercise
like exercise better than good food, a movie, or sex
workout when your sick, exhausted or injured.
family and friends have told me i workout too much
if i ever have more free time i use it to exercise.
What can you do?
Find a counselor you trust
change your focus from more is better to quality
plan your workouts, rest and recovery days with a trainer
set reasonable goals
write out a seven day plan
count all exercise
spend extra time doing something new or different
never make up a missed workout day by doubling.
Female athleete triad is made up of three factors
Disordered eating: Low energy
Amenhoria:cessation of mentral period
Osteoporosis
Even if 1 of three presents risk is _____
increased
occurs in ___ ______ as well.
non Athletes
Triad factor 1 :
Disordered eating
lean and ____ mentality
mean
total avoidance of "____" foods
bad
_____ energy expanditure or _____ food intake
increased, reduced
Low energy availaibity is ________ for other two components
cornerstone
Most prevelant in Appearance sports such as _____,____,____ and sports then emphasize leaness or make weight such as ___
figure skating, gymnastics, dancing and distance running,rowing and martial arts
Triad factor number 2
Amenorrhea
low energy expanditure from dietary restiction and energy expanditure impairs ______ functions
reproductive
Below ___Kcal per kg of fat-free mass.day increases risk
30
______ responsible for overran function and regular mensturation are ______
hormones, diminished
Consequences of menstrul dysfunction
Lowered HDL cholesterol, and increased risk for CVD
Stress fractures, osteopenia/osteoporosis
Triad factor 3
Osteoporosis
Characterised by
Low estrogen levels, poor nutrition, including low energy, low calcium and vitamin D intake
Severity of bone loss _____ with degree and length of _______ cycle disturbances and intensity and duration during training.
increases, menstrual
Who is at risk
High competitive, perfectionist
involved in sports that require weigh ins
involved in aesthetic sports or ones that emphasize leanness
having coaches, parents and teamates who equte thinness and performance
having a history of eating disorders
signs and symptoms of Traid
weight loss inconsistent with training
no periods/irregula periods
fatigue and decreased ability to concentrate
frequent stress fractures
frequent muscle injuries
s
signs of potential eating disorders
continued dieting in spite of weight loss.
preoccupation with food and weight
excessive training
frequent trips to bathroom after meals
use of laxitives or diuretics
brittle hair or nails
dental cavities and worn tooth enamel
sensitivity to col
very low heart rate and blood pressure
hearbeat irruglar and chest pain
irritability, guilt and depression.
Treatment
Typically requires nutritional and psychologcal counseling
coaches and trainsers must be supportive
modify or supervise training.
first step
improve energy availability
Sudden cardiac death
Heart sudden loses it elletrical stability
Heart beats _____ and _______ then stops
rapidly and ineffectively
Can be caused by ______ ______ _____, reducing blood flowto the heart causing death of the heart muscle
blocked coronary arteries
______ _______ espscially in the untrianed can limit oxygen to the heart causing ventricular arrhythmia, tachycardia and fibrillation
vigorous exercise
______ _______ in the coronary artery can cause a clot and block blood flow to the heart
ruptured plaque
It is very rare and usually results from underlying _____ _____
Heart disease
the _____ the fitness level the higher the risk.
lower
____ times greater in habitually sedintary in over secen epdilogcal studies
5
High risk activities
Running, shoveling snow
Cardiac events in thoses under age 35 are due to
congenital( birth defects)
Hypertropihc cardiomyopathy accounts for ____% of deaths(enlagred heart wall
46%
MArfans sydrome
inherited disease of the connective tissue that can damage CV system
Cardiac events during exercise in older athletes or non athletes are usually due to a ____ ______ or underlying coronary artery disease
Heart attack
Other possible causes
Steroid use, Amphetamine use, speed, cocain, meth ritilian abuse, tobbaco use or severe heart illness
Asthma: ___-___% of elite endurance athletes have Asthma or airway hyper responsiveness compared to __-___% of normal population
10-50% to 5-10%
Most prevelannt among _____ and thoses who exericse in ____
swimmers, cold
____ _______ is benefical for thoses with Asthma, but repeated vigorous exercise can cause its development
moderate exercise
contributing factors:
continued hyperventilation, low air quality, more exposure to allergens, lowered immune system, temperature extremes
PRevetnion
History and physical exercise clearance
Education about exercise risk
encourage progressing gradually 2/3 of sudden death occur in someone who is not used to it
note canges in unusual fatgiue, breathlessness, infections and fever
Walkers have no apparent increase in _____
injury
Runners and sports participants are ____ to ____ times more likely to be injured
1.5 to 2.5
What influences risk
Frequency, intensity and duration
in adults training or walking more than ___ mole per week nearly _____ the risk for foot or leg injury.
20, doubles
weekely ______ is more a risk factor then surfrace, time of day, warm-up, or streching.
mileage
for every hour of total weight-bearing actviity per week injury risk increases ___%
11%
for young girls in cheerleading , gymnastics and running each hour of high impact exercise increase risk for stress fracture by ___%
5%
injury is reduced by ___-____% by a slower training pace, regular strength traning, maintaing proper nutrition and body weight, and cross training.
40-50
Most common acute injuries
Tendon strains(connect muscle to bone)
ligament sprains and tears(connect bone to bone)
delayed onset muscle sorness
stress fractures
most often occurs in ____ and ____
knees and ankles
It can take ___ years to develop degenerative joint disease.
30
Theses activies do not appear to increase risk for osteoathritis
swimming, walking and cycling
High impacts sports with twisting and torsional joint forces such as _____ and _____ do increase joint injuries and osteoarthritis
football, soccer
Wear and tear theory
over time, the repetitive impact on the bones and joints causes the hyaline cartilage of the joint to wear away.
Ones the cartilage is gone it sets the stage for
degenerative joint disease
The more wear and tear the more risk for joint damage, the more damage the greater risk for
osteoarthritis
Actvity can be both a treatment and cause of
osteoarthrtitis
Aerobic and resistance exercise can
decrease pain, improve funtion, add quaility of life, boost mental health, and delay disability
Best activities
lower impact, walking cycling and swimming
RX
3-4 times per week for 30-60 minutes with pain as guide
3 categories of risk stratification
yea
1 apparent health individual
no more than one major coronary risk
no exercise testing is needed
reccomend men over 40 and females of 50 get medical clearance
2 individuals at higher risk
HAve symptoms of possible Cardiopulmonary disase or metabolic disease.
How two or more risk for Coronary artery disease
need a physican supervised exercise test
3. individual with disease
have known cardiac, pulmonary, or metabolic disease
a through medical exam is recomned and supervised exercise test.
Coronary risk factors
BP 140/90 or great on three
on antihyoertensive medications
cholesterol over 220
cigarette smoking
Diabetes: insulin dependent over age 30 or non insulin dependent over 35
parents or sibilings with coronary artery disease by age 50
Cardiopulmonary and metabolic risk factors.
Chest pain such as agina
shortness of breath with exertion
dizzy spells
sleep apnea
ankle edema
eapid heart beat
claudication
diagnosed heart murmur
start at ___VO2 max for ___-___ minutes work up to ____% max through intervals
40% for 30-40
60% thro
Steroids
Synthetic compounds that mimic the acation of the male hormone testosterone
Accelerate muscle growth and development
Known as anabolic steroids because they promote
protein synthesis which builds size and strength of muscle
All called ________ steroids because they display _________ including ....
Androgenic, male secondary sex characteristics including deep voice, facial and body hair
How steroids work: Block the ______ process, a normal part of muscle metabolism where excess muscle is broken down.
catabolic
Once inside the muscle, steroids interact with the cell's ___ to speed up the _________ or rebuilding of proteins involved in muscle growth.
DNA, synthesis
Steroids effects are
increased fat-free mass, muscle size and strength, shorter recovery time which enables harder and longer workouts.
Steroids cause a reaction in the brain to ______ the production of gonadotropin releasing hormone which is responsible
the production of natural testosterone and sperm.
Tolerance
needing more of a drug to get the desired effect.
Tolerance to steroids begins with
the first dose, immediately reducing natural testosterone.
Avoiding tolerance has three methods 1. Stacking
using a variety of different anabolic steroids to set of tolerance
Cyclying
alternating periods of steroid use with equal or longer periods of abstinence to decrease ones tolerance
pyramiding
Gradually increasing then decreasing doses during a single cycle.
Physical problems
increased risk of injury due to longer/harder workouts
loss of flexibility
male pattern baldness
severe acne on face, chest, back
water retention. endema feet and legs
decreased pain tolerance
stunted growth in adolescence
swollen breast tissue and testicular shrinkage in males, reducded breast size and enlarged genitalia in females.
kidney and liver failure and cancer
prostate cancer in males
high blood pressure
high cholesterol
heart attack
stroke
risk for hepatitis and HIV
Physiological problems
increased aggression and combativeness
mood swings
dysphoria
depression
decreased sex drive
insomnia
distorted body image
sudcidal tendencies
HGH
A large protein secreated by the brains pituitary gland, HGH promotes growth through adoleneces
HGH levels are diminished by age
40
Synthtic version is used to increase
size and strength of muscle and offset natural loss of muscle that comes with aging
very difficult to
detect
Physicans uses
True diagnosed deficiency, resulted in stunted growth
severe muscle wasting due to the effects of aids.
Fountain of youth?
celebss are drawn to it for anti aging effects
Risk
Diabetes
Thyroid disease
diminshed sex drive
autoimmune disease
severe joint imflammation
cancers
shortened life span
very expensive
risk of injection
Acromegaly
Thickeneing of bones; especially in the face, the hands and the feet
Organomeagly
enlarged internal organs, including heart and CV system