Ex Phys chapter 22 Flashcards

1
Q

Obesity
Excessive body fat (men >__%, women >___%)
Borderline obese: men __ to __%, women __ to __%

A
  • 25
  • 35
  • 20-25
  • 30-35
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2
Q
Body mass index (BMI)
-Body weight in kilograms/(height in m)2
-Does not account for body composition
Overweight: \_\_\_\_ to \_\_\_\_ kg/m2
Obese: \_\_\_\_kg/m2
A
  • 25.0-29.9

- 30.0+

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3
Q

BMI classification cut-points change for difference races and ethnicities
For a given BMI, Asians have a higher body fat
______ same for all populations

A

BMI >30

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4
Q
BMI CLassifications 
underweight: 
normal:
overweight: Obesity classI
obesity: Obesity class II
extreme: Obesity class III
A

-=40

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5
Q

Men

  • minimal fat: %
  • below average:%
  • above average: %
  • at risk: %
A

5
5-15
16-25
>25%

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6
Q

women

  • minimal fat:
  • below average:
  • above average:
  • at risk:
A

8%
14-23%
24-32%
>32%

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7
Q

Over age 25, average person gains ~____to __ lb per year; Up to 33 extra lb by age 55
Lean mass decreases ~ ___ lb per year

A
  • 0.7-1.1

- .22

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8
Q

In 2006, medical costs for obesity in U.S.
$___ billion or 10% of all medical expenditure

Obese people spend __% more on healthcare costs

Childhood obesity alone is responsible for $___ billion in direct costs

Increased absenteeism ($___ billion annually)

Lower productivity while at work
Costs employers $___ per obese worker per year

A
  • 210
  • 42
  • 14.1
  • 4.3
  • 506
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9
Q

___ billion are overweight worldwide

A

2

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10
Q

Body may regulate around set point using

  • _____ (RMR)
  • _____ (TEM)
  • ____(TEA)
A

Resting metabolic rate
Thermal effect of meals
Thermal effect of activity

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11
Q

RMR
Body’s metabolic rate in the early morning
__ to __% of total energy expenditure

A

60-75

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12
Q

TEM
Energy expended to digest, store nutrients, etc.
__% of total energy expenditure
May be defective in obese individuals

A

10

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13
Q

TEA
Energy expended to accomplish activities
__ to __% of total energy expenditure

A

15-30

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14
Q

Android obesity:

A

upper body (apple)

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15
Q

Gynoid obesity

A

lower body (pear)

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16
Q

Android obesity → higher risk for

A
  • Cardiovascular disease
  • Elevated blood lipids
  • Diabetes
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17
Q

Weight loss reduces severity of

A
  • Angina pectoris
  • Hypertension
  • Congestive heart disease
  • Heart attack recurrence
  • Varicose veins
  • Diabetes
  • Orthopedic problems
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18
Q

Weight loss = kilocalorie intake

A

kilocalorie expenditure

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19
Q

weight loss is not to exceed __to__ lbs per week

A

1-2

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20
Q

diet for weight loss:
-Reduce overall ___ intake and ___ consumption
Eat low _____ foods

A

calorie
fat
Glycemic Index

21
Q

Hormone treatments for weight loss:

A
  • decrease appetite
  • increase RMR
  • serious side effects, life threatening
22
Q

Surgical Treatments for weight loss :

A
  • Intestinal bypass
  • Gastric banding or bypass
  • reserved for most extreme serious cases
23
Q

Major cause of obesity is:

A

overeating, and inactivity

24
Q

best treatment for weight loss:

A

kilocalorie restriction

25
exercise alters body composition - Significant long-term kilocalorie deficit - Significant long-term ____
fat loss
26
EPOC → ↑
postexercise metabolism
27
Body mass and composition changes with exercise
– ↓ Total weight – ↓ Fat mass, percent body fat Maintained or ↑ FFM
28
FFM means
fat-free mass
29
Exercise effects on appetite - Exercise probably does not significantly stimulate _____ - Should still be included in weigh management programs - Energy intake and expenditure coupled well when activity level is _____
- appetite | - high enough
30
Exercise effects on RMR
May increase with training | Resistance training of interest (RMR related to FFM)
31
Exercise effects on TEM
Pre- and postmeal exercise → ↑ TEM | Chronic exercise training → inconclusive
32
Exercise effects on fat mobilization
During exercise, FFA mobilization ↑ | Possible causes: hGH, sympathetic stimulation, catecholamines
33
Low-intensity aerobics and weight loss
- High intensity → ↑ percent energy from CHO oxidation - Low intensity → ↑ percent energy from fat oxidation - Low intensity → no change in total fat kilocalories expended - Low intensity → ↓ in total kilocalories expended
34
Fat-max zone
- Zone where fat oxidation rates near peak | - 55 to 72% V•O2max
35
What are the classifications of diabetes?
- Diabetes mellitus - --Hyperglycemia - --Insulin insufficiency and/or resistance - Type 1 - Type 2 - Gestational - Prediabetes
36
Type 1 diabetes
- Autoimmune (β-cells destroyed, no insulin) - Insulin-dependent diabetes mellitus (IDDM) - 5 to 10% of all diabetes cases
37
Type 2 diabetes
- Loss of insulin sensitivity (insulin resistance) - Non-insulin-dependent diabetes mellitus (NIDDM) - 90 to 95% of all diabetes cases - Term adult onset no longer correct
38
Gestational diabetes
Develops in pregnant women | 4% of pregnancies, causes complications
39
Prediabetes
Predictor of full-blown diabetes | Impaired fasting glucose or glucose tolerance
40
Glucose tolerance test:
diagnostic test Oral Intravenous
41
Signs of type 1 diabetes
- Excessive urination, thirst - Weight loss, extreme hunger - Fatigue, irritability
42
Signs of type 2 diabetes
- Any type 1 symptom - Persistent infections, sores - Vision changes - Tingling, numbness in limbs
43
Type 1 diabetes etiology
- Pancreatic β-cells destroyed - Cause may be autoimmune, viral infection, degeneration - Sudden onset in childhood, young adulthood
44
Type 2 diabetes etiology
-Gradual onset (children and adults) -Impaired insulin secretion, action, responsiveness -Obesity major factor – β-cells, target cells less responsive
45
diabetes health problems
Cardiovascular disease (all forms) Kidney disease Neural disease Eye disorders (blindness) Dental disease Amputations
46
Type 1 diabetes treatments
Insulin administration Diet Exercise
47
Type 2 diabetes treatments
Weight loss Diet Exercise Recently developed drugs
48
Role of physical activity in TYPE 1 diabetes
Exercise complicates glycemic control Hypoglycemia a risk Can lead to unacceptable plasma glucose fluctuations Requires careful monitoring ---Helps reduce risk of coronary, cerebral, and peripheral arterial diseases
49
Role of Physical Activity in Diabetes: Type 2 Diabetes
Exercise enhances insulin sensitivity - Muscle contraction mimics insulin action - Lowers blood glucose - Decreases insulin requirement - Short-term (72 h) effect -Combination of resistance and aerobic training may be optimal