Midterm 1 Flashcards
(24 cards)
The CSEP-CPT
- Establishes the “minimum standard” in the Canadian personal fitness training industry
- Represents a major step forward in the regulation of the health and fitness industry
- Clientele can be assured that a CSEP-CPT has received formal academic and preparation for sae and effective personal training for HEALTH.
- These individuals are qualified to assess HEALTH-RELATED physical fitness, provide general lifestyle counselling, and act as a personal trainer in a HEALTH-RELATED setting.
Advanced certification
- CSEP Certified Exercise Physiologist
- The CSEP-PFLC was merged with the CSEP-ET
- Scope covers health-related, performance related, job related fitness and clinical populations
Practical hours needed prior to CEP Exam Process
- 100 hours of practical experience in both health and performance related fitness applications
- 200 hours practical experience in the following areas:
- -Musculoskeletal Conditions (minimun 50 hours)
- -Cardiopulmonary Conditions (min 50 hours)
- -Metabolic Conditions (min 50 hours)
- -Neuromuscular Conditions (min 25 hours)
- -Aging Conditions (min 25 hours)
Determinants of Health
Lists
Income and Social Status Employment and Working Conditions Education Physical Environment Health services Gender Social Support Networks
Determinants of Health
Income and Social status
Income shapes overall living conditions, affects psychological functioning, and influences one choice: nutrition, PA, tobacco, and alcohol use.
Determinants of Health
Employment and Working Conditions
- Provides income, sense of identity and control
- without employment, feel psychological stress and material and social deprivation
Determinants of Health
Education
Correlated highly with income and employment security
Determinants of Health
Physical Environment
- Access to safe water and clean air, housing, healthy workplaces
- Walking and cycling infrastructure.
Determinants of Health
Heath Services
- Access to health services that prevent and treat disease
- Canada: large % for treatment, not promotion
Determinants of Health
Gender
- Women experience more adverse social determinants
- More responsibilities for children and housework, yet those working less full-time and lower wages.
Determinants of Health
Social Support Networks
-Greater support linked to better health
Canadian Fitness and Lifestyle Research Institute (CFLRI)
Physical Activity Monitor- Saskatchewan
1999- 36% of adults (18 and older) are sufficiently active for optimal health benefits
2002- 43% of adults (18 and older) are sufficiently active for optimal health benefits
2004-2005- 49% (20 yrs of age and older) are at least moderately active during their leisure time.
Metabolic Syndrome
- Originates in late 1950’s
- Gained popularity in 1970’s
- Introduced idea that ABDOMINAL OBESITY, HIGH BLODD PRESSURE, and DIABETES have a common link which insulin resistance and impaired glucose tolerance.
- -Syndrome X (the link)
-Also known as: Syndrome X, Insulin Resistance Syndrome, Dysmetabolic Syndrome, Beer Belly Syndrome, Reavan’s Syndrome.
Metabolic Syndrome
Definitions: Metabolism and Syndrome
Metabolism: set of chemical reactions in a living organism
Syndrome: refers to the association of several clinically recognizable features so that the presence of one features alerts the physician to the presence of the others.
Role of Insulin
- Hormone made by pancreas- helps control amount of sugar in bloodstream
- Glucose enters cells with help of insulin (key to unlock door) (key will no longer work)
- Insulin resistance interferes
- —IR caused by genetics, obesity, stress, inactivity, pregnancy.
- Response is to produce more insulin to help - INSENSITIVITY
- Result: increased glucose in blood & increased levels of insulin.
- — Increases level of triglycerides (bad fat)
What is the relationship b/t insulin and diabetes?
(FILL IN) lec 4 slide 5
Definition of Met Synd.
Need 3 or more of the following:
Waist circumference
- —-Men > 102 cm
- —-Women >88 cm
Triglycerides < or equal to 1.7 mmol/L
HDL cholesterol
- —Men < 1.03 mmol/L
- —Women < 1.30 mmol/L
Blood Pressure > or equal to 130/85 mm/Hg
Fasting glucose > 6.1 mmol/L
Abdominal Obesity
Waist Circumference
- Males: 102 cm
- Females: 88 cm
Deposition of fat around the middle is more dangerous than fat around the hips and thighs
Visceral (metabolized by liver) increases inflammation markers (&LDL) that leads to vascular disease
More than 50% of adults in the U.S. over age 60 are abdominally obese.
Importance of Waist Circumference
- A recent study in men indicated that waist size predicated death from heart attack or stroke better than any other traditional risk factors including LDL or smoking.
- Every 2 inch increase in waist size increased the risk of dying of CVD by up to 17% in the next 10 yrs.
- this study indicates the guidelines of 88 cm and 102 cm may be too high.
High Triglycerides
- Fasting triglycerides of 150 mg/dL or higher (1 dL = 100 ml)
- High triglycerides are a marker for insulin resistance. This is especially true if the HDL is low.
- They are an independent risk factor for CV disease.
Low HDL Cholesterol
- Men: an HDL cholesterol below 40 mg/dL
- Women: an HDL cholesterol below 50 mg/dL
- HDL cholesterol AKA the “good cholesterol”, carries cholesterol back to the liver for disposal or recycling (scours the walls of blood vessels
- As triglycerides go up the HDL often goes down. This increases CV risk**
- Low carb plans are very effective at elevating HDL cholesterol provided it is not too low in fat.
- Low fat diets often elevate TG and lower HDL
(need low sugar intake and good fats)
Hypertension
- A Blood pressure reading of 130/85 or higher is a sign of MS
- A new definition- Prehypertension- 120/80 to 139/89
Cost of metabolic syndrome
Estimate that b/t 20% and 41% of the healthcare budget in the USA being devoted to the care of people with metabolic syndrome.
Blood Sugar
- A fasting blood sugar of 100 mg/dL or higher is a sign of MS
- A fasting blood sugar of 100 to 125mg/dL is now called pre-diabetes or impaired fasting glucose
- A 2 hour postprandial blood sugar b/t 140 and 199 mg/dL is also pre-diabetes or impaired glucose tolerance.
