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1. Physical Activity: Any bodily movement produced by contracting skeletal mus-
cles, with an increase in energy expenditure.
2. Exercise: Planned, purposeful, repetitive
3. Physical Fitness: Attributes or characteristics that individuals have achieved that
related to their ability to perform physical activity
4. 3 metabolic pathways the body uses to creates ATP: 1. Creatine Phosphate
2. anaerobic glycolysis
3. 0xidative system
5. Claudication: pain in the leg is induced by exercise, usually because of an artery
obstruction.
6. Creatine Phosphate system: Small amounts of CP are stored within each cell.
Simple one-to-one trade off that allows for the rapid production of ATP. ONLY for use
during short bouts of exercise. less that 10 seconds.
7. Anaerobic glycolysis: No oxygen required. NExt most immediate energy source.
break down carbs (glucose or glycogen) into pyruvate. Used during medium-duration
exercise. no more than about 90 seconds.
8. Aerobic glycolysis (oxidative system): Oxygen dependent. As exercise inten-
sity decreases allowing for longer duration activities, use of the oxidative system
increases. (Krebs cycle and ETC). Produce ATP in the mitochondria of the cell--re-
quires oxygen. Lasts longer than 1-2 minutes.
9. What is VO2?: The volume of oxygen the body consumes. VO2 max is the highest
volume of oxygen the body can consume.
10. Define Stroke Volume: the volume of blood the heart ejects with each beat.
11. How does SV increase with workload?: Similar to HR, it increases as work-
load increases but only up to ~40% to 60% of VO2max. The percentages can be
decreases in sedentary individuals and increased with training.
12. What happens to resting HR as stroke volume increases?: it decreases, as
more blood being pumped per beat allows the heart to beat less often.
13. What is cardiac output?: a measure of blood pumped per minute. The product
of stroke volume and heart rate.
14. What does Diastolic Blood pressure do during exercise?: Remains stable
or decreases slightly.
15. What is rate pressure product?: serves as an estimate of myocardial oxygen
demand. Product of HR and Systolic BP. HR X SBP
16. What is the Fick equation used to determine VO2 max?: VO2max = HRmax
X SVmax X a-VO2 difference max (arteriovenous oxygen difference)
17. What is the gold standard to measure Cardiorespiratory fitness?: VO2 max
during open circuit spirometry.
, ACSM Certified Exercise Physiologist A Practical Guide for the Health Fitn
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18. How does a submaximal exercise test work?: It estimates VO2 max from the
HR response to submaximal single stage or graded exercise.
19. absolute oxygen consumption vs. relative oxygen consumption: absolute
is the raw volume of O2 consumed by the body. Relative is the volume of O2 con-
sumed relative to body weight. Useful to compare fitness levels between individuals.
20. What is one of the largest components of PA-related energy expenditure?-
: Occupational Physical Ativity
21. 5 Health related physical fitness components: Cardiorespiratory endurance,
body composition, muscular strength, muscular endurance, and flexibility
22. 6 Skill (performance) related physical fitness components: Agility, coordina-
tion, balance, power, reaction time, and speed
23. cardiorespiratory endurance: ability of circulatory system and respiratory sys-
tem to supply o2 during sustained physical activity
24. Body composition: relative amounts of muscle, fat, bone, and other vital parts
of the body
25. Muscular strength: Ability of muscle to exert force
26. muscular endurance: ability of muscle to continue to perform without fatigue
27. flexibility: ROM at a joint. as per the skeletal muscles and not any external
forces.
28. Agility: ability to change position of the body in space with speed and accuracy
29. coordination: ability to use the senses together with body parts to perform tasks
smoothly and accurately
30. balance: maintenance of equilibrium while stationary OR moving
31. reaction time: time elapsed between stimulation and the beginning of the reac-
tion to said stimulus
32. speed: ability to perform a movement within a short period of time
33. ACSM's weekly/daily physical activity recommendations: 150 minutes Mod-
erate PA per week (30 min or more most days of the week), 75 minutes of vigorous
intensity
34. Can most sedentary individuals safely begin a low-to moderate intensity
PA Program without the need for baseline testing or medical clearance?: Yes
indeed
35. Most common musculoskeletal injuries occur in what area of the body?: -
lower body- particularly the knee or foot
36. Who is most at risk for sudden cardiac death?: Sedentary individuals per-
forming infrequent exercise
37. Light PA is defined as: <3 MET's
38. Moderate PA is defined as: 3 to <6 MET's
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39. Vigorous PA is defined as: >/=6 MET's
40. What is 1 MET? Why do we use METs?: 1 MET = the relative oxygen consump-
tion at rest. or, 3.5 mL per kg per minute. It is an easy way for the general public to
gauge their exercise intensity. Also used to calculate energy expenditure over time.
41. What is a kilocalorie? what is it also known as?: AKA: Calorie. estimate of
energy cost that can be directly related to physical activity and exercise. Weight gain,
loss and maintenance can be estimated remembering that 3,500kcal =1 lb of fat.
42. Is the ACSM's weekly recommended PA sufficient to prevent weight gain
in the typical american lifestyle?: Hell na! They must go beyond these recommen-
dations.
43. Two types of pre-participation self-guided screenings: 1. PAR-Q (physical
Activity Readiness Questionnaire)
2.Fitness Facility Pre-participation screening questionnaire
44. What is the PAR-Q? Limitation?: A minimal standard for entry into Mod-
erate-intensity exercise programs. allows individuals to gauge their own medical
readiness to participate . does not screen well for those at low to moderate risk.
45. What is a pre-participation screening questionnaire?: Also useful for clients
to assess their health readiness. More comprehensive and recognizes signs and
symptoms of CVD and other risk-factor thresholds.
46. What are the ACSM Coronary Artery Risk factors?: Age (Men 45 and older
women 55 and older), Family History (MI, coronary revascularization or sudden
death before 55 in father and 65 in mother or first degree relative), Smoker (current
or quit within the last 6 months), Sedentary (no PA in at least 30 minutes of MPA at
least 3 days per week for the last 3 months), Obesity (BMI 30 or over, or waist girth
>40in for men and >35in for women), Hypertension (SBP 140 or more and/or DBP
90 or more confirmed on 2 seperate occasions), Dyslipidemia (LDL 130 or more OR
HDL <40. OR on lipid lowering meds), Prediabetes (Impaired FBG between 100 and
125.)
47. What is the negative risk factor?: HDL value of greater than or equal to 60.
(this is reverse cholesterol transport and reduces the risk of CVD)
48. Dyspnea: Shortness of breath
49. Orthopnea: trouble breathing while lying down
50. paroxysmal nocturnal dyspnea: difficulty breathing while asleep
51. What classifies as low, moderate, and high risk clients?: Low: <2 risk factors
and asymptomatic
Moderate: 2 or more risk factors and Asymptomatic
High: Symptomatic OR known CVD, CPD, renal or metabolic disease