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Chapter 7
Cardiac rehabilitation
Assessment of cardiovascular functioning
Prevention of cardiovascular disease
Rehabilitation of individuals with the disease
Exercise biochemistry
Effects of exercise at the cellular level
Exercise epidemiology: Relationship between
physical activity and mortality
Pediatric exercise science:Scientific study of the
response of the body to exercise during childhood and
maturation.
©2009 McGraw-Hill Higher Education. All rights reserved.
Physical Fitness
Principle of overload
To improve improvements in health and fitness, an
increased workload must be placed on the body.
Principle of specificity
Design program to reflect specific goals.
Principle of progression
Overload should be applied gradually, and steadily
increased as the body adapts.
Principle of diminishing returns
As fitness increases, gains achieved become less and
less as individuals approach limits of adaptability
©2009 McGraw-Hill Higher Education. All rights reserved.
Principles of Fitness Training
Principle of variation
Variation helps maintain individuals’ interest and
provides a change of pace while continuing to make
progress toward desired goals
Principle of reversibility
“Use it or lose it” – inactivity leads to gradual erosion
of benefits achieved
Cardiovascular gains can disappear within 5-
10 weeks of inactivity
Some strength gains persist for 6 months to 1
year after cessation of training
©2009 McGraw-Hill Higher Education. All rights reserved.
Principles of Fitness Training
Principle of individuality
Individuals respond differently to exercise and
will vary in their rate of improvement and
levels of achievement.
Principle of recovery
Rest allows the body to recover and adapt to
the changes placed on it
Principles of safety
Safety is paramount
©2009 McGraw-Hill Higher Education. All rights reserved.
Principles of Fitness Training
Include warm-up and cool down as
part of the training program
Helps prevent injury and prepares body for
exercise as well as returns it to a normal
state.
Consider behavioral factors
Motivation of individual to adhere to fitness
program
Promote adherence through strategies as
goal-setting and enhancing self-efficacy
©2009 McGraw-Hill Higher Education. All rights reserved.
Planning a Fitness Program
Threshold of training
Minimal level of exercise needed to achieve desired
benefits.
Target zone
Defines the upper limits of training and the optimal
level of exercise.
Needs and goals of individual
Program should meet the goals of the individual
FITT Formula
©2009 McGraw-Hill Higher Education. All rights reserved.
FITT formula
Frequency
Number of sessions each week
Intensity
Degree of effort put forth during exercise.
Time
Duration of activity
Type
Mode of exercise being performed
©2009 McGraw-Hill Higher Education. All rights reserved.
Cardiorespiratory Endurance
Body’s ability to deliver oxygen
effectively to the working muscles to
perform physical activity.
Most important component of health
fitness.
Helps prevent hypokinetic disease.
Concerned with the aerobic efficiency
of the body.
©2009 McGraw-Hill Higher Education. All rights reserved.
Cardiorespiratory Endurance
<18.5 kg/m2
Weight in pounds Underweight
Hydrostatic weighing
Skinfold measurements
Body mass index (BMI)
Dual-energy x-ray absorptiometry (DXA)
Bioelectrical impedance
Isometric exercises
Muscle exerts force against an immovable object.
Static contraction
Isotonic exercises
Force is generated while the muscle is changing in
length.
Concentric and Eccentric contractions
Isokinetic exercises
Contractions are performed at a constant velocity
©2009 McGraw-Hill Higher Education. All rights reserved.
Development of Muscular
Strength and Endurance
Principle of Overload is critical.
Repetition - performance of a movement
through the full range of motion.
Set - number of repetitions performed without
rest.
Strength
Low number of repetitions with a heavy resistance.
Endurance
High number of repetitions with a low resistance
©2009 McGraw-Hill Higher Education. All rights reserved.
Flexibility