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Exercise Physiology
Exam 2
139
Physiology
Undergraduate 2
02/18/2013

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Term
Substrate metabolism efficiency
Definition
1) 40% of substrate energy -> ATP
2) 60% of substrate energy -> heat
Term
heat production _________ w/energy production
Definition
increases
Term
What are the pros of measuring energy expenditure with direct calorimetry?
Definition
1) Accurate over time
2) Good for resting metabolic measurements
Term
What are the cons of measuring energy expenditure with direct calorimetry?
Definition
1) expensive, slow
2) exercise equipment adds extra heat
3) sweat creates errors in measurements
4) not practical or accurate for exercise
Term
Indirect calorimetry
Definition
estimates total body energy expenditure based on O_2 used, and CO_2 produced
Term
Haldane transformation
Definition
1) allows V of inspired air (unknown) to be directly calculated from V of expired air (known)
2) Based on constancy of N_2 volumes
Term
V of inspired O_2 may not...
Definition
equal V of expired CO_2
Term
V of inspired N_2...
Definition
equals V of expired N_2
Term
During metabolism O_2 usage depends on what?
Definition
type of fuel being oxidized
1) More Carbon atoms in molecule=more O_2 needed
2) Glucose < palmitic acid
Term
Respiratory exchange ration
Definition
ration btw. rates of CO_2 production, O_2 usage
1) RER = VCO_2/VO_2
Term
Lactate build up increases
Definition
CO_2 exhalation
Term
isotope
Definition
element w/atypical atomic weight
Term
metabolic rate
Definition
rate of energy used by body
Term
What is metabolic rate based on?
Definition
whole-body O_2 consumption and corresponding caloric equivalent
Term
Basal metabolic rate
Definition
rate of energy expenditure at rest; minimum energy requirement for living
Term
What can affect BMR?
Definition
body surface area, age, stress, hormones, body temperature
Term
metabolic rate _______ w/exercise intensity
Definition
increases
Term
VO_2 drift
Definition
will increase w/exercise duration even though the amount of work didn't change
Term
VO_2 max (maximal O_2 uptake)
Definition
point at which O_2 consumption doesn't increase w/further increase in intensity
Term
What is the best single measurement of aerobic fitness?
Definition
VO_2 max
Term
Max. anaerobic exercise: estimates of anaerobic effort involve
Definition
1) excess postexercise O_2 consumption
2) lactate threshold
Term
O_2 demand > O_2 consumed in early exercise
Definition
1) body incurs O_2 deficit
2) O_2 required - O_2 consumed
3) occurs when anaerobic pathways used for ATP production
Term
O_2 consumed > O_2 demand in early recovery
Definition
1) excess postexercise O_2 consumption (EPOC)
2) replenishes ATP/PCr stores, converts lactate to glycogen, replenishes hemo/myoglobin, clears CO_2
Term
Lactate threshold
Definition
point at which blood lactate accumulation increases markedly
1) lactate production rate > lactate clearance rate
2) interaction of aerobic and anaerobic systems
3) good indicator of potential for endurance exercise
Term
How is lactate threshold usually expressed?
Definition
as a percentage of VO_2max
Term
lactate accumulation ->
Definition
fatigue
1) ability to exercise hard w/out accumulating lactate beneficial to athletic performance
2) higher lactate threshold=higher sustained exercise intensity=better endurance performance
Term
Higher lactate threshold predicts...
Definition
better performance
Term
Economy of effort
Definition
use less energy for given pace
Term
Fatigue
Definition
1) decrements in muscular performance w/continued effort, accompanied by sensations of tiredness
2) inability to maintain required power output to continue muscular work at given intensity
Term
Causes of fatigue
Definition
1) inadequate energy delivery/metabolism
2) accumulation of metabolic by-products
3) failure of muscle contractile mechanism
4) altered neural control of muscle contrition
Term
PCr depletion coincides w/fatigue
Definition
1) PCr used for short-term, high intensity effort
2) PCr depletes more quickly than total ATP
Term
What helps to defer PCr depletion?
Definition
Pacing
Term
What is the cause of Glycogen depletion happening very quickly?
Definition
1) High intensity
2) During first few minutes of exercise versus later stages
Term
What fiber type depletes the fastest?
Definition
Fibers recruited first or most frequently
Term
When are type 1 fibers depleted?
Definition
After moderate endurance exercise
Term
Recruitment depends on exercise intensity
Definition
1) Type I fibers recruit first (light/moderate intensity)
2) Type IIa fibers recruit next (moderate/high intensity)
3) Type IIx fibers recruit last (maximal intensity)
Term
Depletion and blood glucose
Definition
1) Muscle glycogen insufficient for prolonged exercise
2) Liver glycogen -> glucose into blood
3) As muscle glycogen decreases, liver glycogenolysis increases
4) Muscle glycogen depletion + hypoglycemia = fatigue
Term
A certain rate of muscle glycogenolysis is required to maintain
Definition
1) NADH production in Krebs cycle
2) Electron transport chain activity
3) No glycogen = inhibited substrate oxidation
Term
With glycogen depletion, what happens to FFA metabolism
Definition
Increases
Term
Fatigue and its causes: Metabolic by-products
Definition
1) Pi : from rapid breakdown of PCr, ATP
2) Heat: retained by body, core temp. increases
3) lactic acid: product of anaerobic glycolysis
4) H+ lactic acid -> lactate + H+
Term
Heat alters metabolic rate
Definition
1) increases rate of carbohydrate utilization
2) hastens glycogen depletion
3) high muscle temp. may impair muscle function
Term
How is lactic acid beneficial?
Definition
Serves as a source of fuel:
1) directly oxidized by type I fiber mitochondria
2) shuttled from type II fibers to type I for oxidation
3) converted to glucose via gluconeogenesis (liver)
Term
Possible causes of neural transmission fatigue
Definition
1) decrease in ACh synthesis and release
2) altered ACh breakdown in synapse
3) increase in muscle fiber stimulus threshold
4) Altered muscle resting membrane potential
Term
Fatigue of neural transmission may inhibit what?
Definition
Ca2+ release from SR
Term
Failure may occur at _____________ ____________, preventing muscle activation
Definition
neuromuscular junction
Term
Central Nervous System: fiber recruitment has conscious aspect
Definition
1) Stress of exhaustive exercise may be to much
2) Subconscious or conscious unwillingness to endure more pain
3) Discomfort or fatigue = warning sign
4) Elite athletes learn proper pacing, tolerate fatigue
Term
Major functions of the Cardiovascular system:
Definition
1) Delivers O2, nutrients
2) Removes CO2, other wastes
3) Transports hormones, other molecules
4) Temperature balance and fluid regulation
5) Acid-base balance
6) Immune function
Term
What are the 3 major circulatory elements in the cardiovascular system?
Definition
1) A pump (heart)
2) Channels or tubes (blood vessels)
3) A fluid medium (blood)
Term
Right heart
Definition
pulmonary circulation
Term
Left heart
Definition
systemic circulation
Term
Systemic circulation
Definition
pumps oxygenated blood from lungs to body
Term
pulmonary circulation
Definition
pumps deoxygenated blood from body to lungs
Term
Blood flow through the heart
Definition
Superior/Inferior vena cavea -> RA -> tricuspid valve -> RV -> Pulmonary valve -> pulmonary arteries -> lungs -> pulmonary veins -> LA -> mitral valve -> LV -> aortic valve -> aorta
Term
Myocardium
Definition
cardiac muscle
Term
Why does the LV have the most myocardium?
Definition
Must pump blood to the entire body
Term
Myocardium fiber type
Definition
Similar to Type I:
1) High capillary density/ number of mitochondria
2) Striated
Term
What are cardiac muscle fibers connected by?
Definition
Intercalated discs:
1) Desmososmes
2) Gap junctions
Term
Desmosomes
Definition
hold cells together
Term
Gap junctions
Definition
rapidly conduct action potentials
Term
Skeletal muscle cells
Definition
1) large, long, unbranched, multinucleate
2) intermittent, voluntary contractions
3) Ca2+ released from SR
Term
Myocardial cells
Definition
1) small, short, branched, one nucleus
2) continuous, involuntary rhythmic contractions
3) calcium-induced calcium release
Term
pericardial cavity
Definition
fluid filled area for heart protection and removal of friction
Term
pericardium
Definition
sac
Term
Skeletal muscle cells
Definition
1) large, long, unbranched, multinucleated
2) Intermittent, voluntary contractions
3) Ca2+ released from SR
Term
Myocardial cells
Definition
1) Small, short, branched, one nucleus
2) Continuous, involuntary rhythmic contractions
3) calcium-induced calcium release
Term
Myocardial Blood Supply: Right Coronary Artery
Definition
1) Supplies right side of heart
2) Divides into marginal, posterior interventricular
Term
Myocardial Blood Supply: Left (main) Coronary Artery
Definition
1) Supplies left side of heart
2) Divides into circumflex, anterior descending
Term
Atherosclerosis leads to...
Definition
Coronary artery disease
Term
Spontaneous rhythmicity
Definition
special heart cells generate and spread electrical signal
Term
Flow of electrical signal through the heart
Definition
1) Sinoatrial (SA) node
2) Atrioventricular (AV) node
3) AV bundle (Bundle of His)
4) Purkinje fibers
Term
How does the electrical signal in the heart spread?
Definition
by gap junctions
Term
SA node initiates what?
Definition
contraction signal
Term
What does the AV node allow?
Definition
A delay which allows for the RA/LA to contract before RV/LV ; relays signal to AV bundle after delay
Term
What is released in the heart to hyperpolarize the cells?
Definition
Acetylcholine
Term
When the heart is hyperpolarized what happens?
Definition
Decreases HR, force of contraction
Term
What is released in the heart to help facilitate depolarization?
Definition
Norepinephrine
Term
When the heart is depolarized what happens?
Definition
Increases HR, force of contraction; Increases HR above intrinsic HR
Term
Electrocardiogram (ECG)
Definition
recording of heart's electrical activity
Term
What are the 3 basic phases measured in the ECG?
Definition
1) P wave
2) QRS complex
3) T wave
Term
P wave
Definition
atrial depolarization
Term
QRS complex
Definition
ventricular depolarization
Term
T wave
Definition
ventricular repolarization
Term
Bradycardia
Definition
slow HR; lower than 60 beats/min.
Term
Tachycardia
Definition
fast HR (when not working out) ; can lead to decreased blood flow
Term
Premature ventricular contraction
Definition
a common cardiac arrhythmia that results in the feeling of skipped or extra beats caused by impulses originating outside the SA node
Term
Ventricular tachycardia
Definition
a serious cardiac arrhythmia consisting of three or more consecutive premature ventricular contractions
Term
Ventricular fibrillation
Definition
a serious cardiac arrhythmia in which the contraction of the ventricular tissue is uncoordinated, affecting the heart's ability to pump blood
Term
Stroke volume (SV)
Definition
blood pumped out per contraction - measured in mL ; difference btw. EDV and ESV
Term
Ejection Fraction
Definition
the fraction of blood pumped out of the left ventricle with each contraction, determined by dividing SV by EDV ; clinical index for heart contractile function
Term
Cardiac output
Definition
volume of blood pumped out by the heart per minute
Term
Cardiac cycle
Definition
the period that includes all events btw. 2 consecutive heartbeats
Term
Diastole
Definition
relaxation phase
1) chambers fill w/blood
2) twice as long as systole
Term
Systole
Definition
contraction phase
Term
Cardiac cycle: Ventricular Systole
Definition
QRS complex to T wave
1) Ventricular pressure rises
2) Atrioventricular valves close
3) Semilunar valves open
4) Blood ejected
5) At end, blood in ventricle = end systolic volume
Term
Cardiac cycle: Ventricular Diastole
Definition
T wave to next QRS complex
1) Ventricular pressure drops
2) Semilunar valves close
3) Atrioventricular valves open
4) Fill 70% passively, 30% by atrial contraction
5) At end, blood in ventricle = EDV
Term
Arteries
Definition
carry blood away from heart
Term
Arterioles
Definition
control blood flow, feed capillaries ; control system R ; site of most potent VC and VD
Term
Capillaries
Definition
site of nutrient and waste exchange
Term
venules
Definition
collect blood from capillaries
Term
veins
Definition
carry blood from venues back to heart
Term
Systolic pressure (SBP)
Definition
1) highest pressure in artery (during systole)
2) top number : 110 to 120 mmHg
Term
Diastolic pressure (DBP)
Definition
1) lowest pressure in artery (during diastole)
2) bottom number : 70 to 80 mmHg
Term
Mean arterial pressure (MAP)
Definition
1) average pressure over entire cardiac cycle
2) MAP = 2/3 DPB + 1/3 SBP
Term
Blood flows from region of _____ ____ to region of ____ ____
Definition
high pressure (LV, arteries) ; low pressure (veins, RA)
Term
What is the easiest way to change flow?
Definition
Change resistance
1) Vasoconstriction (VC)
2) Vasodilation (VD)
Diverts blood to regions most in need
Term
Hemodynamics
Definition
blood flows from region of high pressure (LV arteries) to low pressure (veins, RA)
Term
cardiac output is related to
Definition
change in pressure and resistance (radius of vessels)
Term
Distribution of blood at rest
Definition
1) liver, kidneys receive 50% of Q
2) Skeletal muscle receives 20% of Q
Term
Distribution of blood during heavy exercise
Definition
1) exercising muscles receive 80% of Q via VD
2) flow to liver, kidneys decreases via VC
Term
Three types of intrinsic control of blood flow
Definition
1) metabolic
2) endothelial
3) myogenic
Term
What is the intrinsic control of blood flow?
Definition
ability of local tissues to constrict or dilate arterioles that serve them ; alters regional flow depending on need
Term
Intrinsic control of blood flow : Metabolic mechanisms (VD)
Definition
1) build up of local metabolic by - products
2) decrease O2
3) increase CO2, K+, H+, lactic acid
Term
intrinsic control of blood flow : endothelial mechanisms (mostly VD)
Definition
1) substances secreted by vascular endothelium
2) nitric oxide (NO), prostaglandins, EDHF
Term
Intrinsic control of blood flow : myogenic mechanisms (VC, VD)
Definition
1) local pressure changes can cause VC, VD
2) increase pressure -> increases VC, decrease pressure -> increases VD
Term
Sympathetic nervous system innervates
Definition
smooth muscle in arteries and arterioles
1) baseline sympathetic activity -> vasomotor tone
2) increase sympathetic activity -> increases VC
3) decrease sympathetic activity -> decreases VC (passive VD)
Term
Integrative control of blood pressure is maintained by
Definition
autonomic reflexes
Term
Baroreceptors
Definition
1) sensitive to changes in arterial pressure
2) afferent signals from baroreceptor to brain
3) efferent signals from brain to heart, vessels
4) adjust arterial pressure back to normal
Term
Where are chemoreceptors and mechanoreceptors located?
Definition
Muscle
Term
Three mechanisms that assist with venous return
Definition
1) one-way venous valves
2) muscle pump
3) respiratory pump
Term
Blood : three major functions
Definition
1) transportation (O2, nutrients, waste)
2) temperature regulation
3) acid-base (pH) balance
Term
hematocrit
Definition
total precent of volume composed of formed elements
Term
Characteristics of RBC
Definition
1) no nucleus
2) cannot reproduce
3) replaced regularly via hematopoiesis
4) produced and destroyed at equal rates
Term
hemoglobin
Definition
oxygen-transporting protein in RBC
Term
Blood viscosity
Definition
1) thickness of blood (due to RBC)
2) viscosity increases as hematocrit increases
3) plasma volume increases as RBC increase
Term
Purpose of the respiratory system
Definition
carry O2 and remove CO2 from all body tissues
Term
4 processes of the respiratory system
Definition
1) pulmonary ventilation (external respiration)
2) pulmonary diffusion (external respiration)
3) transport of gases via blood
4) capillary diffusion (internal respiration)
Term
Flow of pulmonary ventilation
Definition
nose/mouth -> nasal conchae -> pharynx -> larynx -> trachea ->bronchial tree -> alveoli
Term
Inspiration
Definition
active process, expands thoracic cavity in 3 dimensions, expands volume inside thoracic cavity/lungs, lung volume increases - intrapulmonary pressure decreases, air passively rushes in
Term
muscles involved in inspiration
Definition
1) diaphragm (flattens)
2) external intercostals move rib cage and sternum up and out
Term
muscles involved with forced breathing
Definition
1) scalenes, sternocleidomastoid, pectorals
2) raise ribs even farther
Term
Expiration (passive)
Definition
1) lung volume decreases, intrapulmonary pressure increases
2) air forced out of lungs
Term
Expiration (active/forced breathing)
Definition
1) internal intercostals pull ribs down
2) abdominal muscles force diaphragm back up
Term
Respiratory pump
Definition
1) changes in intra-abdominal, intrathoracic pressure promote venous return to heart
2) pressure increases -> venous compression/squeezing
3) pressure decreases -> venous filling
Term
Tidal volume
Definition
Term
Vial capacity (VC)
Definition
Term
Residual volume (RV)
Definition
Term
Total lung capacity (TLC)
Definition
Term
henry's law
Definition
gases dissolve in liquids in proportion to partial P
1) also depends on specific fluid medium, temperature
2) solubility in blood constant at given temperature
Term
What is the most important factor for determining gas exchange?
Definition
partial pressure gradient
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