Application of Number, Level 2 Introduction In this project I am going to assess and summarise my health, diet and fitness. This will reveal if I am leading a healthy lifestyle. I am going to do this by; 1) Calculating my Body Mass Index (BMI) 2) Completing 10 minutes of exercise in the gym and recording my heart rate per minute. Then I will record my resting heart rate per minute for 5 minutes. 3) Recording what I eat for 2 days and calculating the mean recommended daily allowances (RDA) of my sample. I will then compare my own results to that of my class. I will do this by; Creating graphs Written analysis Calculating averages I will then assess whether I have a balanced diet based on my calorie count diary. I will also measure the gym and all of the equipment to make an assessment on whether it is adequate for improving peoples’ fitness’s. Finally I will summarise and evaluate my project. Application of Number, Level 2 Research What is Body Mass Index? The Body Mass Index (BMI) is a tool that can be used to tell how healthy a person's weight is. You can use the BMI to find out if you're a healthy weight for your height. The BMI weight ranges, as set out by the World Health Organisation (WHO), are outlined below. If your BMI is less than 18.4, you're underweight for your height. If your BMI is between 18.5 and 24.9, you're an ideal weight for your height. If your BMI is between 25 and 29.9, you're over the ideal weight for your height. If your BMI is between 30 and 39.9, you're obese. If your BMI is over 40, you're very obese. If you have a BMI of over 25, you need to think about losing weight because you have an increased risk of developing serious health problems, such as heart disease, diabetes, and several forms of cancer. Health Risks Related to a High BMI The reason the BMI is used for screening the health of the general population is due to the strong correlation between being overweight or obese and having health problems, chronic disease and premature death. People who are overweight or obese have an increased risk for the following health conditions: Hypertension Type 2 diabetes Coronary heart disease Stroke Osteoarthritis Some cancers Sleep apnea and respiratory problems Obesity Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and or increased health problems. Body mass index (BMI), which compares weight and height, is used to define a person as overweight (pre-obese) when their BMI is between 25 kg/m2 and 30 kg/m2 and obese when it is greater than 30 kg/m2. Obesity is associated with many diseases, particularly heart disease, type 2 diabetes, breathing difficulties during sleep, certain types of cancer, and osteoarthritis. Obesity is most commonly caused by a combination of excessive dietary calories, lack of physical activity, and genetic susceptibility, though a limited number of cases are due solely to genetics, medical reasons or psychiatric illness. Application of Number, Level 2 The primary treatment for obesity is dieting and physical exercise. If this fails, antiobesity drugs may be taken to reduce appetite or inhibit fat absorption. In severe cases, surgery is performed or an intragastric balloon is placed to reduce stomach volume and or bowel length, leading to earlier satiation and reduced ability to absorb nutrients from food. Obesity is a leading preventable cause of death worldwide, with increasing prevalence in adults and children, and authorities view it as one of the most serious public health problems of the 21st century. Obesity is stigmatized in the modern Western world, though it has been perceived as a symbol of wealth and fertility at other times in history, and still is in many parts of Africa. Application of Number, Level 2 Calculating My BMI I have calculated my height and weight in metric units. I will now convert my height into metres because the formula for BMI for height is in metres. I will then calculate my BMI. I will also calculate my BMI using the imperial formula. BMI Metric Formula = Weight (Kg) / Height ² (m²) Classifications of Weight Conversion Height = 177 cm 177 ÷ 100 = 1.77 m Calculating my BMI - Metric Height = 1.77 m Weight = 55.1 kg BMI BMI = 55.1 / (1.77 × 1.77) = 55.1 / 3.1329 = 17.5875387 = 17.6 From the BBC website Check for accuracy Weight = BMI × height² = 17.6 × 1.77² = 17.6 × 3.1329 = 55.1 kg (Correct) BMI Imperial Formula Weight (lb) / height2 (in) x 703 Conversions Weight = 55.1 kg 55.1 × 2.20462262 = 121.4 lbs Height = 177 cm 177 × 0.393700787 = 69.7 in Calculating my BMI – Imperial Height = 69.7 in Weight = 121.4 lbs The lines I have added to the graph above indicate my weight level, which is underweight, based upon my height and weight. This does not give me a general indication of my health because I need to take my diet into account. However, it does suggest that my diet may not be balanced as my calorie intake may be too low, explaining why I am underweight. Application of Number, Level 2 BMI BMI = 121.4 / (69.7 × 69.7) × 703 = 121.4 / 4858.09 × 703 = 0.02498924 × 703 = 17.5674357 = 17.6 Check for accuracy Weight = BMI × height² ÷ 703 = 17.6 × 69.7² ÷ 703 = 17.6 × 4858.09 ÷ 703 = 121.4 lbs (Correct) Application of Number, Level 2 Comparing My Results to the Rest of the Class My BMI was 17.6 which were relatively low compared to the rest of the class, with just one other person below my BMI. My resting heart rate was 64 BPM (Beats per Minute), which was the average BPM in the class. The results for the class were what we expected, considering the height and weight differences within the class. Calculating Percentages Category of Weight Underweight Healthy Weight Overweight Obese Number of Students 2 2 3 0 Percentage of class Underweight 2 ÷ 7 = 0.28 0.2857 × 100 = 28.57 = 29% Percentage of class Healthy Weight 2 ÷ 7 = 0.28 0.2857 × 100 = 28.57 = 29% Percentage of class Overweight 3 ÷ 7 = 0.42 0.4285 × 100 = 42.8 = 43% Percentage of class Obese I will not be calculating the percentage of the class which is Obese because based on the results, nobody in the class is Obese. Calculation for Pie Chart 360° / 7 students = 51.42 Underweight = 2 × 51.42 = 102.84 = 103° Healthy Weight = 2 × 51.42 = 102.84 Application of Number, Level 2 = 103° Overweight = 3 × 51.42 = 154.26 = 154° Check for accuracy 103 + 103 + 154 = 360 (Correct) Categories of Weight Obese 0% Overweight 43% Underweight Underweight 29% Healthy Weight Overweight Healthy Weight 29% Obese This pie chart illustrates the categories of weight of the class. Less than 30% of the class are at a healthy weight and over 40% of the class are overweight. However, these results only display the weight ranges of boys because there are no girls in our class. If there were any girls’ results in this pie chart we could expect to see a more varied range of results due to the differences in height and weight between boys and girls. Calculating the Mean BMI for the class Name Sam Ryan Liam Isaac Rhys Richard Michael BMI 27.6 21.9 21.8 27.4 17 26.1 17.6 27.6 + 21.9 + 21.8 + 27.4 + 17 + 26.1 + 17.6 = 159.4 159.4 ÷ 7 = 22.8 Class results compared to National Average Application of Number, Level 2 The average BMI for the UK is 25.4. Our results show that only 3 people in the class are above the National Average, with the remaining 4 people below the National Average. These results indicate that I am underweight for my height. This does not mean that I am unhealthy, but it does suggest that my diet may not be balanced. I consider the measurements for calculating BMI as valuable because it clearly indicates the general state of your health and also raises awareness for people who are not eating a balanced diet. Application of Number, Level 2 Research Heart Rate Heart rate is the number of heartbeats per unit of time - typically expressed as beats per minute (bpm) - which can vary as the body's need for oxygen changes, such as during exercise or sleep. The measurement of heart rate is used by medical professionals to assist in the diagnosis and tracking of medical conditions. It is also used by individuals, such as athletes, who are interested in monitoring their heart rate to gain maximum efficiency from their training. Heart rate is measured by finding the pulse of the body. This pulse rate can be measured at any point on the body where an artery's pulsation is transmitted to the surface - often as it is compressed against an underlying structure like bone - by pressuring it with the index and middle finger. The thumb should not be used for measuring another person's heart rate, as its strong pulse may interfere with discriminating the site of pulsation. Some commonly palpated sites include: The neck The wrist Behind the knee On the inside of the elbow Near the ankle joint. Recovery Heart Rate This is the heart rate measured at a fixed (or reference) period after ceasing activity; typically measured over a 1 minute period. Training regimes sometimes use recovery heart rate as a guide of progress and to spot problems such as overheating or dehydration. After even short periods of hard exercise it can take a long time (about 30 minutes) for the heart rate to drop to rested levels. Resting Heart Rate Resting heart rate is a person's heart rate when they are at rest: awake but lying down, and not having immediately exerted themselves. Typical healthy resting heart rate in adults is 60–80 bpm, with rates below 60 bpm referred to as bradycardia and rates above 100 bpm referred to as tachycardia. Heart Rate Abnormalities Tachycardia Tachycardia is a resting heart rate more than 100 beats per minute. This number can vary as smaller people and children have faster heart rates than average adults. Bradycardia Bradycardia is defined as a heart rate less than 60 beats per minute although it is seldom symptomatic until below 50 bpm when a human is at total rest. Trained Application of Number, Level 2 athletes tend to have slow resting heart rates, and resting bradycardia in athletes should not be considered abnormal if the individual has no symptoms associated with it. Again, this number can vary as children and small adults tend to have faster heart rates than average adults. Application of Number, Level 2 Heart Rate During and After Exercise Time 1 HR 2 3 4 5 6 7 8 9 10 11 12 13 14 15 155 172 180 182 183 183 184 187 190 191 175 160 154 153 145 This table displays my heart rate which was recorded every minute during a 10 minute exercise on the treadmill in the gym. The results displayed from the eleventh minute show my resting heart rate after the exercise for five minutes. Graph for pulse rate during and after exercise I have attached a graph displaying my pulse rate during and after the exercise. During the first minute my pulse naturally increases dramatically due to the beginning of the exercise. It then gradually evens out, remaining at a constant rate before significantly decreasing due to the end of the exercise and the resting pulse rate. My pulse reaches a high number suggesting that I am not very fit; it is then quite slow to recover, also suggesting that my fitness levels are not very high. Calculation for my average exercising heart rate 155 + 172 +180 + 182 + 183 + 183 + 184 + 187 + 190 + 191 = 1807 BPM = Beats Per Minute 1807 / 10 = 180.70 = 181 BPM Calculation for my average resting heart rate 175 + 160 + 154 + 153 + 145 = 787 787 / 5 = 157.40 = 157 BPM Maximum Heart Rate My maximum heart rate for this exercise was 191 BPM. Aerobic Training Zone The table, to the right, displaying the Heart Rate Zones indicates that the Aerobic Training Zone is 70-80% of maximum heart rate. My average exercising heart rate of 181 BPM does not land in the Aerobic Training Zone. To ensure I am working aerobically I will need to go walking, biking, Application of Number, Level 2 jogging or swimming on a regular basis. I need to exercise 4-5 times a week to improve my fitness and then this can be reduced to 3 times a week to maintain my level of fitness. It is important to work aerobically because in addition to cardiovascular benefits, other benefits of aerobic exercise include: Control of body fat. (Aerobic exercise in conjunction with strength training and a proper diet will reduce body fat.) Increased resistance to fatigue and extra energy. Toned muscles and increased lean body mass. Decreased tension and aid in sleeping. Increased general stamina. Psychological benefits - exercise improves mood, reduces depression and anxiety. Cumulative Frequency Time Frequency Cumulative Total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 155 172 180 182 183 183 184 187 190 191 175 160 154 153 145 155 155 + 172 327 + 180 507 + 182 689 + 183 872 + 183 1055 + 184 1239 + 187 1426 + 190 1616 + 191 1807 + 175 1982 + 160 2142 + 154 2296 + 153 2449 + 145 Cumulative Frequency 155 327 507 689 872 1055 1239 1426 1616 1807 1982 2142 2296 2449 2594 This table displays the calculations I have done to calculate the cumulative frequency of the pulse rates. I have also calculated the median, upper and lower quartiles which can be seen on the graph I have attached to this activity. Application of Number, Level 2 Research What is a healthy or balanced diet? A healthy diet is one that helps maintain or improve health. It is important for the prevention of many chronic health risks such as: obesity, heart disease, diabetes, and cancer. A healthy diet involves consuming appropriate amounts of all nutrients, and an adequate amount of water. Nutrients can be obtained from many different foods, so there are a wide variety of diets that may be considered healthy diets. A well-balanced diet includes food from the five main food groups. These are: bread, cereal (including breakfast cereals) and potatoes (starchy foods), fruit (including fresh fruit juice) and vegetables, meat and fish, milk and dairy foods, and Fat and sugar. Most people should be eating three main meals a day. Most people need to eat more starchy foods and more fruit and vegetables, as well as reduce their fat intake, drink less alcohol and eat less salt. Look for labels that say food is low in fat (particularly saturated fat), low in salt and sugar-free. Fruit and vegetables are packed with vitamins and minerals, low in calories and high in fiber. Eating lots of fruit and vegetables keeps the heart and body healthy. They are also an ideal alternative to eating crisps and chocolate as snacks between meals. Aerobic Exercise and Anaerobic Exercise Aerobic exercise is physical exercise that intends to improve the efficiency of the cardiovascular system in absorbing and transporting oxygen. Aerobic means "with oxygen", and refers to the use of oxygen in the body's metabolic or energy-generating process. Many types of exercise are aerobic, and by definition are performed at moderate levels of intensity for extended periods of time. Aerobic exercise and fitness can be contrasted with anaerobic exercise, of which strength training and weight training are the most salient examples. The two types of exercise differ by the duration and intensity of muscular contractions involved, as well as by how energy is generated within the muscle. Initially during aerobic exercise, glycogen is broken down to produce glucose, which then reacts with oxygen (Krebs cycle) to produce carbon dioxide and water and releasing energy. In the absence of these carbohydrates, fat metabolism is initiated instead. The latter is a slow process, and is accompanied by a decline in performance level. This gradual switch to fat as fuel is a major cause of what marathon runners’ call "hitting the wall". Anaerobic exercise, in contrast, refers to the initial phase of exercise, or to any short burst of intense exertion, in which the glycogen or sugar is respired without oxygen, Application of Number, Level 2 and is a far less efficient process. Operating anaerobically, an untrained 400 meter sprinter may "hit the wall" short of the full distance. Aerobic exercise comprises innumerable forms. In general, it is performed at a moderate level of intensity over a relatively long period of time. For example, running a long distance at a moderate pace is an aerobic exercise, but sprinting is not. Playing singles tennis, with near-continuous motion, is generally considered aerobic activity, while golf or two person team tennis, with brief bursts of activity punctuated by more frequent breaks, may not be predominantly aerobic. Some sports are thus inherently "aerobic", while other aerobic exercises, such as fartlek training or aerobic dance classes, are designed specifically to improve aerobic capacity and fitness. Recommended Daily Allowances (RDA) The term Recommended Daily Allowances (RDA) refers to the amount of each nutrient that a person should consume per day in order to remain healthy. It is of course highly important to eat a balanced diet consisting of essential nutrients. In what quantities should you eat these vitamins and minerals though? The Recommended Daily Allowances (RDA) for each is stated for children and adults and refers to both genders. Similar to Recommended Daily Allowances (RDA) is the dietary reference intake (DRI). Also, Adequate Intakes (AI), Estimated Average intakes (EAR) and Tolerable Upper Limits (UL) are available for you to read and decide upon the implications for you. DRI is slowly becoming more and more widely accepted by nutritionists and medical professional alike and are expected to replace Recommended Daily Allowances (RDA) soon. There are varieties of vitamins and minerals that we consume. These include fat soluble vitamins, water soluble vitamins and amino acids. If you exceed the RDA of certain fat soluble vitamins and minerals such as vitamin A which is stored in the liver, you can actually experience health issues that relate to this particular nutrient. Such problems may include liver damage. Water soluble vitamins and minerals such as vitamin C which dissolves in water and therefore is not stored within the body can be taken in much higher quantities than fat soluble nutrients as they are removed from the body on a daily basis. It is equally important to realise that a high intake of fruits and vegetables can provide you with all of the antioxidants that you require each day to help your body to detoxify itself against the threat of free radicals and the damage that is associated with them on your cells. Consuming adequate quantities of such foods and nutrients that they contain and prevent arterial damage which can also help to prevent heart attacks and strokes. Too much however can actually harm your arteries and cause you health issues so it is important to avoid consuming too much. Robert B. Taylor in ‘Family medicine: principles and practice’ states that ‘To lose weight, it is necessary to reduce caloric intake below levels needed to maintain weight or to increase caloric needs through physical activity’. He has also added a table displaying the ‘Recommended daily calorie intake’, which I have used in the Calorie Count Diary section. Application of Number, Level 2 Calorie Count Diary In order for me to obtain fair results for this section of the data collection I have decided to record my calorie intake for a weekday and weekend day. I have decided to record my calorie intake on a weekend day because most people eat more on the weekend and the food they eat is not very healthy. Day 1 – Wednesday Breakfast Dinner Snacks Drinks TOTAL Kcal ‘Bran Flakes’ cereal with 305 skimmed milk Mug of Tea (approx 270 29 ml) Tuna and Mayonnaise 535 Baguette Orange Juice (approx 200 88 ml) Kit Kat 106 Mug of Tea x 2 58 1121 Day 2 - Saturday Breakfast Dinner Snacks Drinks ‘Bran Flakes’ cereal with skimmed milk Orange Juice (approx 200 ml) Cheeseburger Can of coke Cheese and Onion Crisps Minstrels Mug of Tea (approx 270 ml) TOTAL Calculating my calorific intake Day 1 305 + 29 + 535 + 88 + 106 + 58 = 1121 Day 2 305 + 88 + 379 + 139 + 184 + 209 + 29 = 1333 Calculating the mean for the 2 days Kcal 305 88 379 139 184 209 29 1333 Application of Number, Level 2 (1121 + 1333) / 2 = 1227 cal I should be consuming approximately 2000-2800 calories per day as indicated in both table 8.7 below and the table for RDA for Food and Nutrients; however my intake is lower than this recommended amount. My percentage of RDA I am actually consuming is: (1227 / 2800) × 100 = 44% of RDA Table 8.7 from Robert B. Taylor ‘Family medicine: principles and practice’ Check for accuracy Sum of calories = 2454 ÷ 2 = 1227 (Correct sum) Analysis RDA For Food and Nutrients Just focusing on calorific intake is too simple a measurement for dietary intake because we consume more than just calories in our diet. We need to consider the other types of ingredients in the food we eat, which is indicated in the table, to the right, for RDA for Food and Nutrients. To ensure a balanced diet is achieved, it is essential that we eat the recommended amount of food from the five main food groups which are displayed in my research on ‘What is a healthy or balanced diet?’ this also highlights the health risks associated with an unhealthy diet. Focusing on my Calorie Count Diary, it is clear that I am not eating a balanced diet on either day. This is because I am not eating the recommended food from the five main food groups. Food labelling allows us to see what nutrients are contained in the food we eat. By reading the labels we can achieve a balanced diet because we eat food which contains the correct levels of nutrients recommended for a balanced diet. Application of Number, Level 2 Summary and Evaluation By calculating my BMI and collecting my class’s BMI’s, I have found that BMI was the second lowest at 17.6. The BMI’s in the class were relatively varied which is possibly due to the differences in everybody’s exercising. Except for the two people who were underweight, which included me, everyone in the class has a good weight, indicating a balanced diet accompanied by regular exercise. My pulse rate during and after the exercise suggests that my fitness is not very good, which is mainly due to a lack of sufficient exercise. My calorie intake was also below the recommended amount and suggests that I am not consuming a balanced diet. However, I have identified how I can improve my fitness and diet. I can improve my fitness by exercising up to 5 times a week then reduce this to 3 when I have achieved my desired level of fitness, which is indicated in my research. I can eat a balanced diet by eating food from the 5 main food groups which is also indicated in my research. I can also use the benefit of food labelling to see what nutrients I am consuming. To improve my project I could increase the sample sizes by possibly joining the key skills classes together. I could also increase the number of days in my calorie count diary by recording what I eat for up to 5-7 days. Bibliography Books Taylor, R.B. Family medicine: principles and practice. 2003. Websites http://www.runningforfitness.org/calc/hrzones.php http://k2.kirtland.cc.mi.us/~balbachl/aeroprin.htm http://en.wikipedia.org/wiki/Aerobic_exercise http://en.wikipedia.org/wiki/Heart_rate https://www.purelifestyle.co.uk/Article.aspx?Id=37 http://www.slimming.co.uk/eating/vitamins/rda.htm# http://www.nhs.uk/chq/Pages/1127.aspx?CategoryID=51&SubCategoryID=166 http://en.wikipedia.org/wiki/Healthy_diet http://news.bbc.co.uk/1/hi/health/5297790.stm