The effects of exercise on the incidence of certain diseases Heart disease Regular exercise increases heart efficiency, and makes heart contraction more efficient (ie more powerful). It increases blood HDL (high density lipoprotein) levels. HDLs carry cholesterol away from the tissues back to the liver, where they are secreted into bile. So HDLs are beneficial and reduce the risk of heart disease. LDLs carry most of the cholesterol in the blood. They deliver cholesterol to the cells. LDLs increase the incidence of atheroma. The ratio of plasma LDL cholesterol : plasma HDL cholesterol is important: the ______________ the ratio, the lower the risk of atheroma. Artery wall elasticity is maintained improved/improved by regular exercise. Resting heart rate is lowered; this decreases the ‘loading’ (strain) on the heart. Resting blood pressure is lowered, meaning that less effort is needed for the heart to pump. Exercise may lead to weight loss, which would decrease the loading on the heart. Circulatory problems eg atheroma Exercise reduces stress. Regular exercise reduces the amount of adrenaline release (adrenaline promotes the breakdown of glycogen for respiration). Exercise increases the metabolism of fats. Exercise increases HDL and lowers LDL. The points above contribute to reducing the chance of atheroma being deposited on the inner lining of the arteries. Varicose veins Frequent muscle contraction improves blood flow and prevents blood accumulation in the veins. It prevents loss of elasticity in vein walls. The points above lower the chance of blood backflow blocking valves or overstretching vein walls. Respiratory disease Exercise improves gas flow/ventilation per breath. This prevents the accumulation of microbes in the lungs. It also prevents fluid accumulation, that increases the risk of atheroma. 687318950 Page 1 of 2 GUIDELINES FOR NUTRITION Fat GUIDELINES UNDERLYING PRINCIPLE - Our diets contain more than enough fat to supply the essential fatty acids/uses eg fuel for muscle respiration once glucose and stores of glycogen are used up. Excess fat is stored as fat reserves. A high intake of saturated fatty acids is associated with high levels of blood cholesterol and increases the risk of atherscelosis. Plant fats - usually unsaturated Animal fats usually saturated reduce total fat consumption - shift the balance in fat consumption from saturated to unsaturated fatty acids * revise from mod 1 - - monounsaturated fats are better than saturated or polyunsaturated fats reduce salt intake Sugar - - (more salt necessary eg if doing strenuous exercise in hot climate reduce sugar intake Additives - Fibre - - Salt - a large proportion are safe and useful but some are unnecessary with potentially adverse side effects for sensitive people. eg one in a million are sensitive to E102 - (tartrazine) eat a high fibre diet Modern diets tend to supply more than enough salt - eg salt in prepared foods and other packaged foods. NaC1 is important in maintaining tendency of blood to take up water. Na+ & C1- have major roles in nerve impulse transmission. Excess dietary salt can cause fluid retention (oedema) & may contribute to high blood pressure (hypertension) Salt loss from excessive sweating & inadequate intake can cause heat exhaustion Allows bacteria to grow on teeth, producing acids which dissolve the outer surface (enamel) causing tooth decay. Glucose can be obtained by breaking down carbohydrates. Glucose (the respiratory substrate) is stored as glycogen in the liver. Surplus glucose is converted to fat for long term storage in fat cells eg under the skin SOLUBLE FIBRE - binds CHOLESTEROL into a complex that cannot be absorbed from the intestine so it is passed out in stools. Important in small intestine - slows digestion and absorption; products are released over a longer time (important to diabetics). INSOLUBLE FIBRE - important in colon. Absorbs water and swells; stretches walls of intestine and stimulates perostalsis. Speeds up passage of food through colon and so reduces the time for possible carcinogens to be in contact with intestinal wall. Reduces the risk of constipation, piles and colon cancer. 687318950 Page 2 of 2