Chapter 1 – Introduction to Health, Fitness, & Sports Performance Introduction Health Status 1 Genetics & Lifestyle • Genetics • Lifestyle choices & environmental factors Epigenetics (Epigenome) • The epigenome: Risk Factors • A health behavior associated w/ a given disease 2 Chronic Diseases Sport & Exercise Performance Physical Fitness 3 What Is Health‐Related Fitness? PA What are the basic principles of exercise training • • • • • • • Principle of overload Principle of progression Principle of specificity Principle of recuperation Principle of individuality Principle of reversibility Principle of overuse 4 What is the role of exercise in health promotion? What is the role of exercise in health promotion? Health Benefits of Exercise 5 Possible Health Benefits of Exercise How does exercise enhance health? Exercise & the Genome 6 Cytokines • Muscle cells • Adipose cells How does exercise enhance health? Do most of us exercise enough? 7 How much PA is enough for health benefits? How much PA is enough for health benefits? Moderate & Vigorous PA 8 What are some general guidelines for exercise programs for someone who wants to become more physically active? Recent Guidelines • American College of Sports Medicine & the American Heart Association (2007) – www.acsm.org/physicalactivity • Department of Health & Human Services (2008) – http://www.health.gov/paguidelines General Exercise Guidelines for Adults & Older Adults • Aerobic exercise – 30 minutes of moderate‐intensity 5 days/wk or – 20 minutes of vigorous‐intensity 3 days/wk or – 2 days of moderate & 2 days of vigorous – May be done as exercise snacks • 3 bouts of 10 minutes (total 30 minutes) General Exercise Guidelines for Adults & Older Adults • Resistance exercise – 8‐10 exercises that stress the major muscle groups of the body – 8‐12 repetitions of each exercise at least twice a week on nonconsecutive days – May use wts, machines, or body resistance such as push‐ups & pull‐ups 9 General Exercise Guidelines for Adults & Older Adults • Flexibility & balance exercise – Older adults should perform activities that maintain or improve flexibility on at least 2 days/wk for at least 10 minutes daily – Older adults should also perform exercises that help maintain or improve balance about 3 times/wk General Exercise Guidelines for Adults & Older Adults • Individualization – Exercise programs, especially for older adults, should be individualized based on physical fitness & health status – One key component is simply to reduce the amount of daily sedentary activity. – Leisurely walking may be adequate PA for elderly individuals or those w/ compromised health status General Exercise Guidelines for Adults & Older Adults • More is Better – For substantial health benefits, adults should do at least 150 minutes of moderate intensity, or 75 minutes of vigorous intensity aerobic PA, or an equivalent combination of moderate & vigorous/wk – For additional & more extensive health benefits, adults should ↑ their weekly aerobic PA to 300 minutes of moderate or 150 minutes of vigorous, or an equivalent combination 10 More extensive health benefits for adults • Variations in weekly aerobic PA – Moderate intensity (300 minutes) – Vigorous intensity (150 minutes) – Equivalent combination of moderate & vigorous intensity Cool Websites • • • • • • • http://www.health.gov/paguidelines Provides details on the PA Guidelines for Americans. www.healthypeople.gov/hp2020 Presents details of PA guidelines for all Americans. www.exerciseismedicine.org/public.htm Provides access to exercise guidelines from the American College of Sports Medicine & American Heart Association, as well as from the National PA Plan. www.exerciseismedicine.org/Yourprescription.htm Provides PA guidelines for individuals w/ various health conditions, such as arthritis or high BP. www.exerciseismedicine.org/fitpros.htm Provides a guide for Health & Fitness professionals to educate clients on proper exercise & related health benefits. www.nia.nih.gov National Institute of Aging presents PA guidelines for senior citizens. Contact the NIA to receive the free book, Exercise & PA. http://www.aahperd.org/letsmoveinschool A program to promote health & academics of children in our schools. Can too much exercise be harmful to my health? 11 Nutrition & Health‐Related Fitness • Overall definition of nutrition: 6 Classes of Nutrients What is the role of nutrition in health promotion? 12 Proposed health roles of nutrients Do we eat right? What are some general guidelines for healthy eating? • Nutrition & Your Health: Dietary Guidelines for Americans – Every 5 years. Current, 2010. • Health Professional Organizations – American Heart Association – American Cancer Society – American Diabetes Association 13 What are some general guidelines for healthy eating? • Examples of recommended diets – Mediterranean diet – Harvard Healthy Eating Diet plan – Optimal Macronutrient Intake diet plan • OmniHeart Diet – Dietary Approaches to Stop Hypertension diet • DASH diet The Prudent Healthy Diet The Prudent Healthy Diet 14 The Prudent Healthy Diet The Prudent Healthy Diet The Prudent Healthy Diet 15 The Prudent Healthy Diet The Prudent Healthy Diet 2010 Dietary Guidelines for Americans • ChooseMyPlate.gov offers personalized eating plans & interactive tools to help you plan your food choices based on Dietary Guidelines for Americans. 16 Am I eating right? Cool Websites • The following Websites present detailed information on healthy dietary guidelines: • www.dietaryguidelines.gov The Dietary Guidelines for Americans 2010 focus on the total diet & how to integrate all of the recommendations into practical terms, encouraging personal choice but result in an eating pattern that is nutrient dense & Calorie balanced. • www.ChooseMyPlate.gov ChooseMyPlate offers personalized eating plans & interactive tools to help you plan your food choices based on Dietary Guidelines for Americans. • www.healthcanada.gc.ca The Canada Food Guide, Eat Well & Be Active Educational Toolkit provides excellent information on healthy eating. Click on Food & Nutrition. • www.eatright.org The American Dietetic Association site provides numerous tips to eating healthy. Are there additional health benefits when both exercise & diet habits are improved? See Table 1.2 17 Sports‐Related Fitness: Exercise & Nutrition • What makes a champion? Sports‐related fitness Sports‐related fitness: Energy demands & control 18 Sports‐related fitness: Energy demands & control What is sports nutrition? Is sports nutrition a profession? 19 Are athletes today receiving adequate nutrition? Nutrition & Athletic Performance ACSM, ADA, DC How does nutrition affect athletic performance? 20 What should athletes eat to help optimize sports performance? Ergogenic Aids & Sports Performance What is an ergogenic aid? • Ergogenic • Classes of ergogenic aids 21 Why are nutritional ergogenics so popular? Are nutritional ergogenics effective? Are nutritional ergogenics safe? 22 Are nutritional ergogenics legal? Nutritional Quackery in Health & Sports What is nutritional quackery? 23 Why is nutritional quackery so prevalent in athletics? How do I recognize nutritional quackery in health & sports? Where can I get sound nutritional information to combat quackery in health & sports? 24 Cautions on Using the Internet Cautions on Using the Internet Research & Prudent Recommendations 25 What types of research provide valid information? What is the basis for the dietary recommendations presented in this book? • • • • • Evidence‐based research Individual studies Reviews of RCTs & epidemiological studies Meta‐analyses of RCTs Position statements & position stands – – – – American College of Sports Medicine American Dietetic Association American Institute of Cancer Research’ American Heart Association • Prudent recommendations How does all this relate to me? 26