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ACE LWMC 1st Ed.
ACE LWMC 1st Ed.
295
Health Care
Graduate
04/03/2008

Additional Health Care Flashcards

 


 

Cards

Term
What is "shaping"?
Definition
This is making small, consistent steps toward a desired goal. A series of successful approximations until the desired goal is reached.
Term
Three types of feedback
Definition
Confirmatory, Corrective, Motivating
Term
What is self-efficacy?
Definition
Belief in one's ability to change
Term
What is "modeling"?
Definition
Observing and imitating the behavior of others.
Term
What percentage of deaths today are due to preventable causes?
Definition
75%
Term
What are the stages of change?
Definition
Precontemplation
Contemplation
Preparation
Action
Maintenance
Term
Describe the precontemplation stage of change.
Definition
Does not intend to change within 6 months. Unaware of or denying need to change. Pessimistic about ability to change.
Term
Describe the contemplation stage of change.
Definition
Weighing cost and benefits. Considering change but ambivalent. Can stay here for months or years.
Term
Describe the preparation stage of change.
Definition
Decided to initiate change within a month, and taking some affirmative steps.
Term
Describe the action stage of change.
Definition
In the process of changing behavior. At greatest risk for relapse at this point.
Term
Describe the maintenance stage of change.
Definition
Successful sustained change. May modify or engineer environment to avoid relapse.
Term
What are antecedents?
Definition
Stimuli that precede the behavior - leads to it - aka cues or triggers.
Term
What are consequences?
Definition
Stimuli that follow the behavior. Can be positive or negative. Positive will increase the probability of the behavior occuring while negative is the opposite.
Term
What are behavior chains?
Definition
A series of antecedents and conditions.
Term
What are cognitions?
Definition
"Current thoughts" can function as antecedents or conditions.
Term
What are the 6 behavioral strategies?
Definition
They are:
1. Stimulus control methods
2. Substitution of incompatible behavior
3. Behavioral contracts
4. Rewards
5. Cognitive methods
6. Self-monitoring
Term
What is stimulus control?
Definition
Cue extinction - break connection between stimulus and behavior.
Term
What is substitution of incompatible behavior?
Definition
Substitute an alternative behavior for an undesired one.
Term
What does "cognitive methods" refer to?
Definition
The proposal that emotional reactions are not direct response to events, but that events cause thoughts (cognitions) that lead to emotions.
Term
What is "dichotomous thinking"?
Definition
Light switch thinking. Thinking something is either all good or all bad.
Term
Four characteristics that plan to reach goals should have...
Definition
1. Systematic
2. Progressive (step by step)
3. Concrete
4. Cohesive
Term
What % of women does anorexia nervosa affect?
Definition
1 to 4 % of young women.
Term
What is the prevalence of overweight and obesity in adult males?
Definition
68.8%
Term
What is the prevalence of overweight and obesity in adult females?
Definition
61.6%
Term
What is the prevalence of overweight and obesity in adults?
Definition
65.1%
Term
Rank these races for prevalence of overweight and obesity in males: Caucasian, Black, Hispanic
Definition
Hispanic 73.1
Caucasian 69.4
Black 62.9
Term
Rank these races for prevalence of overweight and obesity in females: Caucasian, Black, Hispanic
Definition
Black 77.2%
Hispanic 71.1%
Caucasian 57.2%
Term
What is typically the more slender race?
Definition
Asians
Term
List 9 obesity related health risks.
Definition
1. Diabetes
2. Hypertension
3. Stroke
4. Dyslipidemia
5. CVD
6. Gallbladder disease
7. Respiratory disease (apnea)
8. Cancer
9. Arthritis and gout
Term
What are some obesity related cancers in pre-menopausal women?
Definition
Endometrial, gallbladder, cervical, ovarian
Term
What are some obesity related cancers in men?
Definition
Colorectal, prostate
Term
What are some obesity related cancers in post-menopausal women?
Definition
Breast
Term
Outside of cancer, AIDS, and violence - these are leading causes of morbidity and mortality in developed world.
Definition
Diabetes, hypertension, stroke, hypercholesterolemia, and CVD
Term
What percentage of weight lost by diet alone (unaccompanied by exercise) is lean mass?
Definition
As much as 25%
Term
What is a reasonable goal for weight loss to successfully lose and keep off?
Definition
5 to 10% of body weight.
Term
What is the difference between a lapse and a relapse?
Definition
A lapse is a slip, a relapse is a return to the undesired behavior.
Term
Criteria for anorexia nervosa?
Definition
1. Body weight 15% below expected.
2. Intense fear of gaining weight or becoming fat, even though underweight.
3. Amenorrhea
4. Disturbance in the way one's body is experienced.
Term
What are the subtypes of anorexia nervosa?
Definition
Restricting and binging or purging
Term
Criteria for Bulimia Nervosa?
Definition
1. Recurrent episodes of binge eating.
2. Sense of loss of control during these episodes.
3. Recurrent use of compensatory behavior to avoid weight gain - vomiting, laxatives, strict dieting, fasting, or vigorous exercise.
4. Self evaluation unduly influenced by body shape and weight.
5. A minimum of two binge episodes a week for at least 3 months.
Term
Criteria for Binge Eating Disorder?
Definition
1. Recurrent episodes of binge eating.
2. Sense of loss of control during these episodes.
3. Absence of regular use of compensatory behavior to prevent weight gain.
4. Self evaluation unduly influenced by body shape and weight.
5. A minimum of two binge episodes a week for at least 6 months.
Term
What is NIR?
Definition
Near Infrared Reactance - research does not support accuracy with regard to body composition.
Term
What is BIA?
Definition
Bioelectric Impedance Analysis
Term
What is the only direct method of body composition assessment?
Definition
Dissection, post mortem.
Term
What is the most common height-weight table?
Definition
1983 Metropolitan Live Insurance (table 4.2, p.74, LWMC 1st ed)
Term
How is frame size accurately measured?
Definition
By measuring the breadth of the elbow.
Term
If a person weighs 225 pounds, and their "reference weight" is 175 pounds, what % above reference weight are they?
Definition
28.57%

Calculate as:

(Weight - Reference) / Reference
-or-
(Weight / Reference) - 1
Term
How do you compute BMI?
Definition
Weight (kg) / Height (m) squared
Term
At what BMI is one "overweight"?
Definition
> 25
Term
At what BMI is one underweight?
Definition
< 18.5
Term
At what BMI is one obese (class 1)?
Definition
> 30
Term
At what BMI is one obese class 2?
Definition
> 35
Term
At what BMI is one extreme obesity (obese class 3)?
Definition
> 40
Term
What are anthropometric assessments of body composition?
Definition
Skinfold calipers and body circumference measurements.
Term
What are the 4 anatomic locations for circumference measurements?
Definition
1. Abdominal (at level of umbilicus)
2. Hips (largest circumference below umbilicus)
3. Illiac (level with illiac crests)
4. Waist (narrowest part of torso)
Term
How do you compute WHR?
Definition
Waist measurement / Hip measurement
Term
For males <= 59 years of age, what WHR signifies an increased risk?
Definition
> .95
Term
For males 60-69 years of age, what WHR signifies an increased risk?
Definition
> 1.03
Term
For females <= 59 years of age, what WHR signifies an increased risk?
Definition
> .86
Term
For females 60-69 years of age, what WHR signifies an increased risk?
Definition
> .90
Term
What are the 6 skinfold sites?
Definition
1. Abdomen
2. Thigh
3. Chest
4. Subscapular
5. Suprailliac
6. Tricep
Term
What are the two assumptions of skinfold measurements?
Definition
1. The thickness of the subcutaneous adipose tissue reflects a constant proportion of total body fat
2. the site chosen represents the average thickness of adipose tissue throughout the body
Term
Have the assumptions of skinfold analysis been proven or upheld?
Definition
No
Term
What are a few of the skinfold standards?
Definition
1. Durnin and Womersley
2. Jackson Pollock
3. Jackson Pollock and Ward
Term
What groups may experience the largest error when using BIA?
Definition
May not accurately estimate body composition in certain ethnic groups, or in significantly under- or overweight persons.
Term
What equation corrects BIA baed on gender and weight?
Definition
The Segal equation.
Term
With NIR, where is the optic probe placed?
Definition
Over the belly of the bicep
Term
Is NIR more or less accurate than skinfold?
Definition
Less
Term
Field estimates divide body composition into what components?
Definition
Fat mass and fat free mass
Term
Research methods divide body composition into what components?
Definition
Fat mass, fat free mass, bone, and water.
Term
What is densitometry?
Definition
Underwater weighing
Term
For densitometry, what is the assumed density of adipose tissue?
Definition
0.9007 g/cc (less than water)
Term
For densitometery, what is the assumed density of fat free tissue?
Definition
1.100 g/cc (more than water)
Term
For densitometry, bone is assumed to be what portion of FFM?
Definition
17%
Term
What is the formula to compute % body fat based upon a body density number?
Definition
(4.95 / density) - 4.5

Note that if you put in a body density of 1.1 (all lean) you get a body fat of 0, and if you put in a density of .9007 (all fat) you get a % of 1 (100%).
Term
What components does DEXA divide mass into?
Definition
fat
fat free tissue
bone mineral
Term
For total body water, fat free tissue is assumed to be comprised of how much water?
Definition
73.2%
Term
If someone has a TBW of 126.2 pounds, what is their FFM?
Definition
172.4 pounds

Calculate as:

FFM = TBW / .732
Term
If a 300 pound person has a lean weight of 160 pounds, and wants to have 25% body fat, what would they weigh?
Definition
213.33

Calculate as:

Current lean / desired-lean%
Term
For someone who is very overweight, what should be their primary weight loss goal?
Definition
Set primary goal of 10% loss. Go from there if it looks sensible to do so.
Term
Approximately what dollar value of costs are associated with obesity in the U.S. each year?
Definition
$75 billion
Term
In the past century, how has the incidence of obesity changed?
Definition
It has doubled.
Term
From 1976/80 to 1999/02, how did the incidence of overweight change according to NHANES?
Definition
Increased from 47 to 65%.
Term
What is NHANES?
Definition
National Health and Nutrition Examination Surveys
Term
What is prevalence of obesity (not overweight and obesity) for adult men?
Definition
28.1%
Term
What is prevalence of obesity (not overweight and obesity) for adult women?
Definition
34.0%
Term
Diabetes in overweight is more common in which people, whites or minorities?
Definition
Minorities
Term
Which group is least likely to have eating disorders and attempt drastic weight loss?
Definition
Black women
Term
True or false, there is strong evidence of a genetic link for obesity.
Definition
True
Term
In identical twins, how much BMI variance could be accounted for by genetics.
Definition
As much as 80%
Term
What type of fat is more metabolically active?
Definition
brown fat
Term
What is orthopnea?
Definition
The need to sit up to breathe
Term
True or false, obesity can cause infertility.
Definition
True
Term
What is diaphoresis?
Definition
excessive sweating
Term
What is the relationship between an increase in body weight and systolic blood pressure?
Definition
For every 10kg increase in body weight there will be a 3mm/Hg increase in SBP
Term
What is the relationship between an increase in body weight and diastolic blood pressure?
Definition
For every 10kg increase in body weight there will be a 2mm/Hg increase in SBP
Term
Android obesity is shaped like what?
Definition
apple
Term
Gynoid obesity is shaped like what?
Definition
pear
Term
Which is more at risk, someone with apple shape or pear shape?
Definition
Apple (android obesity)
Term
Describe obesity dyslipidemia.
Definition
Higher total, LDL, and triglicerides. Sometimes lower HDL.
Term
A higher LDL to HDL ratio implies a greater risk of what?
Definition
Arteriosclerosis and CAD.
Term
What is a common reaction of HDL levels to a person actively losing weight?
Definition
HDL may be depressed, but not a CAD risk.
Term
What is one of the best ways to reduce and control blood pressure?
Definition
Weight loss.
Term
What percentage of type 2 diabetics are obese?
Definition
80%
Term
One example of obesity related respiratory disease would be a (what) residual lung volume.
Definition
greater
Term
Overweight who lose and maintain this % of body weight can often reduce or discontinue diabetic meds.
Definition
10-20%
Term
Overweight who lose and maintain this % of body weight often see significant reduction in blood pressure and may be able to discontinue BP meds.
Definition
5%
Term
Specific dietary recommendations for those with high blood pressure would include.
Definition
Reduced sodium and fat consumption.
Term
A reduction of this % of weight often causes a large reduction in serum cholesterol and triglicerides.
Definition
5-10%
Term
An 11% loss of body weight results (typically) in what changes in triglicerides and cholesterol?
Definition
reduction of 23% of triglicerides and 16% of cholesterol.
Term
As level of calorie restriction increases, what happens to health risks?
Definition
they increase
Term
What is a good level of protein consumption?
Definition
.8 to 1.5g protein per Kg of body weight
Term
What % of calories should come from fat?
Definition
Fewer than 30%
Term
How much fluid should a person consume a day?
Definition
At least 64 ounces (8 - 8 ounce glasses).
Term
Women should not consume fewer than this many calories per day.
Definition
1200
Term
Men should not consume fewer than this many calories per day.
Definition
1500
Term
What is an example of a good macronutrient breakdown (percentages)?
Definition
Fat < 30%
Protein 15%
Carbs >= 55%
Term
When fasting, what % of loss is probably lean?
Definition
As much as 50%
Term
What is an FDA approved drug (avail. OTC and prescription) that appears to actually be effective for weight management via blocking absorption of fat?
Definition
Orlistat (xenical).
Term
What is sibutramine?
Definition
Meridia. SSRI for weight management. Long term results are not good.
Term
What level of caloric consumption is associated with a VLCD?
Definition
<800 kcal/dy
Term
VLCD inappropriate for?
Definition
Prepubertal, pregnant or lactating, elderly, psychiatric illness.
Term
What three things comprise TEE and at what percentages?
Definition
Total Energy Expenditure comprised of:

RMR - ~60-75%
TEF - ~10%
TEA - ~15-30%
Term
What is RMR and what % of caloric expenditure does it represent?
Definition
Resting metabolic rate = appx. 60-75% of calories/dy.
Term
What is TEF and what % of caloric expenditure does it represent?
Definition
Thermic Effect of Food = appx. 10% of calories/dy.
Term
What is TEA and what % of caloric expenditure does it represent?
Definition
Thermic Effect of Activity = appx. 15-30% of calories/dy.
Term
What are largely responsible for regulating RMR?
Definition
Thyroid hormones
Term
What is protocol for measuring RMR?
Definition
Measure first thing in the morning after a 12 hour fast and 24 hour rest from exercise.
Term
True or false: even low intensity exercise has a RMR raising effect.
Definition
False
Term
True or false: Obese have higher RMR than non-obese when matched by age, height, and weight.
Definition
False. Have higher when matched by age and height, but once weight is factored in it is lower due to less % lean tissue.
Term
True or false: it is possible to hold lean mass constant and significantly change RMR.
Definition
false
Term
When dieting without exercise, approximately what % of loss is due to lean mass.
Definition
Appx. 24-28%
Term
When dieting with exercise, approximately what amount of loss is lean mass?
Definition
11-13%
Term
True or false: if you resistance train while dieting to lose weight, you can retain 100% of lean mass (or close to it).
Definition
False
Term
True or false: it is possible to increase lean mass while losing weight.
Definition
false
Term
True or false: it is possible to experience strength gains even when losing lean mass.
Definition
True.
Term
Who uses more calories to process food (assuming same quantity of food) obese or non-obese?
Definition
Non-obese. Obese may be more efficient -- perhaps use 30 calories/dy less than non-obese.
Term
What effect does exercise have on TEF?
Definition
In lean persons, exercise can double TEF. In obese women it had no effect.
Term
Of RMR, TEF, and TEA, which are in and not in our control (for the most part)?
Definition
RMR and TEF are largely not in our control. TEA (activity) is in our control.
Term
What is SPA?
Definition
Spontaneous physical activity - extra activity just due to being more fit. Not necessarily planned activity like exercise.
Term
What is VPA?
Definition
Voluntary physical activity. Extra activity done intentionally.
Term
True or false: weight cycling has been clinically found to cause long term problems with body composition, metabolism, body fat distribution, and future attempts at weight loss.
Definition
false
Term
True or false: science seems to support the set-point theory.
Definition
true
Term
Smoking cessation may have what effect on an individual's "set point"?
Definition
may raise it
Term
What is one way to lower a person's "set point"?
Definition
pharmacologically.
Term
What is it called when overfeeding causes new fat cells to be formed?
Definition
hyperplasia
Term
What is it called when overfeeding causes fat cells to get bigger?
Definition
hypertrophy
Term
About how many fat cells does an obese person have vs. a non-obese?
Definition
75 billion vs. 27 billion
Term
Weight gain up to what point is mostly due to hypertrophy of fat cells?
Definition
Moderate gain up to about 25 pounds.
Term
Android, or apple shaped, obesity is also called what?
Definition
central obesity
Term
Gynoid, or pear shaped, obesity is also called what?
Definition
Peripheral obesity
Term
What is lipoprotein lipase?
Definition
It is made in the adipocyte (fat cell) and moves fat into the cell for storage.
Term
In general, what WHR for men is an increased risk?
Definition
> 1.0
Term
In general, what WHR for women is an incrased risk?
Definition
> .85
Term
True or false: relapse avoidance strategies are an important part of weight maintenance.
Definition
true

E.g.:

1. continued contact
2. watch weight, notice gains
3. exercise
Term
About how many Americans are overweight?
Definition
115 million
Term
What % of women are trying to lose weight?
Definition
45%
Term
What % of men are trying to lose weight?
Definition
25%
Term
Normal blood pressure is defined as what?
Definition
less than 120/80
Term
Prehypertension is defined as what?
Definition
120-139/80-89
Term
Hypertension is defined as what?
Definition
>=140/90
Term
What is the average resting heart rate, and what is a normal range?
Definition
72

60 - 100
Term
BED is classified as what type of eating disorder?
Definition
EDNOS - Eating Disorder Not Otherwise Specified
Term
Who is an ACSM low risk?
Definition
1. Men < 45, women < 55
2. Asymptomatic
3. No more than 1 risk factor
Term
Who is ACSM moderate risk?
Definition
1. Men >=45, women >=55
-or-
2. Meet 2 or more risk factors
Term
Who is ACSM high risk?
Definition
1. One or more signs and symptoms
-or-
2. Known cardiovascular, pulmonary, or metabolic disease
Term
Moderate exercise is what % of VO2max?
Definition
40 to 60% VO2max.
Term
What are the 9 "signs and symptoms"?
Definition
1. Ischemic pain in chest, neck, jaw, arms
2. Shortness of breath at rest or with mild exertion
3. Dizziness or syncope
4. Orthopnea (shortness of breath while lying)
5. Ankle edema
6. Palpitations or tachycardia
7. Claudication occur with walking
8. Known murmur
9. Unusual fatigue or shortness of breath with usual activities
Term
What are ACSM CAD positive risk factors and thresholds?
Definition
F - family history of heart attach, bypass surgery or sudden death before 55 in father or male 1st degree relative or 65 in mother or female 1st degree relative

C - cigarette smoking or quit in last 6 months

H - hypertension (>= 140/90) or on antihypertensives

D - dyslipidemia = total > 200, or LDL > 130 or HDL < 40 or on lipid lowering meds.

I - Impaired Fasting Glucose (> 100)

O - obesity: 1) BMI > 30, 2) Waist > 102cm (40in) men or 88cm (35in) women, or WHR > .95 men or .86 women

S - sedentary lifestyle - not following surgeon general activity level of 30 minutes or more of moderate physical activity most days of the week
Term
What are ACSM CAD negative risk factors?
Definition
HDL > 60
Term
What is purpose of aerobic fitness evaluation?
Definition
To establish a starting point.
Term
What are the components of physical fitness?
Definition
1. Aerobic
2. Flexibility
3. Strength and Endurance
4. Body composition
Term
What are a couple easy submaximal fitness assessments?
Definition
1. YMCA 3 minute step test
2. Rockport 1-mile walking test
Term
Which fitness component responds fastest to training?
Definition
flexibility
Term
What is the standard assessment test to gauge overall flexbility?
Definition
Trunk flexion - sit and reach
Term
What people must be referred?
Definition
1. Preganant and lactating
2. Underweight and anorexic
3. Children
4. Bulimia or other psy.
5. Significant medical
Term
Roughly what relationship does BMR have to RMR?
Definition
BMR is about 10% lower
Term
What are the 3 energy systems to replace ATP?
Definition
1. aerobic
2. anaerobic glucose
3. anaerobic creatine phosphate
Term
What is it called when you make glucose from protein?
Definition
gluconeogeneisis
Term
Consumption of 1 liter of oxygen uses up how many kilocalories?
Definition
5
Term
At rest, what % of calories come from fat metabolization in the untrained vs. well-trained?
Definition
50-60% in untrained, up to 70% in well-trained
Term
What is the lactate threshold?
Definition
Threshold at which oxygen supply no longer adequate. Usually 50 to 85% maximal.
Term
About how long can the creatine phosphate energy production system last?
Definition
about 10 seconds
Term
1 gram glycogen is stored with how many grams of water?
Definition
2.7
Term
Body fat is stored as what?
Definition
triglicerides
Term
What byproduct of glucose catabolism allows fat to enter mitochondrial energy pathways?
Definition
Pyruvate (pyruvic acid)
Term
What is largely responsible for EPOC?
Definition
Myoglobin reloading
Term
Who will have a larger EPOC at same intensity of exercise, the conditioned person or unconditioned?
Definition
conditioned person will have greater EPOC
Term
How long will aerobic exercise increase metabolism?
Definition
Up to 17 to 24 hours.
Term
Optimal aerobic exercise done at what level?
Definition
40/50 to 85% VO2max
60-94% HRmax
Term
In terms of Frequency, Intensity, Time, and Type, describe the general ACSM Cardiorespiratory prescription.
Definition
The ACSM general prescription for this is:

Frequency: 3-5 times/wk.

Intensity: 40/50-85% HRR/VO2R or 64/70-94% HRmax

Time: 20-60 minutes

Type: large muscle mass, continuous



SG p.119
Term
In terms of Frequency, Intensity, Time, and Type, describe the general ACSM Resistance training prescription.
Definition
The ACSM general prescription for this is: Frequency: 2-3 times/wk. Intensity: 8-12 repetitions to fatigue Time: less than 1 hour (1 set each of 8 to 10 exercises) Type: Major muscle groups, full ROM, controlled speed. SG p.119
Term
In terms of Frequency, Intensity, Time, and Type, describe the general ACSM Flexibility prescription.
Definition
The ACSM general prescription for this is: Frequency: 2-3+ days/wk Intensity: to mild discomfort Time: 10-30 seconds for each of 3-4 reps Type: Static or assisted (PNF) SG p.119
Term
True or false: if you're just stretching to release muscle tension or for calming effect, no need to warm up.
Definition
true
Term
Average person has experiences what change in weight in the last decade?
Definition
Gained 10 pounds.
Term
How long of persistent effort required to transform a change into a habit?
Definition
6 months
Term
What is a reasonable body fat % goal for women who are not seriously overweight?
Definition
17 to 24 %
Term
What is a reasonable body fat % goal for men who are not seriously overweight?
Definition
12 - 17%
Term
What is the most common cosmetic surgery?
Definition
Liposuction
Term
True or false: gastric bypass is considered cosmetic surgery
Definition
false
Term
What are the 3 basic functions of nutrients?
Definition
1. energy
2. tissue growth and repair
3. regulate metabolic functions
Term
What is the most important nutrient?
Definition
water
Term
What portion of body weight is water?
Definition
about 50 to 70 %
Term
What are vitamins, and how many are there?
Definition
Vitamins are organic substances. There are 13 that are needed by the human body.
Term
What are the fat soluble vitamins?
Definition
ADEK
Term
What are the water soluble vitamins?
Definition
B's and C
Term
What are minerals?
Definition
Minerals are inorganic substances needed by the human body.
Term
What is a major mineral?
Definition
Needed > 100 mg/dy
Term
What is a minor or trace mineral?
Definition
Needed < 100 mg/dy.
Term
List the 13 vitamins.
Definition
A
B1
B2
B6
B12
Biotin
Choline
Folate
Niacin
Pantothenic Acid
C
D
E
K
Term
List the major minerals.
Definition
1. Calcium
2. Phosphorus
3. Sodium
4. Chloride
5. Magnesium
Term
List the 10 minor minerals.
Definition
1. Iron
2. Zink
3. Copper
4. Iodine
5. Manganese
6. Molybdenum
7. Arsenic
8. Boron
9. Nickel
10. Silicon
Term
List the calories in one gram of carbohydrate, protien, alcohol, and fat
Definition
carbohydrate - 4 kcal
protein - 4 kcal
alcohol - 7 kcal
fat - 9 kcal
Term
True or false: since alcohol has calories, it is a nutrient
Definition
false
Term
How many amino acids are found in the human body?
Definition
20
Term
Of the amino acids in the body, how many are "essential"?
Definition
8
Term
What is an "essential" amino acid.
Definition
One that can't be made by the body and must be found in the diet.
Term
What is a complete protein?
Definition
One that contains all of the essential amino acids.
Term
Which fatty acid is an "essential" fatty acid?
Definition
lineolic acid
Term
True or false: there are benefits to reducing fat consumption to less than 20% of calories
Definition
false
Term
What are the "good fats"?
Definition
monounsaturated and polyunsaturated
Term
What are the bad fats?
Definition
saturated
Term
What is the recommended intake of saturated fats?
Definition
< 8% of calories
Term
What is the recommended intake of monounsaturated fats?
Definition
10-15% of calories
Term
What is the recommended intake of polyunsaturated fats?
Definition
10% of calories
Term
Describe saturated fats and what contains them. What is the effect of consumption?
Definition
Solid at room temperature. Found in meat, dairy, and tropical oils. Promotes cholesterol production in liver and interferes with cholesterol removal from the blood.
Term
Describe monounsaturated fats and what contains them. What is the effect of consumption?
Definition
Liquid at room temperature. Found in peanut, canola, and olive oils. Reduces LDL and keeps HDL stable.
Term
Describe polyunsaturated fats and what contains them. What is the effect of consumption?
Definition
Liquid at room temperature. Found in corn, safflour, and sunflower oil. Lower LDL, but also lower HDL.
Term
Omega 3 fatty acids are what kind of fat?
Definition
Polyunsaturated.
Term
Beyond what level of fiber consumption may it interefere with absorption of some minerals?
Definition
> 40 grams/dy
Term
What is DASH?
Definition
Dietary Approaches to Stop Hypertension
Term
What are the USDA 2005 guidelines?
Definition
1. Consume nutrients within calorie needs.
2. Promote weight management.
3. Incorporate physical activity
4. Emphasize consumption of fruits, vegetables, whole grains and non- or low-fat dairy products.
5. Select appropriate fats (< 300 mg/dy cholesterol).
6. Select appropriate carbohydrates (complex carbs).
7. Balance sodium & potassium consumption.
8. Limit alcohol
9. Enhance food safety
Term
What is the USDA recommendation for daily cholesterol consumption?
Definition
< 300 mg/dy
Term
What do the 6 colored stripes on the myPyramid graphic represent?
Definition
1. Grains
2. Vegetables
3. Fruits
4. Oils
5. Milk
6. Meat and Beans
Term
How many calories should a 180 pound person who is lightly active eat per day?
Definition
Wt. x 10 = 1800
Term
How many calories should a 180 pound person who is moderately active eat per day?
Definition
Wt. x 15 = 2700
Term
How many calories should a 180 pound person who is heavily active eat per day?
Definition
Wt. x 20 = 3600
Term
What reference range has replaced the "RDA" on nutrition labeling?
Definition
"% daily values"
Term
The % daily values are based on a daily diet of how many calories?
Definition
2000
Term
What two minerals may a vegetarian tend to need more of?
Definition
Iron and zinc.
Term
Chromium is used for what in the body?
Definition
Helps insulin metabolize blood sugar and may aid in the control of blood lipids.
Term
Chromium is found in what foods?
Definition
Whole grains, peas, cheese, mushrooms, and brewers yeast.
Term
What is a safe and adequate range of daily chromium consumption and what is the RDA?
Definition
50 to 200 micrograms (micro) There is no RDA.
Term
What would be special dietary recommendations for CVD patients?
Definition
Low saturated fat.
Low cholesterol.
Term
What would be special dietary recommendations for hypertension patients?
Definition
Low sodium
Term
What would be special dietary recommendations for diabetic patients?
Definition
Moderated carbs.
Term
Iron deficiency anemia affects appx. what percentage of women?
Definition
Appx. 40% of women aged 20 to 50.
Term
What are some special concerns for women?
Definition
1. Osteoporosis
2. Iron deficiency anemia
3. Eating disorders
Term
Osteoporosis is how much more likely in women than men?
Definition
8 times
Term
Bones and teeth have what % of the body's calcium?
Definition
99%
Term
XRAY shows osteoporosis at what level of bone loss?
Definition
25% - DEXA is the right tool for this
Term
What is a "SMART" goal?
Definition
Specific
Measurable
Action oriented
Realistic
Time based
Term
How often should goals be reassessed?
Definition
Every 3 months.
Term
Using RPE, what is a good aerobic level?
Definition
12 to 15 on the original (6 to 20) scale, and 3 to 5 on the modified (0 to 10) scale.
Term
How can you approximate HRmax?
Definition
220-age
Term
What is a good percentage of HRmax for deconditioned persons?
Definition
40 to 60%
Term
What is a good percentage of HRmax for average exercisers?
Definition
50 - 70%
Term
What is a good percentage of HRmax for more fit persons?
Definition
60 - 80%
Term
What is dyspnea?
Definition
labored breathing
Term
What are the 6 major muscle groups?
Definition
1. Shoulders (deltoids)
2. Upper back (lats, trapezius, rhomboids)
3. Chest (pectoralis)
4. Arms (biceps, triceps)
5. Thighs (quadriceps, hamstrings)
6. Buttocks (gluteals)
Term
How should the usual recommendations for choosing a resistance level for a muscle group be modified for abdominal and lower back exercises?
Definition
These muscles fatigue slowly, so use lower weight and much higher reps.
Term
What 5 major muscle groups should be stretched?
Definition
1. Chest
2. Lower back
3. Hamstrings
4. Hip flexors
5. Calf/achilles tendon
Term
How often should you reassess aerobic parameters?
Definition
Every 6 to 8 weeks.
Term
What are beta blockers taken for?
Definition
hypertension
Term
What effect may beta blockers have of interest to the personal trainer?
Definition
May keep client from reaching THR. Lowers BP and HR response.
Term
What are two effects of caffeine?
Definition
Glycogen sparing, diuretic.
Term
What effect of interest to the personal trainer may diuretics have?
Definition
Affect thermoregulation.
Term
What are the USDA consumption guidelines by category?
Definition
Fruits - 2 cups (4 servings)
Vegetables - 2.5 cups (5 servings)
Grains - 6 "ounce equivalents"
Meat & beans - 5.5 "ounce equivalents"
Milk group - 3 cups
Oils - 24 grams
Discretionary calories - 267 calories
Term
What are the DASH consumption guidelines by category?
Definition
Fruits - 2 to 2.5 cups (4 to 5 servings)
Vegetables - 2 to 2.5 cups (4 to 5 servings)
Grains - 7 to 8 "ounce equivalents"
Meat & beans - 6 oz. or less (meat, poultry and fish), 4 to 5 servings per week of nuts, seeds and dry beans.
Milk group - 2 to 3 cups
Oils - 8 to 12 grams (2 to 3 tsp)
Discretionary calories - 2 tsp fats/dy
Term
What are the ABC's of eating?
Definition
Antecedent
Behavior chains
Consequences
Term
Dieters may misunderstand and misreport their food by how much?
Definition
Up to 50%.
Term
What is a good, healthy daily calorie deficit and what should it be comprised of?
Definition
500 calories a day - 300 from dietary restriction, 200 from activity
Term
Based on healthy body weight, client should never eat less than how many calories?
Definition
Healthy body weight x 10
Term
What are some contraindications for weight loss?
Definition
1. Pregnancy
2. Lactating
3. Normal or underweight
4. Eating disorders
5. Want to lose weight for wrong reasons
Term
What are some common obstacles to program adherence?
Definition
1. Medical problems
2. Lack of time
3. Injury
4. Too exhausted to exercise
5. Lack of motivational support
Term
What is the #1 killer of adults in the U.S.?
Definition
Cardiovascular disease
Term
What are some causes for high blood pressure?
Definition
1. high sodium diet
2. kidney disease
3. atherosclerosis
4. family history
Term
Treatment for high blood pressure?
Definition
1. restrict sodium
2. increase physical activity
Term
At what BP should exercise be stopped immediately?
Definition
If 250 SBP or 115 DBP.
Term
Hypertensives should avoid what type of training?
Definition
strength training
Term
Special notes for diabetics.
Definition
1. Exercise can help both types.
2. Diabetes can mask CVD.
3. Calorie control
4. Regularly scheduled meals
5. Controlled carb intake
6. Adequate fiber, protein, and fat
7. Foot care

RD very important.
Term
What is morbid obesity?
Definition
> 100 pounds overweight or 2X ideal weight or > 40 BMI
Term
What is incidence of obesity (1 in how many people)?
Definition
1 in 20
Term
Who are LCD and VLCD (with appropriate medical supervision) right for?
Definition
Morbidly obese.
Term
Who are primarily affected by anorexia nervosa?
Definition
Young, white, middle to upper-class women.
Term
Can the LWMC work with depressives?
Definition
Once their depression is controlled, with the approval of their professional.
Term
True or false: diet and exercise will usually help anxiety disorders.
Definition
false
Term
What percentage of obese adults were obese as children?
Definition
20%
Term
What percentage of obese children grow up to be obese adults?
Definition
80%
Term
VO2max declines how much with each decade after 30?
Definition
9%
Term
What happens to BP with age?
Definition
It increases - SBP more than DBP due to narrowing of blood vessels.
Term
What parameters of FITT must be modified for older clients?
Definition
F - frequency can be the same
I - Intensity should be modified, 40% HRmax, no more than 70%
T - modified use 10-15 minutes, no longer than 60 minutes
T - type should be low impact, light resistance
Term
True or false: pregnant women can diet for weight loss, just not aggressively.
Definition
False. No dieting for weight loss.
Term
Do not exceed what core temp for pregnants?
Definition
38 degrees C, 100.4 degrees F
Term
What special exercise position restrictions for pregnant women?
Definition
No supine after 3rd month.
Term
For each minute that defibrillation is delayed, chance of survival falls by how much?
Definition
7 to 10 %
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