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FSU - HSC 4711 - HSC Study Guide Exam 3 - Study Guide

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FSU - HSC 4711 - HSC Study Guide Exam 3 - Study Guide

School: Florida State University
Department: Environmental Science
Course: Wellness
Professor: Mark Kasper
Term: Fall 2016
Tags: wellness and health
Name: HSC Study Guide Exam 3
Description: This study guide covers the material that will be on test three. The class notes and notes from the book are included at the beginning of this study guide. After the notes is a study guide with answers provided.
Uploaded: 11/14/2016
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background image CLASS NOTES 10/26/2016
Similar relationship between physical activity and body mass: 
Move (do something)  Move more (dose response)  Adult obesity prevalence: Waist Circumference  o As waist circumference goes up, all-cause mortality  goes up as well BMI o As Body mass index increases, all-cause mortality  increases as well Roughly 70% of the overall U.S population is overweight or 
obese
Pathophysiological changes before overt disease  Obesity is reflective of: Carotid remodeling Increased central and brachial pressures Reduced LV diastolic function Decreased peak exercise LV contractility 
background image Medical complications of obesity: Adverse HE outcomes Money of Medical System Difficult to reverse Other Pressures:  o Social and employment discrimination
o Depression
Take Home:  Obesity is the new norm o Doesn’t make it good, but 70% of the population is  overweight or obese Significant contributor of morbidity and mortality  Likely to have sub-clinical diseases BMI and Waist circumference are good measures Physical Activity for prevention of weight gain:  Maintain (healthy, healthy weight) Maintain (obese with or without disease)  As clinicians-what works? 
background image Self Management Dietary Physical Activity Environmental Orlistat Not sure what works! “Little evidence to recommend specific strategies of 
prevention of weight gain” 
Just a handful of studies Most “short term” Very little information on healthy weight individuals to keep 
weight of
Overweight and Obese People: NHANES study  o Inactivity is especially related to extreme weight gain
o Weight maintenance <3% change body mass
PA is a great predictor of future weight gain The need for <150 min/week of PA to maintain weight 250min/week to get weight of
background image Current recommendations for weight loss: Loose 5-10% of body mass in 6 months “Just a Few studies with sedentary overweight or obese  individuals using PA as the only intervention result in greater than or 
equal to decrease of baseline weight”
This is saying, exercise alone is not enough for loosing a 
significant amount of weight 
o Exercise by itself to loose weight is relatively inefective 
o Exercise is critical to keep weight of
Need to eat healthy diet as well Loosing 5-10% of body fat can have significant positive efect on  clinical morbidity and mortality  PA will increase weight loss I combination with diet restriction if  the diet restriction is moderate (500-700 Kcals) but not if it is server Study: 
12 Pair of identical male twins
24-7 supervision for 120 days
Determine BMR
Feed 1,000 kcals greater than BMR
PA was limited
Walk outdoors for 30 minutes a day Should have all gained 26 pounds
background image Average gained about 18 pounds Range between 9.5-29 pounds gained Thrifty Gene Theory: (Think semi vs. prius)
Set Point Theory: (Think thermostat)
Settling Point Theory: (Genetics, habits, environment, cues)
Major Finding:  Exercise More, Eat the same o RMR is reduced
o -81 kcal/day 
o Greater magnitude at lower levels of FFM
o Metabolic adaptation to preserve FFM
10/31/2016
Combining resistance training with aerobic training has been 
shown to be superior for body weight and fat loss and to result in 
greater lean body mass when compared to aerobic exercise alone in 
several randomized controlled trials but not others (2009)
196 Adults 8 Months Some people just doing resistance training  Some people just doing aerobic training 
background image Some people doing Both Newer studies show that adding resistance training to aerobic  training had no additive efect on body weight or fat mass but did 
increase lean body mass
Additive efects on waist circumference  Kasper’s take on Resistance Training:  Not harmful Lean Mass important for activities of daily living and quality of
life
Lean mass “r” various HE outcomes More time to work out Another behavior Expect a peak weight loss at about 6 months with a modest loss  of 5-10% of initial weight or about 10-20lbs Small weight loss has clinically meaningful health benefits Large volume of physical activity (150-250 mins/week) needed  for weight loss Being Fit may reduce the hazards of obesity PA for 
background image Prevention of weight RE-gain o In formally over-weight & obese The majority of people (90%) who were successfully maintaining  weight loss were exercising regularly whereas only 34% of those who 
relapsed were active
The highly active people regained significantly less weight 
than moderately active and sedentary subjects after one and 
two years of weight maintenance follow-up
Post-Obese men who exercise at a higher intensity level 
regained substantially less weight than their counterparts who
exercised at lower intensity levels 
Weight maintenance is likely to be associated with about 60  minutes walking per day (about 4 miles a day) at a moderate intensity 
(300 min/week)
To reduce the risk of chronic disease in adulthood:  At least 150 min/week moderate intensity Or 75 min/week vigorous intensity To prevent weight gain and modest weight loss At least 150-250 min/week moderate intensity  More than 250 a week to loss weight and keep it of Western Med- disease is caused by identifiable physical factors Pathogens Genetic Factor

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School: Florida State University
Department: Environmental Science
Course: Wellness
Professor: Mark Kasper
Term: Fall 2016
Tags: wellness and health
Name: HSC Study Guide Exam 3
Description: This study guide covers the material that will be on test three. The class notes and notes from the book are included at the beginning of this study guide. After the notes is a study guide with answers provided.
Uploaded: 11/14/2016
43 Pages 105 Views 84 Unlocks
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  • 24/7 Homework help
  • Notes, Study Guides, Flashcards + More!
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