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269
Physical Activity and Health
Eisenhower, President Dwight D., 17, 18
Elderly persons
behavioral intervention programs for, 233
cardiovascular response to exercise, 75–76
cold stress in, 74
community-based programs for, 245–246
falling, 7, 132
health-related quality of life, 142
maximal oxygen uptake in, 32, 70
osteoporosis, 130–133
physical activity interventions for, 233
physical assessment procedures for, 30
psychomotor performance of, 35
resistance training and, 44
Electrocardiographic changes, 111
Emotional functioning, 141
Emphysema, 140
End-diastolic volume. See under Blood pressure
Endocrine factors, 66, 67, 70
Endocrine glands, 5, 7
hormonal responses to exercise, 66
See related Hormones
Endometrial cancer, 7, 114, 120, 149
Endorphins, 141
Endurance training, 4, 18, 19, 21, 61, 63, 65
capillary increase by, 69
health benefits of, 7, 43
health-related quality of life, 142
insulin sensitivity and, 127
ischemia and, 112
lactate threshold and, 67
metabolic adaptations, 69–70
muscle fibers in, 67
obesity and, 135
osteoporosis and, 150
Enkephalins, 141
Environmental exposure, 19, 73–74
air pollution, 74
cold climate disorders, 74
hot and humid conditions, 63, 73, 143
Epicondylitis, 143
Equilibrium, 35, 44
Ergometer tests. See under Exercise tests
Erythropoietin, 68, 74
Estradiol-progesterone, 68
Estrogen, 130, 131
Estrogen replacement therapy, 132
Exercise, 20, 21, 140. See also Physical activity;
Physical activity, specific; Physical fitness;
Physical fitness programs
Exercise physiology
research, 18–20
responses to, 61
textbooks on, 61
Exercise tests
accelerometers, 32
bicycle ergometry, 62–63, 64, 66, 74–75
maximal, 86, 87, 90
motion sensors, 31–32
for muscle fitness, 34–35
pedometers, 31
stabilometers, 32
submaximal, 86, 87, 89
treadmill, 32, 34, 122
Exercise training
American College of Sports Medicine
recommendations, 22
benefits, 7
bone adaptations, 67, 69
cardiovascular diseases and, 45
definition of, 20
diabetes mellitus and, 128
frequency of, 61
interval vs. continuous, 19
and lipoprotein, HDL, 43
muscle, skeletal, adaptations, 67, 69
triglycerides and, 111
ventricular fibrillation, 112
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270
A Report of the Surgeon General
F
Falls, 143, 150
Fatty acids, 111
Fibrinogen, 43
Fibrinolysis, 43, 112
Fitness Through Churches Project, 245
Foot injuries, 128, 143
Fractures, 130–132, 143
G
Gastrointestinal system
problems, 130
transit time, 122
Genetic factors
diabetes mellitus, 126–127
maximal oxygen uptake and, 66, 70
training and, 65
Glossary, 21
Glucagon, 69
Glucose intolerance, 72, 123
Glucose tolerance, 127
Glucose-6-phosphate, 132
Glycogen, muscle storage of, 69
Glycolysis
energy system for, 65–67
muscle fiber capacity, 66
Go For Health (GFH), 239
Governor’s Councils on Physical Fitness and
Sports, 245
Guidelines for Adolescent Preventive Services
(GAPS), 28
Guidelines for Exercise Testing and Prescription
(ACSM), 23, 28
Guidelines for School and Community Health
Programs to Promote Physical Activity
Among Youths, 237, 244
H
Handicapped. See Physically handicapped
Harvard University, 16
alumni study, 86
Fatigue Laboratory, 19
Health, 16–18, 22, 141
American College of Sports Medicine 1990
recommendations, 22–23
exercise physiology research and, 18–20
physical activity recommendations, 28–30
World Health Organization definition of, 141
Health and Human Services (HHS),
Department of, 245
Office of Public Health and Science, 3
Health and Religion Project (HARP), 245
Health-related fitness, 20, 22
Health-related quality of life, 141–142, 150
Healthy People 2000, 23
cardiorespiratory fitness, 244
daily, moderate physical activity, 181, 200
exercise intensity in, 33
leisure-time activity target, 177
muscle strength, endurance, 187, 189, 192,
199, 200
objectives, 5, 175, 237, 245
physical education, 205
regular, vigorous activity, 182
worksite programs, 229–231
Heart, adaptation to exercise, 71
Heart defects, congenital, 45
Heart disease, 142
Heart failure, congestive, 45, 103
Heart rate (HR), 31–32, 62, 72, 73
coronary circulation and, 66
maximal, 21
mean daily, 31
oxygen consumption and, 63
resting, 19, 31
training response and, 71
Heat stress disorders, 74
Heat exhaustion, 74
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271
Physical Activity and Health
Heat stroke, 74
Hematocrit, 43
Hematuria, 143
Hemoconcentration, 74
Hemoglobinuria, 143
High blood pressure See Hypertension
Hill’s causality criteria, 144–145
Hip fracture, 130, 132
Hispanics
bicycling activities by, 203
child behavioral intervention program, 232
diabetes mellitus and occupational physical
activity, 126
high school physical education enrollment and,
205
no regular activity by, 177, 195
physical activity trends in, 8
regular, sustained activity by, 183
regular, vigorous activity by, 183, 187, 183,
196–197
sports team participation by, 200
strengthening activities by, 191, 193, 198,
stretching activities by, 191, 194, 201
walking activities by, 203
Home care programs, 46
Hyaline cartilage, 130
Hydrogen ions (H+) concentration, 64
Hygiene, 11–18
Hyperglycemia, 127
Hyperinsulinism, 72
Hyperplasia, 69
Hypertension, 4–5, 7, 23, 47, 43, 63, 66, 71,
126–127, 133
obesity and, 133
physical activity and, 103, 110, 144–145, 149
population studies of, 108–109
Hyperthermia, 143
Hypertrophy, 69, 71, 76, 103
Hypoglycemia, 127–128, 143
Hypotension, 63, 74
I
Immobilization, 71–72, 130
Immune system, responses to exercise, 7, 67
Immunoglobins, 67
Immunosuppression, 143
Inactivity. See Physical inactivity
Indian Health Service, 232
Industrywide Network for Social, Urban, and
Rural Efforts (INSURE) project, 227
Infection control and exercise, 67
Injuries, 5
exercise-related, 8, 44, 69, 150, 248
joint, 129
musculoskeletal, 142–143
sports-related, 7
Insulin, 44, 67, 68, 72, 125–129
Intermodal Surface Transportation Efficiency Act,
247
International Consensus Conference
of Physical Activity Guidelines for Adolescents
(1993), 28
on Physical Activity, Physical Fitness, and
Health (1988), 22
Interpersonal relationships, 46
behavioral sciences theories, 213,
social support role in activity, 214, 243
Intervention studies, adolescent, 8, 236
accessibility, 236
church programs for, 245
determinants, modifiable, 243
factors influencing, 243
health care settings, 242
outdoor activities, 243
parental involvement, 243
school-community programs, 242, 245
school programs, 236–243, 236–243
self-efficacy, 242, 248
societal barriers, 246–247
societal resources, 247
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272
A Report of the Surgeon General
Intervention studies, adult, 8, 217
communications, 229–230
community approaches to, 227–229, 234,
227–229, 234, 245
church programs for, 245
environmental approach to, 244–245
factors influencing, 215–217
health care settings, 226–227
individual approaches, 217, 226, 234
mental disorders, 136
policy approaches, 244–245
promotion of, 226, 234
societal barriers, 246–247
societal resources, 247
worksites, 229–231, 229–231, 236
Intervention studies, children, 8, 236
accessibility, 243
church programs for, 246
determinants, modifiable, 243
factors influencing, 243
health care settings, 242
outdoor activities, 243
parental involvement, 243
school-community programs, 242, 245
school programs, 236–243
self-efficacy, 242, 248
societal barriers, 246–247
societal resources, 247
Intervertebral disc displacement, 142
Intra-abdominal fat distribution, 128–129
Ischemia, 110, 111–112
J
Johnson, President Lyndon B., 18
Johnson & Johnson Live for Life program, 230
K
Kennedy, President John F., 18
Kilocalorie (kcal), 21, 29, 140, 143, 146–147, 148
Kilojoule (kjoule), 21, 29
Know Your Body (KYB) program, 238
L
Lacerations, 143
Lactate threshold (LT), 66, 67, 69, 70
Lactates, 66, 67, 70, 74
Leukocytes, 128
Ligaments, 69
Lipoproteins, 110
HDL, 43, 91, 102
LDL, 91, 102
lipase activity, 111
profile, 111, 145
Low back pain, 233–234
Lung diseases, obstructive, 233–234
Lymphocytes, 67
M
Magnetic resonance imaging, 35
Marfan syndrome, 45
Mass spectrometer, 32
Maximal oxygen uptake ( 
˙
VO
max), 21, 23, 32–34,
62–63, 66, 67, 69–70, 72, 75–77, 110
Media. See Communications interventions
Men and physical activity
no regular activity, 4, 8, 177, 178, 188, 189
regular, sustained activity, 183, 188, 205
regular vigorous activity, 185, 187, 188, 205
selected physical activities, 188
strengthening activities, 191
trends, 8
Menopause, 130, 131
Mental disorders, 135
Mental health, 4, 8, 135–141, 150
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273
Physical Activity and Health
Mental retardation, 73
Metabolic equivalent (MET), 21, 29, 32, 33, 66,
148, 204
Metabolic rate, 66
Metabolism
aerobic, 20, 21
bed rest and disturbances of, 72
benefits, 7
carbohydrate, 128
energy expenditure, 134
glucose, 65, 128
fat, 68
muscle, skeletal, 65–67, 71–72
protein, 66
response to exercise, 18–19, 121, 64, 69–70
Metropolitan Life Insurance Company weight
tables, 133
Minnesota Heart Health Program (MHHP),
227–228, 232
Minnesota Leisure-Time Physical Activity
Questionnaire, 31, 36
Missouri “Bootheel” behavioral sciences study,
229, 232
Mitochondria, 66
Monocyte-macrophage system, 67
Mortality, 85–87, 149
all-cause, 133
diabetes mellitus, 125
heart disease, 87
lowering, 7
premature, 4, 16
traffic fatalities, 246
Multiple sclerosis, 73, 233–234
Muscle contractions, 34
Muscle fatigue, 65
Muscle fibers, 21
fast- and slow-twitch, 65, 67, 69, 73
Muscles, skeletal, 5
adaptations to exercise, 7, 44, 65, 67, 69–70
atrophy of, 69, 72–73
capillaries in trained, 71
energy metabolism of, 65–67
fibers in, 65, 67, 69, 73
immobilization and, 72–73
insulin and, 125, 130
metabolic adaptations of, 69–70
multiple sclerosis and, 233–234
soreness in, 69
structural damage to, 69
Muscular endurance (fitness), 21, 34–35
Muscular strength, 34, 44
Myocardial contraction, 65, 72
Myocardial infarction, 5, 44, 45, 112, 143
Myocardium, 111
Myosin ATP, 65
N
National Association for Sport and Physical
Education, National Physical Education
Standards, 244
National Coalition for Promoting Physical
Activity, 244
National Institutes of Health (NIH), 5
Consensus Development Conference
Statement, Physical Activity and
Cardiovascular Health, 5, 23, 28, 48, 148,
245
intervention campaigns, 245
National Physical Education Standards, 244
Native Americans, 12
adult physical activity interventions, 232
behavioral intervention program,232
Neoplasms. See Cancer
Neural factors, 67
Neuromas, 143
Nitric oxide, 132
Nitrogen, balance, 72
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274
A Report of the Surgeon General
O
Obesity, 7, 43, 133–135, 150, 248
abdominal, 35, 128–129
adult physical activity interventions, 232–234
behavioral intervention programs, 232–233
in adolescents, 102
in children, 102
childhood intervention, 244
trends in, 47, 46
Occupational medicine, 15
Occupational physical activity, 113, 116, 175, 189.
See also Worksite physical fitness programs
Olympic Games, 12, 15
Osteoarthritis, 7, 129–130, 133, 149–150
Osteoporosis, 7, 23, 43, 69, 130–133, 150.
See related Bone density
Otitis externa, 143
Ovarian cancer, 7, 114, 116–118, 149
Overtraining, 21, 140
Overweight, 133. See also Obesity
Oxidative capacity, of muscle fibers, 65, 67
Oxidative energy system, 65, 66
Oxygen
arterial-mixed venous, 62, 63, 70
ATP production within mitochondria, 66
body’s use of, 61
delivery, 74
extraction, blood flow, 63
myocardial demand/use, 63, 64
Oxygen consumption ( 
˙
VO
2
), 18, 31, 32, 34, 66,
70, 74, 110
Oxygen uptake. See Maximal oxygen uptake
P
Pain threshold, 130
Paleolithic rhythm, 11
Pawtucket Heart Health Program (PHHP), 229
Pediatricians, physical activity counseling by, 244
Peripheral vascular disease, 45
Personality disorders, 136
Phosphocreatine (PCr), 65
Physical activity, 21
of adolescents. See Adolescents and physical
activity
of adults. See Adults and physical activity
adverse effects of, 142–144
approaches to, 46–47
of children. See Children and physical activity
definition of, 20
dosage, 146–148
duration of, 44, 147, 148
evolution of recommendations, 22–28
frequency of, 44
intensity of, 29–33, 35–36, 44
measures of, 211–215
no regular, 15–16, 23, 50, 46–48, 177–189,
188, 195, 248
regular, intermittent, 11, 148
regular, sustained, 4, 6, 23, 37, 49, 43, 110,
146–147, 182–183, 244
regular, vigorous, 4, 6, 11, 23, 37, 50, 110,
127–128, 146–147, 182–187, 188, 244
research considerations, 47, 150
social environmental approaches to, 244–245
surveys of, 175, 177
Physical activity, specific
aerobics, 200, 205
baseball, 129, 143, 200, 205
basketball, 143, 200, 205
bicycling, 4, 143, 144, 187, 200,203
boxing, 143
carpentry, 140
dancing, 14, 143, 144, 148, 187, 200, 205,
football, 129, 143, 200, 205
Frisbee, 197–198, 205
gardening, 8, 140, 144, 147, 187
golfing, 140
hockey, 140, 148
horseback riding, 14
275
Physical Activity and Health
housecleaning, 147, 148, 200, 205
jogging, 140, 142, 144, 148, 187, 198, 205,
kickball, 12
lacrosse, 12
racquetball, 143, 197–198, 205
running, 4, 12, 65, 66, 70, 129, 140, 142, 143,
144, 148, 187, 198, 205
skating, 197–198, 205
skateboarding, 197–198, 205
skiing, 197–198, 205
soccer, 129, 143, 197–198, 205
softball, 144, 197–198, 205,
stair climbing, 127, 147, 187
squash, 197–198, 205
swimming, 140, 143, 144, 197–198, 205,
tennis, 14, 140, 197–198, 205
volleyball, 4, 148,
walking, 4, 8, 14, 33, 127, 140, 144, 148, 187,
197–198, 203, 204, 205, 233
weight lifting, 129, 143
yard work, 4, 8, 147, 187, 202, 200,205, 205
Physical Activity for Risk Reduction (PARR)
project, 232
Physical education, 8, 16–18
enrollment in, 4
in high school, 205, 205
school program interventions, 243, 246–249
Physical examination, 6, 45, 47
Physical fitness, 16–18, 21
assessment procedures, direct monitoring,
31–36
assessment procedures, self-reporting, 29–31
definition of, 20
level of, 61
maintenance of, 71–72
maximal oxygen uptake and. See Maximal
oxygen uptake
measurement of, 33–35
physical activity relationship, 43
worksite programs, 48, 46, 48
See also Cardiorespiratory endurance (fitness)
Physical fitness programs
detraining and, 61, 72
endurance training, 61, 63, 65, 67, 69–70
exercise training, 61, 67, 69
resistance training, 61, 65, 69, 70
Physical functioning, 141
Physical inactivity, 5, 6, 72, 73, 145–146, 148
bone loss and muscle atrophy in, 69
diseases of, 15–16
exercise programs and, 37
health burden of lifestyle, 42–43
mortality and, 86
percentage of, 4
physical activity recommendations for, 29
physiological alterations after endurance
training, 70
societal inducements for, 254–247
working toward recommendations, 44
Physically handicapped, 73
behavioral intervention programs, 233–234
childhood interventions, 233, 244
no regular activity and, 189
regular, moderate activity and, 189
regular, vigorous activity and, 189
Physician-based Assessment and Counseling for
Exercise (PACE), 227
Plasma insulin concentration, 128
Plasma lipid/lipoprotein, 110, 111
Plasma volume, 71, 72, 74
Platelet function, 43
Population attributable risk (PAR), 145–146
Postmenopause, 131
Postpoliomyelitis syndrome, 73
Power, 21, 85
President’s Citizens Advisory Committee on the
Fitness of American Youth, 18
President’s Conference on Fitness of American
Youth, 18
President’s Council on Physical Fitness, 18, 23
President’s Council on Physical Fitness and Sports
(PCPFS), 3, 5, 18, 227, 245
276
A Report of the Surgeon General
President’s Conference on Youth Fitness, 18
Presidential Physical Fitness Award, 18
Preventive medicine, 11–18
Prostaglandin, 68, 113–117, 124
Prostate cancer, 7, 121–122, 124–125
Proteoglycan synthesis, 130
Psychological assessments, 136–137
Psychomotor performance, 17, 19–20, 35, 44
Pulmonary ventilation, 64, 71
Pulse rate, 16
Q
Quadriplegia, 75
Quality of life, 8, 141–142, 150
Quetelet’s index, 133
R
Rating of perceived exertion (RPE) scale, 33
Reaction time, 21
Receptors, sensory, 141
Rectal cancer, 7, 113, 116, 122, 149
Relative perceived exertion (RPE), 21
Renin-angiotensin system, 68
Resistance training, 4, 19, 21, 29, 37, 44, 61,
65, 69
adolescent, 196, 198–200
elderly persons and, 7, 132–133
glucose-insulin dynamics, 128
muscle, skeletal effects of, 69
obesity and, 135
osteoporosis and, 150
risk factors, 67
strengthening activities for, 187, 189, 191–192,
193, 199–200
sex factors, 70
Respiration rate (RR), 70, 71
Respiratory system, 5
adaptation to exercise, 71
physiological alterations after endurance
training, 70
resistance exercise and, 65
response to exercise, 61–62, 64
Retraining, 21
Rhabdomyolysis, 143
Rhode Island
Department of Parks and Recreation, 229
Health and Religion Project, 245
Pawtucket Heart Health Program, 229
Roosevelt, President Franklin D., 17
S
Schizophrenia, 136
School program interventions, 6, 236–243,
246–248
Sedentary persons. See Physical inactivity
Self concept, 130, 141, 142
Self-help, 13–15, 29–31
Senior citizens. See Elderly persons
Sex factors
in exercise training, 70, 76–77
hormonal responses to exercise, 67
hormone-dependent cancers in men, 121–125
hormone-dependent cancers in women,
114–121
physical inactivity and, 177–178
specific physical activities and, 187–189
strengthening, stretching activities by, 191
weight gain prevention and, 232
Shoulder dislocation, 142
Skeletal muscles. See Muscles, skeletal
Skin, receiving cardiac output at rest vs. exercise,
63
Skinfold measures, 133, 134
Sleep disorders, 136
277
Physical Activity and Health
Social environment
barriers, 246–247
behavioral influences, 215,
resources, 247
Social functioning, 141
Social sciences. See Behavioral sciences, adult;
children and adolescents
Socioeconomic factors
bicycling activities and, 203
physical inactivity and, 177, 178, 196
resistance training and, 193
stretching activities and, 194
walking activities and, 200
Speed, 21, 203–204
Splanchnic circulation, 63
Sports, Play, and Active Recreation for Kids
(SPARK) study, 239
Stanford Adolescent Heart Health Program, 238
Stanford Five-City Project (SFCP), 229
Strength, 21, 22
Strength testing, 16, 34
Strength training. See Resistance training
Stretching activities, 187, 191–192
Stroke volume (SV), 62, 71–73
Substance use disorders, 136
Suicide, 135, 140
Systolic blood pressure (SBP), 63, 64, 70
T
T-lymphocytes. See Lymphocytes
Tai chi chuan, 12, 113
Taoism, 12
Tecumseh questionnaire, 31
Temperature. See Body temperature
Tendinitis, 143
Tendons, 69
Testicular cancer, 7, 124, 147
Thrombosis, 102, 110, 112
Thymus gland, 67
Tidal volume (TV), 70, 71
Training heart rate (THR), 21
Transient constriction, 111
Triglycerides, 111
Trust for Public Land, The, 245
U
Ulnar nerve palsies, 143
United Kingdom Testicular Cancer Study Group,
122
United States regions
East, 12
Midwest, 229
North central, 177, 187
Northeast, 177, 187
South, 177, 189, 187
Southwest, 12
West, 177, 182, 187, 189, 187
U.S. Preventive Services Task Force, 28
Urogenital system, 143
Uterine cancer, 114, 120–121
V
Vasoconstriction, 76
Ventilatory volume ( 
˙
V
E
), 70, 74
Ventricular dysfunction, left, 103
Ventricular end-diastolic volume, 71, 72
Ventricular fibrillation, 112
Vertebral fractures, 130
Virginia
Smyth County program, 245
W
Water-electrolyte imbalance, 143
Weather factors
seasonality, 184, 196, 196, 200, 204
summer months, 184, 187
walking, bicycling activities and, 204
Weight Gain Prevention Program, 232
278
A Report of the Surgeon General
West Virginia
elderly mall walking campaign in, 233
Whites
behavior intervention program for, 232
bicycling activities by, 203
high school physical education enrollment, 205
no regular activity, 177, 188, 195
physical activity trends in, 8
regular, sustained activity, 183
regular, vigorous activity, 183, 187, 188,
196–197
sports team participation, 200
strengthening activities by, 189, 191, 193, 199
stretching activities by, 191, 194, 201
walking activities by, 203
Wise Weighs program, 232
Women and physical activity
no regular activity, 177, 178, 188, 205
regular, sustained activity, 183, 188, 205
regular, vigorous activity, 185, 187, 188, 189
selected physical activities, 188
strengthening activities, 191
trends, 8
Work rate, 64, 71
energy metabolism and, 65
energy systems and, 65–66
increasing, 62–63, 64
Worksite physical fitness programs, 48, 46, 48,
184
World Health Organization, definition of health,
141
World War I, 16
World War II, 17, 18, 19
Y
YMCA, 23
Yoga, 12
Z
Zuni Diabetes Project, 232
Documents you may be interested
Documents you may be interested