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(A-a)PO,diff difference between partial pressure of oxygen feco2 fraction of expired carbon dioxide in alveoli and arterial blood fraction of expired nitrogen FEN2 a-vO, diff difference in oxygen content between arterial feo2 fraction of expired oxygen and venous blood fraction of a gas Fg A actin FTco2 fraction of inspired carbon dioxide ACh acetylcholine f.n2 fraction of inspired nitrogen ACTH adrenocorticotrophic hormone FA fraction of inspired oxygen ADH antidiuretic hormone f frequency ADL activities of daily living FAD flavin adenine dinucleotide ADP adenosine diphosphate FEV forced expiratory volume AI adequate intake FFA free fatty acids AIDS acquired immune deficiency syndrome FFB fat-free body mass AMP adenosine monophosphate FFM fat-free mass ANS autonomic nervous system FFW fat-free weight AP action potential FG fast twitch, glycolytic muscle fibers ATP adenosine triphosphate FI fatigue index ATP-PC phosphagen system FOG fast twitch, oxidative-glycolytic muscle fibers ATPS atmospheric temperature and pressure, FT fast-twitch muscle fibers saturated air GAS General Adaptation Syndrome AY atrioventricular GH grownh hormone BCAA branched chain amino acids GLUT-1 non-insulin regulated glucose transporter BF body fat GLUT-4 insulin regulated glucose transporter BMC bone mineral content GTO Golgi tendon organ BMD bone mineral density Hb hemoglobin BAD body mass index HbO, oxyhemoglobin BMR basal metabolic rate HDL high-density lipoprotein BP blood pressure HIV human immunosupression 'virus BTPS body temperature and pressure, saturated air HR heart rate BW body weight HRmax maximal heart rate CAD coronary artery disease HRR heart rate reserve CHD coronary heart disease HT height CHO carbohydrate ICD isocitrate dehydrogenase CNS central nervous system ICP isovolumetric contraction period CP creatine phosphate IRP isovolumetric relaxation period CR-10 category ratio scale of perceived exertion LA lactic acid/glycolvtic system density of the body LBM lean body mass Db Dw density of water LBP low back pain DBP diastolic blood pressure LDL low-density lipoprotein DOMS delayed-onset muscle soreness LSD long, slow' distance DRI daily reference intake LT lactate threshold DXA dual-energy X-ray absorptiometry ma mass of the body in air E epinephrine Mw mass of the body underwater ECG electrocardiogram M myosin EDV end-diastolic volume MAOD maximal accumulated oxygen deficit EF ejection fraction MAP mean arterial pressure EIAH exercise-induced arterial hypoxemia MCT1 extracellular and intracellular monocarboxy- EMG electromyogram late lactate transporter EPOC excess postexercise oxygen consumption MCT4 extracellular monocarboxylate lactate ERT estrogen replacement therapy transporter ESV end systolic volume MET metabolic equivalent ETS electron transport system MLSS maximal lactate steady state MP mean power STPD standard temperature and pressure, dry air MVC maximal voluntary contraction SV stroke volume MW maximal voluntary ventilation T temperature NAD nicotinamide adenine dinucleotide Tamb ambient temperature NE norepinephrine TC total cholesterol NK natural killer Tco core temperature NKCA natural killer cell activity TEF thermic effect of feeding NMJ neuromuscular junction TEM thermic effect of a meal NMS neuromuscular spindle TExHR target exercise heart rate NT neurotransmitter TExV02 target exercise oxygen consumption OBLA onset of blood lactate accumulation TG triglycerides OP oxidative phosphorylation TLC total lung capacity OTS overtraining syndrome TPR total peripheral resistance PA pressure in the alveoli T rectal temperature pAco2 re partial pressure of carbon dioxide in the alveoli Tk skin temperature pao2 partial pressure of oxygen in the alveoli T tympanic temperature PB barometric pressure UtRymT I upper respiratory tract infection PG partial pressure of a gas vA alveolar ventilation P inorganic phosphate t Yd volume of dead space P pressure volume of expired air PaC02 partial pressure of carbon dioxide in arterial VE Yg volume of a gas blood V, volume of inspired air Pa02 partial pressure of oxygen in arterial blood Yt tidal volume PC phosphocreatine V volume per unit of time pco2 partial pressure of carbon dioxide V volume PFK phosphofructokinase VAT visceral adipose tissue PH hydrogen ion concentration VC vital capacity pn2 partial pressure of nitrogen vco2 volume of carbon dioxide produced PNI proprioceptive neuromuscular facilitation VEP ventricular ejection period PNS peripheral nervous system VFP ventricular filling period po2 partial pressure of oxygen VLDL very low density lipoproteinn PP peak power Y°2 volume of oxygen consumed PRO protein y02max maximal volume of oxygen consumed Pv02 partial pressure of oxygen in venous blood V02peak peak volume of oxygen consumed PvC02 partial pressure of carbon dioxide in venous vo2r oxygen consumption reserve blood VT ventilatory threshold Q cardiac output vV 02max velocity at maximal oxygen consumption R a rate of appearance YV/H waist-to-hip ratio R, rate of disappearance WBC white blood cells R resistance WT weight RBC red blood cells RDA recommended daily allowance RER respiratory exchange ratio RI1 relative humidity RHR resting heart rate ICON IDENTIFICATION GUIDE RM repetition maximum RMR resting metabolic rate Short-term, light to moderate subrnaximal aerobic ROM range of motion RPE rating of perceived exertion Long-term, moderate to heavy subrnaximal aerobic RPP rate pressure product RQ respiratory quotient RV residual volume Incremental aerobic to maximum Sa02% percent saturation of arterial blood with oxygen Static Sb02% percent saturation of blood with oxygen Sv02% percent saturation of venous blood with oxygen SBP systolic blood pressure Dynamic resistance SO slow, oxidative muscle fibers SR sarcoplasmic reticulum SSC stretch shortening cycle Very short-term, high intensity anaerobic exercise ST slow-twiteh muscle fibers FOR HEALTH, FITNESS, AND PERFORMANCE Third Edition Sharon A. Plowman Northern Illinois University Denise L. Smith Skidmore College Wolters Kluwer Lippincott Williams & Wilkins Health Philadelphia • Baltimore • New York • London Buenos Aires • Hong Kong • Sydney • Tokyo Acquisitions Editor: Emily Lupash Product Manager: Andrea M. Klingler Development Editor: Tom Lochhaas Marketing Manager: Christen Murphy Designer: Stephen Druding Compositor: SPi Technologies Third Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business 351 West Camden Street 530 Walnut Street Baltimore, AID 21201 Philadelphia, PA 19106 Planted in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or trans¬ mitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. 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Lippincott Williams & 1 1 4 Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. 0 S C C To our teachers and students, past, present, and future: sometimes one and the same. Sharon A. Plowman earned her PhD at the University of Illinois at Urbana-Champaign under the tutelage of Dr T. K. Cureton Jr. She is a professor emeritus in the Department of Kinesiology and Physical Education at Northern Illinois University. Dr Plowman taught for Denise L. Smith is a professor of health and exercise 36 years, including classes in exercise physiology, stress sciences and Class of 1961 Chair at Skidmore College. testing, and exercise bioenergetics. She has published With a PhD in kinesiology and specialization in exercise over 70 scientific and research articles in the field as well physiology from the University of Illinois at Urbana- as numerous applied articles on physical fitness with an Champaign, Dr Smith has taught for nearly 20 years, emphasis on females and children in such journals as including classes in anatomy and physiology, cardiorespira¬ ACSM’s Health & Fitness Journal; Annals of Nutrition and tory aspects of human performance, neuromuscular aspects Metabolism; Human Biology; Medicine and Science in Sports & of human performance, and research design. Her research Exercise; Pediatric Exercise Science; and Research Quarterly is focused on the cardiovascular strain associated with heat for Exercise and Sport. She is a coauthor of the Dictionary stress, particularly as it relates to vascular and coagulatory of the Sport and Exercise Sciences (Anshel, M. H., ed., 1991) functions. She has published her research findings in such and has published several chapters in other books. journals as American Journal of Cardiology; Aviation, Space Dr Plowman is a fellow emeritus of the American and Environmental Medicine; Ergonomics; European Journal College of Sports Medicine, and she served on the board of of Applied Physiology; Journal of Applied Physiology; Journal of trustees of that organization from 1980 to 1983. In 1992, Cardiopulmonary Rehabilitation; and Medicine and Science in she was elected an active fellow by the American Academy Sports & Exercise. of Kinesiology and Physical Education. She serves on the Dr Smith is a fellow in the American College of advisory council for FITNESSGRAM®. The American Alli¬ Sports Medicine and has served as secretary for the Occu¬ ance for Health, Physical Education, Recreation and Dance pational Physiology Interest Group and as a member of (AAHPERD) recognized her with the Mable Lee Award the National Strategic Health Initiative Committee. She in 1976 and the Physical Fitness Council Award in 1994. has also served on the executive board and as an officer Dr Plowman received the Excellence in Teaching Award for the Mid-Atlantic Regional Chapter of ACSM. She is (at Northern Illinois University at the department level in also a research scientist at the University of Illinois Fire 1974 and 1975 and at the university level in 1975) and the Service Institute at Urbana-Champaign. Distinguished Alumni Award from the Department of Kine¬ siology at the University of Illinois at Urbana-Champaign in 1996. In 2006, the President’s Council on Physical Fit¬ ness and Sports presented her with their honor award in recognition of her contributions made to the advancement and promotion of the science of physical activity. The third edition of Exercise Physiology for Health, Fitness, but in a way that is not bound by those traditions. Instead and Performance builds upon and expands the strength of of proceeding from a unit of basic science, through units the first two editions. The purpose for the third edition, of apphed science, to a final unit of special populations or however, remains unchanged from that of the first two situation (which can lead to the false sense that scientific editions. That is, the goal is to present concepts in a clear theories and applications can and should be separated), and comprehensive way that will allow students to apply we have chosen a completely integrative approach to the principles of exercise physiology in the widest variety make the connection between basic theories and applied of possible work situations. The primary audience is kine¬ concepts, both strong and logical. siology, exercise science, coaching, and physical educa¬ tion majors and minors, including students in traditional teaching preparation programs and students in exercise FLEXIBLE ORGANIZATION and sport science tracts where the goal is to prepare for careers in exercise science, fitness, rehabilitation, athletic The text begins with an introductory chapter: The training, or allied health professions. Warm-Up. This chapter is intended to prepare the As with other textbooks in the field, a great deal of student for the chapters that follow. It explains the text information is presented. Most of the information has organization, provides an overview of exercise physiol¬ been summarized and conceptualized based on research. ogy, and establishes the basic terminology and concepts However, we have occasionally included specific research that will be covered in each unit. Paying close attention studies to illustrate certain points, believing that stu¬ to this chapter wall help the student when studving the dents need to develop an appreciation for research and ensuing chapters. the constancy of change that research precipitates. Focus Four major units follow: Metabolic system, Cardio¬ on Research boxes have been continued in this edition vascular-Respiratory system, Neuromuscular-Skeletal and now include some that are labeled as Clinically Rel¬ system, and Neuroendocrine-Immune system. Although evant. In these situations, the term “clinically” has been the units are presented in this order, each unit is intended defined in the broadest sense as the type of situation that to stand alone and has been written in such a wray that students of exercise physiology might find themselves in it may be taught before or after each of the other three. during an internship situation or eventual employment. Figure 1.1 depicts the circular integration of the units. All Focus on Research boxes highlight important classic Unit openers and graphics throughout the text reinforce or new, basic and applied studies in exercise physiology, as this concept. well as relevant experimental design considerations. All chapters are thoroughly referenced and a com¬ plete list of references, in scientific format, is provided at CONSISTENT SEQUENCE the end of each chapter. These references should prove to OF PRESENTATION be a useful resource for students to explore topics in more detail for laboratory reports or term projects. To lay a solid pedagogical foundation, the chapters in The body of knowledge in exercise physiology is each unit follow a consistent sequence of presentation: extensive and growing every day. Each individual faculty basic anatomy and physiology; the measurement and member must determine what is essential for his or her meaning of variables important to understanding exer¬ students. To this end, we have tried to allow for choice cise physiology; exercise responses; training principles and flexibility, particularly in the organization of the con¬ and adaptations; and special applications, problems, and tent of the book. considerations. A UNIQUE INTEGRATIVE APPROACH Basic Sciences The intent of this textbook is to present the body of It is assumed that the students using this text will have knowledge based on the traditions of exercise physiology had a basic course in anatomy, physiology, chemistry, and Preface math. However, sufficient information is presented in the COMPLETE INTEGRATION OF AGE basic chapters to provide a background for what follows if GROUPS AND SEXES this is not the case. For those students with a broad back¬ ground, the basic chapters can serve as a review; for those A major departure from tradition in the organization of students who do not need dais review, the basic chapters this text is the complete integration of information rel¬ can be de-enaphasized. evant to all age groups and both sexes. In the past, there was good reason to describe evidence and derive concepts Measurement based on information from male college students and elite male athletes. These were the samples of the population The inclusion of the measurement sections serves two most involved in physical activity and sport, and they were purposes—to identify how the variables most frequently the groups most frequently studied. As more women, chil¬ used in exercise physiology are obtained and to contrast dren, and older adults began participating in sport and criterion or laboratory test results with field test results. fitness programs, information became available on these Criterion or laboratory results are essential for the accu¬ groups. Chapters on women, children/adolescents, and rate determination and understanding of the exercise the elderly were added to the back of exercise physiology responses and training adaptations, but field test results texts as supplemental material. However, most physical are often the only items available to the professional in education, kinesiology, and exercise science professionals school or health club settings. will be dealing with both males and females, children and adolescents in school settings, average middle-aged adults Exercise Responses and Training in health clubs or fitness centers, and older adults in special Adaptations programs. Very few will be dealing strictly with college- aged students, and fewer still will work with elite athletes. The chapters or sections on exercise responses and This does not mean that information based on young adult training adaptations present the definitive and core males has been excluded or even de-emphasized. However, information for exercise physiology. Exercise response it does mean that it is time to move coverage of the groups chapters are organized by exercise modality and inten¬ that make up most of the population from the back of the sity. Specifically, physiological responses to the follow¬ book and integrate information about males and females at ing six categories of exercise (based on the duration, various ages throughout the text. intensity, and type of muscle contraction) are presented when sufficient data are available: (1) short-term, light PEDAGOGICAL CONSIDERATIONS to moderate submaximal aerobic exercise; (2) long¬ term, moderate to heavy submaximal aerobic exercise; Several pedagogical techniques are used in this textbook (3) incremental aerobic exercise to maximum; (4) static to facilitate mastery of the information. These techniques exercise; (5) dynamic resistance exercise; and (6) very include a list of learning objectives at the beginning of each short-term, high-intensity anaerobic exercise. Train¬ chapter as well as a chapter summary, review questions, and ing principles for the prescription of exercise are pre¬ references at the end of each chapter. Another pedagogical sented for each physical fitness component: aerobic and aid is the use of a running glossary. Terms are highlighted in anaerobic metabolism, body composition, cardiovascu¬ Definition boxes as they are introduced and are boldfaced lar endurance, muscular strength and endurance, and and defined in the text where they first appear to emphasize flexibility and balance. These principles are followed the context in which they are used. A Glossary is included by the training adaptations that will result from a well- in the back matter of the book for easy reference. Additional prescribed training program. important technical terms with which students should be familiar are italicized in the text to emphasize their impor¬ Special Applications tance. Because so many are used, a complete fist of com¬ monly used symbols and abbreviations with their meanings The special applications chapters always relate the unit is printed on the front endpapers of the text for quick and topic to health-related fitness and then deal with such easy reference. Each chapter contains a multitude of tables, diverse topics as altitude and thermoregulation (Cardio¬ charts, diagrams, and photographs to underscore the peda¬ vascular-Respiratory Unit); making weight and eating gogy and enhance the visual appeal of the text. disorders (Metabolic Unit); muscle fatigue and soreness (Neuromuscular-Skeletal Unit); and overreaching/over¬ training syndrome (Neuroendocrine-Immune Unit). UNIQUE COLOR CODING Focus on Application and Focus on Application— Clinically Relevant boxes emphasize how research and A unique aspect of the graphs is color coding, which underlying exercise physiology principles are relevant to allows for quick recognition of the condition represented. the practitioner. For exercise response patterns, each of the six exercise