School of Medicine, Medical Sciences & Nutrition

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1 School of Medicine, Medical Sciences & Nutrition

2 Contents Course Summary Course Aims & Learning Outcomes Course Teaching Staff Assessments & Examinations Class Representatives Problems with Coursework Course Reading List Lecture Synopsis Practical/Lab/Tutorial Work SMS Common Grading Scale Course Timetable Cover image: Confocal micrograph of fluorescently labelled HeLa cells. Nuclei are labelled in blue, tubulin in green and actin fibres in red. Courtesy of: Kevin Mackenzie Microscopy and Histology Core Facility Institute of Medical Sciences University of Aberdeen 2

3 Course Summary This introductory course is designed to examine in detail the relationship between exercise and health. The relationships will be investigated in i) sedentary adults, ii) patients with chronic diseases, iii) athletes and iv) other specific populations (e.g., elderly people). The epidemic of inactivity in the Western world will be discussed with health outcomes as a consequence. Social and economic barriers to physical activity, motivation for exercise and behavioural models for lifestyle change will be developed, with examples of how exercise should be promoted. Potentially positive and negative aspects of exercise will be probed in terms of immune function. Course Aims & Learning Outcomes The specific objectives of SR2501 are to: - Examine the relationship between fitness and health - Understand the effect of exercise on health outcomes in disease - Understand the behavioural factors which limit exercise participation and adherence to programmes - Explore the health promoting effect of exercise in different groups of the population - Examine the relationship between exercise and immune function. Course Teaching Staff Course Co-ordinator(s): Dr Jenny Gregory (JG) (ext. 7549) j.gregory@abdn.ac.uk Other Staff: - Dr Jenny Gregory (JG), Medical Sciences (Course Coordinator) - Dr Isabel Crane (IC), Medical Sciences - Dr Arimantas Lionikas (AL), Medical Sciences - Dr Kathryn Martin (KM), Medical Sciences - Dr Heather May Morgan (HMM), Institute for Applied Health Sciences - Dr Nicola Mutch (NM), Medical Sciences - Dr Christine Roberts (CR), University Sport and Exercise Team (SET) - Dr Fiona Saunders (FS) Medical Sciences - Dr Michael Scholz (MS), Medical Sciences Assessments & Examinations Students are expected to attend all lectures, laboratory classes, and tutorials, and to complete all class exercises by stated deadlines. The minimum performance acceptable is attendance at 75% of the lectures, seminars, practical classes, and presentation of all set course work, written and oral. 3

4 Class Representatives We value students opinions in regard to enhancing the quality of teaching and its delivery; therefore in conjunction with the Students Association we support the Class Representative system. In the School of Medical Sciences, we operate a system of course representatives, who are elected from within each course. Any student registered within a course that wishes to represent a given group of students can stand for election as a class representative. You will be informed when the elections for class representative will take place. What will it involve? It will involve speaking to your fellow students about the course you represent. This can include any comments that they may have. You will attend a Staff-Student Liaison Committee and you should represent the views and concerns of the students within this meeting. As a representative you will also be able to contribute to the agenda. You will then feedback to the students after this meeting with any actions that are being taken. Training Training for class representatives will be run by the Students Association. Training will take place within each half-session. For more information about the Class representative system visit or the VP Education & Employability vped@abdn.ac.uk. Class representatives are also eligible to undertake the STAR (Students Taking Active Roles) Award with further information about this co-curricular award being available at: Problems with Coursework If students have difficulties with any part of the course that they cannot cope with alone they should notify the course coordinator immediately. If the problem relates to the subject matter general advice would be to contact the member of staff who is teaching that part of the course. Students with registered disabilities should contact Mrs Jenna Reynolds (medsci@abdn.ac.uk) in the School Office (based in the IMS, Foresterhill), or Mrs Sheila Jones (s.jones@abdn.ac.uk) in the Old Aberdeen office associated with the teaching laboratories, to ensure that the appropriate facilities have been made available. Otherwise, you are strongly encouraged to contact any of the following as you see appropriate: Course student representatives Course co-ordinator Convenor of the Medical Sciences Staff/Student Liaison Committee (Prof Gordon McEwan) Personal Tutor SMS Disabilities Co-ordinator (Dr Derryck Shewan) All staff are based at Foresterhill and we strongly encourage the use of or telephone the SMS Office. You may have a wasted journey travelling to Foresterhill only to find staff unavailable. 4

5 Course Reading List Recommended Texts: Exercise Physiology: energy, nutrition & human performance, WD McArdle, FI Katch, VL Katch, Sixth Edition, Lippincott Williams & Wilkins. Physical activity and health, C.Bouchard, S.N. Blair, W.L. Haskell, Human Kinetics. Lecture Synopsis PHYSIOLOGICAL RESPONSE TO EXERCISE Exercise and health/ introduction Dr J Gregory An introductory lecture about the structure, assessments and topics of the course. Respiratory response to exercise Dr N Mutch Changes in pulmonary ventilation and tissue respiration during and after muscle exercise. Cardiovascular response to exercise Dr N Mutch Changes in cardiovascular function and blood flow during and after muscle exercise. Metabolic response to exercise Dr F Saunders Overview of ATP resynthesis during and after exercise Physical activity and obesity Dr F Saunders Energy stores, lipid metabolism and exercise recommendations. EXERCISE IN MEDICAL CONDITIONS Cancer and exercise Dr M Scholz Direct and indirect interactions, association between inactivity and increased overall cancer risk. Importance of exercise for prevention and recovery in cancer diseases. Type 2 diabetes and exercise Dr A Lionikas An introduction to the condition of type 2 diabetes and how exercise may serve to reduce its incidence. Cardiovascular disease - Dr N Mutch An introduction to the physiological mechanisms of cardiovascular diseases and the role of regular physical activity in the prevention. Exercise and ageing Dr M Scholz Evidence of health benefits of exercise in elderly people, particularly reducing the incidence of sarcopenia. Exercise and bones Dr J Gregory Bone health is closely associated diet and physical activity. EXERCISE AND IMMUNE FUNCTION 5

6 Introduction to the Immune system Dr I Crane Details of the various cells of the immune system and their role when stimulated. Muscle building Dr A Lionikas An overview of anabolic signalling in skeletal muscles Muscle breakdown Dr I Crane The role of hypokinesia (disuse) and inflammation in muscle breakdown Overtraining Dr A Lionikas Intensive exercise training can lead to overtraining which is associated with deterioration of athletic performance and negative health outcomes. Exercise and body composition Dr C Roberts Exercise affects body composition which is associated with risk of chronic diseases. PHYSICAL ACTIVITY FOR SPECIAL POPULATIONS Ageing Dr J Gregory Mechanisms of ageing and the role of exercise. Exercise and gender Dr J Gregory Differences in physical performance and body composition between men and women Motivation for exercise - H M Morgan Motivators, demotivators and other factors that affect participation in exercise programs. Maintaining a healthy skeleton (exercise and osteoporosis) Dr K Martin Bone mineral density, ageing and the role of exercise. Adherence to exercise programs - H M Morgan What helps people stick to an exercise programme? Exercise for children Dr J Gregory Growth, development, maturation and how they relate to physical performance Practical/Lab/Tutorial Work Laboratory Work For all practical classes students will be divided into groups A, B and C. Group A undertakes its first practical class in week 29, Group B in week 30 and Group C in week 31 and every third week thereafter for practical 2, respectively. Please stick to your allocated practical group. Attendance will be taken at all lab classes. Practical classes might have an exercise element, so please ensure you always have the appropriate sports kit with you. Students should therefore wear a vest or a t-shirt and ideally shorts or tracksuit bottoms. A sweatshirt is advised too as there will be periods of written work. In addition, bring a notebook, a calculator and writing materials to each practical class, to take appropriate notes. 6

7 Students will need to hand in a structure report (answering set questions) for Practical 1 no later than two weeks after the practical. A test consisting of multiple choice and short answer questions will be used in assessment of Practical 2 to be submitted online no later than 1 week after the practical. The report and practical test will each will be worth 15% of the overall mark for this course. Case Studies A case studies will be released on MyAberdeen. You will then have to study the case and submit your answers online using Turnitin. This will count for 10% of the final mark. Multiple Choice Exams Two multiple choice exams (50 questions each) will be taken in class (for technical reasons, these are shown as Workshops on MyTimetable to ensure they are visible. These will each be worth 30% of the final mark for the module. 7

8 University Policies Students are asked to make themselves familiar with the information on key institutional policies which been made available within MyAberdeen ( ). These policies are relevant to all students and will be useful to you throughout your studies. They contain important information and address issues such as what to do if you are absent, how to raise an appeal or a complaint and how seriously the University takes your feedback. These institutional policies should be read in conjunction with this programme and/or course handbook, in which School and College specific policies are detailed. Further information can be found on the University¹s Infohub webpage or by visiting the Infohub. The information included in the institutional area for 2018/19 includes the following: Absence Academic Appeals & Complaints Assessment (Common Grading Scale) Codes of Practice on Student Discipline (Academic and Non-Academic) Class Certificates Exam Results Transcripts MyAberdeen TurnitinUK Feedback Communication Aberdeen Graduate Attributes The Co-Curriculum 8

9 Medical Sciences Common Grading Scale Grade Grade Point % Mark Category Honours Class Description A A A A Excellent First Outstanding ability and critical thought Evidence of extensive reading Superior understanding The best performance that can be expected from a student at this level A B B B Very Good Upper Second Able to argue logically and organise answers well Shows a thorough grasp of concepts Good use of examples to illustrate points and justify arguments Evidence of reading and wide appreciation of subject C C C Good Lower Second Repetition of lecture notes without evidence of further appreciation of subject Lacking illustrative examples and originality Basic level of understanding D D D Pass Third Limited ability to argue logically and organise answers Failure to develop or illustrate points The minimum level of performance required for a student to be awarded a pass E E E Fail Fail Weak presentation Tendency to irrelevance Some attempt at an answer but seriously lacking in content and/or ability to organise thoughts F F F Clear Fail Not used for Honours Contains major errors or misconceptions Poor presentation G G Clear Fail/ Abysmal - Token or no submission G

10 Course Timetable SR2501: Date Time Place Subject Session Staff Week 25 Mon 14 Jan 10:00-11:00 MR051 Exercise and health: introduction Lecture JG Tue 15 Jan 10:00-11:00 NK1 Respiratory response to exercise Lecture NM Wed 16 Jan Thu 17 Jan 10:00-11:00 MRLT Cardiovascular response to exercise Lecture NM Fri 18 Jan Week 26 Mon 21 Jan 10:00-11:00 MR051 Metabolic response to exercise Lecture FS Tue 22 Jan 10:00-11:00 NK1 Physical activity and obesity Lecture FS Wed 23 Jan Thu 24 Jan 10:00-11:00 MRLT Immune system I Lecture IC Fri 25 Jan Case Study released N/A JG Week 27 Mon 28 Jan 10:00-11:00 MR051 Immune system II Lecture IC Tue 29 Jan 10:00-11:00 NK1 Muscle building Lecture AL Wed 30 Jan Thu 31 Jan 10:00-11:00 MRLT Muscle breakdown IC Fri 1 Feb Week 28 Mon 4 Feb 10:00-11:00 MR051 Overtraining Lecture AL Tue 5 Feb 10:00-11:00 NK1 Exercise for children I Lecture JG Wed 6 Feb Thu 7 Feb 10:00-11:00 MRLT Exercise for children II Lecture JG Fri 8 Feb 15:00-18:00 ZB06 Practical 1: Metabolic response to exercise A Practical JG Week 29 Mon 11 Feb 10:00-11:00 MR051 Exercise in men and women Lecture JG Tue 12 Feb 10:00-11:00 NK1 Ageing and health Assessment KM Wed 13 Feb Thu 14 Feb 10:00-11:00 MRLT Exercise for the elderly Lecture JG Fri 15 Feb 15:00-18:00 ZB06 Practical 1: Metabolic response to exercise B Practical JG Week 30 Mon 18 Feb 10:00-11:00 MR051 Assessment 1 Lecture JG Tue 19 Feb 10:00-11:00 NK1 Body composition and health I Lecture JG Wed 20 Feb Thu 21 Feb 10:00-11:00 MRLT Body composition and health II Lecture CR Fri 22 Feb 15:00-18:00 ZB11 Practical 1: Metabolic response to exercise C Practical JG Week 31 Mon 25 Feb 10:00-11:00 MR051 An introduction to type 2 diabetes Lecture AL Tue 26 Feb 10:00-11:00 NK1 Exercise and type 2 diabetes Lecture AL Wed 27 Feb

11 Thu 28 Feb 10:00-11:00 MRLT Private study Lecture JG Fri 1 Mar 15:00-18:00 ZB11 Practical 2: Anthropometry A Practical CR Week 32 Mon 4 Mar 10:00-11:00 MR051 Mechanical Properties of Bone Lecture JG Tue 5 Mar 10:00-11:00 NK1 Growing a Healthy Skeleton Lecture JG Wed 6 Mar Thu 7 Mar 10:00-11:00 MRLT Maintaining a healthy skeleton Lecture KM Fri 8 Mar 15:00-18:00 ZB11 Practical 2: Anthropometry B Practical CR Week 33 Mon 11 Mar 10:00-11:00 MR051 Motivation for exercise Lecture HMM Tue 12 Mar 10:00-11:00 NK1 Adherence to exercise programs Lecture HMM Wed 13 Mar Thu 14 Mar 10:00-11:00 MRLT Private study JG 15:00-18:00 ZB11 Practical 2: Anthropometry C Practical CR Fri 15 Mar 15:00-17:00 NK1 Exercise Consultation Tutorial CR Week 34 Mon 18 Mar 10:00-11:00 MR051 Cancer and Exercise Lecture MS Tue 19 Mar 10:00-11:00 NK1 A background on cardiovascular diseases Lecture NM Wed 20 Mar Thu 21 Mar 10:00-11:00 MRLT Exercise and cardiovascular diseases Lecture NM Fri 22 Mar Week 35 Mon 25 Mar 10:00-11:00 MR051 Private study Lecture JG Tue 26 Mar 10:00-11:00 NK1 Assessment 2 Assessment JG Wed 27 Mar Thu 28 Mar 10:00-11:00 MRLT Course Review Lecture JG Fri 29 Mar 15:00-17:00 MRLT Course Review Lecture JG Staff - Dr Jenny Gregory (JG), Medical Sciences (Course Coordinator) - Dr Isabel Crane (IC), Medical Sciences - Dr Arimantas Lionikas (AL), Medical Sciences - Dr Kathryn Martin (KM), Medical Sciences - Dr Heather May Morgan (HMM), Institute for Applied Health Sciences - Dr Nicola Mutch (NM), Medical Sciences - Dr Christine Roberts (CR), University Sport and Exercise Team (SET) - Dr Fiona Saunders (FS) Medical Sciences - Dr Michael Scholz (MS), Medical Sciences 11

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