Cardiovascular Fitness

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Section III: Concept 08 Cardiovascular Fitness

Cardiovascular Fitness "Cardio" = heart "Vascular" = vessels A strong heart and healthy vessels (developed from regular physical activity) help to make a strong cardiovascular system ٢

Synonyms of Cardiovascular Fitness Aerobic fitness Cardiovascular endurance Cardiorespiratory fitness All essentially have similar meaning ٣ See On the Web 08 (click 01) for information on cardiovascular physiology

Synonyms of Cardiovascular Fitness Aerobic fitness: aerobic = with O 2 so it refers to the ability to take in and use oxygen for exercise Cardiovascular endurance: ability of the CV system to meet the energy demands (O 2 delivery) incurred by exercise Cardiorespiratory fitness: Respiration refers to the lungs so this term refers to the ability of the CR system to meet the energy demands (O 2 delivery) incurred by exercise ٤

Laboratory Tests of Cardiovascular Fitness The best indicator of cardiovascular fitness See On the Web 08 (Click 02) for info on VO 2 max ٥

Laboratory Tests of Cardiovascular Fitness It represents the maximal amount of oxygen the body can take in, deliver, and utilize. A person with a high VO 2 max has: -Healthy lungs to take in a lot of oxygen, -Strong heart to pump the blood loaded with O 2 to the body -Efficient network of vessels to deliver blood carrying O 2 to the body. ٦ -Competent muscles to utilize O 2

Laboratory Tests of Cardiovascular Fitness Most accurate way to estimate VO 2 max is by measuring the amount of O 2 the body can consume at maximal exertion using a gas analyses machine This test requires expensive laboratory equipment and maximal exertion so it is not an easy measure to assess. Thus, many field tests have been designed to approximate VO 2 max to give an estimate of CV fitness ٧

Lab 8b info Field Tests of Cardiovascular Fitness Rockport Walking Test Step Test Astrand Ryhming Bike Test 12-minute minute Run Test 12-Minute Minute Swim Test See On the Web 08 (Click 05) for info on field tests ٨

Cardiovascular System Images of the CV system come up with subsequent clicks Muscles send deoxygenated blood to heart Heart sends deoxygenated blood to lungs Lungs oxygenate the blood Heart sends oxygenated blood to body ٩

Characteristics of Blood Vessels Arteries pump oxygenated blood and have muscular, elastic walls that promote good circulation ١٠ Veins carry de-oxygenated blood and rely on pumping action of muscles to move blood

Click for more info on BP values Return to presentation Dangers of High BP Coronary heart disease Stroke See info from the National Stroke Association ١١

Return to presentation Causes of High BP Age: increases with age Race: blacks have higher BP than whites Heredity: genetically linked Diet: high salt diet Stress: adrenaline in bloodstream Inactivity: atherosclerosis decreases vessel diameter ١٢

FIT Formula for Cardiovascular Fitness 3-6x per week HR in target zone (above mod intensity) At least 20 minutes ١٣

Target Zone: CV Fitness TOO MUCH FITNESS THRESHOLD FOR FITNESS TARGET ZONE: F: 3-6x per week I: 40-85% HR reserve 55-90% Max HR T: 20-30 min INACTIVITY

Calculating Target Heart Zones Maximum heart rate method The maximum heart rate method is easer but is overly simplistic since it does not take into account a person s resting heart rate. Heart rate reserve method ١٥ Considers resting heart rate which makes more accurate and individualized target heart rate

Location for Pulse Carotid artery Radial artery ١٦

Location for Pulse Precautions should be taken when obtaining HR from the carotid artery: Can trigger undesirable stimulus - carotid sinus Might reduce amount of blood flow to the brain ١٧

Lab 8a info Factors in Pulse Monitoring Short time (10-15 15 seconds) Locate quickly Typical of the exercise bout ١٨ HR monitors can provide a continuous record of heart rate during your exercise.

Lab 8c info Ratings of Perceived Exertion 6 VERY VERY LIGHT 7 8 9 VERY LIGHT 10 11 FAIRLY LIGHT 12 13 SOMEWHAT HARD 14 15 HARD 16 17 VERY HARD 18 19 20 VERY VERY HARD Target Zone for using RPE ١٩

Summary of Target Zones for Aerobic Exercise TARGET ZONE THRESHOLD OF TRAINING 55-90% of maximum heart rate 40-85% of heart rate reserve 12-16 on RPE scale 55% of maximum heart rate 40% of heart rate reserve 12 on RPE scale ٢٠ INACTIVITY

HR 200 190 180 170 160 Maximum Heart Rate and Aging Maximum HR = 208 (.7* age) Ex for a 22 yr old: Max HR = 208 (.7 * 22) = 208 15.4 = 193 20 30 40 50 60 AGE The equation (HRmax = 220 - age) was previously used to estimate HRmax but a revised formula has been found to be ٢١ more accurate (HRmax = 208 (.70 * age).

Maximal Heart Rate Method (example for a 22-year year-old person) 198 174 HR 106 TARGET ZONE MAX 90% 55% 0 ٢٢

Resting HR and Fitness HRresting 90 80 70 60 50 LOW FITNESS HIGH Resting HR decreases because the heart is stronger, thus larger SV is produced (Q=SV*HR) ٢٣

Heart Rate Reserve Method (Sample calculations: 22-year year-old w/ resting hr of 68) 193 MAX HR 68 Working Range = 125 bpm TARGET ZONE 85% 40% REST 0 ٢٤

٢٥ Working Heart Rate (Sample calculations: 22-year year-old w/ resting hr of 68) Max HR - Rest HR = Heart Rate Reserve (HRR) 193-68 = 125 40% of HRR = 50 85% of HRR = 106 Lower Limit = 50 + Rest HR (68) = 118 Upper limit = 106 + Rest HR (68) = 174 Note: A table is provided in the book for you to calculate your target heart zone. It gives a value that corresponds with your resting heart rate and maximal heart rate (according to your age)

HR Target Zones HR 174 118 UPPER LIMIT THRESHOLD 56 beats/min TIME Note: This range (56 beats/min) is fairly large. However taking into account current fitness level it is possible to have a more specific range. ٢٦

Prescriptions Based on Current Fitness Level Fitness Level Low Marginal Good Freq 3 3-4 5 Int (%HRR) 40-50 60 60-85 Tm (min) 10-30 20-40 30-60 If an individual has a low level of fitness they could work at the low range of the target zone and still get benefits. ٢٧

Prescriptions Based on Current Fitness Level Level of Fitness (ml/kg/min) Low VO 2 < 35 ml/kg/min Marginal VO 2 =35-45ml/kg/min Good VO 2 > 45 ml/kg/min These are only guidelines, thus appropriate changes must be taken when needed ٢٨

Return to presentation HR Target Zones HR 179 130 118 THRESHOLD 50% 40% ٢٩ TIME Note:This range was calculated assuming the person had a low level of fitness. The values would be different if different ranges were used.

Return to presentation Lab 8a Information Counting Target HR Practice counting pulse (carotid / radial) Estimate threshold of training (low) Estimate target zone for training (range) Check pulse after two bouts of running (or other form of exercise) ٣٠

Return to presentation Lab 8b Information Evaluating CV Fitness Perform at least one test of CV fitness ٣١ test and rate your current level of fitness (Note: performing more than one test is recommended in order to get a more valid assessment) Interpret the results of your fitness based on your current level of activity

Return to presentation Lab 8c Information Ratings of Perceived Exertion Record threshold and target zones for training Perform a series of exercise bouts at different paces for at least 3 minutes (paces should cover range of intensities) Check heart rate and provide RPE score after each Once you know your RPE for target zone you can use it in training ٣٢