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Exercise Physiology
יובל חלד' פרופ
ש"תהמכון הלר למחקר רפואי
Physiology
• General physiology
• Cellular physiology
• System physiology
• Environmental physiology
• Hypobaric/ Hyperbaric physiology
• Exercise physiology
Exercise Physiology- Application
• Clinical diagnosis
• Rehabilitation
• Weight control
• Physical training
• Sport
• Research
Exercise Physiology- Application
גופנית פעילות
((physical activity
גופניאימון
((exercise training
physical fitness –כושר גופני היכולת לבצע מאמץ תת מרבי - aerobic endurance -ריאה-סבולת לב•
( שחייה למרחק/הליכה/ריצה)וממושך לאורך זמן היכולת להתמיד בפעולה מאומצת - muscle endurance -סבולת שריר•
לאורך זמן רב (רב של פעמים' עליות משכיבה לישיבה מס)
יכולת הגוף לחזור על - anaerobic endurance -אנאירובית-סבולת•שרירים גדולות ’ בהם משתתפות קב ועצימים מאמצים קצרים
( ספרינטים) היכולת להתגבר על התנגדות גבוהה - strength -כוח•
(הרמת משקולות) היכולת להפעיל כמות מרבית של - explosive power -כוח מתפרץ•
אנרגיה בתנועה פתאומית אחת כנגד התנגדות (קפיצה למרחק מהמקום, זינוק לריצת ספרינט)
היכולת לבצע תנועות חוזרות ורצופות בזמן הקצר - speed -מהירות • ביותר
('מ 100ריצת )
המשך physical fitness -כושר גופני
היכולת לשנות את מצב הגוף במרחב במשך הזמן - agility -זריזות• ( שינויי כיוון)הקצר ביותר
היכולת להניע איברים בטווח התנועה גבוה - flexibility -גמישות• "(שפגאט"ישיבת )
היכולת לפקח ולשלוט על אברי הגוף - balance -שיווי משקל• ( הליכה על קורה)
פעולות פשוטות ' היכולת להפוך מס - coordination -קואורדינציה• לפעולה מורכבת אחת
(רצף אלמנטים בתרגיל בהתעמלות)
Energy
• The ability to perform work
• Types of energy
• End product – heat
• First law in thermodynamics
Energy Cycle
Human, Animals
Carbohydrates,
Fat, Proteins
Green Plants
CO2 O2
H2O
Energy
Potential
Kinetic
Second Law of Thermodynamics
Heat
Entropy
Energy
• Work – Kgm
• Power- Kgm/min – Watt
1Joule/sec = 1Watt (w) = 6Kgm/min
Energy
• Kcal- the energy (heat) required to increase the temperature of 1 L water from 15oC to 16oC
1Kcal = 4.2Kjoule
1Kcal = 426Kgm
70W = 1Kcal/min
Energy in the Human Body
• Mechanical work
• Biosynthesis
• Active transport
• Heat production
Potential Energy in the Human Body
Carbohydrates Fat Proteins
4Kcal/gr 9Kcal/gr 4Kcal/gr
ATP
Kinetic Energy
Electrochemical Energy
ATP ADP + P + Energy + CO2 + H2O
Energy Requirements During Different Types of Metabolic Conditions
• Rest
• Light exercise
• Moderate exercise
• Intense exercise
• Extreme exercise
Energy Contribution During Different Types of Metabolic Conditions
Anaerobic Aerobic
Rest Light
Exercise
Moderate
Exercise Heavy
Exercise
Extreme
Exercise
Bioenergetics
• The ATP CrP system
• The glycolytic system
• The oxidative system
Bioenergetics
שומן
חלבון
ATP CrP
ATP-CrP System
ATP ADP + P + Energy
ATPase
CrP + ADP Cr + ATP CPK
Exhaustion: ADP ATP CrP
ATP-CrP System
• A few seconds of exercise
• Sprinting
• Jumping
• Power lifting
• Very limited energy
• Fast recovery
Anaerobic Glycolysis
Lactic acid O2
Anaerobic Glycolysis
Anaerobic Glycolysis (Lactic)
• 1- 2 min exercise
• 400 - 800 m run
• Using mostly muscle glycogen
• Product – lactate
• “Metabolic recovery” 1 hour +/-
• Smart use of glycogen
during competitive events
Pyruvic Acid
Lactic Acid
Glycolysis
(-)
(+)
Krebs Cycle
Negative Feedback (Fatigue)
1)
(-) 2)
(ATP)
Lactate Production m
mol/l
Lactate Pathways
Gluconeogenesis
Muscles Heart Liver
Buffering
CO2+H2O
Accumulation
Cori Cycle
Aerobic Glycolysis
The Krebs Cycle
2 ATP
H+ e-
NAD, FAD
CO2
The Oxidative System Amino Acids FFA
Aerobic Metabolism
• Long term exercise energy supply
• Low intensity exercise
• Using O2
• Rest energy supply
• Using mostly fat as energy
• Long recovery in long events (hours-days)
The relative contribution of aerobic and anaerobic energy during exercise
Energy Systems for Exercise - Summary
Energy Systems Mole of
ATP/min
Time to
Fatigue
Immediate: Phosphagen
(Phosphocreatine and ATP) 4 5 to 10 sec
Short Term: Glycolysis
(Glycogen-Lactic Acid) 2.5 1.0 to 2.0 min
Long Term: Aerobic 1 Unlimited
time
Anaerobic vs Aerobic Energy Systems
• Anaerobic
– ATP-PCR : ≤ 10 sec.
– Glycolysis: < 3 minutes
• Aerobic
– Krebs cycle
– Electron Transport Chain
– ß-Oxidation 2 minutes +
The relative contribution of aerobic
and anaerobic energy during maximal
exercise
10s 30s 60s 2min 4min 10min 30min 60min 120
90 80 70 50 35 15 5 2 1
10 20 30 50 65 85 95 98 99
% anaerobic
% aerobic
Time
The Relative Contribution of the Different Nutrients to Energy Consumption
Energy Sources
Carbohydrates
Sources:
Simple carbohydrates
Complex carbohydrates
Glucose Glycogen
Glycolysis
Aerobic Anaerobic
Carbohydrates
Glycogen
Glucose
Muscle
300 g = 1200 Kcal
Liver
100 g = 400 Kcal
Blood
25 g = 100 Kcal
Total <2000 Kcal
Carbohydrates
• The main energy source to muscles during exercise
• The main energy source to the nervous system
• Blood glucose level depends on nutrition and is regulated by the liver
• Extra amount of carbohydrate in the liver and muscle will be transformed into fat
• Gluconeogenesis
• Glycogenolysis
Glycemic Index (GI)
• GI is a measure of the effects of nutrients on blood glucose levels • Carbohydrates that break down rapidly during digestion releasing glucose rapidly into the bloodstream have a high GI • Simple Carbohydrates have high GI
GI
Fat
Triglyceride = Glycerol + 3 FFA
Oxidation of Fat
Oxidation of Fat
Lipolysis
glycerol Liver
gluconegeonesis
Fats Burn in Carbohydrate Flame
Beta
Oxidation
FFA
Triglycerides
Lactate Inhibits Lipolysis
Blood lactate
Blood
FFA
The mechanism protects effectively against an excessive,
undesirable FFA-outflow from adipose tissue in situations
in which FFA cannot be utilized
Fat as Energy
• Absorbed FFA Triglyceride
• 80,000 Kcal
• Energy supply mostly from fat tissue
• Glycerol Liver (and muscle) glucose
• FFA Liver Ketone bodies energy
• Spot reduction
Protein Metabolism
Protein Metabolism
N
Urea
Glucose Alanine Cycle
This is the third pathway of pyruvate
Contribution RelativeThe
of the Different Nutrients to
Energy Consumption
Energy Supply During Rest
Fat 2/3
Carbohydrates 1/3
Aerobic
ATP
+ Lactic Acid
ATP CO2 H2O + +
Anaerobic
Lactic
Intensity and Duration of Exercise
Relative Energy Supply During Exercise
Relative Energy Supply During Different Physical Activities
Fat Burning During Exercise
60% fat
180 Kcal fat
~ 20g fat
40% carbs
120 Kcal
1 hour walking
~ 300 Kcal
30% fat
180 Kcal fat
~ 20 g fat
70% carbs
420 Kcal
45 min running
~ 600 Kcal
Percentage vs. Quantity
1g fat ~ 9 Kcal
1g carbs ~ 4 Kcal
Conclusion
What matters is:
• Total energy burning
• Caloric balance
• High intensity exercise also contributes to fitness and health
What Influences the Magnitude of Contribution of the Different Nutrients to Energy
Consumption?
Intensity
Duration
Nutrition
Aerobic
fitness
The Influence of Nutrition* on Substrate Utilization During Long Term Exercise
0
50
100 0
50
100
0 1 2 3 4
Exhaustion
Running Time (hours)
Co
ntr
ibu
tio
n o
f c
arb
s t
o
the
me
tab
oli
c f
ue
l (%
)
Co
ntr
ibu
tio
n o
f fa
t to
the
me
tab
oli
c f
ue
l (%
)
Carbs diet
Regular diet
Fat diet
* Diets consumed for a
few days before the
experiment ר עומרי "שחר נייס וד: מתוך
2003, ענבר
Summary
Anaerobic Aerobic
Glucose
Fat
CrP ATP
The relative contribution of aerobic and anaerobic energy during exercise