Cardiovascular fitness

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Cardiovascular fitness refers to a health-related component of physical fitness that is brought about by sustained physical activity. [1] A person's ability to deliver oxygen to the working muscles is affected by many physiological parameters, including heart rate, stroke volume, cardiac output, and maximal oxygen consumption. [1]

Contents

Understanding the relationship between cardiorespiratory fitness and other categories of conditioning requires a review of changes that occur with increased aerobic, or anaerobic capacity. As aerobic/anaerobic capacity increases, general metabolism rises, muscle metabolism is enhanced, haemoglobin rises, buffers in the bloodstream increase, venous return is improved, stroke volume is improved, and the blood bed becomes more able to adapt readily to varying demands. Each of these results of cardiovascular fitness/cardiorespiratory conditioning will have a direct positive effect on muscular endurance, and an indirect effect on strength and flexibility. [2]

To facilitate optimal delivery of oxygen to the working muscles, an individual needs to train or participate in activities that will build up the energy stores needed for sport. This is referred to as metabolic training. Metabolic training is generally divided into two types: aerobic and anaerobic. A 2005 Cochrane review demonstrated that physical activity interventions are effective for increasing cardiovascular fitness. [3]

Cardiovascular fitness is a measure of how well the heart, lungs, and blood vessels can transport oxygen to the muscles during exercise. It is an important component of overall fitness and has been linked to numerous health benefits, including a reduced risk of cardiovascular disease, improved cognitive function, and increased longevity. A study published in the American Journal of Epidemiology found that higher levels of cardiovascular fitness were associated with a lower risk of mortality from all causes, including cardiovascular disease and cancer. [4]

Beneficial amounts of physical activity

Regular physical activity is essential for improving cardiovascular fitness. [1] The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week to improve cardiovascular fitness and reduce the risk of cardiovascular disease. A 2020 review found that both moderate and high-intensity exercise improved cardiovascular fitness, but high-intensity exercise produced greater improvements. [5]

Assessing cardiovascular fitness

Cardiovascular fitness can be assessed through various methods, including maximal oxygen uptake (V̇O2max), which is the maximal amount of oxygen that can be used during exercise. Biomarkers, such as those used for assessing blood lipids, inflammation, glucose tolerance, and hemostasis, may be used to monitor progress during development of cardiovascular fitness. [1]

Related Research Articles

<span class="mw-page-title-main">Exercise</span> Physical activity that improves health

Exercise is physical activity that enhances or maintains fitness and overall health. It is performed for various reasons, including weight loss or maintenance, to aid growth and improve strength, develop muscles and the cardiovascular system, hone athletic skills, improve health, or simply for enjoyment. Many individuals choose to exercise outdoors where they can congregate in groups, socialize, and improve well-being as well as mental health.

<span class="mw-page-title-main">Aerobic exercise</span> Low to high intensity physical exercise

Aerobic exercise is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process. "Aerobic" is defined as "relating to, involving, or requiring oxygen", and refers to the use of oxygen to meet energy demands during exercise via aerobic metabolism adequately. Aerobic exercise is performed by repeating sequences of light-to-moderate intensity activities for extended periods of time. Examples of cardiovascular or aerobic exercise are medium- to long-distance running or jogging, swimming, cycling, stair climbing and walking.

<span class="mw-page-title-main">Exercise physiology</span>

Exercise physiology is the physiology of physical exercise. It is one of the allied health professions, and involves the study of the acute responses and chronic adaptations to exercise. Exercise physiologists are the highest qualified exercise professionals and utilise education, lifestyle intervention and specific forms of exercise to rehabilitate and manage acute and chronic injuries and conditions.

<span class="mw-page-title-main">Physical fitness</span> State of health and well-being

Physical fitness is a state of health and well-being and, more specifically, the ability to perform aspects of sports, occupations, and daily activities. Physical fitness is generally achieved through proper nutrition, moderate-vigorous physical exercise, and sufficient rest along with a formal recovery plan.

<span class="mw-page-title-main">Anaerobic exercise</span> Physical exercise intense enough to cause lactate formation

Anaerobic exercise is a type of exercise that breaks down glucose in the body without using oxygen; anaerobic means "without oxygen". In practical terms, this means that anaerobic exercise is more intense, but shorter in duration than aerobic exercise.

V̇O2 max (also maximal oxygen consumption, maximal oxygen uptake or maximal aerobic capacity) is the maximum rate of oxygen consumption attainable during physical exertion. The name is derived from three abbreviations: "V̇" for volume (the dot over the V indicates "per unit of time" in Newton's notation), "O2" for oxygen, and "max" for maximum and usually normalized per kilogram of body mass. A similar measure is V̇O2 peak (peak oxygen consumption), which is the measurable value from a session of physical exercise, be it incremental or otherwise. It could match or underestimate the actual V̇O2 max. Confusion between the values in older and popular fitness literature is common. The capacity of the lung to exchange oxygen and carbon dioxide is constrained by the rate of blood oxygen transport to active tissue.

<span class="mw-page-title-main">Exercise intensity</span>

Exercise intensity refers to how much energy is expended when exercising. Perceived intensity varies with each person. It has been found that intensity has an effect on what fuel the body uses and what kind of adaptations the body makes after exercise. Intensity is the amount of physical power that the body uses when performing an activity. For example, exercise intensity defines how hard the body has to work to walk a mile in 20 minutes.

<span class="mw-page-title-main">Strength training</span> Performance of physical exercises designed to improve strength

Strength training, also known as weight training or resistance training, involves the performance of physical exercises that are designed to improve strength and endurance. It is often associated with the lifting of weights. It can also incorporate a variety of training techniques such as bodyweight exercises, isometrics, and plyometrics.

<span class="mw-page-title-main">High-intensity interval training</span> Exercise strategy

High-intensity interval training (HIIT) is a training protocol alternating short periods of intense or explosive anaerobic exercise with brief recovery periods until the point of exhaustion. HIIT involves exercises performed in repeated quick bursts at maximum or near maximal effort with periods of rest or low activity between bouts. The very high level of intensity, the interval duration, and number of bouts distinguish it from aerobic (cardiovascular) activity, because the body significantly recruits anaerobic energy systems. The method thereby relies on "the anaerobic energy releasing system almost maximally".

Aerobic conditioning is the use of continuous, rhythmic movement of large muscle groups to strengthen the heart and lungs. Improvement in aerobic conditioning occurs when athletes expose themselves to an increase in oxygen uptake and metabolism, but to keep this level of aerobic conditioning, the athletes must keep or progressively increase their training to increase their aerobic conditioning.

<span class="mw-page-title-main">Physical activity</span> Any voluntarily bodily motion produced by skeletal muscles and requires energy expenditure

Physical activity is defined as any voluntary bodily movement produced by skeletal muscles that requires energy expenditure. Physical activity encompasses all activities, at any intensity, performed during any time of day or night. It includes both voluntary exercise and incidental activity integrated into the daily routine. This integrated activity may not be planned, structured, repetitive or purposeful for the improvement of physical fitness, and may include activities such as walking to the local shop, cleaning, working, active transport etc. Lack of physical activity is associated with a range of negative health outcomes, whereas increased physical activity can improve physical and mental health, as well as cognitive and cardiovascular health. There are at least eight investments that work to increase population-level physical activity, including whole-of-school programmes, active transport, active urban design, healthcare, public education and mass media, sport for all, workplaces and community-wide programmes. Physical activity increases energy expenditure and is a key regulator in controlling body weight. In human beings, differences among individuals in the amount of physical activity have a substantial genetic basis.

Cardiorespiratory fitness (CRF) refers to the ability of the circulatory and respiratory systems to supply oxygen to skeletal muscles during sustained physical activity. Scientists and researchers use CRF to assess the functional capacity of the respiratory and cardiovascular systems. These functions include ventilation, perfusion, gas exchange, vasodilation, and delivery of oxygen to the body's tissues. As these body's functions are vital to an individual's health, CRF allows observers to quantify an individual's morbidity and mortality risk as a function of cardiorespiratory health.

Interval training is a type of training exercise that involves a series of high-intensity workouts interspersed with rest or break periods. The high-intensity periods are typically at or close to anaerobic exercise, while the recovery periods involve activity of lower intensity. Varying the intensity of effort exercises the heart muscle, providing a cardiovascular workout, improving aerobic capacity and permitting the person to exercise for longer and/or at more intense levels.

Lactate inflection point (LIP) is the exercise intensity at which the blood concentration of lactate and/or lactic acid begins to increase rapidly. It is often expressed as 85% of maximum heart rate or 75% of maximum oxygen intake. When exercising at or below the lactate threshold, any lactate produced by the muscles is removed by the body without it building up.

<span class="mw-page-title-main">Outline of exercise</span> Overview of and topical guide to exercise

The following outline is provided as an overview of and topical guide to exercise:

Second wind is a phenomenon in endurance sports, such as marathons or road running, whereby an athlete who is out of breath and too tired to continue, finds the strength to press on at top performance with less exertion. The feeling may be similar to that of a "runner's high", the most obvious difference being that the runner's high occurs after the race is over. In muscle glycogenoses, an inborn error of carbohydrate metabolism impairs either the formation or utilization of muscle glycogen. As such, those with muscle glycogenoses do not need to do prolonged exercise to experience "hitting the wall". Instead, signs of exercise intolerance, such as an inappropriate rapid heart rate response to exercise, are experienced from the beginning of an activity, and some muscle GSDs can achieve second wind within about 10 minutes from the beginning of the aerobic activity, such as walking. (See below in pathology).

Incremental exercise is physical exercise that increases in intensity over time.

In kinesiology, the ventilatory threshold (VT1) refers to the point during exercise at which ventilation starts to increase at a faster rate than VO2 (V – volume, O2 – oxygen). One's threshold is said to reflect levels of anaerobiosis and lactate accumulation. As the intensity level of the activity being performed increases, breathing becomes faster; more steadily first and then more rapid as the intensity increases. When breathing surpasses normal ventilation rate, one has reached ventilatory threshold. For most people this threshold lies at exercise intensities between 50% and 75% of VO2 max. A major factor affecting one's ventilatory threshold is their maximal ventilation (amount of air entering and exiting lungs). This is dependent on their personal experience with the activity and how physically fit the person is. Comparison studies of more athletic people have shown that your ventilatory threshold occurs at a higher intensity if you are more active or have been training for that exercise; although, in some cases shorter continuous tests can be used because of rapid alterations in ventilation.

The physiology of marathons is typically associated with high demands on a marathon runner's cardiovascular system and their locomotor system. The marathon was conceived centuries ago and as of recent has been gaining popularity among many populations around the world. The 42.195 km distance is a physical challenge that entails distinct features of an individual's energy metabolism. Marathon runners finish at different times because of individual physiological characteristics.

The benefits of physical activity range widely. Most types of physical activity improve health and well-being.

References

  1. 1 2 3 4 Lin X, Zhang X, Guo J, Roberts CK, McKenzie S, Wu WC, Liu S, Song Y (June 2015). "Effects of Exercise Training on Cardiorespiratory Fitness and Biomarkers of Cardiometabolic Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials". Journal of the American Heart Association. 4 (7). doi:10.1161/JAHA.115.002014. PMC   4608087 . PMID   26116691.
  2. Pate, Russell; Oria, Maria; Pillsbury, Laura; Youth, Committee on Fitness Measures and Health Outcomes in; Board, Food and Nutrition; Medicine, Institute of (2012-12-10), "Health-Related Fitness Measures for Youth: Cardiorespiratory Endurance", Fitness Measures and Health Outcomes in Youth, National Academies Press (US), retrieved 2023-07-28
  3. Hillsdon, M.; Foster, C.; Thorogood, M. (2005-01-25). "Interventions for promoting physical activity". The Cochrane Database of Systematic Reviews (1): CD003180. doi:10.1002/14651858.CD003180.pub2. ISSN   1469-493X. PMC   4164373 . PMID   15674903.
  4. Kodama, Satoru (2009-05-20). "Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women". JAMA. 301 (19): 2024–2035. doi:10.1001/jama.2009.681. ISSN   0098-7484. PMID   19454641.
  5. Wang, Cuihua; Liu, Gang; Xing, Jun; Wang, Yahui; Zhao, Baoli; Zheng, Mingqi (2022). "The effects of high-intensity interval training vs. moderate-intensity continuous training on exercise tolerance and prognosis in heart failure and coronary artery disease: a systematic review and meta-analysis". Cardiovascular Therapeutics. doi: 10.37766/inplasy2020.8.0112 . PMC   9203221 . PMID   35801132. S2CID   225297610.