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THE IMPORTANCE OF THE REGULAR PHYSICAL ACTIVITY IN THE PRESERVATION OF HEALTH AND IN THE PREVENTION OF SOME DISEASES Prof. Dr. Pavlik Gábor DSc Department.

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Presentation on theme: "THE IMPORTANCE OF THE REGULAR PHYSICAL ACTIVITY IN THE PRESERVATION OF HEALTH AND IN THE PREVENTION OF SOME DISEASES Prof. Dr. Pavlik Gábor DSc Department."— Presentation transcript:

1 THE IMPORTANCE OF THE REGULAR PHYSICAL ACTIVITY IN THE PRESERVATION OF HEALTH AND IN THE PREVENTION OF SOME DISEASES Prof. Dr. Pavlik Gábor DSc Department of Health Sciences and Sports Medicine Faculty of Physical Education and Sports Sciences Semmelweis University, Semmelweis Egyetem Exercise is Medicine Győr, 20. May 2011.

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3 2000 Sydney 2004 Athén2008 Peking

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7 17 %

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9 DISADVANTAGES OF THE PASSIVE WAY OF LIFE Movements system: faults of body posture, joints instability, osteoporosis Metabolism: obesity, metabolic disorders Nervous system:nervousness, anxiety sleep disorders, labile autonomous regulation Cardio-vascular system: hypertension, coronary diseases

10 DISADVANTAGES OF THE PASSIVE WAY OF LIFE Movements system: faults of body posture, joints instability, osteoporosis Metabolism: obesity, metabolic disorders Nervous system:nervousness, anxiety sleep disorders, labile autonomous regulation Cardio-vascular system: hypertension, coronary diseases

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20 BONE DENSITY IN THE FUNCTION OF AGE Peak bone mass femalesmales Bone density Age athletic females Szőts G.(2005)

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23 DISADVANTAGES OF THE PASSIVE WAY OF LIFE Movements system: faults of body posture, joints instability, osteoporosis Metabolism: obesity, metabolic disorders Nervous system:nervousness, anxiety sleep disorders, labile autonomous regulation Cardio-vascular system: hypertension, coronary diseases

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29 Obesity related diseases Cholelithiasis 2-type diabetes Dislipidaemia Hypertension Coronary diseases Stroke Sleep apnoe Movements system inflammations Tumors

30 kcal consumptionuptake

31 breakfest snack lunch kcal consumptionuptake

32 breakfest snack lunch supper kcal consumptionuptake

33 breakfest snack lunch supper kcal consumptionuptake

34 The required quantity of weekly intensive sports activity In younger than 20 yr.6-7 hr yr.5-6 hr yr.4-5 hr yr.3-4 hr yr.2-3 hr In older than 60 yr.1-2 hr

35 DISADVANTAGES OF THE PASSIVE WAY OF LIFE Movements system: faults of body posture, joints instability, osteoporosis Metabolism: obesity, metabolic disorders Nervous system:nervousness, anxiety sleep disorders, labile autonomous regulation Cardio-vascular system: hypertension, coronary diseases

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37 Symptoms associated with nervousness, anxiety Low stress tolerance Depression Panic disease Addictive diseases Demencia

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39 Consequencies of sleep disorders Chronic fatigue Decrease of the proportion of paradoxic sleep (REM) Insufficient cerebral recovery

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41 Labile autonomous regulation Cardiac function Blood pressure Digestive diseases Metabolic disturbances

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43 DISADVANTAGES OF THE PASSIVE WAY OF LIFE Movements system: faults of body posture, joints instability, osteoporosis Metabolism: obesity, metabolic disorders Nervous system:nervousness, anxiety sleep disorders, labile autonomous regulation Cardio-vascular system: hypertension, heart (coronary) diseases

44 Importance of the athlete’s heart Fatal consequences of sedentary way of life are caused most frequently through the disturbances of the cardiovascular system The cardiac performance is mostly the limit of the endurance performance Cause of the sudden death of the athletes is always a disturbance of the heart

45 Mortality statistic in Hungary cardiovascular Tumors

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47 CHARACTERISTICS OF THE ATHLETE’S HEART MORPHOLOGY – left ventricular (LV) hypertrophy - more rich coronary circulation FUNCTION - better diastolic function (higher E/A) REGULATION - lower heart rate

48 Relative left ventricular muscle mass (mean + s.e.m.) males females * szignifikáns különbség a nem-edzettektől edzett csoportok között Pavlik et al. Br.J.Sp.Med.2001 Pavlik et al. 27. FIMS Congr. Proc * ** * ** g/m 3 NA STR SPRJ BGP END

49 CHARACTERISTICS OF THE ATHLETE’S HEART MORPHOLOGY – left ventricular (LV) hypertrophy - more rich coronary circulation FUNCTION - better diastolic function (higher E/A) REGULATION - lower heart rate

50 THE EFFECT OF REGULAR PHYSICAL TRAINING ON THE CORONARY CIRCULATION HUMAN DATA sectionCurrens and White 1961 ultrasoundPelliccia et al dilatation capacityHaskell et al ANIMAL EXPERIMENTS section Petren et al. 1936, 1937 arteriolar flow Laughlin et al. 1978, Breisch et al increase of capillary density: young rats - Bloor, Leon 1970,Tomanek 1970, Bell, Rasmussen 1974, Jacobs ea. 1984, Mattfeldt ea no increase: older rats - Unge et al. 1979, Jacobs et al. 1984

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52 CHARACTERISTICS OF THE ATHLETE’S HEART MORPHOLOGY – left ventricular (LV) hypertrophy - more rich coronary circulation FUNCTION - better diastolic function (higher E/A) REGULATION - lower heart rate

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54 * * * * * * * AZ E/A (ÁTLAG + S.E.M.) AZ ÉLETKOR FÜGGVÉNYÉBEN NEM-EDZETT ÉS EDZETT FÉRFIAKBANÉS NŐKBEN *: szignifikáns különbség év

55 THE RELATIONSHIP BETWEEN REL.LVMM AND E/A IN MEN OLDER THAN 35 YR. y =0,82 + 0,0083x r=0,32 p < 0,05 y =1, ,004x r= -0,27 p< 0,15 N=34 g/m 3 N=44 Pavlik és mtsai, Hypertonia és Nephrologia 2002

56 CHARACTERISTICS OF THE ATHLETE’S HEART MORPHOLOGY – left ventricular (LV) hypertrophy - more rich coronary circulation FUNCTION - better diastolic function (higher E/A) REGULATION - lower heart rate

57 A PULZUSSZÁM (ÁTLAG + S.E.M.) AZ ÉLETKOR FÜGGVÉNYÉBEN NEM-EDZETT ÉS EDZETT FÉRFIAKBANÉS NŐKBEN pulz/perc év * * * * * * * * *: szignifikáns különbség NEM-EDZETT EDZETT

58 THE HEART RATE AT DIFFERENT LEVEL OF LOAD IN NON- ATHLETIC AND ATHLETIC SUBJECTS Cardiac output l/min BPM

59 DURATION OF THE CARDIAC CYCLE PHASES IN NON- ATHLETIC AND ATHLETIC SUBJECTS (Pavlik et al. Acta Physiol. Hung. 1999) msec

60 Advantages of the athlete’s heart in the prevention of myocardial infarction LV hypertrophy Rich coronary capillarisation Better relaxation ability Lower resting and exercise heart rate Better general circulation Smaller area of one coronary capillary Better diastolic function in the older age Better coronary circulation during the longer diastole

61 Risk factors of the myocardial infarction Overload Smoking Obesity High cholesterole level Nervousness, anxiety Sedentary way of life

62 Risk factors of the myocardial infarction Overload Smoking Obesity High cholesterole level Nervousness, anxiety Sedentary way of life

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