Memorization
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PEP 426
PEP 593-EEE
PEP 535-EB
Biochem Lab
PEP 593
PEP 627
PEP 528-Neuromuscular Perf.
PEP/HED604
530 Lab. Proced.
Research Methods
PEP 478/579
LabVIEW
PEP 326

To be a well trained professional in any area, a certain amount of information is needed to be memorized so that facts can be obtained when needed and thereby allow you to function more optimally in all that you do.  Consequently, there are facts that I have memorized and found to be immensely important for me to function better as an exercise physiologist.

I recommend that you also put the following facts to memory.  I have grouped these facts by topic.

Item Value
Bioenergetics
Standard conditions pH = 7.0; T = 25 oC(298 oK); [S] and [P] = 1 M/L
Natural log ln = 2.303 log10
Equilibrium constant K'eq = [products] / [substrates]
Mass action ratio L = [products] / [substrates]
DGo' for ATP hydrolysis DGo' = -7.3 Kcal/mol
DG for ATP hydrolysis DG = -14.2 Kcal/mol
Phosphagen System
Muscle CrP - rest ~24-26 mmol/kg wet wt.
Muscle ATP - rest ~ 5-8 mmol/kg wet wt.
Muscle Pi - rest ~ 3 mmol/kg/wet wt.
Muscle CrP - fatigue ~3 mmol/kg wet wt.
Muscle ATP - fatigue ~ 4-6 mmol/kg wet wt.
Muscle Pi - fatigue ~ 24 mmol/kg/wet wt.
Glycogenolysis
Muscle glycogen-rest ~ 15-250 mmol/kg wet wt.
Allosteric enzymes Phosphorylase
Glycolysis
Muscle La- - rest ~ 1 mmol/kg/wet wt.
Muscle pH - rest ~ 7.0
Muscle La- - intense fatigue ~ 25-35 mmol/kg/wet wt.
Muscle pH - intense sfatigue ~ 6.1-6.4
ATP yield 2 from glucose, 3 from glycogen
Allosteric enzymes Hexokinase, Phosphofructokinase, Pyruvate kinase
Mitochondrial Respiration
NADH ATP equivalent 3
FADH ATP equivalent 2
Redox Potential [NAD+] / [NADH]
Products of TCA Cycle 3 NADH, 1 FADH, 1 GTP, 2 CO2
ATP tally - glucose 36 or 38 (depends on shuttle)
ATP tally - palmitate 129
Ergometry
Work  = Force x Distance
Power  = Work / Time
Work (kgm)  = cadence (rev/min) x load (kg) x 6 m/rev x time (min) [for Monark ergometer]
Power (kgm/min)  = cadence (rev/min) x load (kg) x 6 m/rev [for Monark ergometer]
1 Watt  = 6.118 kgm/min
Calorimetry and Conversions
Mixed CHO energy 4.0 Kcals/g
Mixed FAT energy 9.0 Kcals/g
PROTEIN energy 4.0 Kcals/g
CHO energy equivalent 5.05 Kcal/L VO2
FAT energy equivalent 4.73 Kcal/L VO2
RER  = VCO2 / VO2
FIO2  = 0.2093
FICO2  = 0.0003
FIN2  = 0.7903
Haldane Transformation VIN2 = VEN2

VI = (VE * FEN2) / FIN2

VI = VE[(1 - (FECO2 +FEO2)] / 0.7903

VO2  = ((VE [(1 - (FECO2 +FEO2)] / 0.7903) * 0.2093) - (VE * FEO2)
VCO2  = (VE * FECO2) - (VI * FICO2)
Kcals  = VO2 x Kcals/L x time (min)
1 Kcal  = 426.8 kgm = 4.1868 Kjoules
1 kg  = 2.204 lb
1 m  = 3.29 ft
1 L  = 2.1 pints = 4.23 cups
1 cup  = 234 mL
Skeletal Muscle Structure and Contraction
3 types of muscle Skeletal, Cardiac, Smooth
Muscle fiber muscle cell
Sarcolemma cell membrane of skeletal muscle
Anatomical order fascicle, fiber, fibril, sarcomeres, contractile proteins
Contractile proteins actin, myosin
Regulatory proteins troponin, tropomyosin
Ca++ binds to troponin
Types of contractions/actions concentric, eccentric, isometric, isokinetic
Neuromuscular Function
2  main neurotransmitters acetylcholine, norepinephrine
Motor cortex pre-central gyrus location; where complex movement patterns originate
Cerebellum posterior base of brain; where movement patterns are refined, and simple patterns stored
Somatosensory cortex post-central gyrus location; where afferent sensory information is processed
Neuromuscular junction where an alpha motor nerve meets a muscle fiber
Motor unit a single motor nerve and all muscle fibers innervated by the nerve
3 main types of motor units slow twitch oxidative (SO), Fast twitch oxidative glycolytic (FOG), Fast twitch glycolytic (FG)
Size principle order of motor unit recruitment - SO, FOG, FG
Muscle Metabolic Adaptations to Exercise
VO2max Maximal rate of oxygen consumption
Resting VO2 250 mL/min or 3.5 mL/kg/min
Elite trained VO2max ~70-85 mL/kg/min
1 MET  = 3.5 mL/kg/min
%VO2max exercise intensity expressed relative to VO2max
Lactate Threshold exercise intensity at an abrupt increase in blood lactate accumulation ; maximal steady state intensity
Steady State intensity where practically all cellular ATP regeneration is met by mitochondrial respiration
VO2 drift steady increase in VO2 during an exercise intensity exceeding maximal steady state
Oxygen deficit difference between theoretical VO2 demand and measured VO2 during a transition to an increased steady state exercise intensity
EPOC excess post-exercise oxygen consumption
Running economy Steady state submaximal VO2 during running
Cardiovascular Function and Adaptations to Exercise
Components Heart, blood, blood vessels
Blood components plasma, white blood cells and platelets, red blood cells
Hematocrit cell component of blood ~45%
Blood volume ~5 L
Plasma volume ~2.75 L
Transferrin iron binding globulin protein in blood for iron transport to liver
Ferritin storage form of iron in blood, liver, spleen, small intestine
Hemoglobin oxygen binding molecule on red blood cell; 12-15 g/100 mL
Osmolality particles in solution - mOsmol/kg
Normal osmolality of body fluids ~290 mOsmol/kg
Tricuspid valve right atrium to ventricle
Mitral valve left atrium to ventricle
Resting BP ~120/80 mmHg
Resting EDV ~100 mL
Preload proportional to EDV
Afterload proportional to diastolic blood pressure
Resting ejection fraction ~60%
Systole contraction phase of cardiac cycle
Diastole relaxation/filling phase of cardiac cycle
Resting stroke volume ~60 mL (EDV - ESV)
Cardiac output SV x HR
Peak exercise ejection fraction ~80%
Peak exercise stroke volume 120-200 mL
Peak exercise heart rate 220 - age (±15 b/min)
Peak exercise cardiac output 20 - 35 L/min
Fick equation VO2 = Q x (a-vO2 diff)
Chronotropic concerning heart rate
Inotropic concerning myocardial contraction/performance
Frank-Starling Law increased myocardial performance with an increase in EDV
Contractility increased myocardial performance for a given EDV
Hemoconcentration decreased plasma volume
Hyperemia increased blood flow
Pulmonary Function and Adaptations to Exercise
Conducting zone anatomical dead space = 150 mL
Respiratory zone sites of gas exchange
Pores of Kohn holes connecting neighboring alveoli
Surfactant lipid containing molecule on surface of alveoli - decreases surface tension
Tidal volume - rest air breathed each breath = 500 mL
Ventilation - rest air breathed each minute = 6 L/min
Breathing frequency - rest 12 br/min
Alveolar ventilation - rest air ventilating respiratory zone = tidal volume - anatomical dead space = 350 mL/min x 12 = 4.2 L/min
Compliance capacity to change volume with minimal increase in pressure
Respiration process of gas exchange
External respiration that in the lungs
Internal respiration that in the systemic tissues
Water vapor pressure at 37șC and 100% RH 47 mmHg
PAO2 alveolar partial pressure of oxygen = 104 mmHg (rest, sea level)
PACO2 alveolar partial pressure of carbon dioxide = 40 mmHg (rest, sea level)
PaO2 arterial partial pressure of oxygen = 100 mmHg (rest, sea level)
PaCO2 arterial partial pressure of carbon dioxide = 45 mmHg (rest, sea level)
PvO2 venous partial pressure of oxygen = 40 mmHg (rest, sea level)
PvCO2 venous partial pressure of carbon dioxide = 45 mmHg (sea level)
PIO2 inspired partial pressure of oxygen = (PB * 0.2093) - 47 mmHg = (760 * 0.2093) - 47 = 112 mmHg (sea level and dry air)
O2 solubility 20.3-fold lower than CO2
Ventilation-perfusion ratio between VE and Q for the lungs
O2 carrying capacity of hemoglobin 1.34 mL/g
Blood O2 content [Hb] x 1.34 mL/g x HbO2 saturation
Typical arterial blood O2 content 180 to 200 mL/L (depends on [Hb], sea level)
Normal blood pH 7.4
Arterial HbO2 saturation at sea level 98%
Bohr effect decreased HbO2 saturation with increased 2,3 BPG and PCO2, decreased pH, and increased temperature
Carbonic anhydrase enzyme converting CO2 + H2O to H2CO3 and vice-versa
Haldane effect decreasing Hb-CO2 affinity as PO2 increases
Myoglobin muscle intracellular O2 binding protein
Stimulants to Ventilation decreased pH, increased PCO2, joint movement, CNS, decreased PaO2
Aortic and Carotid bodies chemoreceptors to PaCO2 and PaO2
VE/VO2 ventilatory equivalent for O2
VE/VCO2 ventilatory equivalent for CO2
VT ventilation threshold - first consistent increase in VE/VO2, followed ~2 min later by an increase in VE/VCO2 : approximates the LT
Hypoxemia decreased in PaO2
Pulmonary transit time time red cells are in respiratory zone of lung: needs to be >350 ms for PAO2 to PaO2 equilibration
asthma airway obstruction caused by acute inflammation from an over-responsiveness to certain stimuli
Neuroendocrine Adaptations to Exercise
3 types of hormones amine, peptide, steroid
main second messengers cAMP, IP3, DG
hormones that alter metabolism epinephrine, norepinephrine, cortisol, growth hormone, insulin, glucagon, estrogen
GLUT4 proteins glucose transporters
hypoglycemia blood glucose < 4.5 mmol/L
hormones that alter protein synthesis cortisol, testosterone, growth hormone, IGF-1
hormones that alter fluid balance ADH, aldosterone, ANP
hormones that alter cardiovascular function epinephrine, norepinephrine, angiotensin 1, ADH, endothelin, nitric oxide, 
endorphins endogenous opioids from anterior pituitary
athletic amenorrhea loss of menstrual cycle due to exercise-induced hormonal negative feedback to anterior pituitary, causing inhibition of release of FSH and LH
Nutrition and Exercise
monosaccharides glucose, fructose, galactose
disaccharides sucrose, lactose, maltose
polysaccharides glycogen, starch, fiber
glycogen loading increased CHO intake causing increased muscle glycogen stores
RDA for protein - sedentary 0.8 g/kg body weight
adjusted RDA for protein - highly trained up to 1.2 g/kg body weight
rebound hypoglycemia lowering of blood glucose after exercise preceded too closely by glucose ingestion
glycemic index blood glucose response to a food relative (%) to that from white bread
hyperhydration increased hydration beyond normally attainable
CHO needed for ergogenic effect during exercise 45-60 g/hr
maximal rate of gastric emptying 1200 mL/hr
factors that increase gastric emptying increased volume, decreased temperature of drink (?), lower CHO content
factors that decrease gastric emptying increases in each of osmolality, CHO content, protein, fats, fructose and acidity