Professional Documents
Culture Documents
Reviewers
Cameron Baker, BS, MFS
Josh Bryant, MS, MFS
Editors
Peter A. Balaskas
Joanna Hatzopoulos
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About the Author | iii
SECTION TWO
KINESIOLOGY AND BIOMECHANICS, p. 113
4 Kinesiology of Exercise, p. 115
5 Biomechanics of Exercise, p. 131
6 Musculoskeletal Deviations, p. 149
7 Muscle Mechanics, p. 161
SECTION THREE SECTION SIX
HEALTH AND PHYSICAL FITNESS, p. 181 FITNESS FOR ALL
Topics in Fitness for Special Populations, p. 615
8 Strength, p. 183
21 Exercise and Older Adults, p. 617
9 Cardiovascular Training, p. 301
22 Exercise and Adaptive Fitness, p. 627
10 Flexibility Training, p. 333
23 Exercise and Our Youth, p. 635
11 Body Composition, p. 359
24 Exercise and Hypertension, p. 641
SECTION FOUR
25 Exercise and Diabetes, p. 647
PROGRAM DEVELOPMENT, p. 381
26 Exercise and Arthritis, p. 653
12 Drawing-In Phase, p. 383
27 Exercise and Coronary
13 Basic Assessment of
Heart Disease, p. 659
Fitness Participants, p. 393
28 Exercise and Pregnancy, p. 665
14 Training Principles, p. 415
29 Exercise and Asthma, p. 671
15 Periodization, p. 459
30 Sports Medicine
16 Determining Training Loads, p. 477
in the Trenches, p. 677
SECTION FIVE 31 Basic First Aid, p. 715
NUTRITION, p. 495
References, p. 725
17 The Big Picture of Nutrition, p. 497
Glossary, p. 737
18 Nutritional Physiology, p. 517
Index, p. 759
19 Nutritional Science, p. 545
20 Nutritional Coaching, p. 575
TOPICS COVERED IN THIS UNIT
Personal Training
Who Wants Personal Training?
What is a Personal Trainer?
Why is Personal Training Necessary?
What Should a Personal Trainer Know?
ISSA Code of Ethics and Standards
Principles and Purpose
Academic Standards
Professional Standards
INTRODUCTION
Consider the following: Each year in the United States, day. Fortunately, with few exceptions, most people are too
people spend $2.5 trillion on health care. This meteoric sensible to ever consider ravaging their health by smoking
figure translates into an expenditure of almost $7,000 for excessively. Unfortunately, many of these same people fail
each member of the U.S. population. Regrettably, this to recognize the extraordinary benefits of exercise in the
financial commitment has neither shown signs of abating prevention of medical problems.
nor has it produced satisfactory results with regard to
Any listing of the medical problems and health-related
treating a wide variety of chronic health problems.
conditions that can be at least partially treated and
Attempts to identify the factors that have been major controlled by exercise would be extensive. Among
contributions to this virtual epidemic of medical the most significant of these health concerns and the
problems have produced a litany of probable reasons manner in which exercise is thought to help alleviate each
why such a large number of individuals are so apparently condition are the following:
unhealthy, including poor eating habits, sedentary
• Allergies. Exercise is one of the body’s most
lifestyle, stress, and poor health habits (e.g., smoking). At
efficient ways to control nasal congestion (and
the same time, a number of studies have been undertaken
the accompanying discomfort of restricted nasal
to identify what, if anything, can be done to diminish blood flow).
either the number or the severity of medical problems
affecting the public. These studies have provided • Angina. Regular aerobic exercise dilates
vessels, increasing blood flow — thereby
considerable evidence that exercise has substantial
improving the body’s ability to extract
medicinal benefits for people of all ages. oxygen from the bloodstream.
Two of the most widely publicized efforts to investigate • Anxiety. Exercise triggers the release of
the possible relationship between exercise and disease mood-altering chemicals in the brain.
were longitudinal studies, each of which involved more
• Arthritis. By forcing a skeletal joint to move,
than 10,000 subjects. In a renowned study of 17,000
exercise induces the manufacture of synovial fluid,
Harvard graduates, Ralph Paffenbarger, MD, found that helps to distribute it over the cartilage, and forces
men who expended approximately 300 calories a day (the it to circulate throughout the joint space.
equivalent of walking briskly for 45 minutes) reduced
their death rates from all causes by an extraordinary 28 • Back pain. Exercise helps to strengthen the
abdominal muscles,the lower back extensor
percent and lived an average of more than 2 years longer
muscles, and the hamstring muscles.
than their sedentary classmates. Another study conducted
by Steven Blair, PED, of the Institute of Aerobics • Bursitis and tendinitis. Exercise can strengthen
Research in Dallas documented the fact that a relatively the tendons — enabling them to handle greater
modest amount of exercise has a significant effect on loads without being injured.
the mortality rate of both men and women. The higher • Cancer. Exercise helps maintain ideal bodyweight
the fitness level, the lower the death rate (after the data and helps keep body fat to a minimum.
were adjusted for age differences between subjects in this • Carpal tunnel syndrome. Exercise helps build
8-year investigation of 13,344 individuals). An analysis up the muscles in the wrists and forearms, thereby
of the extensive data yielded by both studies suggests one reducing the stress on arms, elbows, and hands.
inescapable conclusion: Exercise is medicine!
• Cholesterol. Exercise helps to raise HDL (high-
Accepting the premise that regular exercise can play density lipoprotein—the “good” cholesterol)
a key role in reducing your risk of medical problems levels in the blood and lower LDL (low-density
and in decreasing your ultimate costs for health care is lipoprotein—the undesirable cholesterol) levels.
critical. Despite the vast number of individuals who lead a • Constipation. Exercise helps strengthen the
sedentary lifestyle, the need for and the value of exercising abdominal muscles, thereby making it easier to
on a regular basis is an irrefutable fact of life (and death). pass a stool.
For example, after a detailed review of the results of his • Depression. Exercise helps speed metabolism
long-term investigation, Dr. Paffenbarger concluded that and deliver more oxygen to the brain; the
not exercising had the equivalent impact on a person’s improved level of circulation in the brain tends to
health as smoking one and a half packs of cigarettes a enhance mood.
• Diabetes. Exercise helps lower blood sugar • Intermittent claudication. Claudication is pain
levels, strengthen the skeletal muscles and heart, caused by too little blood flow to the extremities.
improve circulation, and reduce stress. Exercise helps improve peripheral circulation and
increases pain tolerance.
• Fatigue. Exercise can help alleviate the fatigue-
causing effects of stress, poor circulation and • Knee problems. Exercise helps strengthen
blood oxygenation, bad posture, and poor the structures attendant to the knee (muscles,
breathing habits. tendons, and ligaments) thereby facilitating the
ability of the knee to withstand stress.
• Glaucoma. Exercise helps relieve intraocular
hypertension (the pressure buildup on the eyeball • Lung disease. Exercise helps strengthen the
that heralds the onset of glaucoma). muscles associated with breathing and helps
boost the oxygen level in the blood.
• Headaches. Exercise helps force the brain to
secrete more of the body’s opiate-like, pain- • Memory problems. Exercise helps to improve
dampening chemicals (e.g., endorphins and cognitive ability by increasing the blood and
enkephalins). oxygen flow to the brain.
• Heart disease. Exercise helps promote many • Menstrual problems and PMS. Exercise
changes that collectively lower the risk of heart helps to control the hormonal imbalances often
disease—a decrease in body fat, a decrease in LDL associated with PMS by increasing the release of
cholesterol, an increase in the efficiency of the beta-endorphins.
heart and lungs, a decrease in blood pressure, and
a lowered heart rate. • Osteoporosis. Exercise promotes bone
density, thereby lowering an individual’s risk of
• High blood pressure. Exercise reduces the level experiencing a bone fracture.
of stress-related chemicals in the bloodstream that
constrict arteries and veins, increases the release • Overweight problems. Exercise is an
of endorphins, raises the level of HDL in the appetite suppressant. It also increases metabolic
bloodstream, lowers resting heart rate (over time), rate, burns fat, increases lean muscle mass, and
improves the responsiveness of blood vessels (over improves self-esteem—all factors that contribute
time), and helps reduce blood pressure through to healthy weight.
maintenance of body weight. • Varicose veins. Exercise can help control the
• Insomnia. Exercise helps reduce muscular level of discomfort caused by existing varicose
tension and stress. veins and help prevent additional varicose veins.
Are the positive effects that result from exercising we as personal trainers have an inherent responsibility
regularly worth the required effort? Absolutely. Should to positively influence the health and fitness attitudes
you make exercise an integral part of your daily regimen? of those around us. Individually and collectively, we
Of course, you should. In countless ways, your life may can bring health and fitness to the masses and make the
depend on it. The meteoric rise of health care and dream of optimal health a reality for all.
health problems makes your success as a personal
trainer predictable.
WHAT SHOULD A PERSONAL
Implications for Certified Fitness TRAINER KNOW?
Trainer Professionals As the industry continues to expand its boundaries and
the realm of scientific knowledge concerning the human
The need for personal training services continues to grow. response and adaptation to exercise continues to grow, it
As future ISSA fitness professionals, it is imperative that is essential that personal fitness trainers be competent in
we keep up with the evolving recommendations for health the following:
and physical fitness that have a direct application for
• Exercise programming
fitness programs and exercise recommendations. With
the emergence of the latest technologies, information • Exercise physiology
regarding health and fitness is easily accessible. However, • Functional anatomy and biomechanics
because of the nature of the media’s use of vague and
brief headlines in conjunction with radio and television • Assessments and fitness testing
sound bites that provide only limited, confusing, and • Nutrition and weight management
often conflicting recommendations, it is important that • Basic emergency procedures and safety
we can help our clients, friends, and family members put
each new study or report in proper perspective. Personal • Program administration
trainers today are committed to a long-term career in • Human behavior and motivation
health and fitness and are increasing their knowledge
through additional courses in post-rehabilitation, Our ability as fitness professionals to educate and
corporate wellness, youth fitness, senior fitness, and pre- effectively draw our clients into the fitness lifestyle
and postnatal specializations to better serve their clients and optimal health comes from a plan that is based in
in achieving and living the fitness lifestyle. As you can see, the aforementioned areas as well as the knowledge of
muscular, cardiopulmonary, and metabolic adaptations. individual differences, reversibility, periodization, rest,
These adaptations are known as the training effect. The overtraining, and stimulus variability. The plan requires
training effect is the body’s adaptation to the learned a thorough understanding of the major muscles of the
and expected stress imposed by physical activity. When body and how they work, as well as an understanding
the body experiences the training effect, it begins to of metabolism—how the body converts food energy
change at the cellular level, allowing more energy to into other forms of energy it can use at rest and during
be released with less oxygen. The heart and capillaries exercise. In addition, trainers must learn about the
become stronger and more dispersed in order to allow a function and regulation of the lungs, heart, blood vessels,
more efficient flow of oxygen and nutrients. The muscles, hormones, brain, and nerves, as well as the weight control
tendons, and bones involved with this activity also and temperature regulation systems at rest and during
strengthen to become more proficient. In time, the body exercise. Once you have the knowledge and support to
releases unnecessary fat from its frame, and stride and develop comprehensive, individualized, and periodized
gait become more efficient. Additionally, resting heat plans that effectively produce the training effect, then
rate and blood pressure drop. These adaptations can be you will be able to effectively draw your friends, family
achieved through an educated trainer who can develop an members, and future clients into the fitness lifestyle and
appropriate fitness and health plan. optimal health.
The fitness and health plan must account for the basic
principles of fitness training: overload, specificity,
Over a quarter century ago, Dr. Sal Arria and Dr. Fred Hatfield had a vision to pioneer a personal fitness
trainer program that would merge in-gym experience with practical and applied sciences in order to share
the benefits of the fitness lifestyle with the masses. As the profession continues to grow and expand its
boundaries, for the ISSA trainer of today and the ISSA trainer of tomorrow, education and support are vital.
It is the hope and vision of the ISSA that through this course text and the support provided by the entire ISSA
staff, ISSA-certified trainers will continue to be more educated than in the past; they will be well-rounded and
knowledgeable about exercise and how it relates to optimal health and fitness.
Metabolism
Basic Anatomy and Physiology
Musculoskeletal Anatomy and Physiology
TOPICS COVERED IN THIS UNIT
Introduction
Homeostasis
Understanding Metabolism
Metabolic Set Point
Food and Metabolism
Environment and Metabolism
Exercise and Metabolic Responses
Energy Metabolism
ATP Production
Monitoring Metabolism
Conclusion
UNIT 1
METABOLISM
12 | Unit 1
Unit Outline
I. Introduction IV. Energy Metabolism
II. Homeostasis A. ATP Production
III. Understanding Metabolism 1. ATP/CP Energy Pathway
A. Metabolic Set Point 2. Glycolytic Pathway
B. Food and Metabolism 3. Oxidative Pathway
C. Environment and Metabolism 4. How the Systems Interact
D. Exercise and Metabolic Responses 5. Glycogen Depletion and Metabolism
of Fatigue
1. Aerobic System Changes
B. Monitoring Metabolism
2. Anaerobic System Changes
V. Conclusion
Learning Objectives
After completing this unit, you will be able to do the following:
• Define key terms.
• Understand the role of metabolism in the body and how it relates to exercise.
• Determine the metabolic needs of each of the three energy pathways described,
and apply them in the coming units.
INTRODUCTION
As revealed in the book’s introduction, personal fitness trainers have a tremendous
influence on shaping the health and fitness attitudes and practices of those around
them. The sphere of influence includes friends, family members, coworkers, and, of
course, clients. As a fitness professional, your ability to effectively draw your clients
into the fitness lifestyle—including the ability to maintain optimal health—largely
depends on your knowledge of the muscular, cardiopulmonary, and metabolic
training effect: An increase in adaptations to exercise. These adaptations are known as the training effect.
functional capacity of muscles
and other bodily tissues as The training effect impacts the body in several ways. The body begins to change
a result of increased stress at the cellular level, allowing more energy to be released with less oxygen. Heart
(overload) placed upon them. function improves and the capillaries proliferate in order to allow a more efficient
homeostasis: The automatic flow of oxygen and nutrients. The muscles, connective tissues, and bones involved
tendency to maintain a relatively with a particular physical activity strengthen to accommodate improved proficiency
constant internal environment. at performing the activity. Over time, the body’s composition changes (e.g., fat mass
may increase while muscle mass decreases) and movements become more efficient. In
addition, resting heart rate and blood pressure drop. You can help your clients achieve
these adaptations by educating yourself and learning how to develop appropriate
fitness and health plans for them.
environment, shivering begins to generate heat and keep the body temperature at that
critical 98.6 degrees F. Other metabolic functions under homeostatic control include
the following:
• Hormone production and concentration level maintenance
• Maintenance of serum oxygen levels and carbon dioxide levels
• pH balance in the blood and cells
• Water content of cells and blood
• Blood glucose levels and other nutrient levels in the cell
• Metabolic rate
The concept of homeostasis is of special interest to fitness enthusiasts. You are in
equilibrium even with environmental stimuli acting upon you. For example, think
about how your muscles change in response to different training programs. If you
spend most of your time lifting heavy weights, your muscles will grow larger; a shift
in your homeostasis takes place. The simple action of weight training causes more
metabolism: The total of protein synthesis in the target muscles. Hormone levels change to accommodate this
all the chemical and physical growth. On the other hand, if you choose to run several miles per day, your muscles
processes by which the body will adapt differently. They develop a higher endurance capacity, they stimulate the
builds and maintains itself
(anabolism) and by which it
formation of more fat-burning, slow-twitch muscle fibers, and they develop a higher
breaks down its substances capacity to use oxygen in energy production. Nutrient intake can also affect your
for the production of energy homeostatic balance. Eating too much of the wrong foods or too little of the right
(catabolism). foods can cause homeostasis to shift out of balance. Consume too many calories, and
glucose: Principal circulating your body stores fat; too little protein, and your muscles break down. If you don’t
sugar in the blood and the consume enough energy-supplying calories, you will feel tired sooner. For optimum
major energy source of the homeostasis and metabolism, eating the right nutrients in the right amounts at the
body. right times is vital.
ketone bodies: Bodies
produced as intermediate
products of fat metabolism. UNDERSTANDING METABOLISM
lactic acid: A by-product The body sustains itself and adapts to its environment through metabolism. In order
of glucose and glycogen for metabolism to occur, the body needs both energy and building blocks for growth
metabolism in anaerobic muscle
energetics.
and repair. It gets its energy from the breakdown of nutrients such as glucose, ketone
bodies, lactic acid, amino acids, and fatty acids. To construct molecules for growth
amino acid: The building and repair, a delicate interplay must exist between anabolism and catabolism.
blocks of protein. There are
24 amino acids, which form The many biochemical processes that make up the body’s metabolism are categorized
countless number of different into two general phases: anabolism and catabolism. Anabolism and catabolism occur
proteins.
simultaneously—and constantly. However, they differ in magnitude depending on the
fatty acids: Any of a large level of activity or rest and on when the last meal was eaten. When anabolism exceeds
group of monobasic acids, catabolism, net growth occurs. When catabolism exceeds anabolism, the body has a
especially those found in animal net loss of substances and body tissues and may lose weight.
and vegetable fats and oils.
anabolism: The building up in Anabolism includes the chemical reactions that combine different biomolecules to
the body of complex chemical create larger, more complex ones. The net result of anabolism is the creation of new
compounds from simpler cellular material, such as enzymes, proteins, cell membranes, new cells, and growth/
compounds (e.g., proteins from repair of the many tissues. That energy is stored as glycogen and/or fat and in muscle
amino acids). tissue. Anabolism is necessary for growth, maintenance, and repair of tissues.
catabolism: The breaking
Catabolism includes the chemical reactions that break down complex biomolecules
down in the body of complex
chemical compounds into into simpler ones for energy production, for recycling of molecular components, or
simpler ones (e.g., proteins to for their excretion. Catabolism provides the energy needed for transmitting nerve
amino acids). impulses and muscle contraction.
Metabolism includes only the chemical changes that occur within tissue cells in the
body. It does not include those changes to substances that take place in the digestion
of foods in the gastrointestinal system. For optimal function, a healthy metabolism
needs many nutrients. A slight deficiency of even one vitamin can slow down
metabolism and cause chaos throughout the body. The body builds thousands of
enzymes to drive its metabolism in the direction influenced by activity and nutrition.
So, when you are training or engaged in vigorous physical activity several hours a day,
you must ensure that your diet contains the nutrients your body needs in order to
optimize the many metabolic functions taking place.
Eq. 1.1
16 | Unit 1
Eq. 1.2
The RQ for carbohydrate is 1.0, whereas the RQ for fat is 0.7. Fat has a lower RQ value
oxidation: The chemical act because fatty acids require more oxygen for oxidation than the amount of carbon
of combining with oxygen or of dioxide produced. The RQ for energy production from protein is about 0.8. The
removing hydrogen. average person at rest will have an RQ of about 0.8; however, this result is from using a
mixture of fatty acids and carbohydrates, not the protein itself, for energy production.
Remember, proteins (broken down into amino acids) are not usually used for energy.
In a normal diet containing carbohydrate, fat, and protein, about 40to 45 percent of
the energy is derived from fatty acids, 40 to 45 percent from carbohydrates, and 10 to
15 percent from protein. However, this rate of energy production varies based on diet,
physical activity, and level of physical training.
Research indicates that when the diet is high in carbohydrates, the RQ is higher,
therefore more energy is being produced from carbohydrates. When the diet is low in
carbohydrates and high in fat, more energy is produced from fat. Interestingly, recent
studies published in academic journals suggest that more efficient body fat reduction
occurs with a high-fat diet than with a high-carbohydrate diet (on a calorie-per-
calorie basis).
In addition, training intensity affects the energy source during exercise. For example,
•
a training intensity below 60 percent of maximal oxygen uptake (VO2 max) results maximal oxygen uptake
•
in a RQ of about 0.8, indicating an equal portion of energy derived from fatty acids (VO2 max): The highest rate of
•
and carbohydrate. As training intensity increases above 60 percent of VO2 max, more oxygen consumption which a
•
carbohydrate is used for energy. Exercise intensity at 100 percent VO2 max (which can person is capable.
only be sustained for minutes) yields a RQ of 1. Keep in mind that amino acids, in branched-chain amino
particular the branched-chain amino acids (BCAAs, which aid in recovery), are also acids (BCAAs): The amino
being used for energy during exercise and at rest, perhaps as much as 10 percent or acids L-leucine, L-isoleucine and
L-valine, which have a particular
more during exercise.
molecular structure that gives
In general, physical conditioning lowers the RQ, which means more energy is being them their name and comprises
obtained from fatty acids in the trained individual. However, more energy is also 35 percent of muscle tissue. The
BCAAs, particularly L-leucine,
being obtained from protein in the trained individual. Carbohydrate is always being help increase work capacity
used for energy. For example, in a study comparing the RQ of untrained versus by stimulating production of
trained individuals during exercise, the RQ of the untrained individuals was 0.95 and insulin, the hormone that opens
the RQ of the trained individuals was 0.9. This means that while both groups were muscle cells to glucose. BCAAs
using mostly carbohydrate for fuel during exercise, the trained individuals were using are burned as fuel during highly
intense training and at the end
a higher amount of fatty acids for energy. At rest, fatty acids are the predominant
of long-distance events when
energy source in most people; as exercise begins, carbohydrate utilization increases. the body recruits protein for
High-intensity exercise uses more carbohydrate, while low- to moderate-intensity as much as 20 percent of its
exercise uses fatty acids and carbohydrate for energy. Of course, these ratios change energy needs.
when one consumes only fats and proteins and no carbohydrates as fuel.
While this discussion of RQ is very brief, you can see that the energy substrate
utilization of the body is quite varied, and both composition of the diet and intensity
of physical activity determine which energy substrates are used. Therefore, it is easy to
see why different sports require different dietary considerations.
ENVIRONMENT
AND METABOLISM
The body’s environment also influences its metabolic
rate. When you are exposed to a progressively colder
climate, your body will increase its metabolic rate to keep
the body temperature constant and to prevent shivering.
Shivering is invoked when the core temperature of the
body begins to drop from being in the cold. Shivering is
actually a series of involuntary muscle contractions that
are triggered to create heat in the body, like turning on
a furnace. When exposed to higher-than-average cold
conditions for a few days, the body actually increases its
basal metabolic rate; its goal is to run hotter than average
in order to compensate for being in a colder climate.
When conditions begin to warm up, even a 60-degree-
Fahrenheit (F) day can seem extremely hot, because the
body’s metabolic rate is already running fast. After several
days of acclimating to the hot climate, the metabolic rate The magnitude of these changes is driven primarily by
decreases and 80 degrees F feels as hot as the 60 degrees F whether the exercise is anaerobic or aerobic. The type and
did a few months earlier. duration of exercise dictates the primary energy mix used.
High-intensity exercise simulates development of fast-
twitch muscle fibers, while low-intensity exercise results
EXERCISE AND in development of slow-twitch muscle fibers.
METABOLIC RESPONSES In addition, a series of hormonal changes occur during
exercise and non-exercise periods. These changes also
Exercise stimulates a series of metabolic responses
are benefited and facilitated with a nutrient profile that
that affect the body’s anatomy, physiology, and
matches the type of metabolic fluctuation.
biochemical makeup.
Endurance exercise stimulates the following changes:
• Increased muscle glycogen storage capacity
Aerobic System Changes
• Increased muscle mitochondrial density Aerobic training greatly increases the body’s functional
capacity to transport and use oxygen and to burn fatty
• Increased resting adenosine triphosphate (ATP) acids during exercise. Recent research shows that long,
content in muscles
slow distance training is not as efficient as interval
• Increased resting creatine phosphate (CP) training in facilitating this functional capacity. Some of
content in muscles the major changes measured as a result of aerobic exercise
• Increased resting creatine content in muscles (especially interval training) include the following:
• Increased aerobic enzymes • Increased mitochondrial density in slow-twitch
muscle fiber, which results in higher energy
• Increased percentage of slow-twitch muscle fibers production from fatty acids. Maximum oxidative
• Decreased percentage of fast-twitch muscle fibers capacity develops in all fiber types
• Increased muscle resting levels of ATP, CP, creatine, and glycogen content
• Increased levels of growth hormone and testosterone after short bouts (45 to
75 min) of high-intensity weight training
ENERGY METABOLISM
Energy metabolism is a series of chemical reactions that result in the breakdown of
foodstuffs (carbohydrate, fat, protein) by which energy is produced, used, and given
off as heat. Roughly, the body is about 20 percent efficient at trapping energy released.
About 80 percent is released as heat, which explains why your body heats up quickly
when you exercise. A closer look at muscle anatomy reveals that the mode of energy
storage and energy systems used is related to physical activity.
Physical activities can be classified into these four basic groups, based on the energy
systems that are used to support these activities:
• Strength/power: Energy coming from immediate ATP stores. Examples
include shot put, powerlift, high jump, golf swing, tennis serve, and a throw.
Activities last about 0 to 3 seconds of maximal effort.
• Sustained power: Energy coming from immediate ATP and CP stores. Exam-
ples include sprints, fast breaks, football lineman. Activities last about 0 to 10
seconds of near-maximal effort.
• Anaerobic power/endurance: Energy coming from ATP, CP, and lactic
acid. Examples include 200- to 400-meter dash and 100-yard swim. Activities
lasting about 1 to 2 minutes.
• Aerobic endurance: Energy coming from the oxidative pathway. Activities
last over 2 minutes.
In power events, which last a few seconds or less at maximal effort, the muscles
depend on the immediate energy system, namely ATP and CP reserves. In speed
events, the immediate and non-oxidative (glycolytic) energy sources are utilized. In
endurance events, the immediate and non-oxidative energy sources are used, and the
oxidative energy mechanisms become a more important source of energy. ATP and
CP are replenished from energy derived from complete breakdown of glucose, fatty
acids, and some proteins.
ATP PRODUCTION
Adenosine triphosphate (ATP) is the molecule that stores energy in a form that can
be used for muscle contractions. Energy production then revolves around rebuilding
ATP molecules after they are broken down for energy utilization. Muscle cells store a
limited amount of ATP. During exercise the body requires a constant supply of ATP in
order to provide the energy needed for muscular contraction. Therefore, to maintain
a constant supply of energy, metabolic pathways must exist in the cell with the ability
to produce ATP rapidly. Muscle cells can produce ATP by any one of or a combination
of three metabolic pathways: the ATP/CP pathway, the glycolytic pathway, and the
oxidative pathway.
myosin ATPase
ATP ADP + Pi + Energy
ADP + Pi is
resynthesized into
Pi
ATP
CP from muscle
lends a phosphate
(Pi) to ADP
ADP
ATP losses
phosphate to
release energy
Energy for
muscle contraction
Like ATP, CP is stored in small amounts (16 mmols/kg of muscle). As seen in Figure
1.3, CP stores fall rapidly after 10 seconds of maximal activity and are usually
completely depleted in under 60 seconds.
Whether or not you can increase your resting levels of ATP through training has not
widely been studied or understood. Research has suggested that it is possible through
both weight training and aerobic training. However, this possibility is mainly because
of fiber hypertrophy (increase in size), thus more ATP can be stored in type II than in type II muscle fibers
type I muscle fibers (considering the size and growth potential of type II fibers). (fast twitch): Muscle fiber
type that contracts quickly and
Perhaps an even bigger question than “how much?” or “can you increase?” is “how is used mostly in intensive,
quickly can ATP and CP stores be replenished?” Although individual differences exist, short-duration exercises.
research has shown that ATP stores can be fully restored within 3.5 minutes and CP type I muscle fibers
stores can be fully replenished within 8 minutes. (slow twitch): A muscle
fiber characterized by its slow
speed of contraction and a high
capacity for aerobic glycolysis.
CP-Splitting
Glycolysis
Oxidation
Percent of Energy Supply
Time in Seconds
Glycolytic Pathway
glycolytic pathway: A Like the ATP/CP pathway, the glycolytic pathway is anaerobic. Once it has depleted
metabolic process in which
the readily available ATP/CP stores, the body must break down carbohydrates to
glucose is broken down to
produce energy anaerobically. produce more ATP. This process uses either glycogen (which is stored in the muscle
cells) or glucose (which is found in the blood) to convert ADP back into ATP; the
gluconeogenesis: Chemical
waste product is lactic acid (see Equation 1.5).
process that converts lactate
and pyruvate back into glucose.
When glycogen (sugar stored
in muscles) stores are low,
glucose for emergency energy Glucose + 2Pi + 2ADP + 2NAD+ 2 lactic acid + 2ATP + 2NAD
is synthesized from protein
and the glycerol portion of fat Eq. 1.5
molecules. This is one important
reason that ATP/CP athletes and
glycolytic athletes are warned to This lactic acid eventually builds more quickly than it can be flushed out of the muscle
stay away from undue aerobic to the point of the anaerobic threshold, otherwise known as muscular fatigue. At this
exercise: It’s muscle-wasting.
point, the body must either stop or slow down until the lactic acid is removed. Lactic
anaerobic threshold: The acid is converted to a less toxic form, called lactate, which is used either as an energy
point where increasing energy substrate or to produce more glucose (a process called gluconeogenesis). Getting
demands of exercise cannot be
met by the use of oxygen, and
rid of lactic acid is not as important as it is how efficiently the body can use it. If you
an oxygen debt begins to be produce lactic acid faster than you can use it, therein lies the problem. Stored sugars
incurred. are rarely ever depleted (and are never depleted in the glycolytic pathway). However,
this is not the limiting factor; the limiting factor is the accumulation of lactic acid.
oxidative pathway: A
metabolic process in which Generally, the glycolytic pathway ends under maximal conditions at around 80
oxygen combines with lactic seconds before the oxidative pathway (and lower levels of activity) takes over.
acid, resynthesizing glycogen to
How well muscles function in the glycolytic pathway is determined by three
produce energy aerobically.
related factors:
Krebs cycle: Citric acid cycle;
a set of 8 reactions, arranged in • How quickly the body can utilize the lactic acid
a cycle, in which free energy is • How well the body can tolerate the pain caused by the accumulation
recovered in the form of ATP. of lactic acid
electron transport chain:
• How far the body can go before it becomes vital to clear the lactic acid in
The passing of electrons over a
order for work to continue. This is called the anaerobic threshold.
membrane, aiding in a reaction
to recover free energy for the Blood lactate levels usually return to normal within an hour after activity. Research
synthesis of ATP. shows that training can increase the rate in which lactic acid is utilized or removed as
pyruvate: A byproduct of well as push back the anaerobic threshold. As for the ability to tolerate the pain, it
glycolysis. comes with personal experience.
beta oxidation: A series of
reactions in which fatty acids are
broken down. Oxidative Pathway
The oxidative pathway is a system that is aerobic, which means it uses oxygen to
produce ATP by way of the Krebs cycle and electron transport chain. Ultimately,
more ATP is produced through this pathway than through the other two; however,
it takes much longer. Pyruvate, which is produced through glycolysis, undergoes
a long trip through the Krebs cycle to convert several coenzymes that have lost an
electron back into their original state. It is in the electron transport chain where these
coenzymes undergo oxidation to convert ADP back into ATP. In the end, up to 38
molecules of ATP can be produced through the oxidative pathway.
It is only in this pathway that fat can be used for energy. Breaking down fat for energy
is also a long process (called beta oxidation), which does not directly produce ATP.
Contraction
Blood
Relaxation
Amino acids
Glycogen
Glucose Glycolysis Oxidative Proteins
phosphorylation
Oxygen
Fatty
acids
MUSCLE FIBER
atom. In this way, the immediately available ATP stores pyruvate molecules. In general, these pyruvate molecules
are depleted very rapidly, in the first few seconds of a are immediately converted to lactic acid molecules. The
maximal muscle contraction. amount of free glucose is generally low in the cells, so
The second immediate source of cellular energy is creatine glucose is derived from the breakdown of glycogen.
phosphate (CP). The cell contains several more times Fast-twitch muscle fibers (those associated with strength
CP molecules than ATP molecules. Creatine phosphate and size) are also referred to as fast glycolytic muscle
serves to instantaneously regenerate ATP molecules. fibers, because they house the metabolic machinery to get
Therefore, the ATP that is broken down to ADP during quick energy through fast glycolysis pathways. The fast-
muscle contraction is restored to the high-energy ATP by twitch fibers have a low capacity for oxidative metabolism
CP. The third immediate energy system enables the cell to and are instead set up to run glucose through their fast
regenerate ATP from two ADP molecules, resulting in one glycolysis pathways. Lactic acid then builds up because it
ATP and one adenosine monophosphate (AMP) molecule. is being produced too rapidly to enter into the oxidative
This immediate energy source is depleted in a matter pathways. Lactic acid is then cleared from the muscle, fed
of seconds under conditions of all-out effort (maximal into the bloodstream, taken to the liver, and there made
muscle contractions). into glucose and glycogen. Glycolysis takes place in the
The storage capacity of ATP and CP in a cell is quickly cytoplasm of the cell.
reached for a particular muscle size. In order to increase For physical activities lasting more than 2 minutes, the
the amount of ATP and CP on hand, the muscle fibers oxidative metabolic pathways produce the majority
must increase in size. This is why power athletes get big of energy to maintain muscle contractions. Potential
muscles. The workload demands that more ATP and CP be oxidative energy sources include glucose, glycogen, fats,
available. To meet this demand, the muscle fibers increase and amino acids. Oxidative energy production takes
in size, causing the entire muscle to get big. When you place in the mitochondria of the cells. Far more energy
train, different energy systems are conditioned to work is produced when glucose is completely broken down
best at the particular workload imposed on the muscles. in the mitochondria. Glucose is still first split in half
As the immediate energy supply is quickly depleted by glycolysis. The pyruvate molecules then enter into
through high-intensity physical activity, the non-oxidative the mitochondria, where they are completely broken
energy source kicks in. The non-oxidative system is a down. The oxidative pathways are the Krebs cycle and
major contributor of energy during 4 to 50 seconds of electron transport. Fatty acids, which come from fat,
effort. Non-oxidative metabolism (glycolysis) involves the are a major energy source during endurance events. The
breakdown of glucose to regenerate ADP into ATP. Muscle processes of fat utilization are activated more slowly than
tissue is densely packed with non-oxidative enzyme carbohydrate metabolism and proceed at a lower rate.
systems. What happens chemically is that the glucose Fatty acids are activated and combined with the molecule
molecule is split in half and energy is released. This energy carnitine, which enables them to then be transported into
is enough to regenerate 2 ATP molecules and leave two the mitochondria.
ratio is high, anabolism is prevailing. However, when cortisol levels are high and the
ratio is lowered, it is an indication of overtraining. Testing testosterone/cortisol ratio
helps you determine whether the body is in a state of overtraining or not. In this way,
you can determine how hard to train, whether to take a few days off, or if training
intensity should increase.
In addition, in the medical field and in many fitness centers, handheld portable
•
indirect calorimeters are used that measure oxygen consumption (VO2) and
resting metabolic rate determine resting metabolic rate (RMR). As discussed earlier in this unit, the
(RMR): The amount of energy rate of oxidation or the burning of the calories is different for fat, carbohydrate, and
(calories) required to efficiently protein. The food you eat can either be burned to liberate energy, converted into body
perform vital bodily functions
weight, or be excreted. If you light a candle and then place a dome over the candle,
such as respiration, organ
function and heart rate while the cutting off the fire’s source of oxygen, the fire will go out. In the same way the body’s
body is awake, but at rest. ability to undergo oxidation is contingent on oxygen. If the body is getting more
oxygen, it should be burning more calories.
Nutrition monitoring plays a vital role in the care of patients with diabetes, heart
disease, high blood pressure, and obesity, as well as conditions that place patients
at risk for malnutrition, such as cancer, burns, trauma, infection, obstructive lung
disease, and HIV. Indirect calorimeters can be used in acute care, long-term care,
home care, and clinic-based care settings such as physician offices, rehabilitation
centers, ambulatory surgery centers, and fitness-based facilities.
CONCLUSION
In order to maintain its many chemical and physical activities, the body needs energy.
Earth’s energy originates from the sun. Plants use solar energy to perform chemical
reactions to form carbohydrates, fat, and protein. Humans, like other animals,
consume plants and other animals to obtain the energy required to maintain cellular
activities. These cellular activities, known as metabolism, are maintained under
homeostatic controls. The many chemical reactions occurring in the body must be
regulated in order to maintain a balance between the trillions of cells in the body.
These cells maintain balance through an intricate organization system. We will now
discuss this intricate organized system known as the body.
Key Terms
adenosine diphosphate (ADP) electron transport chain metabolism
adenosine triphosphate (ATP) fatty acids oxidation
amino acid gluconeogenesis oxidative pathway
anabolism glucose pyruvate
anaerobic threshold glycolytic pathway respiratory quotient (RQ)
ATP/CP pathway homeostasis resting metabolic rate (RMR)
basal metabolic rate (BMR) ketone bodies thermic effect
beta oxidation kilocalorie (kcal) training effect
branched-chain amino acids Krebs cycle type I muscle fibers
(BCAAs) (slow twitch)
lactic acid
calorie • type II muscle fibers
maximal oxygen uptake ( VO2 max)
(fast twitch)
catabolism
metabolic set point
creatine phosphate (CP)
Unit Summary
In order to maintain its many chemical and physical activities, the body needs energy. All Earth’s energy comes from
the sun. Plants use solar energy to perform chemical reactions to form carbohydrates, fats, and protein. Humans like
animals consume plants and other animals to obtain the energy required to maintain cellular activities.
The body’s systems work together in a highly organized manner to maintain a balance, which is known as
homeostasis.
A. Metabolism can be defined as all of the chemical processes that occur in the body. Metabolism is categorized
into two general phases; anabolism (building phase) and catabolism (breaking down phase).
B. The food you eat can either be burned to liberate energy, converted into body weight, or excreted.
C. The calories coming from protein are used for maintenance, repair, and growth of new tissues and
organs. Calories from carbohydrates are used for energy. Calories from conventional sources of a fat
are prone to be stored as fat since it already has the same molecular structure as body fat.
D. Energy metabolism is a series of chemical reactions that result in the breakdown of foodstuffs
(carbohydrate, fat, protein) by which energy is produced, used, and given off as heat.
E. Adenosine triphosphate (ATP) is the molecule that stores energy in a form that can be used for
muscle contractions.
F. Muscle cells can produce ATP by any one or a combination of three metabolic pathways:
the ATP/CP pathway, glycolytic pathway, and oxidative pathway.
G. The formation of ATP without oxygen is known as anaerobic metabolism. This includes the ATP/CP
and the anaerobic glycolytic pathway. Short-term activities at higher intensities utilize ATP production
from anaerobic energy pathways.
H. In the ATP/CP system, the phosphate (P) is separated from the creatine (C) and combines with
adenosine diphosphate (ADP) to reform ATP. One molecule of CP results in the reformation of 1
molecule of ATP. This system is sufficient for 3 to 15 seconds of ATP production.
I. In non-oxidative glycolysis, glucose or glycogen is converted to lactic acid. One molecule of glucose
results in 2 molecules of ATP and 1 molecule of glycogen results in 3 molecules of ATP. This system is
reliable for 1 to 2 minutes of maximal effort.
J. The formation of ATP with oxygen is known as aerobic metabolism. This includes the aerobic glycolytic
pathway and the oxidative pathway. Long-term activities with a low to moderate intensity utilize ATP
production from aerobic sources.
K. The aerobic metabolism of 1 molecule of glucose results in the production of 38 molecules of ATP and 1
molecule of glycogen results in the production of 39 ATP.
L. Glycogen is essential for both anaerobic and aerobic activities. Muscles being strenuously exercised rely
on glycogen to power strength-generating muscle contractions. In endurance exercise, while the
primary fuel is fatty acids, glycogen is also utilized.
M. Monitoring metabolism is possible through nitrogen test sticks or handheld, portable, indirect calorimeters.