Exercise Physiology..Metabolism

OK, on to my new class, Exercise Physiology.  I am relieved I made it through Physiology.  It was a lot of information in a short amount of time.  Now I get to apply that knowledge to exercise.  Wooo…whooo!!  It is starting to make sense now.  :)

For those of you who like to learn with me…you will enjoy these more than the last posts.  If you wonder how you use your energy..read on.

We have three energy systems; the phosphagen system, the lactic acid system and the oxygen system.

The Phosphagen System

This system is also called ATP-CP.  It is when you do high intensity exercise.  You have Creatine Phosphate stored in small amounts in your muscles.  This is the energy that gives you the initial burst of energy.  Say if you had to run across the room really fast..this is what allows you to do it.  It is normally no more than the first 30 seconds of exercise.  It is considered anaerobic because it does not require oxygen. 

The Lactic Acid System

These last two systems are considered glycolysis.  The Lactic acid system is also called anaerobic glycolysis.  The difference between the two is whether or not oxygen is available.  In this system, oxygen is not present.  It starts off with carbohydrates (glucose) degrading and turning into pyruvic acid.  since there is no oxygen the pyruvic acid turns into lactic acid.  This is the burn that you feel in your muscles.  It also is associated with fatigue.  The energy it provides is maximal and last from 1 minute after the onset of exercise to about 3 minutes after the onset.

The Oxygen System

This system starts off the same as the Lactic Acid system.  It starts with glucose and turns into pyruvic acid.  The difference is that oxygen is present, therefor it is also call aerobic glycolysis.  Since oxygen is present, after pyruvic acid it turns to Acetyl Coenzyme A.  Then, it enters the Kreb’s cycle and the Electron Transport System.  both of these produce ATP which is energy.  CO2 is produced and diffused into the blood and exhaled by the lungs.  Oxidation also occurs which removes the electrons in the Kreb’s cycle in the form of Hydrogen (H+).  These electrons enter the Electron Transport System.  This system forms H2O (Water)  The H from the Kreb’s cycle and the O2 from what we breathe. 

Along this whole way, ATPs are produced.  This is what provides energy.  This system works after about 3 minutes from the onset of exercise.

These three systems are Carbohydrate Metabolism.

Do you wonder about Fat and Protein Metabolism?  I bet you do. 

Fat Metabolism

Fat only metabolizes in an aerobic system.  Fat can be Beta Oxidized and enter the Kreb’s cycle or enter the electron transport System.  both systems produce energy.  So yes, you need fat for energy.  Here is the kicker.  Fat is the slowest to metabolize.  In the long run it does produce the most energy but it is definitely the slowest. 

Protein Metabolism

Protein metabolism plays a minor role in energy production while at rest.  It also only contributes 5-10% of energy during prolonged exercise.   It is used mostly under extreme circumstances…e.g. starvation, carbohydrate depletion or an extreme endurance event.


Answers

Thanks for the effort everyone.  You didn’t get them all so here are the answers. 

Jape=James

Muffy=Muffin

Baddet=Blanket

Foop=Food

Dorm=Storm

Copper=Helicopter

Dop=Stop

Matnew=Matthew

Boppy=Diaper

Juice (this one is tricky)=Milk, Juice…pretty much anything that goes in his sippy cup.

CB=TV

Buk=Book

Pie=Grandpa

Meow=Cat

Cool=School

Gape=Grapes

Strawbows=Strawberries

Gree Bees=Green Beans

On (This one is tricky too)=On, Off & Open.  We’re working on that one!!

Mee=Monkey

Bas=Back….for example…”bas” with a point to the bouncy chair means put Matthew back and pick ME up.

Bella=Umbrella

Bufly=Butterfly

Dar=Star

Bonus word=Loopba=Yogurt.  That one was tough.


Earth Friendly

Tree hugger in training…

treehugger.jpg


Because my Dad (Steve) can do 80’s songs-

I just recently got to my grandma Martha and Bill’s house a few hours ago and I got the urge to write this.

I get to do my music. I have always like rap music since elementary school and it has always been a part of my life.

My top 10 rappers-

1. Busta Rhymes-the originality and sick flow are just unmatchable

2. RZA, GZA, and the rest of Wu-Tang-I have recently started listening to this, and if you can drop sodium dicarbonite in a song and make it flow, you definitely get a top spot.

3. Jurassic 5-more socially aware and conscience, reminds of old style hip hop, true, and created Power in Numbers, one of the few CD’s where I like every single song

4. Lil Wayne-I don’t care, with lyrics such as “I call em April cuz they all fools,” I’m going to like it

5. Mos Def-when it is good, it is some of the best I have ever heard. Notables are Mathematics, Oh No, and Katrina Clap.

6. Cassidy-I wasn’t so sure at first, but then I heard this song (he has two “sides,” The Problem and the Hustler) where he disses himself. After I heard that it was just great.

7. 2pac-the content, and his flow when he is at his best definitely make him a top 10.

8. The Roots-goes along with Mos Def and Dead Prez, same type but not as in your face, the flow is great and they make all their own beats on actual instruments.

9. Jedi Mind Tricks-don’t ask why they chose this name, but if you combine J5 and Wu-Tang you have JMT. Haven’t heard enough to be top 5 though.

10. Dead Prez-good, but 99% of songs are about bad rap or against the government or whatever. A lot of times it is really in your face and sometimes that’s just too much


The Kidneys

A kidney is made up of a ureter, a renal pelvis, a medulla, a cortex, a capsule, a juxtamedullary nephron and a cortical nephron.  The path of urine drainage starts at the collecting duct.  It then proceeds to the papillary duct in the renal pyramid, then to the minor calyx, major calyx, then to the renal pelvis and finally to the ureter and urinary bladder. 

Th renal blood supply has 25% cardiac output and is 1200 ml/min.  There are two arterioles and two capillary beds.  The arterioles are resistance vessels.  The capillary beds are glomerular and peritubular. 

Functions of the Kidneys:

The kidney functions to regulate blood ionic composition, blood pH, blood volume and blood pressure.  It also maintains blood osmolarity and hormone production.  Regulation of blood glucose and excretion of wastes are also parts of the kidney functions.  Blood ionic composition is regulated by electrolyte balance.  Blood pH is regulated by acid-base balance.  The regulation of blood volume and blood pressure is regulated by body fluid volume and the Renin pathway.  Hormones produced are Renin, Aldosterone, ADH, Calcitrol and EPO.  Blood glucose is regulated by glutamine and GNG.  Finally, wastes secreted are metabolites, drugs, excess water and solutes.


Phases of Digestion

There are four phases of digestion; interdigestive, dephalic, gastric and intestinal.  Interdigestion: The digestive tract is quiet.  The low pH in the stomach inhibits gastrin secretion and stimulates somatostatin secretion.  Sematostatin inhibits gastrin and HCl secretion.  Gastrin stimulates the production of HCl.

Cephalic refers to the sight, smell and taste of food activating the vagal efferents.  Ach stimulates secretion of HCl, pepsinogen, gastrin, and of pancreatic enzymes.  There is inhibition of somatostatin and some pancreatic juice enters the jejunum.

Gastric digestion is the stomach working.  It has the highest acid secretion and the highest plasma gastrin.  Peptides and amino acids stimulate gastrin secretion.  Partially digested food acts as a good buffer.  The entry of food stimulates mechano- and chemoreceptors in the stomach wall.  Vagus and enteric nervous system active.  Enteric causes peristalsis.

Intestinal: amino acids, peptides and digested fats stimulate the release of CCK which slows the entry of the chyme, stimulates pancreatic juice and bite release.  The gastric inhibitory peptide decreases stomach secretions, motility and emptying.  As food leaves the stomach, less buffers are available which makes the pH decrease.  Gastrin is inhibited and somatostatin increases.  The low pH stimulates the secretion of secretin which stimulates the flow of pancreatic juice and inhibits the secretion of gastric juice.  Secretion and CCK enhance the secretion of digestive enzymes from the pancreas and bite salts from the gall bladder.  Digested foods feedback into the stomach and inhibits gastric acid production.


Regulation of Digestion

Neural and Hormonal Regulation of Digestion:

Neural Regulation:

In the Enteric Nervous System, chemoreseptors, mechanoreceptors and osmoreceptors stimulate the nerve plexus

The Parasympathetic Nervous System (PSNS) is stimulated by chemoreceptors, mechanoreceptors and osmoreceptors.  The PSNS stimulates the nerve plexus which stimulates gland or smooth muscle.  The PSNS can act independently from stimuli coming from receptors in the GI tract.

Hormonal Regulation:

Gastrin is stimulated by an increase in amino acids and PSNS.  It stimulates the HCl secretion, gastric juice secretion and motility in the small and large intestine.  It relaxes the pyloric sphincter and constricts esophageal sphincter from preventing entry. 

Cholecystokinin (CCK) is stimulated by amino acids and free fatty acids in the small intestine.  It stimulates the secretion of pancreatic enzymes and the release of bile.  It inhibits HCl.  (Buffer)

Secretin is stimulated by acid in the small intestine.  It secretes pancreatic juice and produces bile.


Digestion

The pathway of food from the mouth to the anus.  Mouth–>Pharynx and Esophagus–>Stomach–>Small Intestine–>Large Intestine–>Rectum and Anus.  The mouth is to chew and bite your food.  The pharynx and esophagus is used to transport the food.  The stomach involves mechanical disruption and absorption of water and alcohol.  The small intestine uses chemical and mechanical digestion and absorption.  The large intestine absorbs electrolytes and vitamins (B & K).  The rectum and anus are for defecation.   

There are six basic processes of digestion.  1. Ingestion, which is taking food into the mouth.  2. Secretion, which is the release of water, acids, buffers, and enzymes into the GI tract.  3. Mixing and propulsion, which is churning and propulsion of food through the GI tract.  4. Digestion, mechanical and chemical.  Mechanical digestion is the movement of the GI tract that aids chemical digestion.  Chemical digestion is a catabolic (hydrolysis) reaction to break down large molecules into smaller, usable molecules.  Both types breakdown food. 

Mouth:

Mechanical digestion, also known as mastication or chewing, breaks food into pieces and mixes with saliva so it forms a bolus.  Chemical digestion involves two enzymes, amylase and lingual lipase, that aid in breaking down food.  Amylase begins starch digestion at pH of 6.5 or 7.0 found in the mouth.  When the bolus and the enzymes hit the pH 2.5, gastric juices hydrolysis ceases.  (Hydrolysis is a chemical reaction or process in which a chemical compound is broken down by reaction with water.)  Lingual lipaseis secreted by glands in the tongue.  It begins the breakdown of triglicerides into fatty acids and glycerol.

Saliva is made up of 99.5% water.  and 0.5% solutes.  The solutes are ions such as NA, K, Cl, bicarbonate and phosphate.  The solutes also include, lingual lipase, salivary amylase and lysozome.   Lysozomes are organelles that contain enzymes that break down bacteria.

Esophagus:

The esophagus secretes mucous and transports food to the stomach.  It uses peristalsis to push the bolus towards the stomach.  It is connected to the pharynx by the upper esophageal sphincter and to the stomach by the lower esophageal sphincter.

Stomach:

The stomach begins the breakdown of proteins and lipids.  It is where the formation of chyme is made and delivered to the small intestine.  The stomach acts as a reservoir by mixing and holding ingested food.  There are many secretions in the gastric pit.  Parietal cells secrete gastric acid(mainly HCl) and intrinsic factor for red blood cell production.  Mucus cells secrete mucus.  Chief cells secrete pepsinogen to degrade food proteins into peptides.  G cells secretes gastrin.  They work in conjunction with chief cells and parietal cells.  D cells secrete somatosin .

Mechanical digestion involves gentle mixing waves, vigorous waves and intense waves near the pylorus.  The gentle mixing waves occur every 15 to 25 seconds.  The mix the bolus with 2 quarts per day of gastric juice to turn it into chyme.  The more vigorous waves travel from the body of the stomach to the pyloric region.  The intense waves open the pylorus and squirt 1-2 teaspoons full with each wave. 

Chemical digestion is when protein digestion begins and fat digestion continues.  HCl unfolds protein molecules and transforms pepsinogen into pepsin.  It breaks the peptide bonds between certain amino acids.  Gastric lipase splits triglycerides in milk fat.  It is most effective at a pH of 5 to 6 (seen in an infant stomach).  HCl kills microbes in food.  The mucous cells protect the stomach walls from being digested with 1-3mm thick layer of mucous.

Pancreas:

The pancreas produces pancreatic juice.  The juices contains water, salts, sodium bicarbonate and enzymes.  The enzymes are pancreatic amylase and pancreatic lipase.  Pancreatic proteases (degrades) trypsin, ribonuclease, or deoxyribonuclease.  Pancreatic enzymes are involved with digestion of all nutrients.

Liver:

The liver is the heaviest gland in the body.  It is also the second largest.  It gives energy by gluconeogenesis (making of new glucose), breaks down amino acids and stores triglycerides and breakdown of fatty acids.  The liver produces bile and stores glycogen and vitamins (A,B12, D, E,K).  It is the synthesis of cholesterol and detoxification of drugs and alcohol.  The liver and gall bladder create bile composition.  The composition is made up of water, cholesterol, bile salts (Na & K), carbohydrates, lecithin and electrolytes (Na, bicarbonate and Cl).  The composition also contains bile pigments.  Bile’s function is to break down lipids and neutralize chyme.  The gallbladder is used for the storage, concentration and delivery of bile into the duodendum.  

Small Intestine:

The small intestine has three parts; duodendum, jejunum and ileum.  The small intestine chemically digests carbohydrates, proteins, lipids and nucleic acids.  It absorbs monosaccharides, amino acids, dipeptides, tripeptides, lipids, electrolytes, vitamins and water.  The inner surface is formed into villi and crypts.  Epithelial cells line the inside of the the GI tract. 

Large Intestine:

The large intestine uses mechanical digestion where gastroileal reflex forces chyme from small intestine to the large intestine.  Each haustrum remains relaxed while filling and then contract and send chyme to the next one.  It is the final stage of digestion…bacteria fermentation–> final decomposition–> carbohydrates–> gases.  Amino acids are also broken down.  Chyme water absorption turns into feces after 3-10 hours.  The distention of the walls stretch the receptors.  Parasympathetics stimulates the descending colon, rectum and anus.  The long muscles contract and pressure increases.  The internal anal sphincter then opens.  Next is the external sphincter which has voluntary control.  The abdominal and diaphragm muscles aid in this event.

Disease:

A disease of digestion is gastroesophageal reflex disease.  It is when the lower sphincter fails to open.  The distension of the esophagus feels like chest pain or a heart attack.  If the lower esophageal sphincter were to fail to close, stomach acids would enter the esophagus and cause heartburn (GERD).  Smoking and alcohol make the sphincter relax which worsens the situation.

To help control these symptoms, avoid coffee, chocolate, tomatoes, fatty foods, onions and mints.


Blood Flow-Effect of Venous Return

Venous return is the volume of blood flowing back to the heart from the systemic veins.  It depends on the pressure difference from the venules to the right atrium.  The pressure difference between the venous side to the right side of the heart is normally enough to drive blood back to the right side of the heart. 

Venous return also has two extra mechanisms; the respiratory pump and the muscle pump action.

Respiratory Pump:

During inhalation the diaphragm is pushed down and there is a pressure difference between the abdominal (high) to the thoracic cavity (low).  This drives blood back to the right side of the heart.

Muscle Pump Action:

Helps drive the blood back to the right side of the heart through a milking action.

The velocity of blood flow is inversely related to the CSA of blood vessels.  The velocity of blood flow is proportional to the volume of blood.  The velocity of blood flow decreases from the aorta to the arteries to capillaries and increases as it returns to the heart.  The aorta flows 40 cm/sec, capillaries flow 0.1 cm/sec.  An increase in CSA means a decrease in blood flow.  Capillaries have the highest CSA and the slowest blood flow.  This favors gas exchange at the capillaries. 

Neural Regulation of Blood Pressure:

The cardiovascular center signals the smooth muscles.  There are specific neurons that regulate vessel diameter. 

Baroreceptors monitor pressure in arteries to regulate blood pressure.  They are present in the carotid arteries, aortic arch, large arteries.  They also control postural changes.

Chemoreceptors monitor changes in blood (O2, CO2, H+)  Located in the same place as baroreceptors.  They are located in the aorta and the carotid arteries. 


Renal Physiology, Nephrons and Filtration (Part 1)

Functions of the kidneys:

Regulation of blood ionic composition
-Electrolyte balance

Regulation of blood pH
-Acid-base balance

Regulation of blood volume and BP
-Body fluid volume
-Renin pathway

Maintains blood osmolarity (300 mOsm/L)

Hormone production
-Renin, Aldosterone, ADH
-Calcitrol (bone), EPO (RBC)

Regulation of blood glucose
-Glutamine & GNG (in metabolism section)

Excretion of wastes
-metabolites, drugs, excess water and solutes

Nephron:

The nephron has four major processes; filtration, reabsorption, secretion and excretion.

Filtration is movement from water and solutes from the blood plasma across the wall of the glomerular capillaries, into the glomerular capsule and into the renal tubule. Blood flow to the kidneys=1200-1300 ml/min at rest. Plasma=720-780 ml/min (Hct=40%). Maximum filtration=125 ml/min (17% plasma). Net filtration pressure=GBH-CHP-BCOP. Glomular filtration rate (GFR) is the volume of plasma that filtrates and passes through the glomeruli every minute.

Measurement of the GFR. Use a diagnostic tool to evaluate the function of the renal system. Clearance methodology [Clearance “x”=Ux*V/PxUx=urine concentration, V=volume of urine flow, Px=plasma concentration. When clearance=GFR then the substance is freely filtered and neither reabsorbed nor secreted.

Renal Autoregulation of GFR:
Mechanisms that maintain a constant GFR despite changes in arterial BP. The myogenic mechanism increases BP and stretches the afferent arteriole. The smooth muscle contracts and reduces the diameter of the arteriole; returns the GFR to its previous level in seconds. Tubuloglomerular feedback increases BP and raises the GFR so that fluid flows too rapidly through the renal tubule; Na+, Cl- and water are not reabsorbed. Vasoconstrictors are released from juxtaglomerular apparatus. The afferent arterioles constrict and reduce GFR.

Neural Regulation of GFR:
Blood vessels of the kidney are supplied by sympathetic fibers that cause vasoconstriction of afferent arterioles. At rest, renal BV are maximally dilated because sympathetic activity is minimal-renal autoregulation prevails. With moderate sympathetic stimulation, both afferent and efferent arterioles constrict equally- decreasing GFR equally. With extreme sympathetic stimulation (exercise or hemorrhage) vasoconstriction of afferent arterioles reduces GFR-lowers urine output and permits blood flow to other tissues.

Hormonal Regulation of GFR:
Atrial natriuretic peptide (ANP) increases GFR. It increases in blood volume which causes the atria to stretch and ANP is released in response. It relaxes the glomerular cells increasing capillary surface area and increasing GFR. Angiotensin II reduces GFR. It is a potent vasoconstrictor that narrows both afferent and efferent arterioles reducing GFR.