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Encyclopedia of Health and Medicine

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A<br />

aerobic fitness The efficiency with which the<br />

cardiovascular system functions to meet the oxygen<br />

needs <strong>of</strong> cells throughout the body, particularly<br />

under the increased pressure <strong>of</strong> intense<br />

physical activity or exercise. The higher a person’s<br />

aerobic FITNESS LEVEL, the more air the LUNGS can<br />

take in each breath, the more oxygen that enters<br />

the BLOOD, <strong>and</strong> the more blood the HEART can eject<br />

with each contraction. The outcome is that the<br />

cardiovascular system can deliver higher concentrations<br />

<strong>of</strong> oxygen to body tissues with less effort,<br />

which increases ENDURANCE. Aerobic fitness is a<br />

key measure <strong>of</strong> cardiovascular health.<br />

ACTIVITIES THAT IMPROVE AEROBIC FITNESS<br />

aerobic dance basketball bicycling<br />

canoeing cross-country skiing h<strong>and</strong>ball<br />

hiking ice skating jogging<br />

kayaking racquetball roller skating<br />

rowing running shooting hoops<br />

snowshoeing soccer spinning<br />

squash stair climbing stationary cycling<br />

step aerobics swimming tennis<br />

treadmill volleyball walking<br />

Physical activities that exercise the muscles to a<br />

level that increases the HEART RATE <strong>and</strong> BREATHING<br />

rate for a sustained time <strong>of</strong> 15 minutes or longer<br />

provide an aerobic workout for the body that<br />

strengthens cardiovascular efficiency <strong>and</strong><br />

improves aerobic fitness. Consistency is the key<br />

to aerobic fitness. <strong>Health</strong> experts recommend aerobic<br />

activity three to four times a week, ideally in<br />

sessions that are 30 to 45 minutes long. The<br />

higher a person’s aerobic fitness level, the easier it<br />

is to sustain aerobic activity for longer periods <strong>of</strong><br />

time.<br />

See also AEROBIC CAPACITY; AEROBIC EXERCISE;<br />

AGING, CARDIOVASCULAR CHANGES THAT OCCUR WITH;<br />

CONDITIONING; EXERCISE AND HEALTH; LIFESTYLE AND<br />

HEALTH; MUSCLE; PHYSICAL ACTIVITY RECOMMENDATIONS;<br />

PHYSICAL EXERCISE AND CARDIOVASCULAR HEALTH;<br />

WALKING FOR FITNESS.<br />

aging, cardiovascular changes that occur with<br />

The most significant age-related changes in cardiovascular<br />

function occur at birth in both sexes <strong>and</strong><br />

with MENOPAUSE in women. Though changes in<br />

METABOLISM occur with aging that affect all body<br />

systems, researchers now believe cardiovascular<br />

health does not inherently decline simply as a<br />

function <strong>of</strong> aging. DIABETES, OBESITY, lack <strong>of</strong> physical<br />

exercise, <strong>and</strong> cigarette smoking are the leading<br />

causes <strong>of</strong> acquired CARDIOVASCULAR DISEASE (CVD)<br />

among adults. The effects <strong>of</strong> these factors are<br />

cumulative; they are more likely to result in disease<br />

the longer they exist <strong>and</strong> the more <strong>of</strong> them<br />

are present. Accordingly, the risk for acquired cardiovascular<br />

disease increases with age because as<br />

people get older they tend to develop health conditions<br />

that set the stage for cardiovascular deterioration.<br />

Most researchers believe these risks are<br />

mutable (changeable) through lifestyle.<br />

Cardiovascular Changes at Birth<br />

The cardiovascular system is among the first body<br />

systems to develop in the EMBRYO, with the rudimentary<br />

HEART beginning to beat at three weeks<br />

gestational age. The heart fully forms, <strong>and</strong> a rudimentary<br />

circulatory network develops <strong>and</strong> functions,<br />

by eight weeks gestational age. Before birth,<br />

the FETUS draws its oxygen supply from its<br />

mother’s BLOOD supply, in an exchange that takes<br />

place across a membrane in the PLACENTA (fetal<br />

9

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