General Level of Physiologic Function

%
120

100

80

50

40

20

0 10 20 30 40 50 60 70 80 90

Age, year Active Person

Sedentary Person
 Subject Normal 1 2 2a 3 Total

Total 10 42 26 11 11 100

Percentage 10% 42% 26% 11% 11% 100%

%
42

26%
%
10

% %
11 11

Normal 1 2 2a 3
Schellong / Orthostatic Test
 Ms. XXX
Blood Pressure and
Age : 12 years * Heart Rate
30 220 220
28
210 210
25
200 200
23
190 190
180 180
20 170 170
18 160 160

BP (mmHg)

HR (bpm)
15 150 150
13 140 140
10 130 130
8 120 120
5 110 110
3
100 100
90 90
0 80 80
-30 -28 -25 -23 -20 -18 -15 -13 -10 -8 -5 -3-3 0 3 5 8 10 13 15 18 20 23 25 28 30
70 70
-5 60 60
-8 50 50
-10 40 40
-13 30 30
-15
-18
10 21 32 43 54 65 76 87
-20
-23
Time (Minute)
-25
-28 Sist. Diast D.J
-30

Z O N E : 1. Hypertonie Reaction 2a. Asympatothone Hypotonie

2. Sympatothone Hypotonie 3. Vasovagale Reaction
Parameter Real Standart BMI 16.66
QT Interval 0.40 0.40 Category Thin < 7.21 Kg
MAP 85.99 100 E.C.G. Sinus Rythm
Pulse Pressure 18 40 ZONE 2 POTS
 Mr. XXX
Age : 12 years Blood Pressure and
30 Heart Rate
28
25
220 220
210 210
23 200 200
20 190 190
18 180 180
15
170 170
160 160

BP (mmHg)

HR (BPM)
13 150 150
10 140 140
8 130 130
5 120 120
3
110 110
100 100
0 90 90
-30 -28 -25 -23 -20 -18 -15 -13 -10 -8 -5 -3-3 0 3 5 8 10 13 15 18 20 23 25 28 30 80 80
-5 70 70
-8
60 60
50 50
-10 40 40
-13 30 30
-15
-18 01 1
2 3
2 4
3 54 65 76 87
-20
Time (Minutes)
-23
-25
-28 Syst. Diast H.R.
-30

Z O N E : 1. Hypertonie Reaction 2a. Asympatothone Hypotonie

2. Sympatothone Hypotonie 3. Vasovagale Reaction
Parameter Real Standart BMI 19.22
QT Interval 0.36 0.40 Category Ideal 0 Kg
MAP 83.32 100 E.C.G. Sinus Rythm
Pulse Pressure 40 40 ZONE 2a
Americans Who participate in physical activities at
least occasionally; % say primary reason for
exercise

1. For Fun / enjoyment ( 49 % )

2. To prevent health problems ( 36% )
3. To reduce stress / tension ( 31% )
4. To relax ( 30% )
5. To help with current medical problems ( 27% )
 What is Physical Fitness?
Physical fitness is more than the ability to
handle everyday activities. Rather, it is an
optimal functioning of all of the various
physiologic systems of the body, in
particular the heart, blood vessels, lungs,
and muscles. Optimal physical fitness
makes possible a lifestyle that unfit cannot
enjoy.
 REASONS FOR FITNESS
1. Vigorous exercise results in muscular and
cardiorespiratory health.
The fit person : heart beats at a lower rate and
pumps more blood per beat at rest. Regular
endurance-type exercise results in an
increased capacity to use oxygen the ability
for more physical work. Although regular
exercise is not a cure all, it is a positive and
sound means for maintaining a high level of
health.
2. Good shape enlarge their capacity for living.
They can do more things with competency and
pleasure. They can do a days work with ease
and they can extend their day to include
recreational activities or other favorite pastimes
without undue fatigue.

Note :
We do not necessarily exercise just to prevent
heart disease or to shed exess fat. Rather, we
exercise to arrive at an increased physical
capacity to enjoy a full life.
 Mrs. XXX
Blood Pressure and
Age : 29 years * Heart Rate
30 220 220
28 210 210
25 200 200
23 190 190
20
180 180
18
170 170
160 160
15

BP (mmHg)
150 150

HR (BPM)
13 140 140
10 130 130
8 120 120
5 110 110
3 100 100
0 90 90
-30 -28 -25 -23 -20 -18 -15 -13 -10 -8 -5 -3-3 0 3 5 8 10 13 15 18 20 23 25 28 30 80 80
-5 70 70
-8
60 60
-10
50 50
40 40
-13 30 30
-15
0 1 12 23 34 45 56 6 7
7 8
-18
-20 Time (Minutes)
-23
-25
-28 Syst. Diast H.R.
-30

Z O N E : 1. Hypertonie Reaction 2a. Asympatothone Hypotonie

2. Sympatothone Hypotonie 3. Vasovagale Reaction
Parameter Real Standart BMI 21.36
QT Interval 0.40 0.40 Category Ideal 0 Kg
MAP 83.32 100 E.C.G. Sinus Rythm
Pulse Pressure 40 40 ZONE 1
 Basic Guidelines :
The Four Fundamental Factors
Some basic questions :
- How hard do I have to exercise to improve?
- Do I have to run?
- How long do I need to work out?
- How often do I need to work out?
- What are the best activities for getting
in shape?
Four Essential Ingredients for the
development of a Sound Exercise Program :
1. Intensity Level of exertion
2. Duration Length of exertion
3. Frequency Number of workouts per week
4. Mode Type of activity
 PEAK PERFORMANCE

100
% Maximum Heart Rate

Speed
95

Anaerobic Training
90

Anaerobic Threshold

80

Aerobic Foundation

60
The Training Pyramid
 % Carbohydrate

20 40 60 80 100

80 60 40 20 0
% Fat

Carbohydrate and fat utilization during exercise

 Health Optimization
Peak Performance
Immuno-Modulation Immuno-Modulation

(Eutress)
Immune System Training / Competition Immuno-Modulation

(Distress)

Immuno-Depression Immuno-Modulation

Decreased Health/Performance
 Date : December 2005 Blood Pressure
and Heart Rate
210
Name : Mr. AA 250
240 200
250
240
230 230
220 190 220
Age : 22 years 210
200 180
210
200
190 180 190
180 170 180
Weight : 56 Kg 170
160 150 160
170 170
160

HR
150 150

BP
140 150
Hight : 159 Cm
140 140
130 135 125 130
PWC Pred 194 watt 120 120
110 130 106 110
PWC Real 115,98 % L.B.S : 1.75 m 100
125
90
80 87
95 100
90
80
70 79 100 70
Phase HR Systolic Diastolic VO2 Max 55.3 cc/kg/minutes 60 60 95
9090 60
50 85 50
Rest 60 125 80 MET 15.8 MET
40 80808080 80 40
30 30
0 1
Minutes 6th 95 140 80 BMI 22.15 1 32 3 54 57 6 97 8119 13
10

End Load 180 210 100 Category Ideal Work Load (25 watt)
Recovery 100 150 80
0 Kg
E.C.G. Sinus Rhytm

Exercise Intensity

55,4 225,0
56 230
220
Aerobik
54 210
140 30 15 Dianjurkan
52 194
Anaerobik 200
52 190
180
50
F rekwensi
100 110 120 130 140 150
: 160
3 170
4 kali per Minggu
180 190 200 170
STANDAR REAL PRED REAL
Heart Rate
I ntensitas Latihan : 130 140 per menit
106,46% 115,98%
T ime : 20 40 menit
Adaptation to Aerobic Training
Muscle fiber type
Capillary supply
Myoglobin content
Mitochondrian function
Oxidative enzymes
Adaptation to Anaerobic Training
Adaptations in the ATP-PCr System
Adaptations in the Glycolytic System
Other adaptations to Anaerobic training
* efficiency of movement
* aerobic energetics
* buffering capacity
 Biologic Mechanisms by Which may Contribute to The
Primary or Secondary Prevention of Coronary Heart Disease
Maintain or Increase myocardial oxygen supply
* Delay progression of coronary atherosclerosis (possible)
- Improve lipoprotein profile (increase HDL-C/
LDL-C ratio (probable)
- Improve carbohydrate metabolism (increase insulin
sensitivity) (probable)
- Decrease platelet aggregation and increase
fibrinolysis (probable)
- Decrease adiposity (usually)
Increase coronary collateral vascularization (unlikely)
Increase coronary blood flow (myocardial perfusion) or
distribution (unlikely)
Decrease myocardial work and oxygen demand
* Decrease heart rate at rest and submaximal
exercise (usually)
* Decrease systolic and mean systemic arterial
pressure during submaximal exercise (usually)
and at rest (possible)
* Decrease cardiac output during submaximal
exercise (probable)
* Decrease circulating plasma catecholamine
levels (decrease sympathetic tone) at rest
(probable) and at submaximal exercise (usually)
 Increase myocardial function
* Increase stroke volume at rest and in
submaximal andmaximal exercise (likely)
* Increase ejection fraction at rest and in
exercise (possible)
* Increase intrinsic myocardial contractility
(unlikely)
* Increase myocardial function resulting from
decreased afterload (probable)
Increase myocardial hypertrophy (probable)
Increase myocardial hypertrophy (probable);
but this may not reduce CHD risk
 Incrase electrical stability of myocardium
* Decrease regional ischemia at rest or at
submaximal exercise (possible)
* Decrease catecholamines in myocardium
and at submaximal exercise (probable)
Increase ventrical fibrilation threshold due to
reduction of cyclic AMP (possible)
 Training
Adaptation

Psychic Factors
Somatic Factors:
Attitude
Sex and Age
Motivation
Body Dimensions
Health

Environment
Heat
Noise
Nature of
Exercise

Energy yielding process

Physical Performance
 DEGENERATIVE
VASCULAR DISEASE

INCREASED
PLATELET
RENAL DISEASE
ADHESIVENESS

INHERITED FACTORS HIPERTENSION

HYPERURICAEMIA

HYPERTRIGLYCERIDAEMIA OBESITY REGULAR ALCOHOL