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Stress and Physical Activity
Abundant scientific evidence
Problems
 Experimental studies use endurance exercise only
 Neuro-endocrine acute and chronic response to
exercise varies according to type of exercise (strength
X endurance)
 Stress involves an extremely complex chain of neuro-
endocrine events and studies may only measure a
few
 Emphasis on cardio-vascular response, adrenal
response or inflammation varies according to the
current focus of the medical research community
How to deal with the problems
 Scientific research must be the foundation of
health decisions (“evidence-based medicine”),
but science offers provisional truth and limited
scope
 It is up to front line practitioners – physicians,
coaches and other health science related
professionals – to bridge this gap
 Deal with the basic facts:
◦ 1. exercise has a positive effect on the response to
psycho-social stress
 Deal with the basic facts:
◦ 2. What we know about the neuro-endocrinology of
stress and what we can measure
◦ 3. What we know about neuro-endocrinology of exercise,
exercise physiology and conditioning research
 A balance between working within a framework
and experimenting:
◦ 1. Some exercise must be done (adopted framework)
◦ 2. Try what works best for each person
Conditioning classes: strength resistance, agility, power, cardio-
vascular endurance, etc
Strength sports:
-Strength
-Power
-Proprioception
Dance: agility, coordination, cardio-respiratory conditioning,
strength
Track and field: speed, power, cardio-vascular endurance,
agility, coordination
Volleyball, basketball, soccer and other ball team sports: speed,
agility, coordination, social skills, power
Fights: strength, power, agility, coordination, space perception,
reaction time, etc
What is stress
 “a real or interpreted threat to the physiological
or psychological integrity (i.e., homeostasis) of
an individual that results in physiological and/or
behavioral responses” (McEwen 2005)
 Any stimulus that provokes a shift from the
optimal functioning of the main systems that
ensure the organism’s survival and reproduction
in a state of least disturbance, also known as
homeostasis (me)
 Stress is not unique to animals or even eucaryotes.
Any living creature is vulnerable and reacts to stress
 Stress is not “good” or “bad”: it is an element of the
relation between the organism and the environment
 Stress can be acute or chronic
 All living organisms live in a permanent state of being
disturbed and reacting to such environmental
disturbances => the stress reaction system is central
to the survival of any organism
Types of distress: acute
 Acute distress: accidents; death of a
loved one; acute illness; violent attacks
and assault; intoxication; infection; loss
of job; divorce; climatic catastrophes;
extreme heat; extreme cold; terrorist
attack; dehydration
Types of distress: chronic
 Chronic distress:
◦ Job related: underrecognition; long term unemployment;
job dissatisfaction; excessive responsibility;
◦ Relationship related: abuse; chronic failure to
communicate, mistrust
◦ Environmental: long term exposure to toxic substances;
excessive heat; excessive humidity;
◦ Food inadequacy: long term malnutrition/desnutrition;
long term use of food that causes intolerance
◦ Religious and ethnic conflict; other types of endemic
social conflict
Allostasis and Adaptation
 Allostasis and allostatic load
 allostasis is stability through change -
mechanisms attempt to change the
controlled variable by predicting what
level will be needed
 allostatic load refers to the price the body
pays for being forced to constantly adapt
to adverse stressful (psychophysiological)
events
General adaptation syndrome
 General adaptation syndrome (GAS) is
the predictable way the body responses to
stress as described by Hans Selye (1907-
1982). First published in 1936
 The first physical conditioning models were
based on adaptation research
 Later research and theories proposed
that stress could be negative or positive
and manipulated to generate desired
results
GAS curve
Some of the processes causing
disease
Stress related disorders
 Cardio vascular disease, high blood pressure
 Immune system disorders: auto-imune
disorders; frequent infections; micro-infection
syndromes (fibromyalgia, chronic fatigue
syndrome?); Crohn’s disease
 Inflammatory disorders: Crohn’s disease, other
digestive inflammatory disorders
 Vulnerability to muscoloskelletal injury and
disorders
 Digestive disorders: gastritis, gastric ulcers,
irritable bowel syndrome and other digestive
inflammatory disorders
 Skin disorders: psoriasis, alergies
 Asthma
 Diabetes
 Eating disorders: under acute stress,
anorexia; under chronic stress, obesity;
 Psychiatric disorders: PTSD, adjustment
disorders, depression, anxiety, substance
abuse, panic attacks
 Sexual disorders
 Gum diseases
 Brittle nails and hair loss
Exercise: what is training
Hormones and resistance exercise
Exercise stress as adaptation to
any stress
 the level of chronic exposure to exercise is
one of the most potent factors influencing
the neuroendocrine stress response to an
acute exercise session
 as a person becomes more regular and
chronic in their exercise pattern, the
neuroendocrine stress response to
exercise becomes attenuated
Exercise stress as adaptation to
any stress
 This greater hormonal responsiveness
after exercise training appears to be due
to both the fact that the absolute
workload necessary to elicit a maximal
response is much greater and to there
being a glandular adaptation resulting in
an enhanced hormonal secretory capacity
Exercise stress as adaptation to
any stress
 evidence supports an abatement of the
neuroendocrine response to other life
stressors by exposure to exercise training.
 Traustadottir and colleagues examined two
groups of adult women who were subjected
to a standardized psychosocial stressor.
 the cortisol response to the stressor was
substantially lower in the physically more
active women compared with those who were
more sedentary
Exercise stress as adaptation to
any stress
 The suggestion that exercise may have a
carry-over effect on the acute stress
response to other stressors suggests
physical exercise could, perhaps, be part
of an intervention strategy to deal with
some chronic stress-related health
problems in the young and old alike.

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Stress and Physical Activity

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  • 5. Problems  Experimental studies use endurance exercise only  Neuro-endocrine acute and chronic response to exercise varies according to type of exercise (strength X endurance)  Stress involves an extremely complex chain of neuro- endocrine events and studies may only measure a few  Emphasis on cardio-vascular response, adrenal response or inflammation varies according to the current focus of the medical research community
  • 6. How to deal with the problems  Scientific research must be the foundation of health decisions (“evidence-based medicine”), but science offers provisional truth and limited scope  It is up to front line practitioners – physicians, coaches and other health science related professionals – to bridge this gap  Deal with the basic facts: ◦ 1. exercise has a positive effect on the response to psycho-social stress
  • 7.  Deal with the basic facts: ◦ 2. What we know about the neuro-endocrinology of stress and what we can measure ◦ 3. What we know about neuro-endocrinology of exercise, exercise physiology and conditioning research  A balance between working within a framework and experimenting: ◦ 1. Some exercise must be done (adopted framework) ◦ 2. Try what works best for each person
  • 8. Conditioning classes: strength resistance, agility, power, cardio- vascular endurance, etc
  • 10. Dance: agility, coordination, cardio-respiratory conditioning, strength
  • 11. Track and field: speed, power, cardio-vascular endurance, agility, coordination
  • 12. Volleyball, basketball, soccer and other ball team sports: speed, agility, coordination, social skills, power
  • 13. Fights: strength, power, agility, coordination, space perception, reaction time, etc
  • 14. What is stress  “a real or interpreted threat to the physiological or psychological integrity (i.e., homeostasis) of an individual that results in physiological and/or behavioral responses” (McEwen 2005)  Any stimulus that provokes a shift from the optimal functioning of the main systems that ensure the organism’s survival and reproduction in a state of least disturbance, also known as homeostasis (me)
  • 15.  Stress is not unique to animals or even eucaryotes. Any living creature is vulnerable and reacts to stress  Stress is not “good” or “bad”: it is an element of the relation between the organism and the environment  Stress can be acute or chronic  All living organisms live in a permanent state of being disturbed and reacting to such environmental disturbances => the stress reaction system is central to the survival of any organism
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  • 23. Types of distress: acute  Acute distress: accidents; death of a loved one; acute illness; violent attacks and assault; intoxication; infection; loss of job; divorce; climatic catastrophes; extreme heat; extreme cold; terrorist attack; dehydration
  • 24. Types of distress: chronic  Chronic distress: ◦ Job related: underrecognition; long term unemployment; job dissatisfaction; excessive responsibility; ◦ Relationship related: abuse; chronic failure to communicate, mistrust ◦ Environmental: long term exposure to toxic substances; excessive heat; excessive humidity; ◦ Food inadequacy: long term malnutrition/desnutrition; long term use of food that causes intolerance ◦ Religious and ethnic conflict; other types of endemic social conflict
  • 25. Allostasis and Adaptation  Allostasis and allostatic load  allostasis is stability through change - mechanisms attempt to change the controlled variable by predicting what level will be needed  allostatic load refers to the price the body pays for being forced to constantly adapt to adverse stressful (psychophysiological) events
  • 26. General adaptation syndrome  General adaptation syndrome (GAS) is the predictable way the body responses to stress as described by Hans Selye (1907- 1982). First published in 1936  The first physical conditioning models were based on adaptation research  Later research and theories proposed that stress could be negative or positive and manipulated to generate desired results
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  • 31. Some of the processes causing disease
  • 32. Stress related disorders  Cardio vascular disease, high blood pressure  Immune system disorders: auto-imune disorders; frequent infections; micro-infection syndromes (fibromyalgia, chronic fatigue syndrome?); Crohn’s disease  Inflammatory disorders: Crohn’s disease, other digestive inflammatory disorders  Vulnerability to muscoloskelletal injury and disorders  Digestive disorders: gastritis, gastric ulcers, irritable bowel syndrome and other digestive inflammatory disorders
  • 33.  Skin disorders: psoriasis, alergies  Asthma  Diabetes  Eating disorders: under acute stress, anorexia; under chronic stress, obesity;  Psychiatric disorders: PTSD, adjustment disorders, depression, anxiety, substance abuse, panic attacks  Sexual disorders  Gum diseases  Brittle nails and hair loss
  • 34. Exercise: what is training
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  • 37. Exercise stress as adaptation to any stress  the level of chronic exposure to exercise is one of the most potent factors influencing the neuroendocrine stress response to an acute exercise session  as a person becomes more regular and chronic in their exercise pattern, the neuroendocrine stress response to exercise becomes attenuated
  • 38. Exercise stress as adaptation to any stress  This greater hormonal responsiveness after exercise training appears to be due to both the fact that the absolute workload necessary to elicit a maximal response is much greater and to there being a glandular adaptation resulting in an enhanced hormonal secretory capacity
  • 39. Exercise stress as adaptation to any stress  evidence supports an abatement of the neuroendocrine response to other life stressors by exposure to exercise training.  Traustadottir and colleagues examined two groups of adult women who were subjected to a standardized psychosocial stressor.  the cortisol response to the stressor was substantially lower in the physically more active women compared with those who were more sedentary
  • 40. Exercise stress as adaptation to any stress  The suggestion that exercise may have a carry-over effect on the acute stress response to other stressors suggests physical exercise could, perhaps, be part of an intervention strategy to deal with some chronic stress-related health problems in the young and old alike.