To Improve or Maintain
Cardiovascular Fitness

Cardiovacular fitness has to do with cardiorespiratory endurance or CRE. It is defined as the ability of the heart and lungs to deliver oxygen to the working muscles for sustained activity. Cardio or aerobics can be any activity that involves the large muscle groups such as walking, running, cycling, and swimming.
Frequency: 3-5 days per week. 
Intensity: 55-65% of maximum heart rate for beginners.
65-80% of HRmax for the intermediate level.
75-90% of HRmax for the advanced level.
To figure out your maximum training heart rate: 220-your age = HRmax.
Duration: depending on the starting level of fitness, 20-60 minutes of continuous or intermittent aerobic activity. The total time can be accumulated throughout the day in 10-minute increments. If weight loss is a goal, participate in your aerobic activity at least 30 minutes, 5 days a week.


To Improve or Maintain
Muscular Fitness and Body Composition

Muscular endurance is defined as the capacity of a muscle or muscle group to perform repeated contractions or to maintain an isometric contraction for an extended period. It is achieved by performing a high number of repetitions, using low levels of resistance. Muscular strength is defined as the capacity of a muscle or muscle group to perform maximal work in one effort. It is developed using high levels of resistance and low numbers of repetitions. Muscular fitness is a term that describes a combination of strength and endurance benefits.
Resistance training should be progressive, individualized, and provide stimulus to all major muscle groups.
Frequency: 2-3 days per week.
Intensity: 40-60% of your one rep max or a weight that is challenging without compromising your form. The last repetitions should be more difficult than the first ones.
Sets: 2-3 per exercise.
Repetitions: 8-12 per exercise.  It may be appropriate for frail individuals to complete 10-15 repetitions at a lower weight.


To Improve or Maintain
Flexibility

Flexibility is the ability to stretch the joints through a normal, full range of motion.
Static (no movement) , dynamic (moving gently), and PNF (Proprioceptive Neuromuscular Facilitation is a technique that combines holding and contracting the stretched muscle) stretches can be used to stretch all major muscles. For more information about the different types of stretching, go to
www.bath.ac.uk.
Frequency: a minimum of 2-3 days per week.
Intensity: stretch to a position of mild discomfort or mild tugging.
Repetition: 3-4 per stretch.



Body Composition
Body composition refers to the ratio of lean body mass to body fat. Lean body mass is comprised of muscles, bones, ligaments, tendons, and internal organs. Body fat or adipose tissue consists of essential fat and stored fat.
Body composition can be improved by increasing the amount of lean muscle mass through resistance training, and decreasing body fat through cardiovascular exercise and diet.

Body Fat Measurement
Body fat measurement is now considered an important factor in assessing nutritional status and level of general fitness.  Body fat analysis measures the ratio of lean body mass to body fat. The gold standard of body composition analysis is underwater/hydrostatic weighing.  Because it is time consuming, costly, and complicated, most physiologists turn to skinfold measurements.  The American College of Sports Medicine (ACSM) states that skinfold measures, when performed by a trained, skilled, tester, are up to 98% accurate.

Body Fat Chart
Unhealthy Low:--------Men <5%-----------Women <12%
Elite Athlete:------------Men 5-7%----------Women 12-14%
Excellent:----------------Men 7-10%--------Women 14-18%
Good:---------------------Men 10-16%-------Women 18-22%
Acceptable:-------------Men 16-19%-------Women 22-26%
Borderline:--------------Men 19-24%-------Women 26-31%
Unhealthy High:-------Men >24%----------Women >32%

Conclusion
Keep in mind that all fitness components: cardiorespiratory endurance, muscular endurance, muscular strength, flexibility, and body composition, as well as diet, should be addressed in a well-designed exercise program. Remember that the above are only guidelines and your program should be individualized according to your specific goals, starting level of fitness, health history, and schedule.
Consistency is the key to success, so choose an activity that you enjoy and are likely to continue throughout your life.
For more information about these guidelines, go to the American College of Sports Medicine's website at
acsm.org

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