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Advance Exercise Physiology: Course Outline

course code: CPTCP-752

Course Description

This course is designed to understand the expanding role of exercise physiology in health care. Emphasis is made on incorporation of the results from research in to evidence based guidelines for the treatment of the patients with a variety of cardiopulmonary diseases.

Course content


Control of internal environment

  • Homeostasis
  • Control systems of the body
  • Nature of the control system
  • Examples of homeostatic control
  • Exercise : A test of homeostatic control

Hormonal responses to exercise (brief revision)

  • Neuroendocrinology 
  • Hormones: Regulation and action 
  • Hormonal control of substrate mobilization during exercise

Measurement of work, power & energy expenditure

  • Units of measure 
  • Work and power defined 
  • Measurement of work and power 
  • Measurement of energy expenditure 
  • Estimation of energy expenditure 
  • Calculation of exercise efficiency

Circulatory responses to exercise (brief revision)

  • Organization of the circulatory system 
  • Heart: myocardium and cardiac cycle 
  • Cardiac output 
  • Hemodynamics 
  • Changes in oxygen delivery to muscle during exercise 
  • Circulatory responses to exercise 
  • Regulation of cardiovascular adjustments to exercise

Respiration during exercise (brief revision)

  • Function of the lung 
  • Structure of respiratory system 
  • Mechanics of breathing 
  • Pulmonary ventilation 
  • Pulmonary volumes and capacities 
  • Diffusion of gases 
  • Blood flow to the lungs 
  • Ventilation-perfusion relationships 
  • O2 and CO2 transport in blood 
  • Ventilation and acid base balance 
  • Ventilatory and blood-gas responses to exercise 
  • Control of ventilation

Temperature regulation

  • Overview of heat balance during exercise 
  • Overview of heat production/heat loss 
  • Body’s thermostat-hypothalamus 
  • Thermal events during exercise 
  • Exercise in the heat 
  • Exercise in cold environment

The Physiology Of Training: Effect On Vo2 Max, Performance, Homeostasis And Strength

  • Principles of training 
  • Research designs to study training 
  • Endurance training and VO2 max 24 
  • VO2 max: cardiac output and arterio-venous oxygen difference 
  • Detraining and VO2 max 
  • Endurance training: effects on performance and homeostasis 
  • Endurance training: links between muscle and system physiology 
  • Physiological effects of strength training 
  • Physiological mechanisms causing increased strength

Course content


Work tests to evaluate cardio respiratory fitness

  • Cardio respiratory fitness 
  • Testing procedures 
  • FIELD Tests for estimating CRF 
  • Graded exercise tests: measurements 
  • VO2 max 
  • Graded exercise tests : protocols

Exercise prescription for health and fitness

  • Prescription of exercise 
  • General guidelines for improving 
  • Exercise prescription for CRF 
  • Sequence of physical activity 
  • Strength and flexibility training

Exercise for special populations

  • Diabetes 
  • Asthma 
  • Chronic obstructive pulmonary disease 
  • Hypertension 
  • Cardiac rehabilitation 
  • Exercise for older adults 
  • Exercise during pregnancy

Recommended Books

Course content


Factors affecting performance

  • Sites of fatigue 
  • Factors limiting All-out anaerobic performances
  • Factors limiting All-out aerobic performances

Laboratory assessment of human performance

  • Laboratory assessment of physical performance 
  • Direct testing of maximal aerobic power 
  • Laboratory tests to predict endurance performance 
  • Determination of anaerobic power 
  • Evaluation of muscular strength

Training of performance

  • Training principles
  • Components of a training session: warm-up, workout and cool down 
  • Training to improve aerobic power 
  • Injuries and endurance training 
  • Training for improved anaerobic power 
  • Training to improve muscular strength 
  • Training for improved flexibility 
  • Year-round conditioning for athletes 
  • Common training mistakes

Training for the female athlete, children and special population

  • Factors important to women involved in vigorous training 
  • Sports conditioning for children 
  • Competitive training for diabetics 
  • Training for asthmatics 
  • Epilepsy and physical training

Lab Work

  • Predicting VO2 max using the Harvard step test 
  • Ratings of perceived exertion and intensity of exercise 
  • Time limit test  Determining maximal oxygen uptake using treadmill 
  • The effects of endurance and strength exercise on CV response 
  • Assessing muscular efficiency 
  • The stretch reflex 
  • Stoop test 
  • Test for predicting VO2 max 
    • Maximal Tests 
    • Sub-maximal Tests 
    • Non- Exercise Tests

Course Objective

  • The students will be able to understand the concept of exercise physiology and its impact on cardiopulmonary rehabilitation. 
  • The students will be able to understand hormonal and cardiovascular response to exercise. 
  • The students will be able to understand the temperature and acid base regulation during exercise.