Obesity
Obesity
in absolute terms is an increase of body fatty tissue mass. In a practical
setting it is difficult to measure this directly, and obesity is typically
measured by BMI (body mass index) and in terms of its distribution through
waist circumference or waist-hip circumference ratio measurements. In addition,
the presence of obesity needs to be evaluated in the context of other risk
factors and co morbidities (other medical conditions that could influence risk
of complications)
BMI
Body
mass index or BMI is a simple and widely used method for estimating body fat
mass. BMI was developed in the 19th century by the Belgian statistician and
anthropometrist Adolphe Quetelet. BMI is an accurate reflection of body fat
percentage in the majority of the adult population, but is less accurate in
situations that affect body composition such as in body builders and pregnancy.
BMI
is calculated by dividing the subject's weight by the square of his/her height,
typically expressed either in metric or US "Customary" units:
Metric:
BMI = kg / m2
Where
kg is the subject's weight in kilograms and m is the subject's height in
metres.
US/Customary
and imperial: BMI = lb * 703 / in2
Where
lb is the subject's weight in pounds and in is the subject's height in inches.
The
most commonly used definitions, established by the WHO in 1997 and published in
2000, provide the following values
• A BMI less than 18.5 is underweight
• A BMI of 18.5–24.9 is normal weight
• A BMI of 25.0–29.9 is overweight
• A BMI of 30.0–34.9 is class I obesity
• A BMI of 35.0-39.9 is class II obesity
• A BMI of > 40.0 is class III obesity
or severe / morbidly obese
• A BMI of 35.0 or higher in the presence
of at least one other significant co morbidity is also classified by some
bodies as morbid obesity
Waist circumference and waist hip ratio
BMI
does not take into account differing ratios of adipose to lean tissue; nor does
it distinguish between differing forms of adiposity, some of which may
correlate more closely with cardiovascular risk. Increasing understanding of
the biology of different forms of adipose tissue has shown that visceral fat or
central obesity (male-type or apple-type obesity, also known as "belly
fat") has a much stronger correlation, particularly with cardiovascular
disease, than the BMI alone
The
absolute waist circumference (>102 cm in men and >88 cm in women) or
waist-hip ratio (>0.9 for men and >0.85 for women) are both used as
measures of central obesity.
In a
cohort of almost 15,000 subjects from the National Health and Nutrition
Examination Survey (NHANES) III study, waist circumference explained
obesity-related health risk significantly better than BMI when metabolic
syndrome was taken as an outcome measure.
Other body fat measurements
- An
alternative way to determine obesity is to assess percent body fat.
Doctors and scientists generally agree that men with more than 25% body
fat and women with more than 30% body fat are obese. However, it is
difficult to measure body fat precisely.
- The
most accepted method has been to weigh a person underwater, but underwater
weighing is a procedure limited to laboratories with special equipment.
- Two
simpler methods for measuring body fat are the skin fold test, in which a
pinch of skin is precisely measured to determine the thickness of the
subcutaneous fat layer; or bioelectrical impedance analysis, usually only
carried out at specialist clinics. Their routine use is discouraged.
Other
measurements of body fat include computed tomography (CT/CAT scan), magnetic
resonance imaging (MRI/NMR), and dual energy X-ray absorptiometry (DXA).
Risk factors and co morbidities
The
presence of risk factors and diseases associated with obesity are also used to
establish a clinical diagnosis. Coronary heart disease, type 2 diabetes, and
sleep apnoea are possible life-threatening risk factors that would indicate
clinical treatment of obesity. Smoking, hypertension, age and family history
are other risk factors that may indicate treatment.
Effects on health
Mortality
- Mortality
risk varies with BMI.
- The
lowest risk is found at a BMI of 22-24 kg/m2 and increases with changes in
either direction.
- A
BMI of over 32 is associated with a doubling of risk of death.
Morbidity
- A
large number of medical conditions have been associated with obesity.
Health consequences are categorised as being the result of either
increased fat mass (osteoarthritis, obstructive sleep apnoea, social
stigma) or increased number of fat cells (diabetes, some forms of cancer,
cardiovascular disease, non-alcoholic fatty liver disease). There are
alterations in the body's response to insulin (insulin resistance), a pro
inflammatory state and an increased tendency to thrombosis (prothrombotic
state).
- Disease
associations may be dependent or independent of the distribution of
adipose tissue. Central obesity (male-type or waist-predominant obesity,
characterised by a high waist-hip ratio), is an important risk factor for
the metabolic syndrome, the clustering of a number of diseases and risk
factors that heavily predispose for cardiovascular disease. These are
diabetes mellitus type 2, high blood pressure, high blood cholesterol, and
triglyceride levels (combined hyperlipidemia).
Apart
from metabolic syndrome, obesity is related to a variety of other
complications. Some are directly caused by obesity well others are more
indirectly related, such as sharing a common cause like poor diet or sedentary
lifestyle.
- Cardiovascular:
congestive heart failure, enlarged heart and its associated arrhythmias
and dizziness, varicose veins, and pulmonary embolism
- Endocrine:
polycystic ovarian syndrome (PCOS), menstrual disorders, and infertility.
- Gastrointestinal:
gastroesophageal reflux disease (GERD), fatty liver disease,
cholelithiasis (gallstones), hernia, and colorectal cancer
- Renal
and genitourinary: erectile dysfunction, urinary incontinence, chronic
renal failure, hypogonadism (male), breast cancer (female), uterine cancer
(female), stillbirth
- Integument
(skin and appendages): stretch marks, acanthosis nigricans, lymphedema,
cellulitis, carbuncles, intertrigo
- Musculoskeletal:
hyperuricemia (which predisposes to gout), immobility, osteoarthritis, low
back pain
- Neurologic:
stroke, meralgia paresthetica, headache, carpal tunnel syndrome, dementia,
idiopathic intracranial hypertension
- Respiratory:
obstructive sleep apnoea, obesity hypoventilation syndrome, asthma
- Psychological:
Depression, low self esteem, body dysmorphic disorder, social
stigmatization
Causes
Most
researchers agree that a combination of excessive calorie consumption and a
sedentary lifestyle are the primary causes of obesity in the majority of the
population. Other less well established or minor influences include genetic
causes, medical and psychiatric illnesses, and microbiological causes.
A
2006 review identifies ten other possibly under investigated causes for
recently increasing rates of obesity:
(1) Insufficient
sleep,
(2) Endocrine
disruptors - food substances that interfere with lipid metabolism,
(3)
decreased variability in ambient temperature,
(4)
decreased rates of smoking, which suppresses appetite,
(5)
increased use of medication that leads to weight gain,
(6) Increased
distribution of ethnic and age groups that tend to be heavier,
(7) Pregnancy
at a later age,
(8) Intrauterine
and intergenerational effects,
(9) Positive
natural selection of people with a higher BMI,
(10) Assortative
mating, heavier people tending to form relationships with each other.
Dietary
Sedentary lifestyle
- An
increasingly sedentary lifestyle plays a significant role in obesity.
- There
has been a trend toward decreased physical activity due in part to
increasingly mechanized forms of work,
- Changing
modes of transportation, and increasing urbanization.
- Studies
in children and adults have found an association between the number of
hours of television watched and the prevalence of obesity.
- Driving
one's children to school also decreases the amount of exercise that these
children get and has led to calls for reduced car use around schools.
- An
association between leisure time activity and obesity has been found.
Genetics
Like
many other medical conditions, obesity is the result of interplay between
genetic and environmental factors. Polymorphisms in various genes controlling
appetite, metabolism, and adipokine release may predispose to obesity when
sufficient calories are present. Obesity is a major feature in a number of rare
genetic conditions: Prader-Willi syndrome, Bardet-Biedl syndrome, MOMO
syndrome, leptin receptor mutations, melanocortin receptor mutations. In a
people with early-onset severe obesity (defined by an onset before ten years of
age and body mass index over three standard deviations above normal),
Medical illness
Certain
physical and mental illnesses and the pharmaceutical substances used to treat
them can increase one's risk of obesity. Medical illnesses that increase
obesity risk include several rare genetic syndromes (listed above) as well as
some congenital or acquired conditions:
(1) Hypothyroidism,
(2)
Cushing's syndrome,
(3) Growth
hormone deficiency,
(4) Eating
disorders such bulimia nervosa, binge eating disorder and compulsive
overeating.
Certain
medications may cause weight gain and or negative changes in body composition,
such as steroids, atypical antipsychotics, some fertility medication, insulin
and sulfonylureas.
Microbiological
The
role of bacteria colonizing the digestive tract in the development of obesity
has recently become the subject of investigation. Bacteria participate in
digestion (especially of fatty acids and polysaccharides), and alterations in
the proportion of particular strains of bacteria may explain why certain people
are more prone to weight gain than others. Human digestive tract bacteria are
generally either member of the phyla of bacteroidetes or of firmicutes. In
obese people, there is a relative abundance of firmicutes (which cause
relatively high energy absorption), which is restored by weight loss. From
these results it cannot be concluded whether this imbalance is the cause or
effect of obesity.
Social determinants
- The
correlation between social class and BMI is inconsistent. Comparing net
worth with BMI found obese Americanians approximately half as wealthy as
thin ones. When income differentials were factored out, the inequity
persisted. A tendency to rely on fast food is seen as one of the reasons
why this result occurred. Another study found women who married into a
higher social class are thinner than women who married into a lower social
class.
- Men
from lower middle income households were less likely to be obese than were
those in the highest income households and women from middle income
households had the highest rates of obesity.
- Cessation
of smoking verse continued smoking can leads to weight gain. A study found
that those who quit smoking gained 4-5 kilograms over ten years. One sixth
of the rise in obesity in North Americans can be attributed to falling
rates of smoking.
Treatment for obesity
- Eating
less and exercising more.
- Diet
programs -Healthy diet
- Anti-obesity
drug
Homeopathy medicines works well for Obesity
Obesity Homeopathy
Treatment
Symptomatic Homeopathy works well for Obesity,
So its good to consult a experienced Homeopathy physician without any
hesitation.
Whom to contact for Obesity Treatment
Dr.Senthil
Kumar Treats many cases of Obesity, In his medical professional experience with successful results.
Many patients get relief after taking treatment from Dr.Senthil Kumar.
Dr.Senthil Kumar visits Chennai at Vivekanantha Homeopathy Clinic, Velachery,
Chennai 42. To get appointment please call 9786901830, +91 94430 54168 or mail
to consult.ur.dr@gmail.com,
For
more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers
at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)
For appointment please Call us or Mail Us
For appointment: SMS your Name -Age – Mobile Number - Problem in Single word -
date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Obesity,
– 21st Oct, Sunday - Chennai ), You will receive Appointment details through
SMS
Fresh vegetables are common in a healthy
diet.
Generally,
a healthy diet is said to include:
1.
Sufficient calories to maintain a person's metabolic and activity needs, but
not so excessive as to result in fat storage greater than roughly 30% of body
mass. For most people the recommended daily allowance of energy is 2,000
calories, but it depends on age, sex, height, and weight.
2.
Sufficient quantities of fat, including monounsaturated fat, polyunsaturated
fat and saturated fat, with a balance of omega-6 and long-chain omega-3 lipids.
The recommended daily allowance of fat is 65-80 grams.
3.
Maintenance of a good ratio between carbohydrates and lipids (4:1): four grams
of the first for one gram of the second.
4.
Avoidance of excessive saturated fat (20grams recommended limit)
5.
Avoidance of Trans fat.
6.
Sufficient essential amino acids ("complete protein") to provide
cellular replenishment and transport proteins. All essential amino acids are
present in animals. A select few plants (such as soy and hemp) give all the
essential acids. A combination of other plants may also provide all essential
amino acids (except rice and beans which have limitations).
7.
Essential micronutrients such as vitamins and certain minerals.
8.
Avoiding directly poisonous (e.g. heavy metals) and carcinogenic (e.g. benzene)
substances;
9.
Avoiding foods contaminated by human pathogens (e.g. E. coli, tapeworm eggs);
10.
Avoiding chronic high doses of certain foods that are benign or beneficial in
small or occasional doses, such as
·
foods that
may burden or exhaust normal functions (e.g. refined carbohydrates without
adequate dietary fibre);
·
foods that
may interfere at high doses with other body processes (e.g. refined table
salt);
·
Foods or
substances with directly toxic properties at high chronic doses (e.g. ethyl
alcohol).
Healthy Weight “Pyramid."
It's
suggestions are:
- An
unlimited number of servings of fruits per day, with a minimum of three
servings.
- An
unlimited number of servings of vegetables per day, with a minimum of four
servings.
- Four
to eight servings of carbohydrates per day.
- Three
to seven servings of protein and dairy per day.
- Three
to five servings of fats per day.
- And
up to 75 calories of sweets per day.
- Make
sure that you eat five different types of fruit and vegetables every day.
Every day also make sure that you eat at least one thing from each of the
different food groups: Carbohydrates, Fruit and vegetables, Protein,
Dairy, and Fats. Remember to eat the most fruit and vegetables, and the
least fats.
- Too
much salt gives you high blood pressure; a high fat diet will give you
hard and narrow arteries that could lead to heart attacks and strokes,
possibly even death.
- Fruit
and vegetables contain antioxidants which will keep you healthy as long as
you team them up with regular daily exercise. Your efforts to eat
healthily will go to waste if you do not take part in regular daily
exercise.
- Having
fibre in your diet will help regulate your digestive system.
- Remember
to keep track of what you're eating. Having a healthy diet is all about
watching what you intake and what you're using. It takes about three
months to get the diet right. You need to figure out how many calories
you're burning a day and then how many you're taking in. If this is all
too much math or you don't feel like writing this all out, just keep track
of what you are eating and then go to your nearest hospital and a
Registered Dietician will help you figure out what you need to be taking
in. The reason you should do this is because often times people don't
really know what they should be eating, and they guess; and sadly when
they guess they normally guess wrong.
Food additive
Some
claim that food additives, such as artificial sweeteners, colorants, preserving
agents, and flavourings may cause health problems such as increasing the risk
of cancer or ADHD.
Junk food
- That
is unhealthy and/or has little or no nutritional value. The term is
believed to have been coined by Michael Jacobson, director of the Centre
for Science in the Public Interest, in 1972. The term has since come into
common usage.
- Junk
food contains high levels of refined sugar, white flour, trans fat and
polyunsaturated fat, salt, and numerous food additives such as monosodium
glutamate and tartrazine; at the same time, it is lacking in proteins,
vitamins and fibre, among other healthy attributes. It is popular with
suppliers because it is relatively cheap to manufacture, has a long shelf
life and may not require refrigeration. It is popular with American
consumers, as well as other consumers from all over the world, because it
is easy to purchase, requires little or no preparation, is convenient to
consume and has lots of flavour. Consumption of junk food in America has
been associated with obesity, heart disease, Type 2 diabetes and dental
cavities. There is also concern about the targeting of marketing to
children.
Classification
What
constitutes unhealthy food may be confusing and, according to critics, includes
elements of class snobbery, cultural influence and moral judgement. For
example, fast food in North America, such as as hamburgers and French fries
supplied by companies like McDonald's, KFC and Pizza Hut, are often perceived
as junk food, whereas the same meals supplied by more up-market outlets such as
California Pizza Kitchen or Nando's are not, despite often having the same or
worse nutritional content. Some foods that are considered ethnic or traditional
are not generally considered junk food, such as falafel, gyro, pakora, gyoza or
chicharron, though all of these foods have little nutritional value and are
usually high in fat from being fried in oil. Other foods such as white rice or
roast potatoes are not considered junk food despite having limited nutritional
content compared to wholegrain foods. Similarly, breakfast cereals are often
regarded as healthy but may have high levels of sugar, salt and fat.
Hostess Twinkies
- Some
types of chips that are said to be "junk food" may actually be
partially harmful because they may contain polyunsaturated and
monounsaturated fats. It should also be understood that the detrimental
effects of the empty calories may outweigh the benefits of the unsaturated
fats. These foods tend to be high in sodium, which may contribute in
causing hypertension (high blood pressure) in people sensitive to its
effects with an existing electrolyte imbalance or inability to excrete
sodium properly.
- In
the United Kingdom, the Food Standards Agency (FSA) do not use the term
"junk food", and describe food as "HFSS" (high fat,
sugar or salt) instead, based on a nutrient profiling model. They state
that "HFSS foods can form part of a balanced diet, but research shows
that children's diets contain too much fat (especially saturated fat),
salt and sugar, and not enough fruit and vegetables."
- Eating
a poor diet when pregnant or breastfeeding may cause long-lasting health
damage,
Physical exercise
A
physical exercise is any bodily activity that enhances or maintains physical
fitness and overall health. It is often practiced to strengthen muscles and the
cardiovascular system, and to hone athletic skills. Frequent and regular
physical exercise boosts the immune system, and helps prevent diseases of
affluence such as heart disease, cardiovascular disease, Type 2 diabetes and
obesity. It also improves mental health and helps prevent depression.
Types of exercise
Exercises
are generally grouped into three types depending on the overall effect they
have on the human body:
- Flexibility
exercises such as stretching improve the range of motion of muscles and
joints.
- Aerobic
exercises such as cycling, walking, running, hiking or playing tennis
focus on increasing cardiovascular endurance.
- Anaerobic
exercises such as weight training, functional training or sprinting
increase short-term muscle strength.
Exercise benefits
- Physical
exercise is important for maintaining physical fitness and can contribute
positively to maintaining a healthy weight, building and maintaining
healthy bone density, muscle strength, and joint mobility, promoting
physiological well-being, reducing surgical risks, and strengthening the
immune system.
- Frequent
and regular aerobic exercise has been shown to help prevent or treat
serious and life-threatening chronic conditions such as high blood
pressure, obesity, heart disease, Type 2 diabetes, insomnia, and
depression. Strength training appears to have continuous energy-burning
effects that persist for about 24 hours after the training, though they do
not offer the same cardiovascular benefits as aerobic exercises do.
- There
is conflicting evidence as to whether vigorous exercise (more than 70% of
VO2 Max) is more or less beneficial than moderate exercise (40 to 70% of
VO2 Max). Some studies have shown that vigorous exercise executed by
healthy individuals can effectively increase opioid peptides (aka endorphins,
a naturally occurring opiate that in conjunction with other
neurotransmitters is responsible for exercise induced euphoria and has
been shown to be addictive), positively influence hormone production
(i.e., increase testosterone and growth hormone), benefits that are not as
fully realized with moderate exercise.
- Exercise
has been shown to improve cognitive functioning via improvement of
hippocampus-dependent spatial learning, and enhancement of synaptic
plasticity and neurogenesis. In addition, physical activity has been shown
to be neuro protective in many neurodegenerative and neuromuscular
diseases. For instance, it reduces the risk of developing dementia.
Furthermore, anecdotal evidence suggests that frequent exercise may
reverse alcohol-induced brain damage.
- Physical
activity is thought to have other beneficial effects related to cognition
as it increases levels of nerve growth factors, which support the survival
and growth of a number of neuronal cells.
- Both
aerobic and anaerobic exercise also work to increase the mechanical
efficiency of the heart by increasing cardiac volume (aerobic exercise),
or myocardial thickness (strength training, see Organ hypertrophy).
- Not
everyone benefits equally from exercise. There is tremendous variation in
individual response to training: where most people will see a moderate
increase in endurance from aerobic exercise, some individuals will as much
as double their oxygen uptake, while others will never get any benefit at
all from the exercise. Similarly, only a minority of people will show
significant muscle growth after prolonged weight training, while a larger
fraction experience improvements in strength. This genetic variation in
improvement from training is one of the key physiological differences
between elite athletes and the larger population. Studies have shown that
exercising in middle age leads to better physical ability later in life.
Common misconceptions
Many
myths have arisen surrounding exercise, some of which have a basis in reality,
and some which are completely false. Myths include:
- That
excessive exercise can cause immediate death. Death by exercise has some
small basis in fact. Water intoxication can result from prolific sweating
(producing electrolyte losses) combined with consumption of large amounts
of plain water and insufficient replenishment of electrolytes, especially
salt and potassium (e.g. when running a marathon). It is also possible to
die from a heart attack or similar affliction if overly intense exercise
is performed by someone who is not at an appropriate level of fitness for
that particular activity. A doctor should always be consulted before any
radical changes are made to a person's current exercise regimen.
Rhabdomyolysis is also a risk. Other common dangers may occur from extreme
overheating or aggravation of a physical defect, such as a thrombosis or
aneurysm.
- That
weightlifting makes you short or stops growth. One caveat is that heavy
weight training in adolescents can damage the epiphyseal plate of long
bones.
Targeted fat reduction
Spot
reduction is a myth that exercise and training a particular body part will
preferentially shed the fat on that part; for example, that doing sit-ups is
the most direct way to reduce subcutaneous belly fat. This is false: one cannot
reduce fat from one area of the body to the exclusion of others. Most of the
energy derived from fat gets to the muscle through the bloodstream and reduces
stored fat in the entire body, from the last place where fat was deposited.
Sit-ups may improve the size and shape of abdominal muscles but will not
specifically target belly fat for loss. Such exercise might help reduce overall
body fat and shrink the size of fat cells. There is a very slight increase in
the fat burnt at the area being exercised (e.g. abs) compared with the rest of
the body, due to the extra blood flow at this area.
Muscle and fat tissue
Some
people incorrectly believe that muscle tissue will turn into fat tissue once a
person stops exercising. This is not literally true — fat tissue and muscle tissue
are fundamentally different — but the common expression that "muscle will
turn to fat" is truthful in the sense that catabolism of muscle fibres for
energy can result in excess glucose being stored as fat. Moreover, the
composition of a body part can change toward less muscle and more fat, so that
a cross-section of the upper-arm for example, will have a greater area
corresponding to fat and a smaller area corresponding to muscle. This is not
muscle "turning into fat" however — it is simply a combination of
muscle atrophy and increased fat storage in different tissues of the same body
part. Another element of increased fatty deposits is that of diet, as most
trainees will not significantly reduce their diet in order to compensate for
the lack of exercise/activity.
Excessive exercise
- Exercise
is a stressor and the stresses of exercise have a catabolic effect on the
body - contractile proteins within muscles are consumed for energy,
carbohydrates and fats are similarly consumed and connective tissues are
stressed and can form micro-tears. However, given adequate nutrition and
sufficient rest to avoid overtraining, the body's reaction to this
stimulus is to adapt and replete tissues at a higher level than that
existing before exercising. The results are all the training effects of
regular exercise: increased muscular strength, endurance, bone density,
and connective tissue toughness.
- Too
much exercise can be harmful. The body parts exercised need at least a day
of rest, which is why some health experts say one should exercise every
other day or 3 times a week. Without proper rest, the chance of stroke or
other circulation problems increases, and muscle tissue may develop
slowly. It has also been noted by the medical field that expectant mothers
should never exercise two days consecutively.
- Inappropriate
exercise can do more harm than good, with the definition of
"inappropriate" varying according to the individual. For many
activities, especially running, there are significant injuries that occur
with poorly regimented exercise schedules. In extreme instances,
over-exercising induces serious performance loss. Unaccustomed
overexertion of muscles leads to rhabdomyolysis (damage to muscle) most
often seen in new army recruits. Another danger is overtraining in which
the intensity or volume of training exceeds the body's capacity to recover
between bouts.
- Stopping
excessive exercise suddenly can also create a change in mood. Feelings of
depression and agitation can occur when withdrawal from the natural
endorphins produced by exercise occurs. Exercise should be controlled by
each body's inherent limitations. While one set of joints and muscles may
have the tolerance to withstand multiple marathons, another body may be
damaged by 20 minutes of light jogging. This must be determined by each
individual.
- Too
much exercise can also cause a female to miss her period, a symptom known
as amenorrhea.
Nutrition and recovery
- Proper
nutrition is at least as important to health as exercise. When exercising,
it becomes even more important to have a good diet to ensure that the body
has the correct ratio of macronutrients whilst providing ample
micronutrients, in order to aid the body with the recovery process
following strenuous exercise.
- Proper
rest and recovery are also as important to health as exercise; otherwise
the body exists in a permanently injured state and will not improve or
adapt adequately to the exercise. Hence, it is important to remember to
allow adequate recovery between exercise sessions.
- The
above two factors can be compromised by psychological compulsions (eating
disorders such as exercise bulimia, anorexia, and other bulimias),
misinformation, a lack of organization, or a lack of motivation. These all
lead to a decreased state of health.
- Delayed
onset muscle soreness can occur after any kind of exercise, particularly
if the body is in an unconditioned state relative to that exercise.
Exercise and brain function
In
the long term, exercise is beneficial to the brain by:
- Increasing
the blood and oxygen flow to the brain
- Increasing
growth factors that help create new nerve cells and promote synaptic
plasticity
- Increasing
chemicals in the brain that help cognition, such as dopamine, glutamate,
norepinephrine, and serotonin
Categories of physical exercise
- Aerobic
exercise
- Anaerobic
exercise
- Strength
training
- Agility
training
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