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The reason is because the heart requires more oxygen when exercising. Several physiological events happen to increase the blood flow and therefore oxygen flow to that muscles,including the heart.
Also the volume of blood that the heart pumps out is maintained so that the body organs receive the necessary amount of oxygen and nutrition, because if it didn't adjust the flow of blood to match activity level, you will be insufficient. Either output method will be lower than needed.
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The integumentary system also works closely with the circulatory system and the surface capillaries through your body. Capillaries near the surface of the skin open when your body needs to cool off and close when you need to conserve heat. We can't leave out the important sense of touch.
Integumentary system
-The integumentary system comprises the skin and its appendages acting to protect the body from various kinds of damage, such as loss of water or damages from outside. The integumentary system includes hair, scales, feathers, hooves, and nails.
Circulatory system
-The circulatory system, also called the cardiovascular system or the vascular system, is an organ system that permits blood to circulate and transport nutrients (such as amino acids and electrolytes), oxygen, carbon dioxide, hormones, and blood cells to and from the cells in the body to provide nourishment and help in fighting diseases, stabilize temperature and pH, and maintain homeostasis.
She would be classified under the Axis V, since a 67 on the GAF has no imperatives like an Axis IV would have.