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Nutrition
Exam 1
78
Health Care
Undergraduate 4
09/29/2008

Additional Health Care Flashcards

 


 

Cards

Term
USDA exercise recommendations for reducing risk of chronic disease in adulthood
Definition
at least 30 minutes of moderate-intensity physical activity, above usual activity, at work or home on most days of the week
Term
USDA exercise recommendations for mantaining body weight
Definition
approx. 60 minutes of moderate- to vigorous-intensity activity on most days of the week while not exceeding caloric intake
Term
USDA recommendations (for 2,000 cal diet): fruits
Definition
2 cups daily
Term
USDA recommendations (for 2,000 cal diet): vegetables
Definition
2.5 cups daily, choosing from all five subgroups several times a week (dark green, orange, legumes, starchy vegetables, other vegetables)
Term
USDA recommendations (for 2,000 cal diet): milk products
Definition
3 cups per day of fat-free or low-fat products
Term
USDA recommendations: fat
Definition
  • total fat intake of 20-35% of calories, most from poly- and monounsaturated fatty acids
  • less than 10% of cal from saturated fatty acids
  • less than 300mg/day of cholesterol
  • avoid trans fatty acids and saturated fats
  • 6 tsp of oils daily

 

Term
USDA recommendations (for 2,000 cal diet): carbs
Definition
  • 45-65% daily food intake
  • as fiber-rich as possible
  • little added sugars or caloric sweeeteners
  • 6 oz. daily (half from whole grains)
  • 75% should be complex carbohydrates, 25% simple (lactose, fruit sources, sugar)
Term
USDA recommendations: sodium
Definition

less than 2300 mg (1 teaspoon of salt) of sodium per day

 

Term
RD (registered dietician) requirements
Definition
4 years training, 1 year internship, licensing exam
Term
Diet-related diseases (9)
Definition
  • coronary vascular disease
  • stomach cancers
  • stroke
  • diabetes
  • gall bladder disease
  • cervical & prostate cancers
  • renal disease (kidneys)
  • atherosclerosis (hardening of arteries)
  • hypertension
Term
we are _th fattest nation in the world by BMI (_% overweight)
Definition
9th; 74%
Term
over _ genes have been identified as possibly contributing to obesity
Definition
250
Term
DRIs
Definition
Daily Reference Intakes -- measure of intakes for healthy people in US (comprised of RDAs, AIs, ULs and EARs)
Term
RDAs
Definition
Recommended Dietary Allowances: average daily nutrient intake that meets needs of 97-98% of healthy people in given life stage/gender.
Term
EARs
Definition
Estimated Average Requirements: basis by which RDAs are set. average daily nutrient intake estimated to meet requirement of half the healthy individuals in given life stage/gender. Used in policy making.
Term
DVs
Definition
Daily Values -- on food labels. Lists contain fiber, proteins, vitamins, minerals (in recommended dietary allowances form) and cholesterol, fat, calories and sodium (in upper limits/daily maximums form)
Term
AIs
Definition
Adequate Intakes - RDAs used whenever scientific data are insufficient to allow establishment of RDA value. based on observed intakes of healthy people.
Term
UL
Definition
Tolerable Upper Intake Levels: highest average daily nutrient intake level that is likely to pose no risk of toxicity
Term
NHANES
Definition
National Health ad Nutrition Educational Survey -- how Americans actually eat
Term
USDA recommended intake: protein
Definition

10-35% of daily food intake

5.5 oz. meat/legumes per day based on 2,000 cal diet

.8grams protein per kg of body weight

Term
USDA recommendations: sugar
Definition

less than 25% daily caloric intake

(20-30g of which should be fiber)

Term
Nutrient Density
Definition

caloric contribution of a food relative to the total nutrients it provides

(i.e. low nutrient density = a food that has more calories than nutrients, like soda)

Term
These vitamins and minerals are on DV labels because Americans are most often deficient in them
Definition
Vitamin A, Calcium, Vitamin C, Iron
Term
In nutrition label, fat, cholesterol and sodium should be between x and y % of DV
Definition
5 and 20%
Term

vitamin C is best absorbed in _ media

calcium is best absorbed in _ media

[why naturally occuring environment is optimal scenario for nutrient absorption]

Definition
acidic; alkaline
Term
hemoglobin
Definition
red in blood cells that carries oxygen and needs iron
Term
calcium
Definition
most of the body is bone, and when there's not enough calcium to build bone (we are building bones from fetuses to 21-25 y.o.) the body leaches it from blood
Term
Grains
Definition
  • Half should be whole grains
  • Contribute folate, niacin, riboflavin, thiamin, iron, magnesium, selenium, fibre
Term
Vegetables
Definition
  • Contribute folate, vtamins A, C, E, magnesium, potassium, fiber
  • choose variety from 5 subgroups:
    • dark green
    • orange/deep yellow
    • legumes
    • starchy vegetables (corn, peas, potatoes)
    • other (celery, cucumbers, eggplant, mushrooms, onions, peppers, tomatoes, zucchini)
Term
Milk/Yogurt/Cheese
Definition
  • should be fat-free or low-fat
  • contribute protein, riboflavin, vitamin B12, calcium, magnesium, potassium and (when fortified) vitamins A and D
Term
Fruit
Definition
  • no more than 1/3 of rec. intake as juice
  • contribute folate, vitamins A and C, potassium fiber
Term
Meat/Poultry/Fish/Legumes/Eggs/Nuts
Definition
  • make lean or low-fat choices, prepare with little or no fat
  • meat, poultry, fish and eggs contribute protein, niacin, thiamin, vitamins B6 and B12, iron, magnesium, potassium and zinc
  • legumes and nuts contribute protein, folate, thiamin, vitamin E, irono, magnesium, potassium, zinc, fiber
Term
Oils
Definition
  • contribute vitamin E and essential fatty acids
Term
Digestion: mouth
Definition
  • mechanical and chemical digestion begins
  • chewing increases surface area for chemical action
  • saliva contains ptylin (salivary amylase) which hydrolyzes starch into dextrine (why bread--and toast-taste sweeter)
  • saliva lubricates food, cleanses teeth, keeps harmful bacteria in check
Term
Digestion: stomach
Definition
  • can hold up to 2.5 liters (in adult male)
  • contracts when empty
  • food mixes with gastric digestive juices (pepsin, HCl) to form chyme
  • chyme slowly released through valve into small intestine
  • half the contents of full stomach of solid food will empty 2 hrs after meal, but can take up to 8 hrs to complete process
Term
process by which food is moved along GI tract
Definition
peristalsis
Term
Digestion: small intenstine
Definition
  • divided into duodenum, jejunum, ileum
  • all but fibers are broken down and absorbed
  • villi form brush border that increases surface area for absorption into blood stream
    • into general circulatory system or
    • into lymphatic system (heart, liver)
Term
4 mechanisms of absorption
Definition
  1. simple diffusion (osmosis)
  2. passie diffusio (most water soluble substances have to attach themselves to carriers to pass through cell membrane from higher to lower concentration)
  3. active transport (low to high, requires ATP)
  4. pinocytosis (cellsurrounds nutrient and sucks it up)
Term
______ pass into the blood stream to the liver
Definition
water-soluble nutrients (simple sugars, amino acids, water-soluble vitamins and minerals)
Term
Digestion: liver
Definition

converts galactose and fructose to glucose

releases nutrients for cellular use or stores them

Term
Digestion: fat-soluble nutrients
Definition

attach to protein carriers called chylomicrons, enter lymphatic system then circulatory system as lipoproteins

split into fatty acids and glycerol

Term
catabolism/anabolism/metabolism
Definition

catabolism=breaking down processes, sometimes with release of energy

anabolism=building up processes (synthesis of new cells)

metabolism=all functions of digestion and absorption

Term
Digestion: excretion
Definition
  • 2% of CHO, 5% of lipids and 8% of proteins are unneeded and therefore excreted
  • metabolic wastes (carbon dioxide, water, nitrogenous products of protein metabolism) excreted 
    • through sweat (water, Na, K, Cl)
    • through kidneys (nitrogen, water-soluble nutrients, water)
    • lungs (CO2, water)
Term
enrichment
Definition
addition of thiamin, riboflavin, niacin, folic acid and iron to bread/flour/rice/coourn
Term
monosaccharides
Definition

simple sugars

glucose, fructose, galactose

only sugar used for energy

normal fasting glucose=60-85mg/dl

>160mg/dl = hyperglycemia

<80 mg/dl hypoglycemia 

Term
disaccharides
Definition
  • double sugars
  • sucrose (table sugar), maltose (made from starch), lactose
  • must be converted into monosaccharides by sucrase, maltase and lactase
Term

polysaccharides

 

Definition
  • starches & cellulose
  • starch
  • glycogen (partial breakdown of starch by heat/digestion)
  • dextrin (bran of grains, skins and fibers of fruits and vegetbales)
  • fibers
  • first converted to disaccharides, then monosaccharides (most fibers remain undigested)
Term
low carb diets
Definition
use protein for tissue synthesis, excessive oxidation of fats for energy leading to ketosis
Term
results of carbohydrate metabolism
Definition

glucose in blood (can be catabolized for energy or anabolized as glycogen)

excesses stored as fat

Term
glycosuria
Definition
blood glucose is too high for kidneys to absorb so it appears in urine
Term
high-fructose corn syrup
Definition
  • sweeter, cheaper, lasts longer
  • processed not in stomach but in liver, increasing liver's release of triglycerides (fat stored in body)
  • implicated in rising obesity/diabetes/heart disease rates 
  • made from coorn starch
  • no enxyme in body to break this down, turns into fat
Term
Diabetes
Definition

impaired glucose tolerance

inability of body to regulate blood glucose in response to carbs

leading cause of blindness, end-stage renal disease, lower leg amputations

Term
Dietary Fiber
Definition
  • laxative properties
  • water holding
  • increased fecal bulk
  • speeds transit time
  • alters microflora (good bacteria)
  • dilution/binding
  • lowers cholesterol,decreases lipid absorption, increases bile excretion [heart disease]
  • slows glucose absoprtion, decreases plasma insulin response [diabetes]
  • increases satiety,includes less calorie-dense foods [obesity]
Term
Functions of Carbohydrates
Definition
  • quick source of energy
  • main source of energy for brain and eye
  • essential for coomplete oxidation of fats
  • maintains blood sugar
  • regulates GI function
  • spares protein from being used for energy
  • carries essential nutrients
  • glycogen in liver and muscle used as small and quick store for excess glucose [carboloading]
Term
Order of CHO digestion
Definition
  1. mouth
  2. stomach
  3. pancrease converts into glucose/fructose/maltase (simple sugars)
  4. liver converts fructose/galactose into glucose, sends or stores all glucose
  5. 3+4 simultaneous with intenstines?
Term
Metabolism and Absorption
Definition

absorption rate depends on speed of CHO release into small intenstine, mixture of food present in intestine

glucose excesses converted to fat and stored as adipose (fat) tissue

Term
cariogenic
Definition
capable of causing (dental) caries
Term
hypotriglyceridemia
Definition

elevated trigylcerides in blood

risk for heart disease

sugar effects bloodo lipids the most

Term
diverticulosis
Definition
pockets in intestines/GI track from unuse (lack of fiber) in which food is trapped and can reabsorb into blood tissue, or diverticuli (pockets) wioll explode and contaminate blood
Term
sugar and diabetes
Definition
correlates to diabetes because it gives excessive caloric intake and low nutrient density, = obesity = diabetes
Term
prebiotics and probiotics
Definition
probiotics are actual bacteria, prebiotics are what feed bacteria
Term
protein energy malnutrition (marasmus or PEM)
Definition
  • thin muscles, no fat, no edema
  • (often also filled with parasites, which eat little food they do eat)
  • seen in chronically ill, elderly on low/fixed incomes, low income groups, vegans, mentally retarded living alone, chronic substance abusers

Term
kwashiorkor
Definition

usually child stops being breastfed b/c mother becomes pregnant again, and is instead fed a gruel of staple food (corn, rice) which has low biological protein value on its own

thin muscles, some fat, edema

Term
Protein
Definition
  • only energy-producing nutrient to contain nitrogen (becomes waste product of metabolism)
  •  most plentiful substance in body next to water (75% of body solids) 
  • 95% ingested broken down into amino acids (protein:amino acids as CHO:glucose)
  • nitrogen balance is direct indication of protein status
Term
Protein functions
Definition
  • furnish amnio acids necessary for building/reparing tissue
  • formation of body secretions/fluids, enzymes, mucus, antibodies, hormones, hemoglobin
  • regulates acid-base balance
  • controsl osmotic pressure
  • helps transport (lipoproteins transport lipids)
  • source of energy (4cal/gram)
  • produces immunoglobins for disease resistence
Term
Essential amino acids (EAAs)
Definition
  • all must be present in body simultaneously for synthesis
  • needed for tissue growth and maintenance
  • foods that contain the 8 EAAs in moderate amounts are complete proteins, which includes most animal proteins
Term
Semiessential amino acids (SEAAs)
Definition

needed for tissue growth/maintenance in children

aren't alone enough to support gorowth

Term
Nonessential amino acids (NEAAs)
Definition

need not be provided by diet

can be synthesized in liver from other AAs

Term
Protein digestion
Definition
  • broken down into amino acids
  • digestion of AAs is slow
Term
Protein metabolism/absorption
Definition
  • absorbed as AAs through small intestine directly into liver circulation
  • absorption requires energy, B6 and manganese
  • nitrogen is removed and hydrolized to form ammonia, removed from blood, taken to liver, then kidneys, excreted in urine (75% of nitrogen is eliminated)
  • keto acids=end product of deamination, may be oxidized for energy, used to make NEAAs,or converted to fats and stored as adipose tissue
  • protein catabolism ends up with urea, creatinine, uric acid, ammonia salts
Term
Number of different amino acid units
Definition
20
Term
Protein digestion: stomach
Definition
  • stomach: HCl denatures protein and enzyme
  • pepsin breaks down protein into smaller polypeptides
  • rennin breakds down casein (milok protein) and readies it for pepsin
Term
Protein digestion: small intestine
Definition
  • pancreatic enzymes convert polypeptides into dipeptides
  • intestinal enzymes break down dipeptides into AAs
Term
protein quality
Definition
  • bio-availability/biological value, ability of protein to sustain life on its own (synthesize body proteins)
  • net protein utilization (NPU): digestibility (cooking, acidity)
  •  high quality contains all EAAs and some non EAAs, mostly animal origin
Term
absorption of amino acids
Definition
  • absorbed by active transport and diffusion, with aid of vitamin B6 and energy
  •  most travel to liver, some metabolized in muscle
  • liver removes excesses to prevent build-up, provides amino acids to tissues
Term
consequences of too much or too little high-quality or well-combined protein
Definition

if too much, it stores excess as fat

if too little, and not all EAAs are there, stores as energy/fat and waits for new influx

Term
vegan diets
Definition
monitor for B12 deficiencies (only found in animal sources), possibly iron and calcium deficiencies
Term
celiac disease
Definition

reaction to gluten

gliadin in gluten is possible toxin that damages villi in intestine (flattens them) but is reversible

lab tests indicate malnutrition

other grains to use: rice, corn, sorghum

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