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nutrition 1
N202
Question | Answer |
---|---|
what is nutrition? | science of foods and the nutrients they contain, and of their actions in the body |
what is a registered dietitan? | food/nutrition expert who has a bachelors, completed an internship, passed an accredited exam, completed continuing edu |
what is a dietetic technicion? | assoc degree, 450 hours of supervised practice, pass national written exam, continuing edu. they work in close client contact, take calorie counts, take food preferences from patients |
why is nutrition important? | prevent chronic disease. health promotion. medical nutrition thearpy |
macronutrients: | carbs, protein, fat. main energy providers |
micronutrients: | vitamis, minerals |
essential nutrients: | body doesnt produce itself. must ingest |
define calorie | units by which energy is measured |
cal/g for carbs, protein, fat, alcohol | carbs 4. protein 4. fat 9. alch 7 |
t/f the dietary guidelines set by the USDA and HHS are made for everyone | f. only healthy people |
3 reasons for the dietary guidelines: | prevent chonic disease. educational programs. regulatory policies |
2 facts about food guide pyramid | outdated as of 2005. not made for toddlers or specialized diets |
mypyramid: | person climbing staris=pysical exercise. multiple colors=variety of food. diff widths-diff proportions of food. bottom-top=getting narrow means moderation of food |
what is the majority of food in the mediterranean diet? | plants |
what is eaten for dessert in the mediterranean diet? | fruit |
what is used instead of butter in the mediterranean diet? | olive oil |
name 2 important factors in the mediterranean diet | daily physical activity, minimal food processing |
asian food pyramid: | high in rice, fruits, legumes, veggies. low meat |
willit food phyramid: | daily exercise. low dairy, red meat and butter. includes multivitamin |
2 goals of healthy people 2010 | 1. increase quality and years of healthy life. 2. eliminate health disparities (differences b/t socioeconomic status) |
CSFII: | Continuing Survey of Food Intakes by Individuals. taken YEARLY. tells dietary changes over time. implication=marketing and production |
NHANES: | National Heath and Nutrition Examination Survey. every 4 years. nutritional related factors. home interview and health assessment |
why is it important to have your research peer-reviewed after using the scientific method? | helps to validate research. your research culd be used to make new health recommendations |
sample size: | # of participats in study. affects generalizations |
placebo | no chemical effect in body |
correlation: | relationship b/t two things being measured. DOENST SHOW CAUSE AND EFFECT |
t/f "nutritionist" is a generic term | true |
RDA | recommended dietary allowence. amt of nutrients that is adequate to meet needs of practically all people =98% |
t/f- RDAs are the level of in take of essental nutriens that are adequate to meet the nutrient needs of all people | false. all HEALTHY people |
EAR | estimated avg requirements. amt of nutrients needed to maintain specific func in 50% of people in given age and gender group |
AI | adequate intake. not as much research done. based on 'best guess' ex: calcium |
UL | tolerable upper limit. based on animal research. max amt of nutrient that's considered safe for most healthy people. above amt=adverse health affects |
how is RDA for nutrients differend for RDA for energy | RDA for nutriends covers 98% RDA for energy is 50% to prevent over eating |
**AMDR for carbs, fat and proteins | acceptable macronutrient distribution ranges. 45-65% carbs. 20-35%fat. 10-35% protein |
when planning a healthy diet you need _______; sufficient nutrients | adequacy |
when planning a healthy diet you need _______; all food groups represented | balance |
when planning a healthy diet you need _______; adequate calories but no overeating | calorie-energy control |
when planning a healthy diet you need _______; food with high nutritional value but low calories | nutrient density |
when planning a healthy diet you need _______; allowing yourself to eat some fat food occasionally | moderation |
when planning a healthy diet you need _______; different types of foods | variety |
t/f the exhange system if not a healthy diet for everyone | f. anyone can use it |
in the exchance system what kind of portions are recommended? | small portions with high calorie concentration |
cheese is included in what category in the exchange system | meats (protein) |
refined: | foods that may have lost many nutrients during processing |
enriched: | produt may have had some nutrients added back |
whole-grain: | may be rich in all nutrients found in the original grain |
fortified: | addition to a food of nutrients that were either not orig present or only present in inignificant amnts |
in the year 1940 what was the law about grain that crossed statelines? | must be enriched with iron and vitamins B1, B2 and B3 |
in te year 1996 wat was the law about grain that crossed statelines? | folate must be enriched (prevents birth defects) |
when grain is refined what happens to the husk, endosperm, bran, and germ? | husk-inedible. endosperm is all thats left and thats where the starch and protein come from. bran and germ are removed but that was where the vitamin/mineral/fiber content were |
why should you consume whole fruit not just juice? | fiber |
t/f the FDA's (food and drug admin)serving sizes are the same as the mypyramid's serving sizes | false. different |
name 2 things that do not require food labels | produce, freshly butchered meat, specialty store, no nutirtion(coffee, tea, spices) |
t/f nutrient claims, health claims and structure-function claims are all regulated by the FDA | false. structure-function claims are not approved by the FDA |
the 4 sphincters located throughout the GI tract open and close in response to _____, ________, and __________. | nerves, hormones, and pressure |
bolus: | porion of food that is swallowed at one time |
do taste buds decrease or increase as you age? | decrease |
upper esophegeal sphincter | food to esophagus from mouth, prevents backflow of food |
aspiration | food in lungs. can lead to pnemonia |
peristalsis: | rhythmic contractions of muscles that move thru the GI tract |
cardiac sphincter | aka lower esophegeal spincter. revens acidic contents of stomach into esophagus |
pyloric phincter | at base of stomach. prevents intestinal content backflow into stomach |
what keeps the stomach from eating itself? | goblet cells |
what are the 3 parts of the small intestine? | duodenum, jejunum, ileum |
which part of the small intestine is the most acidic? | duodenum |
what controls how much chyme is released into the duodenum? | hormones |
segmentation: | mechanical digestion, circular muscle contractions |
ileocecal sphincter | located at the end of the ileum. prevents contents of colon from backing up into sm. intestine |
where in the digestive system does most digestion take place? | small intestine because of villi and microvilli |
what is digested in the lg intestine? synthesized? | some plant fiber digested. vit k synthesized |
what is bile? where is it made? stored? | its an emulsifer that brings fats into suspension with water. made in liver. stored in gallbladder |
whats in emulsifier | makes it easier for enzymes to break down |
t/f-enzymes can do multiple jobs | f. enzymes are specific |
gastrin | secreted by cells in stomach wall in response to food entering stomach. func-stimulates stomach glands to release HCl |
secretin | produced in cells of duodenum wall. when chyme enters secretin released. func-signals pancreas to release bicarbonate to neutralize contents |
CCK | released in presence of fat. func-signals gallbladder to release bile (starts emulsification) slows gut motility |
gastric-inhibitory peptide (GIP) | inhibit gastric acid secretion. slow GI motility. Important because enhances absorption |
what is the major metabolic organ? | liver |
passive diffusion | high to low conc- water and small lipids |
active transport | low to high concentration. uses energy - sugar |
facilitated diffusion | requires carrier - water soluble vitamins |
during digestion what happens in the lg intestine? | water is reabsorbed. Na and K absorbed. feces is formed |
where is fat stored? | adipose tissue |
where are carbs stored? | muscle and liver |
where are vitamins and minerals stored? | liver and bones |
where are proteins stored? | nowhere. always being used |
what is the primary source of fuel for the body? | carbs |
name 3 monosaccharides | glucose, fructose, galactose |
t/f the 3 main monosaccharides have the same chemical makeup gu different structures | true c6h12o6 |
which monosaccharide is used by the body? which 2 are taken to the liver to be converted? | glucose is used by the body. the other two are converted to glucose in the liver |
which of the monosaccharides is the sweetest? | fructose |
which of the monosaccharides is used in IV fluid? | glucose. aka blood sugar or dextrose |
which monosaccharide is part of the disaccharide found in milk? | galactose |
what is a condensation rxn? | the combining of two monosaccharides to make one disaccharide |
name the 3 disaccharides | sucrose, maltose, lactose |
what mono make up sucrose | glu and fru |
which mono make up maltose | glu and glu (produced when starch breaks down ie. digestion) |
which mono makes up lactose | glu and galactose (milk and dairy) |
what is a hydrolysis rxn? | opposite of condensation. requires water. happens during digestion |
name 3 polysaccharides | glycogen, starch, fiber |
what is glycogen | animal storage of glu. HIGHLY branched, so easily hydrolized |
what are starches | plant storage form of glu (ie grains, potatoes) |
what are fibers | structural part of plants |
what is the benefit of branches in polysaccharides? | the branches can break off for energy |
what happens to the fiber that can't be broken down? | go thru GI tract and are eliminated |
what happens to the fiber that can only be broken down in the large intestine? | broken into vit K and short chain fatty acids thru bacterial process to add to fecal bulk to relieve constipation |
pectins | found in fruits and veggies. used as thickening agent |
gums and mucilages | substance secreted at the site of injury of a plant. used as food stabilizers |
lignin | hard woody part of fruit or veggie. ie: strawberry sees. *not polysaccharide |
cellulose | found in cell wall of grains, veggies, fruits and legumes. resist digestion by human enzymes |
name the 5 properties of fibers | water holding capacity. viscosity. cation-exchange capacity. bile-binding capacity. fermentability |
water holding capacity | fibers ability to absorbe water |
viscosity | fibers ability to form gel-like solutions |
cation-exchange capacity | fibers ability to bind up with minerals |
bile-bining capacity | fibers ability to bind up bile acids |
fermentbility | fibers ability to break dow by baceria into useable product |
name 3 properties of SOLUBLE fiber | delays GI transit (good for digestive disorders) delays glucose absorption (good for diabetes) lowers blood cholesterol (good for heart) |
name 4 properties of INSOLUBLE fiber | accelerates GI transit (alleviate constipation)increases fecal weight (alleviate constipation) slows startch hydrolysis (good for diabetes) delays glucose absorption (good for diabetes) |
benefits of fiber for diabetes | slows absorption of glucose. prevents glucose surge |
benefits of fiber for colon cancer | insoluble fiber decreases risk because of increased motilited therefore less toxic exposure |
benefits of fiber for constipation | insoluble fiber is water holding which prevents hard bowel movement and increases fecal bulk |
benefits of fiber for heart disease | binds up bile acids and excretes them |
benefits of fiber for obesity | high fiber foods make ppl feel full faster |
t/f the more fiber you eat the healthier you will be | false. 20-35g/day but when you increase fiber increase fluid intake |
what is the active enzyme in the mouth? | salivary amylase |
where does pancreatic amylase come from and where is it first found? | from pancreatic duct found in sm intestine |
after monosaccharides are digested they are transported to the bloodstream and then to the liver via the __________ | portal vein |
the liver converts galactose into glucose by which absorptive mechanism? | active transport |
the liver convert fructose into glucose by which absorptive mechanism? | facillitated diffusion |
glucose can be stored in muscle and in the liver. how much is stored in each? | 2/3 muscle. 1/3 liver |
what organ releases insulin and glucagon? | pancreas |
explain what happens to blood level, insulin and glucagon when a person eats | eat, blood glu rise, insulin released, glu stored, blood glu drops, glucagon released, glu released, blood glu rises |
sugar and cavities: | breaks down tooth enamal. stays in mouth 20-30 min after exposure |
sugar and obesity | sugar itself is not the cause |
sugar and heart disease | mod intake shouldnt be a prob |
sugar and ADHD | not adequate info that promotes connection b/t sugar and ADHD |
how to you determine how much starch you are getting in a serving of food? | starch= total carbs-(dietary fiber+sugar) |
a person with lactose intolerance can usually tolerate _____ milk at a time | 1/2 cup |
define diabetes mellitus: | metabolic disorder characterized by elevated blood glu levels. and a lack of insulin due to no insulin production by pancreas |
treatment for diabetes: | timing of eating, injection of insulin, exercise, and wt loss |
type 1 diabetes | usually childhood onset. pancrease cant make insulin. diagnosed with urine test-ketone body formation |
type 2 diabetes | due to lifestyle. insuline resistance, impaired glu tolerance. need excessive insulin. no ketone |
t/f as body fat increases, tissues are less able to respond to insulin | true |
hyperglycemia/hypoglycemia | high/low blood sugar |
ketosis | elevated production of ketones. fats being broken down ineffectively. disrupts acid/base balance |
nephropathy | disorder of kidney. loss of sensation in extremities |
neuropathy | disorder of nervous system |
polydipsia/polyphagia/polyuria | excessive thirst/eating/urination |
retinopathy | disorder of the retina |
hemoglobin A1C | remains in system for 120 days and indicates how well that person has been in blood glu control |
what is the glycemic index? | measure of the effect of food on blood glu levels |
what two things affeect glycemic index | type of carb, physical determinates (how ripe a fruit is) |
gestational diabetes: | screend b/t wk 24028 gestation b/c hormones created by placenta causes insulin sensitivity |
if woman has gestation diabetes what must she do | check blood glu frequently and space out CHO thru the day |
macrosomia | high birth weight infant |
t/f oral agents are used to treat woman with gestational diabetes | f. diet, approved exercise and insulin are used. not oral agents |