560C Vit and Min Flashcards
What is the predominant monosaccharide produced by the digestion of all dietary carbohydrates?
- glucose
The final molecules that are absorbed from the digestion of the carbohydrate in the spaghetti (noodles) and cream sauce are ____ and ________.
- glucose and
4 galactose
What is the likely reason that large quantities of fructose may cause gut discomfort?
- Facilitated diffusion is faster than active transporting
Which is the following physiological changes will raise blood glucose and which will lower blood glucose?
- Increase blood insulin
- Increase blood glucagon
- Increase blood corticosteroid
- Decreased insulin receptor funcion
Lowers blood glucose
1. Increase blood insulin
Increase blood glucose
- Increase blood glucagon
- Increase blood corticosteroid
- Decreased insulin receptor function
The fructose:glucose ratio of high-fructose corn syrup is approximately ____.
50:50
Which tissue metabolizes fructose?
liver
For determining the glycemic index of foods, what measure of food composition is used to standardize each item tested?
- Equal in carbohydrate weight
To convert the glycemic index of a food to glycemic load, the glycemic index is:
Divided by the grams of carbohydrate per serving size
Name 5 factors that can influence the glycemic index of a food?
- Temp of the food when eaten
- Fat and acid content
- type of sugar or starch
- processing that removes fiber
- processing that grinds the food into smaller parts
T/F: Although white bread and regular spaghetti share a similar source of carbohydrate, most glycemic index tables suggest that white bread will have a greater glycemic effect compared to regular speghetti.
TRUE
Name 5 concerns among critics of the glycemic index?
- GI is too complex
- Apparently similar foods have a wide variation in GI values
- Some low GI foods are not healthy
- The way GI is measured does not resemble the way people eat
- GI only measures short-term effects on BS, not long-term
Carrot has a high ____ _____, but low ____ ____?
glycemic index, glycemic load
Which of the following, according to LPI (Linus Pauling), has been reported by cohort studies?
- Increased risk of gallbladder disease
- Increased risk of T2DM
- Increased risk of coronary heart disease
- All of the above
all answers correct
According to LPI (Linus Pauling), which 4 mechanisms have been identified that could explain a potential harmful influence of high glycemic load or glycemic index diets on health?
- Increased CRP
- Increased growth of cancer by hyperinsulinemia
- Increased serum triglycerides and low HDL
- Reduced postprandial satiety, earlier hunger and increased food intake
According the the article by LPI, which 2 cancer sites is there meta-analysis evidence of an association with high glycemic load diets.
1 and 4: Colorectal and endometrial
Research on low carb-diets reviewed in Nutrition Source article - which statement is true?
- Prospective studies show both animal and plant-based low-carb diets reduce disease and diabetes risk in women
- Subjects in the LEARN trial were able to consistently follow the diets they were assigned to
- short-term weight loss trials show low-carb diets more effective than low fat
- at the end of a 2 year trial, low carb was more effective than other diets
- short-term weight loss trials show low-carb diets more effective than low fat
In the human, most triacylglyerols are synthesized by _________.
the liver
A protein sparing shift in metabolism from gluconeogenesis to lipolysis occurs during the ___ state
starvation state
AA used primarily by muscle for synthesis of dispensable AA and protein synthesis are _____.
BCAA
Which of the following statements is false?
- Prevalence of metabolic syndrome in obese adolescents may be as high as 44%
- Majority of US adults over 20 has metabolic syndrome
- Individuals with metabolic syndrome are more likely to develop T2DM
- Majority of US adults over 20 has metabolic syndrome
Insulin resistance and met syn are believed to contribute to increased vascular disease risk through related effects on what 4 mechanisms?
- serum lipoproteins
- Inflammatory mediators
- coagulation factors (prothrombotic state)
- blood pressure
Name 5 typical criterion for identifying metabolic syndrome in an individual?
- abdominal obesity
- Triglyceride blood levels
- HDL levels
- Insulin resistance or impaired glucose regulation
- Elevated BP
T/F: A patient taking medication for hypertension, high triglycerides, and high fasting glucose would not qualify for the diagnosis of Metabolic Syndrome if the drug therapies were effective for keeping those risk factors within normal limits.
FALSE
The diagnosis of obesity corresponds to a Body Mass Index (BMI) of at least ________.
30
How can metabolic syndrome be reversed during its early stages?
loss of at least 7% of body weight
Dietary fiber can be classified as viscous (soluble) or non-viscous. Which of the following is more likely to be a characteristic of most viscous dietary fiber, but not likely a characteristic of most non-viscous dietary fibers?
- Binds Bile acids
T/F: Insoluble food fiber is thought to be more helpful in normalizing blood sugar in diabetics than soluble fiber.
FALSE
T/F: Non-viscous food fiber is thought to be more helpful in preventing diverticulosis of the intestine than is viscous food fiber.
TRUE
Processed foods that may have cellulose purified from wood added to them include all of the following except _____.
- Cake mix
- Sandwich spread
- Fruit juice extract
- Canned green beans
- Canned green beans
Fructans found in chicory, onions and Jerusalem artichokes are:
- Fibers that promote the growth of bifidobacteria in the gut.
The fiber family known as beta-glucans are primarily found in ____________.
Cereal brans such as oats and barley
When fluid intake is adequate, which pair of fibers or fiber sources are the most effective in increasing fecal bulk?
- wheat bran and rice bran
Which of the following types of foods contributes the most fiber in a usual serving?
- Whole grain breads
- meat, dairy
- legumes, beans
- leafy vegetables
- legumes, beans
What is the primary non-carbohydrate component of fiber?
lignans
Name a water-soluble, gel-forming fiber that functions in the plant as intracellular cement and that is used commercially to make jellies and to provide fiber in formulas.
Pectin
The following are examples of_____ starch.
- natural starch in cell walls of steel cut oats
- chemically modified starch, such as cross-bonded starch
- starch crystals in cooled, cooked foods like potatoes
resistant
When fibers form viscous gels in the stomach, what occurs?
Delayed gastric emptying
Which of the following high-fiber foods are most effective in lowering serum cholesterol?
- oat bran and legumes
What 3 characteristics of fiber may protect against developing colon cancer?
- Fibers can be fermented into butyric acid which may slow proliferation of cancer cells
- Fiber absorb primary bile acids to promote excretion
- Fiber increases fecal bulk and dilute carcinogen concentration.
At this time, what is the state of the evidence for prebiotics use to prevent or treat diarrhea?
- promising but inconclusive
What is a mechanism for the constipation relief provided by fructooligosaccharides and inulin?
Shortened transit time
T/F: In the United States and other developed countries, the majority of the population meets the Recommended Daily Allowance (RDA) for protein.
TRUE
Long-term use of high-protein diets may weaken bone by what mechanism?
Acid release by digestion of protein
Which are 3 explanations for the short-term benefits of a high-protein, low carbohydrate weight loss diet?
- Reduced postprandial blood sugar swings
from the intestine - Increased calories required to digest protein
3.. Slower movement of food from the stomach to the intestine
What 3 oils are a good source of alpha-linolenic acid?
- canola oil
- flaxseed (linseed) oil
- soybean oil
Indicate the TWO polyunsaturated fatty acids found primarily in fish oils.
- eicosapentaenoic acid (EPA)
4. docasahexaenoic acid (DHA)
Match the fatty acids with their n-based structural notation.
- arachidonic acid
- gamma-linolenic acid
- alpha-linolenic acid
- eicosapentaenoic acid
A. 18:3 n-6
B. 18:3 n-3
C. 20:4 n-6
D. 20:5 n-3
1-C: arachidonic acid 20:4 n-6
2-A: gamma-linolenic acid 18:3 n-6
3-B: alpha-linolenic acid 18:3 n-3
4-D: eicosapentaenoic acid 20:5 n-3
Which TWO polyunsaturated fatty acids are considered essential, due to the absence of certain desaturase enzymes in all humans?
- LA
3. ALA
Indicate the TWO enzymes directly responsible for the synthesis of eicosanoids.
lipoxygenase and cycloxygenase
Name 3 families of eicosanoids:
thromboxanes
prostaglandins
leukotienes
Where is the most important reservoir for 20-carbon polyunsaturated fatty acids that can be quickly made available for eicosanoid synthesis?
Cell membrane phospholipids
Which THREE of the following oils are good sources of gamma-linolenic acid (GLA)?
- Evening primrose (EPO)
- Black current seed oil
- Borage oil
T/F:Most fish oil supplements have over 50% of their fatty acid content in the form of EPA and DHA.
FALSE
Patients taking which medication probably require the closest monitoring when they are also taking fish oil supplements?
Anticoagulants
The ratio of omega-6 to omega-3 in the human diet has ___1____ compared to early human diets, due to increased consumption of ____2_____ and decreased consumption of _____3____.
increased
vegetable oil
fish
T/F: In general, eicosanoids derived from arachidonic acid are less potent inducers of inflammation, blood vessel constriction, and clotting than eicosanoids derived from EPA.
FALSE
Docosahexaenoic acid appears to be especially crucial for normal development of which TWO tissues in infancy?
Nerve cells
Retina
Which three fatty acids can be directly converted into eicosanoids such as prostaglandins?
- EPA
- DGLA
- AA
The highest Adequate Intake requirements for omega-3 fatty acids have been set for which TWO life stage groups?
- male adolescents
3. Males adults
which TWO of the following marine foods is highest in omega-3 fatty acids per 3-ounce serving?
- Herring
5. Chinook Salmon
T/F: Women are more efficient in converting ALA into EPA and DHA compared to men.
TRUE
Which type of fish tend to have higher levels of environmental contaminants?
older, larger, predatory fish
Delivers dietary fatty acids from the intestine to extrahepatic cells via the action of lipoprotein lipase
Chylomicron (Kai-low-micron)
Which TWO categories of dietary fats lower LDL cholesterol and raise HDL cholesterol when they are consumed in place of carbohydrates?
Monounsaturated fat (MUFA) polyunsaturated fat (PUFA)
_____ _____ species can be formed during normal physiological processes
Reactive oxygen
Which antioxidant is most effective in rapidly eliminating hydroxyl radicals prior to initiation of oxidative damage?
Vit C
Which antioxidant is most effective in terminating chain-propagation reactions in cell membranes?
Vit E
Which TWO of the following are reactive oxygen species, but do not fit the definition of a free radical?
- Hydrogen or lipid peroxide
2. Singlet oxygen
Respiratory burst refers to the use of which reactive oxygen species by white blood cells to destroy foreign microbes?
- Superoxide
The following are sources of ____ ____ production in the human body?
- Tissue ischemia after injury
- Elimination of superoxide radicals
- Degradation of long-chain fatty acids
hydrogen peroxide
The Fenton reaction involves the production of hydroxyl radical by the interaction of hydrogen peroxide with ____.
Iron
Which reactive species is considered a major initiator of lipid peroxidation in the body?
- Hydroxyl radical
Which reactive lipid species is the result of a propagation reaction between oxygen and lipid carbon-centered radicals?
- Lipid Peroxyl radicals
Which THREE of the following minerals are necessary to the optimal performance of superoxide dismutase (SOD) in human tissues?
Zn, Mg, Cu
T/F: The reactive species scavenging function of vitamin C is limited to reducing radical species, it does not scavenge non-radical species.
FALSE
What mineral is essential to the function of glutathione peroxidase?
Sel
What is the role of glutathione in the reaction between glutathione peroxidase and various peroxide species?
- Hydrogen donor (reducing agent)
Which reactive species is referred to as an “electronically excited” molecule, and is inactivated by a process called “quenching”?
Singlet Oxygen
Which B-vitamin functions as a coenzyme to regenerate oxidized glutathione?
Niacin (B3)
Natural and synthetic ___ ___ are chemically identical and there’s no known difference in their biological activities and availability
Vit C
Which of the following is the source of hydrogen atoms for the regeneration of ascorbic acid from dehydroascorbate?
Glutathione
Which of the following enzymes is required for the synthesis of vitamin C and not present in human biochemistry?
Gulonolactone oxidase
Which reaction is typical of the kind catalyzed by vitamin C?
Hydroxylation
Which of the following foods is NOT a good source of vitamin C?
- Broccoli
- Green pepper
- Brussels sprouts
- Carrots
- Carrots
Based on data from the National Institutes of Health on plasma and tissue saturation, what level of daily vitamin C intake is suggested by the Linus Pauling Institute as a practical recommendation?
400 mg
Name 4 functions of vitamin C in human biology?
- Norepinephrine synthesis
- Collagen synthesis
- Carnitine synthesis
- Serotonin synthesis
Which TWO minerals can be reduced by ascorbate, leading to increased capacity for generation of reactive oxygen species?
- Iron
5. Copper
An intervention trial found that large doses of vitamin C reduced blood levels of which toxic metal?
Lead
According to the LPI article “The Bioavailability of Different Forms of Vitamin C,” which of the following statements is FALSE?
- Mineral salts of ascorbic acid (mineral ascorbates) are buffered and therefore less acidic
- Bioavailability of ascorbic acid from slow-release preparations has not been found to be greater than that of plain ascorbic acid
- Published human research finds superior bioavailability of Ester-C compared to a standard ascorbic acid supplement
- The bioavailability of ascorbic acid appears equivalent whether it is in the form of powder, chewable tablets, or non-chewable tablets.
- Published human research finds superior bioavailability of Ester-C compared to a standard ascorbic acid supplement
The Tolerable Upper Intake Level for vitamin C was set to help reduce the risk of what side effect of vitamin C supplementation?
- Gastrointestinal upset and diarrhea
Match the substance with the most appropriate storage characteristic.
Retinol, Carotenoids, Tocopherol
Primarily stored in the liver
Primarily stored in muscle
Primarily stored in adipose tissue
Carotenoids - Primarily stored in adipose tissue
Retinol - liver
Tocopherol - adipose tissue
Match the characteristics with the most appropriate substance.
Retinol, B-Carotine, Tocopherol
- Most essential for differentiation of epithelial cells
- Effective for inhibiting both LDL oxidation AND blood clot formation
- Effective for both free radical quenching AND inhibiting neoplastic transformation
- Retinol
- Tocopherol
- B-carotine
Match the function or deficiency symptom with the correct vitamin. Vit A, Vit E
- Hemolytic anemia
- Keratinization
- Xeropthalmia
- Night blindness
- Neuromuscular degeneration
- Hemolytic anemia - E
- Keratinization - A
- Xeropthalmia - A
- Night blindness - A
- Neuromuscular degeneration - E
Where is the primary site for conversion of provitamin A to vitamin A in the human body?
Intestinal mucosa
Three of the following digestive steps are required for normal absorption of vitamin A to occur in the gastrointestinal tract.
- Protein hydrolysis
- De-esterification
- Micelle formation
What 4 substances belong to the family of carotenoids?
- Lutein
- Canthaxanthin
- Lycopene
- Alpha-carotene
What is the form of vitamin A attached to the protein opsin in a molecule of rhodopsin?
- 11-cis retinal
T/F: Vitamin A in the form of retinoic acid supports the development of cells by influencing gene expression.
TRUE
Why is retinoic acid considered a hormone?
- It has receptors on the nucleus and causes a change in protein synthesis.
What is the most likely mechanism for the effect of vitamin A on the growth of epithelial tissue?
- Increases numbers of receptors for growth factors
Which mineral deficiency interferes with vitamin A metabolism?
Zinc
What two conditions is plasma retinol a good reflection of vitamin A status?
- Stores of vitamin A are exhausted
2. Stores of vitamin A are filled to capacity
For which group are large doses of beta-carotene not likely to be safe?
Smokers
The upper limit for a safe amount of vitamin A has been suggested to be 3000 micrograms per day. How much would this be in International Units?
10,000 IU
Vitamin A: 1 IU is the biological equivalent of 0.3 mcg retinol, or of 0.6 mcg beta-carotene.
What are 4 signs of vitamin A toxicity?
- Headache
- Liver damage
- Skin irritations
- Bone pain
How many vitamers of vitamin E are there?
8 vitamers, including tocopherols and tocotienols
Alpha-tocopherol has the greatest vitamin E activity in the human body due to a selective preference for this specific vitamer in what part of vitamin E processing?
Hepatic cell production of VLDL
Which of the following foods is the richest source of dietary alpha-tocopherol?
- Peanuts, one ounce
- Soybean oil, 1 tablespoon
- Spinach, 1 cup raw
- Almonds, one ounce
- Sunflower oil, 1 tablespoon
- Almonds, one ounce
The latest RDA for vitamin E is expressed in milligrams of RRR-alpha-tocopherol, but most people are more familiar with the older International Units of measurement. What is the adult RDA for vitamin E in International Units if the value is 15 mg of RRR-alpha-tocopherol?
22.38 IU
Vitamin E: 1 IU is the biological equivalent of 0.67 mg d-alpha-tocopherol, or 0.9 mg of dl-alpha-tocopherol.
Tocopherol is distributed to the tissues through receptor-mediated uptake of which lipoprotein?
LDL
Regeneration of oxidized vitamin E requires three of the following cofactors
- NADPH
- Reduced glutathione
- Vitamin C
The Tolerable Upper Intake Level was set for vitamin E to prevent _____________.
Increased tendency for bleeding
Match the vitamin with the correct enzyme or coenzyme function. (Riboflavin, Biotin, Thiamin, Niacin, Pantothenic acid)
- Carboxylases
- Acyl carrier protein
- TPP
- NADP/NADPH
- FMN/FMNH2
- Carboxylases - Biotin
- Acyl carrier protein- Pantothenic acid
- TPP - Thiamin
- NADP/NADPH- Niacin
- FMN/FMNH2- Riboflavin
A thiamin deficiency disorder usually associated with alcoholism is known as ____________.
Wernicke-Korsakoff Syndrome
The essential roles of thiamine in the body include: (3)
- Energy transformation
- Synthesis of pentoses and NADPH
- Membrane and nerve conduction
What is the best, common, source of riboflavin?
Milk and milk products
Name 3 roles of flavoproteins in intermediary metabolism?
- Synthesis of an active form of folate
- Coenzyme for an oxidase
- Glutathione reduction
Name 3 roles of NADPH?
- Cholesterol and steroid hormone synthesis
- Synthesis of precursors of DNA
- Oxidation of glutamate
Which amino acid is a precursor to niacin?
Tryptophan
Side effects arising from using niacin in therapeutic amounts may include (5)
- Headaches
- Increased uric acid levels
- Liver injury
- Elevated plasma glucose
- Heartburn
T/F: Large doses of vitamin B3 as nicotinamide (niacinamide) do not possess the hypocholesterolemic effects of nicotinic acid (niacin), but also do not appear to have as high a potential for toxicity.
TRUE
Synthesis of coenzyme A starts with the phosphorylation of which vitamin?
Pantothenoic acid (B5)
What glycoprotein found in raw egg whites may prevent biotin absorption?
- Avidin
What disease or condition results from an absence or insufficient activity of the branched-chain alpha-keto acid dehydrogenase enzyme complex?
Maple Syrup Urine Disease
T/F: Subclinical biotin deficiency may develop in some pregnant women.
TRUE
Match the B-vitamin or its derivative with the therapeutic use shown effective in some human studies.(Biotin, Riboflavin, Pantethine)
- Blood cholesterol lowering
- Blood sugar lowering
- Migraine headache prevention
Pantethine (B5)
Biotin (B7)
Riboflavin (B2)
The activity of erythrocyte glutathione reductase is useful for assessing the adequacy of which vitamin?
Riboflavin (B2/FAD)
The activity of erythrocyte transketolase is useful for assessing the adequacy of which vitamin?
Thiamine (B1)
Acetyl CoA carboxylase depends on which B vitamin to begin fatty acid synthesis?
Biotin (B7)
Which vitamins use the AI recommendation for adult recommendations because there is insufficient available data to establish an RDA?
- Biotin (B7)
4. Panthothenate (B5)
Excretion of fluorescent orange yellow urine follows oral ingestion of which vitamin?
Riboflavin (B2)
The pyruvate dehydrogenase complex depends which 4 of the following vitamins for its function?
B1- Thiamine
B2- Riboflavin
B3- Niacin
B5- Pantethenate
Megaloblastic anemia is associated with a deficiency of which micronutrient(s)?
B12 and Folic Acid
Microcytic anemia is associated with a deficiency of which micronutrient(s)?
B6 (PLP, pyridoxine)