Adult Nutrition Flashcards

1
Q

What are some states of increased calorie needs?

A
Infection 
Critical illness
Wound healing
Chronic illness
Cancer
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2
Q

How should macronutrients be distributed in adults?

A

Carbs: 45-65%
Proteins: 10-35%
Fats: 20-35%

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3
Q

What are the two types of dietary fiber?

A

Soluble: forms gel-like substance in intestines, sources include oats, barley, fruits, veggies, dried peas/beans

Insoluble: increases stool bulk; sources include bran, vegetables with skins, skins on fruits

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4
Q

When would you tell someone to follow a low protein diet?

A

Moderate protein restriction with kidney disease – w/o hemodialysis

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5
Q

What do monounsaturated fats and omega 3 polyunsaturated fats do for us?

A

Decreases LDL cholesterol
Decreases inflammation
Improves HDL cholesterol

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6
Q

What are some of the diagnostic criteria for malnutrition?

A

Insufficient energy intake
Weight loss
Loss of muscle mass
Loss of subcutaneous fat
Localized or generalized fluid accumulation
Diminished functional status as measured by handgrip strength

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7
Q

Symptoms of Thiamin deficiency

A

Decreased appetite, fatigue, peripheral neuropathy
Wernicke Korsakoff: mental confusion, ataxia, uncoordinated eye movements
Dry/Wed Beriberi – severe deficiency: advanced neuromuscular symptoms, edema, heart failure

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8
Q

What is the adequate intake level for Pantothenic acid (vitamin B5)?

A

5 mg/day

-Deficiency/toxicity rare

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9
Q

What micronutrient is synthesized from tryptophan?

A

Niacin/Vitamin B3 – 1 mg niacin per 60 mg tryptophan

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10
Q

Symptoms of Niacin deficiency

A

Glossitis

Pellagra: three D’s - Diarrhea, dermatitis, dementia

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11
Q

Symptoms of Niacin toxicity

A

Histamine induced flushing, liver damage

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12
Q

Symptoms of Pyridoxine deficiency

A

Irritability, nervousness, depression, peripheral neuropathy
Microcytic anemia

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13
Q

Symptoms of Pyridoxine toxicity

A

Neurotoxicity, photosensitivity

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14
Q

Symptoms of Riboflavin deficiency

A

Cheilitis, glossitis, dermatitis, anemia

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15
Q

Symptoms of Biotin deficiency

A

Hair loss

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16
Q

Adequate intake of biotin per day

A

30 mcg

17
Q

Symptoms of Folate deficiency

A

Macrocytic or megaloblastic anemia, hyperhomocysteinemia, red tongue, cognitive decline, neural tube defects

18
Q

Where do we get dietary sources of vitamin B12?

A

Only animal sources

Meat and meat products

19
Q

Symptoms of cobalamin/Vit B12 deficiency?

A

Megaloblastic anemia, pernicious anemia, hyperhomocysteinemia, neurologic deterioration

20
Q

What is the best indicator test for vit B12?

A

Methylmalonyl CoA

21
Q

The daily dietary need of what micronutrient is increased for smokers?

A

Ascorbic acid - Vitamin C

22
Q

What are some symptoms of Vit C deficiency?

A

Easy bruising, petechiae, decreased immunocompetence

Scurvy: hemorrhage, hyperkeratosis, hypochondiasis, hemotologic abnormalities

23
Q

What are some symptoms of vit C toxicity?

A

Hyperoxaluria – increase risk for renal oxalate stones
Diarrhea
Iron overdose

Upper limit is 2000 mg/day

24
Q

What is a symptom of Vit E deficiency?

A

Neuromuscular degeneration – rare

25
Q

Symptoms of Vit A deficiency?

A

Night blindness, poor growth, xerophthalmia, follicular hyperkeratosis

26
Q

Symptoms of Vit A toxicity?

A

Excessive intake of retinol –> very low risk of toxicity from carotenoids, anorexia, dry itchy skin, hair loss, abnormal liver function, fetal malformations

27
Q

Symptoms of Magnesium deficiency?

A

Muscle spasms, hypocalcemia, bone resorption

28
Q

Symptoms of Copper deficiency?

A

Anemia, neutropenia, leukopenia, Menke’s syndrome

29
Q

Symptoms of Phosphorus deficiency?

A

Renal abnormalities

30
Q

Symptoms of Zinc deficiency?

A

Rash, anemia, hypoguesia, delayed wound healing, alopecia

31
Q

What is the recommended daily intake of sodium?

A

51, AA, chronic disease