Adulthood Flashcards

1
Q

Describe early adulthood

A

Ages 20-39 years
Involve becoming independent and leaving the parental home
In the 20s => planning, buying and preparing food are newly developed skills
In the 30s => renewed interest in nutrition “for the kids sake”

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2
Q

Describe Midlife

A

Ages 40 to 64
- Period of active family responsibilities
- Managing schedules and meals becomes a challenge
- time of reviewing life’s accomplishments and recognition of mortality

Sandwich generation => the 50s
- many are multigenerational caregivers
- health concerns often arise

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3
Q

Describe later adulthood

A

Aged 65+
- transition to retirement
- more leisure time
- food choices and lifestyle factor, especially for those with chronic disease is important

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4
Q

Physiological changes of adulthood: general

A
  • Growing stops by the 20s
  • Bone density continues until 30s
  • Muscular strength peaks around 25 to 30 years of age
  • After age 30: decline in size and mass of muscle and increase in body fat
  • Dexterity and flexibility decline gradually, but more prominent in later adulthood
  • Hearing loss begins as early as age 25
  • Vision changes noticeable age ~40
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5
Q

Hormonal changes in adulthood

A

Women:
- decline of estrogen => menopause: lasts ~4 years
- may have an increase in abdominal fat, increase in risk of cardiovascular disease and accelerated loss of bone mass

Men:
Gradual decline in testosterone level and muscle mass

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6
Q

Body composition changes in adults

A
  • Often positive energy balance resulting in increase in weight and adipose tissue; decrease in muscle mass
  • Fat redistribution => gains in the central and intra abdominal space, decrease in subcutaneous fat
  • Bone loss begins around age 35-40, accelerated after menopause in women
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7
Q

DRI for adults for CHO and FIbre

A

CHO
AMDR: 45-65%
RDA: 130g/day
Focus: high fiber and complex carbohydrate foods, minimizing refined grains and added sugars

Fiber
RDA=> Males: 19-50 y.o.: 38d/day and older than 50: 30 g/day
Females: 19-50 y.o.: 25 g/day and older than 50: 21g/day
Important in:
blood sugar regulation
Cholesterol management

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7
Q

DRI for adults for CHO and FIbre

A

CHO
AMDR: 45-65%
RDA: 130g/day
Focus: high fiber and complex carbohydrate foods, minimizing refined grains and added sugars

Fiber
RDA=> Males: 19-50 y.o.: 38d/day and older than 50: 30 g/day
Females: 19-50 y.o.: 25 g/day and older than 50: 21g/day
Important in:
blood sugar regulation
Cholesterol management

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8
Q

Difference between soluble and insoluble fiber

A

Soluble: viscous fiber
“heart friendly”
decreased absorption of cholesterol

Insoluble: fermentable fiber
“bowel friendly”

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9
Q

DRI for adults for Fat

A

AMDR: 20-35% of calories per day
No more than 10% of total fat intake from saturated fat each day
Focus on food sources rich in monounsaturated and polyunsaturated fats

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10
Q

DRI for adults for PRO

A

AMDR: 10-35% of calories
RDA: 0.8g/kg/day
Adequate protein required to build and repair muscle, bone, make hormones and enzymes

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11
Q

Micronutrient recommendations in adults for Vitamin D, calcium and iron (for males and females)

A

Vitamin D
Males: 600 IU/day
Females: 600 IU/day

Calcium
Males: 1000mg/day
Females: 19-50 y.o.: 1000mg/day, over 50: 1200mg/day

Iron
Males: 8 mg/day
Females: 19-50 y.o.: 18 mg/day, over 50: 8 mg/day

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12
Q

Role of vitamin A and E

A

Antioxidants
Protective factors against cancer
important for immunity
Development of white blood cells (vit A)
Anti-inflammatory properties (vit E)

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13
Q

Recommendations for sodium

A

19-50 years: 1500 mg per day
51-70 years: 1300 mg per day

We consume way more than that on average!

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14
Q

States of Nutritional health: resilient and healthy

A

Metabolic systems in homeostasis
Organs are functioning at optimal level

Nutritional guidance:
- encourage adequate intake
- not too much, not too little
- Moderation, variety and balance

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15
Q

States of nutritional health: altered substrate availability

A

Early, subclinical state of nutritional harm when intake does not meet needs
Loss of reserves and/or accumulation of excess-lead to buildup of by-products

Dietary guidelines:
- inform people of common risks
- Encourage healthful diets and lifestyle choices

16
Q

States of nutritional health: nonspecific signs and symptoms

A

Visible changes to insufficient or excessive intakes
Recognized risk factors for chronic disease

Dietary guidance:
- target specific risk factors and observable signs and symptoms
- Measure and monitor for progress to halt or reverse risk factors for disease

17
Q

States of nutritional health: clinical condition

A

Definite signs and symptoms of illness present => medical diagnosis

Dietary guidance:
- change is difficult
- Intensive intervention needed (medical nutrition therapy or therapeutic behaviour-change programs)

18
Q

States of nutritional health: Chronic condition

A

Altered metabolism and structural changes in tissues become permanent and irreversible

Dietary guidance:
- aimed at managing the condition
- preventing further complication
- Reduce degree of disability
- optimize quality of life

19
Q

States of nutritional health: terminal illness and death

A

final stage
complications advance
body systems shut down
life ceases

20
Q

Common health concerns in older adults

A

Bone health => osteopenia and osteoporosis
Cancer
Cardiovascular concerns => high blood pressure, atherosclerosis
Insulin resistance and diabetes
Metabolic syndrome

21
Q

Describe atherosclerosis

A

Build up of plaque in the arteries
- inflammatory cells travel to the damaged area and release chemical signals => results in cholesterol build up forming a plaque
- the increase in LPL and triglycerides has negative health implications (not all cholesterol)

22
Q

Describe insulin resistance

A

Cells in muscles, fat and liver don’t respond well to insulin and can’t take up glucose from blood
- pancreas makes more insulin
- Can lead to type 2 diabetes

23
Q

Nutritional Programs for adults in London region

A

London Good food box
- Receive a box of fresh produce for $14 (box worth $20-22)
-once per month
- most produce is grown locally

Harvest bucks
- Partnership with London’s child and youth network, MLHU and community organizations
- Receive a voucher for discount on produce at several locations across London region
- Goals: increase access and consumption of fresh vegetables and fruit, increase awareness of farmers markets and community stores, increase local community-based food programming

Community gardens:
- regions where people can grow produce
- fee based on household income
- can include kitchen skills workshops