Chapter 6 - Energy Balance Flashcards

1
Q

What is the difference in voluntary and involuntary work in the body? Which requires more calories?

A

involuntary is what you don’t have conscious control over and uses more calories; voluntary you do have conscious control over

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2
Q

What does it mean when a food is energy dense?

A

a food is energy dense when it is has a high concentration of energy per calories in a small volume of food

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3
Q

What are some energy dense foods?

A

fat is the most energy dense; walnuts, chickpeas, baked goods, and candy

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4
Q

What does it mean when a food is nutrient dense?

A

the food has a high concentration of beneficial nutrients in a small volume

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5
Q

What are some nutrient dense foods?

A

whole foods, fruit, non-starchy vegetables, whole grains, low fat dairy

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6
Q

What foods are both nutrient and energy dense?

A

avocados, cheese, seeds, uts, nut butter and olive oil

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7
Q

What does total energy expenditure (TEE) mean?

A

the resting energy expenditure (REE) + the energy needed for physical activities + the energy needed for thermic effect of food

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8
Q

What are the three energy demands that determine someone’s TEE?

A

basal energy expenditure (BEE/BMR), physical activity, and thermic effect of food

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9
Q

What is basal energy expenditure?

A

60-75% of TEE; internal activities at rest (involuntary)

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10
Q

What is thermic effect of food?

A

5-10% of TEE; energy for digestion, absorption, and nutrient transport

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11
Q

What percentage of total calories does each area of TEE demand?

A

basal = 60-75%
physical = variable percent
thermic = 5-10%

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12
Q

What are the calories in BEE used for?

A

when you are completely at rest, they are used for the brain, heart, liver and kidneys

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13
Q

Does BEE include calories needed for digestion, absorption, and transport of nutrient? Why or why not?

A

no, these are included in the thermic effect of food

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14
Q

Why do we often measure a REE in clinical settings instead of a BEE? Which is more accurate?

A

REE is used as it is more realistic and the criteria is less strict; BEE is more accurate but harder to get; Bee is 10% higher on average

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15
Q

Which method is the gold standard for measuring resting energy expenditure? Why?

A

indirect calorimetry because it measures the exchange of O2 and CO2/the calories needed at complete rest

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16
Q

Which predictive energy equation is most often used in clinical practice to measure REE? Why?

A

the Mifflin St. Jeor is the most accurate; it measures REE

17
Q

How does body composition affect a person’s BEE?

A

more lean body mass = higher BEE

18
Q

What factors affect body composition?

A

sex, age, height, metabolic rate as it relates to lean body mass and overall body size

19
Q

How do periods of growth affect a person’s BEE?

A

higher during growth to supply the energy to grow (pregnancy, childhood, adolescence)

20
Q

How does body temperature affect a person’s BEE?

A

increases temperature increases BEE, and lower temperature decreases BEE

21
Q

How does hormonal status affect a person’s BEE?

A

epinephrine increase BEE, growth hormone increases BEE, hypothyroidism decreases BEE, hyperthyroidism increases BEE

22
Q

How does disease state affect a person’s BEE?

A

BEE increases with COPD, infection, cancer, AIDS,and burns; BEE decreases with obesity, starvation, anorexia, and immobilization

23
Q

How does BEE and daily calories need change as we grow older?

A

we need less calories due to a slowing of growth and we don’t retain skeletal muscle as much after age 60; organs shrink and skeletal muscles shrink