Clinical Dietary Advice Flashcards

1
Q

What medial and dental disorders can sugar implicate

A

Overweight and obesity
Type 2 diabetes
Dental caries

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2
Q

What does the eat well plate recommend about fruit and vegetables

A

At least 5 portions a day

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3
Q

What does the eat well plate say about fibre rich, starchy foods

A

Increase them, base your meals on starchy foods but choose wholegrain, plenty of bread, rice, potatoes and pasta

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4
Q

What does the eat well plate say about saturated fats

A

Decrease consumption

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5
Q

What does the eat well plate say about milk and dairy foods

A

Choose lower fat content

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6
Q

What does the eat well plate say about high fat and sugar

A

Just a small amount

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7
Q

When are sugary foods and drinks best taken

A

At meal times

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8
Q

What are the main classifications of sugars

A

Intrinsic and extrinsic

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9
Q

What are intrinsic sugars

A

Not inside the cell

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10
Q

What are extrinsic sugars

A

Inside the cell

eg - raw fruit

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11
Q

Name the different types of extrinsic sugars

A
Milk sugars
Non-milk sugars
Fruit juices
Recipe sugar
Table sugar
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12
Q

Describe the metabolism of glucose and sucrose

A

They are rapidly metabolised to produce lots of acid, mainly lactic

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13
Q

What does starch breakdown to give

A

Glucose
Maltose
Limit dextrins

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14
Q

What does the rate of starch breakdown do

A

Limit glycolytic activity

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15
Q

Describe the metabolism of glucose, maltose and limit dextrins

A

Slow metabolism, producing less acid mixed types

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16
Q

What is heterofermentation

A

Slow metabolism

17
Q

What is homofermentation

A

Fast

18
Q

What are the factors that give rise to dental caries

A

Susceptible tooth surface
Substrate from diet - sugar
Bacteria
Time

19
Q

What type of teeth and sugar intake are more associated with high levels of caries

A

High frequency sugar intake and younger teeth

20
Q

What does a lower plaque pH favour

A

Demineralisation and acid production

21
Q

At what time after ingesting sugar has the plaque pH fallen to the minimum value

A

5 minutes

22
Q

What does the return to neutral pH depend on after ingesting sugars

A

Salivary flow rate

Buffering capacity

23
Q

How can dental caries be managed in children

A

Give dietary advice
Limit consumption of sugar
No sugar in formula milk
No eating or drinking after brushing at night

24
Q

Give some examples of intense artificial sweeteners

A
Aspartame
Sucralose
Acesulfame K
Saccharin
Cheap sugar substitutes
25
Q

Give examples of other sweeteners besides sugar

A

Sugar alcohols

Alternative natural sweeteners