Dietary Assessment and Body Composition Testing Flashcards

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1
Q

The recommended intake of various nutrients as determined by the Food and Nutrition Board of the Institute of Medicine – the DRIs include recommendations like the Recommended Dietary Allowance (RDA) and Acceptable Macronutrient Distribution Range (AMDR).

A

Dietary Reference Intakes (DRIs)

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2
Q

A resource produced by the U.S. Department of Health & Human Services (HHS) and the United States Department of Agriculture (USDA) that provides guidelines and key recommendations for healthy diets that may help prevent diet-related chronic conditions.

A

Dietary Guidelines for Americans

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3
Q

An entity within the National Academies of Sciences that establishes principles and guidelines of adequate dietary intake among other tasks.

A

The Food and Nutrition Board of the Institute of Medicine

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4
Q

Amount of nutrient needed to meet the needs of almost all individuals in an age–sex group.

A

Recommended Dietary Allowance (RDA)

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5
Q

The recommended average daily intake level based on observed or experimentally determined estimates of nutrient intake by groups of apparently healthy people that are assumed to be adequate – the AI is used when an RDA cannot be determined.

A

Adequate Intake (AI)

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6
Q

The highest level of daily nutrient intake that is likely to pose no risk of adverse health effects to almost all individuals in the general population – as intake increases above the UL, the risk of adverse effects increases.

A

Tolerable Upper Intake Level (UL)

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7
Q

A nutrient intake value that is estimated to meet the requirement of half the healthy individuals in a group.

A

Estimated Average Requirement (EAR)

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8
Q

A range of intakes for carbohydrates, protein, and fats set by the Food and Nutrition Board of the National Academy of Medicine recommended to meet the nutritional needs of most individuals and reduce risk of chronic disease.

A

Acceptable Macronutrient Distribution Range (AMDR)

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9
Q

What are the Three Principles of Healthy Eating Patterns?

A
  1. an eating pattern represents the totality of all foods and beverages consumed
  2. nutritional needs should be met primarily from nutrient dense foods
  3. healthy eating patterns are adaptable
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10
Q

The amount of energy (i.e., number of calories) an individual uses at rest in order to sustain basic processes in the body – this value is often considered for a 24-hour period.

A

Resting Metabolic Rate (RMR)

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11
Q

Which TDEE equation is this?

RMR (kcal / day) = (9.99 X weight (kg)) + (6.25 X height (cm)) - (4.92 X age (y)) + (166 X Sex Factor) - 161

A

Mifflin-St. Jeor Equation

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12
Q

A condition of being severely overweight or obese.

A

adiposity

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13
Q

Per the NIH, what is the AMDR for carbohydrates?

A

45-65%

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14
Q

Per the NIH, what is the AMDR for protein?

A

10-35%

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15
Q

Per the NIH, what is the AMDR for fat?

A

25-35%

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16
Q

What are the recommended calorie ranges for adult men and women? Choose the correct range for both, adult men and women.

A. Adult Women - 1,600-2,400 calories/day

B. Adult Women - 2,000-2,600 calories/day

C. Adult Men – 2,000-3,000 calories/day

D. Adult Men – 2,400-3,400 calories/day

A

A, C

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17
Q

The Dietary Guidelines for Americans survey What We Eat in America has identified that the current food and beverage intake in the United States does not align with a research-supported healthy eating pattern. What are some of the survey results that have been identified that a client would want to know? Check all that apply.

A. About three-fourths of the population has an eating pattern that is low in vegetables, fruits, dairy, and oils.

B. More than half of the population is meeting or exceeding total grain and protein foods recommendations but are not meeting the recommendations for the subgroups (i.e. whole grains and seafood) within each of these food groups.

C. Most Americans exceed the recommendations for added sugars, saturated fats, and sodium.

D. The eating patterns of many are too high in calories, as demonstrated by the high percentage of the population that is overweight or obese.

A

A, B, C, D

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18
Q

It is important to realize and convey to clients that recommendations may change over time based on emerging research and findings. However, it is important not to do what when educating your clients on recommendations set by these nutrition guideline governing bodies?

A. Do not discount established nutrition recommendations and have been based on substantial research.

B. Educate the client that these change too frequently to follow and adhere to.

A

A. Do not discount established nutrition recommendations and have been based on substantial research.

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19
Q

Analyzing a client’s food and beverage intake in order to determine their intake of calories and specific nutrients – specific forms of dietary assessment include 24-hour recalls, usual intake, diet records, and food frequency questionnaires.

A

Dietary assessment

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20
Q

The average daily intake of food or nutrients clients consumer over a long period of time.

A

Usual Intake

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21
Q

When having a client fill out a usual intake worksheet to determine regular eating patterns, what it one strategy that Nutrition Coaches can use to minimize the occurrence of recording a client’s unpredictable eating habits?

A. Only record the client’s weekday eating habits.

B. Have the client record 1 day during the week and 1 days during the weekend.

C. Combine both, weekdays and weekend eating habits into one.

D. Have a client complete the usual intake worksheet on normal weekdays as well as weekends.

A

D. Have a client complete the usual intake worksheet on normal weekdays as well as weekends.

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22
Q

When administering a 24-hour recall with a client, what are some are steps recommended by the NHANES Dietary Interviewer Procedures Manual to help maximize a client’s recall accuracy? Check all that apply.

A. Have them write down a quick list without focusing on the details.

B. Discuss any forgotten foods by listing out often overlooked categories such as alcohol, snacks, etc.

C. Ask about their schedule and the events that unfolded throughout their day, identifying what, when, and where they consumed food.

D. Have them describe their foods they eat; what they looked like, portion size, etc.

E. Review the completed recall for completeness with them to double check for accuracy.

A

all of the above

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23
Q

There are many food frequency questionnaires that have surfaced. However, the purpose and use of these questionnaires have not. When having a client complete a food frequency questionnaire, it is important to understand results will not yield which of the following?

A. Consumption frequency of major foods and beverages

B. Big picture of some dietary patterns

C. Precise information on intake of specific nutrients

D. Holistic patterns that can be compared to recommendations

A

C. Precise information on intake of specific nutrients

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24
Q

The makeup of an individual’s body – major components of interest include fat mass and fat-free mass (i.e., water, bone, protein, etc.).

A

body composition

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25
Q

An individual’s weight divided by their height squared, typically shown in units of kilograms/meters².

A

Body Mass Index

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26
Q

Any method of body-composition assessment that divides the body into two major parts – typically, these parts are fat mass and fat-free mass.

A

2-compartment model

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27
Q

A method of body composition assessment that divides the body into three major parts – typically, these parts are fat mass, water, and everything else (i.e., the residual).

A

3-compartment model

28
Q

What is a BMI of below 18.5 classified as?

A

Underweight

29
Q

What is a BMI of 18.5-24.9 classified as?

A

Normal weight

30
Q

What is a BMI of 25-29.9 or below classified as?

A

Pre-obesity

31
Q

What is a BMI of 30-34.9 or below classified as?

A

Obesity class I

32
Q

What is a BMI of 35-39.9 or below classified as?

A

Obesity class II

33
Q

What is a BMI of 40 or more classified as?

A

Obesity class III

34
Q

A method of body composition assessment that divides the body into four major parts – typically, these parts are fat mass, water, bone, and everything else (i.e., the residual). These models are viewed as a gold-standard method of body-composition assessment.

A

4-compartment model

35
Q

A technology that estimates body composition based on the fluid content – by determining how easily small electrical currents travel through the body, it can predict the amount of lean tissue (higher water content and easier flow of electricity) and fat tissue (lower water content and more resistance to electrical currents).

A

Bioelectrical Impedance Analysis (BIA)

36
Q

A body composition estimation method that is based on measuring the thickness of the fat layer under the skin – using calipers, the skin and fat are pinched at certain locations on the body to determine their thickness. These measurements are placed into a series of equations, which provide an estimate of body-fat percentage.

A

skinfolds

37
Q

The estimated thickness of fat under the skin at specific locations when entered into an equation.

A

body density

38
Q

Uses high-frequency sound waves emitted by a probe to visualize different parts of the body.

A

ultrasound technology

39
Q

Measurements around different parts of the body that provide some basic indication about the distribution of fat in the body, although they cannot actually distinguish between muscle and fat.

A

circumference measurements

40
Q

A body composition assessment method that involves the estimation of the 3-dimensional volume of the body through measurement of an individual’s body weight while they are completely submerged under water.

A

Underwater Weighing (Hydrodensitometry)

41
Q

A body composition assessment method that involves the estimation of the 3-dimensional volume of the body through measurement of an individual’s displacement of air while they sit in a sealed chamber.

A

Air Displacement Plethysmography (ADP)

42
Q

A body composition assessment method that measures whole-body and regional (arms, legs, and trunk) body composition using low-energy X-rays.

A

Dual-Energy X-Ray Absorptiometry (DXA)

43
Q

A body composition assessment method that involves the estimation of the 3-dimensional volume of the body using infrared sensors.

A

Infrared 3-Dimensional Scanning

44
Q

Imaging procedure to create scans and pictures of inside the body.

A

Computed Tomography (CT)

45
Q

A medical imaging process that measures the reaction of tissue nuclei to magnetic fields to produce images of inside the body.

A

Magnetic resonance imaging (MRI)

46
Q

The process of monitoring water within the body to determine body composition.

A

hydrometry

47
Q

A technique using a specialized probe against the body, emitting infrared light to estimate body composition of an individual.

A

Near-infrared interactance (NIR)

48
Q

When comparing different body composition assessment methods, it is important to weigh the cost and practicality of each methods, in addition to accuracy. However, if cost and practicality was not a factor, which method would provide the client the most accurate body composition results?

A. Plethysmography

B. Hydrodensitometry

C. Circumference

D. Ultrasound

E. Dual-energy x-ray absorptiometry

F. BIA

G. Skinfold

A

E. Dual-energy x-ray absorptiometry

49
Q

Some clients may not want to have their fat pinched when assessing their body fat percentages using the skinfold method. What would be the best alternative method used while keeping practicality and cost in mind?

A. Bioelectrical Impedance Analysis (BIA)

B. Ultrasound

C. Underwater Weighing

D. Dual-energy x-ray Absorptiometry

A

A. Bioelectrical Impedance Analysis (BIA)

50
Q

When choosing a body composition assessment method for a client, which questions should a Nutrition Coach ask themselves before deciding? Check all that apply.

A. What’s the purpose of assessing my client’s body composition?

B. How important is accuracy to the client’s needs and goals?

C. How often will body composition need to be assessed?

D. Where should the body composition assessments take place?

E. How important is cost to the Nutrition Coach and the client?

A

all of the above

51
Q

Due to the inherent errors of each body composition assessment method, it is important to do which of the following?

A. Place less weight on the client’s body composition assessment results.

B. Always strive for the most accurate body composition method assessment.

C. Communicate sensitivity to your client.

D. Perform multiple composition methods to minimize error.

A

D. Perform multiple composition methods to minimize error.

52
Q

Which body assessment method counts all weight as equal, regardless of what the weight is made of?

a. 2-compartment model
b. Bioelectrical impedance analysis (BIA)
c. Body Mass Index (BMI)
d. Dual-energy x-ray absorptiometry (DXA)

A

c. Body Mass Index (BMI)

53
Q

The recommended average daily intake level when an RDA value cannot be determined is known as which of the following?

a. Adequate Intake (AI)
b. Acceptable Macronutrient Distribution Range (AMDR)
c. Tolerable Upper Limit (UL)
d. Estimated Average Requirement (EAR)

A

a. Adequate Intake (AI)

54
Q

The amount of energy (i.e., number of calories) an individual uses at rest in order to sustain basic processes in the body is known as the which of the following?

a. Resting metabolic rate
b. Total daily energy expenditure
c. Activity level
d. Energy intake

A

a. Resting metabolic rate

55
Q

Of the following methods, which estimate body-composition based on the 3-dimensional volume of the body?

a. Circumferences and skinfolds
b. Bioelectrical impedance analysis and bioimpedance spectroscopy
c. Ultrasound and dual-energy x-ray absorptiometry
d. Air displacement plethysmography and underwater weighing

A

d. Air displacement plethysmography and underwater weighing

56
Q

What is the recommended frequency for performing body composition assessments?

a. Every 1 – 2 years
b. Every 1 – 2 days
c. Every 1 – 2 months
d. Every 1 – 2 weeks

A

c. Every 1 – 2 months

57
Q

The average daily nutrient intake level estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group is known as which of the following?

a. Tolerable Upper Limit (UL)
b. Recommended Dietary Allowance (RDA)
c. Adequate Intake (AI)
d. Estimated Average Requirement (EAR)

A

d. Estimated Average Requirement (EAR)

58
Q

What is the Acceptable Macronutrient Distribution Range (AMDR) for protein?

45 to 65%

20 to 35%

10 to 35%

35 to 45%

A

10 to 35%

59
Q

The average daily intake of a nutrient sufficient to meet the nutrient requirement of nearly all (97 to 98 percent) healthy individuals in a particular life stage and gender group is known as which of the following?

a. Recommended Dietary Allowance (RDA)
b. Adequate Intake (AI)
c. Tolerable Upper Limit (UL)
d. Estimated Average Requirement (EAR)

A

a. Recommended Dietary Allowance (RDA)

60
Q

What is considered a true “gold standard” method of body composition assessment?

A

a 4-compartment model

61
Q

Body Mass Index (BMI) does which of the following in order to provide information about the body?

a. Describe the amount of fat mass in the body.
b. Evaluate body composition using a 2-compartment model.
c. Report body mass while also taking height into account.
d. Include a waist circumference measurement.

A

c. Report body mass while also taking height into account.

62
Q

Which of the following is defined as the regular food and beverage intake of an individual over time?

a. Estimated Average Requirement
b. Lifestyle matrix
c. Recommended Dietary Allowance
d. Eating pattern

A

d. Eating pattern

63
Q

The Dietary Guidelines for Americans recommend limiting the consumption of certain food groups in the general population. Which of the following is one of groups that should be limited?

a. Plant protein sources
b. Trans fats
c. Animal protein sources
d. Fruits

A

b. Trans fats

64
Q

Which of the following is true in regards to the Recommended Dietary Allowance (RDA) for protein?

a. It is based on the needs of active individuals.
b. It is 1.2 g/kg/d.
c. It assumes that all protein comes from plant sources.
d. It is sometimes criticized for being too low.

A

d. It is sometimes criticized for being too low.

65
Q

When assessing body composition, a 2-compartment model divides the body into which two categories?

a. Body mass and residual mass
b. Fat mass and bone mass
c. Fat mass and water content
d. Fat mass and fat-free mass

A

d. Fat mass and fat-free mass

66
Q

The highest average daily nutrient intake level that is likely to pose no risk of adverse health effects to almost all individuals in the general population is known as which of the following?

a. Tolerable Upper Limit (UL)
b. Recommended Dietary Allowance (RDA)
c. Estimated Average Requirement (EAR)
d. Adequate Intake (AI)

A

a. Tolerable Upper Limit (UL)