Energy Balance Assessment and Body Composition I Flashcards
The science of how living organisms obtain and use nutrients to support all the processes required for existence
Nutrition
The leading causes of death are
Chronic diseases
The top 3 major lifestyle risk factors associated with heart disease, cancer, and stroke are
Tobacco, poor diet/inactivity, and alcohol
Nutrients that must be obtained form our diet because either our body cannot synthesize them at all or cannot make them in adequate amounts
Essential nutrients
Body can make it in amounts needed to satisfy its physiological requirements
Nonessential nutrients
Normally a non-essential nutrient, under certain circumstances, becomes essential
Conditionally essential nutrient
What is an example of a conditionally essential nutrient?
The essential fatty acids Linoleic and linolenic acids
Become essential in infants since the conversion of linoleic and linolenic acids to these molecules is not adequate
Arachidonic acid and DHA
What are the six classes of nutrients?
- ) Carbohydrates
- ) Lipids
- ) Proteins
- ) Vitamins
- ) Minerals
- ) Water
Vitamins and minerals are examples of
-we only need small amounts, i.e. less than a gram per day
Micronutrients
How do we measure the calories in food?
Direct calorimetry via a bomb calorimeter
In bomb calorimetry, food is placed in airtight chamber surrounded by
Water
Then oxygen is pumped into the chamber and the food is
Ignited
This causes a
Temperature increase in the water
The amount of heat required to raise the temperature of 1 gram of water 1 degree Celsius
Calorie
The amount of heat required to raise the temperature of 1 kg of water 1 degree Celsius
Kilocalorie
Not a nutrient, and it interferes with growth, maintenance, and repair of the body
-yields 7 kcal/g
Alcohol
Provide maximal amounts of nutrients for minimal number of calories
Nutrient Dense Foods
Tend to include foods that are high in fat and have a low water content with lower amount of essential nutrients
Energy dense foods
How do we calculate energy density?
ED = Kcals/mass
When a food provides primarily calories, and little else of value to our health, we say that food has
Empty Calories
Used to examine the likelihood that intake is adequate in a population
Estimated Average Requirement (EAR)
Used as a goal to help ensure adequate intake in an individual
Recommended Dietary Allowance (RDA)
Used to examine the likelihood that intake is adequate when no RDA is set for a nutrient
Adequate Intake (AI) Level
Used to examine the likelihood of excess or toxicity
Tolerable Upper Intake Level (UL)
Meet requirements of 50% of the healthy individuals in each life stage and sex
EARs
It is inappropriate to use EARs for
Individuals
Accounts for 97% of healthy individuals in specific life stage and sex
RDA
Functions to prevent nutrient deficiencies and promote optimal health
RDAs
RDAs have a built in
Safety margin
RDAs can only be established for nutrients with
EARs
Nutrient intake goals for individuals when there is not RDA because of no EAR
AI
There are no RDAs for
Infants 0-6 months of age
Formulated based on gender, growth, age, physical activity, and body size and composition
Estimated Energy Requirements
We can use direct and indirect calorimetry to estimate
Energy Expenditure (EE)
Assesses total heat loss from the body
Direct measurement of EE
Assesses respiratory gas exchange
Indirect measurement of EE
In indirect measurement of EE, 1 L of O2 equals
4.8 kcal energy
Stable isotopes such as doubly labeled water can be used to estimate
EE
EE can also be estimated using which two mathematical formulas?
- ) Dietary Reference Intake (DRI)
2. ) Estimated Energy Requirements (EER)
Ranges of intakes for each class of energy source that are associated with reduced risk of chronic disease while providing adequate intakes of essential nutrients
Acceptable Macronutrient Distribution Ranges (AMDR)
What are the AMDRs for
- ) Carbs
- ) Fat
- ) Proteins
- ) 45-65% of kcals
- ) 20-35% of kcals
- ) 10-35% of kcals
The classic rule is that 1 pound of fat is equal to
3500 kcals
Excess energy is stored as
Fat
The largest endocrine organ in the body
Adipose tissue
Adipose tissue secretes hormones that function in immune and inflammatory processes called
Adipokines
Undergo hypertrophic growth and hyperplastic growth
Adipocytes
During weight loss, does the number of adipocytes decrease?
No
Physiological influences on energy intake
Hunger and satiety
Signals to stop eating
Satiation
Physiologic response to having eaten enough
-tells you when you are ready to eat again
Satiety
What are the 6 regulators of hunger and satiety
- ) Hypothalamus
- ) Gastric Stretching
- ) Circulating nutrient levels
- ) GI hormones
- ) Stress
- ) Emotions
Appetite stimulant
Orexigenic proteins
Appetite-depressing proteins
Anorexigenic proteins
During gastric stretching, signals are relayed to the brain then releases neuropeptides that elicit the sensation of
Satiety
Choosing high-volume, low energy dense foods helps with
Weight loss
What is the most satiating nutrient?
Protein
Increase gastric stretching which causes satiety
Low-energy dense foods
Cause gastric stretching and delayed stomach emptying, thus leading to the feeling of satiety
High-fiber foods
Leads to WEAK satiety signals
High-fat foods
Water and fiber provide little, if any, energy to foods. Eating more water-rich and fiber-rich vegetables and fruit can decrease the
Energy density of the diet
Total energy expenditure is made up of which 4 components?
- ) BMR
- ) Physical activity
- ) Thermic effect of food
- ) Thermogenesis (minor)
Energy expended to adapt to temperature changes
Adaptive thermogenesis
Energy expended on fidgeting and to support posture
Non-exercise activity thermogenesis (NEAT)
Theremogenesis constitutes which two types?
- ) Adaptive thermogenesis
2. ) NEAT
The energy required to process food
Thermic effect of food
The thermic effect of food accounts for
10% of TEE
Physical activity accounts for
15-30% of TEE
Energy expended to sustain basic life functions
-i.e. respiration, heart beat, nerve function, muscle tone
Basal metabolism
What is the resting metabolic rate (RMR or REE) for
- ) Males
- ) Females
- ) 1 kcal/kg/hr
2. ) 0.9 kcal/kg/hr
Under resting conditions, which organ requires the most energy?
The liver (brain is second)
Represents the amount of energy required in a rested, fasted state to maintain vital organ function
RMR
A subject is required to lie down and rest at least 30 minutes prior to the determination of
RMR
The RMR measured soon after waking in the morning, after a 7-8 hour resting period, and at least 12 hours after the last meal
BMR
RMR and BMR differ in practice by less than
10%
How much higher of a BMR do athletes have than sedentary people?
5%
At its highest in early childhood, especially during the first and second years. It peaks again at puberty, continuing through adolescence
BMR
Muscular relaxation and decreased nervous system activity result in a decrease in BMR of
Sleep
Exposure to a cool environment and hypothermia causes BMR to
Increase (shivering thermogenesis)
In females, their lowest level of BMR is about
1 week before ovulation
Thyroxine and epinephrine are the principal regulators of metabolic rate. Stress releases epinephrine, which directly promotes glycogenolysis and increases
BMR
The principal regulators of metabolic rate
Thyroxine and epinephrine
In most disease states, there is an
Increase in BMR
What is an example of a medication that increases BMR?
Aspirin
Reduced by sedatives, narcotics, analgesics, alpha and beta blockers, and anesthesia
BMR
Increased by nicotene
BMR
The most variable component of energy expenditure is
Physical activity
Energy that is expended for the plethora of processes involved in digestion, absorption, and metabolism of food releases heat
Thermic Effect of Food
The proportions of muscle, bone, fat and other tissue that make up a person’s total body
Body composition
What are the two recommended body fat percentages?
- ) Obesity percentages
2. ) Insufficient body fat percentages
Health-related classifications of BMI: • Underweight: • Healthy: • Overweight: • Obese:
- Underweight: <18.5 kg/m2
- Healthy: 18.5-24.9 kg/m2
- Overweight: 25-29.9 kg/m2
- Obese: ≥ 30 kg/m2
Obesity increases the risk of which 6 things?
- ) Atherosclerosis
- ) Type 2 DM
- ) Cancer
- ) Gall bladder disease
- ) Joint pain
- ) Gout
What is the shortcut for calculating healthy weight, i.e. ideal body weight (IBW), and BMR for
1.) Women
- ) IBW = 100lbs + 5 lbs for every inch above 5 feet
2. ) BMR = IBW x 10
What is the shortcut for calculating healthy weight, i.e. ideal body weight (IBW), and BMR for
1.) Men
- ) IBW = 106lbs + 6 lbs for every inch above 5 feet
2. ) BMR = IBW x 10
1 BMI unit is equivalent to
6-7 lbs
A reasonable initial target for most overweight people is
2 BMI units below their current one
What is the total body fat percentage range for young
- ) Men
- ) Women
- ) 12%-15%
2. ) 25%-28%
Android obesity, i.e. visceral adipose distribution, is more common in
Men
Greater risk for weight-related health problems such as metabolic syndrome
Android obesity