Energy, Weight, Fitness Flashcards

1
Q

What two methods are used to determine the energy a food contains?

A

Bomb calorimetry - an instrument burns a food and

and proximiate composition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The following factors all affect ____: age, body size, sex, body temperature, fasting/starvation, stress, menstruation, and thyroid function

A

BMR (basal metabolic rate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When appropriate amounts of storage fat are added to essential fat for men, the recommended range for _____ of body weight.

A

total fat is 15% to 20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

for women the minimum levels of fatness compatible with health are based on the essential fat plus the gender-specific fat and are in the range of 12% to 14% of body weight; healthy levels of total fat range from _____

A

25% to 30%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Amenorrhea (lack of menstruation) is associated with _______

A

bone loss and increased risk of fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Most of the fat in our bodies is stored in special cells called ____. Each of these cells has a nucleus, mitochondria, and other organelles just as other cells do, but these features are usually squeezed over to the side to make room for the droplet of stored fat.

A

adipocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

At birth most of us have relatively small numbers of adipocytes, but during the next few years, these cells increase in number (a type of growth known as ___) and in size (_____).

A

hyperplasia; hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If more energy is consumed than expended, fat storage will go on until the fat droplet reaches its maximum size. If the positive energy balance continues, the body will ____

A

make new adipocytes, thereby expanding the storage capacity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

REE is the energy a person expends in a normal life situation while at rest, and it includes some energy the body uses following meals and exercise. It accounts for approximately ___ of our total energy needs

A

60% to 75%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

This hormone is produced by adipocytes, has a role in the complex system of the regulation of body weight, fat storage, and appetite.

A

Leptin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

This usual or natural level is called the set point. Actually, this term usually indicates not a single point but rather a narrow range defining the natural level for the characteristic. The adjustments our bodies make to return to the set point are called _______

A

defending the set point.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When appropriate amounts of storage fat are added to essential fat for men, the recommended range for _____ of body weight.

A

total fat is 15% to 20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Aerobic activities can be moderate or vigorous in their intensity. Vigorous activities take more effort than moderate ones. For moderate activities, you can ______ For vigorous activities, you can only ___________

A

Moderate activities - talk while you do them, but you can’t sing

Vigorous activities - say a few words without stopping to catch your breath.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

National surveys indicate that approximately ____ adults have sedentary lifestyles.

A

1 in 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The Dietary Reference Intake (DRI) for protein for sedentary adults is 0.8 g per kilogram of body weight per day. Research suggests that athletes need between ___ of protein per kilogram of body weight per day

A

1.5 and 2 g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

For athletes, the lower the kcal intake, the ___ the protein requirements.

A

higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

If more energy is consumed than expended, fat storage will go on until the fat droplet reaches its maximum size. If the positive energy balance continues, the body will ____

A

make new adipocytes, thereby expanding the storage capacity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

This hormone promotes the growth of the uterus and breasts during pregnancy and renders the connective tissues in the pelvic region more flexible in preparation for birth.

A

Estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Metabolic changes during pregnancy:

The _____ rises during pregnancy by as much as 15% to 20% by term. This increase is caused by the greater oxygen needs of the fetus and the maternal support tissues. There are alterations in maternal metabolism of protein, carbohydrate, and fat. The fetus prefers to use ____ as its primary energy source. Changes occur in maternal metabolism so that the mother uses ___ as her own primary fuel source

A

basal metabolic rate (BMR)

glucose

fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Anatomic and Physiologic Changes During Pregnancy:

Plasma volume ___ during pregnancy, beginning in the _____. Failure to achieve this plasma expansion may result in a spontaneous abortion, a stillbirth, or a low-birth-weight infant. One of the results of this increase in plasma volume is a ____ effect, or dilution of the blood.

Measured components in the plasma such as hemoglobin, serum proteins, and vitamins will appear to be at ____ during pregnancy because there is a greater volume of solvent (the plasma) relative to concentrations of solute (the components).

____ occurs to accommodate this increased blood volume, accompanied by an increased ventilatory rate.

A

doubles; second trimester

hemodilution

lower levels

Cardiac hypertrophy

21
Q

Weight Gain in Pregnancy:

There are three components to maternal weight gain: (1) maternal body composition changes, including increased blood and ______; (2) the maternal support tissues, such as _____; and (3) the products of conception, including ________

Infants small for gestational age (SGA) or at low birth weight are more likely to require prolonged hospitalization after birth or to be ill or die during the first year of life. SGA is defined as an _____, whereas low birth weight is a weight less than ______ at birth

A

extracellular fluid volume

the greater size of the uterus and breasts

the fetus and the placenta

infant born at a lower birth weight than expected for the length of gestation

5.5 pounds (2500 g)

22
Q

The infant mortality rate for the United States

A

~6 per 1000 live births

23
Q

Energy and Nutrient Needs During Pregnancy:

Pregnancy is not a time to restrict kcal or to lose weight, even if the mother begins the pregnancy as overweight. The current recommendation is for a woman to consume an extra 340 kcal/day during the second trimester and ___ during the third trimester of pregnancy

There are separate dietary recommendations for adolescents who are pregnant. The Dietary Reference Intakes (DRIs) recommend increases during pregnancy of all nutrients except vitamin D, vitamin E, vitamin K, phosphorus, fluoride, calcium, and biotin.

A

450 kcal/day

24
Q

The Dietary Reference Intake (DRI) for protein for sedentary adults is 0.8 g per kilogram of body weight per day. Research suggests that athletes need between ___ of protein per kilogram of body weight per day

A

1.5 and 2 g

25
Q

This condition, also known as pregnancy-induced hypertension, is considered hypertension with proteinuria (excess protein in urine) after 20 weeks’ gestation (Turner, 2014). Clinically the mother experiences a sudden and severe rise in arterial blood pressure, rapid weight gain, and marked edema, often necessitating immediate delivery of the fetus to save the lives of both mother and infant. Nutritional support for this condition includes provision of a well-balanced diet with generous sources of protein.

A

Preeclampsia

26
Q
The following are symptoms of \_\_\_\_\_:
• Headaches (continuous and severe)
• Edema of hands and face
• Sudden weight gain
• Excessive nausea and vomiting
• Vomiting blood
• Smaller amounts of urine or no urine
• Blood in urine
• Rapid heartbeat
• Dizziness and blurred or double vision
• Sudden blindness
• Ringing or buzzing sound in ears
• Drowsiness
• Fever
• Pain in the abdomen
• Slowed fetal growth
• Protein in urine (proteinuria)
A

Preeclampsia

27
Q

Gestational Diabetes:

Of all forms of diabetes during pregnancy, GDM is the most common, affecting __ of all pregnancies.
For nondiabetic women, insulin sensitivity is decreased by placental and ovarian hormones. In response, more insulin is secreted to ensure appropriate glucose levels. In GDM, the pancreatic reserves are unable to compensate and do not secrete adequate insulin, All women should undergo screening for GDM during the ____, with repeat testing for women whose results are borderline. The majority of women with GDM have ___ glucose tolerance after delivery. They may be at increased risk _____

A

~5%

second trimester

normal

of DM later in life

28
Q

Failure to detect this hereditary disease or a lack of compliance with the dietary therapy results in irreversible mental retardation. All 50 states now screen for this disease at birth.

A

Phenylketonuria (PKU)

29
Q

Hyperemesis gravidarum

A

Severe and unrelenting vomiting and usually requires intravenous replacement of nutrients and fluids.

30
Q

Remedies for heartburn during pregnancy**

A

Eating small frequent meals, avoiding foods high in fat, drinking fluids between rather than with meals, limiting spicy foods, and avoiding lying down for 1 to 2 hours after eating. Many women find relief by wearing clothing that is loose-fitting around the abdomen. Expectant mothers should not take antacids without approval of a primary care provider

31
Q

Remedies for constipation (most common in 1st and 3rd trimester)**

A

A generous intake of fiber, such as whole-grain cereals, fresh fruit, and raw vegetables, as well as inclusion of plenty of fluids should alleviate constipation. Moderate exercise such as a daily walk may also help.

32
Q

Energy and Nutrient Needs During Pregnancy:

There are separate dietary recommendations for adolescents who are pregnant. The Dietary Reference Intakes (DRIs) recommend increases during pregnancy of all nutrients except vitamin D, vitamin E, vitamin K, phosphorus, fluoride, calcium, and biotin.

The current recommendation is for a woman to consume an extra 340 kcal/day during the second trimester and ___ during the third trimester of pregnancy

A

450 kcal/day

33
Q

These two hormones set off the lactation process. ___ is primarily responsible for milk synthesis; ___is involved with milk ejection from the breast.

A

Prolactin; oxytocin

34
Q

The following are contraindications for _____:
• Active tuberculosis
• Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)
• Herpes simplex lesions on the maternal breast
• Hep C
• Maternal alcoholism
• Maternal drug addiction
• Malaria
• Maternal chickenpox (first 3 weeks postpartum only)
• Maternal breast cancer requiring treatment

A

Breastfeeding

35
Q

An infant is considered premature if born before ____ gestation.

A

37 weeks’

36
Q

Gestational Diabetes:

Of all forms of diabetes during pregnancy, GDM is the most common, affecting __ of all pregnancies.
For nondiabetic women, insulin sensitivity is decreased by placental and ovarian hormones. In response, more insulin is secreted to ensure appropriate glucose levels. In GDM, the pancreatic reserves are unable to compensate and do not secrete adequate insulin, All women should undergo screening for GDM during the ____, with repeat testing for women whose results are borderline.

A

~5%

second trimester

37
Q

Failure to detect this hereditary disease or a lack of compliance with the dietary therapy results in irreversible mental retardation. All 50 states now screen for this disease at birth.

A

Phenylketonuria (PKU)

38
Q
In order adults the following are signs of \_\_\_\_\_:
Confusion
Weakness
A hot, dry body
Furrowed tongue
Decreased skin turgor (may not be valid finding in older adults)
Rapid pulse
Elevated urinary sodium
A

dehydration

39
Q

[Mainstream] remedies for heartburn during pregnancy

A

Eating small frequent meals, avoiding foods high in fat, drinking fluids between rather than with meals, limiting spicy foods, and avoiding lying down for 1 to 2 hours after eating. Many women find relief by wearing clothing that is loose-fitting around the abdomen. Expectant mothers should not take antacids without approval of a primary care provider

40
Q

Remedies for constipation (most common in 1st and 3rd trimester)**

A

A generous intake of fiber, such as whole-grain cereals, fresh fruit, and raw vegetables, as well as inclusion of plenty of fluids should alleviate constipation. Moderate exercise such as a daily walk may also help.

41
Q

Benefits of breastfeeding

A
  • Provides immunologic protection to the infant against many infections and diseases (especially respiratory and gastrointestinal)
  • Offers uniquely suited nutrient composition with high bioavailability
  • Reduces risk of food allergy in the infant
  • Promotes infant oral motor development
  • Offers convenience: always fresh, available, and at the right temperature
  • Is generally less expensive than formula feeding
  • May protect infant against some chronic diseases such as type 1 diabetes and childhood leukemia
  • Promotes mother-infant bonding
  • Facilitates uterine contractions and controls postpartum bleeding
  • Promotes return to prepregnancy weight
42
Q

These two hormones set off the lactation process. ___ is primarily responsible for milk synthesis; ___is involved with milk ejection from the breast.

A

Prolactin; oxytocin

43
Q

The following are contraindications for _____:
• Active tuberculosis
• Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)
• Herpes simplex lesions on the maternal breast
• Maternal alcoholism
• Maternal drug addiction
• Malaria
• Maternal chickenpox (first 3 weeks postpartum only)
• Maternal breast cancer requiring treatment

A

Breastfeeding

44
Q

An infant is considered premature if born before ____ gestation.

A

37 weeks

45
Q

Galactosemia

A

A rare, autosomal recessive disorder caused by an enzyme deficiency and is part of the newborn screening panel

46
Q

Lead poisoning and iron deficiency each contribute to _____. Children of ____ are at higher risk.

A

learning failure

sower SES

47
Q
In order adults the following are signs of \_\_\_\_\_:
Confusion
Weakness
A hot, dry body
Furrowed tongue
Decreased skin turgor (may not be valid finding in older adults)
Rapid pulse
Elevated urinary sodium
A

dehydration

48
Q

Supplements that may be required in older age

A

B12 and Vitamin D