Final Exam (Cumulative) Flashcards
What is nutrition?
Nutrition is the science that studies food, and how food nourishes the body and influences health
stages of nutrition
ingestion digestion absorption transport metabolism excretion
Why is nutrition important?
because there is a relationship between nutrition and disease. Poor nutrition is associated with deficiency diseases such as scurvy and pellagra, plays a role in the development of cancer and osteoporosis, is associated with heart disease, stroke, and type 2 diabetes
Organic Nutrients
contain carbon, such as carbohydrates, lipids, proteins, and vitamins
inorganic nutrients
do not contain carbon, such as minerals and water
6 nutrients
carbs lipids proteins vitamins water minerals
macronutrients
provide energy/fuel for our bodies
required in large amounts
micronutrients
do not provide energy, facilitate the release of energy, assist in regulating body processes
required in smaller amounts
fat-soluble vitamins
stored in the human body, toxicity can occur from consuming excess amounts which accumulates in the body
Vitamins A, D, E, and K
water-soluble vitamins
not stored anywhere in the body, excess secreted in urine
toxicity generally only occurs by taking vitamin supplementation
Vitamins C and B-vitamins
Energy Yielding Nutrients – kcal/g for each
Carbohydrates - 4kcal/g
fat - 9kcal/g
protein - 4kcal/g
alcohol - not a nutrient - 7kcal/g
Dietary Reference Intakes (DRIs)
dietary standards for healthy people only. They aim to prevent deficiency disease and reduce chronic diseases.
Estimated Average Requirement (EAR)
supports a specific function in the body for half (50%) of the healthy population
Recommended Dietary Allowance (RDA)
Use the EAR as a base and include sufficient daily amounts of nutrients to meet the known nutrient needs of practically all healthy populations (98%)
Adequate Intake (AI)
Reflect the average daily amount of a nutrient that a group of healthy people consumes
Tolerable Upper Intake Level (UL)
Highest daily amount of a nutrient that appears safe for most healthy people and not be toxic
Estimated Energy Requirement (EER)
The average daily energy intake to maintain energy balance and good health for population groups
- defined by age, gender, weight, height, and level of physical activity
acceptable macronutrient distribution range (AMDR)
Represents the range of intake for energy nutrients that provide adequate energy and nutrients and reduce risk of chronic disease
3 useful tools for designing a healthy diet
food labels
the 2010 dietary guidelines for Americans
USDA food patterns: MyPlate
nutrient density
most nutrients for the least amount of calories
recommendations of the Dietary Guidelines for Americans
-balance calories to maintain weight
-consume fewer foods “of concern”
-consume more healthful foods and nutrients
follow healthy eating patterns
recommendations for MyPlate
make half of your grains whole vary your veggies focus on fruits get your calcium-rich foods go lean with protein
chronic disease
a disease characterized by a gradual onset and long duration, with signs and symptoms that are difficult to interpret and that respond poorly to medical treatment
examples: cancer and cardiovascular disease
how to evaluate if a person’s body weight is healthful
determining the body mass index (BMI)
assessing the pattern of fat distribution
measuring body composition
BMI
BMI=[weight (lbs)/height (inches)^2] * 703
Normal BMI: 18.5-25kg/m^2
fat patterns
apple or pear shaped
meausuring body composition
Underwater weighing skin fold measurements bioelectric impedence analysis dual-energy x-ray absorptiometry (DXA) Bod Pod
components of energy expenditure
Basal Metabolic Rate (BMR) or resting – 60-75%
Thermic Effect of Food (TEF) – 5-10%
Energy cost of physical activity – 15-35%
Anorexia Nervosa
- self-starvation leading to a severe nutrient deficiency, extreme drive for thinness
- 90-95% are young females, 5-20% die from complications within 10 years
Signs of Anorexia Nervosa
restrictive eating practice
fear of gaining weight
amenorrhea
Consequences of Anorexia Nervosa
energy and nutrient deficiency electrolyte imbalance cardiovascular problems gastrointestinal problems bone problems death
Bulimia Nervosa
- recurrent episodes of extreme overeating and compensatory behaviors (purging, excessive exercise) to prevent weight gain
- at least twice a week or 3 months
signs of bulimia
chronically inflamed and sore throat
swollen glands in neck and below the jaw
Consequences of bulimia
electrolyte imbalance
gastrointestinal problems
dental problems
Binge-Eating
extreme overeating without purging
After stressful events, more than twice a week
common in men
consequences of binge-eating
low self-esteem
avoidance of social contact
depression and negative thoughts
Night-Eating Syndrome
people who were not hungry during the day, but eat in the evening and night
depressed mood and insomnia
combination of eating disorder, sleep disorder, and mood disorder
alcohol abuse
the excessive alcohol consumption, whether chronically or occasionally, that results in distress, danger, or harm to one’s health functioning, or relationships
Include: alcohol hangover, reduced brain function, alcohol poisoning, increased risk for chronic disease, malnutrition, increased risk for traumatic injury, fetal and infant health problems
fatty liver (alcohol steatosis)
an early and reversible stage of liver disease
alcohol hepatitis
inflammation of the liver caused by alcohol, more severe
cirrhosis of the liver
end-stage liver disease, having significant abnormalities in liver structure and function
alcohol oxidation
first-pass metabolism: small amount of alcohol is oxidized in the stomach, before being absorbed into the bloodstream
alcohol then goes into the liver and is oxidized by liver enzymes (Alcohol dehydrogenase and aldehyde dehydrogenase)
Alcohol Dehydrogenase (ADH)
converts ethanol to acetaldehyde in the first step
Aldehyde Dehydrogenase (ALDH)
oxidizes acetaldehyde to acetate
Reduced cardiovascular risk from moderation
HDL increases
LDL decreases
Abnormal blood clot formation decreases
Moderation linked to increase risk of (3)
Breast cancer
Hypertension
Hemorrhagic Stroke
Concerns of moderation (3)
may increase total energy intake, increasing the risk of overweight or obesity
magnifies the effect of drug
increases the risk of GI bleeding, stomach bleeding, or liver damage
metabolic tolerance
the liver becomes more effective in its total breakdown of alcohol, BAC rises more slowly after drinking
functional tolerance
individuals show few signs of impairment/intoxication even at high BAC
hunger
a physiological sensation that prompts us to eat – nonspecific
appetite
a psychological drive to consume specific foods
how do hormones regulate appetite?
pancreatic hormones maintain the blood glucose levels
feeling full results from signals from the stomach and a rise in blood glucose
What does CCK do?
- stimulates secretion of pancreatic digestive enzymes
- stimulate gallbladder contraction
- slows gastric emptying
accessory organs of digestion (3)
gallbladder
pancreas
liver
digestion
large food molecules are broken down to smaller molecules, mechanically and chemically
absorption
process of taking these products through the intestinal wall
elimination
undigested portions of food and waste are removed from the body
segmentation
rhythmic contraction of circular muscles in the intestinal wall
mixes the chyme and enhances its contact with digestive enzymes and enterocytes
Four types of absorption
passive diffusion
active transport
facilitated diffusion
endocytosis (pinocytosis)
passive diffusion
nutrients simply pass through the enterocytes and into the bloodstream without the use of a carrier or energy
facilitated diffusion
requires a carrier protein
active transport
requires energy and a protein carrier to transport nutrients
endocytosis (pinocytosis)
active transport by which a small amount of intestinal contents is engulfed by the cell membrane and cells
The smallest molecules that make up carbohydrates are called __________________.
Monosaccharides (glucose, fructose, galactose)
Where does carbohydrate digestion occur and what enzymes are involved?
Mouth (begins) -- salivary amylase small intestine (mostly) -- pancreatic amylase
What type of diet causes ketosis?
A fasting diet
- fat breakdown during fasting forms ketones
- excess ketones increase the blood acidity and causes ketoacidosis
- sufficient energy from carbs prevents ketone production as an alternate energy source
hyperglycemia
high blood glucose
hypoglycemia
low blood glucose
may cause shakiness, sweating, anxiety, or weakness
What does insulin do?
- secreted by the beta cells of the pancreas
- stimulates glucose transport (carrier protein) to help take glucose from the blood across the cell membrane
- stimulates the liver to take up glucose and convert it to glycogen
What does glucagon do?
- secreted by the alpha cells of the pancreas
- stimulates the liver to convert glycogen to glucose
- stimulates gluconeogenesis, the production of glucose from amino acids
Type I Diabetes
accounts for 10% of all cases body is not able to produce enough insulin causes hyperglycemia insulin injections may be an autoimmune disease
Type II Diabetes
Accounts for 90% of all cases
insulin insensitivity – cells less responsive to insulin
causes: genetics, obesity, and physical inactivity
treatment: weight loss, healthy eating, regular exercise, and medication
food sources of saturated fats (8)
(solid at room temperature) cocunut oil palm kernel oil butter cheese whole milk cream lard beef fat
food sources of polyunsaturated fats (4)
(liquid at room temperature) cotton seed canola corn safflower oils
food sources of monounsaturated fats (4)
(liquid at room temperature) olive oil canola oil peanut oil cashew nuts
Food sources of trans fats(4)
hydrogenated veggie oils
margarine
baked goods
fried foods
Trans fats are not good for health. Why?
- Trans fat raises blood cholesterol levels and appear to change cell membrane function and the way cholesterol is removed from the blood
- increased risk of cardiovascular disease