GUT- you are what you eat Flashcards

1
Q

distinguish between Nutrients, food and diet

A

diet - sum of food consumed by a person

food - substances that we take into the body

nutrients - components of food

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2
Q

what are the major components of the diet

A
fat 
carbs
protein 
alcohol
fibre
vitamins
trace mineral
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3
Q

what are considered normal nutrient requirements

A
1/3 starchy foods, 1/3 veg
5 a day 
non-dairy proteins - 2 portions per day
dairy - 2/3 servings per day 
cakes / biscuits/ chocolate- as little as possible
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4
Q

why do we estimate nutritional requirements

A

to prevent disease and safeguard against toxicity (from too much e.g., vitamin A)

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5
Q

what are dietary reference values

A

estimates of the amount of energy and nutrients required by different groups of healthy people in the UK population

they do not apply to people who are unwell, for from outside the UK

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6
Q

what are the four types of DRV

A

estimated average requirement (EAR)
reference nutrient intake (RNI) - 2sd over EAR
lower reference nutrient intake (LNRI)
Safe intake - (SI)

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7
Q

what adaptions does the body have to maintain nutritional status

A

as the body pool of vitamins decrease- the rate of utilisation decreases
if low protein - body supresses AA breakdown
if low calories- body supresses metabolic rate

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8
Q

how is total energy expenditure calculated

A

BMR + diet induced thermogenesis + activity +/- physiological stress

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9
Q

what is the metabolic response to starvation

A

adaptive process
maintains the supply of glucose to tissues
minimise protein losses
decrease in mass of metabolically active tissues (liver/GI)
in prolonged starvation - metabolic rate falls by 30%

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10
Q

what is the metabolic response to injury / trauma

A

different to starvation
need to mobilise energy for defence and repair
increased BMR
3 stages

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11
Q

what are the three stages of metabolic response to injury

A

ebb phase - energy reserves are mobilised but the body struggles to use this - reduction in metabolic rate

flow phase- muscles are being broken down for gluconeogenesis- increase in BMR- increase in temp

anabolic phase (recovery phase) - building up of energy stores- nutritional therapy to increase protein synthesis and restore lean body mass

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12
Q

what things affect nutrient requirements

A

age, gender body size, level of physical activity, state of health, physiological status (pregnancy)< growth

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13
Q

how can anaemia arise

A

bleeding, dietary lacking, disease

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14
Q

how can diet cause a nutritional deficiency to arise

A

be lacking in nutrients,
some lacking nutrients can have a detrimental effect on others (e.g., need vit D to absorb calcium)
certain foods inhibit absorption - tea inhibits iron

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15
Q

what is malnutrition

A

a nutritional imbalance
not just under nutrition
over nutrition and over nutrition can exist at the same time - obese individuals can be deficient

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16
Q

what is over nutrition

A

a condition of excess nutrient and energy intake over tie - regarded as a form of malnutrition

17
Q

what is BMI

A

body mass index -

weight (kg) over Height (m)^2

18
Q

what are the limits for bmi

A
healthy - 18.5-24.9
overweight - 35-29.9
obese I- 30.34.9
obese II - 35-39.9
obese III- 40+
19
Q

how does being obese harm health

A
increased risk of:
heart disease
stroke
depression and anxeity 
sleep apnoea
asthma
type 2 diabetes
osteoarthritis
reproductive complications
cancer
liver disease
20
Q

what are the consequences of under nutrition

A

immune system - less able to fight infection
impaired wound healing
loss of muscle mass - falls, pressure ulcers etc..
kidneys - over / dehydration
reproduction - reduces fertility
brain - apathy, depression
impaired temperature regulation
micronutrient deficiencies - anaemia, rickets, scurvy

21
Q

what is involved in screening for malnutrition

A
BMI
weight loss score
acute disease effect score
overall risk of malnutrition
management guidelines
22
Q

what is included in SGA (subjective global assessment)

A

anthropometry - external measurement of body comp - weight, BMI, weight loss, arm muscle circumference, hand grip, waist circumference

biochemical and haematological markers - albumin, urea

clinical state and physical condition
diet

23
Q

what are the clinical presentations of malnutrition

A

sunken eyes/ dry mouth/ dry skin
loose clothing / rings
pressure sores
diarrhoea / vomiting / pain