Intro Flashcards

1
Q

5 points about why we are in a global nutritional crisis?

A
  1. Poor diet (excess or deficiency)
  2. Foods & diet disparities w/ inaccessibility of foods for poorer nation & extra food availability in wealthy countries
  3. health care cost
  4. Progressive rise of chronic illness
  5. Climate changes with loss of foods & many crops
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2
Q

When was vitamin C discovered & what does it do?

A
  • 1932
  • helps build collagen, connective tissue & bones
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3
Q

What triggered the world’s interest in nutrition?

A

WW II (20th century) - led to significant need for nutritional support after war.

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4
Q

What was the nutrition focus in 1980s & 1990s?

A
  • impact of nutrition on chronic diseases (DM & hypertension)
  • focus: limit carb rich energy foods & increase protein rich foods
  • no success in managing chronic conditions but opened the door to sell more protein & vitamin rich products esp. to 3rd world countries.
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5
Q

What does double burden mean?

A
  1. Low nutrition problems
  2. Over nutrition problems
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6
Q

Folic Acid (3 points)?

A
  • first known to prevent anemia in monkeys & chicken
  • essential for bacterial growth
  • spina bifida (important for nervous system development - if fetus doesn’t have enough baby can have)
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7
Q

Vitamin B12 storage site, what gives it the colour, who can produce & how much do we need?

A
  • first discovered in the liver extracts
  • liver is the main storage site of B12
  • Cobalt gives it the pink colour
  • only animals can produce B12

*only need small amounts daily (2.4 ug)
-intrinsic and extrinsic factors essential for absorption

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8
Q

B12 & folate?

A
  • work in harmony: cobalamin = cofactor in the demethylation of MTHF molecule
  • folate deficient patients need to be supplemented with B12

MTHF: methyl tetra hydro folate

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9
Q

Niacin (B3) defiency?

A
  • deficiency causes 4 Ds (dermatitis, diarrhea, dementia, death), pellagra

-Tryptophan converts B3 (only 3% needed)

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10
Q

what element is thought in the past to be toxic & carcinogen?

A

Selenium

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11
Q

What element is essential for activation of Vitamin E?

A

Selenium

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12
Q

What element is essential for thyroid function?

A

Selenium

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13
Q

What element is essential for glucose metabolism?

A

chromium

  • acts as a cofactor for insulin glucose metabolism
  • can help patients with DM.
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14
Q

What characterizes zinc deficiency and is it common? What impairs its absorption?

A
  • skin hypertrophy & scaling, infertility
  • difficult to have deficiency, very abundant in all foods types

IMPAIR:
- plant based foods high in calcium or bone metals

  • soy foods high in phytates (most legumes)

**vegetarians/vegans should supplement with zinc

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15
Q

When do we need more protein?

A

during active infections (flu, pneumonia)

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16
Q

Ways to give protein to developing proteins (3)?

A
  1. Milk & milk concentrates fortified with minerals and vitamins
  2. Fish Protein Concentrations
  3. Single Cell Protein (fungi, bacteria but difficult to digest)
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17
Q

What nutrient is essential for skin health & growth in infants?

A

Unsaturated fatty acids
(Linoleic acid)

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18
Q

What deficiency can cause cholesterol and ischemic heart disease?

A

fatty acids

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19
Q

Which lipoproteins are good and bad?

A

HDL = good
(high protein, water soluble)

LDL = bad
(low protein, less soluble)

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20
Q

Fat consumption is correlated to which cancers (2)?

A

Breast & colon cancer

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21
Q

Which polyunsaturated fat is best? Plant or fish?

A

both are good but fish is better since it contains more omega 3 (anti inflammatory) vs from plants (olives, nuts, flax) who also have higher omega 6 (inflammatory)

-plants do have omega 3

22
Q

High fibre intake can protect against which cancer? and how(2)?

A

colon cancer

HOW?
1. Reduce the intestinal emptying times so the carcinogens from pathogenic bacteria do not have long contact with the colon.

  1. Fermentation of the fibers > increase in SCFA in the colon > exerts an anti-cancer effect
23
Q

Main goal of Canada’s food guide?

A

To protect cardiovascular health problems.

Dietary fiber, unsaturated fats = lower risk

24
Q

Physical activity recommendation for kids and adults?

A

Kids/ young adults: 60 minutes of moderate - vigorous physical activity

Adults/elderly: 150 minutes of moderate - vigorous per week in bouts of 10 minutes or more.

25
What are the risks of trans fat (2)?
cardiovascular disease and high cholesterol
26
What are the risks of too much sweeteners (3)?
1. Cardiovascular disease 2. diabetes (via insulin resistance) 3. Cancer
27
Health risks associated with alcohol consumption (4)?
1. Diabetes 2. hypertension 3. cardiovascular disease 4. cancer
28
Mediterranean Diet?
1. Physical activity, meal & family time 2. whole grains, legumes, fruit, vegetables, healthy fats, herbs & spices (DAILY) -based on seasonal growth 3. fish, seafood & omega-3 rich foods (3X/WEEK) 4. Poultry, eggs & dairy (1-2X/WEEK) 5. Red meats & sweets (SPARINGLY)
29
Mediterranean Diet goals?
preventation of heart disease, certain cancers, cognitive decline. -people who eat this diet have least incidences of heart disease & need the least medical services. -also reduces risk of Parkinson's disease (rich in antioxidants)
30
How much wine recommended with Mediterranean diet?
1 glass of wine/ day = beneficial (if more than 2-3/day = harmful)
31
How to avoid mercury poisoning eating fish (4)?
-opt for small fish (anchovies, sardines, herring, mackerel) -eat 2 servings/ week -listen to local seafood advisories -pregnant women & children < 12: eat one serving a week
32
Ovovegetarian?
vegetarians who eat eggs
33
Lactovegetarian?
vegetarians who eat dairy
34
What are milk and dairy a good source of (4)?
protein calcium vitamin A B12
35
What are eggs a good source of (2)?
protein B12
36
Good sources of plant based proteins, vitamins, minerals & fibers?
Pulses (beans) Peas Lentils
37
Good sources of fats?
Unsaturated fats -olive oil - grapeseed oil - avocado oil Avoid saturated: -butter, lard & ghee
38
Deficiencies common in vegetarian diet (2)?
iron & B12 deficiency
39
Goals of vegetarian diet (3)?
1. Avoid cardiovascular disease 2. prevent certain types of cancer 3. prevent/improve type II diabetes
40
How many servings of veggies for vegetarian & vegan diet?
at least 5 servings (almost 1 lb)
41
Vegan sources of vitamin D and calcium (5)?
-dark leafy vegetables (broccoli & cabbage) ** NOT SPINACH (calcium is not absorbable) -fortified soy products -pulses -sesame seeds/ tahini -dried fruits
42
Vegan sources of iron (3)?
-whole meal bread & flower -iron fortified cereals - nuts & dried fruits
43
Vegan diet value (4)?
1. protection of cardiovascular health 2. prevention of certain types of cancer 3. management & prevention of type II diabetes 4. weight loss
44
Dietary references intakes (DRI)?
The amounts of vitamins, minerals, and other substances like fiber that we need - not only to prevent deficiencies, but also to lower the risk of chronic disease
45
Estimated average requirement (EAR)?
The amount of a nutrient that is estimated to meet the requirement of HALF of all healthy individuals in a given age and gender group.
46
Recommended dietary allowance (RDA)?
The average daily dietary intake of a nutrient that is sufficient to meet the requirement of nearly all (97-98%) healthy individuals. -is calculated from EAR.
47
Adequate intake (AI)?
-only used when EAR & RDA cannot be determined. -based on experimental data or determined by estimating the amount of a nutrient eaten by a group of healthy people & assuming that the amount they consume is adequate to promote health
48
Tolerable upper intake level (UL)?
-highest continuing daily intake of a nutrient that is likely to pose no risks of adverse health effects for almost all individuals.
49
Acceptable macronutrient distribution range (AMDR)?
-the % range of protein, fat, & carb intakes that is associated with reduced risk of chronic disease while providing adequate intakes of essential nutrients.
50
When to use DRI values (3)?
1. for government agencies to set up policies 2. To help patients achieve an adequate & healthy diet that satisfies their health requirements & protects them from chronic illness 3. To help people check the different food ingredients (food labels)