Jen ch 44 Flashcards
food security
all members of household have access to sufficient, safe, nutritious food to maintain healthy lifestyle
basal metabolic rate (BMR)
energy needed to maintain life-sustaining activities
resting energy expenditure (REE)
energy that individual needs to consume over 24 hrs to maintain all of its internal working activities while at rest
nutrients
elements necessary for the normal fct of numerous body processes
nutrient density
proportion of essential nutrients to the number of kilo-calories
carbohydrates
composed of carbon, hydrogen, and oxygen are the main source of energy in the diet (1 gram of carb = 4 kcal) AKA saccharides
monosaccharides and disaccharides
simple carbs found primarily in sugars
fiber
polysaccharide not broken down by the digestive system
protein
essential for building of body tissue in growth, maintenance and repair (4 kcal/g)
amino acid
simplest for of protein, hydrogen, oxygen, carbon, and nitrogen
nitrogen balance
achieved when the intake and output of nitrogen are equal
lipids
composed of triglycerides and fatty acids (9kcal/g)
water
makes up 60%-70% of total body weight
vitamins
organic substances present in small amounts in foods that are essential to normal metabolism
fat soluble vitamins
A, D, E, K stored in fat
hypervitaminosis
megadoses of supplemental vitamins
water-soluble vitamins
C and B - the body does not store so need to have in daily food intake
minerals
inorganic elements essential to the body as catalysts in biochemical rxns
macrominerals
daily requirement is 100 mg or more
microminerals
trace elements daily requirement is less than 100 mg
enzymes
protein like substances that act as catalysts to speed up chemical rxns
peristalsis
wave like muscular contractions
active transport
energy dependent
passive diffusion
doesn’t need special carrier
osmosis
movement of water through a membrane that separates solutions of different concentrations
pinocytosis
engulfing of large molecules of nutrients by the absorbing cell when molecule attaches to the absorbing cell membrane
primary site for absorption
small intestine
metabolism
Aggregate of all chemical processes that take place in living organisms and result in growth, generation of energy, elimination of wastes, and other functions concerned with the distribution of nutrients in the blood after digestion
anabolism
Constructive metabolism characterized by conversion of simple substances into more complex compounds of living matter
catabolism
Breakdown of body tissue into simpler substances.
ketones
All body cells except red blood cells and neurons oxidize fatty acids into ketones for energy when dietary carbohydrates (glucose) are not adequate can cause ketoacidosis
glycogenolysis
Catabolism of glycogen into glucose, carbon dioxide, and water
glycogenesis
Anabolism of glucose into glycogen for storage
gluconeogenesis
Catabolism of amino acids and glycerol into glucose for energy
Dietary reference intake (DRI)
Information on each vitamin or mineral to reflect a range of minimum-to-maximum amounts that avert deficiency or toxicity.
estimated average requirement (EAR)
recommended amount of a nutrient that appears sufficient to maintain a specific body function for 50% of the population based on age and gender
Recommended dietary allowance (RDA)
average needs of 98% of the population, not the exact needs of the individual
Adequate Intake (AI)
suggested intake for individuals based on observed or experimentally determined estimates of nutrient intakes
Upper intake level (UL)
highest level that likely poses no risk of adverse health events
drug nutrient interactions: acetaminophen (analgesic)
decreased drug absorption with food overdose assoc. with liver failure.
drug nutrient interactions: aspirin (analgesic)
absorbs directly through stomach, decreased drug absorp. w/ food, decreased folic acid, vit C & K, and iron absorp.
drug nutrient interactions: aluminum hydroxide (antacid)
decreased phospate absorp.
drug nutrient interactions: sodium bicarbonate (antacid)
decreased folic acid absorption
drug nutrient interactions: amiodarone AKA codarone (antiarrhythmic)
alters taste
drug nutrient interactions: digitalis (antiarrhythmic)
anorexia, decreased renal clearance in elderly
drug nutrient interactions: penicillin (antibiotic)
Decreased drug absorp w/ food, taste altered
drug nutrient interactions: cephalosporin (antibiotic)
decreased vit K
drug nutrient interactions: rifampin AKA rifadin (antibiotic)
decreased vit B6, niacin, vit D
drug nutrient interactions: tetracycline (antibiotic)
decreased drug absorp w/ milk, antacids: decrease nutrient absorp of Ca, riboflavin, vit C
drug nutrient interactions: trimethoprim AKA sulfamethoxazole (antibiotic)
decreased folic acid
drug nutrient interactions: warfarin/coumadin (anticoagulant)
antagonist to vit K
drug nutrient interactions: carbamezopine/tegretol (anticonvulsant)
increased drug absorp w/ food
drug nutrient interactions: phenytoin (Dilantin) (anticonvulsant)
decreased Ca absorp, decreased Vit D, K and folic acid, taste altered, decreased drug absopr w/ food
drug nutrient interactions: Amitriptyline (antidepressant)
appetite stimulant
drug nutrient interactions: Clomipramine (Anafranil) (antidepressant)
taste altered, appetite stimulant
drug nutrient interactions: Fluoxetine (Prozac) SSRI (antidepressant)
taste alteration, anorexia
drug nutrient interactions: captopril (Capoten) (anti-hypertensive)
taste altered, anorexia
drug nutrient interactions: hydralazine (anti-hypertensive)
enhanced drug absorp w/ food, decreased vit B6
drug nutrient interactions: labetalol (normodyne) (anti-hypertensive)
taste altered, weight gain for all beta blockers
drug nutrient interactions: methyldopa (anti-hypertensive)
decreased vit B12, folic acid, iron
drug nutrient interactions: all steroids (anti-inflammatory)
increased appetite and weight, increased folic acid, decreased Ca, (osteoporosis w/ long term use) promotes gluconeogenesis of protein
drug nutrient interactions: Le vodopa (Dopar) (antiparkinson)
taste altered, decreased B6 and drug absorp w/ food
drug nutrient interactions: Chlorpromazine (anti-psychotic)
increased appetite
drug nutrient interactions: thiothixene (anti-psychotic)
decreased riboflavin, increased need
drug nutrient interactions: albuterol sulfate (bronchodilator)
appetite stimulant
drug nutrient interactions: theophylline (bronchodilator)
anorexia
drug nutrient interactions: cholestyramine (prevalite) (cholesterol lowering)
decreased fat sol. vit A, D, E, K, & B12 and iron
drug nutrient interactions: furosemide (lasix) (diuretic)
decreased drug absorp w/ food
drug nutrient interactions: spironolactone (aldactone) (diuretic)
increase drug absorp w/ food
drug nutrient interactions: thiazides (diuretic)
decreased magnesium, zinc and potassium
drug nutrient interactions: mineral oil (laxative)
decreased absorp of fat-sol. vit A, D, E, K and carotene
drug nutrient interactions: dipyridamole (persantine) (platelet aggregate inhibitor)
decreased drug absorp w/ food
drug nutrient interactions: potassium chloride (potassium replacement)
decreased vit B12
drug nutrient interactions: benzodiasepines (tranquilizer)
increased appetite
lactose intolerance is higher in which ethnic groups?
Asian-pacific, African and African-American, Native American, Mexican American, Middle Eastern. incidences lowest in caucasian