Lecture 1 - Dietary Assessment and Barriers to Dietary Intakes - NOT FINISHED Flashcards

1
Q

what can we not say about RDI/EAR

A

for an individual we can not say that just because their intake is below the RDI/EAR that their intake is inadequate or that they are deficient

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2
Q

what we can say about the EAR/RDI

A

the closer the intake is to the RDI the less likely that their intake is inadequate

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3
Q

we can say that observed intakes between the EAR and RDI ….

A

probably need to be improved

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4
Q

we can say that intakes below the EAR

A

likely need to be improved

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5
Q

what is total energy expenditure equal to

A

basal or resting metabolic rate (BMR or RMR) + thermal effect of activity (TEF) + adaptive thermogenesis (AT)

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6
Q

what should a complete nutritional assessment ideally include

A

dietary evaluation,
anthropometry and body composition analysis,
biochemical testing,
nutrition-focused clinical examination,
patient history

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7
Q

what are the 4 stages to dietary assessment

A

stage 1 = determine food intake

stage 2 = convert food intake into nutrient intake, assessment of the absorbed intakes

stage 3 = interpret nutrient and food intake data

feedback

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8
Q

what are the two broad dietary assessment methods

A

direct and indirect

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9
Q

what are 3 common methods of dietary assessment

A
  • food frequency questionnaire method
  • diet recall method
  • diet history
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10
Q

what is the method of food frequency questionnaire method

A

answers question about how often they consume particular foods / drinks

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11
Q

food frequency questionnaires are used in

A

large scale studies

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12
Q

some pros to food frequency questionnaires

A
  • low respondent burden / high compliance
  • relatively inexpensive
  • high response rates
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13
Q

some cons to food frequency questionnaires

A
  • relies on memory
  • not suitable for individual intakes
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14
Q

what is the diet recall method

A

recall all foods and drinks eaten in the last 24 hrs

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15
Q

what is the use of diet recall method

A

large studies and clinic setting

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16
Q

pros to diet recall method

A

collects info on actual intake

low cost

high compliance

17
Q

cons to diet recall method

A

relies on memory

needs skilled interviewer

single 24 hour recall not suitable for individual intake

18
Q

what is the diet history method

A

answers questions about usual food intake meal pattern

19
Q

what is the use of the diet history method

A

clinical setting

20
Q

cons of diet history method

A

qualitative not quantitative

requires a skilled interviewer

relies on regular eating patterns

relies on memory

21
Q

nutrient reference values don’t into account (3)

A

illness, trauma or metabolic stress (exercise)

nutritional deficiency states

genetic abnormalities

22
Q

nutrient reference values take into account (4)

A

gender

age

pregnancy / lactation

growth

23
Q

what is the EAR

A

a daily nutrient level estimated to meet the requirements of half of the healthy individuals of a particular life stage and gender group

24
Q

what is the RDI

A

the average daily dietary intake level that is sufficient to meet the nutrient requirements of nearly all (97-98%) healthy individuals in a particular life stage or gender group

25
Q

what is the AI

A

the daily nutrient level based on observed or experimentally determined approximation of nutrient intake by a group of apparently healthy people that are assumed to be adequate

26
Q

what is the UL and what happens when intake is above this

A

the highest daily nutrient intake likely to pose no adverse health effects to almost all individuals in the general population.

as intake increased above UL, the potential risk of adverse effects increases

27
Q

what does NCP stand for

A

nutrition care process

28
Q

what is the NCP

A
  1. Assessment
  2. Diagnosis
  3. Intervention
  4. Monitoring and evaluation
29
Q

what is ANDIME (ADIME) the same as

A

nutrition care process

30
Q

what is the pass statement

A
  • problem
  • aetiology
  • signs
  • symptoms
31
Q

what are the 4 domains of the intervention in NCP

A

nutrition intervention

nutrition education

nutrition counselling

coordination of nutrition care

32
Q

what is Aetiology

A

cause or origin of the disease, the root cause

33
Q

what are the two key concepts to nutrition diagnosis

A
  • Decide on the best nutritional diagnosis based on the aetiology that fits your clients situation
    • Communicate nutritional diagnosis in standardized clear and effective manner