Lecture 2 - Nutrition and Fitness Assessment Flashcards

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1
Q

What health benefits are associated with healthy eating?

A
  • Enhanced endurance performance
  • Provides substrate for cell and tissue accretion
  • promo functional body comp
  • promo recovery from training
  • reduces risk of energy deficiency and promos healing
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2
Q

What is the nutrition care process and what are the steps?

A

NCP is a systematic problem solving method used by RDs to critically think and and make decisions to address nutrition related problems and provide safe care. There are 4 steps: nutrition assessment, nutrition diagnosis, nutrition intervention and nutrition monitoring and evaluation.

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3
Q

What is the purpose of nutrition assessment?

A

Purpose is to collect and interpret relevant client info to identify: -risk of malnutrition , -potential to positively influence sport performance through dietary changes

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4
Q

When does malnutrition occur?

A

Occurs when the boys requirements for one or more essential nutrients is not met.

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5
Q

What are some causes of malnutrition?

A
  • inadequate or unbalanced diet
  • probz with digestion or absorption
  • medical conditions
  • starvation is one form of malnutrition, so is obesity
  • you can appear healthy and be malnourished
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6
Q

What does a nutrition assessment provide you?

A

Gives you the evidence you need to properly know how to care for the athlete you work with.

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7
Q

In what ways does a nutrition assessment involve critical thinking?

A
  • you have to determine the appropriate data to collect and select valid & reliable tools
  • distinguish relevant from irrelevant info
  • select appropriate norms and standards to compare data with
  • organize & categorize data in a meaningful way that relates to nutritional concerns of your client
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8
Q

What must you be able to say to yourself by the end of the assessment?

A
  • athlete specific nutrient concerns
  • why you know these are concerns
  • what you need to do to correct / optimize (if you cant say with confidence why you’re making a recommendation then don’t say it)
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9
Q

What are the key elements of a nutrition assessment?

A
  • Personal health and social history
  • Dietary assessment
  • Body weight and composition
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10
Q

What does Personal Health and Social History do/assess?

A

-determines current/ potential problems
-provides contextual information about the clients life
The goal of it is to determine clients level of risk.

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11
Q

What are the key elements of personal health & social history?

A

Key elements are:

  • demographic info: weight height
  • family history: their parents ect disease
  • personal history: injury and illnesses
  • menstrual history (female)
  • Medicine / supplement use

-weight fluctuations (diet changes)

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12
Q

What does the Dietary Assessment do/purpose?

A
  • used to assess energy (Kcal) and nutrient intake
  • it quantifies supplement use
  • assesses eating patterns (timing of meals and snacks, consistency of eating patterns)
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13
Q

What does the Body Weight and Composition do/purpose?

A
  • may be a part of a fitness assessment (fitness assessment includes strength, endurance, aerobic/cardio resp therapy
  • assessment of energy expenditure via criterion methods, objective methods and subjective methods
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14
Q

List three dietary assessment methods.

A

24hr recall, FFQ, Food Records

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15
Q

What are the strengths of 24hr recall?

A
  • low burden
  • low cost
  • admin is easy
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16
Q

What are the weakness of 24hr recall?

A
  • does not provide a good picture of clients dietary pattern
  • relies on memory
  • may require a trained interviewer
17
Q

What are the strengths of a food frequency questionnaire?

A
  • low burden
  • low cost
  • admin is easy
  • past dietary habits can be examined
18
Q

What are some weaknesses of FFQ?

A
  • difficult to analyze
  • rely on memory
  • require validation (through interview)
  • may be less accurate
  • questionnaires don’t have all foods
19
Q

What are some strengths of food records?

A
  • a record of all food over a period of designated time has been provided
  • provides a pic of current dietary habits and nutrient intake better than other methods
20
Q

What are some weaknesses of food records?

A
  • high burden
  • require estimates of measurements of food consumed
  • ppl will change how they eat cause they know they have to log it
  • costly to analyze
  • requires a trained interviewer
21
Q

Describe a 24hr recall.

A
  • the food ingested + quantity
  • details matter: portion size, brands, eating times
  • review their recall, ask if typical, check for contradictions
22
Q

Describe a food record

A
  • write down everything
  • > days greater accuracy but max 7 (drop off effect)
  • must provide explicit instructions
23
Q

Describe an FFQ

A
  • good cross check of other methods
  • data from 24hr, food record or ffq must be interpreted to give meaning (generally compared to some standard like Canada’s food guide)
  • make goals by comparing how far away from the standard (food guide) the athlete is
  • you must compare DRI’s to see if anything is wrong, you cant depend on food guide alone
24
Q

What kind of weight questions would you ask in a body comp assessment?

A

current weight?
ideal weight for sport?
weight history: has it changes lots , in which direction, how fast?

25
Q

A large weight change in a short time period indicates what?

A

malnutrition

26
Q

calculate % usual body weight

A

actual body weight / usual body weight x 100%

27
Q

% usual body weight mildly malnourished

A

85-90%

28
Q

% usual body weight moderately malnourished

A

75-84%

29
Q

% usual body weight severely malnourished

A

less than 74%

30
Q

usual % body weight change minimum for survival

A

48-55%

31
Q

calculate % recent weight change

A

usual weight-actual weight / usual weight

32
Q

What are the parameters to deem something “significant weight loss”

A
5% loss over 1 month
or
7.5% loss over 3 months
or
10% loss over 6 months
33
Q

what are the parameters to deem something “severe” weight loss

A
> than 5% over 1 month
or
> than 7.5% loss over 3 months
or
> than 10% loss over 6 months