Lecture 5: Narrative Medicine + DRIs

Question 1

narrative med involves:

Answer 1

attentive listning, reflective writing

Question 2

5 features of narrative med?

Answer 2

ethicality, temporality (course in one’s life), singularity (affect individual), causality/contingency (impact on pt and practitioner), intersubjectivity (relationship of pt and practitioner)

Question 3

4 nutrient based reference values in DRIs:

Answer 3

RDA, EAR, AI, UL

Question 4

recommended daily diet intake lvl assumed to be adequate ad based on experimentally determined approximations of nutrient intake by a group of healthy ppl; observational standard used when insufficient data available calculate EAR

Answer 4

AI

Question 5

highest lvl of daily nutrition intake that is likely pose no risk of adverse health effects to almost all apparently healthy individuals in the general population

Answer 5

UL

Question 6

average diet energy intake predicted maintain energy balance in healthy adult of defined age, gender, wt, ht, lvl of physical activity, consistent with good health (for kids and lactating women, considers needs of tissue deposition and secretion of milk)

Answer 6

EER

Question 7

how to measure EER?

Answer 7

calorimetry, doubly labelled water

Question 8

how to estimate EER?

Answer 8

using predictive energy equations

Question 9

DRIs have been set for these macros;

Answer 9

total water, CHO, total fibre, total fat, linoleum acid, alpha-linolenic acid, protein

Question 10

main purposes of AMDR:

Answer 10

ensure adequate intake, decrease risk of chronic disease

Question 11

AMDRs for fat ___, protein ____, CHO ____

Answer 11

20-35%; 45-65%; 10-35%

Question 12

used to examine probability that usual intake is inadequate

Answer 12

RDA

Question 13

usual intake at or above this level has low probability of inadequacy

Answer 13

AI/RDA

Question 14

usual intake above this lvl may place person at risk of adverse effects from excess

Answer 14

UL

Question 15

plan for intake at ____, below ___

Answer 15

RDA/AI; UL

Question 16

for many disease and clinical conditions, recommendations for energy include:

Answer 16

stress and activity factors, generalized recommendations based on kcal/kg body weight