Macronutrients, Micronutrients, & Nutrition for Health Maintenance Flashcards

1
Q

optimal nutrition

A

Optimal nutritional status is achieved when nutrients consumed meet daily requirements and metabolic demands (certain situations may increase demands). Individuals with optimal nutritional status have a lower risk of developing chronic diseases and generally live longer than those with a chronic illness

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2
Q

carbohydrates

A
  • Our major fuel source (4 kcal/g)
  • Whole grains have better sustained glucose level
  • Simple carbohydrates
    • Monosaccharides
      - Glucose, fructose, galactose
      - Fructose associated with fatty liver disorder
      - found in fruits and honey
    • Disaccharides
      - Sucrose, maltose, lactose
      - Found in table sugar, milk, dairy products
  • Complex carbohydrates
    - Polysaccharides
    - Starches, glycogen, fiber
    - Cereal grains, potatoes, legumes
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3
Q

fats

A
  • Ideally, no more than 30% of total calories (mostly unsaturated)
  • <10% from saturated fat
  • Unsaturated is better
  • Kinds of fat
    - Polyunsaturated, Monounsaturated, Saturated, Trans fat
    Helps produce essential fatty acids
    Provides source of energy (9kcal/g)
    Helps with brain development in children, insulates the body, component of cell development, absorbs fat soluble vitamins, improves taste/enjoyment of food
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4
Q

protein

A
  • The average healthy adult requires approximately 45-65gm (0.8-1gm/kg/day) of protein
  • 10-35% of daily caloric intake
  • Nutritionally depleted individual under certain stressors can require up to 150gm/day of protein to ensure a + nitrogen balance
  • May be lower in individuals with ESRD or CKD (end stage renal disease, chronic kidney disease)
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5
Q

water soluble vitamins

A

C, B

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6
Q

fat soluble vitamins

A

ADEK

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7
Q

vitamin A

A

Men: 900 mcg/retinol equivalents
Women: 700 mcg/retinol equivalents
Aides in:
Maintaining visual acuity
Reducing the risk of infection
Growth development
Preventing anemia
Maintaining skin
Sources: Fish, milk, carrots, liver, sweet potatoes

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8
Q

vitamin A toxicity

A

Risks:
Excessive liver consumption
Supplement or pharmacologic users (e.g. acne treatment)
Arctic explorers (polar bears, seals)
Pregnant women

Symptoms
Hypervitaminosis A
Reduced bone density and increased fracture risk
Teratogenic
Increased intracranial pressure, dizziness, nausea, headaches, skin irritation, joint pain, coma, death

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9
Q

calcium

A

Recommended daily intake: 10 to 15 mmol/day
Important for bone & teeth formation
Useful in healthy muscle and nerve function
Cardiac conduction
Muscle contractions
Hypercalcemia
- Kidney stones
- Constipation
Follow UL

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10
Q

vitamin D

A

Known as the “sunshine vitamin”
Recommended intake IU
For those under 8: 400iu (can go up to 3000iu)
Vitamin D drops for infants being breastfed
For those over 8 and adults: 600iu (can go up to 4000iu)
Found in fortified foods, fish, eggs, dairy
Increases absorption of calcium & supports bone health
Helps support the muscles, nerves and immune system
Deficiency can lead to: rickets, osteomalacia, poor bone health, muscle weakness, fatigue, pain, sweating, GI upset
Fat soluble vitamin

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11
Q

zinc

A

8-11 mg
Supports the immune system
Helps to make protein and DNA
Helps with fetal growth and development
Promotes wound healing
Fortified in foods (cereal, legumes, clams)

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12
Q

zinc deficiency

A

Rare
Acne, dermatitis, thin hair, impotence, rashes, diarrhea, poor appetite, decreased taste, poor alertness
Poor wound healing
Poor growth

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13
Q

zinc toxicity

A

Nausea, vomiting, diarrhea
Poor appetite
Headaches
Can affect health, immunity long term at high doses

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14
Q

magnesium

A

310-420mg
Commonly found in legumes, nuts, spinach
Helps to keep your muscles, bones & nerves healthy
Too much can lead to abdominal pain and diarrhea
Too little can lead to electrolyte disturbances
Cautious in renal disease

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15
Q

vitamin E

A

Recommended daily intake: Adults: 15 mg
Fat soluble vitamin
Deficiencies can lead to neurological defects
Helps to improve immune function and prevents damage from free radicals
Can usually be obtained by food – spinach, dandelions, peppers, avocado, fortified cereals, fish, nuts, vegetable oils

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16
Q

vitamin K

A

RDI: Men: 120 mcg; Women: 90 mcg
Fat soluble vitamin
Helps your blood clot when you are bleeding
Foods high in vitamin K can inhibit the effects of warfarin (blood thinner)
- INR test
Helps with bone development
Best source is from green leafy vegetables

17
Q

vitamin B1 (thiamine)

A

RDA: Men: 1.2 mg, Women: 1.1 mg
Water-soluble vitamin (as are all B-vitamins)
If deficient, can lead to: anorexia, fatigue, depression, nausea, nervousness irritability, constipation, paresthesias, insomnia, neurological disorders
Helps use carbohydrates and protein to support bodily functions (helps body generate energy from nutrients)
Found in various fortified grain products
Supplementation may occur for individuals with an alcohol addiction, malabsorption syndrome, anorexia or on dialysis
Wernicke-Korsakoff syndrome - a brain disorder due to vitamin B1 (thiamine) deficiency.

18
Q

vitamin C

A

RDI: Men: 90 mg; Women: 75 mg
Water soluble
Prevents: Bleeding gums, loose teeth, easy bruising, poor wound healing, scurvy, dry, itchy skin
Low toxicity risk

Functions:
Maintenance of cells & tissues
Antioxidant properties
Synthesizes neurotransmitters & carnitine
Assists immunity
Helps with absorption of iron

19
Q

Folic Acid

A
  • Water-soluble, B-complex vitamin
  • Essential for erythropoiesis
  • Primary uses
  • Folic acid deficiency
  • During pregnancy, to prevent neural tube defects
  • Malabsorption syndromes are the most common causes of deficiency.
20
Q

Vitamin B12 (cobalamin)

A
  • Used to treat vitamin b12 deficiency, pernicious anemia, and megaloblastic anemia
  • Administered orally or parenterally
  • Deficiency should resolve after 3-4 weeks of treatment
    6 months+ of therapy may be required for signs of improvement in neurological manifestations
  • chronic B12 deficiency due to pernicious anemia or malabsorption disorders may require lifelong supplementation