Module 8 Lecture 1 Principles of Nutrition Assessment in Athletes Flashcards

1
Q

The nutrition care process model

A

pre: screening & referral system
2. nutrition assessment & re-assessment
2. Nutrition diagnosis
3. Nutrition intervention
4. Nutrition monitoring & evaluation
post: outcomes management system

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2
Q

screening and referral system of the NCP

A
  • identify risk factors
  • use appropriate tools and methods
  • involve interdisiplinary collaboration
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3
Q

nutrition assessment & re-assessment of the NCP

A
  • obtain/ collect important and relevant data
  • analyze/ interpret collected data
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4
Q

Nutrition diagnosis

A

PES
* P - identify problem
* E - Determine etiology/ cause
* S - state signs and symptoms

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5
Q

Purpose of nutrition assessment

A

to collect and interpret relevant client information to identify:
* If the athlete is at risk for malnutrition and, if so, why
* The potential to positively influence sport performance through dietary changes (sometimes just need to be told they are doing the right thing

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6
Q

Why is the nutrition assessment important?

A

gives you the evidence you need to know how to care for the athlete you’re working with

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7
Q

What determines the athletes NCP

A

Assessment data, not the athlete’s preferences or wishes, determine the nutrition care plan.
* What they want and the data might not match up such as want to cut calories but assessment says they are under a normal weight range already

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8
Q

the condition that occurs when the body’s requirements for one or more essential nutrients is not met.

A

malnutrition

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9
Q

common causes of malnutrition

A
  • Inadequate or unbalanced diet
  • Problems with digestion or absorption
  • Certain medical conditions
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10
Q

relationship between starvation and malnutrition

A

starvation is a form of malnutrition

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11
Q

Relationship between appearance and malnutrition

A

You can appear healthy and be malnourished - cannot tell by looking at them
* starvation
* obesity: overnutrition but lack of certain nutrients
* athletes can be malnourished

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12
Q

Why is it dangerous to assume that athletes are all healthy?

A

If we assume people are healthy, there is a risk that preventable or treatable illness will be missed or discounted.
* lack of health assessmnet skills
* lack of understanding of health history
* lack of awareness of risk
* Ex. Capati vs. crunch & Sergi Grinkov, figure skater

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13
Q

What is an important aspect of nutrition assessment?

A

Critical Thinking
* Determine appropriate data to collect and selecting valid and reliable tools
* Distinguish relevant from irrelevant data
* Select appropriate norms and standards for comparing the data
* Organizing and categorizing the data in a meaningful way that relates to the nutrition concerns of the client
* Identifying the absolute base nutrition issue (versus issues that are symptoms more than the base issue)

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14
Q

By the end of the nutrition assessment process you must be able to say, with confidence:

A
  • What the athlete’s specific nutrition-related concerns
  • Why you know these are the concerns (evidence)
  • What you need to do to correct or optimize the athlete’s nutritional health
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15
Q

Elements of the nutrition assessment

A
  • Personal Health, Sport and Social History
  • Dietary Assessment
  • Body Weight and Composition Assessment
  • Assessment of Energy Expenditure
  • Fitness assessment
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16
Q

goal of Personal Health, Sport and Social History

A

Determine a client’s level of health risk

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17
Q

key elements of Personal Health and Sport History

A
  • Demographic Information (Name, age, height, weight, gender)
  • Family and personal history of disease or health concerns (including allergies)
  • History of illness and injuries
  • Surgical history
  • Menstrual history (for females)
  • Medication and supplement use
  • Detailed information on their level of sport participation (Type, frequency, duration, intensity; Goals of sport participation)
18
Q

key elemental of social history

A
  • Socioeconomic status, social and medical support, cultural and religious beliefs, housing situation, and social isolation/connection
  • Others involved in their Circle of Care ( formal consent to communicate with others in the Circle)
  • Age, occupation, role in family, and education level
  • Who is responsible for shopping for food, cooking, etc.
19
Q

Lab Values of Interest for Athletes

A
  • Blood lipid levels (Tchol, LDL, HDL, VLDL, LDL/HDL ratio, TG)
  • HbA1c% (higher in diabetes)
  • Blood Glucose (higher in diabetes)
  • Urine Protein
  • Urine Glucose
  • BUN
  • Serum Creatinine
  • Albumin
20
Q

Body Weight and Composition Assessment

A
  • Current (Usual) Weight
  • Ideal/optimal weight for sport (room for variation)
  • Weight history
  • body comp. measures (if accessible)
21
Q

why is it important to get weight history>

A

Has weight changed? If so, in which direction and over what period of time
* The larger the magnitude of weight change over the shorter duration of time = increased risk for malnutrition

22
Q

% Usual Body Weight =

A
23
Q

Categories of Percent Usual Body Weight

A
24
Q

Problem with % usual body weight measurement

A

Does not tell you how long it took to change

25
Q

What does the importance of % weight change depend on?

A

The importance of this change will depend on the time over which it occurred
* And the population

26
Q

% recent weight change =

A
27
Q

How does weight change occur in adolescence?

A

weight/height should be increasing
* if stable this is a concern

28
Q

What standards are widely used to assess significant weight changes in adults?

A
29
Q

How does weight differ with sport?

A

some sports more advantageous to be heavy or light
* depends on sport
* depends on gender

30
Q

NFPE

A

Nutrition Focused Physical Exam (findings)

31
Q

includes a review of key physical areas related to nutrition.

A

Nutrition Focused Physical Exam
* clinical exam

32
Q

What is included in NFPE

A

At minimum all athlete’s should have a visual examination and look at the athlete’s physical condition:
* Hair
* Skin (Colour, texture, integrity)
* Nails
* Muscle and Fat Mass
* Dentition/mouth teeth
* Eyes.

33
Q

Dietary Assessment Methods

A
  • 24 h recall
  • food frequency questionarre
  • food records
34
Q

respondant burden

A

how much work the client has to do for dietary assessment

35
Q

Components of Dietary Assessment

A

Includes foods and quantities eaten, eating habits, accessibility of food, and cultural and socioeconomic factors that effect selection of food. Details matter!!!
* Portion sizes
* Brand names
* Eating times

36
Q

What is the 3 pass method for dietary assessment?

A
  • pass 1 - when and what (general)
  • Pass 2 - portion sizes
  • Pass 3 - things often forgotten (items in or on things)
37
Q

A nutrition diagnosis statement that identifies what nutrition problem the sport dietitian is working to improve.

A

PES statement
1. Problem (P)
2. Etiology (E)
3. Signs or symptoms (S)

38
Q

What might be the best way to work with PES

A

Nutrition diagnoses can often be identified by working the PES Statement process backwards before writing it forwards:
* Signs and Symptoms
* Etiology
* Problem

39
Q

Why is clinical documentation important when developed a NCP?

A

legal protection
* Sport dietitians chart the care provided to athletes exactly as they would the care provided to any other individual

40
Q

What should be included in documentation?

A
  • Formal, written account of the nutrition assessment and the data that was considered.
  • PES statement(s).
  • Intervention/Plan
  • Monitoring
41
Q

How should documentation be stored?

A

Must be stored per current regulatory requirements.
* documentation is confidential
* locked
* kept for 7 years

42
Q

Why is keeping an open mind important?

A

Without keeping an open mind, the sport dietitian risks anchoring on early information and not asking enough questions to get to this athlete’s absolute base issue.