N&M 3 Flashcards
What diseased are associated with a refined western diet
diverticular diseases, constipation, appendicitis,hemorrhoids,diabetes,heart disease, gallstones, obesity and colon cancer
How much fiber do americans typically consume and how much should they consume
average - 10-20 g a day
optimal - 25-40 g a day
kids - 5g + age
what constitutues dietary fiber
non-digestible carbs + lignins isolated fiber, pectin, polydextrose
how does soluble fiber differ in its action in action of thst to insoluable fiber
insoluble fiber stimulates peristalsis & helps bowel regularity
soluable fiber has gelling properties slows down glucose absorbtion increases cholesterol excretion and lowers cholesterol
what physiological actions does fiber excret in the gastro intestinal tract
gel formation - slows gastric emptying and sloe intestinal absorbtion
adsorbtion of minerals
antioxidant - reduces colon cancer risk***
How does fiber protect against colon cancer
Binds bile acids
speeds up transit time
dilutes carcinogens and increases bulk of stool
alters colonic flora -more aerobic flora
hastens fecal trasit so thieres reduced surface contact time with intestinal wall
what is the role of lignin in the colon
antioxidant
What role does fiber have in weight management
high fiber meals have lower calorie density
gel forming fibers delay stomach acid and increases satiety
what effect was seen in the dutch study when additional fiber was added to the diet
for each 10g of fiber eated there was a
17% drop of CHD mortality
9% drop in mortality
How does fiber provide a hypolipidemic action
reduced fat/cholesterol absorbtion
lower cholsterol synthesis
lower insulin levels
binding of bile acids and higher fecal excretion of steroids
propionic acid inhibits cholesterol synthesis
what effect does fiber have on blood pressure and blood sugar levels
people with higher bp can lower it by eating 2-6% more fiber for 30 days it also lowers blood sugar because less food and sugars
What healthful properties are provided by FOS
promote growth of healthy bactera like bifidobacteria and lactobaciluss bacteria in colon and peristalsis is stimulated lower risk of intestinal infections
Does fiber cause vitamin or mineral deficiency
short term consumption will but long term wont because compensatory actions happen not good for kids though
Are high fiber diets safe for small children
no because they are low in calories and they need lots
it is better to consume fiber rich foods or foods fortified with isolated fiber supplements
fiber rich foods are better
Why are soybeans unique among the legumes
they are loaded with isoflavones, genestein and diazein and have high quality protien
What effect does soy protein and soy milk have on blood lipids and arterial compliance. Is this true for adults or children
1-2 oz of soy protein decreases cholesterol and triglycerides 10% for people with elevated blood levels
5% reduction in LDL
hypercholestrolemic children had 22-25% in LDL
16-18% drop in total cholestrol
Does a solid or liquid matrix make a difference
yes liquid is much more affective
What do we know about cardiovascular effects of genistein
lowers LDL and total cholestrol
protects LDL from oxidation
prevents platelet clumping/thrombosis
improves vasodilation and blood flow in arteires
inhibits proliferation on artery wall
promotes artery lumen enlargement after artery injury
prevents clots
How does the use of soy impact upon ones risk of cancer
studies on asains show regular soy consumption have 30-80% (half)reduced risk of breast, colon, rectum,stomach,prostate, and lung compared to people who have low soy consumtion
54% reduction in endometrail cancer in hawaiian women
does ones risk of breast cancer depend on the age of exposure to soy?
yes during childhood/adolescence 25-50% reduction
What is the consequence of soy isoflavones acting not like phytoestrogens
they have estrogen like effects in coronary vessels and bone tissue but an anti estrogen effect on breast tissue
What other chemicals exist in soy other than the isoflavones
phytosterols and phytates saponins
does soy have any value for hrt
less frequent and fewer hot flashes in asian women who ate 60g/day
What effect does soy isoflavones have upon bone mineral density
spinal bone mineral density is significantly higher
what levels of soy isoflavones are needed to protect against BMD loss
54 mg of geinstien helped bmn
90mg of isoflavones helped menopausal women
what micro nutrients are important for a rice or soy milk to contail
30% calcium
30 % vit d
50% vitamin b12
what are some of the problems being expressed about soy today
risk of allergies doesn't protect cvd thyroid functions male fertility enhanced risk of breast cancer soy for infants/children suitability effects of cognition in elders