Nutrient & Nutrition Flashcards

1
Q

Define nutrition

A

Nutrition consists of a balanced & varied diet in accordance with the body’s needs, a well-balanced diet provides the body with the ability to grow & repair

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2
Q

Define nutrients

A

These are compound food groups that are essential for providing energy, growth & repair as well as regulation of chemical processes.
Needed for normal metabolic function

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3
Q

Define macronutrients

A

This refers to 3 food groups of carbohydrates, fats & proteins, these are larger complex groups needed in larger quantities (g)

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4
Q

Define micronutrients

A

This refers to vitamins & minerals which are needed in smaller quantities (milligram/micrograms)

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5
Q

Describe the structure & function of carbohydrates

A

Carbs: 2 types of carbs: complex & simple
Complex is slow digesting giving more stable energy as glucose enters the blood slowly
SImple carbs are easily digested and glucose enter the blood quickly creating a spike in blood sugar followed by a crash
Carbs provide 4kcal energy per gram
They are the body’s primary source of energy
Carbohydrates broken down to glucose and absorbed by cells with help of insulin
Excess glucose is stored as glycogen, once glycogen stores full glucose is stored as fat
Glucose is monosaccaride
forms lactose (glucose+galactose)
Glucose enters krebs to make ATP
complex: potatoes, fortified cereals, wholemeal
Simple: cake, biscuits

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6
Q

Describe the structure & function of proteins

A

Made up of A.A’s joined via peptide bonds. A.A number varies with type of protein. We have essential & non-essential A.A’s. Essential A.A’s cannot be made and so need to be consumed in our diet, e.g., valine, leucine, lysine
Protein is needed for growth & repair, protein synthesis, enzyme, hormone & antibody production
Needed for Hb
Provides 7kcal per gram
found in meat, eggs, fish, lentils

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7
Q

Describe the structure & function of fats

A

Fats are made up of F.A’s, 3 F.A’s attached to a glycerol is known as a triglyceride
There are 3 types:
Saturated: Saturated fats are solid at room temperature due to no C=C bonds, e.g., butter, ghee, coconut oil & cheese
Monounsaturated: Monounsaturated fat contains one C=C bond and so are likely to be liquid at room temperature e.g., peanut butter & vegetable oils
Polyunsaturated: Polyunsaturated fats contain more than one C=C bond, likely to be liquid at room temperature. E.g., oily fish (salmon), walnuts, sunflower seeds
This is dependent on the number of C=C bonds in the hydrocarbon chain
More C=C results in more kinks in the chain which causes the hydrocarbon chain to be packed less closely
contain 9kcal per gram
Carries fat soluble vitamins, needed for absorption & storage
Important for cell signalling, phospholipid membranes
Some fats are needed for chemical reactions e.g., prostaglandins
sources: oils, cheese, peanuts

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8
Q

Define vitamins

A

Are a small group of organic compounds needed to sustain life, they cannot be made so must be consumed in food. Only B vitamins & K are made in the body
2 Types of water soluble & fat soluble

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9
Q

What is a fat soluble vitamin?

A

Refers to vitamins ADEK, these are harmful & toxic in excess, absorbed in the intestinal tract & stored in the liver’s fat tissue. They are not excreted by the body.
Deficiency caused by a low-fat diet can lead to fat malabsorption

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10
Q

What is a water soluble vitamin?

A

Refers to B vitamins & Vitamin C, these vitamins cannot be stored so are excreted in the urine

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11
Q

Name the fat-soluble vitamins, their functions, how they can be consumed & symptoms of deficiency

A

Vitamin A-(retinol/betacarotene) found in red orange fruits & vegetables e.g., carrots. They are needed for visual pigment of the eye, Immune function, Maintenance of epithelium & mucus membranes
Deficiency causes night blindness, delayed growth
Vitamin D (calciferol) received via sun, fish & dairy. Needed for Promoting bone growth & mineralization it’s needed to increase calcium absorption in the gut
Deficiency causes pale skin, weak bones (osteoporosis), rickets in children
Vitamin E (tocopherol): found in meat, avocado & veg oils, Needed to protect cell membrane and fight of free radicals
Deficiency causes poor immunity & vision, muscle & nerve damage
Vitamin K (Menadione) found in dark green leafy veg e.g., kale, needed for Forms prothrombin involved in blood clotting, Bone health
Deficiency causes internal bleeding and hemorrhage

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12
Q

Name the water-soluble vitamins, their functions, how they can be consumed & symptoms of deficiency

A

B1(thiamine): found in wholegrains, needed for CNS function & metabolism
Deficiency: Wet Beri Beri disease:
Shortness of breath, rapid HR, swollen legs
Dry Beri Beri:
Pain, vomiting, muscle weakness, paralysis
B2 (Riboflavin): meat, eggs, dairy, needed for Metabolism as forms FAD coenzyme, healthy skin & fat oxidation.
Deficiency causes poor skin, hair loss & sore throat
B3(Niacin): meat, poultry, fish, forms coenzyme NAD, fat oxidation & good skin
Deficiency causes Pellagra symptoms of diarrhoea, dermatitis, mouth soreness
B6(pyridoxine): meat, poultry, fish, helps with A.A metabolism, forms RBC & Hb,
Deficiency causes Microcytic anaemia, smaller RBC than normal with less Hb. Paleness Shortness of breath, Fatigue
Folate. Folic acid & Folacin
Meat, potatoes, legumes, wholegrain cereals
Needed for coenzyme DNA & RNA, promotes RBC & WBC formation, needed during pregnancy
Deficiency causes fatigue, mouth soreness, may cause anaemia
Vitamin B12:(cobalamin)
Meat, fish, shellfish, eggs
Maintains gut & nerve tissue
Needed for coenzyme DNA & RNA, promotes RBC & WBC formation,
Deficiency causes feeling very tired or weak Nausea, vomiting, or diarrhoea
Reduced appetite
Weight loss
Sore mouth or tongue
Vitamin C: (ascorbic acid)
Citrus fruits, dark leafy vegetables, broccoli, strawberries & kiwi
Needed to produce collagen, steroid & catacholine synthesis (adrenaline)
Mitochondria metabolism
Deficiency causes scurvy which has symptoms of weakness & tiredness, can lead to gum disease, bleeding from the skin, hair changes

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13
Q

Define a mineral

A

We have 22 minerals the body needs, divided into macro & micronutrients. These are naturally occurring INORGANIC substances

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14
Q

What is a macro & micromineral?

A

Macromineral: these are needed in large quantites e.g., calcium, Na+, K+, P
Micromineral: needed in smaller quantites e.g., I, Zn, Fe

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15
Q

Describe the importance of calcium, iodine & iron

A

Calcium is needed for muscle & nerve stimulation, it is also needed for bone hardness & strength. Taking vitamin D can increase levels of calcium in the blood, and too much calcium can cause side effects such as stomach pain, loss of appetite, constipation, or diarrhoea.
Iron is needed for Hb, it is the prosthetic group that allows binding of O2, allows Hb to carry O2, iron is also involved in enzymes, neurotransmitters & synthesis of collagen
Iodine is needed for the production of thyroxine hormone in thyroid for metabolism regulation

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16
Q

What is DRV?

A

Dietry reference values are a series of estimates that refers to the amount of energy & nutrients needed by different groups of healthypeople in the UK

17
Q

What is RNI?

A

reference nutrient intake refers to the amount that meets the needs of nearly all people in the population (97%)

18
Q

What is EAR & LRNI?

A

EAR- estimated average requirements

LNRI- lower reference nutrient intake

19
Q

Define malnutrition

A

Malnutrition is defined as a state of nutrition in which a deficiency, excess or imbalance of energy, protein or other nutrients causes measurable effects on the body form/tissue and function

Malnutrition refers to over & undernutrition

20
Q

Define overnutrition

A

Overnutrition: the intake of nutrients exceeds requirements for normal growth & metabolism. Over time this will lead to weight gain & obesity, which are risk factors for other diseases e.g., diabetes type 2
Obesity affects 1 in 4 adults and 1 in 5 children. It is a growing problem

There is a strong correlation between obesity and deprivation

21
Q

Define undernutrition

A

Undernutrition: a deficiency of energy, protein or other nutrients that causes adverse effects on the body’s shape, size, composition & function

3 million people in the UK are undernourished

22
Q

Who are the high risk groups for undernutrition?

A

Those with chronic disease e.g., cancer or COPD

Adults over the age of 65

Those who have difficulty obtaining/ preparing food

Those with acute illnesses where inadequate has not been consumed over 5 days

23
Q

What are the consequences of malnutrition?

A
  • increased fall risk
  • impaired recovery from illness/surgery
  • higher mortality/infection rates
  • impaired immune response
  • impaired wound healing
  • weakness of muscles
  • impaired psychosocial function
    This leads to more hospital admissions/readmissions, greater strain on NHS, longer hospital stay
24
Q

How do we identify malnutrition?

A

Some can be identified just by looking at them, e.g., they appear under/overweight
However, some may be vitamin/mineral deficiencies
A 5 step process by MUST is used to identify risk levels and plan an appropriate nutritional care plan
S1: BMI calculated
S2: weight loss score
S3: acute disease effect score
S4: overall risk of malnutrition
S5: management guidelines based on what category they fall into (low. medium, high risk)