Nutrition Flashcards
Why is nutrition important?
As there is a pathway between diet and oral health
What are the immediate causes of major dental diseases?
Diet,plaque and smoking
What are many diseases linked to?
Oral Inflammation
Why do we see changes in the mouth first?
Oral epithelia, grow and replace more rapidly
What is primary nutritional deficiency?
-inadequate selections of food
-age, income, education
What is secondary nutritional deficiency?
Which nutrients are bad?
CHO, sweet sticky foods etc
What does nutrition mean?
Describes the processes whereby cellular organelles, cell tissues, organs and the body as a whole obtain and use necessary substances obtained from food (nutrients) to maintain structural and functional integrity.
What is dietary allowances?
quantitative amounts for population subgroups for essential micronutrients, energy and protein
What are dietary guidelines?
targeted at individuals, advisory statements.`
What is the EAR?
Estimated average requirement
What is the RNI?
Reference Nutrient Intake
What is the LRNI?
Lower reference nutrient intake
What is the Safe Intake?
A level of nutrient at which there is no risk of deficiency
What is the Safe Intake?
A level of nutrient at which there is no risk of deficiency
What are the uses of dietary recommendations?
-By governments and NGOS in provision of food aid, food supplements and rationings
-By food industry in development and marketing
-By caterers
-Dietary guidelines and goals
-researchers
Name 3 macronutrients
Carbohydrates
Proteins
Fats and oils(lipids)
Name 2 micronutrients
Minerals
Vitamins
Name 4 classes of nutrients
Macronutrients
Micronutrients
Water
Alcohol
Why is electrical energy required for nutrients?
Maintain ionic gradients
Why is chemical energy required for nutrients?
Protein Synthesis
Why is mechanical energy required for nutrients?
Muscle contraction
Why is heat energy required for nutrients?
maintain body temperature
How is energy measured?
Units of kilocalories (kcals) or kilojoules (kJ)
What energy comes from fat?
9kcals or 37kJ/ gram
What energy comes from alcohol?
7kcal or 29kJ/gram
What energy comes from protein?
4kcal or 17kJ/gram
What is energy density?
The energy a food contains per gram
What is energy used for?
Basic metabolic rate
physical activity
Thermogenesis
Additional requirement for growth
When is there a positive energy balance?
Energy intake > energy output
When is there a negative energy balance?
Energy intake < energy output
What affects energy requirements?
Body size
Age
Activity
Pregnancy/lactation
Disease, trauma and treatments
How are carbohydrates synthesised?
By plants from carbon dioxide and water through photosynthesis
What are oligosaccharides?
3-9 monosaccharides
What is sucrose made of?
Glucose and fructose
What is lactose made of?
Glucose and galactose
What is maltose made of?
Glucose and glucose
What is a sugar alcohol?
Polyols
What are dextrins?
Short chains of glucose, formed by degradation of starch by partial hydrolysis.
What are ‘free sugars’?
All monosaccharides and disaccharides added to food by the manufacturer, cook or consumer, plus sugars naturally present in honey, syrups and unsweetened fruit juice
What is the difference between extrinsic and intrinsic sugars?
Extrinsic sugars are added to food while intrinsic is naturally found
What is ‘added sugars’?
Sugars and syrups that are added during manufacture and preparation but does not capture the sugars present in unsweetened fruit juice or honey
Properties of starch
Storage carbohydrate
exists in granules
insoluble in water
derived from glucose
What are the two main types of starch?
Amylose- unbranched chain of glucose with alpha 1-4 linkage
Amylopectin- long, highly branched polymer, alpha 1-4 linkage in each branch and branches linked with alpha 1-6 linkage
What happens to food not digested in the small intestine?
It is fermented by the colonic microflora to short chain fatty acids and gases
What is dietary fibre?
The portion of food which is derived from cellular walls of plants which is digested very poorly by human beings
What are some non digestible carbohydrates?
Non-starch polysaccharides
Oligosaccharides
Modified starches
Resistant starch
How is the alpha 1-4 glucose bond broken?
Amylase
What is the alpha 1-6 glucose bond broke by?
Glucoamylase
What is the definition of a ‘fat’?
Compound made up of carbon, hydrogen and oxygen
What is the role of dietary fats?
energy
essential fatty acids
fat-soluble vitamins
Role of lipids in the body?
Store of energy
Structural role in cell membranes
metabolic functions
What are fats found in foods?
Triacylglycerols
Cholestrol
Plant sterols
phospholipids
fat soluble vitamins
What structural factors effect the property of fatty acids?
Number of C atoms
Presence of double bonds
-saturated/unsaturated
-cis and trans isomers
-position of double bond
What does saturated and unsaturated fats mean?
Saturated is when all C atoms are full saturated with H atoms
Unsaturated is when the C atoms form at least one double bond
What is the difference between cis and trans fats?
Cis the H on double bond on same side while trans H atoms are on different sides at double bond.
What areas of the mouth are prone to abnormal appearances?
Corners of mouth
tongue
palate
teeth
What is the difference between primary and secondary nutritional deficiency?
Primary nutritional deficiency is caused by inadequate selection of food, age, income and education whereas secondary nutritional deficiency is caused by systematic disorders interfering with ingestion, digestion, absorption
What nutrients are important for dental health?
Calcium, phosphorus, vitamins A, C and D and Fluoride
What are consequences of vitamin D deficiency?
Preeclampsia
Periodontitis
Childhood dental caries
Autoimmune disorders
Infectious diseases
Cardiovascular disease
Type 2 diabetes
Neurological disorders
Why is vitamin D needed?
For relevant mineral density, it helps absorb, carry and deposit calcium in the bones that support teeth.
What can a lack of vitamin D lead to?
Dental caries or weak or brittle teeth that easily break and crack.
What are the primary reasons for nutrient imbalance?
Inadequate intake
Malabsorption
Nutrient wasting
What medical conditions can cause a nutrient imbalance?
Chrons disease
Cystic fibrosis
HIV
What social factors may contribute to nutritional deficiency?
Poverty
Homelessness
Famine
War
What does ‘nutrition’ mean?
Nutrition describes the processes whereby cellular organelles, cells, tissues, organs and the body as a whole obtain and use necessary substances obtained from foods to maintain structural and functional integrity.
What is it meant by the term ‘prebiotics’?
a non-digestible food ingredient that promotes the growth of beneficial microorganisms in the intestines.
What are natural sources of insulin and oligofructose?
Chicory roots
Garlic
Artichokes
What is ‘dietary fibre’?
Dietary fibre is a type of carbohydrate that cannot be digested by our bodies’ enzymes.
What does maltase digest maltose into?
2 molecules of glucose
What does lactase digest lactose into?
Glucose and a galactose
What does sucrase digest sucrose into?
A glucose and a fructose
What are the two main sugar transporters?
GLUT family
SGLT family
What are examples of emulsifying agents?
Fatty acids
monoglycerides
cholesterol
protein
bile acids
Role of dietary fats?
Energy provision
Essential fatty acids
Help carry fat soluble vitamins
Enables storage of energy
Metabolic functions
What is the post absorptive state?
Period when the GI tract is empty and energy comes from the breakdown of our body’s reserves
Where is the first available store of glucose found?
Liver
What stimulates insulin release?
Increase in blood glucose
Increase in amino acids in plasma
neural stimulation of pancreas
gut hormones
What is insulin release decreased by?
Reduction in blood glucose
Sympathetic neural stimulation
What is the role of glucagon in regulation of metabolism during post -absorptive state?
Released by A cells in islets of Langerhans
Increases glycogen breakdown in liver
Increase lipolysis
What is the role of cortisol during stress?
Regain glucose homeostasis
What vitamins can the body make?
Vitamin D by the sun
Vitamin K and some B by gut flora
What vitamins are fat soluble?
A,D,E,K
What vitamins are water soluble?
C, B