Nutrition Flashcards
Metabolism
Total of all physical and chemical processes
Definition of Nutrition
Study of nutrients and how body utilizes the nutrients in food
Total of all processes involved in the taking in and utilization of food substances for proper growth functioning & maintenance of health
Catabolism
Process of breaking down, disintegrating, or tearing substances into simpler substances (breakdown of larger molecules into smaller ones)
Energy is often released during this process.
Anabolism
Building up, assimilation, or conversion of ingested substances
Synthesis of substances to form new, larger substances
Role of Organs of the GI Tract
Digestion Absorption Metabolism Storage Elimination of nutrients
General good nutrition status:
Alert Responsive Sleeps well Energetic Seldom ill
Good weight nutrition status:
Appropriate for:
Age
Height
Body build
Good skeleton nutrition status:
Good posture
No malformations
Good skin nutrition status:
Good color Smooth Moist Good turgor No rashes Swelling
Good muscle nutritional status:
Firm
Good tone
Good nail nutritional status
Pink
Firm
Good eye nutritional status
Clear
Bright
Moist
Good hair nutritional status
Shiny
Smooth
Good elimination nutritional status:
Regular
Soft
General inadequate nutritional status:
Apathetic
Easily fatigued
Looks tired
Often ill
Inadequate weight nutritional status:
Overweight
Underweight
Inadequate skeleton nutritional status:
Poor posture
Inadequate skin nutritional status:
Rough
Dry
Pale
Poor turgor
Inadequate muscle nutritional status:
Flaccid
Poor tone
Inadequate nail nutritional status:
Brittle
Pale
Inadequate eye nutritional status:
Dull
Pale
Dry
Inadequate hair nutritional status:
Dull
Dry
Brittle
Inadequate elimination nutritional status:
Diarrhea
Constipation
Substances (chemical compounds) are needed for:
Growth, maintenance and repair of the body
Basic functions of chemical compounds:
Provide energy
Build/repair tissue
Regulate body processes
Define essential nutrients
Nutrients our body cannot make in amounts necessary for good health
Must obtain them through food
6 classes of essential nutrients:
Carbohydrates Fats Proteins Vitamins Minerals Water
Substances that are thought to protect cells from the damage caused by free radicals:
Antioxidants
Nitrogen Balance
When the body takes in more nitrogen than it excretes, to use excess nitrogen to build new tissue
Simple Carbs
One or two molecules of sugar that are absorbed and burned very quickly; they raise BG level, causing dumping of insulin, causing BG level to plummet
Essential Amino Acids
Cannot be made by the body and must be ingested through food
Complex Carbs
Are starches and fiber
Made of long chains of 3 or more molecules of sugar
Take longer to digest than shorter chains
Help stabilize BG levels
Satiety
By slowing gastric emptying, satisfies hunger and leads to overall decrease in caloric intake
Estimated average dietary intake for active adolescent and young man:
2,400 calories
Adults 50+ should include food sources or supplements that are fortified with:
Crystalline form B12
Salivary amylase begins to break down:
Fat and simple carbs
Most absorption of nutrients occurs in the:
Duodenum and jejunum
The digestive enzymes needed to digest starches and proteins are released from the:
Liver
Gallbladder
Pancreas
Small intestine
Nutrients absorbed into the bloodstream from the GI tract travel to the liver via the:
Portal vein
What individual requires the highest level of water intake for optimal health?
Nursing mothers
Protein is required by the body for:
Producing energy and heat
Building new tissue
Manufacturing hormones and enzymes
Forming antibodies
Increasing your fiber intake too much too quickly can cause:
Excessive GI gas
The avg. adult needs how much fiber per day?
25-30 grams
Fat-soluble vitamins
A
D
E
K
This nutrient cannot be digested and retain their original chemical identities in the body:
Minerals
Older children, active women, and sedentary men need how many calories a day?
2,000 calories
What should a healthy diet provide?
An adequate amount of each essential nutrient to support growth and development
What are the 3 things for a healthy diet?
Moderation, Variety, and Balance
Dietary Guidleines (6)
Eat a variety of food
Balance what you take in with physical activity to maintain or improve weight
Choose plenty of grain prodcuts, vegetables, and fruits
Choose foods low in fat (especially saturated)
Choose diet moderate in sugars, salt, and sodium
Consume alcohol in moderation
What does DRI’s stand for?
Dietary reference intakes
What are the 6 major components of labeling?
Food amount and energy content Macronutrient content Vitamin and Mineral content Daily reference value Health claims Labels for special needs
What are the components that are MANDATORY for food labels (6)?
Total calories Calories from fat Total fat Saturated fat Cholesterol Sodium
What are purines?
They help us break down uric acid
What is a Kilocalorie
Unit of measurement that specifies the heat energy in a particular amount of food
Amount of heat required to raise temperature of 1 kg of water, 1 degree C
Calorie values of energy nutrients
1g of carbohydrates yelds how many kcals?
4 kcals
1g of fat yields how many kcals?
9 kcals
1g of protein yeilds how many kcals?
4 kcals
The amount of energy (calories) a helathy individual needs depends on what?
Age Sex Weight Body composition Activity level
What is REE (resting energy expenditure)?
Most of the energy used in a typical day
- Higher in men because of muscle mass
- Younger adults need more due to growth
- Pregnancy, lactation, and fever also affect REE
What are empty calories?
Foods that supply calories with few or no nutrients
ex: candy, soda, alcohol
How many calories does the average sedentary adult male need?
2000
How many calories does the average sedentary woman need?
1600
How many calories does a young child need?
1600
How many calories does the average active adult adolescent boy need?
2400
What does IBW stand for?
Ideal body weight
General body weight assessment for a woman
100 pounds for 5 ft of height, add five pounds for each additional inch
General body weight assessment for a man
106 pounds for 5 ft of height, add 6 pounds for each additional inch
What does BMI measure?
Weight in relationship to height
Underweight BMI classification
Less than 18.5
Healthy BMI classification
18.5-24.9
Overweight BMI classification
25-29.9
Obese BMI classification
30 or greater
Very obese BMI classification
> 40
How is obesity determined?
In terms of BMI
Special nutritional considerations for infancy
Need a lot of calories for development
Feed on demand (trust vs. mistrust)
Double weight in first 6 months, usually triple in 1 year
Introduction of solid food (usually at 6 months)
Breast milk or iron fortified infant formula is generally recommended for 1 year
Breast feeding should be encouraged
Introducing solid food too early can increase risk for allergies and choking
When introducing solid foods, how should you do it?
Single ingredient foods should be chosen and introduced one at a time at weekly intervals
Special nutritional considerations for childhood
Permanent eating habits are formed
If offered nutritious foods in pleasant surroundings, will most likely be adequately nourished
Parents decide which foods to serve at what times and child decides what and how much to eat
Need frequent small meals
Fat is an important energy source
What is a clear liquid diet?
Liquids that are see-through
(tea, coffee, clear broths, etc)
Noniritating liquids, easily digested and absorbed and leaves little residue in the GI tract
Special nutritional considerations for adolescence
Snacking (diets of filled with kcal rich and nutrient poor snacks)
Skipping meals
Dietary inadequacies (include iron and calcium)
May experiment with alcohol or drugs, which can have detrimental effects on nutrients
Common problems in adolescence
Anorexia nervosa Bulimia nervosa Obesity Poor bone growth Anemia
What is a good source of iron?
Raisins
Special nutrient consideratoins for early/middle adulthood
Need nutrient dense foods (dark green leafy vegetables)
Calcium vitamin D
Drink caffiene
What happens during early/middle adulthood?
Caloric requirements decrease
Muscle and bone mass start declining
Proportion of fat increases
Types of nutrient modification diets
Carbohydrate-controlled (for diabetics)
Lactose-restriced diets
HIgh and low fat diets
Protein controlled diets (high and restricted)
Gluten restricted diets
Controlled mineral and electrolyte diets (sodium, calcium, phosphrous, potassium)
What can caffeine cause in children?
Hyperactive behavior
What should you limit intake of caffeine to?
300mg/day
Why are elderly at rsik of nutritional problems?
Physiologic, economic, and psychosocial changes
What are some changes as we age?
related to nutrition
Decreased ability to absorb nutrients
Difficulty swallowing
Nursing consideratons with the elderly
Constipation
Decreased thirst
Weight management
What are some nutritional concernse for adults in LTC?
Malnutrition is common
Residents should be offered familiar foods that taste good
Fluids should be offered frequently
Nurses must understand the value of mealtime as a pleasant, social experience
What are some drug interactions with nutrients?
Drugs can alter appetite or ability to eat
Can affect absorption, metabolism, and excretion of certain nutrients
Food intake and vitamin/mineral supplementatoin may affect the absorption, distribution, metabolism, and action of some medications