Nutrition Flashcards
Science that deals with the process by which components of food are made available to an organism for meeting energy requirements, building and maintaining organism in an optinum functional state.
Nutrition
Constitutes all solid and liquid materials which when taken into the body serve to nourish, bild, repair and supply energy or regulate body processes.
Food
Chemical substances in food that nourish by providing energy, materials for building body parts, and factors that regulate necessary chemical processes in the body.
Nutrients
A substance which the body cannot synthesize in sufficient amounts to meet the demands of the body and therefore must be supplied in the diet.
Essential nutrient
State of complete physical, mental and social well being and not merely the absence of disease.
Health
Condition of the body resulting from the consumption and utilization of nutrients.
Nutritional status or Nutriture
Pathological state resulting from a relative lack or absolute deficiency or excess of one or more of the essential nutrients.
Malnutrition
Four types of malnutrition
Undernutrition
Specific nutrient deficiency
Overnutrition
Nutrient imbalance
Relationship between weight and height that is associated with body fat and health risk.
Body mass index
Ratio of the blood glucose response to a given food compared to a standard.( typically, glucose or white bread)
Glycemic index
Smallest exogenous supply of a nutrient that must be absorbed or consumed to prevent manifestations of deficiency,
MDR
Minimum Daily Requirement
Dietary intake expected to satisfy the needs of 50% of the people in that age group based on a review of the scientific literature.
Representative of the whole population.
EAR
Estimated Average Requirement
Amount of energy and essential nutrients needed to meet the minimal requirement to maintain health and provide reasonable level reserves plus an added amount to allow for incomplete digestion
RDA
Recommended Daily Allowance
Defined as levels of intake of energy and nutrients. Which on the basis of current scientific knowledge .More focus on nutrients than food or diet.
RENI
Recommended Energy and Nutrient Intake
Deficiency of calories or one or more essential nutrients.
A state of physical health resulting from long standing dietary practices that do not meet the needs of the body.
Undernutrition
Results from long standing dietary practices that is excessive of the normal needs of the body.
Overnutirtion
Adequate intake and utilization of essential nutrients, with reserves for energy and ability to fight diseases
Ideal/optimal nutrition
Obesity actual body weight is
> 20 % of IBW
Overweight, actual body weight is
10-20% of IBW
Normal, actual body weight is
+/- 10% of IBW
Undernutrition/Underweight is based on
Gomez Classification
First degree of underweight (Gomez classification)
Weight is 75-89% of IBW
Second degree of underweight (Gomez classification
Weight is 60-74% of IBW
Third degree of underweight (Gomez classification
Weight is below 60% of IBW
Normal (Gomez classification
90-100%
Overweight (Gomez classification
101-120%
Obese (Gomez classification
> 120%
Gomez classification formula
Actual body weight/ ideal body weight x 100
Combination of weight and height for age
Waterlow classification
Formula for wasting
Actual body weight/ weight in height x 100
Formula for stunting
Actual height/ height in age x100
For adults
Normal nutriture
Within 10% of IBW or
BMI = 20-25
For adults
Overweight
Actual weight is 11-19% above IBW
For adults
Obese
Actual weight is 20% or more above IBW
Body Mass Index
Body weight in kilograms/height in meters squared
A BMI of over 25 is considered
Overweight
Used as a measurement of obesity, which in turn is a possible indicator of other more serious health conditions
WHR
Waist Hip Ratio
With more weight around the waist and face more health risks..
Apple shaped
Bodies who carry more weight around the hips
Pear shaped
Abdominal obesity is defined as a waist hip ratio above
- 95 for males
0. 80 for females
The most basic nutrients requirement taking precedence over all other nutritional needs
Energy requirement
The energy used by the body at rest
Basal metabolic rate
Production of heat by the body above basal level during the digestion and absorption of food
SDA specific dynamic action of food
TEF thermic effect of food
Additional energy needed for building new tissues and milk secretion
Growth
Increase in non voluntary physical activity triggered by cold conditions or overeating
Thermogenesis
Standard unit of measuring energy
Kilocalorie
Energy yield of proper food sources
From highest to lowest source
Fats
Alcohol
Protein
Carbohydrates
Determination of ideal body weight based on height in centimeters
Thanhausser method
Thanhausser method formula
[height in cm - 100] - [(height in cm -100) 10%] = wt in kg
Fernando’s method is constant
5feet = 106lb for male; 100lb for female
Just add 6lb for male and 5. lb in female every inches increase
Fernandos method
For large frame
Add 10% to IBW
Fernandos method
For small frame
Substract 10% from IBW
Calculation of BMR for 24 hours
In male
1kcal/kg IBW/hr x 24 hr
Calculation of BMR for 24 hours
In female
0.95kcal/kg IBW/hr x24 hr
How to correct the BMR for sleep by
deducting 10% in IBW x by hours of sleep
Calculate for physical activity
10,30,50,75,100
Bedrest, sedentary, light, moderate,heavy
How to calculate SDA
10% of the sum of corrected BMR and physical activity
How to calculate Total energy requirement
Add, cBMR, PA and SDA
The quickest way of estimation of energy yields
Krause method
Macronutrients
Carbohydrates Fats Fiber Minerals Proteins Vitamins Water
Micronutrients
Minerals
Vitamins
Nutrients that do not required energy
Vitamins
Minerals
Fiber
Water
Major source of energy
Carbohydrates
What are the monosaccharides?
Glucose
Fructose
Galactose
Disaccharides
Maltose
Lactose
Sucrose
Polysaccharides
Amylose
Amylopectin
Glycogen
A measure of how quickly food glucose is absorbed
Glycemic index
Measure of the total absorbable glucose in foods
Glycemic load
RENI for carbohydrates
55-70% of TCR
A large carbohydrate polymer that is indigestible because humans do not have the required enzymes to disassemble it.
Cellulose
Components of food that cannot be broken down by human digestive enzymes
Dietary fiber
Found naturally in foos, and other forms of fiber that may be added to foods.
Dietary fiber
Fiber of this type must show beneficial effects in human to be included in the category.
Functional fiber
Combination of dietary fiber and functional fiber
Total fiber
Two sub categories of fiber
Soluble fiber
Insoluble fiber
Soluble fibers
Pectins
Gums
Mucilages
Insoluble fibers
Cellulose
Hemicellulose
Lignin
Stimulates peristalsis
Insoluble fiber
Provides solutions of high viscosity which slows the movement of food through the intestines
Soluble fiber
Provides high caloric diet with satiety value
Fats
Classification of fats
Simple
Compound
Derived
Neutral fat and waxes
Simple lipids
Compound lipids
Phospholipids
Glycolids
Lipoproteins
Derived lipids
Fatty acids
Glycerol
Steroids
If taking a dietary fiber, make it sure that to take a lot of?
Water
Fatty acids that can cause vascular diseases, most come in animal products
Saturated fatty acids
Fatty acids with double bond, that serve as kink to compact together.
Unsaturated fatty acids
What is the difference of saturated and unsaturated fatty acids?
The double bond, is in the unsaturated
Lipids that are solid in room temperature
Fats
Only 1 double bond
Monounsaturated fatty acids
Something to do in position where the double bonds are located from omega carbon.
Omega 3,6,9
Example of visible fats
Letchon
Example of hidden fats
Biscuit
Donuts
Vital substance in human metabolism
Occurs naturally in all animal foods
Increasingly i plicated in vascular diseases
Cholesterol
Essential fatty acids
Linoleic acid
Alpha linoleic acid
Arachidonic acid
Omega 3 fatty acids
Alpha linoleic acid
Timnodonic acid EPA
Cervonic acid DHA
Sources of SFA
Animal products
Cocoa butter
Coconut oil
Palm oil
Sources of PUFA
Vegetable seeds oil
Nut oil
Cold water ocean fish
Sources of MUFA
Olive oil
Canola oil
Peanut oil
RENI from fats
20-30% of TCR
Most abundant of organic compounds in the body
Protein
Protein classification
Indispensable AA
Dispensable AA
Conditionally Dispensable AA
Functions of lipids
Shock absorber Protections for nerves Body insulator Carrier of vitamins ADEK Lubricant for GIT
Saturated fats should not be
More than 10 %
PKU
Conditionally Dispensable Amino Acids
Essential amino acids for adults
Isoleucine Phenylalanine Lysine Methionine Leucine Threonine Tryptophan Valine
Essential amino acids for infants
Arginine
Histidine
Functions of protein
Growth Body regulation Heat and energy source Body secertions Body fluids
RENI for proteins
10-15% of TCR
Equal to the weight gain of a growing animal for every gram of protein.
PER
Protein Efficiency Ratio
PER formula
PER = growth in grams/protein intake in grams
Proteins with complete amino acids will maintain nitrogen balance but those with incomplete essential AA will promote negative nitrogen balance
BV
Biologic Value
Product of BV and degree of food protein digestability
NPU
Net Protein Utilization
A protein with an AA composition providing adequate amounts of essential AA having a high degree of digestability.
Reference Protein
Occurs when the amount of nitrogen consumed equals that of the nitrogen excreted.
Nitrogen balance
Nitrogen intake exceeds excretion
Positive Nitrogen Balance
Nitrogen losses are greater than intake
Negative Nitrogen Balance
Nitrogen intake is equal to nitrogen excretion
Nitrogen Equilibrium
High quality amino acids
Indispensable AA
Current recommendation of a prudent diet
58% carbs 30% fats 12% protein Cholesterol Salt
Nutrient content formula
Gram of food edible portion/100x nutrient content base in FCT
A condition resulting from inadequate provision of nutrients to tissues which require them for normal functioning
Nutritional deficiency
Classification of nutritional Deficiencies
Primart
Secondary
Iatrogenic
Dietary inadequacy in amount or in kind
Primary
Pathologic condition preventing adequate ingestion of food or proper metabolism of nutrients
Secondary
Common nutritional disorders in the philippines
Protein calorie malnutrition
Vitamin A def
Iron def
Iodine def
Biggest contributor of child mortality among 1-3 years old
Protein calorie malnutrition
Infantile atrophy, inanition, athrepsia, cachexia
Marasmus
Marasmus from the greek word
Withering
MARASMUS
Deficiency
Protein and calories
MARASMUS
Incidence
0-2 yeasr
MARASMUS
Description
Withering
Anaclitic depression
MARASMUS
Major manifestation
Skin and bone appearance
Extensive tissue and muscle wasting
MARASMUS
Other manifestations
Less than 89% of the normal weight Old man face Distended abdomen Dry skin Loose skin folds Subnormal temp Slow pulse Decreased BMR
Protein malnutrition/ Nutritional Edema Syndrome
Kwashiorkor
KWASIORKOR
Deficiency
Protein
KWASIORKOR
Incidence
1-3 years old
KWASIORKOR
Description
The disease of the displaced child
KWASIORKOR
Major manifestation
Edema
Hypoalbuminemia
KWASIORKOR
Other manifestation
Ascites Diffuse pigmentation of skin Moon face Anemia Hepatomegaly Flag sign ( pale and dark hair )
A generalized excessive accumulation of fatty subcutaneous tissue
Overnutrition
Over nutrition complications
OBESITY Osteoarthritis Breathlessness Endocrine disorder Stroke Increased Lipid/ Tumors hYpertension
Lack of iodine
Cretinism
Scurvy
Lack of vitamin C
Anemia
Lack of iron, folate, nutrients
Breast milk important hormones
Prolactin
Oxytocin
Secretion of breast during the latter part of pregnancy and 2-4 days of delivery
Colostrum
Colostrum color
Deep yellow color
Colostrum
Total amount secreted daily
10-40ml
Colostrum
Contains
More protein
Less fat
Less sugar
Than mature milk
Bluish watery secretion at the end of the first month of lactation
Mature milk
Contains more fats and lactose and less protein
Mature milk
First milk expressed during a nursing period
Foremilk
Last milk obtained at the end of the feed
Hindmilk
Major immunologic component of Breast feeding
IgA over 90%
IgG, IgE, IgM, IgD -10%
Leukocytes