Nutrition Flashcards

1
Q

Ca2+ in pregnancy

A
  1. Ca2+ absorption doubles
  2. ~30g Ca diverted to fetal skeleton
  3. Inc estrogen -> inc osteoblast activity
  4. RDA
    A. 14-18 yrs: 1300 mg
    B. 19-50 yrs: 1000mg
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2
Q

Ca2+ in lactation

A
  1. Ca2+ absorption returns to pre-pregnancy level
  2. Supplementation has little/no effect on bone loss
  3. Mineral content inc after weaning
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3
Q

Vitamin D

A
  1. Essential for intestinal Ca2+ absorption
  2. RDA
    A. 0-12mo: 400 IU
    B. 1-70 yrs: 600 IU
    C. 71+ yrs: 800 IU
  3. Maintains adequate serum Ca and P levels
    A. Enable normal bone mineralization
    B. Prevent hypocalcemia tetany
  4. Acceptable levels debated
  5. Groups at risk for deficiency
    A. Breastfed infants
    B. Older adults
    C. Limited sun exposure
    D. People w/ dark skin
    E. IBD and other conditions causing fat malabsorption
    F. Obese or bypass
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4
Q

Vitamin A

A
  1. Deficiency: bone abnormalities in animal models
  2. Xs can be toxic (supplements): hypercalcemia and bone resorption
  3. Long-term intake >1500 mcg/day -> (-) impact on bone
  4. Intake assessments unreliable
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5
Q

Magnesium

A
  1. Inc osteoblast/clast activity
  2. Supplementation not shown beneficial
  3. Mg and Ca supplements shouldn’t be taken together (dec Ca absorption)
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6
Q

Vitamin K

A
1. Vitamin K1
  A. Phylloquinone
  B. Green leafy veggies
  C. Main dietary form 
2. Vitamin K2
  A. Series menaquinones
  B. Bacterial origin
  C. Various animal-based foods and fermented foods
3. Bone metabolism
  A. Carboxylation of osteoclastogenesis
  B. Inhibits osteoclastogenesis
  C. Unclear if supplements dec risk of osteoporosis
    1. Several studies show dec fracture risk
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7
Q

Vitamin C

A
  1. Cofactor for hydroxylation of lys and pro during collagen synthesis
  2. Observational studies inconsistent
  3. Lack of good studies
  4. Recommendations
    A. LPI = 400 mg/day
    B. RDA
    1. 90 mg/day = nonsmoking men
    2. 75 mg/day = nonsmoking women
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8
Q

Fluoride

A
  1. May stimulate bone formation via direct effects of osteoblasts
  2. Studies inconclusive
  3. Supplementation not approved by FDA
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9
Q

Energy availability equation

A

EA = (EI - EEE)/FFM

  • EI = energy intake
  • EEE = energy expenditure in exercise
  • FFM = fat free mass (Kg)
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10
Q

Carbohydrate intake recommendation

A
  1. Very light training = 3-5 g/kg
  2. Moderate training 60 min = 5-7 g/kg
  3. Moderate training 1-3 hr = 6-10 g/kg
  4. High training 5 hr = 8-12 g/kg
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11
Q

Carb recommendation during high-intensity exercise

A

Small amts, mouth rinse

1. Sports drinks

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12
Q

Carb recommendation during endurance exercise (1-2.5 Hr)

A

30-60 g/hr

  1. Sports products
  2. Timing meets goals
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13
Q

Carb recommendation during ultra endurance exercise (>2.5-3 hr)

A

Up to 90 g/hr

  1. Higher intake -> better performance
  2. Multiple transportable CHO -> high rates CHO oxidation during exercise
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14
Q

General fueling up

A

Prep for <90 min exercise

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15
Q

Carb loading

A

Prep for >90 min exercise

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16
Q

Speedy refueling

A

<8 h recovery between 2 fuel-demanding sessions

17
Q

Pre-event fueling

A

Before exercise > 60 min