NUTRITION Flashcards

1
Q

Who regulates the nutrition of eating pleaces

A

Regional health inspection

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2
Q

rules for preparing food

A

its always goes in one direction

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3
Q

what does hygenic control contian

A
  1. transport - the vehicles should only be used for food, if the food is perishable shoudl be refrigerated and each time should be disnfected after each use
  2. location - eating places require a permit for the operation of food, make sure in a safe area (sewage )
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4
Q

storage of food

A
humidity 
temperature, 
food should be labelled 
protect from sunlight 
do not mix perishable and non p foods together 

at least 2 storehouses - dry food and canned food

veg and fruits should be kept in separate rooms, kept well ventilated , protected form rodents (rat proof doors ectc) and insects

arrange food in trays, racks and sheleves, food on the floor not allowed as well as non food items in the store room

seperate fridges

  1. meat products
  2. dairy products and food for immeadiate consumption in another
  3. fish seprate
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5
Q

rules for preparation food

A

can’t use the same utensils to prepare different food

not allowed to defrost meat, fish, poultry in hot water

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6
Q

Eggs

A

prepared in a separate room or outside corner

  1. soaked in 2% sodium bicarbonate and tempe of 30 -40 degrees for 30 minutes
  2. washed in warm water
  3. soaked in disinfectant solution (most often 2% of chloride lime) for 10 mins
  4. rinsed
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7
Q

how long can food wait before being cooked

A

fish - no more than 30 mins

meat - an hour

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8
Q

prepared food

A

should have good organoleptic properties (smell, taste

good temp

food should be served immediately afte rbeing made and no more than 3 hours later

if they are left overs can store in a separate refrigerator for no more than 30 hours 0-4 degrees

should be prepared and placed on clean utensils made up of porcelain, stainless steel or glass.

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9
Q

the dining rooms

A

good microclimate, cosy clean nice vibes

tables covered with clean tablecltohs

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10
Q

cleaning and disinfection and how to tell its clean

A

use chemical detergents and chemical disinfectants make sure you don’t leave the chemicals on the surfaces as you can contaminate the food.

you can take samples from the hands of workers etc, surfaces to check for e.coli etx

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11
Q

disposal of waste

A

need secure impervious bins

and taken our twice daily

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12
Q

what are the most likely things to contaminate food

A
HEP A, E 
dysentery 
salmonella 
strep and staphy 
cysts
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13
Q

food handlers

A

need a medical examination before they can be in contact with the food- done by GP
if they have a history of dysentery, tb or other communicable diseases should not be employed.

need to have a negative mb test for salmonella, shigella, parasites (helminths)

after a year should be repeated

shouldn’t have visible wounds, ottiss media, skin infections

any illness in the family that could affect the workplace should be noted

food handlers need to be eductae d in how to protect themselve and practice personal hygiene

wash hands as often especially before handling food
keep fingernails short
head coverings particularly with females
clean white overall
no coughing, sneezing touching nose in front of food and if so throughly wash

no smoking

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14
Q

non cuminicable diseases associated iwth diet

A
diabtes 
hypetrension 
CVD disease
stroke 
obesity 
some cancer
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15
Q

why is nutrtions such a big now

A

because we are eating more unhealthily than ever, with saturated foods, processed foods addign chemicals to the food, preservatives

plus we are les active than before

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16
Q

BMI adavnatge and disadvanatage

A

weight (kg) over height m2
as your bmi increases your risk increases of comorbidity

not exactly reliable cos its not a direct method it is an indirect method
also some people could be considered overweight if they are athletes (very muscular)

it does not reliably reflect body fat content which is an independent preductor of health risk

underweight is regardless of age and gender above 19 years old , is below 18.5
overweight 25-50
obsese- more than 30

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17
Q

recommended excerise

A

moderate on most days of the week. one hour e.g walking

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18
Q

EIN = EOUT

A

it should equal,

in - food that you take
out- metabolic activity (thermal effect of food, physical excerise etc, BMR, thermogenesis

if in exceeds iut then you are in a postive nergy balance

and if out exceeds in then negative energy balance

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19
Q

EER

A

estimated energy requirement
The average diet energy intake that is required to maintain Energy balance in a healthy adult with a determined age gender weight, height and energy expenditure

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20
Q

what is the rate of energy expenditure at rests

A

women - less than 1 kcal

men - more than 1 kcal

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21
Q

calorie

A

1 calorie was the tempertaure needed to raise 1 g of water from 14.5 - 15.5

we tend to use kcal more ‘largery calories’

1kcal = 4.186 kj

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22
Q

TEE COMPONENETS

A
  1. BMR - 60-75%
  2. thermogenesis - 10%
  3. physical activity
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23
Q

estimateing BMR

A

can be direct or indirect calorimetry

must be in lab conditions

small representative groups

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24
Q

BMR

A

the price of staying alive, when you have no food or physical activity to influence the results. in a thermoneutral environment. the patient does not consume food for over 12-14 hours , supine, awake and motionless.

takes into account the energy needed for renal and cardiovascular respiratory

25
Q

thermal effect foods

A

Protein-rich foods, such as meat, fish, eggs, dairy, legumes, nuts and seeds, could help increase your metabolism for a few hours. They do so by requiring your body to use more energy to digest them. This is known as the thermic effect of food (TEF).

he thermic effect of food is the energy required for digestion, absorption, and disposal of ingested nutrients.

26
Q

PAL and what does it apply to and the different levesl

A

it applies to physical excecise
PAL = TEE/BMR

doing nothing - 1-1.3
low - 1.4-1.5
moderate 1.6-1.8
high -1.9-2.4

27
Q

how to we meausre total energy expenditure

A

DWL _ DOuble labelled water tecnhique

28
Q

euqtaion for TEE

A

Total energy expenditure= PALXBMR

29
Q

percentage requirements for the fats proteins and carbs

A

carbs - 60%
fats -30%
proteins- 10%

30
Q

recommended intake of protein

A

requires 1.3 g per kg of mass. 50% of the protein we take should ocme from plant sources and the rest comes from animal osurces , milk meat and eggs

certain conditions such as stress, heat ,increase our protein reuquiremnt

the body has no reserve for storage of proteins

once the requirement is met any excess is stored as fat

31
Q

recommended intake of fat

A

its not agreed one how much fat we shoul take but nutritionalisys believe to promote optimal health should not exceed 30%

the recommened amount of cholesterol is 300 mg

out of the fat taken should have a mix of polyunsaturates and saturate

32
Q

ecommended intake of carbs

A

should be the majority of our diet, the more active you are the more carbs you take as they are the maun souurcer of energy

It is known that higher intake of three sugars threaten the nutrient quality of diets by providing significant energy without specific nutrients therefore if we restrict these sugars it’s better to contribute to overall health

NSP’s, wholegrain cereals gives us dietry fibre helps in bowel movements

33
Q

driect and indirect methods of nutitonal assesment

A

nutriton is assesed by 2 types of methods. direct methods deal with the indiviudal and meausr ebjective criteria

indirect use community health indices that reflect nutritional influence

34
Q

indirect methods

A

indirect:
include 3 categories
1. ecological variables - including crop prpduction
2. economic factors, Social habits population density per capita income
3.vital health statistics - Particularly infant and under five mortality and fertility index

35
Q

direct Methods just exampl

A
mneumonic ABCD 
A- Anthropometric methods 
Biochemical 
Clinical indicators 
Dietary assessment methods
36
Q

anthropometric methods

A

asses the size or body compostion of an indiviudal

essential for examination of infants to check they are growing correctly and pregs

for adults we use BMI, the greater the BMI the higher the risk for type 2 diabtes and cvd mortality and morbididty

in children we use growth charts to asses, if kids have a low height for their age its called stunting and if low weight for age -wasting

others anthropometric methods include , Head circumference skinfold thickness waist to hip ratio mid arm conference

37
Q

biochemical methods and advantgaes

A

not many are suitable but 4 good examples are given below
1. For checking protein intake - 24 hour urinary nitrogen

  1. to support change of type of fat - fatty cid pattern
    3, estimating salt intake - 24 hour urinary sodium
  2. The only way to Gauge Iodine intake would be a urinary iodine
  3. can detect eary metolbolic changes before the signs become overty clinical
    2, accurate precise and reproducible
38
Q

inital lab test

specific lab test

A

initial : hb is the best indicator of the overall state of nutrition, besides anemia it tells us the protein and trace element nutrition

specific : look for things like serum retinol, serum iron , vit d , urinary iodine , Talking of abnormal amounts of metabolites in urine. analysis of hair nails and skin for micronutrients

39
Q

clinical assesment

A

essential feature of all nutritional surveys. it utilises a number of specific and non specific signs known to be associated with malnutrition and deficiency of vitamins and micronutrients

spare and thin hair - protein and zinc defieincey

easy to pull out - protein deficiency
coily hair - vit C and A

MOUTH
glossitis - b9
b;eeding gums - vit c b9

nails

spooning - iron

skin
pallor - iron , b12/b9
bruising - vit k

40
Q

house hold survery

individual survery

A

hh:

  • food account method
  • inventry method
  • household record

individual survey :

consits of prospective and retrospective methods

prospective:
Weight  food record (WFR)
estimated food record (EFR)
Observation weighted record 
record combined with direct analysis 

retrospective:
24 hour recall
food frequency questionnaire
dietry history

41
Q

explain house hold

A

page 158

42
Q

explain individual

A

page 160

43
Q

hygiene health control and who does it

A

Bulgarian food safety agency

44
Q

health control 162

A

made up of 3 main groups

  1. Complex of biological indicators of nutritional value - Main and additional nutrients the physical chemical properties point of freezing point of boiling organoleptic indices
  2. complex of fitness for consumption

Indicators of damaged organoleptic characteristics the changes in the physical and the characteristics of the chemical composition if there is any bacteria pollution toxic fungi. parasites additives et cetera. c

  1. complex of commercial indicators- External view of the packaging food labelling where the product was made the company that made it the manufacturer the weight of the product any allergic ingredients and stuff like that ingredients
45
Q

Stages of health monitoring and explain

164 more detail

A
  1. Introduction
    - history of the food product
    - proudcuer
    - origin
    - transport
    - packaging
  2. taking samples - has to be taken in front to the owner of product or his rep. you take common, medium and double sample.

is 1st sample come out dodge you can reuqest another thats the hwol epoint of the second sample.

3.analysis of samples
chemical, mb, paristilogical

  1. conclusion - poss outcome
46
Q

percenatge of nutirents in cow milk

A

fat - 3.6
protein 3.4
lactose 4.6

47
Q

nesslers reagent is used for the determination of ammonia

A

ammonia

48
Q

lactometer

A

measure density and temp of milk

49
Q

Evaluation of canned food

A

stage 1 : points of rust

stage 2: spots of rust

stage 3: erosions

bulging : you dont want to see bulging

50
Q

stages of rust

A
  1. points of rust appear on the metalic surface
  2. spots of rust
  3. erosions of rust
51
Q

bulging

A

chemical -due to the acidity of the food contents and thus hyrdogen gas is released
biological : micrboial growth inside, there should be oxygen free growth
mechanical:

52
Q

steps to take following a outbreak of food bourne diease

and what other peoole are involved

A

the doctor has to inform RHI withing 24 hours
rapid message -
RHI informs ministry of health

microbiologist
physian - in nutrional and dietics
epidemioloigst

53
Q

incubation period regarding bacteria

A

less than 12 hours-preformed bacteria

more-bacteria have to multiply to get to suffiency numbers to cause damagr

54
Q

WHOS 5 KEYS TO SAFER FOOD

A
  1. separare raw and clean
  2. keep food at safe temp
  3. use dafe water and raw materilas
  4. cook thoroughly
  5. keep clean
55
Q

milk density

A

lactometer

should bet between 1.027-1.034

56
Q

acidity of milk

A

titation with na0h
using phenophthalein indicator - to become a light pink colour
we use the degree of toerner to express milk acidity
the acidity should be between 15-21 degrees

57
Q

tests for pasterization

A

the enzyme peroxidase should be destroyed if not the colour goes blue showing that pasteurization is incomplete and the iodine reacts with the starch

58
Q

2 types of contorl regarding food and the agency

A

bulgarian food dafety agency

prelimenary

current - baby food, fast breaking food+ children . the plan is when there is doubt that the food is in danger