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Athletic Therapy > nutrition > Flashcards

nutrition Flashcards

1
Q

important things about carbohydrates

A

most efficient energy source
classified as simple or complex
not all carbs are digested or absorbed at the same rate

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2
Q

Sugars mono vs disaccarides

A

monosaccharides or simple sugars (glucose) found mostly in fruits, syrups and honey

disaccharides are a combination of two monosaccarides (sucrose or lactose)

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3
Q

Starches

A

made up of long chains of glucose units (rice, potatoes, bread)
the body cannot use starches and many sugars directly from the food source
must be broken down during digestion and metabolism

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4
Q

where is glucose stored

A

as glycogen and in the liver and muscle cells

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5
Q

how much glycogen does the body store

A

a limited number (in liver and muscle cells) if extra, stored, it is converted to body fat

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6
Q

when inadequate glucose, what will the body use for energy?

A

protein

but the protein is then diverted from it own important function

important to have all essential food groups

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7
Q

what is glycolysis

A

process that breaks down glucose to produce energy

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8
Q

fiber - tell me some things about it

A

not digested by humans
not found in animal sources of food
forms the structural parts of plants
aids normal elimination by reducing the amount of time required for wastes to move through digestive tract
reduces risk of colon cancer and coronary artery disease
helps lower obesity, constipation, colitis, apppendicitis, diabetes

~ 25grams/day

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9
Q

soluble fiber

A

oatmeal, legumes, some fruit

bind to cholesterol and prevent its absorption which can reduce blood cholesterol levels

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10
Q

insoluble fiber

A

whole grain breads, bran cereals

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11
Q

lipids/fats

A

50% of canadians fat intake comes from two of the food groups
meat and alternatives and
milk and alternatives

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12
Q

functions of fats

A 
supply energy
define body shape
insulation
protect internal organs
lubricates body surfaces
vitamin carrier 
hunger depressor 
contribute to texture, taste, flavour and aroma to food
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13
Q

triglycerides (TA)

A 
every triglycerides contains:
one molecule of glycerol
3 fatty acids
methyl group
carboxylic acid group
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14
Q

sterols

A

part of compounds in the body
bile acids
sex hormones

found in plants and animal products

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15
Q

phospholipids

A 
composed of
glycerol
2 fatty acids 
phosphate group
choline
part of cell membrane 
found in eggs, liver, soybeans, wheat germ, peanuts
act as emulsifier in mayonnaise, salad dressing, pudding
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16
Q

classification of fatty acids

A

number of carbon atoms
number of double bonds
position of first double bond

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17
Q

omega 6 fatty acid

A 
linoleic acid 
essential for growth
maintain integrity of skin and hair 
deficiency - dermatitis, skin lesions
blood clotting
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18
Q

hydrogenation of fatty acids

A

changes a liquid to a solid
pros: protects against oxidation
alters the texture of foods

cons: makes PUFAs (polyunsaturated fatty acids) more saturated
changes the molecule from cis to trans fatty acid
linked to CVD

*can decrease the number of double bonds, some of the cis-double bonds are converte to trans double bonds
this results in high trans fat (which tends to be solid at room temperature

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19
Q

cholesterol is made where?

A

made in the body, from glucose and fatty acids in the liver
vitamin D is made from cholesterol in the body
used to make several hormones includes estrogen and testosterone

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20
Q

good cholesterol

A

HDL-C

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21
Q

bad cholesterol

A

LDL-C

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22
Q

plant sterol

A

found in corn, rye, wheat, seeds, nuts, legumes, vegetable oils - hydrogenated into margarine

consuming 1.3g/day of plant sterol can decreasetotal blood cholesterol and LDL-C

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23
Q

fat digestion system

A

mouth - lingual lipase
stomach - lingual and gastric lipase
small intestine - secretin, cholecystokinin, Bile (emulsifies fat), intestinal and pancreatic lipase
large intestine - fat trapped in fibre gets excreted

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24
Q

energy release from fat

A

adipocytes (fat cells) - site of fat storage - typically stored as triglycerides
mobilization- utilizing fatty acids is lipolysis
triglycerides are split into fatty acids and glycerol

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25
Q

LPL

A

lipoprotein lipase breaks down triglycerides from lipoprotein, producing glycerol and fatty acids

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26
Q

HSL

A

hormone sensitive lipase drives lipolysis (HSL found in adipocytes)
lipids are either stored in adipocytes or used for energy

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27
Q

metabolism of fats

A

beta-oxidation: breakdown of fatty acids to acetyl CoA

gluconeogenesis: the making of glucose from non CHO from TG and amino acids from proteins

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28
Q

how does the body adapt to insufficient glucose

A

by combining acetyl CoA fragments (derived from fatty acids to produce ketone bodies
ketone bodies are compounds produced during the incomplete breakdown of fat when glucose is no available

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29
Q

heatlth effects of fat

A

saturated fats in the diet raises blood cholesterol
hydrogenated foods contain trans fatty acids
trans- fatty acids in the diet increase LDL-C and decrease HDL-C
obesity can be a consequence of high-fat, high-kcalorie diets in excess of energy needs
replacing saturated and trans fats with MUFA and PUFA is most effective dietary strategy in preventing heart disease

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30
Q

functions of protein

A 
provide structure: growth
movement: contraction
transportation: lipoproteins
enzymes: digestion
hormones: insulin
antibodies: protection from infection
fluid and electrolyte balance
acid-base balance maintain pH
energy : 4kcal/gram
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31
Q

all amino acids are composed of:

A

carbon, hydrogen, oxygen, nitrogen (some sulphur)

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32
Q

all amino acids have the same basic structure:

A 
a central carbon (C)
an acid group (COOH) 
a hydrogen (H)
an amino group (NH2) 
R group ( makes one amino different from another)
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33
Q

9 essential amino acids

A 
histidine
threonine
valine
tryptophan
isoleucine
leucine
lysine
phenylalanine 
methionine

**cannot be make in the body- must be supplied by diet*

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34
Q

11 non-essential amino acids

A 
alanine
arginine
asparagine
aspartic acid
cysteine
glutamic acid
glutamine
lysine
proline
seine
tyrosine

the liver makes the non essential amino acids

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35
Q

deamination

A

removal of the NH2 group

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36
Q

transmination

A

transfer of nitrogen
once the NH2 group is removed from the amino acid, nitrogen is transferred between amino acid and keto acids to produce non-essential amino acids

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37
Q

peptide bond

A

a bond that connects amino acids together

dipeptide: 2
trypeptide: 3
polypeptide: 4
oligopeptide: 4-9

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38
Q

digestion/absorption of protein

A

enzyme hydrolyzes a protein = protease
protein digestion begins in stomach
(CHO/fat digestion begins in mouth)
gastrin triggers the release of HCl

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39
Q

2 main functions of HCl

A 
denatures protein (takes it apart)
activates pepsinogen (gastric juice) into its active form called pepsin (breaks peptide bonds (shorter chain polypeptides and some free amino acids)
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40
Q

small intestine protein digestion

A

smaller polypeptides and amino acids to and release secretin: signals the pancreas to release bicarbonate into the SI to neutralize the stomach acid and to inactivate pepsin
cholycystokin: activated enzymes to further breakdown protein (trypsinogen to trypsin)

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41
Q

recommended protein requirements for top elite endurance athletes

A

1.6g/kg

top elite strength athlete: 1.76g/kg

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42
Q

kwashiorkor

A

pure protein deficiency

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43
Q

marasmus

A

energy and protein deficiency

*not typically seen in North America

44
Q

elevated protein intakes over long periods of time can result in:

A 
dehydration
kidney function issues 
bone health issues
kidney stones
increase risk of heart disease and cancer
45
Q

ovalbumin

A

main protein in eggs

46
Q

casein

A

main protein in milk

47
Q

water soluble vitamins

A

vitamin C: ascorbic acid

48
Q

B1 vitamin (name and function)

A

thiamin
main function: part of coenzyme group require to get energy from CHO, Protein and Fats

water soluble
destroyed by heat
Thiamine pyrophosphate (coenzyme group)
- absence of this form will produce symptoms of beri beri
- TPP is part of nerve cells - needed for nerve function

49
Q

B vitamins functions

A

part of coenzymes to help get energy from CHO, fats and protein
some are necessary for RBC formation and are called hematopoietic vitamins (vitamin B12 and folate)

50
Q

Thiamine pyrophosphate is needed for two major functions:

A

pyruvate: acetyl CoA + CO2

a-ketoglutarate: succinyl CoA + CO2 (Krebs Cycle)

51
Q

Clinical deficiencies of thiamin

A

infantile: infants
wet: severe edema
dry: muscle wasting, legs cramps
cerebral: wernicke-korsakoff syndrome
- severe thiamine deficiency due to excess alcohol consumption as it interferes with thiamine
- symptoms: staggering gait, disorientation, loss of short term memory and jerky eye movements

52
Q

B2 (name and function)

A

Riboflavin
main function: part of two coenzyme groups
1. FMN: flavin mononucleotide
2. FAD: flavin adenine dinucleotide

soluble in water
destroyed in light - opaque milk containers are used to prevent decomposition of riboflavin in milk

53
Q

deficiency in riboflavin

A

ariboflavinosis
symptoms: cheilosis - cracks in skin and corner of mouth
glossitis: swollen tongue due to atrophy of tissue
ocular disorders: formation of extra blood cells in the eyes, itchy eyes, sensitive to light

54
Q

B3 (name and function)

A

Niacin
main function: coenzyme to get energy from CHO, protein and fats
1. NAD: nicotinamide adenine dinucleotide
2. NADP: nicotinamide adenine dinucleotide phosphate

soluble in water
tryptophan is precursor and this conversion requires: thiamin, riboflavin and B6

55
Q

deficiency of niacin

A

Pellagra

dermatitis: effect on skin (rash, dry, flakes, darkens)
diarrhea: intestines become inflammed
dementia: mental behaviour, mental confusion
death: if not cured

56
Q

B7

A

Biotin:
water soluble
contain sulphur

avidin (raw egg whites) inteferes with biotin absorption
combines with biotin and prevents it from being absorbed
found in most foods

57
Q

B5 (name and function)

A

pantothenic acid

supplements sold to help boost energy

58
Q

B6 (name and function)

A

complex of 3 closely related compounds: pyridoxine (alcohol), pyridoxal (aldehyde) and pyridoxamine (amino group)
main function: part of coenzyme group to get energy from fats and proteins
required to convert tryptophan to niacin
involved in central nervous function
taking more than 2grams/day can cause toxic concentration in the body

after absorption, all 3 converted to it coenzyme form called pyridoxal phosphate PLP

59
Q

deficiency in B6

A

depression, confusion, enemia

involved in many biomechanical reactions in the body

60
Q

Folate

A

folic acid

main function: part of coenzyme to help make DNA for new cell growth

61
Q

deficiency in folic acid

A

red blood cells dont divide - anemia
required for brain development
high levels of folate MAY help alzheimers patients to improve memory

sources: spinach, avocado, broccoli, skim milk, beans, lentils, oat bran bagel

62
Q

B12

A

Cobalamin:

part of coenzymes to make DNA for new cell growth

63
Q

deficiency in B12

A

pernicious anemia

64
Q

minerals

A

critical for bone health, nerve conduction, hematological health, intracellular processes

65
Q

major minerals

A 
sodium (Na) 
Potassium (K)
Chloride (Cl)
Phosphorous (P)
Magnesium (Mg) 
Sulphur (S)
Calcium (Ca)
66
Q

Minor minerals

A 
copper
selenium
Manganese
iodine
fluoride 
cobalt
chromium
vanadium
boron
zinc
molybdenum
iron
67
Q

Sodium (& everything u can tell me about it)

A

DRI: 1200-1500 mg/day
functions: fluid and electrolyte balance, neural signaling, muscle contraction

toxicity: edema, acute hypertension (renal disease, diabetes, obesity)

68
Q

Chloride (& everything u can tell me about it)

A

DRI: 1800-2100mg/day

functions: fluid and electrolyte balance, component of HCl
deficiency: unlikely unless prolonged sweating, diarrhea, vomiting

toxicity: vomiting

69
Q

Potassium (& everything u can tell me about it)

A

DRI: 4700mg/day

functions: fluid and electrolyte balance, neuronal signaling, muscle contraction
deficiency: mm weakness, paralysis, confusion, decreased potassium= high blood pressure

toxicity: mm weakness, vomiting

70
Q

magnesium (& everything u can tell me about it)

A

DRI: men 400mg/day vs women 310mg/day

function: cofactor in any reaction involving ATP, component to bone electrolyte, inhibits phosphorus absorption
deficiency: alter any energy requirement process, inhibition of parathyroid hormone release, hypertension

toxicity: vomiting, diarrhea, dehydration, double vision, slurred speech

71
Q

phosphorus (& everything u can tell me about it)

A

DRI: 700mg/day

functions: mineralization of bones and teeth, phospholipids (ATP), acid buffer, ViT D stimulates absorption
deficiency: rare though drug interaction, Mg, Ca, Al, impair absoption, crohns disease, alcoholism, weakness and bone pain

toxicity: bone calcification

72
Q

calcium (& everything u can tell me about it)

A

DRI: 1000-1200mg/day

functions: mineralization of bones and teeth, muscle contraction, blood clotting, BP control
deficiency: decreased growth in children, osteoporosis

toxicity: constipation, kidney stone formation, kidney dysfunction, interference with absorption of other minerals

73
Q

Zinc (& everything u can tell me about it)

A

DRI: 8011mg/day

functions: cofactor in trancription regulation, cofactor in many enzyme reactions, insulin, sperm production, immune function, taste perception
deficiency: low insulin, growth restriction in fetus, poor taste, weight loss, diarrhea, nausea, night blindness, reproduction dysfunction

toxicity: fever, nausea, vomiting, diarrhea

74
Q

Iodine (& everything u can tell me about it)

A

DRI: 150ug/day

function: component of thyroid hormones (regulation of growth, metabolism, development)
deficiency: enlargement of thyroid gland, weight gain, mental and physical problems in infants

toxicity: thyroid enlargement

75
Q

Copper (& everything u can tell me about it)

A

DRI: 900ug/day

function: cofactor in reactions, collagen formation, electron transport chain, oxidation of iron
deficiency: uptake inhibited by vit C, fiber and zinc, free radical damage, poor iron transport

toxicity: liver disease, decrease uptake of zinc

76
Q

Fluoride (& everything u can tell me about it)

A

DRI: 1.8-4mg/day

function: makes bones stronger, tooth decay resistance
deficiency: increased suseptibility to tooth decay

toxicity: tooth discolouration, increase bone density, nausea, vomiting, chest pain

77
Q

iron (& everything u can tell me about it)

A

DRI: men 8mg/day women 18mg/day

function: hemoglobin (80% of bodys iron), myoglobin (muscle) and metabolic reactions
deficiency: weakness, tiredness, reduced learning ability, itching, pale nail beds, impaired wound healing, iron deficiency anemia

toxicity: infections (vit C in high does release ferritin), lethargy, pigmentation, loss of hair, impotence, death

78
Q

anemia

A

decrease in hemoglobin after prolonged iron deficiency, decreased RBC ability to carry oxygen, compounded by blood loss, blood donation, illness, pregnancy

79
Q

heme

A 
comes from animals and accounts for about 10% of the average iron intake 
well absorbed (25%)
80
Q

nonheme

A

comes from plants and animals and accounts for 90% of the remaining iron, but it not well absorbed (17%)

81
Q

iron and athletes (most important notes)

A

iron is lost through sweat

supplements needed for altitude training

82
Q

calcium and athletes (most important notes)

A

significant loss during sweating
increase intake prevents bone loss
prevention of stress fractures

83
Q

phosphorus and athletes (most important notes)

A

can impact calcium ratio
(supplements) can cause GI distress
might enhance oxygen release at the muscle
act as acid buffer during high intensity exercises

84
Q

sodium, potassium, chloride and athletes (most important notes)

A

hypoatremia with prolonged sweating and no electrolyte replacement
loss with sweat
deficiencies can impair heart, muscle and neuron firing
cramping
decrease cardiovascular performance

85
Q

magnesium and athletes (most important notes)

A

loss during sweat

supplements did not increase aerobic or anaerobic performance

86
Q

zinc and athletes (most important notes)

A

exercise can deplete zinc in some athletes

low levels lead to poor aerobic performance and strength

87
Q

copper and athletes (most important notes)

A

chronic strenuous exercise may deplete levels

no improvement through supplements

88
Q

iodine and athletes (most important notes)

A

correlation between iodine loss and exercise

low level intakes in figure skaters and weightlifters

89
Q

female athlete triad (those at risk)

A

sports with subjective scoring
endurance sports
sports with weight categories

90
Q

female athlete triad (warning signs)

A 
excessive dieting for weight loss
irregular or absent menstrual cycle
stress fractures
self-esteem and mood depicted by body image
compulsive overexercising
91
Q

amenorrhea

A

combination of high exercise intensity and inadequate caloric intake

92
Q

amenorrheic

A

> 3 months without menstruation

93
Q

oligomenorrehic

A

2-3 months between menstrual periods

94
Q

eumenorrheic

A

normal monthly menstrual periods

95
Q

female athlete triad cycle

A 
menstrual dysfunction (delayed menarche, absence of cycle)
disordered eating (anorexia, bulimia)
osteoporosis (increase risk fo stress #, low bone density)
96
Q

Creatine (most important notes)

A

red meat
can deplete in 10-12 seconds

acute response: no improvement of aerobic performance
high intensity, short duration, repeated bout exercise improved

chronic long term: increase in fat free mass, increase in maximal force and power output, increase in high intensity, short duration, repeated bout

side effects: weight gain, GI distress

97
Q

caffeine(most important notes)

A

stimulant actions, lipolysis, glycogenolysis, alters substrate use
stimulates CNS (alertness, mood)
regulates CA and glycogen breakdown
FFA mobilization

performance: 200-400mg
increases performance in SOME endurance events, individual variation, NO effect on high power output activities

98
Q

Ginseng (most important notes)

A

stimulant, energy, antioxidant, immunomodulator, adaptogen
controversial effects on endurance performance
may effect mood and arousal

99
Q

glucosamine (most important notes)

A

necessary for cartilage growth, repair and lubrication

1500-2000mg will reduce some symptoms of early stage osteoarthritis

100
Q

glutamine (most important notes)

A

improved immune function, muscle mass, energy

101
Q

Androstenedione (Andro) and dehydroepiandrosterone (DHEA) (most important notes)

A

preprohormones in pathway of testosterone and estrogen synthesis
synthesizes in the body from cholesterol
increase mm mass, strength

102
Q

bicarbonate (HCO3-)

A

water is by product

improvement of high intensity endurance activities

103
Q

green tea extract (most important notes)

A

protection from disease, antioxidant
- evidence for a variety of disease prevention effects
improved metabolic handling of fats and glucose
epidemiological indirect

104
Q

Vitamin C

A

ascorbic acid
function: is a nutrient your body needs to form blood vessels, cartilage, muscle and collagen in bones. Vitamin C is also vital to your body’s healing process.

Vitamin C is an antioxidant that helps protect your cells against the effects of free radicals — molecules produced when your body breaks down food or is exposed to tobacco smoke and radiation from the sun, X-rays or other sources. Free radicals might play a role in heart disease, cancer and other diseases. Vitamin C also helps your body absorb and store iron.

Most people get enough vitamin C from a healthy diet. Vitamin C deficiency is more likely in people who:

Smoke or are exposed to secondhand smoking
Have certain gastrointestinal conditions or certain types of cancer
Have a limited diet that doesn’t regularly include fruits and vegetables
Severe vitamin C deficiency can lead to a disease called scurvy, which causes anemia, bleeding gums, bruising and poor wound healing.

105
Q

Vitamin D

A

Calcidol:
necessary for building and maintaining healthy bones. That’s because calcium, the primary component of bone, can only be absorbed by your body when vitamin D is present. Your body makes vitamin D when direct sunlight converts a chemical in your skin into an active form of the vitamin (calciferol).

Vitamin D isn’t found in many foods, but you can get it from fortified milk, fortified cereal, and fatty fish such as salmon, mackerel and sardines.

The amount of vitamin D your skin makes depends on many factors, including the time of day, season, latitude and your skin pigmentation. Depending on where you live and your lifestyle, vitamin D production might decrease or be completely absent during the winter months. Sunscreen, while important, also can decrease vitamin D production.

Many older adults don’t get regular exposure to sunlight and have trouble absorbing vitamin D, so taking a multivitamin with vitamin D will likely help improve bone health. The recommended daily amount of vitamin D is 400 international units (IU) for children up to age 12 months, 600 IU for ages 1 to 70 years, and 800 IU for people over 70 years.

Athletic Therapy (23 decks)

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