Nutrition Basics and Nutrition Assessment Flashcards
What does NHANES assess?
Health and nutritional status of adults and children in the U.S.
What are the findings from NHANES?
- Determine prevelance of major diseases and risk factors for diseases
- Assess nutritional status
- Basis for national health standards
What are the Dietary Guidelines for Carbs?
45-65% of total calories
Little added sugar
Fiber 14 g/ 1000 calories
Limit refined grains
What are the Dietary Guidelines for fats?
20-35% of total calories
<300 mg cholesterol
What are the Dietary Guidelines for protein?
10-35% of total calories
What are the dietary guidelines for fluid and electrolytes?
- Fluid follows thirst
- Potassium > 4700 mg
- Sodium < 2300
What is MYPLATE?
Replaced the food pyramid
Broke food into 5 groups
What would the new food label include?
- Greater understanding of nutrition science
- Updated serving size requirements
- New labeling requirements for certain package sizes
What is a serving size?
Average amount that Americans over the age of 4 consume in a single seating
What is a portion size?
Amount of food a person chooses to eat or drink at one time
What does nutrient intake depend on?
Actual food intake a person has based on their economic status, eating behaviors, emotional climate, effects of various diseases, and ability to consume adequate nutrients
What are nutrient requirements influenced by?
Physiological stressors:
- Anabolic states- pregnancy 2.Body maintenance
- Well-being
What is nutritional screening?
Process of identifying characteristics associated with nutritional problems
pinpoint risk
What is nutritional assessment?
Evaluate nutritional status of individuals or populations through measurement of food and nutrient intake
What is looked at for nutritional assessment?
ABCD+ A= Anthropometric measurements B= Biochemical data, medical tests, and procedures C= Clinical/Physical exam findings D= Dietary history \+ = Client history
What is anthropometrics?
science of measuring size, weight, and proportions of the body
What are ways of measuring anthropometrics?
- Height and Weight = BMI
2. Body composition measures
Describe skin-fold thickness tests?
- Good for clinical setting
- validity depends on accuracy
- accuracy decreases with increasing obesity
What is excess abdomen fat a risk factor for?
Diseases associated with obesity and metabolic syndrome
What is hydrostatic weighing?
Submerge someone in water the volume the water is displaced is the volume of the person
Not the most practical
What is bioelectrical impedance analysis?
Lean tissue has a higher electrical conductivity and lower impedance than fatty tissues
What is air displacement plethysmography?
BOD-POD
- measurements of body density to estimate body fat and fat-free masses
- accurate and reliable
What is DXA?
Dual-energy x-ray absorptiometry
- assess bone mineral density
What are the BMI-for-age percentiles for underweight, healthy weight, overweight, and obese?
- Underweight: 95th percentile
Waist circumference measurements that lead to risk factor for disease:
Men: >40 inches
Women: >35 inches
What are the ‘norms’ for body fat percentage?
Men: 10-22%
Women: 20-32%
What does biochemical measure?
nutrient of metabolites in blood, feces, or urine
-caution needs to be used when interpreting data due to disease state and therapy
What are some signs and symptoms of malnutrition?
- Temporal wasting
- Depleted muscle bulk
- Dehydration
- Poor wound healing
- Chewing/swallowing difficulties
- Abdominal distention
What characteristics are needed to show someone is malnutritioned?
- Insufficient energy intake
- Weight loss
- Loss of muscle mass
- Loss of subcutaneous fat
- Localized/generalized fluid accumulation that can mask weight loss
- Diminished functional status measured by hand grip strength
What are some causes of toxicity?
- Unusual dietary pattern
- Excessive supplementation
- Inborn error of metabolism
- Environmental contamination
- Disease complications
What is the nutrition care process developed by the Academy of Nutrition and Dietetics?
- Nutrition assessment
- Nutrition Diagnosis
- Nutrition Intervention
- Nutrition Monitoring and Evaluation