Nutrition, Diet And Body Weight Flashcards

1
Q

Catabolic and anabolic processes definitions

A

Catabolic processes: break down molecules to release energy in the form of reducing power

Anabolic processes: use energy and raw materials to make larger molecules for growth and maintenance.

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2
Q

In the body, cells use what type of energy in energy requiring activities?

A

Chemical bond energy

Although energy exists in inconvertible forms, other forms (eg heat) would prove dangerous to the body

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3
Q

What are the units of food energy?

A

SI unit: Kilojoules (kJ)

Calorie may also be used everyday (this refers to kilocalories, 1000 calories)
1 Kcal = 4.2kJ

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4
Q

What are the essential components of a normal health diet?

A
Carbohydrate (mostly supplies energy)
Protein; energy and amino acids
Vitamins
Minerals 
Water; hydration 
Fat; energy and essential fatty acids
Fibre; function in the GI tract
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5
Q

How can carbohydrates be classified?

A

(All either contain a keto (c=o) or aldehyde (-c=OH))

Monosaccharides (3-9 C atoms)
Disaccharides (2 units)
Oligosaccharides (3-12 units)
Polysaccharides (10-1000s units)

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6
Q

What are ‘essential’ amino acids

A

Essential amino acids cannot be synthesised be the body and must be obtained from the diet.

Isoleucine 
Lysine 
Threonine
Histidine 
Leucine 
Methionine 
Phenylalanine
Tryptophan 
Valine 
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7
Q

What does it mean for amino acids to be ‘conditionally essential’

A

?Amino acids which are more ‘essential’ in certain individuals

Eg children and pregnant women have a high rate of protein synthesis and need some arginine, tyrosine and cysteine

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8
Q

Why must vegetarian diets include a wide variety of plant sources

A

Protein of animal origin contain all essential amino acids, whilst plant protein is mostly deficient in one or more essential amino acids.

To prevent deficiency in one or more essential amino acids, a variety of plant protein must be consumed

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9
Q

Why are fats essential in the diet?

A
  • energy source; contain less oxygen that carbohydrates or protein so more is reduced so yields more energy when oxidised
  • absorption: required for the absorption of fat-soluble vitamins (A,D,E and K) from the gut
  • provide essential fatty acids; eg linoleic and linolenic (these can’t be made in the body)
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10
Q

Why are minerals important in the diet

A
  • act as electrolytes; establish ion gradients, maintain water balance
  • structure; calcium and phosphorus in bones and teeth
  • signalling molecules; calcium
  • enzyme co factors; iron, magnesium, magnese, cobalt, copper, zinc and molubdenum
  • iron for Hb
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11
Q

What’s found in IV fluids

A

Na+,K+,Cl- all 1mmol/kg/day each

water at 30ml/kg/day

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12
Q

Recommended fibre intake for adults

A

Recommended average intake for adults = 18g/day
Average intake for women 12.8g/day
Average intake for men 14.8g/day

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13
Q

Why is fibre important in the diet

A

Low fibre intake linked to bowel cancer and constipation

High fibre content lowers cholesterol and diabetes risk

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14
Q

DRVs

A

Dietary Reference Values

Estimates of the amount of energy and nutrients needed by different groups of the healthy UK population. Depends on age, gender and activity

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15
Q

RNI

A

Reference Nutrient Intake (97.5%)

For protein, vitamins and minerals

Enough to ensure the needs of 97.5% are being met. Many within the group will need less.

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16
Q

EAR

A

Estimated average requirement (50%)

Used for energy

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17
Q

LRNI

A

Lower Reference Nutrient Intake (2.5%)

(Values below LRNI are insufficient for most people)

Enough for only the small number of people who have low requirements (2.5%) the majority need more

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18
Q

What’s the daily energy expenditure for a 70kg adu;t male and 58kg adult female?

A

70kg adult male; 12,000kj/day
58kg adult female 9,500kj/day

Energy requirements vary between individuals depending on
Age
Sex
Body composition
Physical activity
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19
Q

What is BMR and what factors may effect it

A

Basal metabolic rate

Factors affecting BMR:

  • body size
  • gender (males higher than females)
  • environmental temperature (increases in cold)
  • endocrine status (increased in hyperthyroidism)
  • body temperature (12% increase per degree)
20
Q

Why is basal metabolic rate important

A

It maintains resting activities of the body

Maintenance of cells including ion transport across membranes, and biochemical reactions

Function of organ, 30% BMR skeletal muscle

Maintaining body temperature

21
Q

What’s voluntary physical activity and what are the rough values for a

  • sedentary person
  • individual with moderate activity
  • very active individual
A

VPA; energy required depends on intensity and duration of activity
It reflects energy demands of skeletal muscle, heart muscle and respiratory muscles

Sedentary person 30kJ/Kg/day
Moderate activity 65kJ/Kg/day
Very active individual 100Kj/Kg/day

22
Q

Which foods have greatest theoretical energy content ?

In the typical British diet, which foods have greatest energy intake?

A

Greatest theoretical energy content;

  1. Fat
  2. Alcohol
  3. Protein
  4. Carbohydrate

Greatest total % energy intake

  1. Grains/carbohydrates
  2. Meat
  3. Drinks
  4. Milk and products
23
Q

What are the body’s energy stores

A
  • glycogen and fat act as very short term stores of energy rich molecules in muscle (few seconds worth)
  • carbohydrate stokes for immediate use - minutes or hours depending on activity
  • long term stores in adipose - 40 days worth
  • under extreme circumstances, muscle proteins can also be converted to energy
24
Q

How does obesity occur and what are some associated risks?

A
  • excessive fat accumulation in ADIPOSE tissue
  • usually measured using BMI (>30)
  • when energy intake>expenditure for many years

-associated risks: cancers, cardiovascular disease, type 2 diabetes

25
How to measure BMI? (Clinical conditions and equation with units?)
Clinical conditions; without shoes, minimal clothing BMI = weight(kg) / Height^2(m^2) Units of kg/m^2
26
Why may BMI not always be most reliable and what could be used instead
Muscular individuals may wrongly be classed as obese Waist/hip ratio may be better used as distribution of fat is clinically important
27
Greater proportion of fat in the upper body compared with hip increases risk of ...
- insulin resistance - hyperinsulinism - type 2 diabetes - hypertension - hyperpipidaemia - stroke - premature death
28
4 different pathways of metabolism
- detoxification pathways (toxin removal) - oxidative pathways (food to energy) - fuel storage and mobilisation pathways (mobilisation of fuel during starvation/ increased energy need) - biosynthetic pathways (produce cell building blocks)
29
All living things require energy for what
- biosynthetic work (synthesis) - transport work - mechanical work (contraction) - electrical work (nervous response)
30
1 kcal =
4.2 Kilojoules
31
Main dietary carbohydrates ?
Starch Sucrose Lactose Fructose Glucose Maltose Glycogen
32
Why does the oxidation of lipids yield more energy
Contains less oxygen than carbohydrates or protein
33
Why are fats needed in the diet?
For the absorption of fat-soluble vitamins (A,D,E and K) from the gut. Provide essential amino acids (eg linoleic and linolenic) that cannot be synthesised in the body
34
What general quantities of vitamins are needed int he diet?
Micro or milligram quantities
35
Vitamins can be fat or water soluble. What does a deficiency of the fat soluble vitamins lead to?
Fat soluble vitamins - A,D,E,K A deficiency - Xerophthalmia D deficiency - Rickets E deficiency - Neurologic abnormalities K deficiency - Defective blood clotting
36
What may a deficiency of water soluble vitamins lead to
``` B1(thiamin) - beriberi B12 - anaemia B6 - dermatitis, Anaemia Biotin - Alopecia, scaly skin, CNS defects C - scurvy Choline - liver damage Folate - neural tube defects, anaemia Niacin - pellagra PAntothenic acid - fatigue, apathy Riboflavin - ariboflavinosis ```
37
Daily energy expenditure meaning
The sum of: - basal metabolic rate (BMR) - diet-induced thermogenesis (DIT) - physical activity level (PAL)
38
What factors may affect BMR?
- body size (surface area) - gender (males higher than female) - environmental temperature( increases in cold) - endocrine status (increased in hyperthyroidism) - body temperature (12% increase per degree)
39
Typical body composition in a 70kg man
``` Carbohydrate 1kg Lipid 12kg Protein 11kg Minerals 4kg Water 42 kg ```
40
Using BMI values, what are the classifications of weight (5)
``` Underweight Desirable weight Overweight Obese Severely obese ```
41
What BMIs will class male and females as underweight
Male <18.5 | Females <18.5
42
What BMIs will class males and females as desirable weight
Male and female: 18.5-24.9
43
What BMIs will class males and females as overweight
For both: 25-29.9
44
What BMIs will class males and females as obese
For both: 30-34.9
45
What BMI will class both males and females as severly obese?
>35