Nutrition Powerpoint

Question 1

Physical activity guidelines

Child/Adolescent

Adult

Moderate/vigorous activity

Bone/muscle strengthening activities

Answer 1

60+ min daily
Vig activity 3x a week
3+ days a week

150+ min of mod/75+ of vig
more benefits w more exercise
at least 2 days per week

Question 2

Light, moderate, vigorous activity

Sweating
HR
Respiration
Exertion

Answer 2

Light- none, <50% of max, no change, minimal

Mod- w/in 10 min, 50-75% of max, deeper/faster, can talk not sing

Vigorous- sweat w/in 3-4 min, >75% of max, deep/fast, cannot talk

Question 3

Sedentary

Light

Active examples

Answer 3

S- minimal movement, sitting/lying

L- lots of walking/standing

A- light manual labor

Question 4

Interosseus muscle atrophy

Thenar atrophy

Hypothenar atrohy

Common causes

Answer 4

Ulnar nerve lesion, severe disuse (RA), muscle wasting

Median nerve lesion, cervical myelopathy

Ulnar nerve lesion
Cervical myelopathy

Question 5

Cirrhosis nutrtitional status measured w

Severe malnutrition correction

Thiamine is

deficiency increases

Answer 5

mid-arm circumference

Fluids/electrolytes
Vitamin/minerals
Calories/protein- 1g/kg/day, 50% of total req

essential cofactor for glycolysis/CAC

ROS species, encephalopathy

Question 6

Caloric deficiency vs cachexia

Due to

Result

Cause

Answer 6

CD- inad anabolism
Wl
Depression, malignancy, endo, organ failure, GI, dementia

C- inc catabolism
Wl, muscle wasting, reduced upper arm circ
Malig, ESRD, COPD, HF

Question 7

Marasmus vs kwashiorkor

Def
BMI
Triceps skin 
Upper arm circum
Height

Albumin
Poor wound healing
decubitus ulcers
skin breakdown
Susceptible to infectios

Answer 7

M- prolong energy def, <18.5, bradycardia/hypoTN, reduced, reduced, reduced normal, all present except infections

K- acute energy/prot def
All normal
Low albumin <2.8
All

Question 8

CD vs UC

Malnutrition from chronic panc via

Manage chronic panc

Consider ____ with pancrelipase

Complication of pancrelipase

Answer 8

CD more likely to have Wl

Malabsorption from panc insufficiency, DM, alcoolism, reduced calorie intake

Small meals, low fat/fiber, VD and MCT supplementation

acid suppresion (GA inactivates)

must be prior to meal, high purine content and hyperuricosemia (nephrolithiasis)

Question 9

Treating CF

restrict

Objective measures for cirrhosis

Answer 9

inc calorie/proteins intake, fat soluble/multi vitamins, Ca, NaCl, panc enzymes

Na and k

mid arm circumference, skin fold thickness, handgrip

Question 10

Diet for Diverticulosis

removing FODMAPs from IBS results in

Answer 10

Fiber- improve sx and reduce episodes

reduced pain/bloating/flatulence