Nutrition Tools Lecture 4-5 Flashcards

1
Q

describe the dietary reference intake?

A

a set of five lists of values for measuring the nutrient intakes of healthy people in the United States and Canada. The lists are

Estimated Average Requirements (EAR) research/policy
Recommended Dietary Allowances (RDA) adequacy
Adequate Intake (AI) adequacy
Tolerable Upper Intake Levels (UL) safety
Acceptable Macronutrient Distribution Ranges (AMDR) healthful ranges for energy yielding nutrients

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2
Q

describe the Daily Values?

A

nutrient standards used on food labels and on grocery store and restaurant signs. This is based on nutrient recommendations for a general 2,000 calorie diet and they allow consumers to compare foods with regard to nutrients and calorie contents

The reason DRI’s are not used is that DRI values for a nutrient vary, sometimes widely, to address the different nutrient needs of different population groups. Food Labels, in contrast, must list a single value for each nutrient that may be used by anyone who picks up a package of food and reads the label. The daily values reflect the highest level of nutrient needs among all population groups, from children of age 4 years through aging adults; for example, the Daily value for iron is 18 mg, an amount that far exceeds a man’s RDA of 8 mg (but that meets a young women’s high need precisely). Thus, the daily values are ideal for allowing general comparisons among foods, but they cannot serve as nutrient intake goals for individuals.

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3
Q

why are the DRI and DV important?

A

they are the nutrient standards against which people’s nutrient and energy intakes can be measured and are used to assess intake and provide advice; so the DRI are US and Canadian nutrient intake standards and the Daily Values are US standards used on food labels

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4
Q

Identify how the dietary guidelines for Americans work as part of an overall US dietary guidance system?

A

remember that in tandem with the DRI and DVs, the dietary guidelines for Americans offer food based strategies for achieving nutrient intake goals, that is not overconsuming calories, taking in nutrient dense food and beverages, and make physical activity a habit.

In the Current US diet, important nutrients are undersupplied and less healthful nutrients are oversupplied

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5
Q

what is the physical activity guideline according to Dr. Wilson?

A

150 min of moderate exercise per week or 75 min of vigorous activity plus two days of body weight training

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6
Q

how should you plan your diet according to the Dietary Guideline?

A

1) follow a healthy eating pattern across the lifespan
2) focus on variety, nutrient dense, and amount
3) limit calories from added sugars and saturated fats and reduce sodium intake
4) shift to healthier food and beverage choices
5) support healthy eating patterns for all

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7
Q

Explain the use of the USDA Food Intake Patterns to plan a nutritious diet?

A

To help people achieve the goals of the dietary guidelines for Americans the USDA employs a food group plan known as the USDA eating patterns

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8
Q

what is a food group plan?

A

the food group plan is a diet planning tool that sorts foods into groups based on their nutrient content and then specifies that people should eat certain minimum numbers of servings of foods from each group.

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9
Q

what makes up the food group plan?

A
fruits
vegetables
grains
protein foods
milk and milk products
oils
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10
Q

given the required number of calories, discuss a healthful diet plan by applying the USDA Eating Patterns?

A

so the USDA eating patterns specify the amounts of food needed from each food group to create a healthful diet for a given number of calorie. Study the trends and understand why the calories are needed for those groups, i.e.- the more energy spent on physical activity each day means that greater calories are needed. Refer to table 2-3 and 2-4, which table 2-3 specifies total intakes per day and table 2-4 shows those amounts dispersed among five vegetables and three protein foods subgroups per week

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11
Q

Identify the information included on food labels?

A

the food label includes the nutrition facts that reveal details about nutrient composition. The food labels comprise and must state:

1) the common or usual name of the product
2) name and address of the manufacturer, packer or distributor
3) net contents in terms of weight, measure, or count
4) the nutrient contents of the product
5) ingredients in descending order of predominance by weight and in ordinary language
6) essential warnings like alerts about ingredients that often cause allergic reactions or other problems

keep in mind that the nutrition panel is organized as follows:

serving size
servings per container
Calories/calories from fat
Nutrients 
-total fat
-cholesterol
-sodium
-total carbohydrate
-protein
Daily Values and calories per gram reminder
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12
Q

What are some themes we have noticed about nutrition in America?

A

nation has serious health problems

large gap exists between actual and optimal food intake patterns

optimal food intake patterns are known

individuals can make the needed changes

public policy affects population wide behaviors

diet choices can affect the environment

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13
Q

what are some shortfalls in the American Diet?

A
Vitamin A,C,D,E
folate
calcium
iron
magnesium
fiber
potassium
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14
Q

what are some over consumed foods in our diet?

A

sodium and saturated fat

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15
Q

what are the food groups?

A

fruits, vegetables, grains, protein foods, milk and milk products, oils

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16
Q

whats a nutrient claim?

A

FDA-approved food label statements that describe the nutrient levels in food like fat free or less sodium

A food that meets specified criteria may display certain approved nutrient claims on its label. These claims – for example, that a food is low in cholesterol or a good source of vitamin A – are based on the Daily Values.

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17
Q

what do food labels include?

A

nutrient claims, health claims, structure /function claims

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18
Q

whats a health claim?

A

FDA approved food label statements that link food constituents with disease or health related conditions; these are standards, qualified claims. i.e.- soluble fiber from daily oatmeal in a diet low in saturated fat and trans fat may reduce the risk of heart disease or A diet low in total fat may reduce the risk of some cancers

Describes a relationship between a food or its components and a disease or health condition. Example “Diets low in sodium may reduce the risk of high blood pressure.”

Qualified Claims

a. FDA allowed claims backed by weak evidence.
b. Labels bearing them must also state the strength of the scientific evidence backing them up.
c. Consumers are unable to distinguish between scientifically reliable claims and those that are less so.

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19
Q

structure/function claims

A

legal but largely unregulated statements permitted on labels of foods and dietary supplements describing the effect of a substance on the structure or function of the body but omit references to disease like support immunity and digestive health or builds strong bones

Structure/function claims
Requires no prior approval
Notification of FDA is sufficient
Required label disclaimer – ex. - “This statement has not been evaluated by the FDA”

Examples
“Supports immunity and digestive health
“Helps maintain normal cholesterol levels”

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20
Q

how do we identify reliable health claims on food labels?

A

nutrients claims are reliable information, health claims are reliable and not so reliable, structure function claims are best ignored

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21
Q

Estimate the benefits of a nutrient-dense meal plan through comparison with a meal plan that does not take nutrient density into account

A

a nutrient dense meal provides the necessary servings from each food group along with a small amount of oil needed for health and energy provided falls within 2000 calorie allowance whereas on the contrast, a not so nutrient dense meal can be abundant in oils, meat, and grains and completely lack fruit and whole grains and low in vegetables and milk to provide adequate nutrients

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22
Q

what are phytochemical?

A

non nutrient components of plants under study that can alter body processes providing antioxidant activity and protecting the DNA from oxidative damage

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23
Q

what the potential impacts of the phytochemicals in flaxseed?

A

Lignans and phytoestrogens (mimic estrogen by bacteria in digestive tract)

Speculative work: fewer cancerous changes, reduce risk of developing breast cancer, less cancer cell proliferation in men with prostate cancer

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24
Q

what are the potential impacts of phytochemicals in garlic?

A

Antioxidant organosulfur compounds: inhibit cancer development

Speculations: Prevent cancers, oppose allergies, heart disease, infections, and ulcers

Virtually no evidence exists in support of garlic for health reasons

25
Q

what are the potential impacts of phytochemicals in soybeans?

A
Chronic diseases (less heart disease and cancer)
Downsides- low doses of the soy phytoestrogen genistein appear to speed up division of breast cancer cells in lab cultures from mice, and high doses do opposite (DON’T TAKE SUPPLEMENTS)
26
Q

what are the potential impacts of phytochemicals in tomatoes?

A

Antioxidant lycopene

Less likely to suffer from cancers of the esophagus, prostate, or stomach

(inconclusive but…) postmenopasal women less likely to develop ovarian cancer

27
Q

what are the potential impacts of phytochemicals in grapes and wine?

A

Resveratrol: disease fighter through reduced tissue inflammation

Speculative for humans: extend life, reduce risk of developing cancer, diabetes, obesity, and heart disease

28
Q

what other examples of foods contain phytochemicals?

A

tea, yogurt, supplements

29
Q

Which of the following comprise the Dietary Reference Intakes (DRI)?

A. Recommended Daily Allotment (RDA), Allowable Intakes (AI), Tolerable Upper Intake Levels (UL), Energy Average Requirements (EAR), Acceptable Minimal Distribution Ranges (AMDR)

B. Recommended Dietary Allowances (RDA), Adequate Intakes (AI), Tolerable Upper Intake Levels (UL), Estimated Average Requirements (EAR), Acceptable Macronutrient Distribution Ranges (AMDR)

C. Reliable Dietary Average (RDA), Allowable Intakes (AI), Upper Intakes (UL), Estimated Average Requirements (EAR), Acceptable Micronutrient Distribution Ranges (AMDR)

D. Recommended Dietary Allowances (RDA), Adequate Intakes (AI), Allowable Upper Intake Levels (UL), Estimated Average Requirements (EAR), Acceptable Minimal Distribution Ranges (AMDR)

E. Recommended Daily Allotment (RDA), Adequate Intakes (AI), Upper Intakes (UL), Energy Average Requirements (EAR), Acceptable Micronutrient Distribution Ranges (AMDR)

A

B

30
Q

According to the DRI, what is the recommended proportion of fat intake to allow a proper balance with the other two macronutrients?

A. 5-10% of daily calories from fat
B. 10-15% of daily calories from fat
C. 15-25% of daily calories from fat
D. 20-35% of daily calories from fat
E. 35-50% of daily calories from fat
A

D

31
Q

The Dietary Guidelines for Americans state that a few nutrients are over-consumed while others are deficient. What are two over- consumed nutrients?

A. Unsaturated fat and potassium
B. Saturated fat and calcium
C. Saturated fat and sodium
D. Protein and starch
E. Protein and sodium
A

C

32
Q

what improvements are needed in the average S. diet to meet intake goals of foods that are under consumed?

A. less whole grain, more vegetables, more fat
B. less refined grains, more vegetables, more protein
C. More whole grains, less fruit, and less milk
D. more refined grains, more fruit, and more protein
E. more whole grains, more fruit, and more milk

A

E

33
Q

Which vegetables should be limited due to high solid fat and/or added sugar content?

A. baked beans, potato salad, and coleslaw
B. Kidney beans, coleslaw, and pumpkin
C. refried beans, tomatoes, and soybeans
D. baked potato, French fries, and artichokes
E. Eggplant, French fries, and mushrooms

A

A

34
Q

An active 28 year old woman wants to plan how many calories she’s allowed each day. What is her estimated calorie need/day based on the parameters above?

A. 2,800 calories
B. 2,400 calories
C. 2,200 calories
D. 2,000 calories
E. 1,800 calories
A

B, know the category for which someone would fall under if they consumed X amount of calories

35
Q

What determines the order of ingredients on food labels?

A. descending order by cost
B. descending order by calories
C. descending order by weight
D. alphabetical order
E. reverse alphabetical order
A

C

36
Q

Some statements on food labels are more reliable than others. Which type of claim on food labels is the least reliable and should often be ignored?

A. nutrient claims
B. health claims
C. calorie claims
D. structure-function claims
E. cost claims
A

D

37
Q

what is the Recommended Dietary Allowances (RDA)?

A

measured on the basis of adequacy

  • Indisputable based on scientific evidence
  • Expected to meet the needs of almost all healthy people
  • Solid experimental evidence
38
Q

what is the Adequate Intakes (AI)?

A

measured on the basis of adequacy

  • Based as far as possible on available scientific evidence and some educational guesswork
  • generated when there is insufficient evidence to generate an RDA
39
Q

what is the Tolerable Upper Intake Levels (UL)?

A

measured on the basis of safety

Identify potentially toxic levels of nutrient intake
- Usual intakes of a nutrient below UL have a low risk of causing illness, with chronic intakes about UL risks rise

Absence of UL —> indicates insufficient data to establish

40
Q

what is the Estimated Average Requirements (EAR)?

A
  • Average nutrient requirements for given life stages and gender groups that researchers and nutrition policy makers use in their work
  • Research and policy
  • Assess nutrient intake of populations and set recommendations for different life stage and gender groups
41
Q

what is the Acceptable Macronutrient Distribution Ranges (AMDR)?

A

Healthful ranges for energy-yielding nutrients; contributes to total calorie intake

  • Carbs: 45-65% of calories
  • Fat: 20-35% of calories
  • Protein: 10-35% of calories
42
Q

according to the AMDR, what is it for carbs?

A

45-65% of calories

43
Q

according to the AMDR, what is it for proteins?

A

10-35% of calories

44
Q

according to the AMDR, what is it for fat?

A

20-35% of calories

45
Q

what are DRI’s?

A

tells you how much of each nutrient you need

46
Q

are DRI’s recommended for individuals or populations?

A

populations

47
Q

how do you calculate DRI’s?

A

Adequate intake over time (attempt to get 100% of DRI)

48
Q

what is the characteristic in terms of intake of the DRI’s?

A

optimum intake not minimum intakes

49
Q

whom to DRI’s apply to?

A

healthy people

50
Q

How are DRI’s reflected in the therapeutic diets?

A

Increased (or decreased) nutrient needs reflective of medical conditions

51
Q

how do committees establish DRI values?

A

Individually: Measure of intake vs. excretion - only works for nutrients that don’t change while in the body

Population: choose a value that covers 97-98% of population

52
Q

how do DRI’s affect setting energy requirements?

A

Not generous
Set to maintain healthy body weight
Apply to individual of particular age, gender, height, weight, and activity level

53
Q

what are daily values? characteristics?

A

tells you how much nutrients you are actually getting from foods

Found on food labels
Reflect highest nutrient need among all population groups
Allow general comparisons among foods
Not nutrient intake goals for individuals

54
Q

Be able to calculate percentages of calories from macronutrients from food labels:

Calculate the % of calories from protein in a day’s meal: A day’s meal provides 50 g of protein and 1,754 total calories

A

Step one: convert protein grams to protein calories (reminder: protein provides 4 calories per gram): 50g protein x 4cal/g = 200 cal from protein

Step two: using the answer: apply the general formula: (Protein calories / total calories) x 100 (200 / 1,754) x 100 = 11.4% calories from protein

Example:
○ a food contains 4 milligrams of iron/ serving
○ DV= 18 milligrams
○ One serving of that food provides 22% of the DV for iron

55
Q

What is the difference between various health claims and nutrient claims?

A
○	Various Health Claims: 
■	Standards 
■	Qualified claims 
■	Describes a relationship between a food and a health condition 
○	Nutrient Claims 
■	Based on daily values 
■	Food must meet specified criteria 
■	Examples: 
●	“Good source” of Vitamin A 
●	“Low” in cholesterol
56
Q

what are the potential impacts of phytochemicals in blueberries?

A

Flavonoids
Limits damage to brain cells by oxidation
Less cognitive decline
Efficacy (in the human model) still lacks

57
Q

what are the potential impacts of phytochemicals in chocolate?

A

Flavonoids and antioxidants

Improved blood vessel functioning and other indicators of heart health

58
Q

what are the potential impacts of phytochemicals in tea?

A

● Antioxidant activity- green tea (polyphenols), black tea (flavonoids)
● Potential reduction of oxidative stress, inflammation, harmful blood lipids and blood pressure, stroke
● High intake- can lead to toxicity and kidney problems