nutritional calculations Flashcards

1
Q

catabolism

A

breakdown of substances into smaller molecules to produce energy

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2
Q

anabolism

A

use of stored energy to assemble

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3
Q

Gluconeogenesis

A

protein can be converted into glucose by a process called gluconeogenesis

an anabolic process

happens in the liver

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4
Q

anorexic patient

A

anorexia/hyporexia tends to go hand in hand with dehydration and hypokalaemia (low blood poassium)

nutritional intervention is indicated after 3-5 days or an anticipated loss over 10% bodyweight

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5
Q

What do all cells need to produce ATP

A

Glucose, oxygen, carbon dioxide and water

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6
Q

Where do they get the glucose if they are not eating?

A

fat left stored in the body

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7
Q

physiology of starvation catabolism

A

if patients aren’t eating they break down substances in the body to release calories

glycogen - fat stores - protein stores

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8
Q

physiology of starvation - catabolism

A

in stressed patients with a systemic disease, they breakdown body stores in a less optimal order

we can refer to the breakdown of protein as protein energy malnutrition

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9
Q

GI ileus

A

anorexia leads to a reduction and eventually absence in gut motility

commensal microbes can leave the intestines and spread to nearby areas - becoming pathogenic, including the blood stream

refer to this as bacterial translocation

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10
Q

Fat metabolism

A

fatty acids are also used by the mitochondria to create ATP

Beta -Oxidation is the process whereby fatty acids are converted into Acetyl CoA

this acetyl CoA then enters the Krebs cycle of respiration

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11
Q

Cachexia

A

muscle loss associated with disease
(protein energy malnutrition)

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12
Q

Sarcopnia

A

muscle loss associated with aging

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13
Q

Obesity

A

30-50% of the small animal population is overweight

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14
Q

side effects of obesity in companion animals

A
  • increased risk of osteoarthritis
    -increased oxidative stress
  • insulin resistance
  • reduced welfare
  • decreased lifespan
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15
Q

What role do we have as professionals in addressing this?

A

-owner education and support
-patient assessment

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16
Q

weight loss additives

A

L-carnitine (promotes fatty acid metabolism)

Omega 3 fatty acids (unpregulation of mitochondrial function)

17
Q

Fibre and obesity

A

Dietary fibre and protein manage obesity as they
- promote satiety
- protein also helps promote muscle hypertrophy

18
Q

fibre and obesity

A

soluble fibre absorbs water as it moves through the gut., This causes intestinal distention which promotes feeling of satiety. this also adds faecal bulk

19
Q

GE/Gross energy

A

the maximum energy content of a diet/food

20
Q

DE/ digestible energy

A

Gross energy minus energy lost in faeces

21
Q

ME - Metabolisable energy

A

digestible energy minus energy lost in urine and gas production

22
Q

NE - Net energy

A

metabolisable energy minus heat production associated with food consumption

23
Q

Energy measurements

A

-calories
- kilocalories
- kilojoules

1Kcal - 1000 calories or 4.2KJ

of the macro nutrients, which has the highest energy density

Fats have the highest metabolisable energy at 8.7 kcal/g

carbs and proteins are equal, with an ME of 3.5

water has no energy value

24
Q

energy measurements

A

resting energy requirements

RER- energy requirement of an inactive patient in a non - fasted state

MER - maintenance energy requirement - to work this out we multiply RER by a factor

25
Q

Resting energy requirement

A

animals between 2kg - 30kg
RER = (30 x bodyweight in kg) + 70

animals outside that range
RER= 70 x (BW)0.75

26
Q

MER Table

A

Entire
-cats - 1.4-1.6
- dogs - 1.8

neutered
cats- 1.2-1.6
dogs - 1.6

senior
cats - 1.1-1.6
dogs - 1.4

light exercise
cats - NAD
dogs - 1.6-2

moderate exercise
cat -NAD
dog - 2-5

heavy exercise
cats - NAD
dogs - 5-11

pregnancy
cats - 1.6 - 2
dogs - last trimester 3

Lactation
cats - 2-6
dogs - 4 - 8

under 4 months
kittens - 2.5
puppies - 3

50 - 80% adult weight
kittens - 2.5
puppies - 3

over 80% adult weight
kittens - 2.5
puppies - 1.8 - 2

27
Q

feeding hospitalised patients

A

if the amount needed is less than 1 can/1 bag - calculate the percentage of it needed

amount needed/ Kcal in food x 100 = % needed

28
Q

example of RER

A

RER = (30 x 25kg) + 70 = 820 kcals

820/375 = 2.18 tins of food

29
Q

feeding hospitalised patients tube feeds

A

patients that have been anorexic for several days require nutritional support. feeding tubes are placed to help ensure the patient meets its RER

30
Q

MER for 5kg for entire cat

A

5kg x 30 = 150 + 70 = 220
220 x 1.4 = 308
220 x 1.6 = 352

308-352 kcal

31
Q
A