PBL 8

Question 1

How are the sections of the eat well plate divided?

Answer 1

Fruit & veg and Carbs/starchy foods take up two tirds and the final third is made up of protein, dairy and a very small amount of fat

Question 2

Who does the eat well guide apply to?

Answer 2

Most people but those with dietary requirements should check with a medical professional about how they can adapt the guide

Question 3

How does the guide apply to children?

Answer 3

Doesn’t apply to children below the age of 2, between 2 and 5 children should start to eat the same as their families

Question 4

Should infants have fat in their diet?

Answer 4

None

Question 5

What nutrients may you be deficient in if you don’t eat enough protein?

Answer 5

B vitamins,Vitamin E, iron, zinc and magnesium

Question 6

What may happen if you are deficient in vitamin B12?

Answer 6

It affects the bodies ability to make red blood cells so can result in tiredness/weakness as the body has an impacted ability to transport oxygen

Question 7

What may happen if you are deficient in Vitamin E?

Answer 7

Uncommon but can cause nerve and muscle damage that results in loss of feeling in limbs, loss of body movement control, weakness and vision problems. can also cause a weakened immune system

Question 8

What may happen if you are deficient in iron?

Answer 8

Anaemia symptoms include general fatugue and weakness, pale skin, shortness of breath and diziness

Question 9

What may happen if you are deficient in zinc?

Answer 9

Affects many different body systems so there is no distince set of symptoms. common symptoms include poor sense of smell and taste, poor wound healing, hair loss and deformed nails

Question 10

What may happen if you are deficient in magnesium?

Answer 10

Can result in tremors, poor coordination, muscle spasms and appetite loss

Question 11

What nutrients may you be deficient in if you don’t eat enough starchy foods?

Answer 11

Fiber, Calcium, iron and b vitamins

Question 12

What may happen if you are deficient in fiber?

Answer 12

Increased risk of weight gain and heart disease. Symptoms include constipation, nausea, tiredness and in diabetics, blood sugar fluctuations

Question 13

What may happen if you are deficient in calcium?

Answer 13

If not enough calcium is obtained through the diet the body starts taking it from the bones. This can lead to osteoparosis. Symptoms of calcium deficiency include muscle cramps, aches and spasms.

Question 14

What nutrients may you be deficient in if you don’t eat enough dairy?

Answer 14

Vitamin A, Riboflavin, Niacin and calcium

Question 15

What may happen if you are deficient in Vitamin A?

Answer 15

Impairs immunity and hematopoiesis and can cause rashes and vision issues like xerophthalmia

Question 16

What is xerophthalmia?

Answer 16

Issues seeing in low light. Can lead to blindness if left untreated.

Question 17

What may happen if you are deficient in riboflavin?

Answer 17

Essential for metabolic energy production. Long term deficiency causes anaemia. Symptoms include spre throat, lesions and conjunctivitis

Question 18

What may happen if you are deficient in niacin?

Answer 18

Sever deficiency is known as pellagra. symptoms include rash when exposed to sunlight, swollen mouth, bright red tongue, and v&d

Question 19

What nutrients may you be deficient in if you don’t eat enough fruit and veg?

Answer 19

potassium, vitamin C, folic acid and many more

Question 20

What may happen if you are deficient in potassium?

Answer 20

Hypokalemia can make muscles feel weak,cramp,twitch or even become paralysed.

Question 21

What may happen if you are deficient in vitamin C?

Answer 21

Can result in scurvy. Common symptoms include fatigue, depression and connective tissue defects

Question 22

What may happen if you are deficient in folic acid?

Answer 22

can lead to anaemia

Question 23

What are the key symptoms of bulimia nervosa?

Answer 23

• recurrent episodes of overeating (eg once a week or more for at least a month) accompanied by compensatory behaviours
• The individual is obsessed with their body image
• they may have severe tooth decay, weakened muscles and in the long term, potential heart problems

Question 24

How is Bulimia managed in adults?

Answer 24

• bullimia focused guided self help
• if this is unacceptable, CBT-ED
• should be up to 20 sessions over 20 weeks focusing on normal eating behaviours

Question 25

How is bulimia managed in children?

Answer 25

• Bulimia nervosa focused family therapy (FT-BN)
• should be 18-20 sessions over 6 months
• if this is unacceptable consider CBT-ED

Question 26

What is CBT?

Answer 26

Cognitive behavioural therapy.

It aims to change the moods/feelings towards a certain situation or trigger

Question 27

What are the key symptoms of binge eating disorder?

Answer 27

Frequent episodes of binge eating (eg once a week or more) without compensatory behaviours

Question 28

How is binge eating charecterised?

Answer 28

-eating more quickly than normal
-eating until uncomforatbly full
-eating a lot when not hungry
eating alone out of embarassment
-feeling bad/guilty after eating

Question 29

How is binge eating disorder managed?

Answer 29

-Binge eating disorder focused self help
-CBT self help
Adherance is especially important
-if self help is unsuccesful offer group CBT-ED

Question 30

What are the key symptoms of Anorexia nervosa?

Answer 30

A significantly low BMI
Low weight with persistan pattern of behaviors to prevent weight gain
Central to the patients negative perception of themself

Question 31

How is anorexia managed in adults?

Answer 31

CBT-Ed should consist of up to 40 sessions over 40 weeks
should aim to reduce risk to the patients health
trying to establish healthy eating