Review B Flashcards

1
Q

hyperlipidemia risk factors

A
  • smoking
  • drinking lots of alcohol
  • eating lots of saturated or trans fats
  • being sedentary
  • stress
  • genetics
  • overweight
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2
Q

NAFLD

A

FLD = steatosis
caused by fat build up in liver
main cause is obesity

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3
Q

how to keep a healthy liver

A
  • healthy diet
  • high in fiber
  • lots of water
  • avoid foods high in: fat, sugar, salt, fried foods, and undercooked shellfish
  • avoid alcohol
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4
Q

cancer and obesity

A

obesity and physical inactivity account for 25-30% of cancers

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5
Q

DASH

A

Dietary Approaches to Stop Hypertension
has foods rich in magnesium, calcium, potassium
eat whole grains, low fat dairy, lean meats, vegetables, fruits
limits sodium to 2,300mg/day or 1 tsp salt

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6
Q

benefits of exercise

A
  • control weight
  • reduce risk for CVD & T2DM
  • strengthen bones/muscle
  • improves sleep & energy levels
  • prevent cognitive decline and reduce risk for dementia
  • increases lifespan
  • reduces risk of falling
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7
Q

exercise prescription

A

150 min/week of cardio and 2x a week weight training for substantial health benefits and reduce disease risk

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8
Q

Life’s Simple 7

A
  1. stop smoking
  2. eat better
  3. get active
  4. lose weight
  5. manage BP
  6. control cholesterol
  7. reduce blood sugar
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9
Q

immediate energy source during first few minutes of exercise then as exercise continues

A

First few min:
anaerobic energy production
- ATP
- creatine phosphate
- anaerobic glycolysis
exercise Continues:
O2 intake and aerobic energy production
- carb and fatty acids break down to yield ATP

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10
Q

food consumption before, during and after exercise

A

before:
- large meals 3-4 hrs and smaller meals 2-3 hrs, snack or liquid supplements 0.5-1 hr
- 1-4.5 g carbs per kg body weight
- (carbs 15-30 min before gives muscles immediate energy, spares glycogen stores, helps reduce muscle damage)
During:
- for exercise over 1 hr begin carb intake shortly after start and every 15-20 min after
- glucose, sucrose, maltodextrin are best choices for quick absorption
After:
- consumed quickly post exercise(within 2 hrs)
- carb/protein ration 3:1 is ideal to promote muscle glycogen and protein synthesis and faster recovery time

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11
Q

organs for digestion

A

Main:
- mouth
- esophagus
- stomach
- small and large intestine
- rectum
- anus
accessory organs: pancreas, liver, gallbladder

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12
Q

neural responses to food

A

smell, sight, thought, of food stimulates
- saliva production
- stomach produces HCL to digest food
- brain prepares for peristaltic movement of esophagus and other organs

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13
Q

3 ways food moves down GI

A

Peristalsis: smooth muscle in front of food relaxes and behind food contracts
Segmentation: mixes food when smooth muscles contract/relax seemingly randomly
Pendular movement: a constrictive wave that involve both forward and reverse movement of chyme, which enhances nutrient absorption

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14
Q

stomach secretions

A

HCL, enzymes, mucus, intrinsic factor, gastrin

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15
Q

large intestine structure

A

ileocecal sphincters: prevents backflow of fecal matter into ileum
cecum:
ascending colon:
transverse colon:
colon
rectum

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16
Q

digestive enzymes

A

amylase: digest carb
lipase: digest fat
trypsin, chymotrypsin, carboxypeptidase (proteases)

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17
Q

digestive hormones

A

gastrin: stimulates release of HCl and gastric lipase
ghrelin: stimulates hunger
secretin: release bicarb
cholecystokinin: stimulates pancreas to secrete digestive enzymes

18
Q

how are digested nutrients absorbed

A

circulatory system
lymphatic system
nutrients processed in liver before delivered to body’s cells

19
Q

serious intestinal digestive disorders

A

IBS: changes in colon rhythm
Celiac disease
colon cancer

20
Q

Carbs

A

simple
- mono and disaccharide
complex
- oligosaccharides (3-10 saccharides): act as prebiotics
- polysaccharides (over 10) (starch, fiber, glycogen are examples)

21
Q

starch

A

starch: storage form of carbs in plants
resistant starch: resists digestion in small intestine and ferments in large intestine
amylose: straight chains
amylopectin: branched chains
foods: starchy vegetables like peas, corn, lima beans, potatoes, beans, lentils, grains like oats, barely, rice

22
Q

fiber

A

DRI: 14g per 1,000 cal
functional fiber: added fiber to food for benefits
soluble fiber: dissolves in water and is fermented by intestinal bacteria
- fiber fermentation: your body makes short chain fatty acids as a result of processing fiber in your colon
insoluble fiber: cellulose, hemicellulose, ligins
- helps lower risk of constipation, colorectal cancer, obesity, heart disease, diabetes

23
Q

Carb digestion

A
  • saliva has amylase that breaks down carbs
  • in small intestine the pancreatic amylase breaks down carbs
  • fiber continuous to large intestine
24
Q

ketosis

A

ketosis: elevated ketones after fasting for 2 days
- carbs fuel the body during fasting and prevent ketosis

25
Q

minimum DRI for carbs

A

130g per day for brain function

26
Q

health benefits of whole grain

A
  • nutrient density
  • reduce inflammation
  • lower heart disease, T2DM, and cancer risk
  • lowers cholesterol and blood glucose
  • improves digestive health
  • weight management
  • provide vitamins and minerals: B vitamins, folate, thiamin, riboflavin, niacin, magnesium, selenium
27
Q

added sugar guideline

A

10% or less from added sugar daily
women = less than 100cal (6tsp) daily
men = less than 150cal (9tsp) daily

28
Q

types of lipids

A

triglycerides: sat/unsat/trans fats
phospholipids: emulsifier
sterols: cholesterol

29
Q

types of saturated fatty acids

A

sat fatty acids: solid, all single bonds
monounsaturated fatty acids: 1 double bonds, liquid
polyunsaturated fatty acids: more than 2 double bonds

30
Q

digestion of fats

A
  • mouth: chewing and lingual lipase
  • stomach: gastric lipase breaks down fats
  • small intestine: most digestion happens here
    • bile acids: emulsify fat and break down fat globules
    • pancreatic lipase
    • lecithin in bile is packaged with monoglycerides and fatty acids create micelles (small carriers) for absorption
    • (post absorption) chylomicrons move triglyceride through villi to lacteal to lymphatic circulation
31
Q

Lipoproteins

A

Lipoprotein: transport fat through lymph and blood
chylomicrons: carry digested fat through lymph into blood
VLDL: deliver fat made in liver to cells
LDL: deposit cholesterol on walls of arteries
HDL: remove cholesterol and delivers it to liver for excretion

31
Q

How much fat do you need a day

A

AMDR: 20-35% of total daily cal
1:1 to 1:4 ratio of omega 6/3
linoleic acid (omega 6) = 1-2% total cal
alpha linolenic (omega 3) = 1.32g women and 1.55 men

31
Q

trans fatty acids

A
  • are made by partial hydrogenation of cis unsaturated fat
  • changes liquid fats to solids
  • made to resist rancidity
  • are worse than saturated fats
  • raise LDL and lower HDL
32
Q

phytosterols

A

phytosterols: plant sterols that are similar to cholesterol
- can lower LDL by competing with cholesterol

33
Q

flavonoids

A

are phytochemicals that offer antioxidant protection as well as inhibiting platelet aggregation

34
Q

protein structure

A

chains of amino acids connected by peptide bonds
AA structure: side chain, COOH, Hydrogen, amine
oligopeptide = over 15 AA
polypeptide = up to 50 AA
protein = over 50 AA
primary, secondary, tertiary, quaternary

35
Q

Protein digestion

A

mouth: chewing, tearing, mixing food with saliva
stomach: HCL denatures protein and activates pepsinogen to form pepsin
small intestine: proteases break down protein
Accessory organs:
- pancreas: produce protease released via pancreatic duct
- liver: use AA to make new proteins or convert to glucose
- gallbladder: concentrates and stores bile

36
Q

How does the body use proteins?

A
  • buffers
  • transport proteins shuttle substances throughout body
  • antibodies
  • energy
  • improve satiety and appetite control
37
Q

Amino Acids Functions

A
  • can make proteins and non protein substances
  • after removal of amine group they can be burned for energy, stored as fat, & made into glucose
38
Q

Protein needs per day and foods

A

RDA: women is 46g and men 56g
DRI: 10-35%

39
Q

protein quality determined by 2 factors

A

digestibility
amino acid profile
- non/essential AA
- in/complete proteins

40
Q

accessory organs

A

pancreas: releases enzymes like amylase, lipase, insulin
liver: filters nutrients
gallbladder: concentrates and stores bile