Section 3 Chapter 9 Flashcards
Nutrition
A process of obtaining nutrients through food and/or food products to support energy requirements and cellular processes, including growth, repair and maintenance of tissues, reproduction, digestive processes, and respiration.
CDN
Certified Dietitian Nutritionist: state certified dietitian/nutritionist.
Scope of Practice
The actions that a professional is permitted to undertake in keeping with the terms of their license or certification.
Scope of practice for fitness professionals
the field of physical assessment and the development of an appropriate exercise training program based on a client’s goals and abilities.
Nutritional claim
Claim that a food has a specific nutritional property or provides a specific benefit.
Macro-nutrients
Food substances required in large amounts to supply energy; include protein, carbohydrate, and fat.
Micro-nutrients
Vitamins, minerals, and phytonutrients. These are non-energy yielding nutrients that have important regulatory functions in metabolic pathways.
Vitamins
Group of organic compounds required in small quantities in the diet to support growth and metabolic processes.
Minerals
Inorganic, natural substances, some of which are essential in human nutrition. There are two kinds of minerals: major minerals (aka, macro-minerals) and trace minerals.
TRUE of FALSE? The scope of practice for a fitness professional dictates that they can prescribe specific meal plans to clients.
False
What is the official term for a statement that maintains that a food has a specific nutritional property or provides a specific benefit?
Nutrition claim
Protein
Amino acids linked by peptide bonds; the building blocks of body tissues.
Amino Acids
Organic building blocks of proteins containing both a carboxyl and an amino group.
Peptide bond
Organic building blocks of proteins containing both a carboxyl and an amino group.
Essential Amino Acids (EAA)
Amino acid that must be obtained through the diet as the body does not make it; there are nine essential amino acids.
Substrates
Intermediate forms of nutrients used in metabolic reactions to create adenosine triphosphate.
Protein Turnover
A process in which the body breaks down existing proteins and recycles the component amino acids for incorporation into new proteins or other nitrogen-containing compounds.
Essential Amino Acids
Leucine, Isoleucine, Valine, Methionine, Phenylalanine, Threonine, Tryptophan, Lysine, Histidine
Nonessential Amino Acids
Alanine
Arginine*
Aspartic acid
Asparagine
Cysteine
Glutamic acid
Glutamine*
Glycine
Proline
Serine
Tyrosine
Conditionally Essential
Histidine, Arginine, + Glutamine
Complete Protein
A protein source that provides all essential amino acids.
Incomplete protein
A protein that lacks one or more of the amino acids required to build cells.
Polypeptide chain
A series (often more than 3) of amino acids linked together by peptide bonds.
Peptides
Amino acids linked together via a peptide bond.
Dipeptide
The combination of two amino acids linked together by a peptide bond.
Tripeptide
A sequence of 3 amino acids linked together by peptide bonds.
Complete proteins
Animal sources - meat, poultry, seafood, eggs, dairy
Non-animal sources - soy, hemp, quinoa, buckwheat
Incomplete proteins
Spinach, bok choy, asparagus, broccoli, collard greens, brussel sprouts, avocado.
Omnivorous diet
includes both animal and plant foods, will easily obtain all the essential amino acids through their diet, as animal foods are complete protein sources.
Mutual supplementation
an assorted range of vegetarian proteins can ensure that essential amino acids lacking in one food source are provided by another, such as combining rice and beans.
Protein quality
the amino acid profile and content of a protein source and its digestibility
Low biological value (LBV)
proteins, then total protein requirements may be higher.
Omnivorous diet
A diet that consists of both animals and plants.
Mutual supplementation
Combination of two incomplete protein sources that together provide all of the essential amino acids.
Protein quality
Refers to the amino acid profile and the digestibility of a protein source.
Low biological value (LBV) proteins
Foods missing one or more of the essential amino acids.
High Biological Value (HBV)
The individual may be meeting their amino acid needs with a smaller amount of total protein. Protein adequacy in a diet is an important consideration for all individuals, but it may be more so for clients who have a predominantly plant-based diet and who may need a greater amount of total protein to meet their amino acid needs.
Protein Efficiency Ratio (PER)
A value assigned to a protein that is based on the amount of weight gain of a subject divided by the amount ingested of that particular protein during a test period.
Biological Value (BV)
A measure of the digestion and absorption of the amino acids provided by a protein source. BV reflects the amount of the absorbed protein that is used in the synthesis of new proteins in the body.
Protein digestibility-corrected amino acid score (PDCAAS)
Compares the amino acid composition of a food against a standard amino acid profile, with a score of 100 being the highest value possible. It also assesses the food’s digestibility (fecal digestibility) to provide an overall value for the protein’s quality.
Egg whites, whole eggs, chicken breast, and lean beef are considered to be high-quality, complete proteins with high digestibility. scores in the range of 0.90 to 1.00 (egg white).
New Protein Utilization (NPU)
Compares the ratio of amino acids that are turned into proteins to the ratio of amino acids provided via dietary intake.
PDCAAS scores in the range of
0.4 to 0.7
Thus, 30 grams of high-quality, usable protein with all the EAAs could be obtained by eating around 4 eggs or 4.5 ounces of chicken breast (HBV) or around 3 cups of chickpeas with brown rice, which provide less than 30 grams of total protein but are given a lower PDCAAS score.
To obtain amino acids from dietary protein, it must be broken down into smaller molecules
Single amino acids, dipeptides, and tripeptides. This process takes place in the gastrointestinal tract.
High biological value (HBV) proteins
Foods containing all the essential amino acids.
Protein efficiency ratio (PER)
A measure of assessing proteins, based on the amount of weight gained by a test subject divided by the amount of intake of a protein food.
Biological Value (BV)
A reference amount used to describe the extent to which the amino acids in a protein source are absorbed.
Protein digestibility – corrected amino acid score (PDCAAS)
A measure for evaluating a protein source based on the composition of amino acids and its digestibility.
Net protein utilization (NPU)
The ratio of amino acid mass turned into proteins compared to the total amino acid mass consumed in the diet.
Enterocyte
Intestinal cells that absorb nutrients.
Pepsin is one of the digestive enzymes that begins this process in the stomach. Polypeptide fragments are broken down further in the small intestine by pancreatic and intestinal enzymes before being absorbed through the intestinal wall and into the intestinal cell.
From the liver, amino acids are directed to different tissues + used in a variety of ways:
Synthesis of new proteins, repair of existing proteins, synthesis of nonessential amino acids, transamination to other nonessential amino acids, synthesis of non-protein, nitrogen-containing compounds, usage to meet energy needs.
Gluconeogenesis
Alanine & Glutamine, may also be used to create glucose through this process
The formation of glucose from non-carbohydrate sources (proteins and fats).
Recommended Dietary Allowance (RDA)
Protein is 0.8 g/kg of body weight and is considered to be a minimum amount of protein required to maintain nitrogen balance in the body or to offset nitrogen losses that are a result of normal metabolic processes.
The recommended amount of a nutrient that meets the needs of most healthy individuals within specific age and gender groups.
Negative Energy Balance
When calorie intake is lower than the number of calories expended.
Acceptable macro-nutrient distribution range (AMDR)
Ranges of intake for nutrients that are estimated to meet the needs of 97–98% of the population and that are associated with a reduced risk of chronic disease. AMDRs are established by the National Academy of Medicine.
Aerobic
Processes relating to, involving, or requiring oxygen.
Anaerobic
Processes relating to the absence of oxygen.
Sedentary adults
0.8 g/kg of body weight - USDA Dietary Guidelines
Strength/resistance trained athletes
1.6-1.7 g/kg of body weight - Academy of Nutrition + Dietetics
Endurance Athletes
1.2 - 1.4 g/kg of body weight - Academy of Nutrition + Dietetics
Most exercising individuals (to build + maintain muscle mass)
1..4 - 2.0 g/kg of body weight - International Society of Sports Nutrition
Sports nutrition recommendations
0.25–0.55 g/kg of body weight or 20–40 g per meal, 3–4 hours apart
0.24 g/kg of body weight, or a range of 0.18–0.30 g/kg per meal
0.4–0.55 g/kg protein per meal (over four meals per day) for optimal muscle building.
Thermic effect of food (TEF)
Protein: 15-30%, Carbohydrate 5-10%, Fat (0-3%), Mixed Meal (5-20%)
The energy required to digest, absorb, and process nutrients that are consumed.
Protein considerations + concerns
2 important questions: how much protein is too much?
Is there any danger from consuming too much protein?
Possible side effects when protein is not coupled w/water….
Constipation and gastrointestinal issues, Increased excretion of calcium, Increased risk of kidney stones or gout
Essential Amino Acid
An amino acid that must be obtained through the diet, as the body is not able to make it
Minerals
Inorganic, natural substances, some of which are essential in human nutrition
Amino Acids
Organic building blocks of proteins containing both a carboxyl and an amino group
Vitamins
Organic compounds required in small quantities to support growth and metabolic processes
What term is used to describe a protein source that provides all essential amino acids?
Complete protein
Carbohydrates
A wide variety of energy-yielding compounds that contain carbon, hydrogen, + oxygen atoms.
Simple sugars, Complex carbs, Glycogen, + Fiber
Simple sugars
most people associate with the word sugar, comprised of monosaccharides (single sugar) + disaccharides (two sugars). Monosaccharides are the simplest form of carbohydrates: single units of sugar. Consisting of glucose, fructose, + galactose.
Include the monosaccharides and disaccharides; easily absorbed into the bloodstream.
Glucose
Fruit, simple syrup
Fructose
Fruit, part of table sugar (sucrose)
Galactose
Milk/dairy
Monosaccharides
Simplest form of carbohydrate; single sugar molecules (e.g., glucose).
Disaccharides
Two monosaccharides joined together to form a simple sugar. The three disaccharides of nutritional importance include lactose, sucrose, and maltose.
Polysaccharides
Long chains of glucose units that are joined together to form structures from starch, glycogen, + fiber
Starch
Storage form of carbohydrates in plants. Examples include grains, potatoes, fruit, vegetables, nuts, and seeds.
Glycogen
Storage form of carbohydrates in humans and animals. It is stored in the liver and muscle tissue.
Fiber
Plant-derived food (also known as roughage) that cannot be completely broken down by the digestive system. Fiber provides several health benefits and includes two types: soluble and insoluble.
An indigestible carbohydrate present in plant foods, such as fruit, vegetables, and legumes.
Soluble fiber
A type of dietary fiber that dissolves in water to form a gel; associated with heart health benefits + glucose control
Oats, barley, legumes, most fruits including pears + berries, most veggies, psyllium seeds
Health benefits: Delays gastric emptying; may prolong satiety (feeling of fullness), lowers cholesterol & lowers cardiovascular disease
Promotes health of the gastrointestinal tract by promoting healthy gut flora
Glycemic index (GI) + Glycemic load
Often used to indicate the speed & the extent to which a carbohydrate source raises blood sugar levels
Low GI foods (55 or less)
Most non-starchy vegetables and whole grains, beans, cow’s milk
Medium GI foods (56-69)
Macaroni and cheese, raisins, hamburger bun, pineapple, banana
High GI foods (70 or above)
Glucose, hard candy, instant rice, sports drinks
Glycemic index (GI)
Number (0–100) assigned to a food source that represents the rise in blood sugar after consuming the food.
Glycemic Load (GL)
Similar to glycemic index but takes into account the amount of food (carbohydrate) eaten.
AMDR Calorie Suggestion
45% to 65% of calories come from carbohydrates (grains, vegetables, legumes, fruit, and dairy), with a minimum of 130 daily grams of intake based on a 2,000-calorie diet
Light exercise
3-5 g/kg of body weight
Moderately intense exercise: 1-2 hours per day, 5-6 days per week
5-7 g/kg of body weight
Moderately high-intensity endurance exercise: 1-3 hours per day; 5-6 days per week
6-10 g/kg of body weight
Moderate to high-intensity: > 3 hours per day; 2 sessions per day, 5–6 days per week
8–10 g/kg of body weight
8–12 g/kg of body weight (ultra-endurance)
Muscle protein synthesis
Process by which new muscle proteins are formed and a muscle grows or repairs at the molecular level.
Disaccharides
Two monosaccharides joined together to form a simple sugar
Polysaccharides
Carbohydrates composed of long chains of glucose units
Monosaccharides
The simplest form of carbohydrate; single sugar molecules
Starch
The storage form of carbohydrate in plants
What are the two categories of fiber?
Soluble + insoluble
What term describes the measure of how quickly a carbohydrate will raise an individual’s glucose levels when consumed on its own, irrespective of the amount eaten?
Glycemic Index
Lipids
Provide 9 calories per gram, compared to 4 calories per gram for carbohydrates or protein, + are considered a concentrated source of energy for active individuals.
Group of fats/fatty acids and their derivatives, including triglycerides, phospholipids, and sterols.
Large family of lipids
Triglycerides, phospholipids, + sterols
Triglycerides
Contains 98% of the stored lipids in the body + 95% of lipids in foods. Comprised of Glycerol backbone w/3 chains of fatty acids.
The chemical or substrate form in which most fat exists in food as well as in the body.
Phospholipids
Phospholipids have a similar structure to triglycerides but have a phosphate molecule in place of the third fatty acid chain.
Type of lipid (fat) comprised of glycerol, two fatty acid chains, and a phosphate group.
Sterols
Have a ringlike structure that is very different from both triglycerides and phospholipids
Precursors to many hormones (estrogen, testosterone, androgen), bile, and vitamin D synthesis in the body
Part of cell membrane structure
Dietary cholesterol in animal fats (meat, poultry, fish, shellfish, egg yolks), Cholesterol produced by the liver, Plant sterols (cholesterol in plants), Cell membranes
A group of lipids with a ringlike structure. Cholesterol is a type of sterol.
Unsaturated fat (double bond)
Unsaturated fats
Two or more double bonds along a fatty acid chain, it is called a polyunsaturated fat.
Fatty acids with one or more points of unsaturation (double bond) in their chemical structure.
Saturated fats
“artery-clogging” fats and harmful for heart health; however, recent research has shown that moderate amounts of saturated fat intake may not carry a substantial risk
A type of triglyceride; chemical structure has no double bonds (points of unsaturation); usually solid at room temperature. Examples: butter, lard, whole milk, beef, processed meats, and tropical oils.
Monounsaturated fats
Role/benefit - heart healthy, notably high in the Mediterranean diet
Food sources - Olives, olive oil, canola oil, avocado, peanuts
Polyunsaturated fats: Omega-3
Eicosapentaenoic acid (EPA), Docosahexaenoic acid (DHA), Alpha-linolenic acid (ALA)
Role/benefits - Heart healthy, lower triglycerides, associated w/ improvements in high-density lipoprotein (HDL) cholesterol levels, reduced inflammation, associated w/improved cognitive function, associated w/reduced risk of dementia
Food sources: Fatty fish (EPA + DHA): salmon, tuna, sardines, mackerel, Walnuts, flaxseed, chia seeds (ALA), Fortified milk, fortified eggs (DHA), Dairy from grass-fed cows (DHA, ALA), Green Vegetables (ALA)
Polyunsaturated fats: Omega-6
Role/benefits: Essential for normal growth + development
Food sources: Vegetable oils, nuts, + seeds
Saturated fats
Role/benefits: Exact health benefits remain unclear. General recommendations advise limiting excess saturated fats in the diet.
Food sources: Animal fats, full fat dairy, coconut oil, palm oil
Trans fats
Role/benefits: Artificial/added trans fats increase LDL cholesterol and lower HDL cholesterol. They are also associated with increased inflammation and heart disease (Harvard Medical School, 2015), Naturally occurring trans fats are less harmful than artificial trans fat
Food sources: Artificial/added trans fats are in partially hydrogenated oils and processed foods that contain these oils. Naturally occurring trans fats are found in animal fats and dairy
Pancreatic Enzymes
Break up long-chain fatty acids into smaller molecules for absorption into enterocytes
Lingual lipases
A small amount of dietary fat is initially digested in the mouth with these
Lipases
Fat digesting enzymes break up the ingested lipids into fatty acids + monoglycerides, which are absorbed into enterocytes.
Lipases
Fat digesting enzymes break up the ingested lipids into fatty acids + monoglycerides, which are absorbed into enterocytes.
Chylomicrons
The enterocytes repackage fatty acids with other fat-soluble vitamins + send them to the liver.
Lipoproteins
What the liver redistributes the triglycerides as (LDL + very low-density) to body tissues where the enzyme Lipoprotein Lipase (LPL) cuts up the triglyceride component to release fatty acids.
Pancreatic enzymes
Digestive enzymes produced by the body to help digest fats, starches, and proteins.
Lingual Lipase
An enzyme in saliva that begins the process of lipid digestion in the mouth.
Lipase
Enzyme that digests lipids.
Chylomicrons
Molecules of fat that contain triglycerides, phospholipids, cholesterol, fat-soluble vitamins, and protein. They are formed by intestinal cells after the digestion of lipid-containing foods.
Lipoprotein
A group of soluble proteins that combine with and transport fat or other lipids in the blood plasma.
Lipoprotein lipase (LPL)
An enzyme that breaks down triglycerides into fatty acids.
Metabolites
The formation of a substance required for metabolism.
Cholesterol: LDL vs. HDL
LDL cholesterol refers to low-density lipoprotein and is considered to be less heart-healthy than HDL. HDL cholesterol refers to high-density lipoproteins, which are mostly comprised of protein and some triglycerides.
Unsaturated fats
A type of fat that has at least one “double bond” in its chemical structure
Saturated fats
A type of fat which has no double bonds in its chemical structure
Triglycerides
The chemical substrate form in which most fat exists in food as well as in the body
Phospholipids
A type of fat comprised of glycerol, two fatty acid chains, and a phosphate group
Sterols
A group of fats with a ringlike structure
What is the optimal ratio of omega-6 to omega-3 fatty acids in the diet?
About 4:1
What enzyme is responsible for most of the breakdown of ingested lipids into fatty acids?
Lipoprotein lipase
Metabolism
Basal Metabolic Rate (BMR)
Overall body composition, height, weight, + the propensity to gain or lose weight.
Endocrine (hormonal) disorders
Medications, may significantly affect weight + may require a referral to a qualified medical professional. When the body produces too little or too much of an endocrine hormone.
Law of Thermodynamics
Energy intake is one of the factors that influences weight management; some might argue that it is perhaps the most important factor.