Unit 2 Assessment Flashcards

1
Q

Define Whole Foods

A

Unprocessed foods with nothing added or taken away.

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2
Q

Define Nutrient Density

A

Foods that have high vitamin and mineral content relative to caloric value.

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3
Q

Define why a nutrient dense diet is important.

A

Our nutritional needs change from day-to-day based on our schedules, amount of sleep, levels of stress, amount of physical activity, etc. and a diverse diet will better ensure we get all the vitamins and minerals to meet our every changing needs.

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4
Q

What are some of the benefits to eating in season?

A

It encourages a diverse diet, is fresher, and it aligns eating habits with natural cycles.

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5
Q

Why does where we source our food matter?

A

Our food choices have positive or negative consequences on our environment, animal welfare, and our health. When we are more aware of our food sources we can make better informed decisions.

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6
Q

What are the most common nutrient inhibitors?

A

Phytates, Oxalates, Lectins, Glucosinates, Tannins

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7
Q

Define phytates.

A

Phytates are stored forms of phosphorus, but they can also bind to minerals such as iron, zinc and magnesium. (Found in grains, seeds, legumes and some seeds).

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8
Q

Define oxalates.

A

They bind to minerals such as calcium in urine and magnesium and prevent full absorption. (Found in nuts, chocolate, tea, spinach, potatoes, beets, and rhubarb).

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9
Q

Define lectins.

A

Found in plants. Inhibit the absorption of iron, zinc, and calcium affecting the flora of the microbiome and are resistant to stomach acid thus bind to epithelial tissue in the GI tract to further causing tissue damage/affect nutrient absorption. (Found in legumes, nightshades, cereals, nuts, seeds, unpasteurized dairy, some fruits).

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10
Q

Define glucosinolates.

A

Compounds found in cruciferous vegetables that can inhibit iodine uptake negatively affect those with thyroid issues. (Found in broccoli, kale, Brussels sprouts, cabbage, cauliflower and radishes).

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11
Q

Define tannins.

A

Tannins can bind to iron and inhibit its absorption however they also have anti-inflammatory, anti-oxidant and anti-cancer properties. (Found in grapes, wine, other fruits and vegetables, nuts, seeds, grains, tea and coffee).

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12
Q

What are some of the benefits of soaking?

A

Soaking reduces the levels of oxalates, goitrogens, lectins, tennis and physic acid in certain foods and are further reduced after cooking. Some evidence suggests soaking can also increase mineral, protein and fiber availability.

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13
Q

What are some of the benefits of sprouting?

A

Sprouting reduces nutrient inhibitors like phytates, produces enzymes that help with digestion, increase phytase activity, protein/fiber absorption, and enhance levels of certain vitamins such as B12, folate, iron, zinc, magnesium, vitamin A, vitamin C, and vitamin E.

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14
Q

What are some of the benefits to fermentation?

A

Fermentation reduces phytate, lectin, oxalate, and tannin content. It also increases micro and macronutrients, is easier for the body to digest, creates probiotics, and regulates the immune system reducing inflammation.

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15
Q

What are some of the benefits to curing and drying?

A

Curing and drying can extend the shelf life of certain foods reducing the water content in them and making them less hospitable to bacteria. When sun-drying fruits and vegetables it can enhance both flavor and nutrients.

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16
Q

What are some of the pros and cons of cooking?

A

Cooking can either denature or improve the bioavailability of nutrients in certain foods. Cooking for longer at lower temperatures is best as it often preserves nutrients in food better.

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17
Q

What are some of the pros and cons to raw foods?

A

Raw food can spare the nutrients and enzymes lost in many foods when cooking. They are more hydrating due to their natural water content and using contain fewer calories. However, raw foods are often harder for the body to digest and increase exposure to parasites/bacteria.

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18
Q

What are the 3 different types of meal planning?

A

Weekly, night before, and single meal.

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19
Q

Describe some of the benefits to weekly meal planning.

A

Works best for busy/organized clients. It utilizes existing pantry items to save money and it helps reduce the reliance on take on during busy work days. Can feel restrictive for some and hard to do for those that go to farmers markets.

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20
Q

Describe some of the benefits to night before meal planning.

A

Ideal for spontaneous clients and for those who find weekly meal planning daunting. However, this will lead to more grocery/market shopping.

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21
Q

Describe single meal meal planning.

A

There is a heavier focus on optimizing each snack/meal which builds habits that support other meals.

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22
Q

What are some strategies you can include to make meal planning easier?

A

Start small (single day/one person planning) and work your way up, try ti include the whole family, and chop/cook certain things ahead of time. Also try pressure cooking, slow cooking, batch cooking, and incorporating leftovers.

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23
Q

What information are we looking for when trying to create a meal plan for a client?

A

Daily routine, budget, kitchen skills, level of cooking experience and shopping/prep time.

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24
Q

Does intuitive eating have a role to play? What are some of the pros and cons.

A

Intuitive eating is important as it allows us to eat only when we need and what we need. However, with our busier day to day loves we are less in tune with our intuitive eating signals. Because of this we might often misjudge certain signals as hunger such as boredom or blood sugar dips.

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25
Q

What are some examples of meal planning strategies.

A

Plans based on macronutrients, plans based on micronutrients, plans based on calories.

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26
Q

Define plans based on macronutrients.

A

Emphasis quality over quantity of carbohydrates, fats, and protein.

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27
Q

Define plans based on micronutrients.

A

Fine tuning meals to meet needed mineral and vitamin intake. Encouraging a diverse diet to be less stressful than tracking micronutrient intake.

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28
Q

Define plans based on calories.

A

Usually used for those trying to gain or lose weight. However, this steers the focus away from quality sources of macro and micronutrients.

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29
Q

What are the four stages of sleep?

A
  1. Light Non-Rem 2. Deep Non-Rem 3. Deeper Non-Rem 4. REM
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30
Q

Define stage 1/light non-rem sleep and about how long does it last?

A

It is the lightest stage of sleep. In this stage a person is not fully conscious but they are not fully unaware and can easily be woken. In this stage someone transitions from beta waves seen during wakefulness to theta waves. It lasts approximately 5-10 minutes.

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31
Q

Define stage 2/non-rem sleep and about how long does it last?

A

The first part of deep sleep makes up 50% of our total sleep time. During this phase our vital signs start to change such as slowed heart rate, slowed breathing and our body temperature drops. This is where sleep spindles begin (brain waves alternate between decreased activity and bursts). This is the beginning of memory consolidation. It lasts approximately 10-25 minutes.

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32
Q

Define stage 3/non-rem sleep and about how long does it last?

A

This is when a person is officially considered to be in deep sleep. During this phase it is harder to wake a person up. The brain begins to emit delta waves. This the most crucial stage for recovery and health as during this phase blood flow increase, growth hormones are secreted, and the brain shrinks to 60% to allow cerebral fluid to flow through and detox the brain. It lasts about 20-40 minutes. Most adults need 1-2.5 hours per night in this phase however this stage decreases with time.

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33
Q

Define rem sleep and about how long does it last?

A

This is the short window in our sleep in which we dream. During this stage our eyes move back and forth rapidly and our heart rate and brain activity increase. It is also the stage during which we are unable to voluntarily move our body. During this stage we consolidate memories, process emotions, solve problems, and gain intelligence. Lasts approximately 10 minutes.

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34
Q

What is the suprachiasmatic nucleus?

A

It is a small cluster of neurons located in the hypothalamus that plays a crucial role in regulating the body’s circadian rhythm.

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35
Q

What is the difference between a circadian rhythm versus a diurnal rhythm?

A

Diurnal rhythms are 24-hour cycles that are synchronized to external cues, like the light-dark cycle, while circadian rhythms are 24-hour cycles that persist even when external cues are absent.

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36
Q

What roles does melatonin play in sleep? What is cortisol’s relationship with it?

A

Melatonin is released by the pineal glands at night to induce sleepiness. Cortisol however is a stress hormone that is typically omitted in the morning to bring about energy upon waking. It typically decreases during the day and when it reaches low levels at night this sends the signal for the body to begin releasing melatonin. However, if someone is chronically stressed and their cortisol levels remain high at night, this will delay the release of melatonin and contribute to things such as insomnia.

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37
Q

Define the amount of sleep needed on average during each phase of life?

A

Babies 0-3 months need 14-17 hours, infants 4-12 months need 12-16 hours (including naps), toddlers need 11-14 hours (including naps), preschool children need 10-13 hours (including naps), school aged children 6-12 years old need 9-12 hours of sleep, teens ages 13-18 years need 8-10 hours of sleep, adults ages 18-60 need 7+ hours of sleep, adults ages 61-64 years need 7-9 hours and adults ages 65 or older need 7-8 hours of sleep.

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38
Q

What role does light play in wakefulness?

A

Light either suppresses or stimulates the production of the hormone melatonin. Early morning sun surpasses melatonin and increases cortisol to wake us and darkness stimulates melatonin to invoke sleepiness.

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39
Q

How does sleep impact cortisol levels? Why is this important?

A

Cortisol peaks in the morning making us feel energized and ready to start the day and slowly declines until bed time when low cortisol allows our bodies to release melatonin and induce sleep. However, if cortisol remains high at night and melatonin is suppressed, this can lead to insomnia. Poor sleep due to high bedtime cortisol causes us to be sleep deprived, which in turns causes our cortisol to be even more elevated and us to feel even more stressed. It is a vicious cycle.

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40
Q

How does sleep impact ghrelin and leptin levels? Why is this important?

A

Poor sleep cause leptin and gherkin signaling to be opposed. Ghrelin levels will be increased, causing one to feel more hungry and leptin levels will decrease making one feel less satiated.

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41
Q

How does sleep impact insulin sensitivity? Why is this important?

A

Poor sleep cause your insulin sensitivity to decrease meaning that your body struggles to convert glucose into energy via insulin. Thus it needs to produce more insulin. This over-production of insulin causes one to be more tired, hungry, have more cravings, and gain weight.

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42
Q

Explain the connection between sleep and to brain detoxification.

A

During deep REM sleep the brains glymphatic system is at work. Glymph works remove toxins from the brain. The brain shrinks by 60% allowing cerebrospinal fluid to bathe the brain and flush out any remaining toxins.

43
Q

How does lack of sleep impact our immune system?

A

When we are sleep deprived we are more susceptible to illness. Inflammation levels increase, free radicals are produced, and the effectiveness of our repair mechanisms and waste removal is decreased.

44
Q

How is the brain specifically impacted by lack of sleep? What are some symptoms that manifest?

A

The brain is severely impacted by poor or lack of sleep leading to poor cognition, judgement, control, grogginess, brain fog, unstable emotions, temper, down-regulated higher thinking, anxiety and depression.

45
Q

What is the mechanism by which caffeine impacts wakefulness?

A

Caffeine blocks adenosine receptors in the brain, which naturally build up during the day to slowly bring about fatigue by bedtime. However, once the caffeine wears off, and more adenosine would have accumulated, you are even more time than before the caffeine.

46
Q

How do we leverage sleep diurnal rhythms to help with sleep?

A

Trying to sleep earlier and wake earlier aligning with sunset and sunrise. Keep our room dark at night to induce sleepiness/melatonin and get sunlight exposure in the morning to induce wakefulness and cortisol. Avoid blue light/technology just before bed.

47
Q

What is sleep debt and how do we overcome it?

A

Sleep debt is the difference between optimal sleep and actual sleep. Although we cannot make up sleep, we can work to further avoid sleep debt by insuring we get 7+ hours every night. Avoiding sleeping in on off days and keeping a consistent sleep schedule helps with this. Controlled naps are also great! Or banking sleep before a time in which we know we will be sleep deprived.

48
Q

What is sleep inertia?

A

The temporary state of grogginess and impaired performance that occurs after waking.

49
Q

Are depressants such as alcohol, nicotine, and cannabis helpful for sleep? Why or why not?

A

Depressants disrupt the homeostatic sleep cycle and cause hormonal shifts. This results in poor sleep quality and quantity. Alcohol specifically disrupts Gaba and Rem.

50
Q

How should naps be leveraged?

A

Naps can assist with sleep deprivation and provide a myriad of benefits however they might be controlled. Short naps are best as not to ruin our sleep pressure (adenosine) or we will feel too fatigued the rest of the day. If long naps are needed, it is best to nap long enough to complete one full sleep cycle. Also make sure to keep naps midday and away from nighttime.

51
Q

What are the four major sleep disorders?

A

Insomnia, sleep apnea, narcolepsy, and restless leg syndrome. *See notes on computer for each!

52
Q

How do we incorporate meal timing and macros to leverage better sleep and entrain ourselves in a better sleep rhythm.

A

We want to make sure to avoid eating 2-3 hours before bed. If our body is still digesting this can affect our sleep. We can also add in food and minerals that aid in sleep, relax us, or help with blood sugar regulation such as magnesium.

53
Q

What is sleep hygiene? And how can we leverage it with clients?

A

Sleep hygiene is a combination of a person’s sleep environment, behaviors, and habits around sleep that can either improve or hinder the amount and quality of sleep they get. We can suggest adjustments to this as necessary.

54
Q

Define stress.

A

Stress is the body’s response to a threat that leads to a disruption in homeostasis.

55
Q

What are the three types of threats/stressors involved with stress?

A

Physical, psychological and environmental/cellular.

56
Q

Define stressors.

A

The body’s actual threat that challenges the body’s internal balance. *See stress chart on laptop!

57
Q

Define distress.

A

The bad stress that can cause a major disruption in the body’s internal balance.

58
Q

Define eustress.

A

The good stress that only results in a small shift in the body’s internal balance.

59
Q

Define allostatic load.

A

The overall burden of stress and life events including: daily challenges, major life events, poor diet, lack of sleep, physical activity levels, etc.

60
Q

What are the social determinants of health?

A

Social and economic conditions that have a major impact on people’s health, well-being and quality of life.

61
Q

Give some examples of social determinants of health.

A

Living location, transportation, community crime, economic status, health services, education level, income, access to health food, literacy, race.

62
Q

What are the three main systems involved the stress response?

A

HPA Axis, Sympathetic Nervous System, and Parasympathetic Nervous System.

63
Q

Explain the role of cortisol in day-to-day living and in a stress response.

A

The role of cortisol is to be released in the morning to induce wakefulness. However, it is released by the adrenal glands when we are stressed giving us an even greater energy boost. It also plays a role in our cardiovascular system, metabolism, blood sugar regulation, insulin response, digestion, immune health, reproductive system, mental health, brain function, hormone balance, cellular health, sleep function, and circadian rhythm.

64
Q

Explain the role of hormesis in stress.

A

Hormesis is the adaptive response to moderate, intermittent stress. It is favorable. Examples include saunas, cold plunges and exercise.

65
Q

Distinguish between acute and chronic stress.

A

Acute stress is short lived and minor in severity. It temporarily actives the SNS and HPA Axis. Non-essential functions are paused. However, chronic stress is prolonger and recurring stress or bad stress. It activates the HPA Axis and SNS and can cause numerous health conditions as it affects a long list of body systems and processes.

66
Q

Briefly explain some of the potential negative effects of chronic stress on the blood glucose levels/insulin sensitivity.

A

When cortisol levels from stress are high, glucose levels increase and remain high in the blood as insulin sensitivity decreases. This can overtime lead to type 2 diabetes.

67
Q

Briefly explain some of the potential negative effects of chronic stress on leptin levels.

A

Leptin is linked to satiety. When cortisol increases through stress, leptin levels decrease leading to overeating and weight gain.

68
Q

Briefly explain some of the potential negative effects of chronic stress on ghrelin levels.

A

Ghrelin is linked to hunger/cravings. When under chronic stress not only are cortisol levels increased, so are ghrelin levels contributing to more cravings, weight gain, insulin sensitivity.

69
Q

Briefly explain some of the potential negative effects of chronic stress on cardiovascular health.

A

When the body is under stress the blood vessels narrow, blood pressure increase, and heart rate becomes elevated all putting at risk for cardiovascular issues.

70
Q

Briefly explain some of the potential negative effects of chronic stress on immune function.

A

Chronic stress can trigger low grade inflammation causing a reduction in our immune function and making us more susceptible to infection. It particularly causes a decline in our T cells, leukocytes, neurophils, and cytokines. *Acute stress however has been shown to temporarily boost immune function.

71
Q

Briefly explain some of the potential negative effects of chronic stress on oxidative stress.

A

When under chronic stress, this leads to cellular damage and the acceleration of aging leading to chronic conditions.

72
Q

What are free radicals? And how does this relate to oxidative stress.

A

Free radicals are molecules that are missing an electron and steal from health molecules. When they steal it creates more free radicals and a chain reaction known as oxidative stress. Anti-oxidants however can donate electrons to free radicals to stabilize them.

73
Q

Briefly explain some of the potential negative effects of chronic stress on bone health.

A

Acute stress such as physical exercise can boost bone health by promotion the formation of new stronger bone. However, chronic stress leads to bone loss and increased rick of fractures and osteoporosis. Elevated cortisol suppresses osteoblasts (bone forming cells) and causes increase osteoclasts that cause calcium to be released into the blood leading to bone loss.

74
Q

Briefly explain some of the potential negative effects of chronic stress on digestion.

A

During times of chronic stress our body does not prioritize digestion for obvious reasons. Blood is directed away fro the GI tract leading to slower motility, constipation and diarrhea. It also leads to gut inflammation, intestinal permeability and dysbiosis.

75
Q

Briefly explain some of the potential negative effects of chronic stress on reproductive health.

A

When the body is under chronic stress non-essential functions such as sex hormone production are halted. This can lead to hormone imbalances and decreased estrogen, testosterone and progesterone. In females it shortens the luteal phase and creates a higher rick for suppressed ovulation and in men their sperm count decreases.

76
Q

Briefly explain some of the potential negative effects of chronic stress on mental health.

A

Chronic stress greatly impacts our mental health. It then leads to poor sleep, fatigue, worry, frustration, discouragement, reduced focus, overeating, weight gain, overwhelm, low-self confidence, anxiety, depression and eating disorders. And when we aren’t sleep good due to these issues, it causes even poor sleep and the cycle continues. It interferes with the pathways of dopamine and serotonin as it alters the gut microbiome and there is a gut brain connection and these are both synthesize in the gut.

77
Q

Explain the positive impacts of exercise on stress levels.

A

Exercise has been showing to increase many molecules, hormones and enzymes in the body such as increase endorphins, brain derived neurotropic factors, anti-inflammatories like oxytocin and myokines, hormones and neurotransmitters like dopamine, 5HTP, and norepinephrine. It helps lower cortisol, improve sleep quality, and inturn aid in anxiety and depression.

78
Q

Explain the positive impacts of sleep ons stress levels.

A

Quality sleep not only reduces our cortisol/stress levels but it also makes us more resilient to future stress by improving a variety of cognitive functions.

79
Q

How does vitamin c help with handling stress?

A

Vitamin C aids in the production of adrenal hormones and neutralizes free radicals.

80
Q

How does vitamin e help with handling stress?

A

It fights oxidative stress.

81
Q

How does glutathione help with handling stress?

A

It is the master antioxidant that can regenerate vitamin c.

82
Q

How do b vitamins help with handling stress?

A

B vitamins support the adrenal glands aiding in blood sugar regulation, synthesis of neurotransmitters, and conversion of energy.

83
Q

How does magnesium help with handling stress?

A

It is a cofactor for more than 300 enzymatic reactions promoting a sense of calm and relaxation.

84
Q

How do omega-3s help with handling stress?

A

They contain anti-inflammatory properties that counteract inflammation from stress and its weakening of the immune system.

85
Q

Explain the importance of mindfulness in handling stress and what are three different forms?

A

Mindfulness brings us to the present moment and allows us to pause as new stressors arise before we react. Examples: find your feet, meditation, journaling, yoga, tai chi, guided imagery, body scanning, deep breathing, digital fasting, decluttering, spending time outdoors, massages and acupuncture.

86
Q

How do natural environments contribute to stress regulation?

A

Being in nature supports our natural circadian rhythm thus affecting our cortisol levels, actually lowering cortisol. It also lowers our feelings of perceived stress.

87
Q

Explain the role of finding purpose in managing stress?

A

Possessing a purpose is associated with decreased risk of all cause mortality and cardiovascular issues.

88
Q

Explain how reframing can impact stress levels.

A

Reframing allows us to look at a stressful situation forming a new perspective often reducing our feelings around the stressor. It also helps us become more positive over time and become more stress resilient.

89
Q

Explain the importance of incorporating hobbies into our lives.

A

Hobbies give people a sense of purpose, enjoyment, and allow us to escape our daily stressors for a bit. They may also help with social interaction and building community. They are a recharge for our minds and can lower cortisol, depression, etc.

90
Q

Explain the role of relationships in managing stress levels.

A

Relationships provide us with a sense of connectedness that as social creatures we need. They make us feel loved, secure, give us a sense of belonging, purpose, and they also provided us with physical touch, They reduce cortisol, depression and anxiety.

91
Q

How long is each sleep cycle and about how many cycles does a person get a night?

A

They are 60-90 minutes in length each and people get between 4-6 each night.

92
Q

What percent of time is the body spent in NREM?

A

75%

93
Q

What stage of sleep increases in amount as the night goes on?

A

REM

94
Q

Define GABA.

A

GABA is a neurotransmitter that inhibits wakefulness and encourage sleep.

95
Q

Our metabolism is highest during what part of the day and lower during what part of the day?

A

Highest in the morning and lowest at night.

96
Q

Staying up late is _______ .

A

A stress signal to the brain as it cannot differentiate staying up late on purpose or for survival.

97
Q

What could cause someone to wake up in the middle of the night.

A

High cortisol from stress or blood sugar imbalances causing a mid-night blood sugar drop.

98
Q

What is more important sleep quality or quantity?

A

Both, but consistency is key to achieve both!

99
Q

How long does sleep inertia usually last?

A

15 minutes.

100
Q

Define allostasis.

A

Our body’s adaptive response to stress such as body temperature, nutrient levels, hormone balance, ph levels, blood sugar levels, etc.

101
Q

What are the steps in the HPA Axis?

A

Activation of the HPA Axis:

  • Hypothalamus releases corticotropin hormone.
  • Pituitary glands releases adrenocorticotropic hormone.
  • Adrenals release cortisol and increase blood pressure and blood sugar.
102
Q

What can lead to oxidative stress?

A

Imbalance between free radicals and antioxidants, cigarette smoke, mold, alcohol, air pollutants, cooking meat at high temperatures, repeated heating of the same cooking oil, heating oils past smoke point, excess sugar.

103
Q
A