VITAMIN AND MINERAL FORTIFICATION AND SUPPLEMENTATION Flashcards

1
Q

WHAT IS FOOD FORTIFICATION?

A

REGULATED ADDITION OF ONE OR MORE ESSENTIAL NUTRIENTS TO A FOOD, FOR THE PURPOSE OF PREVENTING OR CORRECTING A DEMONSTRATED DEFICIENCY IN A POPULATION OR SPECIFIC POPULATION GROUPS (SOMETIMES DONE BY LAW SOMETIMES VOLUNTARY)

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2
Q

VOLUNTARY ADDITION OF MINERALS AND VITAMINS STILL CONTINUES FOR WHICH FOOD PRODUCTS?

A

E.G. CEREAL, MILK SUBSTITUTES

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3
Q

MARGARINE IS FORTIFIED WITH?

A

VIT D AND A

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4
Q

WHAT IS FLOUR FORTIFIED WITH?

A

CALCIUM, IRON, NIACIN, THIAMINE

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5
Q

WHAT ARE THE RICHEST SOURCES OF FOLATE?

A

GREEN VEGETABLES, NUTS, WHOLEGRAIN CEREAL..

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6
Q

RECOMMENDED SUPPLEMENTATION OF FOLIC ACID FOR WOMEN PLANNING PREGNANCY AND IN THEIR 1ST TRIMESTER?

A

400 MICROGRAMS

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7
Q

WHAT PERCENTAGE OF WOMEN OF CHILD BEARING AGE HAVE FOLATE LEVELS LOW ENOUGH TO MAKE THEM AT RISK OF NTDs?

A

90%

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8
Q

LATEST FOLATE FORTIFICATION DECISION IN THE UK?

A

SEPTEMBER 2021; ANNOUNCED THAT NON WHOLEMEAL FLOUR WILL BE FORTIFIED WITH FOLATE

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9
Q

FLOUR FOLATE FORTIFICATION IS PREDICTED TO REDUCE NTDs BY?

A

20% (200 babies per year)

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10
Q

WHAT PERCENTAGE OF ADULTS HAVE A LOW SERUM VIT D LEVEL (<25nmol/L)?

A

20%

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11
Q

ADVICE ON VIT D SUPPLEMENTATION?

A

ALL ADULTS AND CHILDREN OVER THE AGE OF 5 SHOULD TAKE A SUPPLEMENT OF 10 micrograms/day IN WINTER

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12
Q

WHY DO MANUFACTURERS VOLUNTARILY FORTIFY SOME PRODUCTS?

A

TO IMPROVE NUTRIENT CONTENT (E.G. IN MILK REPLACEMENT) OR TO INCREASE APPEAL OF PRODUCTS

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13
Q

WHAT ARE HEALTH CLAIMS NOT ALLOWED TO CLAIM?

A

THAT THEY CAN PREVENT, CURE OR TREAT A DISEASE

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14
Q

HOW IS B12 ABSORBED?

A

B12 IS COMBINED WITH A PROTEIN PRODUCED BY THE PARIETAL CELLS IN THE GASTRIC MUCOSA CALLED INSTRINSIC FACTOR; THIS COMPLEX IS THEN ABSORBED IN THE TERMINAL ILEUM

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15
Q

WHICH PROTEIN FACILITATES B12 ABSOPRTION?

A

INTRINSIC FACTOR PROTEIN

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16
Q

WHAT IS THE EXACT SITE OF VIT B12 ABSOPRTION?

A

TERMINAL ILEUM

17
Q

AVERAGE AGE OF COELIAC DISEASE DIAGNOSIS?

A

40-60 Y.O.

18
Q

COELIAC DISEASE PREVALENCE?

A

1:100 PEOPLE

19
Q

ESTIMATED AMOUNT OF UNDIAGNOSED PEOPLE WITH COELIAC DISEASE?

A

1/3

20
Q

WHAT PERCENTAGE OF GLUTEN FREE PRODUCTS ARE FORTIFIED?

A

5-20%

21
Q

RECOMMENDED CALCIUM INTAKE FOR PEOPLE WITH COELIAC COMPARED TO GENERAL POPULATION?

A

1000mg/day (vs normally 700)

22
Q

REQUIREMENTS FOR GF FOOD FORTIFICATION?

A

CURRENTLY NONE

23
Q

VEGAN DIET RECOMMENDED SUPPLEMENTATION/FORTIFICATION/PAYING SPECIFIC ATTENTION TO ENSURING SUFFICIENT INTAKE ?

A

B12, D, calcium, iodine and selenium

24
Q

WHAT IS THE NAME OF THE SUPPLEMENT CREATED SPECIFICALLY FOR VEGAN DIET AND WHAT DOES IT CONTAIN?

A

VEG-1, CONTAINS B12, D, B2, B6, FOLATE, IODINE, SELENIUM

25
Q

RECOMMENDED SUPPLEMENTATION AFTER SLEEVE GASTRECTOMY OR GASTRIC BYPASS?

A

LONG TERM SUPPLEMENTATION RECOMMENDED (MULTI VIT AND MINERAL MIX, CALCIUM, VIT D, IRON + 3 MONTHLY B12 INJECTIONS)