Week 1: DRIs and CFGs Flashcards

1
Q

who makes international health recommendations?

A

World Health Organization

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2
Q

What is a dietary pattern?

A

description of a way of eating that includes the types and amounts of recommended foods and food groups, rather than individual nutrients

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3
Q

What are DRIs and what does it stand for?

A

Dietary Reference Intakes: set of reference values for intake of energy, nutrients, and food components- used for planning and assessing diets of healthy people in USA and CAN

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4
Q

What is the purpose of DRIs?

A

Used for planning and assessing diets of healthy people; Vary according to life stage and gender; replaced Recommended Nutrient Intakes (RNIs)
Promote good health and reduce chronic disease

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5
Q

What nutrients do DRIs cover?

A

Energy (carbohydrate, protein, and fat)
Water-soluble vitamins (B’s and C)
Fat-soluble vitamins (A, D, E, and K)
Minerals (iron, calcium, phosphorus, magnesium, fluoride, selenium, zinc, copper, sodium, and potassium)
Water

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6
Q

What are the different kinds of DRIs for macro and micronutrients called?

A

EAR (estimated average requirement)
RDA (recommended dietary allowance)
AI (adequate Intake)
UL (tolerable upper intake level)

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7
Q

Define EARs

A

estimated amount of a nutrient required to meet the needs of 50% of people within a particular sex and life-stage group

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8
Q

Define RDA

A

recommended target intake of a nutrient for an individual

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9
Q

Define AIs

A

recommended specific amount of a nutrient for an individual

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10
Q

Define ULs

A

maximum daily intake of a nutrient unlikely to cause adverse health effects

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11
Q

What type of energy intake recommendations do DRIs include?

A

EER (estimated energy requirement) & AMDR (acceptable macronutrient distribution range)

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12
Q

What is the the purpose of using the EER?

A

used to calculate kcalorie intake needed to maintain body weight

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13
Q

What information is provided by the AMDR?

A

range for healthy intake
carbohydrate (45 to 60%)
protein (10 to 35%)
fat (20 to 35%)

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14
Q

What is the proposed new DRI and what is its purpose?

A

Chronic Disease Risk Reduction Intake (CDRR)

Development methodology focused on the reduction of disease risk or biomarkers of disease; Review scientific literature and translate evidence into a recommended intake

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15
Q

what DRIs are recommended to individuals for adequate intake?

A

RDA, AI

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16
Q

What is the relationship between life stage groups and DRIs?

A
17
Q

What is the probability of meeting your requirement if your usual intake of a nutrient equals the EAR and RDA?

A

50 and 98% respectively

18
Q

What is CDRR? What is it used for?

A

chronic disease reduction risk; sodium

19
Q

What are the three main messages of CFG?

A

mindful eating
plant based diet
water drink of choice
enjoying your food (social context)

20
Q

What does the plate image in CFG tell about food they should eat and proportions?

A

50% fruits and veg
25% carbs
25% protein

21
Q

Which protein foods do the good guide recommend?

A

plant based

22
Q

Is it possible for all Canadians to follow the CFG and if not why?

A

no, social determinants of health, culturally appropriate, accessibility/affordability, lack of education/resources

23
Q

What are the three guidelines in CFG?

A
  1. nutritious foods are the foundation for healthy eating
  2. processed/prepared foods & beverages contribute to excess sodium, free sugar/ saturated fats undermine healthy eating, should not be consumed regularly
  3. food skills are needed to navigate complex food environment & support healthy eating
24
Q

What is the Canadian food guide for indigenous populations? Who tailored it?

A

-2007 version “Eating well with Canada’s Food Guide”
-Aboriginal Nutrition Advisory Committee

25
Q

How is the food guide related to reconciliation with Indigenous peoples?

A

development of any (food guide related) policy must support self determination, recognize distinct nature and lived experience of First Nations, Inuit, Metis

26
Q

How can the food guide highlight Indigenous views?

A

by connecting food and wholistic
health via Indigenous food systems & food practices

27
Q

What are the four sections of the Canada’s dietary guidelines?

A
  1. Foundations for healthy eating
  2. Food & beverages that undermine healthy eating
  3. importance of food skills
  4. implementation of dietary guidelines
28
Q

What are the implications for nutrition policy and practice? (Delormier & Juutilainen, 2022)

A
  1. understanding historical context and impact on present day health and nutrition inequities
  2. addressing food inequities for indigenous peoples
    3.cultural safety and anti-indigenous racism
    4.moving forward with TRC recommendations
29
Q

What are the problematic assumptions and principles of Canada’s dietary guidelines

A

-reflect Western narratives of healthy eating
-center nutritional science with bio-med model
-over simplifies complexity inherent in food choice practices
- one msg of healthy eating marginalizes indigenous foodways

30
Q

What are the opportunities to transform dietetics practice?

A

-role of professional associations
-integrated competencies for dietetic education and practice
-role of institutions offering dietetics program
-need for collab between: professional associations, institutions offering dietetic programs, local communities
- finding out “what do communities want nutrition professionals to know before working with their community members “

31
Q

What is Call to Action #24?

A

call upon medical/nursing schools in Canada -require all students to take course-> Aboriginal health
issues, history/legacy of residential schools, United Nations Declaration on the Rights of Indigenous Peoples,
Treaties/Aboriginal rights, Indigenous teachings and practices.
This will require skills-based training in intercultural competency,
conflict resolution, human rights and anti-racism.

32
Q

What are the guiding principles for how things can be done differently? (indigenous context)

A
  1. Lead with actions enabling Indigenous food sovereignty
  2. honor wholistic approach to food by acknowledging that food is culture
  3. have traditional foods, local/traditional knowledge & practices at core > pure nutrition
    4.strengths based & positive messaging
  4. Create mechanisms to modify tools for local context
  5. Include practical, innovative and relevant tools
33
Q

To cook indigenous food is an act of…?

A

defiance and resilience, says Francis, as is existing in a food system that tried to remove Indigenous populations from their sustainable agriculture and food traditions