3_3DietingStrategies Flashcards

(38 cards)

1
Q

disadvantage of bmi

A

does not distinguish fat from lean mass or indicate fat distribution

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2
Q

what is glycemic index?

A

a measure of a food’s ability to raise blood sugar in a give ntime period

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3
Q

what are the possible values for glycemic index?

A

0-100

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4
Q

What did WHO & FAO recommend in 99?

A

industrialized peoples should eat low-GI foods for decreased CAD, DM, and obesity

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5
Q

What are hi-GI foods?

A

1) rice, 2) baked potatoes, 3) raisins

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6
Q

What are low-GI foods?

A

1) nonstarchy veggies, 2) fruits, 3) legumes

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7
Q

Where is gluten found?

A

in wheat, rye, barley, and processed foods

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8
Q

What is celiac disease?

A

autoimmune GI disease from gluten peptides causing inflammation

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9
Q

What percentage of the population does celiac disease affect?

A

6-Jan

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10
Q

What is the treatment for celiac disease?

A

avoid gluten

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11
Q

What are the symptoms of celiac disease?

A

1) diarrhea, 2) bloating, 3) cramping, 4) bowel changes, 5) weight loss, 5) fatigue, 6) malabsorption

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12
Q

How is celiac disease diagnosed?

A

1) blood test, 2) bowel biopsy, 3) postive response to gluten-free diet

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13
Q

What are the 4 phases in the Atkins diet?

A

induction (20g CHO), then stages 2-3 add back CHO in 5g increments

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14
Q

What are the negative aspects of Atkins?

A

high fat (especially saturated)

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15
Q

When did the Atkins diet begin?

A

1972

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16
Q

What are the high-protein, low-carb fad diets?

A

1) atkins, 2) south beach

17
Q

Who started the South Beach diet?

A

cardiologist arthur agatston

18
Q

What are the aspects of the south beach diet?

A

atkins diet with the following modifications: 1) control saturated fat, 2) emphasize low-GI foods

19
Q

What proportionso f the macronutrients do liquid diet shakes (VLCDs) provide?

A

70-100 g/day protein; 80 g/day CHO; 15 g/day fat + vitamins

20
Q

What are the negative aspects of liquid diets?

A

1) gall stone risk; 2) require medical monitoring & BMOD

21
Q

What is the calorie content of a VLCD per day?

A

< 800 cal/day

22
Q

Which premeasured VLCD products emphasize glycemic index?

23
Q

What are the calorie requirements in a premeasured VLCD diet?

A

1000-15000 cal/day via meal replacements

24
Q

What is the expected weight loss in premeasured VLCDs?

A

10-12% over 12-16 weeks if bmod included

25
What should patients of premeasured diets watch out for?
salt and additives
26
What is included in the HCG diet?
drops of hormone under the tongue + 500-800 cal/day
27
Negative aspects of the HCG diet?
1) can't meet nutritional needs, 2) vitamin/mineral deficiencies
28
What are hidden sources of gluten?
1) wheat starch, 2) chocolate milk, 3) licorice, 4) cheese spread, 5) hydrolyzed veggie protein, 6) barley malt in rice/corn cereals
29
What drug excipients are gluten-free?
1) corn/potato starch, 2) sweeteners, 3) thickeners like cellulose, agar, alginates, xanthan gums
30
What vitamins/minerals may be deficient in a gluten free diet?
1) fat soluble ADEK, 2) Ca, Fe; 3) B12 and folic acid
31
Negative aspects of the gluten-free diet?
can cause low-fiber and hi-fat diet
32
What does DASH stand for?
dietary approaches to stop HTN
33
What does the DASH diet emphasize?
1) decrease salt, 2) decrease alcohol, 3) increase potassium
34
What are the well-respected dieting strategies?
1) dash, 2) mediterranean, 3) weight watchers, 4) portion control
35
What are the proposed benefits of emphasizing low glycemic index foods?
1) improve sugar, 2) improve insulin sensitivity, 3) improve lipids; 4) control appetite
36
What studies looked at BMI and physical activities effects on mortality?
1) 1998 cooper, 2) 2004 jama, 3) 2004 nejm, 4) 2008 women's health
37
Which study comparing BMI and activity level to mortality/morbidity had results differing from the others?
2008 women's health (said weight mattered more than activity level)
38
What does the ADA recommend regarding the glycemic index?
balance! Can be deceiving, and total amount of CHO may be a stronger index of glucose response; 1) combine with CHO counting, 2) combine hi-GI with low-GI foods