Nutrition assessment study guide

Question 1

what is nutrition assessment

Answer 1

-method used to identify individuals at risk for or with existing malnutrition

Question 2

what can trigger a NA

Answer 2

• nutrition screen

- NA is a much more thorough evaluation of dietary habits and medical history

Question 3

what is included in an NA

Answer 3

ABCDEF

• anthropometry
• biochemistry
• clinical
• dietary
• energy intake/exercise/functional status

Question 4

anthropometry

Answer 4

• height
• weight
• BMI
• body comp

Question 5

biochemistry of NA

Answer 5

• lab assessment

- blood and urine analysis

Question 6

clinical NA

Answer 6

• medical history
• medications
• therapies
• physical exam

Question 7

dietary NA

Answer 7

• comprehensive review of current and past intake patterns

- barriers to eating

Question 8

energy intake/exercise/functional status

Answer 8

evaluation of current and past functional status and current exercise levels and how these relate to energy intake

Question 9

how to describe whole body comp

Answer 9

• height

- weight

Question 10

how is height best measure

Answer 10

-standing using a stadiometer

Question 11

recommended surrgoates of height measurement

Answer 11

• recalled height
• supine length
• knee height or arm span

Question 12

why is height lost throughout life

Answer 12

-loss of vertebral bone and intervertebral discs

Question 13

BMI

• underweight
• normal
• overweight
• obesity
• morbidly obese
• extreme obesity

Answer 13

or equal to 40

Question 14

calculating BMI

Answer 14

weight in Kg over height in m

Question 15

what is BMI correlated with?

Answer 15

body fat as well as fat free mass and morbidity and mortality

Question 16

how could BMI be confounded

Answer 16

-abnormal amounts of body water or by muscle mass

Question 17

the relationship between BMI and body fat varies betweem

Answer 17

• age
• gender
• race

Question 18

what is the most common assessment of central obesity

Answer 18

-measurement of waist circumference at the level of the iliac crest

Question 19

what does a central distribution of body fat increase the risk for?

Answer 19

• diabetes
• hypertension
• dyslipidemia
• heart disease
• mortality

Question 20

most common two compartment body composition variables of interest are

Answer 20

fat mass and fat free mass

Question 21

FFM

Answer 21

• represents all body tissues that are not fat

- muscle, viscera, bone, water

Question 22

dual energy x ray absorptiometry

Answer 22

• assesses bone mineral

- used in clinical practice

Question 23

what can the measurement of skin fold thickness and circumference be used for?

Answer 23

• combined to estimate FFM and FM, which on occasion is done in clinical practice
• no ranges have been developed to demonstrate healthy or non healthy

Question 24

what can give good insight into a patients usual dietary intake and patterns

Answer 24

-food records and recalls

Question 25

what can help to identify risk of acute malnutrition

Answer 25

-recent intake

Question 26

what can be helpful in optimizing nutrition stats

Answer 26

-determining causes of excess or inadequate intake

Question 27

internal and eternal factors of poor diet

Answer 27

• physiologic barriers to food intake
• substance abuse
• social and cultural factors
• food security