7 - Diet Analysis Flashcards

1
Q

What are anthropometric measurements?

A

Measurements or estimates of physical aspects of the body

E.g., height, weight, body composition
Distribution of fat, lean mass and minerals in body
Skinfold thickness, waist/hip circumference/ratio, body density, underwater weighting, bone density
BMI

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2
Q

How can anthropometric measurements be compared?

A

Measurements can be compared to standards specific for age and gender or previous measurements of the same individual

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3
Q

What is the ‘normal’ range of BMI?

A

18.5 - 24.9 kg m^-2

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4
Q

How is BMI calculated?

A

BMI = weight/height^2 in kg m^-2

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5
Q

What is the ‘obese’ range of BMI?

A

> 30 kg m^-2

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6
Q

What are the disadvantages and advantages of anthropometric measurements?

A

Disadvantages - certain conditions, genetics and physical activity may affect these values and is not linked to nutrition

Advantages - easy to do and can be compared to available standards

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7
Q

What are biochemical measurements and their disadvantages?

A

Laboratory analysis of biological samples like blood or urine for biomarkers e.g. specific nutrient

Disadvantages - can be affected by time of day, age, gender, activity patterns, drugs

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8
Q

What does a clinical assessment contain and what are its disadvantages?

A

Medical history e.g. weight gain/loss, surgeries, medication, previous disease
Unusual symptoms e.g. lack of energy, loss of appetite

Disadvantages - most are not obvious until they become severe

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8
Q

What is does a dietary assessment contain?

A

Retrospective methods - through recall and questionnaires

Prospective - diet records. Considered one of the most accurate method for dietary assessment

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9
Q

What are the levels of physical activity (PA)?

A

Sedentary (typical daily living activities (DA))
Low active (DA + 30-60 min moderate activity)
Active (DA + >= 60 min moderate activity)
Very active (DA + >= 60 min moderate + 60 min vigorous or 120 min moderate activity)

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10
Q

What does estimated energy requirement depend on?

A

Age, sex, physical activity (PA), weight, and height

and growth or life stages e.g. infants, children, adolescents, pregnant and lactating women

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11
Q

What affects energy required to perform physical activity (PA)?

A

Weight and height

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12
Q

What is a Calorie?

A

Calorie is unit to measure the heat energy produced by food

Calorie = kcal = kilocalorie (note capital ‘C’)

1 Calorie = 4.2 kJ = energy required to raise the temperature of 1 kg of water from 15° to 16° C

Measured using bomb calorimeter

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13
Q

What are the caloric values of the 3 energy nutrients and alcohol?

A

Carbohydrate - 4 kcal/g
Protein - 4 kcal/g
Fat - 9 kcal/g
Alcohol - 7 kcal/g

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14
Q

What happens when energy intake is lower/equal/higher compared to EER?

A

Weight loss/balance/gain

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15
Q

What are the acceptable macronutrient distribution ranges (AMDR)?

A

Carbohydrate - 45-65%
Fat - 20-35%
Protein - 10-35%

Provides adequate energy and nutrients and reduces risk of chronic diseases

16
Q

What is retinol activity equivalent (RAE) used for?

A

RAE is used to account for the different activities of retinol and provitamin A carotenoids

1 IU retinol = 0.3 μg retinol = 0.3 mcg retinol

17
Q

What is niacin equivalent used for?

A

Takes into account that tryptophan can be used by the body to make niacin in the presence of vitamin B6 and B12

18
Q

What is dietary folate requirement used for?

A

To help account for the differences in absorption of naturally occurring dietary folate and the more bioavailable synthetic folic acid

19
Q

What is bioavailability?

A

Amount of nutrients absorbed and used by the body

Folate from fortified foods is more available than natural occurring folate

20
Q

What are the dietary reference intakes?

A

EAR - estimated average requirement
RDA - recommended daily allowance
AI - adequate intake
UL - tolerable upper intake

21
Q

What is EAR?

A

Estimated average requirement

Nutrient intake levels estimated to meet the requirements of 50% healthy individuals in a group

22
Q

What is RDA?

A

Recommended daily allowance

Daily dietary intake levels of essential nutrients sufficient to meet the nutrient requirements of approximately 98% of healthy people
Decreases risk of certain chronic diseases

23
Q

What is AI?

A

Adequate intake

Based on less conclusive data = tentative RDAs
% population covered is unknown

24
Q

Is RDA a minimum requirement?

A

No. They are recommendations for average daily intakes.

Nutrients goals should be met through diet (not supplements) to obtain other nutrients and prevent UL (tolerable upper limit) risk

25
Q

How to use DRI to assess dietary intake?

A

Above RDA - intake probably adequate
Between RDA and EAR - intake possibly inadequate
Below EAR - intake probably inadequate