AS Lecture 18 - Nutrition Flashcards Preview

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Flashcards in AS Lecture 18 - Nutrition Deck (43)
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1

What is malnutrition?

Often refers to undernutrition resulting from inadequate consumption, poor absorption or excessive loss of nutrients -> but cn also encompass overnutrition from overeating or excessive intake of specific nutrients

2

Problems in malnutrition facts:

1 in 3 of global popn live below recommended nutritional needs. Half of western society is overweight and 25% obese -> accounts for most T2DM, 30-40% CVD and is the largest risk factor for cancer. Many chronic diseases common in west are related to nutrition

3

How is body mass assessed?

BMI is a clinically relevant method of estimating adiposity OR waist measurement

4

What are the values for BMI levels?

40 morbidly obese

5

How is undernutrition measured?

Monitor body weight BUT can be complicated by fluid balance OR arm circumference

6

What is body weight a reflection of?

Total cell mass

7

Why can, in some cases of malnutrition, body weight not be reflective of nutritional status?

Oedema confounds body weight

8

What are dietary reference values?

Reflect the nutritional needs of a popn -> they are a way of assessing nutritional adequacy

9

Why are dietary reference values needed?

Many different nutrients are needed to maintain health and reduce risk of diet-related diseases -> different requirements of nutrients are needed at different stages of life

10

What is Vitamin C used for?

Essential in man -> is an anti-oxidant (converts Fe3+ to Fe2+) and it's important in formation of collagen

11

What is a deficiency of Vit C called?

Scurvy

12

What does EAR, RNI and LRNI mean?

EAR: Estimated average requirement (mean) RNI: Reference nutrient intake (2.5 s.d. above EAR) LRNI: Lower RNI (2.5 s.d. below EAR)

13

How can the nutrients in the body be used effectively?

Demand for energy needs to be met first -> basic survival

14

What does energy in equal in stable weight?

Energy in = energy out + energy stored

15

What does energy equal in weight gain and why?

Energy in exceeds energy out due to increase intake, decreased expenditure and decrease in metabolic rate

16

How is energy spent in the body?

x

17

What is RNI?

Level at which most nutritional recommendations are set

18

What 3 components make up your energy expenditure?

Basal metabolic rate, adaptive thermogenesis and exercise

19

What are the 5 fates of acetyl CoA?

Pyruvate, amino acid, fatty acid, TCA, ketone bodies

20

Where is glycogen stored?

In the liver and muscle

21

What does adipose tissue store?

Lipids and is a major store

22

What is stored in muscle and why?

Glycogen due to periods of prolonged starvation

23

Why are fat stores not very well autoregulated?

Due to oxidation hierarchy, fat sparing occurs, so there is no adjustment of oxidation to intake

24

What is the body composition of a 70 kg man?

25

How does growth occur in humans?

Humans increase in weight 20x from baby to adult and all material in weight gain enters body as food/drink

26

How does body composition change from foetus to adult man (w/obese man as well)?

27

What are some peripheral signals that regulate appetite?

28

What complications relative to loss of lean body mass can occur?

29

What does severe malnutrition in childhood cause?

Delays in chemical maturation and can effect IQ

30

What are the causes of undernutrition in the developing world?

Politics, climate, poor water, poor agricultural policy, demand of developed world, food security will become the biggest public health issue in the coming years