Chapter 2 Flashcards

1
Q

Health professionals have recommended the same basic diet and health plan for many years:

A
  • Control how much you eat.
  • Pay attention to what you eat: choose whole grains, fruits, and vegetables.
  • Stay physically active.
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2
Q

The best plan consists of learning the basics of a healthful diet

A

variety, moderation, and proportionality

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3
Q

One way to balance your diet as you consume a variety of foods is to select foods from each of these five major food groups every day:

A
  • Grains
  • Vegetables
  • Fruits
  • Dairy
  • Protein
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4
Q

You can’t just buy a bottle of phytochemicals: they are generally available where?

A

only within whole foods

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5
Q

Foods rich in phytochemicals are now part of a family of foods referred to as?

A

functional foods.

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6
Q

A functional food provides?

A

health benefits beyond those supplied by the traditional nutrients it contains. For example, a tomato contains the phytochemical lycopene, so it can be called a functional food.

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7
Q

Proportionality, also referred to as balance, is?

A

eating more of nutrient-dense foods and beverages such as fruit, vegetables, whole grains, and fat-free or low-fat milk products, and less of foods high in certain types of fat, sugars, cholesterol, salt, and alcohol.

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8
Q

Balance also refers to?

A

matching your energy intake (how many total calories you consume) with energy expenditure (calories burned by metabolism and physical activity) over time. A prolonged imbalance between energy intake and energy expenditure leads to fluctuations in body weight.

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9
Q

The nutrient density of a food is a?

A

characteristic used to determine its nutritional quality. It is determined by comparing its protein, vitamin, or mineral content with the amount of calories it provides. A food is deemed nutrient dense if it provides a large amount of a nutrient for a relatively small amount of calories when compared with other food sources. The higher a food’s nutrient density, the better it is as a nutrient source.

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10
Q

Energy density is a measurement that?

A

best describes the calorie content of a food.

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11
Q

Energy density of a food is determined by comparing the?

A

calorie (kcal) content with the weight of food. A food that is rich in calories but weighs relatively little is considered energy dense. Examples include nuts; cookies; fried foods in general; and even fat-free snacks, such as fat-free pretzels. Foods with low energy density include fruits, vegetables, and any food that incorporates lots of water during cooking, such as oatmeal

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12
Q

Researchers, including Dr. Barbara Rolls, the creator of the Volumetrics Diet, have shown that eating a meal with many foods of low energy density promotes?

A

satiety without contributing many calories

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13
Q

The balance between calories consumed (from foods and beverages) and calories expended (through physical activity and metabolic processes) determines?

A

body weight

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14
Q

What are solid fats?

A

Solid fats are fats such as butter, beef fat, and shortening that are solid at room temperature. They can be found naturally in foods and are also added during food processing and cooking.

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15
Q

What are added sugars?

A

Added sugars are sugars and other sweeteners that are added during food processing or cooking.

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16
Q

Solid fats and added sugars, now referred to as SoFAS, are?

A

energy dense (high in calories) and typically are a source of many empty calories.

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17
Q

Americans need to increase the relative proportions of?

A

fruits, vegetables, whole grains, and fat-free or low-fat dairy products while simultaneously decreasing consumption of refined grains and high-fat meats.

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18
Q

The new MyPlate icon includes five food groups:

A
  • Fruits and vegetables cover half of the plate. These foods are dense sources of nutrients and health-promoting phytochemicals despite their low calorie contents.
  • Grains occupy slightly more than one-fourth of the plate. The message to make half your grains whole is stressed throughout accompanying consumer-education materials.
  • The remaining space on the plate is reserved for sources of protein. Specifically, the Dietary Guidelines recommend lean meats and poultry, plant sources of protein, and inclusion of fish twice a week.
  • A cup of dairy appears next to the plate. Depending on personalized calorie recommendations, users should have 2 to 3 cups per day of low-fat or fat-free dairy products or other rich sources of calcium.
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19
Q

The body’s nutritional health is determined by?

A

considering the nutritional state of each needed nutrient.

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20
Q

Three general categories of nutritional status are recognized

A

desirable nutrition, undernutrition, and overnutrition.

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21
Q

The common term malnutrition can refer to?

A

either overnutrition or undernutrition.

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22
Q

What is Desirable nutrition?

A

The nutritional state for a particular nutrient is desirable when body tissues have enough of the nutrient to support normal metabolic functions as well as surplus stores that can be used in times of increased need. A desirable nutritional state can be achieved by obtaining essential nutrients from a variety of foods.

23
Q

Describe undernutrition

A

Undernutrition occurs when nutrient intake does not meet nutrient needs. At first, any surpluses are put to use; then, as stores are exhausted, health begins to decline. Many nutrients are in high demand due to constant cell loss and regeneration in the body, such as in the gastrointestinal tract. For this reason, the stores of certain nutrients, including many of the B vitamins, are exhausted rapidly and therefore require a regular intake. In addition, some women in North America do not consume sufficient iron to meet monthly losses and eventually deplete their iron stores

24
Q

What deficiency is the most common nutrient deficiency worldwide?

A

iron deficiency

25
Once availability of a nutrient falls sufficiently low, what happens?
Biochemical evidence indicates that the body's metabolic processes have slowed or stopped. At this state of deficiency, there are no outward symptoms; thus, it is termed a subclinical deficiency. A subclinical deficiency can go on for some time before clinicians are able to detect its effects.
26
What is subclinical mean?
Stage of disease or disorder not severe enough to produce symptoms that can be detected or diagnosed
27
What is clinical evidence of a nutritional deficiency?
Clinical evidence of a nutritional deficiency—perhaps in the skin, hair, nails, tongue, or eyes—can occur within months but may take years to develop. Often, clinicians do not detect a problem until a deficiency produces outward symptoms, such as small areas of bruising on the skin from a vitamin C deficiency.
28
What is overnutrition?
Prolonged consumption of more nutrients than the body needs can lead to overnutrition. In the short run (e.g., 1 to 2 weeks), overnutrition may cause only a few symptoms, such as stomach distress from excess iron intake. If an excess intake continues, however, some nutrients may accumulate to toxic amounts, which can lead to serious disease. For example, too much vitamin A during pregnancy can cause birth defects.
29
The most common form of overnutrition in developed nations is an?
excess intake of calories that leads to obesity. In the long run, outcomes of obesity include other serious diseases, such as type 2 diabetes and certain forms of cancer.
30
For most vitamins and minerals, the gap between desirable intake and overnutrition is wide. Therefore, even if people take a typical balanced multivitamin and mineral supplement daily, they probably will not receive a harmful dose of any nutrient. The gap between desirable intake and overnutrition is smallest for?
vitamin A and the minerals calcium, iron, and copper. Thus, if you take nutrient supplements, keep a close eye on your total vitamin and mineral intake from both food and supplements to avoid toxicity
31
The most common type of overnutrition in North America is the excess intake of?
calories, which often leads to obesity
32
Anthropometric assessment parameters
height, weight, skinfold thickness, arm muscle circumference, and other parameters
33
Biochemical (laboratory) assessment
Of blood and urine: enzyme activities, concentrations of nutrients or their by-products
34
Clinical assessment
(physical examination): general appearance of skin, eyes, and tongue; rapid hair loss; sense of touch; ability to walk
35
Dietary assessment
Usual intake or record of previous days' meals
36
Pregnant woman needs _____ mcg per day of synthetic folic acid from fortified foods and/or supplements
400
37
Eat less than ____ percent of calories from saturated fatty acids
10
38
People aged 51 and older, African Americans and those with high blood pressure, diabetes or chronic kidney disease should eat _____ mg sodium or less per day.
1500
39
Consume less than _____ mg cholesterol per day.
300
40
Included under the DRI umbrella are?
Recommended Dietary Allowances (RDAs), Adequate Intakes (AIs), Estimated Energy Requirements (EERs), and Tolerable Upper Intake Levels (Upper Levels or ULs).
41
RDA
Recommended Dietary Allowance. Use to evaluate your current intake for a specific nutrient. The further you stray above or below this value, the greater your chances of developing nutritional problems.
42
AI
Adequate Intake. Use to evaluate your current intake of nutrients, but realize that an AI designation implies that further research is required before scientists can establish a more definitive recommendation.
43
EER
Estimated Energy Requirement. Use to estimate calorie needs of the average person within a specific height, weight, gender, age, and physical activity pattern.
44
UL
Upper Level. Use to evaluate the highest amount of daily nutrient intake unlikely to cause adverse health effects in the long run in almost all people (97% to 98%) in a population. This number applies to chronic use and is set to protect even very susceptible people in the healthy general population. As intake increases above the Upper Level, the potential for adverse effects generally increases.
45
DV
Daily Value. Use as a rough guide for comparing the nutrient content of a food to approximate human needs. Typically, the Daily Value used on food labels refers to ages 4 years through adulthood. It is based on a 2000 kcal diet. Some Daily Values also increase slightly with higher calorie intakes
46
Reduced risk of some types of cancer (what diet?)
Diet rich in fiber
47
Reduced risk of cardiovascular disease (what diet?)
Diet rich in fatty acids from oils present in fish
48
Reduced risk of hypertension and stroke (what diet?)
Diet low in sodium and high in potassium
49
Reduced risk of neural tube defects (what diet?)
Diet adequate in synthetic form of folate
50
A Recommended Dietary Allowance (RDA) is the?
Daily amount of a nutrient that will meet the needs of nearly all individuals (about 97%) in a particular age and gender group. A person can compare his or her daily intake of specific nutrients to the RDA. Although an intake slightly above or below the RDA for a particular nutrient on any given day is no reason for concern, a significant deviation below (about 70%) or above (about three times or more for some nutrients) the RDA for an extended time can eventually result in a deficiency or toxicity of that nutrient
51
What is adequate intake?
An RDA can be set for a nutrient only if there is sufficient information on the human needs for that particular nutrient. Today, there is not enough information on some nutrients, such as chromium, to set such a precise standard as an RDA. For this and other nutrients, the DRIs include a category called an Adequate Intake (AI). This standard is based on the dietary intakes of people that appear to be maintaining nutritional health. That amount of intake is assumed to be adequate, as no evidence of a nutritional deficiency is apparent.
52
For calorie needs, we use the Estimated Energy Requirement (EER) instead of an RDA or AI. In contrast to the RDAs, which are set somewhat higher than the average needs for nutrients, the EER is set for the?
Average person. Whereas a slight excess of vitamins and minerals is not harmful, a long-term excess of even a small amount of calories will lead to weight gain. Therefore, the calculation of EER needs to be more specific, taking into account age, gender, height, weight, and physical activity (e.g., sedentary or moderately active). The EER is based on the “average” person, it can only serve as a starting point for estimating calorie needs.
53
A Tolerable Upper Intake Level (Upper Level or UL) has been set for?
Some vitamins and minerals (see the inside cover). The UL is the highest amount of a nutrient unlikely to cause adverse health effects in the long run. As intake exceeds the UL, the risk of ill effects increases. These amounts generally should not be exceeded day after day, as toxicity could develop. For people eating a varied diet and/or using a balanced multivitamin and mineral supplement, exceeding the UL is unusual. Problems are more likely to arise with diets that promote excessive intakes of a limited variety of foods, with the use of many fortified foods, or with excessive doses of individual vitamins or minerals.
54
A nutrition standard more relevant to everyday life is the Daily Value (DV). This is a generic standard used on?
Food labels. It is applicable to both genders from 4 years of age through adulthood and is based on consuming a 2000 kcal diet. DVs are mostly set at or close to the highest RDA value or related nutrient standard seen in the various age and gender categories for a specific nutrient (see Appendix A). DVs have been set for vitamins, minerals, protein, and other dietary components. For fat and cholesterol, the DVs represent a maximum level, not a goal one should strive to reach. DVs allow consumers to compare their intake from a specific food to desirable (or maximum) intakes.