Diet Flashcards

1
Q

The presence of 3 or more of the following defines metabolic syndrome:

A
  1. high abdominal obesity
  2. high triglycerides
  3. low HDL cholesterol
  4. high blood pressure
  5. hyperglycemia
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2
Q

Risk factors for metabolic syndrome:

A
  1. Abdominal obesity.
  2. Inactive lifestyle.
  3. Insulin resistance.
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3
Q

With metabolic syndrome, the risk for which two diseases increases?

A
  • cardiovascular disease increased 2X
  • T2 diabetes increased 5X
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4
Q

Eating a high fat and sugar diet with a lack of physical activity will lead to:

A

positive energy balance; adipose tissue forms.

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5
Q

Visceral obesity will develop in a positive energy balance due what 3 risk factors?

A
  • smoking, unfavorable genes, stress.
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6
Q

Visceral obesity consists of the accumulation of adipose tissue in what three tissues?

A

muscle, heart, and liver.

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7
Q

Ideal body weight equation for men:

A
  • 106 pound for first 5 feet.
  • 6 pounds for every inch over 5 feet.
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8
Q

Ideal body weight equation for women:

A
  • 100 pound for first 5 feet.
  • 5 pounds for every inch over 5 feet.
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9
Q

Metabolic Effect of Low Carbohydrate Diets:

A
  • reduced insulin; increased glucagon.
  • gluconeogenesis occurs; uses dietary amino acids and fatty acids from adipose tissue.
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10
Q

What diet relies on ketogenesis for energy?

A
  • Low carbohydrate diets; adipose tissue utilized.
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11
Q

Effect of Protein Ingestion on Glucose:

A
  • decreases glycemic index of glucose.
  • decreases rise in blood glucose following glucose intake.
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12
Q

What two types of fats should saturated fats be replaced by in patients at risk for coronary heart disease?

A
  1. Polyunsaturated Fats (PUFA)
  2. Monounsaturated Fats (MUFA)
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13
Q

How can soluble fiber decrease cholesterol levels?

A
  • binds to bile acids, promoting their excretion.
  • plasma cholesterol levels will fall due to increased bile acid synthesis.
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14
Q

Nutrition Therapy for Hypertension:

A
  • Lose weight; increase exercise.
  • Decrease sodium and alcohol.
  • Increase potassium and calcium.
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15
Q

Nutrition Therapy for Chronic Kidney Disease:

A
  • decrease protein, sodium, potassium.
  • increase iron, calcium, vitamin D.
  • increase MUFA and PUFA.
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16
Q

When should sodium restriction begin for a patient with chronic kidney disease?

A
  • GFR below 10%
17
Q

What syndrome is common post-bariatric surgery?

A

dumping syndrome.

18
Q

What vitamin and mineral deficiencies are common post-bariatric surgery?

A
  • Iron, Folate, Calcium.
  • Thiamin, B12, Vitamin D.
19
Q

Why does iron deficiency occur post-bariatric surgery?

A
  • Low gastric acid production leads to low conversion of Fe+3 to Fe+2.
20
Q

Why does B12 deficiency occur post-bariatric surgery?

A
  • decreased intrinsic factor.