Diet therapy Flashcards

(124 cards)

1
Q

Macronutrients

A

Carbs,proteins,fats
-provide energy and organic (have carbon)

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2
Q

factors influencing food intake

A
  1. Personal Preference
  2. habits
  3. ethnic heritage or tradition
  4. availability, convience, or economy
  5. social interactions
    6.emotional comfort
  6. values
  7. body image
  8. nutrition
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3
Q

study of nutrition

A

study of nutrients in food and bodys handling of them

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4
Q

Trained Nutrition Professional

A

-Registered Dietition
-registed dietitian nutritionist
-master level + internship

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5
Q

nutrient

A

a substance in food that the body uses for growth, maintenance and repair

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6
Q

essential nutrient

A

a nutrient the body needs in a sufficient quantity to meet needs

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7
Q

Nutrient classes

A

carbs, lipids, proteins, vitamins, minerals, water

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8
Q

micronutrients

A

-vitamins (organic) and minerals (non organic)
-provide no energy

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9
Q

water

A

provides no energy and is inorganic

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10
Q

non-nutrients

A

compounds in foods, other than the six nutrients, that have biological activity in the body
-not vital for life but get them from food
ex) fiber

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11
Q

calorie

A

amount of energy needed to raise temp 1 gram of water 1 degree C
-tiny units of energy
-1,000 calories = 1kcal or Cal

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12
Q

CHO energy

A

4 kcal/g

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13
Q

PRO energy

A

4 kcal/g

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14
Q

FAT energy

A

9 kcal/g

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15
Q

alcohol energy

A

7 kcal/g
-no nutrients provided

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16
Q

energy density

A

a measure of the energy a food provides relative to the amount of food

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17
Q

nutrient density

A

nutrient content of a food relative to its energy content

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18
Q

why do we need nutrient recommendations?

A

prevent deficiencies and/or for optimal health

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19
Q

CMO AMDR range

A

46-65% of daily total calories

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20
Q

PRO AMDR range

A

10-35% of daily total calories

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21
Q

FAT AMDR range

A

20-35% of daily total calories

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22
Q

Dietary Reference Intakes

A

a set of nutritioanl refernece valuves for the United States and Canada that applies to healthy people.

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23
Q

RDA

A

the average daily amount of a nutrient considered to be adequate to meet the needs of practically all healthy people

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24
Q

tolerable upper limit

A

The daily maximum amount of a nutrient that appears safe for comsumption

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25
Adequate Intake
When there is not information to determine an RDA. the average amount of the nutrient consumed by healthy people.
26
Estimated Average Requirement
average need for a nutrient to maintain physiological function in the body. This meets 1/2 of population needs
27
using nutrient recommendations
-estimated only apply to healthy people -recommendation = target - most intended recommendations come from the diet and not supplements
28
diet planning principles
adequacy balance calorie nutrient density moderation variety
29
adequacy
meeting all nutrient needs
30
balance
not too much of one thing and less of another
31
calorie control
getting enough energy for the body but not excess
32
nutrient density
high in nutrients compared to calories ex) milk has more nutrients than cheese
33
moderation
providing enough but not too much of a substance ex) added sugars in moderation
34
variety
Need variation within each food group
35
dietary guidelines for americans
recommendations for healthy eating and active living -revised every 5 years -applies to healthy americans, those with diabetes and risk of heart disease
36
challenges with dietary guidelines
-hard to formulate specific recommendations -politics
37
recommendations 2020-2025
1. follow a healthy dietary pattern 2. customize and enjoy nutrient-dense food and beverage 3. focus on meeting food group needs with nutrient-dense food and beverages 4. limit food and beverages high in added sugars, saturated fats, and sodium, and limit alcoholic drinks
38
eating patterns
-healthy US style eating pattern -Mediterranean style: more fish, less milk -vegetarian style
39
Dietary Guidelines for American Food groups
1. Variety of vegetables 2. Fruits 3. Grains: at least 1/2 whole 4. Dairy: low ft, fat free, fortified soy 5. Protein: seafood, lean meats, legumes, nuts 6. oils
40
DGA Limits
added sugars, saturated fats, sodium, alcohol, caffeine
41
added sugar limits
less than 10% of kcal for those 2 - no added sugars for those under 2
42
saturated fats
less than 10% of daily kcal
43
sodium limit
less than 2300 mg/day
44
alcoholic beverage limits
-be legal drinking age - men: 2 or less drinks per day - women: 1 or less per day
45
excessive drinking
Men: more than 5drinks a day or 15 drinks per week women: more than 4 drinks a day or 8 drinks per week
46
binge drinking
men: more than 5 drinks in 2 hours women: more than 4 drinks in 2 hours
47
food guide
nutrition education toll translating scientific knowledge and dietary standards and recommendations into practical form for use by those who have little to no training in nutrition
48
Food Guide Tool
-Myplate 2011 - concern: not a stand alone
49
What makes up a food label?
1. ingredients list 2. serving size 3. calories 4. percent daily value
50
Ingredient List
-Listing of all ingredients -Descending order of predominance by weight -Useful for: special food needs, food allergies, comparison shopping
51
serving size
shows the number of servings in a package or container of food or beverage - not necessarily the recommended amount - given in common household measurements
52
Percent Daily Value
-An idea of how this food meets recommendations for certain nutrients - based on 2000 kcal diet -less than 5% - low, more than 20% = high
53
Nutrients required on food label
-increase: fiber, potassium, calcium, vitamin D, iron -limited: saturated fats, trans fats, sodium, added sugars - grams of protein
54
Nutrient Claims
statement that characterizes the quantity of nutrient in a food ex. low sodium = 140 mg or less per serving - "high in" = 20% or more of DV - "good source" = 10% DV
55
Health Claims
characterize the relationship of a food or food component to a disease or health-related condition - unqualified - can stand alone without further explanation qualified - require explanation
56
structure function claims
characterize the relationship between a nutrient or other substance in a food and its role in the body - not FDA approved - supports digestive health
57
Digestion
The process by which the body break down food into absorbable units
58
goals of digestion
CHO: fructose, glucose, galactose PRO: dipeptides, amino acids FAT: monoglycerides, fatty acids, glyerol
59
MOUTH
chew, saliva, taste, swallow -pass to pharynx -> epiglottis closes and food travel to esophagus
60
Esophagus
-no digestion, just transportation - has upper and lower sphincters
61
stomach
muscle contractions churn bolus and mix it with digestive juices - end result = chyme - released in little bits by pyloric sphincter to small intestine - GI contractions: circular, longitudinal, diagonal
62
small intestine
three parts: duodenum, jejunum, ileum - digests CHO, PRO, FAT into small particles - common bile duct secretes bile and bicarb and pancreatic enzymes
63
large intestine
absorbs water and forms feces - rectum stores waste - contents enter through ileocecal valve - rectum stores waste
64
Peristalsis
wavelike contractions that push contents along - contraction/relaxation of longitudinal muscles
65
Segmentation
circular muscles of small intestine contract and squeeze contents
66
sphincters
-opening and closing gates - upper and lower esophagus, pyloric, ileocecal, anus
67
enzymes
catalysts for digestion -made of proteins - named based on organ they came from and the compound they work on
68
hydrochloric acid (HCI)
-denatures proteins (uncoils them in the stomach) - Prevents bacterial in growth and kills bacteria in foods
69
Bicarbonate
neutralizes acidic gastric juice
70
Bile
emulsifies fat - made in liver and stored in gallbladder
71
salivary glands
- produce saliva (water, mucous, salts, enzymes) - role: primarily moisten, little digestions
72
Gastric Juice
-made up of HCI, enzymes, and water -low pH (acidic)
73
small intestine enzymes
bile, pancreatic juice, intestinal juice
74
pancreatic juice
enzymes to breakdown CHO, PRO, FAT - bicarb to neutralize pH
75
Intestinal juice
enzymes to breakdown CHO, PRO, FAT
76
DIGESTIVE HORMONES
Gastrinm secretin, cholecystokinin (CCK)
77
Gastrin
-secreted by gastric cells -results in HCL secretion -signaled "on" in the presence of food in stomach
78
Secretin
-secreted from duodenum - results in secretion of bicarb - signaled on by chyme in small intestine
79
CCK
secreted from intestinal wall - results in bile, bicarb, pancreatic enzymes released, signaled on by fat/proteins
80
result of digestions
CHO, PRO, FAT are broken down into absorbable units and ready to be absorbed - vitamins and minerals also ready - indigestible food enters the large intestine
81
gastric absorption
- limited -small amount of H20 -ETOH - presence of foods slows process
82
gastric absorption
- limited -small amount of H20 -ETOH - presence of foods slows process
83
gastric absorption
- limited -small amount of H20 -ETOH - presence of foos slows process
84
small intestine absorption
-primary location for nutrient absorption - lots of surface area: villi, microvilli - absorbed though diffusion, facilitated, diffusion, active transport
85
large intestine absorption
- Resorb water, electrolytes, micronutrients - site for formation and storage of feces - house gut bacteria - digest some fiber and produce some vitamins
86
transportation
nutrients carried to the body via blood or lymph vessels
87
hepatic portal vein
water soluble nutrients and smaller fats go to liver via this before going to the heart and rest of body
88
lymphatic system
fat soluble nutrients and larger fats bypass live - enter circulation near heart
89
dietary source of CHO
grains, veggies, nuts, fruit, milk, beans/legumes
90
simple carbs
monosaccharides and disaccrides
91
monosaccharides
single sugars glucose, fructose, galactose
92
disaccaridases
double sugars sucrose, lactose, maltose
93
complex carbs
polysaccharides
94
polysaccarides
starch glycogen fibers
95
fructose
occurs naturally in fruits and honey - added in foods and beverages
96
galactose
occurs naturally in foods with single sugars in small amounts
97
glucose
energy source for body
98
maltose
glucose + glucose - occurs during fermentation that yields ETOH barley
99
sucrose
glucose + fructose (table sugar) - 1tsp white sugar = 4 g CHO
100
lactose
glucose + galactose (milk sugar)
101
condensation reaction
two monosaccharides are joined together to form a disaccharide
102
hydrolysis
spilt disaccharide into 2 monosaccharides
103
glycogen
role - storage form of CHO in live and muscle - very limited amount in meat - very branched
104
starch
role - food source for body - plant storage form of CHO
105
fiber
found in plant foods - glucose strands linked with bond that cant be broken by digestive enzymes
106
fiber
found in plant foods - glucose strands linked with bond that cant be broken by digestive enzymes
107
role of CHO
1. add flavor to foods 2. add energy 3. provide fiber - important health benefits
108
insulin
- signaled on = increase in blood glucose levels - moves glucose into body cells - extra is stored as glycogen or fat
109
glucagon
- brings glucose out from storage - signaled - low blood glucose levels
110
fiber
- indigestible CHO - soluble and insoluble
111
soluble fiber
- forms gel with water - found in oats, barley, legumes, citrus - digested by bacteria in gut - health effect s: lowers blood cholestrole, slows rate of glucose absorption
112
insoluble fiber
- does not dissolve in wat er - found in whole grains + vegs - softens stool
113
resistant starch
starch gets trapped in certain foods and makes it harder to digest
113
resistant starch
starch gets trapped in certain foods and makes it harder to digest
114
CHO recommendations
AMDR: 45-65% of total kcal Fiber: men- 38g/day women-25g/day Whole grains: 1/2 of grains are whole (includes bran, endosperm, germ) Added Sugar: in moderate amounts (linked to obesity and chronic disease) -DGA: less than 10% total kcal -AHA: less than 5% total kcals
114
CHO recommendations
AMDR: 45-65% of total kcal Fiber: men- 38g/day women-25g/day Whole grains: 1/2 of grains are whole (includes bran, endosperm, germ) Added Sugar: in moderate amounts (linked to obesity and chronic disease) -DGA: less than 10% total kcal -AHA: less than 5% total kcals
114
CHO recommendations
AMDR: 45-65% of total kcal Fiber: men- 38g/day women-25g/day Whole grains: 1/2 of grains are whole (includes bran, endosperm, germ) Added Sugar: in moderate amounts (linked to obesity and chronic disease) -DGA: less than 10% total kcal -AHA: less than 5% total kcals
114
CHO recommendations
AMDR: 45-65% of total kcal Fiber: men- 38g/day women-25g/day Whole grains: 1/2 of grains are whole (includes bran, endosperm, germ) Added Sugar: in moderate amounts (linked to obesity and chronic disease) -DGA: less than 10% total kcal -AHA: less than 5% total kcals
115
CHO recommendations
AMDR: 45-65% of total kcal Fiber: men- 38g/day women-25g/day Whole grains: 1/2 of grains are whole (includes bran, endosperm, germ) Added Sugar: in moderate amounts (linked to obesity and chronic disease) -DGA: less than 10% total kcal -AHA: less than 5% total kcals
116
functions of triglycerides
padding, store concentrated energy source, insulation
117
triglyceride structure
glycerol + 3 fatty acids
118
structure of fatty acids
1. saturated: fully surrounded with H 2. monounsaturated: 1 double bond 3. polyunsaturated: 2 double bonds -omega designation: only found in unsaturated- affects where 1st double bond occurs
119
unsaturated fats
-liquid at room temperature -prone to oxidation (rancid, found in vegetable oils)
120
saturated fats
- solid at room temp - stable - found in animal products, palm, cocoa, butter - associated with higher heart disease risk