Exam 2 Flashcards

(40 cards)

1
Q

Water

A
  • Most essential nutrient
  • 50-70% of body weight is fluid
  • Intracellular fluid = fluid within the cells
  • Extracellular fluid = fluid outside the cells
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2
Q

Functions of Water

A

Solvent- allows the body to mix nutrients
Helps remove toxins
Cushion-Amniotic fluid for baby/fetus
coolant-Cool the body down

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3
Q

Temperature Regulation

A
When you're overheated...
-Body perspires
-Sweat evaporates through pores
-Heat energy is removed from the skin
-Body is cooled
105 degrees can be delady
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4
Q

Fluid Recommendations

A

1ml/kcal
individualzied 1ml/kcals=2200 ml (~9cups)
1cup=240 ml
recommendationtions: 9 cups/day for females and 13 cups//day for males as a starting point

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5
Q

Increased fluid needs

A

-Hot humid weather conditions
-Excserise
-Diet /high protein diet-nitrogen needs to excrete via urea
-Alcoholic diet/diurectic=increased urine production
-High fiber diet
Illness vomiting, fever, diarrhea

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6
Q

Water Loss

A
  • Urine: greatest amount of water loss
  • Stool: diarrhea (increased losses)
  • Perspiration: exercise and heat increases loss
  • Exhaled air
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7
Q

Dehydration

A

-Thirst = early dehydration

  • Urine color: dark urine, low volume (urine should be a pale yellow)
  • –1 lb loss = 2 cups fluid
  • Symptoms: headache, dry mouth, dark urine
  • Advanced dehydration: muscle spasm, sunken eyes, delirium, death
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8
Q

Minerals

A

Major minerals
require > 100mg/day
Exanples: calcium ,phosphotus

Trace minerlas
Require <100mg/day
Examples Iron,zinc
Sodium

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9
Q

Sodium

A

Found as sodium chloride (table salt)

40% sodium
60% chloride
1tsp of slat=2,400mg sodium

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10
Q

Functions of Sodium

A

water balance- water follows sodium

Nreve transmission=require sodium

Muscle contraction

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11
Q

Deficiency Symptoms of sodium

A
muscle cramps
shock
nausea and vomiting
coma
dizziness

People who are eating less than 500mg a day
Low sodium diet
Excessive amounts pf sweating=athlete
persistent vomiting/diaherra

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12
Q

Hypertension

A

Blood Pressure
Systolic-Herat contracting

Diatolic - in between heartbeats

Normal <120/80

High Blood Pressure >140/90

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13
Q

Hypertension pt2

A

50 million Americans suffer from this

  • SILENT KILLER; very few, vague symptoms
  • Increased risk of heart attack, stroke, and kidney disease
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14
Q

Hypertension Risk

A
  • age -50 and up

sodium intake
obesity
family history
physical inactivity

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15
Q

Hypertension Treatment

A

<1500mg/day
weight loss
exercise
1-2 glasses a day

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16
Q

Hypertension diet (Dash)

A
high calcium
high potassium
high fruits and veggies
high in fiber
low in fat
low in sodium
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17
Q

DASH Diet

A
  • Dietary Approaches to Stop Hypertension
  • Increase intake of fruit, vegetables, nuts, whole grains, fish, and low fat dairy products
  • Limit intake of red meat, high fat dairy products, and lower sodium intake
18
Q

Hypertension

A

70% of sodium in diet found in:
Fast food
Processed foods

Average =6,000mg

19
Q

Current Recommendations for Sodium Intake

A
  • Current recommendations = <2,300 mg/day
  • Anyone over 51 years old, African Americans, and those that have hypertension, diabetes, or chronic kidney disease should consume <1,500 mg
20
Q

High Sodium Foods

A

-Foods prepared in brine(Pickels,sauerkraut,olives)

  • Salted or smoked meats(bacon,sausage,delimeats)
  • Salted or smoked fish(Smoked salmon,anchovies

-Most fast food and processed foods

  • Condiments
  • Cheese
  • Canned foods
21
Q

Iron- Most common worldwide leading nutrient diffeniccy

A

Most iron is in two proteins:

  1. Hemoglobin: iron containing protein in Red blood cells
  2. Myoglobin (muscles): carries and stores oxygen for the muscles

-Poor perganacy outcomes and imapred physical and cognitive development

22
Q

Iron Deficiency

A

Caused by…

  • Poor iron intake
  • Blood loss (ulcers)
  • Pregancy =increased iron needs, growth and develpoment ,
23
Q

At-Risk Groups for Iron Deficiency

A
  • Women of childbearing age (monthly blood loss)

- Children: high growth rate, poor intake

24
Q

Iron Deficiency Anemia

A
  • Small, pale, red blood cells
  • Symptoms: tired, paleness, rapid heart rate
  • Children: brain damage, developmental delays
  • Pica- Not everyone with pica would have anmaia
25
Pica
- Regular consumption of non-food items: ice, clay, stones, cigarette butts, tire inner tubes - Groups at-risk: children, pregnant women, those in rural areas, family history, rarely occurs in men - Complications: intestinal blockages, bacterial infections, parasites, tooth damage - Some women think that it relieves nausea in pregnancy
26
Difeiecncy of essential nuterient- Pica common iron deficiency
Misconceptions-uneducated ``` The body cannot digest (pica) bacterial infections blockage parasites damage to teeth. ```
27
IRON RDA
Men =10 mg/day Women=15mg/day
28
Iron Toxicity
High levels hard to excrete #1 cause of fatal poisoning in children <3 years of age(often form supplement)
29
Heme Iron
- A form that is better absorbed (meat) | - FOUND IN MEAT
30
Non-Heme Iron
- Plant Iron: not absorbed as well as heme iron | - Beans, cereal, dried fruit, nuts
31
Factors that Affect Iron Absorption
- Fiber can decrease iron absorption | - Vitamin C can increase iron absorption (tomato sauce with meat)
32
Calcium
- The most abundant mineral in the body - 99% stored in bones and teeth - 1% of blood is used for: a. Muscle contraction, nerve impulse, blood clotting b. If low blood levels, calcium is taken from the bones. The skeleton serves as a bank from which the blood can borrow and return calcium as needed
33
Bone Formation
- Bone cells: a. OsteoClasts:(Chew) cells that break down bone b. OsteoBlasts: cells that build bone -Remodeling: bones continually breaking down and rebuilding throughout lifetime
34
Bone Formation
Children Osteoblasts> Osteoclast Building Bone Age 30 peak bone mass achieved Age 30-40 Osteoblast=Osteoclast Maintaining bone mass in the 30s and 40s >45: Osteoclasts> Osteoblasts
35
Osteoporosis
- By age 70, you can lose 30-40% of your bone mass - 1/4 women develop Osteoporosis - 1/8 men develop osteoporosis
36
Osteoporosis fractures
-SILENT DISEASE until fractures occur - Excessive bone loss - --Increased risk of fractures - --Common fracture sites: wrist, spine (Dowager's hump), hip
37
Bone Health Assessment: DXA
- Dual-energy X-ray absorptiometry - 20-30 minute whole body scan -DXA measurement generates T score: ---Normal bone density is 0 to -1 T score ---Low bone mineral density is -1 to -2.4 T score ---Osteoporosis is -2.5 or lower T score
38
Osteoporosis Risk Factors
-Females have less bone density Menopause/Males: lower estrogen = lower calcium absorption - Alcohol intake: increases calcium excretion - Poor vitamin D status --Genetics - Underweight: carrying extra weight can help to build stronger bones - High protein intake - High phosphorus intake - High sodium intake
39
Prevention of Osteoporosis
- Adequate calcium and Vitamin D intake - Weight-bearing exercise: walking, lifting weights, etc. - No smoking - Moderate alcohol intake - Treatment: medications that inhibit osteoclast activities - --Side effects: ulcers, swallowing difficulties
40
Calcium Sources
- Milk and dairy products - Kale, broccoli, bok choy - Fortified products: OJ, waffles, cereal - Beans