exam 3 Flashcards

1
Q

is pediatric obesity on the rise?

A

yes but starting to be stabilized

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2
Q

are dietitians paid when working with youth sports?

A

no not usually

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3
Q

youth sport dietitians good for?

A

volunteer oppertunities

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4
Q

age to speciallize in a sport?

A

12 years old, some countries decide by age 5

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5
Q

do child sports have weight restrictions?

A

yes like wrestling

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6
Q

what are the physiological differences between children and adults? (8)

A
  1. bone and growth plates
  2. lower cardiac stroke volume, HR
  3. water content of suckle tissue
  4. heat production
  5. growth is not always linear
  6. learning
  7. base knowlage
  8. depend on adults for food
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7
Q

girls puberty?

A

usually delayed, only worry when past 16

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8
Q

boys puberty?

A

stay on track, between 7-10 grade

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9
Q

how to determine child growth? (3)

A

growth charts
body composition
body image

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10
Q

body composition in children, is there gender specifications and what age do you not usually measure under?

A

yes there are gender specifications

not usually measured in kids under 8

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11
Q

body image for boys?

A

look for define muscles

too much fat typically feel this way around 8 or 9

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12
Q

body image for girls?

A

concern with too much fat 5 to 6 years old

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13
Q

assessment of kids energy?

what do we use

A

DRI

EER

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14
Q

assessment for kids protein in grams?

A

.71-.76 grams per kg

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15
Q

assessment for iron in kids?

A

many times inadequate in diet

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16
Q

why are kids low in iron?

A
needed for growth
physical activity 
SES
risky lifestyles
excessive consumption of tea or coffee
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17
Q

5 assessments that need to be done for kids?

A
energy
protein
iron 
calcium and vitamin D
water and hydration practice
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18
Q

water and hydration practice for kids? (6)

A
sports drink during/post training
water fountains
water bottles
fluids at lunch
sideline drinks
drink when your not thirsty
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19
Q

kid requirements for hydration, 3 times prior?

A

1-2 hr prior = 4-8oz
15 min = 4-6oz
20 min = 4-8oz

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20
Q

what to educate kids on? (6)

A
pre and post meals
good caloric dense snacks
vegetarianism popular in girls
athlete triad
ergogenic aids and supplements
child obesity = sports participation drops in 6th grade
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21
Q

5 concerns for college athletes?

A
  1. nutrition knowledge
  2. sources of nutrition
  3. time
  4. body weight and composition
  5. health risks
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22
Q

what are the health risks for college athletes? (7)

A
risky behaviors
dont wear seat belts
tobacco use
steroids
physical fights
drinking
supplements
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23
Q

supplements aloud for college athletes? (4)

A

vits
energy bars
replacements
non muscle building supplements (most protein supplements are not aloud)

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24
Q

supplements not aloud for college athletes? (4)

A

chrysin
ginseng
HMB
melatonin

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25
Q

disordered eating % in female college athletes?

% menstrual irregularities?

A

10% bulimia
1% anorexia
31% menstrual

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26
Q

disordered eating for men college athletes?

A

muscle dysmorphia

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27
Q

what are the ideal nutrition services for college athletes? (12)

A
yearly nutrition screening
blood chemistry
lipid profile
iron deficiency screening
indirect calorimetry
team seminars
individual nutrition counseling
diet analysis
off season weight management plan
off campus meal selection
cooking demonstrations
medical nutrition therapy
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28
Q

working with food service staff in college athletes, what should you do? (6)

A
training tables
cycle menu
sharing of recipes
pasta bar always open
salad bar always open
nutrition card
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29
Q

is their future needs for helping college athletes, after college? (4)

A

students
nutrition outcomes
de training programs
sports dietitian network

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30
Q

what is an elite athlete?

A

professional, world class or Olympic
extremely motivated
famous

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31
Q

why specialize in elite nutrition needs? why do they need help (6)

A
heavy training load
demanding competition schedule
frequent travel
unusual environment
culture of sports
influence and power of of coaches
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32
Q

nutritional issues for elite athletes?

A

meeting energy needs, hard to meal space and food avalibility and appetite management
ideal body composition for optimal performance

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33
Q

can studies on recreational athletes be used for elite athletes?

A

probably not, not much research is done for these elite athletes
most are case studies
cant just do nutritional counsiling by text book

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34
Q

strategies for working with elite athletes? (6)

A
understanding a sport
be a team player
be creative
be organized
contracts
provide feedback
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35
Q

what is a master athlete?

A

for retired professional athletes
competition age graded in 5 year intervals
19 years is a master athlete for swimming
50 years for master athlete in golf
focus on population 50 and over

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36
Q

older adults and sports?

A

increasing age of the population

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37
Q

benefits of exercise in master athletes?

A

chronological age vs. biological age

see that biological age is younger than chronological age

38
Q

physiological and psychological benefits of old athletes?

A

lowers depression
lowers cancer
ect.

39
Q

energy intake and exercise for old athletes?

A

estimated energy requirement tables for active older adults

40
Q

carb intake for master athletes?

less than one hour before exercise

A

1-1.5 g/kg

1 g/kg intake it 2 hours later

41
Q

protein intake for master athletes?

A

.94 g/kg

42
Q

fat intake for master athletes?

A

1 g/kg

43
Q

micronutrients for master athletes?

A

food and drug interactions

antioxidant supplements common

44
Q

fluids for master athletes?

A
16oz 30 to 40 min before
and 8oz every 15 min
eat foods with high water content
restore electrolytes
VERY IMPORTANT
45
Q

more muscle mass and less fat mass does what on performance?

A

greater speed/endurance
strength and aesthetic appeal

increases metabolic cost

46
Q

any exceptions to excess weight?

A

long distance swimming

fat helps you float

47
Q

counseling body weight vs. body composition?

A

most important is we dont care what the scale says we need to focus on % body fat and if its where it should be

48
Q

when should an athlete loose weight?

A

off season

49
Q

role of a sports dietitian?

A

determine appropriate weight and body composition goals

50
Q

how to determine energy needs? (5)

A
resting metabolic rate
calorimetry
prediction equations
thermic effect of food
thermic effect of exercise
51
Q

overweight BMI

A

30-35

really want to focus on eating healthy and exercise

52
Q

extreme obesity BMI

A

35 or greater
worried, high risk for issues
sumo

53
Q

physical activity controling weight, to maintain?

how many min

A

30-60 minutes

54
Q

% of people who are couch potatoes?

not meeting how many steps per day?

A

60%

8,000 steps

55
Q

when do you see your first metabolic drop?

A

age 25

can be a 200-500 calorie drop

56
Q

weight loss and the competitive athletes, reduce initial body weight by what %?

A

5-15%

never give goals over 15%

57
Q

set point theory?

A

resting metabolism decreases

body at a certain weight

58
Q

what is weight cycling?

A

a big no!
shouldnt go up and down in weight like a wrestler
can lead to CVD
can lower metabolism

59
Q

low carb ketogenic diets?

A

20 grams or less for first weeks
bad for the body
loose weight

60
Q

extreme dieting? (5)

A
urinary ketone losses
dehydration weight loss
affects training
south beach diet
long term = high CVD risk
61
Q

high protein diets

A
good short term success
calcium balance
suppression of appetite
strain on liver and kidney
electrolyte imbalance
glycogen depletion
loss of lean tissue = using protein as energy
kidney stones = calcium reabsorption
62
Q

semi starvation diets (low calorie)

A

when you have sever obesity you use it in a hospital situation
400-800 calories per day liquids
3 months in hospital
daily meds are prescribed

63
Q

surgical procedures for weight loss

A

gastric banding = over eating can move it and it can be removed
rouxen Y surgery = completely bypass the stomach to the small intestine
used for BMI of 40 or more

64
Q

one food centered diets

A

low caloric intake
too restricted to do more than just a month
most cant do it long

65
Q

high carb low fat diet

A
low caloric intake
lose weight
nutritionally sound
water retention
pritikin diet = lowers heart disease
shouldnt go below 18% fat
66
Q

appropriate diet plan for athletes

A
off season lose weight
calorie counting
resting energy requirements
energy used during exercise
carb and water loss
67
Q

how to succeed personal assessment

A

food records is the best way
it triggers awareness
provides object list

68
Q

techniques to control eating? (3)

A

delaying
substituting
avoiding = we are mostly going to moderation now

69
Q

exercise advice

A
conserve lean muscle
reduce fat
FITT principle = change intensity
60 min to maintain
90-120 min to lose
70
Q

mesomorph

A

natural
upside down triangle
more muscle less fat

71
Q

ectomorph

A

lean long limbs

straight body type

72
Q

endomorph

A

BMR typically lower
rounder belly
never will have a 6 pack

73
Q

how to lose weight for high powered athletes?

A
determine % body fat
calculate min weight
1-2 pounds per week
aerobic exercise 2x per week
weigh in before exercise
74
Q

how to gain weight for athletes?

grams protein, fat, carbs?

A
increase lean muslce
lower aerobic exercise
add 700 - 1000 calories
1.6 grams protein
.5-.9 grams fat
8-10 grams carb
75
Q

eating disorders types?

A

anorexia nervosa
bulimia nervosa
EDNOS
binge eating

76
Q

what is disordered eating?

A

is not eating enough and eating too much, this is not the same as an eating disorder
example is orthorexia

77
Q

% disorder eating in athletes?
menstrual disorders
female dieting

A

15-60% disorder eating
27-37% menstrual disorders
85% females have dieted

78
Q

female athletes at greater risk because?

A
pressure to optimize performance
rates
psychological factors (self esteem)
chronic disease
more perfectionist
79
Q

anorexia nervosa?

A
distortions of body image
low serotonin and depression problems
should be inpatient setting
may need tube fed
fear of gaining weight
need 2 to dignose
80
Q

physical consequences of anorexia nervosa?

A
loss of monthly menstrual period
cold intolerance
lower core temp
lower BMR
low sex desire
low estrogen
euthyroid sick syndrome ( low T3 and T4)
lanugo (little hairs everywhere)
dry scaly itchy skin on arms and legs
thinning hair
81
Q

warning signs of anorexia nervosa?

A
preoccupation with being too fat
loss of period
frequently commenting about body weight
lose body weight
severe mood shift
guilt about eating
compulsive need for physical activity
eat alone
baggy clothes
82
Q

bulimia nervosa?

A
can overlap with anorexia
recurrent binge eating
occurs 2x a week for 3 months 
can be normal weight or overweight too
mostly triggered by a life problem
83
Q

physical consequences of bulimia nervosa?

A
irregular period
lower serotonin and norepinephrine (depression)
cardiac arrythmias
bags under eyes
muscle weakness
vision problmes
fainting
heartburn
84
Q

warning signs of bulimia nervosa?

A
excessive concern about body weight
frequent gains and losses
visits bathroom
fear not being able to control eating
eat when depressed 
compulsive dieting
sever mood swings
secret binge eating
85
Q

therapeutic methods to treat eating disorders? (6)

A
cognitive behavior therapy
interpersonal psychotherapy 
pharmacological treatment
role of physical activity
eat 26 (major diagnostic tool)
eating disorder inventory
86
Q

EDOS

anorexia athletica?

A

cant stop working out
linked to prolonged periods of dieting, new coach, injury or illness
athletes can have this problem

87
Q

men and eating disorders

A
6-10%
wrestling 
purging most common
muscle dysmorphia (adonis complex) - biggest one you see in men, never enough muscle
very strict eating habits
88
Q

sub clinical variants

A
very common in both genders
can affect performance
they want a specific weight number
not in ENDOS yet
when people dont eat healthy enough it falls into this category 
picky eating too
89
Q

characteristics of muscle dysmorphia

A

totally/ most dissatisfied with their body
high rates in current or past major anxiety or eating disorders (bipolar)
spend at least 3 hours a day thinking of their body
avoid actives with friends, think people dont want to be around them
compulsive weight lifting and dieting
takes place at the expense of family
same symptoms of anorexia or bulimia

90
Q

exercise addict

A
excessive exercise 
set in stone working out schedule 
takes place expense of family and life
tied to volume of exercise not scale number
same symptoms of anorexia or bulimia
hard to diagnose
91
Q

lab test to do on anorexia patients?

A
anemia
elevated liver enzymes
hypoglycemia
decreased serum creatinine 
decreased BUN
lowered T4
hypophophatemia (low phosperous)
hypocholesterolemia (low cholesterol)
92
Q

lab test for bulimia?

A
anemia
hyponatremia
hypokalemia
metabolic alkalosis
metabolic acidosis
hypomagnesemia
hyperglycemia
hypoglycemia
dehydration
BIGGEST THING TO GET SODIUM AND POTASSIUM UNDER CONTROL