Exam 3 Flashcards

(38 cards)

1
Q

Describe the general properties of the water-soluble vitamins.

A

Small amounts are necessary for good health.

Dissolve in water.

All except Choline function as coenzymes.

Most circulate freely in the blood.

Not stored in large amounts in tissue; toxicity generally does not occur.

Many are easily destroyed or removed during food storage or preparation.

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2
Q

Describe the possible causes of vitamin deficiencies.

A

Inadequate Intake: Calorie restrictions, poverty, anorexia, food fads, difficulty swallowing, dental problems, decreased taste and smell, illness, excessive alcohol intake.

Decreased Absorption: Poor digestion, diarrhea, parasites, intestinal disorders, dietary antivitamin factors, gastrointestinal infections, prescription drugs, alcohol.

Decreased Utilization In Cells: Deficiencies in other nutrients, prescription drugs, alcohol. infection.

Increased Requirements: Growth, pregnancy, lactation, chronic illness, infection

Increased Breakdown: Perscription drugs, alchohol

Increased Losses and Excretion: Increased urinary excretion, blood losses (gastric ulcers), parasites, infection

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3
Q

Describe the role of vitamins as coenzymes.

A

Coenzymes activate enzymes allowing them to collect substrate to create the proper reaction.

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4
Q

List two excellent food sources for each of the water-soluble vitamins

A

B1: Pork, grape nuts, sunflower seeds.

B2: Liver, dairy products, cheerios

B3: Liver, Chicken, Salmon, Raisin Bran

B6: Pork, Salmon, Bananas, Baked potato

Folate B9: Edimame, Legumes, Asparagus

Cobalamin B12: Oysters, Molluscs, Mussels, Enhanced Soy milk

Choline: Guava, Green Chili Peppers, Kiwi, Orange

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5
Q

Identify the vitamin deficiencies that cause megaloblastic anemia, and explain how this anemia occurs.

A

Deficiencies in Folate and B12 lead to megaloblastic blood cells, which are larger than normal blood cells.

This is caused by impaired DNA synthesis causing immaturation in blood cell development.

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6
Q

Identify vitamins that have neurological functions, act as an antioxidant or are involved in energy metabolism, red blood cell production and DNA and RNA synthesis.

A

Thiamin (B1): Coenzyme form in energy metabolism, Synthesis of RNA and DNA, production of neurotransmitters.

Riboflavin (B2): Energy metabolism

Niacin (B3): Energy metabolism, lipid synthesis, DNA repair, cell signaling, regulation of gene expression.

Pyroxidine (B6): functions as a coenzyme to release glucose into glycogen. Aids in converting niacin to tryptophan.

Pantothenic Acid: Energy metabolism, lipid synthesis

Folate: Coenzyme and helps metabolize certain amino acids, Helps with RNA and DNA synthesis.

Cobalamin (B12): Protects neural sheaths, Acts as a coenzyme for amino acids, and for converting homocysteine to methionine.

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7
Q

Describe the proper handling techniques to preserve vitamins in foods.

A

Avoid peeling fruits as the vitamins are in the skin.

Cook fruits and veg on low heat, high temperatures may destroy the vitamins.

eat as soon as possible.

Avoid freezing.

Keep in water- and air-tight containters.

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8
Q

Identify the major minerals that have structural function in the body as well as the specific structures into which they are incorporated.

A

Nerve and muscle function: Magnesium, Potassium, Calcium, Sodium

Energy Metabolism: Phosphorus, Magnesium, Iron

Acid-Base Balance: Phosphorus, Magnesium, Potassium, Calcium

Fluid Balance: Sodium, Chloride, Potassium

Bone Structure: Calcium, Magnesium, Phosphorus, Sulfer

Components of body proteins: Sulfur

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9
Q

Discuss the role of calcium in bone health and the consequences of inadequate intake during the growing years and as we age.

A

99% of calcium makes up bones and teeth. essentiaul for bone strength, blood clotting, hormone secretion, muscular contractions, nerve transmission.

When calcium levels fall the parathyroid gland releases parathyroid hormone (PTH) to stimulate production of active vitamin D.

Increases calcium absorption in the intestine

PTH and activated vitamin D mobilize calcium from the bone and decrease calcium excretion from the kidneys

Increased losses of Vitamin D can lead to bone density diseases osteopenia or osteoperosis

UL before toxicity is 2500mg

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10
Q

Describe factors that may influence the bioavailiability of minerals in the body.

A

deficiencies or increased need for minerals.

Binders: phytates, oxylates, polyphenols, minerals

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11
Q

Identify the major minerals that serve as electrolytes, and describe their individual roles in fluid balance.

A

Sodium, Potassium, Chloride

These electrolytes regulate body fluids and manage solute levels.

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12
Q

Identify primary sources of calcium, magnesium, sodium, and potassium in the diet.

A

Calcium: milk, yogurt, sardines, bok choi, broccoli

Magnesium: quinoa, brown rice, spinach, almonds, dark chocolate

Sodium: Found in nealy all foods.

Potassium: Dried apricots, baked potato, orange juice, tomato juice.

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13
Q

Identify at least five functions of water in the body.

A
Regulates body temperature
Transports nutrients and oxygen
Lubricates joints
Present in mucus and saliva
Cushions tissues
Acts as a solvent
Removes waste
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14
Q

Identify the sources of water for the body and the ways water is lost from the body

A

Sources: beverages, food, metabolism byproduct

Output: urine, skin(sweat), lungs, feces

Fruits, Vegetables, Some meat and milk are sources of water in food. Cantelope, Orange, Cauliflower, and Brussel Sprouts are highest in water.

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15
Q

Describe how antidiuretic hormone required water balance.

A

When solute in blood increases, blood pressure drops. In response, the pituitary gland in the brain signals for the creation of antidiuretic hormones (ADH), which are then released in the blood. ADH stimulates the kidneys to stop excretion in urine while releasing more water into the blood, equalizing the level of solutes.

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16
Q

Describe the major functions of copper, fluoride, iodine, iron, selenium, manganese, and zinc in the body

A

Hardens tooth enamel: flouride

Component of thyroid hormone: iodine (regulates metabolism, protein synthesis)

Bone Health: Copper, Manganese

Growth and Wound Healing: Zinc, Manganese

Anxiotidant Activity: Selinium, Zinc, Copper, Manganese

Required for enzyme function: copper, iron, zinc, molybdenum, manganese, selenium

May enhance insulin function: chromium

17
Q

Identify the general properties of trace minerals.

A
less than 100mg needed per day
very little digestion needed
absorbed mostly in the small intestine
circulated in blood
many are co-enzyme factors
found in meat and plant foods
most vegetarians need to double their intake
18
Q

Describe how the use of iodine and production of thyroid hormone are controlled

A

Low levels of thyroid hormone cause the pituitary gland to secrete thyroid-stimulating hormone TSH. Then TSH tells the thyroid gland to take up iodine and produce and excrete more thyroid hormone. When Iodine is low, TSH does not stop excreting and stimulates the thyroid gland to continue growing.

19
Q

Describe the symptoms of deficiency and toxicity for copper , fluoride, iodine, iron, selenium, and zinc

A

Iodine: Goiter, hypothyroidism, elevated TSH. 1100 UL

Iron: lethargy or body and mind. UL 45mg

Zinc: Impaired immune, growth, sex, appetite, weight factors. Basic deterioration of health if worsens. UL 40

Copper: Anemia, Osteoperosis

Selenium: Heart Disease. 400mcg UL - single high dose can be fatal.

20
Q

Identify at least two dietary sources of copper, iodine, iron, selenium and zinc

A

Iodine: RDA 150mg. Cod, Skin Milk

Iron: RDA 8-20mg. fortefied grape-nut cereal, oysters.

Zinc: RDA 8-11mg. Oysters, T-bone steak

Copper: RDA 900mcg. Cashews, King Crab

Selenium: RDA 55mcg. Tuna, Salmon

21
Q

Discuss the dietary sources of heme iron and nonheme iron and the factors that affect that absorption.

A

Heme gives red meat it’s color. Heme binds to oxygen. heme is more potent than non-heme iron.

absorbtion is increased by vitamin C. Inhibited by soy protein, calcium, polyphenols (wine), phytates

22
Q

Identify the types of products or substances that might be classified as dietary supplements.

A

1994 DSHEA - Dietary Suppliment Health and Education Act

The manufacturer is responsible for ensuring that the product is safe, unadulterated, produced with good manufacturing practices, and properly and truthfully marked with a label

Dietary ingredients have to be federally regulated and GRAS (generally recognized as safe

23
Q

Identify at least three situations or conditions for which specific supplementation may be warranted.

A

Folic acid for pregnant women or women soon to become pregnant, who consume little to no animal proteins. Iron is som cases, especially for menstrating women.

Vegans need B12 supplements, and likely calcium, zinc, and iron.

Children and babies may need vitamin D supplliments.

24
Q

Provide an overview of the regulatory policies in the United States for dietary supplements compared with those for prescription or conventional drugs.

A

Health claims must be approved by FDA based on the SSA

Disease claims are unacceptable.

U.S. Pharmacopeia Convention (USP) sets standards and provides seals of quality

NSF International (NSF) and ConsumerLab.com (CL) add to reputability.

25
Describe the type of information provided on a Supplement Facts Panel
``` Serving size Amount of ingredient with DV% Any other ingredient amount with no DV% Inactive Ingredients Statement of identity Contact information Structure / Function claims ```
26
Describe how approved health claims differ from structure/function claims for dietary supplements, and provide at least two examples each.
Health claims must be FDA approved based on the Significant Scientific Agreement (SSA) Structure / Function claim "fall asleep faster" or "helps you loose weight" Health Claim: “Healthful diets with adequate folate may reduce a woman's risk of having a child with a brain or spinal cord defect.” "Although many factors affect heart disease, diets low in saturated fat and cholesterol may reduce the risk of heart disease"
27
Identify at least three considerations before choosing a mulitvitamin supplement.
consider formulas for men, women and groups expiration dates and quality. don't over do it.
28
Provide an example of an herbal supplement, and explain its possible benefits and adverse effects.
licorice root has pro liver and anti-ulcer properties, but can lead to hypertension due to reduced potassium. Professor Gilbert Omenn study Beta-Carotine and Retinol Effiicacy Trail find increased risk of lung cancer.
29
Describe what might make a food or dietary constituent "functional" and how these foods might affect health, dietary quality, and overall nutrient intake.
Nutraceuticals Offer health benefits or enhanced performance, No statutory legal definition, Whole foods or processed, Phytochemicals, Fortified, Engineered, Decrease risk of disease
30
List the health consequences associated with obesity, and describe how excess body fat increases the risk of developing these conditions
health consequences of obesity include: Alzheimers, Stroke, Heart Disease, Hypertension, Fatty Liver, Gallstones, Type 2 diabetes, Arthritis, Gout, Sleep Apnea, Gastroesophegeal reflux, Cancer, ED in men, infertitiy in women and birth defects. Excess fat increases the hormone and hormone like messenger production in adipose tissue, casing inflammation. low-grade inflammation will lead to various diseases
31
Describe the concept of energy balance
negative energy balance is when the energy output is greater than input resulting in weight loss. neutral balance is when input is relatively equal to output resulting in weight maintenance. positive balance is when input exceeds output resulting in weight gain.
32
Identify and describe the components of total energy expenditure
Basal metabolic rate (BMR) 60% Thermic effect of food (TEF) 10% Activity energy expenditure (AEE) 30% (70% non-exercise activity thermogensisNEAT, 30% exercise)
33
Describe factors that affect basal metabolic rate
Fat Free Mass: all of the body mass outside of adipose tissue. Organs account for about two-thirds of fat free mass. Age: BMR decreases about 1-2% per decade. Sex, Growth, Hormones, Stavation, Illness, Pregnancy, Ethnicity, Smoking Caffeine: can increase BMR by 5-10% Sleep Metabolism is 10% less than BMR.
34
Describe activities that are examples of nonexercise activity thermogenesis (NEAT)
Walking, Climbing stairs, playing instruments, mowing the lawn, washing dishes, vacuuming, moving and lifting.
35
Describe factors that contribute to the development of obesity
Sitting Disease: more time spent sitting than lean people. About 5-600 minutes per day spent sitting Variety of lifestyle choices. Emotions can affect food choices, sleep deprivation, food environments.
36
Use body mass index and waist circumference to evaluate someone’s risk of chronic disease
BMI = kg/(m2) height in meter, squared. BMI between 25-29 is overweight, 30 and above is obese. Waist circumference: 35 inches in women, 40 inches in men.
37
Describe methods for determining body composition
Duel-Energy Xray Absorbtion (DEXA) Skin Fold Thickness Air Displacement Bioelectrical Impedance Underwater Weighing
38
Discuss strategies for successful weight loss and maintenance
Loosing and maintaing 5-10% weight can reduce mortality risk by 50% Surgical: Laparoscopic Sleeve Gastrectomy removes part of the stomach Roux-en-y Gastric Bypass shortens the GI tract. Dietary: Increase physical activity Reduce calorie intake and eat nutrient-dense foods Eat a moderately low-fat diet (less than 30% of calories) Eat a moderately high-protein diet (25% to 30% of calories) Include plenty of nonstarchy vegetables, fruit, whole grains with high fiber, and lean sources of protei