Exam III Review Flashcards

(57 cards)

1
Q

what are the basic tenants of good nutrition?

A
  1. variety of foods
  2. balanced acroos food groups and macronutrients
  3. adequate amounts to promote health
  4. moderation and not overindulging
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2
Q

what is the difference between energy-dense and nutrient-dense foods (and examples)?

A

energy-dense: the amount of energy or calories in a certain amount (weight) of food. examples: processed foods (candy, chips, oils, cheeses, etc.)

nutrient-dense: the amount of nutrients in a certain amount (weight) of food. examples: fruits, vegetables, whole grains, nuts/seeds, etc.

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3
Q

what are the dietary guidelines and what are they used for?

A

dietary guidelines of america (DGA) is a system created by the USDA and HHS to create a standard for the amount of food and calories the average american should be taking in daily. it is based on the latest science-based information about nutrition, health, and levels of chronic disease.

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4
Q

what is myPlate?

A

myPlate is another dietary guideline system implemented by the USDA. it divides your daily food intake into fruits, vegetables, protein, grains, and dairy. they recommend to fill half your plate at during meals with fruits and vegetables.

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5
Q

what is food desert, and why are they a problem?

A

a food desert is any place that does not have an easily accesible grocery store for its citizens to use. in an urban food desert, people are not living within a mile of a grocery store. in a rural food desert, people are not living within 10 miles of a grocery store. food deserts cuase harm to people’s health because the people who live within them are more likely to be obese or die prematurely from diabetes.

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6
Q

what is a mediterranian diet and what are its benefits?

A

a mediterranian diet consists of high quantities of fruits, nuts, veggies, olive oil, and whole grains. it is very low in processed foods. mediterranian diets have been known to prevent heart problems very effectively.

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7
Q

what is an organic food, and what are its benefits and limitations?

A

organic foods refer to the ways farmers grow and process agricultural products. organic farming practices encourage soil and water conservation and do not use conventional methods to fertilize or handle weeds.

benefits: positive environmental impact, exposes people to less antibiotic resistant bacteria and fewer herbicides and pesticides

limitations: current evidence has shown no nutrient advantage, and no human studies currently exist that demonstrate meaningful nutrition/health benefits and disease prevention

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8
Q

yes,what is the FDA’s role in labeling of food, dietary supplements, and drugs? what are the requirements on a nutrition label?

A

the FDA must regulate what is going into food. the nutrition labeling and education act of 1990 made labeling of products standardized. under it, the requirements were:
- statement of identity
- net content of package (metric and standard units)
- ingredients list (in descending order)
- information of the food manufacturer, packer, or distributer
- nutrition information (“nutrition facts”)
- food allergens

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9
Q

are dietary supplements regulated?

A

yes, dietary ingredients have to be federally regulated and generally recognized as safe (GRAS). however, the FDA does not monitor quality, potency, or efficacy of dietary supplements. the manufacturer is required to report harmful effects of their products to the FDA, but it does not regulate the terms “pure”, “natural”, and “quality assured”

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10
Q

what can you use to identify the quality of a dietary supplement?

A
  • look for the expiry date
  • consider the formulas for men, women, and age
  • read the label carefully (read the USP label)
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11
Q

are drugs labeled in accordance to the FDA’s rules?

A

yes, a drug is a product that cures, treates, or mitigates an illness. food and drugs can be exactly the same, only separated by their claims.

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12
Q

what are the basics of a dietary supplement label?

A

there are three types of claims stated on a supplement label:

structure and function claims:
- needs mandatory disclaimer
- to distinguish from FDA allowed “health claims” and drug claims (which DO treat diseases/symptoms)

health claims
- must be FDA approved based on Significant Scientific Agreement (SSA)
- made allowed by the NLEA of 1990

qualified health claims
- FDA approved
- emerging, but limited, evidence

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13
Q

what is the 5-20 rule?

A

if a food has <5% of a nutrient, it is a BAD source of a nutrient

if a food has >20% of a nutrient, it is a GOOD source of a nutrient

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14
Q

what was the NLEA of 1990?

A

the nutrition and labeling act of 1990. it required labeling of food to be standardized

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15
Q

what was the DSHEA of 1994?

A

the dietary supplement health and education act of 1994. it made the manufacturer responsible for ensuring that a product is safe, unadultered, produced with good manufacturing practices, and properly and truthfully labelled. it also ensured that dietary ingredients were federally regulated and generally recognized as safe “GRAS”

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16
Q

can you used supplements to substitute a healthy diet?

A

no, supplements lack needed fiber, phytochemicals, nutrients, and have a potential for toxicity

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17
Q

what are phytochemicals and zoochemicals, and where do they come from?

A

these are physiologically active compounds in foods, that provide benefits but are not essential nutrients. phytochemicals come from plant foods (such as fruits, veggies, and whole grains), while zoochemicals come from animals

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18
Q

what are functional foods?

A

functional foods are food constituents that may enhance health and prevent disease. they have no legal definition (except in japan), and are also known as nutraceuticals

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19
Q

what is a pre/probiotic, and where do each come from?

A

these are nondigestable food ingredients that promote the growth of beneficial microorganisms in the gut. a prebiotic usually comes from non-fermented foods, and a probiotic comes from fermented foods

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20
Q

how is food energy measured? what unit is it in?

A

food energy is measured by its yielding nutrients (CHO, fats, proteins). it is measured in kcal, which is the amount of energy needed to raise the temperature of 1 g of water by 1 degree C. you can also find the energy a food has by putting it into a bomb calorimeter and measuring the energy it releases.

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21
Q

describe energy balance

A

energy is the capacity to do work. there are three aspects of energy balance: energy in, energy out, and equilibrium. energy in is the energy we consume, such as carbs, fats, and proteins. energy out is the energy we burn. in equilibrium, energy in and energy out are in balance.

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22
Q

what are the two drives of food intake?

A

hunger: the physiological (internal) drive to find and eat food, mostly due to innate cues to eat.

appetite: the psychological (external) drive to find and eat food, often in the absence of obvious hunger

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23
Q

define obesity and it’s BMI cutoff

A

obesity is when a person has too much excess body fat. its BMI cutoff is 30, so anything over 30 is considered “obese”

24
Q

define overweight and it’s BMI cutoff

A

overweight is having a weight that is higher than what is considered normal. its BMI cutoff is 25, so anything over 25 is considered “overweight”

25
what is the rate of obesity in adults and children?
over 1/3 of adults in the US are considered obese. in the US, one in six children are considered obese, and one in three are considered overweight-obese.
26
what lifestyle factors contribute to obesity in the US?
contributing lifestyle factors include: - genes - psychological - metabolic - hormonal - sociocultural - environmental - behavioral - physiological
27
what health problems are associated with obesity?
- hypertension - type II diabetes - coronary heart disease - sleep apnea - certain types of cancer - mental health issues (depression, anxiety, etc.) - low quality of life - osteoarthiritis - stroke - elevated cholesterol levels (unhealthy)
28
what changes occur to fat cells in obesity?
in obesity, fat cells in the body become enlarged, and produce excess hormones and hormone-like messengers. these excess hormones cause low-grade inflammation
29
how much weight should you lose to see a decrease the chance of chronic disease?
losing and maintaining 5-10% of body weight can reduce the risk of chronic disease and all-cause mortality by about 50%
30
what is total energy expenditure (TEE)?
total energy expenditure is a summation of all the energy costs your body makes to keep itself alive. it is comprised of your basal metabolism, physical activity (exercise + NEAT), and the thermic effect of food.
31
what is basal metabolic rate (BMR)?
basal metabolic rate is the greatest componenet of energy expenditure. it is the energy needed to maintain essential body functions. BMR contributes 60% to TEE. the factors that affect one's BMR are - lean body mass - age - sex assigned at birth/hormones - genes - growth, pregnancy, and lactation - illness and starvation - drugs - sleep to determine your BMR, you can measure the heat production or gases in the breath, or estimate it using equations
32
what is physical activity?
physical activity is the most variable component of energy expenditure. it is comprised of exercise (intentional movement of the body) and non-exericse activity thermogenesis (NEAT). factors that affect physical fitness are: - lack of time - social influence - lack of energy - lack of willpower - fear of injury - lack of skill - lack of resources NEAT is essentially the activities of daily living, such as walking, lifting, doing household work, etc. physical activity contributes a total of 30%, with exercise being 30% and NEAT being 70% of the overall percentage.
33
what is the thermic effect of food (TEF)?
thermic effect of food is the increase in one's metabolic rate after they eat food. TEF accounts for 10% of total energy expenditure. factors that effect it are: - age - physical activity - meal size - meal composition - meal frequency - meal composition note: thermal effect of food decreases with age
34
who is weight loss recommended for?
weight loss is recommended for anyone with a BMI of 30+ or anyone with a BMI of 25+ with 2 or more of the following risk factors: - elevated waist circumfrence - cardiovascular disease (CVD) - family history of CVD - smoking - hypertension - diabetes (specifically type II) - physical inactivity - age
35
what are some suggested approaches to sound weight loss?
to increase weight loss, one can: - increase physical activity (burning 200-300 kcal/day can lead to 1/2 lbs. of fat loss if food intake is controlled) - use the national weight control registry (NWCR). this includes maintaining a low-fat, reduced calories eating plan, eating breakfast, weighing yourself once a week, watching fewer than 10 hrs. of TV/week - exercising on average about 1 hour/day
36
what do you look for on a food label in weight management?
- statement of identity: name of the product/what it is - net contents of the package: how much the entire package contains (in metric and standard units) - ingredients list: states the ingredients in the food product in order of how much is in the food (largest quantities first, lowest at the end) - information of the manufacurer, packer, or distributer: basic names, locations, etc. about who the food is made/packed by - nutrition information: gives the amounts of the nutrients, sugars, fats, and other things that are in the food. one part of this is the percent DV (%DV), which tells you how much of a nutrient in a serving of the food/drink contributes to a normal calorie consumption of 2000 cal/day. you need approx. 2000 calories per day to manage your weight. - food allergens: alerts the consumer of potential cross contamination with allergens (most commonly peanuts, soy, eggs, etc.)
37
what is the "quick and dirty" method of calculating one's healthy body weight?
women: - 100 lbs for the first 5 feet of height - 5 lbs. for every inch after 5 feet - example: 5'4'' --> 100 + 4(5) = 120 lbs. men: - 106 lbs for the first 5 feet of height - 6 lbs. for every inch after 5 feet - example: 6'1'' --> 106 + 13(6) = 184 lbs. NOTE: "healthy body" weight range will be calculated weight plus/minus 10% (90-110% of calculated weight)
38
what are the limitations of using BMI and just measuring body weight and height?
BMI also counts muscle mass in the weight part of the calculation, so if BMI was calculated for someone with a lot of muscle mass and not as much fat, it would still put them in the overweight or even obese category due to the weight of their muscles. this is because muscle tissues weigh more than fat.
39
what are ways that health professionals can measure one's body composition?
- dual energy x-ray absorbimetry (DXA or DEXA) - underwater displacement weighing - air displacement weighing - bioelectrical impedence - skinfold measurements
40
how can one maintain their weight?
the simplest way to maintain weight is to expend as many calories as you are consuming, and making sure that the calories your are taking in are healthy, filling calories, not empty, sugary, calories.
41
what are some other approaches to weight loss?
for people with a BMI of 40+ or 35+ with risk factors, doctors can prescribe medications, or people can get the OTC drug orlistate (alli). they can also have surgeries such as gastric band surgery, and gastroplasty/bypass.
42
why is visceral fat bad for your health?
visceral fat (more commonly found in men), is fat that is deeper than subcuntaneous fat. it lines your organs and under your abdominal muscles. it is dangerous because it can increase one's chances of heart problems, cancers, type II diabetes, stroke, and other problems. to calculate visceral fat, doctors may use a CT or MRI scan to get the most precise measurements, but measuring your waist in proportion to your height can also work the same, just not as accurate.
43
what is the difference between the "apple-shape" and "pear-shape" body types, and what is their risk for chronic diseases?
in an apple-shaped body, fat is carried mostly around the abdomen. usually, men have pear-shaped bodies. females tend to have pear-shaped bodies, where the fat lies in the lower body around the hips, thighs, and butt. this is due to estrogen levels. apple-shaped bodies have a higher risk of heart problems and type II diabetes, while pear-shaped bodies had a lower chance of illness.
44
what are the main recommendations of the physical activity guidelines for americans?
- avoid inactivity - for substantial health benefits, you need at least 150 mins/week of moderate exercise or 75 mins/week of vigorous exercise (aerobic) - for more extensive health benefits, increase aerobic PA to 5 hours/week of moderate exercise or 150 mins/week of vigorous exercise - include muscle strengthening exercises for 2 days/week targeting major muscle groups.
45
define the FIT principle
the FIT principle involves: - frequency: number of sessions/week - intensity: amount of effort or difficulty - time: how long each session lasts
46
what are the component of physical fitness?
- cardiorespiratory: the ability of the heart, lungs, and circulatory system to efficiently supply oxygen and nutrients to working muscles (ex. running) - musculoskeletal: fitness of the muscle and bone, including strength and endurance (ex. lifting weights) - flexibility: ability to move joints through a complete range of motion (ex. stretching) - neuromotor: balance, agility, and coordination (ex. yoga) - body composition: amount of bone, muscle, or tissue (fat) in the body
47
what is physical activity?
any bodily movement that is produced by the muscles that increases energy expenditure. examples would be lifting something heavy, walking to a class, gardening, etc.
48
what is exercise?
intentional physical exertion that is purposeful, planned, and structured. examples include running, swimming, biking, strength training, etc.
49
what are the different fuels used by muscles?
- oxygen system: fat and glucose breakdown to lots of ATP under lower intensity, aerobic conditions, such as endurance activities - glycolysis: incomplete breakdown of glucose to lactic acid, which makes somes ATP under high intensity anaerobic conditions (30-40 seconds) - phosphocreatine (Pcr): breakdown produces ATP quickly: used under high intensity anaerobic conditions (6 seconds), and it reactivated quickly - ATP: adenosine triphosphate, a compound made in the mitochondria that promotes energy release in the cells
50
what kind of diet supports physical activity?
for most people who use a moderate intensity workoutu schedule, they can follow the DGA and MyPlate. however, for people who regularly train vigorously (like athletes), they may need more of some nutrients
51
what does a diet for endurance look like?
glycogen loading: increases muscle glycogen stores. this increases an athlete's time to exhaustion. comsuming 10-12 grams of CHO per kg of body weight 1-2 days before an event
52
what does a diet for strength look like?
since resistance training increases muscle mass and strength, eating a diet with a good amount of protein helps promote muscle growth. also ensure that the diet is adequate, balanced, and varied
53
what are the hydration standards for an athlete?
since fluid is lost through sweating, atheletes must consume water before, during, and after a workout. limit loss of water to 2% of body weight (1 lb of water loss amounts to 2 cups of water). you can also use sports drinks (or water with electrolytes) to prevent hypoanetremia
54
what are the different type of food contamination?
- physical: an object enters the food at any given point. this can lead to a choking hazard - chemical: chemicals (like pesticides) contaminate food - biological: human or animal byproducts contaminate a food - cross contamination: bacteria from one food contaminates another (like if you were to cut vegetables on a cutting board you used for chicken right before)
55
what locations are associated with the highest number of foodborne illnesses?
- sit-down restaurants (42%) - private homes (12%) - catering/banquet facilities (22%) - institutions like schools and prisons (11%) - other (13%)
56
what foods are most likely to cause foodborne infection?
- fish/shellfish (26%) - dairy (11%) - meat (15%) - veggies (13%) - fruit (6%) - poultry (13%) - grains/beans (4%) - eggs (3%) - other (9%)
57
what are the four main principles of safe food handling?
- clean: make sure you wash any foods (when needed) before using or eating - separate: keep meats and veggies separate before cooking - cook: make sure all meats are cooked throughouly before eating - chill: keep all frozen foods frozen DANGER ZONE FOR FOODS: 45 F to 135F