Midterm #1 Flashcards
What is nutrition?
science that studies all the interactions that occur between living organisms and food
What are nutrients?
chemical substances in foods that provide energy and structure and help regulate body processes
What gives us access to previously/quickly prepared foods with little effort?
processed foods and fast foods
When did processed foods/fast foods arise?
21st century
How do processed/fast foods differ in nutritional value from other foods?
higher in calories, lower in other nutrients (vitamins, minerals, antioxidants); makes it easier to overeat because they’re so available
What is the focus of nutrition advice in modern America?
controlling intake, just as much as ensuring adequate intake
kilocalorie
unit of heat used to express the amount of energy provided by foods; heat required to raise temperature of 1 kg of water 1 degree C (1 kcal = 4.18 J)
how many joules per kcal?
4.18 kjoules = 1 kcal
macronutrient
needed in large amounts; water, carbs, protein, lipids
micronutrient
needed in small amounts; vitamins and minerals
What are lipids?
organic, energy-yielding, macronutrient, NOT water-soluble; fatty acids/triglycerides/cholesterol
What are proteins?
organic, energy-yielding, macronutrient, water-soluble, made of amino acids
What are vitamins?
organic, not energy yielding, micronutrients, some water-soluble, some fat-soluble
What are minerals?
inorganic, not energy-yielding, micronutrients, water-soluble
What is undernutrition?
malnutrition: deficiency of energy and/or nutrients
What is overnutrition?
malnutrition: excess energy and/or nutrients
How does overnutrition differ for energy vs vitamins/minerals?
energy: obesity, chronic illness (diabetes, etc.); vit/min = organ damage and/or death
What is malnutrition?
any condition resulting from an energy or nutrient intake either above or below that which is optimal for a period of time
How does someone get overnutrition of energy but undernutrition of vitamins/minerals?
by eating a diet high in processed foods: lots of energy but low in vitamins/minerals
How do genetics influence nutrition?
can influence predisposition to diseases like diabetes/cancer; diet an increase risk or decrease if healthful
What effect can diet have on genetic predispositions to disease?
if unhealthy, can exacerbate; if healthy, can alleviate
What is nutritional genomics?
new field of study exploring interaction between genetic variation and nutrition
What field of study explores the interaction between genetic variation and nutrition?
nutritional genomics
What determines food choices?
availability, cultural and family background, prior experience, social acceptability, personal preference, psychological/emotional state, health concerns, taste, cost nutrition, convenience
What are the main determinants for what we eat?
taste, cost, nutrition, convenience
How can we choose a healthy diet?
identify and choose nutrient dense foods; varied diet; balance choices and use moderation, be aware of portion sizes
What is a nutrient dense food?
contains more nutrients per calorie
Why can nutrition science seem contradictory?
because science takes a whole: study designs/interpretation/media effects may differ from study to study
What is the scientific method?
systematic, unbiased approach to evaluating the relationships among food, nutrients, and health
What are the steps to the scientific method?
PIHERC (problem, info, hypothesis, experiment, results, conclusion, revise)
What are the steps to the scientific method?
PIHERC (problem, info, hypothesis, experiment, results, conclusion, revise)
How can an experiment generate reliable theories?
must produce consistent quantificable results and interpreted accurately
What are three ways that scientists study nutrition?
observational/epidemiological studies; human intervention/clinical trials; lab studies
What are observation/epidemiological studies?
can’t determine cause/effect, only identify patterns; often case-control studies (to compare groups of people to look for patterns)
What are human intervention/clinical trials?
can identify case/effect if designed well; variables carefully controlled by researchers
What are laboratory studies?
can include clinical trials; often involves cells in petri dish, chemical reactions, animals, humans, etc. can include depletion-repletion studies and balance studies
What is a depletion-repletion study?
eliminate nutrient until deficiency signs appear, then return nutrient until symptoms disappear
What are balance studies?
compare total amount of nutrient entering body to total amount leaving body
How do we resolve ethical concerns in scientific study?
both humans and animals are protected by federal laws and guidelines about research ethics
How can we evaluate nutrition information?
does the info make sense? What’s the source? Is it good science? Has it stood the test of time?
What does it mean to ask about the source of nutrition information?
is it coming from a company trying to sell a product? Trust RDs and research universities
What does it mean to ask if nutrition info is based in good science?
well-designed, interpreted correctly, published in respected peer-reviewed journal
What does it mean to ask if nutrition info has stood the test of time?
have multiple similar studies found similar results?
Why do nutrition recommendations exist?
to give people guidance for ensuring a diet that provides adequate amounts of calories and nutrients, and that reduces the risk of specific diseases
When was the first set of recommendations published by the USDA?
1894
What is MyPlate?
introduced by government in 2011: current government guidance for food intake
What are RDAs?
recommended dietary allowances: designed to make recommendations of intakes for specific nutrients; developed in 1940s
When were RDAs started?
1940s
What are the three ways of early US food guidance?
food groups, MyPlate, recommended dietary allowances
How has the focus of dietary guidance changes throughout the last 100 years?
originally, designed to prevent nutrient deficiencies; but since those are now rare in the US, chronic diseases due to overnutrition have increased: newer recommendations are designed to promote health against overnutritions: Dietary Reference Intakes
Why were Dietary Reference Intakes developed?
to adjust US food guidelines for the impact of overnutrition: both prevents deficiencies and promotes health
What is a Dietary Reference Intake?
set of reference values for the intake of energy, nutrients, and food components that can ve used for planning/assessing the diets of healthy people in the US/Canada; includes EARs, RDAs, Ais, Uls, EERs, AMDRs
What are EARS?
estimated average requirements: intakes that meet the estimated nutrient needs of 50% of individuals in a gender and life-stage group
What are RDAs?
recommended dietary allowances: ) Intakes that are sufficient to meet the nutrient needs of almost all healthy people in a specific life-stage and gender group
What are Ais?
adequate intakes: Intakes that should be used as a goal when no RDA exists. These values are an approximation of the average nutrient intake that appears to sustain a desired indicator of health.
What are Uls?
tolerable upper intake levels: maximum daily intakes that are unlikely ot pose a risk of adverse health effects to almost all individuals in the specified life-stage and gender group
What are EERS?
estimated energy requirements: Average energy intakes predicted to maintain body weight in a healthy individual. Variables in the calculations include age, gender, weight, height, and level of physical activity
What are AMDRs?
acceptable macronutrient distribution ranges: Ranges of intake for energy-yielding nutrients, expressed as a percentage of total energy intake, that are associated with reduced risk of chronic disease while providing adequate intakes of essential nutrients
How can we apply DRIs?
to plan diets, assess adequacy of diets, make judgments about excessive intakes for individuals and populations; can’t be used to identify whether a person has nutritional deficiency/excess
What are dietary guidelines?
suggest overall diet and lifestyle choices that will promote health; evidence-based nutritional guidanec; focus on balancing energy intake with physical activity, nutrient-dense foods, designed for Americans 2 yo and up
What ages are dietary guidelines for?
2yo and up
What is the minimum amount of moderate exercise recommmended each week?
150 minutes
What is the recommended intake for vegetables and fruits?
at least 2.5 cups per day (5 servings); improve choices by selecting variety, especially dark-green and red/orange vegetables, beans, peas
What is the recommended intake for whole graings?
at least half of grain servings are whole grains
What is the recommended intake for dairy?
limit consumption of high-fat dairy products like cheese
What is the recommended intake for proteins?
emphasis on plant-based proteins (legumes, nuts) and lean animal proteins; vary by choosing seafood
What are food and food components to reduce?
trans Fas, saturated fats, cholesterol, refined grains/sguars, processed foods, sodas/sugary drinks, fried foods, desserts and other high-sugar refined-grain foods; excess salt/sodium, excess alcohol
What are some of the food label changes from May 2016?
serving size bolded, calories in larger font and bolded, actual amount of vitamin C, calcium, iron, potassium; amount of added sugars
How is the ingredient list ordered?
by weight; must also list food colors and flavorings
What are some dietary supplements?
vitamins, minterals, herbs, botanicals, plant-derived substances, amino acids, enzymes, concentrates, extract
What are dietary supplement label requirements?
must contain words “dietary supplement” and carry “supplementary facts” listing recommended serving size and name/quantity of each ingredient per serving; directions for use and info about ingredients
What is DSVP?
dietary supplement verification program: meets manufacturing standards, but not necessarily safe/effective
Do dietary supplements need to be approved by the FDA?
nope
Are restaurants required to label food?
not unless the food is from a food establishment that has 20 or more locations
How are exchange lists used?
meal-planning tool for individuals: divides foods into groups (vegetables, fruits, starch, dairy, fat, protein); each serving contains approximately the same amount of energy/carbs/protein/fat: any one of the foods on a list can be exchanged with any other food on the list while maintaining nutritional impact
What is nutritional status?
state of health as it is influenced by the intake and utilization of nutrients
How to assess individual’s nutritional status?
use assessment tools (analyzing nutrient intake, anthropometric measurements, medical history, physical exam, laboratory measurements)
“analyzing nutrient intake” assessment?
info about food intake gathered, then nutrient content compared to recommended intakes
“anthropometric measurements” assessment?
involve assessments of height, weight, body size; compared with population standards or used to monitor changes in individual over time
“medical history” assessments?
medical history examined for nutritional impact
“physical exam” assessments?
careful physical to detect symptoms of/risk factors for nutrition-related diseases
“laboratory measures” assessments?
measures of nutrients or byproducts in body cells/fluids like blood/urine can detect nutrient deficiencies/excesses
How to assess nutritional health of population?
monitor food supply and nutritional status
How to monitor food supply of population?
year-to-year comparisons, identify diet trends; but tend to oversetimate actual intame because don’t consider losses during processing, marketing, home use, etc.
What are food disappearance surveys?
estimate food available to population; measure what food is sold
How do you monitor nutritional status of population?
examine/compare trends in food intake and health by interviewing individuals within population to determine what food is actually consumed and colelcting info on health and nutritional status
What is NHANES?
Nutritional Health and Nutrition Examination Survey conducted by department of Health and Human Services
What is the digestive system?
organ system primarily responsible for the movement of nutrients into the body proper
What are the organs of the digestive system?
gastrointestinal tract, four accessory organs (salivary glands, liver, gallbladder, pancrease)
How long is food left in the GI tract?
24-72 hours in a healthy adult
What are the four layers of the structure of the gut wall?
small intestine layers: mucosa, connective tissue, smooth muscle layers, outer connective tissue layer
How do digestive secretions help digest food?
mucus and enzymes: helps break down and absorb nutrients in the lumen of the GI tract
What kind of signals regulate digestive activity?
hormones and nervous signals
When does digestion begin?
cephalic phase: sight/smell of food, enters through mouth
Digestion in the mouth?
food broken into smaller pieces by teeth and mixed with saliva – digest carbs with salivary amylase
Digestion in the pharynx?
passes through into esophagus; bolus of food swallowed, epiglottis pushed down over the trachea to prevent choking
Digestion in the esophagus?
peristalsis proels bolus to stomach; weight of bolus presses on lower esophageal sphincter (aka gastroesophageal sphincter and cardiac esophageal sphincter) to allow bolus into stomach
Digestion in the stomach?
temporary storage site for food; muscles mix into chyme; meal stays in stomach for 2-4 hours
How does the structure of the stomach support its function?
lining covered in gastric pits with gastric glands to produce gastric juice components
What is gastric juice?
water, mucus, HCl, pepsinogen (activated by HCl into pepsin)
How is stomach activity regulated?
amount/composition of food consumed and regulated by nervous and hormonal signals from stomach/small intestine
What is the small intestine’s function?
main site of digestion and absorption of nutrients
How does the structure of the small intestine maximize function?
large circular folds, villi, microvilli, to increase absorptive surface area
How is chyme propelled through small intestine?
peristalsis, mixed by contractions of segmentation: bicarb from pancreas neutralizes stomach acid, pancreatic/intestinal enzymes digest macronutrients; aided by bile from gallbladder
How are nutrients absorbed in the small intestine?
across intestinal mucosa: simple diffusion, osmosis, facilitated diffusion do not require energy; active transport requires energy (down vs against concentration gradiet, respectively)
What does the large intestine do?
absorbs water and some nutrients, uses intestinal microflora (bacteria) to digest unabsorbed materials (fiber, etc.) to produce some nutrients and gas; remaining material excreted