Nutrition I Flashcards

(41 cards)

1
Q

a healthy diet results in what

A

Appropriate growth and development
Absence of illness or discomfort
Fitness, longevity and optimum health

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2
Q

what are key variables that influence nutritional demands and the incidence and presence of disease with a nutritional basis

A

stage of development (fetus, baby, adult etc)
level of inflammatory stress
previous nutritional exposure in utero
genotype

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3
Q

what plays a significant role in morbidity and mortality in a wide range of chronic diseases with a nutritional basis

A

inflammatory arm of the immune system

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4
Q

Why do so many diseases, particularly chronic ones, involve activation of the inflammatory arm of the immune system?

A

because we are surrounded by microbes and our physiology is designed to resist them

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5
Q

what are the pro inflammatory cytokines of the immune system and inflammatory response

A

IL-1, IL-6, TNFalpha

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6
Q

what is the inflammatory response designed to do

A

combat pathogens and survive injury

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7
Q

what is a negative acute phase reactant

A

albumin

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8
Q

what happens to serum albumin when inflammatory response become raised

A

they decrease

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9
Q

what works along side cytokines when there is an inflammatory response

A

oxidants

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10
Q

if body cell mass (body protein content) is greater than 30% of body weight in HIV patients, what is the mean survival

A

527 days (n=19)

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11
Q

if body cell mass (body protein content) is less than 30% of body weight in HIV patients, what is the mean surivial

A

335 days (n=20)

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12
Q

what are some examples of inflammatory response acting in a disadvantageous way in individuals?

A

inflammatory stimuli can lead to inflammation which leads to:
insulin insensitivity (diabetes mellitus)
hyperlipidemia
atherosclerosis (myocardial infarction)
mortality and morbidity

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13
Q

what would be an advantage of the inflammation caused by inflammatory stimuli

A

pathogen killing

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14
Q

factors that influence the level of inflammation in the body and its effects

A
•Antioxidant intake *
•The type of fat in the diet *
•Obesity *
•Gender
•Aging
•Genetics
* Direct or indirect nutritional influence
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15
Q

what does nutrients lead to

A

growth, development, function, repair

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16
Q

what are some important functions of nutrients

A
  • substrates for energy
  • building blocks (protein –> cell membrane)
  • precursors for physiologically important molecules (cholesterol —-> vit D)
  • cofactors for enzyme reactions
  • regulators of cell function
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17
Q

why are some nutrients considered essential nutrients

A

they cannot be synthesized in humans and must come from diet

18
Q

examples of essential nutrients

A

minerals, most vitamins, some amino acids, some fatty acids

19
Q

why are some nutrients considered non essential nutrients

A

can be synthesized in humans

can come from diet or be synthesized from other essential nutrients or non essential nutrients

20
Q

examples of non essential nutrients

A

a few vitamins, some amino acids, many fatty acids, carbohydrates

21
Q

what are macronutrients

A

carbohydrates, proteins, fat, alcohol

22
Q

what are micronutrients

A

vitamins and minerals

SN: other category called non nutrients (fiber, e.g.)

23
Q

what happens if supply of nutrients does not meet the demand

A

you have malnutrition

24
Q

what does one see in people where the supply of nutrients does not meet the demand aka those who are malnutritioned

A

poor growth, impaired development, impaired function, poor repair from damage and injury, illness, and death

25
what happens when supply of nutrients exceeds the demand
- one meets the needs - excess may be excreted - excess may be stored (sugar --> glycogen, fat --> adipose tissue, calcium --> bones)
26
what happens if excess nutrients enter the body as fat, protein, or carbohydrate
they all get stored as fat in adipose tissue
27
BMI for some WHO terms as underweight and what is the popular description
less than 18.5kg/m2 | thin
28
what is the BMI for healthy/normal/acceptable people
18.5 - 24.9
29
BMI for some WHO terms as grade 1 overweight and what is the popular description
25.0 - 29.9 | overweight
30
BMI for some WHO terms as grade 2 overweight and what is the popular description
30 - 39.9 | obese
31
BMI for some WHO terms as grade 3 overweight and what is the popular description
greater than 40 | morbidly obese
32
what are the patterns of obesity
``` apple shaped (most of weight carried in the upper half/abdomen)(has a big impact on health --- fat around visceral organs and therefore produces a good number of inflammatory cytokines) pear shaped (most of weight carried in the hips or lower half)(more subcutaneous fat therefore less inflammatory cytokines) ```
33
energy balance equation
energy intake - energy expenditure = change in body energy stores
34
what are the components of energy expenditure
activity, thermogenesis (dietary, thermoregulatory, adaptive), and maintenance (BMR)
35
what are the three kinds of malnutrition
undernutrition (protein and energy) --> low food intake specific deficiencies --> imbalanced nutrient intake excess energy --> overweight and obesity
36
key factors which influence nutritional demand
``` stage of life (infant, fetus, adult etc) rate of growth level of physical activity pregnancy and lactation infection and inflammatory stress early life influences that sets patterns for life genes presence of disease ```
37
rate of whole body protein synthesis at different stages of life: premature baby, infant aged 1 year, young adult, elderly
premature baby - 17.4 infant - 6.9 young adult - 3 elderly - 1.9
38
what does the rate of whole body protein synthesis impact
speed of wound healing | recovery from infection
39
chronic disease of aging
``` • (Cardio)vascular disease • Metabolic disease: Obesity, Type-2 diabetes, Fatty liver .... • Sarcopenia • Osteoporosis • Respiratory disease • Cancer • Cognitive decline and dementia ```
40
percentage for men and women of mortality due to vascular disease
men - 34% women - 33% both percentages higher than those seen in cancer
41
Contribution of infectious diseases to mortality rates around the world -- what two places are they the highest and the lowest?
highest - Africa and Eastern Mediterranean | lowest - Europe and Americas