Nutrition in Medicine Flashcards Preview

DEMS Unit 2 Part 2 > Nutrition in Medicine > Flashcards

Flashcards in Nutrition in Medicine Deck (17):
1

Why nutrition

- 2nd leading cause of death
- Unhealthy eating and inactivity contrbute to 310,000-580,000 deaths/yr

2

10 leading causes of death

1. CVD
2. Cancer
3. Stroke
all have underlying nutritional issues

3

ROI from community initiatives that limit 3 things is what?

$5.60 per person

4

Less than what % of physicians feel that they are adequately trained to counsel patients on diet or physical activity

5

How many visits include nutrition counseling

6

Stats

- Smoking discussed with 77% of pts
- Diet discussed with only 50\5 of pts
- But those that were discussed with were far more likely to adjust their diet and lose weight

7

Why doctors don't discuss diet & activity with their patients

1. doesnt make a difference
2. not enough time
3. not enough reimbursement
4. personalized, requires more training
5. translating evidence
6. lack of consensus

8

Nutrition assessment

1. Hx
2. Anthropometry/measurements
3. Physical exam
4. Labs

9

Who's at high risk?

- very young
- very old
- underweight/overweight
- hypermetabolic
- alcoholic
- impoverished/marginalized/altered mental capacity
- chronic conditions

10

What things do you look for in social history?

- diet
- physical activity
- habits
- SES

11

Screening questions

" Tell me about your diet"
"Tell me what you ate yesterday"
"Where do you eat most of your meals"

12

Listening for in an assessment

- variety (vs. restriction)
- Excess/inadequacy (restaurants)
- Issues relevant to the patient: saturated fat, calories, Na+, Ca++, Fe++

13

Assessment by foods

1. Variety
2. Excess (calories, fats, added sugars, salt)
3. F/V, whole grains, dairy
4. Habits

14

DRIs

- Less emphasis on prevention of deficiency
- More emphasis on decreased risk of chronic disease/health promotion
- current version of DRI includes "upper limits" for nutrients

15

EAR vs. RDA

EAR - estimated adequate intake for 50% of population

RDA - meets requirements for 95097% of population (set high); used as a goal for healthy individuals;
- intake above the average requirement by an amount that includes the range of variability in requirements and availability from diet (95% of pop)

16

Waist circumference

associated with visceral adiposity & insulin resistance

17

BMI

Interpretation of BMI is age dependent
Cannot just use the 4 categories for younger kids