Nutrition week 1-6

Question 1

how does sugar negatively impact immune system?

Answer 1

pro inflammatory proteins (TNFa, CRP, IL6), change microbiomes, carbs decreases phagocytic capacity of neutrophils

Question 2

how can Amino acids help immune function

Answer 2

activate lymphocytes, NK cells, proliferate, produce antibodies

Question 3

honey for immune function action

and what age is a no go– what’s the bacteria in honey

Answer 3

antimicrobial

under 1 year old because of clostridium botulinum

Question 4

vitamin D and immune function

Answer 4

neutrophil killing of streptococcal bacteria

dampens excessive inflammatory response

Question 5

vitamin d supplementation

Answer 5

D3= cholecalciferol; active form

fat soluble-take w food

2500 IU > = perspcription

for atopic dermatitis and psoriasis

vitamin D3= animal sources
vitamin D2 (ergocalcicerfol)= [plantt sources; mushrooms, alfalfa sprouts, fortified foods

Question 6

vitamin c for immune

Answer 6

2g/d is upper limit

its acidic so can irritate GI

increase urinary excretion of uric acid

help w gout

Question 7

zinc for cold

Answer 7

shorten duration and symptoms
30-50mg/day

reduce eczema

Question 8

vitamin C

Answer 8

help with exercise induced respiratory infections

bad for kidney stones

Question 9

probiotics

Answer 9

otitis media
help w antibiotics

Question 10

recurrent acute otitis media

Answer 10

from proinflmmatory diet or meat and processed foods

Question 11

which diet is associated with otitis media with effusion

Answer 11

high fat diet; obesity

Question 12

atopic dermatitis

Answer 12

dairy allergie, pseudo allergens (sulfites, food colours)

Question 13

fatty acids and fish oil for eczema

Answer 13

long, medium and short chain

omega 3= fish, flax, canola oil

omega 6= vegetable oil

omega 9= olive oil

Question 14

sources of vitamin A –> can help withe eczema

Answer 14

liver, eggs, dairy, oily fish

Question 15

vitamin A deficiency

Answer 15

delayed growth, infertility, increased infections, night blind, eye dry

increased risk of deficiency in: hypothyroid, fat malabsorption conditions, liver or gallbladder disease, renal disease, protein malnutrition, alcoholics

Question 16

vitamin A therapeutic dose and toxicity

Answer 16

for acne 100-500000 IU

most supplements are 10000iu

teratogenicity: >15,000IU of preformed vit A in pregnant women can cause birth defects

contraindicated in pregnancy and women of sexual activity, patients with renal disease, liver disease, alcoholism

Question 17

supplements for skin conditions

Answer 17

fish oil
vitamin D
zinc
vitamin A

Question 18

supplements for immune support

Answer 18

vitamin c
zinc
probiotics
diet (no sugar, high protein)
honey
vitamin D

Question 19

supplements for inflammatory joint conditions (i.e. rheumatoid arthritis)

Answer 19

nutrition
food triggers
specific diets
fish oil
fatty acids
folate
iron

Question 20

supplements for low back pain

Answer 20

vitamin D
vitamin C
magnesium
proteolytic enzymes

Question 21

supplements for mood disorders

Answer 21

diet, spices, microbiome
SAM-E
omega 3 FA
5 HTP
B vitamins
magnesium
vitamin D

Question 22

rheumatoid arthritis and nutrition

Answer 22

malnutrition common

Question 23

what immunoglobulin for food allergies and what does it cause

Answer 23

IgE for allergy –> antibodies trigger release of histamine –> ab pain, hives, tingle, anaphylaxis
-symptoms right after eating

i.e. eggs, milk, fish, nuts, soy, sesame, whett

Question 24

food sensitivity

Answer 24

IgG for food sensitivity
-cramps, bloat, diarrhea, but maybe not instant (not right after eating)
elimination diet

can cause skin problems, fatigue, food cravings, IBS, runny nose, asthma, heart beats, headaches, water retention

i.e. red meat and dairy

nightshade vegetables )potatoes, eggplant, tomatoes, pepper) trigger inflammation

Question 25

immunoglobulins for food allergy vs sesntiviity

Answer 25

IgG for food sensitivity IgE for allergy

Question 26

mediterranean diet for RA

Answer 26

reduce pain, increase physical function and mobility olive oil, fish, moderate red wine plant based (veg, whole grain, legume, nut), herbs, spices

Question 27

types of vegetarian diet

Answer 27

lacto ovo: have milk and egg vegan; no animal product

Question 28

RA

Answer 28

fish oil, omega 3 to reduce joint pain and morning stiffness

Question 29

what RA medication destroys which nutrient

Answer 29

methotrexate destroys folate (vitamin B9) therefore supplement of eat lots of greens, fruits, fortified grains

Question 30

what deficiency is common in RA

Answer 30

iron deficiency anemia in chronic inflammatory joint conditions

Question 31

heme vs non heme iron

Answer 31

heme: hemoglobin and myoglobin from meat non heme: meat, veg, molasses, enriched foods

Question 32

folate is AKA vitamin B_

Answer 32

B9

Question 33

vitamin C for bones

Answer 33

helps calcium absorption and can heal fractures of bones vit C absorption decreases with increasing intake --> IV!! unabsorbed vit C metabolized by intestinal bacteria absorb oral vit C increases in acute illness

Question 34

Whos at risk for Vit C deficiency

Answer 34

babies <1, elders, low fruit and veg intake, cigarette smokers, GERD

Question 35

upper limit of vit C

Answer 35

2g/d -->GI irritate, gas, diarrhea, dental erosion in chewables

Question 36

cautions of vit C

Answer 36

increased risk of oxalate stones (kidney tones) -in people with iron metabolism problems; hemachromatosis, thalassemias, sideroblastic anemia (bc helps absorb iron) -preganat. dont do 2g/day

Question 37

magnesuum

Answer 37

low back pain, muscles and nerve function

Question 38

magnesium dfiency increased risk in and symptoms

Answer 38

elders, chronic alcohol abuse, renal disorders muscle spasm, fatigue, anxiety, depression, nausea, loss of appetite, shortness of breath

Question 39

top 3 vitamin deficiencys

Answer 39

vitamin D, calcium and magnesium then zinc, vitamin A, vit C

Question 40

magnesium contraindications

Answer 40

end stage renal disease, myasthenia graves, kidney stones, hyperparathyroidism, UTI

Question 41

******WEEK 5 chart of all the types of magnesium slide 17 citrate malate oxide chloride l threonante glycinate carbonate etccccc

Question 42

proteolytic enzyme use

Answer 42

reduce inflammation -- chronic pain, osteoarthritis

Question 43

which enzymes digest with macronutrient protein fat and carb and food sources

Answer 43

protein -protease -bromelain (pineapple) -papain (papaya) -nattokinase fat -lipase (avocado) carb -amylase (banana) -lactase -alpha galactosidase -cellulase -->fermented foods have lots of enzymes

Question 44

vitamin D

Answer 44

absorb calcium --> help with low back pain

Question 45

skin production of vitamin D depends on

Answer 45

age, pigment, latitude, season, time of day, length of exposure

Question 46

diet and mood regulation

Answer 46

blood sugar balance weight management stimulants food sensitivities antioxidants spices- saffron for depression, turmeric for anxiety meditteranean diet omega 3; EPAs

Question 47

microbiome and mental health

Answer 47

microbiome compounds (i.e. SCFA) and vagal nerve activity

Question 48

5 HTP for mood

Answer 48

tryptophan in turkey, chicken, pumpkin, sunflower seeds helps increase serotonin

Question 49

SAM E for mood

Answer 49

x

Question 50

B vigtamins for mood

Answer 50

anabolic and catabolic cell processes in brain function good for stress

Question 51

magnesium and mood

Answer 51

lower blood pressure, insulin resistance, migraines

Question 52

vitamin D and mood

Answer 52

reduce inflammation, protect against neurocogntivie dysfunction