Pg 17-28 Flashcards

(25 cards)

1
Q

Besides calories, how else does food provide energy?

A

Through micronutrients, phytonutrients, and cofactors that support cellular energy production and metabolic processes.

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2
Q

What are the three main components of total daily energy expenditure?

A

Basal Metabolic Rate (BMR), 60-75%
Physical Activity, 20%
Thermic Effect of Food (TEF) 10%

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3
Q

What is Basal Metabolic Rate (BMR)?

A

The minimum energy needed to sustain basic physiological functions such as heartbeat, breathing, and cell repair.

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4
Q

What percentage of total energy expenditure does BMR account for?

A

Approximately 60–75%.

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5
Q

What primarily influences BMR?

A

Fat-free mass (muscle and lean tissue), body size, physical activity, and factors like stress, caffeine, medications, and thyroid hormones.

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6
Q

What role does physical activity play in BMR?

A

It can elevate metabolic rate for up to 48 hours and increase muscle mass, which boosts BMR.

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7
Q

What hormones does the thyroid produce to regulate metabolism?

A

Thyroxine (T4) and Triiodothyronine (T3), stimulated by Thyroid Stimulating Hormone (TSH).

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8
Q

Which nutrients are essential for thyroid hormone production?

A

Iodine, tyrosine, zinc, selenium, and iron.

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9
Q

What is subclinical hypothyroidism?

A

Elevated TSH with normal T3 and T4 levels, often symptomless and more common in women.

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10
Q

What are symptoms and causes of subclinical hypothyroidism?

A

Symptoms: fatigue, weight gain, cold sensitivity, dry skin, constipation. Causes: nutrient deficiencies, autoimmunity, endocrine disruptors.

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11
Q

How does disease or trauma affect metabolism?

A

It increases energy requirements for recovery, especially in burns, infections, surgery, cancer, and anorexia nervosa.

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12
Q

What is the Thermic Effect of Food (TEF)?

A

The energy required to digest and process food, about 10% of daily expenditure.

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13
Q

Which macronutrient has the highest thermic effect?

A

Protein (20–30%), followed by carbohydrates (5–10%), then fats (0–3%).

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14
Q

How does food processing affect TEF?

A

Highly processed foods have a lower thermic effect than whole foods.

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15
Q

What are standard caloric guidelines for men and women?

A

Women: 2000 kcal/day; Men: 2500 kcal/day (actual needs vary).

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16
Q

What factors affect individual energy requirements?

A

Body size, muscle mass, metabolic health, and lifestyle activity level.

17
Q

What is de novo lipogenesis (DNL)?

A

The conversion of excess carbohydrates (especially refined ones) into fat, contributing to metabolic syndrome.

18
Q

How is fructose different in fat storage?

A

It is easily converted into fat by the liver, promoting DNL more than glucose.

19
Q

What happens when fat is consumed in excess of energy needs?

A

It is stored in adipose tissue under normal metabolic conditions.

20
Q

What are the effects of under-eating on metabolism?

A

It slows metabolism, may cause nutrient deficiencies, and can hinder weight loss.

21
Q

How can someone restore metabolism after chronic under-eating?

A

By increasing intake of nutrient-dense foods to re-establish metabolic balance.

22
Q

What is the role of macronutrients in energy balance?

A

They help calculate energy intake, but food quality is more important in naturopathic nutrition.

23
Q

How can macronutrient ratios be personalised?

A

Through nutrigenomic testing, which assesses genetic metabolism of fats and carbs.

24
Q

What are typical macronutrient ratios for weight goals?

A

Weight loss: High protein, low carb & fat; Maintenance: Moderate protein, carb & fat; Muscle gain: High protein, high carb, low fat.

25
What are examples of dietary patterns by macronutrient composition?
Blue Zones: 95% plant-based; Ketogenic: High fat, very low carb; SAD: High processed carbs/fats, low nutrients.