Nutrition Test 4

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rachy1191  on November 28, 2011

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Nutrition Test 4

stable body weight
energy consumed is equal to energy expanded
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stable body weight energy consumed is equal to energy expanded
1 lb body weight 3,500 kcalories
bomb calorimeter instrument that measures the heat energy released when foods are burned
direct calorimetry measures the heat energy released
indirect calorimetry measures the amount of oxygen consumed and carbon dioxide expelled
physiological fuel value difference btwn # of kcals measured and # of kcals derived from food
fat 9 kcals/gm
protein 4 kcals/gm
carbohydrate 4 kcals/gm
alcohol 7 kcals/gm
appetite initiates eating through the sight, smell, thought, or taste of food
hunger feeling that motivates us to eat, controlled by hypothalamus
satiation feeling of satisfaction and fullness that causes us to stop eating
satiety reminds us not to eat again until the body needs food
hypothalamus control center for energy intake, expenditure, and storage
sends and receives messages from the brain, GI tract, liver and mouth
thermogenesis generation of heat
expenditures of energy basal metabolism (base kcal need) 50-65%, kcals for physical activity 30-50%, kcals burned during consumpition/digestion (thermic affect of food) 10%, kcals burned for adaptation
differ person to person
basal metabolism supports the basic processes of life: heart, breathing, temperature, RBC production
physical activity most variable and changeable, aspect of weight gain and loss, duration/frequency/intensity influence expenditure
thermic effect kcals burned in digestion/absorption
carbs: 5-10
fat:0-5
protein: 20-30
alcohol: 15-20
adaptive thermogenesis additional kcals burned bc/o environment
BMI (body mass index) measures weight for height
BMI=wt(lbs) / ht(inches)^2 X 703
correlates with risk for heart disease
men"s body fat distribution 13-21% body fat
Women's body fat distribution 23-31% body fat
intra-abdominal (visceral) fat within the abdomen and around abdominal organs, excess causes health risks
subcutaneous fat fat directly under the skin
waist circumference above or equal to 35 is high for women
above or equal to 40 is high for men
anorexia nervosa self starvation- tremendous self control to limit eating
physical consequences can be life threatening
treatment: food an weight, relationships
bulimia nervosa binge eating- lack of control over eating, excessive kcals from high fat, low-fiber, high carb foods
purging- cathartic and emetic
treatment: weight maintenance, regular exercise, counseling
overweight BMI BMI 25-29.9
obesity BMI above or equal to 30
fat cell numbers increase most rapidly in late childhood/early puberty, increase in times of positive energy balance
hyperplastic obesity obesity due to increased number of fat cells
fat cell size increase when energy intake exceeds expenditure
hypertrophic obesity obesity due to large fat cells
lipase lipoprotein that promotes fat storage
Set-Point Theory *hypothalamus maintains homeostasis at set points
*body tends to maintain a certain weight
*metabolism adjusts to restore weight after gain/loss
*energy expenditure increases after weight gain and decreases after weight loss
this is why it is difficult to maintain weight in general
genetics (cause of overweight) Prader-Willi Syndrome
leptin (cause of overweight) hormone that suppresses appetite, obese ppl are resistant
adiponectin (cause of overweight) hormone found in lean ppl that protects against insulin resistance, type 2 diabetes, heart disease
ghrelin (cause of overweight) hormone that increases appetite and decreases energy expenditure
PYY (cause of overweight) suppresses appetite
white fat stores fat for use as energy
brown fat stores fat to be used as heat
sibutramine (obesity treatment) suppresses the appetite and is most effective when used with reduced kcal diet and increased physical activity
orlistat (obesity treatment) blocks fat digestion and absorption, main side effect GI problems
surgery (obesity treatment) gastric- dietary instruction with it
liposuction- primarily cosmetic but poses risk
diet minimum 1200 calories, should be nutritionally adequate while avoiding excessive consumption
1-2 lbs a week or 10% of body weight in 6 months is safe
umbilical cord ropelike structure that delivers nutrients and oxygen and removes waste from the fetus via placenta
placenta performs function of respiration, absorption, and excretion for the fetus
fetal growth and development *sperm fertilizes the ovum forming a zygote
*zygote occurs in the uterus within 2 weeks
* embryo 2-8 weeks, vital systems develop
*fetus next 7 months, organs grow and mature
anencephaly neural tube does not close, affects brain development
spina bifida spinal cord does not close, can lead to paralysis or meningitis
epigenetics study of heritable changes in gene function that occur w/o a change in DNA sequence, nutrients can activate or silence genes
maternal weight weight prior to conception and weight gain during pregnancy will influence infant's birthweight
macrosomia baby boron greater than 9 lbs
difficult labor, birth trauma, Csection
Energy needs during pregnancy 2nd trimester- +340 kcal/day
3rd trimester- +450 kcal/day
Pregnancy nausea arise slowly, eat dry toast, chew gum, small frequent meals, avoid offensive food, consume carbonated drinks avoid citrus, coffee, tea, milk
pregnancy constipation/hemmorrhoids eat high fiber food, exercise regularly, lots of liquid, laxatives only when prescribed
pregnancy heartburn eat slow, chew, drink liquid btwn meals, no spicy/greasy food, sit up while eating, wait after eating to lay down
pregnancy food craving does not reflect physiological needs, hormones change smell and taste sensitivity
pregnancy nonfood craving pica is associated with iron deficiency
pregnancy malnutrition reduces fertility, impairs fetal development- growth retardation, spontaneous abortion/stillbirth, mature, low birth weight
Nutrition Program for Women, Infants, and Children (WIC) provides vouchers
lactation mammary glands secrete milk
prolactin hormone responsible for milk production
oxytocin hormone responsible for the let-down reflex
Fetal Alcohol Syndrome (FAS) due to excessive alcohol intake during pregnancy, consequences: growth retardation, brain impairment, abnormalities of face and skull
child growth *weight doubles first 5 months
*weight triples by 1 year
* length grows slower than weight
*energy needs are double that of an adult
100 kcal/kg vs. 40 kcal/kg adult
child nutrients carbs- 60% of energy intake, need for brain
fat- most of the energy in breast milk
protein- important for growth and development
Vitamin A, C, D (supplements recommended), and idine
Need lots of water
lactose form of carbohydrate in breast milk, enhances, calcium absorption
alpha-lactalbumin form of protein in milk, easily digested and absorbed
colostrum first secretions from the breast, provides antibodies and WBCs
Nursing Bottle Tooth Decay can be caused by carbs in formula, milk or juice
related to carbs in the milk
prolonged exposure to formula when sleeping
Cow"s milk not in 1st year, contains the protein casein and can cause intestinal bleeding and anemia, 1-2 whole cows milk, 2-5 reduced fat
solid foods begin introducing at 4-6 months, introduce single ingredient foods one at a time to find allergies
iron foods cereals with vitamin C rich foods and juices, meat or meat alternative
vitamin C foods veggies first, the fruit, limit fruit juice consumption
ADHD Attention-Defecit Hyperactivity Disorder, interferes with social development and academic behavior, regular hours of sleep, meals and activity help
anaphylactic shock life threatening food allergy
may include: eggs, milk, soy, peanuts, wheat, fish
often outgrow dairy allergy
childhood obesity reduce rate of weight gain rather than attempt weight loss
aolescence vitamins all vitamins need to increase, vitamin D especially fro calcium absorption
adolescence iron females need bc/o menstruation, males need bc/o increase in body mass, if low may cause anemia
adolescence calcium crucial time for peak bone mass, increase dairy, low calcium intake can lead to osteoporosis
78 years average life span, a person's physiological age and chronological age may be different
2/3 adults adults overweight/obese
sarcopenia loss of muscle mass, nutrition and exercise play a role in maintaining muscle mass
atrophic gastritis GI tract problem with age, impairs digestion and absorption of nutrients due to stomach inflammation, bacterial overgrowth, and a lack of hydrochloric acid and intrinsic factor, Vitamin B helps
dysphagia GI tract problem with age, difficulties in swallowing and can result in nutritional deficiencies
water recommendation atleast 6 glasses a day
older adult supplements *Vitamin D and Calcium- osteoporosis
*Vitamin B12- for pernicious anemia
*Iron for iron deficiency anemia
cataracts older vision problems, thickening of the eye lens, Vitamin C and Vitamin E help, also carotenoids
mascular degeneration older vision problems, deterioration of the macula (center of the retina) area of the eye that leads to vision problems and blindness
osteoarthritis degeneration of joint cartilage
risk factors: age, smoking, BMI, hormones, overweight
rheumatoid arthritis immune system attacks bone coverage
gout uric acid deposits in joint, these levels increase when meat and seafood, decrease when milk is consumed
Alzheimer's patients can forget to eat
Food Assistance Programs group meals at community centers for elderly
Meals on Wheels home-delivery meal program for elderly
Senior Farmer's Market Nutrition Programs allows lower income older adults to exchange coupons for fruits, veggies, and herbs
sugar drug ingredient that can be a problem for diabetics
sorbitol drug ingredient that may cause diarrhea
lactose drug ingredient that can be a problem for those who are lactose intolerant
sodium can be found in antibiotics and antacids and can affect blood pressure

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rachy1191