Nutrition Test 4
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104 terms
Terms | Definitions |
|---|---|
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 storagesends 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 adaptationdiffer 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/absorptioncarbs: 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 heightBMI=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 womenabove or equal to 40 is high for men |
anorexia nervosa | self starvation- tremendous self control to limit eatingphysical 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 foodspurging- 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 itliposuction- primarily cosmetic but poses risk |
diet minimum | 1200 calories, should be nutritionally adequate while avoiding excessive consumption1-2 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 lbsdifficult labor, birth trauma, Csection |
Energy needs during pregnancy | 2nd trimester- +340 kcal/day3rd 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 brainfat- 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 juicerelated 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 allergymay 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 cartilagerisk 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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