Midterm Flashcards

(73 cards)

1
Q

digestion & absorption
– GI tract mouth

A
  • saliva lubricates
  • amylase stats starch digestion
    -chewing breaks food down
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2
Q

digestion & absorption
– GI tract pharynx

A

epiglottis keeps food from airway

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3
Q

digestion & absorption
– GI tract esophagus

A

peristalsis starts
- successive waves

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4
Q

digestion & absorption
– GI tract stomach

A
  • food storage
  • acid kills bacteria, unfolds proteins, activates pepsin
  • produces chyme
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5
Q

digestion & absorption
– GI tract SI

A
  • most digestion & absorption
  • pancreatic enzymes digest food and Bicarb neutralizes acid
  • bile breaks fat
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6
Q

digestion & absorption
– GI tract LI

A
  • absorb H2O
  • bacteria digest fiber
  • make vitamins
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7
Q

digestion & absorption
– GI tract rectum

A

stores feces

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8
Q

digestion & absorption
– salivary glands/mouth

A

amylase for starch

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9
Q

digestion & absorption
– gastric glands/stomach

A

HCl = enzymes & proteins
pepsin = proteins

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10
Q

digestion & absorption
– liver

A

bile = emulsifies fat

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11
Q

digestion & absorption
– pancreas

A

pancreatic juice = CHO, fats, proteins

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12
Q

digestion & absorption
– SI

A

pulls the juices in from the liver and pancreas

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13
Q

digestion & absorption
– where do nutrients go?

A

Lymphatic:
- conveys the products of digestion to the heart
- villi assemble into triglycerides
- n the lymphatic system they do not go through the liver
Bloodstream

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14
Q

macronutrients (kcal/g)

A

CHO = 4 kcal/g
Fats = 9 kcal/g
Protein = 4 kcal/g

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15
Q

CHO
– types and function of fiber + risks

A

polysaccharide but w/ bonds that human enzymes can’t break
~2 kcal/g when fermentation present

insoluble
- normalize bowel movement
soluble:
- holds H2O in stool
- binds cholesterol and simple sugars
- delays transit time

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16
Q

CHO
– fibre risks

A
  • mineral imbalance d/t binding making it unable for body to use
  • increased fluid needs
  • energy requirements
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17
Q

CHO
– DRI recommendation

A

age 19-50:
38g/day for M
25g/day for W

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18
Q

CHO
– CHO mono

A

simple
monosaccharides
- glucose
- glactose
- fructose

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19
Q

CHO
– CHO di

A

simple
dissacharides
- maltose
- sucrose
- lactose

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20
Q

CHO
– CHO poly

A

complex polysaccharides
- glycogen (storage form)
- starches
- fibre (in/soluble)

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21
Q

CHO
– role of glycogen

A

in glucose regulation - stimulates the release of glucagon (pancreatic hormone that releases glycogen from liver) which breaks down the glycogen to form glucose

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22
Q

CHO
– glycogenolysis

A

process of converting glycogen back to glucose

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23
Q

CHO
– gluconeogenesis

A

process of producing glucoses from fats and proteins
- not very efficient for fats

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24
Q

Sugar
– WHO recommendation

A

recommends limiting intake: over lifetime daily intake <10% of total energy intake (strong recommendation)

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25
chylomicrons
lipoproteins that transport lipids from the intestinal cells into the body
26
lipoproteins
clusters of lipids associated w/ proteins that serve as transport vehicles for lipids in the lymph and blood
27
proteins -- structure
built from AA contain C, H, O, N
28
proteins -- AA
20 AA 9 are essential > body cannot make them themselves 11 are nonessential > the body can make them for itself conditionally essential AA > nonessential becomes essential in special circumstances
29
proteins -- complementary proteins
2 or more protein foods whose AAs from one provide the missing AAs from the other
30
proteins -- functions
- structural > muscles, bones, tendons > stunting in children w/ inadequate intake of protein - regulators of acid-base balance - enzyme proteins - transporters - antibodies - hormones - regulators of fluid and electrolyte balance - sources of energy and glucose
31
protein -- illness
protein intake increases significantly with acute illness
32
protein -- fluid and electrolyte balance
proteins cannot freely move across membranes albumin = protein - edema = protein leaking out into the interstitial space - albumin = carrier protein - VERY IMPORTANT for fluid and electrolyte balance
33
proteins -- acid-base balance
changes in pH levels affect protein negatively proteins are buffers (H+ ions)
34
protein -- energy and glucose
during inadequate CHO intake, AAs are used for energy
35
proteins -- turnover
Continual renewal and balance synthesis vs degradation Growing = more protein synthesis
36
proteins -- nitrogen balance (+/-)
synthesizes more than it degrades and adds proteins = nitrogen + degrades more that it synthesizes and loses proteins = nitrogen -
37
proteins -- too much
- CHO, vits, and nutrients are displaces/not absorbed - saturated fats can increase cholesterol - heart disease add the burden of saturated fats - high protein increases the work of the kidneys - high protein diet produces high acid in body fluid > acid loading, hypercalcemia, exorbitant bone loss
38
protein -- protein quality > digestibility
proteins must be digested before they can provide AA; what is the amount of amino acids absorbed from a given protein intake
39
protein -- protein quality > AA composition
to prevent protein breakdown, dietary protein must supply at least the nine essential AA plus enough N-containing amino groups, as well as energy for the synthesis of others; the body can only make whole proteins
40
protein -- protein quality > high quality proteins
these are dietary proteins containing all the essential AAs in relatively the same amounts that human beings require; they may also contain nonessential AAs
41
lipids LDL + HDL
High levels of LDL are a predictor of fatal heart attack or stroke. Low levels of HDL signify higher disease risk.
42
lipids -- triglycerides
predominate 3 fatty acids + glyceride (glycerol backbone)
43
lipids -- fatty acids
2 main feature: - chain length > number of C saturation > number of H hydrogenation - adding H atoms to unsaturated fats
44
lipids -- saturated vs unsaturated
saturated fat can raise levels of LDL ("bad") cholesterol - recommend replacing saturated fats with mono- and polyunsaturated fats
45
lipids -- essential fatty acids > Omega-6
linoleic acid - vegetable oils, nuts, whole grains - most Canadians exceed required intakes
46
lipids -- essential fatty acids > Omega-3
linolenic acid - alpha linolenic acid (=plant) > converted to: EPA = fish/algae DHA = fish/algae Most Canadians do no get enough omega-3s
47
lipids -- sterols
composed of multiple chemical rings - precursor to bile, vit D, sex hormones, cells in brain and CNS system
48
lipids -- absorption
once in enterocyte (cells of the intestine) chylomicron: - triglycerides - cholesterol - phospholipids - fat-soluble vits chylomicrons enter the lymph system before entering the blood stream and ultimately the liver
49
lipids -- saturated fats
saturated w/ H+ = no C double bond - solid at room temp - the process of hydrogenation
50
lipids -- nursing considerations
- DRI suggests a diet that is: low in saturated fat, trans fat and cholesterol, and provides 20-35% of one’s daily energy from fat - choose unsaturated fats
51
lipids -- ultra low fat diets
risk for: - essential fatty acid deficiency - decreased hormone and vit D production - dyslipidemia > increases LDL-C > decreases HDL-C
52
CHO, fats, proteins – numbers MUST KNOW for midterm
CHO = 45-65% lipids = 20-35% proteins = 10-35%
53
dietary reference intakes DRI
a set of values for the dietary nutrient intakes of healthy people in the US and Canada these values are used for planning and assessing diets
54
recommended dietary allowances RDA
99.9% of the population set of values reflecting the average daily amounts of nutrients considered adequate to meet the known nutrient needs of practically all healthy people; a goal for dietary intake by individuals
55
adequate intake (AI)
= approximate Value that is used as a guide for nutrient intake when scientific evidence is insufficient for determination of an RDA
56
tolerable upper levels (UL)
= safest upper level tested Suggested upper limits of intakes of potentially toxic nutrients. Intakes above the UL are likely to cause illness from toxicity
57
estimated average requirements (EAR)
= 50% of population Population-wide average nutrient requirements for nutrition research & policy making; the basis upon which RDA values are set. Better used to evaluate group nutritional need (ie. school children)
58
using nutrient recommendations
- vary by age and gender - based on healthy pop. RDA & AI = individuals EAR = groups
59
estimated energy requirements (EER)
the dietary energy intake level that is predicted to maintain energy balance in a healthy adult of a defined age, gender, weight, and physical activity level consistent w/ good health
60
6 classes of nutrients -- organic
contains C 4 organic groups: - CHO - fat - protein - vitamins
61
6 classes of nutrients -- inorganic
do not contain C or pertain to living things
62
6 classes of nutrients -- essential nutrients
nutrients that the body cannot make and therefore must be obtained from food
63
energy density
"a measure of the energy a food provides relative to the amount of food" - high calorie count for the nutrients involved
64
nutrient density
“a measure of the nutrients a food provides relative to the energy it provides. The more nutrients and the fewer kcalories, the higher the nutrient density”
65
acceptable macronutrient distribution ranges (AMDR)
protein = 10-35% fats = 20-35% CHO = 45-65%
66
food labels
- ingredient list - serving sizes - daily values - nutrition facts - nutrition claims > "free", "zero" "light" > FDA requirements - health claims > a disease or health-related condition - structure-function claims > "Ca builds strong bones" > "slows aging" > don't require FDS authorization
67
concepts in meal planning
- Adequacy - Balance - kCalorie (energy) control - Nutrient density - Moderation - Variety
68
transtheoretical model of change -- precontemplation stage
an individual doesn't see a health problem or does not have any intention of changing or modifying it in the foreseeable future
69
transtheoretical model of change -- contemplation phase
an individual has an awareness of a problem and is considering making a change the person remains ambivalent and lacks a strong commitment
70
transtheoretical model of change -- preparation stage
a person begins to take small steps towards changing difficult health related habits the individual is not fully committed to consistent action
71
transtheoretical model of change -- action stage
an individual has a strong commitment to change and is making consistent, definitive actions to make behavioural changes
72
transtheoretical model of change -- maintenance stage
an individual stabilizes gains achieved during the action stage are consolidated
73
micro vs macro
macro: - fats - CHO - proteins micro: - vitamins - minerals - H2O