Foundations of Nutrition - Final Exam

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What are macronutrients and what nutrients are listed under this category?

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1

What are macronutrients and what nutrients are listed under this category?

  • energy-yielding nutrients

  • carbohydrates, proteins, and fats

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2

What are micronutrients and what nutrients are listed under this category?

  • non-energy-yielding nutrients

  • vitamins, minerals, and water

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3

What are organic nutrients and what nutrients are listed under this category?

  • contain carbon-carbon or carbon-hydrogen bonds (living)

  • carbohydrates, proteins, fats, and vitamins

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4

What are inorganic nutrients and what nutrients are listed under this category?

  • do not contain carbon or pertain to living things

    • minerals and water

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5

How many kcalories are there in 1 gram of protein? Carbohydrates? Fat?

  • 4, 4, 9

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6

What is included under DRIs (dietary reference intakes)?

  • Estimated Average Requirements

  • Recommended Dietary Allowances (RDA)

  • Adequate Intake (AI)

    • Tolerable Upper Intake Levels

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7

What is the “Estimated Average Requirements” DRI?

  • the amount that appears sufficient to maintain a specific body function in HALF of the population

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8

What is the “Recommended Dietary Allowances (RDA)” DRI?

  • average daily amount of nutrients considered adequate to meet the nutrient needs of nearly ALL healthy people

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9

What is the “Adequate Intake (AI)” DRI?

  • reflects the average amount of nutrients that a group of healthy people consume

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10

What is the “Tolerable Upper Intake Levels” DRI?

  • the maximum amount of a nutrient that appears SAFE for most healthy people

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11

What percent of kcalories in our diets is supposed to come from protein?

  • 10-35%

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12

What percent of kcalories in our diets is supposed to come from fat?

  • 20-35%

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13

What percent of kcalories in our diets is supposed to come from carbohyrates?

  • 45-65%

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14

What are essential nutrients?

  • nutrients a person must obtain from food because the body cannot make them for itself in sufficient quantity to meet physiological needs

  • 40 known

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15

What is nutrient density?

  • a measure of the nutrients a food provides relative to the energy it provides

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16

What is digestion?

  • the process by which food is broken down into absorbable units

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17

What is a bolus?

  • the amount of food swallowed at one time

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18

What is chyme?

  • a semiliquid mass that the stomachs secretions forms, which then is released through the pyloric sphincter into the small intestine

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19

What is the general order that food follows through the digestive system?

  • mouth, esophagus, stomach, duodenum, jejunum, colon, anus

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20

What substance protects the walls of the stomach from the acidity of gastric juices (pepsin, gastric juice, and hydrochloric acid)?

  • goblet cells that secrete mucus and coats/protects the stomach cells

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21

What does bicarbonate do in the small intestine?

  • neutralizes the acidic chyme that arrives from the stomach

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22

Where does the absorption of carbohydrates, proteins, fat, and vitamins occur in the digestive system?

  • small intestine

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23

What is hydrolysis?

  • a chemical reaction in which a major reactant is split into two products

  • process by which disaccharides are split into two units, each yielding one monosaccharide

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24

What are monosaccharides?

  • simple sugars

    • glucose, fructose, galactose

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25

What are the characteristics of glucose?

  • mildly sweet

  • “blood sugar”

  • serves as an essential energy source for ALL of the body’s activities

  • one of the two sugars in every disaccharide

    • unit from which polysaccharides are made exclusively

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26

What are the characteristics of fructose?

  • intensely sweet

  • “fruit sugar”

  • occurs naturally in fruits and honey, but is also present in products such as soft drinks, ready-to-eat cereals, and desserts that have been sweetened with HFCS

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27

What are the characteristics of galactose?

  • barely sweet

  • precipitant to “milk sugar” → binds with glucose to form lactose, which is the sugar in milk

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28

What are disaccharides?

  • sugars composed of pairs of monosaccharides

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29

What are the characteristics of maltose?

  • glucose + glucose

  • produced whenever the polysaccharide, starch, breaks down

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30

What are the characteristics of sucrose?

  • glucose + fructose

  • table sugar; brown, white, and powdered sugar available at the grocery store

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31

What are the characteristics of lactose?

  • glucose + galactose

  • milk sugar

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32

What is condensation?

  • the process by which two monosaccharides are linked together forming one disaccharide

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33

What is fiber?

  • structural part of plants

  • found in plant-derived foods: vegetables, fruits, grains, and legumes

    • not digested by human digestive enzymes, although some are digested by GI bacteria

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34

What are triglycerides?

  • lipids composed of three fatty acids attached to one glycerol

    • chief form of fat in the diet and storage form of fat in the body

    • usually consist of more than one type of fatty acids

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35

Where is cholesterol found?

  • only in animal sources: meat, fish, eggs, poultry, and dairy products

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36

What does hydrogenation do?

  • produce trans-fatty acids

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37

What are some characteristics of trans-fatty acids?

  • similar to saturated fats

    • may be linked to heart disease

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38

What is the protein RDA?

  • 0.8 grams per kilogram of body weight per day

    • increases in children, pregnant women, and those with illness or injury

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39

What is nitrogen balance?

  • protein synthesis should balance with degradation, and protein intake from food should balance with nitrogen excretion in the urine, feces, and sweat

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40

What is nitrogen balance (as in equilibrium)?

  • nitrogen intake equals nitrogen output

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41

What is a positive nitrogen balance?

  • nitrogen intake is greater than nitrogen output

  • growing infants, children, pregnant women, and people recovering from protein deficiency or illness (since they need more protein everyday)

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42

What is a negative nitrogen balance?

  • nitrogen intake is less than nitrogen output

  • malnourishment, burns, injuries, infections, fever

    • the body loses nitrogen stores as it breaks down muscle and other body proteins for energy

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43

What are the characteristics of Marasmus?

  • chronic PEM (protein-energy malnutrition)

  • inadequate energy and protein

  • muscles, including the heart, weaken

  • impairs brain development

  • reduced synthesis of key hormones slows metabolism and lowers body temperature

  • growth ceases

  • enzymes are in short supply and the GI tract lining deteriorates; the child can no longer digest or absorb the little amounts of food that are eaten

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44

What are the characteristics of Kwashiorkor?

  • acute PEM (protein-energy malnutrition)

  • typically occurs when breastfeeding ends, and children are switched to diluted cereal drinks

  • usually a result of protein deficiency, or may be precipitated by an illness

  • proteins and hormones that regulate fluid balance diminish, and edema results

  • lack of protein carriers that transport fat out of the liver causes the belly to bulge with fatty liver

  • child’s hair loses color

  • inadequate protein synthesis leaves the skin patchy and scaly, often with sores that fail to heal

  • lack of proteins to carry iron results in unbound iron, which contributes to illnesses and deaths by promoting bacterial growth and free-radical damage

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45

What are the functions of protein?

  • growth and maintenance: form integral parts of most body structures, such as skin, tendons, membranes, muscle, organs, and bones; support the growth and repair of body tissues

  • enzymes: facilitate chemical reactions

  • hormones: some are proteins that regulate body processes (chemical messengers)

  • fluid balance: helps to maintain the volume and composition of body fluids; inadequate amounts causes edema (swelling)

  • acid-base balance: act as buffers in order to maintain acid-base balance

  • transportation: transports substances, such as lipids, vitamins, minerals, and oxygen around the body

  • antibodies: inactivate foreign invaders, thus protecting the body against disease

  • energy: provide some fuel for the body’s energy needs

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46

What is metabolism?

  • the sum total of all chemical reactions that go on in living cells

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47

What does aerobic mean?

  • with oxygen

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48

What does anaerobic mean?

  • without oxygen

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49

What are the characteristics of the anaerobic pathway of metabolism?

  • only glucose can be used this way

  • provides a rapid, yet limited, form of energy

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50

What is thermogenesis?

  • the body’s generation of heat

  • can be measured to determine the amount of energy (kcals) expended

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51

What percent of energy is expended on BMR?

  • 50-65%

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52

What percent is expended on the thermic effect of food?

  • 10%

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53

What is a safe rate for weight loss?

  • 1/2 to 2 pounds per week

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54

What is satiety?

  • the feeling of fullness that occurs after a meal and inhibits eating until the next meal

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55

What are the parameters of risk for the waist-to-hip ratio for both men and women?

  • Men: greater than 0.9

  • Women: greater than 0.8

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56

What are the parameters of risk for the waist circumference for both men and women?

  • Men: greater than 40 inches

  • Women: greater than 35 inches

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57

What are some characteristics of fat cells?

  • increases most rapidly during the growing years of life (gestational, childhood, and puberty)

  • expand as they fill with fat droplets

  • may divide

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58

What is the minimum number of kcalories needed for nutritional adequacy?

1200

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59

What is anencephaly?

  • a neural tube defect that means the absence of a brain

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60

What is Spina Bifida?

  • incomplete closure of the spinal cord

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61

What factors increase the risk of Spina Bifida?

  • previous pregnancy affected by neural tube defect

  • maternal diabetes

  • maternal use of antiseizure medications

  • maternal obesity

  • exposure to high temperatures during early stages of pregnancy (prolonged fever or hot tube use)

  • race/ethnicity (more common among whites and hispanics)

    • low socioeconomic status

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62

What are the folate recommendations for women of childbearing age (before pregnancy)?

  • 400 micrograms/d

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63

What are the folate recommendations for women who are currently pregnant?

  • 600 micrograms/d

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64

What is the average amount of weight a woman should gain during her pregnancy?

  • 3.5 pounds during first trimester and then 1 pound per week thereafter

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65

What are a woman’s energy needs during her first trimester?

  • 0 kcals/day extra

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66

What are a woman’s energy needs during her second trimester?

  • 340 kcals/day extra

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67

What are a woman’s energy needs during her third trimester?

  • 450 kcals/day extra

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68

What contributes to nursing bottle tooth decay?

  • putting your child to bed with a bottle

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69

At what age should solid foods first be introduced?

  • 4-6 months

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70

What solid foods should be introduced first?

  • iron-fortified cereal with breast milk, formula, or water

  • pureed vegetables and fruits

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71

Why are new foods introduced one at a time?

  • to make sure the child tolerates it

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