Nutrition Exam 2

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obesity definition for men

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obesity definition for men

waist circumference over 40 inches

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2

obesity definition for women

waist circumference over 35 inches

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3

BMI equation

weight/height^2

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4

underweight BMI

≤18.5

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5

healthy weight

18.5-24.9

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6

overweight

24.9-29.9

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7

obesity class 1

30-34.9

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8

obesity class 2

35-39.9

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9

obesity class 3

≥40

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10

500 calories

number of calories subtracted from regular calorie intake to loose one pound per week (3500 per week)

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11

Basal Energy Expenditure

caloric cost of staying alive/ amount of calories required to fuel involuntary activities of the body at rest after 12 hour fast

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12

Resting metabolic rate

amount of calories expended in a 24 hour period to fuel involuntary activities if the body at rest

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13

calorie deficit

-negative energy balance -for weight loss

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14

calorie surplus

-positive energy balance -for weight gain

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15

FDA role in regulating supplements

FDA requires supplement production to meet quality standards; manufacturers report all serious dietary supplement adverse events to the FDA -supplements often use structure function claims and dosages are not standardized

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16

Health Claims

-legally defined and regulated by the FDA (must be approved before labeling) -product must not exceed specific levels for fat, saturated fat, trans fat, cholesterol, sodium -product must contain at least 10% of at least one of the following: Vitamin A, C, protein, fiber, calcium, iron -Ex. Suppresses appetite to treat obesity

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17

Functional Claims

-offer the possibility that food may improve or support body function, used primarily by supplement manufacturers -not evaluated by the FDA; not intended to diagnose, treat, cure, or prevent a disease -does not require a disclaimer -Ex. Suppresses appetite to aid weight loss

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18

FDA food regulation

The FDA does not verify claims made by companies that package food

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19

Listing of ingredients on food labels

-goes in descending order of weight; most used ingredient first

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20

what foods cause norovirus

shellfish, particularly oysters

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21

symptoms of salmonellosis

GI, nausea, vomiting, diarrhea, cramps, fever -ARTHRITIS caused by infection

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22

major cause of food borne illness

unsanitary food handling

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23

Latin Acculturation

leads to diet becoming lower in fiber and higher in fat and sugar

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24

Pica Nutrient deficiencies

most common is iron

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25

3rd trimester calorie increase

466-500 kcal/day

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26

when can whole milk be introduced to a baby

12 months

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27

when can breastfeeding end

-at 12 mo weaning off can begin, but WHO recommends breastfeeding for 2 years and beyond

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28

when can solid foods be introduced

-switch to solids for practice not nutrition at 6mo or when baby starts showing interest in what others are eating and putting things in mouth

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29

Fruit juice for toddlers

limit to no more than 4 oz daily

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30

Foods to avoid due to choking

apples, uncut berries, grapes, cherry tomatoes, carrots

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31

adolescent food group deficiency

vegetables

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32

benefits of breastmilk

-antibodies; reduces the rate of SIDS and child and adulthood overweight -more easily digested than formula (less constipation) -bonding and security with mother -should be exclusive food source for at least first 6 mo

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33

Structured meal and snack times

-very important to toddler -help a child to develop regular patterns of appetite and ensure a child is well nourished throughout the day -teaches kids to stay attuned to their hunger-satiety mechanisms both during and in between meals and snacks

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34

involve toddlers in meal prep and shopping

-more likely to try new foods and be curious about foods

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35

Daily Value

How much of a nutrient you should consume based on a 2000 calorie diet -may underestimate or overestimate the contribution to an individual's diet depending upon how many calories the person actually needs

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36

nutrition label terminology

-free and low can be used to describe the level of a nutrient or substance in a food (reliable and valid) -reduced or light are not reliable or valid

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37

functional foods

Whole foods and foods that have been fortified, enriched, enhanced to have a potentially beneficial effect on health when consumed as part of a varied diet on a regular basis at an effective level -should be viewed as an option in the continuum of good nutrition

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38

organic foods

-comparable to conventionally grown foods in taste and nutritional value -regulated by USDA; not safer than conventional foods -organic standards do not specifically address safety issues like microbial or chemical hazards -must be free of artificial preservatives, colors, flavors and be made from organic ingredients with few exceptions -does not mean no pesticides or fertilizer

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39

GMOs

-people who wish to avoid GMOs often eat exclusively organic -not require mandatory labels unless the food contains new allergens

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40

Food Safety

-cook proper temps -separate and do not cross contaminate -clean: wash hands and surfaces often -chill foods and regenerate properly

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41

Core foods

-provides a significant source of calories and are regularly included in the diet, usually on a daily basis -normally complex carbohydrates

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42

Secondary foods

foods widely consumed but not on a daily basis -vary with availablilty

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43

Peripheral foods

-based on individual's preferences, not cultural norms -eaten sporadically

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44

dietary acculturation

-the process that occurs when members of a minority group adopt the eating patterns/food choices of the host country

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45

Questions to ask for dietary acculturation

-what native foods do you eat daily -what native food do you no longer eat -what new foods do you eat -what foods do you avoid to prevent illness -do you balance some foods with other foods

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46

Asian Americans

-minimal lactose consumption causes an increase in lactose intolerance

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47

halal

all foods of plant origin and some animal origin (lamb, goat, camel, cow, chicken), if they conform to the method of slaughter

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48

Haram

-prohibited -pork, blood, animals not slaughters according to halal specifications -alcohol

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49

Hinduism

vegetarianism practiced; eating meat is not prohibited, but mostly vegetarian to adhere to adhisma

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50

Judaism food classifications

-Fleshik (meat) -Milchik (dairy) -Pareve (neutral- dairy and milk free)

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51

foods to avoid during pregnancy

-caffeine -alcohol (fetal alcohol syndrome)

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52

Folic Acid

prevents neural tube deficits

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53

weight gain over pregnancy for underweight individuals

-28-40 pounds

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54

methyl mercury

high levels are associated with deficits in memory, learning, and behavior

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55

Vitamin D in older adults

-maintains skeletal health -deficiencies are associated with osteoporosis (pathologic fractures), diabetes, depression, HTN

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Vitamin B12 in older adults

-adults eat less animal products (main source of the B12 from diet) -adults over 50 are advised to meet their B12 requirement mostly from fortified foods or supplements

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57

Malnutrition Screening Tool

-dietitians use to determine if a client has malnutrition -look for unintentional weight loss/gain -changes in appetite -fat loss -muscle wasting -edema -functional status change -any two of these are considered malnourished

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58

malnutrition

-a state of poor nutrition -takes precedence over other comorbidities -loss of appetite is a key predictor of malnutrition -symptoms include confusion, fatigue, malaise

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risk factors for malnutrition

-the quality and quantity of food intake -food insecurity -acute or chronic physical or mental health conditions

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60

smoothies for elderly

Smoothies, milkshakes, and protein powder based milk drinks can be consumed between meals to increase nutrient intake

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61

eating with others

-improves nutrient intake and nutritional status of those who live alone -family involvement increases resident intake -encourage independence when eating

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