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Nutrition Exam 3
nutrition exam 3 at the university of utah
140
Nutrition
Undergraduate 2
04/21/2013

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Term
What % of adults are overweight?
Definition
68%
Term
What % of total population is obese?
Definition
34%
Term
What is Basal Metabolism?
Definition
The minimum energy expended to keep a resting, awake body alive.
Term
For a sedentary person, basal metabolism accounts for what % of total energy use by the body?
Definition
60-70%
Term
What are some factors that influence basal metabolism?
Definition
Body surface area, lean body mass, gender (greater lean tissue), body temperature (fever or cold environment), thyroid hormone, nervous system activity, age (1-2% decrease after 30 years), calorie intake (too low decreases metabolism), pregnancy, and use of caffeine and tobacco.
Term
How much does physical activity increase energy expenditure by?
Definition
25-40%
Term
Lack of activity is a major cause of what?
Definition
obesity
Term
What is TEF?
Definition
Thermic Effect of Food. It is the energy used to digest, absorb, and metabolize food nutrients.
Term
TEF represents what percent of total calories consumed?
Definition
5-10%
Term
What is the TEF for alcohol?
Definition
20%
Term
What is Adaptive Thermogenesis?
Definition
Non-voluntary physical activity
Term
What are the symptoms of Adaptive Thermogenesis?
Definition
triggered by overeating, fidgeting and shivering, maintenance of muscle tone, and maintenance of posture.
Term
What is Brown Adipose Tissue?
Definition
special form of adipose tissue that participates in thermogenesis. found in small infants and contributes to thermogenesis by releasing some of the energy from energy-yielding nutrients into the environment as heat. it's role in adulthood is unknown.
Term
What is direct calorimetry?
Definition
A method of determining a body's energy use by measuring heat released from the body. an insulated chamber is usually used. it is expensive and complex.
Term
What is indirect calorimetry?
Definition
a method to measure energy use by the body by measuring oxygen uptake. formulas are then used to convert this gas exchange value into energy use.
Term
What is a healthy body weight?
Definition
It depends on the review of family history, personal weight history, healthy lifestyle contribution, and current height/weight standards
Term
what are some weight-related conditions?
Definition
surgical risk, pulmonary, T2DM, HTN, CVD, bone/joint disorders, gallstones, skin disorders, various cancers, shorter stature, pregnancy risk, infertility, vision problems, premature death, infections, liver damage/failure, erectile dysfunction
Term
How do you figure your BMI?
Definition
body weight (in kg)/height^2 (in meters)
2.2lb/kg
2.54cm/inch
1 unit BMI=6-7lb
Term
BMI: Overweight and Obesity listings?
Definition
underweight=BMI <18.5
healthy weight=BMI 18.5-24.9
overweight=BMI 25-29.9
obese=BMI 30-39.9
severely obese= BMI >40
Term
What is considered obese in women?
Definition
35% body fat
Term
What is considered obesity in men?
Definition
25% body fat
Term
What is bioelectrical impedance and what does it do?
Definition
it is an estimation of body fat, and it is a low-energy current that measures the resistance of electrical flow. the more resistance, the more body fat.
Term
What is DEXA?
Definition
dual x-ray photon absorptiometry. an x-ray body scan that allows for the determination of body fat, and is most accurate but expensive.
Term
what is lower-obesity sometimes referred to as?
Definition
"pear shape"
Term
what is upper-body obesity sometimes referred to as?
Definition
"apple shape"
Term
what is upper-body obesity associated with?
Definition
cardiovascular disease, hypertension, and type 2 diabetes.
Term
what is lower-body obesity encouraged by?
Definition
estrogen and progesterone
Term
after menopause, what body type becomes more common?
Definition
upper-body obesity, or "apple shape"
Term
what body "shapes" are more common in men/women?
Definition
apple shape is more common in men, pear shape more common in women
Term
what is juvenile-onset obesity?
Definition
obesity that develops in infancy or childhood, caused by an increase in the number of adipose cells. adipose cells have long lifespan, and need to store fat, makes it difficult to lose fat.
Term
What is unique about identical twins and weight?
Definition
when raised apart, still have similar weights
Term
what is the set-point theory?
Definition
weight is regulated by the body, genetically predetermined body weight, body resists weight change, leptin assists in weight regulation, reduction in calorie intake results in lower metabolic rate.
Term
what are some opponents of set-point theory?
Definition
weight does not remain constant, different environments can alter weight, and people settle into a particular weight based on current circumstances
Term
what encourages excess body fat?
Definition
age, menopause, gender, composition of diet, positive energy balance, physical activity, basal metabolism, TEF, increased hunger sensations, fat: lean tissue, fat uptake by adipose, social/behavioral factors, undetermined genetic, race, medications, childbearing, national region
Term
why do diets not work?
Definition
obesity is a chronic disease, treatment requires long-term lifestyle changes, dieters are misdirected and more concerned about weight loss than healthy lifestyle, and there are unrealistic weight expectations.
Term
what is the best way for a sound weight-loss?
Definition
seek advice from a registered dietitian, control calorie intake, increase physical activity, and acknowledge the need for lifelong behavioral changes to maintain healthy weight.
Term
Where does the notion of the Ideal Body Image come from?
Definition
media promotion, need for social acceptance, influence and stress on young individuals, eating is a necessity, dieting may lead to a disorder.
Term
why is food viewed as "more than just nutrients"?
Definition
it can be linked to personal emotions, source of comfort, release of neurotransmitters and natural opioids, food used as a reward or bribe, can lead to disordered eating
Term
how many people are affected by eating disorders in the world?
Definition
10 million people. women outnumber men 5:1, athletes are at a greater risk, and 2-3x more likely in homosexual men.
Term
when do eating disorders typically develop?
Definition
during adolescence or young adulthood.
Term
True or False: do eating disorders co-occur with other psychological disorders?
Definition
TRUE
Term
True or False: Recognition of disorder is critical to treatment?
Definition
TRUE
Term
what is the difference between identical twins and fraternal twins when considering eating disorders?
Definition
identical twins are more likely to share eating disorders, while fraternal twins are less likely.
Term
what is the profile of an anorexic?
Definition
usually caucasian female, middle-upper socioeconomic class, "responsible, meticulous, and obedient", competitive and obsessive, family conflicts, high family expectations, and expression of self control.
Term
what are some warning signs of anorexia?
Definition
abnormal, rigid eating habits, eating very little food, hiding and storing food, exercising compulsively, preparing meals for others but not eating, withdrawing from friends and family, critical of self and others, sleep disturbances and depression, ammenorrhea.
Term
what are anorexia health problems?
Definition
"skin and bone" appearance, lower basal metabolism, decreased heart rate, lowered body temperature, iron deficiency anemia and other nutrient deficiencies, rough dry scaly cold skin, low white blood cell count, potassium, lanugo and loss of hair, constipation, ammenorrhea, osteopenia and osteoporosis, depression
Term
how do you help someone suffering from anorexia?
Definition
since the person is typically in denial, supportive confrontation by loved ones is best. hospitalization for severe cases, eating disorders clinic, multidisciplinary team, gain trust and cooperation, restore sense of balance, purpose, and a future.
Term
what if the anorexic is below 75% normal body weight?
Definition
hospitalization, cure becomes more difficult, premature death more likely.
Term
what makes up a multidisciplinary team for anorexics?
Definition
physician, dietitian, pyschologist
Term
What is nutrition therapy for anorexics?
Definition
increase food intake to raise basal metabolism, prevent further weight loss, restore appropriate food habits, restrict excessive activity, ultimately achieve and maintain weight gain
Term
what is psychological therapy for the anorexic?
Definition
cognitive behavior therapy, determine underlying emotional problems, reject sense of accomplishment associated with weight loss, family therapy, support group
Term
what is the profile of a bulimic?
Definition
young adults (commonly female college students), predisposed to becoming overweight, frequent weight-reduction diets as a teen, impulsive behavior, usually from disengaged families
Term
what are the signs of bulimics?
Definition
many are not diagnosed, hidden binge-and-purge habits, elaborate food rules, binge may consist of 3,000+ kcal (convenient, high sugar, high fat foods) , purge (vomiting and laxatives to avoid weight gain), binge-purge cycles triggered by emotional factors
Term
what are the effects of bingeing and purging?
Definition
absorption of calories, can cause weight gain and weight fluctuations, leads to guilt, depression, low self-esteem
Term
how many calories are absorbed after vomiting?
Definition
33-75% of calories, 90% absorbed when laxatives are used
Term
what are bulimia health problems?
Definition
vomiting causes most health problems, demineralization of teeth, drop in blood potassium, swelling of salivary glands, stomach ulcers and bleeding, constipation, ipecac syrup is toxic
Term
what is the treatment for bulimia nervosa?
Definition
decrease episodes of bingeing and purging, psychotherapy to improve self-acceptance, change "all-or-none" attitude about food, correct misconceptions about food, establish good normal eating habits, group therapy, antidepressants, long-term therapy.
Term
what is EDNOS?
Definition
Eating Disorder Not Otherwise Specified. some but not all characteristics of AN or BN.
Term
what is the binge-eating disorder?
Definition
recurrent episodes of binge eating, marked distress regarding binge eating, at least 2 days a week for 6 months, does not occur during AN or BN
Term
you need to show at least three signs of these symptoms to be diagnosed with binge-eating disorder. what are some of the symptoms?
Definition
eating faster than usual, eating til uncomfortably full, large amounts of food though not hungry, eating alone because embarrassed, feeling disgusted, depressed, or guilty.
Term
what is the treatment for binge-eating?
Definition
eat in response to hunger, not emotions. learn to eat in moderation, avoid restrictive diets that can intensify problems, address hidden emotions, "overeaters anonymous", antidepressants
Term
what are the symptoms of night eating syndrome?
Definition
eating > 1/3 of calories after evening meal, not feeling hungry in the morning, need to eat to help fall asleep, waking at night to eat, depressed.
Term
what is the profile of female athlete triad?
Definition
female athletes in appearance-based and endurance sports (15% swimmers, 62% gymnasts, 32% others).
1. disordered eating
2. irregular menses or ammenorrhea
3. osteoporosis and loss of estrogen (bone density similar to 50-60 year olds, bone loss is largely irreversible)
Term
what is the treatment of female athlete triad?
Definition
reduce preoccupation with food, weight, and body fat. gradually increase meals and snacks, rebuild body to healthy weight, establish regular menses, decrease training by 10-20%
Term
what is muscle dysmorphia?
Definition
"reverse anorexia", first identified in male bodybuilders, perceive themselves as too thin, preoccupied with weight-lifting and diet regimes to gain more muscle, keep meticulous diet and workout records, increased anabolic steroid use, may avoid social contact
Term
what are some ways to prevent eating disorders?
Definition
discourage restrictive eating/dieting, correct nutrition misconceptions, don't overemphasize numbers of the scale, encourage children to eat only when hungry, increase self acceptance, build respectful environments and supportive relationships, encourage healthy nutrition and PA.
Term
Which of the following nutrients increases the thermic effects of foods the most?
carbs, fat, minerals, protein?
Definition
protein, because protein costs the most calories to digest.
Term
what is the definition of energy balance?
Definition
state in which energy intake, in form of food and beverage, match energy expended, through basal metabolism and physical activity.
Term
what is a positive energy balance?
Definition
when energy output is greater than the energy output (meaning you're gaining weight, BAD.)
Term
what is a negative energy balance?
Definition
when energy input is less than the energy output (meaning losing weight GOOD)
Term
what is energy used for by the body?
Definition
basal metabolism; physical activity; and digestion, absorption, and processing of ingested nutrients.
Term
what is thermogenesis?
Definition
referes to energy expended during fidgeting or shivering in response to cold, and is known as the fourth minor form of energy output.
Term
what is the definition of physical fitness?
Definition
the ability to perform moderate to vigorous activity without undue fatigue
Term
increased physical fitness means improved usage of what for energy?
Definition
fat
Term
what steps should you take when beginning an exercise program?
Definition
start out slowly, vary your workout, include others, set attainable goals, set aside specific time, reward yourself, focus on long-term and not on occasional setbacks.
Term
what are the guidelines for moderate-intensity physical activity?
Definition
you should perform 150 minutes/week of moderate-intensity aerobic exercise.
Term
what are the guidelines for vigorous-intensity physical fitness?
Definition
75 minutes a week of vigorous-intensity aerobic exercise.
Term
if you are older than 40-50 and inactive for many years, why should you check with a physician before exercising?
Definition
may have or be at risk for obesity, CVD, HTM, DM, shortness of breath after mild exertion, or arthritis.
Term
what physical activity counts as moderate-intensity?
Definition
aerobic activity that increases heart rate and breathing: brisk walking, dancing, swimming, bicycling on level terrain. remember talk test: moderate intensity you have to take more time with conversation since you have to breathe more.
Term
what physical activity counts as vigorous intensity?
Definition
aerobic activity that greatly increase heart rate and breathing: jogging, tennis, swimming continuous laps, bicycling uphill. with the talk test, most likely not able to talk, short answers, might be able to a hum a song, but not likely.
Term
what counts as a muscle-strengthening activity?
Definition
activity that increases skeletal muscle strength, power, endurance, and mass. strength training, resistance training, muscle strength and endurance exercises.
Term
what is an aerobic activity?
Definition
"with oxygen". rhythmic, low to moderate intensity and long duration.
Term
how do you measure heart rate?
Definition
count pulse for 10 seconds and multiply by 6.
Term
what is ATP?
Definition
adenosine triphosphate. the main energy currency for cells. atp energy is used to promote ion pumping, enzyme activity, and muscular contraction.
Term
what is ADP?
Definition
adenosine diphosphate. breakdown product of ATP. ADP is synthesized into ATP using energy from food stuffs and a phosphate group (Pi).
Term
what is the immediate source of energy for body functions?
Definition
ATP. The primary goal in the use of any fuel, whether carb, fat, protein, is to make ATP.
Term
what is phosphocreatine?
Definition
PCr. a high-energy compound that can be used to reform ATP. used primarily during bursts of activity, such as lifting and jumping.
Term
glucose is stored as glycogen where?
Definition
in the liver and muscle cells.
Term
what is pyruvic acid?
Definition
a three-carbon compound formed during glucose metabolism; also called pyruvate.
Term
when is pyruvic acid formed?
Definition
when oxygen supply in the muscle is limited, glucose is broken down into a 3-carbon compound called pyruvic acid.
Term
what is lactic acid?
Definition
3-carbon acid formed during anaerobic cell metabolism; a partial breakdown product of glucose, also called lactate.
Term
where do most of the energy supplied from protein come from?
Definition
metabolism of the branched chain amino acids: leucine, isoleucine, and valine.
Term
what percent of energy needs does protein supply during endurance activities?
Definition
10-15%, especially when glycogen stores are depleted.
Term
what is the most useful form of fuel?
Definition
glucose.
Term
what is glycogen?
Definition
temporary storage of glucose in liver and muscle. in the muscle glycogen, its used only by that muscle. the liver glycogen is released into the bloodstream.
Term
what is bonking?
Definition
depleted glycogen, work at ~50% of maximal capacity.
Term
what percent body fat should male vs female athletes have?
Definition
5-18% in men, 17-28% for female.
Term
carbs are necessary if exercising for more than 1 hour regularly daily. what should you eat
Definition
grains, starchy veggies, and fruits.
Term
carb intake should be at least how many grams per kilogram body weight?
Definition
5 grams.
Term
how much total energy needs from carbs should athletes have?
Definition
60%
Term
what are good foods for athletes?
Definition
pasta, rice, potatoes, bread, fruit, and breakfast cereals.
Term
what should be limited in the meal for athletes?
Definition
saturated and trans fat.
Term
how many cups of fluid should a woman have every day?
Definition
9
Term
how many cups of fluid should a man have each day?
Definition
13
Term
what is heat exhaustion?
Definition
first stage of heat-related illness that occurs because of depletion of blood volume from fluid loss by the body. this increases body temp and leads to headache, dizziness, muscle weakness, and visual disturbances, among other effects.
Term
what are heat cramps?
Definition
frequent complication of heat exhaustion. usually occurs in people who experience large sweat losses from exercising for several hours in a hot climate and having consumed a large volume of water. cramps occur in skeletal muscles and consist of contradictions for 1-3 minutes at a time.
Term
what is heat stroke?
Definition
occurs when internal body temp reaches 104 F. sweating generally ceases if left untreated, and blood circulation is greatly reduced. nervous system damage may ensue, and death is likely. often the skin of individuals who suffer heatstroke is hot and dry.
Term
what should you eat pre-event for athletes?
Definition
high carb foods:cheerios, reduced fat mile, blueberry muffin, orange juice, low fat fruit yogurt, bagel, apple juice, peanut butter. broled pork chop, white rice, steamed zucchini, chocolate milk, jello, spaghetti, green beans.
Term
what is carb loading?
Definition
for events lasting longer than 60-90 minutes, like marathons, XC skiing, triathlon. uses a lot of energy.
Term
where does the greatest risk of foodborne illness come from?
Definition
viral and bacterial contamination.
Term
what is foodborne illness a major cause of, and where does it usually result from?
Definition
major cause of diarrhea, and usually results from unsafe food handling in the HOME.
Term
what are the cases of foodborne illness?
Definition
viruses (norovirus, hepatitus A), bacteria (salmonella, shigella, listeria, e. coli, c. botulinum, vibrio, b. cereus), parasites (cryptosporidium), risks from seafood (ciguatera).
Term
who's most susceptible to foodborne illness?
Definition
infants and children, older adults, those with liver disease, diabetes, HIV/AIDS, cancer, pregnant women, people taking immunosuppressant agents.
Term
what are some causes of foodborne illness?
Definition
mishandling foods, preference for meat cooked rare, use of immunosuppressant medications, increase in number of older adults, increased shelf life of products, centralized food production, imported ready-to-eat foods, antibiotic-resistant strains
Term
how do you prevent growth of bacteria?
Definition
use salt, sugar, smoke, fermentation, drying, and limit water available for bacteria.
Term
how should you preserve food?
Definition
pasteurization, sterilization, refrigeration, freezing, irradiation, canning, chemical preservation
Term
what is food irradiation?
Definition
does not make food radioactive, breaks down chemical bonds, cell walls, DNA, controls growth of insects, bacteria, and fungi, approved for use of raw meats, shell eggs, seeds, dried seasoning, safe according to FDA, radura symbol required, used in many countries, although still controversial.
Term
why are microbes so harmful?
Definition
infection, intoxication, and constant risk of foodborne illness. bacteria invade intestinal wall via toxin contained in organism, and produce toxin that is secreted into the food.
Term
what type of bacteria uses raw meats, poultry, eggs, fish, sprouts to grow on?
Definition
Salmonella species
Term
what type of bacteria grows on raw, undercooked meat and poultry, unpasturized milk, and water?
Definition
campylobacter jejuni
Term
what type of bacteria grows on undercooked ground beef, veggies, unpasturized milk?
Definition
E. Coli
Term
what type of bacteria grows on fecal/oral trans, water, food due to poor hygiene?
Definition
shigella species
Term
what type of bacteria grows on ham, poulty, eggs, cream, mayo, custards?
Definition
staphylococcus aureus.
Term
what temperatures state the danger zone?
Definition
40-140 degrees
Term
why use food additives?
Definition
limits spoilage, prevent undesirable changes in color and flavor, increase safety of food distribution
Term
why use food additives?
Definition
limits spoilage, prevent undesirable changes in color and flavor, increase safety of food distribution
Term
what are the 2 types of food additive classifications?
Definition
intentional food additives: added directly to food, incidental food additvies: indirectly added as contaminant (pesticide residues). BOTH ARE REGULATED BY FDA
Term
what is the GRAS?
Definition
Generally recognized as safe list. means manufacturers do not have to prove safety, the FDA is responsible for proving that a substance doesn't belong on GRAS list, and the synthetic chemical is the same as the natural form.
Term
what is the FDA approval for new food additive?
Definition
must identify new additive, give its chemical composition, state how its manufactured, specify method of measurement, outline intended purpose, provide proof of safety, cannot use to deceive public.
Term
what are natural toxins?
Definition
occur naturally in foods, assafras, mace, nutmeg, potato shoots, mushrooms toxins, raw egg whites, raw clams and mussels, puffer fish, spinach, strawberries, herbal teas.
Term
what is a pesticide?
Definition
any substance or mixture of substances intended to prevent, destroy, repel, or mitigate any pest. includes insecticides, herbicides, fungicides, and rodenticides.
Term
why use pesticides?
Definition
economic, cosmetically attractive fruits and veggies, prevent naturally occurring organisms that produce carcinogens.
Term
what is organic food production?
Definition
cannot use: synthetic pesticides, fertilizers, hormones, antibiotics, sewage sludge, genetic engineering or irradiation. the farming practices used include biological pest management, composting, manure applications, and crop rotation.
Term
what is sustainable agriculture food production?
Definition
satisfy human food needs, enhance environmental quality, efficiently use nonrenewable resources, sustain the economic viability of farm operations, enhance the quality of life of farmers and society.
Term
what is locally grown foods food production?
Definition
locavore, supports local farmers, fresher, do not have added cost of long transportation, helps the environment.
Term
what is community supported agriculture?
Definition
partnership between local food producers and consumers, national farm to school program, connects farmers with nearby schools.
Term
how do you avoid microbes at the store?
Definition
buy frozen, perishable foods last, place meats in separate plastic bags, dont buy dented cans, buy only pasteurized milk/cheese, buy only what you need, avoid buying slimy, brownish, or dry produce.
Term
how do you avoid microbes at home?
Definition
wash hands, keep everything santized, prepare raw meat seperately, thaw foods in fridge/cold running water/microwave. avoid coughing/sneezing over food, wash veggies/fruits thoroughly, remove mold or discard food, and use refrigerated meat in 1-2 days, frozen in 3-4 months.
Term
how do you avoid microbes when cooking?
Definition
thoroughly cook meat, fish, poultry, eggs, check for doneness with thermometer, cook sprouts until steaming, cook stuffing seperately, eat food right away, store leftovers within 1-2 hours, serve cooked meat on clean plates, avoid partially cooking food.
Term
what do you do with leftovers?
Definition
keep hot foods hot and cold foods cold. reheat leftovers thoroughly (165 F), store peeled, cut-up produce in fridge, keep fridge less than 40 F
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