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Nutrition
NA
133
Health Care
Undergraduate 4
07/31/2013

Additional Health Care Flashcards

 


 

Cards

Term
Liver is a rich source of
Definition
vit A, vit E, vit K, phosphorous, chromium, Iron, riboflavin, Niacin, folate, choline
Term
sources of vit E
Definition
veggie oil
Term
sources of vit K
Definition
GI bacteria, dark green leafy
Term
sources of vit A
Definition
milk/cheese (retinol)

deep orange & dark and leafy F/V (B carotene)
Term
sources of vit D
Definition
fort milk/sunshine
Term
sources of thiamin
Definition
fortified, enrichhed or whole grain products
PORK
Term
sources of riboflavin
Definition
milk products, enriched/whole/fortified grains
Term
Niacin sources
Definition
protein riche foods
Term
Biotin sources
Definition
widespread in foods, GI bacteria
Term
pantothenic acid sources
Definition
widespread in foods
Term
folate sources
Definition
legumes, vegetables, foritifed grains
Term
B6 sources
Definition
protein rich food
Term
B12 sources
Definition
animal products
Term
vit C sources
Definition
fruits and veg *kiwi
Term
thiamin function
Definition
part of TPP in energy metabolism
Term
riboflavin function
Definition
part of FAD/FMN in energy metabolism
Term
Niacin function
Definition
part of NAD/NADP in energy metabolism
Term
Biotin function
Definition
TCA cycle enzy in energy E metab
Term
pantothenic acid function
Definition
coenzA in E metabolism
Term
vit C function
Definition
antixodiant, immune function, iron absorption, synthesis of collagen, hormone carnitines, neurotransmitters
Term
vit B12 function
Definition
protects nerves, activates folate, helps synthesis new DNA
part of coenzs methylcoblamin/adenylsylcobalamin
regernates met
Term
vit B6 function
Definition
PMP and PLP in amino acid and fatty acid metabolism,
converts tryp--> niacin and serotonin
Term
folate function
Definition
DHF and THF in DNA synthesis, activates B12, helps synthesize new DNA for cell growth
Term
ADH
Definition
hormone secreted by pituitary gland when blood V/P falls, triggers kidneys to reabsorb H20 and excrete less

CONTROLS H20
Term
renin
Definition
enz released from kidneys to reabsorb Na and H20 follows which increases blood V/P
Term
Angiotensin
Definition
enz hydrolyzed by renin liver, which (once converted to angioII active form) is a vasoconstrictor which narrows diameters of blood vessels to increase V/P
Term
aldosterone
Definition
hormone secreted by adrenal gland signals kidneys to excrerte K and retain Na and thus water

CONTROLS ELECTROLYTES
Term
the major minerals are
Definition
sodium, chloride, potassium calcium, phosphorous, magnesium, sulphur,
Term
trace minerals
Definition
iron, zinc, manganese, selenium, molybdenum, copper, iodine, fluoride, chromium
Term
phyates are in ______ & _____ whereas oxalates are in _______ both limit absorption of __
Definition
legumes/grain

V/F like rhubarb/spinach

CALCIUM
Term
RDA of Ca
UL
Definition
1000mg
2500mg
Term
hyponatremia
Definition
excessive sodium losses cause sodium deficiency
Term
principle cation outside cells
Definition
sodium
Term
UL sodium
Definition
2300mg
Term
salt sensitive ppl have higher ___ in blood
Definition
renin
Term
principle anion outside cells
Definition
chloride
Term
most abundant mineral
Definition
ca
Term
hydroxyapatite
Definition
crystals of Ca and P
Term
DASH
Definition
low sodium, high Ca, Mg, K
Term
3 organs involved in Ca balance
Definition
bones, intestines, kidneys
Term
what happens with ca is HIGH?
Definition
Calcitonin is secreted from the THYROID gland and triggers:
1) inhibits activation of Vit D
2) prevents reabsorption of ca reabsorption in kidneys
3) decreased ca reabsorption in intestines
4) decreased osteoclast cells from breaking down bone so less Ca mobilization from bones

these trigger decrease in Ca which decreases calcitonin
Term
what happens when Ca is LOW
Definition
parathyroid hormone secreted from parathyroid
1) activation of vit D
2) vitD+ thyroid signal: increased reabsorption from kidneys
3) VitD signals intestines to increase reabsorption
4) vit D+ thyroid hormone triggers osteoclasts to break down bones and mobilize Ca

all these actions increase Ca which inhibits Parathyroid homrone
Term
factors that enhance Ca absorption?

imhibit?
Definition
stomach acid, vit D, lactose (infants)

low stomach acid, low vitt D, phytates, oxalates, phosphourous
Term
peak bone years?

active growth?

loss?
Definition
12-30

0-20

35+
Term
2nd most abundant mineral
Definition
phosphours
Term
tetany
Definition
extreme prolonged contaction of muscles seen with deficiency in Ca and Mg
Term
chocolate is a source of
Definition
Mg!
Term
_______ exists in food whereas ____ is the oxidized form used by the body (regards to major minerals)
Definition
sulphur
sulphate
Term
inner bones
outer bones
Definition
trabecular
cortical
Term
ferritin
Definition
iron storage protein
Term
transferrin
Definition
iron transport protein
Term
factors that enhance iron absorption

inhibit
Definition
MFP, acid, sucrose, vit C

vegetable proteins, phytates, calcium, tannic acid (coffe)
Term
where is iron stored
Definition
liver, also bone marrow and spleen
Term
hepcidin
Definition
hormone produced by liver that regulates iron balance
Term
hematocrit
Definition
% of total blood volume that consists of RBCs
Term
hemochromatosis
Definition
genetically determined failure to prevent absorption of unneeded dietary iron
Term
toxicity of alcohol depends on
Definition
type and dose
Term
factors that can influence BAC
Definition
dose
rate at which it is consumed
presence of food
ADH (gender)
rate of absorption from GI tract
metabolism and excretion
tolerance
age, sex, genetic factors
Term
proof=
Definition
2x % alcohol
Term
standard drink (3) and overall (1)
Definition
12oz beer (341mL)
5oz wine (142mL)
1.5oz (43mL)

overall: each drink contains 1/2 oz (13.6g)
Term
ADH
Definition
alcohol dehydrogenase begins the breakdown of alcohol
Term
aldehyde dehydrogenase
Definition
converts acetaldehyde to acetate which is eventually converted to acetyl coA
Term
alcohol dehydrogenase
Definition
acetaldehyde
Term
why does fatty liver occur?
Definition
alcohol shifts metabolism toward the production of fatty acids which accumulate in teh lvier cells
Term
name 3 metabolic effects of alcohol
Definition
1) shifts toward production of fatty acids
2) impairs glucose production and uses acetyl coA to make ketone bodies
3) increases lactate production which leads to lactic acidosis
Term
MEOS
Definition
microsomal ethanol oxidizing system which metabolizes other drugs and alcohol, but since alcohol gets priority other drugs might build up and reach fatal doses
Term
breathelizer test?
Definition
10% of alcohol is excreted unchanged by breath
Term
fibrosis
Definition
liver cells die and form scar tissue (some regeneration)
Term
cirrhosis
Definition
liver cells harden and lose their function

least reversible liver damage caused by alcohol
Term
effects on heart of alcohol
Definition
moderation--> increased HDL
heavy: dilated cadriomyopathy (enlarged/dilated/less efficient heart) and increased blood pressure
Term
effect of alcohol on cancer
Definition
liver, mouth ,pharynx, larynx, esophagus and stomach
Term
alcohol effects on joints
Definition
gout because of imparied excretion of uric acid which becomes deposited as ctyals in joints
Term
two nutrient deficiencies fro alcohol

why?
Definition
folate and thiamine

liver cant retain folate and is excreted from kidneys AND intestine cannot reabsorb folate
Term
why does homocystein build up from alcohol
Definition
because folate is needed to convert homocysteine to methionine and this is impaired and high homocysteine contributes to heart disease and the lack of methionine impairs production of cells in intestine and blood
Term
why does thiamine deficiency occur (easy)
Definition
less intake (diet) and more excretion
Term
what other two vitamins are also affected (minor) by liver damage from alcohol (4)
Definition
activation of vit D and conversion of vit A

B6 is dislodged from its protective binding protein by acetaldehyde

fail to absorb b12
Term
what kind of drug is alcohol
Definition
depressant, sedates inhibitory nerves
Term
why does alcohol make you vulnerable to ulcers
Definition
causes stomach cells to oversecrete gastic acid and histamine (inflammation)
Term
BMI
Definition
weight (kg)/ (height)^2
Term
obesity was ___% higher and overweight was ____ higher with real data vs. self reported
Definition
7.4
1.9
Term
how many canadiens are obese?
% ?
million?
Definition
18.1% and 4.5 milion
Term
how many men and women had increased health risks because of weight?
Definition
60.9% of men and 43.7% of women
Term
which two provinces are below national obesity average?
which 5 were above?
Definition
BC abd QB
labrador, NS, NF, NB, MN, SK
Term
obesity from 2003-2010 rose?
Men?
women?
Definition
from 16-19.8%
14.5-16.5%
Term
what is the lowest obesity rate?
Definition
18-20
Term
highest obesity rates?
Definition
55- 64
Term
in middle aged people 20-54 more women than men were obese? True or false?
Definition
FALSE! More men
Term
how much kcal deficit is needed to loose 1pound?
Definition
3500kcal
Term
when weight loss occurs it is generally __% fat and __% lean tissue
Definition
75% and 25%
Term
rapid weight loss is __% fat and __% lean tissue
Definition
50 50
Term
satiation
Definition
feeling of satisfaction and fulless that occurs during a meal and halts eating. STOP EATING
Term
satiety
Definition
feeling of fullness and satisfaction that occurs after a meal and inhibits eating until the next meal. DONT START EATING AGAIN
Term
3 components that influence calorie expendititure

Which requires the highest kca?
Definition
basal metabolism, physical activity and thermic effect of food

BMR
Term
which food has the hihgest thermic effect?
Definition
protein
Term
effect of fasting on BMR?
Definition
slows down
Term
RMR
Definition
resting metabolic rate when BMR cannot be determined
Term
BMI:
underweight
normal
overweight
Definition
under: <18.5
normal: 18.5-24.9
over: 25-29
Term
most important indicator of health status?
Definition
location of fat
Term
what waist circumference is most dangerous for
men?
Asian men
women?
Asian women?
Definition
102cm
90cm
88cm
80cm
Term
Leptin
Definition
ob is an obesity gene that is expressed in fat cells and codes for Leptin which acts as a hormone in the hypothalamus and is secreted from adipose tissues and stomach cells and suppresses appetite and increases energy expenditure. (genetic deficiency fror leptin in 3 fat kids)
Term
Ghrelin
Definition
hormone secreted by stomach cells and acts in the hypothalamus to increase appetite and decrease energy usage
Term
brown fat is related to BIM? true or false?
Definition
false it is inversely related
Term
why do people regain weight from fad diets
Definition
if they are based on starvation this decreases BMR sp lower BMR prevents you from burning as many kcal as previously
Term
two drugs for weight loss
Definition
sibutramine and orlistat
Term
sibutramine
Definition
suppresses appetite by inhibiting serotonin reuptake (taken off market for risk of heart attack)
Term
orlistat
Definition
forms a bond with pancreatic lipases and gastic lipases which inhibits them so they cannot hydrolyze fats and are not absorbed.
Term
training and conditioning?
Definition
training= practising an acitivty (leads to cond)
conditioning=physical effect of training, improved flex, strength, endurance
Term
metabolic syndrome is 3 of the following:
Definition
increased BP
increased TG
decreased HDL
insulin resistance
Term
with fat loss what happens to fat cells?
Definition
The size shrinks but the number remains te same
Term
LPL
Definition
lipoprotein lipase, stores TGs from blood in adipose tissue and muscle cells
Term
set point theory
Definition
proposes that the body tends to maintain a weight by means of its own internal control
Term
prader willi syndrome
Definition
true genetic role of diabetes (exception)
Term
VO2 max
Definition
maximum rate of O2 consumption by an individual at sea level
Term
cardiac output
Definition
max blood discharged by heart each min
Term
ATP vs CP?
Definition
ATP is energy for mechanical movement and heat

CP in muscle lastat about 10 sec and maintains a steady supply of ATP
Term
fuel in muscles depends on
Definition
diet
intensity and duration
training
Term
why is alcohol a poor workout drink?
Definition
poor source of carb (2/3 of kcal are alcohol) and energy generates HEAT but doesnt fuel muscle because it is metabolized in the liver
Term
natural folate is better absorbed than synthetic? True or false?
Definition
FALSE synthetic is!
Term
which vitamin can Tryp be converted into?
Definition
Niacin with the help of B6
Term
1 niacin equiv?
Definition
60mg tryp
Term
which water soluble vitamin is stored in the body?
Definition
B6 in the muscle
Term
RDA for dietary folate equivalents?
Definition
400mcg and for pregnant women is 600mcg dfe
Term
PGA is another name for?
Definition
folate
Term
alpha tocopherol is another name for
Definition
Vit E
Term
which two diseases respond to vit E
Definition
fibrocytic breast disease and intermittent claudication
Term
what is phylloquinone another name for
Definition
vit K
Term
how much of our weight is water?
Definition
60%
Term
how much of lean tissue is water?
how much of fat weight is water?
Definition
lean tissue= 3/4
fat = 1/4
Term
AI for water:
men?
women?
Definition
men= 1.7L
women= 2.7L
Term
principle organs that regulated H20?
Definition
brain, GI tract, kidneys
Term
female athlete triad?
Definition
disordered eating, amenorrhea, osteoporosis
Term
muscle dysmorphia
Definition
psychiatric disorder characterized by preoccupation with building body mass
Term
how much activity for adults each week?
kids every day?
Definition
2.5 hours
60min
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