Term
| what are the us guidelines for nutrition (13) (topics to hit: Na, meats, fruits and veggies, fats, carbs, vita,ins, drinks) |
|
Definition
improve eating and increase activity
lower Na for those above 50, african american, and HTN
more seafood (8oz/wk)
increase fruits and veggies that are dark green, red, orange, beans, peas
lean protein
substitute healthy oils or solid fats
decrease saturated and trans fat
avoid fast food
eat more whole grains: half of all grains whole grains
increase fiber, vitamin K and D
increase non-fat dairy
limit alcohol to a drink per day for women and 2 for men
drink water, sugar free, non-carbinated, limit caffiene |
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Term
| what are the side effects of caffiene |
|
Definition
| diuretic, stimulant, excess leads to anxiety, insomnia, tremors, increased HR, prevents Ca absorption |
|
|
Term
| what does caffiene sensitivity depend on |
|
Definition
| body weight, physical condition, frequency of intake, anxiety levels, increases with age |
|
|
Term
| what is a moderate amount of caffiene, what are the side effects |
|
Definition
200-300 md/d
no physical problems
non-addictive
is habit forming |
|
|
Term
| what are the contraindications to caffiene |
|
Definition
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Term
| metabolic syndrome: define, demographic, diseases its linked to, qualification for diagnosis |
|
Definition
pre-diabetic state
women have high mortality, increases with age
linked to DM2 and CDV
need 3 or more positive indicators |
|
|
Term
| what are the stats that indicate metabolic syndrome in women |
|
Definition
TG > 150 mg/dl
HDL < 50 mg/dl
waist > 35 in
BP > 130/85 on medication
fasting glucose > 100 mg/dl |
|
|
Term
| what are the stats that indicate metabolic syndrome in men |
|
Definition
TG > 150 mg/dl
HDL < 40 mg/dl
waist > 40 in
BP > 130/85 on medication
fasting glucose > 100 mg/dl |
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Term
| metabolic syndrome is the gateway to chronic disease, which ones(11) |
|
Definition
| DM2, sleep apnea, obesity, NASH, osteoperosis, ESRD, cancer, CVD, dyslipidemia, HTN, PCOS |
|
|
Term
| what is the pathophysiology of metabolic syndrome (5) |
|
Definition
disregulation in lipid and glucose balance
lipotoxicity
increased insulin
hyperglycemia
body has lots of lipid it cant store so it makes fatty liver and muscle |
|
|
Term
| what is the treatment for metabolic syndrome |
|
Definition
lifestype management (diet and exercise)
Rx for HTN, hyperglycemia |
|
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Term
| what is the proof for the medeterraian diet |
|
Definition
cereals, fish, legumes, fruit, vegetables decrease metabolic syndrome
animal products and alcohol increase metabolic syndrome
increased fruits and veggies decrease Dm2 |
|
|
Term
| what is the premise of the medeterrarian diet |
|
Definition
| improves insulin sensitivity and lipoproteins and CV mortality |
|
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Term
| what is red a polynutrient indicator for (2), what do these provide for the body (4) |
|
Definition
hycopene, capsanthin
heart health, circulation, urinary trat, memory |
|
|
Term
| what is yellow oragne a polynutrient indicator for (1), what do these provide for the body (2) |
|
Definition
B carotene
vision, immune system |
|
|
Term
| what is white a polynutrient indicator for (2), what do these provide for the body (1) |
|
Definition
allicin flavonol
heart health |
|
|
Term
| what is green a polynutrient indicator for (2), what do these provide for the body (3) |
|
Definition
chlorophyll, lutein
vision, strong bones, teeth |
|
|
Term
| what is blue purple a polynutrient indicator for (2), what do these provide for the body (3) |
|
Definition
anthocyanin, quercetin
healthy aging, urinary tract, memory |
|
|
Term
| what is the MOA of a gastric bypass |
|
Definition
| malabsorption and restriction |
|
|
Term
| what is the MOA of an adjustable gastric band |
|
Definition
|
|
Term
| what is the MOA of a sleeve gastrectomy |
|
Definition
|
|
Term
| what is the official criteria for bariatric surgery |
|
Definition
BMI > 40
BMI > 35 with contraindications
documented dietery attempts ineffective |
|
|
Term
| what is the less official but important criteria for bariatric surgery |
|
Definition
| last resort, not for a quick fix, not to take the easy way, benifit of nutritional deficit > risk, to resolve comrbidities |
|
|
Term
| what are the comorbitiries resolved in the 90% range with bariatric surgery |
|
Definition
DM2
hypercholesterolemia
GERD
HTN
Osteoarthritis |
|
|
Term
| what are the comorbidities resolved in the 70-89% range |
|
Definition
stress incontinence
sleep apnea |
|
|
Term
| what are the complications of bariatric surgery |
|
Definition
DVT or clot
leak (staple line comes open)
mortality
respiratory
wound healing
band slip
infection
erosion
port replacement |
|
|
Term
| what nutritional changes does someone who had bariatric surgery have to make: protein, fat, carb, drinks |
|
Definition
high protein
low fat
low carb
no carbonation
10 oz caffiene max
64 oz fluid |
|
|
Term
| how does someone who had bariatric surgery have to change how they eat |
|
Definition
| eat slow, chew a lot, regular meals |
|
|
Term
| why cant a bypass pt have caffient |
|
Definition
| it has phosphoric acid and takes Ca from your bones, putting bubbles in small stomach hurts |
|
|
Term
| who is on a bariatric surgery team |
|
Definition
| surgeon, RD, psychologist, RN |
|
|
Term
| what nutrients are at risk when someone gets a gastric band, why for each one (6) |
|
Definition
Ce and Fe absorbed in duodenum
folic acid, B1 (thiamine)
B12 dosent get its intrinsic factor
fat soluble vitamins need digestive juice |
|
|
Term
| why is Ca decreased in a gastric bypass patient, what does it cause to happen, how is it diagnosed |
|
Definition
lactose intolerance with gastric band
causes osteomalacia/osteoperosis
Ca in blood is uaully normal because bones release it, you need a bone scan |
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|
Term
| why do people with a gastric band have low iron |
|
Definition
decreased intake because it makes pt too full fast due to the food its in
malabsorption because duodenum is bypassed |
|
|
Term
| what does an Fe deficiency cause |
|
Definition
| risk during mensturation, anemia, fatigue, cold, SOB, anemia |
|
|
Term
| what could be mistaken as an iron deficiency |
|
Definition
| loss of fat layer causing cold |
|
|
Term
| why does a person with a gastric band have less folate, what does a deficiency cause |
|
Definition
decreased absorption due to lack of stomach aid
deficiency causes NTD in pregnacy, macrocytic anemia |
|
|
Term
| why do gastric band pt have thiamine deficiency, symptoms/diseases |
|
Definition
decreased intake, malabsorption
rapid weight loss, persistant vomiting, wernicke's encephalopathy/beriberi |
|
|
Term
|
Definition
| nausea, vomiting, loss of appetite, fatigue, difficult concentrating, leg and foot cramps, burning feet |
|
|
Term
|
Definition
fatigue, heart palpitations, SOB, poor appetite, tingling in extremities
prenicious anemia, nerve damage, memory loss, dementia |
|
|
Term
| what is the supplementation regimend for a gastric band patient |
|
Definition
2 chewable multi vitamins
1000-1200 Ca
400 IU vitamin D
80 mcg vitaminK
100-250 mg B1
500-1000 mcg B12 (daily sublingual or shot)
28-200 mg Fe in women
500 mg vit C in women |
|
|
Term
| why is a pt who takes the Ca have it low still |
|
Definition
| they might take it with their iron which decreases absorption |
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