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Nutrition
Test 3
85
Health Care
Undergraduate 4
12/03/2007

Additional Health Care Flashcards

 


 

Cards

Term
how to calculate BMI
Definition
dividing weight in kilograms by height in meters squared. can also be done in inches and pounds.
Term
how many children are overweight in the US?
Definition
1 out of 7
Term
how much weight does an obese person have to lose to substantially decrease health risks?
Definition
5-10%
Term
human fat stores are in two major locations:
Definition

1.)under the skin over the hips, upper arms, and thighs

 

2.) in the abdomen 

Term
fat stored under the skin is called
Definition
subcutaneous fat
Term
visceral fat
Definition
fat stored in the abdomen
Term
what is more dangerous to health, subcutaneous or visceral fat; why?
Definition
visceral fat. it is more metabolically active. this causes oxidation in cells which leads to chronic inflammation.
Term
chronic inflammation
Definition
causes damage to molecules within other cells in the body
Term
metabolic consequences of chronic inflammation:
Definition
insulin resistance, metabolic syndrome, type 2 diabetes, elevated blood pressure, cancer, Alzheimer's disease
Term
insulin resistance
Definition
a condition in which cells "resist" the action of insulin in facilitating the passage of glucose to cells.
Term
what waist circumference indicates an apple shape and excess storage of visceral fat?
Definition
over 40" in men, 35" in women
Term
methods for assessing body fat content
Definition
skin fold, MRI, bioelectric impendance analysis (BIA), underwater weighing
Term
Essential, Ideal and Obese Percentages of Body Fat
Definition
A. Men- 3%, 8-15%, 25% +
     B. Women- 12%, 18-24%, 30% +
Term
skinfold measurement
Definition

-measuring the thickness of fat folds that lie underneath the skin

-calipers used to measure thickness of fat folds

 

advantages: cheap, painless

limitations: often performed by untrained people 

Term
Bioelectrical Impendance Analysis (BIA)
Definition

since fat is a poor conductor of electricity and muscles/water are good conductors, body fat can be estimated by determining how fast electrical current passes from ankle to wrist.

 

advantages: portable, easy to do, painless, accurate

limitations: expensive

Term
underwater weighing
Definition

first weighed in dry land, next weighed under water. the less the person weighs under water compared to dry land, the higher the body fat. (fat, not muscle or bone, floats in water)

Term
magnetic resonance imaging (MRI)
Definition

a person's body fat is photographed from cross-sectional images. highly accruate but expensive

Term
what causes obesity?
Definition
diet, physical activity, environmental exposures, genetics
Term
set-point theory
Definition
individuals are programmed to weigh a certain amount and that body weight will return to that level after weight is lost or gained
Term
environmental trigger
Definition
inactivity, high-fat diet, or high sodium intake that causes a genetic tendency toward a disorder to be expressed
Term
anorexia nervosa
Definition

physical/emotional effects: they can never be too thin. have little fat (7-18% of body weight). eat b/w 300-700 calories/day. 

 warning signs: extremely thin body, intense fear of gaining weight

symptoms: women: irregular menstrual cycles, significant bone loss, lower estrogen. men: lower test.

treatments: 5-7 years of professional help.

Term
bulimia nervosa
Definition

-occurs in 1-3% of women

-regular episodes of dieting, binge eating, and purging

-people are not underweight or emaciated

-common features: weakness, abdominal pain, tooth decay, swollen cheeks, eating in secret, guilt 

-leads to major changes in metabolism

-treatment: nutrition and psych. counseling. most women achieve recovery, but 1/3 will relapse w/i 7 years. 

 

Term
binge-eating disorder
Definition

-people tend to be overweight or obese

-1/3 male

-eat large amounts of food. feel a lack of control.

-don't vomit or try to control weight gain.

-30-90% of obese people have binge-eating disorder

-stress, depression, anger, anxiety

-treatment: they record their food intake, indicate binging episodes, note their feelings about it 

Term
pica
Definition

-eating nonfood substances

-geophagia - clay/dirt eating

-pagophagia - ice eating (iron deficiency)

-amylophagia - laundry starch/corn starch eating 

Term
far vegetarian
Definition
no red meat
Term
quasi-vegetarian
Definition
no red meat or chicken
Term
lacto-ovo vegetarian
Definition
no red meat, chicken or fish
Term
lacto-vegetarian
Definition
only milk and plant foods
Term
macrobiotic diets
Definition

fall between quasi-vegetarian and vegan diets.

 

now includes fish, beans, spices.

 

yin and yang of foods 

 

 

Term
Health concerns for vegetarian diets
Definition
a. must combine plant sources to produce complementary proteins
     b. deficiencies - b12, vitamin D, EPA, DHA
Term
health benefits of vegetarian diets
Definition
lower risk of heart disease, stroke, hypertension. lower chance of obesity
Term
food allergies
Definition
the body's immune system reacts to a substance in food (mostly proteins) that it identifies as harmful
Term
What foods are most likely to cause allergic reactions?
Definition
Wheat, milk, soy, eggs, peanuts, tree nuts, fish, shell fish
Term
how common are food allergies?
Definition

approx. 5% of infants and young children develop a food allergy, mostly due to a protein in cow's milk.

 

2% in adults 

Term
how to diagnose a food allergy
Definition
double-blind, placebo-controlled food challege.
Term
what's the best way to treat food allergies?
Definition

eliminate the food from your diet. 

Term
lactose maldigestion and intolerance
Definition

the inability to break down lactose in dairy products due to the lack of the enzyme lactase.

 

very common- 25% of US adults 

Term
sulfite sensitivity
Definition
very small amts. can cause anaphylactic shock / asthma attack in sensitive people
Term
red wine, aged cheese, and migranes
Definition

related to the histamine in red wine

 

related to tyramine in aged cheese 

Term
MSG and "chinese restaurant sydrome"
Definition
dizziness, rapid heartbeat, ringing in the ears
Term
leading types of cancer
Definition

men- 1. Prostate 2.lung 3.colo-rectal

 

women- 1.breast 2.lung 3.colo-rectal

Term
3 phases of cancer
Definition

1.) initiation phase: the start of cancer; begins w/ the alteration of DNA within cells.

 

2.) promotion phase: cells with altered DNA divide, producing large numbers of abnormal cells. (10-30 yrs)

 

3.) progression phase: marked by a loss of control over the abnormal cells, and their numbers increase rapidly.

Term
causes of cancer
Definition

80-90% of all cancers are related to environmental factors.

 

some top factors related to cancer development: obesity, low vege/fruit intake, physical inactivity, smoking, excess alcohol intake 

Term
red fruits / vege's
Definition

phytochemical: lycopene

found in: tomatoes, rasperries, watermelon 

Term
yellow-green
Definition

lutein zeaxanthin

 

leafy greens, avocado, honeydew

Term
red-purple
Definition

anthocyanins

 

grapes, berries, wine 

Term
orange
Definition

beta-carotene

 

carrots, mangos, papayas 

Term
orange-yellow
Definition

flavonoids

 

oranges, tangerines, lemons, plums 

Term
green
Definition

glucosinolates

 

broccoli, brussels sprouts 

Term
white-green
Definition

allyl sulfides

 

onions, leeks, garlic 

Term
5 components of fitness
Definition
a. Cardiovascular
     b. Muscular endurance
     c. Muscular strength
     d. Flexibility
     e. Body composition
Term
aerobic training: heart rate
Definition
60-75% of maximal heart rate
Term
3 major factors affecting performance
Definition
genetics, training, nutrition
Term
glycogen's role in the body
Definition

glycogen stores in the muscles and liver can deliver about 2000 calories worth of energy for performance.

 

a persons ability to perform activity is limited to the amt. of glycogen stored.

Term
effects of diet on muscle glycogen stores during training
Definition

low carb intake: 0.6 g/ muscle glycogen (60 min training until exhaustion)

avg. carb intake: 1.8 g (126 min)

high carb intake: 3.5 g (189 min) 

Term
electrolytes
Definition
minerals like sodium and potassium that help the body maintain an appropriate amt. of fluid
Term
anabolic steroids
Definition

-testosterone

-promote protein synthesis

-increases mucles mass

-many bad side effects 

Term
creatine
Definition

component of muscle, generates ATP from ADP in muscle.

-increases performance in high-intensity, short-duration exercises. 

Term

caffeine

Definition

-CNS stimulant, diuretic

-decreases fatigue

-increases insulin resistance

-fatal dose 3-10 g

-Olympic illegal dose = 6-8 cups coffee preevent 

Term
 chromium picolinate
Definition

-energy metabolism and insulin utilization

-claim: ncreases lean body mass, decreases fat

-evidence: no effect on body composition, no evidence of ergogenic effect.

-may increase oxidative damage to muscles. 

Term
DHEA, Andro
Definition

-precursors of testosterone

-promote test. production

-same negatives as anabolic steroids 

Term
ephedra (ma huang)
Definition

CNS stimulant, enhances endurance

Term
HGH
Definition

stimulates muscle and bone growth, converted to glucose.

-increases muscle mass but probably not strength

-diabetes, stroke, hypertension. irreversible side effects. 

Term
critical period
Definition

an interval in time during pregnancy when cells of a tissue or organ are genetically programmed to multiply.

 

critical because if they don't multiply at this time, the can't make up the deficiency later.

 

-the roof of the mouth (hard palate) is formed in the 3rd month. if excessive amts. of vit. A are present, the two plates may fail to combine. 

Term
weight gain ranges
Definition

underweight: 28-40 lbs

normal: 24-35 lbs

overweight: 15-25 lbs

obese: 15-20 lbs 

Term
most important nutrients during pregnancy
Definition

calories

folate

vit. B6

vit. A

calcium

vit. D

iron

iodine

EPA
DPH

Term
calories during pregnancy
Definition

women need +340 calories/day in the 2nd trimester

&
+450 cal/day in the 3rd trimester

Term
folate during pregnancy
Definition

-required for protein tissue construction

-"at risk" nutrient (some women dont get enough)

-linked to neural tube defects

-reccomended: 600 mcg/ day 

Term
trimester pds.
Definition

1st tri: 0-13 weeks

2nd tri: 13-26 wks

3rd tri: 26-40 wks 

Term
vit. A
Definition

-both low and high intakes of vit. A may cause problems

-too little = poor fetal growth

-too much = fetal malformations

-reccomended: less than 5000 IU/ day 

Term
colostrum
Definition

nutrient rich milk produced in the first few days after delivery

 

Term
breast feeding helps lower percentages of these diseases
Definition

ear infections

respiratory illness

diarrhea

hospital admissions

  

Term
benefits of breast milk in life
Definition

optimal growth of nervous system and eyes

 

higher IQ 

Term
infant feeding reccomendations
Definition

~first 6 months: breastfeeding/formula

~4-6 months: introduce solid food

9 months: finger foods

12 months: mostly everything 

Term
foods to avoid in first 1-3 years of life
Definition

cows milk

egg whites

seafood

nuts

soy

wheat

other problems: blueberries, coffee, corn

Term
CDC estimates of food poisoning per year
Definition

sickness in 76 million people

325,000 hospitalizations

over 5,000 deaths 

Term
salmonella
Definition

37,000 cases/year

onset: 1-3 days

duration: 4-7 days

symptoms: diarrhea, abdominal pain, chills

foods affected: eggs, unpasteurized milk, raw meat

source of contamination: infected animals, human feces 

Term
how many types of foodborne illnesses have been ID'ed?
Definition
over 250
Term
campylobacter
Definition

highest # of cases: 2,453,926/yr

on 80% of chickens

20% is resistant to antibiotics

onset: 2-5 days

duration: 2-5 days

symptoms: diarrhea (may be bloody), ab cramps

food: chicken, milk 

Term
e. coli 0157:H7
Definition

80,000 cases/year

8% of people die

onset:1-8 days

duration: 5-10 days

symptoms: bloody diarrhea, ab cramps

foods: raw beef, milk, fruits & vege's

contamination: cattle 

Term
Norwalk-like viruses
Definition

onset: 1-2 days

duration: 1-3 days

symptoms: nausea, vomiting, diarrhea

foods: seafood

contamination: human feces contaminating shellfish 

Term
mercury contamination
Definition

mostly through fish through fungicides, fossil fuel exhaust, paper mills

 

pregnant women shouldnt eat much fish 

Term
botulism
Definition

one of the deadliest

-causes nerve damage, respiratory failure

 

-mostly from dented cans 

Term
mad cow disease
Definition

caused by prion, a protein

 

 

Term
how to keep food safe
Definition

-wash and rub it

-leftovers: cover and refridgerate

-watch expiration dates

-temperatures: danger zone: >40 degrees F, <140 degrees F 

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