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81 Cards in this Set

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Eating Disorder:
-Severe alterations in eating patterns causing physiological changes.
Anorexia
-extreme self starvation
-BMI < 17.5
Bulimia Nervosa
-"Binge eating" followed by purging
-Hide binge and purge habits
Treatment for Eating Disorder
-No simple 1-size-fits-all therapy
Water-fluids

total
17 liters-outside cells

25 liters-inside cells
Fluid functions
-body temperature regulation
-removes body waste, toxins
-carries nutrients and oxygen to cells
-lubricates joints and tissues
Requirements for fluids
13 cups/day for men

9 cups/day for women
Dehydration
-Fluid loss greater than intake
Compounds over time
Thirst Mechanism
-Not always reliable
Body conserves Fluid:
1.Antidiuretic hormone
2.Aldosterone hormone
1.forces the kidney to reduce urine flow
2.signals kidney to retain sodium (water)
Athletes and Physically Active
-Hydration #1 nutrition concern
-Drink before, during, after
Monitor Sweat Rate
-Use training to learn fluid needs
-Weigh before and after
-20-24 oz of fluid per pound lost
-2-3 cups per pound
Dehydration Signs
Primary Symptons
-thirst
-fatigue
-muscle cramps
-Dizziness
Sodium and Hydration:
-Hyponatremia
1 lb sweat=500 mg sodium/ 16 oz of fluids (2 cups)
-low blood sodium: caused hydrating without Sodium
Sodium
-Fluids with sodium or foods with sodium
-clear, sports drinks with sodium
20 oz Gatorade=300 mg sodium
Hydrators
-water
-clear sports drinks
-juice
-milk
Techniques to increase fluids
-Regular Schedule
-squeeze bottles
-Pitchers filled with fluid needs
Nutrition for Athlete:
-Energy Requirements
-vary for each athlete
-gender, age, height/weight etc.
Carbohydrates:
-primary working ___ __
-prevent ___ ___
-muscle fuel (glucose, and glycogen)
-muscle fatigue
Carb loading
-increase liver and active muscle glycogen
Protein Functions
-build, maintain, repair tissues
-muscle, tendon, ligament recovery
-healthy immune system
Fat
-__ total of calories
-__ fat under 10%
-emphasis on __
-20-35%
-Saturated
-essential
Lean body mass weight gain
-High in calories
-BEE (muscle mass)+physical activity+need to gain weight
-at least + 500 calories/day
Strategies for eating more
-frequent meals and snacks
-limit low and fat free foods
-eat at least 3 items per meal
Weight loss
-Slow
-Off season
-eat for what you are going to do
-easier to eat less than train more for athletes
Weight to low
-poor kid/teen growth
-abnormal menstruation
-poor training response
-poor performance
Pre-competition eating
-very individual
-nutrition goals
-psychological goals
Recovery
-workout/practice/game event
-need: CHO, PRO, Fluids, breakfast
Sports Anemia
-increased plasma volume: decreased red blood cell concentration
-decreased endurance
-iron supplement, well balanced diet
Popular supplements
1.multivitamin-mineral tablet
2.meal replacement powder
3.meal replacement bars
4.creatine
5.fish oil
6.flax oil
7.Glucosamine/Chondroitin
nutrition for Pregnancy
-adequate balanced diet
-Protein +25 grams/day
-Folate: 600-1000 synthetic mcg/day
-Iron: 27-30 mg/day
-Calcium: 1000-1300 mg/day
Basic nutrition guidelines
-Prenatal vitamin-mineral supplement
-no alcohol
-moderate caffeine, sugar sub
-adequate fluids
-limit mercury containing fish
WIC organization
-Women, infants, children
-reduced income families
-
Appropriate weight gain
-helps prevent low-birth weight
-helps prevent excess weight gain
Needs based on Development
-first trimester (week 0-13)
-second and third trimester
-2-4 lbs weight gain, no additional calories, increased nutrients-folate
-Average 1 lb/week gain, > calories- 300/day, > nutrients
Nutrition Related problems
-Morning sickness
-fluid retention
-constipation
-Food craving-aversions
-Heartburn
Nutrition needs for breastfeeding mom
-+ 500 calories/day or more
-+20 grams protein or more
-8-12 cups of fluids
Amount/quality of breastmilk
-poor diet
-does not affect milk quality
-alcohol/ smoking limits amount produced
-increase fluids and protein to increase milk supply
Colostrum
-Fluids may be produced before delivery, few days after
-thick, clear-yellow fluid
-Contains antibodies, anti-infective factors
Mature milk
-gradually comes in over the 1st 2 weeks
-thin, watery, slightly bluish
Unique compostion
-58% fat
-Lactose-CHO
-minimal digestion, low renal solute load
200+ other substances
Milk Composition
-Foremilk: resembles skim milk
-17% fat, 74% CHO, 9% protein
-Hindmilk: resembles cream
-66% fat, 28% CHO, 6% PRO
Breastmilk points of interest
-health benefits
-minimal spitting
-food flavors transfers
Breastfeeding guidlines
-feed on demand
-baby needs more the mom will produce more
-proper latching on
-No bottles
-mom's milk production will adjust to feeding routine
Who has the Greatest influence on the likelihood of breastfeeding?
DAD
Nutrition for Birth to 1 year
-breastmilk or formula primary nutrition
-GI and kidney development
-Rapid growth
Formula contains
1.lacotse/sucrise (CHO)
2.casein, whey (PRO)
3.Vegetable oils (FAT)
Other formulas contain
-Soy contains soy protein
-Vitamins-minerals fortified, high iron
Formula needs
-20 calories/oz
Standard formula type
-essential fatty acid enhanced
-modified for gassy, and spitty babies
-organic
-lactose free
Other formula types
-follow-up (6-12 months)
-Soy-protein
-hypoallergenic-Protein sensitivity
-Preemie
-Medical
Immature GI tract
-protein intolerance
-usually improves in 1st year
Formula tips
-Mix according to instructions
-Food safety-GI problems
4-6 months
-introduce solids
-developmental feeding milestones
-iron-fortified rice cereal
-then vegetables-fruits
Nursing bottle caries
-severe tooth decay
-no juice or sweetened beverages in bottle
-no bottle in bed
-wipe off teeth with a washcloth, brush 2 times/day
6-12 months
-Mashed, soft foods to small chunks
-introduce foods according to ability
-eating is a part of motor skill development
-caution with foods that could cause choking
Adequate nutrition
-growth curves:weight,length etc.
-Hemoglobin: if anemic-liquid iron, supplements for teens
-Normal development
1-5 years
-growth slows dramatically
-Food provided:nutrients, tools for decision making
-provide food pyramid balance, healthy choices
1-5 years needs
-whole milk from 1-2 years old
-appetite dependent on growth and activity level
-intuitive eaters
-taste preferences established
Stool concerns
-stooling: discomfort
-diarrhea-dehydration
5-10 years
-continued slow growth
-regular meals and snacks
5-10 years common concerns
-hyperactivity: not sugar related, no caffeine, routine meals
Adolescents
-rapid growth triggered by hormones
-calories up to 4000-5000/day during growth spurts
-iron, calcium, Vitamin D, pro
-All DRI's increase
Mealtime
-very important: goal to have 5 dinners a week
-distraction free
-enjoyable
-try to increase
Child Hunger/Food Insecurity
-USDA- >35million Americans food insecure
-Programs: food stamps
Healthy foods to give
Canned: beans, etc.
Dry: cereal, whole grain, etc.
Public policy School Nutrition:
-Healthy school summit
-provide a healthy environment where children learn and participate in + dietary and lifestyle behaviors and practices
Weight loss for Children/teens
1.Weight Goals
2.Behavior Goals
3.Teach
1.maintain weight, grow into weight, lose very slowly
2.increase physical activity, health diet-food pryamid balance
3.increased activity and fitness, appropriate portion sizes, family involvement
Nutrition for older americans:
-diet and aging
-decrease body processes and function
-we are less like other people our own age
-Vary goals: health improvement, treatment, survival
-Nutrition needs
-Calories needs
-Protein needs
-Fluids-adequate
-Fiber-adequate
-increase: calcium, vitamin d
-decreases
-increase
-increase
-increase
Malnutrition Risk
-involuntary weight loss or gain
-eating poorly
Malnutrition
-easier to prevent than cure
-side effects: poor immune system, frequent illness, greater risk of infection
Encourage Healthy, Regular eating
-eat regular, small, frequent meals
-good lighting, cooking, and eating areas
Hypertension
-high blood pressure
-1/5 Americans, only 1/2 are treated
-increase risk for heart disease
Hypertension Treatment: 5 steps
1.Weight loss
2.Exercise
3.Adequate pottasium, calcium, magnesium
4.Moderate to low sodium
5.Sensible alcohol intake
Dash Diet: blood pressure control diet
-6-8 grains
-4-5 fruits, and 4-5 vegetables
-2-3 dairy, < 2 meats
-1 nut, seed or legume
-moderate sodium, and alcohol
Diabetes:
-Type 1
-Type 2 or (adult onset)
-body is unable to regulate healthy levels of blood sugars
-Type 1:pancreas doesn't produce insulin
-Type 2:insulin doesn't deliver glucose to cells effectively
dietary glucose is composed of
-Sucrose, disaccharides: candy
-Complex CHO:refined CHO, pasta
-Gram for gram CHO is CHO
Type 1-insulin dependent diet
-diet(CHO) coincides with insulin therapy: 15gm CHO:1 unit insulin
-Establish CHO intake/pattern
-Balanced Diet
Adult onset-Type 2 diet
-weight loss
-balanced diet
Hypoglycemia-unrelated diabetes
-pancreas over produces insulin in response to CHO intake
-High PRO (30-40%), Low CHO (40%) diet
-Regulate meals, snacks
-Exercise
-Stress Management