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21 Cards in this Set

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  • Back
What is the formula for calculating LDL from a lipid panel?

When is this not applicable?
LDL = TC - (HDL + TG/5)

When TG > or = 400
How would you estimate the caloric expenditure needed to maintain energy balance using body mass?
1500 cals + 20 cal/kg

~30-35 cal/kg
Which is harder to digest: fats, proteins
Fats are easier

Proteins are harder (require more energy; result in greater thermic effect)
What is non-exercise activity thermogenesis?
Things you do other than eat, sleep, exercise; i.e., unintended (unstructured, unplanned) exercise
What are the BMI cutoffs for:
Underweight
Mild thinness
Moderate thinness
Severe thinness
Underweight: under 18.5
Mild: 17-18.49
Moderate: 16's
Severe: under 16
Severe: below
How would you calculate BMI?
mass/(height^2)
What are the BMI cutoffs for:
Normal
Overweight
Obese
Obese Class I
Obese Class II
Obese Class III
Normal: 18.5-24.9
Overweight: 24.5-29.9
Obese: 30+
Obese 1: 30-34.9
Obese 2: 35-39.9
Obese 3: 40+
Pounds per inch normal weight for male? Female?
Male: 106 lbs first 5', 6 lbs each addl inch

Female: 100 lbs first 5', 5 lbs each addl inch
Android vs Gynoid
Android = apple shape (central fat distribn)

Gynoid = pear shape (lower distribution)
Eligibility requirements for bariatric surgery?
BMI >40
or BMI >35 and co-morbidity
Mediterranean diet characteristics? Ornish?
Med: moderate fat, plant based; lowers TG's, raises HDL; lots of EVOO (lowers BP, glucose, insulin)

Ornish: High carbs, low compliance

(atkins: GOUT!)
Patient at nutritional risk vs Malnourished
Risk: recent weight change, Gi symptoms, some wasting

Malnourished: chronic weight change, persistent GI symptoms
Marasmus vs Kwarshiorkor
Marasmus: General starvation

Kwashiorkor: Protein deficiency (due to diet), get big belly
Which vitamins are fat soluble? Water soluble?

How does this relate to storage issues?
KEAD: fat solubles are easier to store; easier to excess

BC:; excess less likely
B1 (Thiamine)
Purpose
Source
Deficiency
Dehydrogenase stuff
Thai rice, grains

Wernicke (confusion)
Beriberi
Dry: heart failure, edema
Wet: Neuropathy (Wernicke)
B3 (Niacin)
Purpose
Deficiency
Toxicity
NAD+, NADP+
Pellagra (3D's)
Tox: Flushing
B12 (Cobalamin)
Deficiency
macrocytic, megaloblastic anemia
Vitamin A
Source
Purpose
Deficiency
Toxicity
Preformed in liver, meats, dairy, carrots

Visual pigments

Deficiency: Night blindness
Toxicity: Alopecia
Vitamin C
Source
Deficiency
Citrus
Scurvy: swollen gums, bruising, anemia, poor wound healing
Vitamin D
Purpose
Source
Deficiency
Toxicity
Liver, egg yolk, fish, sunlight

Rickets (kids), Osteomalacia (adults--softened bones)

Hypercalcemia
Vitamin K
Source
Deficiency
Green leafy vegetables, bacterial synthesis in adults

Newborn: hemorrhagic disease
Uncommon deficiency in adults