• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/191

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

191 Cards in this Set

  • Front
  • Back
chemical substances in food that are used by the body for growth nd health
nutrients
substances required for growth and health that cannot be produced or produced in sufficient amount bye hte body/ they must be obtained from the diet
essential nutrients
nutrients required for growth and health that can be preduced by the body from other components of the diet
nonessential nutrients
access at all times to a sufficient supply of safe
food security
limited or uncertain availability of safe, nutritious foods, or the ability to acquire them in socially acceptable ways
food insecurity
a unit of measure of the amount of energy supplied by food.
calorie; also know as kilocalorie , kcal, large calorie
scientifically agreed upon standards for daily intakes of nutrients from the diet developed for use on nutrition lables
daily values
the replacement of thiamin, niacin, riboflavin, and iron that were lost when grains are refined
enrichment
the addition of one or more vitamins/minerals to a food product
fortification
the "building blocks" of protein. Unlike carbohydrates and fats, ____ contain nitrogen
Amino acids
components of fat that are a required part of the diet (ie. Linoleic and alpha-linolenic). Both contain unsaturated fatty acids
essential fatty acids
a group of physiologically active substances derived from the EFA's. They are present in many tissues and perform such functions as the constriction or dilation of blood vessels and stimulation of smooth muscles and the uterus
protaglandins
fat in which adjacent carbons in the fatty acids components are linked by single bonds only
saturated fatty acids
fats in which adjacent carbons in one or more fatty acids are linked b y one or more double bonds
unsaturated fatty acids
fatty acids that have unusual shapes resulting from the hydrogentation of polyunsaturated fatty aicds. ____ also occur naturally in small amounts in foods such as dairy products and beef
trans fat
a fat soluble, colorless liquid primarily found in animals. is used by the body to form hormones such as testosterone and estrogen and is a component of cell membranes
cholesterol
chemical substances that prevent or repair damage to cells caused by exposure to oxidizing
antioxidants
chemical substances in plants, some of which affect body processes in human that may benefit health
phytochemical
the science of gene-nutrient interactions
nutrigenomics
malnutrition that result directly from inadequate or excessive dietary intake of energy or nutrients
primary malnutrition
malnutrition that results from a condition (e.g. disease, surgical procedure, medication use) rather than primarily from dietary intake
secondary malnutrition
generally taken to mean food, fortified foods, and enhanced food products that may have helath benefits beyond the effects of essential nutrients they contain
functional foods
strains of lactobacillus and bifidobacteria that have beneficial effects on the body also called friendly bacteria
probiotics
certain fiberlike forms of indigestible carbohydrates that support the growth of benefical bacteria in the lower intestine ; named intestinal fertilizer
prebiotics
the science of measuring the human body and its parts
anthropometry
assessment of dietary or nutrition status at intermittent times with the aim of detecting changes in the dietary or nutritional status of a population
nutrition monitoring
continuous assessment of nutritional status for the purpose od detecting changes in trend or distribution in order to intiate corrective measures
nutrition surveillance
actual production of children. The word best applies to specific vital statistic rates, but is commonly taken to mean the ability to bear children
fertility
commonly used to mean biological inability to bear children
infertility
reduced level of fertility characterized by unusually long time to conception ( over 12 months) or repeated early pregnancy losses
sub fertility
generawlly defined as the loss of a conceptus in the first 20 weeks of prengnacy, also called spontaneous abortion
miscarriage
the developing organism from conception through 8 weeks
embryo
the developing organism from 8 weeks after conception to the moment of birth
fetus
an approximately 4 week interval in which hormones direct a buildup of blood and nutrient stores within the wall of the uterus and ovum maturation and release. If the ovum is fertilized by a sperm, the stored blood and nutrients are used to support the growht of the fertilized ovum. if fertilization does not occur, they are released from the uterine wall over a period of 3 to 7 days. The period of blood flow is called the menses or the ______.
menstrual cycle
a tissue about 12 mm in diameter formed from the follicle that contained the ovum prior to its release. It produces estrogen and progesterone. The "yellow body" derivation comes form the accumulation of lipid precursors of these hormones in the ______
corpus luteum ( corpus = body; luteum = yellow)
a group of physiologically active substances derived from essential fatty acids. They are present in many tissues and perform such functions as the contriction or dialation of blood vessels, and stimulation of smooth msucles and the uterus
prostaglandins
a protein secreated by fat cells that by binding to specific receptor sites in the hypothalamus, decreases appetite, increases energy expenditure, and stimulate gonadotropin secretion. ____ levels are elevated by high and reduced by low levels of body fat
leptin
absence of menstrual cycle
amenorrhea
spina bifida and other malformaiton of the neural tube, ____ results from incomplete formation of the _______ during the first month after conception
Neural tube defects (NTD)
around the time of conception, generally defined as the month before and the month after conception
periconcceptual period
a condition in which cells "resist" the action of insulin in facillitating the passage of glucose into cells
insulin resistance
a condition in females characterized by insulin resistance, high blood insulin and testosterone levels, obesity, polycystic ovaries, menstrual dysfunction, amenorrhea, infertility, hirsutism (Excess of body hair) and acne
Polycystic ovary syndrome (PCOS)
a measure of the extent to which blood glucose levels are raised by a specific amount of carbohydrate containing food compared to the same amount of glucose or white bread
Glycemic index
a constellation of metabolic abnormalities that increase the risk of type 2 diabetes, heart disease and other disorders. Insulin resistance, adbominal obesity, high blood pressure and triglyceride levels, low levels of HDL cholesterol and imapried glucose tolerance characerize it. Also called Syndrome X and insulin-resistance syndrome
Metabolic syndrome
a disk shaped organ of nutrient and gas interchange between mother and fetus. At term, the ______ weight about 15% of the weight of the fetus
placenta
swelling (usually of the legs and feet, but can also extend throughout the body) due to an accumulation of extracellular fuild
edema
hormones such as progesterone, estrogen, and testosterone produced primarily from cholesterol
steroid hormones
increase in an organism's size through cell multiplication (hyperplasia) and enlargement of cell size (hypertrophy)
growth
progression of the phsycial and mental capabilities of an organism through growth and differentitation of organs and tissues and integration of functions
development
cellular acquisition of one r more characteristics of functions different from that of the original cells
differentiation
preprogrammed time periods during embryonic and fetal development when specific cells, organs , and tissues are formed and integrated or ffunctional levels established. also called sensitive periods
critical periods
newborn weight is less than or equal to 10th percentile for gestioanl age. also called small for date (SFD)
small for gestional age (SGA)
newborn weight is less than or equal to the 10th percentile of weight for gestational age; length and head circumference are normal also called asymmetrical SGA
dSGA - disproportionately small for gestational age
new born weight, length, and head circumference are less than or equal to the 10th percentile for gestational age. Also called symmetrical SGA
pSGA - proportionately small for gestational age
weight , length, and head circumference are between the 10th and 90th th percentiles for gestational age
AGA - appropriate for gestational age
weight for gestation age exceeds the 90th percentile for gestational age ; also defined as birth weight greater than 4500 g or greater than or equal to 10 lbs and referred to as excessively sized for gestational age or macrosomic
LGA - large for gestational age
a condition often marked by low hemoglobin levels. it is characterized by the sign of iron deficiencies plus paleness, exhaustion, and a rapid heart rate
iron-deficiency anemia
an eating disorder characterized by the compulsion to eat substances that are not food
pica
a food borne bacterial infection that can lead to preterm delivery and still birth in pregnant women. _____ is commonly associated with ingesiton of soft cheeses, unpasteurized milk, ready to eat deli meats and hot dogs
L. monocytogenes (listeria)
a parasitic infection that can impair fetal brain development. The source of the infection is often hands contamination with soil or the contents of a cat litter box; or raw or partially cooked meats.
T. Gondii (tomoplasmosis)
What are the principles of human nutrition? (10)
1. food is a basic need of humans
2. foods provide energy(calories), nutrients, and other substances needed for growth and health
3. health problems related to nutrition originate within cells
4. poor nutrition can result from both inadequate and excessive levels of nutrient intake
5. humans have adaptive mechanisms for managing fluctuations in food intake
6. malnutrition can result from poor diets and from disease states, genetic factors, or combinations of these causes
7. some groups of people are at higher risk of becoming inadequately nourished than others
8. poor nutrition can influence the development of certain chronic diseases
9. adequacy, variety, and balance are key characteristics of a healthy diet
10. there are no "good" or "bad" foods
What are the 6 categories of nutrients?
1. carbohydrates
2. proteins
3. fats (lipids)
4. vitamins
5. minerals
6. water
What are the factors that impact nutrient needs? (9)
1. age
2. body size
3. gender
4. genetic traits
5. growht
6. illness
7. lifestyle habits
8. medications
9. pregnancy/lactation
What is the AMDR for Carbohydrates?
for added sugars?
CHO - 45-65% of calories
added sugars - less than 25% of calories
What is the AMDR for fiber/day for females
21-35g fiber/day
What is the AMDR for fiber/day for males?
30-38 g fiber/day
The AMDR for protein is ________
10-35% of calories
glycerol with 3 fatty acids attached
triglycerides
Linoleic acid is known as ____
omega 6
alpha-linolenic acid is known as ____
omega 3
saturated fatty acids have _____ bonds
no double bonds
monounsaturated have ____ bonds
one double bond
polyunsaturated have ___ bonds
2 or more double bonds
____ adds hydrogen to unsaturated fatty acids; it changes the structure of fatty acids from cis to trans
hydrogenation
a fat soluble clear liquid found in animal products; a precursor of estrogen, testosterone, and vitamin D (meaning it converts them to their active form) ; only found in animal products
cholesterol ; the body makes about 1/3 cholesterol
What are the "unhealthful" fats?
the fats that raise LDL - cholesterol ; trans, saturated fats and cholesterol
What are the "healthful" fats?
those that raise the HDL-cholesterol; monounsaturated , polyunsaturated, linolenic (omega 3), EPA and DHA
What is the AMDR of Fats?
20-35% of calories from fat, limiting the unhealthful fats as much as possible ; less than 10% of saturated and less than 1% or non of trans fat
What is the recomended intake for Linoleic acid?
17 g/day for men
12g/day for women
What is the recomended intake for alpha linolenic acid?
1.6 g/day for men
1.1g/day for women
What are the water-soluble vitamins? (10)
thiamin, riboflavin, niacin, pantothenic acid, choline, B6, B12, folate, biotin, and viamin C
What are the Fat Soluble vitamins?(4)
Vitamin A (retinol, beta-carotene)
Vitamin D (1,25 dihydroxycholecalciferol)
Vitamin E ( alpha-tocoperol)
Vitamin K
What are the 15 essential minerals?
1. calcium
2. phosphorus
3. magnesium
4. iron
5. zinc
6. fluoride
7. iodine
8. selenium
9. copper
10. manganese
11. chromium
12. molybdenum
13. sodium
14. potassium
15. chloride
Adults are ____ % water. What is the recommended daily intake for men and women?
60-70% water ; men - 12-16 cups ; women - 11 cups ; 75% from fluids and 25% from foods
Sources of probiotics?
yogurt with live cultures, buttermilk, kefir, cottage cheese,
sources of prebiotics?
chicory, wheat, barley, rye, onions, garlic, leeks
clinical/physical assessment, dietary assessment, anthropometric assessment, and biochemical assessment data
the tools used for Nutrition assessment of an individual
inspection for features that may be related to malnutrition
clinical/physical assessment
24 hour dietary recalls and records, dietary history, food frequency questionnaires , resources: instruments and computer software
dietary assessment
measurements of body size and shape
anthropometric assessment
nutrient and enzyme levels, DNA characteristics, and other biological markers
Biochemical assessment
aproximately _____ of couples are infertile
15.1 %
____ % of couples diagnosed as "infertile" will conceive within 3 years withou use of technology
40%
healthy couples have a ________ chance of conception within a given menstrual cycle
23-30% chance
What are the causes of miscrriages?
defect in fetus, maternal infection, structural abnormailites of uterus, endocrine or immunological disturbances
about ___% of couples are subfertile
18%
eggs females produces and store within the ovaries
ova
~4 week interval in which hormones direct buildup of blood and nutrient stores within uterus; ovum matures and is released
menstrual cycle
women are born with life-time supply of ~ ______ immature ova
7 million
______ ova will mature and be released during fertile years
~400-500
______ are more likely to have disorders related to chromosomal defects than younger women
women >35 years
Sperm production begins during puberty, decreases somewhat after age _____ with production continuing to old age
35 years
stimulates pituitary to relase FSH and LH
gonadotropin - releasing hormone (GnRH)
stimulates maturation of ovum and sperm
Follicle-stimulating hormone (FSH)
stimulates secretion of estrogen, progesterone, and testosterone
Luteinizing hormone (LH)
stimulates release of GnRH in follicular phase and follicle growth and maturation of follicle; stimulates vascularity and storage of glycogen and other nutrients within uterus
estrogen
prepares uterus for fertilzied ovum, increases vascularity of endometrium and stimulates cell division of fertilized ova
progesterone
What are the two phases of the menstrual cycle?
1. follicular phase
2. luteal phase
follicle growth and maturation; main hormones : GnRH , FSH, estrogen and progesterone
follicular phase
after ovulation, formation of corpus luteum, decrease in estrogen and progesterone stimulate menstrual flow ; prostaglandins and cramps
luteal phase
What are sources of disruptions in fertility? (6)
adverse nutritional exposure, contraceptive use, severe stress, infection, tubal damage or other structural damage, chromosomal damage
What are the Nutrition related disruptions in fertility? (5)
under nutrition, weight loss, obesity, high exercise levels, intake of specific foods and food components
______ is seen with low or high body fat due to alterations in hormones
decreased fertility
________ levels increased with high body fat and reduced with low body fat ; both extremes lower fertility
Estrogen and Leptin
Infertility lowers with a BMI of _____________
< 20 or > 30 .
Weight loss of _______ of usual weight decreases estrogen; results in amenorrhea, anovulatory cycles and short or absent luteal phases; treatment with fertility drug Clomid not effective in underweight women.
> 10-15%
Sperm viability and motility decrease with wt __________ and cease at wt loss _________
10 to 15% < normal, and > 25% normal wt.
_______ are linked to reduced estrogen and irregular periods
low-fat and high fiber diets
______ decrease levels of gonadotropins, estrogen, and progesterone
Isoflavones (from soy)
diets with ______ of the kcal coming from fat can lead to infertility
<20%
high intake of _______ is linked to amennorhea and menstrual dysfunction
beta carotene
What are the adverse effects of intense physical activity ?
delayed age at puberty, lack menstrual cycles, appear to be related to hormonal and metabolic changes, related to caloric deficits, reduced levels of estrogen, low levels of body fat, decreased bone density
Oxidative stress in men decreases _________, and reduces ability of sperm to __________.
sperm motility, fuse with egg
Oxidative stress in women harm __________________, interfere with __________, and interefere with implantation of _____
egg and follicular development , corpus luteum function, the egg
the Rate of infertility lowers in women who use iron supplements or iron from plant foods ; pre-pregnancy iron deficiency is linked to ___________&___________ ; ~1/2 of US women enter pregnancy with inadequate iron stores
preterm delivery and low iron status of infant
What is the intake requirement of iron for a pregnant woman or an woman trying to conceive?
~18 mg/day and regular consumption of vitamin C rich fruits and veggies along with plant sources of iron, iron fortified cereals and lean meats
What are some preconceptual nutrition concerns?
early pregnancy exposure to teratogens, poor folate status prior to conception
What are the preconceptional benefits of the WIC program?
women are eligible when pregnant. they are provided WIC food supplements, and nutrition education during and between consecutive pregnancies. These women who received the benefits and continued through the first two months of the next pregnancy had better iron status and delievered new borns with higher birth weights and greater lengths than did women who received WIC benefits during pregnancy only.
What are the nutrition related objectives in relation to pregnant women and infants?(4)
1. reduce anemia in pregnant females
2. reduce incidence of spina bifida
3. increase abstinence from alcohol use and reduce the icidence of fetal alcohol syndrome
4. increase appropriate weight gain during pregnancy
assessed from date to conception; average pregnancy is 38 weeks
gestational age
assessed from onset of last menstrual period ; average pregnancy is 40 weeks
menstrual age
what are the two phases of change during pregnancy?
1. maternal anabolic changes
2. maternal catabolic changes
takes place in the 1st half of pregnancy; building up of mother's blood and nutrients
maternal anabolic changes
takes place in the 2nd half of pregnancy, 90% of fetal growth occurs; energy, nutrients delivered to fetus
maternal catabolic changes
What are the body water changes that occur during pregnancy?
it increases from ~7 to 10 L - results from increased blood and body tissues and extracellular volume and amniotic fluid. ;

edema - swelling due to accumulation of extracellular fluid
_____ is preffered fuel for the fetus; "diabetogenic effect of pregnancy" results from maternal insulin resistance
Glucose
CHO metaboism in _______: high estrogen & progesterone stimulate insulin which increases glucose --> (stored as) glycogen and fat
early pregnancy
CHO metabolism in ________: human chorionic somatotropin (hCS) & prolactin inhibit conversion of glucose to glycogen and fat.
late pregnancy; hCS and prolactin keep glucose readily available for the fetus to consume
about ____ of protein accumulate during pregnancy
~925 g of protein
protin and amino acids conserved during pregnancy, the needs must be met by ____________
the mother's intake of protein
The fat stores are accumulated during ________, ___________. Blood lipid levels increase during pregnancy, increased cholesterol is a substrate for steroid hormone synthesis
accumulate in the first half of pregnancy, and enhanced fat mobilization in last half
______ is linked to increased bone turnover and reformation
calcium
accumulation in mother, placenta and fetus
sodium; restriiton of sodium potentially harmful
What are the functions of the placenta?
hormones & enzyme production , nutrient and gas exchange, remove waste from fetus
What is structure of the placenta?
double lining of cells separating maternal and fetal blood
What are the factors that affect the nutrient transfer between the placenta?
size and charge of molecules, small molecules pass through most easily, lipid solubility of particle, concentration of nutrients in maternal and fetal blood
The nutrients are first used for the maternal stores, then the placenta, lastly for fetal needs
nutrient transfer ; true
_________ is at the highest level during the 9 months of gestation
growth and development
What are the four periods of growth and development during pregnancy?
1. hyperplasia
2. hyperplasia and hypertrophy
3. hypertrophy
4. maturation
variations in fetal growth are linked to : energy, nutrient, and oxygen availability; genetically programmed growth and development. ________ is main fetal growth stimulator
insulin-like growth factor ; inadequate nutrition decreases levels of IGF-1
calculated by wt in grams divided by cube of ht times 100; for normal weight ~23-25
similar to BMI; Ponderal Index = PI
thought to be caused by genetic, uterine, or hormonal abnormailities , underweight = higher risk, high cholesterol/triglycerdies = high risk, supplement MV (early preg) = decreased risk
miscarriages
infants born ____ are at risk for death , neurological problems, congenitial malformations and chronic health problems
preterm delivery
____ weight should be gained in the first trimester
~2-5 lbs
the fetus is about ___ of the total weight gain
1/3
The balance of the weight gain is related to __________.
body fat changes, amniotic fluid, increase of extracellular fluids, and blood supply of the mother
~15 lbs are lost during delivery, wt loss is difficult in women who gained > 45 lbs or with low activity levels , women with recommended wt gain in pregnancy are ~2 lbs heavier at 1 year post partum ; lactating women lose slightly more
true ; post partum weight retention
What is the protein suggested requirement during pregnancy?
+25 g or 71 g /day
pregnant women consume _____ total calories from fat; fat consumed in food used as an energy source for fetal growth and development ; fat serves as a source of fat soulble vitamins ; it also provides essential fatty acids
33%
Adequate EPA and DHA during pregnancy and lactation are linked to _________________.
higher intelligence, better vision and more mature CNS
Dietary intake for EPA and DHA do not exceed ______
3 g /day
the need for water during pregnancy , met by increased levels of thirst; ~ _____
9 cups fluid per day
known to be associated with anemia and reduced fetal growth, the requirement of this increases for extensie organ and tissue growth; its function is metabolic reactions, and deficicies lead to adnormal cell division and tissue formation
folate and pregnancy
What are the 3 main types of NTD?
spina bifida, anencephaly, encephalocele
What is the recommended intake of folate?
600 mcg DFE
needed for cell differentitation ; in the US the big concern is toxicity
Vitamin A
supports fetal growth, supports immune system
Vitamin D
teeth begin to develop, not recommended to supplement
fluoride
needed for fetal skeletal mineralization and maintain maternal bones, low intakes are related to increased release of lead which is harmful to the fetus; needs can be met with 3 cups of milk a day
calcium
additional needs for pregnancy (iron):
_____ for fetus and placenta
_____ lost at delivery
_____ for increased RBC
300 mg, 250 mg, 450 mg
early pregnancy risk of preterm delivery; late pregnnacy lower scores on intellegence , language, gross motor and attention tests.
iron deficency aniemia in pregnancy
Iron is absobred better from supplements containing iron only than when mixed with other minerals ; amount absorbed depends ont he need and the amount of iron in the supplement; side effects of this are nausea . cramps, gas and constipation
true; pros and cons of iron supplementation
What is the recommendation for iron supplementation during pregnancy?
30 mg daily after the 12th week of pregnancy; the Upper limit is set at 45 mg per day
required for thyroid function and energy production and for fetal brain development
iodine
restriction not indivated in normal pregnancy or for control of edema or high blood pressure ; plays a critical role in maintaing body's water balance
sodium
eating disorder of eating non food substances
pica
What is the exercise recommendation for pregnant women?
3-5 times each week for 30 minutes at 60-70% VO2 max
high levels in large, long-lived predatory fish , lower content in bottom feeders, avoid shark, swordfish, king mackerel, and tile fish
mercury contamination
how do you handle management of nausea and vommiting?
separate liquid and food intake, avoid odors and foods that trigger it; treat with vitamin B6, multivitamins, and ginger
How to manage heartburn?
ingest small meals frequently , do not go to bed with full stomach, avoid foods that make heartburn work (acid foods)
What is LBW
2500g or 5 lbs 8 oz
What is VLBW
1500 g or 3 lbs 4 oz
What is desirable weight of infant
7 lb 12 oz to 10 lbs
If Mother has BMI under 18.5, she should gain___?
28-40 lbs
If Mother has BMI 18.5-24.9, she should gain___?
25-35 lbs
If Mother has BMI 25-29.9, she should gain___?
15-25 lbs
If Mother has BMI over 30, she should gain___?
11-20 lbs
if mother is having twins , she should gain?
25-54 lbs
Ingest ___calories more a day during 2nd trimester
340
ingest__ calories more a day during 3rd trimester
452
Choline responsible for
fetal brain growth, intellectual development