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49 Cards in this Set

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(T/F) Total calories but not dietary protein intake is correlated positively with increased BPH.
False, both are correlated.
What EFAs are associated with increased risk of BPH?
Arachidonic acid, EPA, and DHA. However one study did find lower amounts of these Omega-3s in BPH pts.
Dietary fruit and vegetables appear to be protective against BPH. Particularly what family is correlated with reduced risk?
Allium family foods
(T/F) Bread are associated with increased risk of BPH.
True
Animal studies have shown that diets containing increased levels of ______ are associated with reduced BPH-like sxs.
Isoflavones
(T/F) Coffee and smoking are shown to be protective against BPH.
False
Is there a relationship between sexual activity and risk of BPH?
No
what are some risk factors for BPH?
Obesity, htn, sedentary lifestyle, and hperlipidemia.
What are the top-shelf interventions for BPH?
1. Saw Palmetto (160 mg bid)
2. Beta-sitosterol (60-130mg/day)
3. Rye pollen extract (Cernilton) - two 63mg caps tid.
4. Pygeum africanum (100mg/day)
5. Lycopene (15mg/day)
6. Ganoderum lucidum (reishi) - 0.6-60mg/day)
In the treatment of BPH, saw palmetto only effects cells around what zone of the prostate?
the transition zone
What is the top-shelf intervention for IgA nephropathy?
1. Omega-3 fatty acids (3-6g/day
Do patients with IgA nephropathy have hypertention or hypotension?
Hypertension
What is the dietary recommendation for patients with IgA nephropathy?
Low protein diets are recommended either if urinary protein levels are high (>3g/day) or if renal funnction is significantly impaired (creatinine >1.5mg/dl)
(T/F) Anti-gliadin antibodies are seen in roughly half of patients with IgA nephropathy.
True
(T/F) Because anti-gliadin antibodies are seen in pts with IgA nephropathy, a wheat free diet is a good first step.
False, wheat elimination here is not helpful
What is the top-shelf intervention for IgA nephropathy?
1. Omega-3 fatty acids (3-6g/day
Do patients with IgA nephropathy have hypertention or hypotension?
Hypertension
What is the dietary recommendation for patients with IgA nephropathy?
Low protein diets are recommended either if urinary protein levels are high (>3g/day) or if renal funnction is significantly impaired (creatinine >1.5mg/dl)
(T/F) Anti-gliadin antibodies are seen in roughly half of patients with IgA nephropathy.
True
(T/F) Because anti-gliadin antibodies are seen in pts with IgA nephropathy, a wheat free diet is a good first step.
False, wheat elimination here is not helpful
Approximately two-thirds of kidney stones are what type?
Calcium oxlate
Foods hig in oxalates should be avoided by those with kidney stones. Name foods that are high in oxalates.
spinach, greens, chocolate, tea, nuts and strawberries.
What type of proteins have been associated with urinary changes associated with increase uric acid and cysteine stone risk?
Animal proteins
(T/F) Clinical data supports low calcium diets for the prevention of kidney stones.
False
(T/F) A 17% increase in kidney stone risk was seen in women taking calcium supplements for prevention of osteoporosis.
True
(T/F) Because coffee increases urinary calcium it should be avoided by patients with kidney stones.
False, it does increase urinary calcium, but people who drink coffee are at reduced risk.
In regards to kidney stones, Drinking 2 liters per day of what type of juice was associated with positive changes in urinary composition?
Lemonade
What type of juice increases risk of kidney stones?
Grapefruit Juice
What dietary interventions seem to work better than low calcium diets in the prevention of the kidney stones?
Low protein and low salt
What is the top-shelf intervention for kidney stones?
1. Potassium citrate (30-60 mEq/day)
A person with renal failure/ end stage renal disease has different dietary concerns than the average patient. What would be your recommendation as far as protein?
0.5-0.6 grams/kg/day. This is thought to be most effective in diabetic renal disease. ***Know this he said it would be on the final***
Very low protein diets (0.3g/kg/day) have been studied in pts with renal failure, but what is the concern here?
Protein calorie malnutrition
(T/F) Dietary protein needs go down when dialysis is started.
False, needs dramatically goes up.
What percent of patients on dialysis are reported to experience prootein calorie malnutrition?
40%. Sources recommend intakes between 1-1.5 g/kg/day. Needs tend to be slightly higher with peritoneal dialysis tx than hemodialysis.
(T/F) Approximately 86% of pts on dialysis experience hypertension.
True
Sodium and _______ restriction is indicated in most patients on dialysis.
Phosphorus
Does hemodyalisis or peritoneal dialysis require potassium restriction.
Hemodialysis
What are the top shelf interventions for renal failure?
1. Carnitine (1 gram before and after each tx)
2. Vitamin D
Is obesity related to an increased or decreased risk of incontinence?
Increased
(T/F) Food allergies have been proposed to be related to urinary frequency issues.
True
What is the top-shelf intervention for incontinence?
1. Magnesium (300-500mg/day).
Screening for gestational diabetes should occurs between what weeks of pregnancy?
24th and 28th week of pregnancy, or earlier if risk factors are identified.
What are the risk factors for Gestational Diabetes?
1. BMI > 25
2. family history of type 2 DM
3. Ethnicity
4. Previously diagnosed with impaired FBS
How is Gestational diabetes screened for?
50 gram of OGTT
(T/F) Prenatal vitamins appear to spike blood sugar in women with gestational diabetes.
True
Diets low in ____ and high in ____are associated with risk of gestational diabetes.
fiber, glycemic load. **Be careful with low glycemic diets because they are associated with low birth weights.
ADA recommends dietary counseling to reduce carbohydrate intake to ____ of total calories during pregnancy.
35-40%
Elevated _______ levels can correlate with low IQ sores in offspring.
Ketone
In a pregnant woman if BMI is greater than ____, recommend caloric restriction of approximately 33%, or shoot for 25kcal/kg/day, as long as ketosis does not occur.
30