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210 Cards in this Set

  • Front
  • Back
what are high protein diets?
high in fat, low in fiber

stress the kidney

most individuals consume 1.5-2x rda
what is a semi-vegetarian?
don't eat seafood or read meat
what is a lactovegetarian?
will eat plant-based and dairy products
what is a lactovovegetarian?
will eat plant-based, dairy, and eggs
what is a vegan
only plant-based
why do people choose a vegetarian diet?
health
culture/religion
ethical reasons
ecological (various rationales)
what are the benefits of a vegetarian diet
increase fiber
increase antioxidants
helps with weight control
decrease fat
decrease cholesterol
decrease kcalories
decrease cvd, hypertension, cancer
what should you consider if you become vegetarian
teenagers
vegan diets are low in:
-vit b12
-calcium
-iron
-vit d
-zinc
-riboflavin
what's bad about plant protein sources?
incomplete
must mix and match complementary proteins
what is chemical formula for ethanol
C2H5OH
what drinks deliver 1/2 oz of pure ethanol?
12 oz beer
5 oz wine
1 1/2 oz spirits
what is distillation?
process used to concentrate alcoholic beverage
what is proof?
twice the percentage of ethanol
what is glycolysis?
glucose --> 2 pyruvate
what is fermentation?
2 pyruvate --> 2 ethanol
where is alcohol absorbed
some in stomach
most in small intestine
where does alcohol go after absorption?
bloodstream
what happens to liver when drinking alcohol?
increase enzymatic action
what is the first nutrient that is metabolized?
alcohol
what is ADH?
alcohol dehydrogenase system
where is the ADH?
stomach, mostly liver
how much alcohol is metabolized in ADH?
80-90%

1/2 oz ethanol / hour
what is MEOS?
microsomal ethanol-oxidizing system
where is the MEOS?
liver
how much alcohol is metabolized in MEOS?
10%
where is small amount of alcohol excreted?
breathe
urine
what is the rate of alcohol metabolism?
approximately 1/2 drink per hour
what are the individual variations in alcohol metabolism?
size
gender
age
ethnicity
experience
when does MEOS grow larger?
grows larger with high alcohol use
what does MEOS metabolize?
alcohol and many medications
what happens when alcohol and medications are taken together?
alcohol will be prioritized
medications will be more potent
what happens when ethanol intake exceeds the liver metabolism?
blood-alcohol-content rises
what is BAC?
describes alcohol content of blood

g EtOH / dL blood
what is impaired when drinking alcohol?
judgment and reasoning
voluntary muscle control
breathing and heart
describe BAC .01-.06
impaired thought
judgment
coordination
concentration
describe BAC .06-.1
impaired reflexes
reasoning
depth perception
distance acuity
peripheral vision
glare recovery
describe BAC .11-.2
impaired reaction time
gross motor control
walking
speech
describe BAC .21-.29
impaired gross motor control
consciousness loss
memory (blackouts)
describe BAC .3-.39
impaired bladder function
breathing
heart rate
describe BAC >.4
impaired breathing
heart rate
what is binge drinking?
= or > 5 drinks in a row (men)
= or > 4 drinks in a row (women)
what is the intent of binge drinking?
intoxication
what risk is increased from binge drinking?
alcohol poisoning
what is the safe amount of alcohol consumption when pregnant?
no safe amount!
what does increase intake of alcohol during pregnancy cause?
increased risk of birth defects
describe what one with fetal alcohol syndrome looks like
small head circumference
low nasal bridge
small eye opening and folds at the inner corners of eyes
short nose
small midface
no groove between nose and upper lip
what is the potential benefit of alcohol for elderly people?
increased appetite and dietary intake
what is the potential benefit of alcohol for middle-aged and older adults?
lower LDL
higher HDL
what causes a fatty liver?
long term excessive alcohol intake
what is alcoholic hepatitis?
liver inflamed from long-term excessive alcohol intake

pain, nausea, vomiting
what is cirrhosis?
scar tissue that can be caused by long-term excessive alcohol intake
why is alcohol considered a 'displaced diet'?
has empty calories
what is the primary deficiency of alcohol?
poor intake
what are the second deficiencies of alcohol?
altered metabolism
absorption and excretion of nutrients
which nutrients does alcohol cause deficiencies?
b-vitamins
fat-soluble vitamins
calcium
magnesium
iron
zinc
what is energy balance?
stable weight
what is positive energy balance?
gaining weight
what is negative energy balance?
losing weight
what are the energy intakes?
alcohol
protein
carbohydrates
fat
what are the energy outputs?
basal metabolism
thermic effect of food (TEF)
physical activity
thermogenesis
how many kcalories burns one pound?
3,500 kcals
what are the three major components of energy output?
physical activity
TEF
resting energy
what percentage of energy output comes from physical activity?
15-30%
what percentage of energy output comes from TEF?
~ 10%
what percentage of energy output comes from resting energy?
60-75%
what does REE stand for?
resting energy expenditure
what is REE?
"cost of living"
~ 2/3 of energy output
intensity and duration
what is physical activity?
highly variable
15-30% of energy requirements
intensity and duration
what does TEF stand for?
thermic effect of food
what another name for TEF?
diet-induced thermogenesis
what is TEF?
energy used to process food
5-10% of food intake
what is adaptive thermogenesis?
energy spent to adapt to dramatically changed circumstances
what triggers adaptive thermogenesis?
illness
trauma
cold temperature
over-feeding
what does NEAT stand for?
non exercise activity thermogenesis
what is NEAT?
energy spent for certain movements such as posture and fidgeting
what are four ways to measure energy output?
direct calorimetry
indirect calorimetry
stable isotopes
formulas
what is direct calorimetry?
a way to measure energy output

measure body heat released
what is indirect calorimetry?
a way to measure energy output

measure oxygen consumed and carbon-dioxide expired
what is stable isotopes?
a way to measure energy output

doubly-labeled water, accurate but expensive
give two formula examples for measuring energy output
EER
shorthand method
what does EER stand for?
estimated energy requirement
what is the shorthand method?
TEE = REE x AF x IF
what does TEE stand for?
total energy expenditure (kcals)
what does REE stand for?
resting energy expenditure (kcals)
what does AF stand for?
activity factor
what does IF stand for?
injury or stress factor (only applicable for shorthand method if someone is injured or physically stressed)
how do you calculate REE for men and women?
women = .9 x bwt in kg x 24
men = 1 x bwt in kg x 24
how many pounds are in one kilogram?
2.2 pounds
what can you use to determine one's body weight?
ht/wt charts
formulas
how do you measure BMI?
persons body weight in kg / person's height in meters, squared
how many centimeters are in one inch?
2.54cm
the higher one's BMI...
the higher the mortality rate
what are the limiting factors for BMI?
does not measure fat distribution
does not measure body composition
what is the desirable amount of body fat for men and women?
men = 6 - 24 %
women = 9 - 31 %
what is skinfold thickness test?
measurement of fat at different points of body
what is a con to skinfold thickness test?
not done well because need expensive tools (caliper)
need a lot of practice/experience
what is bioelectrical impedance?
way to measure body fat

electrical current passes through body. measures rate of electricity because fat transfers slower than tissue
what is densitometry?
bodpod
underwater weighing
displacing air/water to measure body composition
use's boyle of law of density to determine formula of composition
what is DEXA?
fancy x-ray used to measure fat composition
exposes whole body to xray
$100,000
what is subcutaneous fat?
inside / under skin
what is visceral fat?
around organs
where do men store most of their fat?
viscerally (around organs)
where do women store most of their fat?
subcutaneously (inside / under skin)
what is lower body obesity?
mostly women
pear-shaped
gynoid
resists weight loss
what is upper body obesity?
mostly men
apple-shaped
android
chronic health risks
where do you measure waist circumference?
at the top of iliac crest
what is recommended waist size?
males < 40"
females <35"
how many americans are overweight?
2/3
what are the risk factors associated with obesity?
cancer
cvd and stroke
dyslipidemia (high ldl, low hdl)
gallbladder and liver disease
gout (buildup or uric acid)
osteoarthritis
sleep apnea
type II diabetes
allergy and asthma
what causes obesity?
genetics
individual behaviors
environmental factors

increase intake of calories, especially fat, saturated fats, and sugar
decreased physical activity
what causes increased energy intake?
eating away from home
increased portion sizes
increased energy-dense foods
changes in snacking habits
what causes decreased energy output?
reduction in jobs requiring physical work
increase in technology
physical education classes minimal
tv watching
what are the seven sociocultural factors of obesity?
developed vs. underdeveloped countries
ethnicity (african / native american / hispanic)
income status
marital status (single people are more overweight)
rural vs urban (rural more overweight)
geographical locations (southern states more overweight)

diiemrg
what are some approaches to weight loss?
diet plans (but 90% fail)
medications (alli)
surgical (must have BMI 40+, or 35 with problems)
lifestyle changes
what is disordered eating?
variety of atypical eating behaviors
what is eating disorder?
psychiatric condition involving extreme body dissatisfaction and eating patterns detrimental to health
what is chronic dieting?
self-critical and overly concerned with body image

preoccupation with food

strict dieting and excessive exercise

restrained eating

weight cycling / "yo-yo dieting"
how does media cause disordered eating?
viewing media --> body dissatisfaction --> dieting -->disordered eating
what four things can cause eating disorders?
family dynamics
socio-cultural values
personality traits
genetic factors
how does family dynamics cause eating disorders?
influences what we eat, our ideas about food
family size, birth order not associated
how does socio-cultural values cause eating disorders?
western culture contributes to problem
peers, coaches, teachers can have strong impact on body image
most common in white women in western culture
how does personality traits cause eating disorders?
cause or consequence?

individuals with eating disorders may exhibit specific personality traits
how do genetic factors cause eating disorders?
is there a link?

higher risk if relative has eating disorder
what are the six facts about anorexia nervosa?
rigid dieting
dramatic weight loss
false body perception
rituals
preoccupation with food
lack of menstrual cycle
what are the six facts about bulimia nervosa?
secretive binge eating
binging 2+/week for 3 months
low self-esteem and guilt
fluctuating weight
feelings of loss of control
erosion of teeth
how are eating disorders treated?
team approach:
-medical
-nutrition
-psychologist
-family involvement
how can one prevent getting an eating disorder?
educate yourself about the warning signs
examine attitudes about eating, body image, physical appearance, exercise
model positive behaviors
be critical viewer of social and media messages
what is metabolism?
chemical reactions that take place in the body
what is energy metabolism?
enable cells to obtain and use energy from nutrients
what is anaerobic?
without oxygen
what are the energy-yielding nutrients?
glucose
amino acids
fatty acids
what is the basic goal of energy metabolism?
meet body's need for energy (ATP)
what is the role of energy storage in chemical bonds of nutrients?
to be converted to ATP
where is the energy in ATP stored?
chemical bonds between the phosphate groups
what does ATP provide energy for?
protein synthesis
muscle contractions
active transport
nerve transmission
all other energy-requiring actions
what is catabolic metabolism?
breakdown of molecules; release energy
glycogen --> glucose
what is anabolic metabolism?
build molecules; release energy
glucose --> glycogen
what is glycolysis?
"splitting of sugar"
glycogen --> glucose
what is lipolysis?
used when energy sources are low
breaks down triglycerides into glycerol and fatty acids
what is proteolysis?
used when starving
breakdown of protein into amino acid
what is glycogenesis?
glycogenis formation
what is lipogenesis?
lipid formation
what is ketogenesis?
ketone formation
what is the absorptive state?
promotion of energy storage via anabolic pathways
what is postabsorptive state?
~ 4 hours after intake
blood glucose decreases
fatty acids and glycogen mobilized

more catabolic (breakdown)
how many kcalories are you burning at rest?
1-1.5kcal / minute
how many kcalories are burned during physical exertion?
15-36 kcals / minute
muscle converts ATP to what?
mechanical energy
low-intensity activities use what kind of metabolism?
aerobic
increased intensity activities used what kind of metabolism?
anaerobic
what is significant about glycolysis?
generates ATP quickly
muscles need breakdown of glucose
promote anaerobic pathway
can cause fatigue
low-intensity activities use what kind of nutrient?
mostly fatty acid
moderate intensity activities use what kind of nutrient?
50% fatty acids / 50% glucose
high intensity activities use what kind of nutrient?
mostly glucose
physical activity decreases what kinds of chronic diseases?
hypertension
stroke
cvd
diabetes
cancer
what does strength training help with?
hypertrophy
what does endurance training help with?
lung and heart function
improves cell's ability to produce ATP
what does interval training help with?
improves aerobic and anaerobic capacity
what is the definition of "being fit"?
ability to do moderate-vigorous activity without undue fatigue
what are the four components of fitness?
cardiovascular endurance
muscle strength and endurance
flexibility
healthy body composition
what are the four dietary needs of athletes?
energy requirements
macronutrients
micronutrients
fluid and electrolytes
what is the recommended amount of macronutrient intake for carbohydrates?
6-10g of CHO/kg of body weight
what is the recommended amount of macronutrient intake for protein?
.8g protein/kg bw
what is the recommended amount of macronutrient intake for fat?
20-35% kcal from fat (should focus on mono- and polyunsaturated fats)
what are the micronutrients required for athletes?
iron
calcium
zinc
what does sweat consist of?
water and electrolytes
what do electrolytes consist of?
sodium, chloride, potassium, iron, calcium
what is the water recommendations for average adult?
men= 3.7liters/day
women = 2.7liters/day
what are the side effects of dehydration?
reduces blood volume
increase risk of heat exhaustion
heat stroke
describe heat exhaustion due to dehydration
5% loss of body weight due to sweating
muscle spasms
rapid and weak pulse
low blood pressure
profuse sweating
describe heat stroke due to dehydration
7-10% of body weight loss due to sweating
dry skin
confusion
loss of consciousness
list the fat soluble vitamins
a d e k
list the water soluble vitamins
b c
are fat soluble vitamins hydrophobic or hydrophilic?
hydrophobic
are water soluble vitamins hydrophobic or hydrophilic
hydrophilic
what is fortification?
adding nutrients during processing
what is enchrichment?
type of fortification; adding back nutrients lost in processing
what is megadose?
dose of a nutrients 10x+ of recommended dose
what is upper intake level (UL)?
maximum daily intake from food, water, and supplements
what is the most active form of vitamin e?
alpha-tocopherol
what is the function of vitamin e?
helps integrity of cell membrane
prevents lung/cells from getting mutated
protects body from free radicals in phospholipid bilayer
how are free radicals formed?
normal oxygen --> oxygen with added electron
atom with unpaired electron --> very unstable --> domino effect of instability (free radicals)
what is a free radical?
unstable atom with unpaired electron
what is oxidation?
loss of electrons
what is antioxidant?
compound that can prevent or repair damage caused by oxidation
what is erythrocyte hemolysis?
vitamin e deficiency
common in premature babies
blood cells break about
what is function of vitamin a?
important for growth, cell growth, immunity, reproduction, and vision
what are the two roles that vitamin a plays in vision?
helps maintain crystal-clear cornea
transport light energy to nerve impulses in retina
what is major sources of vitamin a?
animal foods
plant foods
what many betacartones yield 1 vitamin a?
2 betacarotenes = 1 vitamin a
what happens when you're deficient in vitamin a?
hyper keratosis
impaired vision (night blindness, keratinization, xerophthalmia)
what is macular degeneration?
back of retina dies so central vision is obsolete
what is macula?
section of retina where central vision is received
what are cataracts?
thickening of eye lens (can lead to blindness)
what is teratogenic risk?
vitamin a deficiency
can cause abnormal fetal development and birth defects
what is carotenosis?
skin turns orange/yellow due to over-consumption of carotenes
what are the major function of vitamin d?
regulate blood calcium levels
bone calcification
hormone
how does body make vitamin d?
uv light from sun --> conversion occurs in liver --> conversion occurs in kidneys
what is rickets?
vitamin d deficiency
childhood disease
calcification of bone doesn't occur
"soft bones"
what is osteomalacia?
adult rickets
what are the two forms of vitamin k?
plant and bacteria
what are the major functions of vitamin k?
bone metabolism
blood clotting
what is osteocalan?
vitamin k
helps with bone metabolism
what is prothrombin?
vitamin k
helps with blood clotting
what is vitamin b1?
thiamin
what is vitamin b2?
riboflavin
what is vitamin b3?
niacin
what is beri beri?
deficiency of b vitamins
victims have trouble beginning to move
what is glossitis?
deficiency of b vitamins
swollen, painful tongue
what is niacin flush?
red, itchy, burning sensation in skin