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76 Cards in this Set

  • Front
  • Back
What are the 5 dimensions of health?
Physical, emotional, spiritual, intellectual, and social
Undernutrition?
Consumption of not enough energy or nutrients
Overnutrition?
Consumption of too many nutrients and too much energy
Malnutrition?
An imbalanced nutrient and/or energy intake
Chylomicrons?
Transport absorbed fats from intestinal wall to liver cells
VLDL's?
Very low density lipoproteins, Transport triglycerides from liver cells to adipose tissue for storage
LDL's
Transports cholesterol to cells, deposit excess cholesterol in smooth muscle fibers in arteries! BAD
HDL's
Removes excess cholesterol from cells to be excreted! GOOD
Simple carbs
Monosaccharides= glucose, fructose, galactose
Disaccharides= lactose, maltose, sucrose
Complex carbs
Polysaccharides= starch, glycogen, fiber: soluable + insoluble
Which two hormones maintain serum glucose levels?
Insulin and glucagon
Glycemic Index?
The amount that foods raise blood glucose and insuling levels, reflects how quickly sugar is absorbed
Triglycerides
Major storage form of fat in body: Saturated or unsaturated
Saturated fats
Fatty acid chains with no double bonds.
Solid at room temp
High melting point
Mostly animal products
Unsaturated fats
Soft or liquid at room temp
mono or poly unsaturated
low melting point
can become rancid when exposed to light or O2
Hydrogenated Fats
Unsaturated oils that are altered in order to become more saturated
Results in formation of trans fatty acids which raise LDL and lower HDL
Omega 3 +6
Essential fatty acid
Necessary for cognitive and behavioural function
6= linolenic acid= in veg, fish, plant oils
3= alpha-linolenic acid= leafy greens, fish and plant oils
Reduces inflammatory response, blood clotting, and plasma triglycerides
Ketoacidosis
Lipid catabolism to produce 9 ATP
Fat breakdown produces ketones
Serum ketone increase= increased acid in blood
prolonged ketosis results in acidosis
How many amino acids?
Essential?
Non-essential?
20
9
11
Functions of proteins
Fluid + electrolyte balance by creating osmotic psi
Acid-base balance as AA's contain an acid and base
Transports lipoproteins, Hg, and albumin through blood
Energy 4kcal/g
Thiamine
Vitamin B1
Coenzyme in energy metabolism
Role in nerve fxning
Beriberi
Deficiency of thiamine
causes ataxia, pain, anorexia, disorientation, tachycardia
Wernicke-Korsikoff syndrome
cerebral form of beriberi
Risk factors for thiamine deficit
Renal dialysis
Parenteral nutrition
HIV/AIDS
Persistant vomiting
Anorexia nervosa
Gastrectomy
Riboflavin
Vitamin B2
Coenzyme in energy release
Ariboflavinosis
Deficit of riboflavin
inflammation of mucous membrane (mouth + lips)
Glossitis
B2 most common vit deficit in North America expecially women who are pregnant, on the pill, or lactating
Niacin
Vitamine B3
Nicotinamide + nicotinic acid
Coenzyme assisting with metabolism of carbs and fatty acids
Pellegra
B3 deficit characterized by
3 D's:
Diarrhea, dermatitis, + dementia
Pyroxidine
Vitamin B6
Coenzyme in over 100 enzymes (amino acids + proteins)
Essential for proper nervous system fxn + Hg synth
B6 Defecit
causes symptoms of dermatitis, altered nerve fxn, weakness, poor growth, convulsions, MICROCYTIC ANEMIA
Folate
coenzyme involved in DNA synth + AA metabolism
Needs Vit B12 to be utilized by body
Necessary for proper neural tube formation in embryos
Folate deficit
Megalobastic/Macrocytic anemia = large RBC's that are unable to carry O2 properly
Other deficit symptoms may include: glossitis, diarrhea, irritability, absentmindedness, depression, anxiety
Cobalamin
Vitamin B12
Folate metabolism
Metabolism of fatty acids + AA
Maintains + develops myelin sheaths
Needs intrinsic factor to be absorbed!!!!!!!!
Vitamin B12 defecit
Pernicious anemia
Spinal cord damage D.T. myelin sheath breakdown
Brain, optic, and peripheral nerve damage
Older adults at higher risk D.T. Lack of intrinsic factor production
Pantothenic acid
Vit B5
component of coenzyme for fatty acid metabolism
Vitamin C
Collagen formation
Holds structures together
Wound healing
Antioxidant to protect Vit E. folate, and polyunsaturated substance
Destroyed by air, light, + heat
Vit C defecit
Need a minimum of 10mg/day to prevent scurvy (inflammation of C.T. gingivitis, muscle degeneration, bruising, +hemorrhaging)
Rebound scurvy= taking high level vit C for long time and abruptly stopping = symptoms of scurvy
Vit A
Maintains skin and mucous membranes
Fxns for vision, bone growth, immune system, normal reproduction
Xerophthalmia
Vit A defecit
night blindness
may lead to:
full blindness
Hyperkeratosis
Resp infections + GI probs
Impaired immunity
Inhibited growth
Hypervitaminosis A
Occurs from preformed Vit A
S/S's= blistered skin, weakness, anorexia, enlargement of spleen and liver
Long term = bone abnormalities + liver damage
Vitamin D
Intestinal absorption of Calcium + phosporus
Affects bone mineralization + mineral homeostasis
May be synthesized by skin
Rickets
Childhood disorder caused by Vit D or Calcium deficit resulting in:
malformed skeletons
Bowed legs
Oddly angled rib bones
abnormal teeth
Osteomalacia
Adult disorder caused by Vit D or calcium defecit resulting in soft + demineralized bones
Osteoporosis
Disorder in which bone density is reduced and remaining bones are brittle and break easily
Vitamin E
Antioxidant to protect polyunsaturated fats and Vit A from oxidative damage (important in protecting lung integrity and RBC membranes)
Prevents and dissolves blood clots, accelerates healing of burns
Vitamin K
Cofactor in synth of blood clotting factors
Role in protein formation in bone, kidney, and plasma
Synthesized by normal flora in body
Vitamin K defecit
Inhibits blood coagulation
Premature babies are born with Vit K defecit because their bodies have not been populated by normal flora yet
Functions of Water
Provides shape + rigidity to cells
Regs Body temp
Aids in digestion + absorption
Solvent for Vits, minerals, glucose, + AAs
Transports nutrients +waste products
Metabolic Rxns
Eliminates wastes
Lubrication
Primary intracellular cation
Potassium
Primary extracellular cation
Sodium
FVD
Fluid Volume Deficit
Vascular, cellular, or intracellular dehydration
Severe when body fluids fall by 10% of body weight
Causes of FVD
Diarrhea, vomiting, high fever
Fluid Volume Excess
Increased fluid retention + edema (accumulation of fluid in interstitial spaces 10% more H2O then normal)
Associated with compromised regulatory mechanism, excess fluid intake, or excess Na+ intake
Minerals
16 essential minerals divided into major and trace
Major: needs >100mg/day
Trace: needs <20mg/day
Major minerals
Calcium, Sulfur, Phosporus, Magnesium
Electrolytes
Potassium, Chloride, Sodium
Trace Minerals
Iron, Zinc, Selenium, Iodine, Fluoride, Copper, Chromium
Calcium
Most abundant mineral in body
99% found in bones
Fxns:
CNS nerve impulses
Muscle contract + relax
Form blood clots
BP reg.
Parathormone
Secreted by parathyroid D.T. low blood calcium levels
Raises calcium by:
Allowing bones to release calcium
Allowing intestines to absorb more calcium
Allowing kidneys to retain more calcium
Calcitrol
Vitamin D hormone
Increases blood calcium by same method as parathormone
Calcitonin
Released by Special C cells of thyroid
Acts on high calcium levels
Lowers calcium + phosphate
Calcium Rigor
High blood levels of calcium cause hardness or stiffness of muscles
Calcium Tetany
Calcium blood levels too low causing spasms and nerve excitability
Phosphorus
85% in bones + teeth
15% used for:
energy transfer
DNA + RNA
Buffer for acid-base balance
Component of phospholipid
Magnesium
Structural/storage fxn in bones
Assists body enzymes
Regs nerve + muscle fxn
Blood clotting + immunity
Sulfur
Component of protein structure
Part of several AA's
Helps with acid-base balance
Sodium
Maintains BP and volume
Nerve impulse transmission
Regs body fluids
POtassium
Maintains fluid levels in cell
Normal nerve fxn
Chloride
Anion of ECF, maintains fluid balance in + out of cell
Component of HCl + gastic juice of stomach
Iron
A component of Hg (brings O2 to cells)
A component of Myoglobin (brings O2 to muscles)
Coenzyme in energy metabolism
Stored in liver, bone,marrow, intestinal mucosa, + spleen
Zinc
>200 enzymes depend on it
Affects:
Growth process, taste + smell, healing, immunity, carb metabolism
Iodine
Part of thyroxin
If deficient can cause goiter
If deficit during pregnancy causes cretinism of fetus = permanent mental + phys. retardation
Flouride
Resistance of tooth decay
Skeletal health
Selenium
Part of antioxidant enzyme
Works together with Vit E to prevent cell + lipid membrane damage from oxidizing substances
Copper
Coenzyme involving antioxidant reactions + metabolism
Helps wound healing
Nerve fiber protection
Needed for iron use
Deficit may cause:
Bone demineralization
anemia
Chromium
Role in carb metabolism