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80 Cards in this Set

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What is BMI?

Stands for Body Mass Index


- calculates your weight class based on height and mass

Is BMI perfect?

No, it does not take into account skeleton size, where the fat is, or muscle mass


- one can be in shape, but muscle mass can raise BMI


- can't distinguish fat from muscle

Brad Pitt BMI example

He is considered overweight even though he is in shape. This is due to his muscle mass being counted as fat

Total Energy expenditure (TEE)

made up of Basal metabolism + energy spent in movement + thermic effect of digestion of food

What percent of energy consumed goes to Basal Metabolic Rate (BMR)?

About 60%

What percent of energy consumed goes to activities involving movement?

About 40%

60% energy expenditure breakdown for BMR

20% brain


- 20% liver


- 20% muscle


- 10% heart


- 5% kidney


- 3% adipose


- 22% other tissues


= 100% of 60% energy expenditure from BMR

How can BMR be estimated?

1 kcal/kg/hr for males


0.9 kcal/kg/hr for females

% of TEE from thermic effect of food?

About 5-10%


- the energy used goes towards making digestive enzymes and to transport nutrients

How is TEE measured

oxygen consumption is the most common used

NEAT

Non-Exercise Activity Thermogenesis


- energy spent in movement involved in everyday activities like walking, cleaning, light work, and standing


- "stay off the couch and increase NEAT"

High intensity exercise + benefits

structured exercise


- maintains heart muscle tissue and coronary artery smooth muscle cells --> healthy heart


- maintains lung capacity



Obesity

Defined as BMI >= 30


- on the rise from a combination of excess food intake and lower activity levels (less NEAT b/c of modern conveniences)



U.S. and obesity

obesity is steadily increasing in the US


- US leads nations in obesity


- obesity in kids is a worrying issue

hunger

basic physiological need for food

satiety

physiological response to having eaten enough


- "I'm full"



Appetite

desire for food


- can be affected by stimuli that overrides hunger + satiety


- more psychological

Where are signals that regulate food intake coordinated?

arcuate nucleus of the hypothalamus

Dopamine is released when

signals from arcuate nucleus reaches nuclues accumbens

food intake is regulated by

short term signals


- long term signals


- neurochemistry + genetics

Leptin

signal that regulates long term fat levels


- secreted by fat cells and goes to brain


- fat levels are analysed and judgement is made to intake food

fat signaling

take about 45 minutes to work


- once they are sent the body goes into a state of satiety


- think pizza experiment

Obesity explosion

Began in the 1980s



5 things tracking commodities tells us about obesity

1) calorie intake has increase about 500 Kcal/person/day


2) sugar is not the villain


3) decreased grain intake - processed grains loses germ + other nutrients


4) various fat intakes


5) increase in vegetable oil fats

Diets

every diet will work if its adhered to


- best to eat a healthy diet


- effects of the different diets are relatively the same


- atkins and Dean Ornish are the hardest to stay on



reward center in the brain

pleasureable things send signal to nucleus accumbens


- gives pleasurable feedback when good food/exercise happens


- dopamine is released --> makes people feel good + want to do it again

Atkins diet

low carb diet


less than 20g a day


- carbs account for 10% of daily caloric intake


- 5-10% carbs/65% fat/25-30% proteins

Zone diet

high protein diet


- 40% carbs/30% protein/30% fats

weight watchers

point system


- 24-32 points per day


- each point is 50 Kcal

Dean ornish diet

vegetarian diet w/ 10% of calories from fat


- low fat/high carb diet


- "complex" diet

average American diet

50% carbs/ 35% fat/ 15% protein

what diets had the lowest adherence

Atkins and Dean Ornish diets

Average weight loss per year on these diets

~2-3% of body weight lost

Mediterranean diet

50% carbs/35% fat/ 15% protein


- same breakdown as average american diet


- focuses on grains, nuts, leafy greens, and fish

Hitting the wall

-Glycogen stores exhausted


- No glucose available in muscle


- Gluconeogenesis alone cannot provide adequate glucoseto muscles


- Loss of stamina (“hittingthe wall”)


- Julie Moss hits the wall in the iron man triathlon

Anaerobic exercise

sprinting or weight lifting


- muscles use their glycogen


- oxygen is not required

Aerobic exercise

running, swimming


- muscles use own glycogen


- oxygen is required


- w/o oxygen the body can't make ATP



milling of grains causes loss of

germ + other nutrients

Niacin

coenzyme: NAD


- used in many reactions


- "high voltage tower"


- transports electrons to electron transport chain

Thiamin

helps with decarboxylation of pyruvate


- deficiency: Beriberi "I can't I can't"


--> occurs b/c of polished rice which has less nutrients --> deficiency of thiamine




coenzyme form: TPP (thiamin pyrophosphate)

Riboflavin

shoves hydrogen and electrons into electron transport chain


- works with enzyme 3




coenzyme form: FAD

Pantothenic acid

part of Coenzyme A - carrier of acyl groups such as fatty acids




coenzyme form: Coenzyme A

Lipoic acid (lipoate)

not required in diet


- coenzyme


- not capable of preventing cancer

folate deficiency

cells are unable to divide


- folate is very important in DNA synthesis and amino acid metabolism

Folate-B12 Connection and Interaction

Very high dietary folate intake masks a B12 deficiency(because you don’t have to recycle folate if folate is constantly delivered in diet)

B12 deficiency

elderly and vegetarians suffer from this


- reccomended for people over 50 to take 500 ug of b12 daily



What disease is caused by b12 deficiency

pernicious anemia


- nerve degeneration, weakness


- paralysis and death

Vitamin C

reduces metal ions used in many reactions.


- general antioxidant


- "recharges" enzymes by donating an electron


- does not cure common cold

Vitamin C deficiency

Scurvy:


- bleeding gums/skin


- fluids leak out of skin


50% of sailors died on early sea voyages



which vitamin was newly added to the list of vitamins added to bleached processedflour? (1998)

Folate - important for pregnant women to have folate because baby will have birth defect without it

Vitamin A

part of retinoid family


- regulates early fetal/later development and tissue growth


- most people get VA from beta-carotine found in plants

Retinoids

retinol: synthesizes retinal


retinal: synthesizes retinoic acid (RA)


RA: "most powerful molecule in the universe" - made from retinol



functions of vitamin A

development and reproduction (involves cell differentiation)


- night vision


- cell differentiation in adults maintains healthy tissue and immune system

Women have more capacity to store Vitamin A.

Evolutionarymechanism for reproduction allow females to store more vitamin A than males

Where does vitamin A deficiency occur in the world?

most severe in South East Asia and Africa

What is main staple food of this region where Vit A deficiency develops?

rice

Retinol is stored mainly where?

liver stellate cells

Is there toxicity due to very high amounts of vitamin A? What is it?

yes, teratogenic effects, spontaneous abortions, and birth defects

Vitamin K importance

important so we don't bleed to death


- synthesis of blood-clotting factors and bone proteins

accutane

drug for severe acne

Vitamin K deficiency

If no vit K,prothrombin can't bind calcium and is inactive and blood can't clot

natural compound found in special red clovers

warfarin


- discovered by Dr. Link

good sources of vitamin K

kale, spinach, brussel sprouts, broccoli

Vitamin D

2 main ways of getting: from plants + animals


- functions more as a hormone



vitamin D - what happens to skin

UV light removes a chemical bond from cholesterol


- without any pigment you get a lot of vitamin D and become sick

good sources of Vitamin D

fish --> seafood


- cod liver oil


- dairy products

People who live in northern latitudes had to adapt to the low sunlight? How?

Yes, skin became lighter as a response to lower vitamin D levels because dark skin does not make as much vitamin D from UV light

active form of vitamin D

· 1,25-dihydroxy Vitamin D

absorption of Vitamin D

absorbed by enterocytes


transported by chylomicron

Main physiological functions of active vitamin D

increases calcium absorption in SI


- decreases calcium excretion by kidneys


- increases calcium resorption in bones

Role of parathyroid hormone

hormone goes to kidney and signals the kidney to make more active form of vitamin D

Vitamin D deficiency in children

rickets --> curved bones

What isthe most critical period for forming dense bones for later in adults?

ages 10-20 YO

Harry Steembock discovery

fortified milk with vitamin D by exposing it to UV lights


- helped eradicate Rickets in children

how does bone form

Osteoblast - makes bone matrix


Osteoclast - eats bone matrix


- equilibrium between these processes


- when there is an adequate amount of VD the osteoblasts are activated and bone matrix is made

RDA for Vitamin D

RDA = 15 ug, 600 IU per day (4 cups of milk = 200 IU).

Vitamin E

stored in plasma membranes of cells: protects membrane from oxidative damage

What is a type of fatty acid often protected by Vit E?

cholesterol

good sources of vitamin E

plant oils, seeds, nuts, products made from oils

Most observable effect when severe deficiency in Vit E

red blood cells are destroyed by peroxidation