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40 Cards in this Set

  • Front
  • Back

Energy = ?

The ability to do work

What is energy balance?

Balancing energy intake and energy expenditure




Positive = Weight gain




Negative = Weight loss

Body weight results from...

Dynamic equilibrium between energy intake and expenditure

Kilocalorie is...

Heat required to raise temperature of 1 kg of water 1 C

Kilojoule is...

Force rquired to move one kg, one meter with force of 1 newton

Energy values of food determined by

Bomb Calorimeter


- Literally burns food


- Don't account for digestion




Physiological food factors


- Dietary fiber fermented in colon`

Physiological Fuel value of...

CHO = 4 kcal/g


Fat = 9 kcal/g


Protein = 4 kcal/g


Alcohol = 7 kcal/g

Energy in whole foods is determined by...

Proximate analysis




Best estimated in large populations

Caloric density is the...

kcal/g of food

Energy Balance explained

Food goes into energy storage




BASAL, TEF, NEAT and Physical activity go out of energy storage

Basal Metabolism is...

Energy required at rest to maintain life


- Controlled conditions, measured directly or indirect calorimetry




Many factors influence


- Body size, composition, gender, age, body temp, sleep, undernutrition, hormones, smoking




BMR = 22-24 kcal/kg d, 92-94 kj/kg d

Physical Activity is...

Regular physical activity


- 30 minutes of moderate reduces risk of chronic disease


- Up to 60 minutes on most days to avoid unhealthy weight gain


- 60- 90 to sustain




Determined by direct or indirect calorimetry




Range


- men 1.5-8.4 kcal/kg*hr, women 1.0-8.0

Thermic Effect of food (TEF) is...

OR DIET IUNDED THERMOGENESIS


Heat generated as result of a meal




Obligatory thermogenesis = unavoidable losses due to absorption




Facultative thermogenesis = Futile heat releasing reactions and activity of nervous system

Non-exercise Activity Thermogenesis (NEAT) is...

Stimulated by cold environment or overeating




Results in shivering, fidgeting, muscle tone, posture




May be genetic

Estimation of Energy USe....

Rule of thumb (Women/Men)


- Sedentary = 12/14 kcal/lb


- Moderate = 15/17


- Active 18/20




Harris Benedict Equation


kcal/d = 66.5 + 13.8 (kg weight) + 5(height in cm) - 6.8 (Age in years)

Measurements of Energy Expernditure

- Direct calorimetry


+ Heat


- Indirect calorimetry


+ Oxygen


- Non-calorimetric methods


+ Fit Bit


- Predictive Equations

Doubly Labeled Water Test is when....

-Water has isotopes 2H and 18O


- As energy is expended, CO2 and H2O is produced


- 18O is lost in CO2 and water


- Difference between rate of loss of 18O and 2H reflects CO2 production can be used to estimate energy expenditure

Obesity is typically defined as

Greater than or equal to 120% of ideal body weight

Body MAss index is...

body weight(kg)/height (m^2)


or


Body weight (lb) * 703.1/height in^2




Underweight <18.5


Acceptable 18.5-24.9


Overweight 25-29.9


Obese 30-39.9


Severely obese >40

Body Fat Facts

Range of body weight : 2-70%




>24% men or 35% women considered obese




Methods for estimating


- Underwater weighing


- Skinfold thickness


- Bioelectric impedance


- DEXA

Problems with obesity

Increased risk of chronic disease


- Coronary heart diease, cancer, diabetes




Psychological


- Negative self image


- Discrimination




Economic


- Health care, lost time, weight reducing aids

Causes of obesity include

Genetics


- Body type


- Lipoprotein lipase


- Energy expenditure




Behavior


- Intake and Output

Appetite Definition

Desire to eat food, felt as hunger

Hunger Definition

Sensations that initiate food seeking behavior

Satiation Definition

Sensations that cause cessation of eating

Satiety Definition

Sensations that prolong satiation

Purpose of Appetite

- Maintain a predetermined body weight (set-point theory)


- Match energy intake to energy expenditure


- Encourage consumption of food when possible within physical limitations

Huger and Satiety come from?

Central mechanisms in hypothalamus


- Several peptides regulate food intake




Peripheral signals


- Sight/sounds of food


- Chewing


- Leptin (-)


- Cholecystokinin


- Ghrelin

Weight reduction facts, rule of thumb

One pound of body fat = 3500 kcal


Maintain body weight = 15 kcal/lb




Ideal body weight


-105 lb +/- 6lb/in over or under (male)


- +/- 5lb

Approaches to losing weight

- Metabolic advantage


- Increased physical activity


- Reduced food intake


- Surgery

Sound weight loss diet

- Meets nutritional needs


- High satiety value


- Provides slow rate of weight loss


- Adaptable


- Minimizes hunger and fatigue


- No magic foods


- Costs

Recognizing a fad diet

- Promotes quick weight loss


- Limits food choices and dictates rituals


- Billed as cure all


- Often recommends expensive supplements


- No attempts to modify eating`


- Skeptics

Underweight definition

- Less than or equal to 15% below desired weight


- <18.5 BMI

Anorexia Nervosa

Refusal to maintain normal body weight or failure to gain during growth




Fear of gaining




Body image disturbance




Amenorrhea

Bulimia nervosa

Recurrent episodes of binge eating




Recurrent and inappropriate behaviors to avoid weight




BINGE AND PURGE

Binge Eating Disorder

Recurrent episodes of binge eating




Eating rapidly

EDNOS

All Anorexia criteria but normal weight




All bulimia criteria except less frequent

Treatment of eating disorders

- Treatment for nutritional and psychological




- Anorexia = Oral food intake




- Bulimia = Reduce food intake and purges

What is Female Athlete Triad

Disorder eating


Irregular menstruation


Low bone density




-Reduce preoccupation with food, weight, body fat


- Increase meals and snacks to appropriate amount


- Achieve weight for height


- Decreased training time

Prevention of eating disorders

- Discourage restrictive dieting

- Awareness and acceptance of body appearance


- Appropriate expression of emotion


- Education concerning good nutrition