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68 Cards in this Set

  • Front
  • Back
Nutrition
-The science of foods and their components (nutrients and other substances) including the relationships to health and disease: actions, interactions, and balances.
-process w/in the body: ingestion, digestion, absorption, transport and disposal of end products
Nourishment
encompasses all that sustains the needs and development of body, mind and spirit; to enrich and enliven our being.
-It's the act of intake of food
-It implicated whatever process that influence on the food, from its production to consumed
Nutrients
-Any substances in food that the body can use to obtain energy, growth, synthesize and help repair body tissues, and regulate body functions
-there are six different types of nutrients
-Essential nutrient
Diet
The food and drink ordinarily consumed by person or group of such:
-a special selection of food and drink
-to limit or select one's own intake of food to improve health
-to prescribe or regulate the food intake of
Food
Any substances that contains nutrients and is ingested in order to sustain life, health and growth.
Nutritional Status
-a measurement of the extent to which the individual's physiologic need for nutrients are being met
-it's a condition that result of the ingestion, absorption, and utilization of the foods in the body, and pathologics signification factors in relation with them
Feeding
-This stage including to prescription of the diet to absorption of the nutrients, in the alimentary system.
-extrinsic step: include the prescription and the realization of the dietary planning.
-Intrinsic step: include intake, digestion and absorption of the nutrients
Metabolism
-The metabolism has for object the properly use and exchange of the energy and material supply of foods.
-this process begins at the moment of the absorption of the nutrients
-the nutrients may be utilized or stored.
-it's the exchange way of the energy change from one way to another, and the nutrients transformation until final destiny
Excretion
-consists in the elimination of the nutrients not utilized by metabolism or degrade
-it's eliminate substances that haven't been absorbed and the catabolism final products
-this process occurs in skin, lung, kidney and intestines
Carbohydrate
-their names come from its chemical nature: CnH2nOn
-Provides 3 essential life and health needs:
1. Energry to do work
2.building materials to maintain the form and functions
3. control agents to regulate these processes efficiently
-The principle MS are glucose, fructose, galactose and mannose,
-Pentoses are present as constituents of the DNA, RNA
[1] are the main energy source for the human body. They may be classified according to their degress of [2], and may be divided into 3 groups. List the three groups and they're comprised of.
1-CH
2-polymerization
The 3 groups are
1. sugars: comprised of monosaccharides, disaccharides, and sugars alcohols
2. Oligosaccharides: include malto and fructo oligosaccharides
3. Polysaccharides: include starch and non-starch (cellulose, hemicellulose and pectin)
What are the principle MS?
-glucose, fructose, galactose, and mannose. Pentoses are present as constituents of the DNA, RNA
What are the principle DS?
-Sucrose, maltose, and lactose
What are the principle OS?
-Raffinose, fructans, and polyhydroxy alcohols (inositol, mannitol)
The principle PS are [1] and [2]. [1] is the major CH of the human diet, and the main storage of dietary staples. [3] is the storage form of CH in animals, and the primary and most readily available source of [4] and [5]
1-starch
2-glycogen
3-Glycogen
4-glucose
5-energy
Starch
-the major CH of the human diet
-It's the main storage PS of dietary staples such as cereal grains, potatoes, etc
-Found only in plants
-There are two types: Amylopectin and Amylose form
-they break down more slowly than simple sugars, and supply energy over long period of time
Glycogen
-storage form of CH in humans and animals.
-called animal starch
-the primary and most readily available source of glucose and energy
-help sustain normal blood sugar during short-term fasting periods
-provide immediate fuel for muscle action
-normally 340-500 gr of glycogen is stored in liver and muscle
Dietary Fiber (DF)
-in most of its forms it's complex CH that is not digestible.
-it occurs mainly as the structural parts of plants, and provides important bulk in the diet.
-affects nutrients absorption and benefits health
-Pectins, gums, mucilages and hemicelluloses. Their ability to retain water, form gels and act as fermentative substrate upon which colonic bacteria may act.
Soluble Fiber (part of dietary fiber)
-have ability to retain water, form gels and as a fermentative substrate upon which colonic bacteria act
-also slow gastric emptying, increase stool bulk, reduce elevated colonic pressure and binds bile acids and cholesterol
Insoluble fibers
-cellulose, hemicellulose, lignin
-found in all types of plant material, where they provide structure to the plant cells. such fiber, compose a small portion of the diet, such as in fruits w/ edible seeds
-actions: holds water, reduces elevated colonic pressure, binds bile acids, cholesterol, zinc and other metals
Functions of CH
-main function is to provide the primary fuel for the body
-CH helps regulate both protein and lipid metabolism
-glycogen reserves supply vital backup fuel
-glucose is indispensible for maintaining the functional integrity of the nerve tissue and is the sole source of the energy for the brain.
-lactose remains in the large intestine and thus encourages the growth of beneficial bacteria
-CH burn in the body at the rate of 4kcal/gr
Dietary sources of glucose, fructose, galactose, pentoses, starch, raffinose
-glucose: fruits, honey, roots, corn syrup, sweet corn, etc
-fructose: fruits, vegetables, honey
-galactose: milk
-pentose: cells of all natural foodstuffs
-starch: plants (roots, cereals)
-raffinose: plant seed (legumes, beans)
Proteins
-provide AA necessary for building and maintaining body tissue
-involved in the synthesis of tissue, and other special metabolic functions
-in anabolic processes they furnish the AA's required to build and maintain body tissues
-As an energy source, proteins provide 4 kcal/gr
Functions of Proteins
-formation of enzymes, hormones, and various fluids and body secretions
-as antibodies, they are involved in the functions of the immune system
-in the form of lipoproteins they participate in the transportation of Triglyceride, cholesterol, and fat soluble vitamins.
-also contribute to homeostasis by maintaining normal osmotic relations among body fluids
-maintain the acid-base balance of blood and tissues
Amino Acids
-only 20 standard AAs are commonly found in proteins
-8 AA's are "essential" bc the body can't manufacture them in sufficient quantity or at al.
-12 AA's are easily synthesized by the body
-inadequate intake or absence of any one of these AA's leads to negative Nitrogen balance, weight loss, impaired growth in infants, and clinical symptoms.
-Conditional essential AA's are those that can become essential under certain clinical conditions (ex. taurine, cysteine, and tyrosine are thought to be conditionally essential in preterm infants)
Types of food protein
-classified as "compete" or "incomplete" proteins, depending on their AA's composition
-complete protein foods contain all of the 10 essential AA's in sufficient quantity and ration to meet the body's needs
-Incomplete protein foods: are deficient in one or more of 8 essential AA's
-Complementary food combinations balance the needed AA's.
-there are 3 critical AA's: Lysine, Methionine, and Tryptophan
Evaluation of Protein Quality
-protein efficiency ratio-PER
-Biologic value: Uses nitrogen balance techniques to determine the fraction of absorbed nitrogen retained in the body for growth or maintenance
-Net Protein utilization-NPU-compares the Nitrogen intake over a period of time with the carcass nitrogen content. in addition to the percentage of BV, this measure also includes the digestibility of the protein.
Lipids
-serve as an energy fuel and a structural material
-storage form of concentrated fuel for the human energy system
-Fat as structural material for cell walls, protective padding for vital organs, insulation to maintain body temperature, and covering for nerve fibers.
-the main building blocks of fat are fatty acids
-FA have 2 significant characteristics one of which relates to the concept of
1. saturation and other to
2. essentiality
Saturated fats that come from [1] food sources carry health risks for the body. Unsaturated fats come from [2] food sources and help reduce health risks. These are classified as [3] and [4] fat (PUFA). The main families of PUFA are w-3 and w-6. Essential FA are [5], [6], and [7] acids.
1-animal
2-plant
3-monounsaturated
4-polyunsaturated
5-linoleic
6-linolenic
7-arachidonic
Define Long-chain fatty acids, medium chain fatty acids, and short-chain fatty acids.
-Long-chain FA: a FA with 12 carbons or more
-Medium chain FA: a FA with 6-12 carbons. They are absorbed directly into the portal blood
-Short-chain FA: a FA with 6 carbons or less. function: energy source of colon cells
Unsaturated Fatty Acids
-Monounsaturated FA (MUFA):
~contain only double bonds
~Oleic acid is the most important
~Source: Olive oil, canola oil, peanut oil, etc..
-Polyunsaturated FA (PUFA)
~Contain 2 or more double bonds
~predominant PUFA in the diet is linoleic acid
~Source: Vegetable seeds and their oils
Essential Fatty Acids
-Linoleic Acid: w-6 family
~gamma-linoleic acid
~arachidonic acid
-alpha-linolenic acid: w-3 family
~Eicosapentaenoic acid (EPA)
~Docosahexaenoic acid (DHA)

-They are precursors of eicosanoids: (prostaglandins, thromboxanes, leukotrienes)
Trans-fatty acids
-formed when manufacturers add H+ to liquid oils to make them semisolid or more stable
-margarine, frying fats, high-fat baked goods and salty snacks
-they inhibit the desaturation and elongation of linoleic acid to form other critical FA
-recommendation: in maternal diet, TFA should be as low as possible
Triglycerides
-It's most natural fats, have 3 FA attached to their glycerol base
-functions: the major storage form of energy in the body, more efficient storage than glycogen.
-muscle energy
-sparing proteins for tissue synthesis instead of as an energy source
[1] help hold body organs and nerve in position and protect them against traumatic injury and shock. Fats [2] the body, preserving body heat and maintaining body temperature. They aid to [3] and [4] of fat soluble vitamins. They also depress [5] secretion and [6] gastric emptying. They add to the palatability of the diet and produce a feeling of [7] after a meal.
1-adipose tissue
2-insulate
3-transport
4-absorb
5-gastric
6-slow
7-satiety
Dietary Intake of Lipids
-in general, 30% of calorie intake
-linoleic acid requirement is estimated at 2-7 g/day
-higher intake are recommended for pregnant women
-Optimal intake of w-3 FA is 1.1 to 1.5 g/day
-for a 2000 Cal diet, total fat would be 67 g/d, and 22 g/d of SFAs
Energy
-defined as the capacity to do work
-it refers to the manner in which the boy makes use of the energy locked in the chemical bonds w/in food.
-energy requirements is the amounts of energy needed to maintain health, growth and an appropriate level of physical activity.
-energy needs are determined by "Energy expenditure"
-The largest component of EE is the Basal metabolic rate (BMR).
-BMR is the EE by an individual in the resting, postabsorptive stage. It represents the ER to carry out the body's normal functions
Components of EE (energy expenditure)
-level of physical activity
-Age
-Body weight and body size
-Endocrine activity: thryxine, n-epinephrine
-physiologic process: pregnant, etc.
-setting temperature (cold, heat)
-Sex
-Pathologic process (fever, malnutrition..)
-Sleep
-Thermic effect of food
Thermic effect of food
-the increase of the total energy expenditure (TEE)- attending the consumption of food.
-this fraction of EE contributed by the process of digestion, absorption and metabolism as food. The increase in metabolism that is stimulated by eating.
-Represents a 10% of the TEE
-The TEF is classified into Adaptive themogenesis and Obligatory thermogenesis
Adaptive thermogenesis
-it's a portion of TEF, an increase in MR stimulated by eating that may serve the purpose of burning of excess energy in the form of heat.
-obligatory thermogenesis (specific dynamic action) is a portion of the TEF required to digest, absorb and metabolize nutrients. The lipids and CH consumed increased into 5%, the proteins consumed increased the BMR until 25%
Physical Activity to TEE is [1] variable: [2] in bed ridden patients to [3] in the athlete. EE can also vary depending on body size and efficiency of individuals habit of motion
-Physical activity energy cost (kcal)=[4]
-Sedentary 20%
-Very light [5]
-Moderate 40%
-Heavy [6]
1-highly
2-10%
3-50%
4- BMR x activity %
5-20%
6-50%
Basal Metabolic Rate
-the basal EE expressed as kcal/kg of body weight/hour
-determined by body size, body composition, and age
-Men: 1.0 kcal/kg/hr
-Women: 0.9 kcal/kg/hr
-Total Energy output: BMR + TEF + PA
Vitamins
-it must be a vital, organic, dietary substance that is not a CH, protein, or fat, and is necessary in only very small amounts to perform a specific metabolic function or prevent an associated deficiency disease
-classified as either fat soluble or water soluble
-functions: control agents in cell metabolism and components of body tissue construction
Vitamin A
-functions: vision cycle-adaption to light and dark. Tissue growth, especially skin and mucous membranes. protein synthesis
-Deficiency disease: Xerosis, Xerophthalmia, susceptibility to epithelial infection, changes in skin and membranes, night blindness
-Requirements: 800 mcg for women and 1000 mcg for men. Twice as beta-carotene
-Source: fish liver oils, egg, butter, vegetables
Vitamin D
-Function: Absorption of calcium and phosphorous. Calcification of bones. Plays role in immunity, reprosuction, insulin secretion and differentiation of keratocytes
-Deficiency disease: Rickets, faulty bone growth, osteoporosis, osteomalacia
-Requirements: 200 IU (2.5 mcg)
-Source: Yeast and fish liver oils. Fortified milk and margarines
Vitamin E
-Function: Antioxidant-protection of materials that oxidize easily. That preserves structural membranes such as cell wall. Normal growth. Can help prevent hemolysis in premature infants.
-Deficiency: Hemolysis, anemia. Disrupts normal synthesis of myelin (cord fibers and retina)
-Requirements: 8-15 mg/d
Vitamin K
-Functions: Normal blood clotting process (prothrombin, factor II, VII, IX, X). Bone development
-Deficiency: bleeding tendencies, hemorrhagic disease. Poor bone growth
-Requirements: Men: 80 mcg/d and Women: 65 mcg/d
-Sources: Green leafy vegetables, milk, eggs, cereals, fruits
Vitamin C
-Function: intercellular cement substance, firm capillary walls and collagen formation. Blood vessel tissue, metabolically active body tissue (glands); helps prepare iron and calcium for absorption.
-Deficiency: scurvy, sore gums, anemia, stress reaction, hemorrhages, growth periods, fevers and infections
-Men: 90 mg/d, Women 75 mg/d
-Source: citris fruits, chili peppers, papaya
Thiamin-B1
Function: Normal growth, coenzyme factor relates to the production of energy from CH, energy for heart, nerves and muscle, GI system
-Deficiency: Beriberi (dry,wet), lost appetite, gastri distress, indigestion, deficient HCL, fatigue, edema of legs, heart failure
-Men: 1.2mg/d, Women 1.1 mg/d
-Source: liver, whole grains, legumes
Riboflavin- B2
-function: coenzyme in protein and energy metabolism: FAD, FMN
-deficiency: soreness and burning of lips, cheilosis, angular stomatitis, glositis, seborrheic dermatitis, ocular pathology, anemia, neuropathy, tongue changes
-men: 1.5-1.7, women 1.3
-sources: meats, enriched cereals, milk, green vegetables
Niacin- B3
-functions: coenzyme in energy production: NAD, NADP. they are essential in the red-ox rxns involved in the release of energy.
-Deficiency: Pellagra, anorexia, muscular weakness, indigestion, skin eruptions, sore tongue, neuritis
-male: 16-20 mg NE, female: 14-17 mg NE
-Source: meat, peanut, legumes, enriched grains, whole grains, nuts
Pyridoxine B-6
-functions: It has an essential role in protein metabolism and involve in neurotransmitter synthesis for brain activity, AA's absorption, energy production, synthesis of the heme portion of hemoglobin.
-Deficiency: Neuritis, hyperirritability, anemia, convulsions
-Males: 2.0 mg Female 1.6 mg
-Source: Grains, seeds, liver, kidney, milk, eggs, meats, vegetables
Pantothenic Acid
-functions: it has a coenzyme role: Co A, and as such it is essential to many areas of cellular metabolism.
-Deficiency: No deficiency disease has been observed in humans.
-requirements 4-7 mg/day
-sources: it is found in all animal and plant cells, in special grain cereals, legumes, etc..
Folate
functions: role in the synthesis of the purines and pyrimidine bases, formation of both red and white blood cells in the bone marrow
-deficiency: neural tube defects, pernicious anemia, poor growth, elevated blood levels of homocysteine, GI tract disturbances.
-Male 200 mcg. Women: 180-400 mcg
-sources: Green leafy vegetables, liver
Cobalamin B-12
functions: synthesis of the nonprotein heme portion of Hg. It participates in the transfer of methyl groups in the synthesis of nucleic acids, purines, and pyrimidine.
-Deficiency: Megaloblastic anemia, GI disorders, neurologic syndrome
-Male: 2.0 mcg Female: 2.0 mcg
-Source: Liver, kidney, lean meats, milk, eggs, cheese
Minerals
-25 elements are essential in human life, and perform a variety of metabolic functions in the body
-major minerals are defined as those requiring an intake of more than 100 mg/d. Ca, Na, K, Mg, Cl, S, P
-Microminerals: those having a required intake of less than 100 mg/d (Fe, Zn, I, Cu, Ch, F, Co, Se, Mb, Mn, Boron)
Iron
functions: hemoglobin formation, cellular oxidation of glucose, myoglobin in muscle, antibody production, collagen synthesis, drug dextoxification
-Deficiency: Anemia, poor growth
-Men: 10 mg Women: 15-30 mg
-Source: Liver, meats, egg yolk, dark green vegetables, nuts, legumes
Calcium
-functions: Bone formation, teeth, blood clotting, muscle contraction, and relaxation, heart action, nerve transmission
-deficiency: Tetany, rickets, osteoporosis, hypertension
-Adults: 1000-1200mg, infants 400-800 mg
-Sources: milk, cheese, whole grains, egg yolk, green leafy vegetables
Magnesium
-functions: it's a cofactor for over 300 enzymes involved in the metabolism, activator and coenzyme in CH and protein metabolism, muscle and nerve action, stabilize the structure of ATP.
-Deficiency: Tremor, spasm, convulsions, nausea, vomiting, dysrhythmias and myocardial infarction.
-Adults: 270-400 mg
-Sources: Whole grains, nuts, legumes, green vegetables
Iodine
-functions: synthesis of thyroxine, the thyroid hormone. BMR regulation.
-Deficiency: Endemic colloid goiter, creatinism, hypothyroidism, hyperthyroidism
-Men: 150 mcg Women 150 mcg
-Source: Iodized salt, seafood, kelp
Zinc
-functions: immune system leukocytes, essential enzymes constituent (synthesis or degradation of major metabolites)
-deficiency: retarded sexual and physical development, taste, smell, retard growth, immunologic defects.
-Men 15 mg Women: 12 mg
-Sources: Liver, seafood, whole grains, legumes, nuts, cheese
Chromium
-functions: potentiates insulin action and as such influences CH, lipid and protein metabolism. Serum triglyceride levels.
-Requirements: 50-200 mcg/day
-Sources: Brewer's yeast, liver, oysters, potatoes, seafoods, whole grains.
-Deficiency: Insulin resistance
Selenium
-Functions: essential part of enzyme: Glutathione peroxidase (GSH-Px), Type I iodothronine 5' diodinase.
-Deficiency: Keshan disease (cardiomyopathy). TPN patients (muscular discomfort)
-Requirements: 55-70 mcg/day
-Source: Brazil nuts, seafoods, poultry
Pregnancy and Lactation
-Energy: Increase of about 300 kcal/d
-Protein: 60 g/d (increase to 10-16 g/d)
-Calcium: 1,200 mg/d
-Iron: 30 g/d
-Folate: 400-600 mcg/d
-B-6: 2.2 mg/d
-Iodine: 65 mg/d
-Fibers: 25-25 g/d
Infancy and Childhood
Energy: kg x 100 (98 – 102)= kcal
Protein. Kg x 2.2 (1.6 – 1.2)
Lipids: 3.8 g/100 kcal – 6g/100 kcal/d
Vitamin A: 375 mcg RE
Calcium. 400 – 800 mg/d
Vitamin C: 35- 50 mg/d
Iron: 6 – 10 mg/d
Iodine: 40 – 70 mg/d
Adolescence
Energy: 2,200 kcal/d – 2,500 kcal/d
Protein: 45 g/d – 72 g/d
Calcium: 800 – 1,200 mg/d
Iron: 12 – 15 mg/d
Problems: Eating disorders: anorexia nervosa, bulimia, obesity.
Adult
Energy: 1,900 – 2,300 kcal/d
Protein: 0.8-1.0 g/kg (50 – 63 g/d)
Fat: 30% of the total diet kcal.
CH: 50% – 60% of the total diet kcal.
Problems: Weight management, risk for chronic disease
Aging
Energy: Reduction of average energy allowances of 600 kcal/ for men, and 300 kcal/d for women.
Protein: 1.0 g/kg/d
CH: 55% of the total diet kcal.
Fat: 30% of the total diet kcal.
Calcium: 1000-1500 mg/d
Zinc: 12 –15 mg/d
Vitamin C: 60 mg/d