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380 Cards in this Set

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What actually is nutrition?
“the science of food, the nutrients and the substances therein, their action, interaction, and balance in relation to health and disease, and the process by which the organism ingests, digests, absorbs, transports, utilizes, and excretes food substances”
Nutrients come from food:
and do what 4 things?
-Provide energy
-Provide building blocks
-Maintain body cells
-Essential
Poor diet and sedentary lifestyle are risk factors for chronic diseases, accounting for?
2/3 of all deaths
Disease of the heart accounts for what percentage of deaths?
29% of all deaths
Cancer accounts for what percentage of deaths?
22%
Cerebrovascular disease accounts for what percentage of all deaths?
7%
Diabetes accounts for what percentage of all deaths?
3%
Poor nutrition is an affliction of affluence. Studying nutrition is important because?
Many diseases are preventable
Iron is used to treat?
anemia
Citrus fruits used to treat?
scurvy
Carbon-containing compounds provide
energy
Protein needed for
survival
Classes and Sources of Nutrients (6)
-Carbohydrates
-Fats
-Proteins
-Vitamins
-Minerals
-Water
Carbohydrates:
Composed of?
C, H, O
Carbohydrates:
Provide a major source of?
fuel for the body
Carbohydrates:
Basic unit is?
glucose
Carbohydrates:
Simple or Complex CHO?
Both
Carbohydrates:
Yields how much energy?
4 kcal /g
Lipids:
Composed of?
C, H and few O
Lipids:
Basic unit is?
fatty acid
Lipids:
the major form of lipid ?
Triglyceride
Lipids:
Are mainly? (2) I know its vauge, sorry.
Fats and oils
Lipids:
The 4 fatty acids are?
Monounsaturated Fatty Acids
Polyunsaturated Fatty Acids
Saturated Fatty Acids
Essential Fatty Acids
Lipids:
Yields how much energy?
9 kcal /g
Proteins:
Composed of?
C, O, H, N
Proteins:
Basic unit is?
amino acid
Proteins:
Make up?
bones, muscles, other tissues
Proteins:
Has how many essential amino acids?
nine
Proteins:
Has how many nonessential amino acids?
eleven
Proteins:
Yields how much energy?
4 kcal /g
Vitamins:
Composed of various?
elements
Vitamins:
Are vital to?
life
Vitamins:
Are needed in? (volume)
tiny amounts
Vitamins:
Destroyed when cooked?
Yes
Vitamins:
Are water or fat soluble?
Both
Vitamins:
Yields how much energy?
None
Minerals are?
Inorganic substances
Minerals:
Are needed in? (volume)
Needed in tiny amounts
Minerals:
Destroyed when cooked?
No, Not destroyed in cooking
Minerals: Are considered both _______ and ________ minerals.
-Trace minerals
-Major minerals
Minerals:
Yields how much energy?
None
Water:
Composed of?
H, O
Water:
Is vital to?
Life
Water:
Solvent or lubricant?
Both
Water:
Is a medium for? (2)
-transport
-chemical processes
Water:
Is a tempture?
regulator
Water:
Makes up what part of our body?
Majority
Water:
Yields how much energy?
None
Nutrient composition of the body differs from?
that of food
Food provides nutrients for?
the body to function
How many grams/day do we need of Protein, Fat and Carbohydrates?
500 g/d
How many grams/day do we need of Minerals?
20 g/d
How many grams/day do we need of Vitamins?
300 mg/d
What you eat provides materials to function based on?
gene code
Foods typically provide a mixture of?
energy sources
These energy sources are (4)?
-Carbohydrates
-Protein
-Fat
-Alcohol
Food is typically used to (4)?
-Build new compounds
-Perform muscular movements
-Promote nerve transmissions
-Maintain ion balance
What is a calorie?
“the amount of heat it takes to raise the temperature of 1 gram of water by 1 degree Celsius”
Food is measured in?
kilocalories (kcal)
“Calories” on the nutrition label are in
kcal
Energy Yielding Nutrients: CHO?
4 kcal/g
Energy Yielding Nutrients: Protein?
4 kcal/g
Energy Yielding Nutrients: Fat?
9 kcal/g
Energy Yielding Nutrients: Alcohol?
7 kcal/g
CHO: 15 g x 4 kcal/g = ?
60 kcal
PRO: 3 g x 4 kcal/g = ?
12 kcal
FAT: 1 g x 9 kcal/g = ?
9 kcal
The Typical North American Diet: 16% of kcals as?
proteins
The Typical North American Diet: how much of the protien is from animal sources?
66%
The Typical North American Diet: 50% of kcals as?
CHO
The Typical North American Diet: how much of the carbs is from simple sugar?
50%
The Typical North American Diet: 33% of kcals as?
fat
The Typical North American Diet: how much of the fats is from animal fats?
60 % from animal fats
AMDR = ?
Acceptable Macronutrient Distribution Range
CSFII = ?
Continuing Survey or Food Intake by Individuals
NHANES = ?
National Health and Nutrition Examination Survey
Assessing the Current Diet: conclusions (4)?
-Lacking nutrients
-Energy balance
-Sodium intake
-Fruit and vegetable intake
Improving Our Diets (6)?
-Lower intake of saturated fats, trans fats, sugars, and cholesterol intake
-Include a variety of foods
-Not to overindulge
-Active lifestyle
-Use supplements wisely
-Use meal replacement bars wisely
The intent of Healthy People 2010 is? (6)
-To promote healthy lifestyle and reduce preventable death and disease
-Increase the number of healthy people
-Reduce obesity in adults and children
-Increase intake of fruits, vegetables, and whole grain products
-Lower the intake of fat, saturated fats, and sodium
-Increase the intake of calcium and iron
Using Scientific Research to Determine Nutrient Needs (7)?
-Ask questions
-Generate hypotheses
-Experiments
-Reject incorrect explanations
-Form model
-Publication and peer review
-Follow-up studies
Conclusions based on current evidence: balancing intake with physical activity remains the best approach to?
weight loss
weight loss: meeting recommended calcium intake may?
help
The Dietary Supplement Health and Education Act (DSHEA) ‘94:
Classifies vitamins, minerals, amino acids, herbal remedies as?
foods
The Dietary Supplement Health and Education Act (DSHEA) ‘94:
Prevents the FDA from regulating?
food as heavily as additives or drugs
The Dietary Supplement Health and Education Act (DSHEA) ‘94:
FDA must prove this “food” is?
unsafe before it can be pulled from the shelf
The Dietary Supplement Health and Education Act (DSHEA) ‘94:
Dietary supplements can be sold without?
FDA approval
What are four sources to Finding Reliable Nutrition Information/
-Accredited University
-Hospital dietetics department
-Well known health entities
(e.g., American Heart Association, American Dietetic Association, etc.)
-Registered Dietitian (RD)
Genetics and Nutrition:
Genes contain?
information
Genetics and Nutrition:
Genes direct (3)?
growth, development, maintenance of cell
Genetics and Nutrition:
Genes control expression of?
individual traits
Genetics and Nutrition:
Genes control susceptibility to?
diseases
Nutritional Diseases with a Genetic Link (6)?
-Cardiovascular disease
-Hypertension
-Obesity
-Diabetes
-Cancer
-Osteoporosis
genogram = ?
Family medical history
genogram:
Diseases developed before age?
50 - 60
genogram:
Number of?
relatives
genogram:
Closeness of?
relation
Consume a ______ of foods ________ by a ________ intake of each food
-variety
-balanced
-moderate
Variety = ?
choose different foods
Balanced = ?
select foods from the major food groups
Moderation = ?
plan your intake; control portion size
Variety is not eating the?
same old thing
Variety:
Choose a number of different foods within any?
given food group
Variety: Choose a number of different foods within?
any given food group
Variety: Ensures the diet contains?
sufficient nutrients
Variety: Inclusion of fruits and vegetables to provide?
Phytochemicals
Balance :Not overconsuming any?
One food
Balance :Eat foods from the?
five major food groups
Moderation: Plan your entire day’s?
Intake
Moderation: Be aware of?
Portion sizes
Moderation: Moderate…?
Not eliminate
Moderation: No such thing as?
Good food or bad food
Nutrient density?
Comparison of vitamin and mineral content to number of kcals
Empty calories?
Provides kcals and few to no other nutrients
Energy density?
Comparison of the kcal content to the weight of the food
Reducing hunger and enhancing satiety:
Adherence to dietary changes improves?
with enhanced satiety
Reducing hunger and enhancing satiety:
Increasing water content of recipe will?
decrease energy density
Reducing hunger and enhancing satiety:
Fat has (2)?
high energy density and tastes good
Reducing hunger and enhancing satiety:
With Fat its easy to?
overconsume kcals
Reducing hunger and enhancing satiety:
(Eating out) weight gain=
high energy density + large portions
Reducing hunger and enhancing satiety:
Increasing fiber or protein may?
enhance satiety
Importance of Energy Density: Focusing on macronutrient content is not?
As helpful
Importance of Energy Density: Overall energy intake seems?
Most important
Use energy density as a guide to?
Food choices
Six examples of energy dense foods?
-fruits
-vegetables
-whole grains
-legumes
-lean protein
-low-fat dairy products
Energy dense foods: Quality, not?
Quantity
Reduce hunger, enhance satiety with foods of?
low energy density
Desirable Nutrition: Adequate liver stores of?
Nutrients
Desirable Nutrition: Adequate blood levels of?
iron-related compounds
Under nutrition: = ?
reduced biochemical functions
Over nutrition = ?
Obesity
Measuring Nutritional Status: Background factors (5)?
-Medical history
-List of medications
-Social history
-Education level
-Economic status
Measuring Nutritional Status: Anthropometrics (3)?
-Height and weight
-Skinfolds
-Body circumferences
Biochemical Concentrations of nutrients and nutrient by-products are in?
blood, urine, or feces
Measuring Nutritional Status Clinically is done with?
Physical evidence of diet-related diseases
Nutritional Status is altered by (2)?
-Dietary Intake
-Economic status
Limitations of Nutritional Assessment? (2)
-Long time lapse
-Clinical evidence is not very specific
Studies confirm links between risk for chronic diseases and?
dietary habits
Two important healthy lifestyle practices?
-Regular physical activity
-Avoidance of smoking
Six healthy dietary habits?
-Variety
-Fiber-rich foods
-Inclusion of fish
-Restriction of animal fat and trans fat
-Avoidance of overweight and obesity
-Moderate alcohol consumption
Daily Reference Intakes (DRI)?
New nutrient recommendations to prevent chronic diseases
Estimated Average Requirements?
Nutrient intake estimated to meet the needs of 50% of the individuals in a certain age and gender group
Estimated Average Requirements: Uses a measurable?
functional marker
Estimated Average Requirements: Adjusts for?
Digestibility
Estimated Average Requirements: Used to evaluate the?
adequacy of diets of a group
The Recommended Dietary Allowances: Nutrient intake that is sufficient to meet the needs of?
97 – 98% of individuals in an age and gender group
The Recommended Dietary Allowances = ?
EAR x 1.2
The Recommended Dietary Allowances can only be set if?
EAR is established
The Recommended Dietary Allowances accounts for nutrients’ ability to?
prevent disease in addition to preventing deficiency
In the absence of adequate information to establish an RDA?
Adequate Intakes is assigned
Adequate Intakes is Based on estimates of?
intakes that appear to maintain nutrition status in certain population
Adequate Intakes is set for some?
vitamins, choline, some minerals, essential fatty acids, fiber
Adequate Intakes is set for?
children over the age of 1
Estimate Energy Requirements is?
Average energy needs for various age and gender groups
Estimate Energy Requirements is More conservative than?
individual nutrient recommendations to promote reduction in overweight and obesity
For Estimate Energy Requirements Maintenance of health weight is?
best guideline
Tolerable Upper Intake Levels is?
Maximum level of daily intake unlikely to cause adverse health effects
Tolerable Upper Intake Levels are set to protect?
even most susceptible individuals
Tolerable Upper Intake Levels are not a goal, but?
a ceiling
With Tolerable Upper Intake Levels there is not
enough information to set UL for all nutrients
The four Appropriate Uses of the DRIs?
-Diet planning
-Aim for RDA or AI
-Do not exceed the UL
-For the healthy population
DRIs not used on?
food label (gender- and age- specific)
FDA developed the Daily Values using two standards:?
-Reference Daily Intake (RDI) for vitamins and minerals
-Daily Reference Value (DRV) for nutrients without RDAs
The Reference Daily Intakes (RDIs) are for?
vitamins and minerals
The Reference Daily Intakes (RDIs) are based on?
the 1968 RDAs (highest RDA values)
Planned revision of the Reference Daily Intakes (RDIs) is to?
reflect the latest nutrition standards
Daily Reference Values (DRVs) is?
For dietary components with no RDA or related nutrient standard
With Daily Reference Values (DRVs) consumers can evaluate?
own food choices
With Daily Reference Values (DRVs) not everyone has?
the same desirable standards for intake
Daily Reference Values (DRVs) is based on?
60% of total kcals from carbohydrates, 30% from fat, and 10% from protein
Daily Values adjust for?
individual energy needs (based on 2000 kcal diet)
Daily Values are used to plan what?
intake of various nutrients throughout the day
Daily Values improve
food choices
MyPyramid – A Menu-Planning Tool translates:?
the latest nutritional recommendations into 12 separate pyramids based on energy needs
As of April 2005, MyPyramid – A Menu-Planning Tool: Replaces?
Food Guide Pyramid
MyPyramid – A Menu-Planning represents: ?
proportion of foods recommended to achieve a healthy diet
MyPyramid – A Menu-Planning now includes : ?
physical activity
MyPyramid – A Menu-Planning incorporates : ?
philosophy of variety, balance, and moderation
MyPyramid Plan individualizes food group recommendations based on?
age, gender, and physical activity
MyPyramid Tracker allows users to?
compare daily diet to recommendations
Inside MyPyramid provides details on (4)?
-portion sizes
-healthy choices within each food group
-discretionary calories
-physical activity
Start Today provides tips and resources for following?
MyPyramid recommendations
Using MyPyramid determines: ?
energy allowance
Serving sizes Grains:
1 slice of bread; 1 cup of ready-to-eat cereal; ½ cup cooked rice, pasta, or cereal
Serving sizes Vegetables:
1 cup raw, cooked, or juice; 2 cups raw leafy greens
Serving sizes Fruits:
1 cup fruit or 100% fruit juice; ½ cup dried fruit
Serving sizes Milk:
1 cup milk or yogurt; 1 ½ oz natural cheese; 2 oz processed cheese
Serving sizes Meat & Beans:
1 oz meat, poultry, or fish; 1 egg; 1 T peanut butter; ¼ cup cooked dry beans; ½ oz nuts or seeds
Serving sizes Oils:
1 t oil or oil-containing food
Planning menus with MyPyramid: Not for?
children <2 y
Planning menus with MyPyramid: no one food (or food group) supplies?
all nutrients
Planning menus with MyPyramid: all foods (or food groups) supply?
some nutrients
Planning menus with MyPyramid:Variety is?
key to success
Planning menus with MyPyramid: Range of nutrients and energy content is measured?
within a food group
Using MyPyramid :Choose low-fat and fat-free items from?
milk group
Using MyPyramid: Include plant sources of protein several times per?
week
Using MyPyramid: Include dark green vegetable and vitamin C-rich fruit?
daily
Using MyPyramid: Choose whole grain varieties of?
bread, cereal, rice, and pasta
Using MyPyramid: Include plant oils?
daily
Using MyPyramid: eat fish?
twice per week
Rating Your Current Diet: Regularly compare your diet with?
MyPyramid recommendations
Rating Your Current Diet: Identify?
deficiencies and excesses; try to correct with healthy food choices
Rating Your Current Diet: Steps to a Healthier You - even small changes will?
benefit health
Dietary Guidelines for Americans Key recommendations (9)?
-Adequate nutrient intake within calorie needs
-Weight management
-Physical activity
-Specific food groups to encourage
-Fats
-Carbohydrates
-Sodium and potassium
-Alcoholic beverages
-Food safety
Practical Use of the Dietary Guidelines: Meet nutrient needs while?
reducing risk for obesity, cardiovascular disease, hypertension, diabetes, alcoholism, and foodborne illness
Practical Use of the Dietary Guidelines: Not difficult to?
implement
Practical Use of the Dietary Guidelines: Not more expensive than?
current diet patterns
Practical Use of the Dietary Guidelines: In agreement with?
recommendations from other health promotion agencies
The Dietary Guidelines and You: Implement changes and?
assess/reassess progress
The Dietary Guidelines and You: Consider?
genetic influences
The Dietary Guidelines and You: Plan for?
individual
The Dietary Guidelines and You: There is no?
optimal diet
Five Requirements on food labels?
-Product name
-Manufacturer’s name and address
-Uniform serving size
-Amount in the package
-Ingredients in descending order by weight
15 Required components of Nutrition Facts label?
-Total calories
-Calories from fat
-Total fat
-Saturated fat
-Trans fat
-Cholesterol
-Sodium
-Total carbohydrate
-Fiber
-Sugars
-Protein
-Vitamin A
-Vitamin C
-Calcium
-Iron
Using Food Labels in Diet Planning: Daily Values used for?
comparison
Fresh fruits and vegetables, fish, meats, and poultry are not required to?
have Nutrition Facts label
Declaration of %DV for protein is not required unless food is for?
children <4 y
Declaration of %DV for protein is not required if given, food must be?
analyzed for protein quality
Health Claims on Food Labels: Cancer (4)?
-Total fat
-Fiber
-Fruits & vegetables
-Whole grains
Health Claims on Food Labels: Cardiovascular disease (6)?
-Saturated fat
-Cholesterol
-Fruits & vegetables
-Fiber
-Soy protein
-Fish oils
-Plant stanols and sterols
Health Claims on Food Labels: Osteoporosis?
Calcium
Health Claims on Food Labels: Hypertension (2)?
-Sodium
-Potassium
Health Claims on Food Labels: Neural tube defects?
-Folate
Health Claims on Food Labels: Tooth decay?
Sugarless gum
Monosaccharides? (4)
-Glucose
-Fructose
-Galactose
-Ribose
Disaccharides? (3)
-Maltose
-Sucrose
-Lactose
Glucose: Most common monosaccharide in?
body
Glucose Synonyms: (2)?
dextrose, blood sugar
Fructose: Metabolized to?
glucose in the liver
Fructose Food sources: (3)?
fruit, honey, and high fructose corn syrup
Galactose: Usually bound with ?
glucose (lactose)
Galactose: Converted to ?
glucose in the liver
Galactose Food sources:
dairy products
Disaccharides Structure:
2 sugar units bound by condensation reaction
Maltose (what + what)?
(Gluc + Gluc) - alpha bond
Sucrose (what + what)?
(Gluc + Fruc) - alpha bond
Lactose (what + what)?
(Galactose + Gluc) - beta bond
Oligosaccharides
3 – 10 sugar units
Oligosaccharides examples:
raffinose, stachyose
Oligosaccharides Food sources: (2)?
beans, legumes
Undigested oligosaccharides may be ?
fermented by bacteria in large intestine
Digestible polysaccharides
(2)?
-Starch
-Glycogen
Indigestible polysaccharides
Fiber
Starch
1,000 or more monosaccharides bound together by alpha glycosidic bonds (digestible by humans)
Starch Examples (2)?
Amylose & Amylopectin
Amylose
straight chain polymer
Amylopectin
highly branched polymer (greater effect on blood sugar)
Starch Food sources: (5)?
potatoes, beans, breads, pasta, rice
Glycogen: Storage form of CHO for?
animals and humans
Glycogen: Structure similar to?
amylopectin – many sites for enzyme action
Glycogen: Stored in the?
liver and muscles
Monosaccharides bound by beta glycosidic bonds are?
indigestible by humans
Indigestible Polysaccharides = ?
Fiber
Insoluble (nonfermentable) fiber Examples: (3)?
cellulose, hemicellulose, lignin
Insoluble (nonfermentable) fiber Functions:
increases fecal bulk, decreases intestinal transit time
Insoluble (nonfermentable) fiber Food sources:
whole grains, vegetables
Soluble (viscous) fiber Examples:
gum, pectin, mucilage
Soluble (viscous) fiber Functions:
delays gastric emptying, slows glucose absorption, decreases blood cholesterol
Soluble (viscous) fiber Food sources:
fruits, vegetables, rice bran, psyllium seed
Bacterial fermentation in large intestine produces?
short-chain fatty acids (and gases)
Bacterial Metabolism of Soluble Fiber Enhances the?
health of the large intestine cells
Bacterial Metabolism of Soluble Fiber is a Fuel source for?
bacterial cells
Bacterial Metabolism of Soluble Fiber is Absorbed into?
the blood stream and yield energy
Salivary amylase breaks starch down into?
smaller units
To Taste the sweetness of carbs broken down with salivary amylase one would?
prolong chewing
The Acidic environment of the stomach stops?
the action of salivary amylase
No further starch digestion occurs in the
stomach
Pancreatic amylase is released in?
Small Intestine
Intestinal cells release (3)?
maltase, sucrase, and lactase
Maltose
glucose + glucose
Sucrose
glucose + fructose
Lactose
glucose + galactose
Monosaccharides are absorbed in?
Small Intestine
Glucose and Galactose: Active absorption using?
a sodium pump
Glucose and Galactose: Energy is expended to?
pump the sodium back out of the cell
Glucose and Galactose: Going from low concentration gradient to?
high
Fructose: Facilitated diffusion using?
a carrier
Portal vein transports absorbed monosaccharides to?
liver
Liver can:Transform monosaccharides to?
glucose to supply energy for other organs
Liver can: Store as
glycogen or fat
Functions of Glucose and Other Sugars (3)?
-Supplies energy
-Protein sparing
-Prevents ketosis
Functions of Fiber: Promotes?
softer, larger stool and regularity
Functions of Fiber: Reduces hemorrhoids and?
diverticula
Functions of Fiber: Slows ?
glucose absorption
Functions of Fiber: Reduces blood?
cholesterol
Functions of Fiber: Reduces heart?
disease
Carbohydrate Needs: Recommendations - RDA is?
130 g/d for adults – adequate energy for brain and central nervous system
Carbohydrate Needs: Is 45-65% of
total energy
Carbohydrate Needs - Primary sources:
fruits, vegetables, whole grains, beans
Actual Carbohydrate intake of North Americans:
?
180-330 g/d (primarily from white bread, sodas, baked goods)
Actual Carbohydrate intake of North Americans: ______% of total energy
50 (~70% in some countries)
Recommended Fiber Intake is based on?
14 g/1000 kcals
Recommended Fiber Intake for women?
25 g/d
Recommended Fiber Intake for men
38 g/d
Actual intake of fiber in North Americans?
13-17 g/d
Effect of fiber in intact foods is greater than?
isolated fractions
Differentiation between soluble and insoluble fiber is
unclear
Fiber is Classified as?
viscous or nonfermentable
Current intake of fiber is?
below recommendations
High-Fiber Diets is?
>60 g/d
High-Fiber Diets have Painful?
elimination
High-Fiber Diets have Intestinal?
blockages
High-Fiber Diets have Decreased?
nutrient absorption
High-Fiber Diets have Restricted?
energy intake in young children
High-Sugar Diets: Low?
nutrient density
High-Sugar Diets: Soda replaces?
milk in diet
High-Sugar Diets: Contributes?
excessive energy
High-Sugar Diets: High?
glycemic index
High-Sugar Diets Recommendations: Limit sugar intake to?
no more than 10% of total energy intake
High-Sugar Diets - Actual intake of North Americans?
16% of total energy intake
Glycemic Index
?
Blood glucose response to given food compared to standard
Glycemic Index is influenced by?
amount of starch, fiber, processing, structure, and presence of other macronutrients
Glycemic Load
Amount of CHO in food X GI of food
The Glycemic Load is a Better reflection of food’s ?
effect on blood glucose
Effect of high glycemic load: Stimulates?
release of insulin
Effect of high glycemic load: Insulin increases? (3)
blood triglycerides, LDL, fat synthesis
Effect of high glycemic load: Increases risk for
CVD
Effect of high glycemic load: Returns to?
hunger quicker
Effect of high glycemic load: Muscle may become?
resistant to insulin
How to decrease glycemic load: Avoid?
overeating high glycemic load foods
How to decrease glycemic load: Combine?
a low glycemic load food with a high one
How to decrease glycemic load: Maintain?
healthy weight
How to decrease glycemic load: Regular?
physical activity
Lactose Maldigestion?
Lactose is undigested and not absorbed, metabolized by large intestinal bacteria
Primary lactose maldigestion?
Genetic disorder lack lactose production
Secondary lactose maldigestion?
Disease processes or medications that damage the GI lining
What four things make it easier to cope with lactose maldigestion?
-Determine tolerated amount
-Eat dairy with fat
-Cheese and yogurt more easily tolerated
-Lactase pills
Blood Glucose Control: Role of the liver?
Regulates glucose that enters bloodstream
Blood Glucose Control: Role of the pancreas?
-Release of insulin
-Release of glucagon
Functions of Insulin: Promotes ?
glycogen synthesis
Functions of Insulin: Increases ?
glucose uptake by the cells
Functions of Insulin: Reduces?
gluconeogenesis
Functions of Insulin-Net effect?
lowers the blood glucose
Functions of Glucagon: Breakdown ?
glycogen
Functions of Glucagon: Enhances?
gluconeogenesis
Functions of Glucagon-Net effect: raises?
blood glucose
Epinephrine/norepinephrine:
“Fight or flight” response
Epinephrine/norepinephrine: Breakdown ?
glycogen
Epinephrine/norepinephrine: Raises?
blood glucose
Cortisol and growth hormone
(2)?
-Increase gluconeogenesis
-Raise blood glucose
Five things about Type 1 Diabetes Mellitus
-Genetic link
-Decreased release of insulin
-Insulin dependent
-Resulting in hyperglycemia
-Autoimmune disorder
Three Treatments for Type 1 DM?
-Carbohydrate counting
-Insulin therapy
-Risk for heart disease
Eight things about Type 2 Diabetes Mellitus
-Genetic link
-80% is associated with obesity
-Non-insulin dependent to start
-Accounts for majority of cases of DM
-Defective insulin receptors on the cells
-Over secretion of insulin to compensate
-Leads to beta cells failure
-Treatment: medication and diet therapy (weight loss)
Consequences of Uncontrolled Blood Glucose: Ketosis leading to (4)?
ion imbalances, dehydration, coma, death
Consequences of Uncontrolled Blood Glucose- Degenerative diseases:
nerve damage, heart disease, kidney disease, blindness
Consequences of Uncontrolled Blood Glucose: Increased risk
risk for wound infections
Reactive hypoglycemia Occurs when?
2-4 hours after eating a meal
Reactive hypoglycemia is Possibly due to?
over-secretion of insulin
Fasting hypoglycemia is Usually caused by?
pancreatic cancer
Fasting hypoglycemiais Leads to?
overproduction of insulin
Sucrose is the benchmark of?
all sweeteners
Sugar alcohols kcal/g?
1.5 – 3 kcals/g
Three Sugar alcohols?
-Sorbitol
-Mannitol
-Xylitol
Saccharin ________ times sweeter than sucrose?
180-200x
Saccharin: Used in?
over 90 countries
Saccharin: Initial studies showed excessive intake is linked to?
bladder cancer in lab animals
Saccharin: No longer considered having ?
cancer causing potential
Saccharin: Not a potential risk in?
humans
Aspartame : Composed of ?
phenylalanine, aspartic acid, and methanol
Aspartame : 180-200x sweeter than?
sucrose
Aspartame : 4 kcals/g, but?
only a trace amount is needed to sweeten foods
Aspartame : Is Not?
heat stable
Complaints of sensitivity to aspartame
headaches, dizziness, seizures, nausea, etc.
Aspartame: Not recommended for people with?
phenylketonuria (PKU)
Neotame: ~7000 –13000 times sweeter than?
sucrose
Neotame: Structure is similar to?
aspartame (but not a risk for PKU)
Neotame: Is?
Heat stable
Neotame: Safe for use by?
the general population (including children, diabetics, pregnant and lactating women)
Acesulfame-K: K for?
potassium
Acesulfame-K: 200x sweeter than?
Sucrose
Acesulfame-K: Not digested by?
the body
Acesulfame-K: Is?
Heat stable
Sucralose: _______x sweeter than sucrose?
600
Sucralose: Substitute 3 chlorines for?
3 hydroxyl groups on a sucrose
Sucralose: Heat stable?
Yes
Sucralose: Excreted in?
feces (small amount in urine)
Tagatose: ?
Isomer of fructose
Tagatose: Approximately same sweetness as?
sucrose
Tagatose: Poorly absorbed – low?
energy contribution
Tagatose: No risk of?
dental caries
Tagatose: Prebiotic ?
effect