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35 Cards in this Set
- Front
- Back
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unmodified foods with naturally occurring bio-active components are classified as functional foods by?
International life science institute institute of medicine |
international life science institute (unaltered food)
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food whereconcentration of one or more ingredients has been altered to enhance the food's contribution to a healthful diet are classified as functional foods by?
International life science institute institute of medicine |
institute of medicine (altered food)
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calcium fortified OJ is a functional food according to?
institute of medicine or international life science institute |
institute of medicine (altered food)
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lycopene in tomatoes is a functional food according to?
institute of medicine or international life science institute |
international life science institute (unaltered food)
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what kind of health claim is "calcium treats osteoporosis"
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authorized
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what kind of health claim is "fluorinated water has a risk of causing dental caries"
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authoritative
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what kind of health claim is "green tea may have effects on cancer"
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qualified
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what kind of health claim require FDA regulation after extensive review of supporting eviden
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authorized
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what kind of health claim is done by NIH, CDC, NAS
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authoritative
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what kind of health claim is based on emerging info, limited or preliminary research
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qualified
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what kind of claim is this "building strong bones" "supporting the immune system"
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structure of functional claim
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what are the IOM recommended daily values for fiber in males, females, preg, EN products
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males 30-36g/day
females 21-25g/day preg 28-29g/day EN 0-15g/L |
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what type of fiber is this:
oatmeal, fruits, veggies, benefiber, pectin, psyllium, FOS, inulin |
soluble
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what type of fiber is not broken down in our body and moves through digestive system absorbing water
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insoluble
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what type of fiber is this:
cellulose, whole grain (corn, wheat, rye), dried beans and peas, methylcellulose, soy polysaccharide |
insoluble
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prebiotics are what type of fiber
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soluble
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what are benefits of fiber
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laxation
normalization of lipids improved glycemic control colorectal cancer? diverticular disease IBS |
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what is the relationship between blood lipids and fiber
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inverse relationship b/t fiber intake and risk of CHD/CVD
VEGETABLE FIBER HAS NO EFFECT |
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what is the relationship between glycemic control and fiber
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inverse relationship of fiber intake and risk of diabetes
INSOLUBLE FIBER HAS NO EFFECT |
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what is the relationship between diverticular disease
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inverse relationship b/t fiber intake and incidence of symptoms
may prevent hemorrhoids and actual disease from occuring |
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what produces and environment favorable for growth of beneficial bacteria (lactobacilli, bifidobacteria)
prebiotics or probiotics |
prebiotics
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how do prebiotics carry out their effect
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production of short chain fatty acids (SCFA)
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inulin type fructans, fructose oligosaccharides are
prebiotics or probiotics |
prebiotics (soluble fiber)
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what are the short chain fatty acids
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acetate
butyrate propionate |
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what short chain fatty acid decreases incidence of colorectal cancer and inflammatory bowel disease symptoms
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butyrate
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what are some functional food sources of prebiotics
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jicama
jersusalum artichoke leeks onions garlic bananas |
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live microoganism
pre or pro biotics |
probiotics
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what are the benefits of probiotics
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decrease incidence of Abx associated diarrhea
decrease C diff occurrence and recurrence prevention and treatment of IBD pouchitis w/ VSL#3 |
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what patients are at risk for developing nutritional deficiencies
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inadequate dietary intake (alcoholics, eating disorder, low caloric diets)
poor absorption (elderly, prolonged diarrhea, removal of GI tract) increased metabolic requirements (pregnancy or lactation, infants and children, cancer, infection) iatrogenic situations (prolonged Abx use, drug nutrient interactions) |
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FDA health claims can only state?
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disease risk reduction
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what has strongest evidence for decreasing symptoms of diverculitis
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Insoluble fiber (cellulose) strongest evidence
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what EN formulations need medical supervision
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elemental/semielemental (predigested nutrients
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what EN product is this?
intact nutrients predigested components, easy to absorb supplement of particular nutrient target a disease state or condition |
intact nutrients - polymeric
predigested components, easy to absorb - elemental/semielemental supplement of particular nutrient - modular target a disease state or condition - specialty |
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what required medical supervision
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a. Predigested nutrients (elemental/semi elemental)
b. Adding AA d/t disease c. Use of anti-inflammatory FA to alter inflammatory response d. Adding ↑ amount of MCTs to aid w/ absorption e. Higher than normal nutrient amounts Fat > 50% Protein > 25% f. Organ failure pts |
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strategies for educating patients on risks and use of oral and EN products
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a. Drink ½ of can at a time
b. May drink at RT but many complain of sweetness; may help to chill, drink over ice, or make in slush form c. Vary flavor to avoid taste fatigue d. Plan consumption: after well-balanced meal, as b/t meal snack e. Storage Unopened: RT, check exp. Date Opened: refrigerated, discard after 24 hours f. If require these supplements > 2-3 wks as sole or primary source of nutrition, seek medical supervision g. Monitor blood glucose levels |
