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What is energy balance?
Calories in = calories out
Positive = weight gain
Negative = weight loss
How is energy expenditure measured?
BMR, physical activity, thermic effect of food
Tools to assess body comp/weight status?
BMI, waist circumference, skinfolds, DEXA
Obesity treatment options?
Diet/exercise, medication, surgery
Pros: weight loss
Cons: side effects, cost, maintenance challenges
Signs of a fad diet?
Quick fix, eliminates food groups, "miracle" foods
Safe weight loss program qualities?
Balanced, realistic, behavior support, long-term focus
Difference between fat-soluble and water-soluble vitamins?
Fat-soluble (A, D, E, K) stored in fat; Water-soluble (B, C) not stored
Vitamin D function and source?
Bone health; sunlight, dairy, fish
Folate function and source?
DNA synthesis; leafy greens, fortified grains
B12 function and source?
Nerve function; animal products
Vitamin C function and source?
Antioxidant, collagen; citrus fruits
Sodium & potassium functions?
Fluid balance, nerve signals; Na = processed foods, K = bananas, potatoes
Iron function and source?
Oxygen transport; red meat, beans, fortified cereals
Calcium & magnesium functions?
Bone health; dairy, leafy greens, nuts
What is a successful pregnancy?
Full-term birth, healthy birth weight, no complications
What are “critical periods” in pregnancy?
Times of rapid development; poor nutrition = permanent damage
Recommended weight gain in pregnancy?
~25–35 lbs for healthy-weight adult women
Nutrient needs during pregnancy?
More folate, iron, calcium, calories
Foods/substances to avoid during pregnancy?
Alcohol, caffeine (excess), raw fish, unpasteurized cheese
Hormones in breastfeeding?
Prolactin (milk production), Oxytocin (milk letdown)
When can babies have cow’s milk?
After 12 months
Signs a baby is ready for solids?
Holds head up, sits with support, loss of tongue-thrust reflex
How is growth tracked in kids?
Growth charts for height, weight, BMI percentiles
How do calorie needs change from infancy to adolescence?
Infants = highest per pound; Adolescents = increased total needs
Compare human milk vs formula vs cow's milk.
Human milk = ideal nutrients + immunity
Formula = designed to mimic human milk
Cow’s milk = too much protein, low iron (not for <1 y/o)
Benefits of breastfeeding?
Immunity, bonding, fewer infections, ideal nutrition
How does aging affect nutrition?
↓ appetite, absorption, metabolism; ↑ need for some nutrients
Common elderly nutrition-related issues?
Malnutrition, dehydration, osteoporosis, constipation
Tips for long, healthy life?
Balanced diet, physical activity, social engagement
How to assess nutrition status in elderly?
Weight changes, diet recall, lab tests, physical exam
Community nutrition services for elderly?
Meals on Wheels, SNAP, senior centers, congregate meals
Benefits of physical activity for elderly?
Maintains muscle, bone, mental health, balance