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dietary reference intake (DRI)
dietary recommendations developed for the US and Canada that provide recommended caloric/nutrient amounts for an individual or population in a specific life-stage group
estimated average requirements (EAR)
amount of a nutrient that is estimated to meet the needs of 50% of people in the same gender and life-stage group
recommended dietary allowances (RDA)
intake that meets the needs of nearly all (97-98%) healthy individuals in each gender and life-stage group
adequate intake (AI)
estimates of a nutrient when there is not enough evidence to establish both an EAR and RDA, based on average intake estimates by a healthy population
tolerable upper intake levels (UL)
maximum daily intakes that are unlikely to pose a risk of adverse health effects to almost all individuals in a specific gender and life-stage group, used to prevent nutrient toxicity
estimated energy requirements
average energy intakes predicted to maintain body weight by calculating the amount of kcals in an individual
gender, age, weight, height, level of physical activity
five factors influencing energy requirements
acceptable macronutrient distribution range (amdr)
provides intake ranges for energy-yielding nutrients, expressed as a % of total energy intake
dietary guidelines for americans
federal nutrition guidelines developed by the U.S. Department of Agriculture and Health and Human Services, revised and published every 5 yrs
four overarching guidelines in the dietary guidelines
-follow a healthy dietary pattern at every life stage
-customize and enjoy nutrient-dense food and beverage choices to reflect personal preferences, cultural traditions, and budgetary considerations
-focus on meeting food group needs with nutrient-dense foods and beverages and stay within calorie limits
-limit foods and beverages higher in added sugars, saturated fat, sodium; limit alcoholic beverages
eating pattern
combination of foods and beverages that make up an individual’s inatake over time
usda food patterns
big on veggies/fruits, measures in cups/oz/g
vegetarian/vegan patterns
substitutes meat for other protein foods such as eggs/beans/soy/nuts. can be lacto-ovo or not
dietary approaches to stopping hypertension (DASH) diet
bigger on grains, measured in servings per day/week
mediterranean diet
promotes brain health, more fish/dairy/fruits and veggies, less meats and sweets
added sugars (less than 10% of cal), saturated fat (less than 10%), sodium (less than 2300 mg), alcohol (1 or 2)
dietary components to limit in the dietary guidelines
meet nutritional needs primarily from foods/beverages, choose variety from each food group, portion size
three key dietary principles
85% and 15% concept
_ of cal are needed per day to meet food group recs. healthfully in nutrient-dense foods, the remaining _ available for other uses (including added sugars/sat. fat)
myplate food groups
released in 2011, relates to portion size with an emphasis on variety, moderation, and nutrient density
variety
involves selecting nutrient dense foods from each food group and within each group
balance
one food lacking in a nutrient, balance with another food that does
moderation
all types of food are okay, but not consuming too much energy, fat, sugar, or alcohol
proportionality
consuming more of a specific type of food compared to others (ex. nutrient-dense foods)
nutrient density
a measure of the nutrient a food provides cpmpared to its energy content
empty calories
little to no nutritional value (non nutrient-dense foods)
meat and poultry labels
kinds of foods that the usda regulates
all foods but meat and poultry
kinds of foods that the fda regulates
serving size, calories, daily value, nutrients that should be limited, nutrients of concern
required info on a nutrition facts label
highest to lowest weight
how ingredients are arranged on the ingredient list of a food label
calcium, potassium, vitamin d, fiber
the four nutrients of concern
serving size, name/quantity of each ingredient per serving
components of a dietary supplement label
current good manufactuing practice (cGMP) regulations
established by the FDA to ensure that dietary supplement products contain the right ingredients, and the right amount per dose
dietary supplement verification program (DVSP)
developed by the U.S. Pharmacopeia (USP) Convention, evaluates/confirms the contents of dietary supplements, maufacturing process, and compliance with standards of purity
nutrient claims
descriptors establsihed by the FDA, such as “low in”, “high in”, “-free”, etc.
health claims
FDA regulated, describes the realtionship between a food, food component, and/or dietary supplement ingredient with a disease or health condition risk
significant scientific agreement standard
for fda health claim regulation: authorized after an extensive review of the scientific evidence
authoritative statement
for fda health claim regulation: statement of support from the National Academy of Sciences or appropriate body of the U.S. gov’t
qualified health claims
for fda health claim regulation: emerging evidence that is not well established between a food, food component, or dietary supplement with reduced risk of disease
structure/function claims
non regulated claims that describe the role of the nutrient or ingredient in maintaining normal structure and function in humans, based on manufaturer review and literature interpretation (must contain disclaimer)
20+ locations require labels, info upon request for nutritional content or health benefit claims
criteria for labeling of foods in restaurants/vending machines
choice exchange lists
food group system useful for diet planning in meeting specific energy and macronutrient goals, which divides foods into 3 main groups: carbs, meat/meat subs, and fat. developed in 1950 by american dietetic/diabetes associations
healthy people initiative
initiative developed by the U.S. Public Health Service Office of Disease Prevention and Health Promotion, private, and public orgs. to increase quality and length of healthy life and eliminate health disparities through community prevention, access to healthcare, healthy behaviors, protecting health
harvard healthy eating plate
redefines myplate by adding descriptors, focusing more on veggies and healthy protein (flipped myplate), and adding healthy oils, water, and exercise
nutritional status
nutritional assessment
24-hour recall
food diary
food frequency questionnaire
provides categories of different types of foods and evaluates how often the food is consumed (daily, weekly, monthly)
diet history
nutrient analysis
medical history
physical/dental exam
examples of laboratory measurements
food disappearance surveys
national health and nutrition examination surveys (NHANES)
healthy eating index (HEI)