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what influences diet?
-taste
-habit
-taste
-ethnic
-social interactions
-marketing
-social media
-availability
-pos + neg associations
-emotions
-values
-health beliefs
-nutrients
Six classes of nutrients
-carbohydrates
-fats
-proteins
-vitamins
-minerals
-water
macronutrients
carbohydrates, proteins, and fats; need a lot in grams
micronutrients
vitamins, minerals, water; need in small amounts
acute illness
A sudden illness from which a person is expected to recover
chronic illness
a long term illness, manage but don't always recover
Processed food
commercially prepared food whose ingredients are naturalish; resemble whole foods like frozen veggies, fruit juice, smoked salmon
ultra processed foods
Do not resemble whole foods; high in fat and sugar like soda, chips, and fruit gummies
nutrient ratios
Carbs = 4 kcal/g
Fat = 9 kcal/g
protein = 4 kcal/g
alcohol nutrients
7 kcal/g for energy but no nutrient because it interferes with body's growth and maintenance
how do carbs get stored
glycogen but has limited storage so stores it at fat
vitamins
-organic, not energy
-facilitates release of energy from carbs, proteins, fat
-13 vitamins
-fat and water soluble
minerals
-simplest nutrient, inorganic element
-16 minerals
energy density
a measure of energy a food provides per unit of mass
Anecdotes
examples of an experience that is not reliable scientific information
Peer review
a review by people with similar professional qualification
Systematic review
Comprehensive analysis of existing research studies.
Meta-analysis
Statistical analysis combining results from multiple studies.
DRI
dietary reference intake; set of nutrient intake values for healthy people in the US and Canada
EAR
Estimated Average Requirements- Average amount sufficient for half of population
RDA
recommended dietary allowances: recommended nutrient intakes that will meet the needs of almost all healthy people
AI
Adequate Intakes: The recommended average daily nutrient intake level of healthy people in a certain life stage and gender group
UL
Tolerable upper intake level: The max daily amount of a nutrient that appears safe for most healthy people
CDRR
chronic disease risk reduction intakes: nutrient intakes associated with low risk of chronic disease
low defiancy
dangerous
upper level
toxicity
EER
Estimated energy requirement - average dietary energy intake to maintain energy balance
AMDR
Acceptable Macronutrient Distribution Range
45-65% carbs
20-35%
10-35%
malnutrition
lack of proper nutrition
Overnutrition
Excess energy (overweight)
primary deficiency
Inadequate diet
secondary deficiency
problem inside the body
Five diseases causing death that are linked with diet
-heart disease
-cancer
-stroke
-diabetes
-liver disease
stages of nutrient assessment
-diet history
-health history
-lab tests
-physical exam
Diet planning can ___________ and _________ chronic diseases
Prevent and control
6 planning principles
-Adequacy
-Balance
-Energy Control
-Nutrient Density
-Moderation
-Variety
Adequacy
enough calories (energy) and nutrients to support health
balance
combination of foods and adequate nutrients and calories
energy control
balance of calories consuming and spending
nutrient density
The amount of nutrients relative to the number of calories they provide
moderation
consumption of nutrient-dense foods most of the tine and occasionally consuming food that are not
variety
selection of foods from each food group and varying choices within groups
everyone is unique and must consider
-traditions
-access to food
-food prep skills
-possible health needs
-food preferences
DGA
Dietary Guidelines for Americans
5 food groups
-grains
-dairy
-protein
-fruits
-vegetables
MyPlate and USDA food patterns
developed to promote healthy diets and eating
Enriched
Nutrients that were lost in processing and put back in
fortified
nutrients that were never there
first ingredient listed
contains the most in the product
FDA does not regulate…
supplements
Daily Value if percent for someone…
consuming 2000 k/cal
serving sizes
Reflects typical eating habits
nutrient claim
regulated statement about a product’s nutrition content, such as “low fat” or “fat free”
health claim
FDA approved claim that identifies a relationship between the food/nutrient and a disease or health condition “oatmeal can reduce cholesterol”
structure/function claim
an unregulated claim that a product has an effect on the structure or function of the body “supports gut health”
good source of
The product provides 10-19% of the daily value for a given nutrient per serving
high
20 % or more of daily value given nutrient per serving
gluten free
A food containing less than 20 parts per million of gluten from any source
Low calorie
40 k/calories or less per serving
Fat free
less than 0.5 grams of fat per serving and no added fat or oil
Low fat
3 grams or less of fat per serving
Trans fat free
less than 0.5 grams of trans fat and less than 0.5 grams of saturated fat
high fiber
5 grams or more fiber per serving; a claim made on food contains more than 3 grams of far per serving
low sodium
140 milligrams or less per serving
Digestion
Process where food is broken down into absorbable nutrients
absorption
Passage of nutrients from GI tract into blood or lymph; mainly occurs in small intestine
7 major steps of digestion
mouth, esophagus, stomach, small intestine, large intestine, rectum, anus
accessory organs of digestion
salivary glands, liver, pancreas, gallbladder
functions of GI tract
ingestion, transport, secretion, digestion, absorption, elimination
Salivary glands
moistens foods, supply enzymes
liver
produces bile (to breakdown fat)
bile
Helps digest fat; Secreted by the liver and stored in the gallbladder
Gallbladder
stores and secretes bile
Pancreas
Secretes bicarbonate, secretes enzymes; neutralizes stomach acid with sodium bicarbonate
Stomach acid
breaks down protein
Mouth function in digestion
breaks down food, mixes with saliva to moisten food
Elderly and saliva/teeth
the older we get, the less saliva we secrete which negatively affects our teeth
process of digestion in the mouth
-chew large of food into smaller one
-fluids dissolve the food so tongue tastes it
-taste buds detect five taste sensations
-food is swallowed and passes through pharynx
-epiglottis helps bolus flow down esophagus
Five taste sensations
sweet, sour, salty, bitter, and umami
enzymes of mouth
Salivary amylase, lingual lipase (lipids)
lingual lipase
mostly secreted during infancy as breast milk has a lot of fat
Epiglottis
closes the trachea to avoid choking, bolus is directed to the esophagus
bolus
chewed and swallowed food
Esophagus
has upper and lower sphincter muscles
During swallowing, the upper sphincter….
Opens to let the bolus pass
Bolus passes to the stomach and…..
the lower sphincter closes to prevent backflow
chyme
bolus mixed with digestive juices
In the stomach
-forms chyme
-release chyme into small intestine through pyloric sphincter
Pyloric sphincter
releases chyme into small intestine
Small intestine
-chyme bypasses bile duct with added fluids from gallbladder and pancreas
-moves through the duodenum, jejunum, and ileum
-10 feet long
-primary organ of absorption
large intestine (colon)
-contents enter through ileocecal valve
-chyme bypasses appendix and moves through colon
-reabsorbs water and minerals: NA, K, Cl
-undigested waste is held in rectum until defecation (poop)
-rectal muscles relax; anal sphincters open to release waste
ileocecal valve
entrance from small intestine to large intestine
4 parts of colon/large intestine
-ascending colon
-transverse colon
-descending colon
-sigmoid colon
sphincters
-UES: upper esophageal sphincter
-LES: lower esophageal sphincter (cardiac sphincter)
-pyloric sphincter (chyme into small intestine)
-ileocecal valve (small to large intestine)
-terminal sphincter (anus)
Breaking down food into stomach
presence of hydrochloride acid, pepsin, gastric lipase, gastric, intrinsic factor
Why does stomach grumble
-stomach is the most muscular organ
-bolus might start in top of stomach and slowly move down, which makes tummy grumble
Two layers of small intestine
-peristalsis
-segmentation
Rectum
-holds waste until elimination
-importance of anus (terminal sphincter)
Fiber
is not broken down or absorbed
Carbohydrate breakdown
-starts in the mouth with salivary amylase
-slows down in the stomach
-then picks back up in the small intestine