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nutrition
science that links food to health and disease, includes absorption, digestion, ingestion, transportation, using nutrients, and excretation
nutrients
chemical substances found in food and that contribute to health
diet
dietary pattern
what are the 6 classes of nutrients?
carbohydrates, proteins, lipids, vitamins, minerals, water
what are the energy yielding nutrients?
carbohydrates, proteins, lipids
phytochemical
chemicals found in plants that may provide health benefits beyond nutrients
why is nutrition important? (4)
efficient performance (physical & cognitive), prevent deficiencies and toxicities, prevent chronic diseases, treatment or management of disease state
energy
capacity to do work
kilocalorie or Calorie
amount of energy required to raise 1 kg of water by 1 C
calorie
amount of energy required to raise 1 g of water by 1 C
energy value of carbohydrates
4 kcal/g
energy value of proteins
4 kcal/g
energy value of lipids
9 kcal/g
energy value of alcohol
7 kcal/g
what are 6 ways to classify nutrients?
organic, inorganic, micro, macro, essential, non-essential
organic (nutrient)
contains carbon, includes carbohydrates, proteins, lipids, vitamins
inorganic (nutrient)
does not contain carbon, includes minerals and water
micro (nutrient)
needed in small amounts, includes vitamins and minerals
macro (nutrient)
needed in large amounts, includes carbohydrates, proteins, lipids, water
essential (nutrient)
nutrient that the body needs and cannot make, need to get through diet
non-essential (nutrient)
nutrient that the body does not need or can make itself
hunger
physical/biological drive to eat, relies on internal cues
appetite
psychological drive to eat, relies on external cues
satiety
feeling of satisfaction or fullness
basic/whole foods (food choice classification)
minimally or not processed
processed and ultra-processed foods (food choice classification)
heavily processed
functional (food choice classification)
has health benefits beyond the nutrients in it
organic (food choice classification)
produced using environmentally sustainable practices
enriched (food choice classification)
adding nutrients back into a food
fortified (food choice classification)
adding new or higher levels of nutrients to a food
what are the 5 keys to building a healthy diet?
adequacy, balance/proportionality, calorie control, moderation, variety
who sets the DGA?
USDA and DHHS
how often are the DGA updated?
every 5 years
what are steps for creating the DGA?
identify topics and questions
dietary guidelines advisory committee appoint (independent group of nutrition experts)
review evidence and synthesize current data
public comment period
USDA and DHHS develop new edition based on committee’s report and public comments
what is the goal of the DGA?
translate nutrition science into food-based guidelines to help Americans meet nutrient needs and reduce risk of chronic diseases
what are some of the uses of the DGA?
assist professionals in designing healthy dietary patterns, develop public policy, develop consumer health messages
what is the slogan of the 2025-2030 DGA?
eat real food
the 2025-2030 DGA shifted from a ________ ___________ document to a _____________ document
health professional, consumer
what are some of the controversies with the 2025-2030 DGA?
9 authors have COIs with dairy/beef, only 14 of the 56 recommendations from the committee were accepted, discrepancies between other nutrient guidelines
2025-2030 DGA guidelines (8)
eat the right amount for you
prioritize protein foods at every meal
consume dairy
eat vegetables & fruits throughout the day
focus on whole grains
incorporate health fats
limit highly processed foods, added sugars, and refined carbohydrates
limit alcoholic beverages
nutrient density
measure of nutrients provided per kcalorie of food
energy density
measure of calorie content of food with the weight of the food
what is the 2025-2030 DGA goal for protein?
1.2-1.6 g/kg
what is the 2025-2030 DGA goal for dairy?
3 servings/day
what is the 2025-2030 DGA goal for vegetables?
3 servings (3 cups) per day
what is the 2025-2030 DGA goal for fruits?
2 servings (2 cups) per day
what is the 2025-2030 DGA goal for whole grains?
2-4 servings (2-4 oz) per day
what is the 2025-2030 DGA goal regarding saturated fat?
saturated fats should not exceed 10% of total kcals
what is the 2025-2030 DGA goal regarding added sugars?
one meal should contain no more than 10 grams of added sugars
according to the 2020-2025 DGA, what is considered moderate alcohol intake?
1 drink/day for women, 2 drink/day for men
what is 1 drink considered for beer?
12 oz
what is 1 drink considered for malt liquor?
8-9 fl oz
what is 1 drink considered for wine?
5 oz
what is 1 drink considered for 80-proof spirits (“hard liquor”)?
1.5 fl oz
what are the 3 additional things the 2025-2030 DGA highlights?
gut health, added sugar, sodium
what does the 2025-2030 DGA say regarding gut health?
consume vegetables, fruits, fermented, and high fiber foods to support gut microbiome
what does the 2025-2030 DGA say regarding added sugars? (additional highlights)
no amount is recommended
what does the 2025-2030 DGA recommend as a limit for sodium?
less than 2300 mg/day
what does the 2025-2030 DGA recommend for infancy & early childhood?
baby should only be fed breastmilk (or iron-fortified formula) for first 6 months, breastfeeding should continue for 2 years or beyond (mutually desired), at 6 months start solids (including potential allergens) and avoid added sugar
what does the 2025-2030 DGA recommend for middle childhood?
focus on whole, nutrient dense foods, no amount of added sugar is recommended
what does the 2025-2030 DGA recommend for adolescence?
increased needs due to rapid growth so eat nutrient dense foods, limit sugary/energy drinks and highly processed food
what does the 2025-2030 DGA recommend for young adults?
follow the DGA
what does the 2025-2030 DGA recommend for older adults?
may need fewer kcals, but still require same or greater amounts, so eat nutrient dense foods
what does the 2025-2030 DGA recommend for pregnant women?
increased nutrient needs to support maternal health and fetal growth, consume nutrient dense foods and a prenatal vitamin
what does the 2025-2030 DGA recommend for lactating women?
increased energy and nutrient needs, consume nutrient dense foods
according to the physical activity guidelines for Americans, what is the basic recommendation for adults?
150 mins of moderate intensity or 75 mins of vigorous intensity exercise per week
according to the physical activity guidelines for Americans, what is the additional health benefits recommendation for adults?
300 mins of moderate intensity or 150 mins of vigorous intensity exercise per week
according to the physical activity guidelines for Americans, how many days per week should adults do muscle strengthening activities?
2 or more
children should do __ mins of moderate to vigorous activities daily, this includes aerobic (_ days/wk), muscle strengthening (_ days/wk), and bone strengthening (_ days/wk)
60, 3, 3, 3
in moderate exercise you ________ hold a conversation and in vigorous exercise you _________ hold a conversation
can, cannot
what is considered a serving for bread? (whole grain)
1 slice
what is considered a serving for cooked rice, pasta, and oatmeal? (whole grain)
½ cup cooked
what is considered a serving for dry cereal? (whole grain)
1 oz
what is considered a serving for a bun? (whole grain)
½ bun
what is considered a serving for bagels, english muffins, and tortillas? (whole grain)
1 small bagel, 1 english muffin, 6 in tortilla
what is considered a serving for raw or cooked vegetables?
1 cup
what is considered a serving for leafy greens?
2 cups
what is considered a serving for raw fruits?
1 cup
what is considered a serving for dried fruits?
½ cup
what is considered a serving for cooked lean meat? (protein foods)
3 oz
what is considered a serving for eggs? (protein foods)
1 egg
what is considered a serving for beans, peas, or lentils? (protein foods)
½ cup
what is considered a serving for peanut butter? (protein foods)
2 Tbsp
what is considered a serving for nuts or seeds? (protein foods)
1 oz
what is considered a serving of milk?
1 cup, 8 fl oz
what is considered a serving of yogurt?
¾ cup, 6 oz
what is considered a serving of cheese?
1 oz
nutritional status
nutritional health of a person determined by anthropometric measurements, biochemical measurements of nutrients or their by-products, clinical examination, dietary analysis, and environmental assessment
malnutrition
failing health from long-standing dietary practices that do not coincide with nutritional needs
overnutrition
a state in which nutritional intake greatly exceeds the body’s needs
undernutrition
failing health that results from a long-standing dietary intake that is not enough to meet nutritional needs
subclinical
stage of disease or disorder not severe enough to produce symptoms that can be detected or diagnosed (may have biochemical evidence)
clinical
clinical evidence exists; the person may note a change in their health status
what are DRIs based on?
age, gender, stage of life
what are the goals of DRIs?
set recommended intake values, facilitating nutrition research and policy, establishing safety guidelines, preventing chronic diseases
estimated average requirements (EAR)
meet needs for 50% of population, good indicator for research, not used for individuals, set for micronutrients
recommended dietary allowances (RDA)
meet needs of 97-98% of population, recommended for individuals, set from EAR, set for micronutrients
adequate intakes (AI)
used when less research available, and an EAR is not able to be set, intent is to meet most people’s needs, set for micronutrients
tolerable upper limits (UL)
beyond needs, highest amount that can be consumed safely, set for micronutrients
chronic disease risk reduction intake (CDRR)
only set for sodium, <2300 mg