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Step of the Scientific Method
1. Observe and ask questions
2. Hypothesis
3.Conduct Experiment (repeat testing)
4.Draw Conclusions
5. Report Results
Epidemiology vs Clinical Trial
Epidemiology: investigates the frequency, distribution, and patterns of health events in a population.
Clinical Trial: People volunteer to test new treatments
Experimental Group
Receives a treatment
Limited Evidence
Anecdotal, Opinion, Small studies, Single study, Poorly designed studies
Moderate Evidence
Well designed, Epidemiological studies that have consistent results
Strong Evidence
Well designed, Large, Randomized, Double-blinded, Placebo-controlledstudies that have consistent results
What is a phytochemical?
chemical found in plant foods
DRI Definitions
RDA: Recommended Dietary Analysis
AI: Adequate Intake
UL: Upper Level Intake
Fat Free
Less than 0.5 g of fat per serving
Low Fat
3 grams or less of fat per serving
Reduced Fat
at least 25% less fat
Sodium-Free
less than 5 mg
Excellent Source
a serving contains 20% or more of DV for a nutrient
Good Source
10-19% DV
Precontemplation
Has no intention of taking action within the next six months
Contemplation
Aware of need, thinking about change, evaluating the change
Action
Has changed behavior for less than 6 months
Maintenance
Has changed behavior for more than 6 months
Amylase
Breaks down starch into smaller carbohydrate molecules. Secreted from: Mouth and Pancreas
sucrase, lactase, maltase
convert disaccharides into monosaccharides. Produces in: Small Intestine
Pepsin
Breaks down long protein chains into shorter fragments by breaking the peptide bonds. Produced in: Stomach
Lipase
Break down fats into fatty acids. Produced in: Mouth, Stomach, and pancreas
Bile
Emulsifies and breaks down fat in the small intestine allowing for absorption. Found in the: Liver (stored in the gallbladder)
Bicarbonate
Helps to neutralize stomach acid protecting small intestine. Found in: Pancreas
Basic steps in Metabolism
Glycolosis, Transition stage, Citric Acid Cycle, Electron Transport Chain
Different types of Carbohydrates
monosaccharides, disaccharides, polysaccharides
Types of Monosaccharides
glucose, fructose, galactose
Types of Disaccharides
sucrose, lactose, maltose
Types of complex carbohydrates
Starches and Fiber
What is the Dietary Guidelines for Americans 2015-2020 recommendation for added sugar?
Stay away from sweet/sugary drinks
What is a whole grain?
bran, endosperm, germ
What is the Dietary Guidelines for Americans in 2015-2020 recommendation for whole grain?
Make at least half of your grains whole
What is the role of insulin in regulating blood glucose?
Insulin sends a signal to the body's cells to remove glucose from the blood by transporting it o the insides of the cells.
What is the role of glucagon in regulating blood glucose?
Glucagon signals the liver to break down glycogen and release the stored glucose into the blood.
What is the RDA for carbohydrates based on?
DRI's published by the Food and Nutrition Board.
What is the adult AMDR for carbohydrates?
45-65% for adults
Different types of Lipids (3)
Glycerides, Sterols, Phospholipids
Different types of fatty acids
Saturated, monounsaturated, and polyunsaturated
What are the two essential fatty acids?
Alpha-linolenic acid (ALA) and Linoleic Acid
What is EPA and DHA?
Produced from ALA- produced if fatty acids are available in the body
What are the functions of lipids in the body?
Energy Source, Structural and Regulatory Roles, Insulation and Protection, Bioavailability.
What are the Dietary Guidelines for Americans recommendations for saturated fat and trans fat?
Keep saturated fat intake to less that 10% of caloric intake
What is the adult AMDR for fat?
20-35%
What counts as an alcohol drink equivalent?
-12 fl oz of regular beer (5%)
-8-9 fl oz of liquor (7%)
-5 fl oz of wine (12%)
-1.5 fl oz of 80-proof (40%)
What is an essential amino acid?
the body cannot make them; they must be consumed
What are the functions of proteins in the body?
Structure, Regulation, Energy Production
What is Kwashiorkor?
protein deficiency
How does kwashiorkor differ from marasmus?
Marasmus is lack of protein AND calories
What is the protein quality?
a measure of how efficiently a protein in the diet can be used to make body proteins
How do you calculate the adult RDA for protein?
140 lbs/2.2 lbskg = 63.6 kg * 1.3 g/kg =83 g of protein
So... (63.6 kg * 1.3 g/kg = 83g)
What is the adult AMDR for protein?
10-35% of daily calories
What is water balance?
when water intake equals water output
What is the role of ADH (Anti-diuretic hormone) in maintaining water balance?
Messenger sent by the hypothalamus to prompt the kidneys to reserve water
For each pound of weight lost how much water should a person drink?
2.5-3 cups
What is hyponatremia?
low sodium levels
Key functions of electrolytes in the body?
Fluid balance, Nerve conduction, Muscle contraction, and Nutrient transportation
What foods are good sources of Potassium?
Fruits and vegetables (spinach, broccoli, bananas, apples)
What isn't guaranteed from the USP seal of approval on a dietary supplement?
Does not verify the supplement is effective or safe
What does DASH stand for?
Dietary Approaches to Stop Hypertension
Trace Minerals
less than 100 mg a day: Zinc, Iodine, Iron, Fluoride, Copper, Manganese
Major Minerals
more than 100 mg a day: Sodium, Potassium, Chloride, Sulfur, Calcium, Phosphorus, Magnesium
Fat soluble vitamins
K, A, D, E
Water soluble vitamins
thiamin, riboflavin, niacin, vitamin B-6, pantothenic acid, folate, biotin, vitamin B-12, and vitamin C
Bioavailability
the extent to which the body can absorb and use a nutrient
What increases/decreases bioavailability for Calcium and Iron?
Oxalates
What increases/decreases bioavailability for Zinc? (-)
Phytates
Food sources for Heme
Flesh and blood (Turkey, beef, liver)
Food sources for Non-Heme
Plant based foods (Spinach, Beans, Bread)
How to increase non-heme iron absorption
Include meat (heme) with a non-heme iron source or cast iron cookware
Concerns with iron overload/hemochromatosis
Diabetes,scarring of the liver, cancer, arthritis, or cardiac failure
What are the concerns with excessive intakes for Vitamin A (retinoids)?
Xerophthalmia
What are the foods for the retinoids?
Beef Liver and Cod Liver
Why doesn't the provitamin (beta-carotene) have the same concerns?
The body will stop the conversion of Vitamin A from the provitamin when the body has adequate amounts
What are the food sources for beta-carotene?
Cooked carrots and apricots
Osteoporosis
Vitamin D
Anemia
Iron
Microcytic anemia
Vitamin B6
Megaloblastic anemia
Vitamin B12
Goiter
Iodine
Beriberi
Thiamin
Pellegra
Niacin
Scurvy
Vitamin C
Night blindness
Vitamin A
Rickets
Vitamin D
BMI Equation
Weight (kg) / Height (meters)^2
Underweight BMI
<18.5
Healthy BMI
18.5-24.9
Overweight BMI
25-29.9
Obese BMI
30-39.9
Extreme Obese BMI
40+
What are the three components of energy expenditure?
Basal Metabolism, Physical activity, Thermic Effect of Food
Which component uses the most energy for sedentary people?
Basal Metabolism
What is basal metabolism?
Energy for basic needs, specific involuntary functions.
What is NEAT?
Non-exercise activity thermogenesis
What area of the brain regulates hunger and satiety?
Hypothalamus
What is the difference between hunger and appetite?
Hunger: a signal the body sends to promote eating
Appetite: a desire for food that is independent of hunger
What is the recommended rate of weight loss per week?
0.5-2 lbs (Up to 2 pounds per week)
What are the ABC's of behavior modification?
Antecedent
Behavior
Consequence
Below 18.5 Pregnancy BMI weight gain?
28-40 pounds
18.5-24.9 Pregnancy BMI weight gain?
25-35 pounds