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positive energy balance
energy intake is greater than energy expenditure; can contribute to weight gain
negative energy balance
energy expenditure is greater than energy intake; can contribute to weight loss
bomb calorimeter
instrument that determines that calorie content of body by burning a dried food sample
kilocalorie (kcal)
the amount of heat required to raise the temperature of 1 kilogram of water by 1 degree C
3 major uses of energy
basal metabolism
physical activity
thermic effect of food
total energy expenditure (tee)
includes resting metabolic rate, the thermic effect of food, & physical activity energy expenditure
basal metabolic rate (bmr)
energy required to keep the body alive while fasting, awake, resting, and in a warm environment
accounts for approx. 60-80% of total energy needs
lean body mass (lbm)
nonfat components of the body, including muscles, organs, bone, and water
contributor to bmr
resting metabolic rate (rmr)
energy used while awake & resting, but not necessarily fasting or completely stored
about 10% higher than bmr
physical activity energy expenditure (paee)
energy used during structured & unstructured physical activity
most variable component of tee
non-exercise activity thermogenesis (neat)
energy used during spontaneous movement, such as fidgeting, getting dressed, and daily activities
thermic effect of food (tef)
energy used to digest, absorb, metabolize, & store nutrients
accounts for approx. 8-15% of calories consumed
highest for protein, followed by carbs, then fat
thermogenesis
the metabolic process of burning calories to produce heat
adaptive thermogenesis
changes in involuntary physical activity or heat regulation in response to dietary patterns or environmental exposures
direct calorimetry
measures body heat released, typically using an insulated chamber surrounded by water
indirect calorimetry
measures oxygen uptake & carbon dioxide output, which are used to calculate energy expenditure
estimated energy requirement (eer)
average daily energy intake predicted to maintain energy balance as in an adult
body composition
describe the components that make up body weight
fat mass
all fat in the body, including subcutaneous fat (under the skin) & visceral fat (around internal organs)
fat-free mass (ffm)
all body components that are not fat, including muscles, bone, water, organs, and other tissues
white adipocytes
stores energy, cushions organs, and releases hormones
brown adipocytes
metabolically active fat cells that help generate heat
beige adipocytes
cells within white fat depots that can function like brown fat by generation heat
hydrostatic weighing
compared weight on land with weight underwater
air displacement (bod pod)
estimate body composition based on the volume of space occupied by the body
skinfold measurements
calipers measure fat under the skin at multiple sites; prediction equations estimate body fat
bioelectrical impedance (bia)
uses a low-energy electrical current to estimate body fat
dehydration can cause an overestimate of body fat
dxa
x-ray scan separates body weight into fat, fat-free soft tissue, & bone mineral
accurate, but expensive & less widely available
body mass index (bmi)
a screening measurement based on weight & height
benefits of bmi & healthy body weight
inexpensive, noninvasive, easy to obtain, application to broad populations
limitations of bmi & healthy body weight
does not directly measure body fat or body composition
lean body mass is denser than fat mass
body shape & composition vary by age, sex, and racial or ethnic groups
may not accurately reflect fatness in adults under 5 feet tall
bmi is not diagnostic tool by itself
body roundness index (bri)
similar to bmi, but includes anthropometric measures such as waist circumference & considers age and sex
waist circumference & health risks
males: greater than 40 inches
females: greater than 35 inches
upper-body obesity
more fat around the waist, with smaller buttocks & thighs
associated with increased chronic disease risk
abdominal fat cells can release fat directly to the liver; excess fat can contribute to inflammation & insulin resistance
lower-body obesity
more fat around the buttocks & thighs, with smaller abdomen
estrogen & progesterone encourage this distribution
lower-body fat is less easily mobilized
obesity
a multifactorial condition characterized by excess adiposity, with or without abnormal distribution or function of adipose tissue
clinical obesity
a chronic, systemic illness in which excess adiposity alters tissue or organ function & can lead to serious complications
weight bias negatives on health & well-being
increasing risk of depression, anxiety, & disordered eating
increasing stress hormone production
contributing to weight gain through emotional eating, reduced physical activity, and avoiding health care
causing social isolation & discrimination
body weight influence:
influenced by a combination of genetic, biological, environmental, and behavioral factors
identical twins
develop from one ovum & one sperm & have the same genetic makeup
set-point theory
humans have a genetically predetermined body weight or body fat content
obesogenic environment
an environment that makes weight management more difficult
tips for controlling hunger
eat slowly & stop when comfortably full
choose small, high-fiber snacks
include lean protein in meals & snacks
eat high-volume foods rich in water & fiber
limit liquid calories
mediterranean diet plan
plant-based foods, whole grains, beans, nuts, and extra-virgin olive oil
DASH diet plan
fruits, vegetables, whole grains, lean protein & low-fat dairy
flexitarian diet plan
flexible, semi-vegetarian eating patterns
MIND diet plans
combination of the DASH & mediterranean dietary plans
added sugars
less than 10g per meal
saturated fat
less than 10% of daily calories
sodium
less than 2300mg per dayal
alcohol
limit intake
self-monitoring
track foods & beverages, physically activity, & other factors affecting behavior
fad diets
promise rapid weight loss
restricts food choices or require specific rituals
use celebrity testimonials or references to well-known cities
claim to be a cure all for everyone
promotes expensive supplements or meal replacements
fail to encourage permanent behavior changes
reject scientific evidence or established dietary guidelines
healthy weight gain
goal is to gain muscle through high-quality nutrition & strength training
vitamins
essential organic substances needed in small amounts for normal body function, growth, and maintenance
fat-soluble vitamins
a, d, e, k
water-soluble vitamins
b & c
retinoids
performed vitamin a found in animal foods
retinol
alcohol form
retinal
aldehyde form
retinoic acid
acid form
retinyl
storage form
carotenoids
pigments found in plants; some can be converted into vitamin a
provitamin a
a substance that the body can convert into vitamin a
beta-carotene
the major significant provitamin a
liver, fish, fish oils, fortified milk, butter, yogurt, eggs
associated with performed vitamin a
carrots, sweet potatoes, spinach, leafy greens
associated with provitamin a carotenoids
spinach & kale
lutein & zeaxanthin
tomato products
lycopene
rods
detect black & white; responsible for night vision
cones
responsible for color vision
retinal
helps the eye adjust to dim light
macula
central area of the retina responsible for detailed central vision
lutein & zeaxanthin
yellow pigments in the macula; higher intakes may help prevent or slow age-related mascular degeneration
night blindness
inability to see well under low-light conditions; an early sign of deficiency
xerophthalmia
during of the eye surface & hardening of the cornea
bitot’s spots
dry, foamy spots on the eye surface caused by keratin accumulation
hyperkeratosis
thich, rough, or dry patches of skin due to excess keratin
hypercarotenemia
high carotenoid intake turn the skin yellow-orange especially on the palms & soles
discoloration does not affect the whites of the eyes & disappears when intake decreases
7-dehydrocholesterol
vitamin d precursor in skin
vitamin d3 (cholecalciferol)
produced in skin & found naturally in some animal foods
25-hydroxyvitamin d (calcidiol/calcifediol)
form identified as biological active
itamin d2 (ergocalcifediol)
form found in nonanimal sources & used in some supplements
rickets
infants & children affected
poor mineralization of developing bones; may cause bowed legs & skeletal abnormalities
osteomalaica
adults affected
bone have low mineral density & increased fracture risk
free radical
an unstable atom with unpaired electron in its outermost shell
phylloquinone (k-1)
produced by green plants
menaquinone (k-2)
produced by gut bacteria
menadione (k-3)
synthetic foam
coenzyme
an organic compound that combines with an inactive enzyme to form an active enzyme
grain refining
removes the bran, germ, and husk, leaving mainly the starch - containing endosperm
berberi
muscle weakness, appetite loss, nerve degeneration, sometimes edema
ariboflavinosis
glossitis, angular cheilitis, dermatitis, eye disorders, light sensitivity
pellagra
the 4 d’s - dementia, diarrhea, dermatitis, death
spina bifida
the spinal cord or spinal fluid bulge through the back
anecenphaly
absence of a major portion or all of the brain & skull
r-proteins
salivary proteins that bind free b-12 in the stomach & protect it from stomach acid
intrinsic factor
a protein-like compound produced by the stomach that binds b-12 in the intestine & aids absorption in the ileum
solution
liquid mixture made of a solvent & at least one solute
solvent
liquid in which other substances dissolve