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Major minerals
aka macro minerals, needed in large amounts, 100mg or more
Trace minerals
aka micro minerals, needed in small amounts, less than 100mg
relationship between sodium and potassium when treating hypertension
Less sodium and more potassium, dash diet treats hypertension, want less processed food as processing adds more sodium and less potassium
cortical bone vs. cancellous bone and osteoporosis
Outer layer of bone vs lacy matrix of bone that is impacted by osteoporosis
Age of peak bone mass
30
calcium recommendations for older adults
females over 50 and adults over 70 need 1200mg a day
99% of calcium stored in
bone and teeth
how to check bone density
DXA scan (duel-energy X-ray)
iron role
Oxygen transport and energy production
iron deficiency vs iron deficient anemia
ID = depleted iron stores, #1 nutrient deficiency across life cycle
IDA = severe depletion of iron stores results in low hemoglobin
#1 nutrient deficiency across life cycle
iron deficiency
myoglobin vs. hemoglobin
myoglobin is in the muscle, hemoglobin carries oxygen with the help of iron
what helps iron deficiency?
vitamin c
iodine deficiency
Goiter, swollen thyroid gland
Best source of iodine
table salt
fluoride
helps teeth and prevents cavities
4 leading causes of death related to diet
heart disease, cancers, strokes, and diabetes
Why are chronic diseases called “lifestyle diseases”?
Lifestyle choices can be harmful and be risk to diseases like sedentary, poor nutrition, smoking, and drinking
cardiovascular risk factors
diets high in sugars, saturated/trans fat; low in fruits, vegetables, fiber; excessive alcohol, genetics, sedentary life
Hypertension risk factors
diet high in salts, saturated/fats; low in fruits and vegetables, vitamins and minerals; excessive alcohol, age, environmental containments, genetics, sedentary, smoking, stress
HDL
high-density lipoproteins, good cholesterol, transports cholesterol from body back to liver for disposal
LDL
Low-density lipoproteins, bad cholesterol, circulates fat and takes to heart
how cancer develops and spreads
Something initiates cancer in normal cells, metastasizes and spreads
How to reduce cancer risks
change lifestyle choices
6 classes of nutrients
macro - fats, proteins, carbs
Micro - vitamins, minerals, water
nutrient density
variety and amount of nutrients in relation to calories (nutrient/kcal)
nutrition claim
claim about level of nutrients (fat free)
health claim
Claim made about a relationship between food and health condition (reduce cholesterol)
structure/function claim
Effect of food on function of body, no real evidence (supports immune system)
good source on nutrition label
10-19% daily value
high on nutrition label
20% or more of daily value
Low calorie on nutrition label
40 kcal or less per serving
fat free
Less than 0.5 grams of fat per serving
My plate food groups
fruits (10%), vegetables (40%), grains (25%), proteins (25%), dairy (a side)
Digestion of carbs begins in
mouth with salivary amylase
digestion of proteins begins in
stomach, acid denatures unique shape of proteins
Digestion of fats begins in
small intestine with bile
bile is made and stored….
made in liver and stored in gallbladder
insoluble fiber
Helps GI health
soluble fiber
supports heart health and weight management
% of diet should be carbohydrates
40-65%, need its glucose to fuel cells
Categories of carbs
monosaccharides, disaccharides, polysaccharides
glucose
Monosaccharide, blood sugar, essential energy source, part of every disaccharide
glycogen
stores glucose for future use in liver and muscles
Insulin
When blood sugar is too high, moves glucose from blood into cells for storage
Glucagon
When blood sugar is low, tells liver to break down glycogen back into glucose
how insulin and glucagon work together
work as a balancing act to balance blood sugar. insulin released to absorb glucose to lower blood sugar, glucagon is released to have glycogen broken down into glucose to raise blood sugar
galactose
monosaccharide, occurs naturally in foods
Fructose
monosaccharide, in fruits
lactose
Disaccharide, glucose + galactose (dairy)
maltose
disaccharide, glucose + glucose (starch)
Sucrose
disaccharide, glucose + fructose (table sugar, syrup)
classification of fat
-Sterols, triglycerides, phospholipids
-most common sterol is cholesterol
-triglycerides are made up of 3 fatty acids attached to a glycerol
saturated fats
saturated with hydrogen atom, no double bonds, solid at room temp, raise LDL, increases heart disease
Unsaturated fats
contain one or more double bonds, liquid at room temp, lower LDL, raise HDL, reduces inflammation
when fat is hydrogenated and health risks
unsaturated fatty acid adds hydrogen to make trans fat which is very bad for you, increase LDL and lowers HDL
composition of proteins
made of amino acids, 9 essential amino acids all with similar basic structure but side chains makes them each different
basic roles of proteins
helps structure, regulated fluid balance, transporter through cell membrane, acid-base regulator, tissue repair, makes hormone, makes antibodies makes enzymes provides energy
Gluconeogenesis
liver and kidney create new glucose from non-carb sources like proteins
Energy is supposed to be made from
Carbohydrates NOT proteins
water-soluble vitamins
vitamins B and C
fat-soluble vitamins
vitamins A, D, E, K
beta-carotene
precursor to vitamin A, orange pigment found in fruits and vegetables
nonfood source of vitamin D
sunlight
Nonfood source of vitamin K
Intestinal bacteria (blood-clotting)
why do babies need vitamin K shot
they have a sterile GI tract and need vitamin K to help clot blood
antioxidant vitamins
Vitamins A, C, E
Vitamin C food source
citrus fruits, bell peppers, strawberries, broccoli, spinach
roles of vitamin C
helps fight common cold, antioxidant, produce collagen, iron absorption
bioavailability
Extent to which we can absorb a nutrient
what is more bio available in synthetic form
folate
how has obesity become an epidemic
it is becoming prevalent, more people with type 2 diabetes and chronic illnesses from it
Set point theory
weight body is comfortable, so can be hard to lose weight at first
yo-yo dieting/weight cycling
pattern of losing weight through restricting food and then regaining weight in repeating cycle
Genetics and environment on obesity
-unhealthy diet, inactivity, and genetics can enhance obesity
-food, especially fast food, is available everywhere with large portions
BMI and levels
body mass index (weight (lbs, kg)/height (in, m)2)
Underweight: <18.5
Healthy weight: 18.5-24.9
Overweight: 25-29.9
Obese: 30-39.9
Severely overweight: >40
problems with fad diets
not sustainable or healthy, offer empty promises
components of healthy weight loss programs
healthy eating plan, physical activity, behavior modification, cognitive restructuring
anorexia
-most severe eating disorder
-2nd mental health cause of death (after opioid overdose)
-restricting food and very low
Female athlete triad
amenorrhea (loss of periods), eating disorder, osteoporosis
Multidisciplinary team for eating disorders
doctor, registered dietician, and therapist
type 1 diabetes
autoimmune disease, pancreas fails to produce insulin so need pump
type 2 diabetes
Adult onset, cells fail to respond to insulin