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What is the difference between major minerals and trace minerals?
Major minerals: >100 mg/day or >0.01% body weight (calcium, phosphorus, magnesium); Trace minerals: <100 mg/day or <0.01% body weight (iron, zinc, fluoride)
What is bone remodeling?
Continuous process where bone is broken down and rebuilt
Which cells build bone?
Osteoblasts
Which cells break down bone?
Osteoclasts
What happens with low calcium intake over life?
Leads to lower bone density
What ions dominate extracellular fluid?
Sodium, chloride, calcium
What nutrients are important intracellularly?
B vitamins (B1, B2, B3, B9, B12), iron, vitamins A, D, E, K
What is caffeine?
A stimulant found in coffee, tea, and soft drinks
Where is caffeine absorbed?
Stomach and small intestine
How quickly does caffeine act?
Rapidly reaches the brain
What is caffeine half-life?
4–6 hours
How is caffeine eliminated?
Urine
Is caffeine a diuretic?
Yes, but fluid intake compensates
Benefits of caffeine?
Improves endurance, performance, alertness, and reduces fatigue
Side effects of excess caffeine?
Anxiety, insomnia, tremors, restlessness
Caffeine withdrawal symptoms?
Drowsiness, headaches, irritability, nausea, depression
Effects of too much caffeine?
Reduced calcium absorption, osteoporosis risk, breast pain, low birth weight, headaches, arrhythmias
Caffeine intake recommendations?
~400 mg/day (~4 cups coffee); tea 165–235 mg; pregnancy ≤300 mg
Is adding caffeine to alcohol legal in Canada?
No
Why avoid mixing caffeine and alcohol?
Stimulant + depressant combination is dangerous
What is alcohol?
Ethanol; not a nutrient but provides 7 kcal/g
How does alcohol act in the body?
Depressant affecting CNS
Where is alcohol absorbed?
Entire GI tract (small amount mouth/esophagus, 20% stomach, most in duodenum/jejunum)
Effect of food on alcohol absorption?
Slows absorption
When does alcohol peak in blood?
~1 hour
Is alcohol a diuretic?
Yes, increases water excretion
Factors affecting blood alcohol levels?
Weight, gender, food intake, drinking rate, drink type
What is binge drinking?
5 or more drinks at one time
What is alcohol poisoning?
Exceeding tolerance leading to toxicity
What is blackout drinking?
Amnesia from excess alcohol
Effects of chronic alcohol intake?
Malnutrition, decreased intake, impaired absorption/metabolism, excess kcal intake
Long-term alcohol damage?
Liver disease, hypertension, heart disease, stroke, cancer risk
Can alcohol be stored?
No
Where is alcohol metabolized?
Liver (90%)
Alcohol metabolism pathway?
Ethanol → acetaldehyde → acetate → water + CO₂
How is alcohol excreted?
5% urine, 5% lungs
Why measure breath alcohol?
Proportional to blood alcohol levels
Who should avoid alcohol?
Pregnant women, children, drivers, chronic users, those on interacting meds
Are there health benefits of alcohol?
No; increases cancer risk
Safe alcohol practices?
Abstain, set limits, follow guidelines, don’t drink and drive
Physical inactivity prevalence?
~55%
Define fitness?
Ability to perform activity without undue fatigue
Define aerobic exercise?
Endurance activity requiring oxygen
What is muscle atrophy?
Loss of muscle size due to inactivity
What is hypertrophy?
Increase in muscle size
Effects of exercise on the heart?
Increased stroke volume, decreased resting HR, stronger heart
What is stroke volume?
Blood pumped per heartbeat
What is resting heart rate?
Heartbeats per minute at rest
What is VO₂ max?
Max aerobic capacity to produce ATP
Exercise recommendations?
150 min activity/week, 7–9h sleep, ≤8h sedentary, ≤3h screen time
How to start exercise?
Start slow, set goals, make it enjoyable, stay safe
Benefits of exercise?
Cardiovascular health, diabetes control, bone health, weight management, mental health
What fuels exercise?
Glucose, fatty acids, amino acids → ATP
Role of water in exercise?
Thermoregulation, nutrient transport, waste removal
Effects of dehydration?
Reduced oxygen delivery, overheating
Fluid recommendations?
Hydrate before, during, after; >60 min add carbs/electrolytes; 500–750 mL per 0.5 kg lost
What is ATP?
Energy currency of cells
What determines ATP production?
Duration, intensity, fitness level
Instant energy source?
Creatine phosphate (10–15 sec)
Short-term energy source?
Anaerobic glycolysis (15 sec–2 min, 2 ATP)
Long-term energy source?
Aerobic metabolism (>2 min, 36 ATP)
What fuels high-intensity exercise?
Glucose
What causes fatigue in intense exercise?
Glycogen depletion
Where is glycogen stored?
Liver (60–120 g), muscle (200–500 g)
What is “bonking”?
Hitting glycogen depletion
Training adaptations?
Increased VO₂ max, stroke volume, capillaries, glycogen storage, fat utilization
Define gestation?
Time from conception to birth (~40 weeks)
Define preterm birth?
Before 37 weeks
Define low birth weight?
Define very low birth weight?
Pregnancy stages?
1st trimester, 2nd trimester, 3rd trimester
Energy needs in pregnancy?
1st: none; 2nd: +350 kcal; 3rd: +450 kcal
Energy needs in lactation?
0–6 months: +330 kcal; 7–12 months: +400 kcal
Common pregnancy symptoms?
Edema, nausea, heartburn, constipation
Pregnancy complications?
Hypertension, preeclampsia, eclampsia, gestational diabetes, anemia
What is hyperemesis gravidarum?
Severe vomiting causing dehydration
Nutrition in pregnancy?
Varied diet, healthy fats, low-mercury fish, avoid listeria foods, take folic acid, iron, vitamin D
Exercise in pregnancy?
≥150 min moderate/week
Benefits of breastfeeding?
Nutrition, immunity, higher IQ, cancer risk reduction, cost-effective
Types of breastmilk?
Colostrum, transitional, mature
Vitamin D recommendation for infants?
400 IU
Hormones in lactation?
Prolactin (milk production), oxytocin (milk release)
Does maternal diet affect milk?
Yes (fatty acids, vitamins, protein)
Infant feeding after 6 months?
Iron-rich foods, lumpy textures by 9 months
Common food allergens?
Milk, eggs, fish, shellfish, peanuts, tree nuts, wheat, soy
Difference between allergy and intolerance?
Allergy = immune response; intolerance = digestion issue
Infant feeding guidelines?
Regular meals, high fat, avoid juice, avoid choking hazards
How is growth monitored?
Growth charts (WHO), weight, height, head circumference
What affects growth?
Genetics, environment, lifestyle
Adolescent growth changes?
Rapid growth, muscle gain in boys, fat gain in girls
Adolescent activity recommendations?
1 hour/day, vigorous 3x/week, limit screen time
How do children learn eating habits?
From parents and environment
Role of advertising in diet?
Influences unhealthy food choices
Health Canada’s action?
Restrict advertising unhealthy foods to children
What is aging?
Lifelong process influenced by genetics, lifestyle, environment
Maximum human lifespan?
~100–120 years
What are the learning objectives for older adults and food safety?
1) Older adults and health 2) Malnutrition in Canada 3) How bacteria, viruses, moulds, and parasites cause illness
What is the key to aging well?
Genetics, environment, and good lifestyle practices
What lifestyle factors support healthy aging?
Eating well, maintaining a good microbiome, and exercising
What diseases are reduced with healthy aging practices?
Type 2 diabetes, cardiovascular disease, cancer, hypertension, osteoporosis, and other chronic diseases