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Enriched Grains
Grains with Thiamin, Riboflavin, Niacin, Iron and Folic Acid added back
Macronutrients
Yield Energy
Carbs, Proteins, Water and Fats
Micronutrients
Convert macro to energy
Easily Destroyed
Vitamins and Minerals
Organic Nutrients
Carbon bonded to Hydrogen
Protein, Carbs, Fats and Vitamins
Inorganic Nutrients
Minerals and Water
Carbs and Proteins
4 kcal/g
Fats
9 kcal/g
Processed Foods
>5 Ingredients
Requires Heating or Cooking
Added Preservatives
Changed from natural state
Moderation
Limiting portion size and choosing nutrient dense food
Nutrigenomics
Study of how diet affects genes and how genes affect intake
Epidemioloy
Observational Studies
Finds patterns and correlations
Dietary Reference Intakes (DRI)
Recommendations for energy and nutrients
Accounts for diff genders and life stages
Expands on RDAs
Goals: Prevent nutrient deficiencies
Promote healthy eating
Reduce chronic disease
Estimated Average Requirement (EAR)
Set of DRIs
Meet needs of 50% of population
Requires measurable indicators
Recommended Dietary Allowances (RDA)
Set of DRIs
Original U.S. Diet guidelines
Meet needs of 97-98% population
First published in 1940s
Recommends spec amounts of nutrients
Adequate Intakes (AI)
Set of DRIs
Used when insufficient scientific evidence for EAR
Guide for individual intake
Tolerable Upper Intake Levels (UL)
Set of DRIs
Max. level of daily intake
Commonly exceeded when using dietary supplements
Not toxic amount
Estimated Energy Requirements (EER)
Calculate kcals needed to maintain weight
Acceptable Macronutrient Distribution Ranges (AMDR)
Proportions of macros needed
Ex: 10-35% kcal needed from fat
MyPlate
USDA Developed
Half plate fruits and vegs and half plate protein and grains with dairy included
Oils included and recommended in teaspoons
Recommends a min of 150 min of activity a week
Food Labels
Based on 2000 cal diet
Includes Vitamin A and C, calcium and iron
May overestimate but never underestimates
<5% means low in nutrient
>20% means high in nutrient
Standard Label
Label for Supplements
Health Claims
FDA Reviewed
Relationship between food and risk of disease
Vitamin A does not reduce risk of cataracts
Vitamin C does not reduce cold/flu
"Qualified"=Accompanied by statement of explanation
Structure/Function Claims
Not FDA Approved
Role of food/nutrient in maintaining normal function/structure
Can be found on Labels
"Healthy" Claims
Low in at least one of following: fat, sat fat, sodium or cholesterol
Choice (Exchange) Lists
First used for Diabetes
Groups according to macro and energy content
3 Main Categories: Meat, Carbs and Fats
Used for weight loss/healthy diet
Foods in same group have similar kcal content
24 Hour Recall
Most Common Nutritional Assessment
Client could forget or lie
Repeated increases accuracy
Food Diary
Record of Everything Eaten
Should include one weekend day
Frequency Questionare
Most accurate when assessing nutritional status
Person estimates freq of food
Nutritional Health of Population
Monitored by comparisons in food intake and health trends
Endosperm
Largest part of grain kernel
Mainly starch with some protein
Bran Layers
Mostly fiber
Outermost
Germ
Base of kernel
Oil and Vitamin E
Refined Grains
Removes germ and bran
Enriched with thiamin, riboflavin, niacin, iron and folate
Missing important nurtrients
Monosaccharides
Glucose, fructose and galactose
Simple Carbs
Disaccharides
Sucrose (Glu+Fru)
Maltose (Glu+Glu)
Lactose (Glu+Gal)
Simple Carbs
Oligosaccharides
Chains of 3 to 10
Complex carbs
Polysaccharides
Long chains of monosacc
Glycogen, Starch, Fiber
Complex carbs
Glycogen
Storage of Carbs
Created and stored in liver and muscles
Raises blood glucose
Highly Branched Chains
Starch
Storage of Carbs in Plants
Fiber
Classified by solubility in water
Not absorbed or digested by body
Energy Source for GI Flora
Excess=decreased nutrient absorption
Effects of Fiber on Cholesterol
Binds chol and bile acids in GI Tract
Blocks re absorption of bile acids
Inhibits chol synthesis in liver
Carbs in Body
Brain relies almost only on glu for energy
All digestible carbs break down to glucose
Glycemic Response
how quickly and high blood glucose level rise after intake
Cereals and Grains
Best source of complex carbs
Glycemic Index
Ranking how food affects glycemic response
Glycemic load
how much glucose in food
ex: Carrots have high index but low load
Diabetes
Blood glucose levels constantly above normal
(Hyperglycemia)
Causes blindness, kidney failure and heart disease
Damage to small and large blood vessels
Risk of infections
Hypoglycemia
Blood glucose levels below normal
Pancreas
Secretes insulin for uptake and storage of glucose
Secretes glucagon for breakdown of glycogen into glucose
Insulin
Lowers blood glucose levels
Glucose
Excess is stored as glycogen in muscles and liver
When depleted, stored glycogen used then gluconeogenesis
Catabolized (broken down) to generate energy thru glycolysis and citric acid cycle
Cell Respiration
Break down of glucose to form ATP
4 Stages: Glycolysis, Formation of Acetyl-CoA, Citric A Cycle and Electron Transport
Glycolysis
Anaerobic process in cytosol
Glucose broken down into 2 pyruvates, ATP and electrons
Pyruvate is broken down into more ATP or back into glucose thru gluconeogenesis
Acetyl-CoA Formation
Aerobic metabolism in mitochondrion
Pyruvate forms ATP when oxygen available
Removing 1 carbon from each pyruvate
2 carbons and CoA form Acetyl-CoA
Release of electrons
Citric Acid Cycle
Aerobic in Mitochondrion
Release of 4 CO2 and electrons
Some ATP produced
Electron Transport Chain
Aerobic in Mitochondrion
Most ATP produced
Release of energy from electrons
Energy pumps H ion to convert ADP to ATP
Electrons combined with H and O form water
Gluconeogenesis
2 pyruvates into glucose
Occurs in liver and kidney cells
Requires energy
Uses glucogenic amino acids
For immediate glucose needs
Uses up protein that is needed for other functions
Ketogenesis
Formation of Ketones
Conserves oxaloactate
Ketogenic AA break down to form Acetyl-CoA
Acetyl-CoA cannot be made to glucose
Forms ATP, urine and accumulation in blood
Ketones fuels brain but carbs are preferred
Type 1 Diabetes
Insulin is no longer made
Autoimmune disease: immune system destroys pancreatic cells that secrete insulin
Type 2 Diabetes
Insulin present but cells don't respond
Reactive Hypogylcemia
Over secretion of insulin from carb intake
Fasting Hypoglycemis
Over secretion not related to food intake
Dental Carries
Bacteria in mouth form plaque colonies
Bacteria metabolize carbs in mouth and create acid that dissolves enamel
Colon Cancer
Decreased with high fiber intake
Non-Nutritive Sweeteners (NNS)
"artificial" "alternative"
no and low cal sweeteners
reduce dental carries
increased appetite
decreased beneficial GI flora
Saccharin
Sweet n Low (Pink)
300 x sweeter than sucrose
5mg/kg
Aspartame
Equal (Blue)
Cannot be used by those with PKU
can't breakdown phenylalanine
composed of 2 AA: aspartic acid and phenyl.
found in sodas
50 mg/kg
Sucralose
Splenda (Yellow)
5 mg/kg
Monk Fruit Extract
gras status; blend
Acesulfame
Sunette or Sweet One
15 mg/kg
Cyclamate
Banned in U.S.
Rebianna
Truvia
Stevia plant leaf
4 mg/kg
Neotame
Same AA as aspartame but heat stable
Safe for PKU
18 mg/kg
Sugar Alcohols
Structurally similar to dietary sugars
less energy, incompletely absorbed
Doesn't promote tooth decay
Sugar-free foods
GI side effects (diarrhea)
less cal/g than sugar