Nutr 251 Exam 4 Study Guide Vocabulary

Exam 4 Study Guide Notes

Chapter 12: Fat Soluble Vitamins

Vitamin A

  • Deficiency Disease: The deficiency disease associated with Vitamin A is called Xerophthalmia.
  • Symptoms: Key symptoms include night blindness and dry eyes.
  • Classes of Vitamin A:
    • Retinoids: Found in animal products like liver, fish, and dairy.
    • Carotenoids: Found in plant foods such as carrots, sweet potatoes, and spinach.
  • Absorption: Vitamin A is absorbed via the small intestine with the help of dietary fats.
  • Functions:
    • Essential for vision, specifically in the maintenance of the cornea.
    • Supports the immune system and skin health.
  • Toxicity: Excess supplementation can lead to toxicity, causing symptoms like headache, dizziness, and liver damage.

Vitamin D

  • Nutritional Deficiency Diseases:
    • In children: Rickets.
    • In adults: Osteomalacia.
  • Symptoms: Bone pain, muscle weakness, and susceptibility to fractures.
  • Sources: Obtained mainly from exposure to sunlight and dietary sources like fatty fish and fortified foods.
  • Activation: Vitamin D is activated by enzymes primarily in the liver and kidneys.
  • Functions:
    • Regulates calcium and phosphate metabolism.
    • Works to increase intestinal absorption of calcium.
    • Acts in kidneys to promote calcium reabsorption and in bones to mobilize calcium.

Vitamin E

  • Deficiency Disease: Vitamin E deficiency results in Neuropathy.
  • Impact: Causes issues related to the function of the nervous system and muscles.
  • General Function: Primarily acts as an antioxidant, protecting cells from oxidative damage.

Vitamin K

  • Deficiency Disease: The deficiency can lead to problems with blood clotting, known as hemorrhagic disease.
  • Functions:
    • Facilitates the synthesis of clotting factors.
    • Supports bone metabolism by helping bind calcium to the bone matrix.

Chapter 14: Water and Major Minerals

Definitions and Classifications

  • Mineral: A solid, inorganic substance that is naturally found in the earth.
  • Major vs Trace Minerals:
    • Major Minerals: Needed in larger amounts (e.g., calcium, potassium).
    • Trace Minerals: Needed in smaller amounts (e.g., iron, zinc).
  • Absorption Factors:
    • Increase Absorption: Certain organic acids, vitamin D.
    • Decrease Absorption: Phytates, oxalates.

Sodium

  • Location: Predominantly found in extracellular fluid.
  • Charge: Sodium ion (Na+) carries a +1 charge.
  • Functions: Maintains fluid balance, nerve transmission, and muscle function.
  • Processing Impact: Increases sodium content significantly in foods.
  • Sodium Limit: Daily intake should remain under 2300 mg.

Potassium

  • Location: Found mainly in intracellular fluid.
  • Charge: Potassium ion (K+) carries a +1 charge.
  • Functions: Essential for fluid balance, nerve transmission, and muscle function.

Chloride

  • Location: Found in gastric juice and interstitial fluids.
  • Charge: Chloride ion (Cl-) carries a -1 charge.
  • Functions: Assists with digestion as part of stomach acid and helps maintain electrolyte balance.

Hypertension

  • Blood Pressure Categories: Normal, elevated, and various stages of hypertension.
  • Risk Factors: Include obesity, lack of physical activity, and excessive sodium intake.
  • Consequences: Increased risk of heart disease, kidney failure, and stroke.
  • Lifestyle Modifications: Include maintaining a healthy weight, regular exercise, and following the DASH diet rich in potassium, magnesium, and calcium.

Chapter 15: Trace Minerals

Iron (Fe)

  • Functions: Critical for oxygen transport in hemoglobin and myoglobin, involved in energy metabolism.
  • Absorption:
    • Overall absorption is 15-35% from food sources.
    • Low stores increase absorption, while adequate stores decrease it.
  • Sources: Heme iron is exclusively found in animal products (meat).
  • Deficiency Symptoms: Fatigue, weakness, pale skin.
  • Deficiency Disease: Known as Iron Deficiency Anemia.
  • Storage Protein: Ferritin stores iron in tissues.
  • Transport Protein: Transferrin carries iron in the bloodstream.

Zinc (Zn)

  • Functions: Supports immune function, wound healing, and DNA synthesis.
  • Deficiency Symptoms: Growth retardation, loss of taste, and immune dysfunction.

Chapter 10: Energy Balance, Weight Control, and Eating Disorders

Energy Balance

  • Definition: The relationship between energy intake and energy expenditure.
  • Energy Expenditure: Comprises basal metabolic rate (BMR), physical activity, thermogenesis, and the energy used in food processing.
  • Estimated Energy Requirement: Requires information on age, sex, weight, height, and activity level.
  • BMI Equation: Requires height and weight to determine category (underweight, normal, overweight, obesity).

Health Risks

  • Underweight Risks: Malnutrition, weakened immune function.
  • Overweight Risks: Increased risk of Type 2 diabetes, cardiovascular diseases, and certain cancers.
  • Obesity Causes:
    • Genetic Factors: Include family history of obesity.
    • Environmental Factors: Include sedentary lifestyle and unhealthy eating habits.
    • Behavior Modification: Key in weight loss; involve strategies to control energy intake and engage in physical activity.

Weight Loss Guidelines

  • Safe Weight Loss: 1-2 pounds per week, resulting from a deficit of 500-1000 kcals per day.
  • Realistic Goals: Aim for a weight loss of 5-10% of body weight.
  • Nutrient Adequacy: Minimum kcal intake must be above 1200 kcals for women and 1500 kcals for men.
  • Exercise Importance: Essential for effective weight management.

Chapter 16: Pregnancy, Lactation, and Infancy

Pregnancy

  • Terminology:
    • Gestation: Period of development from fertilization to birth.
    • Trimester: Three periods of approximately three months each in a pregnancy.
  • Nutritional Needs: Energy needs increase by 340 kcal/day during the second trimester and 450 kcal/day during the third trimester.
  • Protein Requirement: Increased to approximately 71 grams per day.
  • Weight Gain Guidelines: Dependent on pre-pregnancy weight; components include weight of the baby, placenta, amniotic fluid, and maternal tissue.

Lactation/Breastfeeding

  • Hormonal Functions:
    • Prolactin: Stimulates milk production.
    • Oxytocin: Causes milk ejection.
  • Nutrition During Lactation: Energy needs increase by around 500 kcal/day; mothers should consume no less than 1800 kcals/day during breastfeeding.
  • Fluid Needs: Increase by approximately 1 quart (32 oz).

Infant Feeding

  • Breastfeeding Advantages: Offers ideal nutrition for infants, enhanced immunity.
  • Disadvantages: May involve physical challenges for mothers.
  • Formula Feeding Concerns: Potential for over-concentration or nutrient deficiency if improperly mixed.
  • Guidelines for Solid Foods: Introduce at about 6 months, considering infant readiness such as head control.