Introduction to Nutrition and Dietetics

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Questions and Answers

What distinguishes dietetics from general nutrition?

  • It solely addresses the need for activity and exercise.
  • It applies nutrition science to promote health and treat diseases. (correct)
  • It only focuses on the role of food in promoting growth.
  • It emphasizes the cultural aspects of food choices.

How does the preventive healthcare approach differ from the traditional approach?

  • It relies solely on medication rather than lifestyle changes.
  • It emphasizes risk factor identification to prevent future health problems. (correct)
  • It prioritizes diagnosis over long-term health outcomes.
  • It focuses on treatment after a disease has already developed.

Why is a 'well-developed body composition' considered a sign of good nutrition?

  • It mainly depends on the amount of saturated fats consumed.
  • It primarily indicates a person's genetic potential.
  • It reflects a lifetime of balanced nutrient intake and proper muscle development. (correct)
  • It is solely about achieving an ideal weight for height.

What is the role of vitamins and minerals in tissue building?

<p>They contribute specific components like collagen and bone tissue. (B)</p> Signup and view all the answers

How do coenzyme factors support metabolic functions?

<p>They assist enzymes in governing chemical reactions. (D)</p> Signup and view all the answers

What is the importance of balanced nutrition in preventing excess?

<p>It provides all nutrients while avoiding over-accumulation and toxicities. (D)</p> Signup and view all the answers

What is the primary difference between Recommended Dietary Allowances (RDAs) and Tolerable Upper Intake Levels (ULs)?

<p>RDAs aim to prevent deficiency, while ULs define the maximum intake unlikely to cause harm. (A)</p> Signup and view all the answers

How does 'MyPlate' encourage a balanced diet?

<p>By emphasizing variety, proportionality, and moderation across food groups (A)</p> Signup and view all the answers

How can the presence of food in the stomach affect drug absorption?

<p>It can alter the rate and extent of the drug bioavailability. (A)</p> Signup and view all the answers

A dietitian is counseling a patient who is taking a medication that is best absorbed on an empty stomach. What advice should the dietitian provide?

<p>Take the medication 30 minutes before or two hours after eating. (B)</p> Signup and view all the answers

Why are carbohydrates considered a ‘basic fuel source’ for the body?

<p>They are readily available and quickly broken down to provide energy. (B)</p> Signup and view all the answers

How does the classification of carbohydrates into monosaccharides, disaccharides, and polysaccharides differ nutritionally?

<p>They have differing effects on blood glucose levels and digestion rates. (C)</p> Signup and view all the answers

What role does cooking play in the digestibility of starches?

<p>It can break down the starch structure, making it more digestible. (A)</p> Signup and view all the answers

How does dietary fiber contribute to cardiovascular health?

<p>It helps regulate blood cholesterol levels and promotes gut health. (D)</p> Signup and view all the answers

How do sugar alcohols differ from other nutritive sweeteners?

<p>They are used to lower the net carb intake. (D)</p> Signup and view all the answers

How can the consumption of excessive fiber lead to nutritional deficiencies?

<p>It can prevent the absorption of certain minerals. (B)</p> Signup and view all the answers

How does the body utilize glycogen during periods of short-term fasting, such as sleep?

<p>To maintain normal blood glucose levels crucial for brain function. (D)</p> Signup and view all the answers

Why is the glycemic index (GI) considered controversial for managing diabetes?

<p>It does not reflect overall nutritional quality or its affect on overall wellness. (B)</p> Signup and view all the answers

How is fat stored in adipose tissue beneficial to the human body?

<p>Supporting and protecting organs. (C)</p> Signup and view all the answers

Why are fats not soluble in water?

<p>Their molecular properties. (C)</p> Signup and view all the answers

How does saturation affect the density and state of fatty acids?

<p>Saturated fatty acids are heavy and dense. (A)</p> Signup and view all the answers

What is the designation of of lipids?

<p>If classified by saturation, they are determined by how much hydrogen it can hold. (A)</p> Signup and view all the answers

Why is cholesterol essential for mammalian organisms?

<p>Cholesterol plays a huge role in cellular singnaling. (D)</p> Signup and view all the answers

How does saturation affect transport?

<p>Fats need protein when in solution. (A)</p> Signup and view all the answers

How can following fat intake guidelines (with the proper saturation) significantly affect human health?

<p>It contributes to cardiovascular wellness. (B)</p> Signup and view all the answers

How is the human body able to retain and reuse bile, supporting efficient fat digestion?

<p>Enterohepatic circulation (A)</p> Signup and view all the answers

How fat the body does not get excess kilocalories? What becomes of them?

<p>Excess kilocalories get stored as fat. (D)</p> Signup and view all the answers

What metabolic processes may lead to kidney problems and an increase in diabetes risk as a result of excess protein?

<p>Apoptosis and hyperfiltration. (D)</p> Signup and view all the answers

What does the process of reassembling amino acids into building muscle cause?

<p>Anabolism. (C)</p> Signup and view all the answers

How are proteins classified in the body?

<p>The are based on how they are synthesized. (A)</p> Signup and view all the answers

What can someone do if they are deficient in cysteine?

<p>Cysteine can be made from methionine. (B)</p> Signup and view all the answers

Why would combining various plant proteins give one a complete and total protein?

<p>The acids complete one another. (C)</p> Signup and view all the answers

Gastric secretions inhibit salivary amylase until twenty to thirty percent of starch has been converted. What does this process cause?

<p>Viscous chyme. (C)</p> Signup and view all the answers

What is the use of pancreatic juices, secretions, and intestinal secretion?

<p>It allows for disaccharides to produce monosaccharides. (D)</p> Signup and view all the answers

Why is it important to obtain indispensable acids through supplementation?

<p>The acids cannot be produced. (A)</p> Signup and view all the answers

What is the function of mucosa structures?

<p>Increase surface area. (D)</p> Signup and view all the answers

How do some acidic buffers help digestion?

<p>By increasing the bioavailable substances. (D)</p> Signup and view all the answers

What is absorbed to help with energy metabolism?

<p>Enzymes. (A)</p> Signup and view all the answers

Besides bile in the gall bladder, what must take place for emulsification to occur?

<p>The molecules have to get smaller. (B)</p> Signup and view all the answers

How does low blood sugar cause problems to the brain?

<p>The brain gets its source from the blood. (A)</p> Signup and view all the answers

Which of the following would be a symptom of a thiamin deficiency, and why?

<p>Nerve pain do reduced energy from carbohydrate absorption (D)</p> Signup and view all the answers

Flashcards

Nutrition

The food people eat and how their bodies use it.

Nutrition science

Scientific knowledge governing nutrient requirements for life aspects.

Dietetics

Health profession that applies nutrition science to promote health and treat disease.

Registered dietitian (RD)

The nutrition authority on the health care team.

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Preventive health care approach

Identifies risk factors in advance to prevent or minimize health problems.

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Traditional health care approach

Attempts change only when illness or disease already exists.

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A lifetime of good nutrition

Evidenced by a well-developed body, ideal weight, and good muscle development.

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Essential Nutrients

Six essential nutrients: carbohydrates, proteins, fats, vitamins, minerals, and water.

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Three basic functions of nutrients

Provide energy, build tissue, and regulate metabolic processes.

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Metabolism

It is the sum of all body processes to accomplish life-sustaining tasks.

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Carbohydrates

They are the body's primary fuel source, providing 4 kcal/gram.

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Fats

Providing 9 kcal/gram, are a secondary energy source.

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Proteins

Ideally not used for energy; serve structural and functional roles, yield 4 kcal/gram.

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Undernutrition

Occurs when nutrient reserves are depleted and intake is insufficient.

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Overnutrition

Results from excessive nutrient and/or energy intake over time.

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Nutrient standards

Established by developed countries as a reference for intake levels of essential nutrients.

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DRIs (Dietary Reference Intakes)

Ideal amount of each nutrient to maximize health benefits.

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U.S. Department of Agriculture's MyPlate

Released in 2011; a nutrition education tool.

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Dietary guide lines of Americans

Identical to Dietary guideline of Americans; another tool for interpreting and applying nutrient standards.

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Individual needs

Health care professionals must remember that food patterns vary with individual needs.

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Changing food environment

Increased reliance on fast, processed, and prepackaged foods.

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Net Carbs

A marketing term where food manufacturers subtract dietary fiber and sugar alcohols from total carbohydrates.

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Digestion of Carbohydrates

It begins in the mouth with chewing and the action of salivary amylase (ptyalin).

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Lactose Intolerance

Inability to break lactose down into its monosaccharide units.

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Carbohydrates recommendation

The body needs for carbohydrates in the range of 45% and 65%.

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Lipids

Overall chemical group of fats and fat-related compounds.

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Triglycerides

Fat molecules formed from fatty acids.

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Classification of fatty acids

Chain length and saturation.

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Saturated fatty acids

Contain all the hydrogen it can hold (mostly animal origin).

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Unsaturated fatty acids

Not completely filled with hydrogen (mostly plant and fish sources).

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Monounsaturated fats

Have one unfilled spot (one double bond)

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Polyunsaturated fats

Have two or more unfilled spots (more than one double bond).

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Trans-fatty acids

Fatty acid molecules with hydrogen atoms on opposite sides of the carbon double bond.

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Phospholipids

Triglyceride derivatives where one fatty acid is replaced by a phosphate group.

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Cholesterol

The most significant zoosterol, vital for membranes.

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Lipoproteins

Major vehicles for lipid transport in the bloodstream.

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Water Balance

Plasma proteins help control water balance by exerting osmotic pressure.

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Pancreatic Lipase

Break down triglycerides into free fatty acids, diglycerides, and monoglycerides.

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Protein-Energy Malnutrition (PEM)

Occurs with overall food shortage or inadequate protein intake.

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Antidiuretic Hormone (ADH)

Releasing blood by pituitary gland in response; it increases reabsorption water in nephrons for conservation.

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Study Notes

Introduction to Nutrition

  • Nutrition refers to the food consumed and how the body utilizes it
  • Nutrition science studies nutrient requirements for life events such as reproduction, growth, activity and maintenance
  • Dietetics uses nutrition science to promote health and treat diseases
  • A registered dietitian (RD) is a nutrition authority, and handles nutrition for patients and clients in health care settings

Approaches to Healthcare

  • The preventive health care approach aims to identify and minimize risk factors.
  • Traditional health care emphasizes diagnosis and treatment when illness is present and is less effective for long-term health improvements.
  • Chronic diseases can manifest long before obvious symptoms.

Importance of Diet

  • Good nutrition is shown as strong bodily development, appropriate weight, ideal composition, and muscle maintenance
  • Additional indicators are glowing hair and skin, alert eyes, proper appetite, digestive function, and elimination
  • People who are well-nourished tend to be more alert physically and mentally, and demonstrate increased resistance to disease and a positive outlook

Functions of Nutrients

  • Six essential nutrients are: carbohydrates, fats, proteins, vitamins, minerals, and water
  • Three basic functions of nutrient: energy, build tissue and regulate metabolic processes

Metabolism and Nutrients

  • Metabolism encompasses all bodily processes essential for sustaining life
  • Nutrients closely interact within this system and have many specific functions

Energy Sources

  • kilocalories (kcals) measure human energy
  • Carbohydrates are the primary fuel source providing 4 kcal/gram, making up 45-65% of total calories
  • Fats supply 9 kcal/gram, making up 20-35% of total calories, mainly from plant-based sources with less than 10% from saturated fats
  • Proteins should mainly serve structural and functional roles, yielding 4 kcal/gram and accounting for 10-35% of total calories
  • Alcohol supplies 7 kcal/gram but offers no essential bodily functions

Tissue Building

  • Proteins primarily build new tissue, with amino acids as building blocks
  • Tissue building is a continuous process necessary for construction and repair of body tissues
  • Vitamins and minerals such as vitamin C (collagen), calcium and phosphorus (bone), and iron (hemoglobin)
  • Fatty acids build cell membranes and help transport fat-soluble nutrients

Regulation and Control

  • To maintain proper balance, chemical processes are controlled with balance
  • Vitamins operate as coenzyme factors for cell enzymes
  • Minerals serve as coenzyme factors in cell metabolism
  • Water is the essential agent for all metabolic action
  • Fiber facilitates the passage of food in the gastrointestinal tract

Nutritional States

  • Optimal nutrition indicates balanced nutrients in adequate amounts from carbs, fats, proteins, minerals, vitamins and water in appropriate amounts
  • Undernutrition occurs when nutrient reserves are depleted
  • Overnutrition results from excessive intake over time
  • Both under- and overnutrition negatively affect health

Promoting Health

  • Intake levels are used as references for meeting nutrient levels
  • Developed countries establish these standards using scientific and practitioner philosophies
  • U.S. Dietary Reference Intakes (DRIs) since 1941 was used as a resource to prevent deficiencies, and maintain ideal health
  • DRIs provide recommendations based on gender, age, pregnancy and lactation
  • DRIs also identify the Tolerable Upper Intake Levels for excessive nutrient levels

Food Guides

  • Food Guides and Recommendations is a tool for planning
  • USDA’s MyPlate is a visual that helps improve lifestyle and education, emphasizing proportionality, variety, gradual improvements, and physical activity
  • Dietary Guidelines for Americans are a tool in applying nutrient standards
  • Other guides include the American Heart Assocation
  • Care must be taken to remember the food must be altered with individual needs

Food Environment

  • The food environment has increased reliance on prepackaged, fast and processed meal
  • Concerns about fads need to be addressed and replaced with proper knowledge
  • An example is Pinggang Pinoy, a plate for Filipinos emphasizing variety, balance and amounts

Interactions

  • Traditional medicine includes medication, surgery and interventions
  • Medications and nutrients can interact affecting drug absorption, food presence is also relevant

Conclusion

  • To maintain balance, nutrients must not be considered negligible and necessary
  • Health practitioners need to understand food's importance and needs to be implemented in a care plan

Introduction to Carbohydrates

  • Carbohydrates are key nutrients that promote life and health
  • Nutrients are essential elements in providing building material, energy source, and control agents

Relation to Energy

  • Carbohydrates are a basic fuel source for the body
  • Plants use photosynthesis to transform solar power
  • Humans rapidly digest carb sources, yielding glucose
  • Energy is interchangeable with calorie, kcal, and kilocalorie
  • Energy is carried in the form of ATP
  • Carbs are considered quick-energy foods because they are digested quickly
  • Fuel factor is 4 kcal/g
  • Availability makes carbs easily available and growable

Considerations

  • The food is considered diet staple across the world
  • Easy to store without spoiling
  • Low price point, cost effective

Classes of Carbs

  • Carbon, hydrogen and oxygen make up carbs
  • Number of units in a carb is classified by unit count consisting of: Monosaccharides, Disaccharides, and Polysaccharides
  • Monosaccharides and Disaccharides are small, simple molecules

Simple Carbs

  • Glucose is the main sugar human use, derived from digesting starch, seen in processed foods and corn syrup
  • Fructose is mainly seen in fruits and honey
  • Galactose has milk sugar
  • Mono -saccharides include quick absorption

Simple Carbohydrates

  • two units make up these carbs
  • Sucrose contains table sugar
  • Lactose with milk sugar
  • Maltose has glucose and starch

Complex Carbohydrates

  • Polysaccharides are multichained with starch, glycogen and dietary fiber
  • Starch needs to be cooked to improve digestions
  • Glycogen is created in the tissues and crucial for metabolism
  • Stored short term for muscle or liver function

Importance of Fiber

  • Fiber can help manage blood pressure
  • It has low digestibly
  • Separated into solvable and un solvable
  • Cellulose helps intestinal muscle actions.
  • Pectin binds bile acids
  • Polysaccharides absorb water

Recommendations of Intake

  • Adults need 25 to 38 grams a day depending on sex
  • These should be eaten from greens or legumes or nut
  • Overconsumption can cause constipation
  • Can trap minerals

Other Sweeteners

  • Nutritize (sorbitol or mannitol)
  • non nutritive (acesulfame-k)

Functions of Carbs

  • Fuel (4kal)
  • Acts a reservoir for energy
  • Liver glycogen helps brain to have glucose
  • If enough carbs are available fat stops being needed

Food Sources

  • Fruit causes the problem lies with added sugars
  • Glycemic Index

Digestion

  • Mouth first breaksdown and then small continues this
  • Enzymes contain starch
  • Glucose lactose are obtained

Absorption

  • Most digested fiber continues through

Consumption for Diet

  • recommend 45 ro 65 percents of carbs fruits and grains

Introduction to Lipids

  • lipids are the fatty related overall group
  • has carbon hydrogen oxygen
  • glycerides are the majority of dietary fats

Dietary Importance of Fats

  • source of concentrated fuel
  • fats help add other sources together
  • exist as solid liqud
  • insoluble

Fatty Acids

  • acids are blocks of tryglycerides
  • classified by methyl with many combinations
  • can be carbon atoms
  • shorter chains are 2 to 4 carbons, medium chains are 6 to 10 carbons, longer are more than 12
  • saturated contain heavy dense amounts. From anima origin
  • unsaturated are liquidy and plant sources

Unsaturated nomenclature

  • the location determine class on first omega bound
  • omega 3 is on 3 rd carbon
  • omega 6 is on 6th

Essential Fatty Acids

  • necessary is that bad dief cause effects
  • only fatty complete essential

Other Lipids

  • phospholipids with phosphate group
  • eicsanoids signalling hormones
  • signaling hormones
  • steroid with amphitheatric groups
  • phytosterols and zoosterol roles in membrane functions
  • lipoproteins vehicles for transport

Functions of Fat

  • great energy supplier at 9 kcal
  • vitamins are aided by fats
  • can be used to make texture
  • adipose tissues, membrance cells

Food Scourees

  • aniamls aare greaat for saturated
  • plants for mono
  • visible is like oild
  • inviisible like cheesses

Diegestion of Fats

  • mounth lingual,
  • stomach little , small - more help
  • bile emulsifies
  • absorbed from micells in small intestine

Dietary

  • problems arise from excess
  • amount and excess lead to storage
  • too much saturated cause problems

Deficiency

  • fat fre can lead

Recommendaitons Diet

  • must not exceeds rates.

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