Nutrition and Diet Therapy (NCM 105)

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Questions and Answers

What is the primary function of the smooth endoplasmic reticulum?

  • Synthesis of lipids and carbohydrates (correct)
  • Energy production
  • Digestive enzyme storage
  • Protein synthesis

What role do ribosomes play in the cell?

  • Digestion of cellular debris
  • Synthesis of carbohydrates
  • Energy production
  • Protein synthesis (correct)

Which statement accurately describes the Golgi apparatus?

  • Contains ribosomes for protein synthesis
  • Packages materials for secretion from the cell (correct)
  • Bound to the nucleus
  • Produces ATP for energy

What is the primary function of mitochondria?

<p>ATP production (C)</p> Signup and view all the answers

Which function is NOT performed by lysosomes?

<p>Energy production (A)</p> Signup and view all the answers

What is the role of centrioles during cell division?

<p>Organizing spindle fibers (B)</p> Signup and view all the answers

Which of the following is a characteristic of lysosomes?

<p>Contain 36 powerful enzymes (D)</p> Signup and view all the answers

In which type of cell are smooth endoplasmic reticulum most abundant?

<p>Cells synthesizing steroid hormones (A)</p> Signup and view all the answers

What is the primary function of saliva in the mouth during digestion?

<p>To mix, lubricate, and break down food (D)</p> Signup and view all the answers

Which part of the digestive system connects the pharynx to the stomach?

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

What is the role of the epiglottis in the digestive system?

<p>It prevents food from entering the respiratory tract (B)</p> Signup and view all the answers

What process describes the rhythmic contractions that move the bolus through the esophagus?

<p>Peristalsis (D)</p> Signup and view all the answers

Which organ secretes acid and enzymes for the digestion of food?

<p>Stomach (B)</p> Signup and view all the answers

What is a bolus in the context of digestion?

<p>A small ball of chewed food mixed with saliva (D)</p> Signup and view all the answers

What does the cell membrane primarily consist of?

<p>Lipids and proteins (B)</p> Signup and view all the answers

How does the stomach maintain its acidic environment?

<p>Through the secretion of hydrochloric acid (D)</p> Signup and view all the answers

What is the primary function of the pharynx in the digestive system?

<p>To pass food to the esophagus (B)</p> Signup and view all the answers

What is the primary function of the rough endoplasmic reticulum?

<p>Protein synthesis (B)</p> Signup and view all the answers

What is one role of membrane proteins in the cell membrane?

<p>To act as receptors for hormones (D)</p> Signup and view all the answers

What is cytoplasm primarily composed of?

<p>Water, minerals, gases, and organic molecules (A)</p> Signup and view all the answers

What characteristic indicates that the eyes of a fish are healthy?

<p>Eyes are full and bright (A)</p> Signup and view all the answers

What does a hydrophobic core in a cell membrane do?

<p>Retains water-soluble substances inside the cell (D)</p> Signup and view all the answers

How do cell organelles operate within a cell?

<p>Each has its own membrane and definite function (A)</p> Signup and view all the answers

Which feature is NOT associated with healthy fish?

<p>The odor is unpleasant (D)</p> Signup and view all the answers

What is the principal form of carbohydrates used by the body?

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

What percentage of total energy allowance do carbohydrates typically constitute?

<p>50-70% (D)</p> Signup and view all the answers

What is the storage form of carbohydrates in animals?

<p>Glycogen (B)</p> Signup and view all the answers

Which type of carbohydrate requires no digestion and can be absorbed directly into the bloodstream?

<p>Monosaccharides (D)</p> Signup and view all the answers

What is the storage form of carbohydrates in plants?

<p>Starch (B)</p> Signup and view all the answers

Which of the following nutrients has the highest caloric value per gram?

<p>Fats (B)</p> Signup and view all the answers

What percentage range of total energy allowance is typically recommended for fats?

<p>20-30% (C)</p> Signup and view all the answers

Which activity level corresponds to 60-70% of total energy expenditure?

<p>Moderate Activity (A)</p> Signup and view all the answers

What is the Basal Metabolic Rate (BMR)?

<p>The amount of energy required for life processes at rest (D)</p> Signup and view all the answers

Which of the following is NOT a condition necessary for a BMR test?

<p>The subject must be recently fed (D)</p> Signup and view all the answers

For adult males, what is the estimated BMR per kilogram per hour?

<p>1.0 kcal (C)</p> Signup and view all the answers

What variable does the Harris-Benedict Formula use to calculate REE?

<p>Height, weight, age, and sex (C)</p> Signup and view all the answers

Which factor does NOT affect the Basal Metabolic Rate (BMR)?

<p>Body temperature (D)</p> Signup and view all the answers

Why do women generally have a lower metabolic rate than men?

<p>Women have higher fat content and less muscle development (A)</p> Signup and view all the answers

What happens to the metabolic rate during periods of rapid growth?

<p>It increases significantly (D)</p> Signup and view all the answers

What is the formula for estimating REE for adult females according to the Harris-Benedict Formula?

<p>REE = 665 + [9.6 x wt (kg)] + [1.8 x ht (cm)] - [4.7 x age (yr)] (A)</p> Signup and view all the answers

What are chromoproteins primarily composed of?

<p>Protein and non-protein pigments (D)</p> Signup and view all the answers

Which of the following is classified as a metalloprotein?

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

What term describes the linkage formed between amino acids?

<p>Peptide bond (B)</p> Signup and view all the answers

Which of the following describes essential amino acids?

<p>Must be obtained from the diet (C)</p> Signup and view all the answers

What characterizes complete proteins?

<p>Contain all essential amino acids in sufficient quantities (A)</p> Signup and view all the answers

What enzyme is initially produced in the stomach for protein digestion?

<p>Pepsinogen (D)</p> Signup and view all the answers

What is the role of rennin in protein digestion in infants?

<p>Converts casein into coagulated curd (B)</p> Signup and view all the answers

What is produced during the early stages of protein breakdown?

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

Flashcards

Cell Membrane

The outer boundary of a cell, composed mainly of lipids and proteins, regulating the passage of substances in and out of the cell.

Hydrophobic Core

The inner part of the cell membrane, repelling water-soluble substances.

Plasma Membrane

Another name for the cell membrane.

Cytoplasm

The gel-like substance inside a cell, where most cellular processes occur.

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Cell Organelles

Membrane-bound structures within a cell, each with a specific function.

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Endoplasmic Reticulum (ER)

A network of tubes in the cytoplasm that transports materials within the cell.

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Rough ER

Part of the ER with ribosomes, involved in protein synthesis.

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Smooth Endoplasmic Reticulum

A part of the endoplasmic reticulum lacking ribosomes, crucial for lipid and carbohydrate synthesis, drug detoxification, and VLDL production.

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Ribosomes

Protein synthesis sites, often bound to the endoplasmic reticulum.

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Golgi Apparatus

A series of flattened sacs that process, package, and secrete cellular products. Packages proteins for export.

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Mitochondria

The cell's energy powerhouses, responsible for producing ATP through cellular respiration.

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Lysosomes

Membrane-bound sacs containing digestive enzymes; crucial for breaking down waste and foreign materials.

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Centrioles

Organelles involved in organizing the spindle fibers during cell division.

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Digestive System Parts

Includes the mouth, salivary glands, esophagus, stomach, liver, gallbladder, pancreas, intestines, and anus, forming a complex system to break down and absorb food.

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Mouth's Role in Digestion

Food is physically broken down by chewing and mixed with saliva containing enzymes to initiate the breakdown of food.

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Saliva Function

Saliva moistens food, contains enzymes (amylase and lipase) for food breakdown and allows us to taste.

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Pharynx Function

Connects the mouth to the esophagus and the trachea (windpipe).

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Epiglottis Function

A flap that prevents food from entering the windpipe during swallowing.

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Peristalsis

The rhythmic contraction and relaxation of muscles in the esophagus that moves food to the stomach.

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Bolus

A chewed and moistened ball of food ready to pass into the esophagus.

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Esophagus Function

A tube that connects the pharynx to the stomach, transporting food via peristalsis.

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Stomach Function

Muscular organ that holds, mixes, and grinds food, secretes acids and enzymes for further breakdown.

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Stomach pH

Maintains an acidic pH level (1.5-1.7) crucial for enzyme function.

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Basal Metabolic Rate (BMR)

The rate of energy used by the body at rest to maintain basic life functions.

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Conditions for BMR Test

Fasting (12+ hours), awake, lying down, relaxed, and a controlled environment (20°C-25°C).

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BMR Calculation (Rule of Thumb)

1 kcal per kg per hour for males and 0.9 kcal per kg per hour for females.

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Harris-Benedict Formula

A more detailed calculation for BMR considering weight, height, age, and sex.

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Biologic Body Weight

Calculating BMR based on weight size raised to the 3/4 power.

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Factors Affecting BMR

Surface area, sex, age, and body composition influence Basal Metabolic Rate.

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Surface Area (BMR)

Larger surface areas lead to greater heat loss, needing more energy expenditure.

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Sex (BMR)

Women generally have a slightly lower metabolic rate than men of similar weight and height.

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Age (BMR)

BMR is higher during growth spurts (like childhood and adolescence) when more energy is needed.

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Body Composition (BMR)

More muscle mass raises BMR, more fat lowers it.

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Daily Activity Levels

Different levels of physical activity, ranging from bed rest to severely active, each contributing a varied percentage of daily energy expenditure.

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Energy Allowance Distribution

Breakdown of the total energy intake among carbohydrates, protein, and fats.

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Carbohydrates

Organic compounds (C, H, and O) that are the body's primary energy source, with plant storage as starch and animal storage as glycogen.

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Monosaccharides

Simple sugars, the simplest form of carbohydrates, directly absorbed into the bloodstream.

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Glucose (dextrose)

Body's main energy source; stored in the liver and muscles as glycogen, readily obtained for use.

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Carbohydrate Percentage

The proportion of calories in the daily diet that come from carbohydrates, between 50%-70%.

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Physiologic Fuel Values

Number of calories provided per gram of carbohydrate, protein, and fat.

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Protein percentage

Proportion of daily calories that come from protein, between 10-15%.

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Fat percentage

Proportion of daily calories that come from fat, between 20-30%.

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Carbohydrate Storage

Plant storage form is starch, and animal storage form is glycogen.

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Chromoproteins

Compounds of protein and non-protein pigments, found in flavoproteins, hemoglobin, and cytochromes.

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Metalloproteins

Compounds of metals (like Cu, Mg, Zn, and Fe) attached to proteins, found in ferritin, hemosiderin, and transferin.

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Essential Amino Acids

Amino acids the body can't make, so must get from food.

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Non-essential Amino Acids

Amino acids the body can produce on its own.

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Complete Proteins

Proteins with all essential amino acids in the right amounts.

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Incomplete Proteins

Proteins missing one or more essential amino acids.

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Peptides

Short chains of amino acids.

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Protein Digestion - Mouth

Mechanical breakdown of protein only, no enzymes working here.

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Protein Digestion - Stomach

Pepsin, an enzyme, starts breaking proteins into smaller parts.

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Protein Digestion - Small Intestine

Further breakdown of protein into absorbable components.

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Study Notes

Nutrition and Diet Therapy (NCM 105)

  • Nutrition is a discipline focused on improving health through diet knowledge
  • Health is a state of complete physical, mental, and social well-being
  • Illness is a deviation from normal bodily function, perceived physiologically and psychologically
  • A hospitalized patient must adapt to the hospital environment, food service, personal routine, immobility, and atmosphere
  • Nutrition is the study of food's relationship to health
  • Food nourishes, builds tissues, repairs tissues, provides energy, and regulates body processes
  • Nutritional status is the body's condition resulting from nutrient intake and utilization
  • Malnutrition is the state of impaired biologic activity due to an imbalance of nutrient intake

Food

  • Food nourishes, builds tissues, repairs, supplies energy, and regulates body processes
  • Food contains nutrients needed for life maintenance, growth, and repair
  • Food supplies energy to maintain life

Nutritional Status/Nutritiure

  • Nutritional status describes the body's condition resulting from nutrient consumption and utilization

Malnutrition

  • It concerns an imbalance between nutrient intake and need
  • Underconsumption or overconsumption of essential nutrients or energy can result in malnutrition
  • Malnutrition impacts bodily functions and development

Functions of Nutrition

  • Maintaining optimal health by enabling growth and development
  • Basic function is to allow an individual to grow and maintain optimum health

Reasons Why Nutritional Science is Applied to Nursing Care

  • Recognizing nutrition's role in preventing or managing disease and illness
  • Adapting individual dietary patterns to ensure nutritional needs
  • Considering cultural contexts in nutritional care

Setting Up a Tray

  • Trays in a hospital setting (standard 8x12) include a base liner for aesthetic purposes
  • Plates for rice and vegetables, soup, desserts, and a glass for drinks
  • Utensils (fork, knife, spoon)
  • Cups and saucers are provided.

Laboratory Procedure

  • Specific guidelines for laboratory practices need to be followed
  • Proper attire including lab gown, hairnet or hair cap, and closed-toe shoes must be worn
  • Clean hands and arms before and after each activity
  • Remove jewelry like rings, bracelets, and watches

ABCs of Food Preparation

  • Getting food ready for cooking (measuring, chopping, slicing, coring, peeling) is equally vital as cooking itself
  • Precise measuring techniques for dry and wet ingredients
  • Proper techniques for peeling fruits and vegetables
  • Various cutting techniques and knife skills are essential in food preparation

Tips for Purchasing

  • Select whole-grain foods and cereals over refined options
  • Choose fresh produce whenever possible, as fresh or frozen fruits and vegetables provide more vitamins compared to canned options
  • Consider nutrient content and the appropriate time to buy food items

How to Buy Vegetables and Fruits

  • Select firm, fresh produce without signs of decay or damage
  • Properly evaluate texture and appearance before making a purchase decision

Weight/Measure Equivalents of Different Units

  • Various units like cups, pints, quarts, teaspoons, tablespoons, etc. as well as grams, ounces, pounds are presented

Human Cell Anatomy

  • Cells are composed of various organelles with specific functions
  • The cytoplasm is a water-based solution inside the cell where various metabolic functions occur
  • Cell components like mitochondria, Golgi apparatus, and endoplasmic reticulum have critical roles in the cell's overall function
  • The nucleus is the control center containing the cell's genetic material (DNA)
  • Different structures like cilia and flagella aid in cell mobility and transport of materials across the cell membrane

Digestion

  • The body breaks down complex food substances into simpler units and absorbs nutrients using a multi-step process involving mechanical and enzymatic actions
  • Digestion involves breaking down complex foodstuffs into smaller units in the digestive tract
  • The digestive system is responsible for transporting absorbed nutrients into the body

Digestive System Parts

  • The mouth, esophagus, stomach, small intestine, large intestine, rectum, and anus are crucial for digestion
  • The digestive tract starts at the mouth and leads to the anus
  • The throat helps transport food from the mouth to the esophagus
  • The esophagus transfers food into the stomach
  • The stomach is responsible for mixing and breaking down ingested food
  • Essential organs for nutrient breakdown and digestion are introduced; along with their functions
  • Chyme is the semiliquid mass of partially digested food in the stomach

Physiological Value of Food

  • Food provides energy, builds tissues, and regulates body functions
  • Foods are categorized based on the nutrients they deliver

Metabolism

  • The biochemical process where the body transforms food into tissue and generates energy, heat, and essential processes
  • This transformation plays a vital role in the body's maintenance and functioning

Energy

  • The body requires energy for various tasks
  • Certain foodstuffs, carbohydrates, proteins, and fats, are essential sources of energy
  • Essential nutrients in terms of energy yield are introduced

Basal Metabolic Rate (BMR)

  • Represents the minimum energy needed for body functions while resting
  • Factors like age, gender, and body composition influence BMR
  • Metabolic rate (BMR) is computed based on these factors

Factors That Affect BMR

  • Factors such as body surface area, gender, age, body composition, nutritional state, and certain illnesses influence energy needs
  • Energy usage is affected by whether an individual is doing physical activity or staying relaxed
  • Varying activities have different energy requirements

Classification of Carbohydrates

  • Simple sugars, double sugars (disaccharides), and complex sugars (polysaccharides) are explained
  • Simple sugars function as a main source of energy
  • Various types of sugars are presented

Classification of Proteins

  • Proteins function in cell construction, repair, and bodily processes.
  • Proteins like albumin, globulin, and others are examples
  • Proteins form the structural foundation of the human body and are essential for its functions

Forms of PEM

  • Severe lack of protein and energy intake results in two forms of PEM (protein-energy malnutrition), Marasmus and Kwashiorkor;
  • Differentiating characteristics of each type are elaborated

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