Nutrition

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Questions and Answers

What term describes the scientific study of nutrients and their handling within the body?

  • Nutrition (correct)
  • Pharmacology
  • Physiology
  • Anatomy

For a man who is 6 feet 3 inches (190.5 cm) tall and weights 220 pounds (99.8 kg), what is his approximate Body Mass Index (BMI)?

  • 27.5 (correct)
  • 22.3
  • 30.1
  • 25.0

According to guidelines, an individual with a BMI greater than 30 is classified as having what condition?

  • Obesity (correct)
  • Normal weight
  • Underweight
  • Overweight

A patient in which metabolic state is MOST likely to exhibit a negative nitrogen balance?

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

Which type of manufactured oil should patients be educated to avoid due to its tendency to raise serum cholesterol levels?

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

What PRIMARY role do vitamins play in the metabolism of carbohydrates, proteins, and fats?

<p>Regulating metabolic processes (D)</p> Signup and view all the answers

Which group includes only fat-soluble vitamins?

<p>A, D, E, K (C)</p> Signup and view all the answers

According to the MyPlate guidelines, which food groups should be included in a healthy eating plan?

<p>Proteins, vegetables, complex starches, dairy (D)</p> Signup and view all the answers

What is the recommended percentage of total caloric intake from carbohydrates for adults, focusing on complex carbohydrates?

<p>45-65% (D)</p> Signup and view all the answers

What range of total caloric intake is generally recommended by healthcare experts for protein consumption?

<p>10-35% (A)</p> Signup and view all the answers

What percentage does water approximately comprise of an adult's total body weight?

<p>50-60% (A)</p> Signup and view all the answers

What medical condition is associated with an increased risk of aspiration, where oropharyngeal secretions or gastric contents enter the larynx and lower respiratory tract?

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

What term defines the energy required to sustain the body's involuntary activities at rest, which is essential for maintaining metabolic functions of cells and tissues?

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

What are specific biochemical substances used by the body for growth, development, activity, reproduction, lactation, health maintenance, and recovery from injury or illness?

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

Anorexia is characterized by which of the following conditions?

<p>Lack of appetite (A)</p> Signup and view all the answers

Which category encompasses minerals such as iron, zinc, chromium, and iodine that are essential but required in very small amounts for various physiological functions?

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

Which nutrient spares protein so it can be used for other functions?

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

Which nutrient is essential for promoting tissue growth and repair within the body?

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

What metabolic process is prevented by sufficient fat metabolism?

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

Which nutrient, when metabolized, places a burden on the kidneys?

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

Which nutrient's absorption is delayed by fat, influencing its rate of entry into the bloodstream?

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

Which nutrient plays a critical role in forming antibodies, essential components of the immune system?

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

What is the primary food source for calcium?

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

Sodium is a major ion of extracellular fluid, what is its main food source?

<p>Salt and processed foods (B)</p> Signup and view all the answers

Phosphorus contributes to bone and tooth formation as well as acid-base balance and energy metabolism, what is its main food source?

<p>Milk, cola (C)</p> Signup and view all the answers

What mineral is a key component of hydrochloric acid (HCl) in the stomach and is crucial for fluid and acid-base balance?

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

Iodine is essential for the production of thyroid hormones. From which food source is it primarily obtained?

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

Iron is a constituent of enzyme systems and is involved in oxygen transport by way of hemoglobin. From which food source is it primarily obtained?

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

What is the term for nutrients, like carbohydrates, lipids, and proteins, that provide the body with energy and structural components, and are needed in large quantities?

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

Vitamins and minerals are needed in much smaller amounts to regulate and control the processes of the body. What are these nutrients known as?

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

What term refers to the measurement of energy in the diet, often expressed in kilocalories?

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

What does RDA stand for in the context of nutrition?

<p>Recommended Dietary Allowance (A)</p> Signup and view all the answers

In nutrition, what does the term 'Basal Metabolism' refer to?

<p>The amount of energy required for involuntary activities at rest. (B)</p> Signup and view all the answers

Which graphic device is designed to represent a total diet and provide a firm foundation for health, using the main food groups?

<p>MyPlate Food Guide (C)</p> Signup and view all the answers

A nurse is providing dietary advice to a client about the types of fats they consume. Which statement BEST describes the characteristic difference between saturated and unsaturated fats?

<p>Saturated fats are solid at room temperature and generally from animal sources. (D)</p> Signup and view all the answers

A researcher aims to determine the most precise representation of a population's average daily nutrient intake over a prolonged period. Which method would BEST account for individual variations in dietary habits?

<p>Multiple 24-hour recalls collected randomly throughout the year. (A)</p> Signup and view all the answers

A dietitian discovers that a patient with a complex medical history consumes a daily diet consisting almost exclusively of refined carbohydrates and saturated fats, devoid of any fruits, vegetables, or lean proteins. How does this dietary pattern MOST severely compromise cellular function?

<p>By impairing the electron transport chain due to deficiencies in essential micronutrients. (C)</p> Signup and view all the answers

Which of the following dietary fibers is MOST effective at increasing stool bulk and promoting regularity?

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

According to Taylor, what are nutrients primarily used for within the body?

<p>To facilitate growth, development, reproduction, and recovery from illness or injury. (B)</p> Signup and view all the answers

Which of the following is TRUE regarding the energy supplied by different classes of nutrients?

<p>Only macronutrients supply energy to the body. (C)</p> Signup and view all the answers

What constitutes the total daily energy expenditure?

<p>The sum of calories used for both voluntary and involuntary activities. (D)</p> Signup and view all the answers

For a 5'5" (165.1 cm) tall individual weighing 180 pounds (81.6 kg), what is their approximate Body Mass Index (BMI)?

<p>29.9 (A)</p> Signup and view all the answers

An individual with a BMI of 27 is typically classified as:

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

What clinical advice is most appropriate for a 55-year-old male patient named Mr. Pi, who has a BMI of 32 and complains of fatigue?

<p>&quot;Tell me about the kinds of meals you normally eat.&quot; (C)</p> Signup and view all the answers

If Mr. Pi tells you he normally eats toast and cereal for breakfast to avoid cholesterol from eggs, which statements are accurate?

<p>Excess carbohydrates are converted into glycogen and stored as fat. (A)</p> Signup and view all the answers

What is the primary function of proteins within the body?

<p>To form all body structures. (A)</p> Signup and view all the answers

Regarding complete and incomplete proteins, which statement is most accurate to convey to Mr. Pi?

<p>Combining complementary proteins like corn and beans provides the necessary amino acids. (C)</p> Signup and view all the answers

The practice of growing corn, beans, and squash together, known as the 'Three Sisters,' is nutritionally beneficial because when eaten together, they:

<p>Provide all the necessary amino acids. (C)</p> Signup and view all the answers

Which of the following is the most accurate general dietary advice regarding saturated and unsaturated fats to give Mr. Pi?

<p>Saturated fats raise cholesterol levels, and unsaturated fats lower cholesterol. (C)</p> Signup and view all the answers

What is the accurate statement regarding cholesterol that you would tell Mr. Pi?

<p>More unsaturated fat and more fiber will help lower cholesterol levels through fecal excretion. (B)</p> Signup and view all the answers

Which product is formed when manufacturers partially hydrogenate liquid oils to increase their stability?

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

Even though Mr. Pi is clinically obese, what should you consider regarding his vitamin intake?

<p>He may still suffer from vitamin deficiencies such as Vitamins A, C, folate, and B6. (A)</p> Signup and view all the answers

Which vitamin is crucial for visual acuity in dim light and plays a significant role in the formation and maintenance of skin and mucous membranes, as well as immune function?

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

The primary role of minerals in the body is to:

<p>Provide structure and regulate body processes. (D)</p> Signup and view all the answers

True or False: Mr. Pi, although clinically obese, may still suffer from malnutrition.

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

What percentage range does water typically account for in an adult's body weight?

<p>50-60% (C)</p> Signup and view all the answers

Within the human body, water is distributed such that:

<p>2/3 is intracellular and 1/3 is extracellular. (B)</p> Signup and view all the answers

Why is water considered more vital to life than food?

<p>It provides the necessary medium for all chemical reactions and is not stored in the body. (D)</p> Signup and view all the answers

Which of the following is NOT a typical route through which the body loses water?

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

A client is diagnosed with 'Imbalanced Nutrition: Less Than Body Requirements.' Which of the following would be an appropriate goal?

<p>Attain &amp; maintain ideal body weight as indicated by BMI &amp; waist circumference. (A)</p> Signup and view all the answers

A patient is diagnosed with dysphagia. Which of the following is NOT an Enteral nutrition placement?

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

Why is checking tube placement, gastric residual, assessing the abdomen and positioning a patient 30-45 degrees important safety measures?

<p>Preventing complications during enteral feedings (A)</p> Signup and view all the answers

Which of the following is a key difference between parenteral and enteral nutrition?

<p>Parenteral nutrition provides nutrients directly into the bloodstream, bypassing the digestive system, while enteral nutrition utilizes the digestive system. (B)</p> Signup and view all the answers

Total Parenteral Nutrition (TPN) typically contains a combination of:

<p>Proteins, carbohydrates, and fats. (A)</p> Signup and view all the answers

Why Peripheral Parenteral Nutrition is not a long-term nutritional support option?

<p>It is not as nutrient dense (A)</p> Signup and view all the answers

Lipids, triglycerides, and cholesterol are categorized as what?

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

What percentage of carbohydrates are digested?

<p>90% (B)</p> Signup and view all the answers

What does vitamin D help to do?

<p>Calcium and phosphorus metabolism and stimulates calcium absorption. (B)</p> Signup and view all the answers

What does the body go through with Vitamin B3 (Niacin) Deficiency?

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

What does the body go through with Vitamin D Deficiency?

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

What does the body go through with Iron Deficiency?

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

Which of the following is the term related to the lifestyle with a physical activity equivalent to walking more than 3 miles per day at 3 to 4 miles per hour, in addition to the activities of independent living?

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

Which of the following is the term related to the lifestyle with a physical activity equivalent to walking about 1.5 to 3 miles per day at 3 to 4 miles per hour, in addition to the activities of independent living?

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

Which of the following is the term related to the lifestyle that includes only the physical activity of independent living?

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

Flashcards

What is Nutrition?

The study of nutrients and how the body handles them.

What BMI indicates obesity?

A BMI greater than 30.

What is a catabolic state?

A state where the body is breaking down tissues faster than it's building them

What are Trans Fats?

Manufactured, partially hydrogenated liquid oils that raise serum cholesterol.

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What nutrient supports metabolism but does not provide calories?

Vitamins

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What are the fat-soluble vitamins?

A, D, E, and K

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What are the food groups in MyPlate?

Proteins, vegetables, fruits, grains, and dairy.

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What percentage of calories should come from carbohydrates?

45% to 65%

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What percentage of calories should come from protein?

10% to 35%

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What percentage of an adult's body weight is water?

50% to 60%

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What is Aspiration?

The misdirection of oropharyngeal secretions or gastric contents into the larynx and lower respiratory tract.

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What is Basal Metabolism?

The energy required to carry on the involuntary activities of the body at rest.

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What are nutrients?

Specific biochemical substances used by the body for growth, development, activity, reproduction, lactation, health maintenance, and recovery.

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What is Anorexia?

A lack of appetite.

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What are examples of trace minerals?

Iron, zinc, manganese, chromium, copper, molybdenum, selenium, fluoride, and iodine.

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What is the function of carbohydrates?

Spares protein so it can be used for other functions.

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What is the function of protein?

Promotes tissue growth and repair.

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What is the function of fat?

Prevents ketosis from inefficient fat metabolism.

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What is a food source of Calcium?

Dairy

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What is a food source of Sodium?

Salt and processed foods.

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What is a food source of Phosphorus?

Milk & Cola.

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What is a food source of iodine?

Seafood

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What is a food source of iron?

Liver

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What is a food source of Chloride?

Salt

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What are Macronutrients?

Essential nutrients that supply energy and build tissue.

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What are Micronutrients?

Vitamins and minerals needed in smaller amounts to regulate and control body processes.

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What are calories?

Measurement of energy in the diet.

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What is basal metabolism?

Amount of energy required to carry on the involuntary activities of the body at rest.

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What is Recommended Dietary Allowance (RDA)?

Recommendations for average daily amounts that healthy population groups should consume over time.

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What is MyPlate Food Guide?

Graphic device to represent a total diet and provide a firm foundation for health.

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What are unsaturated fats?

Vegetable fats, remain liquid at room temperature (Oils). They lower serum cholesterol levels.

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What are saturated fats?

Contain more hydrogen, solid consistency at room temperature (animal fats), Raise Cholesterol and risk for Cardiovascular disease.

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What are trans fats?

Hydrogenated oils (solid at room temperature). Raise LDL ("bad") cholesterol and lower HDL ("good") cholesterol.

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What are the unique dietary needs of infants?

Greatest nutritional needs per unit of weight than any other time in the life cycle.

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How does state of health affect nutritional needs?

Altration of needs varies with intensity/duration of trauma/illness

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What is anorexia?

Limited/restricted eating, weight loss, can be fatal

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How does biologic sex affect nutritional needs?

Men may have higher caloric needs than women.

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What Dietary Interventions help prevent constipation?

Eat a variety of high-fiber foods. Intake 2,200-3,000ml/daily water

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What is BMI?

Ratio of weight (kg) to height (cm), used to classify weight status.

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What BMI is underweight?

Lower than 18.5 on the BMI scale.

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What BMI is overweight?

25-29.9 on the BMI scale.

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What BMI is Extreme obesity?

Greater than 40 on the BMI scale.

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BMI for age percentile

Used to assess growth in children and teens.

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Energy measurement

Measured in kilocalories, commonly called calories.

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Macronutrients energy

Supply energy to the body.

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Carbohydrate Types

Simple or complex, 90% is digested.

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Excess carbohydrates

Broken down into glycogen and stored as fat.

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What is The Three Sisters?

Corn, beans, and squash grown together.

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Types of Proteins

Complete and Incomplete.

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Fat and Cholesterol

Saturated fats raise cholesterol, unsaturated fats lower cholesterol.

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Cholesterol Functions

Important for cell membranes, abundant in brain and nerve cells.

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Cholesterol usage

Synthesize bile acids.

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Internal Cholesterol production

The body manufactures it.

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Fiber and Cholesterol

Helps lower cholesterol through excretion.

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What is Trans Fat?

Occurs when liquid oils are partially hydrogenated.

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Vitamin Function

Needed for regulation of carbohydrate, protein and fat metabolism

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Types of Vitamins

Classified as water soluble or fatsoluble.

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Water-Soluble Absorption

Absorbed directly into the bloodstream.

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Vitamin Deficiency

Cause specific deficiency syndromes.

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Obese Vitamin Levels

May still suffer from vitamin deficiencies.

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Vitamin A

Affects visual acuity in dim light and the immune function.

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Vitamin D

Provides calcium and phosphorus metabolism and stimulates calcium absorption.

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Vitamin K

Helps the synthesis of proteins necessary for blood clotting

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Role of Minerals

Provide structure and regulate body processes.

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Water percentage of body

Accounts for 50-60% of an adult's body weight.

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Water and our cells?

is within the cells, or intracellular fluid (ICF)

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role of water

acts as asolvent, aids digestion, absorption, circulation and excretion

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Why is water vital?

the medium necessary for all chemical reactions and it is not stored in the body

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Nutritional Assessment

Components of a Nutritional Assessment like Dietary, medical, social data

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less than body Requirement

Imbalanced Nutrition: Less Than Body Requirements

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How to provide nutrution

To provide Oral Nutrition and stimulate appetite

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feeding tibe type one

Nasogastric Tube

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feeding tibe type two

Percutaneous endoscopic Gastrostomy

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Ensure safe placemtn

To Check Tube Placement

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Study Notes

  • Nutrition is the study of nutrients and how the body handles them.

BMI

  • Body Mass Index (BMI) for a 220 lb man who is 6 ft 3 inches tall is 27.5.
  • A BMI >30 indicates obesity, according to the NHLBI guidelines.

Nitrogen Balance

  • A patient with a negative nitrogen balance is in a catabolic state.

Fats

  • Patients should avoid manufactured, partially hydrogenated liquid oils, also known as trans fats, because they raise serum cholesterol.

Vitamins

  • Vitamins do not provide calories to the body.
  • Vitamins are needed for the metabolism of carbohydrates, proteins, and fats.
  • The fat-soluble vitamins are A, D, E, and K.

MyPlate Food Guidelines

  • The MyPlate schematic includes the food groups proteins, vegetables, starches, and dairy.

Calorie Intake Recommendations

  • Carbohydrates should provide 45% to 65% of calories for adults, focusing on complex carbohydrates.
  • Protein intake should contribute 10% to 35% of total caloric intake.

Body Composition

  • An adult's total body weight is 50% to 60% water.

Dysphagia

  • Dysphagia is associated with an increased risk for aspiration, which involves the misdirection of oropharyngeal secretions or gastric contents into the larynx and lower respiratory tract.

Metabolism

  • Basal metabolism is the energy required to carry on the involuntary activities of the body at rest.

Nutrients

  • Nutrients are specific biochemical substances used by the body for growth, development, activity, reproduction, lactation, health maintenance, and recovery from injury or illness.

Anorexia

  • A patient who is anorexic has a lack of appetite.

Trace Minerals

  • Trace minerals with recommended dietary intake include iron, zinc, manganese, chromium, copper, molybdenum, selenium, fluoride, and iodine.

Nutrient Functions

  • Carbohydrates spare protein, allowing it to be used for other functions.
  • Protein promotes tissue growth and repair.
  • Dietary fat prevents ketosis from inefficient fat metabolism.
  • Excessive protein burdens the kidneys when metabolized.
  • Fat delays glucose absorption.
  • Protein forms antibodies.

Mineral Functions and Sources

  • Calcium (Dairy) is for bone/tooth formation, blood clotting, nerve transmission, and muscle contraction.
  • Sodium (Salt and processed foods) is the major ion of extracellular fluid; fluid balance; acid-base balance.
  • Phosphorus (Milk, cola) is for bone and tooth formation; acid-base balance; energy metabolism.
  • Chloride (Salt) is a component of HCl in the stomach; fluid balance; acid-base balance.
  • Iodine (Seafood) is a component of thyroid hormones.
  • Iron (Liver) transports oxygen (hemoglobin) and is a constituent of enzymes.

Macronutrients, Micronutrients, and Energy

  • Macronutrients are essential nutrients that supply energy and build tissue.
  • Micronutrients are vitamins and minerals required in small amounts to regulate and control body processes.
  • Calories measure energy in the diet.
  • Basal metabolism is the amount of energy required for involuntary body activities at rest.
  • RDA is the recommendation for average daily amounts that healthy population groups should consume.
  • MyPlate Food Guide is a graphic device to represent a total diet and provide a firm foundation for health.

Nitrogen Balance

  • Nitrogen balance reflects the balance of intake and excretion, reflecting catabolism and anabolism (Equal=balance).
  • Positive nitrogen balance indicates tissue growth.
  • Negative nitrogen balance indicates tissue breakdown.

Fatty Acids

  • Saturated fats (animal fats) contain more hydrogen, are solid at room temperature, and raise cholesterol and risk for cardiovascular disease.
  • Unsaturated fats (vegetable oils) remain liquid at room temperature and lower serum cholesterol levels.
  • Trans fats (hydrogenated oils) are solid at room temperature and raise LDL ("bad") cholesterol and lower HDL ("good") cholesterol.

Nutritional Needs by Age Group

  • Infancy is the most rapid period of growth and requires greater nutritional needs per unit of weight.
  • Toddlers and preschoolers: Growth rate slows, increase muscle and bone mass. Appetite decreases and becomes erratic. Autonomy.
  • School-aged children: Focus on health promotion. Needs balanced nutritional foods, appetite improves but may still be irregular.
  • Adolescents: Nutritional needs increase to support growth. Eating disorders may arise, especially in girls.
  • Adults: Growth ceases, and nutritional needs level off.
  • Pregnant persons: Increased needs, especially in 2nd and 3rd trimesters. Folate supplementation is necessary, higher caloric needs.
  • Older adults: Decrease BMR, activity, muscle and energy expenditure. Calorie needs decrease.

Macronutrient Functions and Percentages

  • Carbohydrates supply energy (4 cal/g), spare protein, help burn fat efficiently, and prevent ketosis. Recommended percentage is 45-65%.
  • Proteins maintain body tissues, support new tissue growth, and are a component of the body framework. Recommended percentage is 10-35%.
  • Fats are important components of cell membranes, synthesis of bile acids and steroid hormones, are a concentrated source of energy (9cal/g), aid in absorption of fat-soluble vitamins, and aid in insulation and temp control. Saturated fats should be limited to <10% of daily caloric intake and unsaturated fat >35%.
  • Vitamins are needed in the metabolism of carbohydrates, proteins, and fats, support vital functions, and prevent deficiency diseases.
  • Minerals are a key component of body structures and regulate body processes.
  • Water is essential for all biochemical reactions, helps regulate body temperature, lubricates joints, needed for adequate mucous secretions, and supports blood volume and blood pressure. Recommended range is 2,200-3,000 mL/day.

Interventions to Increase Peristalsis

  • Eat a variety of high-fiber foods.
  • Intake 2,200-3,000 ml/daily water.
  • Substitute high-fiber foods for low-fiber foods.
  • Add bran to diet slowly to reduce flatus.

Eating Disorders

  • Anorexia nervosa: Weight loss that can be fatal due to unhealthy/restricted eating.
  • Bulimia: Gorging followed by purging with self-induced vomiting.

Variables Affecting Nutritional Needs

  • Biologic sex: Men may have higher caloric needs than women.
  • State of health: Alteration of nutritional needs varies with intensity/duration of trauma/illness.
  • Alcohol abuse alters the body's use of nutrients by various mechanisms.
  • Medications: Drugs change PH, increase mobility can alter nutrient absorption.
  • Religion: Beliefs cause of dietary restrictions associated with various religions.
  • Economics: Food budget affects dietary choices and patterns.

Methods of Collecting Dietary Data

  • Food diaries: Patient records all food intakes and amounts up to a week.
  • 24-hour diet recall: Patient's memory of food intake, amount and place over the past 24 hours.
  • Food frequency record: General account of food group intake.

Assessing Nourishment

  • Assess weight, height, BMI, and 24-hour diet recall.
  • Evaluate tolerance of types of foods and assess medication interactions.

Teaching Strategies

  • Provide verbal instructions.
  • Advise eliminating foods not tolerated.
  • Offer support and encouragement.

Types of Diets

  • Clear-liquid diet: consists of clear liquids at room temperature.
  • Full-liquid diet: consists of all liquids that can be poured at room temperature.
  • Low-fiber diet: <10g/day.

Nasointestional or jejunal feeding tubes

  • Nasointestional or jejunal feeding tubes are used for minimal risk for aspiration, dumping syndrome may develop.

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