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Questions and Answers
According to the Cornell University study, what is the primary driver of the obesity epidemic in the US?
According to the Cornell University study, what is the primary driver of the obesity epidemic in the US?
Compared to 1970, approximately how many more kilocalories (kcals) per person were sold daily in 2008?
Compared to 1970, approximately how many more kilocalories (kcals) per person were sold daily in 2008?
What percentage of daily calories in the USA comes from ultra-processed foods?
What percentage of daily calories in the USA comes from ultra-processed foods?
In 2013, what was the primary use of potatoes consumed in the US?
In 2013, what was the primary use of potatoes consumed in the US?
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Why have radical changes in nutrition in developed Western countries been described as a 'dangerous social experiment'?
Why have radical changes in nutrition in developed Western countries been described as a 'dangerous social experiment'?
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Ready-to-eat cereals being a top source of vitamins and minerals in children’s diets may be concerning because:
Ready-to-eat cereals being a top source of vitamins and minerals in children’s diets may be concerning because:
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What is the estimated yearly consumption of added sugar in the U.S. for a person with a 2,500 kcal/day diet?
What is the estimated yearly consumption of added sugar in the U.S. for a person with a 2,500 kcal/day diet?
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Which of the following beverages contains approximately 40 grams of sugar per 12-ounce serving?
Which of the following beverages contains approximately 40 grams of sugar per 12-ounce serving?
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A man with a family history of heart issues reads that chocolate improves CVD risk factors and starts eating a lot of chocolate bars daily. What is the most likely negative consequence of his actions?
A man with a family history of heart issues reads that chocolate improves CVD risk factors and starts eating a lot of chocolate bars daily. What is the most likely negative consequence of his actions?
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A woman is advised by a health store clerk to take essential fatty acids and collagen supplements for her skin. What is the primary reason this advice might not be beneficial?
A woman is advised by a health store clerk to take essential fatty acids and collagen supplements for her skin. What is the primary reason this advice might not be beneficial?
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According to research presented, what percentage of adults in the U.S. followed a heart-healthy lifestyle during 2005-2008?
According to research presented, what percentage of adults in the U.S. followed a heart-healthy lifestyle during 2005-2008?
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What is identified as a leading cause of illness and early death globally?
What is identified as a leading cause of illness and early death globally?
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What does Dr. Ali Mokdad from the University of Washington state causes more health loss than smoking, alcohol, or drug abuse in the U.S.?
What does Dr. Ali Mokdad from the University of Washington state causes more health loss than smoking, alcohol, or drug abuse in the U.S.?
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Why is providing accurate nutritional information important?
Why is providing accurate nutritional information important?
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What is the most accurate interpretation of why a strong focus on nutrition is crucial?
What is the most accurate interpretation of why a strong focus on nutrition is crucial?
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Why might blindly following nutritional advice from non-qualified personnel (such as a store clerk) be detrimental?
Why might blindly following nutritional advice from non-qualified personnel (such as a store clerk) be detrimental?
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Which characteristic is most indicative of ultra-processed foods according to the NOVA classification?
Which characteristic is most indicative of ultra-processed foods according to the NOVA classification?
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Why is it important to be cautious of information sources that are trying to sell a product?
Why is it important to be cautious of information sources that are trying to sell a product?
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Which of the following is an example of a functional food?
Which of the following is an example of a functional food?
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Why are essential nutrients indispensable to the human body?
Why are essential nutrients indispensable to the human body?
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Which of the following nutrients is considered non-essential?
Which of the following nutrients is considered non-essential?
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Which of the following is an inorganic nutrient?
Which of the following is an inorganic nutrient?
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Which vitamin has an exception to the rule that vitamins are essential nutrients?
Which vitamin has an exception to the rule that vitamins are essential nutrients?
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Which of the following foods would be classified as 'processed' under the NOVA classification?
Which of the following foods would be classified as 'processed' under the NOVA classification?
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Based on the information provided, how does sugar consumption from a 12-ounce serving of grape juice compare to that of orange juice?
Based on the information provided, how does sugar consumption from a 12-ounce serving of grape juice compare to that of orange juice?
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What is the correlation between diets high in added sugars and mortality rates in the U.S., according to the information presented?
What is the correlation between diets high in added sugars and mortality rates in the U.S., according to the information presented?
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According to the information, which four of the top six causes of death in the U.S. are associated with poor diet?
According to the information, which four of the top six causes of death in the U.S. are associated with poor diet?
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How does the information characterize the change in the prevalence of type 2 diabetes and high cholesterol in children over the past 50 years?
How does the information characterize the change in the prevalence of type 2 diabetes and high cholesterol in children over the past 50 years?
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Which of the following health risks is NOT listed as a potential consequence of poor nutrition?
Which of the following health risks is NOT listed as a potential consequence of poor nutrition?
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According to the information, what was the approximate change in the likelihood of women developing breast cancer during their lifetime between 1973 and the present?
According to the information, what was the approximate change in the likelihood of women developing breast cancer during their lifetime between 1973 and the present?
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What can be inferred from the juxtaposition of 'Low-sugar, low-carb, high-protein, high-fiber' versus 'High-sugar, high-carb, no protein, no fiber' in the context of the information provided?
What can be inferred from the juxtaposition of 'Low-sugar, low-carb, high-protein, high-fiber' versus 'High-sugar, high-carb, no protein, no fiber' in the context of the information provided?
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If a public health campaign aims to reduce deaths associated with poor diet, which of the following strategies would be MOST directly supported by the information?
If a public health campaign aims to reduce deaths associated with poor diet, which of the following strategies would be MOST directly supported by the information?
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Considering the provided data, which food item provides the most energy per gram?
Considering the provided data, which food item provides the most energy per gram?
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A nutritionist is advising a client on selecting foods with lower energy density. Based on the provided data, which of the following would be the most suitable choice?
A nutritionist is advising a client on selecting foods with lower energy density. Based on the provided data, which of the following would be the most suitable choice?
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If an individual consumes 2 servings (1 cup) of raw broccoli and one banana, approximately how many kilocalories will they have consumed?
If an individual consumes 2 servings (1 cup) of raw broccoli and one banana, approximately how many kilocalories will they have consumed?
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Which of the following statements accurately describes the relationship between Estimated Average Requirement (EAR) and Recommended Dietary Allowance (RDA)?
Which of the following statements accurately describes the relationship between Estimated Average Requirement (EAR) and Recommended Dietary Allowance (RDA)?
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A researcher is studying the Vitamin C intake of a group of men aged 19 and older. Which Dietary Reference Intake (DRI) would be most appropriate to use to estimate the minimum intake needed to prevent deficiency in half of the group?
A researcher is studying the Vitamin C intake of a group of men aged 19 and older. Which Dietary Reference Intake (DRI) would be most appropriate to use to estimate the minimum intake needed to prevent deficiency in half of the group?
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A public health campaign aims to encourage individuals to consume foods that provide a substantial amount of nutrients relative to their calorie content. Based on the information provided, which food would be the best example to promote?
A public health campaign aims to encourage individuals to consume foods that provide a substantial amount of nutrients relative to their calorie content. Based on the information provided, which food would be the best example to promote?
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An athlete needs to consume a snack that provides approximately 200-250 kcal. Using the provided information, which single food item would be the best choice?
An athlete needs to consume a snack that provides approximately 200-250 kcal. Using the provided information, which single food item would be the best choice?
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A dietitian is creating a meal plan and wants to ensure that the vitamin C intake meets the needs of nearly all (approximately 98%) of the healthy adult males. Which DRI value should the dietitian primarily use?
A dietitian is creating a meal plan and wants to ensure that the vitamin C intake meets the needs of nearly all (approximately 98%) of the healthy adult males. Which DRI value should the dietitian primarily use?
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If a healthy 65-year-old woman consistently consumes a nutrient at the Tolerable Upper Intake Level (TUIL), what is the likely outcome?
If a healthy 65-year-old woman consistently consumes a nutrient at the Tolerable Upper Intake Level (TUIL), what is the likely outcome?
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Why might high-dose dietary supplements pose a greater risk of nutrient toxicity compared to consuming regular foods?
Why might high-dose dietary supplements pose a greater risk of nutrient toxicity compared to consuming regular foods?
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What is the primary difference between the Recommended Dietary Allowance (RDA) and the Adequate Intake (AI) value?
What is the primary difference between the Recommended Dietary Allowance (RDA) and the Adequate Intake (AI) value?
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A food label indicates that a serving of the product provides 60% of the Daily Value for potassium. If the Adequate Intake (AI) for potassium for a 35-year-old female is 2600 mg, how many milligrams of potassium are in the serving?
A food label indicates that a serving of the product provides 60% of the Daily Value for potassium. If the Adequate Intake (AI) for potassium for a 35-year-old female is 2600 mg, how many milligrams of potassium are in the serving?
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Why are Dietary Reference Intakes (DRIs) established with different values for males and females, as well as different age groups?
Why are Dietary Reference Intakes (DRIs) established with different values for males and females, as well as different age groups?
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What is the significance of the 'Reference Man' and 'Reference Woman' when determining protein RDA (Recommended Dietary Allowance)?
What is the significance of the 'Reference Man' and 'Reference Woman' when determining protein RDA (Recommended Dietary Allowance)?
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Which scenario would be LEAST likely to result in nutrient toxicity?
Which scenario would be LEAST likely to result in nutrient toxicity?
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An athlete is considering taking a vitamin D supplement to improve bone health. What information would be MOST important for them to consider to minimize the risk of adverse effects?
An athlete is considering taking a vitamin D supplement to improve bone health. What information would be MOST important for them to consider to minimize the risk of adverse effects?
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Flashcards
Calcium for Bone Health
Calcium for Bone Health
Calcium is essential for maintaining bone density and strength.
Overconsumption of Chocolate
Overconsumption of Chocolate
Eating too much chocolate can increase health risks despite perceived benefits.
Misleading Supplements
Misleading Supplements
Not all supplements, like omega fatty acids and collagen, provide the expected benefits.
Importance of Nutrition Knowledge
Importance of Nutrition Knowledge
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Industrialized Food System Risks
Industrialized Food System Risks
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Health Loss Factors
Health Loss Factors
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Heart-Healthy Lifestyle Statistics
Heart-Healthy Lifestyle Statistics
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Obesity Prevalence
Obesity Prevalence
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US Obesity Epidemic Cause
US Obesity Epidemic Cause
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Processed Foods
Processed Foods
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Increased Portion Sizes
Increased Portion Sizes
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Calories from Added Sugars
Calories from Added Sugars
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French Fries Consumption
French Fries Consumption
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Ready-to-Eat Cereals
Ready-to-Eat Cereals
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Sugar in Popular Drinks
Sugar in Popular Drinks
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Energy-Dense Food
Energy-Dense Food
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Grape Juice Sugar Content
Grape Juice Sugar Content
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Orange Juice Sugar Content
Orange Juice Sugar Content
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Sugar-Related Deaths
Sugar-Related Deaths
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Top Causes of Death
Top Causes of Death
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Consequences of Poor Nutrition
Consequences of Poor Nutrition
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Type 2 Diabetes in Children
Type 2 Diabetes in Children
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Breast Cancer Statistics
Breast Cancer Statistics
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Mental Health and Nutrition
Mental Health and Nutrition
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Internet Information Sources
Internet Information Sources
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Whole Foods Definition
Whole Foods Definition
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NOVA Classification
NOVA Classification
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Ultra-Processed Foods
Ultra-Processed Foods
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Functional Foods
Functional Foods
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Essential Nutrients
Essential Nutrients
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Organic vs Inorganic Nutrients
Organic vs Inorganic Nutrients
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Adequate Intake (AI)
Adequate Intake (AI)
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Tolerable Upper Intake Level (TUIL)
Tolerable Upper Intake Level (TUIL)
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Reference Man and Woman
Reference Man and Woman
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RDA (Recommended Dietary Allowance)
RDA (Recommended Dietary Allowance)
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Daily potassium requirements for females
Daily potassium requirements for females
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Nutrient toxicity risk
Nutrient toxicity risk
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Increasing nutrient intake analysis
Increasing nutrient intake analysis
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Public health recommendations
Public health recommendations
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Energy Density
Energy Density
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Estimated Average Requirements (EAR)
Estimated Average Requirements (EAR)
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Recommended Dietary Allowance (RDA)
Recommended Dietary Allowance (RDA)
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Tolerable Upper Intake Level
Tolerable Upper Intake Level
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Broccoli Energy Density
Broccoli Energy Density
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Hershey‘s Symphony Bar Energy Density
Hershey‘s Symphony Bar Energy Density
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Avocado Energy Density
Avocado Energy Density
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Study Notes
Clinical Nutrition I (2024) - Lecture 1
- Introduction to Nutrition, taught by Jeffrey Sepúlveda, N.D.
The Fundamental Pillars of Health
- Health is built on the pillars of mental state, sleep, nutrition, exercise, toxicity avoidance, and social life.
Importance of Nutrition
- Nutrition is a vital cornerstone of health, crucial for disease prevention and treatment, and health optimization.
- Providing essential nutrients optimizes body biochemistry and physiology.
- Poor or inadequate nutrition is often a root cause of many health problems
- Mastering nutrition is critical for naturopathic practice and therapeutic interventions.
Importance of Nutrition (continued)
- This course provides a foundation in nutrition, which is essential for other related courses like cardiology, gastroenterology, etc.
- Understanding and mastering the foundational knowledge is required for success in subsequent clinical courses.
Importance of Nutrition (continued, defining nutrition, and nutrients)
- Nutrition is the study of nutrients and other substances in food, their intake, digestion, absorption, transport, metabolism, and excretion.
- Nutrients are substances that support growth, provide energy, and maintain life processes.
Importance of Nutrition (what is malnutrition)
- Malnutrition includes both deficient and excessive nutrient intake.
- Causes of malnutrition can be poor dietary habits, physiological or pathological conditions (e.g., celiac disease, pancreatic insufficiency), restricted access to good food (e.g., poverty), environmental toxins, or medications that deplete nutrients.
Nutrition & Genetics
- Epigenetics demonstrates that even predisposed genes are influenced by environmental factors and a person's mental state.
- Good nutrition is a critical component for environmental interaction (nutrigenomics).
- Epigenetic factors are associated with various health conditions, such as cancer, endocrine disorders, autoimmune diseases, COPD, neurological issues, and metabolic disorders.
Why Focus on Nutrition? (Illustrative Cases)
- Cases of individuals with long-term depression, cognitive impairment, and gastrointestinal issues responding favorably to addressing nutritional deficiencies demonstrate the impact of nutrition on health.
Importance of Nutrition and Specific Conditions (Illustrative cases continued)
- Cases show how nutritional deficiencies were an underlying cause that led to conditions such as osteoporosis and cardiovascular risk.
- Cases show the need to understand the effect of dietary recommendations to ensure effective outcomes.
Importance of Nutrition (impact of poor nutrition)
- Poor nutrition is linked to a significant portion of deaths from leading causes, such as cardiovascular disease, cancer, stroke, and other chronic diseases like diabetes mellitus
Why the Obesity Epidemic?
- A Cornell study found that excessive food consumption, not junk food, fast food, or soda, is the root cause of the obesity epidemic.
- The current obesity epidemic is due to eating too much food, largely processed, energy-dense, and low in fiber.
- Portion sizes have increased significantly, providing extra calories that aren't burned.
- Processed foods, with added sugars, fats, and oils have increased significantly in relation to daily calorie consumption since 1970.
Anything Wrong with Nutrition Today? (cont.)
- A substantial proportion of potatoes are now used for processed products, such as chips and fries, impacting nutrient intake and possibly contributing to health issues..
- The types of foods consumed have radically changed over the past century, creating significant health risks.
- Modern diets, with low fiber, low protein, and high carbs and sugar, contribute to significant health problems such as obesity, type 2 diabetes, and high cholesterol.
- Concerns about the prevalence of type two diabetes and high cholesterol in children compared to 50 years ago highlight the effect poor nutrition has on the health of children.
- Meat consumption, particularly grilled or barbecue meats, and alcohol are associated with an increase in breast cancer and other cancers.
- A case study on the worst restaurant meal of 2013 reveals a meal's significant implications for chronic disease and nutrition.
- The use of trans fats in processed foods was banned; this suggests changes in a food's processing impacts people's health.
How the Way We Eat Has Changed
- Modern lifestyles and fast food restaurants have contributed to larger portion sizes, increased calorie consumption, with the availability of fast food restaurants correlated to an increase in BMI.
- People eat more frequently between meals.
Why People Eat the Way They Do?
- Taste preferences are influenced by genetic factors.
- Adaptive eating patterns, such as preferences for salty, fatty, and sugary foods, exist as adaptations to survival.
- Learned behaviors and environmental influences, such as parents, family, friends, ethnic traditions, and mass media, influence eating habits and preferences.
- Cost and convenience are critical motivations for food choices.
- Emotional comfort and health-seeking behavior can directly relate to dietary choices.
Conventional vs. Naturopathic Nutrition
- Conventional and naturopathic nutrition share common ground but differ in several strategies.
- Naturopathic nutrition emphasizes preventive and therapeutic strategies that address various conditions.
- Both approaches consider nutritional strategies for disease prevention and treatment, the use of supplements, and the avoidance of certain food ingredients and contaminants.
- Naturopathic treatments and practices have a long history, but many lack clinical research and may not be effective or safe.
- Educating the public, oneself, and patients regarding nutritional science is stressed.
Nutrition & Botanical Medicine
- There is considerable overlap between nutritional and botanical medical approaches.
What are we going to study about nutrients?
- Classification of nutrients, their roles, effects of deficiency, interactions, sources, assessment and conversion units.
Sources of Nutritional Information
- Nutritional information is obtained from scientific studies (in vitro, animal, human observational studies (epidemiological and longitudinal), clinical studies (open, double-blind, randomized, placebo-controlled).
- Traditional naturopathic treatments and practices have a history that includes some that lack clinical research and may not be effective or safe.
- Consumers should develop an understanding and be suspicious of sources of information trying to directly sell products.
Types of Foods
- Whole foods and processed foods.
- The NOVA classification system categorizes food based on processing level.
- Functional foods are designed to provide health benefits beyond basic nutrition
Types of Nutrients
- Essential (indispensable) and non-essential (dispensable) nutrients.
- Categorization of nutrients into energy yielding, structural, and supportive categories.
- Non-nutrients such as fiber, alcohol, and phytochemicals are further categorized.
Food Energy Measurement
- Energy yield of major nutrients (carbohydrates, proteins, fats, and alcohol) is measured in kilocalories (kcal).
- Essential calculations are provided regarding food and nutrient measurements.
Food Calorie Calculation
- Example calculations demonstrating how to calculate calorie content in a meal.
Energy Density
- Nutritional energy measurements on a per gram basis.
- Differences in the energy density of food are outlined.
- In this part the energy density of different foods are also compared and contrasted.
- Types of food high in kcals, low in kcals are outlined.
Dietary Reference Intakes (DRI) and Related Topics
- DRI is a guideline for healthy people.
- Estimated Average Requirements (EAR), Recommended Dietary Allowance (RDA), Adequate Intakes (AI), and Tolerable Upper Intake Level (UL).
- Explanations and examples describing these concepts are outlined.
- Information about how to find this information and how it is reported is also listed.
Daily Value (DV)
- DV is established by the FDA and used in food labels.
- Guidelines for comparing nutrients and understanding food labels are given.
- Information and instructions on the use of food labels are provided.
Acceptable Macronutrient Distribution Range (AMDR)
- AMDR outlines the acceptable range of macronutrients for ideal nutrition.
- Acceptable amount of carbs, proteins, and fats based on total daily kcals is detailed.
Estimated Energy Requirements (EER)
- EER is the energy intake needed to maintain energy balance, taking into account gender, age, weight, height, and physical activity level.
Further Notes
- Concise information regarding RDA, AI, and other relevant information is compiled.
Recommendations for Concluding Information (Recap of Key Points)
- Information is provided on the various components of nutrition highlighted in the lecture.
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Description
Explore key trends and issues in US nutrition, including the obesity epidemic and dietary changes since 1970. Analyze the consumption of ultra-processed foods, potatoes, and added sugars plus the impact of dietary shifts on health and the concerns of cereals in children’s diets.