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Questions and Answers

In temperate climate zones, which staple food provides a moderately good source of protein, according to the information?

  • Bananas
  • Cassava
  • Sweet potatoes
  • Rice (correct)

Which of the following best describes malnutrition?

  • Exclusive consumption of plant-based proteins.
  • Suboptimal supply of nutrients interfering with health, growth, and development. (correct)
  • Optimal supply of nutrients that supports growth and health.
  • A balanced intake of all food groups.

If someone primarily consumes cassava as their staple food, which nutritional concern is most relevant?

  • Excessive intake of essential amino acids
  • High intake of complex carbohydrates
  • Inadequate protein intake (correct)
  • Sufficient intake of plant protein

Which of the following food options, when chosen as a primary source of nutrition, is most likely to lead to a deficiency in essential amino acids without proper supplementation or dietary diversity?

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

How do dietary choices directly relate to the concept of nutrition as defined?

<p>Dietary choices are the initial step in the processes of becoming part of the body. (A)</p> Signup and view all the answers

Which of the following anthropometric measurements provides the LEAST information about an individual's nutritional status and risk of metabolic disease?

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

A patient is looking to adopt a healthier eating pattern. Based on the general guidelines, what dietary change would be MOST beneficial?

<p>Incorporating a variety of vegetables, fruits, and lean protein sources (C)</p> Signup and view all the answers

Which of the following is the MOST accurate method for determining the specific caloric needs of an individual?

<p>Conducting metabolic testing while considering their activity level and body composition. (D)</p> Signup and view all the answers

A person wants to make healthier food choices. Which snack aligns BEST with the recommendation of 'nutrient-dense' foods?

<p>A handful of unsalted nuts and seeds. (B)</p> Signup and view all the answers

A sedentary individual is aiming to improve their overall health through lifestyle changes. Besides adopting Pinggang Pinoy, what additional recommendation would contribute significantly to their well-being?

<p>Engaging in regular physical activity. (D)</p> Signup and view all the answers

Which of the following foods is the BEST source of monounsaturated fats?

<p>Most nuts, avocados, and olive oil. (A)</p> Signup and view all the answers

Why is it important to include essential amino acids in your diet?

<p>They cannot be produced by the body and must be obtained from food. (D)</p> Signup and view all the answers

Which of the following food groups would BEST contribute to meeting the daily requirement of omega-3 fatty acids?

<p>Salmon and mackerel. (D)</p> Signup and view all the answers

A diet that ‘eats the rainbow’ ensures that

<p>various vitamins are obtained. (C)</p> Signup and view all the answers

Which mnemonic includes an amino acid that is NOT essential?

<p>TYR in 'Always argues, never tires' (C)</p> Signup and view all the answers

A patient is looking to incorporate complete proteins into their diet. Which source would be most suitable?

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

Why is it important to consume complete proteins, as opposed to incomplete proteins?

<p>They provide all essential amino acids necessary for growth and repair. (C)</p> Signup and view all the answers

How many servings of fruits and vegetables should be a part of a healthy diet, according to the content?

<p>5 (D)</p> Signup and view all the answers

What type of dairy products should be consumed as part of a healthy diet?

<p>Fat-free and low-fat dairy products (A)</p> Signup and view all the answers

Which recommendation aligns with good nutritional practices for heart health, as per the guidelines?

<p>Focusing on healthy dietary patterns rather than individual foods. (C)</p> Signup and view all the answers

An adult wants to meet the American Heart Association's physical activity guidelines through moderate-intensity aerobic activity. What is the minimum amount of time they should engage in this activity per week?

<p>150 minutes (D)</p> Signup and view all the answers

What is a key indicator of moderate-intensity aerobic activity?

<p>Increase of 50-60% of resting heart rate (C)</p> Signup and view all the answers

What is the recommendation for performing muscle-strengthening exercises?

<p>Moderate to high intensity, performed a few times per week. (B)</p> Signup and view all the answers

Why are vigorous aerobic activities not recommended daily?

<p>They can be more tasking on the body when doing these activities daily. (B)</p> Signup and view all the answers

How many weekly servings of fish are recommended as part of a heart-healthy diet?

<p>At least 2 servings of unfried fish (B)</p> Signup and view all the answers

Which of the following characteristics is common among lipids?

<p>Limited water solubility (B)</p> Signup and view all the answers

What is the primary component, by percentage, of fats in our diet?

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

Why are vegetable oils sometimes treated with hydrogen?

<p>To increase their solidness and shelf life (D)</p> Signup and view all the answers

Which type of fat is considered the 'worst' due to its negative effects on cholesterol levels and cardiovascular health?

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

For children aged 6-17 years, what is the recommended minimum amount of daily physical activity?

<p>60 minutes of aerobic, muscle, and bone-strengthening activity (B)</p> Signup and view all the answers

Which of the following is an example of a bone-strengthening exercise?

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

What is a potential health consequence of extremely low body fat, particularly in women?

<p>Menstrual irregularities and fertility issues (C)</p> Signup and view all the answers

Besides Body Mass Index (BMI), what anthropometric measurement is a predictor of obesity and related health risks?

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

According to the information, what waist circumference measurement in men indicates a high risk for weight-related illnesses?

<p>40 inches (B)</p> Signup and view all the answers

When measuring Waist-to-Hip Ratio (WHR), where should the waist be measured?

<p>At the narrowest point (B)</p> Signup and view all the answers

For Asian men with a BMI of 24.0, which waist circumference measurement would be cause for concern regarding increased risk of co-morbidities?

<p>92 cm (B)</p> Signup and view all the answers

How does the risk of co-morbidities associated with a specific BMI typically change as waist circumference increases, based on the information provided?

<p>Risk increases, especially beyond the cut-off points provided. (A)</p> Signup and view all the answers

If an Asian woman has a BMI of 26.0 and a waist circumference of 82 cm, how would she be classified according to the provided information?

<p>Overweight with increased risk (C)</p> Signup and view all the answers

Why is assessing both BMI and waist circumference important when evaluating health risks?

<p>They independently contribute to risk assessment, as waist circumference indicates abdominal fat accumulation. (D)</p> Signup and view all the answers

Which of the following statements correctly relates body shape to potential health risks?

<p>Apple-shaped bodies are associated with increased risk of co-morbidities. (C)</p> Signup and view all the answers

Compared to the classification criteria used for Non-Asians, how are the BMI cutoffs for defining overweight or obesity in Asians different, and why might this difference exist?

<p>The cutoffs are lower, possibly due to differences in body composition and associated health risks at lower BMI levels. (C)</p> Signup and view all the answers

If an individual's waist circumference exceeds the threshold indicated for increased risk, how should this information ideally be used in a health assessment?

<p>As one factor among others, prompting further evaluation and management. (D)</p> Signup and view all the answers

For an Asian male presenting with a BMI of 23.0, what range of waist circumference would classify him as having 'increased risk' of co-morbidities?

<p>Exactly 90 cm and above (A)</p> Signup and view all the answers

Flashcards

Carbohydrates

Essential organic compounds that provide energy to the body, primarily through glucose.

Proteins

Macronutrients composed of amino acids aiding in tissue repair, enzymes, and hormones.

Lipids

Important for hormone production, insulation, and absorption of fat-soluble vitamins.

Pinggang Pinoy

A visual guide displaying the recommended proportions of different food groups for a balanced Filipino diet.

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Nutrient-Dense Foods

Foods providing substantial nutrients with minimal added calories and low in saturated fat, sodium and added sugar.

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Nutrition

The sum of processes by which food is selected and becomes part of the body.

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Malnutrition

A suboptimal (deficient or excessive) supply of nutrients that interferes with growth, development, and maintenance of health.

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Complete Plant Protein

Plant protein with a complete essential amino acid content.

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Wheat

Staple food in temperate climate zones.

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Bananas

Staple food in tropical climate zones.

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Monounsaturated Fats

Fats with one double bond in their fatty acid chains; often liquid at room temperature and considered healthier than saturated fats.

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Polyunsaturated Fats

Fats with two or more double bonds in their fatty acid chains; includes Omega-3 and Omega-6 fatty acids, crucial for health.

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Amino Acids

Monomers that form proteins; some are essential and must be obtained from food.

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Essential Amino Acids

Amino acids that the body cannot produce and must be obtained through diet.

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Eat the Rainbow

Ensuring variety in your balanced diet to consume the different vitamins through colourful food like fruits and vegetables.

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Complete Protein

Contains all essential amino acids for growth and repair in adequate amounts.

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Incomplete Protein

Does NOT contain all essential amino acids or contains them in limited amounts.

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Healthy Diet

Includes wide range of fruits, vegetables, and grain products while following proportions.

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Daily Servings (Fruits, Vegetables, Grains)

At least 5 daily servings of fruits and vegetables and at least 6 daily servings of grain products, including whole grains.

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Healthy Food Choices

Switch to fat-free and low-fat dairy products, fish, legumes, poultry, and lean meat.

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Dietary Patterns

Focus on healthy dietary patterns rather than individual food.

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Moderate-Intensity Activity

At least 150 min/week of moderate-intensity aerobic activity.

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Moderate Intensity Indicator

Increase of 50-60% of resting heart rate OR maintaining a conversation while jogging.

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Vigorous Aerobic Activity

At least 75 min/week of vigorous aerobic activity, preferably spread throughout the week.

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Vigorous Activity Indicator

You shouldn’t be able to talk when doing these exercises.

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Triglycerides

The most abundant type of fat in our diet, making up 95% of dietary fats.

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Trans Fats

Fats created from vegetable oils treated with hydrogen to increase solidity and shelf life.

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Waist Circumference

A measure of abdominal fat, indicating risk for weight-related illnesses.

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Waist-to-Hip Ratio (WHR)

Waist measurement at the narrowest point divided by hip measurement at the widest point.

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Body Mass Index (BMI)

Indicator calculated as weight (kg) / height (m)^2.

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Obesity (BMI)

BMI ≥ 30.0 kg/m^2

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Bone Strengthening Exercises

Physical activity that loads or impacts the bones, promoting bone density and strength.

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Muscle Strengthening Exercises

Physical activity that works your muscles against resistance, enhancing muscle strength and mass.

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High risk waist circumference (men)

Men waist circumference above 40 inches indicates what?

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BMI and Waist Circumference Classification

A classification system that uses BMI and waist circumference to assess health risks.

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Underweight BMI (Asians)

BMI < 18.5. Risk of co-morbidities is low, but there is an increased risk compared to normal BMI.

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Pear-Shaped Body

Extra weight around the hips and buttocks, more common in women, lower risk.

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Apple-Shaped Body

Extra weight around the abdomen, higher risk of health problems.

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High Waist Circumference (Asians)

Waist circumference ≥ 90 cm (men) or ≥ 80 cm (women) indicating elevated risk

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Healthy Waist Circumference (Asians)

Waist circumference < 90 cm (men) and < 80 cm (women).

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Healthy BMI

Normal range for Asians, associated with a standard risk of co-morbidities.

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Risk of Co-morbidities

Increased likelihood of developing health conditions like heart disease and diabetes.

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Study Notes

  • Nutrition is the sum of processes by which food is selected and becomes part of the body.
  • Malnutrition is either a deficient or excessive supply of nutrients that interferes with growth, development, and maintenance of health.
  • An adequate diet provides all essential nutrients and calories needed to maintain good health and acceptable body weight.
  • A dietary pattern is a combination of foods and beverages that constitutes an individual's complete dietary intake over time or a description of a combination of foods recommended for consumption.
  • Nutrient dense foods are rich in vitamins, minerals, and other health-promoting components, with little added sugar, saturated fat, or sodium.

Why Eat Healthy?

  • Healthy eating across the lifespan can promote health and reduce the risk of chronic diseases.
  • Benefits of healthy eating include a lower risk of overweight and obesity, type 1 diabetes, peanut allergy, and asthma.
  • It contributes to favorable cognitive development in children and favorable folate status in women during pregnancy and lactation.
  • Healthy eating has been associated with a lower risk of all-cause mortality, cardiovascular disease, and certain cancers, lower total and LDL cholesterol, lower blood pressure, lower risk of obesity, and favorable bone health.

Functions of Macronutrients

Carbohydrates (CHO)

  • The primary function is to provide energy, with 4 kcal/g.
  • It protects protein from being metabolized for energy.
  • Excess carbohydrates are converted to fat and stored as triglycerides in adipocytes.
  • Glucose is the preferred brain fuel, but ketones can be used during starvation or intermittent fasting.
  • Glycolipids provide protective coating on outer surface of cells (cell membrane).
  • Glycoproteins mediate cell interactions in the form of hormones.
  • Proteoglycans form the water-binding connective tissue between cells.
  • Monosaccharides ribose and deoxyribose are components of RNA/DNA.
  • Fibers are good for GI health and function.

Proteins

  • Sources include meat, fish, dairy products, and eggs which are high quality.
  • Alternative energy source with 4 kcal/g.
  • Excess dietary amino acids are not stored and are excreted in the urine.
  • Too much protein is detrimental to kidneys and the liver.
  • Animal protein has a higher biological value than vegetable protein.
  • Staple foods in temperate climate zones, such as rice, wheat, corn, and potato, are moderately good sources of protein.
  • Staple foods in the tropics, such as bananas, cassava, and sweet potatoes, are poor protein sources.

Types of Proteins

  • Fibrous proteins are components of muscle, skin, bones, tendons, blood vessels, teeth, and hair.
  • Blood proteins are involved in the storage and transport of substances such as oxygen, metal ions, glucose, and lipids.
  • Enzymes and hormones participate in metabolism, growth, and development.
  • Proteins of the immune system offer protections from external invasion
  • Proteins of the nervous system aid in acquisition of sensory information and transmission of nerve impulses
  • Amino acids are the building blocks of proteins.
  • Essential amino acids, which cannot be produced by the body, must be obtained from food.
  • "PVT TIM HaLL" is used as a mnemonic for essential amino acids

Lipids

  • Heterogeneous class of compounds with limited water solubility and plays important roles in cell structure and metabolism.
  • Forms of lipids include triglycerides (95%), phospholipids, and cholesterol esters.
  • Fats are derived from milk & milk products, egg yolk, meat, fish, poultry, nuts, seeds, vegetable oils/fats
  • Cholesterol is a fat-like substance that is a component of cell membranes, bile acids, and steroid hormones.
  • Recommendations are 20-30% fat and <10% saturated.
  • Fat has a high energy content (9 kcal/g), improves satiety, improves palatability, and provides essential fatty acids and fat-soluble vitamins (A, D, E, K).
  • Saturated fats are solid at room temperature and examples include milk, egg yolk, bacon, coconut, and palm oil.
  • Trans fats are considered worst fats, raising LDL cholesterol
  • Unsaturated fats generally liquid at room temperature and include monounsaturated and polyunsaturated fats.
  • Consume as LOW as possible on Partially hydrogenated oil

General Guidelines for a Healthy Diet

Healthy Eating Pattern

  • Choose from ALL major food groups.
  • Eat the rainbow to get different vitamins.
  • Eat a variety of fruits, vegetables, and grain products.
  • Proportions should be ≥ 5 daily servings of fruits and vegetables, ≥ 6 daily servings of grain products, and ≥ 2 servings of unfried fish per week.
  • Limit foods high in calories.

Physical Activity

  • For adults, ≥ 150 min/week of moderate-intensity aerobic activity or ≥ 75 min/week of vigorous activity, plus muscle-strengthening exercises on 2 or more days/week.
  • For 6-17-year-olds, 60 min/day of aerobic, muscle/bone strengthening activity.

Dietary Limits

  • Limit added sugars to <10% of calories/day for > 2 years old.
  • Avoid foods and beverages with added sugars for < 2 years old.
  • Limit saturated fat to <10% of calories/day and replace with unsaturated fat.
  • Sodium intake should be < 2,300 mg/day.
  • For alcoholic beverages, limit to ≤ 2 drinks/day for men and ≤ 1 drink/day for women.

Assessment of Nutritional Status

  • Percent body fat using a skinfold caliper.
  • Waist circumference.
  • Waist to hip ratio (WHR).
  • desirable body weight using standard tables
  • Body mass index (BMI) = Weight (kg) / Height² (m).
  • Total Caloric Requirement

Nutrition Guidelines for Filipinos

  • Consume safe foods and water to prevent diarrhea and other food- and water-borne diseases.
  • Use iodized salt to prevent lodine Deficiency Disorders.
  • Limit intake of salty, fried, fatty, and sugar-rich foods to prevent cardiovascular diseases.
  • follow Pinggang Pinoy

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