Nutrition 4 – Flashcards

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question
Which of the following explains why B vitamin deficiencies lead to lack of energy? A. B vitamins are a source of calories B. Absorption of CHO and fats is decreased C. Oxygen for energy metabolism cannot be transported to the cells D. Coenzymes needed for energy metabolism are produced in insufficient amounts.
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Answer is d
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Biotin known for? deficiency? Whats it involved in? -what foods?
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-The beauty vitamin- hair nails and skin -Develop deficiency by eating raw egg whites -Involved in energy production and DNA replication and transcription of genes -peanuts, egg yolks, yeast, liver, fish toxicity is rare
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Enhanced waters are healthier than plain water. A. True B. False
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False
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. Acids found in vegetables called _______ can reduce bioavailability of minerals.
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oxalates
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6. __________ are kept in tight control to maintain homeostasis in the body.
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Minerals
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7. Like vitamins, minerals act as _________ in several enzymatic reactions.
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cofactors
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8. ____________ crystals make up about 60% of bone mass, giving strength and hardness to bones and teeth.
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hydroxyapatite
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9. During _________, hydroxyapatite crystals attach to the collagen matrix in bone.
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mineralization
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1. _______ depends on maintaining an equal concentration of water and electrolytes inside and outside the body's cells.
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fluid balance
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2. Charged ions such as sodium, potassium, and chloride are called __________
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electrolytes.
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3. The feeling of dry mouth experienced during dehydration is part of the body's ___________
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thirst mechanism.
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9. Secretion of _________ from the pituitary gland signals the kidneys to cut down on water lost via urine excretion.
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antidiuretic hormone (ADH)
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8. Z____________occurs when the extracellular concentration of sodium is too low.
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hyponatremia
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7. The liquid that is between cells, but does not circulate throughout the body, is called ________
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interstitial fluid.
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6. __________ are substances that cause the body to lose water.
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diuretics
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If you are not consuming enough water or are excreting too much water from your body, _________ can occur.
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dehydration
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4. The process by which water moves in and out of cells from an area of lower concentration of solutes to an area of higher concentration of solutes is called _______
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osmosis, water moves to a high concentration of electrolytes
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Which provided the most absorbable iron? A. 1 apple B. 1 c milk Which provided the most absorbable iron? C. 3 oz steak D. 1/2 c spinach
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C. 3 oz steak
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___________ and _________ are transported by a protein, and stored in protein
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copper and iron
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A classic sign of zinc deficiency is A. Anemia B. Goiter C. Mottled teeth D. growth retardation
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D. growth retardation
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what is the deficiency of iron?
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anemia
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Selenium can lead to what? where do you find it, what regulates it?
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reduction of cancer the small intestine, regulated in the kidney
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Selenium may help prevent cancer due to its role as A. toxin B. an enzyme C. an antioxidant D. a supplement
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C. an antioxidant
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idodine regulates what? what is the deficiency called? iodine is needed for the synthesis of what?
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-growth and development -goiter -the hormone hyroxine
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Which of the following is the richest source of iodine? A. corn B. seafood C. orange juice D. cruciferous vegetables
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B. seafood
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_______________ is found in animal foods like meat and poultry, whereas the ______________ form is found in plant foods like grains and vegetables.
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heme iron, nonheme iron
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The trace mineral __________ is part of several metalloenzymes and proteins
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copper
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The most common dietary form of this mineral is _______________ This mineral acts as an antioxidant and aids in thyroid function.
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selenomethionine.
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Adequate ________ is important for maintaining a healthy immune system, and may aid in wound healing.
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zinc
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Which of the following minerals is linked with energy metabolism? potassium chromium calcium zinc
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chromium
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___________ is not considered essential, but it is very important for maintaining strong, healthy teeth.
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fluoride
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The deficiency disease _________ was much more common before iodine was added to salt in the United States.
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goiter
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Recently found to be necessary in humans, _________________ is the active form found in food. This trace mineral helps the body make use of insulin.
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trivalent chromium
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Which of the following minerals is linked with fluid and electrolyte balance? potassium zinc iron calcium
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potassium
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______ is required for DNA and RNA regulation.
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Zinc
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________ is a trace mineral that is a part of hemoglobin and myoglobin and is involved in oxygen transport.
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iron
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____________ acts as a cofactor for a variety of enzymes, and also plays a role in synthesis of bone.
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manganese
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________ is a mineral involved in bone formation and maintenance of fluid balance.
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phosphorous
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_________ is a major mineral in blood and is responsible for control of blood volume.
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sodium
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Which of the following minerals is linked with antioxidant function? selenium phosphorus sodium iodine
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selenium
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Which of the following minerals is linked with blood health? sodium selenium iron magnesium
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iron
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__________ is a trace mineral involved in thyroid hormones production
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iodine
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Which of the following minerals is linked with bone health? phosphorus potassium selenium iodine
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phosphorus
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Which of the following would be a significant source of potassium? bread canned corn tomato juice cured ham
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tomato juice
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Which of the following would be the best source of calcium? beef dark-green, leafy vegetables fruit salad dressing
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dark-green, leafy vegetables
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Susan had a salad made of dark, leafy greens, oil and vinegar dressing, and cheese. Susan consumed a significant amount of which of the following minerals? potassium and iron calcium and potassium iron and zinc zinc and sodium
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calcium and potassium
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Patrick wants to increase his intake and absorption of iron. He knows that heme iron is absorbed better than non-heme iron. Which of the following foods would provide him with highest amount of heme iron? whole-grain bread roast beef dark-green, leafy vegetables cheese
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roast beef
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Which of the following foods is a significant source of non-heme iron? salad dressing whole and enriched bread cheese milk
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whole and enriched bread
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iron major function example deficiency
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oxygen transport and energy production meat, fish, poultry heme-more absorbable than non heme deficiency causes anemia transported in body with protein called transferrin and is stored with protein called feratin if you have too much iron its stored
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where is magnesium found? whats the bioavailability like? what is magnesium needed for?
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60% in bones, 25% in muscles bioavailability it about 50% metabolism, synthesis of DNA and RNA and proteins
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where is the majority of phosphorous found? what does it stimulate? what does it form? sources?
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-bone tissue -reorption from bone, kidney excretion -forms hydroxiapatite in bones and teeth, part of DNA and RNA -animal sources, soft drinks
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what increases bioavailability of iron
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vitamin c
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what regulates iron concentration in body
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the liver but the hormone in the intestine pepsin absorbs iron
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major function of chloride? sources? deficiency?
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-maintains fluid balance, participates in digestion as part of fluid balance -seaweed, celery, processed foods -deficiency: rarely appears in healthy individuals, prolonged diarrhea,vomiting
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is potassium a cation or anion, intracellular or extracellular? what does it help maintain? toxicity? deficiency?
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- major cation in intracellular fluid, -helps maintain fluid and PH balance, helps lower high blood pressure -hyperkalemia- irregular heart beat, heart damage -hypokalemia- kidney stones, loss of blood mass
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what is copper involved in? sources? deficiency?
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involved in energy production and synthesis of melatin and is a component of antioxidant rich soure- legumes, whole grain, oyster deficiency-wilson and menkes disease
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what is zinc need for> sources? deficiency?
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energy metabolism but also involved in growth and skin and improving taste rich source is protein foods deficiency- skin rashes has to have protein to transport it - metallichymin
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selenium what is it? deficiency?
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is an antioxidant deficiency - kesshun disease, enlargement of the heart
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fluroide
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toxicity makes bones and teeth strong source- fluoridated water and tooth paste and sea food
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what does calcitonin do? what does the parathyroid hormone do?
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-produced in the thyroid gland, inhibits vitamin D and osteoclasts -from the parathyroid gland, it stimulates vitamin D and osteoclasts
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what is osteoblast? what is osteoclast?
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blast- bone forming cells clast- bone breaking cells
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where is the trabecular bone? where is the cortical bone?
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inside of bone surface of bone
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what is the most abundant mineral in the body?
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calcium, its a divalent cation
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Major function of calcium? what regulates calcium balance? toxicity? deficiency?
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-lower blood pressure, reduce risk of colon cancer, reduce risk of obesity -hormones and vitamin D -hypercalcemia- constipation, bone pain, muscle weakness -deficiency hypocalcemia- less dense, weakened and brittle bones
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too much sodium can cause
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hypertension and hypernatremia
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what is hyponatremia?
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consuming excess water in a short amount of time
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what diet reduces sodium intake?
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DASH, meditteranean
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what is sodiums major what role does it play where is it absorbed, how is it distributed? what maintains sodium balance? what does it transmit?
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-major electrolyte and cation -plays key role in regulating blood volume -small intestine, is distributed through circulatory system -kidneys maintain balance -transmits nerve impulses and muscle contraction
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chromium
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imprtant in carb and lipid metabolism maintains blood glucose sold as supplement toxicity
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iodine helps with what? deficiency? what sources? what can inhibit it?
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helps in synthesis of thyroxin thyroxin regulates temperature and growht deficiency is the goiter, enlargement of the thyroid gland children can have krevin, from mom with not enough iodine salt and sea food too much broccoli can inhibit absorption of iodine
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which osteoporosis is only in women?
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type 1, results from lower estrogen levels
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what determines peak bone mass? what is it? when does boneloss begin?
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genetics, the maximum amount of bone a person can have -mid 30s
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What is sulfate part of in the body? where is it absorbed? what is it part of? sources?
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-other compounds; biotin, thiamin and proteins -It's absorbed throughout the GI tract -part of amino acids -meat, poultry, fish, legumes, dairy, beer, wine -no toxicity or deficiency
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too much tea and coffee can inhibit ______ absorption --__________ provides homeostasis
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iron pepsidin
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balance means what?
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you're taking enough energy to be even with expenditure
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energy greater than expenditure
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+E balance, gain weight
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expenditure greater than energy intake
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-E balance lose weight
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what is bomb calometer
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the equipment that measures calories
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3 components of energy expenditure
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-basal metabolism- biggest component. its energy to keep your body working. the more muscle you have the higher your bmr -physical activity -thermic effect of food -adaptive thermogenusis, extreme stress
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thermogenesis-
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generation of heat by the body
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which energy process supports all energy of life?
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basal metabolism
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how do we measure basic metabolic rate
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measure amount of heat expended in insulated room
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indirect calorimetry
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measures amount of oxygen consumed, (o2 consumed, co2 expended)
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Symptoms of microcytic anemia
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- red blood cells are smaller than normal -treatment often involves supplementation with iron and vitamin C -a deficiency of vitamin B6 or iron may cause this type of anemia
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Symptoms of macrocytic anemia-
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-treatment may involve injections of vitamin B12 -This may be caused by a deficiency of folate -a form of this anemia, called pernicious anemia, occurs when inadequate intrinsic factor is secreted into the stomach
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Symptoms of sickle-cell anemia
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-red blood cells may abnormally formed into half moon shapes -this type of anemia is caused by a recessive mutation that causes hemoglobin molecules to fold incorrectly
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thermic effect of food- (TEF)
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the amount of energy expended by the body to digest, absorb, transport, metabolize and store energy yielding nutrients from foods
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The largest component of energy expenditure is A. basal metabolism B. physical activity C. indirect calorimetry D. thermic effect of food
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A. basal metabolism
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brown fat is used for what?
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to maintain your body temperature
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waist circumference bigger than 35 for women waist circumference bigger than 40 for men
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determines body composition
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Resting metabolic rate? (RMR)
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The measure of the amount of energy expended by the body at rest and after approximately a 3 to 4 hour fasting period, 6% higher than BMR
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Thermic effect of exercise (TEE)
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this refers to the increase in muscle contraction that occurs during physical activity, which produces heat and contributes to the total energy expenditure
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Non-exercise activity thermogenesis- (NEAT)
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the energy expended for all activities not related to sleeping, eating or exercise, including fidgeting, performing work related activities and playing
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multiple choice question What is the range of healthy body fat for women ages 40 to 59? A. 10-23% B. 23-35% C. 35-45% D. 40-59%
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B. 23-35%
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Factors that affect BMR and how Age Height Growth Body composition (Gender)
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Age- lean body mass diminishes w age, slowing BMR Height-In tall, thin people, BMR is higher Growth-In children and pregnant women, BMR is higher Body composition (Gender)-The more lean tissue, the higher the BMR (why males have a higher BMR than females) the more fat tissue, the lower BMR
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Factors that affect BMR and how Fever stresses Environmental temperature Fasting/Starvation
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Fever- raises BMR stresses-like diseases and certain drugs raise BMR Environmental temperature-Both heat and cold raise BMR Fasting/Starvation- fasting, starvation lowers BMR
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Factors that affect BMR and how Malnutrition Horomones (gender) Smoking Caffeine Sleep
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Malnutrition- lowers BMR Horomones (gender)- thyroid horomone thyroxin (EX.) can speed up or slow down BMR, premenstrual raise BMR Smoking-Nicotine increases energy expenditure Caffeine-caffeine increases energy expenditure Sleep-BMR is lowest when sleeping
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-This mineral is a major cation outside the cell -Excess intake may contribute to hypertension (high blood pressure) in those more sensitive to this mineral
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Sodium
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This mineral participates in digestion as part of the hydrochloric acid in the stomach
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Chloride
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-A deficiency to this mineral may lead to muscle weakness, cramps, and an irregular heartbeat - This mineral is a major cation outside the cell
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Potassium
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-The body stores 99% of this mineral in the bones and teeth -This mineral may be found in dairy products, leafy greens and fish like salmon or sardines
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Calcium
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-This mineral helps provide structure for cell membranes and is part of the backbone of DNA and RNA
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Phosphorus
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Large intakes of this nutrient is supplement form may cause diarrhea, cramps and nausea
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Magnesium
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water soluble vitamins are easily destroyed by what? are they stable?
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not as stable, destroyed by heat, light and oxidation
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are fat soluble vitamins stable?
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yes generally
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Where are water soluble vitamins absorbed? Are they hydrophobic or hydrophilic? Are they absorbed in the blood or the lymph?
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-small intestine (duodenum, jejunum) portal vein then transported to the liver, where they are either stored or sent -hydrophilic -blood
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Are water soluble vitamins stored in the body? Can they build up and become toxic?
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Not generally, when not stored can't build up
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Do water soluble vitamins need to be consumed daily? What about fat soluble?
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water soluble- yes fat soluble- no
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_____________ are hydrolyzed in the stomach from protein complexes found in food
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Water soluble vitamins
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Primary function of B12? (cobalamin) where is vitamin B12 absorbed? stored? deficiency? bioavailability? what sources? -deficiency
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-hematopoitic (blood formation), nerve function, heart health, activates folate, maintains mylin sheet of nerve tissue -absorbed in the ileum, liver -deficiency persiscious anemia -absorption decreases with age -animal sources only, meat fish cheese milk eggs -pernicious anemia,
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Primary function of folate? (B vitamin) what activates it? what does it assist?, what might it prevent? what food can you find it in? is there risk for toxicity? what is deficiency?
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-hematopoitic (blood formation), heart health -B12 activates it within the cell -assists in preventing spina bifida involved in neural tube development, might prevent cancer and heart disease -dark leafy green vegetables, legumes, enriched pasta, liver -no risk for toxicity -spina bifida, neural tube defects, many of these are during pregnancy, macrocytic anemia
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Primary function of Thiamin? (B vitamin) Coenzyme form? Where is it absorbed, and how? what does it do? Food sources? Deficiency?
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-nerve function -heart health -coenzyme/active form is thyamin pyrophosphate (TPP) -the jejunum, passive diffusion -it produces ATP from carb metabolism, nerve impulses used to synthesize DNA and RNA -enriched and fortified foods, whole grain, lean pork -Beriberi-muscle paralysis
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What are the two typed of beriberi? What is is a deficiency of?
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-wet- edema and congestive heart failure -dry-muscle wastin without edema or nerve degeneration -thiamin
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Primary function of Niacin? Two forms? which is active? what can it be synthesized from? Deficiency Rich source
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-protein synethsis, heart health, maintaining skin -nicotinic acid and nicotinomide- the active form is nicotinomide -Can be synthesized from trypophan -Pellegra is deficiency- 4 D's- dermetiatis, dementia, diarrhea, death - meat
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Primary function of vitamin C? (ascorbic acid) Metabolic functions? sources? toxicity? deficiency?
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-antioxidant -collagen synthesis, enhances iron absorption, boosts immune system -fruits, vegetables, broccoli citrus strawberries -toxicity- nausea,cramps leads to kidney stones -deficiency- scurvy, bleeding gums, wounds wont heal advanced- deterioration of muscles including heart -
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functions of riboflavin? where is it absorbed and how? sources of riboflavin? deficiency? what destroys it/ makes it unstable?
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-participates in energy metabolism through oxidation -the small intestine, active transport -milk is a rich source, yogurt, enriched and fortified cereals and grains -Ariboflavinosis is the deficiency tongue and mouth grossness -Riboflavin is destroyed by UV light
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One element is inorganic and doesn't contain ________, so it doesn't provide __________
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carbon so it doesnt provide energy
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what are the amounts of major and trace minerals present in the body?
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-Major minerals are present in the body, greater than 5 grams -Trace minerals are present in the body in less than 5 grams
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Are vitamins stable? what about minerals?
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-Vitamins are not stable -minerals are
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what affects bioavailability?
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Nutritonal status
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If you take in too much _______, your __________ intake might decrease
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sodium, calcium
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what can too much sodium lead to?
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• Too much sodium can lead to hypertension or osteoporosis (bc of interaction between calcium and sodium)
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wherever sodium is __________ follows
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chloride
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Pantothenic Acid used in? where absorbed and how? what foods is it found in? What destroys it? deficiency?
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-fat protein and carb metabolism -Small intestine, if high intake- passive diffusion if low, active transport -nuts, legumes, meat, milk and eggs -destroyed by heat/ food processing -deficiency is rare, but nausea, vomiting, muscle cramps
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Three forms of B6? (pyridoxal phosphate) where is it activated? where is it stored? function? toxicity? deficiency?
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- B6 (plants), B6 aldehyde (animal), B6 amine (animal) -in the liver -stored mostly in muscle -coenzyme for more than 10 enzymes, amino acid metabolism, hemoglobin, carb metabolism -Toxicity- nerve damage, difficulty walking -deficiency- sore tongue, skin inflammation
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General functions of water soluble B vitamins: Energy release: Metabolism of AA: Cell replication and DNA RNA synthesis
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-Energy release: Thiamin, riboflavin, niacin, biotin, pantothenic acid -Metabolism of AA: Vitamin B6 -Cell replication and DNA RNA synthesis: Folate and B12
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Water's locations in the body- -Intracellular: (ICF) -Interstitial: -Intravascular: -extracellular: (ECF)
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-Intracellular: within the cells,contains about 2/3 of total body water, contains potassium, proteins, various acids -Interstitial: surrounding cells -Intravascular: vascular system and lymph -extracellular: outside the cells, contains sodium bicarbonate and sodium chloride
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water moves through Intracellular and extracellular ______
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easily
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what does polarity attract?
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charged particles into a solution that dissolves proteins, glucose, salts, and some minerals
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non-polar compounds such as lipids are not attracted to what?
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H20, so they don't dissolve
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Functions of water in the body -helps transport: -body temperature -lubricates -cushions -structural -acid base balance
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-helps transport oxygen, nutrients and hormones to cells -maintains body temperature: absorbs and released heat generated by the body -lubricates: joints, eye tissue, mouth intestinal tract -cushions brain and fetus -structural: cells and glycogen -balances acidic or PH levels
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high hydrogen concentration is ________ low hydrogen concentration is _________
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acidic basic
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what is homeostasis?
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water maintaining proper fluid balance, he body adapting to changes in intake and losses
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the majority of water is excreted through________
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the kidneys through urine
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Were can water be lost?
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intestinal fluids in stool, diarrhea and vomiting increases excretion, sweat
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water is excreted through ...
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kidneys, lungs, skin, large intestine
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what are electrolytes? list them? which has the greatest effect on fluid balance?
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minerals with charged ions that conduct electrical current -potassium, mangesium, sodium, phosphate, calcium, chloride, -sodium has the greatest effect
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cations have a __________ charge anions have a ___________ charge
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cations- positive anions- negative charge
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what does the potassium pump do?
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-maintains normal electrolyte concentrations, keeps the cell from swelling and bursting -aids in electrical conduction of nerve and muscle cells and nutrient absorption
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How do proteins regulate fluid balance?
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Albumin in the vascular space attracts fluid from the interstitial space
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what happens in a low protein diet?
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blood albumin drops, causes swelling in body tissues (edema)
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Solutes lost depend on fluid imbalance, symptoms sodium: potassium: sodium and chloride:
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sodium: vomiting or diarrhea potassium: tumor development sodium and chloride: sweating
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what do the kidneys do?
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-excrete waste -regulation of blood volume and blood pressure, as well as electrolyte imbalance -reabsorb nutrients and water
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If the body retains too much fluid, blood volume will _______ so blood pressure will _______
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rise, rise
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what three hormones and one enzyme control blood volume?
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hormones: antideuretic hormone (ADH), angiotension, aldosterone enzyme: Renin
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when is ADH released? what releases it?
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-when blood volume or blood pressure decrease -hypothalamus detects drop of blood pressure and a rise in salt, stimulates pituitary glands to release ADH
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What does Renin do? What secretes it?
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helps the body reabsorb water and salts the kidneys
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Where is angiotensin 1 converted to 2? what is it?
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In the lungs, it is a vasoconstrictor and stimulates kidneys to reabsorb salts as well as adrenal glands to release aldersterone
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what does aldersterone do?
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-aldersterone stimulates sodium absorption. -with too little sodium, angiotensin 2 triggers adrenal glands to release aldersterone -inderectly leads to water absorption
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does caffeine cause a significant loss of body water?
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no, it doesnt negatively affect hydration status
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how does alcohol affect water balance?
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-inhibits ADH, causing dehydration -effects electrolyte concentration, especially potassium -
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what can help hypertension?
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diuretic medications
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what is water intoxication called? what can it cause?
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hyponatremia swelling in the brain
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As little as 2 percent loss of body water can cause
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- short and long term memory loss -lower attention span
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list the major minerals, how much is needed in the body?
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calcium sodium potassium chloride phosphorous magnesium sulfur atleast 5 grams
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list trace minerals, how much is needed in the body?
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iron zinc copper selenium chromium iodide manganese molybdenum fluoride less than 5 grams
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are minerals organic or inorganic?
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inorganic, single molecule, stable
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what can reduce bioavailability of minerals? what can improve bioavailability of minerals?
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-binders such as phytates, oxalates, and polyphenols -nutrients like vitamin D and C
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what are minerals main function?
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maintaining fluid balance
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minerals are __________ define that
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cofactors that binds an enzyme to help catalyze it's reaction cofactors in: antioxidant systems energy production muscle contraction nerve transmision
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are minerals toxic in high amounts?
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yes, mostly from supplements
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When consumed in excess, water-soluble vitamins are most often stored in the liver. excreted in the feces. excreted in the urine. stored in body fat.
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excreted in the urine.
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What is the recommended treatment for pernicious anemia? blood transfusion intramuscular shots of vitamin B12 once a month 1 mg per day of folate daily ferrous iron supplements
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intramuscular shots of vitamin B12 once a month
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Consuming too much water in a short amount of time can lead to a condition of sodium deficiency called hypernatremia. True False
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False
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Ferroportin is a temporary storage form of iron in the intestine. True False
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False
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Vitamin D and lactose both decrease the absorption of calcium. True False
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False
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Orthorexia can develop into anorexia nervosa. . True False
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True
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What causes those who suffer from anorexia nervosa to control their food intake? loss of appetite intense distaste for healthy foods intense fear of becoming overweight a busy lifestyle
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intense fear of becoming overweight
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The two types of fat that make up total body fat are essential fat and stored fat. True False
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True
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Which anion helps maintain fluid balance? potassium magnesium sodium chloride
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chloride
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The energy needed to fuel the body's vital organs (e.g., brain, lungs) is referred to as basal metabolism. True False
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True
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Which is NOT a role that minerals play in the body? Minerals participate as cofactors. Minerals act as enzymes. Minerals make up bones and teeth. Minerals help maintain fluid balance.
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Minerals act as enzymes.
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Which of the following is false about the major minerals? They are also known as macrominerals. The most abundant major mineral in the body is magnesium. Humans need to consume them in amounts greater than 100 milligrams per day. There are at least 5 grams of the mineral in the body.
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The most abundant major mineral in the body is magnesium.
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Underweight individuals are not at risk of suffering from any psychological effects due to their being overweight. True False
answer
False
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The average adult body is composed of __________ percent water. 25 to 35 45 to 75 65 to 85 75 to 90
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45 to 75
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Which of the following is added to many municipal water systems to reduce the rate of dental caries? fluoride sodium potassium calcium
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fluoride
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Most water-soluble vitamins are highly toxic when consumed in excess. True False
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False
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All of the following are involved in energy metabolism except vitamin C. biotin. pantothenic acid. vitamin B12.
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vitamin C
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Chronic alcohol abuse can lead to an advanced form of thiamin deficiency called pellagra. True False
answer
False
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Regular daily exercise contributes to weight loss in all of the following ways except it increases the ratio of lean body mass to fat mass. it reduces the number of adipocytes. it uses fat stored in adipocytes for fuel. it reduces the size of adipocytes.
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it reduces the number of adipocytes
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Along with calcium and vitamin D, ________ may increase bone density and reduce osteoporosis. selenium fluoride zinc copper
answer
fluoride
question
less than ______g of trace minerals are in the body, daily dietary needs are less than _______g
answer
5 20
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