Nutrition Final Exam Questions – Flashcards

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Dietary Reference Intakes (DRI)
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a set of values for the dietary nutrient intakes of healthy people in the US and Canada
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Estimated Average Requirement (EAR)
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the daily average amount of a nutrient that will maintain a specific biochemical or physiological function in half the healthy people of a given age or group (**ALL nutrients with an RDA have an EAR)
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Recommended Dietary Allowances (RDA)
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the average daily amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy people (98%); goal for dietary intake by individuals
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Adequate Intake (AI)
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maximum daily amount of a nutrient that appears safe for most healthy people and beyond which there is an increased risk of adverse health effects
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Diet-Planning Principles
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adequacy; balance; kcal (energy) control; nutrient density; moderation; variety
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S/S of malnutrition
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diarrhea; skin rashes; fatigue
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Daily Values
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sometimes expressed as %; "ballpark" estimate of contribution to total diet; based on 2000 kcal/day
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AMDR of protein
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10-35%
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AMDR of fats
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20-35%
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AMDR of carbs
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45-65%
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Acceptable Macronutrient Distribution Ranges
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intake ranges of energy-yielding nutrients that provides adequate energy and nutrients; may reduce risk of chronic diseases
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nutrient density
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measure of the nutrients a food provides relative to the energy it provides; the more of nutrients and fewer kcals, the higher of this
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nutrition labels need to have...
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ingredients (listed in order of predominance); daily values/%DV of total kcal, kcal from fat, total fat, saturated fat, trans fat, cholesterol, sodium, total carbs, dietary fiber, sugars, protein, vitamin A, vitamin C, iron, calcium
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nutrient claims
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statements that characterize the quantity of nutrient in a food (must meet FDA definitions)
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health claims
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statements that characterize the relationship between a nutrient in a food and a disease/health-related conditions ("A" list can stand alone without extra qualification; "B," "C," "D" have to note that there is little evidence
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structure-function claims
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can be made without FDA approval; defines relationship between nutrient in food and its role in the body
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endosperm
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part of the grain that remains after being refined
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UL of sodium
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2300 mg/day
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pepsin
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gastric enzyme (active in the stomach) that hydrolyzes protein (protease); secreted in its inactive form
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RDA for carbs
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130 g
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causes of ulcers
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1. bacterial infection with H. pylori 2. use of anti-inflammatory drugs (ex: aspirin, naproxen) 3. disorders causing excessive gastric acid excretion
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order of the small intestine
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duodenum -> jejunum -> ileum
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mastication
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chewing
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peristalsis
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wavelike contractions that push food down in the GI tract
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stomach action
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pyloric sphincter closes tightly to prevent bolus from reaching small intestine; further breakdown of bolus in stomach turns it into a chyme
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segmentation
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periodic squeezing/partitioning of intestine at intervals along its length by its circular muscles; maximizes absorption of nutrients
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lower esophageal sphincter
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sphincter between esophagus and stomach
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pyloric sphincter
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sphincter between stomach and duodeunum
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ileocecal valve
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sphincter between ileum and large intestine
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digestive enzymes
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help hydrolyze nutrients into smaller molecules that make it easier to absorb (ex: gastric lipase, pancreatic lipase, salivary amylase)
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saliva
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secreted by salivary glands; initiate digestion of carbs; protects teeth and linings of mouth, esophagus, and stomach
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hydrochloric acid
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secreted by gastric glands; primarily acts in protein digestion; inhibits salivary amylase
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pancreatic juices
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secreted by pancreatic glands; releases sodium bicarbonate; has enzymes that breaks down all three energy-yielding nutrients
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sodium bicarbonate
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released in pancreatic juices; neutralizes chyme before entering duodenum
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bile
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secreted by gallbladder, produced by liver; acts as an emulsifier (suspends fats in water so enzymes can break them down)
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villi
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fingerlike projections form the folds of the small intestine; sends nutrients either to portal vein or lymphatic vessel
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microvilli
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tiny, hairlike projections on each cell of every villus that can trap nutrient particles and transport them into the cells
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enterohepatic circulation
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nutrients absorbed by the microvilli that are water-soluble enter the portal vein and get sent to the liver, where it detoxifies the blood before sending it to the heart
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lymphatic system
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fats and fat-soluble nutrients go through here first, pass the liver, accumulate in the thoracic duct and enter the subclavian vein (where lymph enters blood stream to heart)
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heartburn/GERD
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dysfunctional/weak lower esophageal sphincter; HCl released in stomach leaks into esophagus
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diarrhea
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not enough fluid absorption took place in intestines; chyme has moved through intestines too quickly
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monosaccharides
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simple sugars (glucose, fructose, galactose)
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disaccharides
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pairs of monosaccharides (lactose, sucrose, maltose)
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polysaccharides
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large molecules composed of chains of monosaccharides (glycogen, starches, fibers)
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oligosaccharides
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3-10 sugar units (raffinose, stachyose)
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soluble fibers
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nonstarch; dissolve in water to form a gel (ex: pectin)
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insoluble fibers
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nonstarch; do not dissolve in water; help promote bowel movements (think of how you always see corn kernel skins in poop)
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lactose intolerance
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more lactose consumed than lactase available to hydrolyze lactose; causes bloating, abdominal discomfort, diarrhea
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major uses of glucose
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1. store as glucagon 2. energy 3. convert to fat in excess
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insulin & glucagon
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maintain normal blood glucose concentration (one promotes the breakdown of glycogen to glucose; other promotes building of glycogen from excess glucose)
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Type 1 Diabetes
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pancreas fails to produce insulin; less common
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Type 2 Diabetes
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cells fail to respond to insulin
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daily value of fiber
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25 g
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DRI of fiber
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25-35 g/day
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ways to increase fiber intake
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1. eat raw veggies 2. eat fresh and dried fruit for snacks 3. add legumes to soups, salads, and casseroles 4. eat whole-grain breads containing >3 g fiber/serving 5. eat whole-grain cereals containing >5 g fiber/serving 6. eat fruits (pears) and vegetables (potatoes) with their skins
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micelles
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tiny spherical complexes of emulsified fat that arise during digestion; most contain bile salts and the products of lipid digestion, including fatty acids, monoglycerides, and cholesterol
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chylomicrons
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class of lipoproteins that transport lipids from the intestinal cells to the rest of the body
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VLDL (very low density lipoproteins)
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made primarily of triglycerides; transports lipids to various tissues of the body
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LDL (low density lipoproteins)
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made primarily of cholesterol; made from VLDL as triglycerides are removed and broken down
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HDL (high density lipoproteins)
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made primarily of protein; transports cholesterol back to the liver from cells
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lenolenic acid
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omega-3; anti-inflammatory (ratio should be 4:1)
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lenoleic acid
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omega-6; inflammatory (ratio should be 4:1)
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Daily Value of fat
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65g (30% of 2000 kcal diet)
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Daily Value of saturated fat
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20g (10% of 2000 kcal diet)
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Daily Value of cholesterol
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300 mg
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diet lower in fat/cholesterol
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lean meats; fat-free and low-fat dairies
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essential amino acids
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histidine isoleucine leucine lysine methionine phenylalanine threonine tryptophan valine
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functions of protein
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-building materials in growth and maintenance -enzymes -hormones -fluid balance regulators -acid-base regulators -transporters -antibodies -gluconeogenesis to make new glucose -blood clotting -vision
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positive nitrogen balance
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higher protein input than output; seen in pregnant women and growing kids
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negative nitrogen balance
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higher protein output than input; seen in starving people and people w/ severe stresses on body
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products of deamination
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ammonia (reacts with CO2 to make urea and leave the body as urine); keto acid (used in anabolic reactions to make glucose, ketones, etc.)
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protein quality
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- digestibility (plant proteins less digestible) - amino acid composition (if all essential a.a. are present or not)
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Protein-Energy Malnutrition (PEM)
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deficiency in protein, energy, or both; includes kwashiorkor and marasmus
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Kwashiorkor
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"wet" and "acute" PEM; edema
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Marasmus
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"dry" and "chronic" PEM; muscle wasting; just skin and bones
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health effects due to over-consumption of protein
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-heart disease -cancer -osteoporosis (excess protein promotes excess calcium excretion from bones) -obesity -kidney stones/kidney disease (kidneys work harder with more protein)
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RDA for protein
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0.8 g/kg/day
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metabolism
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all the ways the body obtains and uses energy from food
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anabolism
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small molecules build up to a big molecule
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catabolism
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big molecules break down to small molecules
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metabolism of carbs
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break down to glucose molecules, store as glycogen if not needed
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metabolism of proteins
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break down to amino acids
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metabolism of fats
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break down to glycerol and fatty acids
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feasting
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glucose used for glycogen and body fat stores; fat used for body fat stores; protein used for body proteins, loss of nitrogen in urine as urea, and body fat stores
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fasting
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STAGE ONE: glycogen stores broken down for energy throughout the body; body fat stores broken down for energy in cells other than CNS and RBC STAGE TWO: body protein broken down to make ketone bodies and glucose; body fat broken down to make ketone bodies
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alcohol metabolism
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liver is major site of this; requires liver to stop metabolism of everything else until alcohol is completely out of system
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1 lb of body fat equals...
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3500 kcal
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satiety
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triggered in ventromedial nucleus (hypothalamus); signal fullness
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hunger
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triggered in lateral hypothalamus
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Harris-Benedict equations
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MEN 19 Y.O.: EER = [662-(9.53xAGE)] + physical.activity x [(15.91xWEIGHT) + (539.6xHEIGHT)] WOMEN 19 Y.O.: EER = [354-(6.91xAGE)] + physical.activity x [(9.36xWEIGHT) + (725xHEIGHT)]
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basal metabolic rate
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rate at which body expends energy for life-sustaining activities
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factors affecting BMR
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-change in circumstance/physical condition -highest in growing children and those with lots of lean body mass
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BMI equation
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kg/m^2 -OR- (lb/in^2) x 703.
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health problems with being underweight
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-decrease in protection against diseases and medical stresses -women may be infertile or give birth to unhealthy infants -osteoporosis/bone fractures
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health problem with being overweight
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obesity; diabetes, hypertension, cardiovascular disease, sleep apnea, osteoarthritis, some cancers, gallbladder disease, kidney stones, respiratory problems, infertility, complications in pregnancy&surgery; increased mortality
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anorexia nervosa
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characterized by refusal to maintain minimally normal body weight and distortion in perception of body shape and weight; intense fear of gaining weight; amenorrhea in females past puberty
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bulimia nervosa
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characterized by repeated episodes of binge eating usually followed by self-induced vomiting, misuse of laxatives/diuretics, fasting, or excessive exercise
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overweight
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BMI of 25.0-29.9
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obese
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BMI of 30.0 or greater
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fat cell development
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cells increase first by size, then by number; obese people tend to have a lot of large fat cells
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successful weight loss tips
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-eat regular meals and limit snacking -drink water instead of high-kcal beverages -select sensible portion sizes and limit daily energy intake to no more than energy expended -become physically active and limit sedentary activities
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benefits of physical activity
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-restful sleep -nutritional health -optimal body composition -optimal bone density -resistance to colds and other infectious diseases -low risks to some types of cancers -strong circulation and lung function -low risk of cardiovascular disease -low risk of type 2 diabetes -reduced risk of gallbladder disease -low incidence/severity of anxiety&depression -strong self-image -long life and high quality of life in later years
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creatine phosphate
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can split its phosphate groups to add to ADP; can take a phosphate group away from ATP during rest
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