-
6 nutrition conponents in food
carbs, protein,fats, water,vitamins,minerals.
-
only what nutrients provide kcal/ energy
ony protein, fats, carbs.
-
definition of Iatrogenic Malnutrition (医源性营养不良)
a nutritional disease resulting from medical treament to patient with drugs surgery or dipudict diet.
-
example of Iatrogenic malutrition(医源性营养不良)
anticonvulsants 抗惊厥药(increase need for folic acid 叶酸)
-
supplementations ≥ (大于等于)150% RDA 等于
megadose. may be toxic
-
all food turn to
glucose -- glycogen(糖原) -- fat
-
metabolism def.
energy obtain from calories.
metabolizing fat, protein, carbs.
energy intake( P. C. F)→ energy output (anabolism合成身体结构代谢, catabolism分解消化代谢)
-
steatorrhea ( fatty stools ) occurs when
fatty acids are not absorbed
-
major source of energy and fiber
carbohydrate
-
complex CHO ( polysaccharides )
- primarily starch and cellulose (fiber)
- found in breads, vegetables, and cereals(面包和蔬菜类)
-
Lactose Intolerance(乳糖消化不良) caused & symptoms症状
- a) causes: lactase insufficiency(乳糖酶功能不全).
- b) symptoms: bloating, gaseousness, diahhrea, nausea, and abdominal pain after eating dairy EXCEPT cheese and yorgurt
-
other terms for fiber
cellulose, gums, pectins (纤维素, 树胶, 果胶).
-
ideal fiber per day
20 - 35 g fiber/ day
-
too much fiber resulting
- decreased nutrient absorption. (6个)
- ex. ≥35g fiber/ day
-
food sources of fiber
fruits, vegetables, nuts, seeds, wholegrains
-
2 types of fiber
- insoluble fiber
- soluble fiber
-
insoluble fiber may lower the risk of
calon cancer (结肠癌) and diverticulosis(憩室炎)
-
soluble fiber may lower
cholesterol level(胆固醇)
-
goal fiber per day
at least 3g/ 100 kcal from CHO food
-
1g Carbohydrate(CHO)→
1g Fiber→
1g Alcohol→
1g Fat→
1g Protein→
- 1g Carbohydrate(CHO)→x4 =4kcal
- 1g Fiber→ x0 = 0 kcal
- 1g Alcohol→ x7 = 7 kcal
- 1g Fat→ x9 = 9kcal
- 1g Protein→x4 = 4kcal
-
5g Carbohydrate(CHO)→
6g Fiber→
8g Alcohol→
2g Fat→
12g Protein→
- 5g Carbohydrate(CHO)→ 20 kcal
- 6g Fiber→ 0 kcal
- 8g Alcohol→ 56 kcal
- 2g Fat→ 18 kcal
- 12g Protein→ 48 kcal
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Consequences of Low CHO free diet
lose sodium, potassium, and water which accounts for weight loss and weakness
-
fat must be used as primary source of energy, which is (abnormal 异常) and create a build up of _______
ketones/ketosis(酮症)
- symptoms of ketosis
- fatigue, dehydration, and loss of energy (疲劳,脱水,和的能量损失)
-
characteristics of Fetal Alcohol Syndrome (4个)
- slow infant growth
- small head/body
- distorted facial features
- mental retardation (low IQ)
-
higher fat consumption increases the risk of Cancer by
promoting cell division
-
2 major component of fats
- 1) Glycerol: common to all fats
- 2) fatty acid: can be change
-
fatty acids can divide to 3 catagories
- saturated fats
- monounsaturated fats
- poly/unsaturated fats
-
saturated fat increases the risk of
heart disease
-
examples of saturated fats
animal fats (meat, dairy), tropical oil(coconut, palm), hydrogenated veg. oil (trans fat)
-
-
dairy cheese butter yogurt milk
saturated fat
-
best fat
monounsaturated fat
-
examples of monounsaturated fats
olive oil, canola oil, nuts/nut oil (peanut oil)
-
olive oil
monounsaturated oil
-
canola oil
monounsaturated oil
-
nuts oil
monounsaturated oil
-
poly/unsaturated fats
increase the need of antioxidant
-
examples of poly/unsaturated fats
all other vegetable oil
-
-
cotton seed oil
unsaturated oil
-
examples of hydrogenation
margin, store bought cookies, shortening, commercially prepared peanut butter
-
-
skippy jiff
hydrogenation
-
omega 3 fats
lower risk of disease by decreasing inflammation
-
examples of omega 3 fats
salmon, flax, walnuts
-
Olestra(蔗糖聚酯)
Food and Drug Administration(FDA) approved fat substitute(fake fat)
-
physical properties of fat
- insoluble in water
- less dense than water
- may burn in high temperatures
- becomes rancid (spoiled馊掉或坏掉)
-
Lipids
- are transported in the blood as lipoproteins
- HDLs and LDLs
- chylomicrons
- fat bound to protein
-
functions of lipids (8个)
- 1)source of energy
- 2)high satiety value (make us feel full)
- 3)carrier of fat soluble vitamins (A D E K)
- 4)palatability (good taste)
- 5)energy reserve
- 6)precursor of prostaglandins前列腺素 (hormone-like substances)
- 7)insulation (keep us warm)
- 8)protection of vital body organs
-
kcal?
10 g CHO
1 g fiber
3 g alcohol
8 g fat
totoal =133 kcal
-
Good quality of carbohydrate
-
the remaining mass in the large intestine
fiber and water
-
Food Label (见Lipid package 第3页)
-
Complete protein
animal protein from the milk and meat group
-
Incomplete protein
plant protein from vegetable and grain (starchy) group
-
complementary proteins
- peanut butter and bread
- rice and beans
- rice and vegetables, sprouts, salads
-
functions of protein (5个)
- 1) formation of essential body compounds (hormones, enzymes)
- 2) regulation of water balance
- 3) maintenance of body neutrality (pH)
- 4) antibody formation
- 5) transport nutrients
-
Protein Calorie Malnutrition
- Kwashiorkor(恶性营养不良)
- Marasmus(消瘦)
-
Kwashiorkor
Protein defficiency only (蛋白缺失)
-
Marasmus
protein and calorie defficiency(白质和热量的缺失)
-
at least 300 kcals fuels the brain for
4 - 5 hrs
-
why vitamin, minerals, water don't provide energy
they don't have kcal
-
symptoms of lactose intolerance
- bloating
- gaseousness
- diahhrea
- nausea
- abdominal pain after eating dairy EXCEPT cheese and yorgurt
-
tropical oil
saturated fat
-
-
coconut oil
saturated fat
-
cholesterol free
< 2 mg cholesterol per serving
-
all information on the food label based on
1 serving
-
daily value
percentage out of 100% RDI of a 2000 kcal diet
-
advantages of being vegetarians
- proper kcals
- lower fat
- lower saturated fat
- higher monounsaturated fat
- higher fiber
- lower dietary cholesterol ( animal fat )
-
2000 kcal with 10% kcal from protein, how many kcal are from protein? And how many grams protein in this diet?
10% x (2000 kcal) = 200 protein kcal
200 protein kcal / 4 = 50g protein
-
2000 kcal with 20% kcal from protein, how many kcal are from protein? And how many grams protein in this diet?
20% x (2000 kcal) = 400 protein kcal
400 protein kal / 4 = 100g praotein
-
major nutrients from Fruits and Vegetable group (3个)
-
Meat / beans group have low in what (2个)
low in Ascorbic Acid(抗坏血酸 也叫 vitamin C) and Calcium
-
the body's need for energy for (3个)
- BMR
- Activity
- Thermic effect of food
-
convert lb. → kg
lb. / 2.2 = ___kg
ex: ( 110lb. / 2.2 = 50 kg )
-
convert 440lb to kg ?
440lb / 2.2 = 200 kg
-
calculate BMR (基础代谢率)
Male:
Female:
Male: 1 * ___kg * 24°
Female : 0.9 * ___kg * 24°
-
1). A man weights 110 lb, calculate his BMR
2). A women weights 110 lb, calculate her BMR
首先一定要把 lb 换成 kg 才能算
- 1). 110lb / 2.2 =50 kg
- 1 * 50 * 24° = 1200 kcal
- 2). 110lb /2.2 =50 kg
- 0.9 * 50 * 24° = 1080 kcal
-
factors affecting BMR (9个)
- 1). genetic body composition
- 2). body condition
- 3). gender
- 4). hormonal secretion
- 5). sleep
- 6). age
- 7). body temprature
- 8). nicotine from smoking
- 9). fasting or crash diets
-
the major gland (腺) affects BMR
thyroid(甲状腺)------甲状腺的主要功能是合成甲状腺激素,调节机体代谢
-
Hyperthyroidism(甲状腺功能亢进症)
(↑↑↑)fast BMR, so ↑ food intake
-
Hypothyroidism(甲状腺功能减退症)
(↓↓↓) slow BMR, so ↓ food intake
-
age group affect BMR
infancy, childhood, puberty(青春期), pregnancy, lactation哺乳期 (↑ BMR)
BMR Begins to ↓ at age 25
-
activity expenditure is determined by
- body weight
- intensity
- duration
-
The Thermic Effect of Food 可消化多少热量?( Hint: 跟BMR 和 Activity 有关 )
10% (BMR + Activity)
ex: 10% (1200 + 600 ) = 180 kcal
Thermic Effect of Food 消耗最少的热量BMR 消耗最多的热量
-
fat deposition influences health (2个体型)
apple vs. pear shape (apple shape 比较危险, 因为大多数的器官都在上半身)
-
cause of Obesity
↑ technology + ↑ junk food = ↑ obesity
-
what are functions of water? (7个)
- 1). Solvent of Nutrients (溶剂营养成分)
- 2). Growth Facilitator (促进增长)
- 3). Catalyst for many biological reactions (催化生物反应)
- 4). Lubricant of Joints (润滑关节)
- 5). Temperature Regulator (调节温度)
- 6). Source of Trace Element (微量元素的来源)
- 7). Need Water to make urine to excrete waste(需要水,使尿液排泄废物)
-
Athlete's consumption of water and foodWater recommendation for Vigorous activity (猛烈运动)
1 cup water / 15 mins
-
Athlete's consumption of water and foodwhat to eat if become dehydrated? (3个)
-
Sources of Sodium (Na)
- Salt (major source)
- baking soda, MSG(味精)
- food and water with naturally occuring sodium
-
Functions of Sodium
keeps water leaving from the blood and entering the cell (avoiding edema 水肿)
-
Functions of Potassium
- *treament of hypertension
- *maintain water balance
- *maintain osmotic pressure
-
what is most critical in treament of HTN ( hypertention)
- Na & K ratio
- decrease in Na increase in K
-
Na & K both maintain
- maintain water balance
- maintain osmotic pressure (渗透压 ) U 形排水管
-
Food sources of Flourine
- Flourine added to water supply
- mackerel (fish)
-
Functions of Flourine
- gives protection from the bone disease ( osteopathy)
- gives protection against tooth decay
- too much Flourine = brown motting on teeth 褐色斑点
-
too much Flourine
results browm motting on teeth
-
food source of Chloride (Cl)
Salt (NaCl)
-
Functions of Chloride (Cl)
in the stomach as part of digestive juices (HCL)
-
minerals maintain water balance
Na & K
-
Calcium provides rigidity in our ________ ( 让什么个坚硬)
bones and teeth
-
Functions of Calcium
- Bone formation along with phosphorus,
- flourine,
- magnesium,
- calciumtooth formationgrowthblood clotting (血液凝固)
- catalyst for biological reaction
-
4 mineral invovled Bone Formation
- Ca calcium
- F flourine
- Mg magnesium
- P phosphorus
-
Factors enhance Ca absorption
- Vitamin D
- acidity of the digestive mass(消化系统质量酸度)
- lactose
-
Elderly are not at risk for
decreasing Ca absorption by secretin excess stomach acid
-
Ca and P ratio 1:1 / 1:2
enhance filling bones healthplication
-
Food Sources of Ca (6个)
- diary (milk, yogurt, cheese)
- salmon
- sardines
- broccoli
- almond
- kale
-
Milk is high in __ low in __ & ____
high in Ca low in Fe & Vitamin C
-
cause of Osteoporosis (骨质疏松) (3个)
- long standing dietary inadequacy
- poor utilization or absorption
- excrete (排泄) more Ca (Alcohol cause more Ca excretion)
-
Osteomalacia known as adult _____, and low level of _____
adult ricket (佝偻病)
Vitamin D
-
where we can find Phosphorus (P)?
coke, 7up, roast beef, and milk
-
Magnesium is absorbed on the bone surface (the 4 minerals involved in bone formation are ______________)
- Calcium
- Phosphorus
- Flourine
- Magnesium
-
Sources of Magnesium
fish, nuts, soybeans, and spinach
-
Sulfur found in
cabbage family vegetables ( cabbage, brussel sprouts, broccoli, cauliflower )
-
Sulfur contains allyl sulfur which decrease_____________
which decrease risk of cancer
-
Sources of Vitamin K
green leafy vegetables AND from the synthesis of the vitamin by intestinal bacteria
Spinach & Asparagus provide Vitamin K and Folate
-
Function of Iron (Fe)
- Blood Formation(Fe is part of hemoglobin 血红蛋白 which is part of the Red Blood Cell which is invloved in blood formation)
-
Heme Iron can be found in
Red meat
-
Meat is the most biologically available food source of
Iron
-
enriched bread is a source of
Iron (non-heme iron)
-
milk is a poor souce of
Fe and Vitamin C
-
Factors affecting Iron Absorption
Body's need for iron (large dose with ↓ need = ↓ absorption)
-
Caffeine ( from coffee, tea, cola ) ↓ ________?
- decreases Fe absorption
- consume no more than 24 total ounces per day
-
The meal with most iron absorption
red meat, sources of vitamin C, no caffeine
Sources of Vitamin C (starwberries and peppers)
-
Woman in child bearing years have ↑______ so they are at ↑ risk of ________ ( _______ )?
have ↑ Fe needs so they are at an increased risk of Fe deficient ( Anemia )
-
Fe deficient is _____ ?
Anemia (贫血)
-
Iron deficiency may result from
- decreased Fe in the diet
- blood loss
- decreased absorption
-
Symptoms of Anemia(Iron Deficiency)
- ↓ red blood cells (红血球)
- fatigue (疲劳)
- apathy (暮气--散漫)
-
the iodization of NaCl (salt) has ↓
the incidence of goiter (癭病-- 甲状腺肥大)
-
Iodine Deficiency is what kind of disease
Goiter
-
Goiter (瘿病)
swelling (肿胀) of the neck as a result of the enlargement of the thyroid gland (甲状腺肥大)
-
decreased iodine can cause
enlargement of the thyroid gland
-
↓ Zinc = ↓ ________
↓ taste acuity 味觉敏锐(hypogeusia)味觉衰退
-
Function of Zinc
- reproduction 生殖
- affects taste 影响味道
- wound healing伤口愈合
- growth 生长
- zinc acts in metallogenzymes 作为金属酶
-
Food Sources of Zinc 锌
meat, seafood, and whole grains
-
Function of Selenium 硒
- functions as antioxidant along with
- Vitamin C
- Vitamin E
- Beta carotene
-
4 antioxidants? 是
Selenium, Vitamin C, Vitamin E, and beta carotene
-
Function of Boron 硼
prevents bone loss in post menopausal women 防止绝经后妇女的骨质流失
-
Functions of Vitamin C
- Collagen formation 胶原蛋白的形成
- ↓ Cancer and Common Cold 抗癌症和缓解感冒
- ↓Formation of Nitrosamines减少亚硝胺的形成
- Facilitates the mineral (Fe) 促进矿物质(铁)
- Antioxidant 抗氧化
-
Collagen
- a cement 水泥 like protein substance that binds cells together
- part of connective tissue 结缔组织
-
Vitamin C facilitates the mineral, ______, to be absorbed ?
Iron
-
Vitamin C may alleviate the perceived severity of the symtoms of a cold
-
Vitamin C helps to decrease the formation of nitrosamines亚硝胺
nitrosamines - cancer causing agents found in cured meats 腊肉
-
Cured meats (source of nitrosamines) 8 个
Bacon, Ham, Hotdog, Polony, Pepperoni, Sausage, Scrapple, Salami
-
Food Source of Vitamin C
- Cabbage family vegetables (broccoli)
- Cantaloupe
- Citrus 柑橘
- Kale 羽衣甘蓝
- Peppers
- Potatoes
- Strawberries
- Tomatoes
-
Best Source of Ascorbic Acid (抗坏血酸) & Beta Carotene (β-胡萝卜素)
Fruit & Vegetables
-
Deficiency of Vitamin C is called _________ disease
Scurvy (坏血病)
-
Symtoms of Scurvy (坏血病)
- Swollen Gums 牙龈红肿
- Bruise easily 容易挫伤, 青肿
- Reopening of old wounds (not enough collagen) 重开旧的伤痛(没有足够的胶原蛋白)
-
Functions of Folate (Folic Acid, Folacin) 叶酸
- 1. prevents and cures megaloblastic or macrocytic anemia (大细胞性贫血) normal nerve functioning. cells are immature (细胞是未成熟的)
- 2. involved in blood formation
-
Blood Formation (4个)
- Folate (叶酸)
- Vitamin C
- Vitamin B6
- Vitamin B12
-
Folate need ↑ when _________ ↑(during_____ & ______)
- Blood volume ↑
- during pregnancy & lactation
-
Women in child bearing (生育) years need folate to
prevent the childhood birth defect, spina bifida (脊柱裂)
-
1998, FDA mandates folate to be added to ______ products to ↓ the incidence of ____
all grain products to decrease the incidence of spina bifida
-
Food Sources of Folate
- Concentrated Sources: source of Vitamin B (wheat germ小麦胚芽, liver肝, kidney肾, yeast酵母, and mushrooms蘑菇)
- Significant Sources: Fruits and Vegetables
-
Functions of Cobalamin (B12)
- 1.) prevents and treats pernicious anemia (恶性贫血) without normal nerve functioning. cells are large and immature (细胞是未成熟的)
- 2) involved in blood formation with B6, Vitc, Floate, and B12
-
4 Vitamins involved in blood formation ?
- Folate (叶酸)
- Vitamin C
- Vitamin B6
- Vitamin B12
-
Food Sources of B12
animal origin, with meat bing the best sourceroast beef, chicken, steak, turkey
-
Strict vegetarians (vegan) must supplement with
B12
-
what 3 Vitamins are toxic when consumed in large amounts (3个)
- Vitamin B6
- Vitamin A
- Vitamin D
-
Functions of Vitamin B6 (Pyridoxine)
primarily in protein metabolism (involved in transamination and deamination)
-
Fat Soluble Vitamins (4个)
- Vitamin A
- Vitamin D
- Vitamin E
- Vitamin K
(ADEK)
-
Fat Soluble Vitamins are affected by
impaired fat digestion 脂肪消化受损bile 胆汁
-
Precursor (前兆) of Vitamin A
Carotene (Yellow plant pigment) 胡萝卜素(黄色植物的色素)
-
Functions of Vitamin A
Vision - allows vision to dim light昏暗的灯光下 (Prevent Xeropthelmia - night-blindness 夜盲症)
-
Carotene 胡萝卜素 stored in the
Fat Tissue 脂肪组织 & Adrenal Glands 肾上腺
maybe responsible for the yellowish tinge to the skin when grearter amounts are consumed and accessed or stored
-
Carotenoids are phytochemicals (植物化学物质) which ↓
↓ the risk of heart desease and cancers
-
Deeper yellow, orange and green = ↑
↑ Vitamin A and Carotene
-
Q: which has more Vitamin A?
1. Corn vs. Sweet Potato
2. Iceberg lettuce vs. Romaine lettuce
- 1. Sweet Potato
- 2. Romaine lettuce
-
Deficiency of Vitamin A causes
- changes in the skin
- Form of Dermatitis = Folliculitis 毛囊炎
- changes in the eyes (cornea) 角膜
- night blindness
-
Examples of Deeper yellow, orange and green (↑ Vit A & Carotene)
- romaine lettuce
- sweet potatoes
- carrot
- pumpkin
- tomatoes
- cantolope
- papaya
- mango
- peach
-
example of Bio-technology (bio-engineer food and genetic modified food)
Golden rice
-
Vitamin A would be toxic if consume too much
-
precursor in the _________ is converted by ________ to make Vitamin D
Skin UV Rays
-
Vitamin D also known as the ______________
Sunshine Vitamin
-
Elderly are at an ↑ risk of Vitamin D deficiency due to ___________ & __________ (2个原因)
- ↓ exposure to the sun
- ↓ milk intake
-
children who fail to have a good ____________ = rickckets
calcium / phosphrous ration in bone
-
Adult Rickets is called ___________ ?
Ostomalacia (软骨病)
-
Calcium requirement for 19-24 year olds:
1300 mg
-
Vitamin E neutralizes free radicals preventing them (自由基) to increase cellular damage (细胞损伤)
-
free radicals are formed by (4个)
- 1. Breathing
- 2. Pollution
- 3. Somking
- 4. UV exposure
-
Vitamin E as antioxidant to protects oxidation of ___________ which decreases underarm odor (腋臭)
Fatty Acid
-
Food Sources of Vitamin E
Vegetable Oils & Soybean Oils
-
Deficiencies of Vitamin E shows up in premature infants and in people suffering from malabsorption (Cystic Fibrosis) 囊性纤维化
-
Sources of Vitamin K
green leafy vegetables AND from the synthesis of the vitamin by intestinal bacteria
Spinach & Asparagus provide Vitamin K and Folate
-
Newborns don't have the bacteria that synthesizes Vit K so___________
supplement K are recommended
-
lifter need to take?what supplement protein?
-
pork
coaco butter
olive oil
magnine
highest colories
-
-
FDA recommend to take less can improve health
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