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Two approaches to selecting an adequate diet
- food based- recommendations based on servings per food group (mypyramid- vitamins and minerals)
- nutrient based- plan diet around the nutrients (DRI and dietary goals/acceptable macronutrient distribution range)
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Equation for energy balance
calories in = calories out
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3 needs of the body
- 1. basal metabolism
- 2. physical activity
- 3. thermic effect of food
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Basal metabolism
- energy needed for vital body processes 24 hours a day, even at rest (breathing, heartbeat, body temp, tissue repair, nerves functioning)
- uses majority of calories
- needs to be met first
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Factors that affect BMR
- extreme cold and heat temp (increases)
- malnutrition (decreases)
- muscle to fat (decreases)
- fever (increases)
- pregnancy (increases)
- puberty (increases)
- anytime there's growth..
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Physical activity factors
- 1. weight (more weight increases calories burned)
- 2. type of activity (what muscles are involved)
- 3. time
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Thermic effect of food
- amount of energy used to digest, absorb, and transport
- 10% of calories consumed
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Dietary guidelines themes
- 1. balancing calories to manage weight (exercise vs food intake)
- 2. food and food components to reduce (trans fats, cholesterol, sodium)
- 3. food and food nutrients to increase (fruits, veggies, whole grains)
- 4. building healthy eating patterns
- 5. helping americans make healthy choices
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Calculating BMR
weight in kg x 24 hrs x 1(guys)/.9(girls) kcals/kg
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Pounds to kg
divide by 2.2
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3 key concepts to setting up a diet
- 1. balance
- 2. adequacy (all essential nutrients)
- 3.variety
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New pyramid
exercise was added
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2 diet programs recommended by dietary guidelines
- 1. mypyramid
- 2. DASH (dietary approach to stop hypertension)
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Mypyramid factors taken into consideration
- age
- gender
- height
- weight
- physical activity level
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5 themes around pyramid
- 1. balance/proportionality
- 2. variety
- 3. moderation
- 4. gradual improvement
- 5. physical activity
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3 methods to look at weight status
- 1. body fat (best one)
- 2. BMI (uses height and weight)
- 3. fat distribution
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Safest methods of weight reduction
- 1. behavior modification
- 2. reshape eating habits
- 3. reshape exercise habits
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Normal BMI weight
- 20-25
- low risk for disease
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Overweight BMI
- 25-30
- moderate risk for disease
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Obese BMI
- >30
- high risk for disease
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Behavior modification techniques
- don't shop when hungry
- know what to get before going out to eat
- shop with a list
- eat at one place
- don't do anything else while eating
- small portions
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Trace element
- needed in small amounts (<100 mg per day)
- mineral
- ex. iron
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Body distribution that causes higher risk
apple shape (stomach fat)
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How many calories are in a pound of fat?
3500
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Methods to determine % body fat
- underwater weighing (best, but expensive)
- skinfold calipers
- electrical impedence analysis
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Why is it better to lose fat slowly?
you lose more than just fat
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Health recommendations
- don't avoid starchy foods
- portion control
- exercise
- variety
- low fat foods
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How many calories should be decreased to lose a pound a week?
500 calories per day
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If calcium levels drop below healthy level, what hormones help increase the blood calcium level?
- the parathyroid horomone (PTH)
- vitamin C
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How does PTH stimulate calcium absorption?
- PTH goes to kidneys to stimulate activation of vitamin D
- reabsorption of vitamin C increases
- vitamin D goes to the GI tract and enhances calcium absorption
- calcium is taken out of bones
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What lowers calcium level?
calcitonin
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Bioavailability
proportion of nutrient absorbed
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Potassium sources
fresh fruits and veggies
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Cause of potassium deficiency
- chronic/prolonged vomiting and diarrhea (bulimia)
- chronic use of diuretics
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Phosphorous sources
- meat
- milk and dairy
- nuts
- whole grains
- soft drinks
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What inhibits calcium absorption?
oxalic acid, chocolate, fat, phytic acid (whole grains, oatmeal), stress, lack of exercise, certain drugs (cortizone, steroids), not having 1:1 phosphorous/calcium ratio
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Calcium sources
- milk and dairy
- almonds
- green leaft veggies
- canned salmon and sardines (with bones)
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What increases calcium absorption?
acidic acid, the need for it (growth), vitamin D, lactose
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Sodium sources
- processed foods
- leavening agents
- salt
- fresh foods
- water
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What diet program decreases sodium intake?
DASH (dietary approach to stop hypertension)
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How to calculate extra pounds
- 375 kcals x 365 days = 136, 875 kcals/year (extra calories)
- 136,875 divided by 3500 kcals/lb = 39.12 extra lbs
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What mineral is added to municipal water?
flouride
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How many kcals are there per mL?
- 1
- 2500 kcals expended, need 2500 mL of water intake
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Osteoporosis
when calcium is taken from bones, making them brittle and bone mass decreases
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