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CCMH AP4 Nutrition Review Final Exam Study Guide

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71015818Macronutrientscarbohydrates, lipids, proteins & water
71015819Main function & caloric intake of Carbohydratesenergy, 4Kcal; 50-60% of daily caloric intake
71015820Main function & caloric intake of Lipidsstorage of energy; 9Kcal; less than 30 % of daily caloric intake
71015821Main function & caloric intake of Proteinstructure; 4Kcal; 0.8Kg or 15-25% of daily caloric intake
710158223 main catagories of carbohydratesmonosaccharides, disaccharides, polysaccharides
71015823Monosaccharidesimplest: glucose, fructose, galactose
71015824Disaccharidesucrose, maltose, lactose & lactulose
71015825Polysaccharidestarch, glycogen, soluble & insoluble
71015826Fiber is subdivided intosoluble & insoluble
71015827RDA for fibers is25-35 per day
71015828Soluble fiberhelps to reduce blood cholesterol levels
71015829Insoluble fiberis important for colon health
710158304 disorders of carbohydrate metabolismgalactosemia, primary lactase deficiency, lactose intolerance, sucrase deficiency
71015831Galatosemiainherited, early onset, accumulation of galatose in blood, severe symptoms = failure to thrive
71015832Primary lactase deficiencybody cannot digest lactose, GI symptoms, early onset
71015833Lactose intolerancelater onset, varied severity, various causes: inheritance, increased antibiotic use
71015834Sucrase deficiencysimilar to lactase deficiency:body cannot digest sucrase, GI symptoms, early onset
71015835Functions of Carbohydratesprimary energy source for energy; balance protein & fat metabolism; fiber: important for bowel fx, waste elimination & blood sugar control; liver detox
71015836Amino acidsthe basic building blocks for proteins
71015837Proteins are subdivided intoessential & nonessential
71015838Urea/Ammoniathe main waste product produced by protein metabolism
71015839Dietary sources of proteincomplete: animal based; incomplete: plant based
71015840Complete & incomplete protein formsare based upon the range of amino acids present
71015841Disorders of proteinCeliac disease & Milk protein allergy
710158422 types of protein malnutritionMaramus; Kwashiorkor disease
71015843Maramus"starvation"; both protein & calorie deficiency
71015844Kwashiorkor Diseaseprotein deficiency with appropriate caloric intake
71015845Functions of amino acidstissue repair; immune system support; neurotransmitter support; growth; osmotic balance; pH balance
71015846Fatsshould comprise no more than 30% of daily caloric intake
71015847Fatty acids are named based onnumber of carbohydrates, degree of saturation & location of the first double bond
71015848Saturated fatshave no double bonds
71015849Saturated fats come fromanimal sources
71015850Mono-unsaturated Fatshave one double bond
71015851Poly-unsaturated Fatshave many double bonds
71015852Mono & Poly-unsaturated Fatscome from plant sources
710158532 groups of essential fatty acidsomega 6 (linoleic acid); omega 3 (linolenic acid)
71015854Results of essential fatty acid deficiencydermatitis & blood clotting
71015855Trans-fatsthe hydrogenation of unsaturated fats
71015856Trans-fats promoteincreased cholesterol; fatty liver
71015857Function of fatsenergy storage; protect & insulate organs; slow gastric emptying
710158582 major types of cholesterolbased on the density: HDL (high density lipids) & LDL (low density lipids)
71015859LDL (low density lipids)bad cholesterol because it transports cholesterol to body cells
71015860HDL (high density lipids)good cholesterol
71015861Risk of heart disease increaseswhen good + bad cholesterol are over 5.2mmol/l
71015862Total dietary cholesterol should not exceed300mg/day
71015863Cholesterolimportant in the formation of hormones, vitamin D & bile acids
71015864Vitamin Dis formed in the skin
71015865Factors affecting blood cholesterolincreased trans-fats & saturated fats; decreased fiber & decreased exercise
7101586660% of body weightis water
71015867An adult requires2-3 litres of water per day
71015868Fat soluble vitamins includevitamins: A, D, E and K
71015869Water soluble vitaminsB(s), C, folic acid, pantothemic, biotin
71015870Fat soluble vitamins taken in high dosagehave the potential become toxic because these vitamins are stored
71015871Main anti-oxidant nutrientsvitamin C, vitamin A, vitamin E and selinium
71015872Function of vitamin Cantibody production, protein metabolism, collagen synthesis/connective tissue, supports liver detox, wound healing, cancer prevention, iron absorption in the GI tract
71015873Scurvyvitamin C deficiency
71015874Vitamin C toxicitydiarrhea/GI upset, increased uric acid formation, rebound scurvy
71015875Common sources of Vitamin Cfresh fruit especially citrus, kiwi, strawberries, red/orange peppers
71015876RDAf of Vitamin C75mg/d; maximum = 90mg/d
71015877Vitamin Efound in all cell membranes & protects from oxidation
71015878Sources of Vitamin Enut/seed oils, avacados
71015879Mineral Seleniumacts closely with vitamin E in protecting cell membranes
71015880Beta carotenethe precursor to vitamin A
71015881Vitamin A deficiencynycotolopia: night blindness
71015882Function of Vitamin Aeyes: retinol: important for vision/light accomodation; epithelial regeneration; immune functions; bone growth/development; anti-cancer functions
71015883Vitamin A is potentially toxicespecially among pregnant women (fetal malformation: 5000IU maximum)
71015884Beta caroteneis not toxic to pregnant women
71015885Sources of Vitamin Aorgan meats, butter, eggs
71015886Sources of Beta Carotenecarrots, orange/red vegetables; (water soluble)
71024857Thiamin (B1) deficiencycan result from high alcohol intake
71024858Beri Beridisease resulting from thiamin deficiency
71024859Symptoms of thiamin deficiencyanorexia; weakness; impaired memory; neuropathy
71024860Sources of thiamin (B1)legumes, nuts, seeds, grains
71024861Function of thiamincarbohydrate & energy metabolism of cellular respiration; formation of acetylcholine: neurotransmitter (especially for memory)
71024862Riboflavin (B2) functiona component of the co-enzyme FAD/FADH+H; important for energy metabolism
71024863Niacin (B3)can be formed from the amino acid tryptophan
71024864Co-enzyme NAD/NADH+Hniacin is a component
71024865Niacin (B3) deficiencysymptoms of dermatitis, diarrhea, dementia (3 D's)
710248663 stored water soluble vitaminspantothenic, B12, B6
71024867Function of Pyridoxine (B6)amino acid/protein metabolism; neurotransmitter synthesis (serotonin; epinephrine; histamine); hemoglobin synthesis; glycogenolysis: release of glucose from liver
71024868Vitamin B12requires intrinsic factor for absorption
71024869Impaired absorption of B12deficiency results in pernicious anemia
71024870Pernicious anemiatype of macrocytic anemia
71024871Folic acid deficiencyresults in macrocytic anemia
71024872Functions of B12synthesis of nucleic acids (DNA/RNA); essential for: red blood cell formation, protecting myelin of nerves; metabolism of fat, protein, carbohydrated; manufacturer of choline: important for memory
71024873Sources of vitamin B12found in animal or fortified products
71024874Sources of folic acidfound in green leafie vegetables & liver
71024875400mcg/d supplimentation of folic acidin pregnancy to prevent neural tube defects in infants
71024876Pantothenic Acid (B5)a component of co-enzyme A
71024877Function of Pantothenic Acid (B5)important for the metabolism of cholesterol, steroids, fatty acids
71024878Function of Biotinmetabolism of fatty acids, proteins, carbohydrates; maintains healthy skin, hair, nails; related to B12 & folic acid metabolism
71024879Function of cholinepart of acetylcholin (memory neurotransmitter); Lipotropic factor: fat metabolism in liver & lipoprotein production; component of nerve tissue/brain
71024880Important nutrients for bone healthcalcium, vitamin D, magnesium, phosphorous & florides
71024881RDAf for calciumfor 19-50 yr olds is 1000mg/day
71024882Functions of Calciumhealthy bones & teeth; vasodilation/vasoconstriction, mm contraction/relaxation; neurotransmitter release; blood clotting
71024883Dairya good source of calcium
71024884Rickettsresult from a calcium deficiency and/or vitamin D
71024885Ricketts in adults is calledosteomalacia
71024886Osteoporosisa condition where calcium is lost from bone faster than it is deposited
71024887Function of phosphorouscomponent of ADP/ATP; cell membranes; buffering blood pH; cell growth/repair; enzyme regulation (phosphorylation); bones & teeth
71024888Phosphorousis a structural component of bones & teeth
71024889Function of magnesiumbone health; nerve conduction; muscle contraction/relaxation; numerous enzyme reactions (works with B6 in neurotransmitter metabolism)
71024890Sources of magnesiumnuts, seeds, legumes
71024891Magnesiumis important in mm function
71024892Magnesium deficiencysymptoms of mm cramping & heart arhythmia
71024893Vitamin D metabolisminvolves the organs, skin, liver & kidneys
71024894Function of vitamin Dstimulates GI absorption of calcium & phosphorous; stimulates kidney reabsorption of calcium & phosphorous; required for healthy bone development
71024895Vitamin D400IU/day; fat soluble vitamin
71024897Flourideis important for teeth
71024898Main source of flourideflouridated water & dental products
71024899Vitamin Kcomes from gut bacteria & green vegetables
71024900Vitamin K is criticalfor blood clotting
71024901Anticoagulant drugsdecrease the activity of vitamin K and bruising is easy
71025395Iron deficiencycan result in anemia
71026393Ironessential for the formation of hemoglobin
71026394Most potential for toxicity of all mineralsiron
71026395Chromiumimportant for glucose metabolism
71026396Copperimportant for hemoglobin synthesis
71026397Iodine deficiencyresults in goiter/thyroid problems
71026398Zincimportant for immune function; male health (sperm production/prostate health), taste function & appetite
71026399Dairyaccording to the Canada's food guide: 2-3 servings per day
71026400Grainsaccording to the Canada's food guide: 6-8 servings per day
71026401Fruit/Vegetablesaccording to the Canada's food guide: 7-10 servings per day
71026402Meat/Alternativesaccording to the Canada's food guide: 2-3 servings per day
71031236Ketosis, low fiber, low calcium & weight lossresult of popular low carbohydrate, high protein diet
71031237Zone Dietcomprised of 40% carbohydrates; 30% fats & 30% proteins
71031238Anorexia Nervosaself-starvation is the main characteristic
71031239Bulemiabingeing & purging of food by various means
71031240Warning signs of anorexiafear of gaining weight, thin, dry skin, brittle nail/hair, hypothermia, mood alteration/depression/amenoria
71031241Warning signs of bulemiapreoccupation with food, binge eating, compulsive exercising, broken blood vessels in eyes, weakened dental enamel/cavities, TMJ syndrome
71031242Dietary cancer risk factorslow fiber; obesity; high fat diet (especially saturated fats); alcohol & cigarettes; carcinogens/additive in food (nitrates, sulfates & pesticides)
71031243Body Mass Index equationweight (Kg) / height (m2)
71031244Zone A BMI less than 20may be associated with health problems for some people
71031245Zone B BMI between 20 & 25good weight for most people; generally acceptable range
71031246Zone C BMI between 25 & 27may lead to health problems in some people; generally acceptable range
71031247Zone D BMI more than 27increasing risk of developing health problems
71031248Food Allergymedical term; immune system mediated (IgG, IgE)
71031249Food Sensitivitygeneral term; any system body system can be involved
71031250Food Intolerancereaction isn't immune mediated; digestive system eg) latose intolerance

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