NUTR100 Chapter Notes - Chapter 1-6: Dietitian, Calorie, Kilogram
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Part 1
The enzyme responsible for the synthesis of ATP is
Multiple choice
ATP-ase.
cytochrome C.
NADPH.
ATP synthase.
Part 2
The terminal electron acceptor in the electron transport chain is water.
True/Fale
Part 3
Alex, Kim, and Jenna have different levels of activity, and thus require a varied amount of calories per day. Alex is an athlete, and he requires 3500 calories per day to fuel his high intensity activity. Jenna is a secretary and is sedentary most of her day. Her low level of activity requires a mere 1800 calories a day, while Kim, a professional dancer, needs 2800 calories per day to fuel her moderate level of activity.
Jenna | Kim | Alex | |
Profession | Secretary | Professional Dancer | Athlete |
Level of Activity | Low | Moderate | High |
Caloric Needs | 1800 Calories/Day | 2800 Calories/Day | 3500 Calories/Day |
Fats are broken down in cellular respiration to generate the ATP needed to fuel our bodies. According to the Food and Drug Administration (FDA), the Percent Recommended Daily value for fats in a balanced diet should not exceed more than 30% of the total daily calorie intake. Fats provide 9 calories per gram.
Nutritional needs of Jenna
What question would this calculation answer?
Finding 30% of 1800 calories and then dividing by 9 calories per gram.
1800 calories x 0.30 = 440 calories
440 calories/9 calories per gram = 49 grams
Multiple Choice
How many grams of fat can Jenna consume in one meal?
How many fat calories can Jenna consume each day?
How many calories are found in 9 grams of fat?
How many grams of fat can Jenna consume each day?
Part 4
Proton pumps are protein complexes that
Multiple Choice
synthesize water from hydrogen and oxygen.
break down water into hydrogen and oxygen.
move hydrogen ions across cell membranes.
move electrons through the cell membrane.
Part 5
As protons move through the proton pump,
Multiple Choice
the membrane becomes more permeable to the hydrogen ions.
the concentration of hydrogen ions inside and outside the cell reaches equilibrium.
they build up on one side of the membrane, producing a concentration gradient.
conformational changes occur within the membrane proteins.
Part 6
The transfer of hydrogen ions across the membrane generates a potential energy gradient.
True/False
QUESTION 1
Adolescents who snack on high-fat foods or sugary foods willdevelop type II diabetes as adults if they
are genetically predisposed. | ||
do not change their eating habits. | ||
gain too much weight. | ||
all of these. |
QUESTION 2
With regard to food intake, if parents do not set limits forchildren, children will
probably become obese by the time they are adolescents. | ||
not learn to set limits for themselves in other aspects of lifeas well. | ||
become too independent as adults. | ||
all of these. |
QUESTION 3
Children will learn to disregard their own internal hunger andsatiety cues if they
observe their parents habitually overeating. | ||
watch too much television, especially food advertisements. | ||
eat too many complex carbohydrates during the day. | ||
drink too many soft drinks. |
QUESTION 4
Parents can teach children to become responsible with regard tofood intake by
modeling the behavior they want the children to learn. | ||
creating positive learning experiences around food. | ||
giving children a certain amount of authority with regard tofood choices. | ||
all of these. |
QUESTION 5
When food is overly important or not attended to properly in thefamily, experts have found that there
are more eating disorders. | ||
are fewer incidences of binging and purging. | ||
is a greater chance for discipline problems. | ||
all of these. |
QUESTION 6
The first concrete element associated with trust, safety, andsecurity between an infant and the primary caregiver is
love. | ||
food. | ||
attention. | ||
all of these. |
QUESTION 7
Adolescent girls who believe they do not measure up to mediaportrayal of the perfect young body image
may develop eating disorders. | ||
develop a stronger self-image and more confidence. | ||
usually are more accepting of their bodies in spite of themagazines. | ||
frequently commit suicide. |
QUESTION 8
Experts agree that people with type II diabetes who ate foodshigh in fat or sugar as adolescents
developed the disease because of their eating habits. | ||
developed the disease because of their genetic background. | ||
developed the disease because they were obese to begin with. | ||
all of these. |
QUESTION 9
Teen magazines could have a positive influence on adolescentbody-image and self-image if the magazines would
focus on things teens can do rather than on what teens looklike. | ||
show "real" teens of all ethnic backgrounds and shapes and notteen models. | ||
not emphasize the "Barbie" doll look as the ideal for teens. | ||
all of these. |
QUESTION 10
The most powerful factor(s) to impact adolescent weight lossinclude(s)
genetics. | ||
the closeness of the family. | ||
peers. | ||
a and b. |
Based on âMorgan: A case of Diabetesâ by Lisa Rubin and Clyde Freeman Herreid (National Center for Case Study Teaching in Science)
The Patient:
Morgan Water is a 27-year old Native American that lives on a reservation in Oklahoma. Nearly ¼ of Morganâs tribe has diabetes but she has no direct family history of diabetes, heart disease, or other serious conditions. She is however obese (BMI = 32) and leads a sedentary lifestyle. Morgan has been suffering from an increasing persistence of symptoms including unusual thirst, dizziness, blurred vision, and numbness in her right foot. The symptoms have been developing over several months but as she is planning her wedding she attributed them to nerves. She is finally persuaded to see her family doctor. Her non-fasting blood glucose level was elevated so the doctor has her return the next morning for a fasting blood sample so they could more accurately measure her blood glucose and insulin. Her blood results are below:
Test | Morganâs values | Normal range | Pre-Diabetic range | Diabetic range |
Plasma glucose, mg/dl | 260 | 70 -139 | 140 - 199 | ⥠200 |
Fasting glucose, mg/dl | 140 | ⤠99 | 100 - 125 | ⥠126 |
A1C, % | 7.6 | ~ 5 | 5.7 â 6.4 | ⥠6.5 |
Fasting Insulin, mIU/ml | 34 | 2 - 10 | 10 - 20 | ⥠20 |
The recommendation of Morganâs doctor was to improve her exercise, good nutrition, and weight loss. He recommends meeting with a nutritionist to assist Morgan in her weight loss goals. When Morgan got home and told her family the diagnosis they however had LOTS of suggestions on how she can lose weight. Below is a description of the advice given to her by three family members.
Best friend Savannah:
âYou know how Iâve been losing weight? Well, Iâve been on the Atkinsâ Diet. I heard about it on TV. Itâs great! You get to eat steak, chicken wings, and all the good stuff. All you have to do is limit carbohydrate intake. You should definitely give it a try. This diet has been around for years and it has worked for lots of people, including me.â
*Note: Atkinâs Diet recommends: 10% carbohydrates, 55% fats, 35% protein
Brother Alan:
âI think the best thing for you to do is exercise and stop eating all of that pizza and candy and food filled with fat. Our people never used to eat that junk. I say eat meals that are nutritionally balanced and high in fiber and low in refined sugars and saturated fats. And run a lot. Stop sitting around the house.â
Grandfather:
âMorgan, it is true that it is best to live in harmony and balance â to eat a nutritionally balanced diet that includes carbohydrates, proteins, and âgoodâ fats to meet your bodyâs needs. That is good. But look to your heritage. Our people were never overweight before we started eating âcivilizedâ food. Look to our native diet. I think you should look to traditional herbal remedies for help. What Alan says is true. Exercise is good. But it is sometimes not enough. Our people have always looked to natural medicine for cures. They will lift your spirits and energize you. Then you will lose weight and you will be healthy again. I hear the herbs from the diet shop are safe and good. But you must take them like the medicine label says. It canât hurt to try them.â
*Note: these herbal supplements Morganâs grandfather is recommending contain the herb
ephedra (ephedrine).
Question 5:
Given Morganâs metabolic state, what is the primary fuel source for her cells currently?
A. Carbohydrates (glucose)
B. Fats
C. Proteins
D. It is a balance of all three
Question 6:
Metabolic ketoacidosis is a common problem with diabetics, which is caused by which of the following?
A. Excessive oxidation of fatty acids, leading to an accumulation of ketone bodies in the blood.
B. Excessive oxidation of glucose, leading to an accumulation of ketone bodies in the blood.
C. Excessive oxidation of proteins, leading to an accumulation of ammonia in the blood.
D. Hyperglycemia.
Question 7:
Which weight loss suggestion is designed to achieve some level of ketosis?
A. Atkins Diet
B. Exercise
C. High fiber diet
D. Herbal treatments
Question 8:
One major side effect of the herbal supplement can be hot flashes and increased perspiration due to increased thermogenesis, what is the likely cause of the heat production?
A. Increasing the activity of phosphfructokinase-1.
B. Increasing the activity of the pyruvate dehydrogenase complex.
C. Increasing the activity of citrate synthase.
D. Increasing the activity of uncoupling proteins.
Question 9:
Would substituting fiber and complex carbohydrates (larger % cellulose) for the simple sugars and starches (high sucrose and amylose/amylopectin) help Morgan lose weight, why?
A. Yes, because complex carbohydrates like cellulose are largely indigestible so they pass through
the digestive tract without being absorbed.
B. Yes, cellulose contains less glucose residues than amylose or amylopectin.
C. Yes, because the fructose in sucrose is much more responsible for weight gain than the glucose.
D. No, because cellulose, amylose, and amylopectin are all composed of glucose so it doesnât
matter.
Question 10:
Which weight loss suggestion will lead to an increased need for gluconeogenesis?
A. Atkins Diet
B. Exercise
C. High fiber diet
D. Herbal treatments