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NDT LAB BY EBREL

MIDTERMS BSN NDT LAB

TermDefinition
NUTRITIONAL STATUS the state of our body as a result of the food consumed and their use by the body
GOOD NUTRITION an adequate, well-balanced diet combined with regular physical activity
MALNUTRITION undesirable kind of nutrition leading to ill- health. Which results from a lack, excess, or imbalance of nutrients in the diet.
TYPES OF MALNUTRITION: Undernutrition Overnutrition
TYPES OF NUTRITIONAL ASSESSMENT: Anthropometric Assessment Clinical Assessment Biochemical Assessment Dietary Assessment
ANTHROPOMETRIC ASSESSMENT measurement of variations of the physical dimensions and gross composition of the body
CLINICAL EXAMINATIONS medical history and physical examination
BIOCHEMICAL ASSESSMENTS based on the laboratory analysis of the blood and urine
DIETARY ASSESSMENT food frequency, questionnaires, 24-hour food recall, food record for 3-7 days
BODY MASS INDEX An index that correlates a person’s body weight to his/her height
IMPERIAL ENGLISH BMI FORMULA weight (lbs) x 703 ÷ height (in^2)
METRIC BMI FORMULA weight (kg) / height (m^2)
WEIGHT CLASSIFICATION ACCORDING TO WHO: Underweight Normal Weight Overweight Obese
UNDERWEIGHT BMI less than 18.5
NORMAL BMI between 18.5 – 24.99
OVERWEIGHT BMI between 25 – 29.99
OBESE BMI over 30
KILOGRAM TO POUNDS 1kg in = ___ lbs 1kg = 2.20 lbs
POUND TO KILOGRAM 1lb = ___ kg 1lb = 0.45 kg
BASIC TOOLS IN NUTRITION To provide advice to the public on the recommended nutrient intake across the lifespan.
DIETARY REFERENCE INTAKE (DRI) are the standards used by the USA and Canada. It is tentative as it can be changed by new studies
RECOMMENDED ENERGY AND NUTRIENT INTAKE (RENI) a nutrient based dietary standard that provides value to guide individuals to achieve adequate nutrient intake for maintenance of good health.
THREE MAIN FOOD GROUPS: Body-Building Food Energy Food Regulating Food
BODY-BUILDING FOOD foods that supply good quality proteins, some vitamins, and minerals
ENERGY FOOD mostly of rice and other cereals, starches, sugars, and fats contribute the bulk of calories
REGULATING FOOD composed of fruits and vegetables that provide vitamins and minerals, particularly ascorbic acid
FOOD GUIDE PYRAMID Provides a way to convert the nutrient recommendations from the RENI into a food plan and offers these simple daily guidelines.
FOOD PYRAMID/ DIET PYRAMID a triangular diagram representing the optimal number of servings to be eaten each day from each of the basic food groups
FOOD GUIDE PYRAMID/ EATING RIGHT PYRAMID the pyramid introduced by the United States Department of Agriculture (USDA) in 1992
MY PYRAMID the updated name of Food Guide Pyramid in 2005
MY PLATE the updated name of Food Guide Pyramid in 2011
PINGGANG PINOY Development of it for specific population groups was spearheaded by FNRI in 2015 and was launched in 61st NDAP Convention in 2016.
FNRI Food and Nutrition Research Institute
FOOD GUIDE PYRAMID pyramid is a graphic translation of the current “Your Guide to Good Nutrition” based on the usual dietary pattern of Filipinos in general.
DR. RODOLFO F. FLORENTINO he introduced the FNRI Food Guide Pyramid to the participants and guests of the 22nd FNRI Seminar Series held last July 2-3, 1996, at the FNRI Auditorium.
22ND FNRI SEMINAR SERIES July 2-3, 1996, at the FNRI Auditorium.
NON COMMUNICABLE DISEASES (NCD) are the leading cause of death worldwide and represent an emerging global health threat eg. heart disease, cancer, chronic respiratory disease, and diabetes,
MAJOR NCDs cardiovascular diseases, cancers, diabetes mellitus and chronic obstructive pulmonary disorder disease (COPD) has direct correlation with the nutritional intake.
NATIONAL NUTRITION AND HEALTH SURVEY (2008) - Increases in the prevalence of Hypertension (peaking @ 40 years old), D.M (peaking b/n ages 50-59 ), and Dyslipidemia - Elevated cholesterol level peaking b/n ages 40-69 years old
FNRI CONSUMPTION SURVEY (2006) - Increased in cereal, bread, bakery products, noodles, and snacks foods from flour - Sugar and syrups including soft drinks - Fats and oils - Meats and meat products’ milk and milk products - Alcoholic products
DIETARY STANDARDS Are compilations of nutrient requirements or allowances in specific quantities
DIETARY REQUIREMENTS Are compilations of nutrient requirements or allowances in specific quantities o Dietary requirement
RECOMMENDED DIETARY ALLOWANCE commonly known also as Recommended Daily Allowance. It is the recommended daily vitamins and mineral intake considered adequate for health people.
NUTRITIONAL GUIDELINE FOR FILIPINOS (NGF) contains all the nutrition messages to healthy living for all age groups from infants to adults, pregnant and lactating women, and the
FOOD COMPOSITION TABLE It contains subsets of nutrient data, descriptors, and photos of foods that were generated and compiled at the FNRI’s Food Composition Laboratory
FOOD EXCHANGE LIST The word exchange refers to the fact that each item on a particular list in the portion listed may be interchanged with any other food item on the same list.
FOOD EXCHANGE LIST used to check out serving sizes for each group of foods and to see what other food choices are available for each group of foods.
NUTRITIONAL FOOD LABEL provides consumers with the information about nutritional properties of food to facilitate the proper selection of diet
PHILIPPINE NUTRITION LABELLING ACT OF 2015 Food Label in the Philippines The State shall protect and promote the right to accurate health information of consumers in relation to the nutritional value and content of food products available in the market
CODEX ALIMENTARUS GUIDELINES Latin for FOOD CODE followed guidelines by the manufacturer
NUTRITIONAL LABELLING AND EDUCATION ACT OF 1900 (NLEA) requires that food labels follow a standard format and provide this nutrition information
NUTRIENT REFERENCE VALUES expressed as % Daily Values that help consumers see how a food fits into an overall daily diet.
A statement of identity describe the product; common name of the food
A net weight or contents statement by weight, volume, or numerical count. It could be in English and metric units.
An ingredient statements located below the Nutrition Facts panel; by common name in descending order by weight
Allergen Labelling eight common allergens must be identified: eggs, milk, wheat, soy, peanuts, type of tree nuts, type of fish, type of shellfish
A statement of name and place of business of the product’s manufacturer, packer, or distributor
Country of Origin a retail-level requirement that provides consumers with notification about the geographic origin of certain foods they buy
The Nutrition Facts label The serving sizes, Amount of calories, Limit these nutrients (Total Fat, Cholesterol, Sodium), Get enough of these nutrients (Dietary Fiber and Vitamins), Percent daily Value (Right side column), Footnote with Daily Value
Nutrient Claim terms used to describe nutrients in foods have approved definitions.
Health Claim our relationship exists between a food and its constituents and health. E.g., Calcium aids in the development of growth of bones and teeth.
Reduced of Disease disclaims it relates to the consumption of food or food constituents to reduce a developing disease or health related conditions
Label dates includes the manufacturing date ang date of expiry/expiration date
FREE means negligible not entirely free
CALORIE-FREE fewer than 5 calories per serving
FAT-FREE less than 0.5 grams of fat per serving
TRANS-FAT FREE less than 0.5 grams of trans fat and 0.5 grams of saturated fat per serving
CHOLESTEROL FREE less than 2 milligrams or less than 2 grams of saturated fat
SODIUM-FREE/SALT-FREE less than 0.5 grams of sugar per serving
SUGAR FREE less than 0.5 grams of sugar per serving
SATURATED FAT: Meats, butter, dairy products
SATURATED FAT - Increase levels of “bad” cholesterol or LDL (low-density lipoprotein) - LDL clogs arteries
BAD CHOLESTEROL LDL (low-density lipoprotein)
UNSATURATED FAT Liquid at room temperature Increase levels of “good” cholesterol or HDL (high density lipoprotein)
UNSATURATED FAT: Vegetable Oils
GOOD CHOLESTEROL HDL (high density lipoprotein) - HDL “grabs” LDL and escorts it to the lover where LDL is broken down and eventually removed from the body
LABEL DATES ON FOODS: Use-by date Self-by date Best if Used By/Before
Use-by date is the last date recommended for the use of the product while at peak quality. It is not a safety date except for when used on infant formula
Self-by date tells the store how long to display the product for sale, for inventory management. It is not a safety date.
Best if Used By/Before date indicates when a product will be of best flavor or quality. It is not a purchase or safety date.
BASAL METABOLISM Measure of energy needed by the body at rest to perform all the internal chemical activities or process 1 calorie per kg weight of the body.
BMR/BASAL METABOLIC RATE Rate of the basal metabolism in a given person at a given time and situation; usually taken in the morning
CONDITIONS NECESSARY FOR BMR TEST - Subject must be fasting or at least 12 hours after meal (usually morning) - Must be awake, lying quietly, free from physical fatigue, nervousness, or tension - Environmental temperature should be between 20-25 C
3 REASONS WHY PEOPLE NEED ENERGY Basal Metabolism Physical Activity Thermic effect of the body
BASAL METABOLISM the energy needed for basic body processes, such as breathing, heartbeat, nerve activity, etc. to continue working while awake and even at sleep
PHYSICAL ACTIVITY energy needed for activities other than basal metabolism such as work, exercise, sports, etc.
THERMIC EFFECT OF THE BODY 5-10% of an individual's total energy requirement is allocated for the digestion of food.
FACTORS AFFECTING BASAL METABOLIC RATE Surface Area Sex Age Body Composition State of Nutrition Sleep Endocrine Glands Fever
Surface Area the higher or wider the surface area, the greater amount of heat loss will be
Sex women’s metabolism is 5-10% lower than men even if they have the same height and same weight
Age the more person gets older, the slower the metabolic rate. There is rapid increase of BMR in first two years and it declines as they get older.
Body Composition large portion of inactive adipose tissue lowers the BMR
State of Nutrition undernourishment and starvation cause lower metabolism as much as 50% of normal rate. Lower state of nutrition there is decline in BMR
Sleep during sleep metabolic rate falls below 15% due the muscle relaxation. Slower BMR and body processes
Endocrine glands visible regulators of Metabolic Rate
Fever increases BMR about 7
METHODS OF COMPUTUING BMR: Rule of Thumb Harris Benedict Formula; Resting Energy Expenditure Biologic Body Weight Equation by WHO/FAO/UNO (1984)
RULE OF THUMB utilizes the weight of person in a 24-hour period. 1 calorie per kg weight of the body per hour for an adult.
RULE OF THUMB FORMULA 1kcal x kg(wt.) x 24 Male = 1kcal; Female 9kcal
HARRIS BENEDICT FORMULA: RESTING ENERGY EXPENDITURE commonly used to compute the BMR of the bed-ridden patient. It was developed in 1901.
HARRIS BENEDICT FORMULA: RESTING ENERGY EXPENDITURE FORMULA Female: REE = 655 + (9.6 x wt. in kg) + (1.8 x ht. in cm) – (4.7 x age) Male: REE = 66 + (13.7 x wt. in kg) + (5 x ht. in cm) – 6.8 x age) W = weight t in kilograms (kg) H = height in centimeters (cm) (height in inches x 2.54 = cm) A = age in years.
BIOLOGIC BODY WEIGHT obtain metabolic rate or fat free body size
BIOLOGIC BODY WEIGHT FORMULA/EXAMPLE 50kg 18.8 x 70 = 1,316 kcal 65 kg 21.6 x 70 = 1,512 kcal
EQUATION BY WHO/FAO/UNO (1984) 1.6 x [wt. (kg) + 879]
DIET PLANNING PRINCIPLES Adequacy Balance Kilocalorie Control Nutrient Density Moderation Variety
ADEQUACY adequate amount of nutrients, fibers and others that is sufficient to maintain health
BALANCE providing food in proportion to each other and proportion in body’s need.
KILOCALORIE CONTROL management of food intake
NUTRIENT DENSITY measure of nutrients that food provides relative to energy it provides. Diet plan should have more nutrients or higher nutrient density and the fewer calories
MODERATION moderate, providing enough but not too much
VARIETY various foods, lot of necessary nutrients needed by the body
ENERGY FROM FOODS it is utilized for mechanical work, electrical work, and chemical work
KILOCALORIE (kcal) is the standard unit in measuring heat (food energy). It is commonly shortened to calorie or abbreviated to kcal.
FUEL FACTOR the number of kcalories that 1 g of a nutrient yields when completely oxidized; the fuel factor is 4 or carbohydrate and protein, 9 for fat, and 7 for alcohol
INTERNATIONAL SYSTEM UNIT Food energy is measured in kilocalories: > 1,000 calories = 1kcal
JOULE measure of energy in the system units > 1,000 calories = 1 kcal = 4.184 kJ (kilojoules)
kcal = kJ 1 kcal = 4.184 kJ (kilojoules)
FREE FOOD negligible food value, may be used without calculation into the meal plan unless specifically prohibited by the physician
DESIRED BODY WEIGHT/ IDEAL BODY WEIGHT (IBW) weight at the lowest possible mortality.
IBW COMPUTATION METHODS: Ador Dionisio's Method Tannhauser's Method (Broca Index)
ADOR DIONISIO’S METHOD utilizes height and age regardless of weight and gender
IBW - ADM HEIGHT FORMULA For every 5 feet, allow 100 lbs. for female ✓ For every 5 feet, allow 110 lbs. for male ✓ For each additional inch, allow 2 lbs. each
IBW - DM AGE FORMULA ✓ For every 5 years between 25 to 50 years, 2 lbs. additional
TANNHAUSER’S METHOD (BROCA'S INDEX) DBW = [(ht., cm) – 100)] – [10% (ht.,cm -100)] *take 10% of remainder and subtract from the remainder
IBW - TM STEPS IN COMPUTATION a) Convert height into centimeters. b) Deduct from the height the factor 100 c) To adjust body frame for Filipinos, deduct addition 10%
TOTAL ENERGY NEED OR EXPENDITURE The amount of food energy needed by the body to balance the energy expenditure in order to maintain the body size, body composition, and the level of necessary and desirable physical activities constituents.
TOTAL ENERGY NEED OR EXPENDITURE METHODS OF COMPUTATION Method 1: Based on DBW according to occupation Method 2: Using the Recommended Dietary Allowances for Filipinos Method 3: Recommended by FAO/WHO/UNU (1985)
BED PATIENT are sedentary lifestyles includes reading all-day, writing, eating, watching TV, office works (8 hrs. sitting w/o much movement)
LIGHT WORK cooking, washing dishes, ironing, welding, standing at work w/o doing anything, rapid typing
MODERATE WORK mopping, scrubbing, sweeping, light gardening, carpentry, walking fast, standing at work with moderate arm movements, sitting at work with vigorous arm movements
HEAVY WORK heavy scrubbing, handwashing clothes, fast walking, heavy gardening
METHOD 1 - BASED ON DBW ACCORDING TO OCCUPATION Weight in kilograms x Occupation/Activity = _________ kcal
METHOD 2: USING THE RECOMMENDED DIETARY ALLOWANCES FOR FILIPINOS Recommended Daily Energy Intake for Adults
METHOD 3: RECOMMENDED BY FAO/WHO/UNU (1985) BMR kcal x Type of Activity = _________ kcal
VERY LIGHT sitting and standing, painting, driving, laboratory work, typing, playing musical instruments, sewing, ironing
LIGHT walking on level 2.5-3 mph, tailoring, pressing, garbage work, washing clothes, golfing, sailing, playing table tennis, playing volleyball
MODERATE walking on 3.5-4 mph, plastering, weeding, and hoeing, loading, and stacking bales, scrubbing floors, shopping with heavy load, cycling, skiing, playing tennis, dancing
HEAVY walking with load uphill, tree-felling, work with pick and shovel, playing basketball, swimming, climbing, playing football
PHYSICAL NEEDS approximate percentage increase above basal needs (use lower factor for women)
Bed Rest 10-20%
Sedentary 30%
Light Activity 50-60%
Moderately Active 60-70%
Severely Active 90-110%
Created by: vrilaava
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