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FHN- Energy

Anna Regan FHN 30 credits English 85 cards

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  1. 1Name 3 contributors to energy inputFood, Drink, Air, Gut, Skin, Lungs
  2. 2Name 4 contributors to energy outputFaecal loss, urine, other body fluids, air, gut, bladder, skin, lungs.
  3. 3what is nutritional balanceintake = loss
  4. 4intake > losses = ?Positive balance
  5. 5Intake < losses = ?Negative balance
  6. 6Name 4 non-degradable nutrientsEnergy, iron, nitrogen, calcium, sodium, trace elements.
  7. 7Name 4 degradable nutrientsProtein, fat, carbohydrates, fibre, vitamins.
  8. 8The time it takes to measure balance is dependent on ______The nutrient
  9. 9Name 5 forms of energyHeat, light, electrical, magnetic, kinetic , potential, chemical
  10. 10heat + kinetic + potential = ?Chemical
  11. 11When is chemical energy released?When bonds between atoms in nutrient molecules are released.
  12. 12What are the units of energy?Joules ( J )
    Calories ( cal )
  13. 131 calorie = ? J4.184
  14. 14Approximately how many calories does an average adult use per 24 hours?1800 - 3000 kcal
  15. 15What are the atwater values for the macronutrients?Carbohydrate - 4 kcal/g
    Fat - 9 kcal/g
    Protein - 4 kcal/g
    Alcohol - 7 kcal/g
  16. 16How does a bomb calorimeter work?Food is blended and dehydrated so it can be burnt.
    Models are used for food and environmental samples.
    Samples are homogenized and dried.
  17. 17What is digestible energy (including equation) ?All energy which isn't excreted including body stores. ~ 96% of energy is absorbed.
    DE = GE - Faecal energy.
  18. 18What is Metabolizable energy (including equation) ?Energy which is used, not stored. ~84% GE
    ME = DE (fat) + DE (CHO)
    + [0.75 x DE (protein)]
    not all protein is digested - 25% lost in urine.
  19. 19What is Net Metabolizable Energy?NME = ME - ΔHE
  20. 20What is Respiratory Quotient and its equation?Oxidation of macronutrients.
    Ratio of CO2 produced to oxygen used.
    RQ = CO2/O2
  21. 21What are the Respiratory Quotients for the macronutrients?Carb - 1.00
    Fat - 0.70
    Protein - 0.82
    Alcohol - 0.67
  22. 22If a person eats a high fat / low CHO intake will the RQ be high or low?Low
  23. 23Total Energy Expenditure = ?TEE = Basal metabolic Rate + Dietary induced thermogenesis + energy of physical activity + others.
  24. 24What is basal metabolic rate?the energy costs of the essential metabolic processes required to maintain life.
  25. 25What conditions does a person have to be in to measure BMR?lying down, resting (awake), at least 10 hours after last intake, normal body temp, in thermal comfort,
    without physical/ psychological stress.
  26. 26What proportion of TEE is BMR?usually 60-70%
    can be 50-80%
  27. 27what are the other names for BMR? Why might these be used instead of BMR?Resting metabolic rate (RMR)
    Resting energy expenditure (REE)
    Same component but may not be measured under such strict conditions as they are often very difficult to maintain.
  28. 28What biological components contribute?Heart and respiratory muscle contractions
    Kidney function
    Electrical conductivity of nerves
    Protein synthesis
    Metabolic processes.
  29. 29Fill in the tableFill in the tableFill in the table
  30. 30Put in order of which contribute more - less of % BMR skeletal muscle, adipose tissue, vital organs1. Vital organs
    2. Skeletal muscle
    3. Adipose tissue
  31. 31What influences BMR?body comp, sex, age, disease/ injury, thyroid function.
  32. 32What is Dietary induced thermogenesis?The increase in energy expenditure observed after nutrient intake
  33. 33What proportion of TEE is DIT?usually 5- 15%
  34. 34What are other names for DIT?post-prandial thermogenesis
    specific dynamic action
    thermic effect of food/ a meal
  35. 35What contributes to DIT?Digestion, Absorption, Transport of nutrients, Post-absorptive metabolism, Storage of excess dietary energy.
  36. 36What influences DIT?Food eaten
    Time since consumption
  37. 37If quantity of intake increases will DIT increase or decrease?Increase
  38. 38If the ratio of CHO : fat increases will DIT increase or decrease?Increase
  39. 39What is the maximum response time to measure DIT?~ 1 hour after nutrient intake
  40. 40What is the definition for physical activity?the increase in energy expenditure observed with physical activity.
  41. 41What proportion of TEE is PA?Usually 20- 40%
    Most variable component and depends on the individual
  42. 42What are other names for PA?thermic effect of exercise
    thermic effect of activity
    activity induced thermogenesis
  43. 43What contributes to PA?Physical movement of the body,
    heat loss
  44. 44What influences PA?Activity,
    Subject
  45. 45What influences actiivity?Type, intensity, duration, frequency
  46. 46What influences the subject?Body mass, 'fitness', efficiency
  47. 47What is the equation for Physical Activity Ratio?energy spent doing activity in x mins/
    energy spent in BMR in x mins
  48. 48Give 3 examples of PAR values1.0 - 1.4 - lying, standing
    1.5 - 1.8 - driving, washing up
    1.9 - 2.4 - cooking, mixed housework
    2.5 - 3.3 - showering, walking 3-4 km/hr
    3.4-4.4 - gardening, walking 4- 6 km/hr
    4.5 - 5.9 - dancing, gentle cycling
    6.0 - 7.9 - walking uphill, running
    >8.0 - squash, rock climbing
  49. 49What are other components of Energy expenditure?non- exercise activity
    adaptive
    psychological
    cold induced
    drug induced
  50. 50What is non- exercise activity thermogenesis? include an exampleNEAT = TEE - ( BMR + DIT + exercise)
    eg . fidgeting
  51. 51What are other names for adaptive thermogenesis?non- shivering thermogenesis
    facultative thermogenesis
    regulatory thermogenesis
  52. 52What is adaptive thermogenesis?Activation or suppression of 'futile cycles'
  53. 53Explain the effect of psychological thermogenesis on energy expenditure.if there is psychological stress energy expenditure increases.
    It is mediated by stress hormones and can increase heart rate and respiration.
  54. 54What are the 2 components of Cold-induced thermogenesis?Shivering - rhythmic muscle contractions
    Non- shivering - adaptive thermogenesis
  55. 55Give two examples of drugs which contribute to drug induced thermogenesiscaffeine, Nicotine
  56. 56Measuring energy expended as heat = ?Direct Calorimetry
  57. 57Calculating EE from other measurements that relate to heat production = ?Indirect calorimetry
  58. 58What are prediction equations?estimate EE from equations based on population measurements
  59. 59Explain how direct calorimetry is measuredsubject is placed in an insulated box
    heat produced by the subject warms the area
    temperature increase is measured
  60. 60What are the different types of direct calorimetry?Isothemal
    heat sink
    convection
    differential
  61. 61Name 3 advantages of direct calorimetrysimple in theory
    direct measurements
    no conversion factors
    accurate measurements
    considered a gold standard
  62. 62Name 3 disadvantages of direct calorimetrycomplex to operate in practice
    expensive equipment
    equipment rarely available
    subject is restrained
    time required for heat equilibration
    only measures heat produced
  63. 63What is indirect calorimetry based on?relationship between O2 uptake and CO2 production.
  64. 64What is collected in indirect calorimetry?inspired and expired air
  65. 65What are the types of indirect calorimetry?room calorimetry
    metabolic cart
    portable respiratory
    doubly labelled water
  66. 66Explain what is involved in the room calorimeter/ ventilated chambersealed well insulated room with bed, chair, table, air lock hatch for food, drink, urine and faeces.
    air drawn through chamber at measured rate, O2 and CO2 measured entering and leaving, temp and pressure recorded, uptake of O2 and production of CO2 calculated. Then EE calculated using formula.
  67. 67What are the advantages of the ventilated chamber?accurate
    can measure TEE over 2-14 days
    subject less restrained than other methods
    provides data on nutrient metabolism as well as energy.
  68. 68What are the disadvantages of the Ventilated chamber?complex to operate in practice
    expensive
    bulky equipment
    subject is not free living
    time required for gaseous equilibration
    assumptions must be made in calculations
  69. 69What is the metabolic cart?Custom- built trolley
    incorporates O2 and CO2 analyser
    mouthpiece/mask with tent/ hood
    software involved
    used in conjunction with bed or exercise bike.
  70. 70What are the advantages of the metabolic cart?relatively easy to operate
    portable
    accurate enough for clinical/research purposes
    measure over 0.25- 8 hours
    health and sick individuals
  71. 71What are the disadvantages of the metabolic cart?relatively expensive
    subject is not free living
    assumptions made in calculations
    accuracy depends on good calibration
  72. 72What does portable respiratory require?system to collect inspired/expired air
    measurement of volume
    analysis of O2 and CO2 concentration
    calculation
  73. 73What are the advantages of portable respirometry?cheap and easy to use
    can use for physical activities
    some portable
  74. 74What are the disadvantages of portable respirometry?poor accuracy
    rely on assumptions and calculations
  75. 75What is the technique of doubly labelled water?subject drinks accurate dose of doubly labelled water
    collect saliva/blood/urine sample for 2-3 weeks
    plot graph of concentration to show loss
    calculate rate of loss - CO2 production - energy
  76. 76What are the advantages of doubly labelled water?measures TEE
    free living subjects
    blood sample not essential
    considered gold standard
  77. 77What are the disadvantages of doubly labelled water?relies on assumptions
    isotopes expensive
    compared with direct calorimetry +/- 7%
  78. 78Explain the theory behind using a heart rate monitorsignificant relationship between heart rate and TEE
    portable, small and non-restraining
    measurements for 72 hours +
    best for population studies
  79. 79What are the advantages of the heart rate monitor?estimates TEE in free living individuals
    accuracy is ok
    useful for field studies/ large groups
    reasonably cheap
  80. 80What are the disadvantages of the heart rate monitor?if not individually calibrated accuracy is poor
    not suitable for metabolic studies or accurate research
  81. 81What are pedometers and accelerometers?portable devices that measure movement
  82. 82How do pedometers and accelerometers work?attach to body
    enable collection of free-living date
    usually require calibration
    useful for measuring changes
    useful for groups
    less useful for quantifying EE
  83. 83Name the 3 prediction equations for BMRHarris-Benedict 1919
    Schofield 1985
    Henry 2005
  84. 84What are the advantages of prediction equations?Cheap
    quick and easy
    equipment readily available
    useful for a rough indicator
    can be used to check other methods
  85. 85What are the disadvantages of Prediction equations?Only predict REE
    inaccurate
    must be population specific
    less accurate with individuals
    least accurate in illness and disease

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FHN exam 14-5-15
Created by
Anna Regan
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fhnenergyfoundation of human nutrition
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