Kozier Chapter 47 Nutrition

24-hour food recall

client recalls all the food and beverages consumed during a typical 24-hour period

Anemia

a condition in which the blood is deficient in red blood cells or hemoglobin

Anorexia nervosa

a disease characterized by a prolonged inability or refusal to eat, rapid weight loss, and emaciation in persons who continue to believe they are fat

Body mass index

(BMI) indicates whether weight is appropriate for height

Bottle mouth syndrome

describes the decay of the infant's teeth caused by constant contact with the sweet liquid in a bottle

Bulimia

an uncontrollable compulsion to eat large amounts of food and then expel it by self-induced vomiting or by taking laxatives

Caloric value

the amount of energy that nutrients or foods supply to the body

Calorie (c, cal, kcal)

a unit of heat energy equivalent to the amount of heat required to raise the temperature of 1 kg of water 1 C

Cholesterol

a lipid that does not contain fatty acid but possesses many of the chemical and physical properties of other lipids

Complete proteins

a protein that contains all of the essential amino acids as well as many nonessential ones

Demand feeding

child is fed when hungry

Diet history

a comprehensive assessment of a client's food intake that involves an extensive interview by a nutritionist or dietitian

Disaccharides

sugars that are composed of double molecules

Dysphagia

difficulty or inability to swallow

Enteral

through the gastrointestinal system

Enzymes

biologic catalysts that speed up chemical reactions

Essential amino acids

amino acids that cannot be manufactured in the body and must be supplied as part of the protein ingested in the diet

Fad

a widespread but short-lived interest, or a practice followed with considerable zeal

Fats

lipids that are solid at room temperature

Fat-soluble vitamins

A, D, E, and K vitamins that the body can store

Fatty acids

the basic structural units of most lipids made up of carbon chains and hydrogen

Food diary

a detailed record of measured amounts (portion sizes) of all food and fluids a client consumes during a specified period, usually 3 to 7 days

Food frequency record

a checklist that indicates how often general food groups or specific foods are eaten

Gastrostomy

an opening through the abdominal wall into the stomach

Glycerides

the most common form of lipids consisting of a glycerol molecule with up to three fatty acids

Glycogen

the chief carbohydrate stored in the body, particularly in the liver and muscles

Glycogenesis

the process of glycogen formation

Ideal body weight (IBW)

the optimal weight recommended for optimal health

Incomplete proteins

protein that lacks one or more essential amino acids; usually derived from vegetables

Iron deficiency anemia

a form of anemia caused by inadequate supply of iron for synthesis of hemoglobin

Jejunostomy

an opening through the abdominal wall into the jejunum

Kilocalorie (Kcal)

see Calorie

Kilojoule (kJ)

a metric measurement referring to the amount of energy required when a force of one newton (N) moves one kilogram of weight one meter distance

Large calorie (Calorie, kilocalorie [Kcal])

see Calorie

Lipids

organic substances that are greasy and insoluble in water but soluble in alcohol or ether

Lipoproteins

soluble compounds made up of various lipids

Macrominerals

any of the minerals that people require daily in amounts over 100 mg

Malnutrition

a disorder of nutrition; insufficient nourishment of the body cells

Microminerals

a vitamin or mineral

Mid-arm circumference (MAC)

a measure of fat, muscle, and skeleton

Mid-arm muscle circumference (MAMC)

calculated by using reference tables or by using a formula that incorporates the triceps skinfold and the MAC

Minerals

a substance found in organic compounds, as inorganic compounds and as free ions

Monosaccharides

sugars that are composed of single molecules

Monounsaturated fatty acids

a fatty acid with one double bond

Nasoenteric tube

a tube inserted through one of the nostrils, down the nasopharynx, and into the alimentary tract

Nitrogen balance

a measure of the degree of protein anabolism and catabolism; net result of intake and loss of nitrogen

Nonessential amino acids

an amino acid that the body can manufacture

Nutrients

organic or inorganic substances found in food

Nutrition

the sum of all the interactions between an organism and the food it consumes

Nutritive value

the nutrient content of a specified amount of food

Obese

(obesity) weight greater than 20% of the ideal for height and frame

Oils

lipids that are liquid at room temperature

Overnutrition

a caloric intake in excess of daily energy requirements, resulting in storage of energy in the form of adipose tissue

Overweight

BMI 26-30 kg/m2

Partially complete protein

protein that contains less than the required amount of one or more essential amino acids; cannot alone support continued growth

Percutaneous endoscopic gastrostomy (PEG)

feeding catheter inserted into the stomach through the skin and subcutaneous tissues of the abdomen

Percutaneous endoscopic jejunostomy (PEJ)

feeding catheter inserted into the jejunum through the skin and subcutaneous tissues of the abdomen

Polysaccharides

a branched chain of dozens, sometimes hundreds, of glucose molecules; starches

Polyunsaturated fatty acids

fatty acid with more than one double bond (or many carbons not bonded to a hydrogen atom)

Protein-calorie malnutrition

problem of clients with long-term deficiencies in caloric intake; characteristics include depressed visceral proteins (e.g., albumin), weight loss, and visible muscle and fat wasting

Pureed diet

a modification of the soft diet; liquid may be added to the food, which is then blended to a semisolid consistency

Regurgitation

the spitting up or backward flow of undigested food

Resting energy expenditure (REE)

the amount of energy required to maintain basic body functions

Saturated fatty acids

those in which all carbon atoms are filled to capacity (i.e., saturated) with hydrogen

Skinfold measurement

an indicator of the amount of body fat, the main form of stored energy

Small calorie (c, cal)

the amount of heat required to raise the temperature of 1 g of water 1 C

Triglycerides

substances that have three fatty acids; they account for over 90% of the lipids in food and in the body

Undernutrition

an intake of nutrients insufficient to meet daily energy requirements because of inadequate food intake or improper digestion and absorption of food

Unsaturated fatty acid

a fatty acid that could accommodate more hydrogen atoms than it currently does

Urea

a substance found in urine, blood, and lymph; the main nitrogenous substance in blood

Vitamin

an organic compound that cannot be manufactured by the body and is needed in small quantities to catalyze metabolic processes

Water-soluble vitamins

a water-soluble vitamin that the body cannot store, so people must get a daily supply in the diet; include C and B-complex