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Medical Nutrition Therapy, registered dietitians - Correct Answers *Interpretation of medical info
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*SPECIFIC disease management II! II!
*INDIVIDUALIZED diet patterns/menus II! II!
*PERSONAL recommendations on intake of specific nutrients II! II! II! II! II! II!
*Instruction on MEDICALLY-PRESCRIBED diets II! II! II!
*Provided by ______ II! II!
II! Nutrition Education - Correct Answers General advice for healthy individuals or groups is provided by
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II! RD's and paraprofessionals
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II! nutrition assessment and diagnosis - Correct Answers Comprehensive evaluation and interpretation of
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II! medical & nutritional history, anthropometric, biochemical and dietary indicators of health status, and
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II! possible drug-nutrient interactions.
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GOAL: to identify nutrition-related health problems
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II! medical nutrition therapy, assessment, therapy - Correct Answers The nutritional treatment necessary
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II! to prevent, manage or treat a condition, illness or injury
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This is comprised of nutrition _____ and _____
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II! nutrition therapy - Correct Answers *individualized care plan
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*implementation of the plan and diet/behavior counseling II! II! II! II! II! II!
*monitoring and follow-up adjustments to therapy II! II! II! II! II!
, II! primary - Correct Answers _____ prevention: BEFORE disease is diagnosed, to DECREASE RISK of
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II! developing disease II!
II! secondary - Correct Answers ______ prevention: after pre-clinical symptoms/overt disease are
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II! diagnosed; interventions to PREVENT ADVERSE SYMPTOMS or DELAY PROGRESSION of disease
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II! tertiary - Correct Answers ______ prevention: AFTER disease is diagnosed and has ALREADY
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II! PROGRESSED; manage/reduce severity/discomfort II! II!
II! A - Correct Answers Category _____ evidence: very strong evidence
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*from well-controlled RCT's (only types of studies that can establish CAUSE and EFFECT)
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*Meta analyses of RCT's II! II! II! II!
*Well-controlled epidemiological studies II! II!
II! B - Correct Answers Category ____ evidence: strong evidence
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*Cohort & case-controlled studies II! II! II!
II! C - Correct Answers Category ____ evidence: moderate evidence
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*Individual case studies II! II! II!
*limited case control II! II!
II! D - Correct Answers Category ____ evidence: weak evidence
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*anecdotal
II! Evidence Analysis Library - Correct Answers Online resource with the best available research on
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II! important dietetics topics in a practitioner-friendly format (think: ocean animal)
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II! phenotypic plasticity - Correct Answers the ability of an organism to change its 'state' in response to
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II! stimuli or changes in the environment; in general, FLEXIBILITY= RESILIENCY
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, II! Nutritional Phenotype - Correct Answers An individual's _________ is influenced by:
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*Medicine
*Genes
*Diet
*Environment
*Behavior
*Gut microbiome II!
II! genetics - Correct Answers Study of heredity or inherited traits and alterations in SPECIFIC GENES; does
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II! not change throughout life (what you're born with)
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II! genomics - Correct Answers Study of a complex SET OF GENES; the complete DNA sequence; includes
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II! epigenetics, protein expression, interactions of genome with environment II! II! II! II! II! II! II!
II! Nutrigenomics - Correct Answers How food and nutrients affect gene expression and how individual II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! genetic variation affects response to nutrients; includes genetics, genomics, & epigenetics
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II! epigenetics - Correct Answers Inheritance of information based on gene expression levels, NOT
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II! CHANGES IN DNA SEQUENCE; regulation of gene expression by genomic modifications such as
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II! methylation & acylation of DNA and Histones II! II! II! II! II! II!
II! variation, nucleotide, genetic, indels, larger - Correct Answers Sources of genetic ______:
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*SNP's (one ____ is exchanged for another)
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*______ inheritance (autosomal vs. x/y-linked, dominant vs. recessive)
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*_________ (a type of SNP)- cause frame shifts/have a _____ impact than changes/substitutions of aa's)
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II! monogenic, mendelian - Correct Answers Examples of ______ or ______ disorders
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*Familiar hypercholesterolemia II!
*PKU (caused by a specific SNP)
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*Cystic fibrosis II!