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NST 166 - NUTRITION IN COMMUNITY EXAM QUESTIONS WITH CORRECT ANSWERS

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NST 166 - NUTRITION IN COMMUNITY EXAM QUESTIONS WITH CORRECT ANSWERS

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NST 166 - NUTRITION IN COMMUNITY
EXAM QUESTIONS WITH CORRECT
ANSWERS
CHIS - ANSWER-statewide phone survey conducted through UCLA every 2 years.
date on children, youth and adults. covers many health topics

Other nationwide nutritional assessment measures *not on study guide - ANSWER-
market basket study: measures nutrients and contaminants

food label & package supple: checks for accuracy of nutritional labels

food disappearance data: study of what is left in national food supple after exports
and non-human consumption uses

What is NHANES? How is it performed? How many peeps? Importance? -
ANSWER-Stands for National Health and Nutrition Examination Survey

It is a continuing survey to assess health and nutritional status of adults and kids i
US such as:

-prevalence of disease
-disease risk factors
-nutritional status
-national health standards (height, weight, bp)

Performed with interviews and physical examinations (lab tests)

~5,000 peoples/year

Used for worldwide epidemiological studies....raise awareness

Three types of dietary data - ANSWER--dietary behavior/food diary
-24-hour recalls
-food frequency questionnaire

MEC - ANSWER-mobile examination center for NHANES data collection (literally 4
trailers connected with all equipment needed)

Data collection in MEC - ANSWER-physical exam
dental exam
blood/urine samples
interview (diet behaviors [water intake, meal and snack patterns, beastfeeding
practices], drug use, mental health, food security [income, food assistance
programs], dietary supplement use [told to bring containers to interview])

,Dietary Behaviors measured for NHANES - ANSWER-water intake, meal and snack
patterns, breastfeeding practices, weight control practices, eating-out habits, use of
special diets

Food security assessments measured for NHANES - ANSWER-household income,
household food security, individual food security, food assistance programs

Dietary supplement use for NHANES - ANSWER-vitamins, minerals, herbal
supplements, told to bring containers to interview

Anthropometric data used for NHANES - ANSWER-height, weight, head
circumference for 0-6 months, mid-upper arm circumference, skinfold thickness

Biochemical data used for NHANES - ANSWER-blood lipid, blood glucose, vitamin
and mineral status, blood albumin

Dietary intake interview used for NHANES - ANSWER-FFQ (food frequency
questionnaire) and 2 24-hr recalls

24-hr recalls:
Day one is conducted in person

Day 2 is conducted over the phone 3-10 days after

underreporting common especially in overweight/obese

underrreporting in energy intake by 15-20% usually, and a studied showed with
more-informed individuals on serving sizes etc in women that they still underreported
by 5%

strengths in FFQs:
-respondent burden is low
-usual intake estimated with one administraion
-low administrative costs

limitations of FFQs:
-prone to bias
-literacy required
-basic questionnaire, not much detail in terms of food prep methods

AMPM - ANSWER-automated multiple-pass method

a software program used to systematically collect data about dietary intake in effort
to collect more complete and accurate food recalls

AMPM 5 steps for dietary recalls - ANSWER--quick list
-forgotten foods
-time and occassion
-food details
-final review

, DRIs - ANSWER-Stands for Dietary Reference Intake

it is national standard related to nutrient needs

data collected from NHANES is compared to these national standards

Definition: sysyem of nutrition recommendations from FNB and IOM

Composed of estimated average requirement (EAR), recommended dietary
allowance (RDA), adequate intake (AI) and tolerable uptake intake level (UL)

** more on this in following flashcards

EAR *not on study guide - ANSWER-estimated average requirement

reference population mean @ 50% of population

RDA *not on study guide - ANSWER-recommended dietary allowance

daily dietary intake level of nutrient considered sufficient by FNB to meet
requirements of nearly all (97-98%) healthy individuals in each life stage and gender
group

2 standard deviations from EAR

AI *not on study guide - ANSWER-adequate intake

UL *not on study guide - ANSWER-tolerable upper intake level

Daily Value - ANSWER-recommended value of nutrient listed on nutrition facts food
label

value based on average consumer with intake of 2,000kcals per dat

intake to promote health and prevent chronic disease

Dietary guidelines for Americans in 2015-2020 *released every 5 years by USDA
and DHHS - ANSWER-DGAs designed for health professionals to help people 2+
consume healthy, nutritionally adequate diet

used to develop federal food, nutrition and health policies/programs

evidence-bases nutritional guidance to help
-promote overall health
-reduce risk of chronis disease
-reduce prevalance of overweight/obesity

Key DGA recommendations - ANSWER-americans should consume healthy eating
pattern that accounts for all food and beverages within appropriate calorie level

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