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Krabbe Fiber 26-50
Midterm
51
Health Care
Professional
01/17/2013

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Cards

Term
the combination of a decrease in energy from decreased absorption of macronutrients and a very small contribution of energy from microbial fermentation of fiber results in a
Definition
zero net balance
Term
In the United States, dietary fiber is currently assigned an energy value for food-labeling purposes of 0 kcal/g if it is
Definition
insoluble
Term
In the United States, dietary fiber is currently assigned an energy value for food-labeling purposes of 4 kcal/g (the same as for carbohydrates and proteins) if it is
Definition
soluble
Term
Dietary fiber, particularly ________ fiber, has been reported to reduce hunger
Definition
viscous
Term
Increased satiety with dietary fiber intake has been attributed, in part, to
Definition
delayed emptying of the gastric contents
Term
the consumption of an additional 14 g/day of fiber is associated with a
Definition
10% decrease in energy intake
Term
Several intervention studies demonstrated that consuming fiber as part of a weight-reducing diet assists in
Definition
weight loss
Term
Observational data showed that dietary fiber intake is positively associated with a
Definition
lower incidence of obesity and a lower body mass index
Term
Numerous intervention studies demonstrated a beneficial effect of dietary fiber, particularly viscous fibers,
Definition
on plasma glucose and insulin response in patients with type 2 diabetes
Term
The ability of viscous fibers to lower the glycemic response of a meal has been attributed to
Definition
delayed gastric emptying and a slowed rate of digestion and absorption
Term
Results of a large prospective cohort study concluded that the consumption of fiber-containing foods can reduce the risk of
Definition
type 2 diabetes
Term
________________ were associated with a lower risk of type 2 diabetes
Definition
Whole-grain foods (bran, brown rice, whole-grain cereals, and dark bread)
Term
Cereal fiber intake was ________ associated with the risk of type 2 diabetes
Definition
negatively
Term
Mechanisms by which fibers may protect against CHD include
Definition
lowering blood cholesterol, attenuating blood triglyceride levels, decreasing hypertension, and normalizing postprandial blood glucose levels
Term
the epidemiologic studies support the relationship of ____________ with a decreased risk of CHD
Definition
all fiber-containing foods
Term
the protective effect of fiber against CHD is not limited to
Definition
soluble fibers
Term
fiber has been shown to _________ hyperglycemia in patients with diabetes
Definition
ameliorate
Term
Purported mechanisms by which hyperglycemia may contribute to CHD include the induction of oxidative stress, which may
Definition
increase blood pressure, accelerate blood clot formation, and reduce blood flow
Term
hyperglycemia may increase insulin levels, which could increase the risk for CHD through
Definition
the insulin resistance syndrome
Term
low-fat, high-carbohydrate diets may
Definition
increase blood triglyceride levels (an independent risk factor for CHD)
Term
A review of pertinent studies suggests that if the high-carbohydrate diet is also a _________ diet, one will see a small reduction in fasting triglyceride levels, rather than an increase, as usually seen with high-carbohydrate, low-fiber diets
Definition
high-fiber
Term
a meta-analysis of fiber trials showed a small independent effect of dietary fiber on lowering
Definition
blood pressure
Term
Fiber intake may play a role in the reduction of
Definition
blood triglycerides
Term
three well-conducted large-scale clinical intervention trials were conducted, with colon polyp recurrence as the end point, and not one of the three trials showed
Definition
a protective effect of fiber against colon cancer
Term
Epidemiologic studies on the relationship between fiber intake and the incidence of breast cancer appear to show a
Definition
negative association when fiber intakes are very different
Term
The mechanism by which fiber may protect against breast cancer that has received the most attention is through
Definition
decreasing serum estrogen concentrations
Term
Estrogens are excreted from the body by way of the gastrointestinal tract, but they may be reabsorbed if they are in their
Definition
unconjugated form
Term
Fiber can bind directly to unconjugated estrogens, thus
Definition
interfering with their reabsorption
Term
fiber can also decrease the numbers of
Definition
deconjugating bacteria
Term
because of data showing a reduction of blood estrogen levels with high fiber intake , some researchers have hypothesized a protective effect against hormone-related cancers such as
Definition
endometrial, ovarian, and prostate cancer
Term
Studies have shown a decreased risk of _________ cancer with a high intake of dietary fiber
Definition
ovarian
Term
No significant associations have been documented between dietary fiber intake and the risk of _______ cancer
Definition
prostate
Term
Because viscous fibers are fermented in the large intestine, high intakes may result in
Definition
gastrointestinal discomfort (e.g., flatulence, abdominal fullness)
Term
When 4 to 12 g/day of hydrolyzed guar gum were consumed,
Definition
moderate to severe flatulence was reported
Term
When as much as 32 g/day of resistant starch was consumed, 91% of persons studied reported
Definition
bloated feelings
Term
A meta-analysis of eight studies demonstrated that _________ was well tolerated with no deleterious side effects
Definition
psyllium
Term
Most studies showed that viscous fiber (e.g., gums, pectin) consumption does not impair the intestinal absorption or balance of
Definition
calcium , magnesium, iron, or zinc
Term
some animal studies demonstrated that some viscous fibers may
Definition
increase mineral absorption
Term
when 12 g/day of bran was added to a meal, _____ absorption was reduced by 51 to 74%, and this reduction was not the result of the presence of phytate
Definition
iron
Term
Dietary fiber occurs naturally in most
Definition
vegetables, fruits, and grains
Term
Approximately one third of dietary fiber occurs as
Definition
hemicellulose
Term
one fourth to one third as
Definition
cellulose
Term
Approximately 15 to 20% of dietary fiber is present as
Definition
pectin
Term
most resistant starch is consumed from
Definition
pasta and potatoes
Term
most inulin and oligofructose is consumed from
Definition
wheat and onions
Term
Cellulose is _________ and is found in all plants
Definition
ubiquitous
Term
Beta-Glucans are high in
Definition
oats and barley
Term
Fruits such as apples and oranges are good sources of
Definition
pectin
Term
Isolated soluble fibers, such as _____________ are added at low amounts to low-fat foods to create a creamy texture.
Definition
inulin, carageenan, and guar gum
Term
there is a dietary reference intake value for total fiber: __ g fiber daily/1000 kcal
Definition
14
Term
Unlike fibers that are consumed as they naturally occur in foods, those fibers that are extracted and concentrated or synthesized and added in high quantities to foods or supplements are more likely to cause
Definition
adverse effects
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