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Steve Energy Balance 2
Krabbe midterm
49
Health Care
Professional
02/11/2013

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Cards

Term
1.       It is important to note that exercise _____ has an independent effect by increasing the contribution of fat (and protein) as exercise time elapses and glycogen stores become progressively depleted.
Definition
DURATION
Term
2.       Most studies show that at any given relative exercise intensity, men oxidze more carbohydrate and less fat than do women. It appears that the differences between these patterns of fuel use are due to _____ rather than male hormones or the relatively greater proportion of type 1 fibers in women compared to men.
Definition
CIRCULATING FEMALE HORMONES (ESTROGEN)
Term
3.       Exercise in both heat and cold increase _____ metabolism.
Definition
GLYCOGEN
Term
4.       In subjects who eat sufficient energy to maintain energy balance, exposure to high altitude increases the use of _____.
Definition
CARBOHYDRATES
Term
1.       Energy deficit is induced by these 2 things.
Definition
1) DECREASED CALORIC INTAKE, 2) INCREASED ENERGY EXPENDITURE
Term
2.       Since exercise helps preserve lean tissue mass, RMR may not decline and may even _____ if there is a significant change in body composition.
Definition
INCREASE
Term
3.       A weight management program based on increasing energy expenditure by physical activity could result in a strikingly different pattern of changes to TDEE that are more likely to promote continued _____.
Definition
WEIGHT LOSS
Term
4.       A recent study summarized the effect of substituting one macronutrient for another on total energy expenditure. According to these authors there is little effect when fat is substituted for carbohydrate; however, increasing _____ to 30-35% of energy intake increases energy expenditure.
Definition
PROTEIN
Term
5.       Macronutrient composition of the diet also changes energy utilization by mediating the proportion of _____.
Definition
FUELS USED FOR ENERGY PRODUCTION
Term
6.       The total energy value of stored glycogen is about 1 kcal/gram while stored fat has an energy content of approximately 8 kcal/gram. This means storing energy as _____ in adipose tissue is therefore extremely efficient; and the same quantity of energy can be stored with considerably less weight.
Definition
TRIGLYCERIDES
Term
7.       2 reasons dietary fat is preferentially stored while dietary carbohydrate is preferentially oxidized.
Definition
1) CARBS ARE CONTINUOUSLY REQUIRED FOR SPECIFIC TISSUE FUNCTIONS, 2) CARBS ARE A MORE OXYGEN EFFICIENT FUEL COMPARED TO FAT
Term
8.       Dietary carbohydrate can be converted to fat in the _____, but the rate at which this process occurs is negligible under most conditions.
Definition
LIVER
Term
9.       Carbohydrate intake is rapidly matched by an increase in _____ and _____ as it approaches full saturation (1.0).
Definition
CARBOHYDRATE USE AND RESPIRATORY EXCHANGE RATIO
Term
10.   Even after the consumption of a mixed mea, _____ rises towards 1.0 indicating an increased contribution of carbohydrate to energy expenditure.
Definition
RESPIRATORY EXCHANGE RATIO
Term
11.   Carbohydrate intake is well matched by carbohydrate use during both _____ and _____.
Definition
REST AND EXERCSE
Term
12.   During exercise, exogenous carbohydrate provision (consuming a sports drink) can be matched by oxidation of the ingested glucose up until glucose transporters in the gut become _____.
Definition
SATURATED
Term
13.   Since carbohydrate depletion correlates with _____, maintenance of carbohydrate stores throughout and between exercise bouts is of critical importance.
Definition
FATIGUE
Term
14.   The current institute of medicine recommendation for carbohydrate intake is _____% of daily caloric intake.
Definition
45-65%
Term
15.   With endurance training _____ needs may be higher due to increased rates of amino acid oxidation during exercise.
Definition
PROTEIN
Term
16.   A _____ requires the highest protein consumption of any athlete, because they are eating away the most muscle.
Definition
MARATHON RUNNER
Term
17.   For endurance athletes it was recommended that there are _____ additional protein requirements for low to moderate-intensity exercise.
Definition
NO
Term
18.   More than all other macronutrients, daily recommendations of _____ should be treated as broad recommendations.
Definition
PROTEIN
Term
19.   Protein requirements are dependent on the _____ status of the individual.
Definition
ACTIVITY
Term
20.   It has been demonstrated that exercise training may actually _____ protein requirements because of an increased efficiency of energy utilization.
Definition
DECREASE
Term
21.   It is plausible to consider that the _____ of protein nutrition is more important than the amount of protein consumed.
Definition
TIMING
Term
22.   _____ and _____ ingestion in the period of time following exercise (1-3 hours post exercise) may be the most important window for stimulating protein synthesis because it may represent the best possible biochemical environment for utilization.
Definition
PROTEIN AND CARBOHYDRATE
Term
23.   On one’s way to obesity there is usually an increase in _____ that often precedes increases in _____.
Definition
FAT CELL SIZE, FAT CELL NUMBER
Term
24.   _____ is the increase in a fat cells size.
Definition
ADIPOSE HYPERTROPHY
Term
25.   _____ is the increase in fat cell numbers.
Definition
ADIPOSE HYPERPLASIA
Term
26.   The development of _____ is associated with the most severe forms of obesity, and has the poorest prognosis for treatment.
Definition
HYPERPLASTIC ADIPOSE
Term
27.   _____ is the result of excess triglyceride accumulation in existing adipocytes due to positive energy balance (energy intake in excess of energy expenditure).
Definition
ADIPOSE HYPERTROPHY
Term
28.   _____ results from the recruitment of new adipocytes from precursor cells in adipose tissue, and involves the proliferation and differentiation of pre-adiocytes.
Definition
ADIPOSE HYPERPLASIA
Term
29.   Adipose hyperplasia is also known as _____.
Definition
ADIPOGENESIS
Term
30.   These 3 factors influence the proliferation of cells within adipose tissue.
Definition
1) CIRCULATING FACTORS, 2) NEURONAL INPUTS, 3) INTESTINAL CONTROL (PARACRINE AND AUTOCRINE FACTORS)
Term
31.   _____ of adipose tissue inhibits lipolysis, and appears to increase fat cell proliferation.
Definition
DENVERVATION
Term
32.   The coordinated development of adipocyte proliferation and angiogenesis suggests a communication between adipocytes and the _____.
Definition
VASCULAR PRECURSOR POOL
Term
33.   _____ energy intake in formula-fed or mixed-fed infants as early as 4 months was positively related to early childhood weigh gain and subsequent body weight and body mass index up to 5 years of age. This has been shown to be associated with an increased risk of obesity in childhood and early adulthood.
Definition
DIETARY ENERGY INTAKE
Term
34.   It was reported that in a cohort of infants who received only soy or cow mild based formula that each _____g increase in absolute weight gain during the 1st week of infancy was associated with a 28% increase in the risk of becoming an overweight adult.
Definition
100G
Term
35.   It has been reported that RMR was elevated immediately following an exercise session, but that within _____ hours of the cessation of exercise, the RMR dropped 8%.
Definition
39 HOURS
Term
36.   Achieving an exercise induced elevation in RMR is likely to require the exercise stimulus to be repeated _____ or _____.
Definition
DAILY OR SEVERAL TIMES PER WEEK
Term
37.   The RMR of a 70kg-human is _____kcal/min.
Definition
1.2KCAL/MIN
Term
38.   What is the best initial expectation for an overweight person on an exercise routine?
Definition
20MIN OF EXERCISE AT AN INTENSITY THAT IS 6X THE RMR
Term
39.   It is well established that metabolic rate, measured as oxygen consumption, remains elevated for some period of time following exercise. This phenomenon has been termed _____.
Definition
EXCESS POST-EXERCISE CONSUMPTION (EPOC)
Term
40.   The magnitude of EPOC is linearly related to the duration and intensity of exercise, and that EPOC following moderately intense exercise bouts (70% VO2max) accounts for about 15% of the _____.
Definition
TOTAL ENERGY COST OF THE EXERCISE
Term
41.   Substrates such as _____ and _____ continue to be oxidized at an elevated rate following an exercise bout, which is believed to contribute to EPOC.
Definition
LACTATE AND FREE FATTY ACIDS
Term
42.   4 factors that contribute to EPOC following exercise.
Definition
1) COST OF REPLENISHING GLYCOGEN STORES, 2) CIRCULATORY LEVELS OF HORMONES REMAIN ELEVATED, 3) INCREASED RESPIRATION AND HEART RATE, 4) BODY TEMP ELEVATION
Term
43.   When energy intake exceeds expenditure a positive energy balance occurs and _____ ensues.
Definition
WEIGHT GAIN
Term
44.   When energy expenditure exceeds intake, a negative energy balance occurs and _____ follows.
Definition
WEIGHT LOSS
Term
45.   How is energy intake most accurately measured?
Definition
BY DIRECTLY MEASURING FOOD CONSUMPTION BY WEIGHING KNOWN QUANTITIES OF FOOD BEFORE EATING
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