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Vitamins and Minerals
Module One Study Questions
52
Health Care
Graduate
05/18/2009

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Term
Explain why nutritional research found on the Internet may be less reliable than research published in scientific journals.
Definition
Research found on the Internet is considered not authentic and needs further verification when used in a research paper.
Term
What terms describe scientific journals that accept research articles only after other scientists knowledgeable about that area of research have critically reviewed the procedures and results of the submitted studies?
Definition
Peer-reviewed and referred
Term
Which research methodology is best described as a qualitative report of observations on one subject?
Definition
Case report
Term
Which research methodology is best described as a qualitative report of observations on more than one subject?
Definition
Case series
Term
Which research methodology is best described as an investigation wherein a variable is introduced by the researchers and its effect is recorded while other variables are controlled?
Definition
Intervention study
Term
Which research methodology is best described as one in which subjects are entered into a study at the same time and are followed up at intervals?
Definition
Cohort study
Term
Which research methodology is best described as one in which two groups are exposed sequentially to both control and experimental conditions, but in reverse order to one another (i.e. group 1: control, than experimental and group 2: experimental, then control)?
Definition
Crossover study
Term
What are some problems commonly encountered when conducting research?
Definition
Appropriate controls were missing.
Subjects and evaluators were not blinded
Treatments were not randomly allocated
Confounding variables were not properly handled
Term
Regarding the quality of a research study, what meant by external validity?
Definition
Generalizability of research results to a population group not studied
Term
What is the term that refers to the accuracy of an instrument used to make the measurement?
Definition
reliability
Term
In the study of research methodology, which term indicates that information was gathered before the event occurred?
Definition
Prospective
Term
In the study of research methodology, which term indicates that researchers and participants were both unaware of who was receiving the treatment and the placebo?
Definition
Double blind
Term
In the study of research methodology, which term indicates that the study was conducted outside the body?
Definition
In vitro
Term
In the study of research methodology, which term indicates that participants were allocated to treatment groups according to chance?
Definition
Randomized design
Term
In the study of research methodology, which term indicates that the presence of disease and a risk factor for the disease were measured at the same time
Definition
Case control or cross-sectional study
Term
For determining the glycemic index of foods, what measure of food composition is used to standardize each item tested?
Definition
Tested items are standardized to be equal in carbohydrate weight
Term
On a scale of 1 to 3 (1 being the lowest), list the following food groups according to their typical glycemic index: a) most white and whole grain; b) most potatoes; c) most legumes.
Definition
1. Most legumes 2. Most white and whole grain breads 3. Most potatoes
Term
How does the insulin response differ when ingesting white bread compared to regular spaghetti?
Definition
Although white bread and regular spaghetti share a similar source of carbohydrate, most glycemic index tables suggest that white bread will have a greater glycemic effect compared to regular spaghetti.
Term
Explain how the glycemic index is converted to the glycemic load.
Definition
Multiplied by the grams of carbohydrate per serving size.
Term
How will changes involving blood levels of insulin, glucagon, epinephrine, and insulin receptor sensitivity each affect blood glucose levels?
Definition
Insulin – lower blood sugar, glucagons and epinephrine – raise blood sugar, insulin receptor function with determine how much glucose gets into the cell and how high blood sugar is.
Term
What are the potential metabolic events that may occur from consumption of a high glycemic index meal?
Definition
Increased serum triglycerides and low HDL cholesterol
Increased serum levels of C-reactive protein (CRP)
Increased growth of some types of cancers by hyperinsulinemia
Reduced satiety after a meal, earlier return of hunger and increased subsequent food intake
Term
Which type of fiber (soluble or insoluble) is thought to be more helpful in normalizing blood sugar in diabetics?
Definition
Soluble
Term
Name the two types of fat that appear to improve insulin sensitivity.
Definition
Omega-3 fatty acids
Monounsaturated fat
Term
What two polyunsaturated fatty acids are found primarily in fish oils?
Definition
eicosapentaenoic acid
docasahexaenoic acid
Term
Which fatty acid has the n-based structural notation of 20:5 n-3?
Definition
eicosapentaenoic acid
Term
Which fatty acid has the n-based structural notation of 18:3 n-3?
Definition
alpha-linolenic acid
Term
Which fatty acid has the n-based structural notation of 20:4 n-6?
Definition
arachidonic acid
Term
Which fatty acid has the n-based structural notation of 18:2 n-6?
Definition
linoleic acid
Term
Which fatty acid has the n-based structural notation of 18:3 n-6?
Definition
gamma-linolenic acid
Term
Name the two enzymes directly responsible for the synthesis of eicosanoids
Definition
cyclooxygenase
lipoxygenase
Term
List the three families of eicosanoids.
Definition
thromboxanes
leukotrienes
prostaglandins
Term
Where is the most important tissue reservoir for storing 20-carbon polyunsaturated fatty acids that can be made available for eicosanoid synthesis?
Definition
cell membrane phospholipids
Term
What three oils are good sources of gamma-linolenic acid (GLA)?
Definition
Evening primrose oil
Borage oil
Black current seed oil
Term
Patients taking what medication require close monitoring when they are also taking fish oil supplements?
Definition
Anticoagulants
Term
How has the ratio of omega-6 to omega-3 changed in the human diet compared to early human diets, and what specific dietary changes are responsible for this phenomenon?
Definition
The ratio of omega-6 to omega-3 in the human diet had increased compared to early human diets, due to increased consumption of vegetable oils and a decreased consumption of fish.
Term
Compare the differences between eicosanoids derived from arachidonic acid and eicosanoids derived from EPA.
Definition
In general, eicosanoids derived from arachidonic acid are more potent inducers of inflammation, blood vessel constriction, and clotting than eicosanoids derived from EPA.
Term
Docasahexaenoic acid appears to be especially crucial for normal development of which TWO tissues in infancy?
Definition
Retina
Nerve cells
Term
Three fatty acids can be directly converted into eicosanoids. One of them is dihomo-gamma-linolenic acid. What are the other two?
Definition
Eicosapentaenoic acid (EPA)
Arachidonic acid
Term
The current recommendation for vitamin E intake (0.6 mg vitamin E per gram dietary PUFA) is based on research examining which fatty acid?
Definition
Linoleic acid only
Term
The highest Adequate Intake requirements for omega-3 fatty acids have been set for which two life stage groups?
Definition
Male adolescents
Male adults
Term
(Men or women) are more efficient in converting ALA into EPA and DHA compared to (men or women)
Definition
Women are more efficient in converting ALA into EPA and DHA compared to men.
Term
What are the disadvantages of using cod liver oil as a source of omega-3 fatty acids?
Definition
Using cod liver oil as a source of omega-3 fatty acids could expose someone to high levels of vitamin A.
Term
What characteristics of fish (age, size, diet) help identify the ones that tend to contain higher levels of environmental contaminants?
Definition
Older, larger, predatory
Term
What is the evidence for whether fish oil supplements are contaminated with environmental toxins?
Definition
The absence of methylmercury in omega-3 fatty acid supplements can be explained by the fact that mercury accumulates in the muscle, rather than the fat of fish (3). In general, fish body oils contain lower levels of PCBs and other fat-soluble contaminants than fish liver oils. Additionally, fish oils that have been more highly refined and deodorized also contain lower levels of PCBs
Term
What oils are considered important sources of alpha-linolenic acid
Definition
Flaxseeds, walnuts, and their oils are among the richest dietary sources of ALA. Canola oil is also an excellent source of ALA
Term
The Framingham Study, a longitudinal study designed to investigate the distribution of CHD (described in Groff and Gropper), is an example of what type of research?
Definition
Cohort
Term
List the differences between retrospective and prospective observational studies
Definition
Prospective - Information is gathered before the disease event occurs
Retrospective - Data used for case studies that are often collected from existing records
Term
Describe the features of an experimental study, in contrast to an observational study.
Definition
Experimental - research method uses two or more matched groups in which one serves as the control and the other is exposed to a change
Term
What are the concerns that critics have regarding the low-glycemic index (LGI) diet?
Definition
The way that the glycemic index is measured does not resemble the way people eat
Too complex
Leaves room to eat unhealthy foods
Only measures short term effects of high glycemic index foods
Term
List all of the ways hyperinsulinemia contributes to increased heart disease.
Definition
High TAG concentration
Low HDL
Increased C-reacted protein – thus high inflammation
High blood sugar
High insulin
Term
What method is considered the most accurate for measuring insulin resistance?
Definition
Obesity, especially with a high waist to hip ratio
Hyperlipidemia, especially with high serum triglycerides, low HDL cholesterol
High blood pressure
Term
Identify all of the factors from the clinical and laboratory exam that raise the suspicion of the insulin resistance syndrome.
Definition
Elevated plasma insulin
Type 2 Diabetes
Elevated fasting plasma glucose
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