stheffany chapter 10 nutrition

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When the diet contains more energy than is expended, the excess energy
is stored as fat in adipose tissue.
increases the thermic effect of food.
increases the basal metabolic rate.
is excreted in the urine

is stored as fat in adipose tissue.

For most adults, the greatest portion of their energy expenditure is for
physical activity.
basal metabolism.
thermic effect of food.
None of these choices are correct.

basal metabolism.

The body’s total daily energy expenditure includes
basal metabolic rate, thermal effect of food, and effects of physical activity.
basal metabolic rate, height and weight.
body mass index, food intake and number of hours a person sleeps.
none of these choices are correct.

basal metabolic rate, thermal effect of food, and effects of physical activity.

All the following are true statements about basal metabolism except
it supports the work that goes on in the body all the time.
it is the amount of calories you need to sustain life .
it is the sum total of all involuntary activities necessary to sustain life.
it accounts for the smallest component of the average person’s daily energy expenditure.

it accounts for the smallest component of the average person’s daily energy expenditure.

Compared to men, the basal metabolic rate of women is
lower.
higher.
no different.

lower

The energy spent in maintaining all involuntary processes in the body at rest, awake, and in a non-absorptive state is called
resting metabolism.
thermogenesis.
thermic effect.
basal metabolism.

basal metabolism

A factor that can decrease BMR is
consuming a low-energy diet.
having a high fever.
long endurance exercise.
being pregnant.

consuming a low-energy diet.

The best predictor of your basal metabolic rate is
your exercise pattern.
what you had for breakfast.
your lean body mass.
environmental temperature.

your lean body mass.

Of the following males, who would have the lowest BMR?
6-year-old
16-year-old
46-year-old
76-year-old

76

The thermic effect of food accounts for approximately ______ of energy consumed each day.
5% to 10%
11% to 15%
16% to 20%
50%

5-10

Consumption of a very-low-calorie diet
increases BMR by about 10% to 20%.
decreases BMR by about 10% to 20%.
has no effect on BMR.

decreases BMR by about 10% to 20%.

Hunger can be defined as
starvation.
a physiological drive to find and eat food.
a sensation caused by distension of the stomach and small intestine.
a psychological drive to eat.

a physiological drive to find and eat food.

Satiety is largely regulated by the
pituitary gland.
cerebral cortex.
hypothalamus.
liver.

hypothalamus.

Which hormone increases in the blood immediately following consumption of a meal?
Cholecystokinin
Ghrelin
Epinephrine
Glucagon

Cholecystokinin

A body mass index of 40 represents
no health risk.
possible health risk.
a high risk for health problems.
a value that is not on the nomogram.

a high risk for health problems.

Which of the following techniques for measuring body composition makes use of small exposures to radiation?
MRI
DEXA
TOBEC
BIA

DEXA

A "thrifty metabolism" is a genetic predisposition that
causes a person to expend higher-than-average energy at rest.
enables a person to store fat readily.
enables a person to expend fat readily.
None of these choices are accurate.

enables a person to store fat readily.

To calculate basal energy needs using the equations developed by the Food and Nutrition Board, one needs information about the individual’s
age.
weight.
height.
gender.
All of these choices are accurate.

all

The ratio of body weight to height is represented as
body composition.
basal metabolic rate.
bioelectrical impedance.
body mass index.

BMI

Bioelectrical impedance assesses body composition based on the principle that
atomic nuclei behave like magnets when an external magnetic field is applied across the body.
adipose tissue is more dense than lean body tissue.
electrical conductivity is greater in lean tissue than in adipose tissue.
fat-free mass is proportional to total body potassium.

electrical conductivity is greater in lean tissue than in adipose tissue.

Lee Brown is a 23-year-old college student. Which of these would indicate that he is at risk for chronic diseases associated with obesity?
BMI of 22
BMI of 24
→ 41-inch waist
31-inch waist

41

The set-point theory proposes that
body temperature determines how many calories are burned.
humans have a genetically predetermined body weight or body fat.
metabolism can be reset at different stages of life.
None of these choices are accurate.

humans have a genetically predetermined body weight or body fat.

Before recommending treatment for obesity, the health professional should
assess current health status.
take a family history of obesity-related disease.
determine fat distribution in the patient.
All of these choices are accurate.

all

A healthy weight for an individual should not be based exclusively on weight, but on
amount of lean body tissue.
energy intake versus energy expenditure.
body size of family members.
total amount of body fat, location of body fat, and presence or absence of weight-related medical problems.

total amount of body fat, location of body fat, and presence or absence of weight-related medical problems.

The success (attain and maintain reduced weight for 3 to 5 years) of non-surgical weight reduction programs has been reported to be approximately ________ for adults.
40%
5%
25%
0%

5%

How many calories are in one pound of fat?
2500
3500
4500
5500

3500

The major goal for weight reduction in the treatment of obesity is the loss of
weight.
body fat.
body water.
body protein.

body fat

A daily deficit of 400 to 500 kcal should result in a loss of approximately ________ of body fat per week.
0.25 pound
1 pound
3 pounds
4 pounds

1 pound

A weight-reduction program can be considered successful only when the weight loss
exceeds 10% of starting weight.
is maintained.
results in a BMI of below 25.
All of these choices are correct.

is maintained.

A sound program for weight reduction should include
control of total energy intake.
increased physical activity.
modification of food habits.
All of these choices are correct.

all

Keeping tempting snack foods stashed in the cupboards or freezer instead of leaving them in plain view is an example of
cognitive restructuring.
chain-breaking.
self-monitoring.
stimulus control.

stimulus control.

Kevin wants to treat himself to a hot fudge sundae whenever he has a stressful day. He decides that a more appropriate response to a stressful day would be a brisk walk. Which of the following behavior modification techniques has he used?
Cognitive restructuring
Self-monitoring
Contingency management
Stimulus control

Cognitive restructuring

By keeping a detailed food diary, the individual who is trying to lose weight can discover
emotions that lead to poor eating habits.
social influences affecting eating and food choices.
external cues that lead to overeating.
All of these choices are accurate.

all

All of the following are useful behavior modification principles for weight control EXCEPT
eliminating favorite foods from one’s diet.
working out with a friend.
recording eating behaviors to identify situations that contribute to overeating.
shopping from a grocery list.

eliminating favorite foods from one’s diet.

The best way to handle a situation in which you "go off" your meal plan for weight loss is to
go ahead and eat anything you want.
skip eating tomorrow.
assume lapses will occur and re-establish the program but feel guilty.
learn from the experience by identifying triggers so that a repeat can be avoided.

learn from the experience by identifying triggers so that a repeat can be avoided.

Maintenance of weight loss is fostered by
eating breakfast.
having a regular exercise plan.
self-monitoring.
All of these responses are correct.

all

The highest rate of weight-loss success and maintenance among people with morbid obesity is seen with
very-low-calorie diets (VLCDs).
jaw wiring.
gastroplasty.
commercial weight-loss programs.

gastroplasty.

The primary intent of gastroplasty is to
speed transit time.
limit stomach volume.
prevent snacking.
All of these choices are correct.

limit stomach volume.

A fad diet for weight loss
can result in quick weight loss.
usually fails because habits are not changed.
may be nutritionally inadequate.
All of these choices are correct.

all

A weight-loss program is probably a fad diet if it
recommends expensive nutrient supplements.
uses testimonials from famous people to promote the diet.
promotes quick weight loss.
guarantees weight-loss success for everyone.
All of these choices are accurate.

all

Eating disorders frequently co-occur with which of the following psychological disorders?
depression
substance abuse
anxiety disorders
All of these choices are accurate.

all

Anorexia nervosa can be defined as
compulsive eating.
purging.
hyperactivity.
psychological denial of appetite.

psychological denial of appetite.

A condition of self-induced semi-starvation is called
bulimia.
anorexia nervosa.
kwashiorkor.
baryophobia.

anorexia nervosa.

The semi-starvation of anorexia nervosa results in many physiological changes, such as
decreased basal metabolism.
lanugo.
iron-deficiency anemia.
dry, scaly, cold skin.
All of these choices are accurate.

all

Anorexic individuals have trouble maintaining normal body temperature because of
loss of body fat as insulation.
lack of appropriate clothing as the person tries to show off his/her extreme thinness.
increased synthesis of the thyroid hormone.
wearing baggy clothes.

loss of body fat as insulation.

Lanugo is
a substitute for missing adipose tissue.
an insulator of body organs.
fine downy hair covering the body.
cessation of the menstrual cycle.

fine downy hair covering the body.

The most successful treatment for anorexia nervosa involves
isolation from the family and forced tube feeding.
dietary counseling on an outpatient basis by a registered dietitian.
inpatient psychological, nutritional, and medical therapy, often involving the whole family.
use of diuretics.

inpatient psychological, nutritional, and medical therapy, often involving the whole family.

Bulimic patients often have a problem with
recognizing nutritious food choices.
eating enough food to maintain a healthy body weight.
obesity.
an inability to control responses to impulse and desire.

an inability to control responses to impulse and desire.

The essential difference between anorexia and bulimia
is age of onset. Bulimia begins in early childhood.
is gender. Men are far more likely to suffer from anorexia nervosa when they enter their teens.
is that anorexic patients are much more secretive, while bulimia patients are much more open about their eating disorder.
is that the bulimic turns to food during a crisis or problem, whereas the anorexic turns away from food.

is that the bulimic turns to food during a crisis or problem, whereas the anorexic turns away from food.

To counteract the binge, the bulimic patient may
induce vomiting.
take laxatives.
over-exercise.
All of these choices are accurate

all

Repeated self-induced vomiting may cause
tears in the esophagus.
stomach ulcers.
electrolyte imbalances.
tooth demineralization.
All of these choices are correct.

all

The major health risk from frequent vomiting due to bulimia nervosa is
potassium imbalance.
constipation.
lanugo.
swollen glands.

potassium imbalance.

Eating disorders not otherwise specified
are not really an eating disorder but more of a perception of having one.
occur when a person can’t decide whether to become an anorexic or bulimic.
refers to a broad category that includes symptoms from both anorexia and bulimia.
None of the answers are correct.

refers to a broad category that includes symptoms from both anorexia and bulimia.

Which of the following represents a BMI range considered to be healthy for most adult men and women
10-14
15-18
19-24
25-30

19-24

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