Licensed Nutritionist / Licensed Dietitian Nutritionist (LDN) - USA
1 Introduction to Nutrition Science
1-1 Definition and Scope of Nutrition Science
1-2 Historical Development of Nutrition Science
1-3 Importance of Nutrition in Health and Disease
2 Macronutrients
2-1 Carbohydrates
2-1 1 Classification of Carbohydrates
2-1 2 Functions of Carbohydrates in the Body
2-1 3 Recommended Intake and Dietary Sources
2-2 Proteins
2-2 1 Classification of Proteins
2-2 2 Functions of Proteins in the Body
2-2 3 Recommended Intake and Dietary Sources
2-3 Fats
2-3 1 Classification of Fats
2-3 2 Functions of Fats in the Body
2-3 3 Recommended Intake and Dietary Sources
3 Micronutrients
3-1 Vitamins
3-1 1 Water-Soluble Vitamins
3-1 1-1 Vitamin C
3-1 1-2 B Vitamins
3-1 2 Fat-Soluble Vitamins
3-1 2-1 Vitamin A
3-1 2-2 Vitamin D
3-1 2-3 Vitamin E
3-1 2-4 Vitamin K
3-2 Minerals
3-2 1 Major Minerals
3-2 1-1 Calcium
3-2 1-2 Phosphorus
3-2 1-3 Magnesium
3-2 1-4 Sodium
3-2 1-5 Potassium
3-2 1-6 Chloride
3-2 2 Trace Minerals
3-2 2-1 Iron
3-2 2-2 Zinc
3-2 2-3 Copper
3-2 2-4 Selenium
3-2 2-5 Iodine
4 Energy Balance and Metabolism
4-1 Energy Requirements
4-1 1 Basal Metabolic Rate (BMR)
4-1 2 Total Daily Energy Expenditure (TDEE)
4-2 Factors Affecting Energy Balance
4-2 1 Physical Activity
4-2 2 Age
4-2 3 Gender
4-2 4 Body Composition
4-3 Weight Management
4-3 1 Principles of Weight Loss and Gain
4-3 2 Dietary Strategies for Weight Management
5 Dietary Guidelines and Planning
5-1 Dietary Reference Intakes (DRIs)
5-1 1 Recommended Dietary Allowances (RDAs)
5-1 2 Adequate Intakes (AIs)
5-1 3 Tolerable Upper Intake Levels (ULs)
5-2 Food Guide Pyramids and Plates
5-2 1 USDA Food Pyramid
5-2 2 MyPlate
5-3 Diet Planning
5-3 1 Creating Balanced Meals
5-3 2 Meal Timing and Frequency
5-3 3 Special Dietary Needs
6 Nutrition in the Life Cycle
6-1 Prenatal and Infant Nutrition
6-1 1 Maternal Nutrition During Pregnancy
6-1 2 Breastfeeding and Infant Feeding
6-2 Childhood and Adolescent Nutrition
6-2 1 Nutritional Needs of Children
6-2 2 Nutritional Needs of Adolescents
6-3 Adult Nutrition
6-3 1 Nutritional Needs of Adults
6-3 2 Dietary Patterns for Adults
6-4 Geriatric Nutrition
6-4 1 Nutritional Needs of the Elderly
6-4 2 Dietary Challenges in the Elderly
7 Nutrition and Disease Prevention
7-1 Cardiovascular Diseases
7-1 1 Role of Diet in Cardiovascular Health
7-1 2 Dietary Recommendations for Heart Health
7-2 Diabetes
7-2 1 Role of Diet in Diabetes Management
7-2 2 Dietary Recommendations for Diabetes
7-3 Cancer
7-3 1 Role of Diet in Cancer Prevention
7-3 2 Dietary Recommendations for Cancer Prevention
7-4 Osteoporosis
7-4 1 Role of Diet in Bone Health
7-4 2 Dietary Recommendations for Osteoporosis Prevention
8 Clinical Nutrition
8-1 Nutritional Assessment
8-1 1 Anthropometric Measurements
8-1 2 Biochemical Measurements
8-1 3 Dietary Assessment
8-2 Nutritional Support
8-2 1 Enteral Nutrition
8-2 2 Parenteral Nutrition
8-3 Nutritional Care in Special Populations
8-3 1 Pediatric Nutrition
8-3 2 Geriatric Nutrition
8-3 3 Nutrition in Chronic Diseases
9 Food Safety and Foodborne Illnesses
9-1 Principles of Food Safety
9-1 1 Foodborne Pathogens
9-1 2 Food Handling Practices
9-2 Food Preservation Techniques
9-2 1 Canning
9-2 2 Freezing
9-2 3 Pasteurization
9-3 Food Additives and Contaminants
9-3 1 Types of Food Additives
9-3 2 Food Contaminants and Their Effects
10 Community and Public Health Nutrition
10-1 Role of Nutrition in Public Health
10-1 1 Nutrition Education Programs
10-1 2 Community Nutrition Initiatives
10-2 Nutrition Policy and Advocacy
10-2 1 Role of Government in Nutrition Policy
10-2 2 Advocacy for Nutrition Programs
10-3 Nutrition in Disaster and Emergency Situations
10-3 1 Nutritional Needs in Emergencies
10-3 2 Emergency Food Assistance Programs
11 Professional Practice and Ethics
11-1 Scope of Practice for Licensed NutritionistsDietitian Nutritionists
11-1 1 Legal Responsibilities
11-1 2 Professional Standards
11-2 Ethical Principles in Nutrition Practice
11-2 1 Confidentiality
11-2 2 Informed Consent
11-2 3 Conflict of Interest
11-3 Continuing Education and Professional Development
11-3 1 Importance of Lifelong Learning
11-3 2 Opportunities for Continuing Education
4-2 Factors Affecting Energy Balance Explained

4-2 Factors Affecting Energy Balance Explained

Key Concepts Related to Factors Affecting Energy Balance

1. Dietary Intake

Dietary intake refers to the amount and type of food and beverages consumed by an individual. It directly influences energy intake and can significantly affect energy balance.

2. Physical Activity

Physical activity encompasses all forms of movement that increase energy expenditure. It includes structured exercise, daily activities, and non-exercise activity thermogenesis (NEAT).

3. Basal Metabolic Rate (BMR)

Basal Metabolic Rate is the amount of energy required to maintain basic bodily functions at rest. It is influenced by factors such as age, gender, body size, and composition.

4. Thermic Effect of Food (TEF)

The Thermic Effect of Food is the energy required to digest, absorb, and metabolize nutrients from food. Different macronutrients have varying TEF values.

5. Non-Exercise Activity Thermogenesis (NEAT)

NEAT includes all physical activities that are not structured exercise, such as fidgeting, walking, and household chores. It can significantly impact daily energy expenditure.

6. Genetic Factors

Genetic factors influence individual differences in energy balance, including metabolic rate, appetite regulation, and physical activity levels.

Explanation of Key Concepts

Dietary Intake

Dietary intake is a primary determinant of energy balance. Consuming more calories than needed leads to a positive energy balance, potentially resulting in weight gain. Conversely, consuming fewer calories than expended results in a negative energy balance, leading to weight loss. The quality of the diet, including macronutrient composition, also plays a role in energy balance.

Physical Activity

Physical activity is a critical factor in energy expenditure. Regular exercise, such as aerobic and resistance training, increases energy expenditure and can help achieve a negative energy balance. Additionally, NEAT, which includes daily activities like walking and fidgeting, can contribute significantly to overall energy expenditure.

Basal Metabolic Rate (BMR)

BMR accounts for a large portion of total daily energy expenditure. It is influenced by factors such as age, gender, body size, and muscle mass. As people age, BMR tends to decrease due to a reduction in muscle mass. Maintaining muscle mass through resistance training can help stabilize BMR and support energy balance.

Thermic Effect of Food (TEF)

TEF represents the energy required to process food. Protein has the highest TEF, requiring about 20-30% of its energy content to be burned during digestion. Carbohydrates have a TEF of about 5-10%, and fats have the lowest TEF, around 0-3%. A diet high in protein can increase TEF, contributing to a higher overall energy expenditure.

Non-Exercise Activity Thermogenesis (NEAT)

NEAT includes all physical activities that are not structured exercise. These activities can vary widely between individuals and can significantly impact daily energy expenditure. For example, someone who fidgets frequently or takes the stairs instead of the elevator will have a higher NEAT than someone who sits for most of the day.

Genetic Factors

Genetic factors influence individual differences in energy balance. Genes can affect metabolic rate, appetite regulation, and physical activity levels. For instance, some individuals may have a higher BMR due to genetic predisposition, while others may have a stronger drive to be physically active. Understanding genetic factors can help tailor interventions to individual needs.

Examples and Analogies

Dietary Intake

Think of dietary intake as the "fuel" for your body. Just as a car needs the right amount of fuel to run efficiently, your body needs the right amount of calories to function optimally. Overfilling the tank (consuming too many calories) can lead to weight gain, while underfilling it (consuming too few calories) can result in weight loss.

Physical Activity

Consider physical activity as the "accelerator" for your energy expenditure. The harder you press the accelerator (more intense activity), the more fuel (calories) you burn. Mixing different intensities is like varying your driving speed to optimize fuel efficiency.

Basal Metabolic Rate (BMR)

Consider BMR as the "idle fuel" your body needs to keep running. Just as a car idles at a certain fuel consumption rate, your body requires a baseline amount of energy to function at rest. Maintaining muscle mass is like upgrading the engine to a more fuel-efficient model.

Thermic Effect of Food (TEF)

Think of TEF as the "processing cost" of food. Just as it costs more to process high-quality ingredients, your body burns more energy to process protein compared to fats. Choosing a diet rich in protein is like choosing high-quality ingredients that require more effort to process.

Non-Exercise Activity Thermogenesis (NEAT)

Imagine NEAT as the "background activity" that keeps your energy expenditure running. Just as a computer uses energy even when not in use, your body burns calories through daily activities. Increasing NEAT is like optimizing your computer's background processes to use less energy.

Genetic Factors

Think of genetic factors as the "blueprint" for your energy balance. Just as a blueprint determines the design of a building, your genetic makeup influences how your body handles energy intake and expenditure. Understanding this blueprint can help tailor interventions to individual needs.