Chapter Review

BRING IT HOME

CHAPTER 19 BRING IT HOME

Determinants of eating behavior

Use the chart below to document your food and beverage intake for at least one 24-hour period. For the purposes of this activity, you do not need to record specific foods or beverages; rather, you will be examining eating patterns and determinants. For each meal or snack, record the time you spent eating; the location (for example, kitchen table, dorm room, cafeteria, restaurant, car); who you were with or if you were alone; your degree of hunger (on a scale of 0 to 3); the reason(s) for food or beverage choice; how you were feeling/emotions; how full you were at the end of the meal or snack; and any additional comments or observations. After completing the chart, answer the questions that follow.

Meal (M) or Snack (S)
Date and time (Estimated start and end time)
Location
With company (list name[s]) or alone?
Degree of hunger on a scale of O = not at all hungry to 3 = very hungry

Reasons for food choice:

C = Convenience/availability

T = Taste/texture

P = Price (cost)

N = Nutrition/health

S = Social–what friends/family are eating

O = Other

Emotions/feelings:

N = Neutral

H = Happy/excited

S = Stressed

B = Bored

T = Tired

L = Lonely/sad

O = Other

Fullness following meal or snack

0 = not at all full

1 = no longer hungry, but not “full”

2 = full and satisfied

3 = physical sensation of fullness

Comments or observations?

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  1. What was the average time you spent eating? Do you feel you eat too quickly? If so, do you think slowing down and paying attention to the taste and texture of food consumed would add to enjoyment and meal satisfaction? Explain.

  2. Where and with whom were most of your meals or snacks consumed? Comment on how you think location and who you were with effects food choice, quantity consumed, and enjoyment/meal satisfaction.

  3. How did the level of hunger influence food choice and quantity consumed? Do you feel hunger is a primary determinant of when you eat? Or do other factors, like habit or schedule, determine meal or snack timing?

  4. What was the primary reason(s) for your food choices? How do you think these reasons affect the healthfulness and nutritional quality of your overall diet?

  5. How do you feel emotions affect your overall intake and food choice?

  6. Comment on the level of fullness following your meals or snacks. Did you note any patterns related to time you spent eating, beginning level of hunger, or other factors?

  7. Look back over your chart and your answers to these questions. Discuss how environmental, physical (hunger), social, and psychological variables guide your food choices and eating patterns.

  8. After exploring the factors and situations that influence your food or beverage choices and eating patterns, are there any modifications in timing, location, or environment that you feel would positively influence your overall diet and health?

Take It Further

As discussed, the majority of first-year college students gain weight. Although weight gain on average is significantly less than the clichéd Freshman 15, the changes in eating patterns, choice of and access to food, physical activity, and overall environment present many challenges.

  1. Look back at the chart you created and think about the many variables that influence when, where, why, and what we eat. Discuss how these factors may influence a young adult moving from a home environment to a college campus.

  2. What five suggestions would you give a new college students to help them avoid weight gain and to choose a balanced, nutrient-dense diet on campus? You can find some ideas by visiting: Eight Ways to Beat the Freshman 15 at http://www.eatright.org/Public/content.aspx?id=6442471553

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KEY IDEAS

KEY IDEAS

  • The college years are a time of food-related transitions that may present challenges in maintaining a healthy diet and a healthy body weight.

  • Nutrition studies show that many older teens and young adults consume diets that are energy-dense and nutrient-poor, which may result in inadequate intake of important nutrients such as calcium, iron, and fiber.

  • College women are at particular risk of iron-deficiency anemia because of suboptimal intake and higher needs than men and younger women.

  • The Freshman 15 is a term inappropriately used to describe the pattern of weight gain during the first year of college as students adapt to campus life. Studies demonstrate that although weight gain may occur for many students, it averages three to four pounds.

  • Hunger is a key determinant for eating, but food choice is influenced by many factors including personal preferences, nutrition knowledge, food environment and cost, and social and cultural influences.

  • Eating disorders are considered mental illnesses characterized by an unhealthy and abnormal relationship with food and body weight that threaten health and interfere with many areas of a person’s life.

  • Anorexia nervosa, which primarily affects adolescent girls and young women, is characterized by distorted body image and excessive dieting that leads to severe weight loss with a pathological fear of becoming fat.

  • Bulimia nervosa is characterized by frequent episodes of binge eating followed by purging behaviors, such as self-induced vomiting or excessive exercise, to avoid weight gain.

  • Binge eating disorder is characterized by recurring episodes of eating significantly more food in a short period than most people would eat under similar circumstances, accompanied by feelings of lack of control.

  • Alcohol is a potentially intoxicating ingredient found in beer, wine, and liquor that is not a nutrient, but provides energy (seven calories per gram) and has druglike effects via the central nervous system.

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  • Alcohol use and abuse in college-aged students is a major public health problem that can result in numerous adverse effects and consequences.

  • Moderate alcohol consumption in adults (two drinks per day for men and one for women) may have potential health benefits. A “drink” generally equates to the amount of alcohol found in 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof distilled liquor.

  • The liver can only metabolize about one ounce of alcohol an hour, regardless of the amount consumed. Excess intake results in a rise in blood alcohol concentration (BAC) and levels of intoxication.

  • With similar alcohol intake, BACs rise more quickly in women than men of the same size because women have less total body water content.

  • The metabolism of ethanol produces acetaldehyde and other highly reactive chemical compounds that can cause tissue damage and impair health.

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NEED TO KNOW

NEED TO KNOW

Review Questions

Question 19.11

1. Teens and young adults who consume energy-dense, nutrient-poor diets have been shown to have suboptimal intake of:

  1. calories.

  2. fiber.

  3. HDL cholesterol.

  4. omega-6 fatty acids.

  5. sodium.

1. b

Question 19.12

2. Which of the following statements is TRUE regarding iron?

  1. Most women consume the RDA for iron.

  2. Iron requirements for women are the same for men.

  3. Iron requirements are higher for girls aged 14 to 18 years than for women aged 19 to 50 years.

  4. Iron requirements are lower for girls aged 14 to 18 years than for women aged 19 to 50 years.

  5. Iron-deficiency anemia in women is extremely rare.

2. d

Question 19.13

3. The phrase “Freshman 15” has been used to refer to a pattern of weight gain that may occur during the first year of college. According to studies, the actual average weight gain is:

  1. 3 to 4 pounds.

  2. 6 to 8 pounds.

  3. 10 to 12 pounds.

  4. more than 15 pounds.

3. a

Question 19.14

4. Which of the following is NOT a characteristic or consequence of anorexia nervosa?

  1. absent or irregular menstrual cycle

  2. bone loss

  3. dehydration

  4. elevated blood pressure

  5. loss of cardiac muscle

4. d

Question 19.15

5. Binge eating disorder differs from bulimia nervosa in that:

  1. depression often follows a binge.

  2. large quantities of food are consumed in a short period.

  3. there is no purging after a binge.

  4. there is a feeling of lack of control during a binge.

5. c

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Question 19.16

6. All of the following are TRUE of males with eating disorders, EXCEPT:

  1. they represent 5% to 15% of patients with anorexia nervosa.

  2. they represent 5% to 15% of patients with bulimia nervosa.

  3. they represent an estimated 40% of patients with binge eating disorder.

  4. they represent an estimated 40% of patients with any eating disorder.

6. d

Question 19.17

7. Alcohol contains _______ calories per gram.

  1. 4

  2. 7

  3. 9

  4. 12

  5. None of the above. The body cannot absorb and utilize the calories in alcohol.

7. b

Question 19.18

8. Moderate drinking is considered to be no more than:

  1. 10% of total calories from alcohol.

  2. one ounce of alcohol for each 20 kg of body weight per day.

  3. one drink for women and two drinks for men per day.

  4. two drinks for women and three drinks for men per day.

  5. The amount that alters blood alcohol concentration to 1% or more.

8. c

Question 19.19

9. All of the following are TRUE of women as compared with men, EXCEPT:

  1. women experience a more rapid increase in blood alcohol concentration with similar alcohol intakes.

  2. women are more likely to experience the intoxicating effects of alcohol with similar alcohol intakes.

  3. lower levels of body fat in women decrease absorption of alcohol into the bloodstream.

  4. lower levels of total body water in women increase the effects of alcohol.

9. c

Question 19.20

10. Moderate alcohol consumption is associated with:

  1. a lower incidence of all types of cancer.

  2. a reduced risk of cardiovascular disease.

  3. an increased overall mortality.

  4. greater risk-to-benefit ratios in 20- to 30-year-olds.

10. b

Question 19.21

11. Most of the alcohol consumed by an individual is:

  1. metabolized in the liver.

  2. metabolized in the stomach.

  3. excreted through respiration and perspiration.

  4. excreted in the urine.

  5. absorbed into adipose tissue.

11. b

Question 19.22

12. During the first step of alcohol metabolism, the enzyme alcohol dehydrogenase converts alcohol to a toxic compound called:

  1. arachidonic acid.

  2. acetaldehyde.

  3. acetate.

  4. acetyl-coenzyme A.

12. b

Using WWW.ChooseMyPlate to understand nutritional needs during the college years

Dietary Analysis Using SuperTracker

Using SuperTracker to understand nutritional needs during the college years

Question 19.23

1. Log onto the United States Department of Agriculture website at www.choosemyplate.gov. At the top of the page, click the “Audience,” “Students” and then the “College” link.

Question 19.24

2. On the left-hand side of the page, you’ll see the “MyPlate On Campus Toolkit” link. Click on this link and scroll down to TIPS TO KEEP YOU GOING on page 5.

Question 19.25

3. Identify two tips that you believe are the most useful for the college student to remember. Why did you select these two?

Question 19.26

4. Next scroll down to TAKE ACTION ON CAMPUS on page 9. Would you be willing to become a MyPlate On Campus Ambassador? Why or why not?

Question 19.27

5. Underage drinking is a problem on college campuses. Identify two health risks of underage drinking. How can colleges discourage underage drinking on campuses?