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 Energy Balance and Metabolism Explained

4 Energy Balance and Metabolism Explained

Key Concepts Related to Energy Balance and Metabolism

1. Energy Balance

Energy balance refers to the relationship between energy intake (calories consumed) and energy expenditure (calories burned). Maintaining a state of energy balance is crucial for weight management and overall health.

2. Basal Metabolic Rate (BMR)

Basal Metabolic Rate is the amount of energy (calories) required to maintain basic bodily functions at rest, such as breathing, circulation, and cell production. BMR accounts for about 60-75% of total daily energy expenditure.

3. Physical Activity

Physical activity includes all forms of movement that increase energy expenditure beyond resting levels. This includes exercise, daily activities, and even fidgeting. Physical activity can significantly influence energy balance.

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, with protein generally having the highest TEF.

Explanation of Key Concepts

Energy Balance

Energy balance is achieved when energy intake equals energy expenditure. A positive energy balance (intake > expenditure) can lead to weight gain, while a negative energy balance (intake < expenditure) can result in weight loss. Achieving and maintaining energy balance is essential for preventing obesity and related health issues.

Basal Metabolic Rate (BMR)

BMR is influenced by factors such as age, gender, body size, and composition. As people age, BMR tends to decrease due to a reduction in muscle mass. Maintaining muscle mass through resistance training can help stabilize BMR. Various formulas, such as the Harris-Benedict equation, can estimate BMR based on these factors.

Physical Activity

Physical activity can be categorized into different intensities: light, moderate, and vigorous. Moderate-intensity activities, such as brisk walking, burn more calories than light activities like standing. Vigorous activities, such as running or cycling, burn the most calories. Incorporating a mix of activity levels can help optimize energy expenditure.

Thermic Effect of Food (TEF)

TEF varies depending on the macronutrient composition of the diet. 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.

Examples and Analogies

Energy Balance

Think of energy balance as a scale. When you eat, you add weight to one side (energy intake). When you move or exercise, you add weight to the other side (energy expenditure). Keeping the scale balanced ensures stable weight and health.

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.

Physical Activity

Imagine 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.

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.