OCRJanuary 2002
  1. Complete the following passage about vitamin D.

      Question:
    1. Vitamin D promotes the strengthening of the skeleton by ensuring a plentiful supply of ........................................... ions in the blood.

      Answer:

      calcium / Ca; R as part of a list


      Question:
    2. Infants and children who are deprived of vitamin D develop the disease called ...................................... which is associated with weak and deformed bones that cannot support their weight.

      Answer:

      rickets;


      Question:
    3. Some women who have many pregnancies and breast feed their babies may suffer from a softening of bones called ......................................

      Answer:

      osteomalacia; A osteoporosis


      Question:
    4. Vitamin D is found in some foods, such as ....................................................

      Answer:

      butter / low fat spreads / margarine / milk / milk products / meat / egg / mango / papaya / cheese / fish / oily fish / named oily fish / breakfast cereal / cod liver oil


      Question:
    5. However, most of the body's vitamin D is made in the body when the .....................

      Answer:

      skin;


      Question:
    6. is exposed to ...............

      Answer:

      sun / sunlight / sunshine / UV light; NOT light unqualified


    [6]
    Dietary Reference Values (DRVs) are based on studies of the British population. The table shows DRVs for protein for women.
    DRV 1518 years 1950 years over 50 years
    Estimated Average Requirement (EAR) /g day-1 37.1 36.0 37.2
    Reference Nutrient Intake (RNI) /g day-1 45.4 45.0 46.5
    Question:
  2. Explain the difference between the Estimated Average Requirement (EAR) and the Reference Nutrient Intake (RNI).

    [2]
    Answer:

    EAR = mean of the, population / sample; A ref. 50% need more, 50% lessEAR is the only DRV for energy;RNI = two standard deviations, about /above and below, the more than enough for most of the population / AW;


    Question:
  3. State two reasons why the protein intake of 1950 year old women might be greater than the values given in the table.

    [2]
    Answer:

    pregnancy;lactation / breast feeding;body building / training / exercise qualified;AVP;; (e.g. heavy periods /recovery from disease /high metabolic rate / large size)R'menstruation' unqualified


    Question:
  4. Explain why women over the age of 50 should maintain a protein intake similar to that of younger women.

    [2]
    Answer:

    maintenance / repair / replacementref bones / organs / tissues;immune system;not able to store protein;AVP;; (e.g. any 2 protein functions)


    Question:
  5. Outline two advantages of publishing Dietary Reference Values.

    [2]
    Answer:

    individual needs (i.e. planning diets for individual);not generalised / related to specific groups / AW; ref advice / education / information, for general public / consumersanalysing dietary surveysuse by dieticians / constructing dietsr(i.e. for schools/hospitals/institutions);food labelling / selling / marketing;


    Children in many developing countries suffer from severe protein energy malnutrition. As a result they show reduced growth and are susceptible to infectious diseases, such as measles.
    Question:
  6. Explain why young children with protein energy malnutrition are especially susceptible to measles.

    [2]
    Answer:

    measles is highly infectious;poor development of immune system / few lymphocytes / few T/B cells;weakened immune system;antibodies are proteins, fewer are/nade / AW; oravitamin A deficiency;poor maintenance of epithelia (virus enters through nose / mouth etc);ref. to need for booster vaccination (as initial vaccination does not work);


    Supplementary feeding programmes provide such children with a diet rich in carbohydrate but with limited quantities of high quality protein.
    Question:
  7. Suggest reason for providing these children with this type of diet.

    [2]
    Answer:

    (carbohydrate used) to provide energycarbohydrate easily respired;saves protein from being respired;high quality protein provides (all) essential amino acids;energy / protein needed for growth / repair / replacement;AVP; e.g. ref cost of diets


[Total : 18]