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Nutrition I-II
6 nutrients, digestion, absorption, and metabolism
72
Nursing
Undergraduate 3
12/09/2011

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Term
6 Categories of nutrients
Definition
carbs, proteins, lipids (fats), vitamins, minerals, water
Term
Simple carbs
Definition
sugars (mono- and disaccharides), absorbed and digested easily (glucose, fructose, sucrose, syrups, honey fruits, milk)
Term
complex carbs
Definition
polysaccharides, starches, digestible, provide energy (bread, cereal, rice, pasta, potatoes, flour products, legumes) dietary fiber (ingestible)
Term
Functions of carbs
Definition
supply energy (primary and preferred source, 4kcal/gram) "spare" protein, promote fat metabolism, increase, satiety, provides nearly all energy for the brain, fuels strenuous muscle activity
Term
Glucose is stored in the liver as ______
Definition
glycogen (glycogen is converted back to glucose for energy)
Term
Recommended intake of carbs
Definition
55-60% of total daily calories, 25-35 (30*) grams per day of fiber
Term
Normal range of blood sugar
Definition
80-110mg/dL
Term
How many essential amino acids are there?
Definition
9 (body cannot synthesize so intake is critical)
Term
Complete proteins
Definition
sufficient to maintain tissues and promote growth
Term
Partially complete proteins
Definition
sufficient to maintain life; NOT growth
Term
Incomplete proteins
Definition
insufficient to maintain life and growth
Term
Positive nitrogen balance
Definition
intake > nitrogen excreted, new tissues synthesized (growth, maintenance, and repair of body tissues)
Term
negative nitrogen balance
Definition
excretion > intake, excessive tissue breakdown
Term
major functions of proteins
Definition
build and repair tissues, regulate fluid balance (albumin in blood attracts fluid), immune system function (antibodies and lymphocytes), secondary energy source (behind carbs and fats, 4 kcal/g), acid-base balance (blood proteins are buffers), metabolism
Term
recommended intake of protein
Definition
45-60g/day, 10-15% of total calories
Term
3 types of fats/lipids
Definition
glycerides (triglycerides are most common, 95% of lipids in diet), sterols (lipids with no fatty acids, cholesterol is most important), phospholipids (key components of lipoproteins, soluble in water, major transport vehicle for lipids in blood)
Term
Low-density lipoproteins (LDLs)
Definition
transport cholesterol to body cells, can result in fatty deposits on artery walls, "bad" (remember by Lousy or Lethal)
Term
high-density lipoproteins (HDLs)
Definition
remove cholesterol from blood and take to liver for bile production, protective against CV disease, "good" (healthy)
Term
"essential" fatty acids
Definition
omega-6 fatty acids, omega-3 fatty acids (these can't be synthesized by the body)
Term
saturated fats
Definition
made up of saturated fatty acids (every C atom fully bound to/saturated with hydrogen), animal fats, solid at room temp, raise LDLs, linked to CV disease, stroke, and high cholesterol
Term
unsaturated fats
Definition
plant sources, help lower cholesterol, decrease risk of CV disease and stroke when substituted for saturated fats
Term
monounsaturated fats
Definition
liquid at room temp; solidify in fridge (turn cloudy)
Term
polyunsaturated fats
Definition
liquid at room temp and in the fridge
Term
trans fat; trans fatty acids
Definition
manufactured (not natural), hydrogenated (add H to oils to increase shelf life), raise total cholesterol and LDLs, lower HDLs, in nearly all fried and baked goods
Term
Lipid/fat recommendations
Definition
approx. 30% of total calories, daily intake of trans fats should be limited to 1% of total calories, daily intake of saturated fat limited to 15-19g/day
Term
fat/lipid functions
Definition
supply essential nutrients (absorption of fat-soluble vitamins *A, D, E, and K), energy source (9 kcal/g), satiety, protection, insulation
Term
Good lab values for cholesterol
Definition
triglycerides <200
cholesterol <200
LDL <160
HDL >35
Term
Where is fat stored?
Definition
omentum (protection)
subQ tissue (insulation)
blood vessels (plaque)
organs (cirrhosis/fat in liver)
Term
Fat soluble vitamins
Definition
A, D, E, and K
absorbed with fats and bile
stored in body
excess can be toxic
Term
water-soluble vitamins
Definition
vitamin B complex, folic acid, and vitamin C
readily absorbed
excess excreted in urine
daily intake important
Term
Vitamin functions
Definition
don't provide energy but...
facilitate release of energy from carbs, proteins, and lipids
catalyst for certain metabolic functions
promote life and growth processes
maintain/regulate body functions
Term
Minerals
Definition
inorganic elements
Term
macronutrients
Definition
RDA = > 100mg/day
calcium, chloride, magnesium, phosphorous, potassium, sodium, and sulfur
Term
micronutrients
Definition
trace elements: RDA = <100mg/day
copper, fluoride, iron, zinc, chromium, silenium
Term
mineral functions
Definition
components of hormones, cells, tissues, and bones
catalyst for chemical reactions
enhances cell function
Term
calcium
Definition
primarily in bones and teeth
most abundant mineral in body
functions: coagulation (converts thrombin to prothrombin), nerve impulse transmission (formation of acetylcholine), contraction/relaxation of muscles (deficiency can lead to cramps)
Term
sodium
Definition
primarily in extracellular fluid
maintains body fluid and acid/base balance (makes you more basic)
recommended: <2300mg/day
Term
potassium
Definition
primarily in intracellular fluid
protein synthesis
fluid balance
regulation of muscle contraction (heart muscle irregularities if decrease in potassium)
Term
water ("forgotten" nutrient) recommendations
Definition
need 2500-3000mL/day, most important and abundant nutrient in body (50-65% of total body weight)
Term
water functions
Definition
solvent for body's chemical processes
body fluid balance
transporting substances
lubricating cells
regulating body temp (sweat)
Term
Decrease of 4% of water in body leads to...
Definition
impaired decision-making, concentration, and physical work
Term
decrease of 20% can result in......
Definition
death :(
Term
Water deficiency PA findings
Definition
weight loss, hypotension, orthostatic hypotension, poor skin turgor, dry tongue with longitudinal furrows, sunken eyes, decreased urinary output, dry skin and mucous membranes
Term
major functions of digestion
Definition
ingestion
break down of nutrients (and absorption)
disposal
Term
major organs of GI tract
Definition
mouth, pharynx, esophagus, stomach, small intestine, large intestine
Term
accessory organs (located outside the GI tract, secretions to GI tract via ducts)
Definition
salivary glands (salivary enzymes)
pancreas (pancreatic enzymes)
liver (bile)
gallbladder (stores and concentrates bile)
Term
mouth and pharynx digestion
Definition
mastication: mechanical digestion
chemical digestion: salivary amylase
bolus formed
Term
esophagus digestion
Definition
transport to stomach, mucous lubricant
Term
salivary glands
Definition
sublingual
submandibular
parotid
Term
stomach digestion
Definition
gastric juices, chyme (acidified liquid mass)
churning/peristaltic (sm. intestine) food remains in stomach for approx. 3 hours
Term
small intestine digestion
Definition
major site of digestion and absorption
bile, pancreatic juices, intestinal juices (mix with chyme)
Term
small intestine absorption of nutrients
Definition
protein (production of AA)
carbs (glucose, fructose, and galactose)
fats (fatty acids, glycerides, glycerol)
water absorption (approx. 9.5L/day)
Term
large intestine digestion
Definition
absorbs water (0.4L)
electrolytes and minerals
feces formed
Term
digestion and accessory organs
pancreas
Definition
pancreatic juice (enzymes breakdown carbs, fats, and proteins)
insulin production (regulates glucose metabolism)
Term
digestion and accessory organs
liver
Definition
produces bile (fat digestion)
stores glycogen, fat-soluble vitamins, and some water-soluble vitamins
metabolizes carbs, fats, and proteins
Term
digestion and accessory organs
gallbladder
Definition
stores and concentrates bile (fat digestion)
bile released via common bile duct to sm. intest.
chyme with high fat content leads to bile release which leads to emulsification of fat for enzyme action
Term
absorption
Definition
passage of ingested nutrients
Stomach: absorbs water, alcohol, K, Na, glucose
sm. intest.: all other nutrients (vits, minerals)
Term
metabolism
Definition
chemical processes
conversion of digested nutrients
principle site: liver
Term
metabolism: liver
Definition
regulates distribution of nutrients
releases nutrients to cells
Term
Glycogenesis
Definition
excess glucose converted to glycogen (insulin needed)
anabolic process
stored until needed (short term)
long term: converted to fat
Term
Gluconeogenesis
Definition
fat and amino acids converted to glucose for energy
catabolic process
Term
Basal Metabolic Rate (BMR)
Definition
energy needs at rest
minimal energy to maintain life
Term
What does RDA stand for?
Definition
Recommended DIETARY (not daily) Allowance
Term
Vegan
Definition
foods of plant origin only
Term
lactovegetarian
Definition
drink milk
avoid eggs
Term
ovovegetarian
Definition
eat eggs
omit: milk and dairy products
Term
ovolactovegetarian
Definition
eat eggs, milk, and dairy products
Term
Disease processes that interfere with nutrient absorption/metabolism etc.
Definition
HIV, cancer, burns, major surgery (NPO, wound healing), trauma (dramatic increase in nutrient requirements)
Term
religion, spirituality, and cultural restrictions
Definition
catholics, muslims, buddhists, vegetarians, african-americans, hispanic, asian cultures, socioeconomic factors
Term
psychological factors
Definition
anorexia nervosa and bulimia
Term
alcohol
Definition
effects appetite
toxic effects on intestinal mucosa
impairs nutrient storage
increases nutrient catabolism
liver damage
increase nutrient excretion
Term
medications
Definition
alter absorption of nutrients
alter metabolism
alter excretion
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