2.2 Nutrition and heart disease Flashcards
Lipoprotein Overview:
are Dietary and Serum Cholesterol the same?
Dietary and Serum Cholesterol are NOT the same
what type of cholesterol causes fatty streaks in coronary artery disease?
LDL
what are 4 non-modifiable risk factors for cardiovascular disease?
Age
Gender
CAD history in the family
Genetic predisposition
“ACGG”
what are 4 diet-modifiable risk factors for cardiovascular disease?
Obesity
Diabetes
Hypertension
Diet
“ODHD”
they have a nutrition component
what is the #1 cause of death in the US?
what is the 2nd cause of death in the US
CVD (cardiovascular disease)
cancer
what is the function of cholesterol in cell membranes?
- Component of all cell membranes (except inner mitochondrial membrane)
- Regulates membrane fluidityr
what is the function of cholesterol in bile acids?
-Emulsification of dietary lipid (bile acids are amphipathic)
-Essential for lipid digestion and absorption
where does cholesterol synthesis happen?
happens in most tissues
-High in liver, intestine, adrenal cortex, testes, ovaries
where are bile salts released into to emulsify fats?
duodenum
what is cholesterol a precursor for?
vitamin D & steroid hormones
Vitamin D deficiency impairs what and what disease is associated?
how is Vit D synthesized?
impairs bone growth
can cause RICKETS
how is Vit D synthesized? SUN & CHOLESTEROL
what is the order of protein density from least to greatest for lipoproteins?
- chylomicron (least protein density)
- VLDL
- IDL
- LDL
- HDL (highest protein density)
What is the major lipid associated with chylomicrons?
triglycerides
t/f: mature chylomicrons contain more lipids than nacent chylomicrons
FALSE
(nacent chylomicrons contain MORE LIPIDS)
**nacent chylomicrons **
synthesized by what?
Where does it deliver TG to?
-
Synthesized by intestinal enterocytes
a.85% dietary TG
b.<3% cholesterol
c. Apoprotein B-48 (apo B-48) - Delivers TG to tissues, to muscle for energy, to adipose for storage, takes glycerol backbone to liver used to make new TG
***Chylomicron remnants:
*
1.Remaining particle after being stripped of (________)
2.Delivers dietary (___________) to (__________)
3.Suppresses (____________)synthesis of (_______________)in (______________)
1.Remaining particle after being stripped of TG
2.Delivers dietary cholesterol to liver
3.Suppresses de novo synthesis **of* cholesterol in liver***
Name the lipoprotein:
*
**Synthesis*:
1.TG and cholesterol synthesized in liver
2.High carbohydrate increases serum TG
Function:
1.delivery of Liver-derived lipids to tissues
2.High serum TG an independent risk factor for CVD
how is it converted?
VLDL
Conversion: VLDL into IDL and then to LDL
name the lipoprotein:
Synthesis
1.synthesized in liver
2.½ cholesterol, ½ protein (Apo B-100)
LDL
LDL regulation is decreased by?
- HMG Co A Reductase inhibitors (statins)
- monounsaturated fatty acids (FA) olive and canola oils
- weight loss
LDL regulation is increased by:
- weight gain
- Saturated FA
- Trans FA
1.Removes cholesterol from tissues
2.Delivers cholesterol to liver – reverse cholesterol transport
HDL
what is the single biggest determinant of HDL regulation in the body?
what are the reductions in HDL & what increases in HDL?
genetics is the single biggest determinant of HDL regulation in the body
what is most important in fat combustion consideration? How much fat or type of fat?
type of fat
LDL binds to an LDL receptor
where is this receptor?
Receptor is on hepatocytes and extra hepatic tissues
Receptor-mediated endocytosis