Chapter 8 - Alcohol Flashcards
What makes up an alcoholic beverage?
water
ethanol
sugar
What is the energy yield of alcohol?
7 calories/gram
How much alcohol can the liver metabolize?
1 drink per hour
What is the definition of 1 drink in grams?
14 grams of alcohol
What is the definition of 1 drink in terms of wine, beer, and distilled spirits?
5 fl oz wine
12 fl oz beer
1.5 fl oz distilled spirits
Alcohol is rapidly absorbed by what and where?
simple diffusion
along entire GI tract
About what percentage of alcohol is absorbed in the stomach?
20%
Besides the stomach, where is the rest of alcohol absorbed?
duodenum
jejunum
Alcohol affects all body systems because alcohol is a ___?
narcotic
Alcohol is found wherever what is distributed in the body?
water
Alcohol moves easily through cell membranes and ends up damaging what part of the membrane?
proteins in the membranes
How many options are available for alcohol metabolism?
3
What is the first option for alcohol metabolism?
alcohol dehydrogenase (ADH) pathway
What intake levels does the ADH pathway metabolize?
low to moderate intakes
Which enzymes does the alcohol dehydrogenase pathway use?
alcohol dehydrogenase
aldehyde dehydrogenase
What does alcohol dehydrogenase do?
converts alcohol to acetaldehyde
What does aldehyde dehydrogenase do?
converts acetaldehyde to acetyl-CoA
What can acetyl-CoA be used for?
fatty acid synthesis
What is the chief site for alcohol metabolism?
liver
What is the second option for alcohol metabolism?
microsomal ethanol-oxidizing system (MEOS)
What intake level does the MEOS pathway metabolize?
moderate to excessive alcohol intake
When does the MEOS pathway activate?
when the ADH pathway can’t keep up
turbocharged metabolism
What organ activates MEOS to help?
liver
What does the MEOS produce and what does it require?
alcohol dehydrogenase
aldehyde dehydrogenase
requires energy
What kind of system is MEOS?
inducible system
as intake increases over time, MEOS is more active
Because MEOS is inducible, how does it affect metabolism, tolerance, and genetics?
allows for efficient metabolism
greater tolerance (requires more alcohol to produce the same effects)
some people are born with MEOS that kicks in faster
What is the third option for alcohol metabolism?
catalase pathway
How much contribution does the catalase pathway provide to alcohol metabolism?
minor contribution
Where does the catalase pathway take place?
liver with increased consumption
What is key to alcohol metabolism?
ability to produce enzymes
Which ethnicity presents low activity of aldehyde dehydrogenase?
Asians
Because people of Asian descent have low levels of aldehyde dehydrogenase, what is the result?
build up of toxic acetaldehyde
What gender produces less alcohol dehydrogenase?
women
Which gender has less total water?
women
What happens when alcohol consumption exceeds the liver’s metabolic capacity?
blood alcohol levels rise
symptoms of alcohol intoxication appear
brain and nervous system are exposed to alcohol
What is BAC?
blood alcohol concentration
What is measured in BAC?
amount of alcohol excreted in the lungs is measured
Alcohol content of exhaled air and what are directly related?
blood
What is acute alcohol toxicity?
alcohol poisioning
What are the results of acute alcohol toxicity?
respiratory failure
death
What is binge drinking?
4 or more drinks for women
5 or more drinks for men
What does long-term excessive alcohol consumption cause?
malnutrition
How does alcohol consumption affect nutrient intake?
- decreases overall nutrient intake
- interferes with nutrient absorption, storage, metabolism, and excretion
- increases calorie intake
Long-term excessive alcohol consumption generates what?
toxins
free radicals
What do the toxins and free radicals cause?
- fatty liver
- alcoholic hepatitis
- cirrhosis
- hypertension
- heart disease
- stroke
- increased risk for certain cancers
- Fetal Alcohol Syndrome
What is considered to be moderate drinking?
no more than 1 drink for women and 2 drinks for men, per day
What are the benefits of moderate drinking?
- lowest mortality
- reduced risk for heart disease
- reduced risk for stroke
When is fetal alcohol syndrome worst?
12-16 weeks