E5. Macronutrients Flashcards

1
Q

what are the dietary macronutrients?

A

-fats
-proteins
-carbohydrates
-they provide different energy values

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2
Q

solubility of a lipid?

A

Insoluble or poorly soluble in water but soluble in organic solvents

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3
Q

Functions of a lipid?

A

-Fuel & energy store
-Insulation
-Protection- eg fat around kidneys
-Membrane structures
-Intra/intercellular signalling- phospholipids
-Substrate for hormone and prostaglandin synthesis- eg cholesterol
-Improve flavour perception of foods
-Add texture to foods
-Improve palatability
-Supply of essential nutrients
Absorption of fat soluble vitamins
Essential fatty acids

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4
Q

structure of lipids?

A

-Over 90% dietary fats are triacylglycerols (also known as triglycerides)
-Triacylglycerols are made up of glycerol and 3 fatty acids
ONE NOTE

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5
Q

Saturation of fatty acid chains?

A

-Saturated (no double bonds)
-Monounsaturated ( 1 double bond)
-Polyunsaturated (> 1 double bond)

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6
Q

Describe fats and oils

A

-Dietary fats contain a mixture of saturated and unsaturated FAs
-Fats- mostly from animals.
-Oils- mostly from fish or plants.

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7
Q

what is the ratio of saturated vs unsaturated oils?

A

-Ratio different depending upon source. eg veg. oil- high in PUFAs, low in SFAs.
-In most veg. oils the omega6 PUFAs predominate.
-Fish oils- low in SFAs, high in PUFAs.
-Omega3 PUFAs predominate
eg Eicosapentanoic Acid (EPA) &
docosahexaenoic acid (DHA)

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8
Q

Describe omega6 and omega3

A

Omega6 (n-6)
1st double bond 6 carbons from methyl terminal

Omega3 (n-3)
1st double bond 3 carbons from methyl terminal

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9
Q

What other lipids are needed in diet?

A

-phospholipids
-sterols
-plants-phytosterols

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10
Q

Describe phospholipids

A

eg. Phosphatidylcholine; phosphatidylinositol
Structural lipids- membranes

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11
Q

Describe sterols

A

eg. Cholesterol
- Membranes
- precursor to bile salts - fat digestion
- precursor to steroid hormones
- Only found in animal fats

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12
Q

Describe plants-phytosterols

A

Plants- phytosterols. Similar structure to cholesterol. Inhibits cholesterol uptake. eg benecol

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13
Q

Describe essential fatty acids (EFA)

A

-Humans can’t insert double bond between any of 1st seven carbons of FAs.
eg Linoleic (omega6) and a-linolenic (omega3)
-Required for e.g prostaglandins, leukotrienes
-Other long chain fatty acids derived from these EFAs

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14
Q

Describe cholesterol

A

-Primary component of cell membranes
-Substrate for synthesis of bile acids, steroid hormones and vitamin D.
-Dietary cholesterol - little influence on blood cholesterol.
-Increased dietary cholesterol, decreased re-uptake of biliary cholesterol
-Type of fat influences blood cholesterol
-Dietary sources – liver, eggs, shellfish

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15
Q

Describe lipid transport

A

-Cholesterol and TAGs transported around the body as lipoproteins (composed of lipid and apoprotein):
-VLDL-TAG rich. Transports TAG to adipose/ muscles.
-LDL- cholesterol rich. Transports cholesterol from liver to cells.
-HDL- removal of excess cholesterol from peripheral tissues.
-Raised LDL-cholesterol associated with CVD
-HDL-cholesterol- inversely related to CVD

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16
Q

What are the differences between the saturated, unsaturated and trans fats?

17
Q

Summary of dietary fat requirements in adults?

18
Q

What mixture of proteins is needed?

A

Need adequate mixture of essential amino acids either animal or plant origin.

19
Q

Essential proteins?

A

(can’t be made de novo)
Isoleucine
Leucine
Lysine
Methionine
Phenylalanine
Threonine
Tryptophan
Valine
(Histidine)

20
Q

Semi essential proteins?

A

(synthesis dependent on eg another amino acid)
-Cysteine
-Tyrosine

21
Q

Non-essential proteins?

A

Glycine
Proline
Glutamic acid
Aspartic acid
Serine
Alanine
Arginine

22
Q

Protein requirements?

A

RNI protein is 0.75g/kg body weight per day (DOH 1991)

23
Q

When are increased protein requirements needed?

A

-Increased requirements during growth, for repair e.g. post surgery or injury
Also pregnancy (+ 6g/day)
and lactation (+ 11g/day)
-More required for growth eg children.

24
Q

Describe high biological value (HBV) proteins

A

-all of the essential amino acids in sufficient amounts for protein synthesis.
eg animal proteins.

25
Q

Describe low biological value (LBV) proteins

A

-Low Biological Value (LBV) –lack some essential amino acids
-eg Plant proteins are LBV
-but eaten in combination can make a HBV mix
- Good plant protein sources include beans, pulses, nuts, seeds.

26
Q

Describe carbohydrates

A

-Main energy source. ~50% energy.
-Surplus stored as glycogen in the liver (about 70g) and in skeletal muscle (about 450g).
-Blood glucose levels need to be maintained in tight parameters

27
Q

Describe sugars- carbohydrate sources

A

-Present in nutrient rich foods such as fruits, vegetables and milk
-A lot from added sources
e.g. sweets, chocolates, soft drinks, cakes, biscuits
-No more than 5% of daily calories should come from added sugar - about seven teaspoons
-Link with obesity & type 2 diabetes

28
Q

Describe polysaccarides (complex carbohydrates)- starches?

A

-e.g Bread, potatoes, rice, pasta, cereals, cous cous etc
-Foods also provide other essential nutrients
i.e. B vitamins, minerals, protein and fibre

28
Q

Describe non-starch polysaccharides (NSP: Fibre)

A

-NSP – major component of plant cell walls, include cellulose, pectins, glucans, gums etc. Not digestible
-Soluble - fruit, veg, esp pulses and legumes
-Insoluble –tough fibrous parts of plants eg wheat & rye
-Sources – fruits, vegetables, wholegrains, oats, brown rice, bread, nuts, seeds
-Recommended intake 30g per day

29
Q

Describe insoluble NSP e.g in wholegrains and nuts

A

-Water attracting properties. Softens stools and increases bulk of faeces.
-Reduces transit time through GIT
eg wheatbran 2-6 g water per gram
Vegetables 18-30g water per gram
-Some fermentation in colon.

30
Q

Describe soluble NSP

A

-Fermented in colon
-Delays gastric emptying- feel fuller longer
-blunts postprandial blood glucose response by slowing digestion, slowing uptake
-binds to bile salts, decrease cholesterol reuptake.
-High fibre diet can have hypocholesterolaemic effect

31
Q

Describe physiological actions of NSP?

A

-Acts as substrate for bacterial fermentation in the colon
-Bacteria produce short chain fatty acids, absorbed by colonic mucosa.
-Bacteria also produce butyric acid which is important fuel for mucosal cells of the colon.
-Faecal bulk (insoluble fibre)

32
Q

Epidemiological studies suggest what about fibre?

A

-A diet high in fibre reduces the risk of colorectal cancer.
-Linear decrease in risk of colorectal cancer with increasing fibre intake.

33
Q

Source of fibre foods?

A

-High fibre foods (>6g per 100g)
-Source of fibre foods (3-6g per 100g)
-Pulses, nuts, seeds, berries, wholegrains, broccoli, sweetcorn, cabbage, potatoes plus skins

34
Q

Role of diet in regulation of blood glucose levels?

A

-Simple sugars easily digested in GI Tract
-Rapid increase in blood glucose levels
ONE NOTE

35
Q

What is a Glycaemic index?

A

relates the concentration of glucose in the plasma after consumption of food

36
Q

Describe a low and a high glycaemic index

A

-Low GI- broken down and absorbed slowly (eg complex CHO eg beans/ legumes, bran)
-High GI- broken down and absorbed rapidly eg simple sugars.
-NB complex CHO does not always equal low GI
-Some complex CHO broken down quickly.

37
Q

what are the macronutrients needed in a balanced diet?

A

-Carbohydrate- 50-60% of energy intake: Fibre 30g
-Protein- 10-15% of energy intake
-Fat- 30-35% of energy intake
-Saturated fat <11% of energy intake (ideal<7%)

38
Q

what are the micronutrients needed in a balanced diet?

A

-Vitamins
-Minerals, trace elements