EXAM Flashcards
What is nutrition
Study of nutrients and other biologically active components in food and the body
Why is nutrition important
Leading cause to death: cancer, heart disease and strokes often from diet
What affects do diet choices have
Short term and long term effects
Diseases influenced by diet and genetics
cardiovascular, obesity, osteoporosis, diabetes
What is Nutrigenomics
Science of how nutrients affect the activities of genes and how genes affect activities of nutrients
Why does the body need nutrients
For energy, to move and function
What are essential nutrients
Those that the body cannot make sufficient quantities of
What are the energy yielding nutrients
Protein, Carbohydrates, Fats
Macronutrients
Protein, carb, fat. Needed in large amounts
Micronutrients
Minerals, Vitamins. Needed in small amounts
What are functional foods
Posses nutrients or non-nutrients that might protect against disease
What are Phytochemicals
Non nutrient compounds in plant-derived foods that have biological activity in body
What are the characteristics of a nutritious diet?
-Adequacy
-Balance
-Calorie Control
-Moderation
-Variety
What is adequacy
Getting all essential nutrients, fibre, energy in amounts to maintain health
What is balance
Providing many foods in proportion to each other
*Foods rich in some nutrients don’t replace foods rich in other nutrients
What is calorie control
Control of energy intakes (counting cals)
*Part of a diet
What is moderation
Providing constituents within set limits, not excess
What is variety
Wide selection of foods from different food groups
What impacts foods we choose to eat
-TV
-Social Media
-Social pressure
Estimated Energy Requirement (EER)
Average energy intake to maintain body weight and health
Acceptable macronutrient density ranges (ADMR)
% in diet that should come from each energy yielding nutrient to reduce risk
Daily values (DV)
Aim to stay below but some foods need to meet the DV
Nutrition fact tables
-serving size
-Calories
-13 core nutrients
13 core nutrients
fat, saturated fat, trans fat, protein, cholesterol, carb, sugar, fibre, sodium, vitamin A, vitamin C, iron, calcium, Potassium
Types of health claims
-Disease risk reduction claims
-Functional claims
Functional Claims
roles of a food
Nutrition functional claims
the well-established roles of energy or nutrients that are essential for the maintenance of good health or for normal development and growth
Malnutrition
deficiencies, imbalances, and excesses of nutrients, any of which take a toll on health over time
Why is diet choice important
Long term health prospects (smoking and excessive drinking are more influential than diet)
Nutritional genomics
: how nutrients affect the activities of genes and how genes affect the activities of nutrients
Other lifestyles choices that affect health
-PA
-Sleep
-Stress levels
-Working conditions
-Air quality
How does body use/store Energy yielding nutrients
body can use the energy stored in the carbon-carbon bonds they contain
Function of vitamins and minerals
They provide no energy to the body they act as regulators therefore they assist in all body processes
What if you don’t get enough essential nutrients
Develop deficiencies
Importance of digestive organs
release hormones in response to food, and send messages to the brain that bring the eater a feeling of satisfaction “full or hungry”
What influences diet people choose
Culture, ethnicity, diet restrictions, convenience, social considerations
Factors of diet
-Physical
-Psychological
-Social
-Cultural
-Philosophical
Nutritional assessment of individuals
Essential component of nutritional care (health and diet history, anthropometric measurements, lab test data)
Why are guidelines important
Limit potential harmful dietary constituents
Most effective goals
Set for specific behaviours not overall outcomes
Nutrient density importance
help identify foods that provide bulk without a lot of cals
Who is most reliable for nutritional advice
Diet technician, registered (DTR), Nutrition coach (30 hours of nutrition training, Registered dietitian nutritionist (RDN)
What is absorption
Cellular uptake of products of digestion
Why are digestion and absorption important
To get nutrients we need from food to give us energy
What would happen without nutrients
Become very sick, and ultimately die
What happens to nutrients from food in our body
nutrients in food be transported to the body cells in order for us to survive and thrive
What major hormone makes sure we eat
(Triggers hunger)
Gherlin
Fasting state
state ghrelin levels rise to promote food intake
Digestive tract
Muscular tube from mouth to anus (8m)
Enzymes of saliva
Lysozymes, Amylase and Lipase
What is lysozyme
enzyme that helps destroy bacteria in the mouth
What is amylase
initiates carbohydrate digestion, breaking down polysaccharides into smaller chains of glucose.
What is lingual lipase
only a small contribution to fat digestion in adults, but it is more significant in infants who receive a large proportion of fat (lipid) from breast milk/formula ingestion
where do Most significant enzymatic digestive process take place
Takes place in the mouth for carbs
4 basic tastes
-Sweet
-Sour
-Salty
-Bitter
Epiglottis
“Trap door”
Function of epiglottis
strip of cartilage guards the entrance to the trachea and prevents fluids and foods from entering the trachea, therefore helping to prevent choking.
What is dysphagia
difficulty swallowing seen with aging (Parkinson’s, ALS and Alzheimer’s)
Role of sphincters
contract or relax, allowing entry of food into defined compartments in the body - prevent food moving in the wrong direction
Upper esophageal sphincter (UES)
top of the esophagus and helps prevent acidic stomach secretions from going up and into the trachea
Lower esophageal sphincter (LES)
prevents the acidic contents of the stomach from “refluxing” back up into the esophagus
Pyloric sphincter
allows the chyme from the stomach to enter the intestine
Interior anal sphincter & External anal sphincter
control the release of stool from the body
Stomach
Holding tank
Why is the stomach a strong organ
3 layers of wall muscles
What is chyme
Partially digested food
What does the stomach release
gastric juice which contains enzymes and a very strong acid, hydrochloric acid (HCl). The HCl decreases the pH of the chyme
Acidic environment
Causes protein denaturation
What’s found in the small intestine
the ducts from the gallbladder and pancreas
Segments of small intestine
duodenum, jejunum, and ileum
What is peristalsis
wavelike muscular squeezing, moves the chyme through the small intestine
What digestion occurs in the small intestine
Enzymatic digestion of carbohydrates, fats and proteins
Why is the small intestine important
major site for nutrient absorption in the body
Gallbladder function
storage site for bile which is made by the liver & empties bile into the small intestine via the bile duct.
Why is bile necessary
so that fats will make contact with enzymes for their digestion
Pancreas function
secretes pancreatic juice (sodium & bicarbonate) into the small intestine
Large intestine function
responsible for the reabsorption of water and minerals
What forms feces
fibres and undigested materials that remain in the large intestine
Where is feces stored before its released
Rectum
Where does waste products exit the body
Anus
Where does digestion of starch occur
Mouth and stomach
What happens in the lower stomach
hydrochloric acid denatures salivary amylase thereby halting enzymatic digestion of starch
What produces starch-digesting enzyme (pancreatic amylase)
Pancreas
What happens to undigested carbs
Reach the colon and may be broken down by intestinal bacteria
Fibre breakdown
Mouth: crushes it
Stomach: no action
SI, Pancreas, liver & gallbladder: fibre binds cholesterol and come minerals
LI: : Most fibre is excreted with the feces; some fibre is digested by bacteria in the colon
Fat breakdown
Mouth: lingual lipase fat breakdown
Stomach: some digested by gastric lipase
Liver: secretes bile
Gallbladder: stores & release bile
Pancreas: produces fat-digesting enzymes (pancreatic lipase) and releases them into the small intestine to split fats into their component parts (primarily fatty acids and monoglycerides), which are then absorbed
What is last to leave the stomach
Fat
Protein breakdown
Mouth: soften and mix with saliva
Stomach: uncoil protein & activate protein digesting enzymes
SI: Split into smaller fragments into amino acids
LI: Colon reabsorbs some water and minerals
GI microbes
approx 100 trillion in intestine
Prebiotics
substance that mat not be digestible by the host, such as fibre, but serves as food for probiotic bacteria and thus promotes their growth
Probiotics
Consumable products containing live microorganisms found in sufficient numbers to alter the bacteria colonies of the body In ways believed to benefit health
Digestive problem conditions
Hiccups, heartburn, ulcers, choking, gastroesophageal reflux disease (GERD), constipation and diarrhea and IBS
What are food borne illnesses
Food poisoning
What causes food borne illnesses
Microbes
Foodborne infection
Caused by eating foods contaminated with infectious microbes
Foodborne intoxications
Caused by eating foods containing natural toxins, or microbes that produce toxins
Botulism
Toxin produced by bacteria. Common in foods with low acidity
Foods common cause of botulism
corn, peppers, green beans, meat, fish, chicken or garlic, honey
Clostridosis
include improperly cooked, or cooled stews, meat and cooked beans
Clostridiosis symptoms
abdominal bloating, pain, cramp, watery diarrhea and muscle aches
E.Coli
undercooked ground beef, unpasteurized milk, unpasteurized juice, raw produce like sprouts or romaine lettuce, person to person contact from unwashed hands
E.Coli symptoms
include severe bloody diarrhea, abdominal pain, vomiting, acute kidney failure; death
Hep A
undercooked or raw shellfish; raw or lightly cooked produce, contaminated water, baked goods or other ready-to-eat foods contaminated by infected food handler
Listeriosis
raw meat and seafood, luncheon meats, hot dogs, unpasteurized milk, and soft cheeses
Salmonellosis
raw or undercooked eggs, meats, poultry, unpasteurized milk products and juices, shrimp, pasta and raw produce
Staphylococcal food poisoning
toxin produce by bacteria in meat, poultry, egg products, tuna salad, macaroni salad, potato salad and cream filled pastry
How can food borne illnesses occur
indirectly from other foods, from cross contamination
4 main principles to prevent food borne illnesses
-Clean
-Separate
-Chill
-Cook
Danger zone
4-60 degrees because bacteria multiplies easily
Fridge temps
0-4 degrees celsius
Risky foods
-Raw foods
-Raw produce
-Homemade oils
-Seafood
-Sushi
-Honey
what are the two groups carbohydrates can be broken down into
-Complex carbohydrate
-Simple carbohydrates
Complex carbohydrates
Glycogen, starch, fibre (soluble, insoluble)
Simple carbohydrates
Disaccharides and monosaccharides
Carbohydrates
Provides the most kcal in diet
Roles of carbohydrates
Provide energy, feed the brain and Nervous system, allow digestive system to function properly & keep body lean
What are the sugar molecules
Monosaccharides & Disaccharides
Monosaccharides
Glucose
Fructose
Galactose
Disaccharides
Maltose
Sucrose
Lactose
How are simple sugars absorbed
absorbed directly into the bloodstream
How are disaccharides absorbed
Split into 2 monosaccharides by enzymes to be absorbed
When can absorption not occur
When there isn’t enough enzymes present
Starch
complex carbohydrate stores carbs in plants
types of starch
Amylose (unbranched), amylopectin (branched)
Why is glycogen important
it represents a source of glucose for our body in a time of need
Where is glycogen found
1/3 Liver, 2/3 Muscle tissue
Examples of fibres
Cellulose, hemicellulose, pectin, gums, ligin
Insoluble fibre
doesn’t dissolve in water
soluble fibre
dissolves in water, form get, digested in colon
Role of soluble fibres
-delays glucose absorption into the blood preventing large changes in blood glucose levels
-can lower blood cholesterol levels by binding to bile, causing the bile to be excreted with feces.
Insoluble fibres
Cellulose, ligin, resistant starch, hemicelluloses, insulin
Role of insoluble fibres
Accelerates GI transit, delays glucose absorption
Daily fibre intake
21-38g
4 benefits of fibre
-Promotion of normal blood cholesterol concentration
-Blunting blood glucose fluctuations and reduced risk of diabetes
-Maintenance of healthy bowel function/healthy digestive tract
-Promotion of a healthy body weight
Total sugars
all sugars present in foods and beverages regardless of the source. Free and naturally occurring
Added sugars (free sugars)
are all sugars added to foods and beverages during processing or preparation
Carb digestion in mouth
Amylase starts a small amount of digestion, breaking down polysaccharides into smaller polysaccharides and disaccharides.
Chewing occurs to break it down
Carb digestion in the stomach
enzymatic digestion of starch stops as salivary amylase is denatured, and products of starch digestion and fibre are mixed with stomach acid
Carb digestion in the small intestine
Where majority takes place. - Pancreatic amylase enters the small intestine and breaks polysaccharides into shorter glucose chains and disaccharides
Maltase
Cleaves maltose into two molecules of glucose, which are then absorbed
Sucrase
cleaves sucrose into glucose and fructose, which are then absorbed
Lactase
cleaves lactose into glucose and galactose, which are then absorbed
Resistant starches
may resist digestion and undergo some fermentation in the large intestine
Lactose intolerance
Inability to develop the enzyme lactase which is responsible for breaking lactose into glucose and galactose
Undigested lactose
attracts water into the intestine and is a source of food for bacteria - leads to bloating, gas
Celiac disease
medical condition where the body has an autoimmune response caused by ingestion of a protein called gluten
What is carbohydrates primarily digested into
Glucose
What happens when the body has enough glucose already
stored as glycogen in the liver and muscle
What happens when the body has enough glycogen
Stored as fat
Gluconeogenesis
When the body doesn’t have enough glucose and it breaks down glycogen, or when needed it can make glucose from protein and glycerol
Ketone bodies
breakdown product of fat which can be used for energy in the absence of glucose
Important peptide hormones involved in blood glucose regulation
Insulin
Glucagon
-Both secreted from pancreas
What happens when blood glucose levels fall from not eating enough
pancreas secretes glucagon it stimulates glycogen breakdown, and fat breakdown
Hypoglycemia
When blood glucose falls below normal range
Type I diabetes
insulin-dependent form, where that person’s pancreas is unable to produce sufficient amounts of insulin to allow for adequate cellular glucose uptake
Type II diabetes
Not insulin dependent. Developed from obesity
Is type I or type II more common
Type II
Glycemic response
extent to which blood glucose concentration is raised by a food, and the extent to which it elicits an insulin response
Glycemic index
a ranking of foods according to their potential for raising blood glucose relative to a standard such as glucose or white bread
Refined sugars
Not nutrient-dense, “empty cals”, lack of vitamins and minerals
Alternative sweeteners
Low calories, Provide 2000 times the sweetness of sugar
How much sweeter is aspartame than sucrose
200
Sugar has been accused of 5 nutrients problems
1.promoting and maintaining obesity
2.causing and aggravating diabetes,
3.increasing the risk of heart disease,
4.disrupting behaviour in children and adults, and
5.causing dental decay and gum disease
DRI for carbs
45-65% of daily cals from carbs
Benefits of diets rich in carbs
May protect against heart disease and strokes
Benefits of diets rich in fibre
Help with digestion, they absorb water give the full feeling
Role of glucose
Fuels work of most body cells
What happens when body doesn’t have enough glucose
it makes protein make it but then protein cant do its functions (Protein-sparing action)
How to maintain glucose levels
Balanced meals, eaten on a regular schedule
Diabetes
person’s own immune system attacks the cells of the pancreas that synthesize the hormone insulin, then pancreas can’t produce insulin
Pre diabetes
impaired fasting glucose (IFG), impaired glucose tolerance (IGT) … each of which places individuals at high risk of developing diabetes and its complications”
Sugar affects on the body
might influence behaviour in many ways: by altering the levels of chemicals in the brain that affect mood, by inducing nutrient deficiencies, by stimulating the release of the series of hormones the body secretes after consuming sugar, or by providing pure energy
What is the most energy dense nutrient
Lipids; provide 9kcals/g
Why are fatty foods good
Have high energy density
Role of adipose cells
Expand and store fat
Importance of fat
We use fat for energy when food isn’t available
Energy from fat fuels what
muscles
Role of fat aside from providing energy
-serves as a shock absorber for vital organs
-insulates, helping protect the body from outside extreme temperatures
-make up parts of the cell membrane
-dietary fats contain essential fatty acids that are required by the body
Cals in fat
Twice as many cals in fat than other macronutrients
Triglycerides
Make up almost all of the lipids in foods and lipids in the body
Triglyceride classification
saturated, monosaturated and polysaturated fats depending on the majority of fatty acids that make it up
Triglyceride composition
Carbon, Hydrogen, Oxygen
Role of phospholipids
Maintain cell membranes
Sterols function
Involved in cell membrane structures as well as the synthesis of hormones and vitamin D
Polyunsaturated fats
usually liquid at room temp (sunflower oils)
Phospholipids
soluble in both fat and water which makes them important in cell membranes and food industry
Lecithin
Phospholipid in egg yolks, soy, liver, peanuts
Role of phospholipids
part of cell membranes to assist with fat loving and water loving particles to move across the membrane
How are fats effectively digested
the body must keep fats mixed in the watery fluids of the gastrointestinal tract to allow enzymes to dismantle triglycerides into smaller molecules the body can use
Lingual lipase
present in the saliva, accounts for the small amount of enzymatic digestion. Significant in infants
Lipase enzymes function
from both the pancreas and the small intestine (pancreatic lipase, intestinal lipase) fully digest the fats
Lipoproteins
Cluster of lipids associated with protein that serve as transport vehicles for lipids in the lymph and blood
4 lipoproteins
Chylomicrons
LDL: Low-density lipoproteins
HDL: High density lipoproteins
VLDL:
Risk of diets high in fats
Risk of cardiovascular disease
Intake of saturated fats
10% of cals from fat
Essential fatty acids
Linoleic acid and linolenic acid, are 18-carbon, polyunsaturated fatty acids, which must be supplied by the diet
Linolenic acid
primary member of omega-3-family found in oils (soybean)
Fatty acid deficiency symptoms
growth delays/stunting, reproductive failure, skin abnormalities, kidney and liver disorders as well as neurological and vision problems
Fat storage
Protection mechanism against starvation
What happens when fat is stored
, lipoprotein lipase hydrolyzes triglycerides and fatty acids which are absorbed into the adipose cell