exam II Flashcards

[lipids, protein, metabolism + exercise, energy expenditure]

1
Q

what elements are lipids composed of?

A

C, H, O

contain more carbon than carbs

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2
Q

how many carbons do most common fatty acids have?

A

18

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3
Q

medium chain fatty acids are how many carbons

A

6-12 carbons

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4
Q

where does the MCFAs go?

A

DIRECTLY into capillaries

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5
Q

how many carbons in LCFAs?

A

13 or more

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6
Q

how are LCFAs transported?

A

through chylomicrons

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7
Q

what make up the majority of fats in food?

A

triglycerides

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8
Q

the shorter the carbon chain…

A

the softer the oil at room temperature

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9
Q

which is more biologically preferential: cis or trans?

A

cis; bends, not as easily stackable

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10
Q

advantages to hydrogenation of fats

A
  1. prolongs shelf life

2. making liquid vegetable oils more solid like shortening

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11
Q

delta notation system

A

chain length & number, position of double bonds from CARBOXYL end
18:2[delta]^9, 12

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12
Q

omega notation system

A

locates position of double bonds counted from METHYL end

18:2[omega]-6

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13
Q

omega 3 & omega 6 structures

A

first points of unsaturation are at 3 and 6 carbons

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14
Q

which are the two essential fatty acids?

A

linolenic & alpha-linolic acid

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15
Q

how is 99% of body fat stored?

A

triglycerides

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16
Q

what are phospholipids?

A

phosphate containing lipids

biologically involved in the cell membrane formation

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17
Q

sphingolipids

A

build on amino acid sphingosine

insulators for nerve conduction, cellular recognition

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18
Q

sterols have a ___ structure

A

ring

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19
Q

cholesterol is a precursor for…

A

bile acids, sex hormones, adrenocortical hormones, vitamin D

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20
Q

how does the liver play a role in fat digestion?

A

creation of bile for EMULSIFICATION

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21
Q

how are fats absorbed?

A

intestinal lumen -> brush border membrane [enterocytes]

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22
Q

where does chylomicron formation occur?

A

in enterocytes

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23
Q

where are chylomicrons found?

A

within intestinal cells -> lymphatic system -> bloodstream

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24
Q

function of low-density lipoproteins?

A

liver regulation

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25
Q

function of high-density lipoproteins?

A

remove cholesterol from cell

anti-inflammatory properties

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26
Q

main function of lipoproteins?

A

transport lipids in the blood

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27
Q

trans-fatty acids and effect on cholesterol

A

raise LDL and lower HDL

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28
Q

how much does fat provide of the body’s ongoing energy needs at rest?

A

60%

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29
Q

does cholesterol contain energy?

A

no

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30
Q

features of brown adipose tissue

A

high vascularity, abundant mitochondria, H+ pores in inner membranes formed by UCPs

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31
Q

nutritional recommendations of fatty acids

A

AIs for essential FAs
minimize trans fatty acids
unsaturated FAs should be primary source of dietary fats

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32
Q

what percentage of energy should come from fat?

A

20-35%

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33
Q

how much fat should the diet be capped at regarding saturated fat?

A

< 20 g/ 10% of total cals

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34
Q

what is the max amount of dietary cholesterol should a person consume in a day?

A

< 300 mg

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35
Q

which amino acids contain sulfur?

A

cysteine + methionine

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36
Q

primary structure of amino acids

A

linear amino acid sequence

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37
Q

secondary structure of AAs

A

coiling, folding, bending [hydrogen bonds]

alpha-helices, beta-sheets

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38
Q

tertiary structure of AAs

A

overall total 3D confirmation of protein

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39
Q

quaternary structure of AAs

A

2+ polypeptide chains interacting

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40
Q

ESSENTIAL AMINO ACIDS

A
histidine
isoleucine
leucine
lysine
methionine
phenylalanine
therorinine
tryptophan
valine
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41
Q

conditionally essential amino acids

A
arginine
cysteine
glycine
glutamate
proline
tyrosine
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42
Q

sources of exogenous [dietary] protein sources

A

meat, poultry, fish, eggs, dairy, grains, grain products, legumes, seeds, nuts, vegetables

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43
Q

endogenous protein sources [from the body]

A

desquamated mucosal cells

digestive enzymes + glycoproteins

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44
Q

end products of the digestion of proteins?

A

peptides + free AAs

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45
Q

pepsinogen

A

enzyme = HCl/pepsin
site of activity = stomach
end products = peptides

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46
Q

trypsinogen

A

enzyme = enteropeptidase/trypsin
site of activity = intestine
end products = smaller peptides, some free AAs

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47
Q

chymotrypsinogen

A

enzyme = trypsin
site of activity = intestine
end products = smaller peptides, some free AAs

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48
Q

how are the majority of AAs absorbed?

A

as peptides

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49
Q

how are amino acids catabolized?

A

removal of an amino group by transamination/deamination

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50
Q

what enzymes transfer amino groups?

A

aminotransferases

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51
Q

deamination is…

A

removal of an amino group

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52
Q

keto acid can serve as…

A

template if there is a nitrogen source available

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53
Q

which conenzyme is required for protein synthesis involving a keto acid?

A

vitamin B6

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54
Q

which two products are the products of deamination?

A

ammonia

C structure without its amino group [often keto acid]

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55
Q

3 enzymes involved for the disposal of ammonia

A
  1. glutamate dehydrogenase -> glutamate
  2. glutamine synthetase -> glutamine
  3. carbamoyl phosphate synthetase -> citrulline
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56
Q

if any of the enzymes involved in the production of ammonia are ineffective…

A

ammonia will NOT be produced

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57
Q

urea is made up of…

A

ammonia + CO2 + ammonia
water is removed
= urea

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58
Q

once amino group has been removed, the remaining molecule =

A

carbon skeleton/alpha-ketoacid

59
Q

keto acids/carbon skeletons can be used to produce…

A

energy, glucose, ketone bodies, cholesterol, fatty acids

60
Q

phenylalanine is converted to ___ by ___

A

tyrosine, phehydroxylase

61
Q

PKU affects…

A

melanin + thyroid hormones

62
Q

guthrie test…

A

detects increased phenylalanine

63
Q

anabolism increases after…

A

ingestion of food

64
Q

insulin is either anabolic or catabolic?

A

anabolic [promotes protein synthesis]

65
Q

epi + cortisol effects on protein degradation?

A

release higher glucose-to-insulin ratio

66
Q

enzymes involved in protein functions

A
dehydrogenases = remove/transfer H+ ions
kinases = add phosphate group
67
Q

cartinine

A

fatty acid transport… mitochondria

68
Q

how is alanine formed?

A

in muscle cells from transamination w/ glutamate + pyruvate

69
Q

range of amount of protein needed per day per kg BW

70
Q

to keep urea in solution…

A

the body needs h2o

71
Q

is there currently an UL for protein?

72
Q

digestibility percentage of [most animal proteins]

73
Q

eggs are…

A

100% digestible

74
Q

which plant proteins are MORE digestible?

A

soy + legumes

75
Q

which proteins are fast absorbed?

A

whey, soy, AA mixtures, prohydrolases

76
Q

which proteins are slow absorbed?

A

casein
slower and more prolonged
AA [conc] helps reduce protein breakdown

77
Q

what happens to excessive protein without training?

A

converted to fat

muscle work builds muscle; protein does not

78
Q

kwashiorkor

A

adequate energy intake w/o adequate protein intake

edema owing due to loss of blood proteins

79
Q

marasumus

A

wasting, emaciation

chronic insufficiency of energy & protein

80
Q

definition of metabolism

A

all chemical reactions and pathways that maintain life

81
Q

which two compounds are present in every cell regardless of pathway?

A

pyruvate

acetyl CoA

82
Q

anabolic reactions…

A

require energy

83
Q

catabolic reactions…

A

release energy

84
Q

catabolic reactions ___ macronutrients

85
Q

anabolic reactions ___ macronutrients

A

SYNTHESIZE

86
Q

which organ does every product go through?

87
Q

CO2 does what in TCA cycle?

A

initiate fatty acid synthesis, gluconeogenesis

88
Q

how are most enzymes controlled?

A

allosterically

89
Q

role of malonyl CoA

A

allosteric control of cartinine acyltransferase;
first step of FA synthesis
associated with limitation of food intake

90
Q

role of AMP activated protein kinase

A

controls both catabolic + anabolic pathway involving all macronutrients
++ activated by low energy

91
Q

the TCA cycle is an AMPHIBOLIC pathway. what does that mean?

A

both anabolic + catabolic

92
Q

what are the major fuels of the muscle?

A

fatty acids and glucose [ketone bodies if necessary]

93
Q

GLUT-4 transporter is used in…

A

the muscle!

94
Q

exclusive source of fuel for RBCs

95
Q

where does excessive glucose go when liver’s storage capacity is full?

A

FAs & triglycerols

96
Q

fed state

A

lasts 3 hours after meal ingestion

97
Q

post absorptive state

A

3-18 hours post meal

98
Q

fasting state

A

18hours - 2 days without additional food intake

99
Q

starvation state

A

> 2 days; full adaped state of deprivation

100
Q

does the post-absorptive state contain ketone bodies?

101
Q

when is a time period when the body is in the post absorptive state?

A

overnight fast; nearly all reserves of liver glycogen are depleated

102
Q

what is the source of fuel for gluconeogenesis in the fasting state?

A

primarily AAs, glycerol, lactate

103
Q

what physiological change occurs in the starvation state?

A

LIPOLYSIS, FAs used to a greater extent, increase in ketone body synthesis

104
Q

which hormones promote anabolic reactions [energy storage]

105
Q

which hormones promote catabolic reactions [energy utilization]

A

glucagon, epinephrine, cortisol

106
Q

which hormones promote both anabolic AND catabolic reactions depending on the target tissue?

A

growth hormone

107
Q

insulin role in metabolism

A

critical in fed state; removing glucose to prevent hyperglycemia
increases glycogen synthesis in liver + skeletal muscle; stimulates FA synthesis

108
Q

glucagon role in metabolism

A

prominent in NONFED states

109
Q

epinephrine role in metabolism

A

inhibits insulin secretion, stimulates glycogen breakdown, inhibits glycogen synthesis

110
Q

cortisol role in metabolism

A

responds in decrease in BG levels

111
Q

growth hormone role in metabolism

A

stimulates lipolysis + release of FAs from visceral adipose tissue
increase triglyceride uptake in liver

112
Q

function of muscle in metabolism

A

release of more glucose, FAs, increase in gluconeogensis, glycogenolysis, lipolysis NO GLYCOLYSIS

113
Q

pathway of the anaerobic [lactic acid system]

A

glucose -> pyruvate -> lactate

114
Q

pathway of aerobic [oxidative system]

A

glucose -> pyruvate -> acetyl CoA

115
Q

how much ATP produced in aerobic activity?

A

38 ATP + CO2 + h2o

116
Q

how much ATP produced in anaerobic activity?

A

2 ATP + lactic acid

117
Q

VO2 max

A

measurement of max amount of o2 that an individual can utilize during intense, maximum exercise

118
Q

how to correct muscle fatigue?

A

reduce exercise + intensity OR consume glucose

119
Q

what percentage of energy expenditure does the thermic effect of food account for?

120
Q

what does direct calorimetry measure?

A

energy expenditure:

highly expensive, conditions have to be “perfect”

121
Q

indirect calorimetry

A

heat release calculated indirectly by measuring the consumption of OXYGEN

122
Q

respiratory quotient

A

ratio of CO2 produced relative to O2 consumed

123
Q

which macronutrient has the highest RQ?

A

carbohydrates

124
Q

which macronutrient has the lowest RQ?

125
Q

range of RQ for “ordinary person’s” diet?

126
Q

max HR is ___ of VO2 max

127
Q

how to calculate max HR?

128
Q

basal metabolism:

A

energy needed to maintain life

when body is at complete digestive, physical, and emotional rest

129
Q

basal metabolic rate

A

very complicated lab conditions; use resting metabolic rate > basal

130
Q

how many hours does RMR require?

131
Q

which patients do Harris-Benedict equations support?

A

patients with liver disease

132
Q

which sex has higher RMRs?

A

men > women

133
Q

male formula for mifflin- st jeor equation

A

[10 x weight] + [6.25 x height] - [5 x age] + 5

134
Q

female formula for mifflin-st jeor equation

A

[10 x weight] + [6.25 x height] - [5 x age] - 161

135
Q

what influence energy expenditure?

A

duration, intensity, frequency of activity

136
Q

PALs numbers

A

sedentary = 1.15
low active = 1.50
active = 1.75
very active = 2.20

137
Q

which macronutrient has the greater thermic effect?

138
Q

what is the range of the body’s biological temperature to function optimally?

139
Q

ideal body weight [hamwi method] for males

A

106 lbs for first 5f + 6 lbs for each additional inch

140
Q

ideal BW [hamwi method] for females

A

100 lbs for first 5 ft + 5 lbs for each additional inch

141
Q

BMI categories

A

underweight = < 18.5
normal/healthy weight = 18.5-24.9
overweight = 25.0-29.9
obese = > 30

142
Q

what age range is pediatric BMI calculated?

143
Q

what is “healthy” weight for pediatric BMI?

A

between 5th and 85th perecentile