Fats 'n such Flashcards
What is the energy per gram of fats?
9 kcals/g
What is the most abundant lipid in the body?
Triglycerides
Monounsaturated fats are from what foods?
Olive oil, avocado, canola oil
omega 6 FAs are from what foods?
Corn, soy, sunflower
omega 3 FAs are from what foods?
Oily ocean fish, flax seed
Monounsaturated FAs have what major effect on health?
Lowers LDL
omega 6 are important in what?
Inflammatory cytokines
omega 3 are important in what?
Lowering TGs
What is the enzyme that breaks down lipids in the stomach? Duodenum?
Gastric Lipase
Pancreatic lipase
What percent of fat is absorbed?
95-97%
Which type of FAs are water soluble, SCT, MCT or LCT? What is the consequence of this?
Medium chain
Do not need bile salts thus can give them to pts without gallbladder
SCFAs come from where in our diet?
By bacteria in the gut
What is the transporter for FAs in the blood? What are the organs involved in their life cycle?
Chylomicrons
Liver and adipose tissue
What is the major health effect of the inability to absorb fat?
Fat soluble vitamin deficiency
What is the role of LDL, IDL, and VLDL?
Carry cholesterol to tissues
What is the role of HDL?
Returns cholesterol and lipids back to liver
What is the cause of defective chylomicron synthesis?
apo B 48 protein
What is Chyluria?
Abnormal connection between UT and lymphatic drainage
What is chylothorax?
Connection b/t pleural space and lymphatic drainage of intestines
What is the common pathway for FAs degradation?
Beta-oxidation
Acetyl-Coa goes where?
Krebs cycle
Propionyl-Coa goes where?
Changes to succinyl coa to Krebs
What is the recommended intake of total fat?
20-35g
What is the recommended intake of LC saturated FAs?
None
What is the recommended intake of omega 6?
12-17g
What is the recommended intake of omega 3
1-2 g per day
Linoleic acid accounts for what percent of omega 6 FAs in the western diets?
90%
Deficiencies in linoleic acids causes what?
Dry scaly skin, rash
Infections
Deficiencies in alpha linoleic acids causes what?
Neurologic abnormalities
Linoleic acids (omega 6) are converted to what?
Arachidonic acids
Linolenic acids (omega 3) are converted to what?
EPA and DHA
Linoleic acid = ?
omega 6
Linolenic acid =?
OMega 3
What is the current consumption of omega 3 to 6?
20:1, with 6 being higher
True or false: flax seeds give omega 3 FAs
True if ground into oil
True or false: labels for trans fat can be 0g if less than 1g per srvg
False–if 0.5g per srvg
What are the terms to look for to assess whether there is trans fats in foods?
Partially hydrogenated vegetable oils
Vegetable shortening
A decrease in LDL particle sizes leads to what?
More atherogenic
What are the effects of trans fats?
increase LDL, lower HDL,
Systemic inflammation
How do trans fats contribute to systemic inflammation?
Increase IL-6, TNFalpha, and CRP
What is the enzyme that degrades EtOH?
alcohol dehydrogenase
What is the pathway of EtOH metabolism?
EtoH
Acetaldehyde
Acetic acid
CO2
How does EtOH lead to lactic acidosis?
No NADPH, causes switch to fat
Ethanol oxidation produces what metabolite?
Acetaldehyde
How does alcohol affect vitamin levels?
Lowers d/t affecting enzymes or lowering food intake
What are the stages of liver damage (3)?
Fatty liver (reversible)
Liver fibrosis
Cirrhosis
How can moderate EtOH intake help us?
Elevate HDLs
True or false: FAs are utilized in apoptotic pathways
True
What is the effect of fibers on cholesterol absorption?
Decreases absorption since it binds
How does alcohol cause fatty liver?
Increases [NADH] at expense of NAD
What are the two enzyme that digests cholesterol, and is excreted by the pancreas?
Cholesterol ester hydrolase
Phospholipase A
What are the symptoms of pancreatic insufficiency?
Fatty stools
Where do chylomicrons go?
Exit enterocytes and enter the lymphatic circulation
Are MCFAs water soluble? What does this mean for absorption?
Yes, means no micelles required
Why is it that MCFAs are used as a supplement for pts who cannot digest fats properly?
Because MCFAs are water soluble, and thus do no need chylomicrons
What are the lipid substances that profoundly affect platelet aggregation, neurotransmitter release, vascular function etc?
Eicosanoids (prostaglandins, leukotrienes etc)
EPA and DHA are critical to the development of what systems?
eyes and brain
Arachidonic acid is found where? What is it a precursor for?
Lipid membranes
Prostaglandins
Breakdown of Linoleic acid (omega-6 FAs) result in what molecules? What is the effect of them?
Even numbers Prostaglandins, leukotrienes and thromboxanes
Inflammation
Breakdown of Linolenic acid (omega-3 FAs) result in what molecules? What is the effect of them?
Odd numbered prostaglandins, Leukotrienes, and thromboxanes
Much less detrimental effect than the even numbered ones
What are the only two substances that are appreciably absorbed in the stomach?
ASA and EToH
What is the effect of trans fat consumption on insulin resistance?
Increases it