HUNT141 Flashcards
Nutrition
Intake of food in relation to the body’s dietary needs
Nutrients
Molecules found in foods needed by the body for energy, growth, development and reproduction
Non Communicable Disease
Conditions resulting in long-term health consequences and often create a need for long-term treatment and care
Modifiable Risk Factor
Effect of risk factor can be changed by stopping it. Diet
Double burden of malnutrition
coexistence of undernutrition and obesity within individuals, households and populations.
Mortality
Death
Food security
Regularly have access to food of nutritious and appropriate quality/quantity
- Accessible and reliable
Food Sovereignty
How food is grown, how, who can access. Right of people to healthy and culturally appropriate food produced through ecologically sound and sustainable methods.
- Right of a community to define own diet and shape own food system
Atwater factors
17KJ/g - protein & carbohydrate
37KJ/g - fat
29KJ/g - alcohol
AMDR of protein, fat, carbohydrate
PROTEIN- 15-25
FAT- 20-35
CARBOHYDRATE- 45-65
Formula for energy in food and % energy
g macronutrient x Atwater (÷ total energy for %)
NRV
Nutrient reference values, amount of nutrient needed/required to be healthy based on age and sex
EER
Estimated energy requirement, Energy needed to maintain weight. BMR +PAL
AMDR
Acceptable macronutrient distribution range
Protein -15-25
Fat- 20-35
CHO - 45-65
EAR
Estimated average requirement
EAR + 2SD = RDI
RDI
Recommended dietary intake
EAR + 2 SD
AI
Adequate intake
- set when there is not enough information to ear out the EAR
Mouth
32 teeth
- Amylase enzyme in the saliva breaks down CHO
- Tongue mixes in the saliva and pushes food to back of throat
Oesophagus
Saliva moisten/lubricates the food going down.
Logitudinal and horizontal muscles
Peristalsis - moves food down through system
Sphincter - controls movement between areas
Choking
Food gets stuck in the larynx inhibiting breathing therefore why pushing in lungs for air to push out stuck food
Stomach
Digests protein
Digestion:
Chemical - HCL and Pepsin proteins
Physical - Contractions
Gastrin hormone detects chyme and sends for HCL and pepsin
HCL acidic nature, denatures amylase enzyme and protects from bacteria, mucosal lining protects the stomach
Heart burn
Sphincter between stomach and oesophagus releases some content back up. Acidic nature irritates the oesophagus and since close to heart gives sensation of heart burn
Small intestine
PHYLORIC SPHINCTER
Key in digestion and absorption molecules.
Presence chyme - Hormone secretin interacts pancreas for PANCREATIC ENZYMES
Fat/protein presence - Cholecystokinin hormone interacts gall bladder, pancreas for Bile, Pancreatic juices and intestinal juice.
Bariatric surgery
Surgery on stomach size for weight loss
Large intestine
ILEOCECAL VALVE
1.5m long
reabsorption of water and minerals. Ferments the undigested foods.
Absorption nutrients
Microvilli/villi, wrinkles with intestinal limen cells that break into small enough molecules to fit through
- Nutrients cross microvilli boarder into cells, blood or lymph.
Transport from gut
Absorbed nutrients through microvilli travel to liver (major metabolic organ) via the hepatic portal vein
Large fats and fat soluble vitamins too big to enter the hepatic portal vein so straight into blood
Coeliac disease
Allergy to gluten flattens the microvilli affecting the absorption of nutrients and causing deficiencies.
Monosaccharides
Glucose - essential energy source
Galactose - Dairy but rarely occurs as single sugar
Fructose - sweetest (fruits)
Disaccharides
Sucrose - glu + fru - refined from sugar cane (fructose still sweeter sometimes)
lactose - glu + gal - milk products
Maltose - glu + glu - germination seeds/fermentation
Starch
Plant storage of glucose. Grains, legumes.
Amylose = long strand
Amelopectin = Branched
Glucose
Essential energy source
Fructose
Sweetest monosaccharide and found in fruits
Galactose
Not often found as single sugar (dairy)
Maltose
Glu + Glu - Germination of seeds/fermentation
Sucrose
Glu + Fru - refined from sugar cane
Lactose
Gal + Glu - Milk products
Glycogen
Main storage form of glucose in humans. Highly branched
Dietary fibre
Edible part of plants
- Resistant to digestion/absorbtion, partial or full fermentation in the large intestines
- Promotes laxation, regulation BGL, lowers cholesterol
Non-starch polysaccharides
Resistant to small intestine enzymes (cannot get past the barrier to digest)
Intrinsic- Physically accessible
Extrinsic- Travel/chewing time
Free sugars
Monosaccharides and disaccharides added to food by manufacturer, cook or self AND naturally occurring in fruits and honey etc
Intrinsic sugars
Naturally occur in fruits and unprocessed foods
Added sugars
Generally extracted from sugar cane and added to foods
What % energy free & added sugars?
10%
- Prevent obesity for energy consumption
- Prevent dental caries
Reducing intake
- Sugar taxing
- Labelling
- Modify taste
- non-nutritive sweetners
Carbohydrate digestion
Amylase in mouth and from pancreas breaks the CHO and starches into sugars (monosaccharides)
- Amylase from pancreatic juices breaks polysaccharides into monosaccharides.
Carbohydrate metabolism
Glucose, galactose and fructose travel to liver through hepatic portal vein. Liver converts all sugars into glucose for:
- Energy (brain)
- glycogen stores
- met energy requirements, turned into FAT
Lactose intolerance
Lactase enzyme breaks lactose down to monosaccharides (glucose + galactose). If doesn’t persist, not broken down in small intestines and goes into care intestines which then gets broken by bacteria making CO2 and H2O causing gas and diarrhoea.
Glycemic index
Rating system for carbohydrates and how quick they affect blood sugar after eating on their own.
Low GI = slow breakdown
ISSUES
1. Individuals are different
2. Varied serving sizes
3. Combining foods will change the GI
Glycemic load
Accurate picture of real life foods impact on blood glucose levels
Glycemic load
Accurate picture of real life foods impact on blood glucose levels
GL = GI x CHO / 100
Wheat
Bran, Endosperm, Germ
Milling loses germ and bran = loss nutrients
wheat is good source of proteins, carbs, dietary fibre
- Wholemeal has more protein
Colon Cancer
1/18 NZ develops cancer. Lower risk by consuming more dietary fibre.
Risk factors:
- Age - Genetics - Smoking & obesity - Alcohol
Protein
Nitrogenous organic compound composed of amino acids.
Amino acids
Building block of protein
Complementary proteins
Proteins eaten over a day ~30g a meal.
Protein containing all the essential amino acids
Indispensable amino acids
9 essential amino acids, need from the diet, cannot be made
Dispensable amino acids
5 amino acids the body can make by changing and adding to existing amino group R groups.
Limiting amino acids
Protein synthesis limited by an essential amino acid
protein function
Contractile functions, transportation, immune response, structures
Primary proteins
Chain of amino acids
Secondary proteins
Weak electrical attraction between polypeptides, strength and ridgity
Tertiary proteins
twist and fold of polypeptides, gets more complicated. Intricate shape.
Quanterary Proteins
Fold up and join; interactions between multiple polypeptides (Haemoglobin)
Primary source of protein
Bread, meat and fish
Protein quality
Based on content of essential amino acids in food and the digestibility
- PDCAAS - Protein digestibility
- PER - Protein efficiency ratio
- DIAAS - Digestibility of indispensable amino acid score
Protein Digestion
Physical (chewing) and chemical (peristalsis) digestion.
Stomach HCL and pepsin enzymes unravel proteins exposing polypeptide chain
- Peptides broken into amino acids, transported to liver via hepatic portal vein.
Amino acid pool - fates of amino acids
- Form dispensable amino acids by shifting around
- Oxidised for energy
- Make new proteins
- Make other compounds
Food hypersensitivity
Includes food aversion, intolerance and allergy
Food aversion
Psychological response, can be overcome.
Food intolerance
10-15% population. reproducible/abnormal response to food
Food allergy
A group of disorders characterised by abnormal reproducible reaction to specific food proteins.
1. IGE mediated reaction
Rapid onset, skin, respiratory and GI tract, involves the IGE antibodies
2. non-IGE mediated response
Hours-day response, not antibody but other unknown mechanism response
Vegetarian types and % NZ
5% NZ is vegetarian
lacto-ovo-vegetarian - doesn’t eat meat but does everything else
Lacto-vegetarian - doesn’t eat meat or eggs but everything else
Vegan and % NZ
1% NZ
Does not consume any animal products and may limit the use of other animal products
Benefits and concerns with vegetarian diets
BENEFITS
- Obesity, diabetes and other NCDs
CONCERNS
- B12, iron, zinc, bone mineral density, substitutes not as nutritional
Bray et. al study on protein diets and over eating
Little protein decrease lean body mass
high protein increase body weight and lean body mass
Lipid
Organic fatty acid compounds insoluble in water but solute in organic solvents
Triglycerides
90% fat in the diet. energy storage. Ester bond of glycerol and 3 fatty acids