Lipids Flashcards

1
Q

What is the AMDR of fat for adults and children?

A

Adults: 20-35%
Children: 30-40% for 1-3 years, 25-35% for 4-18 years

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2
Q

What is the basic structure of triglycerides?

A
  • Three fatty acids attached to one glycerol

- Fatty acids don’t have to be the same

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3
Q

Saturated vs. unsaturated fatty acids

A
  • Saturated FAs have no double bonds
  • Unsaturated FAs have one or more double bonds between the carbons
  • Can be monounsaturated and polyunsaturated
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4
Q

Omega-3 vs. Omega-6 fatty acids

A
  • Omega-3 refers to the 1st double bond at C3=C4 from the methyl end (called alpha linoleic acid)
  • Omega-6 denotes the 1st double bond at C6=C7 (called linoleic acid)
  • Both are important for production of cellular regulators that control inflammation, blood clotting and smooth muscle contractility
  • These FAs are essential, we need to take them in through our diet; they are needed for brain development during growth
  • The balance of ω-3 and ω-6 is also important
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5
Q

What are sources of omega-3 FAs?

A

ALA: found in plant foods such as flaxseed, canola oil, walnuts, almonds, etc.
EPA/DHA: found in seafood such as salmon, shrimp, tuna, mussels, etc.
- DHA is easier for our bodies to utilize
- Seafood also has more ω-3 than ω-6, while the reverse is true for plant foods

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6
Q

Why is the ratio of ω-3:ω-6 important?

A
  • The ratio affects the types and amounts of eicosanoids produced
  • Eicosanoids are the molecules made from the oxidation of arachidonic acid and other polyunsaturated FAs
  • Arachidonic acid is formed from omega-6 and is pro-inflammatory and thus we should consume less of it
  • Recommended ratio is 5:1 to 10:1 for ω-3:ω-6
  • Difficult for our bodies to convert omega-6 into omega-3
  • Diets such as the Mediterranean are higher in omega-3
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7
Q

How are eicosanoids synthesized?

A
  • Linoleic acid (omega-6 FA) is required to make arachidonic acid
  • Arachidonic acid is the most common precursor of eicosanoids
  • It is oxidized by COX and LOX to make pro-inflammatory molecules such as PGs and LTs
  • COX-1 and/or COX-2 is the enzyme inactivated by aspirin and NSAIDs
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8
Q

What are trans fatty acids?

A
  • These are mostly produced by the hydrogenation of unsaturated fats
  • Rather than becoming saturated, the type of bond is changed
  • Similar orientation to saturated fatty acids but with a double bond between two carbons, which makes the molecule kinked
  • Increases cholesterol and CVD risk
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9
Q

Cis vs trans arrangement of FAs

A
  • A cis arrangement denotes that where the C=C occurs, the H atoms branch out on the same side
  • This creates a kink in the molecule that prevents close packing and thus these FAs tend to be liquid at room temperature
  • A trans arrangement denotes that where the C=C occurs, the H atoms branch out on opposite sides, causing a slight kink but still allowing close packing
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10
Q

Is coconut oil healthy?

A
  • Not as healthy as other plant oils b/c of the large proportion of saturated FAs
  • Was thought that coconut oil had more medium chain triglycerides but this was not accurate because it was specialized blends used in the study
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11
Q

What are phosphoglycerides?

A
  • Have a structure like TGs but contain 2 fatty acids and a polar phosphate group, along with a glycerol backbone
  • They are amphipathic - they have a polar head and a hydrophobic tail
  • Allows the formation of the lipid bilayer of the cell membrane
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12
Q

What are sterols?

A
  • The structure of sterols is a series of rings, they are not water-soluble
  • Cholesterol present in ANIMAL CELLS not in PLANTS
  • Cholesterol is a precursor for hormones such as testosterone and estrogen as well as for vitamin D and bile acids
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13
Q

How are lipids absorbed?

A
  • Lipids travel from the GI tract in chylomicrons
  • Lipoprotein lipase (LPL) lines the capillaries in muscle and adipose tissue; fatty acids are removed by these tissues and the chylomicron remnants travel to the liver for disposal by lysosomes
  • VLDL is produced in the liver from excess carbohydrates
  • VLDL circulates and as triglycerides are removed by LPL in the capillaries, the density increases
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14
Q

What is the effect on lipids when blood glucose is low vs when it is high?

A
  • Low blood glucose: muscles decrease glucose uptake, increase FFA uptake, and adipose tissue increases FFA release
  • High blood glucose: increased LPL activity, results in increased uptake of fat in adipose tissue, but decreased FFA uptake in muscles
  • Inverse relationship between BG and FFAs
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15
Q

How are lipids metabolized?

A
  • β-oxidation is the first step
  • Fatty acids are broken down into 2-carbon molecules of acetyl CoA
  • FAs yield a lot more acetyl CoAs - a 16-C FA would give 8 acetyl CoAs, vs only 2 from a glucose molecule
  • Acetyl CoA can then enter the citric acid cycle and electrons are shuttled to the ETC
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16
Q

How are lipids transported throughout the body?

A

1) Chylomicrons from GI drain into lymph, then into the blood - they contain mainly TGs
2) LPL breaks down the TGs in chylomicrons so that they can enter the cells
3) VLDL transports lipids away from the liver, LPL takes away the TGs
4) VLDL becomes IDL, which are either returned to the liver or transformed into LDL

17
Q

How does atherosclerosis develop?

A
  • Infiltration of LDL into arterial wall
  • Poor diet, smoking, and other harmful activities increases ROS, which oxidizes the LDL
  • Macrophages recognize the oxidized LDL and phagocytize it, producing foam cells
  • This creates fatty streaks
  • Over time can enlarge to form plaque, which can become walled off by a fibrous cap
  • Can occlude vessel or rupture to cause blood clots
18
Q

What age group is most affected by CVD?

A
  • Those 85 or older
19
Q

What dietary pattern has been shown to decrease risk of CVD?

A
  • Mediterranean diet, including intake of vegetables, nuts, fish
  • Trans fat and foods with high GI and GL are harmful
  • High BG makes walls more permeable to LDL
20
Q

What are the metabolic effects of saturated, trans, polyunsaturated, and monounsaturated fatty acids on cholesterol?

A

Saturated: decreases LDL receptors in the liver, increasing LDL in the blood
Trans: increases cholesterol synthesis, increasing LDL and decreasing HDL in the blood
Polyunsaturated: increases bile acid synthesis, LDL receptors, decreases VLDL synthesis, thus decreasing LDL and VLDL in the blood
Monounsaturated: decreases LDL oxidation and thus decreases LDL in the blood

21
Q

Heart risk increased by what factors?

A
  • Age
  • Family history
  • Diabetes (FBG > 7)
  • HTN (> 140/90)
  • Overweight
  • High LDL and low HDL
  • Cigarette smoking, inactivity, diet high in saturated fat, trans fat
22
Q

What is the link between dietary fat and cancer?

A
  • A estimated 30-40% of cancers are linked to lifestyle
  • High intake of red and processed meat are linked with colon cancer
  • Monounsaturated FAs correlate with lower risk of breast CA
  • ω-3 fatty acids reduce risk of both breast and colon CA
23
Q

Fat is less ____ than carbohydrates

A

Satiating

24
Q

It takes less energy for…

A

The body to store and use fat