Metabolism Flashcards
Moderate physical activity daily expenditure of a 58 kg adult female
9500kJ
Moderate physical activity daily expenditure of a 70kg adult male
12000kJ
Components of daily expenditure
Basal Metabolic Rate
Voluntary physical exercise
Diet-induced thermogenesis
Use of fats
Absorb fat-soluble vitamins
Energy source after carbohydrates
Examples of essential fatty acids
Linoleic acids
Linolenic acids
What are essential fatty acids used for?
Structural component of cells membranes
Precursors of important regulatory molecules (eicosanoids)
Use of proteins
Amino acids, product of digestion of protein
Used in synthesis of essential N-containing compounds
E.g. Creatine, nucleotides, haem
Excretion of proteins
Degraded and excreted in urine as urea
What are essential amino acids?
Cannot be synthesised in body
Come from dietary protein
Why are carbohydrates essential to diet?
Major energy-containing component of diet
17kJ/g
How much of the adult body weight is water?
50-60%
Fibre essential to diet?
Non-digestible plant material for normal bowel function
E.g. Cellulose
Minerals and vitamins in diet
Either water-soluble or lipid-soluble
Deficiency disease associated with the absence/excess of these
Clinical signs of starvation
Cold and weakness
-> loss of subcutaneous fat and muscle wasting
Infections of GI tract and lungs are common
Cause of marasmus
Protein-energy malnutrition
Common in children under 5
Cause of kwashiorkor
Young child displaced from breastfeeding
Fed diet with some carbohydrate but very low protein content
Clinical signs of marasmus
Emaciated look Obvious signs of muscle wasting and loss of body fat (no Oedema signs) Hair is thin and dry Diarrhoea common Anaemia may be present
Clinical signs of kwashiorkor
Apathetic Lethargic Anorexic (loss of apetite) Distended abdomen Oedema Anaemia is common
Why do kwashiorkor sufferers have a distended abdomen?
Hepatomegaly
Ascites
What is a hepatomegaly?
Enlarged liver
What is ascites?
Accumulation of fluid in the peritoneal cavity
How does generalised oedema occur in kwashiorkor?
Due to low serum albumin (osmotic pressure)
Calculate BMI
Height^2 (m^2)