Principles of nutrition Flashcards
Good nutrition
Good health
Prevention of disease
Recovery from illness
Nutrition
Sum of processes for living organisms to receive and use materials from environment to promote its own vital activities
Nutrients
‘Materials’
Substances digested, absorbed, promote body function
Carbohydrate, fat, protein, vitamins, minerals, water
Essential nutrient
Substance necessary for life, cannot be synthesised by body, must be in diet
Food
Substance eaten, digested and absorbed
Provides at least one nutrient - appropriate?
Diet
Foods selected
‘balanced’=adeqaute amounts of all nutrients
Malnutrition
Incorrect amount of one or more nutrients in diet (not just lack)
Undernutrition
lack of proper nutrition, caused by not having enough food or not eating enough food containing substances necessary for growth and health
Nutritional status
Intake of nutrients vs requirement –> state of health
Nutritional assessment
Measurement of nutritional status balance
Biochemical and anthropometric data, diet history
Dietician
Applies science of nutrition to individuals or groups
Health and disease
Metabolism
Changes constantly taking place in body due to tissue activity, transformation
Nutrients –> metabolism
–> energy liberated
–> tissue formed
–>body functions controlled and stimulated
Anabolism
Simple molecules –> complex, requires energy
Results in growth
Catabolism
Complex molecules –> simple, releases energy
Occurs during starvation and illness, energy intake decreases
Basic role of carbohydrate
Heat and energy
Basic role of fats
Heat and energy incorporated into body tissue
Basic role of protein
Tissue formation and repair broken down to produce energy
Basic role of vitamins and minerals
For regulation of body processes incorporated into tissue (minerals)
Basic role of water
Temperature regulation
Waste product excretion
Fluid medium essential for metabolism
Measurement of nutrients in food
E.g. energy
- calorie (kCal), unit of heat
- joule (kJ, mJ), unit of heat/ muscular/ electrical energy
- measured by oxidation of food
Nutrient requirements
COMA Report
SACN 2000
COMA Report
Committee on Medical Aspects of Food Policy Report (1991)
- dietary reference values for food energy and nutrients in the UK]
- estimated average requirement (EAR)
- reference nutrient intake (RNI)
SACN 2000
Scientific Advisory Committee on Nutrition
Advises PHE etc. on nutrition and related health issues
-reviews on vit A, iron, energy requirement, carbohydrates and health, vit D (2016), folic acid (2017)
Carbohydrates
Consist of C, H and O
Foods of plant origin e.g. grain, fruit, vegetables
CO2 + H2O –> sugar and starch
Monosaccharides, disacchardies, polysaccharides
Monosaccharides
Simplest form of carbohydrates
e.g. glucose, fructose, galactose
Disaccharides
Pairs of carbohydrate molecules
e.g. sucrose, lactose, maltose
Polysaccharides
Complex form of carbohydrates
e.g. starch (amylose - straight chain and amylopectin - branched)
Source of glucose
Made from starch
Found in fruit e.g. grapes
Source of fructose
Found in honey, fruits
Source of sucrose
Made from beet and cane
Found in fruit and vegetables
Source of lactose
Found in mammalian milk
Source of maltose
Found in sprouting grain
Source of starch
Storage carbohydrate in plants
Found in grains (++), potatoes, peas, beans, lentils
Source of galactose
Made from digestion of lactose
Not naturally occurring
Source of glycogen
Stored form of carbohydrate found in liver and muscles
Not found in meat, destroyed during hanging process
Non-starch polysaccharides
Dietary fibre: no enzymes so not digested , but for bulk, peristalsis , excretion; removed from refined carbohydrate food
Made from plant cell walls
Found in cereals, vegetables
Non-starch polysaccharides advantages
Bulky and take longer to eat
Prolonged feeling of fullness as stay in stomach longer
Prevent constipation, colonic cancer
-NSP and carcinogens: binds, dilutes by > faecal bulk, < transit time therefore < exposure
Non-starch polysaccharides disadvantages
Bind to minerals (Ca, Fe) –> deficiencies
Wind from metabolism of NSP in saecum and colon:
-methane, CO2, H2
-depending on type of NSP and bacterial flora
Insufficient energy intake: bulky and take longer to eat
Carbohydrate digestion
Broken down by enzymes (e.g. salivary amylase) to monosaccharides
Starch - longer digestive process
Disaccharides more readily absorbed (quicker energy source)
Carb release from liver
Metabolised for energy e.g. glucose only for brain, NS, RBCs
Converted into glycogen, stored in muscles and liver
Converted into fat when glycogen stores are full