Nutrition 2

Digestion

Food is broken down mechanically and chemically in the GI tract - takes place in the alimentary canal - aided by "accessory" glands

Absorption

Nutrient chemical breakdown, absorbed into the blood or lymph, and transported to the liver where adjustments are made to suit the body's needs

Metabolism

Sum of all physical and chemical changes (food and medication)

Excretion

What cells cannot utilize becomes waste

Mechanical Digestion

begins with mastication, muscles and nerves in the GI tract coordinate their actions to provide motility (peristalsis) - muscle contraction/relaxation

Chemical Digestion

includes the accessory organs - digestive enzymes break down nutrients - HCl, mucus, water and electrolytes, and bile also aid in chemical digestion

simple sugars

CHO gets reduced to this during absorption and transport

fatty acids and glycerides

Fats get changed into these during absorption and transport

amino acids

Proteins get changed into these during absorption and transport

Liberated

vitamins and minerals get ____ from food during absorption and transport

Steatorrhea

malabsorption of fat

Food Allergies

sensitivity; some life threatening

Celiac disease

gluten sensitivity; leads to malabsorption

Lactose intolerance

deficient in lactase enzyme; leads to digestive difficulties

Small intestine

the majority of digestion occurs here; mechanical - peristalsis, pendular movements, food is mixed with secretions and rolls in a spiral motion - Chemical - pancreatic and intestinal enzymes are released

Functions of vitamins

Organic substances - small amounts required for normal metabolism, growth, maintenance - coenzymes and regulators of metabolic processes - do not provide energy - do not become part of the body structure - specific functions nontransferable

scurvy

having a deficiency in Vitamin C could lead to this - bleeding gums, delayed wound healing, bone pain, tooth loss, hemorrhage

Alcoholics

this group of people are at risk for Thiamin deficiencies

Vitamin K

the functions of this vitamin is blood clotting and bone metabolism

green leafy vegetables

these are going to be your sources for Vitamin K

beta carotene

this is your Provitamin A - which is a substance within the body that can be converted to a vitamin

Fat Soluble

Vitamins A, D, E, and K are more stable to environmental influences, they are absorbed with fat and stored in the body

Water Soluble

Vitamins B and C are less stable to environmental influences

Vitamin D

A deficiency in this vitamin could lead to Rickets (bow legs) in children or osteomalacia (softening of the bone) in adults

Vitamin B12

a deficiency in this vitamin could lead to pernicious anemia due to lack of intrinsic factor

Macrominerals

also known as Major - they have more than 5 grams present in the body - include calcium, sodium, potassium, phosphorus, magnesium, sulfur, and chloride

Microminerals

also known as Trace - they have less than 5 grams present in the body

Phosphorus

laxative and enema abuse could lead to toxicity from this mineral

Calcium

A deficiency in this mineral would most likely lead to osteoporosis

Calcium sources

Animal products - milk, sardines, clams, oysters, and salmon - Plant products - rhubarb, spinach, greens, broccoli (cooking increases availability)

Electrolytes

the minerals sodium, calcium, potassium, chlorine, phosphate, and magnesium also function as

Iodine

this minerals main functions if the synthesis of thyroid hormones - if one becomes deficient, a goiter could appear

Calcium and Phosphorus

The functions of these minerals include providing hardness to bones and teeth

Sodium

the functions of this mineral includes maintaining fluid balance and helping transmit impulses along nerves and muscle fibers

hypertension

it is crucial to maintain adequate sodium intake when one has this characteristic

Diuretics

patients taking this type of medications are most at risk for potassium deficiencies

Iron

the role of this mineral is essential in formation of hemoglobin - and its oxygen carrying capacity of blood

Body Mass Index

this is the best way to calculate percentage of body fat - relates weight to height

Five Hundred Rule

this rule states that in order to lose or gain one pound of body fat per week, an individual must eat either 500 kcal fewer or more per day than the body expends

Underweight

a BMI of less than 18.5 means the individual is

Normal

a BMI of 18.6-24.9 means the individual is

Overweight

a BMI of 25-29.9 means the individual is

Obese

a BMI greater than 30 means the individual is

> 35 inches

women with a waist circumference of this are at a higher health risk

> 40 inches

men with a waist circumference of this are at a higher health risk

Recommendations

Diet, Exercise, Pharmacotherapy, behavior modification, and surgery are all ______ for weight management

Consequences

Documented prejudice, psychological, body image disturbance, hypertension, dyslipidemia, type 2 diabetes, coronary heart disease, stroke, gallbladder and liver disease, osteoarthritis, sleep apnea are all considered ____ of obesity

Bulimia

binge-purge

Binge eating disorder

binge without purge - associated with stress or emotions

Energy Imbalance

occurs when the number of kilocalories eaten does not equal the number used for energy