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-long-term fasting: glycogen stores depleted, but still need glucose -Glycolysis occuring in adipose tissue -fatty acids metabolized in liver -Once processes occur, acetyl ketone can leave the liver and brain can use them -over time, 40-50% energy can be derived from ketones after long-term fasting. -major source of carbon for gluconeogenesis is amino acids -nitrogen excreted thru urine (along w/ water and electrolytes)--> death |
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occurs in liver -smell acetone on breath -occurs when blood NEFA concentration is high (starvation, low carb or Atkins, Diabetes) |
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energy source -produced in liver, but used in muscle and brain for oxidation -water soluble fatty acid B oxidation-->acetyl CoA-->leave liver thru blood into muscle--> interconverted into acetyo acetate-->TCA cycle-->use as energy |
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excess prod. of ketones-high plasma NEFA -ketones in urine incr. urine output and loss of electrolytes -loss of apetite, incr. free fatty acids from adipose tissue -ketones are ketoacids and may lower blood pH |
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SERIOUS! -blood pH drops, food intake drops, vomiting, irritability -incr. urination, dehydration -reduce NEFA mobilization fromadipose tissue to stop this and decrease glucagon release and increase insulin release (eat more carbs to slow this) -buffer systems rely on nml lung/kidney fxn--> if compromised (pneumonia, etc), you get acidosis -can lead to death |
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20-35% of energy <300mg cholesterol -no more than 10% PUFA and saturated fatty acids -monounsaturated fatty acids better (plant sources) |
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major lipid in food 95% of dietary fat major storage form in body |
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Chylomicrons contain primarily ____. |
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Generate LDL particles in the blood |
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are stored in phospholipids |
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activates lipoprotein lipase |
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essential for lipid absorp. -Bile includes bile acids, cholesterol, phospholipids Bile acid=free acid 2-5g bile acids -90% bile acids recycled in Ileum (back to liver/gallbladder) -1/2 cholesterol in bile comes into intestine, some is used but most is excreted |
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Major lipid in the diet is _____ |
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should be no more than 10% of energy |
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has one double bond at delta 9, omega 9, and is oleic acid |
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beta hydroxybutyrate _____ |
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formed in the liver and is usedin the heart as an energy source -is not synthesized from pyruvate -is used in muscle but not formed |
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Exceptionally high in saturated fatty acids --shorter chain |
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About __ % of lipid digestion occurs in stomach |
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synthesized in intestine, reabsorbed in ileum, recycled only small amount lost |
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synthesized in intestine, metabolized by hormone lipoprotein lipase, and carry dietary cholesterol to liver. |
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-Has the highest % cholesterol -Synthesized by lipoprotein lipase action and from VLDL. -In the blood |
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-May be used to synthesize acetyl CoA -Synthesized primarily in liver -Transported during fasting ad fed state b/c water-soluble |
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In the fasted state fatty acids for VLDL synthesis arise from ______. |
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plasma NEFA's from adipose tissue in the fasted state. |
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A HDL cholesterol concentration of ____mg/dl is a CVD risk factor |
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Lipoprotein that carries cholesterol to tissues for steroid hormone synthesis |
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Enzyme that esterifies cellular cholesterol |
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Person w/ elevated fasting blood triglycerides ____. |
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should increase % fat in diet and should consume fiber rich foods. |
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Consumption of ____ will _____ hepatic LDL receptor content |
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Foam cells are derived from _____. |
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smooth mm. cells or macrophages |
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It is desirable to have a ____ Apo-B and ____ Apo-A1 concentration in blood when fasting. |
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Eicosapentaeonic acid is ____ |
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Essential fatty acids are concentrated in the _____ |
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major PUFA in phosphatidylinositol is ___ |
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