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NST 10 Test 2
Ch 6-..
129
Other
Undergraduate 1
10/21/2012

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Term
Protein is the only macronutrient to contain the element _______
Definition
nitrogen
Term
How many different amino acids are needed in the body? How many are essential?
Definition
20, 9
Term
What kind of reaction is necessary to form any type of polypeptide from 2+ single amino acids?
Definition
Condensation reaction
Term
Primary structure of protein
Definition
the order of amino acids in a chain
Term
Secondary structure of protein
Definition
the type of spiraling of the chain
Term
Tertiary structure of protein
Definition
The 3D shape of the protein
Term
Quaternary structure of protein
Definition
when 2+ tertiary structures come together to form a new structure
Term
DNA sequence of aas determines ______ which determines _______ !
Definition
protein shape, function
Term
What is an example of a disease caused by a change in the primary structure of the protein?
Definition
Sickle-cell anemia
Term
______ caused by _____ causes a protein to lose its function.
Definition
Denaturation, heat
Term
The 11 nonessential amino acids can be made in the body through the process of __________
Definition
transamination
Term
List some protein functions
Definition
1. Cell growth, repair and maintenance + body structure
2. Enzymes and hormones
3. Fluid balance (prevent edema)
4. Maintain pH balance
5. Immunity
6. Transport of nutrients
7. Energy source when needed
Term
What disease does the fluid balance function of protein prevent?
Definition
edema
Term
What is an example of a protein that transport nutrients?
Definition
Lipoproteins! (chylomicron, LDL, HDL, VLDL)
Term
Steps of protein digestion
Definition
1. Mouth: proteins crushed by chewing, moistened by saliva
2. Stomach: HCl denatures protein; Pepsin breaks protein down into indiv aas
3. Small intestine: proteases and peptidases complete breakdown of polypeptides into aas
4. Liver: aas transported to liver via portal vein; from here, used as necessary
Term
Anaphylaxis
Definition
A rapid, severe allergic reaction
Term
There is a storage form of protein. True or false?
Definition
False! there is NO storage form of protein!
Term
What does it mean to be the limiting amino acid?
Definition
It is an essential amino acid that is missing or in the smallest supply
---> which slows down or halts protein sythesis
Term
What is protein quality?
Definition
A measure of how efficiently a protein in the diet can be used to make body proteins
- highest quality generally contain all 9 essential aas
Term
What does nitrogen balance mean?
Definition
nitrogen intake = nitrogen output
total body protein does not change!
Term
What does negative nitrogen balance mean?
Definition
Nitrogen intake < nitrogen output
total body protein decreases
Term
What does positive nitrogen balance mean?
Definition
Nitrogen intake > nitrogen output
total body protein increases
Term
What does deamination mean? why does it occur?
Definition
the removal of an amine group from an amino acid
- occurs bc helps remove excess nitrogen from system by excreting it in urine and remaining carbon backbone used for energy production
Term
What are 2 types of proteins? Which one is used in gluconeogenesis?
Definition
1) Ketogenic proteins
2) Glucogenic proteins -- used in gluconeogenesis
Term
What are 2 common forms of protein-energy malnutrition?
Definition
1) Kwashiorkor
2) Marasmus
Term
What is Kwashiorkor? What are some of the symptoms?
Definition
Disease resulting from extremely low protein intake
Symptoms include: muscle wasting; edema (causes distention of belly); retarded growth + dvpmt
Term
What is Marasmus? What are some of the symptoms?
Definition
Disease resulting from severely inadequate intakes of protein, energy and other nutrients
Symptoms include: waste of muscle tissue; stunted physical and brain dvpmt; anemia
Term
What are some effects of excessive protein consumption?
Definition
- High cholesterol
- Increased risk of kidney disease
- Dehydration
Term
What are the 4 forms of energy OUT?
Definition
1) Basal Metabolic Rate (BMR)
2) Physical Activity (PA)
3) Thermal Effect of Food (TEF)
4) Nonexercise Activity Thermogenesis (NEAT)
Term
Energy Balance
Definition
E in = E out
Term
Positive Energy Balance
Definition
E in > E out
Term
Negative Energy Balance
Definition
E in < E out
Term
What method is used to measure kcalories in food?
Definition
Direct calorimetry using a bomb calorimeter
Term
What energy out category accounts for ~60-70% of total energy expenditure (TEE)?
Definition
Basal Metabolic Rate (BMR)
Term
What activities does basal metabolic rate include?
Definition
Involuntary activities:
Respiration,
circulation,
body temperature,
synthesis of new cells + hormones;
nerve signals;
fluid balance
Term
Lean body mass varies with body _____ and body ______
Definition
Body weight and body fat
Term
What is the TEF and how much of TEE does it take up?
Definition
Thermic Effect of food means the energy used in food digestion, absorption, transport and storage of nutrients
- takes up 5-10% of total energy expenditure
Term
Thermic Effect of Food higher for _____ and ______ than for ______ [energy-yielding nutrients]
Definition
higher for carbs and protein than for fat
Term
What is the most variable of energy outputs?
Definition
Physical Activity (PA)
Term
How does Physical Activity (PA) have a dual effect on output?
Definition
1) increases energy expenditure during and after exercise
2) increases Lean Body Mass which increases Basal Metabolic Rate
Term
How to measure energy expenditure in humans?
Definition
use a direct calorimetry chambe (expensive tho!)
- measures released heat!
Term
What is indirect calorimetry based on?
Definition
based on energy metabolism equation
macronutrients + O2 => ATP + CO2 + H2O + heat
- measures O2 in to CO2 out
Term
How does body fat distribution increase chronic disease risk?
Definition
More abdominal fat = higher risk [apple shaped]
Term
What does NEAT mean?
Definition
Nonexercise Activity Thermogenesis
--> includes activities such as walking, standing, and sitting
Term
What should waist circumference stay under to reduce chronic disease risk?
Definition
35in for women
40in for men
Term
In terms of contribution to total body fat, how much does genetics vs. nongenetic factors contribute? (in %)
Definition
25% genetics and 75% nongenetic factors
Term
What does the thrifty gene theory state?
Definition
When starvation was an issue, gene to conserve more/expend less energy took over
Term
What is the set-point theory?
Definition
states that body will try to maintain a set body weight
- ^BMR +fidgeting when ^E intake
- decr BMR when low E intake
Term
What hormone that is released from fat do obese people have a lot of but aren't sensitive to?
Definition
Leptin
Term
What hormones are involved in decreasing feeding?
Definition
- Leptin (stomach)
- Insulin (pancreas)
- CCK (small intestine)
- PPY (gut - obese have less)
Term
What hormones are involved in increasing feeding?
Definition
- NPY (hypothalamus)
- Ghrelin (stomach)
Term
How many genes markers and chromosome regions have been linked to obesity?
Definition
over 600
Term
How do you calculate BMR?
Definition
Men: 24kcal/kg/day
Women: 23kcal/kg/day
Term
What factors increase BMR?
Definition
- Being younger
- growing taller
- increasing Lean Body Mass
- being an athlete
- pregnancy/lactation
Term
What 5 criteria are possible when one is diagnosed with Metabolic Syndrome?
(need to meet 3 to be diagnosed)
Definition
1- Waist size: >40 in men; >35 in women
2- Trigs >150mg/dL
3- HDL-C: Male<40; Female<50mg/dL
4- BP >130/85mmHg
5- Fasting blood glucose >110mg/dL
Term
Who discovered beriberi?
Definition
Eijkman
Term
Who discovered "vital amines" to cure rickets, scurvy, pellagra and beriberi?
Definition
Casimir Funk
Term
What nutrient deficiency causes rickets?
Definition
Vitamin D
Term
What nutrient deficiency causes pellagra?
Definition
Niacin
Term
What nutrient deficiency causes beriberi?
Definition
Thiamine
Term
What nutrient deficiency causes scurvy?
Definition
Vitamin C
Term
How to absorb fat [and fat-soluble vitamins]?
Definition
Bile acids from liver, digestive enzymes from pancreas, functional small intestine
- anything that disrupts absorption of lipids thru small intestine leads to vitamin deficiency
- gut bacteria produces little vitamin K, need to eat it!
Term
All [synthetic and naturally occurring] compounds that have Vitamin A activity are called _____
Definition
retinoids
Term
Vitamin A is also called
Definition
retinol
Term
Retinol is converted to either _____ or _____ _____. What are the function of these 2 things?
Definition
1. retinal - aids in visual cycle
2. retinoic acid (RA) - all Vitamin A functions except visual cycle
Term
____% of Vitamin A is used in visual cycle with compound _____
Definition
90%, retinal
Term
All mammalian vertebrate life is not possible without this metabolite made from retinol.
Definition
retinoic acid (RA)
Term
Nyctalopia or "night blindness" is caused by depletion of ______ due to Vitamin _ deficiency
Definition
retinal, A
Term
What disease causes tunnel vision due to retinal depletion from Vitamin A deficiency? What is tunnel vision?
Definition
Nyctalopia, most apparent at night
- Tunnel vision is loss of peripheral vision
Term
Retinoic acid essential for:
Definition
1. reproduction
2. formation of placenta
3. dvpmt of embryo
4. programs essential function of epithelial cells for adults (to dvp and function)
5. Nervous system
6. Immune system
Term
Where do epithelia (programmed by retinoic acid) exist?
Definition
- skin
- digestive system
- respiratory system
- eye
- reproductive organs
Term
What disease occurs to the eye when there is no retinoic acid for the epithelia?
Definition
xerophthalmia
Term
We get most of our vitamin A through vegetables with _____ which is a provitamin A
Definition
carotenoids
Term
Carotenoids are converted to Vitamin A by _____ and sent to ____ for storage.
Definition
intestine, liver
Term
Vitamin A deficiency is the ____ most common deficiency in the underdeveloped world (seen first in children).
Definition
3rd
Term
Without retinoic acid stem cells in testis cannot ______ and form separate sperm (forms multinucleated giant cells)
Definition
differentiate
Term
Retinoic acid can be a _______ at toxic levels. This can cause defects/impairment in dvpmt.
Definition
teratogen [the impairment of dvpmt is called teratogenicity]
Term
Retinoic acid is useful in treating
Definition
- acute cystic acne
- psoriasis
- wrinkles
- measles (in ppl in undvpd countries where children are very deplete in RA)
Term
What protein forms a protective barrier on your skin?
Definition
keratin
Term
Skin color/eye color is a function how many _____ are available in skin.
Definition
melanocytes (melanin)
Term
Retinoic acid regulates at least _____ to _____ genes which produce new proteins to change cell function.
Definition
500-600 genes
Term
Action of RA on stem cells vs on daughter cells
Definition
Stem cells: programming them to mature/differentiate or prevents them from maturing
Daughter cells (matured stem cells) = RA programs genes in daughter cell so it can function
Term
Vitamin A is the most _____ fat-soluble vitamin.
Definition
toxic [poisoning, causes bone/epithelial problems; teratogenic in pregnant women]
Term
RDA for vitamin A
What is a toxic level?
Definition
0.3-1.3 mg/day
- toxic at 100x level in a single dose
- toxic at 10x level chronically
Term
Do you need dietary Vitamin D if you get adequate exposure to sunlight?
Definition
NO!
Term
Plasma Ca2+ is important in maintaining:
Definition
1. Muscle contraction
2. Neurotransmission
3. Blood clotting
4. Remainder stored in bone/teeth
Term
Vitamin D maintains Calcium where?
Definition
in plasma!
Term
If you are lacking in Calcium or Vitamin D, you are ____ and you can die from ____
Definition
hypocalcemic;
tetany (can't control neural transmission; turn rigid)
Term
If your blood calcium is too high you are _______ and the excess calcium goes to _____ which also causes death over time.
Definition
hypercalcemic;
goes to soft tissue [kills in about 3-4 months]
Term
7 dehydro-cholesterol when struck by sunlight creates ______, skin temp converts this into _______, which is slowly released into blood by a binding protein
Definition
previtamin D3, vitamin D
Term
What is the major circulating form of Vitamin D in our blood?
Definition
25 hydroxy D3
Term
What is calcitriol? Where is it created?
Definition
the hormonal form of Vitamin D
- created in kidney
Term
What hormone produced from Vitamin D is the only hormone that can induce the intestine to absorb dietary Ca2+?
Definition
Calcitriol!
Term
Calcitriol activates genes to make new proteins to transport calcium and regulate cell functions. T or F?
Definition
True!
Term
Parathyroid gland releases parathyroid hormone in response to low ____ levels.
Also, instructs kidney to make ____, which absorbs that nutrient.
Definition
calcium; calcitriol
Term
What is the Greek term for rickets?
What is rickets?
Definition
Osteomalacia "bad bone"
- rickets is lack of Ca2+ or Vit D
--> failure to convert vit D to calcitriol
--> failure of calcitriol to control gene expression
Term
What is the diff b/t osteomalacia and osteoperosis?
Definition
Osteomalacia = bone matrix normal but you don't have enough calcium (not calficied

Osteoperosis: bone matrix/calcium ratio is normal but reduced amounts => thin brittle bones
Term
Why do our bones have holes in them?
Definition
it's where blood cells are made; remodeling breaks down old Ca2+ and adds new Ca2+; reduces weight
Term
Risk factors for osteoperosis outside of diet
Definition
- Size (larger is better)
- race (black have less risk than white/asian)
- activity level (exercise more better)
- sex (male better than women)
Term
What are some non-tradition functions of vitamin D?
Definition
- reproduction
- antibacterial
- psoriasis
- Type I diabetes
- Cancer (breast and prostate)
- Seasonal Affective Disorder (SAD)
Term
There is no RDA for Vitamin D, but the adequate intake is _____. This amount is probably not adequate!
Definition
5-15 micrograms/day
Term
Vitamin D is highly toxic. True or false?
Definition
FALSE!
Term
Vitamin K is called "K" for what?
Definition
Danish word for coagulation
Term
Vitamin K activates an enzyme that is vitamin k dependent that modifies target proteins that are able to bind _____
Definition
Calcium
Term
Vitamin K necessary for functions
Definition
- blood clotting
- blood vessel repair
- bone density
- prevents soft-tissue calcification
Term
What is a vitamin k antagonist? what does it do?
Definition
Warfarin; retards blood coagulation
Term
What is phlebitis? What anticoagulant can be used to treat this?
Definition
- disease where you get blood clots in veins;
- can be treated with Warfarin
Term
What is the most potent lipid-soluble antioxidant known?
Definition
Vitamin E
Term
Vitamin E protects ____ from oxidation?
Definition
poly-unsaturated fatty acids (PUFA)
[prevents membranes and LDL from oxidation]
Term
What 2 vitamins prevent anemia? Why?
Definition
Folate and B12 prevent anemia (a lack of RBCs) bc they are involved in RBC synthesis!
Term
RDA for protein is what? [based on weight]
Definition
0.8g/kg/day
Term
What are functions of Vitamin K? [think of what the "K" stands for in Danish]
Definition
- K for coagulation in Danish
- blood clotting
- blood vessel repair
- bone density
- prevents soft-tissue calcification from excess Calcium
Term
How do folate and B12 affect homocysteine levels?
Definition
A deficiency in folate and B12 leads to incomplete amino acid metabolism which causes a buildup of nonessential amino acid homocysteine
- this is an increased risk for CVD
Term
What are some of the names of discoverers of fat-soluble vitamins?
Definition
- Eijman (thiamine from beriberi)
- Hopkins
- Funk
- McCollum (vitA)
- Mellanby (vitD)
Term
What are contraindictions?
Definition
these are issues that occur when vitamin and mineral supplements interfere with functions of one's regularly prescribed drugs
Term
What is the definition of a dietary supplement? What are supplements classified as?
Definition
supplement=a product taken by mouth that supplements the diet; classified as food item
Term
What facts to supplement labels have to include?
Definition
- %DV
- ingredients
- common name of plant if plant-based
- suggested daily dose (amt in each pill)
Term
How are most B vitamins involved in Energy metabolism?
Definition
Bvitamins are precursors to coenzymes in carbohydrate, fat and protein metabolism [the energy-yielding nutrients]
Term
How can you get a biotin deficiency?
Definition
eating too many raw egg whites! [gross]
- they bind to biotin to prevent absorption
Term
What Bvitamin forms Coenzyme A [CoA]?
Definition
pantothenic acid
Term
How do folate + B12 work together?
Definition
- Folate activates B12
- B12 metabolizes folate
- both involved in RBC synthesis and DNA synthesis
Term
What does a deficiency in B12+folate lead to?
Definition
pernicious anemia [parietal cells that produce intrinsic factor are destroyed]
Term
Spina bifida results in a newborn bc of a deficiency in what nutrient during mother's prenancy?
Definition
folate
Term
Vitamin C is an antioxidant. What parts of body does it protect from oxidation?
Definition
Vit C protects
- White blood cells [enhances immune function]
- lung cells
- LDL cholesterol
Term
Other functions of Vitamin C [do not include its antioxidant properties]?
Definition
- regenerates Vitamin E
- synthesizes collagen
- enhances iron absorption
Term
What are the 3 main research study designs?
Definition
1. Human intervention
2. Observational
3. Lab/experimental
Term
What are the parts of a research paper?
Definition
1. Abstract [brief background]
2. Intro [why study this? why is it important?]
3. Materials + Methods
4. Results [shows data in charts, graphs and tables]
5. Discussion [interprets results, further qs]
6. References
Term
What makes a good experiment? [3things]
Definition
1. Quantifiable data
2. Appropriate Experimental Population
3. Proper controls
Term
What is bioavailability?
Definition
amts of nutrients necessary in body
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