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Nutrition
Chapters 11-15
127
Health Care
Undergraduate 1
10/04/2012

Additional Health Care Flashcards

 


 

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Term
lipids
Definition
a broad category of compounds that contain carbon, hydrogen, and oxygen and insoluble in water.
Term
fatty acids are found in
Definition
triglycerides and phospholipids
Term
triglycerides contain
Definition
3 fatty acid chains. type of lipid found most abundantly in food. dietary fat
Term
phospholipids
Definition
contain phosphate.
Term
hydrophobic compounds
Definition
contain carbon, oxygen, and hydrogen (do not dissolve in water)
Term
lipids
Definition
family of chemical compounds, soluble in organic compounds like gasoline, turpentine, and oil, insoluble in water and aqueous solution. hydrophobic
Term
in cooking, fats:
Definition
give flaky texture to pie crusts and baked goods
make meats tender
make soups and puddings creamy
contribute to satiety from foods
Term
in body, fats are:
Definition
used for storage and insulation, important components of cell membranes, involved in transporting proteins
Term
3 types of lipids in food
Definition
triglycerides- 9kcals per gram, butter, veg oils, 95% of dietary fat
Term
phospholipids
Definition
egg yolk, liver, soy, wheat germ, peanuts
Term
sterols
Definition
not used for energy, egg yolks, dairy, meat, shellfish (cholesterol)
Term
triglycerides
Definition
are the most common lipid found in foods and your body composed of 3 fatty acid chains and a glycerol "backbone". Carbon, hydrogen, and alcohol
Term
fat sucks as butter, lard, and meat fat are
Definition
solid at room temp. oils are liquid at room temp
Term
3 types of fatty acids
Definition
saturated fatty acids
each carbon is bound to 2 atoms of hydrogen and cannot hold any more, found in saturated fats

monounsaturated fats
1 double bond

polyunsaturated fatty acids
contain more than 1 double bond. linoleic acid and alpha-linoleic acid are 2 essential fatty acids
Term
phospholipid structure
Definition
glycerol backbone, 2 fatty acid chains and a phosphate group
Term
Lecithin
Definition
major phospholipid in cell membranes and is used in foods as an emulsifier
Term
sterols have unique
Definition
ring structure. they are lipidsthat dont contain glycerol or fatty acids but are composed of 4 connecting hydrocarbon rings. Cholesterol is a sterol.
Term
triglycerides used for
Definition
energy, insulation, and the absorption of other nutrients
Term
essential fatty acids
Definition
create key compounds and help keep cell membranes healthy
Term
dietary fat allows for absorption of
Definition
fat-soluble vitamins: A D E and K, and carotenoids
Term
Digestion in the mouth is negligible
Definition
and in stomach
Term
the majority of fat digestion occurs in
Definition
small intestine. fat broken into 2 free fatty acids and a mono glyceride by pancreatic lipase.
Term
bile from gallbladder
Definition
emulsifies fat into smaller globules before pancreatic lipase can hydrolyze the bonds between glycerol and fatty acid
Term
product of triglyceride digestion
Definition
monoglyceride and fatty acids packaged with lecithin from the bile to create micelles, absorbed through intestinal cells
Term
short-chain fatty acids enter blood stream and go directly to
Definition
the liver
Term
long chain fatty acids are repackages in small intestine cell
Definition
require transport carriers called chylomicrons and travel through the lymphatic system before entering the bloodstream.
Term
chylomicrons
Definition
synthesized in the small intestine cell
Term
linoleic acid
Definition
omega-6 fatty acid and can be converted to EPA & DHA. important for health of heart and blood vessels
Term
good sources of essential fatty acids
Definition
vegetables, nuts, and oils derived from them
Term
fish contain EPA and DHA with higher levels in
Definition
fatty fish such as salmon and herring
Term
essential polyunsaturated fatty acids
Definition
eicosanoids: prostaglandins, thromboxanes, leukotrienes.

regulare muscle function, blood vessels blood clots blood lipids, response to injury/infection, fever, inflammation, pain, food sources of essential fatty acids
Term
AMDR of fat
Definition
20-35% calories
Term
AMDR of saturated and trans fat
Definition
less than 10%
Term
.6-1.2% of total calories come from
Definition
alpha-linolenic acid
Term
limit dietary cholesterol to
Definition
no more than 300 mg daily
Term
best source of fats
Definition
unsaturated fat. veg oils, soybean, corn, canola oil, soybean, walnuts, flaxseeds, wheat germ
Term
hydrogenation
Definition
addition of hydrogen atoms to unsaturated fatty acids. convert oil to solid. often creates trans fatty acids
Term
trans fatty acids
Definition
detrimental to health
change way cell membranes function
reduce removal of cholesterol from blood. raise LDL and lower HDL cholesterol. produce inflammation and risk of heart disease. DRI: little as possible
Term
FDA in 2006 mandated most foods must list
Definition
grams trans fats on nutrient fact panel. saves 900mill-1.8 billion annually in medical expenses, lost productivity, and pain and suffering
Term
mediterranean diet
Definition
mediterranean region. low ratrs of chronic diseases. long lives. low in animal products, higher in fat from olive or olive oil, grains, fruits, and veggies
Term
fat replacers
Definition
contribute low calories, nontoxic, not stored in body tissues, not rob body of nutrients
Term
fat substitutes
Definition
often carb based and use plant polysaccharides to retain moisture and provide fatlike texture
protein based subs are created from protein in eggs and milk
fat-based subs are fats modified to provide physical attributes of fat with fewer cals
Term
mono and diglycerides used as emulsifiers in baked goods and icings
Definition
same number of cals but less needed to provide same effect
Term
olestra.
Definition
created from sucrose backboine with 6-8 long chain fatty acids attached. enzymes in fat digestion cannot disconnect fatty acids in olestra and its not absorbed
Term
olestra (sucrose polyester)
Definition
sucrose + 6-8 fatty acids
heat stable
can cause intestinal distress
Term
simplesse
Definition
made from egg protein
microparticulated. common in dairy products and ice cream
Term
fat blockers
Definition
benecol & take control
Term
margerine
Definition
stanol esters, block cholesterol absorption
Term
xenical
Definition
pharmaceutical, blocks lipase action, Orlistatresearch data
Term
heart disease
Definition
several disorders affecting the heart, including prbs with heart valves and heart beak irregularities, infections, and other probs
Term
coronary heart disease
Definition
most common type of heart disease. affects blood vessels that serve the heart muscle and lead to heart attack
Term
heart disease
Definition
number 1 killer in US since 1918 takes lives of more women than men
Term
cardiovascular disease
Definition
vessels that serve heart and brain, heart attack & stroke
Term
plaque
Definition
fat cholesterol and cell materical can build up along walls of coronary arteries and form hardened substance. limits oxygenated blood going to heart
Term
heart disease
Definition
60% of artery wall is covered. soft fatty streaks graually enlarge and harden
Term
high levels of amino acids
Definition
homocysteine may injure arteies and promote atherosclerosis
Term
high levels of c-reactive proteine
Definition
indicate inflammation in walls of arteries
Term
bacterium chlamydia pneumoniae
Definition
in blood damage artery walls
Term
lipid protein Lp(a)
Definition
may promote heart disease
Term
metabolic syndrome X
Definition
increases risk of heart disease
Term
high blood cholesterol
Definition
lipoproteins are capsule-shaped fat "carriers" that enable fats and cholesterol to travel through the blood and lymph
Term
types of lipoproteins
Definition
chylomicrons, very low density lipoproteins, low density Ls, high density Ls
Term
lipoproteins
Definition
all contain fat, phospholipids, cholesteriol and protein in varying proportions which determines density
Term
VLDLs
Definition
composed of triglyceride with little protein, deliver fats made in liver, to tissues
Term
LDL
Definition
made of cholesterol with more protein than VLDL, deliver cholesterol to cells, "bad cholesteral"
Term
HDL
Definition
mostly protein, remove cholesterol from dying cells and arterial plaques and return them to liver to be excreted. "good " cholesterol
Term
eat more fish
Definition
omega 3 acids EPA and DHA are believed to reduce risk of heart disease and stroke
Term
mercury and fish
Definition
methymercury is a toxic chemical that is especially ahrmful to nervous system of unborn children. accumulates in large fish with long life
Term
phytosterols
Definition
substances similar in structure to cholesterol that actually lower LDL by competing for absorption in the intestinal tract. occur in seeds soybean oil fruits veggies
Term
proteins
Definition
building blocks of proteins are amino acid. amino acids form unique sequences with a specific purpose
Term
Amino Acids
Definition
contain C, H, O & N, unique side chains give amino acid its distinguishing qualities, 20 amino acids
Term
essential amino acids
Definition
9 of them. body cannot synthesize these, must be obtained from food, found in food such as meat and milk
Term
11 nonessential amino acids
Definition
created in body
Term
amino acids joined by
Definition
peptide bonds
Term
dipeptide
Definition
2 amino acids joined, tripeptide = 3, polypeptide, many
Term
proteins
Definition
consist of 100-1000 amino acids in sequence
Term
denaturation
Definition
alteration of a proteins shape due to exposure to heat, acids, or salt. doesn't alter sequence of amino acids, alters function
ex) frying egg
Term
when eating protein
Definition
digestion begins in stomach, pepsin breaks strands into smaller poly peptides
Term
diet provides essential and non essential amino acids
Definition
limited amount of all of these are stockpiled in amino acid pools in the blood and cells
Term
protein turnover
Definition
process of continually degrading and synthesizing protein within the body. 200 g protein turned over daily
Term
50 percent of turnover
Definition
intestines and liver. proteins and AAs are lost daily through skin, hair, nails and intestinal cells
Term
amino acid pools provide the building materials to synthesize
Definition
replacement proteins and nonprotein substances such as thyroid hormones and melanin
Term
when AAs are broken down
Definition
component parts meet different fates, N forms ammonia, which is converted to urea by liver and excreted in urine via the kidneys
Term
carbon-containing remnants are converted to glucose and
Definition
used as E or stored as fat
Term
surplus AA
Definition
form excess dietary protein cant be stored as protein, so stored as fat
Term
DNA directs synthesis of new proteins
Definition
DNA is the molecule that directs protein synthesis in the body. carries code to synthesie
Term
fibrous proteins in bones muscles and other tissues
Definition
help hold up body
Term
collagen
Definition
is most abundant protein in body and ffound in all of connective tissues including bones tendons and ligaments
Term
protein = new layer of skin
Definition
every 25-45 days, body has trillions of red bloods cells with life spans of 120 days,
Term
wounds and burns
Definition
can triple protein needs
Term
many enzymes
Definition
are proteins. speeds up reactions. unchanged
Term
hormones
Definition
protein or lipid based chemical messengers that initiate or direct specific action. released from tissues and organs and travel to target cells in another part of the body to direct an activity
Term
proteins help ensure water
Definition
in body is distributed. Fluids can flow easily through capillaries and into spaces between cells
Term
proteins are too big to
Definition
cross cell membranes
Term
edema
Definition
during severe malnutrition, fewerproteins are available
Term
blood pH
Definition
7.4
Term
acidosis
Definition
pH below 7.35, can result in coma
Term
alkalosis
Definition
pH above 7.45, can result in convulsions
Term
proteins transport
Definition
waste producs, oxygen, lipids, vitamins, sodium, and potassium through cell membranes and blood
Term
transport proteins in cell membranes
Definition
control entry and exit of sodium and K
Term
animal proteins are more digestible than
Definition
plant proteins
Term
% of animal proteins that are digestible
Definition
90-99%
Term
% of plan proteins that are digestible
Definition
70-90%
Term
cell wall
Definition
in plants prevent breakdown in GI tract
Term
amno acid profile in protein
Definition
types and amounts of amino acids it contains
Term
complete proteins
Definition
all 9 essential amino acids and some of the 11 nonessential ones. incomplete are low in one or more of the essential ones
Term
gelatin
Definition
in sanimal protein lacks tryptophan
Term
soy
Definition
a complete plant protein
Term
limiting amino acid
Definition
the AA in the shortest supply in an incomplete protein
Term
complemented proteins
Definition
incomplete proteins coupled with anumal proteins, soy, or other plan proteins rich in the limiting amino acids. Dont have to eat the complementing proteins at same meal just in same day to meet daily needs
Term
negative nitrogen inbalance
Definition
during injury, fever, illness, tissues broken down to meet needs when diet intake is inadequate
Term
protein abundant foods
Definition
dairy fish meat poultry meat alternatives such as dried beans pb nuts and soy 7 g/oz
Term
grains and veggies
Definition
3-4 g/oz
Term
too much protein puts risk of:
Definition
heart disease, many have saturated fats, kidney stones, osteoporosis, calcium is lost from bones to buffer against acid generation from amino acid breakdown. cancer, risk of colon cancer, can displace other nutrient and fiber rich foods associated with a reduce risk of chronic disease
Term
too little can risk of:
Definition
loss of bone mass, PEM, lack of dietary protein and calories. most in infants and children
Term
kwashiorkor
Definition
PEM disorder caused by protein dificiency. protein dificiency causes fluid accumulation in the spaces surrounding the cells. edema in legs, feet, stomach, decreased strength, peeling skin, infection
Term
marasmus
Definition
pem deficiency of calories. frail, emaciated appearance, thin dry hair, low blood pressure and body temp
Term
vegetarian
Definition
no meat fish poultry or food products made from these. 3% of adults follow veg diet. 1.5 billion dollar industry
Term
semivegitarian (flexitarians)
Definition
take flex approach
Term
lacto-ovo-vegetarians
Definition
eat dairy products and eggs but avoid mear poultry and fish
Term
lacto vegs
Definition
consume dairy but not eggs
Term
ovo vegs
Definition
consume eggs but no dairy
Term
vegans
Definition
no foods of animal origin
Term
vegetarian heart disease
Definition
25% less
Term
risk of vege diet
Definition
lack of protein iron zinc calcium vita d, b12, a, and omega-3 fatty acids
Term
vitamin b12
Definition
onlly from animal origin, need 3 good food sources of it like milk, yogurt, and cheese, fortified soy milk, cereal, or nutritional yeast
Term
isoflavones
Definition
found in soy reduce risk of heart disease, cholesterol, LDL, triglycerides by 10%, breast cancer
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