inherited, early onset, accumulation of galatose in blood, severe symptoms \= failure to thrive
15
New cards
Primary lactase deficiency
body cannot digest lactose, GI symptoms, early onset
16
New cards
Lactose intolerance
later onset, varied severity, various causes: inheritance, increased antibiotic use
17
New cards
Sucrase deficiency
similar to lactase deficiency:body cannot digest sucrase, GI symptoms, early onset
18
New cards
Functions of Carbohydrates
primary energy source for energy; balance protein & fat metabolism; fiber: important for bowel fx, waste elimination & blood sugar control; liver detox
19
New cards
Amino acids
the basic building blocks for proteins
20
New cards
Proteins are subdivided into
essential & nonessential
21
New cards
Urea/Ammonia
the main waste product produced by protein metabolism
22
New cards
Dietary sources of protein
complete: animal based; incomplete: plant based
23
New cards
Complete & incomplete protein forms
are based upon the range of amino acids present
24
New cards
Disorders of protein
Celiac disease & Milk protein allergy
25
New cards
2 types of protein malnutrition
Marasmus; Kwashiorkor disease
26
New cards
Marasmus
"starvation"; both protein & calorie deficiency
27
New cards
Kwashiorkor Disease
protein deficiency with appropriate caloric intake
have the potential become toxic because these vitamins are stored
54
New cards
Main anti-oxidant nutrients
vitamin C, vitamin A, vitamin E and selinium
55
New cards
Function of vitamin C
antibody production, protein metabolism, collagen synthesis/connective tissue, supports liver detox, wound healing, cancer prevention, iron absorption in the GI tract
fresh fruit especially citrus, kiwi, strawberries, red/orange peppers
59
New cards
RDA of Vitamin C
75mg/day , maximum \= 90mg/d
60
New cards
Vitamin E
found in all cell membranes & protects from oxidation
61
New cards
Sources of Vitamin E
nut/seed oils, avacados
62
New cards
Mineral Selenium
acts closely with vitamin E in protecting cell membranes
63
New cards
Beta carotene
the precursor to vitamin A
64
New cards
Vitamin A deficiency
nycotolopia: night blindness
65
New cards
Function of Vitamin A
eyes: retinol: important for vision/light accomodation; epithelial regeneration; immune functions; bone growth/development; anti-cancer functions
66
New cards
Vitamin A is potentially toxic
especially among pregnant women (fetal malformation: 5000IU maximum)
67
New cards
Beta carotene
is not toxic to pregnant women
68
New cards
Sources of Vitamin A
organ meats, butter, eggs
69
New cards
Sources of Beta Carotene
carrots, orange/red vegetables; (water soluble)
70
New cards
Thiamin (B1) deficiency
can result from high alcohol intake
71
New cards
Beri Beri
disease resulting from thiamin deficiency
72
New cards
Symptoms of thiamin deficiency
anorexia; weakness; impaired memory; neuropathy
73
New cards
Sources of thiamin (B1)
legumes, nuts, seeds, grains
74
New cards
Function of thiamin
carbohydrate & energy metabolism of cellular respiration; formation of acetylcholine: neurotransmitter (especially for memory)
75
New cards
Riboflavin (B2) function
a component of the co-enzyme FAD/FADH+H; important for energy metabolism
76
New cards
Niacin (B3)
can be formed from the amino acid tryptophan
77
New cards
Co-enzyme NAD/NADH+H
niacin is a component
78
New cards
Niacin (B3) deficiency
symptoms of dermatitis, diarrhea, dementia (3 D's)
79
New cards
3 stored water soluble vitamins
pantothenic, B12, B6
80
New cards
Function of Pyridoxine (B6)
amino acid/protein metabolism; neurotransmitter synthesis (serotonin; epinephrine; histamine); hemoglobin synthesis; glycogenolysis: release of glucose from liver
81
New cards
Vitamin B12
requires intrinsic factor for absorption
82
New cards
Impaired absorption of B12
deficiency results in pernicious anemia
83
New cards
Pernicious anemia
type of macrocytic anemia
84
New cards
Folic acid deficiency
results in macrocytic anemia
85
New cards
Functions of B12
synthesis of nucleic acids (DNA/RNA); essential for: red blood cell formation, protecting myelin of nerves; metabolism of fat, protein, carbohydrated; manufacturer of choline: important for memory
86
New cards
Sources of vitamin B12
found in animal or fortified products
87
New cards
Sources of folic acid
found in green leafie vegetables & liver
88
New cards
400mcg/d supplimentation of folic acid
in pregnancy to prevent neural tube defects in infants
89
New cards
Pantothenic Acid (B5)
a component of co-enzyme A
90
New cards
Function of Pantothenic Acid (B5)
important for the metabolism of cholesterol, steroids, fatty acids
91
New cards
Function of Biotin
metabolism of fatty acids, proteins, carbohydrates; maintains healthy skin, hair, nails; related to B12 & folic acid metabolism
92
New cards
Function of choline
part of acetylcholin (memory neurotransmitter); Lipotropic factor: fat metabolism in liver & lipoprotein production; component of nerve tissue/brain