Ch. 24 Nutrition, Metabolism, & Energy Balance

PART 1 NUTRIENTS

  • most are used for metabolic feul, but some are for cell structures & molecular synthesis

  • nutrient: substance in food needed for growth, maintenance, repair

  • macronutrient: 3 major nutrients that make bulk of injected food (carbohydrates, lipids, proteins)

  • micronutrients: 2 other nutrients required in small amounts (vitamins, minerals)

  • essential nutrients: nutrients that must be eaten bc body can’t synthesize them (~40-50 are considered essential)

    • nonessential nutrients also vital to life, but if not enough available, liver can convert another into one if needed

  • energy value is measured in kilocalories (kcal)

    • calorie is amount of heat needed to raise temp of 1kg H2O by 1oC (1 dietary calorie=1kcal)

24.1 Role of Carbohydrates, Lipids, & Proteins

o Carbohydrates:

  • Dietary sources:

    • primarily from plants (starch-complex carbs) in grains & veggies

      • insoluble fiber: cellulose in veggies provide roughage

    • sugars (mono- & disaccharides) in fruits, sugarcane, milk

      • soluble fiber: pectin in apples & citrus reduces blood cholesterol levels

    • small amount in milk sugar, glycogen in meats

  • Uses in body:

    • glucose: fuel used to make ATP

      • some cells use fat for energy (neurons & RBCs rely on glucose)

    • excess glucose converted to glycogen/fat, then stored

    • fructose & galactose converted to glucose by liver b4 entering circulation

  • Dietary requirements:

    • rec. daily intake: 45-65% of total calories

      • should be mostly of complex carb (whole grains & veggies). simple ones should be limited

        • high amounts of sugars→obesity & nutritional deficiencies

    • American diet is ~46% carbs that include rice, pasta, breads

      • inexpensive, so higher percentages seen in low-income groups

o Lipids:

  • Dietary sources:

    • triglycerides is most abundant form

      • found in saturated fats in meats, dairy foods, tropical oils, or hydrogenated oils (trans fats)

      • unsaturated fats found in seeds, nuts, olive/veggie oils

    • cholesterol found in egg yolk, meats, organ meats, shellfish, & milk products (liver makes ~85%)

    • liver can convert some fatty acids into others

    • 2 essential fatty acids liver can’t synthesize found in most veggie oils:

      1. linoleic acid: omega-6 fatty acid (component of lecithin)

      2. linolenic acid: omega-3 fatty acid

  • Uses in body:

    • adipose tissue for protection, insulation, fuel store

    • phospholipids vital in myelin sheaths & cell wall

    • cholesterol stabilizes membrane; precursor of bile salts, steroid hormones

    • prostaglandins, smooth muscle contraction, BP control, inflammation

    • major fuel of hepatocytes & skeletal muscles

  • Dietary requirements:

    • fats: should be 20-35% total caloric intake

    • saturated fats: limited to ≤10% total fat intake

    • cholesterol: not required in diet since liver makes its own, so intake should be kept low as possible especially those w/ high total blood cholesterol bc cardiovascular disease

o Proteins:

  • Dietary sources:

    • animal products (milk, eggs, fish, meats) and soybeans are complete proteins

      • contain all needed essential amino acids

    • legumes, nuts, & cereals contain incomplete proteins (lack some amino acids)

    • legumes & cereal grains 2gether contain all

  • Uses in body:

    • structural materials (keratin in skin, collagen/elastin in CT, muscle proteins)

    • functional molecules (enzymes & some hormones)

    • 3 factors help determine whether amino acids are used to synthesize proteins/burn fuels:

      1. all-or-none rule:

        • all amino acids needed must be present for protein synthesis to occur, if not, amino acids are used for energy

      2. adequacy of caloric intake:

        • protein used as fuel if insufficient carb/fat

      3. hormonal controls:

        • anabolic hormones (GH, sex) accelerate protein synthesis & growth

        • adrenal glucocorticoids promote protein breakdown & conversion of amino acid to glucose

    • nitrogen balance: homeostatic state where rate of PS=rate of breakdown

      • positive nitrogen balance: synthesis exceeds breakdown (normal in kids, pregnant, tissue repair)

      • negative nitrogen balance: breakdown excess synthesis (stress, infection, injury, starvation)

  • Dietary requirements:

    • needs reflect age, size, metabolic rate, nitrogen balance

    • rule of thumb: daily intake of 0.8g per kg body weight

    • American diet provides more than needed

24.2 Role of Vitamins & Minerals

o Vitamins: organic compounds crucial to use nutrients

  • most function as coenzymes

  • most must be ingested, except vit. D, some B & K synthesized by gut bacteria, & beta-carotene converted to vit. A

  • no one food group contains all vitamins

  • 2 types of vitamins based on solubility:

    1. water-soluble vitamin:

      • B complex & C absorbed w/ H2O

      • B12 absorption requires intrinsic factor

      • not stored in body (any not used within 1hr excreted)

    2. fat-soluble vitamins:

      • A, D, E, & K absorbed w/ lipid digestion

      • stored in body (not K since excessive consumption can cause health probs)

  • dangerous free radicals generated during normal metabolism

    • vits C, E, A, & mineral selenium are antioxidants that neutralize these free radicals

      • broccoli, cauliflower, brussel sprouts good sources for vit A & C

  • mega doses of vits are useless & may cause serious problems depending on the vit

o Minerals: Ca, P, K, S, Na, Cl, Mg

  • other minerals are needed in trace amounts

  • work w/ nutrients to ensure proper body functions

  • uptake & excretion balances to prevent toxic overload

  • uses in the body:

    • Ca, P, & Mg salts harden bones

    • Fe essential or O2 binding to hemoglobin

    • I necessary for thyroid hormone synthesis

    • Na & Cl major electrolytes in blood

  • mineral-rich foods: veggies, legumes, milk, some meats

PART 2 METABOLISM

  • sum of all biochemical reactions inside cell involving nutrients

24.3 Role of Metabolism

o Anabolism & Catabolism:

  • anabolism: synthesis of large molecules from small ones

    • ex. synthesis of proteins from amino acids

  • catabolism: hydrolysis of complex structures to simple ones

    • ex. breakdown of proteins into amino acids

  • cellular respiration: catabolic breakdown of food fuels where energy from foods is caught to form ATP. consists of stage 2 & 3 of processing nutrients

    • goal is to trap chemical energy in ATP

  • phosphorylation: enzymes shift high-energy phosphate groups of ATP to other molecules

    • phosphorylated molecules become activate to perform cell functions

  • 3 stages in processing nutrients:

    1. digestion, absorption, & transport to tissues

    2. cellular processing (into cytoplasm)

      • synthesis of lipids, proteins, & glycogen, or

      • catabolism (glycolysis) into pyruvic acid & acetyl CoA

    3. oxidative breakdown of intermediates into CO2, H2O, & ATP (occurs in mitochondria)

o Oxidation-Reduction Reactions & Role of Coenzymes:

  • oxidation reactions: involve gain of O2 or loss of H atoms

  • oxidation-reduction (redox) reactions:

    • oxidized substances lose electrons & energy

    • reduced substances gain electrons & energy

    • redox reactions catalyzed by enzymes that require vit B coenzyme

      • dehydrogenases catalyze removal of H atoms

      • oxidases catalyze transfer of O2

  • 2 important coenzymes act as H/electron acceptors in oxidative pathways: nicotinamide adenine dinucleotide (NAD+) & flavin adenine dinucleotide (FAD)

o ATP Synthesis: 2 mechanisms

  1. substrate-level phosphorylation:

    • high-energy phosphate groups directly transferred from phosphorylated substrates to ADP

    • occurs twice in glycolysis & once in Krebs cycle

      • necessary enzymes in cytosol for glycolysis & in mitochondria for Krebs cycle

  2. oxidative phosphorylation:

    • more complex, but makes most ATP

    • chemiosmotic process: couples movement of substances across membranes to chem reactions

      • energy released from oxidation of food is used to pump H+ across mitochondrial membrane, creating steep H+ con. gradient

      • as H+ flows back thru ATP synthase membrane channel protein, energy from flow used to phosphorylate ADP

24.4 Carbohydrate Metabolism

o Oxidation of Glucose:

  • catabolized via: C6H12O6 + 6O2 → 6H2O + 6CO2 + 32ATP + heat

  • complete glucose catabolism requires 3 pathways:

    1. Glycolysis: an anaerobic glycolytic pathway occurring in cytosol

      • glucose is broken down into 2 pyruvic acid molecules in 3 major phases:

        1. sugar activation: glucose is phosphorylated by ATP to fructose-6-bisphosphate & again by a 2nd ATP to be fructose-1,6-biphosphate

          • referred to as energy investment phase bc energy needed

        2. sugar cleavage: fructose1,6-biphsophate is split into two 3-carbon fragments

          • fragments can be interconvert into dihydroxyacetone phosphate or glyceraldehyde 3-phosphate

        3. sugar oxidation & ATP formation:

          • each 3-carbon fragment oxidised by removal of pair of H that was picked up by NAD+, forming reduced NAHD+H+

          • inorganic phosphate group then attached to each oxidized fragment

          • cleavage of phosphate groups from both fragments will result in formation of 2 pyruvic acid & 2 ATPs

      • final products of glycolysis are 2 pyruvic acids, 2 reduced NAD+, & net gain of 2 ATP

      • for the process to continue, more NAD+ must be present to accept more H+ & since supply is limited:

        • NADH must donate its accepted H+ to become NAD+ again to be free to pick up more H+

          • if O2 present, NADH will transfer H to proteins in electron transport chain (in mitochondria)

          • if no O2, NADH will give H+ back to pyruvic acid, making it lactic acid

  • Citric Acid Cycle: Krebs Cycle

    • in mitochondrial matrix fueled by pyruvic acid from glucose breakdown & fatty acids from fat breakdown

    • pyruvic acid myst be actively transported into mitochondria bc it’s a changed molecule & once inside, it enters transitional phase

    • transitional phase: where each pyruvic acid is made into acetyl coenzyme A in 3 steps

      1. decarboxylation: 1 carbon from pyruvic is removed, making CO2 gas that diffuses into blood

      2. oxidation: remaining 2-C fragment is oxidized to acetic acid by removal of H+ picked up by NAD+

      3. formation of acetyl CoA: acetic acid combines w/ coenzyme A to form it

    • coenzyme A shuttles acetic acid to an enzyme that joins to 4-carbon oxaloacetic acid (produces 6-carbon citric acid)