chapter 18

Chapter 18: Nutrition and Metabolism

18.1 Overview of Nutrition and Metabolism

  • Terms to know:
      - Nutrients: Chemical substances supplied from the environment that an organism requires for survival.
      - Macronutrients: Nutrients needed in bulk. This category includes carbohydrates, fats, and proteins.
      - Micronutrients: Essential nutrients required in small daily doses, which include vitamins and minerals.
      - Essential nutrients: Nutrients that human cells cannot synthesize; they must be obtained from the diet.

18.2 Carbohydrates

Carbohydrate Sources
  • Polysaccharides:
      - Complex carbohydrates such as starch (from plant foods) and glycogen (from meats).
  • Disaccharides (double sugars):
      - Examples include milk sugar, cane sugar, beet sugar, and molasses.
  • Monosaccharides (single sugars):
      - Found in honey and fruits.
        - Digestion Process: Complex carbohydrates are broken down into monosaccharides, small enough for absorption.
      - Cellulose: A complex carbohydrate abundant in foods that is not digested but provides dietary fiber.
      - Common monosaccharides absorbed from the digestive tract include fructose, galactose, and glucose.
        - Liver enzymes convert fructose and galactose into glucose.
Carbohydrate Use
  • Storage and Conversion:
      - Excess glucose is polymerized to glycogen through a process called glycogenesis and is then stored in the liver and muscles.
      - Glycogen can be rapidly converted back to glucose through glycogenolysis.
      - There is a limited amount of glycogen storage; excess glucose reacts to form fat in a process called lipogenesis.
      - Neurons require glucose for survival; if there is not enough available glucose, the liver converts non-carbohydrates (such as amino acids or glycerol) into glucose through gluconeogenesis.
  • Biochemical Importance:
      - Carbohydrates are also used as starting materials for vital biochemicals such as ribose and deoxyribose (5 carbon sugars).
Carbohydrate Requirements
  • Carbohydrates are the primary source of fuel for cellular processes.
  • The need for carbohydrates varies with individual energy requirements.
  • The minimal requirement for carbohydrates in the human diet is unknown, but an intake of at least 125 to 175 grams/day is likely necessary.
  • The average diet in the United States includes approximately 200 to 300 grams/day of carbohydrates.

18.3 Lipids

Lipid Properties
  • Lipids are organic molecules that include fats, oils, and fat-like substances such as phospholipids and cholesterol.
  • The most common dietary lipids are triglycerides.
Lipid Sources
  • Triglycerides: Found in both plant and animal-based foods.
  • Saturated fats: Typically found in foods of animal origin.
  • Unsaturated fats: Found in seeds, nuts, and plant oils.
  • Cholesterol:
      - Sourced from the liver and egg yolk, with smaller amounts in whole milk, butter, cheese, and meats.
      - Foods of plant origin do not contain cholesterol.
Lipid Use
  • Lipids in food include phospholipids, cholesterol, and most commonly, triglycerides.
    Functions of Lipids:
      - Stored as energy, insulation, and they play a role in cell structure and hormone production.
Beta Oxidation (in Mitochondria)
  • Activation of Fatty Acids:
      - Fatty acids require ATP and thiokinases to be activated, particularly those with specific carbon chain lengths.
  • Fatty Acid Breakdown:
      - Upon activation, fatty acid chains are broken down by fatty acid oxidases, removing two-carbon segments progressively.
      - Some segments are converted by the liver to Acetyl CoA.
      - Excess Acetyl CoA is transformed into ketone bodies, which can later be converted back into Acetyl CoA.
      - Ketone Production:
        - When ketones are produced at a rate higher than they can be decomposed, they are eliminated by the lungs and kidneys, leading to a fruity odor in breath and urine.
      - The citric acid cycle can oxidize Acetyl CoA molecules.
Fatty Acid Usage by the Liver
  • From triglycerides and digestion:
      - Products include fatty acids and glycerol, which are reassembled into triglycerides.
      - Lipoproteins:
        - Large complexes comprised of a phospholipid, cholesterol, and protein layer surrounding a triglyceride core.
        - Vary in lipid composition based on type:
          - Very-low-density lipoproteins (VLDLs) have a high concentration of triglycerides.
          - Low-density lipoproteins (LDLs) have a high concentration of cholesterol.
          - High-density lipoproteins (HDLs) are rich in protein and lower in lipids.
  • Cholesterol Functions:
      - Crucial for making bile salts and serves as a structural component for cell and organelle membranes; also provides raw materials for the synthesis of certain sex hormones and adrenal cortex hormones.
Lipid Requirements
  • Daily caloric intake from fats should not exceed 30% of total daily calories.
  • Dietary fats must also provide adequate amounts of fat-soluble vitamins.

18.4 Proteins

Protein Digestion and Pathways
  • Proteins are broken down during digestion into amino acids, which can be further classified into:
      - Structural proteins
      - Enzymes
      - Hormones
      - Plasma proteins
      - By-products include energy, carbon dioxide, and water.
Protein Sources
  • Foods rich in protein include:
      - Meats, fish, poultry, cheese, nuts, milk, eggs, and cereal.
      - Legumes also contain protein but in lesser amounts.
  • Essential Amino Acids: There are eight essential amino acids required by adults (and ten for growing children) that must be ingested through diet:
      - Essential Amino Acids:
        - Alanine: Not essential
        - Glycine: Not essential
        - Proline: Not essential
        - Arginine: Conditional (ch)
        - Histidine: Conditional (ch)
        - Serine: Not essential
        - Asparagine: Not essential
        - Isoleucine: Essential (e)
        - Threonine: Essential (e)
        - Aspartic acid: Not essential
        - Leucine: Essential (e)
        - Tryptophan: Essential (e)
        - Cysteine: Not essential
        - Lysine: Essential (e)
        - Tyrosine: Not essential
        - Glutamic acid: Not essential
        - Methionine: Essential (e)
        - Valine: Essential (e)
        - Glutamine: Not essential
        - Phenylalanine: Essential (e)
  • Protein Classification:
      - Complete Proteins: High-quality proteins that contain adequate amounts of essential amino acids (found in meat, milk, and eggs).
      - Incomplete Proteins: Low-quality proteins that do not provide adequate amounts of essential amino acids (found in various plant proteins).
      - Certain combinations of plant proteins, such as beans and rice, can provide sufficient dietary diversity of amino acids.
Nitrogen Balance
  • In healthy adults, proteins are continuously built up and broken down.
  • A state of dynamic equilibrium results when overall gain of nitrogen equals overall loss.
Protein Requirements
  • In addition to providing essential amino acids, proteins supply nitrogen and other elements necessary for producing non-essential amino acids and other non-protein nitrogenous substances.
  • Dietary protein intake varies according to body size, metabolic rate, and nitrogen balance.
  • It is typically recommended that daily protein intake be 10% of a person's diet, which equates to 0.8 g/kg of body weight or 0.4 g/lb. of body weight.

18.5 Energy Expenditures

  • Carbohydrates, fats, and proteins provide energy for all metabolic processes.
      - Deficiencies can lead to the usage of structural molecules (such as muscle proteins), which may result in death.
      - Excess energy intake can lead to obesity, which has detrimental effects on health.
Energy Values of Foods
  • The potential energy of foods is measured in Calories.
  • Definitions:
      - 1 calorie: The amount of heat needed to raise 1000 grams of water from 14.5°C to 15.5°C, and is equivalent to 4.184 joules.
  • Cellular Oxidation Yields:
      - 4.1 calories from 1 g of carbohydrates.
      - 4.1 calories from 1 g of protein.
      - 9.5 calories from 1 g of fat.
Basal Metabolic Rate (BMR)
  • The rate at which the body expends energy under basal conditions.
      - It reflects the energy needed to support the activities of the organs.
      - The BMR varies with factors like gender, body size, body temperature, and thyroid hormone activity.
      - Maintaining BMR necessitates the greatest energy expenditure in the body.
      - Energy is needed to:
        - Maintain BMR
        - Support muscular activity
        - Maintain body temperature
        - Foster growth in children and during pregnancy.
Energy Requirements
  • Activity Levels and Calories Required (per hour):
      - Walking upstairs: 1,100 calories
      - Running (jogging): 570 calories
      - Swimming: 500 calories
      - Vigorous exercise: 450 calories
      - Slow walking: 200 calories
      - Dressing/undressing: 118 calories
      - Sitting at rest: 100 calories
Energy Balance
  • Energy balance exists when caloric intake from food equals caloric output from BMR and muscular activities.
  • Maintaining energy balance results in constant body weight.
  • Positive Energy Balance:
      - Occurs when caloric intake exceeds caloric output, leading to weight gain.
Desirable Weight
  • Body Mass Index (BMI):
      - Used to assess weight, taking height into account.
      - BMI classifications:
        - Underweight: BMI < 18.5
        - Normal weight: BMI 18.5 to 24.9
        - Overweight: Exceeding desirable weight by 10% to 20% or a BMI of 25 to 30
        - Obese: Exceeding desirable weight by >20% or a BMI over 30.
      - It is more accurately defined in terms of excess adipose tissue.