NFSC 125, Human Nutrition

Study Guide/Class notes

Exam#2

Spring 2004

Digestion and absorption

I. Overview of digestion + absorption

-What is digestion?

II. Mouth

-Describe the digestive processes taking place in the mouth?; what is saliva composed of?; what are the major electrolytes secreted?; Salivary glands: parotid, submaxillary + sublingual glands: cell types: serous, mucous cells – what do they secrete?; What is the function of mucus?

III. Esophagus

-Esophagus: describe the 3 stages of swallowing; what is the function of the esophagus?

what is primary versus secondary peristalsis?; cardiac sphincter

IV. Stomach

-Stomach: List the functions of the stomach; Gross anatomy; gastric gland:cell types-chief, parietal, mucus, endocrine- what do each secrete?; list types of gastric glands – what are the primary secretions of each?; 3 phases of gastric secretions and what happens in each?; Describe roles of acetylcholine/gastrin/histamine in HCL secretion; what 3 factors contribute to ulcer formation?; mechanical aspects of stomach, what is chyme?

V. Small intestine

-Small intestine: what's its primary function?; Gross Anatomy: list parts of small intestine: mesentery, serosa, muscles, submucosa, mucosa (villi); Describe its microanatomy- villus, crypt, enterocyte, microvilli, capillaries; describe the layers which impede absorption:

unstirred water layer, glycoprotein coat, lipid bilayer of cell membrane

VI. Absorption

-Absorption: define it.; List 4 factors that affect amount of nutrient absorbed; What are the two general ways that nutrients get across the intestinal cell? what are the differences between passive diffusion, facilitated diffusion, + active transport

VII. Pancreas

-Describe anatomy (describe the flow of compounds); exocrine vs endocrine function + name the secretions of each

VIII. The Liver/gall bladder

-what are their functions?; describe gross anatomy; What is bile? what is it composed of? what is it needed for?

IX. The Large Intestine

-Gross anatomy; what is its function?; what are feces?

X. The Circulatory system

-describe the general flow of water- and fat-soluble nutrients.

NFSC 125, Human Nutrition

Study Guide/Class notes

Exam#2

Spring 2004

Carbohydrate digestion and absorption

I. Be able to thoroughly discuss the digestion and absorption of carbohydrates.

(terms:salivary amylase; pancreatic amylase; gastrin; secretin; CCK; maltase, glucoamylase;

isomaltase or -dextrinase; sucrase; lactase; maltose, maltotriose, dextrins, sucrose, lactose,

duodenal papilla)

II. Be able to describe how glucose, fructose, and galactose are absorbed.

NFSC 125, Human Nutrition

Study guide/class notes

Spring 2004

Exam#2

Lipids

I. Overview

-List the general functions of lipids

II. Classification

-The Triglyceride

-draw the general structure of a fatty acid

-what's the difference between saturated, monounsaturated, + polyunsaturated fatty acids? (know how to recognize and draw structures based on nomenclature

(e.g., 18:1 (9)) and omega 3,6,9 fatty acids

-name the two essential fatty acids, why are they essential?, what happens in a deficiency?, what important products are formed from each? -trans versus cis fatty acid - what is a trans FA?, what are major food sources of trans FA? Possible health implications

-draw the general structure of a triglyceride

-Cholesterol:structure and importance; Function/Important products formed

-Food sources of cholesterol

-The phospholipid

-Draw the general structue of a phospholipid; importance of PLs, functions

-Glycolipid

III. Trends in consumption

-Describe the general trends in fat consumption: As a percent of total kcals; types of fat in the diet; cholesterol

-Be familiar with types of foods rich in saturated, mono + polyunsaturated fats + cholesterol

-what are the dietary recommendations for fat consumption?

Dietary Recommendations for fat:

DRI: AI: linoleic acid (omega 6) = 12-17 g/day

linolenic acid (omega 3) = 1.1-1.6 g/day

20 – 35% of total calories

Dietary guidelines/food label:

< 30% of total calories for fat

<10% of total calories from saturated fat

< 300 mg/day cholesterol

Food Guide Pyramid:

2-3 servings of dairy

2-3 servings of meat, poutry, fish, dry beans, eggs, and nuts

use fats, oils sparingly

NFSC 125, Human Nutrition

Study guide/class notes

Spring 2004

Exam#2

Lipid digestion and absorption

I. Be able to thoroughly discuss the digestion and absorption of dietary fat

(terms: lingual lipase, gastric lipase, CCK, secretin, bile, co-lipase, pancreatic lipase, phospholipase, MG, fatty acids, lysophospholipid, cholesterol esterase, retinol esterase, micelle)

-what happens to the digestive products of fat once they are absorbed into the intestinal cell? What's a chylomicron? How does it get to the general circulation? Be able to describe the metabolism of a chylomicron after it enters the general circulation.

NFSC 125, Human Nutrition

Study guide/Class notes

Spring 2004

Exam#2

Protein

I. Overview

-List some important products and functions of protein

II. Structure

-The amino acid - draw out the basic structure; what is meant by amphoteric?

-how are amino acids classified?, list names of essential amino acids

-The peptide bond - be able to draw out

-Describe the primary, secondary, tertiary and quaternary structures of proteins

III. Specific functions of AAs

-what are the specific functions of methionine, tryptophan, and phenylalanine/tyrosine?

IV. Protein Requirement

-Describe what is meant by protein turnover, what are the sources of protein intake and protein losses?

-why do we need to eat protein?

-define N balance: balance, positive balance, negative balance and give examples of each

-Be able to describe how protein RDA was determined using the N balance method + be able to calculate protein RDA

V. Protein quality

-Chemical score, Biologic value, Net protein utilization, PER; Be prepared to solve problems

VI. Vegetarian Diets

-common limiting amino acids in grains/legumes

-what is an incomplete protein?, what is meant by combining proteins?

-nutritional pros + cons

VII. Lack and excess of protein

-What are health consequences of lack of and excess of protein in the diet?

-chronic vrs acute protein malnutrition