Nutrition TEST 2 Flashcards


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1

major functions of water in the body

  • carries nutrients and waste products throughout the body
  • maintains the structure of large molecules such as proteins and glycogen
  • participates in metabolic reactions
  • serves as the solvent for minerals, vitamins, amino acids, glucose, and many other small molecules so that they can participate in metabolic activities
  • acts as a lubricant and cushions joints and inside the eyes, the spinal cord, and, in pregnancy, the amniotic sac surrounding the fetus in the womb
  • aids in the regulation of normal body temperature, as the evaporation of sweat from the skin removes excess heat from the body
  • maintains blood volume

2

water balance

  • the accounting of water inflows, outflows, and storage changes within a system over time

3

major water sources (water in)

  • fluids (2000 ml - 8 cups)
  • water content in food (500 ml - 2 cups)
  • water produced from metabolism (300 ml - 1.25 cups)

beverages (550 - 1500 mL)

foods (700 - 1000 mL)

metabolism (200 - 300 mL)

total: 1450 - 2800 mL

4

body's major routes of water loss (water out)

insensible losses

  • skin perspiration (750 ml - 3 cups)
  • lung respiration (300 ml - 1.25 cups)
  • feces (100 ml - 0.4 cup)

sensible losses

  • urine (1650 ml - 6.75 cups)

kidneys (urine) (500 - 1400 mL)

skin (sweat) (450 - 900 mL)

lungs (breath) (350 mL)

GI tract (feces) (150 mL)

total: 1450 - 2800

5

moderate alcohol consumption for men

  • less than or equal to 2 drinks (per day)

6

moderate alcohol consumption for women

  • less than or equal to one drink (per day)

7

one drink when referring to an alcoholic beverage

½ oz pure ethanol

  • 5 oz of wine
  • 10 oz of wine cooler
  • 12 oz of beer
  • 1 ½ oz of liquor (80 proof whisky, scotch, rum, or vodka)

8

several factors that affect the body's ability to metabolize alcohol

  • rate of stomach emptying
  • intake of certain drugs
  • type of beverage consumed

9

rate of stomach emptying affect on alcohol metabolization

  • alcohol needs no digestion, quickly absorbed across the walls of an empty stomach, reaching the brain within a few minutes
  • when stomach is full of food – alcohol has less chance of touching the walls and diffusing through → influence on the brain is slightly delayed
  • carbohydrate snacks slow alcohol absorption, high-fat snacks slow peristalsis, keeping alcohol in the stomach longer

10

alcohol metabolization: women vs men

  • women produce less alcohol dehydrogenase enzyme in the stomach → more alcohol reaches the intestine for absorption into the blood stream
  • absorb more alcohol than men of the same size drink, more likely to become intoxicated on alcohol than men

11

type of alcohol consumed, effect on alcohol metabolization

  • certain drinks have higher alcohol content than others
  • different beverages influence gastric emptying and absorption rate
  • carbonated drinks increase gastric pressure, speed gastric emptying (higher and earlier peak BAC)
  • higher alcohol content / hard alcohol (higher concentration of ethanol, slower initial absorption but progresses quickly once in small intestine)
  • diluted alcohol (reducing gastric irritation, speed up gastric emptying) – faster absorption than undiluted spirits
  • sugary drinks – can slow the absorption of alcohol

12

potential health benefits associated with moderate consumption

  • reduces blood clotting
  • increases HDL
  • reduces inflammation (CRP)
  • improved insulin sensitivity
  • lower dementia / Alzheimer's disease risk

polyphenols

  • red wine, dark beer
  • antioxidant effect

13

detrimental effects of alcohol when consumed in excess

  • dehydration, loss of important minerals
  • malnutrition (diet quality declines as alcohol consumption increases)
    • displacing other important nutrients
  • arthritis
  • bone loss
  • cancer
  • fetal alcohol syndrome
  • heart disease
  • hyperglycemia
  • hypoglycemia
  • infertility
  • kidney disease
  • liver disease
  • lung disease
  • nerve disorders
  • obesity
  • psychological disturbances (depression, anxiety, insomnia)

14

MEOS (Microsomal Ethanol-Oxidizing System)

  • enzyme system that metabolizes both alcohol and several other types of drugs
  • handles about ⅕ of the total alcohol a person consumes
  • high blood concentrations, repeated exposures to alcohol – alcohol stimulates synthesis of enzymes in the MEOS
  • results in more efficient alcohol metabolism and tolerance to its effects
  • drinking and using drugs at the same time – alcohol is prioritized for metabolism, drug more slowly (drug effect builds up, greatly amplified result)

15

Cirrhosis

  • advanced liver disease in which liver cells turn orange, die, and harden, permanently losing their function (often associated with alcoholism)
  • fatty infiltration of the liver (most advanced stage)
  • 2nd leading cause for liver transplant
  • 50% chance of death within four years

16

Wernicke-Korsakoff Syndrome

  • a neurological disorder typically associated with chronic alcoholism and caused by a deficiency of the B vitamin thiamin (also called alcohol-related dementia)
  • syndrome characterized by paralysis of eye muscles, poor muscle coordination, impaired memory, and damaged nerves

17

macronutrients

  • required in gram quantities
  • structure - polymer
  • some are essential
  • provide calories

carbs, lipids, protein

18

micronutrients

  • required in mg quantities
  • structure - individual molecule
  • all are essential
  • provide no calories

vitamins and minerals

19

fat-soluble vitamins

dissolve in fat or organic solvents

  • vitamin A
  • vitamin D
  • vitamin E
  • vitamin K

20

how solubility affects absorption: fat-soluble vitamins

  • must first enter the lymph and then enter the blood

21

how solubility affects transport: fat-soluble vitamins

  • require transport proteins to move around

22

how solubility affects storage: fat-soluble vitamins

  • held in fatty tissues and the liver until needed

23

how solubility affects excretion: fat-soluble vitamins

  • remain in fat storage sites in the body rather than being excreted
  • more likely to reach toxic levels when consumed in excess

24

water-soluble vitamins

dissolve in water

  • found in the watery compartments of food
  • B vitamins
  • vitamin C