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NUTRITION
Is the science of food, the nutrients, and the substances they contain, their action, interaction,
and balance in relation to health and disease. (Council of the American Medical Association).
DIETETICS
Practical application of the principles of nutrition which includes planning of meals for the
healthy as well as the sick.
FOODS
Products derived from plants or animals that can be taken into the body to yield energy and
nutrients for the maintenance of life and the growth and repair of tissues.
***Manufactured food, also convenience food are products of either of the two or a combination of
them.
Types of Foods:
a. Grains & cereals –rice, corn, wheat, sorghum, barley, oats, rye, millet.
b. Fruits
1. Tropical –pineapple, mango, papaya, banana.
2. Sub-tropical –citrus, olives, figs.
3. Deciduous –grapes, apple, and pears.
4. Berries –strawberries, blueberries.
5. Stone – apricot and peach.
c. Vegetables
1. Fruits –cucumber, tomatoes.
2. Leaf and stem –cabbage, celery, swamp cabbage or kangkong, pechay.
3. Seeds –green peas, mongo, green beans.
4. Root –carrot, radish.
5. Flowers –cauliflowers, broccoli, squash flowers.
d. Tubers –sweet potatoes, cassava, yam, potatoes.
e. Nuts –pili nut, pistachio, cashew, almond.
f. Oilseeds –coconut oil, soybean oil, peanut oil, sesame oil, olive oil.
g. Seaweed – agar, carrageenan.
h. Pulses –beans, peas, and lentils.
i. Meat and entrails –beef, veal, pork, mutton, goat, rabbit, venison, seal, whale, and their internal
organs.
j. Milk –cow’s, carabao’s, goat’s, sheep’s, camel’s.
k. Poultry – chicken, turkey, ducks, geese, quail.
l. Eggs –chicken, duck, turtle.
m. Fish –(including roe, liver): milkfish or bangus, sardine, tuna, mackerel, cod, catfish, shark, tilapia.
n. Shellfish
1. Crustaceans – crab, lobster, shrimp, prawns.
2. Mollusks – clams, oysters, snail, octopus , squids.
NUTRIENTS
Chemical substances present in food and is used in the body for one or more of the following
functions:
1. to provide energy
2. to build and repair tissues
3. to regulate life processes
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2 Major Divisions of Nutrients:
1. Macronutrients – they are needed in the body in relatively large amounts.
Ex: Carbohydrates, Protein, Fat, Major minerals and Water.
5 Water soluble and fat soluble - these are organic but they do not provide energy. Instead, they
facilitate the release of energy from CHO, CHON and fat and participate in numerous other
activities throughout the body. Because they are complex organic molecules, they are vulnerable to
destruction by heat, light, and chemical agents. Thus, food must be handled carefully to preserve
them.
a. Water-soluble –Thiamine(B1), Riboflavin(B2), Niacin, Biotin, Pantothenic acid, Folic acid,
Pyridoxine(B6), Cobalamin(B12).
b. Fat-soluble –Vitamins A, D, E, K.
6 Water - is a food as well as nutrient. It provides the environment in which nearly all the body’s
activities are conducted.
ENERGY-GIVING NUTRIENTS
CHO, CHON and fats are energy nutrients that fact that they yield calories when
metabolized in the body.
Minerals, vitamins and water do not provide energy.
Alcohol is not a nutrient but it provides energy.
The energy content of food is measured in kilocalories (kcal) or kilojoules (kj) .
ONE CALORIE - it is the amount of heat required to raise the temperature of 1 kg of
water to 1 degree centigrade.
When completely broken down in the body, a gram of CHO yields about 4 kcal of
energy; a gram of CHON also yields 4 kcal; and a gram of FAT yields 9 kcal.
Alcohol contributes 29 kcal that can be used for energy.
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Fat, therefore, has a greater energy density than either CHO or protein.
CALORIE - a measure of the energy a food provides relative to the amount of food
(kcalories per gram).
Sample problem:
Calculate the total energy available from the given food and the percentage of kcalories each of
the energy nutrients contributes to the total.
2 Forms of Diet:
1. Special diet - a selection of food based on health conditions or disease management goals.
Examples: low calorie diet for weight control, low salt diet for control of blood pressure.
2. Balance diet- provides the correct amount of essential nutrients.
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diet. Many Muslims refrain from eating pork and beef of unknown origin. Some Jewish people do not
eat pork or serve milk products and meat at the same meal.
4. Social pressure- Social pressure operates in all circles and across all cultural lines. Close friends share
similar food choices. Special occasions are associated with the serving of specific foods and it is often
impolite to refuse food or drink offered by a host.
5. Advertising- Commercial ads and packaging of the food industry are quite successful in enticing the
public to choose certain foods.
6. Medical conditions and health beliefs- There are medical conditions and their treatments limit the
foods a person can select. A client with hypertension might need to adopt a low salt diet. The
chemotherapy needed to treat cancer can interfere with the persons appetite.
7. Body Image- People may opt for food that they link with ideals of body image.
8. Emotional State- Some individuals eat in response to emotional stimuli such as boredom, anxiety, and
depression.
Principles of Planning a Healthy Diet: Carefully planned meals deliver sufficient amount of all
vital nutrients.
Elements of Nutritious Diet
1. Adequacy- The foods chosen provide enough of each important nutrients, fiber, and energy.
2. Proportionality- The choices do not overemphasized one nutrient or food type at the expense of
another.
3. Calorie control- The foods provide the amount of calories a person needs to sustain appropriate
weight.
4. Moderation- The foods do not provide extra fat, salt, sugar, or other unwanted constituents.
5. Variety
6. Nutrient-density- Select foods that deliver the most nutrients for the least amount of food
energy.
The latest NUTRIONAL GUIDELINES FOR FILIPINOS given by the Food and Nutrition
Research Institute – DOST are:
1. Eat a wide variety of foods everyday.
2. Breast-feed infants from birth to 4-6 months, and then give appropriate foods while continuing
breast-feeding.
3. Maintain children’s normal growth through proper diet and monitor their growth regularly.
4. Consume fish, lean meat, poultry, or dried beans.
5. Eat more fruits, vegetables, and root crops.
6. Eat foods prepared with edible cooking oil daily.
7. Consume milk, milk products, or other calcium-rich foods such as small fish and dark, green
leafy vegetables every day.
8. Use iodized salt, but avoid excessive intake of salty foods.
9. Eat clean and safe foods.
10. Exercise regularly, do not smoke, and avoid drinking alcoholic beverages.
B. Open-date Markings: All foods should be date marked apart from very long life products.
1. Consume before or use before or expiration date - signifies the end of the estimated shelf life of
a product beyond which certain quality attributes become significantly impaired.
2. Best use by - indicates the end of a period after which certain qualities of the product must be
expected to deteriorate. After such date, the product may still be satisfactory for human
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consumption and may remain marketable, but the makers presumably no longer guarantee its
best quality.
C. The Ingredient List – should be listed in descending order of predominance by weight and
state on the label that they have done so. If water makes up more than 5% then it must be listed.
Example : An orange powder that contains “sugar, citric acid, orange flavor”…. Versus a
juice that contains “water, tomato concentrate, concentrated juice of carrots, celery…
D. Serving Size - it reflects the amount that people customarily consume.
E. Serving per container - this suggests the number of servings in the food package.
F. Nutrition Facts panel - it provides information on certain nutrients.
1. The Percentage Daily Value (%) - this part of the panel tells whether the nutrients in a
serving of food contribute a lot or a little to your total daily diet. Thus, the lower percentages
indicate that the food provides less of the nutrient and higher percentages indicate that it gives
more of the nutrient. They are based on recommendations for a 2000-calorie diet.
2. Daily Values (DV) - are reference values set by the government for food labeling purposes.
They are based on Daily Reference Values (DRVs) and Reference Daily Intake (RDIs).
G. Health Claims - claims about the relationship between a nutrient/food and the risk of a disease
or health-related condition may also show up on the front of the package. It was authorized by
Food and Drugs Administration.
Example:
1-calcium and osteoporosis- must contain 20% (200mg) or more of the RDI for calcium per
serving.
2- Sodium and Hypertension- Must meet low sodium descriptor requirements and must not exceed
disqualifying level for fat, saturated fat and cholesterol.
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4. Secretion- Release of digestive enzymes allows chemical digestion.
5. Absorption- Movement of nutrients through the GI mucosa into the internal environment .
6. Elimination-Excretion of material that is not absorbed.
The Mouth
@ Composed of the lips, cheeks, teeth, tongue, salivary glands and palate
@ Salivary glands (an exocrine glands) that include the parotid, submandibular and sublingual glands.
@ Salivary amylase- An enzyme that splits amylose a(a form of starch)
@ Subligual lipase- An enzyme that splits fats to a limited degree.
The Pharynx
@ Tube through which food passes when moves from mouth to esophagus
@ Divisions: 1. nasopharynx, 2. oropharynx, 3. laryngopharynx.
@Epiglottis is the cartilage structure in the throat that prevents fluid or food from entering the trachea
when a persons swallows.
The Esophagus
@An elastic muscular tube about 25 cm long and lined with the mucus membrane that allows food to
pass through easily. The tube that connects the pharynx to the stomach. This is where peristalsis starts.
Peristalsis pushes the swallowed food, called bolus, along the digestive system: It is achieved through
the successive waves of involuntary muscular contractions along the wall of the GIT.
The Stomach
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a. Hydrochloric acid- secrete by parietal cells
Functions; 1. activates pepsinogen to pepsin.
2. Kills pathogenic bacteria swallowed with food.
3. renders some minerals suitable for absorption in the intestine.
4. Breaks food into small particles and mixes them with gastric juice.
5. Begins the process of digesting protein and fats.
@ The last portion of the GIT; Its length is about 1.5 to 1.8 m.
@ Divisions: 1. Cecum – the large, primary section of the large intestine which accepts food by-
product from the ileum.
2. Apendix – A narrow blind sac at the apex of the colon.
3. Ascending Colon .
4. Transverse Colon
5. Desending colon
6. Sigmoid Colon – Connects the end of the descending colon to the rectum.
7. Rectum – The muscular terminal part of the GI tract extending from the sigmoid
to the anus. It stores waste prior to the elimination.
8. Anus – Is a sphincter muscle that controls the elimination of feces.
The Pancreas
@ A gland that secrete enzymes and digestive juices into the duodenum through its pancreatic duct,
this is the exocrine function of the pancreas. Its endocrine function is the secretion of hormone insulin
and other hormones into the blood.
The Liver
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The Gallbladder
@ The organs that stores and concentrates bile, an emulsifier that prepares fats and oils for digestion.
Located in the underside of the liver.
@ When gallbladder receives the signal that fat is present in the duodenum . It contracts and squirts
bile through the bile duct into the duodenum.
ABSORPTION OF NUTRIENTS
Prepared by:
Florenz chiong
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B. CARBOHYDRATES AND SUGARS
Is the preferred (main) energy source for most of the body’s activities including the
brain and muscle functions.
Compounds which contain carbon, hydrogen and oxygen.
Classification
1. Simple CHO
a. __________________ – single sugars. Ex: glucose, fructose and galactose.
b. __________________ - sugars composed of pairs of monosaccharide. Ex: sucrose, maltose and
lactose.
2. Complex CHO
a. ___________________ - large molecules composed of chains of monosaccharide. Ex: starch,
dextrins and glycogen.
Monosaccharide
These compounds cannot be hydrolyzed to simpler compounds.
Glucose, Galactose and Fructose have same formula (_______). But they differ in the
arrangement and are distinctive in their physical properties such as solubility & sweetness.
B. Fructose (a.k.a.________)
It is sweeter than glucose.
It is obtained by the hydrolysis of sucrose.
C. Galactose
It is not found free in nature.
Its only source being from hydrolysis of lactose.
It also occurs in cerebrosides present in brain and nervous tissue (nutritionally important).
Disaccharides
Formed by the condensation of two monosaccharides with the elimination of one molecule of
water.
A. Sucrose
Occurs in sugarcane and beet root.
Formed by the condensation of one molecule of glucose and one molecule of fructose.
Easily hydrolyzed to glucose and fructose either by dilute mineral acids or by the
enzyme SUCRASE present in intestinal juice.
Sucrose glucose + fructose
B. Maltose
Present in malt.
Formed in cereal grains during germination by the hydrolysis of starch.
It is formed when starch present in the food is digested by salivary and pancreatic amylase.
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Maltose is also formed by the condensation of 2 glucose molecules.
It is hydrolyzed to glucose by the enzyme MALTASE.
Maltose glucose + glucose
C. Lactose
Type of sugar present in milk of all mammals.
Formed by the condensation of one molecule of glucose and one molecule of galactose.
It is hydrolyzed to glucose and galactose by the enzyme LACTASE present in intestinal
juice.
Lactose glucose + galactose
Polysaccharides
large molecules composed of chains of monosaccharide.
2 Groups of Polysaccharides
1. ________________ - are complex CHO that can be broken down into sugar units.
Ex: Starch & dextrins.
2. ________________ - are complex CHO that contain sugar units held together by bonds that
human digestive system cannot break, thus, they yield little, if any, energy.
- a.k.a Dietary Fibers
FOOD SOURCES
There are three main sources of Carbohydrates:
___________ – these are present in cereal, roots & tubers, etc. (rice, rice products, sweet
potatoes, other root crops, corn, breads, pasta, noodles, refined grain products).
___________ - monosaccharide & disaccharides. (sucrose – table sugar, candies, softdrinks,
chocolates, etc.; fructose – honey, ripe fruits & some vegetables; lactose – milk & milk
products)
___________ - is a tough fibrous lining found in vegetables, fruits & cereals, etc. It is hard to
digest and has no nutritive value. However, it acts as roughage and prevents constipation.
( stems/leaves of vegetables, apples, root vegetables, cabbage family, peas and beans, etc.)
FUNCTIONS OF CHO
Protein sparer
Fat sparer (anti-ketogenic effect)
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Sole energy source for the brain and nerve tissues.
Reserve fuel supply
Regulator of normal bowel movement
Acts as structural component
HEALTH EFFECTS
1. Sugars
Nutrient Deficiencies
Dental caries
Obesity
Atheroclerosis
DIGESTION
ABSORPTION
Most absorption of carbohydrates occurs in jejunum. The absorption of carbohydrates from the
intestine is controlled by certain factors like condition of the intestinal tract and muscle tone, endocrine
glands, etc.
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Prepared by:
2. Non-essential amino acid - are those that body can synthesize from an available source of
nitrogen and carbon skeleton. and therefore are not as necessary for consideration in the diet.
Ex: Alanine, Arginine, Asparigine, Aspartic acid, Cysteine, Glutamic acid, Glutamine, Glycine,
Proline, Serine, Tyrosine.
2. Compound protein or Conjugate protein or Proteids - these are composed of simple proteins
combined with a non-proteinaceous substance.
- Ex: Lipoproteins (carrier needed for the transport of fats in blood), Nucleoprotein (the protein of
cell nuclei), Phosphoprotein (casein milk & ovovitellin in eggs), Metalloproteins (enzymes tha
contain mineral elements), Mucoproteins (found in connective tissue).
3. Derived proteins- these are substances resulting from the decomposition of simple and
conjugated proteins.
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As indicated by its name, an amino acid has a chemical structure that combines both acid and bases
(amino factors). This important structure gives amino acids a unique buffering capacity. This acid-base
nature of amino acids also enables them to join one another to form the characteristic chain structure of
protein. The amino (base) group of one amino acid joins the acid (carboxyl) group of another.This
characteristic chain structure of amino acids is called peptide linkage. Long chains of amino acids that
are linked in this manner are called polypeptides.
FOOD SOURCES
a. Sources of Complete Proteins (Animal sources)
Fish, shellfish
Chicken, turkey, duck
Beef
Soybeans (tofu)
Hard cheese, cheddar
Milk, yogurt, reduced fat ice cream
Lamb, pork, egg
FUNCTIONS OF CHON
Protein are used in repairing worn out body tissue protein (anabolism) resulting from the body
continued wear and tear (catabolism) going on in the body.
Proteins are used to build new tissue by supplying the necessary amino acids building blocks.
Proteins are source of heat and energy. They supply 4 calories per gram of protein.
Proteins contribute to numerous essential body secretions and fluids, enzymes and proteins.
Some hormones have protein or amino acid components. Mucus and milk are largely protein.
Sperm cells are large protein as is the fluid in which sperm cells are contained.
Proteins are important in the maintenance of normal osmotic relations among the body various
body fluids.
Proteins play a large role in the resistance of the body to disease.
Dietary proteins furnish the amino acids for a variety of metabolic functions.
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Osteoporosis – Calcium excretion rises as protein intake increases.
Obesity – Protein rich foods are also rich in fat which lead to obesity with associated health
risks.
Kidney Disease – Excretion of end products of protein metabolism depends on a sufficient
fluid intake and healthy kidneys. A high protein diet increases the work of the kidneys.
Protein Energy Malnutrition – This results when a person is deprived of protein, energy or
both; manifested by poor growth in children, weight loss and wasting in adults.
Classifications of PEM
1. Marasmus
Appropriately named from the Greek word meaning “drying away”.
A form of PEM that results from a severe deprivation, or impaired absorption of energy,
protein, vitamins, and minerals.
2. Kwashiorkor
It was originally a Ghanian word meaning “the evil spirit that infects the first child
when the second child is born”.
A form of PEM that results either from inadequate protein intake or, more commonly,
from infections.
MARASMUS KWASHIORKOR
Infancy (6 to 18 months of age) Older infants & young children (18 months to 2
years old)
Severe deprivation or impaired absorption of Inadequate protein intake or, more commonly,
protein, energy, vitamins and minerals infections
Develops slowly (chronic PEM) Rapid onset (Acute PEM)
Severe weight loss Some weight loss
Severe muscle wasting, with no body fat Some muscle wasting, with retention of some
body fat
Growth: <60% weight for age Growth: 60-80% weight for age
No detectable edema Edema
No fatty liver Enlarged fatty liver
Anxiety, apathy Apathy, Misery, Irritability, Sadness
Good appetite possible Loss of appetite
Hair is sparse, thin, and dry; easily pulled out Hair is dry and brittle; easily pulled out; changes
color; becomes straight
Skin is dry, thin and easily wrinkles Skin develops lesions
DIGESTION
The purpose of digestion is to hydrolyze proteins to Amino acids so that they can be absorbed
readily by the body. There is no protein breaking enzyme in saliva. So the digestion (hydrolysis) os
protein begins in the stomach. The enzyme PEPSIN secreted by gastric glands in the stomach breaks
down protein to peptones and proteoses. In the case of milk, milk protein is first converted to casein by
the enzyme called RENIN. Casein combines with calcium to form calcium caseinate. Pepsin converts
this to peptones. Strong enzymes are needed to breakdown the peptide linkage. The stronger enzymes
are found in pancreatic and intestinal juices. The pancreatic juice contains TRYPSIN and
CHYMOTRYPSIN. The final breakdown of all proteins fractions to amino acids is brought about by
ERPSIN secreted by intestinal mucosa.
ABSORPTION
Amino acids are absorbed by the small intestine and thereby carried to the liver by portal vein.
The amino acids reach the respective tissues where the required metabolism occurs.
Prepared by:
Roderick Magpantay
16
LECTURE IV
LIPIDS
A family of compounds that includes triglycerides (fats and oils), phospholipids (lecithin), and
sterol (cholesterol).
They are characterized by their insolubility in water.
Classification of Lipids
1. Triglycerides
The chief form of fat in the diet and the major storage form of fat in the body.
Of the lipids in foods, 95 % is fats and oils (triglycerides).
Of the lipids stored in the body, 99% is triglycerides.
Composed of a molecule of glycerol with 3 fatty acids attached.
Glycerol – an alcohol composed of a three-carbon chain, which can serve as the backbone for a
triglyceride.
Ex: fats and oils
FATS
It belongs to a group of substances called lipids.
It is a lipid that is solid at room temperature (250C).
The fat in foods is a combination of three different fatty acids.
Classifications of Fats
1. Visible fats - include butter, oils, mayonnaise, fat attached to meat, are obvious fats that are
plain to see.
2. Invisible fats - are present in avocado, peanuts, milk, sausages, cheese, egg yolk, seeds and
even lean meats (about 6% of the total fat remains).
FATTY ACIDS
An organic compound composed of a carbon chain with hydrogen attached and an acid group
(COOH) at one end and a methyl group (CH3) at the other end.
Like CHO, fatty acids and triglycerides are composed of C, H and O. They differ from CHO in
that they contain much less oxygen and much grater proportions of carbon.
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a. _____________________ - a fatty acid that lacks 2 hydrogen atoms and has 1 double bond
between carbons – for example oleic acid. A ________________ fat is composed of
triglycerides in which most of the fatty acids are monounsaturated.
b. ____________________ - a fatty acid that lacks four or more hydrogen atoms and has two or
more double bonds between carbons – for example, linoleic acid & linolenic acid. A
________________ fat is composed of triglycerides in which most of the fatty acids are
polyunsaturated.
Depending on the location of the double bonds, this may be:
A1. ____________________ - first double bond 3 Carbons away from methyl end.
A2. ____________________ - first double bond 6 carbons away from methyl end.
OILS
It is a lipid that is liquid at room temperature (250C).
2. Phospholipids
A compound similar to a triglyceride but having a phosphate group (a phosphorus-containing
salt) and choline (another nitrogen-containing compound) in place of one of the fatty acid.
The best-known phospholipid is lecithin.
Lecithin is used as an emulsifier to combine water-soluble and fat-soluble ingredients that do
not ordinarily mix, such as water and oil.
The lecithins and other phospholipids are important constituents of cell membranes.
3. Sterols
Compounds containing a four-carbon ring structure with any of a variety of side chains
attached.
The most famous sterol is cholesterol.
2 Types of Cholesterol
a. _______________ - a.k.a high density lipoprotein (HDL), type of lipoprotein that transports
cholesterol back to the liver from the cells; composed primarily of protein.
b. _______________ - a.k.a low density lipoprotein (LDL), a type of protein derived from very
low density lipoproteins (VLDL) as VLDL triglycerides are removed and broken down; It
carries cholesterol back to the cells of all tissues. Composed primarily of cholesterol.
FOOD SOURCES
Saturated Fatty Acids: mainly found in animal fats like butter, palm oil, coconut oil,
beef, lard, meats, bacon & sausages, dairy fats, organ meats, milk & milk products, egg yolk
Monounsaturated fatty acids: are abundant in peanuts and peanut oil, pecans, canola oil,
olive oil, avocado, and chicken fat.
Polyunsaturated fatty acids:
- Omega-3 = are plenty in fresh tuna, pink salmon, king crab, cod liver oil, salmon oil,
mackerel and herring
- Omega-6 = are found mainly in corn oil, sunflower oil, cottonseed oil, soya oil.
Cholesterol-rich foods: high in egg yolk, internal organs of meat, sweetbreads,
mayonnaise
Foods with moderate amount of cholesterol: crabs, lobster, shrimp, fats on
meats, tinned or powdered milk, biscuits, butter, cheese, most commercial cakes, pastries, ice
cream
Cholesterol-free foods: all types of vegetables, all vegetables oils, fruits
including avocado and olives, pasta (without eggs), nuts, cereals, and unbuttered popcorn.
FUNCTIONS OF FATS
Provides essential fatty acids
Contributes to feeling of fullness, taste and smell
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Dietary fat serves as conveyor for vitamins A, D,E, and K
Energy reserve and emergency fuel
Regulator of body functions
Insulator
Protector
Cell structure
DIGESTION
The digestion of fats begins in small intestine. The fats are emulsified to form CHYME. When
the chyme enters duodenum, it stimulates the release of ENTEROGASTRONE. This hormone reduces
the motility and stabilizes the flow of chyme in order to correspond to the availability of pancreatic
secretions. The presence of fat in duodenum also stimulates the intestinal wall to secrete
CHOLECYSTOKININ hormone which stimulates the contraction of gallbladder pouring bile into the
small intestine after passing through common bile duct.
ABSORPTION
Most of the absorption of fat occurs in jejunum.
TRANSPORT
Lipoproteins – clusters of lipids associated with proteins that serve as transport vehicles for
lipids in the lymph and blood.
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Prepared by:
LECTURE V
E. MINERALS
Classification of Minerals
1. MAJOR MINERALS
Essential mineral nutrients found in the human body in amounts larger than 5g.
They are so named because they are present, and needed, in larger amounts in the body.
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and muscle contractions
CALCIUM Stunted growth in Constipation; increased Milk & milk products,
Mineralization of bones children; bone loss risk of urinary stone small fish (with bones),
& teeth; also involved (osteoporosis) in adults formation & kidney tofu, greens (broccoli),
in muscle contraction & and (osteomalacia) in dysfunction; legumes.
relaxation, nerve pedia. Tetany interference with
functioning, blood absorption of other
clotting, BP, immune minerals
defenses
PHOSPHORUS Muscular weakness, Calcification of non- All animal tissues
Mineralization of bones bone pain skeletal tissues, (meat, fish, poultry,
and teeth; part of every particularly the eggs, milk).
cell; important in kidneys.
genetic material, part of
phospholipids, used in
energy transfer and in
buffer systems that
maintain acid-base
balance
MAGNESIUM Weakness, confusion; if From nonfood sources Nuts, legumes, whole
Bone mineralization, extreme, convulsions, only; diarrhea, grains, dark green
building of protein, bizarre muscle alkalosis, dehydration vegetables, seafood,
enzyme action, normal movements (especially chocolate, cocoa
muscle contraction, of eye and facial
nerve impulse muscles),
transmission, hallucinations, and
maintenance of teeth, difficulty in swallowing
and functioning of and children, growth
immune system failure
SULFUR None known; protein Toxicity would occur All protein-containing
As part of proteins, deficiency would occur only if sulfur- foods (meat, fish,
stabilizes their shape by first containing amino acids poultry, eggs, milk,
forming disulfide were eaten in excess; legumes, nuts)
bridges; part of the this (in animals)
vitamins biotin and depresses growth
thiamin and the
hormone insulin
Safe Upper Limit of Major Minerals for Adults (19-70 years old)
Calcium – 2500mg
Phosphorus – 3000 mg (>70) and 4000 mg (<70)
Sodium – 2400 mg (recommended maximum intake)
Magnesium – 350 mg
Chloride – not known
Potassium – 4500 mg
Calcium – high phosphorus, salt, or protein intake; alcohol, oxalic acid, phytic acid, some
laxatives, some diuretics, some antibiotics and large doses of B complex pills
Magnesium – alcohol, diuretics, calcium carbonate and antacid.
Phosphorus – excess magnesium and aluminum, aluminum and magnesium-containing antacids
Sodium – some diuretics and anti-gout drugs
Potassium – excess sodium intake, alcohol, coffee, some diuretics and anti-gout drugs
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2. TRACE MINERALS
Essential mineral nutrients found in the human body in amounts smaller than 5g.
They are so named because they are present, and needed, in relatively small amounts in
the body.
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Cofactor for several organ meats
enzymes
Safe Upper Limit of Trace Minerals for Adults (19-70 years old)
Iron – 65 mg Chromium – 1000 mcg
Iodine – 1000 mcg Fluoride – 10 mg
Copper – 9 mg Manganese – 700 mg
Selenium – 200 mcg Zinc – 30 mg
Iron – phytates (found in seeds, nuts, and grains), large quantities of tea/coffee, calcium
supplements, aspirin, narcotics (codeine, morphine), and anti-gout drugs.
Zinc – alcohol, some diuretics, contraceptive pill, hormone replacement therapy, phytates, large
amounts of coffee/tea, diet high in iron, and iron supplements
Copper – high zinc diet, zinc supplements, high intake of iron, manganese, molybdenum, and
vitamin C, and antacids
Iodine – goitrogenic substances in foods (turnips, cabbage, cassava, and Brussels’s sprouts)
Prepared by:
Roderick C. Magpantay
NUTRITION ASSESSMENT
A comprehensive analysis of a person’s nutrition status that uses health, socioeconomic, drug,
and diet histories; anthropometric measurements; physical examinations; and laboratory tests.
Malnutrition – any condition caused by excess or deficient food energy or nutrient intake or by an
imbalance of nutrients.
2 Types of Malnutrition
1. ____________________ - deficient energy or nutrients.
2. ____________________ - excess energy or nutrients.
A. Historical Information
1. _______________________
Reflects a person’s medical record and may reveal a disease that interferes with the
person’s ability to eat or the body’s use of nutrients.
The person’s family history of major diseases is also noteworthy, especially for
conditions such as heart disease that have a genetic tendency to run in families.
Ex: current and previous health problems and family health history that affect nutrient
needs, nutrition status, or the need for intervention to prevent health problems.
2. _______________________
A record of a person’s social and economic background, including such factors as
education, income and ethnic identity.
Ex: personal, cultural, financial, and environmental influences on food intake, nutrient
needs, and diet therapy options.
3. _______________________
A record of ell the drugs, over-the-counter and prescribed, that a person takes routinely.
Ex: medications, illicit drugs, dietary supplements, and alternative therapies that affect
nutrition status.
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4. _______________________
A record of eating behaviors and the foods a person eats.
Ex: Nutrient intake excesses or deficiencies and reasons for imbalances.
24-hour recall: a record of foods eaten by a person for one 24-hour period.
B. Anthropometric Measurements
Are physical measurements that reflect body composition and development.
1. _______________________
Reflects abdominal fluid retention and abdominal organ size.
2. _______________________
Reflects over nutrition and under nutrition; growth in children
3. _______________________
Reflects brain growth and development in infants and children under age two.
4. _______________________
Reflects subcutaneous and total body fat.
5. _______________________
Reflects body fat distribution
C. Physical Examination
Used to search for signs of nutrient deficiency or toxicity.
Many physical signs are nonspecific; they can reflect any of several nutrient deficiencies as
well as conditions not related to nutrition.
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pressure; no pressure; enlarged liver,
impairment of digestive spleen; abnormal
function, reflexes, or digestion; burning,
mental status tingling of hands, feet;
loss of balance,
coordination; mental
confusion, irritability
and fatigue
Muscle tone; posture, “wasted” appearance of PEM, mineral, and
long bone development muscles; swollen vitamin D status
appropriate for age bumps on skull or ends
of bones; small bumps
on ribs; bowed legs or
knock knees
D. Laboratory Tests
It confirms suspicions raised by other assessment methods.
Taking samples of blood or urine, analyze them in the laboratory, and compare the results with
normal values for a similar population.
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