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Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
LipidsChapter 4
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Introduction
• Fat
– Dietary intake
• Health risks associated with too much and too little
– Member of lipids class of compounds
• Triglycerides (fats and oils)
• Phospholipids
• Sterols
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Roles of Body Fat
• Lipids: provide energy
• Adipose tissue
– Fat-storing cells; also secretes hormones
– Fat stored in fat cells
• Supplies 60 percent of the body’s ongoing energy
needs during rest
– Fat embedded in muscle
• Along with glycogen, provides energy to muscle
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
The Chemist’s View of Lipids
• Triglycerides
– Predominant form of lipids
– Three fatty acids attached to a glycerol
“backbone”
• Fatty acids
– Differ in chain length and degree of saturation
– What is the difference between a saturated
fatty acid and an unsaturated fatty acid?
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
The Chemist’s View of Lipids
(cont’d.)
• Comparison of three fats
– Lard (from pork): most saturated ► hardest
– Chicken fat: less saturated ► somewhat soft
– Safflower oil: most unsaturated ► liquid
• Stability
– Why are polyunsaturated fatty acids most
susceptible to becoming rancid?
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
The Chemist’s View of Lipids
(cont’d.)
• Stability
– Methods manufacturers protect fat-containing
products from rancidity
1. Seal products airtight and refrigerate
2. Add antioxidants, e.g., BHA and BHT
3. Hydrogenate products
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
The Chemist’s View of Lipids
(cont’d.)
• Hydrogenation
– Advantages: protects against oxidation and
alters texture
– What are the disadvantages?
• Essential fatty acids
– Linoleic acid: omega-6 fatty acid
– Linolenic acid: omega-3 fatty acid
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
The Chemist’s View of Lipids
(cont’d.)
• Phospholipids: class of lipids
– Food sources: eggs, soybeans, peanuts, etc.
– Lecithin and other phospholipids
• Constituents of cell membranes
• Emulsifiers in the body
• Some generate signals in cells
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
The Chemist’s View of Lipids
(cont’d.)
• Sterols
– Large, complex molecules
• Interconnected rings of carbon
• Cholesterol, vitamin D, and sex hormones
– Cholesterol
• Obtained in foods as well as made by the liver
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
The Chemist’s View of Lipids
(cont’d.)
• Cholesterol
– Leaves liver by two routes:
1. Incorporated into bile, stored in the gallbladder,
and delivered to the intestine
2. Via the bloodstream to all the body’s cells
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Digestion and Absorption of Lipids
• Goal of fat digestion
– Break triglyceries into monoglycerides, fatty
acids, and glycerol (Table 4-3)
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Health Effects and Recommended
Intakes of Fats
• Diet high in saturated fats or trans fats
– Increased risk of cardiovascular disease
– Greater-than-average chances of some
cancers
– An increasing waistline often increases blood
triglycerides
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Health Effects and Recommended
Intakes of Fats (cont’d.)
• Fats and heart health
– High LDL: increased likelihood of fatal heart
attack or stroke
• Promotes cholesterol uptake in the blood vessel
walls
– High HDL: lower disease risk
– Trans fats: raise LDL and lower HDL
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Health Effects and Recommended
Intakes of Fats (cont’d.)
• Dietary Guidelines for dietary cholesterol
– Healthy people: less than 300/day
– People with or at high risk of heart disease:
less than 200 mg/day
• Monosaturated fat (olive oil)
– May prevent heart disease
• Omega-6 and omega-3 fats
– Lower total cholesterol and LDL
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Health Effects and Recommended
Intakes of Fats (cont’d.)
• EPA and DHA heart health benefits
– Lower blood triglycerides
– Prevent blood clots
– Protect against irregular heartbeats
– Lower blood pressure
– Defend against inflammation
• Food sources of omega-3 and omega-6
Fatty Acids (Table 4-4)
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Health Effects and Recommended
Intakes of Fats (cont’d.)
• What concerns are associated with taking
omega-3 supplements?
• Recommendations for fat intake
– Dietary Guidelines
• Diet low in saturated fat, trans fat, and cholesterol
• 20 to 35 percent of daily energy
– FDA Daily Values
• 30 percent of daily energy
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Fats in Foods
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Fats in Foods (cont’d.)
• Foods with five grams (45 kcal) pure fat:
– 1 tsp. oil or shortening, 1 ½ tsp. butter, 1
Tbsp. salad dressing, 1 ½ Tbsp. of sour
cream, etc.
• Invisible fats
– Majority of solid fats in U.S. diet
• Milk and yogurt
– Varying fat content
– Rich in calcium and protein
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Fats in Foods (cont’d.)
• Meat categories by fat content
– Very lean, lean, medium-fat, and high-fat
• USDA Food Patterns protein
recommendation for adults
– Five to seven ounces per day
• Most vegetables and fruits
– Little or no fat
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Fats in Foods (cont’d.)
• Most grains have small amounts of fat
• Dietary Guidelines regarding fat intake
1. Select the most nutrient-dense foods from all
food groups
2. Consume fewer and smaller portions of
foods and beverages containing solid fats
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Fats in Foods (cont’d.)
• Dietary Guidelines regarding fat intake
3. Replace solid fats with liquid oils
4. Check Nutrition Facts labels and select
foods with little saturated fat and no trans fat
• Solid fat ingredients
– Butter, coconut oil, palm oil, shortening, etc.
– Solid fat ingredients listed on food labels
(Table 4-6)
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Fats in Foods (cont’d.)
• Do not overdo fat restriction
– Include a teaspoon of fat in every meal
• Fat-reduced products
– Fat replacers
– Artificial fats
– Preparation methods
• Whipping air into foods, baking foods vs. frying,
adding fat-free milk, etc.
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Nutrition for Health and Health Care, 5th Edition
DeBruyne ■ Pinna © Cengage Learning 2014
Fats in Foods (cont’d.)
• Alternatives to fat in supporting weight loss
– Must actually replace fat and energy in the
diet
• Food labels
– List total fat, saturated fat, trans fat,
cholesterol, and fat kcalories per serving
– Easy to compare similar products

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Chapter 4 - Lipids

  • 1. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 LipidsChapter 4
  • 2. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Introduction • Fat – Dietary intake • Health risks associated with too much and too little – Member of lipids class of compounds • Triglycerides (fats and oils) • Phospholipids • Sterols
  • 3. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Roles of Body Fat • Lipids: provide energy • Adipose tissue – Fat-storing cells; also secretes hormones – Fat stored in fat cells • Supplies 60 percent of the body’s ongoing energy needs during rest – Fat embedded in muscle • Along with glycogen, provides energy to muscle
  • 4. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 5. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 6. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Lipids • Triglycerides – Predominant form of lipids – Three fatty acids attached to a glycerol “backbone” • Fatty acids – Differ in chain length and degree of saturation – What is the difference between a saturated fatty acid and an unsaturated fatty acid?
  • 7. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 8. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 9. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Lipids (cont’d.) • Comparison of three fats – Lard (from pork): most saturated ► hardest – Chicken fat: less saturated ► somewhat soft – Safflower oil: most unsaturated ► liquid • Stability – Why are polyunsaturated fatty acids most susceptible to becoming rancid?
  • 10. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Lipids (cont’d.) • Stability – Methods manufacturers protect fat-containing products from rancidity 1. Seal products airtight and refrigerate 2. Add antioxidants, e.g., BHA and BHT 3. Hydrogenate products
  • 11. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Lipids (cont’d.) • Hydrogenation – Advantages: protects against oxidation and alters texture – What are the disadvantages? • Essential fatty acids – Linoleic acid: omega-6 fatty acid – Linolenic acid: omega-3 fatty acid
  • 12. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 13. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Lipids (cont’d.) • Phospholipids: class of lipids – Food sources: eggs, soybeans, peanuts, etc. – Lecithin and other phospholipids • Constituents of cell membranes • Emulsifiers in the body • Some generate signals in cells
  • 14. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 15. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Lipids (cont’d.) • Sterols – Large, complex molecules • Interconnected rings of carbon • Cholesterol, vitamin D, and sex hormones – Cholesterol • Obtained in foods as well as made by the liver
  • 16. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Lipids (cont’d.) • Cholesterol – Leaves liver by two routes: 1. Incorporated into bile, stored in the gallbladder, and delivered to the intestine 2. Via the bloodstream to all the body’s cells
  • 17. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Digestion and Absorption of Lipids • Goal of fat digestion – Break triglyceries into monoglycerides, fatty acids, and glycerol (Table 4-3)
  • 18. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects and Recommended Intakes of Fats • Diet high in saturated fats or trans fats – Increased risk of cardiovascular disease – Greater-than-average chances of some cancers – An increasing waistline often increases blood triglycerides
  • 19. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects and Recommended Intakes of Fats (cont’d.) • Fats and heart health – High LDL: increased likelihood of fatal heart attack or stroke • Promotes cholesterol uptake in the blood vessel walls – High HDL: lower disease risk – Trans fats: raise LDL and lower HDL
  • 20. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 21. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects and Recommended Intakes of Fats (cont’d.) • Dietary Guidelines for dietary cholesterol – Healthy people: less than 300/day – People with or at high risk of heart disease: less than 200 mg/day • Monosaturated fat (olive oil) – May prevent heart disease • Omega-6 and omega-3 fats – Lower total cholesterol and LDL
  • 22. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects and Recommended Intakes of Fats (cont’d.) • EPA and DHA heart health benefits – Lower blood triglycerides – Prevent blood clots – Protect against irregular heartbeats – Lower blood pressure – Defend against inflammation • Food sources of omega-3 and omega-6 Fatty Acids (Table 4-4)
  • 23. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects and Recommended Intakes of Fats (cont’d.) • What concerns are associated with taking omega-3 supplements? • Recommendations for fat intake – Dietary Guidelines • Diet low in saturated fat, trans fat, and cholesterol • 20 to 35 percent of daily energy – FDA Daily Values • 30 percent of daily energy
  • 24. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Fats in Foods
  • 25. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Fats in Foods (cont’d.) • Foods with five grams (45 kcal) pure fat: – 1 tsp. oil or shortening, 1 ½ tsp. butter, 1 Tbsp. salad dressing, 1 ½ Tbsp. of sour cream, etc. • Invisible fats – Majority of solid fats in U.S. diet • Milk and yogurt – Varying fat content – Rich in calcium and protein
  • 26. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Fats in Foods (cont’d.) • Meat categories by fat content – Very lean, lean, medium-fat, and high-fat • USDA Food Patterns protein recommendation for adults – Five to seven ounces per day • Most vegetables and fruits – Little or no fat
  • 27. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Fats in Foods (cont’d.) • Most grains have small amounts of fat • Dietary Guidelines regarding fat intake 1. Select the most nutrient-dense foods from all food groups 2. Consume fewer and smaller portions of foods and beverages containing solid fats
  • 28. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Fats in Foods (cont’d.) • Dietary Guidelines regarding fat intake 3. Replace solid fats with liquid oils 4. Check Nutrition Facts labels and select foods with little saturated fat and no trans fat • Solid fat ingredients – Butter, coconut oil, palm oil, shortening, etc. – Solid fat ingredients listed on food labels (Table 4-6)
  • 29. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 30. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 31. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 32. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Fats in Foods (cont’d.) • Do not overdo fat restriction – Include a teaspoon of fat in every meal • Fat-reduced products – Fat replacers – Artificial fats – Preparation methods • Whipping air into foods, baking foods vs. frying, adding fat-free milk, etc.
  • 33. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 34. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014
  • 35. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Fats in Foods (cont’d.) • Alternatives to fat in supporting weight loss – Must actually replace fat and energy in the diet • Food labels – List total fat, saturated fat, trans fat, cholesterol, and fat kcalories per serving – Easy to compare similar products