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Chapter 30: Nutrition
K. Dunlap
Chem 104
Nutrition
the study of food and how the body uses it
Function of Nutrients:
1) supply energy
2) supply materials for building and
replacing body tissues
3) supply other substances needed for
various life processes
Nutrition
• Nutrients:Nutrients: the components of food and drink
that provide growth, replacement, and energy:
1. Carbohydrates
2. Lipids
3. Proteins
4. Vitamins
5. Minerals
6. Water
• DigestionDigestion: the hydrolysis of starches, fats, and
proteins into smaller units that can be
absorbed and metabolized.
Elemental Composition of the Human
Body
Digestive Tract
• breakdown of food is done through a
series of enzyme-catalyzed reactions
• CHO start breaking down into
maltose and disaccharides in the
mouth by salivary amylase
• pepsin begins the breakdown
of protein into polypeptides
• acids are neutralized
• CHO to monosaccharides and
absorbed
• polypeptides to amino acids and
absorbed
• triglycerides to FAs and glycerol
Digestion Continued…
• Bile acids are like soaps. They have a polar and
nonpolar groups that aid water soluble lipase and
the incorporation of fats into chylomicrons for
transport. They are synthesized in the liver and
stored in the gallblader
• Lipase cleaves triglycerides to fatty acids and
glycerol
• Fatty acids, glycerol, amino acids,
monosaccharides are absorbed in the small
intestine and travel through the blood stream to the
liver for further modification
Proteins
• Different enzymes catalyze the hydrolysis of
peptide chains at different specific sites.
Carbohydrates Proteins Fats
Mouth Salivary amylase
Disaccharides
Maltose
Stomach Pepsin
Polypeptides
Small
Intestine
Pancreatic enzymes
Simples sugars
Glucose
Pancreatic
enzymes
Amino acids
Lipase
Bile salts
Glycerol
FAs
Bloodstream
Liver Glycogen Body proteins Body fats
Calorimeter
• Food energy is measured in Calories (capital C)
1 Cal = 1 kcal = 1000 cal = 4180 joules
• a Calorie is defined
as the amount of
energy required to
raise 1 kg of water 1°C
•Measured in a bomb
calorimeter
Calculating the Caloric Value
of Food
Carbohydrate = 4 Cal per gram
Proteins = 4 Cal per gram
Fats = 9 Cal per gram
Determining Fat Content of
Foods
Recommended Dietary Needs
Recommended Daily Intake:
Adults: 0.8 g per kg of body weight
Children and Pregnancy: 1.5-2.0 g per kg body weight
Complete Protein - contains all essential amino acids
-meat, eggs, dairy, fish
Incomplete Protein - missing one or more essential
amino acids
-legumes and grains combined make a complete
protein
Proteins
Proteins
– Gelatin, which is denatured collagen, is an
incomplete protein because it lacks Trp, and is low
in Ile and Met.
– Corn protein is low in Lys and Trp.
– Rice is low in Lys and Thr.
– Wheat protein is low in Lys.
– Legumes are low in Met and Cys.
– Soy protein is very low in Met.
Protein complementation:Protein complementation: a diet in which two or
more proteins complementation each other’s
deficiencies; for example:
– grains + legumes (rice + beans)
Fats • recommended 30% of diet
-10% monounsaturated
-10% saturated
-10% unsaturated
Essential Fatty acids:
Omega-3
EPA, DHA, linoleic
Omega-6
Arachidonic acid, α-linolenic
• EPA, DHA, AA are 20
carbon hormone-like
fatty acids that play an
important part in the
immune function
Percentage of Calories in
Common Foods
Energy Needs
Woman 2000 Cal
Men 2200 Cal
-physical activity and lifestage affects energy
needs
-need to burn 3500 Cal to lose 1 pound
Basal Caloric Requirements -the requirements
for a resting body
Vitamins
-Organic compounds required in small
amounts for normal metabolism and good
health
- not a source of energy
Water soluble - C and Bs
-must be replenished everyday
-Difficult to overdose
Fat soluble - A, D, E, K
-does not need to be replenished everyday
-can cause toxicity
Fat Soluble Vitamins
Water Soluble Vitamins
Recommended Daily Allowances
(RDA)
Vitamin Absorption and Storage
• All absorption takes place in the small intestine
• Fat-soluble vitamins
– Are absorbed in the duodenum
– Storage
• Vitamin A is mainly stored in the liver
• Vitamins K and E are partially stored in the liver
• Vitamin D is mainly stored in the fat and muscle tissue
• Can build up in body to point of toxicity
Vitamin Absorption and Storage
• Water-soluble vitamins
– Absorbed with water and enter directly into the
blood stream
– Most absorbed in the duodenum and jejunum
– Most are not stored in the body
– Excess intake excreted through the urine
– Important to consume adequate amounts daily
– Dietary excesses can be harmful
Digesting and Absorbing Water-Soluble
Vitamins
Figure 10.1
Water-Soluble
Vitamins
Fat-Soluble
Vitamins
Absorbed in the Small Intestine Small Intestine
Hydrophobic or
Hydrophilic
Hydrophilic Hydrophobic
Absorbed into the Blood Lymph
Stored in the body Not Generally Yes
Can build up and
become toxic
Not Generally Yes
Need to consume
daily
Yes No
Bioavailability
• Varies based on
– Amount in food
– Preparation
– Efficiency of digestion and absorption of food
– Individual nutritional status
– Natural or synthetic
• Fat-soluble vitamins are generally less
bioavailable than water-soluble vitamins
• Vitamins from animal foods are generally
more bioavailable than those in plant foods
32
vitamin D
• A prohormone synthesized
from cholesterol
• Vitamin D3 = cholecalciferol
• Found in animal products
• Vitamin D2 = egocalciferol
• Found in plants and fortified
foods
Vitamin D3 and D2
• Time spent outdoors
• Amount of skin exposed
• Skin color
• Clothing
• Body fat
• Latitude
• Season and time of day
What affects your vitamin D
level?
Vitamin D Synthesis and Latitude
Vitamin D Synthesis and Latitude
Childhood rickets
• Epidemic with industrialization in 19-20th
centuries
• With discovery of vitamin D and
fortification, rickets was almost entirely
eliminated
• Until now…
London 1889
Idaho 1989
• 40-90% of US community dwelling elderly
• 50% of premenopausal women
• 50% of Hispanic and black adolescents
• 48% of French preteens
• 30-50 % of adults in Saudi Arabia and
UAE
• 73 % of pregnant women taking prenatal
vitamins
…are DEFICIENT
How to get vitamin D...
• 100 IU/d raises level by about 1 ng/mL
• Sunlight 3000 IU/10 minutes
• Oily fish 300 IU/3 oz
– Salmon, sardines, mackerel, tuna
• Mushrooms 100 IU/3 oz
• Fortified drinks 100 IU/8 oz
– Milk, orange juice, yogurt, cereals
Updated Recommendations In Process
• Studies suggest that the daily vitamin D intakes
should be much higher than 400 IU/d.
• Daily intakes in the range of 800 to 1000 IU/d
should be strongly considered.
• Although there are concerns regarding vitamin D
toxicity, side effects at intakes exceeding the
current upper limit of 2000 IU/d have not been
reported to date.
• Assessment of vitamin D status with serum
measurements of 25(OH) vitamin D levels for a
broader range of patients should be encouraged.
Vitamin Deficiency
Scurvy - vitamin C (ascorbic acid) deficiency
-bleeding gums, vomiting, weight loss, anemia, poor
wound healing
Beri beri - vitamin B1 (thiamine) deficiency
-stiffness of limbs, heart disease, mental disorders,
paralysis of limbs
Pellagra - vitamin B3 (niacin) deficiency
-reddening and drying of skin, gastrointestinal and
nervous system disorders
blindness - vitamin A (retinol) deficiency
-night blindness, scaly and hard skin, eye
degeneration
-retinol is required for the generation of
rhodopsin, a photosensitive material
Rickets and Osteomalacia - vitamin D
(calciferol) deficiency
-required for the absorption of Ca and P
-skeletal problems, knock knees, protruding
forehead
-Rickets in children
-Osteomalacia in adults
Vitamin Deficiency cont….
Minerals
-defined as those elements, other than carbon,
oxygen, hydrogen, and nitrogen that are
needed for normal growth and maintenance
Major or Macrominerals - those required in
amounts of 1 gram or more
Ca, P, K, Na, Cl, Mg,
Trace or micromineral - those required in
amounts less than 1 gram
Cu, Co, Z, Fe, I, F, Se
Minerals
Phosphorus Balancing calcium in diet 800-1200 mg
Potassium
Sodium
Calcium
Chloride ion
Povides membrane potential
O smotic pressure
Bone formation; hormonal function;
blood coagulation; muscle contraction
O s motic pressure
Mineral Function
Magnesium
Iron
Zinc
Copper
Manganese
Chromium
Molybdenum
Cobalt
Selenium
Iodine
Fluorine
Cofactor in enzymes
O xidative phosphorylation;
hemoglobin
Cofactor in enzymes; insulin
O xidative enzymes cofactor
Bone formation
G lucose metabolism
Protein synthesis
Component of vitamin B12
Fat metabolism
Thyroid glands
Enamel formation
3500 mg
2000-2400 mg
800-1200 mg
1700-5100 mg
280-350 mg
15 mg
12-15 mg
1.5-3.0 mg
2.0-5.0 mg
0.05 - 0.2 mg
0.075-0.250 mg
0.05 mg
0.05-0.07 mg
150-170 µg
1.5-4.0 mg
RD A
Source and function of common Vitamins and
Minerals
Fiber - indigestible carbohydrates
-lowers risk of cardiovascular disease,
diabetes, colon cancer, diverticulitis and
obesity
• absorbs water and promotes frequent bowl movements
• fermented in the Large intestine by microbes
• lowers LDL cholesterol
1) Soluble
2) Insoluble
• slows gastric emptying
• causes satiety
• adds fecal bulk
Problems with Processed Food
• nutrients are lost in processing
• some but not all nutrients are
added back (Enriched)
• Fortified is when other
ingredients are added
that were not originally
the food
• are lower in fiber
• processed foods are
digested more quickly and
lend to weight gain
Nutritional Diseases
Kwashiorkor - protein deficiency
-often provides enough calories
-common b/w the ages of 1-4 b/c of
premature weaning
Nutritional Diseases
marasmus - protein and calorie deficiency
-more serious condition
Nutritional Diseases
Anorexia Nervosa- a psychological
disorder characterized by low body weight
and poor body image
Bulimia Nervosa- psychological disorder
characterized by periods of binging and
purging
-often eat over 20,000 Cal
Nutritional Diseases
Obesity - excessive weight gain that is
associated with heath concerns and
increased risk of mortality
-characterized by a BMI of greater than 30
BMI (body mass index) = weight in kg
divided by the square of the height in m
-25% of Americans are obese
-60% of Americans are overweight (BMI 25-
29.9)
Nutritional Diseases
Diabetes - condition in which body is
unable to utilize glucose in a normal way
Type I - an auto immune disease that
results in the permanent destruction of
insulin producing beta cells in the pancreas
Type II - metabolic disorder that is usually
characterized by insulin resistance, insulin
deficiency and hyperglycemia
-associated with obesity
-Increased prevalence
Food Supplements
- vitamins, minerals, herbal remedies, etc…
-$60 billion a year industry
-Balanced diet provides adequate needs
-Elderly, dieters, alcoholics, pregnant, lactation
may require supplementation
- often supplements are not in a form that is as
available as it is in food
Supplement
Label
Nutrition
Labels
Food Additives
-added to prevent spoilage, sweeten,
enhance flavor, color, appearance,
emulsify
Food Preservatives
-mostly used to prevent food spoilage
Antimicrobial:
Nitrites
-clostridium botulism
- identified as cancer-causing
Sulfites
-wine and dried fruit
-can cause allergic rxn
Others
-Na, K, Ca salts, benzoic acid, propionic acid, sorbic acid
Food Preservatives cont….
Antioxidants: added to slow the oxidative
process
-usually phenols
Butylated hydroxyanisole (BHA) and butylated
hydroxytoluene (BHT)
-Prevent oxidation of fats by combining with free radicals
Natural Antioxidants
-Vitamin E, Vitamin C, carotenoids, other polyphenols
-also stop oxidation by combining with free radicals
Chemical Structures of Flavorings
-largest class of food additive
-natural and
synthetic
-Mostly
aldehydes and
esters
-Many
synthetics
have not been
thoroughly
tested
Chemical Structures of
Artificial Sweeteners
-growing market for dieters and diabetics
NutriSweet
Sucralose
Splenda
Sweetness of Sweeteners
Phytonutrients
What are functional
foods?
• International food information council “those
foods that provide health benefits beyond
basic nutrition”
Bioactive
Nutraceutical
• Considered non-essential for
growth and development
• Decrease risk of chronic diseases
dietary supplements
• Regulated as foods
• Safety of supplement regulated
by FDA only after they have
entered the market
• DSHEA states that a dietary
supplement is “adulterated”
only if it presents a
“significant or unreasonable
risk of illness or injury”
Dietary supplement health &
education act of 1994
Definition of a supplement:
“Is a product (other than tobacco) that is intended
to supplement the diet that bears or contains one or
more of the following dietary ingredients: a
vitamin, a mineral, an herb or other botanical, an
amino acid, a dietary substance for use by man to
supplement the diet by increasing the total daily
intake, or a concentrate, metabolite, constituent,
extract, or combinations of these ingredients.”
•Is intended for ingestion in pill capsule, tablet,
or liquid form
•Is not represented for use as a conventional food
or as the soled item of a meal or diet
•Is labeled as a “dietary supplement”
•Includes products such as an approved new drug,
certified antibiotic, or licensed biologic that was
marketed as a dietary supplements or food before
approval, certification, or license (unless the
Secretary of Health and Human Services waives this
the challenge of
assessing dietary
supplements
• Need surrogate endpoints!
• Example assessment of risk of cancer,
inflammation
• Bioactive components decrease
inflammation via multiple mechanisms, i.e.
activation of transcription factor and other
epigenetic regulations
• Act as antioxidant etc.
secondary
metabolites• phytonutrients
content vary by
location,
harvest &
storage
• Sometimes
phytonutrient
cocktail is
better than
isolated
nutrient –
carotenoids
• Yellow and orange fruits, dark
green leafy vegetables
• α and β-carotene and β
cryptoxantin – precursor to Vitamin
A
• lycopene, lutein, and zeaxantin –
not precursors to vit A
• Foods rich in carenoids may be safer
than purified supplements
• Typical western diet contains about 6
mg/day of carotenoids, 60% from animal
lycopenes
• accumulates in
certain tissues,
such as prostate
• Lycopene commonly
in plasma
associated with
LDLs
• Lutein and
zeaxantin have
high binding
affinity to HDLs
– accumulate in
macula lutea of
retina, act as
photoreceptors
the benefits of salmo
astaxanthin
Plant sterols &
stanols• Most abundant Sterols = β-
sitosterol, stigmasterol,
campesterol
• Inhibit growth of various forms of
lung, stomach, ovarian and breast
cancer.
•Stanols = sitostanol, campestanol
• Sterols essential component cell
membrane
• Have sterol ring – differ in side
chain.
• Stanols are saturated form of sterol
Sterols and stanols
cont…• Cholesterol lowing
effect by lowering
absorption
• FDA authorized
health claims –
must contain at
least 0.65 g of
plant sterols or
1.70 g stanol
esters (esters have
higher lipid solubility
and are more easily
incorporated into
foods)
• Typical diet  .15
- .4 g/day of
sterols and stanols
• To achieve 1.5
Polyphenols
• 1) flavanoids,
2) phenolic acids
• Secondary metabolites
– more than 8000
• Hydroxyl groups might
provide reducing power or
antioxidant potential (ROS)
• Usually lots of conjugated
double bonds
• Usually in free form or Ο-
glycosides
Phytoestrogens
• Majority phytoestrogens
belong to 4 subclasses:
isoflavanoid,
coumestans,
isoflavones, lignans,
stilbenes
• Composed of a planar
aromatic ring system
with one or more
hyroxyl
• Phytoestrogens proposed
to mimic estrogen and
act as weak agonist,
promoting estrogen
• favorably affect
hormone-dependent
cancers, menopausal
symptoms, glycemic
control and weight
maintenance,
decrease thrombus
and platelet
aggregation, lower
TGL, LDL.
• Recommended as alt
to hormone
replacement therapy.
• No safety info
ESTRADIOL
Estrogens
function in
growth,
reproduction,
and
maintenance
and integrity
of skeleton
and CNS.
Phytoestrogens
cont…
• Founds in licorice,
kudzu, soy, red
clover, saw palmetto
• Wine, grapes and
peanuts good source of
resveratrol
• Flax seed, whole grain
products, vegies, tea
good source of
lignans.
• FDA approved health
claim of 25 g or more
Indole-3-carbinol
• A chemically,
mechanistically, and
phylogenetically separate
phytoestrogen is indole-3-
carbinol
• does not mimic estrogen,
but alters alters
estrogen
metabolism via a
different
mechanism.
• Acid condensate of I-3-C
binds to aryl hydrocarbon
receptor which is capable
Organosulfurs
• Contains a derivative of
cysteine called
alliin, released when allium
vegetables are crushed.
• the enzyme allinase produces a
lipid-soluble, unstable
intermediate called allicin that
decomposes to produce allyl
sulfides, including diallyl
sulfide (DAS, DAD and DATS)
• Onions, leaks, chives, scallions,
garlic (richest source)
Polyols
• Sugar alcohols are
used as sweeteners –
Xylitol, Sorbitol,
Mannitol
• Fewer calories (1.5 –
3 kcal/g) and lower
glycemic index due to
reduced absorption by
intestine
• Excessive consumption
of sugar alcohols
lead to osmotic
diarrhea – >50g of
Stevia
• A natural zero calorie South
American herb
• Steviol contains two hydroxyl
groups
• Sugar residues are esterified to
one or both of the –OH groups to
form glycosides which are 200 –
450 times sweeter than sucrose.
• Microflora in intestine release
sugars and steviol
• May lower blood pressure
Food Pyramid
The Food Guide Pyramid
2005 Food Pyramid
www.mypyramid.gov
2011 My Plate
1. How does the body store energy?
2. How many Cal of energy are released 180 grams of
glucose are converted to CO2 and H2O?
3. There are 2 fatty acids that the body needs but cannot
synthesize. What are they?
4. What is meant by a complete protein?
5. Are vitamins organic or inorganic?
6. Identify each vitamin.
a) tocopherol
b) calciferol
c) ascorbic acid
d) cobalamin
e) retinol
7. What are the fat soluble vitamins?
8. What is kwashiorkor?

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Nutrition

  • 1. Chapter 30: Nutrition K. Dunlap Chem 104
  • 2. Nutrition the study of food and how the body uses it Function of Nutrients: 1) supply energy 2) supply materials for building and replacing body tissues 3) supply other substances needed for various life processes
  • 3. Nutrition • Nutrients:Nutrients: the components of food and drink that provide growth, replacement, and energy: 1. Carbohydrates 2. Lipids 3. Proteins 4. Vitamins 5. Minerals 6. Water • DigestionDigestion: the hydrolysis of starches, fats, and proteins into smaller units that can be absorbed and metabolized.
  • 4. Elemental Composition of the Human Body
  • 5. Digestive Tract • breakdown of food is done through a series of enzyme-catalyzed reactions • CHO start breaking down into maltose and disaccharides in the mouth by salivary amylase • pepsin begins the breakdown of protein into polypeptides • acids are neutralized • CHO to monosaccharides and absorbed • polypeptides to amino acids and absorbed • triglycerides to FAs and glycerol
  • 6. Digestion Continued… • Bile acids are like soaps. They have a polar and nonpolar groups that aid water soluble lipase and the incorporation of fats into chylomicrons for transport. They are synthesized in the liver and stored in the gallblader • Lipase cleaves triglycerides to fatty acids and glycerol • Fatty acids, glycerol, amino acids, monosaccharides are absorbed in the small intestine and travel through the blood stream to the liver for further modification
  • 7. Proteins • Different enzymes catalyze the hydrolysis of peptide chains at different specific sites.
  • 8. Carbohydrates Proteins Fats Mouth Salivary amylase Disaccharides Maltose Stomach Pepsin Polypeptides Small Intestine Pancreatic enzymes Simples sugars Glucose Pancreatic enzymes Amino acids Lipase Bile salts Glycerol FAs Bloodstream Liver Glycogen Body proteins Body fats
  • 9. Calorimeter • Food energy is measured in Calories (capital C) 1 Cal = 1 kcal = 1000 cal = 4180 joules • a Calorie is defined as the amount of energy required to raise 1 kg of water 1°C •Measured in a bomb calorimeter
  • 10. Calculating the Caloric Value of Food Carbohydrate = 4 Cal per gram Proteins = 4 Cal per gram Fats = 9 Cal per gram
  • 13. Recommended Daily Intake: Adults: 0.8 g per kg of body weight Children and Pregnancy: 1.5-2.0 g per kg body weight Complete Protein - contains all essential amino acids -meat, eggs, dairy, fish Incomplete Protein - missing one or more essential amino acids -legumes and grains combined make a complete protein Proteins
  • 14. Proteins – Gelatin, which is denatured collagen, is an incomplete protein because it lacks Trp, and is low in Ile and Met. – Corn protein is low in Lys and Trp. – Rice is low in Lys and Thr. – Wheat protein is low in Lys. – Legumes are low in Met and Cys. – Soy protein is very low in Met. Protein complementation:Protein complementation: a diet in which two or more proteins complementation each other’s deficiencies; for example: – grains + legumes (rice + beans)
  • 15. Fats • recommended 30% of diet -10% monounsaturated -10% saturated -10% unsaturated Essential Fatty acids: Omega-3 EPA, DHA, linoleic Omega-6 Arachidonic acid, α-linolenic • EPA, DHA, AA are 20 carbon hormone-like fatty acids that play an important part in the immune function
  • 16. Percentage of Calories in Common Foods
  • 17. Energy Needs Woman 2000 Cal Men 2200 Cal -physical activity and lifestage affects energy needs -need to burn 3500 Cal to lose 1 pound Basal Caloric Requirements -the requirements for a resting body
  • 18.
  • 19. Vitamins -Organic compounds required in small amounts for normal metabolism and good health - not a source of energy Water soluble - C and Bs -must be replenished everyday -Difficult to overdose Fat soluble - A, D, E, K -does not need to be replenished everyday -can cause toxicity
  • 23.
  • 24. Vitamin Absorption and Storage • All absorption takes place in the small intestine • Fat-soluble vitamins – Are absorbed in the duodenum – Storage • Vitamin A is mainly stored in the liver • Vitamins K and E are partially stored in the liver • Vitamin D is mainly stored in the fat and muscle tissue • Can build up in body to point of toxicity
  • 25. Vitamin Absorption and Storage • Water-soluble vitamins – Absorbed with water and enter directly into the blood stream – Most absorbed in the duodenum and jejunum – Most are not stored in the body – Excess intake excreted through the urine – Important to consume adequate amounts daily – Dietary excesses can be harmful
  • 26.
  • 27. Digesting and Absorbing Water-Soluble Vitamins Figure 10.1
  • 28. Water-Soluble Vitamins Fat-Soluble Vitamins Absorbed in the Small Intestine Small Intestine Hydrophobic or Hydrophilic Hydrophilic Hydrophobic Absorbed into the Blood Lymph Stored in the body Not Generally Yes Can build up and become toxic Not Generally Yes Need to consume daily Yes No
  • 29. Bioavailability • Varies based on – Amount in food – Preparation – Efficiency of digestion and absorption of food – Individual nutritional status – Natural or synthetic • Fat-soluble vitamins are generally less bioavailable than water-soluble vitamins • Vitamins from animal foods are generally more bioavailable than those in plant foods
  • 30.
  • 31.
  • 32. 32 vitamin D • A prohormone synthesized from cholesterol • Vitamin D3 = cholecalciferol • Found in animal products • Vitamin D2 = egocalciferol • Found in plants and fortified foods
  • 34.
  • 35. • Time spent outdoors • Amount of skin exposed • Skin color • Clothing • Body fat • Latitude • Season and time of day What affects your vitamin D level?
  • 36. Vitamin D Synthesis and Latitude Vitamin D Synthesis and Latitude
  • 37. Childhood rickets • Epidemic with industrialization in 19-20th centuries • With discovery of vitamin D and fortification, rickets was almost entirely eliminated • Until now…
  • 39. • 40-90% of US community dwelling elderly • 50% of premenopausal women • 50% of Hispanic and black adolescents • 48% of French preteens • 30-50 % of adults in Saudi Arabia and UAE • 73 % of pregnant women taking prenatal vitamins …are DEFICIENT
  • 40. How to get vitamin D... • 100 IU/d raises level by about 1 ng/mL • Sunlight 3000 IU/10 minutes • Oily fish 300 IU/3 oz – Salmon, sardines, mackerel, tuna • Mushrooms 100 IU/3 oz • Fortified drinks 100 IU/8 oz – Milk, orange juice, yogurt, cereals
  • 41. Updated Recommendations In Process • Studies suggest that the daily vitamin D intakes should be much higher than 400 IU/d. • Daily intakes in the range of 800 to 1000 IU/d should be strongly considered. • Although there are concerns regarding vitamin D toxicity, side effects at intakes exceeding the current upper limit of 2000 IU/d have not been reported to date. • Assessment of vitamin D status with serum measurements of 25(OH) vitamin D levels for a broader range of patients should be encouraged.
  • 42. Vitamin Deficiency Scurvy - vitamin C (ascorbic acid) deficiency -bleeding gums, vomiting, weight loss, anemia, poor wound healing Beri beri - vitamin B1 (thiamine) deficiency -stiffness of limbs, heart disease, mental disorders, paralysis of limbs Pellagra - vitamin B3 (niacin) deficiency -reddening and drying of skin, gastrointestinal and nervous system disorders
  • 43. blindness - vitamin A (retinol) deficiency -night blindness, scaly and hard skin, eye degeneration -retinol is required for the generation of rhodopsin, a photosensitive material Rickets and Osteomalacia - vitamin D (calciferol) deficiency -required for the absorption of Ca and P -skeletal problems, knock knees, protruding forehead -Rickets in children -Osteomalacia in adults Vitamin Deficiency cont….
  • 44. Minerals -defined as those elements, other than carbon, oxygen, hydrogen, and nitrogen that are needed for normal growth and maintenance Major or Macrominerals - those required in amounts of 1 gram or more Ca, P, K, Na, Cl, Mg, Trace or micromineral - those required in amounts less than 1 gram Cu, Co, Z, Fe, I, F, Se
  • 45. Minerals Phosphorus Balancing calcium in diet 800-1200 mg Potassium Sodium Calcium Chloride ion Povides membrane potential O smotic pressure Bone formation; hormonal function; blood coagulation; muscle contraction O s motic pressure Mineral Function Magnesium Iron Zinc Copper Manganese Chromium Molybdenum Cobalt Selenium Iodine Fluorine Cofactor in enzymes O xidative phosphorylation; hemoglobin Cofactor in enzymes; insulin O xidative enzymes cofactor Bone formation G lucose metabolism Protein synthesis Component of vitamin B12 Fat metabolism Thyroid glands Enamel formation 3500 mg 2000-2400 mg 800-1200 mg 1700-5100 mg 280-350 mg 15 mg 12-15 mg 1.5-3.0 mg 2.0-5.0 mg 0.05 - 0.2 mg 0.075-0.250 mg 0.05 mg 0.05-0.07 mg 150-170 µg 1.5-4.0 mg RD A
  • 46. Source and function of common Vitamins and Minerals
  • 47. Fiber - indigestible carbohydrates -lowers risk of cardiovascular disease, diabetes, colon cancer, diverticulitis and obesity • absorbs water and promotes frequent bowl movements • fermented in the Large intestine by microbes • lowers LDL cholesterol 1) Soluble 2) Insoluble • slows gastric emptying • causes satiety • adds fecal bulk
  • 48. Problems with Processed Food • nutrients are lost in processing • some but not all nutrients are added back (Enriched) • Fortified is when other ingredients are added that were not originally the food • are lower in fiber • processed foods are digested more quickly and lend to weight gain
  • 49. Nutritional Diseases Kwashiorkor - protein deficiency -often provides enough calories -common b/w the ages of 1-4 b/c of premature weaning
  • 50. Nutritional Diseases marasmus - protein and calorie deficiency -more serious condition
  • 51. Nutritional Diseases Anorexia Nervosa- a psychological disorder characterized by low body weight and poor body image Bulimia Nervosa- psychological disorder characterized by periods of binging and purging -often eat over 20,000 Cal
  • 52. Nutritional Diseases Obesity - excessive weight gain that is associated with heath concerns and increased risk of mortality -characterized by a BMI of greater than 30 BMI (body mass index) = weight in kg divided by the square of the height in m -25% of Americans are obese -60% of Americans are overweight (BMI 25- 29.9)
  • 53. Nutritional Diseases Diabetes - condition in which body is unable to utilize glucose in a normal way Type I - an auto immune disease that results in the permanent destruction of insulin producing beta cells in the pancreas Type II - metabolic disorder that is usually characterized by insulin resistance, insulin deficiency and hyperglycemia -associated with obesity -Increased prevalence
  • 54. Food Supplements - vitamins, minerals, herbal remedies, etc… -$60 billion a year industry -Balanced diet provides adequate needs -Elderly, dieters, alcoholics, pregnant, lactation may require supplementation - often supplements are not in a form that is as available as it is in food
  • 57. Food Additives -added to prevent spoilage, sweeten, enhance flavor, color, appearance, emulsify
  • 58. Food Preservatives -mostly used to prevent food spoilage Antimicrobial: Nitrites -clostridium botulism - identified as cancer-causing Sulfites -wine and dried fruit -can cause allergic rxn Others -Na, K, Ca salts, benzoic acid, propionic acid, sorbic acid
  • 59. Food Preservatives cont…. Antioxidants: added to slow the oxidative process -usually phenols Butylated hydroxyanisole (BHA) and butylated hydroxytoluene (BHT) -Prevent oxidation of fats by combining with free radicals Natural Antioxidants -Vitamin E, Vitamin C, carotenoids, other polyphenols -also stop oxidation by combining with free radicals
  • 60. Chemical Structures of Flavorings -largest class of food additive -natural and synthetic -Mostly aldehydes and esters -Many synthetics have not been thoroughly tested
  • 61. Chemical Structures of Artificial Sweeteners -growing market for dieters and diabetics NutriSweet Sucralose Splenda
  • 64.
  • 65.
  • 66. What are functional foods? • International food information council “those foods that provide health benefits beyond basic nutrition” Bioactive Nutraceutical • Considered non-essential for growth and development • Decrease risk of chronic diseases
  • 67. dietary supplements • Regulated as foods • Safety of supplement regulated by FDA only after they have entered the market • DSHEA states that a dietary supplement is “adulterated” only if it presents a “significant or unreasonable risk of illness or injury”
  • 68. Dietary supplement health & education act of 1994 Definition of a supplement: “Is a product (other than tobacco) that is intended to supplement the diet that bears or contains one or more of the following dietary ingredients: a vitamin, a mineral, an herb or other botanical, an amino acid, a dietary substance for use by man to supplement the diet by increasing the total daily intake, or a concentrate, metabolite, constituent, extract, or combinations of these ingredients.” •Is intended for ingestion in pill capsule, tablet, or liquid form •Is not represented for use as a conventional food or as the soled item of a meal or diet •Is labeled as a “dietary supplement” •Includes products such as an approved new drug, certified antibiotic, or licensed biologic that was marketed as a dietary supplements or food before approval, certification, or license (unless the Secretary of Health and Human Services waives this
  • 69. the challenge of assessing dietary supplements • Need surrogate endpoints! • Example assessment of risk of cancer, inflammation • Bioactive components decrease inflammation via multiple mechanisms, i.e. activation of transcription factor and other epigenetic regulations • Act as antioxidant etc.
  • 70.
  • 71.
  • 72. secondary metabolites• phytonutrients content vary by location, harvest & storage • Sometimes phytonutrient cocktail is better than isolated nutrient –
  • 73. carotenoids • Yellow and orange fruits, dark green leafy vegetables • α and β-carotene and β cryptoxantin – precursor to Vitamin A • lycopene, lutein, and zeaxantin – not precursors to vit A • Foods rich in carenoids may be safer than purified supplements • Typical western diet contains about 6 mg/day of carotenoids, 60% from animal
  • 74.
  • 75. lycopenes • accumulates in certain tissues, such as prostate • Lycopene commonly in plasma associated with LDLs • Lutein and zeaxantin have high binding affinity to HDLs – accumulate in macula lutea of retina, act as photoreceptors
  • 76. the benefits of salmo astaxanthin
  • 77. Plant sterols & stanols• Most abundant Sterols = β- sitosterol, stigmasterol, campesterol • Inhibit growth of various forms of lung, stomach, ovarian and breast cancer. •Stanols = sitostanol, campestanol • Sterols essential component cell membrane • Have sterol ring – differ in side chain. • Stanols are saturated form of sterol
  • 78. Sterols and stanols cont…• Cholesterol lowing effect by lowering absorption • FDA authorized health claims – must contain at least 0.65 g of plant sterols or 1.70 g stanol esters (esters have higher lipid solubility and are more easily incorporated into foods) • Typical diet  .15 - .4 g/day of sterols and stanols • To achieve 1.5
  • 79. Polyphenols • 1) flavanoids, 2) phenolic acids • Secondary metabolites – more than 8000 • Hydroxyl groups might provide reducing power or antioxidant potential (ROS) • Usually lots of conjugated double bonds • Usually in free form or Ο- glycosides
  • 80. Phytoestrogens • Majority phytoestrogens belong to 4 subclasses: isoflavanoid, coumestans, isoflavones, lignans, stilbenes • Composed of a planar aromatic ring system with one or more hyroxyl • Phytoestrogens proposed to mimic estrogen and act as weak agonist, promoting estrogen • favorably affect hormone-dependent cancers, menopausal symptoms, glycemic control and weight maintenance, decrease thrombus and platelet aggregation, lower TGL, LDL. • Recommended as alt to hormone replacement therapy. • No safety info
  • 82. Phytoestrogens cont… • Founds in licorice, kudzu, soy, red clover, saw palmetto • Wine, grapes and peanuts good source of resveratrol • Flax seed, whole grain products, vegies, tea good source of lignans. • FDA approved health claim of 25 g or more
  • 83. Indole-3-carbinol • A chemically, mechanistically, and phylogenetically separate phytoestrogen is indole-3- carbinol • does not mimic estrogen, but alters alters estrogen metabolism via a different mechanism. • Acid condensate of I-3-C binds to aryl hydrocarbon receptor which is capable
  • 84. Organosulfurs • Contains a derivative of cysteine called alliin, released when allium vegetables are crushed. • the enzyme allinase produces a lipid-soluble, unstable intermediate called allicin that decomposes to produce allyl sulfides, including diallyl sulfide (DAS, DAD and DATS) • Onions, leaks, chives, scallions, garlic (richest source)
  • 85. Polyols • Sugar alcohols are used as sweeteners – Xylitol, Sorbitol, Mannitol • Fewer calories (1.5 – 3 kcal/g) and lower glycemic index due to reduced absorption by intestine • Excessive consumption of sugar alcohols lead to osmotic diarrhea – >50g of
  • 86. Stevia • A natural zero calorie South American herb • Steviol contains two hydroxyl groups • Sugar residues are esterified to one or both of the –OH groups to form glycosides which are 200 – 450 times sweeter than sucrose. • Microflora in intestine release sugars and steviol • May lower blood pressure
  • 88. The Food Guide Pyramid
  • 91. 1. How does the body store energy? 2. How many Cal of energy are released 180 grams of glucose are converted to CO2 and H2O? 3. There are 2 fatty acids that the body needs but cannot synthesize. What are they? 4. What is meant by a complete protein?
  • 92. 5. Are vitamins organic or inorganic? 6. Identify each vitamin. a) tocopherol b) calciferol c) ascorbic acid d) cobalamin e) retinol 7. What are the fat soluble vitamins? 8. What is kwashiorkor?