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9/15/2011




                 Nutrition

     Introduction of digestion, absorption
               and metabolism




                 Digestion
• Catabolism




                                                    1
9/15/2011




         Prenatal Development
• 1st Trimester : Gut
• 2nd Trimester: Liver
Intestines, ST develop
Rapidly
• 3rd Trimester: week21
- Fetus taking amnionic
Fluid (small amount of
Sugar)
• Fatal Stool : meconium




         Prenatal Development
• Cleft plates
• Spina Bifida
• CEREBRAL PALSY




                                       2
9/15/2011




                Cleft plates
• Reduced significantly through maternal
  supplementation of folic acid.




                Spina Bifida
• Reduced significantly through maternal
  supplementation of multivitamins with folic
  acid.




                                                       3
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           Cerebral palsy
• MAGNESIUM LINKED TO LOWER INCIDENCE
  OF CEREBRAL PALSY




     Remember what we ate.




                                               4
9/15/2011




             Baby, Kids, Adults..
•Baby        Kids        Adults     Aged




    Yang                                   Yin

Zhang Organ                           Fu Organ
Upper                                  Lower




    Organs of the gastrointestinal tract

•   Salivary gland
•   Stomach
•   Pancreas
•   Liver/Gall Bladder
•   Small Bowel
•   Large Bowel




                                                        5
9/15/2011




               Salivary Gland
• Saliva

• Digestion – amylase, lipase(baby)
• Disinfectants
• Hormonal function Gustin hormone –
  development taste bud
• Non-physiological use




                TCM and Bio
• The saliva stimulated by sympathetic
  innervation is thicker, and saliva stimulated
  parasympathetically is more watery.

• TCM
• Thick Saliva – KI
• Watery Saliva – SP




                                                         6
9/15/2011




Mechanical Digestion : Chewing
                      Churning
                      Segmentation


 Peristalsis in the digestive
 Tract. (Bolus)




                 Chemical Digestion
   • Salivary Gland : Secret Amylase – digest Starch

   • Stomach : Secret HCI – denatures protein &
     Pepsin *HCI = hydrochloric acid

   • Pancreas : Proteolytic enzymes & Lipases
   • --- Degrades Proteins & Fats




                                                              7
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            Chemical Digestion
• Liver / Gall Bladder : Bile Salt – emulsify fat
  globules

• Small Intestine : Degradation (Protein, Fat ;
  lipids, some Carbohydrates)
• --- Absoprtion (Iron; Duodenum,
• Vit B12, Bile Salt; Terminal of ileum…)




               Small Intestine
• The large surface area of the small intestine
  facilitates absorption of nutrients into
  cardiovascular system(Glucose and amino
  acids) and lymphatic system(fats).




                                                           8
9/15/2011




               Large Intestine
• The large intestine dose not produce digestive
  enzymes; it absorbs water, salts, and some
  vitamins.

• - Bacteria ; Escherichia coli
• Vitamin K




                    Protein




                                                          9
9/15/2011




    Fat




Carbohydrate




                     10
9/15/2011




              Digestive enzyme
•   Secrets from
•   - Salivary Gland
•   - Stomach
•   - Pancreas
•   - Small Intestine




            D.E. in Salivary Gland
• Bromelaine tenderizes meat and acts as an
  anti-inflamatory agent.

• Betaine effects cell fluid balance as osmolytes

• Salivary Amylase (also known as ptyalin)
  (Mouth) produced by salivary glands breaks
  down starch into sugar.




                                                          11
9/15/2011




                 D.E. in Stomach
• Pepsin is the main gastric enzyme. It breaks proteins
  into smaller peptide fragments. It is secreted by gastric
  glands.
• Gelatinase, degrades type I and type V gelatin and type
  IV and V collagen, which are proteoglycans in meat.
• Gastric amylase degrades starch, but is of minor
  significance.
• Gastric lipase is a tributyrase by its biochemical activity,
  as it acts almost exclusively on tributyrin, a butter fat
  enzyme.
• Rennin enzyme change the liquid milk to solid.




                 D.E in pancreas
• Trypsin breaks down proteins at the basic
  amino acids
• Chymotrypsin – proteolysis
• Carboxypeptidase - protease that takes off the
  terminal acid group from a protein
• Steapsin - degrades triglycerides into fatty
  acids and glycerol
• Elastase, nuclease, Pancreatic amylase




                                                                       12
9/15/2011




                     D.E. in Small Bowls
 • The small intestine receives lipase, trypsin and
   amylase from the pancreas (Duodenum)
 • Sucrase
 • Maltase
 • Isomaltase
 • Lactase
 • Lipase
 • peptidase




Fluids Movement in the GI tract




                                                            13
9/15/2011




GI Tract Functions
•Digestion -breakdown of complex
macromolecules to di &
monomericmolecules.
•Absorption-fuels traverse GI track to cells
& tissues of the body.
•Fuel sources.
–Carbohydrates.
–Lipids.
–Proteins.




                                                     14
9/15/2011




                                             TCM words for digestion
     Controls Rotting and Ripening of Food


   Governs transformation and transportation
         Controls Receiving and Transforming


   to receive food and fluids from the Small Intestine,
   re-absorb some of the fluids then excrete the
   remainder as feces.
                                        spreading Qi aids the Spleen and Stomach's
                                        digestive functions, and is important to ensure
                                        harmonious Qi movement in Middle Burner
Five element: Wood controls Earth.

             Stagnant Liver Qi can obstruct bile flow




                                                                                                15
9/15/2011




      16
9/15/2011




             Vitamin Absorption
• Duodenum absorbs Vitamins A and B1, iron, calcium
•
  Jejunum copper, zinc, potassium, calcium, magnesium,
  phosphorus, iodine, iron, fat-soluble Vitamins D, E, and
  K, most of the B complex, Vitamin C
•
  Ileum sodium, potassium, chloride, calcium,
  magnesium, phosphorus, iodine, Vitamins C, D, E, K,
  B1, B2, B6, B12, and most of the water.
•
  Colon absorbs sodium, potassium, water, acids
  vitamins synthesized by bacteria (biotin and Vitamin K).




         Plant, Human and Earth
• Earth Gravity
• Plant ingestion excretion
• Human ingestion excretion

• Any difference?




                                                                   17
9/15/2011




      18
9/15/2011




      19

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Nutrition week2

  • 1. 9/15/2011 Nutrition Introduction of digestion, absorption and metabolism Digestion • Catabolism 1
  • 2. 9/15/2011 Prenatal Development • 1st Trimester : Gut • 2nd Trimester: Liver Intestines, ST develop Rapidly • 3rd Trimester: week21 - Fetus taking amnionic Fluid (small amount of Sugar) • Fatal Stool : meconium Prenatal Development • Cleft plates • Spina Bifida • CEREBRAL PALSY 2
  • 3. 9/15/2011 Cleft plates • Reduced significantly through maternal supplementation of folic acid. Spina Bifida • Reduced significantly through maternal supplementation of multivitamins with folic acid. 3
  • 4. 9/15/2011 Cerebral palsy • MAGNESIUM LINKED TO LOWER INCIDENCE OF CEREBRAL PALSY Remember what we ate. 4
  • 5. 9/15/2011 Baby, Kids, Adults.. •Baby Kids Adults Aged Yang Yin Zhang Organ Fu Organ Upper Lower Organs of the gastrointestinal tract • Salivary gland • Stomach • Pancreas • Liver/Gall Bladder • Small Bowel • Large Bowel 5
  • 6. 9/15/2011 Salivary Gland • Saliva • Digestion – amylase, lipase(baby) • Disinfectants • Hormonal function Gustin hormone – development taste bud • Non-physiological use TCM and Bio • The saliva stimulated by sympathetic innervation is thicker, and saliva stimulated parasympathetically is more watery. • TCM • Thick Saliva – KI • Watery Saliva – SP 6
  • 7. 9/15/2011 Mechanical Digestion : Chewing Churning Segmentation Peristalsis in the digestive Tract. (Bolus) Chemical Digestion • Salivary Gland : Secret Amylase – digest Starch • Stomach : Secret HCI – denatures protein & Pepsin *HCI = hydrochloric acid • Pancreas : Proteolytic enzymes & Lipases • --- Degrades Proteins & Fats 7
  • 8. 9/15/2011 Chemical Digestion • Liver / Gall Bladder : Bile Salt – emulsify fat globules • Small Intestine : Degradation (Protein, Fat ; lipids, some Carbohydrates) • --- Absoprtion (Iron; Duodenum, • Vit B12, Bile Salt; Terminal of ileum…) Small Intestine • The large surface area of the small intestine facilitates absorption of nutrients into cardiovascular system(Glucose and amino acids) and lymphatic system(fats). 8
  • 9. 9/15/2011 Large Intestine • The large intestine dose not produce digestive enzymes; it absorbs water, salts, and some vitamins. • - Bacteria ; Escherichia coli • Vitamin K Protein 9
  • 10. 9/15/2011 Fat Carbohydrate 10
  • 11. 9/15/2011 Digestive enzyme • Secrets from • - Salivary Gland • - Stomach • - Pancreas • - Small Intestine D.E. in Salivary Gland • Bromelaine tenderizes meat and acts as an anti-inflamatory agent. • Betaine effects cell fluid balance as osmolytes • Salivary Amylase (also known as ptyalin) (Mouth) produced by salivary glands breaks down starch into sugar. 11
  • 12. 9/15/2011 D.E. in Stomach • Pepsin is the main gastric enzyme. It breaks proteins into smaller peptide fragments. It is secreted by gastric glands. • Gelatinase, degrades type I and type V gelatin and type IV and V collagen, which are proteoglycans in meat. • Gastric amylase degrades starch, but is of minor significance. • Gastric lipase is a tributyrase by its biochemical activity, as it acts almost exclusively on tributyrin, a butter fat enzyme. • Rennin enzyme change the liquid milk to solid. D.E in pancreas • Trypsin breaks down proteins at the basic amino acids • Chymotrypsin – proteolysis • Carboxypeptidase - protease that takes off the terminal acid group from a protein • Steapsin - degrades triglycerides into fatty acids and glycerol • Elastase, nuclease, Pancreatic amylase 12
  • 13. 9/15/2011 D.E. in Small Bowls • The small intestine receives lipase, trypsin and amylase from the pancreas (Duodenum) • Sucrase • Maltase • Isomaltase • Lactase • Lipase • peptidase Fluids Movement in the GI tract 13
  • 14. 9/15/2011 GI Tract Functions •Digestion -breakdown of complex macromolecules to di & monomericmolecules. •Absorption-fuels traverse GI track to cells & tissues of the body. •Fuel sources. –Carbohydrates. –Lipids. –Proteins. 14
  • 15. 9/15/2011 TCM words for digestion Controls Rotting and Ripening of Food Governs transformation and transportation Controls Receiving and Transforming to receive food and fluids from the Small Intestine, re-absorb some of the fluids then excrete the remainder as feces. spreading Qi aids the Spleen and Stomach's digestive functions, and is important to ensure harmonious Qi movement in Middle Burner Five element: Wood controls Earth. Stagnant Liver Qi can obstruct bile flow 15
  • 16. 9/15/2011 16
  • 17. 9/15/2011 Vitamin Absorption • Duodenum absorbs Vitamins A and B1, iron, calcium • Jejunum copper, zinc, potassium, calcium, magnesium, phosphorus, iodine, iron, fat-soluble Vitamins D, E, and K, most of the B complex, Vitamin C • Ileum sodium, potassium, chloride, calcium, magnesium, phosphorus, iodine, Vitamins C, D, E, K, B1, B2, B6, B12, and most of the water. • Colon absorbs sodium, potassium, water, acids vitamins synthesized by bacteria (biotin and Vitamin K). Plant, Human and Earth • Earth Gravity • Plant ingestion excretion • Human ingestion excretion • Any difference? 17
  • 18. 9/15/2011 18
  • 19. 9/15/2011 19