Terms
|
Definitions
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basic structure of a protein
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- string of amino acids
20 amino acids long 100-300 amino acids long hooked by peptide bonds |
what are the building blocks of protein?
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1.Primary structure- sequence of amino
acids.
2. secondary- bending of amino acids close to each other. ex Alpha- HELIX!* 3. Tertiary structure- bending and folding of amino acids that are far apart.: sheets, folds, globules** 4. Quarternary- functional form found in hemoglobin. bent inorder to transport hemoglobin |
how can protein be denatured?
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- cooking an egg
- sterilizing instruments - high fever |
denaturing agents
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- heat
-acids - bases - alcohol - heavy metals |
negative nitrogen balance
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- More nitrogen excreted than consumed
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Positive nitrogen balance
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- more nitrogen consumed than excreted
|
Define reference protein, give ex
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standard against which all other proteins
are measured
EGG= 100 biological value |
what are Complete proteins: and where are
they found?
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- high quality proteins
- contain all 9 essential amino acids found in: almost all animal products, meat, fish, poultry, eggs, milk, soy |
what are incomplete proteins and where r
they found
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- low quality proteins
- lacking some essential amino acids or sufficient amounts found in: Legumes, beans, peas, nuts, grains |
limiting amino acid
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- inadequate amount of a certain essential
amino acid
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what is the limited amino acid in corn?
|
LYSINE
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what is the limited amino acid in beans?
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METHIONINE
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what are the protein requirements for most
people?
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10-15% of cal.
46-56 g/ day 2-3 servings/day |
protein- energy malnutrition
|
deficient in protein and calories
|
symptoms of Kwashiorkar
|
-Edema of abdomen and face
-scaly, patchy skin. -change in color and texture of hair - decreased immune response |
Symptoms of Marasmus
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- appears old and shriveled
|
Oral effects of protein deficiency
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- smaller teeth
- delayed eruption - delayed exfoliation - smaller mandible - smaller salivary glands |
what are the 4 types of vegetarian diets and
what are they
|
1. Vegan- strictest. only plants
2. Lactovegetarian- Plants and dairy products only,. 3. Ovovegetarian- Only plant products and eggs 4. Ovolactovegetarian- Eggs, dairy and plants! |
complementation and how does it relate to
vegetarianism
|
combining protein sources to ensure adequte
protein quality
- when eating together get all 9 essential amino acids that vegetarians may not be able to get easily |
what is the role of vitamins in metabolic
reactions
|
catalyst for all metabolic reactions that
use protein, fats, carbs
|
what factors increase vitamin requirements?
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- alcohol
-caffeine - drug use, oral contraceptive - stress - periods of rapid growth, surgery, burns - illness - fever |
what is the most likely way a person get
vitamin overdose?
|
supplements
|
where are fat soluble and water soluble
vitamins absorbed?
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small intestine
|
fat soluble vitamins are transported via?
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lymphatic system
|
water soluble vit are transported via?
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portal system
|
where are water soluble vitamins stored?
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- nowhere, cant be stored. gets excreted in
urine
|
where are fat soluble vitamins stored
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-liver and other fatty tissues
|
what is a free radical
|
- unstable O2 with unpaired electron
- produced by all cells that use O2 - associated with production of cancer cells and effects of aging |
Antioxidant
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Prevents cell membrane damage
|
why do we want antioxidants in our diet?
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- fights off free radicals
- slows down aging process |
how does Vitamin E affect nitrites in cured
meat?
|
Inhibits conversions of nitrites
|
deficiency in Vit E is rare, what 2 groups
may show deficiency?
|
- premature infants*
- those with Fat malabsortion syndrome* |
what 3 compounds make vitamin K and where do
we get them from
|
- K1: green leafy veg
- K2: microflora - K3: synthetic supplements |
what are the scorbutic changes that affect
teeth from vitamin C deficiency?
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- irregular dentin or lacking dentin
- enlarged pulp -Gingivitis - tooth loss, mobility, resorption of bone |
how many B vitamins?
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8
|
why are the B vitamins known as
"energy- releasing vitamins"?
|
- they are enzymes and coenzymes during
Krebs cycle-
- product ATP! |
do B vitamins reach toxic level in body?
why?
|
NO because its a water soluble vitamin,
excreted in urine, no storage
|
what are the basic characteristics of B
vitamin deficiency?
|
- glossitis
- angular cheilosis - dementia |
what group of ppl are most likely to show
deficiencies of B vitamins?
|
- alcoholics
|
what are the 2 steps in bone formation?
which nutrients needed in each step
|
1. Development of protein matrix: need
Vitamins C, D, K, and protein
2. Mineralization of Collagen: need Calcium, Phosphorus, Magnesium, Sodium, Potassium, *HYDROXYAPATITE |
what are the 2 most abundant minerals in
body, where are they found?
|
Calcium- MOST ABUNDANT! found in: bone,
teeth, skull
Phosphorus: 2nd. found : 85% in skeleton, teeth |
what 4 things enhance absorption of calcium?
|
1. Vitamin D*
2. Phosphorus* 3. Hydrochloric Acid- in stomach* 4. Lactose* |
what causes increase need for calcium?
|
- growth periods : 0-2 yrs old, puberty
- alcoholism - smoking - excess caffeine - lactose intolerance - menopause - lack of exercise |
what 2 hormones regulate serum calcium
level? what are their roles
|
1. Parathyroid hormone- INCREASES serum
calcium
2. Calcitonin- DECREASES serum calcium |
what is the relationship of calcium and
phosphorus in blood?
|
*CALCIUM AND PHOSPHORUS LEVELS ARE INVERSELY
RELATED
|
what ratio should calcium and phosphorus be
consumed?
|
1:1
|
how does osteoporosis occur?
|
too little calcium
|
foods high in phosphorus are usually high in
what 2 other nutrients?
|
*CALCIUM AND PROTEIN!!!*!!
|
name food sources of Magnesium
|
- green leafy vegetables
- Antacids and laxatives! - bananas - whole grain products, nuts, seeds, beans |
4 functions of magnesium
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1. needed for healthy heart
2. needed for bone mineralizatio 3. Maintaining calcium balance 4. nerve transmission |
Magnesium is part of what molecule?
|
**CHLOROPHYLL MOLECULE**
|
what are the systemic actions of fluoride?
|
- replaces hydroxyl ions in Hydroxyapatite,
results in FLUORAPATITE*
- more resistant to acid demineralization - increases strength of bones - *TEETH HAVE ROUNDED CUSPS, SHALLOWER FISSUES, WIDER SURFACE |
topical action of fluoride
|
- inhibits acid demineralization
- promotes remineralization - interferes with formation and function of acidogenic bacteria: STREP MUTANS and LACTOBACILLI!* |
sources of fluoride in our diet
|
water
|
what is recommended amount of fluoride in
drinking water
|
.7 ppm (part per million)
|
signs of mild fluorosis
|
- occurs at 2-3 ppm
- white, opaque flacks or extremely white enamel - teeth are caries resistant |
signs of severe fluorosis
|
- occurs are 4 or more ppm
- brownish discoloration of teeth - enamel pitting - INCREASED CARIES RATE |
what is most cost effective way to prevent
caries?
|
- fluoride in water
|
name 4 methods of water loss
|
1. RESPIRATION
2. EXPIRATION- from lungs and skin 3. urination 4. defecation |
functions of ADH
|
- help conserve water
- decrease urine output which increases fluid volume |
ADH output is inhibited when ..?
|
fluid levels are too high
|
functions of Aldosterone
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- sodium and water retention
- causes B volume to increase due tro retention of water |
Fluid Volume Excess
|
-excess water
- due to increase sodium - extracellular fluids - caused by diuretics or sodium restricted diet |
Fluid Volume deficit
|
Dehydration
- excess loss of fluid from GI tract - symptoms: weight loss, fatigue, confusion, low B/P, fissured tongue, xerostoma, poor fitting dentures |
which electrolytes are present in
intracellular fluid and which are in extracellular fluid?
|
intracellular- potassium (K+) Phosphate (PO3)
extracellular- Sodium (Na+) Chloride (CL-) |
which electrolytes are positive
|
Potassium and Sodium
|
which electrolytes are negative
|
Phosphate and Chloride
|
Sodium and Potassium are important in what 2
things?
|
*NERVE TRANSMISSION AND MUSCLE CONTRACTION*
|
What is the max RDA for salt?
|
2,400mg/ day
|
how much sodium is present in 1tsp of salt?
|
*2,000mg*
|
symptoms of deficiency of potassium
|
- anorexia
- muscle weakness - cardiac/ respiratory arrest |
another name for potassium deficiency
|
Hypokalemia
|
symptoms of excess of potassium
|
- confusion
- muscle weakness - cardiac arrest |
where is chloride found in the body?
|
gastric secretions
|
Heme Iron
|
- found in animal products!
- easily absorbed |
non- heme Iron
|
- PLANTS & animal products!
- less well absorbed |
what 2 things enhance iron absorption?
|
-**Vitamin C
-** HCL |
what are some reasons for iron deficiency?
|
1. *Overuse of antacids
2. *Decrease production of gastric acid 3. *lead poisoning |
Iron deficiency anemia
|
- Microcytic hypochromic anemia
- world wide problem symptoms: tachycardia, fatigue, headache, dizziness |
HHC
|
"Hereditary Hemochromatosis"
- Iron overload disease - most common genetic disease in US (1:8) - causes skin pigmentation |
symptoms of deficiency of Zinc?
|
- CLEFT LIP AND PALATE
- LOSS OF TASTE, SMELL, poor appetite, impaired wound healing |
what hormone is Iodine a part of and what
does it regulate?
|
THYROXINE- regulates BASAL METABOLIC RATE
|
symptoms of iodine deficiency
|
- lower metabolic rate
- depression or mental functions - Goiter - Cretinism |
difference between Cretinism and Graves'
disease
|
Cretinism is from DEFICIENCY of IODINE
during fetal development
Graves' disease is from TOXICITY of IODINE |
------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------