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Chapter 7 – Metabolism Metabolism – The sum of all the chemical reactions that go on in living cells. metabolism includes all of the ways the body obtains and uses energy from food. Energy The liver is the most metabolically active organ in the body. Functions of the Liver include: Carbohydrates Converts fructose and galactose to glucose Makes and stores glycogen Converts glycogen to glucose Converts excess glucose to fatty acids Lipids Makes and breaks down triglycerides, phospholipids, and cholesterol Breaks down fatty acids for energy when needed (makes ketones) Manufactures bile Proteins Makes nonessential amino acids Removes excess amino acids from circulation Removes ammonia from the blood and converts it to urea to be excreted by the kidneys Makes plasma proteins such as clotting factors Other Functions Detoxifies the body of alcohol, drugs, and poisons and helps them be excreted by the body Stores most vitamins and some minerals Helps destroy old red blood cells and recycle the iron ENERGY METABOLISM: FEASTING (Food Excess) Too much food from any nutrient (carbohydrates, protein, or fat) can be stored as fat in the form of triglycerides. The body uses less energy converting dietary fat to body fat, but must work harder converting carbohydrates and protein to body fat. Excess carbohydrates will first be stored as , then whatever cannot be stored will get converted to body fat. Excess protein will NOT be used to make muscle. Any excess not used to replace normal daily losses will be converted to body fat. Carbohydrates → Glucose → Protein → Amino acids → → Body proteins Loss of nitrogen in urine (urea) Fat → Fatty acids Body Fat stores → Liver and muscle glycogen stores 1 FASTING (Food Deficiency) The brain constantly needs as a fuel source. When carbohydrates are not available, protein can be used to make glucose by body protein (muscle) breakdown. When fat is needed for energy, are produced which provide a little bit of fuel but cannot fuel the brain entirely. Health Consequences of Fasting: o Suppression of appetite o Slowing of Metabolism o Lowered body temperature o Reduced resistance to disease o Ketoacidosis (lowered ph of the blood) ALCOHOL: 2005 Dietary Guideline for Americans – “Those who choose to drink alcoholic beverages should do so sensibly and in moderation”. Alcohol needs no digestion and is quickly absorbed. About 20% is absorbed directly into an empty stomach and can reach the brain within one minute. Alcohol Dehydrogenase – Enzyme that can reduce the amount of alcohol entering the blood by about 20%. Women contain less of the enzyme than men, so more alcohol is absorbed (about 1/3 more than men of the same size). After alcohol consumption, the liver must detoxify the body of alcohol, which impairs it’s ability to metabolize fats. This can lead to elevated triglyceride levels and fatty liver over time. HEALTH CONSEQUENCES OF CHRONIC ALCOHOL ABUSE: Fatty liver, and possibly cirrhosis Elevated triglyceride levels in the blood Alcohol acts as a narcotic alters amino acid and protein metabolism (can lead to PEM) weakens the body’s defenses against infection altered metabolism of medications brain cells die with excessive exposure acts as a diuretic, which can lead to dehydration and electrolyte losses can lead to malnutrition can lead to weight gain (7 calories per gram) depleted folic acid levels elevated homocysteine levels in the blood higher risk of colon and breast cancers higher risk of stomach ulcers 2