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Judith E. Brown www.cengage.com/nutrition/brown How the Body Uses Food: Digestion and Absorption Unit 7 Prof. Albia Dugger • Miami-Dade College My Body, My Food • Each day, about 5% of our body weight is replaced by new tissue • Cell maintenance is one of many body functions that requires nutrients How Do Nutrients in Food Become Available for the Body’s Use? • Digestion • Processes that convert ingested food into substances that can be absorbed by the intestinal tract and used by the body • Absorption • Processes that transfer nutrients from the digestive system into body fluids The Digestive System Overview • In the digestive system, organs such as the liver and pancreas secrete digestive juices that break foods down into very small particles that can be absorbed and used by the body Absorbable Forms of Nutrients • Carbohydrates are broken down into monosaccharides • Proteins are broken down into amino acids • Fats are broken into fatty acids and glycerol • Vitamins and minerals are absorbed without being broken down Chemical Processes • Salivary glands, stomach, and pancreas produce over a hundred enzymes involved in digestion of carbohydrates, proteins, and fat • Carbohydrates, proteins, and fat each have their own set of digestive enzymes Key Terms • Enzymes • Proteins that speed up chemical reactions but are not used up in the reactions • Present in large amounts in the digestive system • Bile • Fluid produced by the liver, stored in the gallbladder, and released into the small intestine • Makes fats more accessible to lipase by breaking it down into small droplets Carbohydrates • Most carbohydrates in our diet consist of starch, monosaccharides, and disaccharides • Starch • Complex carbohydrates made up of complex chains of glucose molecules • Primary form of carbohydrate storage in plants Carbohydrates • Monosaccharides • Simple sugars consisting of one sugar molecule • Glucose, fructose, and galactose • Disaccharides • • • • Simple sugars consisting of two sugar molecules Sucrose (glucose + fructose) Lactose (glucose + galactose) Maltose (glucose + glucose) Functions of Digestive Enzymes A Closer Look • In the mouth: • Saliva contains salivary amylase and lipase that begin to break down carbohydrates and lipids • In the stomach: • Food is liquefied, mixed with digestive juices, and gradually ejected into the small intestine A Closer Look • In the small intestine: • Liquefied food is mixed with digestive enzymes • Carbohydrates, proteins, and fats are reduced to substances that can be absorbed • Vitamins and minerals are released • Nutrients are absorbed through the large surface area (villi) of the small intestine A Closer Look • In the large intestine: • Bacteria break down undigested fiber and other complex carbohydrates • Breakdown products, water, and sodium are absorbed • Remains are collected and excreted Surfaces of Small and Large Intestines Summary of Digestion On the Side • Just thinking about food can start your salivary glands producing digestive juices Absorption • Absorption is the process by which the products of digestion are taken up by the lymphatic system and circulatory system for distribution to body cells • Nutrients enter lymph vessels and blood vessels in villi lining the intestines Key Terms • Lymphatic system • Network of vessels that absorb some products of fat digestion and transport them to the bloodstream • Circulatory system • Heart, arteries, capillaries, and veins that circulate blood and nutrients through the body • Blood vessels absorb breakdown products of carbohydrates and proteins Absorption in Villi Beyond Absorption • Cells use nutrients directly • For energy, body structures, regulation of body processes • Cells convert nutrients into other substances • Glycogen, hormones, other substances Digestion and Absorption are Efficient • Most of the nutrients we consume in food are digested and absorbed • 99% of carbohydrates • 92% of proteins • 95% of fat • Most dietary fiber is not digested Digestive Disorders • Digestive disorders are one of the leading reasons for medical visits and hospitalization Key Terms • Heartburn • Condition that results when acidic stomach contents are released into the esophagus, usually causing a burning sensation • Hemorrhoids • Swelling of veins in the anus or rectum Key Terms • Irritable bowel syndrome (IBS) • Disorder of bowel function characterized by gas, abdominal pain, diarrhea and/or constipation • Duodenal and stomach ulcers • Open sores in the lining of the upper part of small intestine (duodenum) or stomach Constipation • Characterized by difficulty passing hard, dry stools; may cause bleeding hemorrhoids • Caused by intestinal tract disorders, immobility, medication, habitual laxative use, inadequate dietary fiber consumption Good Sources of Fiber • 25-30 g fiber/day helps prevent constipation Myths About Constipation Ulcers and Heartburn • Ulcers develop when the protective lining of the stomach or duodenum is damaged, and the lining is eroded by stomach acid and digestive enzymes • Duodenal ulcers are associated with bacterial (H. pylori) infection Key Terms • Probiotics • Nonharmful bacteria and some yeasts that help colonize the intestinal tract with beneficial microorganisms, and that sometimes replace colonies of harmful microorganisms • Most common strains: Lactobacilli and Bifidobacteria Heartburn • Stomach acid enters the esophagus when the valve at the top of the stomach opens too often or does not close tightly • Occasional heartburn is not dangerous • Chronic heartburn can develop into GERD and cause serious damage Factors Related to Heartburn • Many factors can trigger heartburn • Medications are available to reduce symptoms Irritable Bowel Syndrome (IBS) • Causes of IBS are uncertain • Associated with anxiety, depression • Affects quality of life • No single therapy is entirely effective • Treatments address symptoms of abdominal pain, bloating, diarrhea and constipation Diarrhea • Diarrhea • The presence of three or more liquid stools in a 24-hour period • May be due to bacterial- or viral-contaminated food or water, infectious diseases, or nutrient deficiencies Diarrhea • Depletes body fluids and nutrients, and can produce malnutrition • Can lead to dehydration, kidney malfunction, and death, especially in children • Treated with rehydration fluids • Avoid sugary drinks • Eat solid foods to provide nutrients Normal Functions • Flatulence • Gas produced by bacteria or from swallowing air • Associated with certain foods, heartburn, digestive disorders, antibiotics • Stomach growling • Occurs when gas and fluids are mixing in your stomach – especially when stomach is empty Problems with Lactose • Lactose maldigestion • Reduced digestion of lactose due to low availability of the enzyme lactase • Genetically determined • Lactose intolerance • GI symptoms resulting from consumption of more lactose than can be digested by lactase • Flatulence, abdominal pain, diarrhea Problems with Lactose • Most adults have problems digesting lactose Lactose Maldigestion Managing Lactose Maldigestion • If symptoms occur after consuming lactose, see your health care provider • Consume dairy products that are fermented or pretreated with lactase drops • Consume dairy products in small amounts regularly to encourage digestive bacteria Reduced Lactose Products • Cultured milk products in which most of the lactose is digested are generally well-tolerated