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1 Foundation Certificate of Nutrition Healthy Systems of the Human Body Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 2 Contents Page 1 Information for learners 3 2 Learning outcomes 4 3 Healthy Systems of the Human Body 5 6 Skin 7 7 Musculo-skeletal System 11 8 Cardiovascular System 15 9 Respiratory System 20 10 Digestive System 23 11 Renal System 27 12 Nervous System 28 13 Endocrine System 38 14 Reproductive System 43 15 Additional Resources 51 Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 3 Information for learners Tips for Learners v Read through the unit guide carefully once or twice. Make sure you understand all the material. If there is anything you don’t understand, just send us an –email to [email protected] and one of our support staff will help you v Seek out other sources of information as well – some of these are listed at the end of the unit guide – try the internet, libraries and reference books Graphics Each Body System has accompanying graphics illustrating the anatomy of the region. These high resolution graphics files can be found as a graphics pack on the website at www.foodcoachinstitute.com/resources Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 4 Learning Outcomes When you have completed reading the information contained in this unit guide, You should be able to: v Understand the basic structure of the healthy human body v Understand the basic ways to keep your body healthy Assessment The purpose of this unit is to help you understand how your body works. Once you have completed this unit you will be ready to take the assessment. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 5 Healthy Systems of the Human Body The human body begins as a single cell- the fertilized egg. As new cells form by cell division, cells become specialized to carry out particular tasks. Specialized cells begin to group together to form tissues. Tissues are groups of similar cells that work together to perform a particular function. There are four types of tissue in the human body: 1. Epithelial tissue 2. Muscle tissue 3. Nervous tissue 4. Connective tissue Epithelial tissue o Is made of tightly connected cells that are arranged in flat sheets o Prevents damage to cells beneath it o Covers the inner and outer surfaces of internal organs o Forms glands Muscle tissue o Moves parts of the body o Is made of cells that contract then relax o Responds to electrical stimulation Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 6 Nervous tissue o Found in the brain, nerves, and sense organs o Contains cells called neurons that generate and transfer electrical impulses to other cells Connective Tissue o Come in three types: - defensive which defend the body from invaders Example: white blood cells - structural which give the body its support Example: cartilage, tendons, ligaments - sequestering which act like storehouses Example: bone marrow cells store hemoglobin Organs and Systems The four types of tissues are combined in various ways to form organs. An organ is a structure composed of a number of tissues that work together to perform a specific job in the body, for example the liver. Organs work together to form organ systems. Example: the circulatory system Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 7 Skin The skin is the largest organ in the body and is made of all four types of tissue – epithelial, muscle, nervous and connective tissue. The skin regulates body temperature, prevents water loss, and prevents entry of bacteria and stores water and fat. It is also a sensory organ containing plenty of nervous tissue which makes it sensitive to touch, temperature and pain. It is tough, flexible, and elastic (see graphics pack, Figure 1). The skin also contains: o o o o o Nerves Hair follicles Blood Vessels Muscles Sweat Glands The structure of the skin varies depending on different parts of the body. So the scalp contains more hair follicles while the palms of the hands have none, while the skin is much tougher and thicker on the palm. The skin has two layers: Epidermis - the outer layer Dermis - the inner layer The Epidermis On the outside, the epidermis consists of watertight sheets of epithelial tissue. The cells at the base of the epidermis continually divide and produce new skin cells. These move up towards the surface and are eventually shed as they reach the outer layer. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 8 o cells are replaced every 2-4 weeks o dead cells help to waterproof the skin o hair and nails are made of dead cells o pigments in the skin give it colour o brown pigment called melanin provides most skin color o albinos have no melanin o people with black skin have large amounts of melanin. o melanin helps provide protection from the sun The Dermis This is the inner part of the skin and contains nerves, hair follicles, blood and lymph vessels, sweat glands and collagen. Collagen holds the dermis together and gives the skin flexibility and strength. As we get older the skin contains less collagen which causes sagging and wrinkles. Nerves in your skin sense: o pressure o temperature o pain Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 9 Muscles in your skin: o make hairs stand up when you are cold or afraid Blood vessels o provide nourishment to cells o remove waste products o help regulate body temperature Sweat glands o help remove excess heat o 100 glands per square centimeter of skin Regulation of body temperature The skin gets rid of heat by increasing blood supply to the blood vessels in the skin. This causes the skin to swell, redden, and sometimes to become puffy. Sweat is also released from the sweat glands which releases heat as it evaporates. When we are cold the blood vessels contract to conserve warm blood for the vital organs. The skin becomes pale and shrunken. The tiny muscles in hair follicles contract making the hairs stand up to further conserve heat around the skin. Our muscles contract and relax to generate heat and this makes us shiver. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 10 Absorption and Detoxification through the skin As the skin has a huge surface area we can easily absorb medications, nutrients and water through the skin. So any creams you use will eventually be absorbed into the body. At the same time, we can release toxins through the skin, so mud baths and mineral spas can help us detoxify. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 11 Musculo-Skeletal System Bones Bone is connective tissue made of living cells. In adults, specialized bone cells constantly break down and rebuild bone tissue. Bone growth begins with cartilage. The basic shape of a bone is first formed in cartilage when a baby. As the child grows, bone cells begin to replace cartilage cells. By adulthood, the cartilage is all converted into bone. In adults, the bone marrow of the long bones is used for storage of fat while the marrow of flat bones produces blood cells. Four minerals - calcium, phosphorous, magnesium, and manganese - are built into bone cells to make them strong. Vitamin D from sunlight is also needed to build and retain good bone. Minerals make bones hard and rigid and this helps bones support the body. Stress placed on bones can cause them to break. A broken bone is called a fracture. Blood vessels inside the bone and the bone itself are damaged when a bone breaks. There can be considerable bleeding as well as damage to surrounding tissue. Bones in older people heal more slowly than bones in younger people. In young adults, bone tissue is broken down and replaced at a steady rate. The cells in our bones are constantly being renewed so that we completely replace all of the bone cells over 7-10 years. Good intake of all 4 minerals, vitamin D from sunlight and regular weight bearing exercise is needed to build up good bone density during youth and until young Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 12 adulthood. Bone density remains relatively constant in adults until age 40 when bone replacement becomes less efficient. Osteoporosis is a condition in which adults lose more than 10 percent of bone mass in a 10 year period. Osteoporosis causes bones to become brittle and break easily. Women are at greater risk of osteoporosis than men. Smoking and low weight appear to increase osteoporosis. To maintain good bone we need adequate intake of all 4 minerals, vitamin D from sunlight and regular weight-bearing exercise. Good protein intake as well as Omega – 3 fatty acids appear to support bone density. The Skeleton (see Figure 2) The skeleton includes all the bones in the body – they total 206 in an adult. The skeleton has three main functions: 1. support body weight 2. enable the body to move 3. protect the vital internal organs e.g. the ribcage protecting the lungs and heart Joints A joint is where two or more bones connect. Bones are joined together by ligaments which are strong bands of connective tissue. Ligaments are elastic, but if stretched too far can result in a tear or sprain. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 13 Muscles (see Figure 3) The body contains over 600 muscles. Muscles move parts of the body such as the limbs. Movement occurs when electrical signals cause muscle cells to contract and change length. There are three types of muscles: 1. Skeletal muscle o attached to the bones of the skeleton o help with movement o are voluntary muscles, meaning the individual controls the actions of these muscles 2. Smooth muscles o involuntary muscles which are not under conscious control o perform actions that the person is not aware are happening o found in blood vessels and in the walls of internal organs like the gut 3. Cardiac muscles o found in the heart o generate their own electrical signals that cause contraction o cause the heart to beat Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 14 Skeletal Movement To move a bone, at least two sets of muscles must cooperate. Muscles exist in pairs which run parallel to each other on either side of the bone. When a bone moves, muscles on one side contract, pulling the bone in one direction. The muscles on the other side relax which also helps the keep the bone in the desired position. Nerve messages prevent both sets of muscles from contracting at the same time. When one set of muscles contracts, the other set relaxes. To keep the body in any position, requires a delicate balance between relaxed and contracted muscles. Muscles are connected to bones by tendons. Tendons are made of the same tough, elastic tissue as ligaments. Ligaments attach bone to bone while tendons attach muscle to bone. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 15 Cardiovascular System The Cardiovascular System transports oxygen, carbon dioxide, nutrients, hormones, and other materials to and from the cells of the body. The circulatory system also carries cells that help protect the body from disease. All of these functions help the body to maintain balance or homeostasis and are essential to survival. Blood Blood is responsible for transporting nearly everything within the body. Blood is the only liquid body tissue. The liquid substance in blood is known as plasma. Blood is o 55 percent plasma o 45 percent cells (red blood cells, white blood cells, platelets) Red Blood Cells o carry oxygen (needed for energy production) from the lungs to all cells in the body o carry carbon dioxide (a waste product) from the cells back to the lungs to be exhaled o are filled with hemoglobin, an iron containing molecule which gives blood its red color and carries the oxygen White Blood Cells o protect the body against bacteria, viruses, or other foreign cells o are manufactured and stored in bone marrow until needed by the body Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 16 o the body produces more white blood cells when needed to fight infection Platelets o help repair damaged blood vessels o stop the bleeding and harden into a patch over a damaged area of a blood vessel Blood Vessels There are over 60,000 miles of blood vessels in the human body. The blood in the body travels through these blood vessels 1,440 times each day. Blood vessels carry blood from the heart to the body and back to the heart. Arteries are the blood vessels which carry blood away from the heart to the body’s organs. Veins carry blood back to the heart. Normal blood pressure is maintained by relaxing and contracting the blood vessels as well as hormones from the kidneys. During the day our blood pressure goes up and down quite dramatically depending on what we are doing. For example if we stand up quickly, the blood pressure needs to go up quickly to maintain blood going to the brain. When we run for a bus, the blood pressure goes up to send oxygen quickly to our muscles. When we are lying down resting, our blood pressure can be reduced to a minimum. So the blood vessels need to be very flexible so they can contract or relax at will to maintain the necessary blood pressure. The Heart (see Figure 4) The heart is a muscular organ that pumps blood throughout the body. The heart is divided into two halves. The right half pumps blood to the lungs where gas exchange occurs – oxygen is absorbed and carbon dioxide is released. The left half pumps the Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 17 oxygen-rich blood to the rest of the body. Each half of the heart has an upper chamber called an atrium and a lower chamber called a ventricle. Flap-like valves separate the two chambers and keep the blood flowing in the right direction. The atrium receives blood coming into the heart. The ventricle pumps blood out of the heart. The contracting of the atria and ventricles cause the valves between these chambers to open and close – to let the blood flow through and stop back flow. The sound made by these valves is known as the heartbeat. Circulation of the blood Blood coming into the heart from the extremities of the body is very low on oxygen and very high in carbon dioxide. This blood enters the right side of the heart and is pumped to the lungs. It gets rid of the carbon dioxide and picks up fresh oxygen. Then the blood returns to the left side of the heart where it is pumped around the body to supply organs and muscles. Heart disease When the pumping action of the heart is not working efficiently the patient goes into heart failure. This is when fluid starts to back up in various places like the lower legs and lungs. The muscles in the heart require a good blood supply of their own to keep working efficiently so there are cardiac arteries bringing blood to the heart muscle. When those blood vessels get blocked with hardening of the arteries, people suffer a heart attack. This is when a cardiac artery either goes into spasm or a clot blocks the artery and this Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 18 stops blood getting to the heart muscle. Angina is a temporary blockage or spasm of a cardiac artery and this results in pain when the patient walks or exercises. When a blockage or spasm is more serious, it causes permanent damage to the heart muscle which causes the typical chest pain of a heart attack. When the heart muscle is short of blood and therefore fresh oxygen, it may stop beating properly in which case the person has a cardiac arrest. This can be reversed with electric shock therapy to restart the heart beating. CPR or cardio-pulmonary resuscitation can keep the blood circulating until help arrives and electric shock therapy can be started. For up to date information on how anyone can simply do hands-only CPR go to YouTube and type in ‘hands only CPR Vinnie Jones’ or this address http://www.youtube.com/results?search_query=hands+only+cpr+vinnie+jones&sm=1 Atheroma When a healthy diet and lifestyle is not followed, then hardening of the arteries or Atheroma occurs. This happens when inflammation in the lining of the blood vessels causes small areas of damage. Inflammatory cells and cholesterol in the blood, stick to the damaged area to try to repair it. Eventually calcium forms in this plug and forms a permanent lump on the side of the blood vessel. This narrows the blood vessels and causes resistance to the flow of blood. At the same time the blood vessel loses its elasticity and becomes stiff where these calcified areas occur. So it’s more difficult to relax and contract the vessel to maintain good blood pressure throughout the day. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 19 As the vessels become stiffer they produce more resistance to the flow of blood, the blood pressure instead of going up and down normally, stays high for most of the day. We diagnose high blood pressure or hypertension when a client’s blood pressure is consistently higher than 140/90. The two values occur when we measure blood pressure using a machine. The systolic blood pressure (the higher value) occurs when we can hear the heart beat and the diastolic blood pressure (the lower value) is measured when the heart beat disappears. High blood pressure over a long period of time increases the risk of angina or a heart attack in the blood vessels of the heart, a stroke in the blood vessels of the brain and lack of blood flow to other parts of the body such as the legs and kidneys. The Lymphatic System (see Figure 5) Between the blood vessels and the body cells is a clear, watery fluid that is formed from the parts of the blood that diffuse out of the blood vessels. This fluid is made of water, proteins, and other nutrients. To return this excess fluid and proteins to the blood, the body has a system of vessels called the lymphatic system. This runs parallel to the veins bringing blood back from the body and then enters the heart. Lymph nodes located in various places along these vessels return water and nutrients to the blood. The lymph nodes also contain white blood cells that help to defend the body against cancerous cells and disease-causing organisms. So they are often swollen Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 20 when there is a local infection such as a sore throat or a cancer nearby such as breast cancer causing enlarged lymph nodes in the armpit. Respiratory System The respiratory system is where gas exchange in humans occurs. Humans obtain oxygen and get rid of carbon dioxide through the respiratory system. (see Figure 6) Breathing The diaphragm is a dome-shaped muscle located below the lungs. During inhalation, the diaphragm moves down and the rib cage moves up. This causes the chest to expand and air to rush into the lungs. During exhalation, the diaphragm relaxes and air is forced out of the lungs. Air enters the body through the nose or mouth. These passageways warm and moisten the incoming air. To get to the lungs air must pass through the following: o Pharynx - a tube at the back of the nose and mouth o Larynx - the voice box o Trachea - the windpipe o A ring of immune tissue – tonsils and adenoids The trachea divides into 2 branches which lead to the right and left lungs. These branches divide many times into smaller branches or tubes called bronchioles. The Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 21 bronchioles are lined with tiny hairs and a protective layer of mucus which waft any foreign particles out of the lungs. These bronchioles keep getting smaller and branching off until they reach clusters of tiny air sacs called alveoli. The alveoli are where gas exchange actually occurs. Each alveolus is surrounded by a network of tiny blood vessels called capillaries. Blood from the capillaries picks up oxygen from the alveoli and releases carbon dioxide to be exhaled. Each lung has about 150 million alveoli. Chest infections such as pneumonia are serious and can be fatal. With the advent of anti-biotics the survival rate is much better. Our own immune system has a natural barrier against chest infections by preventing bacteria and viruses getting into the lungs as follows: 1) The nasal hairs and mucous trap bacteria, viruses and irritating particles 2) The circle of immune tissue of tonsils and adenoids means that the throat picks up infections before they get to the lungs. 3) the villi and mucous of the lungs brings microbes and foreign particles such as dust, debris and pollution out of the lungs to be coughed up or swallowed in the mucous. In Asthma, small muscles in the bronchioles contract in response to contact with an allergen, a virus or bacterial infection, or stress. The contraction of the muscles means the airways are narrowed so sufferers can’t get air out. Stress plays a big part in asthma attacks as well as allergies and general ill-health. Drug treatment of asthma includes relaxing those muscles in the bronchioles to open up the airways and also decreasing Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 22 the immune response to allergens. Other treatment includes reducing environmental pollution, reducing allergens in processed foods, increasing gut health with probiotics and healthy nutrients, managing stress to reduce anxiety. Smoking causes permanent damage to the lung function. Cigarettes contain nicotine which is very addictive and stimulates rapid pulse and blood pressure. There are approximately 600 ingredients in cigarettes. When burned, they create more than 4,000 chemicals. At least 50 of these chemicals are known to cause cancer, and many are poisonous. Check out this website from the American Lung Association for more information. http://www.lung.org/stop-smoking/about-smoking/facts-figures/whats-in-acigarette.html Apart from containing harmful chemicals, cigarettes paralyze the villi reducing their ability to clear the lungs of harmful debris. Smoking causes chronic cough and copious mucous, and the long term diseases emphysema and chronic bronchitis. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 23 Digestive System There are six essential nutrients the body needs. Foods contain all of these nutrients. Three of these nutrients provide fuel for the body and are called macronutrients: 1. Carbohydrates 2. Lipids 3. Proteins Three of these nutrients regulate how the body uses nutrients. Vitamins and minerals are called micronutrients: 1. Water 2. Minerals 3. Vitamins These six nutrients provide the body with what it needs to grow and to maintain and repair itself. Nutrition is the science that studies how food affects the functions of the body. Proper nutrition is necessary for health and a poor or imbalanced diet can lead to disease and /or death. Food contains energy that is trapped by chemical bonds. Once these bonds are broken, the energy is released. A calorie or kilojoule is the unit of measurement used to describe the heat energy that is released from food or is used by the body during Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 24 physical activity. The gut is the organ which controls digestion of food and absorption of nutrients (see Figure 7). Digestion o Digestion begins in the mouth. Chewing breaks food down so that digestive enzymes can begin the transformation process. o Salivary glands produce saliva which moistens food to make it easy to swallow. o Enzymes in saliva start the process of breaking down starches in food. o When food is swallowed, it travels down the esophagus to the stomach. Muscular contractions of the esophagus, stomach and intestines are known as peristalsis. Peristalsis ensures that food moves from the mouth to the stomach and on through the intestines. o Once food reaches the stomach, it is mixed with hydrochloric acid and pepsin, a digestive enzyme that breaks down proteins. o The stomach also produces a small amount of lipase, an enzyme which breaks down lipids or fats. o The food may spend several hours in the stomach where it is reduced to a liquid. o Food then moves into the small intestine. In the first 25 cm of the small intestine, known as the duodenum, the remaining carbohydrates and proteins are broken down. o Fat which is not water soluble, is broken down by bile from the liver which travels from the gall bladder into the small intestine. This helps to make it more water soluble and breaks fat droplets into smaller particles. This allows lipase from the Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 25 pancreas to break down the fatty chains into fatty acids which can then be absorbed. o In the rest of the small intestine, nutrients are absorbed and transferred to the blood and then to the liver. o Food spends three to six hours in the small intestine. During this time, nutrients are absorbed into the bloodstream. Food goes through the final breakdown while in the small intestine to make absorption possible. Both the liver and pancreas secrete digestive enzymes which help break down food. The Pancreas o secretes enzymes which break carbohydrates into simple sugar (glucose) o Splits proteins into amino acids. o divides fats into chains of fatty acids o secretes bicarbonate to neutralize acid in the stomach o controls blood glucose with insulin and glucagon The Liver o stores vitamins and minerals o takes digested nutrients and sends them into the bloodstream as needed o regulates glucose storage in the body under the control of insulin o makes bile to help with fat digestion o filters and detoxifies blood o Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 26 Control of Blood Glucose by the pancreas As a meal is eaten and digested, blood glucose levels rise, and the pancreas secretes insulin. Insulin acts on liver cells to store ingested glucose as glycogen. Excess glycogen not used up is stored long term as fat. When it is needed for energy, glycogen is broken down and converted again to glucose. For the next 8–12 hours, glucose derived from liver glycogen will be the primary source of blood glucose to be used by the rest of the body for fuel. Insulin and glucagon act together to keep the blood glucose constant: insulin being made when blood glucose rises and glucagon when blood glucose falls too low. The Large Intestine The indigestible portion of food moves from the small intestine to the large intestine. When food residue arrives in the large intestine, it is fairly liquid. As it passes around the large bowel, the water is reabsorbed back into the body leaving solid material ready to be eliminated. If enough water is not consumed the large bowel absorbs more and more water making the stool dry and hard and difficult to pass. Plenty of water and a good intake of fibre from fruit and vegetables prevents constipation. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 27 The Renal System The Kidneys (see Figure 8) As the body breaks down protein, nitrogen compounds such as ammonia are produced. The body must get rid of these metabolic wastes. The body makes ammonia less poisonous by combining it with carbon dioxide in the liver to form urea. Urea enters the blood stream and travels throughout the body. The body eliminates some urea through the skin as perspiration, but most must be eliminated by the kidneys. The kidneys play an important role in maintaining balance or homeostasis: · Removes urea and other wastes · Regulates the amount of water in the blood · Adjusts blood pressure using hormones · Sends wastes in the form of urine to the bladder The bladder stores urine for passing when convenient. When you are dehydrated the urine becomes concentrated and a dark colour. This causes some burning and pain when passing urine. At the same time, little urine is produced and sits for a long time in the bladder, causing irritation. Eventually bacteria can grow and cause a urine infection. This can be prevented by drinking plenty of water throughout the day and passing urine frequently. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 28 Nervous System Nerve cells, called neurons, are specialized cells which conduct information. Bundles of neurons form thin cables called nerves. Electrical impulses travel along these nerves to all parts of the body. In humans, neurons run from the brain and spinal cord directly to muscles. Nerves can be very long. Nerve impulses must travel quickly to all parts of the body. To accomplish this, specialized cells speed up nerve impulses. These specialized cells are wrapped around the nerves forming an insulating layer called the myelin sheath. The myelin sheath contains gaps called nodes which allow nerve impulses to jump from node to node in order to travel quickly. Once the nerve impulse reaches the end of the nerve cell, it must cross a gap to the next nerve cell called a synapse if the message is to continue. If the nerve impulse cannot "jump" the synapse, it is carried across the synapse by chemical messengers called neurotransmitters. These are the brain hormones serotonin, dopamine and acetylcholine. We need good levels of nutrients like zinc, magnesium and B vitamins to make adequate levels of brain hormones. When our brain hormones are low, for example serotonin, we can feel depressed. Dopamine is involved in our reward system and can be high in people who are addicted to risk-taking or gambling. It is low in Parkinson’s disease which often affects elderly people. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 29 Organization of the Nervous System The nervous system has two parts: 1. Central nervous system o Brain o Spinal cord 2. Peripheral nervous system o Motor and Sensory Nerves o The Autonomic Nervous System Central nervous system The brain is the control center of the body (see Figure 9). Although the brain accounts for only about 2% of our weight, it consumes about 20% of our energy, so it needs plenty of good fuel to work properly. The largest portion of the brain is the cerebrum which is divided into two hemispheresright and left. Each hemisphere is covered by an outer gray layer called the cerebral cortex. The cerebrum handles sophisticated functions of the brain such as processing visual images and thinking. Beneath the rear of the cerebrum is a structure called the cerebellum. The cerebellum controls coordination of movement. Underneath the cerebellum is the brain stem. The brain stem controls life processes such as digesting, breathing, and blood pressure. Above the brain stem is the hypothalamus which is the center for emotions and instincts. The hypothalamus is the area responsible for keeping everything in balance – Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 30 or homeostasis. Like the thermostat on an air conditioner that decides whether to switch on or off depending on the room temperature. For example, the hypothalamus controls: o Hunger o Thirst o Body temperature o Water balance o Pain o Sleep cycles o Sexual satisfaction o Emotions such as anger, fear, happiness o It also regulates the Autonomic nervous system which regulates pulse, blood pressure, breathing etc The hypothalamus releases many hormones which control all of these functions. Most of these hormones travel to the pituitary which then sends hormone signals to various parts of the body like the thyroid, adrenals and reproductive organs. More about this in the Endocrine System. The control of Emotion There are a number of organs in the brain called the limbic system which together coordinate our emotions and emotional reactions to situations. The limbic system includes our hypothalamus, amygdala and hippocampus. When we are upset, the limbic system Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 31 processes our feelings, memorizes them and sends messages to the rest of the body controlling our reaction to the situation. This is why when we encounter the same emotional situation again; our body remembers the physical response and the same reaction is produced. For example, when we feel fear – say we are attacked by a dog as a child; we get a physical response – sweating, shaking etc. The limbic system remembers this and produces the same physical changes every time we feel fear in the same situationevery time we encounter a dog. This is how a pattern of fears and phobias arises. On the plus side, when we remember a pleasant memory, say from a childhood trip to the beach, we can instantly remember how it smelled – the smell of the ocean, how the sand felt on our feet, and the taste of ice-cream etc. Spinal Cord Messages from the brain travel along the spinal cord to all parts of the body. The spinal cord is a cable of axons that extends from the brain stem. The spinal cord consists of a column of gray matter covered by a layer of white matter. The backbone, a tunnel of bones formed by the vertebrae, surrounds and protects the spinal cord. Peripheral Nervous System (see Figure 10) The peripheral nervous system consists of the nerves which reach from the spinal cord and brain to all parts of the body. There are basically two types of neurons in the peripheral nervous system - sensory neurons and motor neurons. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 32 Sensory neurons relay nerve impulses to the central nervous system: o Signals from sense organs o Signals from internal changes such as blood pressure or pain So sensory neurons help the brain receive messages. Motor neurons send messages from the brain to muscles and glands so that we can move around and do activities. In the event of danger which requires quick action, information is sent to the spinal cord along sensory neurons then immediately back along motor neurons which trigger an involuntary reaction called a reflex, like removing your hand from a hot plate. Some motor neurons are active all the time, even when the body is asleep. These neurons, called the autonomic nervous system, keep the body going, controlling such actions as blood pressure and digestion. The Autonomic Nervous System This system is composed of two parts o Sympathetic nervous system o Parasympathetic nervous system The Sympathetic Nervous System prepares our body for the fight or flight reaction. When we have acute stress like a fright, our hypothalamus starts the ‘fight or flight’ response. This has evolved to help us deal with a sudden emergency like being attacked by a sabre-tooth tiger. We get ready to fight or run away. Our brain sends messages to Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 33 our adrenals to make lots of adrenaline. We start breathing heavily, our pulse quickens, and we divert blood away from the gut to muscles, so that we can move rapidly. After the emergency is over we quickly calm down and hormone levels return to normal. So the Sympathetic nervous system: o Increases the heart rate to help us move blood quickly o Dilates the pupils so we can see well o Stimulates the sweat glands to get rid of heat o Dilates the blood vessels to the large muscles so they can work hard o Constricts blood vessels to the rest of the body to conserve blood for the muscles o Opens up the bronchial tubes of the lungs so we can breathe hard o Stops the secretion of digestive juices to conserve energy for action The Parasympathetic Nervous System is the counterbalance to the Sympathetic Nervous System. It brings us back from that state of emergency and calms us down. So the Parasympathetic nervous system: o Constricts the pupils o Decreases the heart rate o Constricts the bronchial tubes o Activates the salivary glands o Stimulates secretions in the gut to restart digestion Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 34 When we want to calm down after a stressful event we want to activate the Parasympathetic nervous system. For example, deep, slow breathing will help to slow the heart rate. In today’s stressful world, many people exist with their sympathetic nervous system activated all the time. Instead of a good balance between sympathetic and parasympathetic, the sympathetic system is always active, always making adrenaline. Eventually they run out of steam and become exhausted and run down. Regularly activating the parasympathetic system with meditating, relaxation and deep breathing prevents this from happening. Chronic versus acute stress In the case of chronic stress that occurs over months or even years, like work stress or relationship problems, our hormone response is different. Our hypothalamus again sends signals to our adrenals but this time they make cortisol. Normally our cortisol is high in the morning and then gradually reduces as the day goes on. In highly stressed people, the cortisol stays high all day long. Eventually the adrenals get exhausted and cannot make enough cortisol anymore. Then adrenal fatigue sets in - we feel very tired all the time and have no energy to do anything. This may be the cause in some chronic fatigue sufferers. The Sense Organs The brain receives signals from the environment via sensory receptors (eyes, ears, skin, nose, and tongue). These receptors contain different types of neurons that detect Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 35 changes inside and outside the body. Some sensory receptors respond to internal stimuli such as temperature changes, pain, pressure, and muscle contractions. Other sensory receptors respond to external stimuli such as motion, sound, smell, lights, and taste. Receptors in the Ear The ear detects sound waves and establishes equilibrium. The fluid-filled semicircular canals and chambers in the inner ear contain receptor cells which detect movement and send signals to the brain which enable you to keep your position steady. The inner ear also senses sound waves. The outer ear captures sound waves and directs them down the ear canal. When the sound waves strike the eardrum, it begins to vibrate. The vibrations pass through three small bones inside the ear. One of these small bones presses against a spiral shaped structure known as the cochlea. The cochlea consists of fluid-filled canals lined with hair cells. The vibrations carried into the cochlea cause the hair cells to vibrate. From the cochlea, signals are sent to the brain where they are interpreted as sound. Damage to the hair cells will result in loss of hearing. Listening to too much loud music can damage hair cells. Balance The other important function of the ear is to help maintain balance. There are 3 semicircular canals at right angles to each other in the 3 axes. These are filled with fluid. Whenever the head is turned or the body’s position is changed, the resulting movement Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 36 of fluid within these canals, helps the brain to detect the extent of movement and positioning of the head. Receptors in the Eye The eye contains specialized receptor cells called photoreceptors that contain light sensitive pigments. The energy in light changes these pigments triggering a nerve impulse that travels to the brain. The human eye has two types of photoreceptors - rods and cones. Rods o Detect only black and white images o Generate grainy images o Work best in dim light Cones o Detect color o Generate detailed images o Activity is reduced in dim light so we rely more on the rods in the dark Rods and cones are packed tightly together in the retina, a layer which covers the back surface of the eye. Light waves enter the eye through the pupil. The pupil is an opening surrounded by a ring of muscle fibers. These muscle fibers contract or relax to regulate the amount of light which enters the eye. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 37 After the light waves enter the pupil, they pass through an almond-shaped disk called a lens. The lens bends the light waves so that they strike the retina stimulating the rods and cones. From the retina, nerve impulses are sent along the optic nerve to the brain. Receptors for Taste and Smell The receptors for taste and smell are stimulated by chemicals. The receptor cells for taste are located in the taste buds on the tongue. There are five basic taste senses: sweet, sour, salty, bitter and umami. Each type of receptor is located on different areas of the tongue. Receptor cells for smell are located in the upper walls of the nasal cavity. There are more than 1,000 different receptors for smell. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 38 Endocrine System Hormones A hormone is a chemical signal that regulates the body's activity. Hormones are made in one place and delivered to another. Hormones are usually carried in the blood. Organs that produce most of the hormones in the body are called endocrine glands. General functions of hormones o Endocrine glands secrete hormones into the bloodstream o The hormone travels to a specific tissue or organ called a target. o At the target, the hormone elicits a specific response o Hormones enable the body to - digest food - use food as fuel - grow and mature - maintain homeostasis or balance The Hypothalamus The endocrine system and the nervous system work very closely together. As part of the nervous system, the hypothalamus regulates body temperature, breathing, hunger, and thirst. The hypothalamus also controls much of the activity of the endocrine system like the CEO of a company. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 39 The Pituitary Gland The hypothalamus produces hormones which are sent to the pituitary gland. The pituitary gland then produces other hormones to send around the body like a foreman implementing instructions from the boss. The hormones released by the pituitary gland include: o TSH Thyroid Stimulation Hormone which controls the thyroid o ACTH AdrenoCorticoTrophic Hormone which controls the adrenals o FSH (Follicle Stimulating Hormone) and LH (Luteinising Hormone) which control ovulation o Growth hormone which regulates the growth of the body particularly the skeleton o Prolactin and Oxytocin which causes milk production and release from the breasts o ADH Antidiuretic hormone which causes the kidneys to form more concentrated urine, helping to conserve water in the body Adrenal Glands The adrenal glands are two almond-shaped glands located on top of the kidneys. Each adrenal gland is two endocrine glands in one - the adrenal medulla and the adrenal cortex. The adrenal medulla helps the body react during a sudden emergency as described earlier. The adrenal medulla is unusual in that it is not activated by a hormone. The Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 40 nerves which connect the adrenal medulla to the hypothalamus directly stimulate the medulla to rapidly release hormones such as: o Epinephrine (Adrenaline) o Norepinephrine (Noradrenaline) These hormones are produced in response to o Fear o Anger o Pain o Physical exertion The adrenal cortex or outer layer helps the body deal with long-term stress which may last for hours, days, or weeks. The adrenal cortex produces the steroid hormone cortisol. Over production of Cortisol: o Causes the body to burn lean muscle tissue for energy so weakening the muscles o Increases the level of blood glucose to create energy but may lead to diabetes o May result in organ malfunction or mental burnout if produced for long periods of time o Weakens the immune system when produced for long periods of time o Weakens our bones o Thins the skin Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 41 The Thyroid Gland The thyroid gland is located in the neck, just below the Adam's apple. It releases thyroxin (T4) and other hormones containing iodine (T3) which regulate the body's metabolic rate. Thyroid hormones are needed to: o control the basal metabolic rate o regulate metabolism of protein, fat, carbohydrate and vitamins o growth and development during childhood o reproductive functions If the thyroid gland produces too much thyroxin, the resulting condition is known as hyperthyroidism. The production of too little thyroxin is called hypothyroidism. The Pancreas The pancreas produces hormones which regulate how much glucose is dissolved in the blood. Glucose circulates to all cells in the body, providing quick energy needed to fuel cellular activities. The pancreas produces two hormones which work opposite to one another to balance the blood sugar. When food is digested, blood sugar levels rise. The rise in blood sugar triggers the release of insulin, which helps the glucose get into the cells to provide energy. Excess sugar not used by the cells is stored in the liver temporarily as glycogen or long term under the skin as fat. When blood sugar levels begin to fall, the pancreas produces Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 42 glucagon to raise the level of sugar in the blood. Low blood sugar can cause irritability, headaches and muscle weakness. When too much sugar is ingested over a long period of time, the pancreas becomes exhausted and cannot produce enough insulin to control the blood sugar. The blood sugar fluctuates a lot producing the disease diabetes. As you can see, the nervous system and endocrine system work closely together, using many hormones to control the various systems of the body. It is vitally important to get plenty of nutrients from our food so that we can make good levels of all these hormones and maintain balance and equilibrium in all the systems in our bodies. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 43 REPRODUCTIVE SYSTEM The Male Reproductive System The Sperm Sperm cells are different from any other cell in the body as a sperm cell has: o Only one set of chromosomes. o A long tail. o Mitochondria which provide energy to whip the tail back and forth. o A cap of digestive enzymes at the tip of the sperm's head which enables the sperm to penetrate the egg. Sperm are produced in organs called testes. Testes are located in a loose sac at the base of the penis called the scrotum. Mature sperm are stored temporarily in the epididymis which is located next to the testes. The urethra is the tube that carries urine from the bladder to the outside of the body. It also carries semen during ejaculation, the process by which sperm leave the male body. The seminal vesicles, two small glands near the bladder, provide fluid which nourishes the sperm. Semen is expelled from the penis during ejaculation. The Female Reproductive System The Egg Females have organs called ovaries which produce eggs. Eggs also have only 1 set of chromosomes, so that the fertilized egg has chromosomes from each parent. The ovaries are located in the pelvis on either side of the uterus. Once each month, one Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 44 ovary will release an egg into the fallopian tubes which carries the egg to the uterus. The uterus is a hollow, muscular organ about the size of a small pear. The cervix, a tubular ring of strong muscles, is located at the lower part of the uterus. Below the cervix is a hollow tube called the vagina which connects the uterus to the outside of the body. The vagina has two functions: o Receives the penis and any sperm ejaculated by the male during intercourse. o Serves as the birth canal through which the baby passes during birth. The Female Reproductive Cycle Females produce hormones which cause changes in a sequence of events known as the menstrual cycle. Once a month, an ovary will release an egg. This process is called ovulation. As the egg matures, the uterus prepares to receive and nourish a fertilized egg. The uterus becomes spongy and rich in blood and nutrients. About four or five days after ovulation occurs, the uterus is ready. If no fertilized egg arrives, the lining breaks loose from the uterus. Blood from broken blood vessels mixes with the lining and passes through the vagina and out of the body. This process is known as the period. Ovulation and menstruation stop when a woman is between 45 and 55 years of age. The cessation of the ovarian and uterine cycles is known as menopause. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 45 Fertilization and Development Fertilization is the fusion of the sperm and egg cells. Sperm which have been deposited in the vagina must make a difficult journey before fertilization can occur. Most sperm never leave the vagina. To reach the egg, sperm must find and pass through the small opening in the cervix and escape from the mucus which covers the opening. o travel across the uterus o enter the fallopian tube in which the egg is located. o Many sperm can arrive at an egg at the same time but only one sperm can penetrate the egg. The fertilized egg travels through the fallopian tube into the uterus. The cells inside divide and multiply. The journey to the uterus takes 4-5 days after fertilization occurs. When the embryo reaches the uterus, it contains a hundred or more cells. The embryo embeds itself in the uterine lining and releases hormones which prevent the lining from washing away by the menstrual cycle. After about nine weeks, the developing embryo is called a fetus. Once the embryo implants itself in the uterus, it grows rapidly for approximately 40 weeks. This period of time is divided into threemonth segments called trimesters. The first trimester begins with conception. Implantation occurs and cell differentiation begins. The heart and central nervous system are forming. By the 8th week, the sex of the fetus has been determined. Eyes, ears, arms, and legs begin to form. Vital organs are formed. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 46 In the second trimester, the circulatory system is operating and sex organs are distinct. The mother begins to feel movement. Hair forms on the body and head. Eyelashes and eyebrows appear. The skin is thin, wrinkled and translucent. Body movements become vigorous. In the final trimester, the eyes open and survival outside the womb is possible. At 38-40 weeks, birth occurs. While the fetus is in the womb, oxygen and nutrients from the mother's blood pass though the walls of the uterus into the placenta and to the fetus via the umbilical cord. Carbon dioxide and urea from the fetus pass back into the mother's bloodstream and are eliminated by the mother's body. The health of the mother and the activities in which the mother participates affect fetus development: o Diet o Use of alcohol o Smoking o Use of drugs - prescription, over-the-counter, street drugs o Radiation (x-rays) o Diseases (rubella and toxoplasmosis) Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 47 For Example, alcohol can cause severe birth defects: o Slow physical development o Mental retardation o Learning problems o Malformed organs o Misshapen spine o Impaired brain development Use of street drugs like heroin during pregnancy can cause the baby to have: o Mental retardation o Learning disabilities o Personality disorders At the same time good intake of nutrients is vitally important to support growth of the baby and health of the mother. If nutrients are deficient, the baby takes as much as it can, leaving the mother deficient in those nutrients in short supply. Any woman wanting to have a baby needs to prepare her body with good nutrients long before she tries to get pregnant. Both sperm and egg are reliant on good nutrients so they can perform their functions properly. We are seeing more and more infertility in young adults that is due to poor intake of nutrients and an unhealthy lifestyle. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 48 Sexually Transmitted Diseases Many serious diseases are transmitted sexually: o AIDS o Hepatitis B o Human Papilloma virus leading to cancer of the cervix o Genital herpes o Syphilis o Gonorrhea o Chlamydia Using barrier methods of contraception like condoms will decrease the chance of catching diseases from sexual partners. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 49 How to keep the body healthy Now that you have read about all the systems in the body you will realize how your lifestyle can affect your health. Unhealthy diets and lack of exercise affects many diseases like high blood pressure, high cholesterol, diabetes, arthritis and cancer. Healthy diet It is essential to have a healthy diet and we will cover this in more detail in the next units. Physical Exercise This is also very important to keep our muscles strong and flexible. Exercise is also a great de-stressor as it activates our parasympathetic nervous system. This counteracts all the effects of stress on our sympathetic nervous system. Healthy behaviours We can see that other ways we behave can also affect our health. o Excess alcohol affects our brain function as well as our body. o Party drugs can have long-lasting effects on our brain and mental function as well as physical effects. o Multiple sexual partners increase the risk of sexually transmitted disease which affects our health and our future fertility. o Smoking causes permanent damage to our lungs and leads to lung cancer Living a healthy lifestyle will not only help us live longer but will also allow us to live a more active and enjoyable life, free from chronic disease. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 50 Children can enjoy an active, outdoor life with plenty of exercise, adequate sunlight and lots of healthy foods. Adults should be at the peak of their physical and mental fitness. Middle age should be a time to enjoy other pursuits as the demands of child-rearing decrease. Old age does not have to consist of aches and pains, multiple medications and immobility. Elderly people who keep their bodies fit and strong can enjoy sports, travel and socializing right up until advanced age. Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015 51 Additional Resources o Medical Terminology Simplified, Barbara A Gylys and Regina M Masters, 2nd Edition o Innerbody.com: Your Guide to Human Anatomy Onlinehttp://www.innerbody.com/htm/body.html o Baggaley, A (Ed.), (2001). Human Body: An Illustrated Guide to Every Part of the Human Body and How it Works, London: Dorling Kindersley Limited. o Introduction to Basic Human Physiologyhttp://www.free-ed.net/free-ed/HealthCare/Physiology/default.asp o Effects of Smoking: World Health Organisation http://www.who.int/topics/tobacco/en Copyright © The Food Coach Institute™ 2011 Healthy Systems Human Body Version 2.2 May 2015