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Chapter 3 The Basics of Digestion Slide Show was developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College 9.14.15 Objectives for Chapter 3 1. Define digestion, absorption, and nutrient transport. 2. Describe the organs involved in digestion and their primary functions. 3. Explain the roles of the gallbladder, liver, and pancreas in digestion. 4. Explain the function of peristalsis and segmentation in the movement of food through the GI tract. 5. Explain the role of enzymes in digestion. Objectives for Chapter 3 6. List the main carbohydrate-, protein-, and fat-digesting enzymes and the tissues that secrete them. 7. Identify the hormones involved in digestion, including their primary action and their source of origin. 8. Explain the role of the small intestine, villi, and microvilli in digestion. 9. Explain how the circulatory and lymphatic systems transport absorbed nutrients throughout the body. 10. Describe the symptoms and causes of the most common digestive disorders. What Makes Eating So Enjoyable? Hunger and thirst: physical needs which drive how much and how often we eat Appetite: another powerful drive, but unreliable Influenced by food preferences and psychological stimulation May eat without needing nourishment Animation: Control of Appetite: Hunger and Satiety We Develop a Taste for Certain Foods Taste: Five basic categories Detected by at least 10,000 taste buds mostly on tongue, but also throat and elsewhere in mouth 1. Sweet: tip of tongue 2. Salty: sides of tongue 3. Sour: sides of tongue 4. Bitter: back of tongue 5. Savory (umami): throughout mouth; not all people are sensitive to this taste sensation We Develop a Taste for Certain Foods Humans share an innate preference for sweet (pleasure), salty (electrolytes), and fatty (rich textures and aromas) foods Sometimes food preferences and nutritional needs conflict and make changing food choices challenging Brain recognizes taste: food dissolves in saliva, contacts the tongue surface, taste cells send nerve impulses to brain, translated into taste sensations Aromas and Flavors Enhance the Pleasure of Eating Both mouth and nose contribute to tasting of foods Aromas detected by olfactory cells in nasal cavity as food odors enter both nose and mouth (move to back of throat and into nasal cavity) Flavor refers to both taste and aroma Example: Chocolate tastes sweet but its flavor is “chocolate” What Is Digestion and Why Is It Important? Digestion: a multi-step process of breaking down foods into absorbable components using mechanical and chemical means in the gastrointestinal (GI) tract Gastrointestinal tract consists of: Mouth Esophagus Stomach Small and large intestines Other organs (liver, pancreas, gall bladder) What Is Digestion and Why Is It Important? The three main roles of the GI tract are to: 1. Break down food into smallest components 2. Absorb nutrients 3. Prevent microorganisms or other harmful compounds in food from entering tissues of the body The adult GI tract is about 23 feet long with extensive surface area for nutrient absorption Cells lining GI tract are replaced every three to five days Animation: Overview of Digestion and Absorption Animation: Basic Absorption Mechanisms Digestion Is Mechanical and Chemical Mechanical digestion: chewing, grinding food to aid swallowing Peristalsis: the forward, rhythmic muscular contraction that moves food through GI tract Chemical digestion: digestive juices and enzymes break down food into absorbable nutrients Peristalsis Figure 3.1 Digestion Allows Us to Absorb Nutrients from Foods After digestion, nutrients are absorbed through the walls of the intestines into the body’s two transport systems: Circulatory system (blood) Lymphatic system (lymph nodes) Sent to the liver for processing before delivery to the body’s cells GI tract is highly efficient: 92 to 97 percent of nutrients from food are digested and absorbed Diet Dream Drug: Hope or Hype: Pros and Cons of Xenical® Alli® Click on the links http://abcnews.go.com/GMA/OnCal l/video/alli-xenical-diet-pill-ban13381571 http://abcnews.go.com/WNT/video/ diet-pill-xenical-banned-alli-weightloss-drug-side-effects-danger13378750 Diet Dream Drug: Hope or Hype: Pros and Cons of Xenical® & Alli® 1. What do these drugs claim to do in the body to help one to lose weight? 2. What were some of the unpleasant side effects of using these weight loss drugs? What Are the Organs of the GI Tract and Why Are They Important? Digestion begins in the mouth Saliva released: contains water, electrolytes, mucus and a few enzymes Softens, lubricates, dissolves food particles Bolus (food mass) moves into pharynx, is swallowed, and enters the esophagus Epiglottis closes off trachea during swallowing to prevent food from lodging in the windpipe From Cells to Organs and Organ Systems Figure 3.2 The Epiglottis Figure 3.3 The Stomach Stores, Mixes, and Prepares Food for Digestion Esophagus propels food into the stomach Bolus is pushed down esophagus by peristalsis Lower Esophageal Sphincter (LES): at bottom of esophagus relaxes and allows food into stomach LES then closes to prevent backflow of hydrochloric acid (HCl) from stomach “Reflux” of stomach acid causes “heartburn” (irritation of esophagus lining) (GERD) The Stomach Stores, Mixes, and Prepares Food for Digestion Stomach’s mechanical action: churning mixes food with digestive juices for several hours Stomach produces powerful digestive secretions: HCl: activates enzyme pepsin, enhances absorption of minerals, breaks down connective tissue of meat Mucus protects stomach lining from damage Digestive enzymes, intrinsic factor (for vitamin B12 absorption), stomach hormone called gastrin Chyme: semi-liquid substance of partially digested food and digestive juices Anatomy of the Stomach Pyloric sphincter Figure 3.4 The Stomach Stores, Mixes and Prepares Food for Digestion Gastrin: stimulates digestive activities and secretion of HCl; increases gastric motility and emptying Liquids, carbohydrates, low-fiber, and low-calorie foods exit stomach faster High fiber, fat, and protein foods exit slower, keep you feeling full longer Lower esophageal sphincter: located between the esophagus and stomach prevents a backflow of fluids (acids). Pyloric sphincter: located between the stomach and small intestine; allows about 1 tsp of chyme to enter the small intestine every 30 seconds Prevents backflow of intestinal contents Surface Area in the Small Intestine Folds Villi Microvilli Figure 3.5 Most Digestion and Absorption Occur in the Small Intestine Small intestine: long, narrow, coiled Three segments: Duodenum (10 inches) Jejunum (8 feet) Ileum (12 feet) Interior surface area tremendously increased by circular folds, villi, microvilli Most Digestion and Absorption Occur in the Small Intestine Mechanical and chemical digestion in small intestine: Peristalsis moves chyme through intestine Segmentation mixes chyme with chemical secretions Pendulum-like movements enhances nutrient absorption Chyme moves though at rate of 1 centimeter per minute Total contact time 3 to 10 hours, depending on amount and type of food Large Intestine Absorbs Water and Some Nutrients Ileocecal sphincter: prevents backflow of fecal matter into ileum Most of nutrients in chyme have been absorbed when it reaches large intestine Large intestine has three sections: cecum, colon, rectum About 5 feet long, 2.5 inches in diameter Absorbs water and electrolytes No digestive enzymes; chemical digestion done by bacteria Anatomy of the Large Intestine Figure 3.6 Large Intestine Absorbs Water and Some Nutrients Intestinal matter passes through colon in 12 to 70 hours depending on age, health, diet, fiber intake Bacteria in colon produce vitamin K and biotin and break down fiber and undigested carbohydrates, producing methane, carbon dioxide, hydrogen gas, and other compounds Stool stored in rectum Anus controlled by two sphincters: internal and external Final stage of defecation is under voluntary control Enzymes, Hormones, and Bile Aid Digestion Complete digestion of chyme requires: 1. Enzymes: break down food into absorbable nutrient components Secreted by stomach, small intestine, pancreas Amylases, lipases, proteases 2. Hormones: pepsin, gastrin, insulin, glucagon, secretin, cholecystokinin Control digestive secretions and regulate enzymes The Liver, Gallbladder, and Pancreas Are Accessory Organs Liver: largest gland in body Produces bile needed for fat digestion Metabolism of carbohydrates, fats, and protein Stores nutrients: vitamins A, D, B12, E, copper, iron, glycogen (glucose storage form) Detoxifies alcohol (cirrhosis) Gallbladder: concentrates and stores bile Released into GI tract when fat is ingested Image taken from WebMD, 2011. The Liver, Gallbladder, and Pancreas Are Accessory Organs Pancreas: Produces hormones: insulin and glucagon regulate blood glucose Sodium bicarbonate neutralizes acidic chyme, protects enzymes from inactivation by acid Digestive enzymes: Amylase: digests carbohydrate Lipase: digests fats Trypsin, chymotrypsin, and carboxypeptidase: digest protein Image taken from WebMD, 2011. Overview: Process of Digestion and Organs of the GI Tract Figure 3.7 Organs of the GI Tract Table 3.2 Digestive Secretions Table 3.1 What Other Body Systems Affect the Use of Nutrients? A. Nervous system stimulates your appetite Hormone ghrelin signals brain to eat when stomach is empty B. Circulatory system transports nutrients, oxygen, waste products through your blood C. Lymphatic system distributes fat and fat-soluble nutrients through your lymph D. Endocrine system hormones regulate growth, reproduction, metabolism, and the cell’s use of nutrients E. Excretory system eliminates wastes from circulatory system via the urine The Circulatory and Lymphatic Systems Figure 3.9 The Excretory System Figure 3.10 The Endocrine System What Are Some Common Digestive Disorders? Disorders of the mouth and esophagus: Gingivitis and periodontal disease Swallowing problems: dysphagia Esophageal problems Heartburn (acid reflux) may be caused by weak LES Certain foods, smoking, drinking alcohol, being overweight or obese, tight-fitting clothes, reclining after eating, large evening meals may worsen the condition What Are Some Common Digestive Disorders? Disorders of the stomach: Gastroenteritis Peptic ulcers Gallbladder disease: Gallstones What Are Some Common Disorders of the Digestive System? Disorders of the intestines: Flatulence Constipation and diarrhea Hemorrhoids Other Common Digestive Disorders More serious intestinal disorders: (table 3.3) Irritable Bowel Syndrome (IBS) Stress management Celiac disease (page 84) Gluten free diet Crohn’s disease Inflammatory condition Only can be managed Colon cancer Colonoscopy at 50 The End Slide Show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College All Rights Reserved