Survey
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
3 The Human Body: Are We Really What We Eat? © 2011 Pearson Education, Inc. Why Do We Want to Eat? • Hunger: physiological drive for food • Nonspecific • Can be satisfied by a variety of different foods • Appetite: psychological desire to consume specific foods • Aroused by environmental cues • Anorexia: physiological need for food yet no appetite © 2011 Pearson Education, Inc. Why Do We Want to Eat? • Hypothalamus triggers feelings of hunger or satiation (fullness) • Integrates signals from nerve cells in other body regions and from chemical messengers • Special cells lining the stomach and small intestine send signals to the brain to indicate if they are full or empty © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Why Do We Want to Eat? • Hormones: chemical messengers secreted into the bloodstream by endocrine glands to help regulate body functions • Pancreatic hormones, insulin and glucagon, maintain blood glucose levels • Feeling full (satiated) results from signals from the stomach and rise in blood glucose © 2011 Pearson Education, Inc. Why Do We Want to Eat? • Foods have differing effects on our feelings of hunger • Proteins have the highest satiety value • High-fat diets have a higher satiety value than high-carbohydrate diets • Bulky meals (high in fiber and water) distend the stomach and promote a sense of satiety • Solid foods are more filling than semisolid foods or liquids © 2011 Pearson Education, Inc. Why Do We Want to Eat? • Foods stimulate our senses: • • • • • Sight Smell Taste Texture (mouth feel) Hearing • Social and cultural cues • Learned experiences Control of Appetite: Hunger and Satiety © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. What Happens to the Food We Eat? • Food undergoes three processes: • Digestion—large food molecules are broken down to smaller molecules, mechanically and chemically • Absorption—process of taking these products through the intestinal wall • Elimination—undigested portions of food and waste products are removed from the body © 2011 Pearson Education, Inc. What Happens to the Food We Eat? Overview of Absorption • Gastrointestinal (GI) tract: • A series of organs arranged in a long tube that work together to process foods • The GI tract includes: • Organs such as the stomach, intestines • Sphincters: muscles that control the passage of food material from one organ to the next © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestion Begins in the Mouth • Cephalic phase of digestion: • Hunger and appetite work together to prepare the GI tract for digestion • First thought of food (nervous system) stimulates the release of digestive juices • Chewing moistens the food and mechanically breaks it into smaller pieces © 2011 Pearson Education, Inc. Digestion Begins in the Mouth • Saliva contains digestive juices secreted by the salivary gland in the mouth • Taste receptors detect distinct tastes: • Bitter, sweet, salty, sour, and umami • Olfactory receptors detect aromas of foods © 2011 Pearson Education, Inc. Digestion Begins in the Mouth • Enzymes are complex chemicals that induce chemical changes in other substances to speed up bodily processes • Salivary amylase begins starch digestion • Bicarbonates neutralize acids • Mucus moistens the food and oral cavity • Antibodies and lysozymes fight oral bacteria © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestion Begins in the Mouth • The mass of food chewed and moistened in the mouth is called bolus • The epiglottis covers the opening to the trachea during swallowing • Food travels from the mouth to the stomach through the esophagus • Peristalsis is the muscular contractions that move food through the GI tract © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestion in the Stomach • Gastrin—a hormone secreted by stomach lining cells that stimulates gastric juice • Gastric juice contains: • Hydrochloric acid (HCl) denatures proteins and activates pepsin • Pepsin—enzyme to digest protein • Gastric lipase—enzyme to digest fat • Intrinsic factor —protein to absorb vitamin B12 © 2011 Pearson Education, Inc. Digestion in the Stomach • Chyme: liquid product of mechanical and chemical digestion in the stomach • Mucus layer protects the stomach lining from the acid in gastric juices • Bicarbonate neutralizes the acid © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestion in the Small Intestine • Small intestine is composed of three sections • Duodeum, jejunum, and ileum • Ileocecal valve (sphincter) connects the small intestine to the large intestine • Most digestion and absorption take place in the small intestine © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestion in the Large Intestine • The large intestine is also referred to as the colon • Bacteria assist with final digestion • Its main function is to store undigested food material and absorb water, short-chain fatty acids, and electrolytes © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Enzymes Speed Up Digestion • Enzymes guide digestion through hydrolysis, a chemical reaction that breaks down substances by addition of water • Enzymes are specific to carbohydrate, protein, and fat digestion Role of Enzymes © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Hormones Assist in Digestion • Hormones are released into the bloodstream to specific target cells that contain the receptor protein for that given hormone • Second messenger system: Hormones bind to the receptor on the cell membrane for activation © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Hormones Assist in Digestion • Key hormones involved in digestion: • • • • Gastrin Secretin Cholecystokinin (CCK) Gastric inhibitory peptide (GIP) • Hormones with potential digestive roles: • Somatostatin • Ghrelin © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Accessory Organ: Gallbladder • Gallbladder stores bile, a greenish fluid, produced by the liver • CCK signals the gallbladder to release bile • Bile emulsifies the lipids • Lipids are dispersed into smaller globules and become more accessible to digestive enzymes © 2011 Pearson Education, Inc. Accessory Organ: Pancreas • Manufactures, holds, and secretes digestive enzymes • Stores enzymes in the inactive form • Pancreatic amylase digests carbohydrates • Pancreatic lipase digests fats • Protease digests proteins • Insulin and glucagon (hormones) are produced to regulate blood glucose • Bicarbonate is secreted to neutralize chyme © 2011 Pearson Education, Inc. Accessory Organ: Liver • The liver is one of the most important organs in the body • Synthesizes chemicals for metabolism • Produces bile for emulsification of fats • Receives the products of digestion via the portal vein • Releases glucose from glycogen stores • Stores vitamins • Manufactures blood proteins © 2011 Pearson Education, Inc. Absorption • Process of taking molecules across a cell membrane and into cells of the body • A small amount of absorption occurs in the stomach • Most absorption of nutrients occurs in the small intestine © 2011 Pearson Education, Inc. Absorption • Mucosal membrane, the lining of the GI tract, has special structures to facilitate absorption • Villi are folds in the lining that allow it to absorb more nutrients • Enterocytes are absorptive cells in the villi • Capillaries and a lacteal (small lymph vessel) are inside each villus • The brush border is composed of microvilli, which greatly increase the surface area © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Absorption • Passive diffusion—nutrients simply pass through the enterocytes and into the bloodstream without the use of a carrier or energy • Facilitated diffusion—requires a carrier protein © 2011 Pearson Education, Inc. Absorption • Active transport —requires energy and a protein carrier to transport nutrients • Endocytosis (pinocytosis)—active transport by which a small amount of intestinal contents is engulfed by the cell membrane into the cell Basic Absorption Mechanisms © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Transport of Nutrients and Wastes • Blood travels through the cardiovascular system • Lymph travels through the lymphatic system • Lacteals pick up most lipids and fat-soluble vitamins • Lymph nodes are clusters of immune cells that filter microbes and other harmful agents © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Muscles of the GI Tract • Muscles mix food and ensure efficient digestion and absorption of nutrients • Peristalsis moves intestinal contents • Segmentation is a unique pattern of motility • Circular and longitudinal muscles contract and relax to mix the chyme and enhance its contact with digestive juices and enterocytes © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Muscles of the GI Tract • Haustra are segmentations in the colon that contract sluggishly to move contents • Mass movement occasionally occurs to move wastes toward the rectum • Muscle contraction rate depends on its location in the GI tract and presence of food • Voluntary muscles are in the mouth • Involuntary muscles take over in the GI tract © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Enteric Nervous System • Contraction and secretions of the GI tract are controlled by: • Enteric nervous system in the gut wall • Parasympathetic and sympathetic nerves of the autonomic nervous system, which is part of the peripheral nervous system (PNS) • Central nervous system (CNS), which includes the brain and spinal cord © 2011 Pearson Education, Inc. Digestive Disorders • Belching (burping) is primarily caused by swallowed air, eating too fast, improperly fitted dentures, and chewing gum • Flatus (intestinal gas) is a normal process that may be caused by • • • • Foods rich in fiber, starches, and sugar Bacteria that act on partially digested carbohydrates The fat substitute olestra and sugar alcohols Beano can offer some relief © 2011 Pearson Education, Inc. Digestive Disorders • The lining of the stomach is designed to cope with hydrochloric acid, but other regions of the GI tract are not • Heartburn is caused by hydrochloric acid in the esophagus • Gastroesophageal reflux disease (GERD) is painful, persistent heartburn © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestive Disorders • Causes of GERD include • • • • • • • Hiatal hernia Cigarette smoking or alcohol use Being overweight Pregnancy Chocolate, citrus, spicy or fried foods Large high-fat meal Lying down soon after a meal © 2011 Pearson Education, Inc. Digestive Disorders • Peptic ulcers are areas of the GI tract that have been eroded by HCL and pepsin • Bacterium Helicobacter pylori plays a key role in development of both gastric and duodenal ulcers © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestive Disorders • Food intolerance is a cluster of GI symptoms (gas, pain, diarrhea) that occur following consumption of a particular food • Food allergy is a hypersensitivity reaction of the immune system to a particular component (usually a protein) in a food © 2011 Pearson Education, Inc. Digestive Disorders • Celiac disease (celiac sprue) • Damaged small intestine lining (decreased villi and enzymes) reduces nutrient absorption • Offending component is gliadin (a protein in gluten), which is found in wheat, rye, and barley • Malabsorption can lead to malnutrition (poor nutrient status) • Early diagnosis avoids delayed growth in children and malnutrition in adults © 2011 Pearson Education, Inc. Digestive Disorders • Crohn’s disease • This inflammatory bowel disease can affect any area of the GI tract • Possible cause is immune system reaction to a virus or bacteria • Symptoms include diarrhea, abdominal pain, rectal bleeding, weight loss, fever, anemia • Children can experience delayed growth © 2011 Pearson Education, Inc. Digestive Disorders • Ulcerative colitis • Chronic disease characterized by inflammation and ulceration of the mucosa, the innermost lining of the colon • Possible cause is an immune response to a virus or bacteria • Symptoms are similar to Crohn’s disease • Although not caused by food, patients may have to avoid foods that cause GI discomfort © 2011 Pearson Education, Inc. Digestive Disorders • Diarrhea • Frequent passage of loose, watery stools • Usually caused by infection of the GI tract, stress, food intolerances, reactions to medications, or bowel disorders • Can lead to severe dehydration • More dangerous for children and the elderly • Traveler’s diarrhea—common concern © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. © 2011 Pearson Education, Inc. Digestive Disorders • Constipation • Infrequent hard, small, difficult-to-pass stools • Prevention includes increasing fiber-rich foods and fluids, and regular exercise © 2011 Pearson Education, Inc. Digestive Disorders • Irritable bowel syndrome (IBS) is a disorder that interferes with normal colon function • Symptoms include abdominal cramps, bloating, and either diarrhea or constipation • Associated with stress, caffeine, large meals, chocolate, alcohol, dairy, wheat • Treatment includes stress management, smaller meals, high-fiber diet, fluids, and regular physical activity © 2011 Pearson Education, Inc.