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Chapter 3 The Remarkable Body Nutrition: Concepts & Controversies, 12e Sizer/Whitney Learning Objectives Describe the levels of organization in the body, and identify some basic ways in which nutrition supports them. Compare the terms mechanical digestion and chemical digestion, and point out where these processes occur along the digestive tract. Trace the breakdown and absorption of carbohydrate, fat, and protein from the mouth to the colon. Learning Objectives Explain how nutrients are transported and stored in the body. Define the term moderate alcohol consumption, and discuss the potential health effects, both negative and positive, associated with this level of drinking. The Body’s Cells Body is composed of trillions of cells Body needs nutrients Cells are self-contained, living entities Depend on one another Basic needs Essential nutrients Cells die at varying rates A Cell (Simplified Diagram) The Body’s Cells Genes Control function Direct production of proteins Provide instruction for structural components of cells Affects how body handles nutrients Complete set of genes in each cell Tissues, organs, and body systems From DNA to Living Cells The Body Fluids and the Cardiovascular System Body fluids Supply energy, oxygen, nutrients, and water Deliver fresh supplies and pick up wastes Types of fluids Blood Arteries, veins, capillaries Plasma Lymph Blood Flow in the Cardiovascular System The Body Fluids and the Cardiovascular System Extracellular fluid Intracellular fluid All cell reactions take place Holds cellular shape The Body Fluids and the Cardiovascular System All blood circulates to the lungs Picks up oxygen Releases carbon dioxide The Body Fluids and the Cardiovascular System Blood returns to heart Blood pumped to rest of body Delivers nutrients Picks up wastes Blood passes through digestive system Picks up nutrients Except for fats Fats travel via lymph Routed directly to liver Lymph Vessels and the Bloodstream The Body Fluids and the Cardiovascular System Kidneys Fluid intake Red blood cell life expectancy Blood is sensitive to malnutrition The Hormonal and Nervous System Hormones Chemical messengers Secreted and released directly into blood by glands Stimulate organs to take action Glands monitor conditions in the body Pancreas Insulin and glucagon The Hormonal and Nervous System Nutrition affects the hormonal system Hormones affect nutrition Appetite changes during pregnancy Nervous system Receives and integrates information from sensory receptors Role in hunger regulation Cortex and hypothalamus Cutaway Side View of the Brain Showing the Hypothalamus & Cortex The Hormonal and Nervous System Fight-or-flight reaction (stress response) Neurotransmitters Epinephrine and norepinephrine Metabolism speeds up Organ response Eyes, heart, liver, stomach Heart disease The Immune System Cooperation among tissues to maintain defenses Physical barriers Antigen Immune defenses White blood cells Phagocytes Lymphocytes (T-cells and B-cells) The Immune System Inflammation Response to injury or irritation Increased white blood cells, redness, heat, pain, swelling Normal and healthy response Problem with chronic inflammation Dietary factors The Digestive System Four basic chemical tastes Sweet, sour, bitter, and salty Savory Sweet, salty, and fatty foods Almost universally desired Can lead to drastic overeating of these substances The Innate Preference for Sweet Taste The Digestive System Digestive tract Flexible, muscular tube Path Total length of about 26 feet Body surrounds digestive canal System’s job is to digest food to its components, absorb, and excrete System works at two levels The Digestive System The Digestive System Mechanical digestion Begins in the mouth Chewing Stomach and intestines Peristalsis Chyme travels through pyloric valve Digestion is virtually continuous Sleep and exercise Peristaltic Wave Passing Down the Esophagus and Beyond The Muscular Stomach The Digestive System Chemical digestion Digestive juices Salivary glands, stomach, pancreas, liver, and small intestine Mouth Saliva – starches and fat Saliva – health of teeth Stomach Hydrochloric acid – protein pH Values of Digestive Juice and Other Common Fluids The Digestive System Chemical digestion Intestine Bile Pancreatic juice Digestive enzymes in wall of intestine Fiber Food combinations and digestion The Digestive System Within 24 to 48 hours 90% of carbs, fat, and protein are digested and absorbed Mouth Food is crushed, mashed, and mixed with saliva Carbohydrate digestion begins Swallowing Peristalic waves The Digestive System Stomach Gastric juice mixes with food Unwinds proteins Chyme Small intestine Bile from the liver Pancreas Large intestine The Digestive System The Digestive System Absorption Nutrient molecules transverse intestinal lining Water-soluble components Fat-soluble components Cells of small intestine are selective Folded structure Villi Microvilli Details of the Small Intestine Lining The Digestive System Transport Lymph vessels Products of fat digestion Fat-soluble vitamins Blood vessels Products of carbohydrate & protein digestion Most vitamins Minerals Nourishment of digestive tract The Digestive System Hiccups Fiber and gas Heartburn Antacids GERD Ulcers The Digestive System Choking Constipation & diarrhea Hemorrhoids Irritable bowel syndrome (IBS) Normal Swallowing and Choking First Aid for Choking The Excretory System Organs involved in waste removal Lungs, liver, kidneys Kidneys Waste materials are dissolved in water Working units – nephrons Urine is stored in bladder Sodium and blood pressure Work regulated by hormones Importance of water supply Storage Systems Eating intervals of 4-6 hours Major storage sites Liver – carbohydrates Glycogen Muscles – carbohydrates Glycogen Fat cells – fat and fat-related substances Variations in nutrient stores Alcohol and Nutrition: Do the Benefits Outweigh the Risks? Controversy 3 Introduction Total daily energy intake as alcohol U.S. average of 6 to 10 percent Binge drinking Heavy drinkers Moderate drinkers What is Alcohol? Psychoactive drug Names end in –ol Act as lipid solvents Ethanol Alcoholic beverages Denature cell’s protein structures Kill the cell Some useful disinfectants and antiseptics What is a “Drink”? Beverage volume Proof Percentage of alcohol Defining a drink Defining Drinking Social drinking Feelings of euphoria Problem drinkers and alcoholism Irrational and dangerous behaviors Health effects Defining moderation Difficulties with defining Health authority definition Who Should Never Drink Alcohol? Children and adolescents People who cannot restrict drinking to moderate levels Women who may become pregnant, are pregnant, or are breastfeeding People who plan to do an activity that requires attention, skill, or coordination People who take medications that may interfere with alcohol Binge Drinking Definition Influence of caffeine Skewing of data Harms from binge drinking Health consequences Social consequences Immediate Effects of Alcohol The body gives special attention to alcohol Diffusion through stomach walls Reach brain within a minute Vomiting Presence of food in the stomach Absorption in small intestine Alcohol dehydrates tissues Increased urine output Alcohol Arrives in the Brain Nerves Inhibitory Excitatory Lethal does Speed and amount consumed Toxicity, oxidative stress, and the brain Brain tissue shrinks Brain inflammation Accidents Alcohol’s Effects on the Brain Blood Alcohol Levels and Brain Responses The Probability of Causing an Accident Rises with BAC Alcohol Arrives in the Liver Liver processes most of the body’s alcohol Alcohol dehydrogenase (ADH) Acetaldehyde Alcohol breakdown in the stomach Women vs. men Excretion in breath and urine Rate of alcohol clearance Alcohol Breakdown Alcohol Affects the Liver and Other Organs Alcohol metabolism generates damaging free radicals Diseases and organ damage Fatty liver Liver fibrosis Cirrhosis Reproductive and other organs Alcohol’s Affect on the Liver The Hangover Mild form of drug withdrawal Contributors to hangovers Congeners Dehydration Formaldehyde Methanol Time alone is the cure Alcohol’s Long-Term Effects Effects in pregnancy Effects on heart and brain Cancer Even moderate consumption increases risk Urethane Long-term effects of alcohol abuse Alcohol’s Effects on Nutrition Causes disturbances in nutrition All discretionary calories Fattening power of alcohol “Beer belly” Effects on vitamins Malnutrition Wernicke-Korsakoff syndrome Folate Does Moderate Alcohol Use Benefit Health? Certain health benefits among middle-aged people Young people Older adults Research problems Benefits vs. risks Health effects of wine Alcohol and appetite