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126 Cards in this Set

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What are the five functions of protein in the body?
1) Catalyze (speed up) chemical reactions (enzymes)
2) Regulate body processes (insulin/glycogen)
3) Immune function (antibodies)
4) Transportation (lipoprotein)
5) Provides structure/strength (muscle/bone)
Chemically speaking, what is a protein?
An amino acid polymer (single strand of 20)
An amino acid must have what components in chemical construction?
Amino group (NH2), Carboxyl group (O=C-OH), and Variable group (-R)
How do we distinguish protein from fat?
Protein is nitrogen containing (16% nitrogen by weight)
Why do we consume protein in our diet?
In order to consume amino acids
What is the amino acid pool?
Single, free amino acids found in body (liver, blood, cells)

From: Body protein, Dietary protein

To: Protein synthesis, Energy source (4cal/g), Store as fat (remove nitrogen = deamination), Convert to glucose
How many essential amino acids are there?
Nine
What does DNA tell us about protein?
DNA tells us how to build protein
What does protein determine?
Genetics
What is protein synthesis?
the messenger RNA finds the necessary amino acid to build a specific DNA
What is deamination?
the removal of nitrogen in an amino acid, to store as fat

NH2 --> NH3 (ammonia) -->urea-->blood-->kidney-->urine
What is nitrogen balance?
nitrogen intake equals nitrogen outtake
What is nitrogen intake?
Taken from protein (amino acid), 16% nitrogen by weight
What is nitrogen excretion?
From urea in urine and SOMETIMES feces... protein has 90% digestion success
What is the nitrogen balance for a healthy adult?
Nin = Nout (balance)
What is the ideal nitrogen balance for children, people in weight training, or pregnant women?
Positive nitrogen balance = Nin > Nout

Net protein gain
What is preeclampsia?
Inadequate protein for fetus and woman
What is the nitrogen balance for starving or ill people?
Negative nitrogen balance = Nin < Nout
What is a complete protein?
Provides adequate amounts of all essential amino acids
Cholinomimetics
indirect
names
Cholinomimetics: inirect agonist (anticholinesterase) --> ↑ endogenous ACh

a) Physostigmine - tx
1. ocular hypertension - glaucoma; (along with Echothiophate and Carbechol=direct cholinomimetic)
2. myasthenia gravis
3. atropine overdose

b) Neostigmine - tx
1.myasthenia gravis
2. reversal of neuromuscular junction blockade (postoperative)

c) Echothiophate tx
1. ocular hypertension - glaucoma (along with physostigmine and bethanechol = direct agonist cholinomimetic)
2. ONLY AChE inhibitor that NOT used for myasthenia gravis

d) Pyridostigmine - myasthenia gravis

e) Edrophonium - diagnose myasthenia gravis
What is an incomplete protein?
An incomplete protein does not provide the adequate amounts of the nine essential amino acids.
What are some examples of incomplete proteins?
All plants, gelatin
What is gelatin?
the most common protein in the body (skin, hair, cow hooves) also the same thing as collagen
What is a complementary protein?
Two incomplete proteins combined to provide adequate essential amino acids
What are limiting amino acids?
Essential amino acids in incomplete proteins that limit protein synthesis
What are legunes?
Dry beans, lentils
What is the limiting amino acid in legunes?
Methionine (but it has plenty of lysine)
What are grains?
Wheat, rice, corn
What is the limiting amino acid in grains?
Lysine (but it has plenty of methionine)
What is the limiting amino acid in nuts or seeds?
Lysine (but it has plenty of methionine)
What are the RDA protein recommendations?
0.8 g protein / kg of body weight

kg = lb. / 2.2.

55 kg (120 lbs.) x 0.8 = 44 g protein
What is NPU?
Net protein utilization
What is the formula for NPU?
Nretained / Nin OR Nin - Nout / Nin X100
What has the highest quality protein?
Egg 94 npu (followed closely by meat and milk (whey) in the 80s)
What has the poorest quality protein?
Soybean, grains (60s, 50s NPU)
How should our calories be spread out, percentage wise?
55% to carbohydrates, 30% to fat, 15% to protein... ideally 75 g of protein
Do we typically overeat in protein, in America?
yes
How many calories are necessary to build one pound of muscle?
3000 calories
How many calories are necessary to maintain weight?
2400 calories
What is the protein recommendation for weight training?
1.2 - 1.5 g protein / kg body weight
How do we convert kg to pounds?
multiply by 2.2
Does Dr. K recommends protein supplements?
No
What is creatine?
Protein that speeds up weight gain, and you end up in the same place
What are the risks of creatine?
Dehydration, heat stroke
What are the restrictions of creatine?
it is nonpermissible, but not banned... the university won't buy it, so most athletes won't buy it.
What is marasmus?
Severe muscle wasting
What is kwashiorkor?
Muscle wasting with edema (fluid acculumulation in tissues)
What is the unit of measure for energy?
calorie
What is marasmus?
Severe muscle wasting
What is kwashiorkor?
Muscle wasting with edema (fluid acculumulation in tissues)
What is a Calorie?
1000 calories
What is the unit of measure for energy?
calorie
What is a kilocalorie?
1000 calories or a Calorie
What is a Calorie?
1000 calories
What is a kilocalorie?
1000 calories or a Calorie
What is Ein?
Energy Intake:
Carbohydrates = 4 cal / g
Fat = 9 cal / g
Protein = 4 cal / g
Alcohol = 7 cal / g
In the US, what is the percentage of calories consumed in terms of alcohol?
5% of all calories
What is Eout?
Energy out:
Expenditure (using calories), basal metabolic rate, thermic effect of food (transfer of heat, and physical activity)
What is BMR?
Basal Metabolic Rate
What are some uses of BMR?
Heat production, Heat release, Main source of energy expenditure, Calories we expend to maintain life, we would have placid bones/muscles without BMR
What are some key organs in terms of BMR
heart, lungs, liver (metabolically active organ, expends calories), brain (control center - 40% efficient) and generates most of heat, expends calories
What is the analogy regarding BMR?
Car engine wastes energy
How does BMR function?
it releases energy from the glucose, about 40% efficient
What effect does BMR have on body size?
Larger the body size = larger BMR
Why do children have higher BMR energy?
Because they need to grow and need high energy
Adults have what kind of BMR?
Higher overall BMR
When should you reduce fat intake?
After the age of two (before could restrict growth)
When should you switch from whole milk to skim milk?
Whole milk until age of two, then phase in lower fat intake to skim milk by age of six
What is the best way to increase BMR?
Body composition
What kind of muscles are metabolically active?
heart, lungs, liver, brains, muscle
What does a higher lean body mass mean, in terms of BMR?
Higher lean body mass (everything but fat) = higher BMR
What does fat tissue do, in terms of BMR?
Nothing, low energy needed for fat
What effect does age have on BMR?
As age increases, BMR decreases
During what ages does BMR decrease? And why?
25 to 50 because there is a reduction in muscle mass (loss should not occur if maintained regular exercise and health)
After what age is muscle loss inevetible?
50
What gender has higher BMR?
Men have higher BMR, women have more fat deposits
What hormone stimulates muscle gain?
Testosterone (anabolic steroid) in men
What hormone stimulates fat deposition?
Estrogen, especially in hips and buttocks for pregnancy
What hormone is the primary regulator of BMR?
Thyroid hormone
What does a higher BMR mean, in terms of thyroid hormone?
Higher BMR means that you will secrete more thyroid hormone (and vice versa)
What will happen to the thyroid gland if you take the thyroid hormone pill?
It will shut down
What are the two types of eating patterns?
Starvation and Overeating
What is the best way to lose weight?
Minimize hunger
What happens to BMR when you overeat?
BMR increases
What is set point theory?
weight defends against change, not entirely genetic, possible to change set point when stabilized at different weights (to some extent)
What are some thermic effects of food?
expend about 10% of caloric intake, increase heat production, energy out, digestion, absorption, transportation, deamination of amino acids
What is exercise?
a conscious decision to make physical activity
What is non-exercise?
Unconscious activities that we perform: walking to class, pacing, fidgeting
What is non-exercise related to?
Weight gain, expends an extra 700 calories per day... more non exercise activities = less weight gain
If one increases aerobic exercise, what happens to non-exercising activities?
Decreases
What percentage of people are obese?
65%
How often is obesity measured?
Annually
What fraction of adults and children are obese?
2/3 adults are obese and 1/3 children are obese
What demographics are more likely to be obese?
Native Americans, African Americans, Hispanics
What is the correlation between BMI and mortality?
The higher the BMI, the higher the risk of mortality
What gene determines obesity or leanness?
Leptin protein (produces in the lean animal)
What Indian tribe are obese?
Pima Indian tribe in Arizona, 80% are obese or diabetic
What is significant about the Pima Indians?
Two groups from the same genetics, one is obese, the other is not. They live in different areas
Before what age is childhood obesity not an issue?
The age of 2
Does childhood obesity predict adult obesity?
Yes
What is obesity?
excess body fat
What is body fat?
Reflection of body composition
What is "excess"?
fat added that is detrimental to our health
What determines obesity in males?
Greater than 19% body fat
What determines obesity of females?
Greater than 26% body fat
How do we determine body composition?
Weigh ourselves underwater, perform Dual X-Ray Absorptionetry which measures bone density OR skinfold thickness 5% margin of error probability
How do we measure BMI?
kg / m^2 or lb / in ^ 2 X 703
What is my own formula for BMI?
(125) / 4844.16 X 703 = 18.0993
What is considered healthy BMI?
18.5 - 24.9
What is considered overweight BMI?
25 - 29.9
What is considered obese BMI?
> 30 BMI
How do we measure BMI in children?
Age charts via percentiles
What is the percentile for obesity in children
Greater than 95th percentile
What is the percentile for overweight in children?
Greater than the 85th percentile
What are the health consequences for obesity
Heart disesase (high blood pressure, high blood cholesterol) ESPECIALLY if the fat is concentrated in the abdominal region, cancer (breast, prostate), diabeties type 2 (supposed to double in 20 years)
What are the five components of weight maintenance?
Diet, exercise, behavior modification, group support, nutrition education
How would you lose one pound of fat in a week?
3500 kcal /7d - 500 kcal/d
Do diets work
No! You must change your lifestyle
Why is variety important in diet?
Because we want to be deficient in calories, not in nutrients
Why is breakfast important?
helps people lose weight, minimizes hunger
What is the importance of energy density in fat?
Fat has high energy density, decrease energy dense food, weight BMI will decrease
What is an energy dense food?
Pretzel, cream cheese (same, 3.7)
What is snackwell syndrome?
Low fat DOES NOT EQUAL low calorie!
What is a good choice for snacks?
Fruits, veggies, and soups
What is important about portion size?
nearly half calories we consume are outside the home, and THEY decide whats on your plate... we've given up control
What is the importance of breastfeeding in diet?
Babies who are breast fed will experience more flavors