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69 Cards in this Set

  • Front
  • Back
mitochondria
a. primary site of oxygen use

b. produces most of the metabolic energy (ATP) in cells
electron transport chain
a. carries e-/H+ during nutrient oxidation (exothermic)

b. uses energy released to form ATP in mitochondrial matrix (endothermic)

electron transport chain
uses energy released by nutrient oxidation to form ATP in mitochondrial matrix
macronutrient
one of the 3 energy sources for body; CHO, fat, and protein
simple combustion
liberates energy in the form of heat only
cellular oxidation
salvages 40% of energy as ATP, and 60% as heat
calorie
1 kcal = 1000 cal = 4.18 kJ
free energy (G)
energy capable of doing work at constant temperature and pressure
basal metabolic rate (BMR)
rate at which the body expends energy to sustain basic life processes

measurement of O2 inhalation/CO2 exhalation

50-70% of daily energy expenditure

measured after 12 hour fast upon waking
basal energy expenditure (BEE)
BMR in units of kcal/24 hrs
resting metabolic rate (RMR)
10% higher than BMR

2-4 hour fast prior to measuring

65-80% of daily energy expenditure
resting energy expenditure (REE)
RMR in units of kcal/24 hrs
thermic effect of food
increase in energy expenditure

protein 20-30%
carbs 5-10%
fat 0-5%
thermic effect of exercise
20-40% of energy expenditure
thermoregulation
energy expenditure to regulate body temperature
direct calorimetry
measures the dissipation of heat from the body via sensible heat loss and heat of water vaporization
indirect (respiration) calorimetry
measures O2 consumption/CO2 expiration; proportional to metabolism, can estimate glucose oxidation
respiratory quotient (RQ)
ratio of CO2 expired to O2 inhaled, also called respiratory exchange ratio (R)
AMP-activated protein kinase (AMPK)
fuel-sensing enzyme activated by decrease in cell energy state, reflected by increase in AMP/ATP ratio
AMPK function
stimulates processes that generate ATP and non-vital processes that consume it
AMPK activation
AMP:
a. promotes phosphorylation on Thr-172
b. activates AMPK-Thr-172P
c. inhibits Thr-172 dephosphorylation
AMPK inhibition
inhibited when hepatic fatty acid synthesis is elevated
hypothalamic AMPK
stimulates food intake; inhibited by leptin
skeletal muscle AMPK
increases glucose and fatty acid oxidation; stimulated by leptin
kilocalorie (kcal)
energy to raise temperature of water one degree C
kilojoule (kJ)
measures work done, energy to push against force of 1 Newton for 1 meter
gross energy of CHO, fat, and protein
CHO = 4.1 kcal/g
fat = 9.45 kcal/g
protein = 5.6 kcal/g
digestible energy of CHO, fat, and protein
CHO = 98%
fat = 95%
protein = 92%

(accounts for digestion efficiency)
metabolizable energy (ME)
digestible energy lost in the urine
metabolizable energy (ME) of CHO, fat, and protein
CHO = 4 kcal/g
fat = 9 kcal/g
protein = 4 kcal/g
metabolizable energy (ME) of alcohol and medium chain triglycerides
7 kcal/g
% body weight/BMR of brain, liver, heart, and kidneys
5-6% body weight
60% BMR
% body weight/BMR of skeletal muscle
40% body weight
25% BMR
calories in a lb/kg
lb = 3500

kg = 7700
BMR for men/women
men = 1 kcal/kg body wt/hr

women = .9 kcal/kg body wt/hr
GI mucosa
epithelia has enterocytes (absorption), enteroendocrine cells, and exocrine (mucus-producing globlet) cells
lamina propria
GALT
tight junctions
prevent antigens/pathogens from entering cell; complex structure of >50 proteins
tight junction disregulation
leaky intestinal barrier associated with chronic inflammatory bowel diseases, type 1 diabetes, and multiple sclerosis
commensal bacteria
provide metabolic signals to maintain a healthy intestinal barrier
GI disorders (6)
GERD
IBD
ulcerative colitis
Crohn's disease
celiac disease
chronic pancreatitis
sites of CHO digestion
mouth, stomach, small intestine
alpha amylase
released by salivary glands

hydrolyzes alpha-1,4 glycosidic bonds in amylose/amylopectin to form dextrins

key enzyme in starch digestion
dextrins
broken into maltose in the small intestine
maltase
brush border (SI) enzyme that hydrolyzes maltose to glucose
dietary fiber
nondigestible carbs and lignin intact and intrinsic in plants
functional fiber
nondigestible carbs manufactured or extracted from plants; added to food with a beneficial effect to humans
soluble fiber
fermented in the colon; slows gastric emptying and regulates blood sugar/pH
fermentable fibers
lactate/short chain fatty acids
water absorption
mucosal cell proliferation
acidify colon
energy
non-fermentable fibers
speed up transit time
increase fecal bulk
diverticular disease
fiber intake for men/women
men = 38 g/day
women = 25 g/day

(age 19-50)
glucose uptake
requires a protein carrier to cross membranes
GLUT 4
transporter protein regulated by insulin; expressed in muscle, heart, and brown/white adipocytes
carbohydrate absorption
glucose/galactose = active transport and facilitated diffusion

fructose = facilitated transport by GLUT 5 (likely)
Michaelis constant (Km)
concentration of substrate needed for reaction to occur at half maximum velocity
monosaccharide transport/uptake
a. liver removes fructose, galactose, and some glucose

b. increase in blood glucose leads to increase in insulin secretion
glucose transporter isoforms
Glut 1/3 - basal tissue uptake, very low Km

Glut 2 - liver/pancreatic beta cells, high Km

Glut 3 - brain, very low Km

Glut 4 -muscle/adipose tissue, phys. Km
fate of glucose in cells
fuel for ATP synthesis

glycogenesis

minor uses - synthesis of ribose, NADPH, glucose for glycoprotein/glycolipid synthesis

lowest priority - substrate for fatty acid/TAG synthesis
glucose as fuel
brain, RBC, and skeletal muscle during vigorous exercise

(other tissues prefer fatty acids)
glucose phosphorylation
1st step in intracellular glucose metabolism

requires ATP

G6P trapped in cytoplasm

uses hexokinase (isoenzyme)

high Km - glucokinase
low Km - hexokinase II
% food energy used to make ATP
~40%
Krebs Cycle
substrate oxidation by H removal to NAD/FAD forms NADH/FADH

produces carbon dioxide-3/pyruvate

generates substrates for fatty acid, glucose, and amino acid synthesis
ATP synthesis
oxygen needed for ETS

anemia reduces performance

O2 availability limits strenuous exercise

slowed by high ATP/ADP ratio
ATP synthesis >50%
in muscle during strenuous exercise when substrate level phosphorylation is most active
% energy retained during metabolism
0%
gastroesophageal reflux disease (GERD)
stomach contents leak backwards into esophagus from stomach; causes heartburn and other symptoms
cell affected abruptly by acute undernutrition
enterocytes
lignin
major noncarbohydrate dietary fiber
bile
produced by the liver; aids lipid digestion in the small intestine