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171 Cards in this Set

  • Front
  • Back
Water makes up how much of an adult's body weight?
60%`
How much of lean tissue is water? fat?
3/4
1/4
Water weight is mostly dependent on .....
body composition
Water balance
intake= output
What happens to the blood when water intake is low?
the blood becomes concentrated (having lost water but not the dissolved substances in it)
What happens when water intake becomes excessive?
the stomach expands and stretch receptors send signals to stop drinking
List the symptoms of water intoxication
confusion, convulsions, and death
Excess water intake contributes to what disorder? How many liters of water are needed to get this disorder?
hyponatremia - too little sodium in the blood

10-20 L

*abundant in endurance athletes
What is the recommended amount of water ingestion?
1-1.5 L
Which type of food contains the most amount of water?
fruits and vegetables (90%)
meats and cheeses (50%)
_______ brain center controls activities such as maintenance of water balance, regulation of body temperature, and control of appetite
hypothalamus
How much urine must the body excrete each day? What is this called?
500 mL (2 cups)

Obligatory water excretion
Water needs vary depending on what 4 factors?
diet
activity
environmental temperature
humidity
Give the AI total water intake for men and women
men- 3.7L/day
women- 2.7 L/day
What two substances act as diuretics in the body?
caffeine and alcohol
Mild dehydration interferes with.....
concentration
alertness
short-term memory
Ions in hard water
calcium and magnesium
Ions in soft water
sodium or potassium
Soft water with sodium ________ hypertension and heart disease while hard water may _______ these conditions.
aggravate
benefit
_____ maintain blood volume, in turn influencing blood pressure.
fluids
What structure of the body is central to the regulation of blood volume and blood pressure?
the kidneys
ADH is secreted by what structure of the body?
pituitary gland
What does ADH do?
water-conserving hormone.
whenever blood volume or blood pressure falls too low, or extracellular fluid becomes too concentrated, ADH stimulates the kidneys to reabsorb water.
Cells in the kidneys respond to low blood pressure by releasing the enzyme ______.
renin
What does renin do?
causes the kidneys to reabsorb sodium- accompanied by water retention
What does angiotensin do? What hormone aids in the conversion to its active form?
vasoconstricton, thus raising BP

renin
Aldosterone is secreted from what structure in the body?
adrenal gland
What does aldosterone do? Which hormone stimulates its release?
sodium reabsoprtion

angiotensin
What substance depresses ADH ?
alcohol
Since ADH elevates BP, it is also called...
a vasopressin
Too much sodium causes....
water retention, and a rise in BP or swelling in the interstitial spaces
Maintaining a balance of about ____ of the body fluids inside the cells and ____ outside of the cell is vital to the life of cells.
2/3
1/3
Electrolyte
salts that disassociate into ions
How much are the positive charged inside the cells? the negative charges outside of the cell?
202
155
Electrolytes attract water. But the water molecule has a charge of zero. How does this attraction occur?
the oxygen side of the molecule has a slight negative charge while the hydrogen side has a slight positive charge both attracting clusters of water
Name the electrolytes that reside inside of the cell? outside of the cell?
inside- K+, Mg+, P
outside- Na+, Cl-
Osmosis
The movement of water across a membrane toward the more concentrated solutes
Osmotic pressure
The amount of pressure needed to prevent the movement of water across a membrane
What is the role of a protein in fluid balance?
attracts water and helps to regulate the fluid of movement
What is the role of the transport protein specifically?
regulates the passage of positive ions across the cell membrane
Sodium-Potassium pump
exchanges sodium for potassium across the cell membrane, regulating the flow of fluids and ions in and out of the cell
Where does regulation chiefly occur?
GI tract and kidneys
Vomiting and/or diarrhea facilitates the loss of what electrolyte?
sodium
Oral Rehydration Therapy
1/2 L boiling water
4 tsps of sugar
1/2 tsp of salt

treats dehydration
How is the acidity of the body determined?
by the concentration of hydrogen ions
List the three systems that defend the body against the fluctuations in pH
buffers in blood, respiration in lungs, and excretion in kidneys
List the steps in the energy metabolism of carbon dioxide
carbon dioxide --> carbonic acid--> disassociates to form bicarbonate ions plus H+
Compensation mechanism of a low pH (acidosis/too much H+/too acidic)
respiration rate increases (hyperventilation), increasing CO2-in turn, lowering the carbonic acid
Compensation mechanism of a high pH
(alkalosis/H+ is removed/too basic)
respiration rate decreases, CO2 is retained forming carbonic acid
Major minerals are name don the basis of...
in the presence and by the fact that they are needed in larger amounts in the body
Minerals are organic or inorganic?
inorganic

does not contain carbon and they always retain their chemical identity
List the three key fluid balance nutrients
sodium, potassium and chloride
Components of salt
sodium chloride
Sodium
-principal cation of the extracellular fluid
and primary regulator of its volume
-maintains acid-base balance
-essential to nerve impulse transmission and muscle contraction
Upper level of sodium for adults
2300 mg per day
People most likely to have salt sensitivity
-parents with high BP
-chronic kidney disease
-diabetes (african-americans, people over 50)
Daily recommended intake of salt?
1 tsp
DASH
Dietary Approaches to Stop Hypertension

lowers blood pressure, emphasizing fruits, vegetables, and low-fat milk products
An intake high in salt is also associated with increased ____ secretion
calcium
Why are salt tablets not recommended for a sodium deficiency?
too much salt causes dehydration
List the immediate symptoms of acute sodium toxicity
edema and hypertension
Chloride
major anion in extracellular fluid

*occurs mostly in association with sodium
Potassium
body's principal intracellular cation
Richest sources of potassium
fresh foods
Effect of low potassium intake?
elevated blood pressure
How is potassium deficiency characterized?
-increased blood pressure
-salt sensitivity
-kidney stones
-bone turnover
Calcium
most abundant mineral in the body
2 roles of calcium
bone structure and serves as a calcium bank
Hydroxyapatite
crystals made of calcium and phosphate (basis of bone structure)
Calcium in intracellular fluids bind to proteins within the cells and activates them. What do these cells do?
participate in muscle contractions, transmission of nerve impulses, secretion of hormones, and the activation of some enzymes reactions
The higher the calcium intake, the _____ the body fatness
lower
Calcium homeostasis involves......
a system of hormones and vitamin D
These organ system respond when calcium falls too low or rises too high
intestines, bones and kidneys
Two hormones that aid in returning calcium to normal
parathyroid hormone
calcitonin
Blood calcium changes only in response to....
abnormal regulatory control, not diet
Calcium rigor
blood calcium above normal -muscles contract and cannot relax
Calcium tetany
blood calcium below normal- muscles contract and cannot relax
What causes calcium tetany and rigor?
a lack of vitamin D or by abnormal secretion of the regulatory hormones
NOT calcium
What is the role of stomach acidity and vitamin D in calcium?
stomach acidity helps to keep calcium soluble
vitamin D helps to make the calcium-binding protein for absorption (whenever calcium is needed)
Two binders that interfere with calcium absorption
phytate and oxalate
How are calcium recommendations made?
based on the amount needed to retain the most calcium in bones
Calcium recommendations
1300 mg- adolescents to 18 years
1000mg- 19 and 50
1200mg- after 50
Alternate food sources of calcium
tofu, corn tortillas, some nuts (almonds), and some seeds (sesame seeds)
Food that contains calcium binders
spinach
Bone loss begins primarily during what ages?
between 30 and 40
How many people does osteoporosis effect?
44 million people in the US, mostly older women
Phosphorus
-in hydroxyapatite (bone formation)
-buffer system of phosphoric acid and its salts
-part of DNA and RNA and is necessary for all growth
-assists in energy metabolism
Food sources of phosphorus
foods rich in proteins

milk and cheese
Magnesium
-over half of the body's magnesium is in bones
-reservoir to normal blood concentrations
-necessary for energy metabolism
Major role of magnesium
act as a catalyst in the reaction that adds the last phosphate to the high energy compound-ATP
Together with calcium, magnesium is involved in......
blood clotting and muscle contraction

calcium PROMOTES the processes, magnesium INHIBITS them
Magnesium supports the normal functioning of the _______ system
immune
Food sources of magnesium
legumes, seeds, and nuts
How does magnesium deficiency develop?
-alcohol abuse
-protein malnutrition
-kidney disorders
-prolonged vomiting and diarrhea
Effect of magnesium deficiency
impairs central nervous system activity and may be responsible for the hallucinations experienced during alcohol withdrawal
How does the body receive sulfate? What is its role?
from the amino acids methionine and cysteine

stabilizes protein structure
Trace materials contents of foods depend on....
soil and water composition and how the foods are processed
What is the most common result of a deficiency in children?
failure to grow
List two ionic states of Iron
Ferrous iron- reduced state
Ferric iron- oxidized state

*Iron can serve as a cofactor to enzymes involved in oxidation-reduction reactions
Electron Transport Chain
carries transfer hydrogens and electrons to oxygen, forming water and in the process ATP
Most of the body's iron is found in two proteins. Name them
hemoglobin in RBC
myoglobin in muscle cells
Iron helps accept, carry, and then release....
oxygen
This transports iron to the rest of the body
blood transferrin
How often are intestinal cells replaced?
every 3-5 days
Iron occurs in two forms in foods. Name them and its food sources
heme iron-found only in foods derived from the flesh of animals

non-heme iron- plant and animal derived foods
MFP factor
promotes the absorption of nonheme iron from other foods consumed in the same meal
List two factors that enhance nonheme iron absorption
MFP factor
Vitamin C (ascorbic acid)
Factors that inhibit nonheme factors
-phytates (legumes, grains and rice)
-vegetable proteins
-calcium
-tannic acid
When multiple meals are analyzed together, three factors appear to be most prevalent. Name them
MFP and vitamin C as enhancers; phytates as inhibitors
What three factors does iron absorption depend on?
-health of individual
-stage in life cycle
-iron status
Where is surplus iron stored?
protein ferritin, primarily in the liver, but also in the bone marrow and spllen
Hemosiderin
occurs from high iron concentrations, storage protein primarily made in times of iron overload
How long does the average blood cell live?
4 months
Hepicidin
produced bu the liver, helps to maintain blood iron within the normal range by inhibiting absorption from the intestines and transport out of storages as needed
Most common nutrient deficiency
iron deficiency

*affects 1.2 billion people
What group, specifically, are most prone to iron deficiency? Why?
women in their productive years

repeated blood losses during menstruation
Explain the three stages of iron deficiency
-iron stores diminish
-transport iron decreases
-hemoglobin production declines
Name the hemoglobin precursor
erythrocyte protoporhyrin
Iron deficiency
depleted body iron stores without regard to the degree of depletion
Iron deficiency anemia
severe depletion of iron stores that results in a low hemoglobin concentration

*RBCs are hypochronic (pale) and microcytic (small)
Poor resistance to cold temperatures is a sign of what disorder?
iron deficiency
In anemia, people feel fatigue.....
only when they exert themselves
List the typical behavior of someone with iron deficiency
they appear unmotivated, apathetic and are less physically fit
Pica
an appetite for ice, clay, paste, and other nonfood substances
Hemochromatosis
iron overload disorder caused by a genetic failure to prevent uneeded iron in the diet from being absorbed

*caused by the absence of hepcidin
*most common genetic disorder in the US
What group does iron overload most affect?
men
Iron is linked with cancer because of its...
free radical activity, which damages DNA
Upper level of Iron
45 mg
Leading cause of accidental poisoning in children
iron-containing supplements
How much iron is recommended for women in their productive years?
18 mg
For maximum absorption of nonheme iron, what foods should be consumed?
meat for MFP factor
vegetables for Vitamin C
What are contamination irons?
iron found in foods as the result of contamination by inorganic iron salts from iron cookware, soils and the like
When taking supplements, when is absorption most improved?
taken between meals, at bedtime on an empty stomach
Why is there no benefit to take Vitamin C with supplements?
Vitamin C does not enhance absorption from supplements as it does from foods
List a common side effect or iron supplementation
constipation
Where are the highest concentrations of zinc found in the human body
muscle and bone
Metalloenzymes
involved in a variety of metabolic processes, including gene regulation and metabolism.

*metallothionein regulates zinc absorption
Enteropancreatic circulation
the recycling of zinc in the body from the pancreas to the intestine and back
What is zinc's main transport vehicle in the blood?
albumin
Zinc inhibits _____ absorption
iron
Zinc deficiency directly impairs ______ metabolism
Vitamin A
Iodine and Iodide
Iodine refers to the nutrient in foods
Iodide to what it becomes in the body
Iodide in an integral part of what hormones? What does this hormone do?
thyroid hormones

regulates metabloic rate, body temp, reproduction, growth, etc
What hormone does the thyroid gland release?
thyroxine
How does the hypothalmus regulate thyroid hormone production?
by controlling the release of PTH (pituitary thyroid-stimulating hormone)
Goiter is associated with Iodine deficiency. This is due to the consumption of foods with the antithyroid substance___in them.
goitrogen
Cretinism
congenital disease characterized by mental and physical retardation caused by maternal iodine deficiency during pregnancy
What is the Upper Level of iodine toxicity?
110 mg
What is the world's major source of iodine?
ocean
Selenium works primarily as a part of what two proteins?
glutathione and peroxidase

*work in tandem with vitamin E
Where is Selenium found?
in the soil, crops grown for consumption
What are the effects of Selenium toxicity?
loss and brittleness of hair and nails, garlic breath, odor and nervous system abnormalities
Two disorders that affect copper status
Menkes disease- intestinal cells absorb copper but can not release it

Wilson's disease- copper accumulates in the liver and brain
Manganese
acts as a cofactor for many enzymes that facilitate the metabolism of carbs, lipids, and amino acids

*metalloenzymes assist in bone formation and conversion of pyruvate to a TCA cycle compound
What two ions limit manganese absorption?
iron and calcium
How is a manganese toxicity most likely to occur?
from an environment contaminated with manganese rather than dietary intake
List the nation' s most widespread health problem
dental caries
When does flurosis occur?
during tooth development
List foods that contain fluoride
water (w/flouride), fish and most reas
Chromium
helps maintain glucose homeostasis by enhancing the activity of the hormone insulin
What are the best food sources of Chromium?
unrefined foods, particularly liver, brewer's yeast and whole grains
Most notable effect of containment minerals
causes irreversible damage to the CNS
Key antioxidants nutrients
vitamin C, vitamin E, beta-carotene, and Selenium
List the containment minerals
heavy metals, lead, mercury, and cadmium
Chelating agents
medications that bind specifically to lead and carry it out in the urine
Why are heavy metals bad for the body?
They interfere with nutrients that are trying to do their jobs
Functional foods
foods that maintain health and prevent disease
Physiological effects of phytochemicals
antioxidants, mimic hormones, suppress diseases
Lycopene
powerful antioxidant that inhibits the growth of cancer cells
Flavonoids
antioxidant that protects aganist LDL and reduce blood clots
Phytosterols reduce cholesterol. Give 3 other examples of functional foods
cranberries protect against UTIs
-garlic lowers blood cholesterol
-tomatoes protect against some cancer