Nutrient Review: The Energy Nutrients
                              Carbohydrates, Protein and Fat

Ingestion, Digestion, Absorption, Transport, Storage, Utilization, Excretion:
Physiology of the GIT; digestion in mouth and stomach, absorption primarily in small intestine.

Nutrients in the Cell: 
Energy: the capacity to do work. Energy in food is chemical energy -in body changed to mechanical, electrical and heat energy. In cell, C-H bonds break, combine with O2=CO2+H2O+ energy. If energy is not used from the CHO, protein or fat, body rearranges the molecules to form storage energy, glycogen and adipose tissue (fat). Energy food provides is measured in Kcalories in U.S.; in Europe in Kilojoules (calories X 4.18 = kilojoules).
How energy is used:


I. Carbohydrates ( ___  kcalories / gram)
 a. Definition: organic cmpds made up of C, H, and O. Two classifications: simple sugars (mono and disaccharides), and starches (complex CHO or polysaccharides). Recommend that _________ % of
calories come from CHO, and <_________of calories come from refined sugars.

    b. Structure and Functions: CHO are the primary energy source for the body; glucose is the body's preferred energy source. CHO are the major source of calories for the world's population.

        1. Monosaccharides: 1 CHO molecule
          ___________:

          _____________:

         _____________:

        2. Disaccharides: 2 CHO molecules

          _________:

          _________:

          _________:
          

        3. Polysaccharides: complex CHO, 
            polymers with a few hundred to a few thousand monosaccharides joined by glycosidic 
            linkages; can be straight or branched chains.
            3 most important for humans:
            _______: primarily long chains of interlocking glucose units; enzyme in small intestine hydroyzes
                           carbon chains to form glucose, absorbed and used in cells for energy.

            _______: storage form of glucose, in muscle and liver. Available during short fasts, sleep, and
                             athletes for top performance; Hydrolysis in cells releases glucose for energy.

            __________: polysaccharides unaffected  by cooking, mashing, chopping. Adults need 
                                   ______ g / day. 2 types:
                    1. Soluble - dissolves in water, produces a gel; slows glu absorption and may be
                                       helpful in treatment of DM, decrease risk of CVD. Sources: beans,oats, apples,
                                       gums, mucilages, broccoli, corn, oranges, potatoes, seaweeds, plant secretions,
                                       pectins, psyllium.

                    2. Insoluble - not digested, won't dissolve in water; increases stool bulk and decreases
                        transit time, so less opportunity for fecal mutagens to interact with intestinal epithelial c                      cells thus decreasing risk of cancer; prevents constipation and hemorrhoids, CVD.
                        Sources: cellulose, most hemicelluloses, lignan - plants such as wheat, rice bran, seeds,
                        nuts, whole grains, brown rice, vegetables and fruits.

                        Other Polysaccharides:
                        Alcohol:
__calories per gram,  or ___ calories per ml; toxic to brain and liver; can
                         easily be converted in the body to fat.

                        Sweetners: FDA tested as GRAS; sweetness varies with product; sugar alcohols:
                        sorbitol, xylitol, mannitol give 1.6-3 calories per gram; nonnutrive sweetners
                        no calories - saccharin, aspartame (NutraSweet) safe limit = to ____ cans soda/day.

II. Protein ____calories / gram; contain C, H, O, N, and sometimes minerals like _________..
     a. Definition: necessary for growth and maintenance of all body tissues; most abundant organic 
        molecule in the cells and fundamental for cell structure and function; used in blood transport
        of nutrients also. All proteins are constructed with a limited assortment of amino acids _______.
        __ amino acids are termed essential, since they cannot be produced in the body. Recommend 
        _________% of calories come from protein.

    b. Protein functions

        1. Growth of new tissue (muscle)

        2. Use as building material for maintenance and repair

        3. Essential for hormones and enzymes

        4. Essential in the formation of antibodies

        5. Essential for red blood cell production

        6. Provides energy:

    c. Protein digestion, absorption, transport; protein balance
        Proteins are broken down with enzymes (proteinases) in stomach and proximal small
        intestine; absorbed into blood stream into an amino acid pool. From here the AA are used
        for anabolism (tissue synthesis), or deaminated for energy or converted to fat or glycogen.
        Catabolism (tissue breakdown) occurs in illness, injury, starvation;
        N balance:
                          - N balance:
                          + N balance:

       d. Amino Acids, _____ in total
          1. A protein food that supplies all the essential (indespensible) amino acids in sufficient quantities i              is a Complete Protein. __ Essential Amino Acids: 

            phenylalanine, valine, tryptophan, isoleucine, methionine,  leucine, threonine, lysine, histadine

            3. Incomplete Proteins: food sources deficient in________________________AA 
                 Limiting Amino Acid: the AA that is lacking to make the plant food a complete protein
                 lysine (low in corn, cereal, sesame and sunflower seeds),
                methionine (low in legumes, nuts, soybeans, peanuts and greens)
                tryptophan (low in corn, legumes)

              4. Vegetarian Diets: make complete high quality protein by combining 2 or more
                    incomplete protein sources:
                    _________ + LEGUMES - rice and beans, lima beans and corn, dried peas and rice
                     ________  + GRAINS - oats and almonds, wheat and sesame seeds,  rice and 
                                                            pine nuts 
                    _________ + DAIRY-  cornflakes and milk, cheese and tortilla, crackers and cheese        

III.  Fats (___ kcalories / gram)

            1. Dietary Fat:    Recommend _______% of calories come from fat (children, ______%)
                < ____% of calories from saturated fat
                Unsaturated Fats: not all C bonds are "saturated" with H; liquid at room temp. (can
                determine degree of saturation by hardness at room temperature); fats and oils have
                varying degrees of saturation, not all saturated or unsaturated.

                    Provide concentrated sources of calories
                    Carries essential fatty acids and fat soluble vitamins for absorption
                    enhances the flavors of foods
                    provides sustained relief form hunger - satiety
                    tenderizes and adds moisture to foods, acts as emulsifier for sauces.

                A. Monounsaturated fats: 1 point of unsaturation; appear more heart healthy than
                    saturated fats. _________oil, olive oil, _________oil, some nuts (peanuts, cashews)

                B. Polyunsaturated fats: 2 or more points of unsaturation; ___________ oil, safflower oil,
                    ______ oil, soybean oil; may have free radical issues increased cancer risk in large amts
                    Essential fatty acids are PUFA:

                    1.(_________)  alpha-linolenic acid: needed for brain and nervous system development,
                        retina health, may prevent CVD; Used to synthesize EPA and DHA, essential for
                        premature infants (abundant in breast milk).
                        Sources: fatty cold water fish like veg oils like mackerel, sardines, tuna, trout, salmon,
                        soybean and canola oil, nuts, flax seed.

                    2. (_________) linoleic acid:  needed for cell membranes, hormone and skin formation
                        RBC; can synthesize arachadonic acid, which is needed for CNS and prostaglandins;
                        Sources: veg oils, meats, whole grains, leafy greens, seeds, nuts.
                            __________________ acid found in dairy products may play a role in cancer prevention

            C. Saturated Fats: solid at room temp; all C bonds are "saturated" with H; appear to raise
                blood cholesterol levels (LDL) and increase risk for CVD. Recommend less than_____% of
                    total calories from saturated fats.
                Sources: lard, ______ fat, ______ fat, butter, coconut oil, _______ oil

                b. Hydrogenation of vegetable oils: trans fatty acids:
                    Chemically saturate bonds with H to make liquid oils solid at room temp; 
                    stick margarine, hydrogenated vegetable shortenings, some peanut butters, 
                    commercial muffins, cookies, bagels, cakes, crackers, processed meals.
                    May increase risk for ____________ same as saturated fats.

            D. Dietary Cholesterol: Not as much emphasis in restriction to prevent CVD as in the 
                past. Sources: only from foods of ___________ origin, egg yolk, dairy and milk fat, butter,
                meat, fish and poultry

2. Body Lipids
   
a. made mostly of triglycerides, phospholipids and sterols; contain C, H, O,
        can contain P, N. Have less O than C and H, so more concentrated in adipose tissue
        and yield more energy; intregral part of cell membranes; serves as a cushion for internal
        organs, and provides body insulation from the cold. 

    b. Triglycerides: majority of body fat stores (adipose tissue) are in this form;


    c. Cholesterol: a sterol, part of estrogen, testosterone and bile;  major component
        of nerves and brain; needed to convert sunlight into Vitamin D in you skin, manufactured in
         the liver and all body cells; is transported in the body by LDL and HDL. Contains ____calories.