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you on the course so far. All input is appreciated. Voluntary and anonymous. Goto Assessments in WebCT. many thanks HSCI 100 HSCI 100 Human Biology Human Biology 2 Human Biology Human Biology you are what you eat and drink you are what you eat and drink Diet and nutrition Diet and nutrition 3 To understand diet and nutrition we To understand diet and nutrition we first have to understand nutrients first have to understand nutrients Nutrients are components of food that are needed to perform a physiological body function Nutrients include: 4 Nutrients include: Carbohydrates Proteins Lipids Minerals Vitamins We break down macronutrients and rebuild the macromolecules we need macronutrients micronutrients And we have to understand And we have to understand calories calories Officially it is a measure of heating capacity, but essentially it is a measure of energy yield upon combustion or oxidation Energy released in breaking down food molecules is typically in the form of electron transfer from one molecule to another molecule These electron transfers are known as redox reactions 5 These electron transfers are known as redox reactions When an electron is taken from a molecule it is oxidized and when a molecule accepts an electron it is reduced (remember LEO / GER) Oxygen is very good at taking away electrons (oxidizing agent) and is the ultimate acceptor of electrons in our metabolism Lipids have more electrons than carbohydrates and proteins and thus more energy to yield. About twice the number of calories per weight. Lets remember, we need food (~2,000 calories/day) to build new molecules, make some ATP, and do work. Discrete energy release from food Discrete energy release from food 6 http://tierneylab.blogs.nytimes.com/2010/02/19/science-rappers-return/ Carbohydrates Carbohydrates Preferred source of energy (fats/lipids next, then proteins) Complex carbohydrates (polysaccharides) are digested into simple sugars (mono- and disaccharides) that are an important energy source Monosaccharides: glucose, fructose, galactose Disaccharides: lactose, maltose, sucrose 7 Disaccharides: lactose, maltose, sucrose Polysaccharides: starches and grains Refined grains should be minimized in the diet because fiber and vitamins are removed (e.g. white bread, white rice, bleached flour, cake and cookies) Complex carbohydrates are recommended as a good source of fiber, vitamins and minerals (e.g. beans, whole-grain products, nuts and fruits) Is sugar bad for you? Is sugar bad for you? A Harvard study found a link between drinking more than one sugar-sweetened soda per day and diabetes American Heart Association found consuming sugar can increase triglycerides that may lead to atherosclerosis 8 increase triglycerides that may lead to atherosclerosis and heart disease Consuming refined sugar may decrease the ability of white blood cells to keep diseases at bay High, routine intake of sugar may lead to withdrawal symptoms and cravings for sugar much like an alcoholic http://www.nytimes.com/2011/04/17/magazine/mag-17Sugar-t.html?pagewanted=1&_r=1&hp Can carbohydrates be harmful? Can carbohydrates be harmful? Refined sugars and fructose sweeteners (e.g. the ever present high fructose corn syrup) may contribute to obesity Our bodies can convert excess carbohydrates to lipids, but cannot do the opposite These foods may cause the pancreas to secrete large amounts of 9 These foods may cause the pancreas to secrete large amounts of insulin which can lead to insulin insensitivity or resistance seen in Type 2 diabetes and leads to altered lipid and protein metabolism An increase in fat deposition may increase the risk of coronary heart disease, liver diseases and certain cancers Blood sugar level (= glycemic index, e.g. hypoglycemia/hyperglycemia) is normally carefully regulated by the body (via the production of insulin/glucagon by the pancreas) Why should we be concerned Why should we be concerned with obesity? with obesity? Has doubled in the US in the last 20 years, in Canada it has moved from about 15% to 25% in 20 years In the US > 1/3 of adults are obese and it is now prevalent in children and adolescents 10 in children and adolescents Is associated with in increased risk of premature death, Type 2 diabetes, hypertension, heart disease, stroke, gallbladder disease, respiratory dysfunction, osteoarthritis and certain cancers Large burden on medical and health administration systems How can you reduce high How can you reduce high--glycemic index glycemic index carbohydrates? carbohydrates? 11 Lactose tolerance = Lactose tolerance = Lactase persistence Lactase persistence The ability to digest lactose into adulthood Normally, mammals are weaned off of breastmilk and the lactase enzyme gene (LCT) is turned off Lactase non-persistence (or lactose intolerance) is the 12 Lactase non-persistence (or lactose intolerance) is the ancestral trait The theory is that the new trait keeping the lactase gene on arose as an adaptation to animal domestication and drinking milk + Food value (protein, fat, carbohydrates) + Calcium content + Water content - Undigested lactose leads to water loss and diarrhea - Lactose fermented by GI bacteria produces gas and bloating Proteins Proteins Ingested proteins are digested into 20 different amino acids which are used to produce our own cellular proteins Essential amino acids are the 9 amino acids that must be obtained through diet (the other ones we can synthesize ourselves) Complete proteins that have all essential amino acids are usually derived 13 Complete proteins that have all essential amino acids are usually derived from animals (meat and dairy group) Non-animal sources of complete proteins are legumes, nuts, tofu, soymilk and other processed food from soybeans Incomplete proteins (i.e. legumes, nuts, grains etc) are ones that lack at least one essential amino acid and need to be combined with another incomplete protein to allow all amino acids to be used in the body Amino acids cannot be stored in the body, thus small amounts (no more than 2 protein servings) only need to be ingested on a daily basis Can proteins be harmful? Can proteins be harmful? An overabundance of protein can result in dehydration during exercise and sweating An overabundance of proteins can lead to 14 An overabundance of proteins can lead to calcium loss in urine which can lead to kidney stones Eating red meat as a source of protein is high in saturated fats/cholesterol that can lead to atherosclerosis and coronary artery disease Lipids Lipids Includes fats, oils and cholesterol Saturated fats (usually of animal origin) are usually solid at room temperature while unsaturated fats are usually liquid at room temperature Essential fatty acids are ones that must be ingested because our body cannot make them. They include linoleic acid and linolenic 15 Essential fatty acids are ones that must be ingested because our body cannot make them. They include linoleic acid and linolenic acid (these can be found in polyunsaturated oils such as corn and safflower oil). Deficits are rare Olive and canola oil contain more monounsaturated fats Omega-3 fatty acids are thought to ward off heart disease are found in some fish (salmon, sardines and trout) as well as some plants (flaxseed oil) Structure of the fatty acid family Structure of the fatty acid family 16 DHA Polyunsaturated fats What are What are lipids used lipids used for? for? 17 Cell membranes Energy Hormones Insulation Protection Choosing the most healthy fat and oil Choosing the most healthy fat and oil 18 Atherosclerosis Cardiovascular disease (CVD) Obesity Is fat bad for you? Is fat bad for you? 19 Obesity related to various negative health outcomes complex determinants Liver dysfunction Linked to cancer Can lipids be harmful? Can lipids be harmful? CVD is often a result of arteries blocked by plaque made of cholesterol and saturated fats (atherosclerosis or hardening of the arteries) Low density lipoproteins (LDL) is the bad cholesterol because it carries cholesterol from the liver via the bloodstream to the cells LDL is increased by saturated fats and decreased by unsaturated fats 20 LDL is increased by saturated fats and decreased by unsaturated fats High density lipoproteins (HDL) is the good cholesterol because it carries cholesterol to the liver where it is converted to bile salts and keeps it out of the blood Trans-fatty acids are made by hydrogenation of unsaturated fatty acids for commercial products (they last longer on the shelf) and may reduce the ability of cells to clear cholesterol from the bloodstream Understanding fats when reading Understanding fats when reading a nutrition label a nutrition label Recommendation for total amount of fat for a 2,000 calorie/day diet is 65g Be sure to know how 21 Be sure to know how many servings there are A % DV of 5% or less is low and 20% or more is high Try to avoid trans-fats Would you eat the food on the right? Why or why not? How can you reduce bad fats and How can you reduce bad fats and cholesterol in your diet? cholesterol in your diet? 22 Q Q which is the least oxidized and has which is the least oxidized and has the most electrons? the most electrons? 23 A = monosaccharide C = amino acid B = fatty acid break break 24 Minerals: additional elements Minerals: additional elements needed by the body needed by the body The body contains > 5g of each major mineral and < 5g of each trace mineral Major minerals make up components of cells, 25 Major minerals make up components of cells, body fluids and tissues (e.g. calcium) Minor minerals are components of larger molecules (i.e. iron in hemoglobin) A varied and complete diet usually provides necessary minerals 26 Calcium Calcium Needed to make bone and essential for nerve impulse conduction and muscle contraction 1,000mg/day are recommended to keep bones healthy early in life and 1,300mg/day after 27 healthy early in life and 1,300mg/day after menopausal age Vitamin D is needed to promote calcium absorption in the gut to prevent or reduce bone loss (osteoporosis) Sodium Sodium Needed for regulating water balance 500mg/day is the recommended amount (on average each American takes in 4,000 to 5,000mg/day!!!) 28 5,000mg/day!!!) Sodium can increase hypertension in people who already have it (remember it is an osmotically active solute: where the salt goes so does the water) http://www.nytimes.com/2010/02/23/science/23tier.html?ref=nutrition How can you reduce How can you reduce your sodium intake? your sodium intake? 29 Vitamins Vitamins Organic compounds (not classified as proteins, fats or carbohydrates) used for metabolism, but are not produced in high enough quantity by the body itself 30 Vitamins are often enzyme helpers (coenzymes, cofactors) There are a total of 13 vitamins fat-soluble water soluble Fat Fat--soluble vitamins soluble vitamins 31 Water Water--soluble vitamins soluble vitamins 32 Antioxidants Antioxidants Are chemicals that decrease the rate of oxidation or transfer of electrons Vitamin A, C, and E are considered antioxidants 33 Vitamin A, C, and E are considered antioxidants because they are thought to defend the body against free radicals: chemicals that can transfer electrons and damage cells These vitamins are common in fruits and vegetables A guide to daily food recommendations A guide to daily food recommendations http://www.hc-sc.gc.ca/fn-an/index-eng.php 34 new USDA pyramid Supplements Supplements Licensed natural health products Myriad of substances, including vitamins, minerals, amino acids, fatty acids, herbs/plants and their extracts, probiotics, traditional and homeopathic medicines, etc. Considered safe and do not require a prescription 35 Considered safe and do not require a prescription Should have an eight digit natural health product number (NHN) or drug identification number homeopathic medicine (DIN-HM) http://www.hc-sc.gc.ca/dhp-mps/prodnatur/index- eng.php http://webprod.hc-sc.gc.ca/nhpid-bdipsn/search- rechercheReq.do Any product taken at a sufficient quantity can be a poison. Any product taken at a sufficient quantity can be a poison. What is obesity and BMI? What is obesity and BMI? When an individual is grossly overweight and has a body mass index (BMI) 30 BMI is a general guide to estimate how much of 36 BMI is a general guide to estimate how much of a persons weight is due to adipose tissue (fat) BMI = weight (kg) / height (m 2 ) It does not take into account gender, fitness or bone structure and it does not actually measure fat or adipose tissue What is your BMI? What is your BMI? 37 Eating disorders Eating disorders Anorexia nervosa - psychological disorder due to fear of getting fat and usually results in self-induced starvation, high physical activity and may include purging Bulimia nervosa - disorder in which people eat large amounts of high-calorie food (binge-eating) followed by purging to avoid weight 38 high-calorie food (binge-eating) followed by purging to avoid weight gain often more than once a day Binge-eating disorder - obese people are afflicted in which overeating is not followed by purging that can lead to depression, anger, anxiety and more binges Muscle dysmorphia - characterized by people that think their bodies are underdeveloped and are often preoccupied with body-building activities and diet Eating disorders are associated Eating disorders are associated with body image with body image 39 Relationship between GI flora and Relationship between GI flora and eating eating 40 Health focus: Searching for the magic Health focus: Searching for the magic weight weight--loss bullet loss bullet Trendy diet programs beware of fads! Pritikin diet: high carbohydrate and fiber diet through whole grains and vegetables lacks healthy fats Atkins: low-carbohydrate and high protein and fat diet overworks kidneys (high nitrogen waste from protein) Zone and South beach diet: low carbohydrate with a high protein and healthy fat diet in specific ratios 41 Prescription, OTC and other suspect drugs Appetite suppressants Fat digestion or absorption blockers Adrenaline/epinephrine-like substances or related stimulants Surgical procedures Gastroplasty: stapling or partitioning of a small portion of the stomach Gastric banding: a constriction band is used to reduce stomach size Gastric bypass: attaching the lower part of the small intestine to the stomach so most of the food bypasses the stomach and small intestine Liposuction: removal of fat cells; best used for overweight people that are not obese or morbidly obese http://blogs.sfu.ca/services/thedish/ 42 if its so bad for us, then why do if its so bad for us, then why do we crave it so? we crave it so? The thrifty genotype hypothesis The thrifty genotype hypothesis Formulated in 1962 by James Neel Insulin hormone system is a rapid response to hyperglycemia, leading to effective glucose removal from blood and tissue storage (e.g. glycogen in liver and muscles) for times of need Our diets now have near constant supply of sugar and insulin resistance can develop leading to diabetes (type 2 diabetes or non-insulin dependent diabetes mellitus NIDDM) Is rapid change to a Western or carbohydrate- and lipid-rich diet 43 Is rapid change to a Western or carbohydrate- and lipid-rich diet responsible for the increase incidence of diabetes? A similar proposal has been put forth to explain sodium retention (lost through sweating) and increase in hypertension (high blood pressure) in African Americans Are there certain populations with a more thrifty genotype than others? The evidence has been sparse and there is the potential to label or bias populations with these generalizations Has led to the caveman, stone age or paleolithic (NeanderThin!) diet fads: i.e. returning to the hunter-gatherer-like diet of our ancestors as opposed to the calorie-rich diet we are now offered in many places My tips My tips Eat a variety of foods Eat seasonal or fresh foods Eat whole foods avoid processed foods Eat home cooked meals Eat sensible portions Drink mostly water 44 Drink mostly water Avoid fads and advertisements Exercise and play http://www.nytimes.com/2010/02/02/health/02brod.html?em http://www.nytimes.com/2011/02/01/business/01food.html?ref=nutrition http://well.blogs.nytimes.com/2012/02/22/how-exercise-fuels-the-brain/ Questions? Questions? 45