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Understanding Nutrition 14th Edition Whitney Solutions Manual Download
Understanding Nutrition 14th Edition Whitney Solutions Manual Download
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Chapter 6-2
Glossary
Chapter Key Terms
➢ acidosis (assi-DOE-sis): higher-than-normal acidity in the blood and body fluids.
➢ acids: compounds that release hydrogen ions in a solution.
➢ alkalosis (alka-LOE-sis): higher-than-normal alkalinity (base) in the blood and body fluids.
➢ amino (a-MEEN-oh) acids: building blocks of proteins. Each contains an amino group, an acid group, a
hydrogen atom, and a distinctive side group, all attached to a central carbon atom.
o amino = containing nitrogen
➢ amino acid pool: the supply of amino acids derived from either food proteins or body proteins that collect
in the cells and circulating blood and stand ready to be incorporated in proteins and other compounds or
used for energy.
➢ ammonia: a compound with the chemical formula NH3; produced during the deamination of amino acids.
➢ antibodies: large proteins of the blood and body fluids, produced by the immune system in response to the
invasion of the body by foreign molecules (usually proteins called antigens). Antibodies combine with and
inactivate the foreign invaders, thus protecting the body.
➢ antigens: substances that elicit the formation of antibodies or an inflammation reaction from the immune
system. A bacterium, a virus, a toxin, and a protein in food that causes allergy are all examples of antigens.
➢ bases: compounds that accept hydrogen ions in a solution.
➢ branched-chain amino acids: the essential amino acids leucine, isoleucine, and valine, which are present
in large amounts in skeletal muscle tissue; falsely promoted as fuel for exercising muscles.
➢ buffers: compounds that keep a solution’s pH constant when acids or bases are added.
➢ collagen (KOL-ah-jen): the structural protein from which connective tissues such as scars, tendons,
ligaments, and the foundations of bones and teeth are made.
➢ complementary proteins: two or more dietary proteins whose amino acid assortments complement each
other in such a way that the essential amino acids missing from one are supplied by the other.
➢ deamination (dee-AM-ih-NAY-shun): removal of the amino (NH2) group from a compound such as an
amino acid.
➢ denaturation (dee-NAY-chur-AY-shun): the change in a protein’s shape and consequent loss of its
function brought about by heat, agitation, acid, base, alcohol, heavy metals, or other agents.
➢ dipeptide (dye-PEP-tide): two amino acids bonded together.
o di = two
o peptide = amino acid
➢ edema (eh-DEEM-uh): the swelling of body tissue caused by excessive amounts of fluid in the interstitial
spaces; seen in protein deficiency (among other conditions).
➢ enzymes: proteins that facilitate chemical reactions without being changed in the process; protein catalysts.
➢ essential amino acids: amino acids that the body cannot synthesize in amounts sufficient to meet
physiological needs. conditionally essential amino acid: an amino acid that is normally nonessential, but
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Chapter 6-3
must be supplied by the diet in special circumstances when the need for it exceeds the body’s ability to
produce it.
➢ fluid balance: maintenance of the proper types and amounts of fluid in each compartment of the body
fluids (see also Chapter 12).
➢ gene expression: the process by which a cell converts the genetic code into RNA and protein.
➢ hemoglobin (HE-moh-GLO-bin): the globular protein of the red blood cells that transports oxygen from
the lungs to tissues throughout the body; hemoglobin accounts for 80 percent of the body’s iron.
o hemo = blood
o globin = globular protein
➢ high-quality proteins: dietary proteins containing all the essential amino acids in relatively the same
amounts that human beings require. They may also contain nonessential amino acids.
➢ immunity: the body’s ability to defend itself against diseases (see also Chapter 18).
➢ keto (KEY-toe) acid: an organic acid that contains a carbonyl group (C5O).
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Chapter 6-4
➢ limiting amino acid: the essential amino acid found in the shortest supply relative to the amounts needed
for protein synthesis in the body. Four amino acids are most likely to be limiting:
o Lysine
o Methionine
o Threonine
o Tryptophan
➢ matrix (MAY-tricks): the basic substance that gives form to a developing structure; in the body, the
formative cells from which teeth and bones grow.
➢ neurotransmitters: chemicals that are released at the end of a nerve cell when a nerve impulse arrives
there. They diffuse across the gap to the next cell and alter the membrane of that second cell to either
inhibit or excite it.
➢ nitrogen balance: the amount of nitrogen consumed (N in) as compared with the amount of nitrogen
excreted (N out) in a given period of time.
➢ nonessential amino acids: amino acids that the body can synthesize.
➢ pepsin: a gastric enzyme that hydrolyzes protein. Pepsin is secreted in an inactive form, pepsinogen, which
is activated by hydrochloric acid in the stomach.
➢ peptidase: a digestive enzyme that hydrolyzes peptide bonds. Tripeptidases cleave tripeptides;
dipeptidases cleave dipeptides. Endopeptidases cleave peptide bonds within the chain to create smaller
fragments, whereas exopeptidases cleave bonds at the ends to release free amino acids.
o tri = three
o di = two
o endo = within
o exo = outside
➢ peptide bond: a bond that connects the acid end of one amino acid with the amino end of another, forming
a link in a protein chain.
➢ polypeptide: many (10 or more) amino acids bonded together.
o poly = many
➢ proteases (PRO-tee-aces): enzymes that hydrolyze protein.
➢ protein digestibility: a measure of the amount of amino acids absorbed from a given protein intake.
➢ protein turnover: the degradation and synthesis of protein.
➢ proteins: compounds composed of carbon, hydrogen, oxygen, and nitrogen atoms, arranged into amino
acids linked in a chain. Some amino acids also contain sulfur atoms.
➢ reference protein: a standard against which to measure the quality of other proteins.
➢ serotonin (SER-oh-TONE-in): a neurotransmitter important in sleep regulation, appetite control, and
sensory perception, among other roles. Serotonin is synthesized in the body from the amino acid tryptophan
with the help of vitamin B6.
➢ sickle-cell anemia: a hereditary form of anemia characterized by abnormal sickle- or crescent-shaped red
blood cells. Sickled cells interfere with oxygen transport and blood flow. Symptoms are precipitated by
dehydration and insufficient oxygen (as may occur at high altitudes) and include hemolytic anemia (red
blood cells burst), fever, and severe pain in the joints and abdomen
➢ transamination (TRANS-am-ih-NAY-shun): the transfer of an amino group from one amino acid to a keto
acid, producing a new nonessential amino acid and a new keto acid.
➢ transcription: the process of messenger RNA being made from a template of DNA.
➢ translation: the process of messenger RNA directing the sequence of amino acids and synthesis of
proteins.
➢ tripeptide: three amino acids bonded together.
o tri = three
➢ urea (you-REE-uh): the principal nitrogen-excretion product of protein metabolism. Two ammonia
fragments are combined with carbon dioxide to form urea.
➢ whey protein: a by-product of cheese production; falsely promoted as increasing muscle mass. Whey is the
watery part of milk that separates from the curds.
Nutritional Genomics Terms
➢ chromosomes: structures within the nucleus of a cell made of DNA and associated proteins. Human beings
have46 chromosomes in 23 pairs. Each chromosome has many genes.
➢ DNA (deoxyribonucleic acid): the double helix molecules of which genes are made.
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Chapter 6-5
➢ epigenetics: the study of heritable changes in gene function that occur without a change in the DNA
sequence.
➢ gene expression: the process by which a cell converts the genetic code into RNA and protein.
➢ genes: sections of chromosomes that contain the instructions needed to make one or more proteins.
➢ genetics: the study of genes and inheritance.
➢ genomics: the study of all the genes in an organism and their interactions with environmental factors.
➢ human genome (GEE-nome): the complete set of genetic material (DNA) in a human being.
➢ methylation: the addition of a methyl group (CH3).
➢ microarray technology: research tools that analyze the expression of thousands of genes simultaneously
and search for particular gene changes associated with a disease. DNA microarrays are also called DNA
chips.
➢ mutations: permanent changes in the DNA that can be inherited.
➢ nucleotide bases: the nitrogen containing building blocks of DNA and RNA—cytosine (C), thymine (T),
uracil (U), guanine (G), and adenine (A). In DNA, the base pairs are A–T and C–G and in RNA, the base
pairs are A–U and C–G.
➢ nucleotides: the subunits of DNA and RNA molecules, composed of a phosphate group, a 5-carbon sugar
(deoxyribose for DNA and ribose for RNA), and a nitrogen-containing base.
➢ nutritional genomics: the science of how nutrients affect the activities of genes (nutrigenomics) and how
genes affect the activities of nutrients (nutrigenetics).
➢ phenylketonuria (FEN-il-KEY-toe- NEW-ree-ah) or PKU: an inherited disorder characterized by failure
to metabolize the amino acid phenylalanine to tyrosine.
➢ proteome: all proteins in a cell. The study of all proteins produced by a species is called proteomics.
➢ RNA (ribonucleic acid): a compound similar to DNA, but RNA is a single strand with a ribose sugar
instead of a deoxyribose sugar and uracil instead of thymine as one of its bases.
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Chapter 6-6
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Chapter 6-7
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Chapter 6-8
2. Heart Disease
a. Foods high in animal protein also tend to be high in saturated fat
b. Homocysteine levels increase cardiac risks
c. Arginine may protect against cardiac risks
3. Cancer – A high intake of animal protein is associated with some cancers
4. Adult Bone Loss (Osteoporosis)
a. High protein intake associated with increased calcium excretion
b. Inadequate protein intake affects bone health also
c. Ratio of calcium intake to protein intake may determine whether Ca loss is significant
5. Weight Control
a. High-protein foods are often high-fat foods
b. Protein at each meal provides satiety
c. Adequate protein, moderate fat, and sufficient carbohydrate better support weight loss
6. Kidney Disease
a. High protein intake increases the work of the kidneys
b. Does not seem to cause kidney disease
B. Recommended Intakes of Protein IM WS 6-3; Website HN 6-2
1. 10-35% energy intake
2. Protein RDA - 0.8 g/kg/day for most adults
3. Adequate Energy
a. Must consider energy intake
b. Must consider total grams of protein
C. From Guidelines to Groceries IM CA 6-3
1. Protein Foods
a. One ounce of protein food equals 7 grams of protein
b. 20% seafood
c. 70% meat, poultry, and eggs
d. 10% nuts, seeds, and legumes
2. Milk and Milk Products – 1 cup = ~8 g
3. Fruits, Vegetables, and Grains – Small amounts in vegetables and grains
D. Read Food Labels
1. Explain how to read the protein content on a food label
2. %DV represents quantity and quality
E. Protein and Amino Acid Supplements IM CS 6-2, CA 6-4
1. Many reasons for supplements
2. Protein Powders – Protein powders have not been found to improve athletic performance
a. Whey protein
3. Amino Acid Supplements – Amino acid supplements have no proven benefits for healthy people and
may be harmful
a. Branched-chain amino acids
b. Lysine
c. Tryptophan
VI. Highlight: Nutritional Genomics (Figure H6-1)
A. A Genomics Primer – Define and explain:
1. DNA (Figure H6-2)
2. Chromosomes
3. Nucleotide bases
4. RNA
5. Nucleotide
6. Gene expression (Figure H6-3)
7. Microarray technology
8. Epigenetics – Nutrients are involved in activating or suppressing genes without altering the gene itself
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Chapter 6-9
Case Studies
Case Study 6-1: Protein Adequacy
Erin is a 28-year-old professional woman who is 5 feet 8 inches tall and vigilantly maintains her weight at 118
pounds by following a lacto-ovo (non-fat milk and egg whites only) vegetarian diet that supplies approximately
1200 calories a day. With her understanding that protein should provide between 10 and 35 percent of her daily
calories, she reasons that her daily intake of 40 grams of protein from milk, eggs, legumes, and nuts is adequate for
her needs. She is concerned, however, that she has been sick more than usual and has experienced two stress
fractures in her leg over the past three years while exercising.
2. Assuming a healthy weight for Erin is 141 pounds, what is her recommended daily protein requirement?
a. 41 g
b. 46 g
c. 51 g
d. 56 g
e. 61 g
3. Remembering that protein provides 4 kcalories per gram, what percentage of Erin’s current total energy intake
comes from protein?
a. 7.3%
b. 9.3%
c. 11.3%
d. 13.3%
e. 15.3%
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Chapter 6-10
7. Erin loves whole grains. Suppose she makes herself a snack from one serving of grains and one cup yogurt
topped with a serving of fresh strawberries. How much protein is in her snack?
a. 4 to 5 grams
b. 6 to 7 grams
c. 8 to 9 grams
d. 10 to 11 grams
e. 12 to 13 grams
Answer Key
1. c
2. c
3. d
4. b
5. d
6. d
7. d
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Chapter 6-11
amino acid product contains 16 amino acids (9 essential amino acids and 7 non-essential amino acids). Then she
examines the Nutrition Facts label for these two products. (See below.)
1. Danielle notices that protein is measured differently on the two Nutrition Facts labels. Knowing that 1 gram =
1000 milligrams, what can Danielle learn about the protein quantity of one serving of liquid amino acid as
compared to one whole egg?
2. Approximately how many teaspoons of liquid amino acid would Danielle need to eat every day to receive the
amount of protein in one egg? (Notice that the nutrition information for this product is for a ½ teaspoon
serving.)
3. Looking at the Nutrition Facts label, what other important nutrients besides protein will Danielle find in an egg
that are not present in her amino acid supplement?
4. What is the sodium content of an egg compared to one serving of the liquid amino acid product?
5. According to information in this chapter, what is the safest way for Danielle to obtain the protein and amino
acids she needs? Why?
6. What precautions should Danielle take regarding the use of amino acid supplements?
Answer Key
1. ½ teaspoon liquid amino acid = 310 milligrams or 0.31 grams protein. 1 egg = 6 grams or 6000 milligrams
protein. The egg provides over 19 times the protein as the supplement.
2. Approximately 10 teaspoons. ½ teaspoon contains 0.31 grams protein × 2 = 0.62 grams protein in 1 teaspoon ×
10 = 6.2 grams protein in 10 teaspoons liquid protein.
3. Answers may include vitamin A, vitamin D, B vitamins, calcium, zinc, and phosphorous.
4. 70 mg for 1 egg versus 160 mg for ½ teaspoon liquid amino acid—the supplement provides over twice the
sodium in a much smaller volume.
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Chapter 6-12
5. From food. Fat and carbohydrates in food facilitate the use of protein and amino acids in the body.
6. She should not exceed levels normally found in foods; large doses cause diarrhea; the body is not designed to
handle high concentrations or unusual combinations of amino acids.
Discussion questions:
1. Calculate the protein needs for a 25-year-old female who weighs 110 pounds using the RDA of 0.8 g/kg. Which
of the dinner meal plans would provide at least 50% of her daily need for protein? How does this illustrate how
easy it is to consume excess protein?
2. Which of the meal plans is primarily high-quality protein? Low-quality protein?
3. How can you modify the meal plans for vegetarians so that they fit the vegetarian meal plans reviewed in
Chapter 1?
4. Does the protein content of any of the foods surprise you?
Answer key:
1. 0.8 g/kg × 50 kg = 40 grams protein. Each meal provides greater than 50% of her daily need for protein. It is
relatively common to consume more protein than is needed.
2. Dinners #1 and #2 are high-quality protein (primarily animal-based), dinner #3 is lower-quality protein
(primarily plant-based).
5 Activity provided by: Robin S. Bagby, M. Ed., R.D., Penn State Nutrition Center
6 Activity provided by: Dorothy G. Herron, Orangeburg-Calhoun Technical College
7
Contributed by Carrie King
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Chapter 6-13
3. Answers will vary. Possible examples: Dinner #3: replace the cow’s milk with soy milk and remove the cheese
from the burrito to make it a vegan meal; dinners #2 and #3 would be appropriate for lacto-ovo-vegetarian meal
plans.
4. Discuss the protein content of the various foods in the meal plan.
Nutrient composition of meals for instructor reference:
Dinner #1 Menu Item Cal Pro CB Fe
Pot roast, beef, 3 oz 262 24 0 2.4
Mashed potatoes, ½ cup 120 2 15 0.027
Corn, ½ cup 72 2.5 16 0.33
Dinner roll, whole-wheat, 1 item 74 2.4 14 0.68
Kiwi, sliced, ½ cup 55 1 13 0.28
1% milk, 1 cup 102 8 12 0.07
Totals 685 39.9 70 4.03
Key: Cal = kcalories, Pro = protein (grams), CB = carbohydrate (grams), Fe = iron (milligrams)
Classroom Activity 6-4: Protein Content of Over-the-Counter Protein and Amino Acid Supplements
Key concepts: Protein sources; protein/amino acid supplements Class size: Any
Instructions: Protein powder supplements are marketed as providing substantial amounts of protein and enhancing
athletic performance. Instruct students to go to the grocery or drug store and record the following regarding the
protein powder supplements they locate: name of supplement, cost of supplement, recommended daily dose, protein
content of suggested dose, and the percent of the DV for protein per serving/dose. Discuss in class and generate
suggestions for more safe, effective, enjoyable, and economical choices through food intake.
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Chapter 6-14
into a pleated sheet, for example. The tertiary structure of proteins occurs as long polypeptide chains twist and
fold into a variety of complex, tangled shapes. The unique side group of each amino acid gives it characteristics
that attract it to, or repel it from, the surrounding fluids and other amino acids. Some amino acid side groups are
attracted to water molecules; they are hydrophilic. Other side groups are repelled by water; they are
hydrophobic. As amino acids are strung together to make a polypeptide, the chain folds so that its hydrophilic
side groups are on the outer surface near water; the hydrophobic groups tuck themselves inside, away from
water. Thus, the sequence of amino acids determines how the completed protein will fold and twist into its final
shape.
2. Essential amino acids are the nine amino acids that the human body either cannot make at all or cannot make in
sufficient quantity to meet its needs.
3. a 4. c 5. a
6. Enzymes are proteins that facilitate chemical reactions without being changed in the process (catalysts). As
facilitators, enzymes help to break down substances, build substances (such as bone), and transform one
substance into another (amino acids into glucose, for example). Whereas all enzymes are proteins, only some
hormones are. Hormones, chemical messengers, are not direct and unchanging facilitators of chemical
reactions; rather, they elicit the appropriate responses to restore and maintain normal conditions.
7. In the body, amino acids can be used to make body proteins or other nitrogen-containing compounds, or they
can be stripped of their nitrogen and used for energy (either immediately or stored as fat for later use).
Deamination is the removal of the amino (NH2) group from a compound such as an amino acid—the first step
in catabolizing an amino acid for energy or converting it to fat. Nitrogen balance is the amount of nitrogen
consumed (N in) as compared with the amount of nitrogen excreted (N out) in a given period of time. Zero
nitrogen balance is associated with being an adult in good health. Nitrogen status is positive in growing infants,
children, adolescents, pregnant women, and people recovering from protein deficiency or illness; their nitrogen
intake exceeds their nitrogen excretion. Nitrogen status is negative in people who are starving or suffering other
severe stresses such as burns, injuries, infections, and fever; their nitrogen excretion exceeds their nitrogen
intake.
8. a 9. c 10. c
11. In general, plant proteins are lower quality than animal proteins, and plants also offer less protein (per weight or
measure of food). For this reason, many vegetarians improve the quality of proteins in their diets by combining
plant-protein foods that have different but complementary amino acid patterns. This strategy yields
complementary proteins that together contain all the essential amino acids in quantities sufficient to support
health. Vegetarians can receive all the amino acids they need over the course of a day by eating a variety of
whole grains, legumes, seeds, nuts, and vegetables.
12. a
13. Selecting too many protein-rich foods may crowd out fruits, vegetables, and whole grains, making the diet
inadequate in other nutrients. A high-protein diet may contribute to the progression of heart disease. Foods rich
in animal protein also tend to be rich in saturated fats, and there is a correlation between animal-protein intake
(red meats and dairy products) and heart disease. On the other hand, substituting vegetable protein for animal
protein may improve blood pressure and blood lipids and decrease heart disease mortality. Research suggests
that elevated levels of the amino acid homocysteine may be an independent risk factor for heart disease, heart
attacks, and sudden death in patients with heart disease, but researchers do not yet fully understand the many
factors that can raise homocysteine in the blood or whether elevated levels are a cause or an effect of heart
disease. The amino acid arginine may help protect against heart disease by lowering blood pressure and
homocysteine levels. Evidence suggests a strong correlation between high intakes of red meat and processed
meats with cancer of the colon. When protein intake is high, calcium excretion increases, but whether excess
protein depletes bone calcium may depend upon the ratio of calcium intake to protein intake. Some (but not all)
research suggests that animal protein may be more detrimental to calcium metabolism and bone health than
vegetable protein. A high protein intake may also accelerate kidney deterioration in people with chronic kidney
disease.
14. In setting protein recommendations, the authorities consider the two reasons the body needs dietary protein:
First, dietary protein is the only source of the essential amino acids, and second, it is the only practical source of
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Chapter 6-15
nitrogen with which to build the nonessential amino acids and other nitrogen-containing compounds the body
needs. The RDA covers the needs for replacing worn-out tissue, so it increases for larger people; it also covers
the needs for building new tissue during growth, so it increases for infants, children, adolescents, and pregnant
and lactating women. In setting the RDA, the DRI Committee assumes that people are healthy and do not have
unusual metabolic needs for protein, that the protein eaten will be of mixed quality (from both high- and low-
quality sources), and that the body will use the protein efficiently. In addition, the committee assumes that the
protein is consumed along with sufficient carbohydrate and fat to provide adequate energy and that other
nutrients in the diet are also adequate.
15. Branched-chain amino acid supplements may be beneficial for individuals with certain conditions such as liver
disease. Tryptophan may be effective for inducing drowsiness in insomniacs, but caution is still advised. For
other people, supplements do not offer benefits over consuming foods providing the equivalent amounts of
proteins or amino acids. Foods provide many other important nutrients with the protein. Large doses of amino
acids cause diarrhea. An excess of one amino acid can create such a demand for a carrier that it limits the
absorption of another amino acid, presenting the possibility of a deficiency. Amino acids that most successfully
attach to carriers enter in excess, creating the possibility of toxicity. Large doses of branched-chain amino acids
can raise plasma ammonia concentrations, which can be toxic to the brain.
16. b 17. d 18. a
Answer Key
1. Even though the body must break down all macronutrients into constituent parts to facilitate energy metabolism,
proteins are more complex in nature when compared to carbohydrates and lipids. In terms of chemical structure
and composition, proteins contain nitrogen, unlike carbohydrates and lipids. The side group attached to the
central carbon unit of each of the amino acids (the basic building blocks of proteins) is the major contributor to
a protein’s complexity. Each side group is considered to be unique. This is in contrast to complex
polysaccharide molecules such as starch in which each individual unit is the same glucose molecule. Even
though there is a different chemical group arrangement for lipids there are fewer lipid structures as compared to
protein structures. In addition, the sequencing of proteins consists of long amino acid chains based on individual
genetic profiles. The genetic information is delivered through a complex interaction of DNA and RNA
molecules. Errors in translation and transcription are possible and affect delivery of the genetic message.
2. The serum level of protein in the body plays a critical role in the regulation of water balance. If there are protein
deficiencies, fluid is more likely to shift from intravascular into interstitial spaces, resulting in a physiological
mechanism that leads to the cyclical presence of edema. This is because serum proteins such as albumin attract
water and help retain it within blood vessels. Deficiencies in protein can result in decreased colloid osmotic
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Chapter 6-16
pressure, leading to fluid shifting. Protein losses due to illness and/or disease processes similarly result in
edema. Additionally, if the liver is compromised through disease, then declined protein synthesis can lead to the
development of edema. Increased capillary permeability as a result of changes in oncotic pressure will lead to
protein leakage and edema development.
3. An adolescent female would be considered to be in a positive nitrogen balance state due to the fact that the
adolescent period is one of growth and development. Positive nitrogen balance favors the retention of nitrogen
(and protein) to promote growth functions. A 45-year-old male adult would be considered, if healthy, to be in
zero nitrogen balance (equilibrium).
4. The ingestion of high-quality proteins in the diet enables the body to effectively utilize all essential amino acids.
High-quality proteins are digested more easily as compared to low-quality proteins. High-quality proteins, by
virtue of containing essential amino acids, facilitate the numerous functions of proteins in the human body.
High-quality proteins are typically of animal content. A complementary protein strategy whereby a combination
of different foods eaten in the same day provides essential amino acids is an additional method that enhances
quality protein consumption. This method is utilized effectively in vegetarian diets to meet protein
requirements.
5. The genetic expression of protein is a basic requirement of life. Protein assumes various roles in the body that
are critical to life, such as: growth, structure, enzymes, hormones, fluid/electrolyte/acid-base balance, transport,
immune function (antigen/antibodies), and as an energy source. If there are differences in protein sequencing,
various abnormalities can occur. Protein deficiency states throughout the life cycle can result in various
alterations in growth and development patterns. Alterations in immune function can also occur, resulting in an
increase in infections. Inadequate protein levels can lead to altered ability of enzymes to function effectively in
the body. Deficiencies of protein can also affect pH regulation, resulting in altered biochemical reactions in the
body.
Consumption of protein in excess has also been demonstrated to place a burden on the heart when it comes from
animal sources that contain saturated fat. A specific protein that has been linked to heart disease is
homocysteine; however, though a correlation has been observed, it is unknown whether homocysteine is a cause
or an effect of heart disease. There is also an inverse relationship reported between increased homocysteine
levels and decreased B vitamins. Thus, there may be other factors that affect cardiac disposition rather than a
direct protein effect. Therefore, protein can be viewed as being beneficial in terms of supportive functions and
yet potentially detrimental if taken in excess, at least from certain foods.
6. Renal impairment can lead to altered ability to eliminate waste products of metabolism. As protein contains
nitrogen as a unique element, the consumption and breakdown of this nutrient can be affected by the kidney’s
inability to excrete urea. Buildup of nitrogenous end-products of metabolism can affect all body systems,
resulting in complex alterations of fluid and electrolyte balance. However, protein intake is essential to life and
well-being, and thus a protein intake of primarily high-quality proteins based on weight-based standards is
appropriate. Restriction and/or limitation of dietary protein may be prescribed because excess protein can
accelerate the decline in kidney function. Medical nutrition therapy facilitated by a dietician and health care
provider is necessary in order to manage and treat fluid and electrolyte imbalances.
© 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a
license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
Chapter 6-17
© 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a
license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
Chapter 6-18
For each of the following clinical examples, indicate whether the client is at risk to develop a problem related to
amino acids.
Elderly female
diagnosed with
PEM
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license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
Chapter 6-19
1. 45-year-old female, weight 135 lbs., protein intake of 38 grams and UUN = 8 grams
a.
b.
c.
d.
2. 89-year-old male, weight 142 lbs., protein intake of 69 grams and UUN = 6 grams
a.
b.
c.
d.
© 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a
license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
Chapter 6-20
Most people in the United States and Canada receive more protein than they need. This is not
surprising considering the abundance of food eaten and the central role meats hold in the North
American diet. Using a 1-day food diary, estimate your protein intake for the day. Multiply the
number of servings you consumed by the estimated protein per serving to guesstimate your total
protein intake.
The protein RDA for young adults (19 to 24 years old) is 46 grams for women and 58 grams for
men. Health experts advise people to maintain moderate protein intakes—between the RDA and
twice the RDA.
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license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
Chapter 6-21
3 4
5 6
8 9
10
11
12
Across: Down:
3. Distinguishing feature of the protein chemical 1. The study of how nutrients influence gene activity
structure 2. Body organ where the majority of proteins are
10. DNA contains the _____ that tells the body how to disassembled into amino acids
assemble proteins. 4. Increased dietary protein intake can lead to
11. When dietary protein intake increases the body’s increased excretion of the mineral _____.
production of _____ increases. 5. Amino acids can be used to make glucose if
12. Refers to amino acids that the body is able to insufficient dietary _____ are consumed.
manufacture 6. What the body uses to assemble its own proteins
7. Proteins that act to defend the body from disease
8. Proteins that provide sufficient quantities of
essential amino acids are referred to as _____.
9. What happens when proteins are exposed to heat
or acid such as stomach acid
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license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
Chapter 6-22
1. Complementary proteins, when combined, do not include all of the essential amino acids.
a. True
b. False
2. Research studies have refuted the idea that foods must be eaten at the same meal to achieve the
concept of complementary proteins.
a. True
b. False
3. Approximately how many grams of protein does one cup of dry beans contain?
a. 4 grams of protein
b. 8 grams of protein
c. 11 grams of protein
d. 16 grams of protein
e. 21 grams of protein
4. For adults, the daily recommendation for protein is 0.8 grams per kilogram of body weight (g/kg).
a. True
b. False
6. There is a link between red meat consumption and an increased risk of cardiovascular disease.
a. True
b. False
7. For men over 19 years of age, the recommended daily allowance (RDA) for protein is 80 grams.
a. True
b. False
© 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a
license distributed with a certain product or service or otherwise on a password-protected website for classroom use.