# Macronutrients - We need a larger amount - Provides Calories ## Carbohydrates - Provides 4 calories per gram - The storage form of carbohydrates in the body is as glycogen (very branched sugar). Stored in muscles and in liver - Only **monosaccharides** can be directly absorbed. Everything else must be broken down first. ### Simple - Mono/Disaccharides Monosaccharides include: - Glucose - Fructose (fruit sugar) - Galactose Disaccharides include: - Sucrose (glucose + fructose) - Maltose (glucose + glucose) - Lactose (glucose + galactose) ### Complex - Polysaccharides Polysaccharides include: - Starches - Amalose - Amalopectin (More branched) - Fiber - Photosynthesis +Sun + carbon + hydrogen + oxygen ## Protein - Provides 4 calories per gram - Protein is composed of amino acids - There are **9 essential** amino acids - There are **11 non-essential** amino acids - Donkey bridge: If it starts with the letter A, it's a non-essential amino acid - Protein has nitrogen alongside hydrogen, carbon, and - To use protein as energy, it must be **deanimated**. ## Lipids/Fats - Provides 9 calories per gram - Fat is composed of hydrocarbon chains - Tryglicerine - 3 fatty acid chains, with glycerol backbone ### Saturated Fats - Saturated fats have no double bonds ### Unsaturated Fats - Unsaturated fats have one or more double bond ### HDL (High Density Lipoprotein) - We want high HDL levels - Takes cholesterol out of the cells to the liver to be excreted ### LDL (Low Density Lipoprotein) - We want low LDL levels - Takes cholesterol into arteries ### oLDL (Oxidized Low Density Lipoprotein) - Damaged LDL - Deposits plaque # Micronutrients - Smaller Amounts - Don't provide calories ## Vitamins ## Minerals ## Water - Not a macro or micronutrient, but still one of the 6 major nutrition groups ## Alcohol - While not in a food group, provides 7 calories per gram # Digestive System 1. Mouth - Digestion of carbs/starches, and fats begin here. - Mechanical digestion (chewing) - Chemical digestion (amalayses (starch) and lipases (fat) in the mouth) 2. Esophagus - Peristalsis is an involuntary relaxation and contraction of muscles to move food down 1. Gastroesophageal/Lower Esophageal/Cardiac Sphincter - When this sphincter misfires, it can cause heartburn or gastroesphageal reflex disease (GERD) 2. Stomach - Protein 3. Pyloric Sphincter 4. Small Intestine (DJI) 1. Duodenum 2. Jejunum 3. Ilium 5. Ilieocecal Valve # DRI (Dietary Reference Intakes) ## EAR (Estimated Average Requirement) - Meet the requirements of 50% of healthy individuals ## RDA (Recommended Daily Allowance) - 97.5% of healthy people - EAR plus a margin of safety ## AI (Adequate Intake) - The average amount of nutrients a healthy population needs to consume ## UL (Upper Limit) - Prevents overconsumption ## AMDR (Acceptable Macronutrient Distribution Range) - Carbs: 45-65% / kCal - Protein: 10-35% / kCal - Fats: 20-35% / kCal ## EER (Estimated Energy Requirements) - Average estimated caloric needs - Actual needs vary # Hormones ## Insulin Insulin is made by the beta cells in the pancreas, and promotes absorption of glucose from the blood into liver, fat, and skeletal muscles. - Insulin is released when blood sugar levels are too high ## Glucagon Glucagon is a peptide hormone, produced by the alpha cells of the pancreas. It's the opposite of insulin, and it increases blood sugar levels. - Glucagon is released when blood sugar levels are too low ## Ghrelin Ghrellin is known as the "hunger hormone", and it increases the drive to eat. It increases gastric motility and stimulates the secretion of gastric acid. ## Leptin Leptin's primary role is to regulate long-term energy balance. High leptin levels indicate to the brain that energy reserves are high. # Study Types ## Exprimental - A systematic way of testing a hypothesis ## Epidemiological - Observations of the occurrence, distribution, and associations