
<p>• Protein </p><p>Chapter 3</p><p>• Protein</p><p>• A component of every living cell</p><p>• Accounts for 20% of adult weight</p><p>• Immune to the controversy over optimal intake </p><p>• Protein (cont’d)</p><p>• Amino acids </p><p>– Basic building blocks of protein</p><p>– Composed of carbon, hydrogen, oxygen, and nitrogen atoms </p><p>– 20 common amino acids</p><p> o 9 are considered essential because the body cannot make them—indispensable; they must be consumed through food </p><p> o 11 are considered nonessential because they can be made by the body— dispensable </p><p>• Essential Amino Acids </p><p>• Histidine</p><p>• Isoleucine</p><p>• Leucine </p><p>• Lysine</p><p>• Methionine </p><p>• Phenylalanine</p><p>• Threonine </p><p>• Tryptophan</p><p>• Valine • Nonessential Amino Acids </p><p>• Alanine </p><p>• Arginine </p><p>• Asparagine </p><p>• Aspartic acid</p><p>• Cystine (cysteine)</p><p>• Glutamic acid</p><p>• Glutamine</p><p>• Glycine </p><p>• Proline </p><p>• Serine</p><p>• Tyrosine </p><p>• Protein (cont’d)</p><p>• Protein structure</p><p>– Most contain several dozen to several hundred amino acids</p><p>– Shape determines function </p><p>• Protein (cont’d)</p><p>• Functions of protein</p><p>– Major structural and functional component of every living cell</p><p>– Body structure and framework</p><p>– Enzymes</p><p>– Other body secretions and fluids</p><p>– Acid–base balance</p><p>– Transport molecules</p><p>• Protein (cont’d) • Functions of protein (cont’d) </p><p>– Other compounds</p><p>– Some amino acids have specific functions within the body</p><p>– Fueling the body</p><p>• Protein (cont’d)</p><p>• How the body handles protein</p><p>– Digestion</p><p> o Begins in the stomach</p><p> o Hydrochloric acid converts pepsinogen to the active enzyme pepsin</p><p> o Small intestine is the principal site of protein digestion </p><p> o Enzymes located on the surface of the cells that line the small intestine complete the digestion </p><p> o Protein (cont’d)</p><p>• How the body handles protein (cont’d)</p><p>– Absorption</p><p> o Amino acids, and sometimes a few dipeptides or larger peptides, are absorbed through the mucosa of the small intestine </p><p>– Metabolism</p><p> o Liver acts as a clearinghouse </p><p> Retains amino acids to make liver cells, nonessential amino acids, and plasma proteins such as heparin, prothrombin, and albumin</p><p> Regulates the release of amino acids into the bloodstream </p><p> o Protein (cont’d)</p><p>• Metabolism (cont’d)</p><p>– Liver acts as a clearinghouse (cont’d)</p><p> o Removes the nitrogen from amino acids o Converts protein to fatty acids which form triglycerides for storage in adipose tissue</p><p> o Forms urea from the nitrogenous wastes of protein </p><p> o Protein (cont’d)</p><p>• Protein synthesis</p><p>– Complicated but efficient process that quickly assembles amino acids into proteins the body needs</p><p>– Part of what makes every individual unique is the minute differences in body proteins</p><p>– Important concepts</p><p> o Protein turnover</p><p> Important Concepts </p><p>• Protein turnover</p><p>• Continuous process </p><p>• Body proteins vary in their rate of turnover</p><p>• Metabolic pool</p><p>• Contains supply of each amino acid </p><p>• Consists of recycled amino acids from body proteins that have broken down and also amino acids from food</p><p>• In a constant state of flux</p><p>• Important Concepts (cont’d)</p><p>• Nitrogen balance</p><p>– Reflects the state of balance between protein breakdown and protein synthesis</p><p>– Determined by comparing the amount of nitrogen consumed (intake) with the amount of nitrogen excreted (output)</p><p>– Healthy adults are in neutral nitrogen balance</p><p>– Important Concepts (cont’d)</p><p>• Nitrogen balance (cont’d) – Positive nitrogen balance: when protein synthesis exceeds protein breakdown</p><p>– Negative nitrogen balance: an undesirable state that occurs when protein breakdown exceeds protein synthesis</p><p>– Protein (cont’d)</p><p>• Protein catabolism for energy</p><p>– Physiologic and economic waste</p><p>– Overtime, loss of lean body tissue occurs</p><p>– Loss of 30% of body protein causes:</p><p> o Impaired breathing</p><p> o Altered immune function</p><p> o Altered organ function</p><p> o Ultimately death</p><p>• Sources of Protein </p><p>• Protein quality</p><p>– Differs based on content of essential amino acids</p><p>– Quality can become a crucial concern</p><p>– Sources of Protein (cont’d)</p><p>• Complete and incomplete proteins</p><p>– Complete proteins</p><p> o High biologic value</p><p> o Provide adequate amounts and proportions of all essential amino acids needed for protein synthesis necessary to support tissue growth and repair </p><p> o Animal proteins and soy protein are complete proteins</p><p>• Sources of Protein (cont’d)</p><p>• Complete and incomplete proteins (cont’d)</p><p>– Incomplete proteins o Lack adequate amounts of one or more essential amino acids</p><p> o Except for soy protein, all plants are sources of incomplete proteins</p><p> o Gelatin is also an incomplete protein</p><p>– Complementary proteins</p><p> o 2 proteins that when combined provide adequate amounts and proportions of all essential amino acids needed to support protein synthesis</p><p> o Examples of Complementary Plant Proteins </p><p>• Black beans and rice</p><p>• Bean tacos</p><p>• Pea soup with toast</p><p>• Lentil and rice curry</p><p>• Falafel sandwich (ground chickpeas on pita)</p><p>• Peanut butter sandwich</p><p>• Pasta e fagioli (pasta with white beans)</p><p>• Examples of a Plant Protein Complemented by a Small Amount of an Animal Protein to Form a Complete Protein </p><p>• Bread pudding</p><p>• Rice pudding</p><p>• Corn pudding</p><p>• Cereal and milk</p><p>• Macaroni and cheese</p><p>• Cheese fondue</p><p>• French toast</p><p>• Cheese sandwich</p><p>• Vegetable quiche</p><p>• Dietary Reference Intakes • RDAs</p><p>– For healthy adults is 0.8 g/kg</p><p>– Acceptable macronutrient distribution range for protein for adults is 10% to 35% of total calories</p><p>• When the RDA does not apply </p><p>– Intended for healthy people only</p><p>• Dietary Reference Intakes (cont’d)</p><p>• Protein deficiency</p><p>– Protein-energy malnutrition (PEM)</p><p> o Kwashiorkor </p><p> Results mainly from acute critical illnesses </p><p> Aggressive nutritional support is used to restore metabolic balance as quickly as possible</p><p> o Marasmus </p><p> Occurs secondary to chronic diseases</p><p> Nutritional therapy is started slowly and advanced gradually </p><p>– Dietary Reference Intakes (cont’d)</p><p>• Protein excess</p><p>– No proven risks from eating an excess of protein</p><p>– Conflicting data as to whether high-protein diets increase the risk of:</p><p> o Osteoporosis </p><p> o Renal stones</p><p>• Protein in Health Promotion </p><p>• Not addressed in the Dietary Guidelines for Americans</p><p>• Vegetarian diets</p><p>– Pure vegetarians or vegans o Eat no animal products</p><p> o Eat only plants</p><p> o They form the smallest group of vegetarians </p><p>– Protein in Health Promotion (cont’d)</p><p>• Vegetarian diets (cont’d)</p><p>– Most American vegetarians are: </p><p> o Lacto-vegetarians whose diets include milk products</p><p> o Lacto-ovo vegetarians, whose diets include milk products and eggs</p><p>• Nutrients of concern</p><p>– Most vegetarian diets meet or exceed the RDA for protein and are nutritionally adequate across the life cycle</p><p>– Iron, zinc, calcium, vitamin D, and alpha-linolenic acid are nutrients of concern </p><p>– Protein in Health Promotion (cont’d)</p><p>• Is vegetarianism for everyone?</p><p>– A personal choice, subject to personal interpretation</p><p>– Proper planning means paying close attention to the nutrients of concern and using a vegetarian food guide for planning</p>
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