Transcript Fundamentals of Nutrition - Lightweight OCW University of Palestine

University of Palestine
Health Sciences College
Associate Degree Program
Nutrition for
Health Professions
Lecture 7
Mr. Adham I. Ahmed “BSN, RN, MCN”
Proteins
Mr. Adham Ahmed
Objectives
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State the functions of proteins in the body
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Identify the elements of which proteins
are composed
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Describe the effects of protein deficiency
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State the energy yield of proteins
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Identify at least six food sources of
complete proteins and six food sources of
incomplete proteins
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Facts
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Of the six nutrient groups, only proteins
can make new cells and rebuild tissue.
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Proteins are the basic material of every
body cell.
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Proteins are the only nutrient group that
contains nitrogen.
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Proteins are composed of amino acids.
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Amino Acid
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Nitrogen containing compound of
which protein is composed.
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There are twenty amino acids.
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Nine are considered essential.
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Amino Acids
Essential
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Histidine
Isoleucine
Leucine
Lysine
Methionine
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Phenylalanine
Treonine
Tryptophan
Valine
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Amino Acids
Nonessential
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Alanine
Arginine
Asparagine
Aspartic acid
Cysteine
Cystine
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Glutamic acid
Glutamine
Glycine
Hydroxyproline
Proline
Serine
Tyrosine
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Classification
Complete
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High quality
Contains all nine essential amino acids
Incomplete
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Low quality
Lacks one or more amino acid
Cannot build tissue without help
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Classification
Complementary Proteins
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Occurs when a combination of incomplete
proteins are eaten in the same day to
make a complete protein
Examples: corn and beans, rice and
beans, bread and peanut butter, bread and
split pea soup, bread and cheese, bread
and baked beans, macaroni and cheese,
cereal and milk
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Classification
Complementary Proteins
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Food Sources
Animal food sources
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Complete proteins
Meats, fish, poultry, eggs, milk, cheese
Plant food sources
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Incomplete proteins
Corn, grain, nuts, sunflower seeds,
sesame seeds, and legumes
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Food Sources
Analogues
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Meat alternatives made from soy protein
and other ingredients to simulate various
kinds of meat
Tofu is a soft cheeselike food made from
soy milk
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Stop and Share
Your client is concerned because her
daughter is a vegetarian and does not eat
meat. Your client states, “My daughter
does not eat meat, so I know she doesn’t
get any protein. She is damaging her
body.”
How do you respond?
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Stop and Share
Although animal foods are the best sources
of complete proteins, foods that provide
incomplete proteins can be combined to
make complete proteins.
The best sources of incomplete proteins
are legumes, corn, grains, and nuts. Soy
protein and tofu are nutritious meat
replacements.
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Functions
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Building and repairing body tissue
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Regulating body functions
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Metabolism and digestion
Fluid and electrolyte balance
Development of antibodies
Providing energy
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Each gram of protein provides 4 kcal
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Digestion and Absorption
Mechanical digestion
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Begins in mouth
Teeth grind food into small pieces
Chemical digestion
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Begins in stomach
Hydrochloric acid prepares stomach
Enzyme pepsin reduces proteins to
polypeptides
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Digestion and Absorption
Chemical digestion
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Polypeptides: ten or more amino acids
bonded together
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In the small intestine, three pancreatic
enzymes (trypsin, chymotrypsin,
carboxypeptidase) continue chemical
digestion and absorption through the villi
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Metabolism and Elimination
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Amino acids are broken down, the
nitrogen-containing amine group is
stripped off (deamination).
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Ammonia is produced.
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Liver picks up ammonia and converts it to
urea.
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Kidney filters out urea and excretes it.
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Remaining parts are used for energy or
converted to carbohydrate or fat and
stored as glyocogen
adipose tissue.
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Ahmed
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Dietary Requirements
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Determined by size, age, sex, and
physical and emotional conditions.
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The National Research Council of the
National Academy of Sciences
considers the average daily
requirement to be 0.8 g of protein for
each kilogram of body weight.
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Dietary Requirements
To determine your requirement
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Divide body weight by 2.2 (the number of
pounds per kilogram)
Multiply the answer obtained in the first
step by 0.8 (grams of protein per kilogram
of body weight)
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Stop and Share
Your client weighs 170 pounds.
What is the client’s daily requirement for
protein?
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Stop and Share
170 pounds  2.2 pounds/kg = 77.27 kg
77.27 kg  0.8 grams of protein = 61.81 g
Answer: 62 grams of protein
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Protein Excess
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Saturated fats and cholesterol may
contribute to heart disease
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Connection to colon cancer
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Substitute for essential fruits and
vegetables
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Protein Excess
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Increased demand on kidneys
National Research Council
recommends that protein intake
represent no more than
15-20% of
one’s daily kcal intake and not exceed
double the amount given in the table of
Recommended Dietary Allowances.
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Stop and Share
You are the nurse and your client asks you
whether or not taking daily protein
supplements will help build muscles,
strengthen nails, and control weight.
How do you respond?
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Stop and Share
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“Bulking up” athletes
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Lifting weights, not supplements, builds muscle
Growing fingernails
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Fingernails have never been affected by extra protein
Spare body protein in weight loss
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Dieters need a balanced diet using the guidelines of
the Food Guide Pyramid
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Nitrogen Balance
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Nitrogen intake equals nitrogen
excreted.
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Positive nitrogen balance exists when
nitrogen intake exceeds amount
excreted.
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Negative nitrogen balance exists
when more nitrogen is lost than taken
in.
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Stop and Share
What conditions cause a positive nitrogen
balance?
…a negative nitrogen balance?
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Stop and Share
Positive nitrogen balance
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Pregnancy
Growth periods
Building muscle
Rebuilding tissue after trauma/illness
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Stop and Share
Negative nitrogen balance
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Fever
Injury
Surgery
Burns
Starvation
Immobilization
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Protein Deficiency
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Muscle wasting occurs
Albumin (protein in blood plasma)
causes edema
Loss of appetite, strength, weight
Lethargy, depression, slow wound
healing
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Protein Energy Malnutrition
(PEM)
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Lack protein and energy-rich foods.
Found in developing countries with
shortages of protein and energy-rich
foods.
Stunted growth and mental retardation
may occur.
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Marasmus
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Affects very young children.
Results from severe malnutrition (lack
of protein, vitamins, and minerals).
Emaciated, no edema
Hair is dull and dry; skin thin and
wrinkled.
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Kwashiorkor
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Sudden or recent lack of proteincontaining food; affects children and
adults.
Fat accumulates in liver, and lack of
protein and hormones results in edema,
painful skin lesions, and changes in
pigmentation of skin and hair.
High mortality rate
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Stop and Share
Differentiate between marasmus and
kwashiorkor by identifying three
differences between the two conditions.
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Stop and Share
Marasmus
Kwashiorkor
Weight decreased
Weight within normal limits
Visceral proteins within
normal limits
Immune function within
normal limits
Dull, dry hair
Visceral proteins decreased
Emaciated, wrinkled
appearance
Edema, puffy appearance
Immune function decreased
Reddish color hair
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Conclusion
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Proteins contain nitrogen.
They build and repair body tissues,
regulate body processes, and supply
energy.
Each gram of protein provides 4 kcal.
Composed of amino acids.
Nine of the amino acids are essential
for growth and development.
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