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김김김김김김김 간간간간 NUTRITION Www.ksc.ac.kr. presentation Professor. 간간간

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김천과학대학교 간호학과 2012년 영양과식이 강의자료

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  • 1. presentationNUTRITIONProfessor. Www.ksc.ac.kr.

2. (NUTRITION) (nutrient) 2 presentation Professor 3. (NUTRITION) Carbo fat protein minerals vitamin waterhydrate 3 presentation Professor 4. (NUTRITION) energy 4 presentation Professor 5. (NUTRITION) carbohydrate - energy fat - energy protein ( ) energy protein carbohydrate fat cal energy mineral - but vitamin - 5 presentation Professor 6. (NUTRITION) muscle tonus energy muscle 6 presentation Professor 7. (NUTRITION) 12 (cal) A = cm 2 Dubois H = cm W = kg A = W0.425H0.725CC = ( 71.84 )logA = (logW0.425)+(logH0.725)+1.8564 7 presentationProfessor 8. (NUTRITION) muscle > > (5%) - > - > (10%) - > 8 presentation Professor 9. (NUTRITION) - hyperthyroidism pt Age - - - 1 , 13% energy - > ( E)9 presentation Professor 10. (Carbohydrate) Carbohydrate energy 3 - (C), (H), (O) 1gm 4cal < > .. CO2 Water energy glucose - or energy or - energy carbohydrate energy . presentationProfessor 11. (Carbohydrate) Carbohydrate 1) (monosaccharide) - C6H12O6 glucose fructose galactose mannose 2) (disaccharide) - C12H22O11 sucrose - (glucose + fructose) lactose - (glucose + galactose) maltose - (glucose + glucose) 11 presentation Professor 12. (Carbohydrate) Carbohydrate 3) (oligosaccharide) cell . - , , . fructo-oligosaccharide bifido-bacteria or 12 presentationProfessor 13. (Carbohydrate) Carbohydrate 4) (polysaccharide) - (C6H10O5)n ( ) cellulose semi-cellulose( ) pectins innulin - fructose galactogens - galactose mannosans - glucose, fructose, galactose raffinose - pentoses starch - glucose glycogen - glucose13 presentation Professor 14. (Carbohydrate) Carbohydrate protein, fat 90% stool NO.1NO.2NO.3 Maltase, Sucrase Lactase14 presentation Professor 15. (Carbohydrate) Carbohydrate Liver pyrubic acid (TCA cycle) energy, CO2, [ O2 ] glycogen energy . Insulin blood glucose 15 presentation Professor 16. (Carbohydrate)Carbohydrate Amino gluconeogenesis ( ) carbohydrate glycogenesis Liver, ( ) Liver glycogenolysis ( )16 presentationProfessor 17. (Carbohydrate) Carbohydrate energy energy muscle 3 . , . protein fat . muscle glycogen .glycogen energy . 1g 4kcal 17 presentationProfessor 18. (Carbohydrate) Carbohydrate Liver . protein fat . . protein (protein sparing action) protein energy CHO protein op or , CHO - or energy , 18 presentation Professor 19. (Carbohydrate) Carbohydrate Anti - Ketogenic action ( ) normal - lipid metabolism 3 ketone -hydroxy butyric acid, Acetoacetic acid, Acetone cell energy , CO2 H2O Abnormal energy fat metabolism ketone acid ketone energy ketone fat urine ketone kidney blood 19 presentationProfessor 20. (Carbohydrate) Carbohydrate . hyaluronic acid lactose( ) - mammary gland chondroitin sulfate - , , bone glycogen - , , heparin - blood glucose - blood, kelatan sulfate - dermatan sulfate - skin 20 presentation Professor 21. (Carbohydrate) obesity diabetes , hypertension arteriosclerosis hair Anemia : 95% Amenorrhea 21 presentation Professor 22. (Protein) Protein protein - C H O N and S, 16% protein , Amino acid . Amino acid 1 acid group(COOH) , 1 Amino group(NH2) group Acid or base acid, base group - Di-peptide, poly-peptide . . 1g - 4cal 22 presentation Professor 23. (Protein) Amino Acid essential amino acid nonessential amino acid arginine alanine histidine aspartic acid isoleucine citrulline leucine cysteine lysine glutamic acid methionine glucine phenylalanine hydroxyproline threonine proline tryptophan serine valine throsine 23 presentationProfessor 24. (Protein) Protein essential amino acid . protein - gliadine - Hordein , - prolamin protein , , , - gelatin - zein etc .24 presentation Professor 25. (Protein) Protein function . hormone energy protein 25 presentationProfessor 26. (Protein) Protein function serum albumin amino amino 1 control serum albumin liver serum globulin . amino 2 80% Liver , fibrinogen protein blood fibrinogen fibrin blood 26 presentation Professor 27. (Protein) Protein deamination (amino NH2 group ) protein urea CO2 H2O energy 27 presentation Professor 28. (Protein) protein amino acid protein . (BV) protein . 70% . ( + BVN= ) 100 = - N28 presentationProfessor 29. (Protein) protein , protein E protein (NPU) protein protein ( + NPU N = ) 100 = N29 presentation Professor 30. (Protein) negative nitrogen balance( ) (N) N N - . negative nitrogen balance infection, fever, , , ,hyperthyroidism, burn, kidney dis., etc.30 presentation Professor 31. (Protein) Protein 6 1.9~2.4g/kg 10 1.2~1.4g/kg 1.0~1.3g/kg, 60~70g/day or 15~20g/day , age, , protein 31 presentation Professor 32. (Protein) Protein urea protein . protein - intake output urine urea protein (urine N (N) 80~90% ) creatinine - 26mg/kg/day - 14~22mg/kg/day 32 presentation Professor 33. (Protein) Amino Acid uric acid purine intake protein nucleoprotein cell protein ammonia urine ammonia kidney acidosis - diabetes acidosis - 33 presentationProfessor 34. (Protein) Protein 1) marasmus protein dis. , 2) kwashiorkor protein dis. infantile pellagra sugar baby fatty liver dis. nutritional edema red baby , , , . 5 , or 34 presentation Professor 35. (Protein) Protein Symptom Treatment skin & hair color milk liver fat milk good. cell pt. 2~3 nutritional dermatitis protein cal nervousness( ) intake edema 35 presentationProfessor 36. (Protein)Protein urine ca osteoporosis protein or fat - colon ca protein urea kidney kidney dis. < > cal 15~20% 36 presentationProfessor 37. (lipid) lipids - C.H.O etc (R-COOH) C C4~C24 . ether, chloroform, acetone, benzene , , 37 presentation Professor 38. (lipid) (simple lipids)1) or glycerol OH COOH ester TG. C( ) 3 3 Alcohol glycerol .2) glycerol 38 presentation Professor 39. (lipid) (simple lipids)3) ( ) energy , , (A,D,E) energy , energy 1% . , , . .39 presentationProfessor 40. (lipid) (Compound lipids) phospholipid ( ) - glycerol, , lecithin, cephalin, sphingomyelin glycolipid ( ) - , sphingosine, cerebroside, ganglioside - cell sulfolipid ( ) - (Derived lipids) . , glycerol alcohol, , steroid, carotenoid, fatty acid 40 presentationProfessor 41. (lipid) essential fatty acid group linoleic acid linoleic acid linolenic acid arachidonic acid . linolenic acid arachidonic acid 41 presentationProfessor 42. (lipid) C-C-C-C-C C-C-C=C-C blood cholesterol - (butter, cheese, ) intake blood cholesterol 42 presentation Professor 43. (lipid) cholesterol + cholesterol Liver cholesterol . , cell , , etc fatty acid electron transport system blood lipid serum cholesterol cholesterol . 43 presentationProfessor 44. (lipid) butyric acid caproic acid capric acid lauric acid myristic acid palmitic acid stealic acid arachidic acid behenic acid lignoceric acid o leic acid 1 linoleic acid 2 linolenic acid3 ardchidonic acid 4 clupdnodonic acid544 presentation Professor 45. (lipid) Lipid . stmach lipase triglyceride glycerol . ( ) lipid , bile - , cholesterol, , bilirubin electrolyte 45 presentationProfessor 46. (lipid)Lipid steapsin or lipase lipid . lipase . 1 triglyceride . lipid 1/3~1/2 glycerol . triglyceride - , glycerol, simple glyceride , glycerol, triglyceride , liver . 95% Duodenum Jejunum . 46 presentationProfessor 47. (lipid) pid Hormone ACTH - epinephrine - glucagon- , glucocorticoid - growth hormone - insulin - thyroxine - 47 presentationProfessor 48. (lipid) chronic pancreatitis cystic fibrosis( ) malabsorption syndrome ( ) gall bladder disease Obesity - pt ketosis 48 presentationProfessor 49. (lipid) Lipid . vitamin - vit A,D,E,K . thiamin sparing action . - Cholesterol cell : , ,Liver provitamin - D essential fatty acid steroid, hormone 49 presentation Professor 50. (lipid) Fat cal . cal 20%(30% ). FAO 25g cal 2% - linoleic acid 50 presentation Professor 51. (lipid) Fat , - , , disease skin disease( ) , eczema( )Fat obesity cal low fat diet cal 30% . arteriosclerosis - 10% . Liver disease - cancer or - , colon ca 51 presentationProfessor