Chapter 3 NUTR

Chapter 3

Digestion, Absorption, and
Transport

© 2009 Cengage - Wadsworth

Digestion

• Digestion is the process of breaking
down foods into nutrients to prepare
for absorption while overcoming 7
challenges.


Digestion
• Anatomy of the Digestive Tract – The
gastrointestinal (GI) tract is the flexible
muscular tube from mouth to anus. The
lumen is the inner space of the tract.
 The mouth is the beginning of the digestive system.
Digestion in the mouth involves mastication
(chewing), the stimulation of taste buds, and
swallowing. The epiglottis closes to prevent food
from entering the pharynx. After swallowing the food
is called a bolus.
 The esophagus is the tube that leads the bolus to
the stomach. There is a sphincter at the upper and
lower (also known as the cardiac sphincter) ends of
the esophagus.


Digestion
• Anatomy of the Digestive Tract
 The stomach adds juices and grinds the
bolus to a semiliquid mass called chyme.
The pyloric sphincter regulates the flow of
partially digested food into the small
intestine.
 The small intestine receives digestive juices
from the gallbladder and the pancreas. The
three segments of the small intestine are
the duodenum, the jejunum and the ileum.
 The large intestine (colon) begins at the
ileocecal valve and ends at the rectum and
anus. The chyme passes by the opening of
the appendix.

Digestion
• The Muscular Action of Digestion – under
autonomic control
 Peristalsis pushes the digestive contents
along.
 Stomach action involves circular,
longitudinal, and diagonal muscles.
 Segmentation is contractions by circular
muscles that contract and squeeze contents
to promote mixing with digestive juices.
 Sphincter contractions open and close
passageways. This prevents reflux and
controls the passage of contents.


Digestion
• The Secretions of Digestion
 Includes digestive enzymes that act as catalysts in
hydrolysis reactions
 Saliva from the salivary glands moistens foods
 Gastric juice from the gastric glands includes
hydrochloric acid. The goblet cells of the stomach
wall secrete mucus to protect the walls of the
stomach from the high acidity levels that are
measured by pH units.
 Pancreatic juice contains intestinal enzymes
(carbohydrase, lipase, protease) and bicarbonate.
 Bile is produced by the liver, stored in the gall
bladder, and acts as an emulsifier to suspend fat.


Digestion

• The Final Stage
Energy-yielding nutrients are
disassembled for absorption.
Vitamins, minerals and water can be
absorbed.
Undigested residues, including some
fibers, continue through the digestive
tract and form stool.
Recycling of usable materials


Absorption

• The enormous surface area of the
small intestine facilitates nutrient
absorption.
• Nutrients can be absorbed through
simple diffusion, facilitated diffusion,
or active transport.


Absorption
• Anatomy of the Absorptive System
 Villi are the fingerlike projections within the
folds of the small intestine that move in a
wave-like pattern to trap nutrients.
 Microvilli are the microscopic hairlike
projections on each villi.
 Crypts are the tubular glands that lie
between the intestinal villi.
 Goblet cells are located between the villi
and secrete a protective thick mucus.


Absorption
• A Closer Look at the Intestinal Cells
 Specialization of the cells to absorb different
nutrients
 “Food combining” which emphasizes
separating food for digestive purposes is a
myth.
 Preparing Nutrients for Transport
• Water-soluble nutrients and small products of fat
digestion are released to the bloodstream.
• Fat-soluble vitamins and larger fats form
chylomicrons and are released to the lymphatic
system.


The Circulatory System

• Water-soluble nutrients and small
fats are routed to the liver before
being transported to the cells.
• Fat-soluble nutrients, entering from
the lymph, bypass the liver at first
and eventually enter the vascular
system.



• The vascular system consists of
arteries, capillaries and veins.
The hepatic portal vein directs blood
from the GI tract to the liver.
The hepatic vein takes blood from the
liver to the heart.
The liver protects against toxic
substances.


• The lymphatic system consists of one-way
vessels to transport fluid.
 Lymph is a clear, yellowish fluid without red
blood cells or platelets that moves through
the body by muscle contractions.
 The thoracic duct is the lymph’s route to the
heart.
 The subclavian vein provides a return of
lymph to the vascular system.
 Lacteals are the lymphatic vessels of the
intestine that absorb nutrients and pass
them to the lymphatic system.


The Health and Regulation
of the GI Tract
• The principle of homeostasis is
important in the functioning of the
digestive and absorptive systems.
• The body’s hormonal and nervous
control systems keep conditions
normal.


of the GI Tract
• Gastrointestinal Bacteria
A healthy GI tract has many different
non-disease-causing bacteria known
as flora or microflora.
Probiotics are bacteria found in the GI
tract that can be beneficial to health.
An example is the bacteria found in
yogurt.
Prebiotics are foods that are used as
food by intestinal bacteria.


of the GI Tract
• Gastrointestinal Hormones and Nerve
Pathways
Hormones act as messengers, and
those involved in the GI tract are
known as enterogastrones.
Gastrin is secreted by the stomach.
Pyloric sphincter
Secretin is secreted by the
duodenum.


of the GI Tract
• Gastrointestinal Hormones and Nerve
Pathways
 Pancreatic secretions change based on the
content of the diet.
 The pancreas is protected against enzymes
by creating enzyme precursors called
proenzymes or zymogen.
 Cholecystokinin targets the gall bladder.
 Motility slows for foods that take longer to
be digested.


of the GI Tract
• The System at Its Best
A healthy digestive tract is essential.
Balance, moderation, variety and
adequacy of meals are important.


Common Digestive
Problems


Choking
• Food becomes lodged in the trachea.
• The larnyx cannot make sounds.
• The Heimlich maneuver may need to be
used.
• Strategies
 Small bites
 Chew thoroughly.
 Don’t talk or laugh with food in the mouth.
 Don’t eat when breathing hard.


Vomiting

• Body’s adaptive mechanism
• Dehydration is a concern.
• May be self-induced as in eating
disorders


Diarrhea

• Frequent, loose, watery stools
• Irritable bowel syndrome or colitis is
one of the common GI disorders.
• Strategies
Rest
Drink fluids
Medical help is needed if it persists.


Constipation
• Defecation habits are different among
people.
• Many causes are possible.
• Hemorrhoids may be a problem.
• Diverticulosis is a condition in which the
intestinal walls weaken and bulge. The
bulging pockets are called diverticula.
Diverticulitis is a worsened condition and
requires intervention.
• Use of laxatives, enemas and mineral oil
may not be necessary with lifestyle
changes.

Constipation
• Colonic irrigation is the internal washing of
the large intestine and can be hazardous.
• Strategies
 High-fiber diet
 Increased fluids
 Exercise regularly.
 Respond quickly to the urge to defecate.


Belching and Gas

• Strategies
Eat slowly.
Chew thoroughly.
Relax while eating.
Watch bothersome foods.
• Hiccups are triggered by eating or
drinking too fast.


Heartburn and
“Acid Indigestion”
• Gastroesophageal reflux is the
backward flow of stomach contents
into the esophagus.
• Antacids and acid controllers may
help indigestion.


Heartburn and
“Acid Indigestion”
• Strategies
 Small meals
 Liquids between meals
 Sit up while eating.
 Wait 1 hour after eating before lying down.
 Wait 2 hours after eating before exercising.
 Refrain from tight-fitting clothing.
 Avoid bothersome foods.
 Refrain from tobacco use.
 Lose weight if overweight.


Ulcers
• Peptic ulcers can be gastric or
duodenal.
• Strategies
Take prescribed medicine.
Avoid caffeine- and alcohol-containing
foods.
Minimize aspirin and ibuprofen use.
No smoking.


Chapter 3 NUTR

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Chapter 3 NUTR