Registered Dietitian (RD) - USA
1 **Foundations of Nutrition**
1-1 Basic Nutrients
1-1 1 Macronutrients
1-1 1-1 Carbohydrates
1-1 1-2 Proteins
1-1 1-3 Fats
1-1 2 Micronutrients
1-1 2-1 Vitamins
1-1 2-2 Minerals
1-2 Digestion and Absorption
1-2 1 Gastrointestinal Tract
1-2 2 Enzymes and Hormones
1-3 Metabolism
1-3 1 Energy Balance
1-3 2 Thermodynamics
1-4 Nutrient Interactions
1-4 1 Synergistic Effects
1-4 2 Antagonistic Effects
2 **Nutrition Across the Lifespan**
2-1 Maternal Nutrition
2-1 1 Preconception
2-1 2 Pregnancy
2-1 3 Lactation
2-2 Infant and Toddler Nutrition
2-2 1 Breastfeeding
2-2 2 Formula Feeding
2-2 3 Complementary Feeding
2-3 Child and Adolescent Nutrition
2-3 1 Growth and Development
2-3 2 Nutrient Needs
2-3 3 Eating Behaviors
2-4 Adult Nutrition
2-4 1 Nutrient Requirements
2-4 2 Chronic Disease Prevention
2-5 Geriatric Nutrition
2-5 1 Nutrient Absorption Changes
2-5 2 Chronic Disease Management
3 **Medical Nutrition Therapy (MNT)**
3-1 Assessment and Diagnosis
3-1 1 Nutritional Assessment Tools
3-1 2 Clinical Diagnosis
3-2 Intervention
3-2 1 Dietary Modifications
3-2 2 Nutritional Supplements
3-3 Monitoring and Evaluation
3-3 1 Outcome Measures
3-3 2 Patient Education
3-4 Specialized MNT
3-4 1 Diabetes
3-4 2 Cardiovascular Disease
3-4 3 Renal Disease
3-4 4 Gastrointestinal Disorders
4 **Community and Public Health Nutrition**
4-1 Public Health Principles
4-1 1 Epidemiology
4-1 2 Health Promotion
4-2 Nutrition Policy and Advocacy
4-2 1 Governmental Policies
4-2 2 Non-Governmental Organizations
4-3 Food Security and Safety
4-3 1 Food Insecurity
4-3 2 Foodborne Illnesses
4-4 Nutrition Education
4-4 1 Curriculum Development
4-4 2 Community Programs
5 **Food Science and Food Systems**
5-1 Food Composition
5-1 1 Nutrient Content
5-1 2 Food Additives
5-2 Food Processing and Preservation
5-2 1 Techniques
5-2 2 Impact on Nutrients
5-3 Food Safety and Hygiene
5-3 1 Hazard Analysis
5-3 2 Sanitation Practices
5-4 Food Systems
5-4 1 Production
5-4 2 Distribution
5-4 3 Consumption
6 **Professional Practice and Ethics**
6-1 Scope of Practice
6-1 1 Legal Responsibilities
6-1 2 Regulatory Requirements
6-2 Communication Skills
6-2 1 Client Interaction
6-2 2 Documentation
6-3 Cultural Competence
6-3 1 Diversity in Nutrition
6-3 2 Cross-Cultural Communication
6-4 Ethical Standards
6-4 1 Code of Ethics
6-4 2 Confidentiality
7 **Research and Evidence-Based Practice**
7-1 Research Methods
7-1 1 Study Designs
7-1 2 Data Collection
7-2 Evidence Evaluation
7-2 1 Critical Appraisal
7-2 2 Systematic Reviews
7-3 Application of Research
7-3 1 Clinical Practice Guidelines
7-3 2 Practice-Based Evidence
8 **Professional Development**
8-1 Continuing Education
8-1 1 Requirements
8-1 2 Resources
8-2 Career Development
8-2 1 Job Market Trends
8-2 2 Professional Organizations
8-3 Leadership and Advocacy
8-3 1 Leadership Skills
8-3 2 Advocacy Initiatives
1-2 Digestion and Absorption Explained

1-2 Digestion and Absorption Explained

Key Concepts

Digestion and absorption are critical processes that convert food into nutrients the body can use. Digestion breaks down food into smaller molecules, while absorption allows these molecules to enter the bloodstream and be transported to cells throughout the body.

Digestion

Digestion begins in the mouth with chewing and the action of saliva, which contains enzymes that start breaking down carbohydrates. The food then moves to the stomach, where gastric juices, including hydrochloric acid and pepsin, further break down proteins. The small intestine is the primary site for digestion, where bile from the liver and enzymes from the pancreas complete the breakdown of carbohydrates, proteins, and fats into their basic components: glucose, amino acids, and fatty acids.

Example: When you eat a piece of bread, the chewing action and saliva in your mouth begin the process of breaking it down into smaller particles.

Absorption

Absorption occurs primarily in the small intestine, where the inner lining, or epithelium, has millions of tiny, finger-like projections called villi. These villi increase the surface area for absorption. Nutrients from digested food pass through the villi and into the bloodstream or lymphatic system. Glucose and amino acids are absorbed directly into the bloodstream, while fatty acids and glycerol are absorbed into the lymphatic system and eventually reach the bloodstream.

Example: After the carbohydrates in a banana are broken down into glucose, the glucose is absorbed through the villi into the bloodstream, providing energy to the body's cells.

Detailed Explanation

The digestive system is a complex series of organs and glands that work together to convert food into usable energy and nutrients. The mouth, stomach, small intestine, and large intestine all play crucial roles in this process. The liver, pancreas, and gallbladder also contribute by secreting digestive juices and bile.

In the small intestine, enzymes such as amylase, protease, and lipase break down carbohydrates, proteins, and fats, respectively. These enzymes are secreted by the pancreas and the cells lining the small intestine. The breakdown products are then absorbed through the intestinal wall into the bloodstream or lymphatic system.

The large intestine, or colon, is responsible for absorbing water and electrolytes from undigested food material, forming feces. The feces are then eliminated from the body through the rectum and anus.

Examples and Analogies

Think of digestion as a factory where raw materials (food) are processed into finished products (nutrients). The mouth is like the initial processing station, the stomach is the mixing and grinding area, and the small intestine is the assembly line where the final products are packaged and sent out.

Absorption can be compared to a sponge soaking up water. The villi in the small intestine are like tiny sponges that absorb the nutrients from the digested food, allowing them to be transported throughout the body.

Understanding the processes of digestion and absorption is essential for Registered Dietitians to provide accurate dietary advice and to help clients optimize their nutrient intake for health and well-being.