Nitrogen balance

Last updated

In human physiology, nitrogen balance is the net difference between bodily nitrogen intake (ingestion) and loss (excretion):

Contents

Nitrogen balance is used as an index of protein metabolism. When more nitrogen is gained than is lost by an individual, they are considered "in positive nitrogen balance" and a state of overall protein anabolism. In contrast, a "negative nitrogen balance", in which more nitrogen is lost than is gained, indicates a state of overall protein catabolism. [1]

The body obtains nitrogen from dietary protein, sources of which include meat, fish, eggs, dairy products, nuts, legumes, cereals, and grains. Nitrogen loss occurs largely through urine in the form of urea, as well as through feces, sweat, and hair and skin growth.

Blood urea nitrogen and urine urea nitrogen tests can be used to estimate nitrogen balance.

Nitrogen Balance and Protein Metabolism

Nitrogen is a fundamental component of amino acids, the molecular building blocks of protein. Therefore, measuring nitrogen intake and nitrogen loss can be used to study protein metabolism. [2]

Positive nitrogen balance is associated with periods of growth, hypothyroidism, tissue repair, and pregnancy. Because of this, the intake of nitrogen into the body is greater than the loss of nitrogen from the body. Thus, there is an increase in the total body pool of protein.

Negative nitrogen balance is associated with burns, serious tissue injuries, fever, hyperthyroidism, wasting diseases, and periods of fasting. This means that the amount of nitrogen excreted from the body is greater than the amount of nitrogen ingested. [3] A negative nitrogen balance can be used as part of a clinical evaluation of malnutrition. [4]

Nitrogen balance is a method traditionally used to measure dietary protein requirements. [5] This approach necessitates the meticulous collection of all nitrogen inputs and outputs to ensure comprehensive accounting of nitrogen exchanges. [6] Nitrogen balance studies typically involve controlled dietary conditions, requiring participants to consume specific diets to determine total nitrogen intake precisely. Furthermore, participants often must remain at the study location for the duration of the study to facilitate the collection of all nitrogen losses. Physical exercise is also known to influence nitrogen excretion, adding another variable that requires control during these studies. [7] Due to the stringent conditions required for accurate results, the nitrogen balance method may pose challenges when studying dietary protein requirements across different demographics, such as children. [8]

Dietary nitrogen, acquired from metabolizing proteins and other nitrogen-containing compounds, has been linked to changes in genomic evolution. Species that primarily obtain energy from metabolizing nitrogen-rich compounds use more nitrogen in their DNA than species that primarily break down carbohydrates for their energy[ citation needed ]. Dietary nitrogen alters codon bias and genome composition in parasitic microorganisms. [9]

See also

Related Research Articles

<span class="mw-page-title-main">Isoleucine</span> Chemical compound

Isoleucine (symbol Ile or I) is an α-amino acid that is used in the biosynthesis of proteins. It contains an α-amino group (which is in the protonated −NH+3 form under biological conditions), an α-carboxylic acid group (which is in the deprotonated −COO form under biological conditions), and a hydrocarbon side chain with a branch (a central carbon atom bound to three other carbon atoms). It is classified as a non-polar, uncharged (at physiological pH), branched-chain, aliphatic amino acid. It is essential in humans, meaning the body cannot synthesize it. Essential amino acids are necessary in the human diet. In plants isoleucine can be synthesized from threonine and methionine. In plants and bacteria, isoleucine is synthesized from pyruvate employing leucine biosynthesis enzymes. It is encoded by the codons AUU, AUC, and AUA.

<span class="mw-page-title-main">Leucine</span> Chemical compound

Leucine (symbol Leu or L) is an essential amino acid that is used in the biosynthesis of proteins. Leucine is an α-amino acid, meaning it contains an α-amino group (which is in the protonated −NH3+ form under biological conditions), an α-carboxylic acid group (which is in the deprotonated −COO form under biological conditions), and a side chain isobutyl group, making it a non-polar aliphatic amino acid. It is essential in humans, meaning the body cannot synthesize it: it must be obtained from the diet. Human dietary sources are foods that contain protein, such as meats, dairy products, soy products, and beans and other legumes. It is encoded by the codons UUA, UUG, CUU, CUC, CUA, and CUG. Leucine is named after the Greek word for "white": λευκός (leukós, "white"), after its common appearance as a white powder, a property it shares with many other amino acids.

A nutrient is a substance used by an organism to survive, grow, and reproduce. The requirement for dietary nutrient intake applies to animals, plants, fungi, and protists. Nutrients can be incorporated into cells for metabolic purposes or excreted by cells to create non-cellular structures, such as hair, scales, feathers, or exoskeletons. Some nutrients can be metabolically converted to smaller molecules in the process of releasing energy, such as for carbohydrates, lipids, proteins, and fermentation products, leading to end-products of water and carbon dioxide. All organisms require water. Essential nutrients for animals are the energy sources, some of the amino acids that are combined to create proteins, a subset of fatty acids, vitamins and certain minerals. Plants require more diverse minerals absorbed through roots, plus carbon dioxide and oxygen absorbed through leaves. Fungi live on dead or living organic matter and meet nutrient needs from their host.

<span class="mw-page-title-main">Ketosis</span> Using body fats as fuel instead of carbohydrates

Ketosis is a metabolic state characterized by elevated levels of ketone bodies in the blood or urine. Physiological ketosis is a normal response to low glucose availability, such as low-carbohydrate diets or fasting, that provides an additional energy source for the brain in the form of ketones. In physiological ketosis, ketones in the blood are elevated above baseline levels, but the body's acid–base homeostasis is maintained. This contrasts with ketoacidosis, an uncontrolled production of ketones that occurs in pathologic states and causes a metabolic acidosis, which is a medical emergency. Ketoacidosis is most commonly the result of complete insulin deficiency in type 1 diabetes or late-stage type 2 diabetes. Ketone levels can be measured in blood, urine or breath and are generally between 0.5 and 3.0 millimolar (mM) in physiological ketosis, while ketoacidosis may cause blood concentrations greater than 10 mM.

<span class="mw-page-title-main">Human nutrition</span> Provision of essential nutrients necessary to support human life and health

Human nutrition deals with the provision of essential nutrients in food that are necessary to support human life and good health. Poor nutrition is a chronic problem often linked to poverty, food security, or a poor understanding of nutritional requirements. Malnutrition and its consequences are large contributors to deaths, physical deformities, and disabilities worldwide. Good nutrition is necessary for children to grow physically and mentally, and for normal human biological development.

An essential amino acid, or indispensable amino acid, is an amino acid that cannot be synthesized from scratch by the organism fast enough to supply its demand, and must therefore come from the diet. Of the 21 amino acids common to all life forms, the nine amino acids humans cannot synthesize are valine, isoleucine, leucine, methionine, phenylalanine, tryptophan, threonine, histidine, and lysine.

The net protein utilization, or NPU, is the percentage of ingested nitrogen that is retained in the body. It is used to determine the nutritional efficiency of protein in the diet, that is, it is used as a measure of "protein quality" for human nutritional purposes.

A low-protein diet is a diet in which people decrease their intake of protein. A low-protein diet is used as a therapy for inherited metabolic disorders, such as phenylketonuria and homocystinuria, and can also be used to treat kidney or liver disease. Low protein consumption appears to reduce the risk of bone breakage, presumably through changes in calcium homeostasis. Consequently, there is no uniform definition of what constitutes low-protein, because the amount and composition of protein for an individual with phenylketonuria would differ substantially from one with homocystinuria or tyrosinemia.

<span class="mw-page-title-main">Cat food</span> Food for consumption by cats

Cat food is food specifically designed for consumption by cats. As obligate carnivores, cats have specific requirements for their dietary nutrients, namely nutrients found only in meat or synthesised, such as taurine and Vitamin A. Certain nutrients, including many vitamins and amino acids, are degraded by the temperatures, pressures and chemical treatments used during manufacture, and hence must be added after manufacture to avoid nutritional deficiency. Cat food is typically sold as dry kibble, or as wet food in cans and pouches.

Specific dynamic action (SDA), also known as thermic effect of food (TEF) or dietary induced thermogenesis (DIT), is the amount of energy expenditure above the basal metabolic rate due to the cost of processing food for use and storage. Heat production by brown adipose tissue which is activated after consumption of a meal is an additional component of dietary induced thermogenesis. The thermic effect of food is one of the components of metabolism along with resting metabolic rate and the exercise component. A commonly used estimate of the thermic effect of food is about 10% of one's caloric intake, though the effect varies substantially for different food components. For example, dietary fat is very easy to process and has very little thermic effect, while protein is hard to process and has a much larger thermic effect.

Protein toxicity is the effect of the buildup of protein metabolic waste compounds, like urea, uric acid, ammonia, and creatinine. Protein toxicity has many causes, including urea cycle disorders, genetic mutations, excessive protein intake, and insufficient kidney function, such as chronic kidney disease and acute kidney injury. Symptoms of protein toxicity include unexplained vomiting and loss of appetite. Untreated protein toxicity can lead to serious complications such as seizures, encephalopathy, further kidney damage, and even death.

Protein digestibility-corrected amino acid score (PDCAAS) is a method of evaluating the quality of a protein based on both the amino acid requirements of humans and their ability to digest it.

Bodybuilding supplements are dietary supplements commonly used by those involved in bodybuilding, weightlifting, mixed martial arts, and athletics for the purpose of facilitating an increase in lean body mass. Bodybuilding supplements may contain ingredients that are advertised to increase a person's muscle, body weight, athletic performance, and decrease a person's percent body fat for desired muscle definition. Among the most widely used are high protein drinks, pre-workout blends, branched-chain amino acids (BCAA), glutamine, arginine, essential fatty acids, creatine, HMB, whey protein, ZMA, and weight loss products. Supplements are sold either as single ingredient preparations or in the form of "stacks" – proprietary blends of various supplements marketed as offering synergistic advantages.

<span class="mw-page-title-main">Protein supplement</span>

A protein supplement is a dietary supplement or a bodybuilding supplement, and usually comes in the form of a protein bar, protein powder, and even readily available as a protein shake. Usually made from whey, plant, and/or meat sources.

Biological value (BV) is a measure of the proportion of absorbed protein from a food which becomes incorporated into the proteins of the organism's body. It captures how readily the digested protein can be used in protein synthesis in the cells of the organism. Proteins are the major source of nitrogen in food. BV assumes protein is the only source of nitrogen and measures the amount of nitrogen ingested in relation to the amount which is subsequently excreted. The remainder must have been incorporated into the proteins of the organisms body. A ratio of nitrogen incorporated into the body over nitrogen absorbed gives a measure of protein "usability" – the BV.

<span class="mw-page-title-main">Protein (nutrient)</span> Nutrient for the human body

Proteins are essential nutrients for the human body. They are one of the building blocks of body tissue and can also serve as a fuel source. As a fuel, proteins provide as much energy density as carbohydrates: 4 kcal per gram; in contrast, lipids provide 9 kcal per gram. The most important aspect and defining characteristic of protein from a nutritional standpoint is its amino acid composition.

<span class="mw-page-title-main">Nutritional neuroscience</span> Scientific discipline

Nutritional neuroscience is the scientific discipline that studies the effects various components of the diet such as minerals, vitamins, protein, carbohydrates, fats, dietary supplements, synthetic hormones, and food additives have on neurochemistry, neurobiology, behavior, and cognition.

Urine urea nitrogen (UUN) refers to a test that measures the urine urea to assess nitrogen balance.

High performance sport dogs are those bred and trained to compete in various athletic events. Events include but are not limited to, agility trials, hunting and racing. These events are physically and metabolically demanding. As a result, canine athletes require specialized nutrition in order to perform at high levels during events and for maintenance and recovery. The main nutritional concern for sport dogs is adequate energy. A well-balanced diet, containing the appropriate amounts of protein, fat, carbohydrate, fiber and micronutrients is essential to meet these energy requirements.

<span class="mw-page-title-main">Constance Kies</span> American dietitian and nutrition scientist (1934–1993)

Constance Virginia Kies was an American nutrition scientist and dietitian. Kies worked as a public school teacher for three years before going against the traditional gender norms of her time and completing an M.S. and Ph.D. from the University of Wisconsin–Madison. Over the duration of her 30-year career at the University of Nebraska–Lincoln, Kies researched nutritional biochemistry. She demonstrated relationships between minerals, proteins, and dietary fiber through pioneering human subject research. Her findings led to advancements in human knowledge of copper and protein metabolism. She was honored with the Borden Award and was a fellow of the American College of Nutrition. Kies was a feminist and a member of the National Organization for Women and the Women's Equity Action League. She died of uterine cancer three months after her diagnosis.

References

  1. Dickerson, Roland (April 2016). "Nitrogen Balance and Protein Requirements for Critically Ill Older Patients". Nutrients. 8 (4): 226. doi: 10.3390/nu8040226 . PMC   4848694 . PMID   27096868.
  2. World Health Organization Protein and amino acid requirements in human nutrition. WHO Technical Report Series 935
  3. "VII. Monitoring Nutrition Therapy". Archived from the original on 2011-09-28.
  4. Barbosa-Silva MC (May 2008). "Subjective and objective nutritional assessment methods: what do they really assess?". Curr Opin Clin Nutr Metab Care. 11 (3): 248–54. doi:10.1097/MCO.0b013e3282fba5d7. PMID   18403920. S2CID   26831957.
  5. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids (Macronutrients). The National Academies Press: 2005
  6. Rand WM, Pellett PL, Young VR (2003). Meta-analysis of nitrogen balance studies for estimating protein requirements in health adults. Am.J.Nutr 77(1):109-127.
  7. Clauss, Matthieu; Burkhardt, Meike; Wöber, Sophie; Skålhegg, Bjørn Steen; Jensen, Jørgen (21 February 2024). "Effect of five hours of mixed exercise on urinary nitrogen excretion in healthy moderate-to-well-trained young adults". Frontiers in Nutrition. 11. doi: 10.3389/fnut.2024.1345922 . PMC   10914964 . PMID   38450230.
  8. Elango R, Humayun MA, Ball RO, Pencharz PB (2011). "Protein requirements of healthy, school-aged children determined by the indicator amino acid oxidation method". Am. J. Clin. Nutr. 94 (6): 1545–1552. doi: 10.3945/ajcn.111.012815 . PMID   22049165.
  9. Seward EA and Kelly S (Nov 2016). "Dietary nitrogen alters codon bias and genome composition in parasitic microorganisms". Genome Biology. 17 (226): 226. doi: 10.1186/s13059-016-1087-9 . PMC   5109750 . PMID   27842572.