Taro leaves should not tuber-bear-be consumed raw tuber-bear-because some varieties containhigh levels of OXALIC ACID calcium oxalate thatcan be toxic when large amounts are consumed.Tar
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table salt See SODIUM
table sugar See SUCROSE
tahini A butter prepared from ground, hulled
SESAME seeds Tahini prepared from untoasted
seeds has a mild flavor and is easily spreadable
Toasting sesame seeds yields a more oily mixture
and adds a stronger flavor Most commercial
pro-duction of sesame seeds occurs in Mexico and
Guatemala Like sesame seed, tahini is a vegetarian
source of iron One tablespoon (15 g) provides 91
calories; protein, 2.7 g; carbohydrate, 2.7 g; fiber,
2.2 g; fat, 8.5 g; iron, 0.95 mg; thiamin, 0.24 mg;
riboflavin, 0.02; mg niacin, 0.85 mg
tallow FAT extracted from fatty tissue of sheep
and cattle Tallow hardens at room temperature,
reflecting its relatively high content of saturated
FATTY ACIDS; it contains about 46 percent saturated
fatty acids and only 4 percent polyunsaturated fatty
acids Beef tallow is used in prepared foods such as
chili and refried beans and french fries It is also
used industrially in soap and candle manufacture
Fat regardless of its source yields nine calories per
gram, more than double the amount of calories in
carbohydrate (See also FAT METABOLISM; LARD.)
tamari (natural shoyu, Japanese soy sauce) A soy
sauce prepared from the formation of SOYBEANS
and cracked, roasted WHEAT Tamari is fermented
slowly and no preservatives are added Tamari is a
salty food containing 16 percent salt Tamari
con-tains little vitamin B12activity
tangelo A citrus fruit that is a result of
cross-breeding a grapefruit and a tangerine They have
fewer seeds than tangerines but retain most of thatfruit’s flavor and sweetness They are generally eas-ier to peel and eat because the skin is somewhatloose around the pulpy flesh The fruit has existedfor several thousand years, probably originating inSoutheast Asia from an accidental cross-breeding ofmandarin oranges and pomelos (an ancestor of themodern grapefruit) Like other citrus fruits, tangelosare rich in vitamin C One medium tangelo provides
60 calories; fiber, 3 g; potassium, 240 mg
tangerine A smallish, tart CITRUS FRUIT Tangerine
is a descendant of the mandarin ORANGEand nated in China The fruit has a thin, easily peeledskin and segments separate readily Unlike oranges,which can be stored at room temperature for severalweeks, tangerines need to be refrigerated if keptlonger than a couple of days They are eaten raw orused in fruit or gelatin-based salads Tangerines pro-vide less vitamin C than oranges The edible portion
origi-of one raw tangerine (84 g) provides 37 calories;protein, 0.5 g; carbohydrate, 9.4 g; fiber, 1.6 g; fat,0.2 g; potassium, 132 mg; vitamin C, 26 mg; thi-amin, 0.09 mg; riboflavin, 0.02 mg; niacin, 0.13 mg
tannins A family of complex compounds thatoccur in the bark or leaves of certain plants andtrees Tannins are classified chemically asflavonoids they are composed of two or more aro-matic ring structures that act as antioxidants toquench oxidative damage due to FREE RADICALS.Polyphenols block the ability of certain compounds
to cause mutations in test tube experiments andinhibit lung and skin tumors in experimental ani-mals Tannins are classified as hydrolyzable or con-densed Hydrolyzable tannins such as ellagic acid,gallic acid, and related compounds, are often com-plexed with glucose Hydrolyzable tannins could
Trang 2serve as anticancer agents, increasing the liver’s
ability to “detoxify” potential cancer-causing agents
by increasing their water-solubility, thus speeding
up their removal (excretion) A second type,
con-densed tannins (flavolans), are chains of
polyphe-nol units that do not break down readily and
combine with iron and other metals
Individuals consuming COFFEE, TEA, COCOA, and
CHOCOLATEmay ingest on the order of 1,000 mg of
tannins daily Tannins occur in all coffees, even
decaffeinated coffee A child consuming chocolate
milk together with chocolate candy could consume
160 mg of cocoa tannin per kilogram of body
weight per day Brewed teas supply tannins Some
population studies suggest that tea drinkers have a
reduced risk of dying from coronary heart disease
High levels of tannic acid can bind protein and limit
digestion, limit the uptake of GLUCOSEand METHIO
-NINE, and bind iron from vegetable sources Acute
toxicity tests with adult animals did not indicate
toxicity
tapioca A form of starch derived from the CAS
-SAVA, a tropical root vegetable Tapioca is prepared
by drying pulped roots after fibers have been
removed Special grinding and sieving is required
to produce the type of tapioca used in popular
pud-dings Like most starches, tapioca swells and
thick-ens when cooked in water It is often used to
thicken soups, pies, and puddings High-grade
tapi-oca forms milky beads with a brilliant white luster
The nutrient content of 1 cup (165 g) of tapioca
cream pudding is: 221 calories; protein, 8.3 g;
car-bohydrate, 28.2 g; fat, 8.4 g; sodium, 257 mg;
cal-cium, 173 mg; thiamin, 0.07 mg; riboflavin, 0.30
mg; niacin, 0.2 mg (See also FLOUR.)
tardive dyskinesia A disabling disorder
some-times produced by the long-term use of
anti-psychotic drugs and neuroleptic drugs
(tranquiliz-ers) Tardive dyskinesia occurs in 10 percent to 20
percent of patients treated with these drugs
Symp-toms include involuntary twitching of mouth and
face, hand trembling, spasms, and speech
distur-bances Sometimes these drug-induced effects are
irreversible
Supplements of the nitrogen-containing
nutri-ent CHOLINEand of LECITHIN, the PHOSPHOLIPIDfrom
which choline is derived, reduce the abnormalmovements of tardive dyskinesia, and lecithinremains an important treatment option TRYPTO-
PHAN, together with NIACINAMIDE and VITAMIN B6,may relieve symptoms of tardive dyskinesia Large-scale studies have suggested that patients who sup-plement with NIACIN, MANGANESE, and ZINC
concomitantly with drug treatment experiencedecreased symptoms of tardive dyskinesia TheAmerican Psychiatric Association concluded (1991)that the general clinical value of such nutrientsshould be confirmed with long-term, large-scalestudies before acceptance Preliminary clinicalstudies suggest that VITAMIN Emay also decrease theseverity of symptoms (See also NERVOUS SYSTEM;
PARKINSON’S DISEASE.)Dannon, P N et al “Vitamin E Treatment in Tardive
Dyskinesia,” Human Psychopharmacology 12 (1997):
217–220.
target heart rate See EXERCISE
taro (Colocasia esculenta) A tropical, ing plant native to Southeast Asia Taro cultivationgradually spread to Japan, China, the easternMediterranean region, Polynesia, New Zealand,West Africa, and South America Taro root is ahigh-carbohydrate food Poi, a staple food of Poly-nesia, is made from the taro root A common vari-ety of taro produces a brown-skinned root with apale purple or white flesh Taro root is sold in Asianmarkets and specialty shops Taro leaves should not
tuber-bear-be consumed raw tuber-bear-because some varieties containhigh levels of OXALIC ACID (calcium oxalate) thatcan be toxic when large amounts are consumed.Taro root can be used like potatoes; it is boiled,baked, or steamed The vegetable becomes verysticky upon cooling The tuber has a nutrient valuesimilar to the Irish POTATO
tarragon (Artemesia dracunculus) A smallperennial shrub with a dark green, narrow leaf that
is used as a culinary HERB The name comes from
the French estragon, meaning “little dragon,”
because the twisted roots resemble dragons ragon is used fresh or dried to create a somewhatanise-like flavor in chicken, veal, and turkey
Tar-tarragon 613
Trang 3dishes; in broiled fish and shellfish; omelet and egg
dishes; MUSTARD; and MAYONNAISE Tarragon is used
in bearnaise sauce Tarragon can overwhelm other
seasonings, and it is not recommended in recipes
calling for a blend of herbs (See also ANISE; SPICE.)
tartaric acid An acidic FOOD ADDITIVE used to
create a tart taste Tartaric ACID occurs widely in
plants, especially in fruits and ripe grapes
Com-mercially, tartaric acid is a by-product of wine
pro-duction Tartaric acid is used with grape flavors and
other flavoring agents in SOFT DRINKS, CANDY,
gelatin-based desserts, and YOGURT
The potassium salt of tartaric acid (potassium
tartrate) is called “cream of tartar.” This compound
is used as a leavening agent and as an anticaking
agent in baking A mixture of sodium tartrate and
sodium-potassium tartrate, “Rochelle salt,” is used
to control acidity and to emulsify ingredients of
processed foods (CHEESE and jam, among others)
Intestinal bacteria produce most of the tartaric acid
people ingest, and it is considered a safe food
addi-tive (See also CITRIC ACID.)
tartrazine (FD&C yellow no 5) One of the most
widely used artificial colorings in the United States
Low levels of tartrazine are used in beverages like
SOFT DRINKS; higher levels are used in BREAKFAST
CEREALS, baked goods and snack foods Health
con-cerns have been raised because tartrazine causes
allergic reactions in certain people, particularly if
they are sensitive to ASPIRIN Asthma, hives and
typ-ical “hay fever” symptoms can occur, although
more severe symptoms have been reported
Tar-trazine sensitivity was estimated to be prevalent in
less than 100,000 Americans in the late 1970s In
1981 the U.S FDArequired that ingredient labels on
foods disclose the presence of tartrazine rather than
simply noting “artificial coloring.” Several
Euro-pean countries have banned this dye from food use
Coloring from TURMERIC and ANNATTO can be used
in place of this yellow food coloring (See also
ALLERGY, FOOD; FOOD ADDITIVES; FOOD SENSITIVITY.)
taste The flavor sensation of substances placed in
the mouth The sensation of taste relies on the
stimulation of receptors (taste buds) by substances
dissolved in SALIVA An adult possesses about 2,000taste buds located chiefly on the tongue Theyoccur also on the soft palate and in the throat Typ-ically, taste buds occur in small protuberancescalled papillae, which give the upper surface of thetongue a rough appearance Taste buds possessexternal cells with hair-like extensions that projectthrough a central taste pore When a dissolved sub-stance enters a taste pore and contacts the hair-likeprojections, it can generate a nerve impulse that isrelayed to the brain
Of all the seemingly endless different flavors andsubtle tastes, there are only four basic taste sensa-tions: sweet, sour, salt, and bitter Most other tastesare combinations of these modified by odors.When a person has a cold, the olfactory sensations(SMELL) do not operate normally, although thetaste sensations may be normal The olfactory sys-tem (sense of smell) is much more sensitive tostimulation than the gustatory system for a givenconcentration of a substance
Taste buds located in different areas possess ferent sensitivities to taste sensations Thus, the tip
dif-of the tongue reacts with all primary taste tions, but it is highly sensitive to salty and sweetmaterials The edges of the tongue respond morereadily to sour substances, while the back of thetongue responds most to bitter substances
sensa-Foods that taste bitter are generally rejected.This may be part of a protective mechanism inhuman evolution, because many poisonous plantscontain toxic substances that produce a bitter taste
A degree of saltiness is often considered pleasantbut very salty foods will be rejected The preferencefor salty foods in most people is acquired Gradu-ally, reducing the amount of salt in foods willuncover the subtle, rich flavors of minimallyprocessed foods Sweet tasting foods create pleasur-able feelings ARTIFICIAL SWEETENERS have beendeveloped that will trigger the sweet receptorswithout contributing calories A sour taste may beeither objectionable or desirable Dilute acid solu-tions such as VINEGAR can create tangy, zestfulfoods and beverages, while excessive acidity is notpalatable The taste threshold varies for each pri-mary taste Bitter substances possess the lowesttaste threshold, that is, they can be distinguished atlow concentrations; the threshold for sour sub-
614 tartaric acid
Trang 4stances is higher; and the thresholds for salt and
sweet materials are higher than for sour or bitter
foods Adding sugar to highly seasoned dishes
increases the ability to sense hot spices
Children up to the age of five have more taste
buds than adults, so foods taste richer to them
Babies explore their environment by tasting
every-thing they can reach Possible reasons for a
decrease in the sense of taste include: cigarette
smoking, eating excessively salty foods or drinking
alcoholic beverages, and a ZINCdeficiency Elderly
persons gradually lose some of their sense of taste;
food tends to taste bland to them
Adler, E et al “A Novel Family of Mammalian Taste
Receptors,” Cell 100 (March 17, 2000): 693.
Fackelmann, K A “The Bitter Truth,” Science News 152
(July 12, 1997): 24.
taurine A sulfur-containing compound produced
by the liver Taurine serves multiple functions The
liver uses taurine to convert CHOLESTEROL to BILE
salts, required to digest FAT and to modify toxic
chemicals to help flush them out of the body
Tau-rine helps regulate nerves and muscles and
sup-ports SODIUM and POTASSIUM transport across cell
membranes It is required for normal function of
the heart, brain, eyes, and vascular system Taurine
is the most prevalent free amino acid in the heart,
where it contributes to muscle contraction With
chronic stress and when the oxygen supply to the
heart drops (ischemia), taurine levels in the heart
decrease In Japan, taurine is used in treating HEART
DISEASE and congestive heart failure Taurine
administered to experimental animals can prevent
induced heart muscle damage In the brain, taurine
acts as a NEUROTRANSMITTER, a chemical released by
a nerve cell (neuron) to help carry a nerve impulse
to an adjacent cell Taurine seems to be inhibitory,
that is, it depresses the brain Therefore, it is being
studied as an anticonvulsant in the treatment of
epilepsy Taurine is also involved in calcium
metab-olism of the brain
The body possesses a limited capacity to produce
taurine, and certain individuals may require
dietary taurine, depending on their nutritional
sta-tus Pre-term and full-term infants do not
synthe-size appreciable taurine, which is the most
abundant amino acid in breast milk With time thetaurine content of breast milk declines as the infantgrows and begins to manufacture taurine Taurinewas once omitted from infant formulas; now it isadded routinely Taurine is concentrated in animalprotein, especially organ meats, fish, and milk, but
is absent from plant foods
Taurine is a nerve depressant and when used as
a supplement it may affect short-term memory Itsuse is considered experimental (See also METHIO-
NINE; NERVOUS SYSTEM.)
tea (Camellia sinensis) The dried leaves of a cal evergreen that grows as a small tree or shrub.Brewed tea is the most popular beverage worldwide.The origin of tea is obscure, though it probably orig-inated in regions of Tibet, western China, and north-ern India India, Sri Lanka, and China are theleading tea growing countries Flower, leaf, bark,roots, and seeds of various plants are used in herbal
tropi-teas but these are not derived from Camellia sinensis.
Differences in color and aroma among varioustypes of tea reflect primarily differences in tea pro-cessing Nearly 75 percent of tea ends up as blacktea, in which leaves are crushed to release enzymesthat oxidize substances in leaves (polyphenols) thatcreate the rich flavor The leaves are then dried inhot air to develop a brown/black color For greentea, fresh leaves are steamed to destroy the oxidiz-ing enzymes, then rolled and dried Instant tea wasdeveloped in the United States in 1948 It is pre-pared by brewing a strong tea and removing water
to leave a dried concentrate, which can be added towater Oolong tea is partially fermented to create agreen-brown leaf
Brewed tea is prepared by pouring boiling waterover dried tea leaves Generally, the best flavor isobtained when tea has steeped (soaked) in boiledwater for up to five minutes for black tea, one totwo minutes for green tea Longer steeping createstea with more TANNIN and increased bitterness.Black tea, and to a lesser extent, green tea bind ironbecause of the tannin content Tannins contribute
to the pungency of tea Tea is a mild stimulantbecause it contains CAFFEINE A cup of black teaprovides about 90 mg, about half the amount in
COFFEE(160 mg/cup) Green tea contains up to 30
tea 615
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responsible for the diuretic effect of tea
Brewed tea contains other substances as well
Tea is a source of FLUORIDE; a cup of tea provides
about 0.3 mg Green tea yields more fluoride and
less caffeine than black tea Green tea provides
vit-amin C; on the average, one cup of green tea
pro-vides as much vitamin C as half a cup of orange
juice Tea also contains tannin and catechin
(classi-fied as FLAVONOIDS), widely distributed among
plants Cancer of the esophagus, stomach, and
intestine are rare in regions of Japan and China
where large amounts of green tea are consumed
They possess ANTIOXIDANTproperties
Epigallocate-chin is the most potent cateEpigallocate-chin in tea It is
reported to be 200 times stronger antioxidant than
vitamin E Antioxidants have been proposed as
anti-cancer agents Studies have shown that green
tea extracts can inhibit the growth of bladder,
stomach, and esophageal cancer cells Population
studies suggest that regularly drinking green or
black tea can lower the risk of developing cancer
Other studies link tea consumption with a lowered
risk of dying from heart disease In one study,
peo-ple who drank more than two cups of tea daily
reduced the risk of death following heart attack by
44 percent Tea flavonoids may limit the oxidation
of LOW-DENSITY LIPOPROTEIN (LDL) cholesterol,
believed to be an early event in atherosclerosis
Other studies suggest that tea can increase bone
density, inhibit the bacterium responsible for tooth
decay, improve the growth of beneficial gut
bacte-ria, and inhibit flu virus and boost the immune
sys-tem However, the mechanism of action of tea
flavonoids is still being investigated
Imai, K “Cross-sectional Study of Effects of Drinking
Green Tea on Cardiovascular and Liver Diseases,”
British Medical Journal 310 (1995): 693–696.
teeth Bony projections from the upper and lower
jaws used for chewing food Each tooth possesses
an exposed crown and one or more roots that
anchor the tooth in the jawbone Each jaw has 16
teeth A child may develop up to 20 teeth that are
replaced with permanent teeth Incisors and
cus-pids (canines) are for biting off pieces of food
Bicuspids (premolars) and molars provide grinding
surfaces to pulverize food
The outer coating of the tooth is called theenamel, the hardest part of the tooth This protec-tive layer resists the wear of chewing and theaction of bacteria A hardened type of bone coversthe roots Dentine, a hard, mineralized layer, liesbeneath the enamel Dentine surrounds a centralcavity of the tooth, filled with nerves and bloodvessels The gums (gingivae) bridge the gapbetween the tooth and bone Tooth sockets arelined with a periodontal ligament and elastic con-nective tissue, which both anchor the tooth and act
as a shock absorber
FLUORIDEis incorporated into teeth during theirformation in the first years of life Fluoride entersthe mineral structure, increasing its resistance tomicrobial degradation Fluoride has its greatesteffect before and during the emergence of teeth,and it is recommended in the diet until all teeth are
in place Fluoride has been recommended in ing water up to a concentration of 1 mg per milli-liter as a supplement during tooth formation.Most adults over 50 exhibit symptoms of GIN-
drink-GIVITIS(inflamed gums) due to dental plaque mulation Plaque is the sticky mass of bacterialdeposit, which can harden and become tartar Incertain cases, bacterial infection spreads to deep tis-sues (periodontitis) and can cause tooth and boneloss Flossing, brushing, and professional cleaningare the foundation for oral health and best defenseagainst plaque formation Topical application offluoride as toothpaste or oral antiseptic rinse fur-ther reduces tooth decay (See also PERIODONTAL DISEASE.)
accu-tempeh A type of fermented soybean cake and ameat substitute Tempeh is a food staple in Indone-sia, New Guinea, and, to a lesser degree, inMalaysia Soaked soybeans are boiled, usually with
grains, then fermented (aged) with a mold,
Rhizo-pus oligosporus Mold growth forms a mat around
the cooked beans that binds the mixture into a firmcake, which can be fried, baked, roasted, or dicedand served in soups Tempeh contains somewhatmore protein than soybean curd (TOFU)
teratogen An agent that causes BIRTH DEFECTS.The placenta acts as a barrier to many potentiallydamaging substances in maternal blood However,
616 teeth
Trang 6a number of fat-soluble compounds and drugs can
penetrate the placenta and can damage the embryo
or fetus In the United States alone nearly 150,000
infants are born with malformations and
develop-mental defects that require medical treatment
About 60 percent of all birth defects have an
unknown cause The other 40 percent are caused
by either genetic factors or environmental
expo-sures, or both
The catalog of teratogenic agents lists all
chemi-cals that have been reported to be teratogenic in
humans or in animals Americans are exposed to
approximately 5 million chemicals; 1,600 of these
have been tested in lab animals and about 50
per-cent are known teratogens A number of these are
related to nutrients Retinoids, a family of lipids
related to VITAMIN A, affect the development of
body shape, and overdoses can lead to severe
mal-formation Retinoic acid (C13cis—retinoic acid), a
vitamin A derivative used in skin treatment for
severe ACNE, is a human teratogen Some
investi-gators believe that ETHANOL, the alcohol in
alco-holic beverages, could be responsible for as much
as 20 percent of cases of mental retardation in the
United States About one-third of all children born
to alcoholic mothers are affected by FETAL ALCOHOL
SYNDROME, a condition characterized by long-term
growth retardation, nervous system irregularities,
small head size, and facial anomalies Maternal
alcohol consumption during pregnancy is also
associated with cleft palate and congenital head
defects Excessive consumption of selenium can
cause a condition called selenosis in which very
high levels of selenium accumulate in maternal
tis-sues Animal studies indicate that selenium under
these extreme conditions can be a teratogen A
variety of drugs are teratogens The general
recom-mendation is to avoid alcohol and drugs during
pregnancy
terpenoid (terpene) A large family of
com-pounds produced by plants and animals that are
classified as LIPIDS Lipids are fat-soluble
(hydrophobic) compounds that dissolve oils and
organic solvents Terpenoids are ring structures
assembled from acetyl COENZYME A, the activated
form of ACETIC ACIDderived from the degradation
of CARBOHYDRATE and FAT Terpenoids include a
large number of plant and animal materials such as
VITAMIN A, VITAMIN D, VITAMIN E, VITAMIN K, CHOLES
-TEROL, steroid hormones, BILE salts; plant oils likelimonene from oil of LEMON and ORANGE; pinenefrom turpentine; geraniol from flowers; mentholfrom PEPPERMINT; zingiberene from oil of GINGER; B-selinene from oil of CELERY; and squalene from fishliver oil (See also CARBOHYDRATE METABOLISM; FAT METABOLISM; HORMONE; STEROIDS.)
testosterone The predominant male sex HOR
-MONE Testosterone is the major androgenic mone (hormones that guide the development andmaintenance of male organs and secondary malecharacteristics, including facial hair, male muscula-ture, with widened shoulders and narrowed hips,among others) Testosterone stimulates the accu-mulation of muscle and the maturation of spermand stimulates bone growth Testosterone, likeother STEROIDhormones, is synthesized from CHO-
hor-LESTEROLand is secreted by the testicles Illicit use
of synthetic androgens by athletes and bodybuilders has led to increased muscle mass above thelevel induced by workouts, with often disastrousside effects
In females, testosterone is synthesized by theovaries and adrenal glands; the blood levels oftestosterone in women are about 10 percent of atypical male The role of androgens in femaledevelopment is unclear The effects of excessivemale hormones are better documented withincreased risk of diabetes, high blood pressure,heart disease, breast cancer, irregular periods andendometrial cancer (See also ANABOLIC STEROIDS.)
tetrahydrofolic acid (THF) The biologicallyactive form of the B vitamin, FOLIC ACID THF func-tions as a coenzyme, that is, an enzyme helper Itdiffers from folic acid because it possesses extrahydrogen atoms and GLUTAMIC ACID units THF figures predominantly in the transfer of single car-bon units It helps catalyze the synthesis of theamino acid SERINE from the simplest amino acid,
GLYCINE; helps catalyze the nitrogen-containingbases, PURINEand THYMINE, which are used as build-ing blocks of genetic material, DNA; and helps cat-alyze EPINEPHRINE, a stress hormone released by theadrenal gland, among others (See also COENZYME.)
tetrahydrofolic acid 617
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a food or beverage, often referred to as “mouth
feel.” Adjectives such as chewy, sticky, creamy,
hard, lumpy, soft, rough, smooth, gritty, crisp, and
the like describe food textures The physical and
chemical properties of a food form the basis for
acceptance or rejection Experience teaches
associ-ations between certain foods and textures If food
has a texture that differs from expectations it is
judged as of lower quality A rejected food may be
stringy, slimy, gritty, greasy, or contain hard to
chew pieces or fragments (See also FOOD PROCESS
-ING; TASTE.)
texturized vegetable protein (TVP) SOYBEAN
protein that has been processed to resemble meat
Protein is isolated from soybeans, chemically
treated, combined with additives and further
processed to create colored granules, chunks, or
strips TVP is made by cooking soybean flour with
other ingredients and extruding the mixture to
form hamburger extenders, bacon bits, and the
like Spun forms are made by spinning fibers and
adding flavor and color TVP can be formed to
resemble meat, fish, or poultry Imitation meat
products contain many additives to create a desired
texture and flavor, including MONOSODIUM GLUTA
-MATE, salt, ARTIFICIAL FOOD COLORS, flavors, flavor
enhancers, EMULSIFIERS, and various types of VEG
-ETABLE OIL Although low in cholesterol, imitation
meat can be a high-fat option because of the added
hydrogenated vegetable oil
TVP is an inexpensive, versatile imitation meat
used in a large number of manufactured foods,
including simulated CHICKEN, simulated HAM
-BURGER, simulated HAMand BACON, simulated
pep-peroni, and even imitation nuts Soybean protein
finds its way into casseroles, pizza toppings, stews,
snacks, other CONVENIENCE FOODS, and
institution-alized cooking The amount used in soy products is
up to the discretion of the manufacturer TVP is
considered a safe food additive (See also IMITATION
FOOD; PROCESSED FOOD.)
thermogenesis (nonshivering thermogenesis) The
generation of heat by the body in response to cold
Brown fat tissue (adipose tissue) is geared to
pro-duce heat Brown adipose is most predominant innewborn infants and decreases with age It is muchless abundant in the body than white fat, andoccurs in only a few regions, especially the back ofthe neck and the upper back in adults The amount
of brown fat can increase with exposure to lowtemperatures Fat cells in brown adipose tissue canswitch over to burn fat and produce heat inresponse to thyroid hormone Released heat canthen warm the body This response is more promi-nent in babies than in adults (See also FAT METAB-
OLISM; SPECIFIC DYNAMIC EFFECT.)
thiamin (vitamin B 1 ) A water-soluble vitaminand a member of the B complex Thiamin is essen-tial for the energy production from carbohydrateand fat The active form (coenzyme), thiaminpyrophosphate, serves as an enzyme helper in thebreakdown of glucose (blood sugar) and in theKreb’s cycle, the central energy-yielding pathway
of the body Thiamin is also required in the PENTOSE
phosphate pathway, a sequence of enzymes thatconverts glucose to the smaller sugars and energyand liberates hydrogen atoms for biosynthesis.These energy-yielding pathways are critical fornormal function of peripheral nerves, skeletal mus-cle and heart muscle, among others
Severe thiamin deficiency causes BERIBERI.Although rare in the United States, this diseaseoccurs all too frequently in malnourished popula-tions in developing nations who rely on white flourand white rice that are not enriched with thiamin.When beriberi affects primarily the nervous sys-tem, it is called “dry” beriberi Degeneration ofinsulation (myelin sheath) around nerves of thecentral nervous system occurs, leading to nerveirritation, pain, numbness, and, in extreme cases,paralysis and muscle wasting Beriberi produces astaggering gait, numbness of legs, and retardedgrowth Mental symptoms such as disorientation,hallucinations and depression occur as well Thesesymptoms usually respond to thiamin supplemen-tation, and thiamin is also important in treatingpolyneuritis (nerve inflammation) associated withpregnancy and ALCOHOLISM Thiamin deficiencycan masquerade as SENILITY Alcoholics may exhibitthe mental confusion typical of beriberi Thiaminsupplementation alone does not seem to affect
618 texture
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is not involved
An alternate course results in “wet” beriberi,
seen as problems with the heart and circulation
(abnormal heart rhythm, low blood pressure,
ele-vated levels of blood lactic acid, edema [water
retention] of the legs, heart muscle weakness, and,
ultimately, heart failure) This form of beriberi
usu-ally responds quickly and dramaticusu-ally to thiamin
supplementation
Requirements
The RECOMMENDED DIETARY ALLOWANCE (RDA) for
thiamin for men is 1.5 mg and for nonpregnant
women 1.1 mg, and based on an allowance of 0.5
mg per 1,000 calories consumed daily The
require-ment increases with pregnancy and lactation
Be-cause of the prevalence of alcoholism in the United
States, thiamin deficiency is not uncommon
Symp-toms of moderate deficiency include FATIGUE,
apa-thy, nausea, irritability, depression, slowed wound
healing, loss of appetite, indigestion, and
constipa-tion Moderate deficiency symptoms can be caused
by crash dieting, alcohol abuse, or liver disease
Peo-ple relying on highly processed foods are at risk, for
example, elderly people; low-income persons;
teenagers relying on sweets, soft drinks, and
low-nutrient foods; and pregnant women Consuming
large amounts of sugar as found in sweets and soft
drinks increases the need for thiamin Also at risk
are patients on kidney dialysis or who are sustained
for long periods by intravenous nutrients
Factors That Increase Thiamin Requirements
• Alcohol Thiamin assimilation is blocked by
alcohol consumption Alcohol use also injures
the small intestine and reduces its ability to
absorb thiamin Alcohol decreases thiamin
con-version to thiamin pyrophosphate and depletes
tissues of this coenzyme
• Thiamin antagonists Raw SEAFOOD, such as
shrimp, carp, herring, mussels, and clams, and
YEAST contain thiaminase, an enzyme that
degrades thiamin Eating a large amount of live
yeast can reduce thiamin ABSORPTION Cooking
seafood destroys this enzyme
• Heat-stable anti-thiamin factors have been
iso-lated from several sources Fermented fish
con-tain factors that limit thiamin uptake Tea,
coffee, and even decaffeinated coffee reduce amin absorption
thi-• Baking soda Cooking with baking soda destroysthiamin
• Cigarette smoking Smoking adversely affectsthiamin uptake and use by tissues
• Medications Antacids and barbiturates mayinterfere with thiamin uptake
Foods that contain ample thiamin are wheatgerm; meats (pork, beef, ham, organ meats); nuts(pecans, peanuts, walnuts); brewer’s yeast; fortifiedcereals and grain products Thiamin is used toenrich flour, breads, and cereals, a practice that haseliminated the widespread thiamin deficiency thatexisted prior to enrichment programs Heating foodand processing destroys this fragile vitamin Thehigher the cooking temperature, the greater theloss However, microwave cooking does not seem
to increase thiamin loss Thiamin is relatively toxic Very high doses rarely lead to headaches,mental instability, irritability or weakness Somepeople are allergic to thiamin injections (See also
non-CARBOHYDRATE METABOLISM.)Brady, J A “Thiamin Status, Diuretic Medications, and
the Management of Congestive Heart Failure,” Journal
of the American Dietetic Association 95 (1995): 541–544.
thickening agents (thickeners) Food additivesused to modify the consistency of ice cream,yogurt, pudding, soft drinks, soups, salad dressing,and baby food, among other products They stabi-lize complex mixtures in manufactured foods toprevent a lumpy or watery consistency or crystal-lization or to prevent oils, coloring agents, andnutrients from separating Many thickeners arenaturally occurring polysaccharides (AGAR, CAR-
RAGEENAN, PECTIN, and the like) Chemically fied starches, called “derivatized starches,” cellulosegums, and other chemically modified materials arefrequently used for this purpose (See also GUAR GUM; GUM; SEAWEED.)
modi-thiourea A small sulfur compound analog thatoccurs in vegetables like TURNIPSand CABBAGEandother cruciferous vegetables Thiourea inhibits thesynthesis of thyroxine (thyroid hormone) and can
thiourea 619
Trang 9cause goiter formation in lab animals These
veg-etables nonetheless add considerable nutritional
value and variety to the diet Vegetables high in
thiourea theoretically could cause a potential
health problem for people with iodine-deficient
diets who rely on turnips—not a likely
circum-stance in the United States
thirst A craving for WATER Thirst sensation is
caused by cells in the HYPOTHALAMUS, a small region
of the brain that controls both drinking and
excret-ing water and processes information about the
external environment in order to maintain an
opti-mal internal environment (HOMEOSTASIS) Certain
cells detect the concentration of SODIUM in the
blood When the concentration increases above
310 to 340 mg per 100 ml (136 to 145
milli-equiv-alents per liter), cells of the thirst center begin to
shrink, triggering nerve impulses that evoke the
sensation of being thirsty A 1 percent increase in
effective ion concentration (osmolarity) can trigger
this response Intracellular DEHYDRATION can also
stimulate thirst Another nerve center of the
hypo-thalamus triggers the release of ANTIDIURETIC HOR
-MONE from the PITUITARY GLAND This hormone
causes the KIDNEYSto decrease urine output,
effec-tively conserving water (See also ELECTROLYTES.)
threonine (Thr, L-threonine) A dietary essential
AMINO ACIDthat serves as a building block of PRO
-TEIN Threonine resembles SERINE, which is a simple
amino acid that can be synthesized by tissues
Severe threonine deficiency in experimental
ani-mals causes neurologic dysfunction and lameness
In addition to being a raw material for protein
synthesis, animal studies suggest that threonine
stimulates the THYMUS GLAND and supports the
IMMUNE SYSTEM Adults need an estimated 7 mg/kg
of body weight per day Animal protein like meat,
fish, poultry, and dairy products are good dietary
sources of this amino acid (See also AMINO ACID
METABOLISM.)
thrombin The enzyme derived from the serum
protein prothrombin that catalyzes the final step in
the BLOOD CLOTTINGcascade VITAMIN Kis required
in the maturation of prothrombin, and hence is
indirectly responsible for thrombin formation
Hemorrhagic (bleeding) disease in newborn infantsdue to inadequate blood clotting may respond tovitamin K supplementation because vitamin Kstores are low at birth, and the sterile gut lacks thebeneficial bacteria that normally produce vitamin
K in adults Breast milk contains little vitamin K,and the American Academy of Pediatrics recom-mends administration of vitamin K at birth to pro-mote normal thrombin formation and clotting
thrombosis The obstruction of a blood vessel by
a blood clot Detachment of a fixed blood clot(thrombus) produces a traveling blood clot (embo-lus) that can block a vessel at a distant site Block-ages of arteries feeding the brain lead to STROKES,while blockage of arteries feeding the heart con-tribute to HEART ATTACKS (See also ATHEROSCLERO-
SIS; CARDIOVASCULAR DISEASE.)
thyme (Thymus vulgaris) A fragrant culinary
HERB Thyme was known to Egyptians, Greeks, andRomans and traditionally was used to instillcourage There are many varieties of this plant.Garden thyme is a small bushy perennial Thyme is
a powerful herb with a distinctive aroma It can bemixed with PARSLEYand bay leaves as a seasoning,and is used in marinades and sauces It is used spar-ingly with veal, pork, poultry and poultry stuffing,vegetable soups, chowders, summer squash, andgumbo dishes Thyme is also used in custards andjellies Thyme tea has been used in folk medicinefor coughs, colds, and sore throats It has antibacte-rial properties and can boost the immune system.Thyme possesses powerful antifungal properties.(See also SAGE.)
thymine A nitrogen-containing base that tions as raw material for DNA Thymine is easilymade by the body and is not a dietary necessity.However, synthesis of thymine requires FOLIC ACID,
func-a B vitfunc-amin Thymine consists of func-a six-memberedring containing four nitrogen atoms and two car-bon atoms Thymine and other bases of DNA con-tribute to the unique properties of DNA DNAexists as two parallel chains linked side by side as ahelix This association relies on a linkage of basesbetween the two strands; thus thymine in oneDNA chain binds to a base called ADENINEon the
620 thirst
Trang 10adjacent chain It is this specificity of base-pairing
that underlies the genetic code and DNA
replica-tion during cell division Thymine is readily broken
down by the body and does not yield URIC ACID, a
general waste product of DNA and RNA
degrada-tion (See also PURINE; PYRIMIDINE.)
thymus gland A component of the IMMUNE SYS
-TEMthat produces HORMONESto support the
devel-opment of the immune cells The thymic hormones
include thymosin, thymic humoral factor, thymic
factor, and thymopoietin Together they promote
the proliferation and maturation of various types of
T cells, lymphocytes (white blood cells) that help
defend the body against foreign invaders Helper T
cells (which activate other lymphocytes), cytotoxic
T cells (which attack cells) and suppressor T cells
(which limit lymphocyte activity) represent the
major class of T cells
The thymus shrinks as people age At birth,
thymic tissue represents 0.4 percent of body
weight At the age of 70, the thymus accounts for
only 0.0007 percent This atrophy correlates with a
gradual weakening of the immune system Orally
administered extracts of beef thymus have been
used to support the function of the thymus gland
Antioxidants like VITAMIN C, VITAMIN E, BETA
-CAROTENE, and SELENIUMare nutrients that enhance
T-cell function and may retard thymic shrinkage
because the gland is susceptible to oxidative
dam-age The amino acids ORNITHINE and ARGININE can
also stimulate the thymus gland ZINC, VITAMIN B6,
and vitamin C seem crucial to support thymic
hor-mone production and cell-dependent immune
function Echinacea angustifolia and licorice enhance
immune function performed by the thymus gland
Thymic factors are being studied as therapeutic
agents for AIDS patients and cancer patients (See
also AGING; ENDOCRINE SYSTEM.)
thyroid gland The gland responsible for the
for-mation of thyroid HORMONES and calcitonin The
most plentiful thyroid hormone is thyroxine (T4),
which is converted to triiodothyronine (T3), which
is more potent but is present in smaller amounts in
the blood This conversion takes place in the liver
and lungs Thyroxine consists of the amino acid
TYROSINE, to which iodine is bound Tyrosine is a
building block of the protein thyroglobulin, towhich IODINE is added during its processing Thy-roxine is released from thyroglobulin when thethyroid gland is stimulated, for instance, by otherhormone signals
T3 and T4 increase the rate of oxygen uptake,the rate of oxidation of fat and carbohydrate for
ENERGY, and the BASAL METABOLIC RATE, the rate atwhich energy maintains body function Thyroidhormones also increase carbohydrate uptake by theintestine; regulate lipid metabolism; help regulatenormal growth, brain development, and skeletalmaturation in children; and help regulate the cen-tral nervous system as well as the function ofperipheral nerves In children, thyroid hormoneshelp regulate growth and development by workingtogether with GROWTH HORMONE Furthermore,thyroid hormones regulate the activity of the ner-vous system, which in turn increases blood flow,increases heartbeat and blood pressure, andincreases movement of the gastrointestinal tract(PERISTALSIS)
Calcitonin operates differently This hormonelowers the level of CALCIUMand phosphate in theblood by inhibiting BONE breakdown (demineral-ization) and by increasing calcium and phosphateincorporation into bones This appears to take place
by inhibiting bone-destroying cells called clasts
osteo-The HYPOTHALAMUS regulates the activity of thethyroid gland This portion of the brain regulatesresponses to changes in blood chemistry such aslowered blood sugar and decreased body tempera-ture It releases a hormone called thyrotropinreleasing hormone which stimulates the pituitary
to secrete thyroid stimulating hormone (TSH) intothe bloodstream In turn, TSH then stimulates thethyroid gland to release its hormones to speed upmetabolism
In decreased thyroid gland function (HYPOTHY
-ROIDISM), body temperature decreases, reaction time
is decreased and thought processes are slowed Lowbasal temperature, depression, FATIGUE, dry skin, dryhair, low blood pressure and difficulty in losingweight also characterize hypothyroidism In extremecases, a GOITER develops (enlarged thyroid gland).Iodine, ZINC, VITAMIN E and VITAMIN A, RIBOFLAVIN,
NIACIN, VITAMIN B6, and vitamin C are required forthe formation of thyroid hormone Exercise stimu-
thyroid gland 621
Trang 11lates the thyroid gland On the other hand, an
over-active thyroid gland (hyperthyroidism) is
character-ized by a high metabolic rate, nervousness, weight
loss, heat intolerance, excessive sweating, and
increased heart rate This metabolic disorder can
mimic IRRITABLE BOWEL SYNDROME (See also CATAB
-OLISM; ENDOCRINE SYSTEM.)
Weetman, A P “Graves’ Disease,” New England Journal of
Medicine 343, no 17 (2000): 1,236–1,248.
tin A heavy metal There is weak evidence that it
is a required nutrient in animals, although it has no
known metabolic function Rigorous exclusion of
tin from diets of laboratory animals impaired
reproduction and caused other abnormal growth If
it functions as a nutrient in humans, typical daily
ingestion of 1.5 to 5 mg per day more than meets
requirements Tin is used to line certain cans, and
acidic foods like canned PINEAPPLE and canned
TOMATOES can leach out tin from the inside of a
can However, there is little evidence to indicate
that tin can be toxic (See also HEAVY METALS.)
tissue A level of cellular organization in which
groups of similar cells perform similar functions
Cells of tissues adhere to each other through
inter-cellular materials (connective tissue) and tight
bonding (tight junctions) The epithelial tissue of
the intestine is representative of this layer of cells
and contains mucus-secreting cells and
enzyme-secreting cells Other tissues include nervous tissue,
muscle tissue, connective tissue, and ADIPOSE TIS
-SUE Nerve tissue is composed of nerve cells
(neu-rons) and their supporting cell types (neuroglial
cells) Muscle tissue contains muscle fibers
assem-bled from muscle cells (myoblasts) Connective
tis-sue contains fibroblasts, cells that secrete materials
from an extracellular matrix, including the
struc-tural protein, COLLAGEN, together with GLYCOSA
-MINOGLYCANS (MUCOPOLYSACCHARIDES), consisting
of long chains of modified sugars
Mucopolysac-charides absorb water and are slippery They form
a gel-like environment for connective tissue cells
called ground substance Adipose tissue is fatty
connective tissue that contains fat cells (ADI
-POCYTES) Reticular tissue is a fibrous connective
tissue that forms the support for internal organs
like the liver, spleen, lymph glands, and lungs (Seealso BONE; SKIN.)
tocopherol See VITAMIN E
tocotrienols Members of the vitamin E family.The four tocotrienols—alpha, beta, gamma, anddelta—are one of the two families of compoundsthat make up what experts call vitamin E Theother family is tocopherols, which are more com-mon in the diet Preliminary research has revealedthat tocotrienols’ ANTIOXIDANT properties showpromise in treating a variety of illnesses includingcancer, cardiovascular disease, and memory deteri-oration associated with aging Tocotrienols arefound in most vegetable oils
Packer, L et al “Molecular Aspects of alpha Tocotrienol
Antioxidant Action and Cell Signaling,” Journal of
Nutrition 131 (2001): 369S–373S.
tofu A SOYBEANcurd prepared by coagulations ofthe PROTEINin soybean milk with calcium or mag-nesium salts Tofu is a white semisolid containing
88 percent water, 6 percent protein, and 3 percentfat It is shaped into blocks and kept moistenedand refrigerated in plastic tubs In much of Asia,tofu is the most common soy-based food Tofuappears as deep-fried cakes, pouches, and puffs;tofu pudding; fermented tofu (bean curd cheese);tofu burgers and grilled tofu; bean curd sheets(dried yuba); Chinese-style pressed tofu; andsavory pressed tofu Tofu offers a number ofadvantages as a protein source Soy protein is ahigh-quality protein, approaching the value of
MEAT because it is rich in essential amino acids.Furthermore, soy protein is inexpensive and con-tains no CHOLESTEROL Tofu supplies CALCIUMwhensoy milk is coagulated with lime Such tofu con-tains 130 mg of calcium per 3.5-oz serving, a sub-stantial part of the daily calcium requirement (Iftofu is prepared with magnesium, the calciumcontent is negligible.) Nutrient content of onepiece of tofu measuring two in by three in by one
in (120 g) is: 86 calories; protein, 9.4 g; drate, 2.9 g; fiber, 2.2 g; fat, 5 g; calcium, 108 mg;iron, 2.2 mg; thiamin, 0.18 mg; riboflavin, 0.08mg; niacin, 0.1 mg
carbohy-622 tin