7. Human nutrition
- Syllabus
- 0610–2026–2027
- Section
- 7
- Level
- —

A balanced diet contains all the required nutrients and other dietary components in the correct amounts and proportions for a person's needs.
| Required component | Main contribution |
|---|---|
| carbohydrates and fats | energy |
| proteins | growth and repair |
| vitamins and mineral ions | maintain particular body processes and structures |
| fibre | supports movement through the alimentary canal |
| water | solvent, transport medium and reaction environment |
The correct amount is not identical for everyone. Energy and nutrient requirements vary with age, sex, body size, activity, pregnancy and health.
Too little of a component can cause deficiency; too much energy intake relative to use can increase fat storage and body mass. Balance therefore means adequacy without harmful excess.
A balanced diet is not simply eating equal amounts of every food group or avoiding all fat. It supplies different components in proportions matched to need.
Learn each dietary component as a source–function pair: where it comes from and why the body needs it.
| Component | Principal sources | Importance |
|---|---|---|
| carbohydrates | bread, rice, pasta, potatoes and cereals | main energy source for respiration |
| fats and oils | butter, vegetable oils, nuts, seeds and fatty foods | concentrated energy source and store; thermal insulation and organ protection |
| proteins | meat, fish, eggs, dairy foods, beans and pulses | amino acids for growth and repair; making enzymes and other proteins |
| Component | Principal sources | Importance |
|---|---|---|
| vitamin C | citrus fruits and fresh fruit/vegetables | healthy connective tissue, gums and skin; wound healing |
| vitamin D | oily fish, egg yolk, liver and fortified foods; also made in skin using sunlight | calcium absorption and strong bones/teeth |
| calcium ions | milk and other dairy foods; leafy green vegetables | formation and maintenance of bones and teeth |
| iron ions | red meat, liver, beans and leafy green vegetables | making haemoglobin for oxygen transport |
| Component | Principal sources | Importance |
|---|---|---|
| fibre (roughage) | wholegrain cereals, fruit and vegetables | adds bulk and helps food/faeces move through the alimentary canal, reducing constipation |
| water | drinks and water-rich foods | solvent and transport medium; needed for reactions and temperature control |
Vitamins and mineral ions do not provide energy. Fibre is not digested for energy in this syllabus; it helps movement through the gut.
Scurvy is caused by vitamin C deficiency. Rickets is caused mainly by vitamin D deficiency, which reduces calcium absorption; insufficient dietary calcium can also contribute.
| Deficiency disease | Missing nutrient or cause | Consequence | Typical signs |
|---|---|---|---|
| scurvy | too little vitamin C | weak connective tissue and poor repair | bleeding gums and slow wound healing |
| rickets | too little vitamin D, often with inadequate calcium or little sunlight | bones do not mineralise normally | soft, weak or bowed bones and poor skeletal development |
Vitamin-C-rich fruit and vegetables prevent scurvy. Vitamin D from diet and safe sunlight exposure, together with adequate calcium, supports normal bone development and helps prevent rickets.
Vitamin D is linked to rickets because it enables efficient calcium absorption; naming calcium alone without explaining vitamin D misses the principal syllabus deficiency link.
Do not swap the diseases: iron deficiency causes anaemia, protein deficiency can cause kwashiorkor, vitamin C deficiency causes scurvy and vitamin D deficiency causes rickets.
The digestive system consists of the alimentary canal—a continuous tube through which food passes—and associated organs that add substances or process absorbed nutrients.
Trace the alimentary canal in order: mouth → oesophagus → stomach → small intestine (duodenum, then ileum) → large intestine (colon, then rectum) → anus.
| Structure | How to identify it in a diagram |
|---|---|
| mouth | opening where the canal begins |
| oesophagus | narrow tube leading from the mouth to the stomach |
| stomach | muscular sac below the oesophagus |
| duodenum | first, short curved part of the small intestine leaving the stomach |
| ileum | long, coiled remainder of the small intestine |
| colon | wider large intestine that frames the coils of the small intestine |
| rectum | final straight storage region of the large intestine |
| anus | opening at the end of the alimentary canal |
| Associated organ | Diagram landmark |
|---|---|
| salivary glands | glands around the mouth |
| liver | large organ above and beside the stomach |
| gall bladder | small sac beneath the liver |
| pancreas | elongated gland below or behind the stomach, beside the duodenum |
The liver, gall bladder, pancreas and salivary glands are associated organs, not sections of the alimentary canal. The duodenum and ileum are both parts of the small intestine; the colon and rectum are parts of the large intestine.
Follow food through the system and separate five processes by what moves, where it moves and what happens to it.
| Process | Precise meaning | Main site or outcome |
|---|---|---|
| ingestion | taking substances such as food and drink into the body | through the mouth |
| digestion | breakdown of food | begins in the mouth, continues in the stomach and small intestine |
| absorption | movement of nutrients from the intestines into the blood | mainly through the small-intestine wall; water is also absorbed in the colon |
| assimilation | uptake and use of absorbed nutrients by cells | body cells, including liver cells |
| egestion | removal of undigested food from the body as faeces | through the anus |
| Organ | Function in the digestive system |
|---|---|
| mouth and salivary glands | ingest food; saliva mixes with food and digestion begins |
| oesophagus | transports swallowed food to the stomach |
| stomach | stores and mixes food; digestion continues |
| duodenum | receives food from the stomach and digestive secretions; digestion continues |
| ileum | completes much digestion and is the main site of nutrient absorption |
| colon | absorbs water and forms faeces from undigested material |
| rectum and anus | rectum stores faeces; anus releases them during egestion |
| pancreas | releases digestive secretions into the duodenum |
| liver and gall bladder | liver makes bile and assimilates absorbed nutrients; gall bladder stores and releases bile |
A useful chain is: ingest food → digest it → absorb nutrients into blood → assimilate nutrients in cells → egest what remains undigested.
Absorption is movement into the blood; assimilation is uptake and use by cells. Egestion removes undigested food, whereas excretion removes metabolic waste. Detailed physical digestion, bile action and enzyme chemistry belong to later objectives.
Physical digestion is the breakdown of food into smaller pieces without chemical change to the food molecules.
The pieces change in size and shape, but the molecules in the food remain the same. No new substances are made.
| Physical digestion changes | Physical digestion does not change |
|---|---|
| piece size, shape and total exposed surface | molecular identity and chemical composition |
Chewing by teeth and churning by the stomach are physical digestion because they fragment or mix food mechanically.
Smaller pieces are not smaller molecules. Breaking chemical bonds and producing different molecules is chemical digestion.
Breaking one large piece into many smaller pieces increases the food's total surface area while its amount stays the same.
smaller pieces → greater total surface area → more food exposed to enzymes at once → faster chemical digestion
| Food form | Exposed surface | Enzyme access |
|---|---|---|
| one large piece | relatively low | mainly the outside |
| many small pieces | higher total area | more enzyme–food contact |
Physical digestion does not itself create soluble products. It makes chemical digestion more efficient by improving enzyme access.
From the centre/front of a jaw towards the back, the usual sequence is incisors → canines → premolars → molars.
| Tooth type | Position and visible shape clues |
|---|---|
| incisor | front; broad, flat, sharp edge |
| canine | beside incisors; pointed crown |
| premolar | behind canines; broader crown with ridges/cusps |
| molar | back; largest, broad multi-cusped crown, often multiple roots |
In an unfamiliar diagram, use both position and crown shape. A pointed tooth near the front is a canine; a broad cusped tooth at the back is a premolar or molar, with molars larger and farther back.
Do not identify a tooth by root number alone; diagrams vary. Position plus crown shape is the safer combination.
A tooth has a visible crown and a root embedded in jaw bone and surrounded by gum.
| Structure | Location or role |
|---|---|
| enamel | very hard outer covering of the crown |
| dentine | layer beneath enamel; forms most of the tooth |
| pulp | central living region |
| nerves | in the pulp; detect stimuli such as pain |
| blood vessels | in the pulp; supply oxygen and nutrients and remove wastes |
| cement | covers the root and helps anchor it |
| bone and gums | bone holds the roots; gums surround and protect the tooth base |
Read a section from outside to inside: enamel on the crown (cement on the root) → dentine → pulp containing nerves and blood vessels.
Enamel does not cover the whole root, and the pulp is not an empty space: it contains living tissues, nerves and blood vessels.
Different crown shapes apply different forces during physical digestion.
| Tooth type | Main action on food | Shape–function link |
|---|---|---|
| incisors | bite and cut | sharp edge slices food |
| canines | pierce and tear | pointed crown grips and tears |
| premolars | crush and grind | broad ridged surface presses food |
| molars | crush and grind thoroughly | large, broad cusped surface withstands strong forces |
Together, the teeth reduce food to smaller pieces, increasing surface area and making swallowing and enzyme action easier.
Canines tear; incisors cut. Premolars and molars both grind and crush, but molars are larger and farther back.
The stomach's muscular wall contracts to churn food, physically breaking it into smaller pieces and mixing it with gastric juice.
Repeated muscular contractions squeeze and turn the stomach contents. This makes a more uniform mixture and exposes more food surface.
Churning increases the surface area available for chemical digestion without changing the food molecules itself.
The stomach performs both physical and chemical digestion, but churning and mixing are the physical part; acid and enzymes belong to chemical digestion.
Bile emulsifies fats and oils: it breaks large fat globules into many small droplets in the small intestine.
large fat globule → many small droplets → greater total surface area → more contact with lipase → faster chemical digestion of fat
Bile is made by the liver, stored in the gall bladder and released into the duodenum.
Emulsification is physical digestion: it changes droplet size but does not chemically break fat molecules. Bile is not an enzyme; lipase performs the chemical digestion.
Chemical digestion is the breakdown of large, insoluble food molecules into small, soluble molecules.
Chemical bonds are broken, so the products are different molecules from the original food molecules. Digestive enzymes catalyse these reactions.
| Before chemical digestion | After chemical digestion |
|---|---|
| large molecules | small molecules |
| insoluble | soluble |
| cannot be absorbed intact | can be prepared for absorption |
Chemical digestion changes molecules. Physical digestion only makes food pieces smaller without changing their molecules.
Large, insoluble food molecules cannot dissolve in the intestinal contents or pass through the intestinal wall into the blood.
Chemical digestion converts them into small, soluble molecules. These can dissolve and move across the epithelium of the small intestine, so they can be absorbed into the blood.
large and insoluble → enzymatic breakdown → small and soluble → crosses the intestinal wall → absorbed into blood
Digestion produces absorbable molecules; absorption is the later movement of those molecules from the intestine into the blood.
Each digestive enzyme acts on a particular substrate and produces particular smaller molecules.
| Enzyme | Substrate | Product(s) |
|---|---|---|
| amylase | starch | simple reducing sugars |
| proteases | protein | amino acids |
| lipase | fats and oils | fatty acids and glycerol |
The enzyme name is not the product: amylase acts on starch, proteases act on protein, and lipase acts on lipids (fats and oils).
Do not swap glycerol and glucose. Lipase produces fatty acids and glycerol; carbohydrate digestion produces sugars.
The site of secretion is the organ that releases an enzyme; the site of action is where the enzyme meets its substrate and catalyses digestion.
| Enzyme group | Main secretion site(s) | Site(s) of action |
|---|---|---|
| amylase | salivary glands and pancreas | mouth and small intestine |
| proteases | stomach and pancreas | stomach and small intestine |
| lipase | pancreas and small-intestinal wall | small intestine |
Pancreatic amylase, protease and lipase are secreted through the pancreatic duct into the duodenum, so the pancreas is a secretion site while the small intestine is their action site.
An enzyme can be produced in one organ and act in another. The pancreas is not part of the alimentary canal, but its enzymes act in the small intestine.
Hydrochloric acid in gastric juice makes the stomach contents strongly acidic.
| Role | Why it matters |
|---|---|
| kills harmful microorganisms in food | reduces the chance that pathogens survive passage through the stomach |
| provides an acidic pH | gives stomach protease, especially pepsin, suitable conditions for high enzyme activity |
These are the two syllabus functions: antimicrobial action and an optimum acidic pH for enzyme activity.
Hydrochloric acid does not digest protein as an enzyme. It provides the conditions in which pepsin catalyses protein digestion.
Starch digestion occurs in two enzyme-controlled stages.
| Stage | Enzyme and reaction | Location |
|---|---|---|
| 1 | amylase: starch → maltose | mouth and small intestine |
| 2 | maltase: maltose → glucose | membranes of the epithelium lining the small intestine |
Salivary amylase begins starch digestion in the mouth. Pancreatic amylase continues it in the small intestine; membrane-bound maltase then produces glucose at the absorptive surface.
Amylase does not complete the route to glucose in this Supplement pathway: it produces maltose, and maltase produces glucose.
Proteases digest protein, but pepsin and trypsin work in different parts of the alimentary canal and at different pH conditions.
| Protease | Site of action | Suitable condition | Role |
|---|---|---|---|
| pepsin | stomach | acidic | begins protein digestion |
| trypsin | small intestine | alkaline | continues protein digestion |
Hydrochloric acid provides the acidic conditions for pepsin in the stomach. After the mixture enters the duodenum, bile helps create alkaline conditions suitable for trypsin.
Pepsin is not the protease of the alkaline small intestine, and trypsin is not the protease of the acidic stomach.
Bile is an alkaline mixture released into the duodenum.
Food leaving the stomach is mixed with acidic gastric juice. Bile neutralises this acidic mixture, raising its pH in the duodenum.
The resulting alkaline conditions provide a suitable pH for digestive enzymes acting in the small intestine, including trypsin and lipase.
Neutralisation and emulsification are different roles of bile. This objective concerns pH: bile is alkaline, but it is not an enzyme and does not chemically digest food.
Absorption is the movement of small, soluble products of digestion from the alimentary canal into the blood or lymph.
The small intestine is the region of the alimentary canal where nutrients are absorbed. Its inner surface is specialised for moving digested nutrients out of the lumen and into transport systems in the villi.
digested nutrient in the lumen → crosses the small-intestinal epithelium → enters blood capillaries or a lacteal → transported around the body
Digestion makes molecules small and soluble; absorption is their later movement across the intestinal wall. The stomach is mainly a digestion site, not the main nutrient-absorption site.
Water is absorbed in more than one region of the alimentary canal, but the greatest amount is absorbed in the small intestine.
| Region | Relative role in water absorption |
|---|---|
| small intestine | absorbs most of the water |
| colon | absorbs some of the remaining water |
When a question asks where most water is absorbed, choose the small intestine. The colon still has an important role, but it does not absorb the largest total amount.
It is incorrect to say that all water, or even most water, is absorbed in the colon.
The inner wall of the small intestine is folded into many villi. Each villus is covered by epithelial cells whose exposed membranes carry many microscopic projections called microvilli.
| Structure | Scale | Contribution |
|---|---|---|
| villi | projections of the intestinal lining | greatly increase the internal surface area |
| microvilli | projections on epithelial cell membranes | increase the surface area still further |
A larger internal surface provides more membrane through which nutrient molecules can move at the same time. This increases the rate and efficiency of absorption.
Villi and microvilli are not interchangeable names. Villi are multicellular projections of the lining; microvilli are much smaller projections on individual epithelial cells.
A villus is a finger-like projection from the lining of the small intestine. It is built to place an absorptive surface close to transport vessels.
| Structural feature | Position or form |
|---|---|
| epithelium | thin outer layer, one cell thick |
| microvilli | on the exposed surface of epithelial cells |
| capillary network | many small blood vessels close to the epithelium |
| lacteal | lymph vessel running through the centre of the villus |
Many villi line the small intestine. Each combines a large surface area, a short distance across the epithelium and nearby routes that carry absorbed substances away.
The lacteal is the central lymph vessel; the branching vessels near the surface are blood capillaries. Do not reverse these labels.
A villus has two transport routes because different products of digestion enter different vessels.
| Vessel in the villus | Main absorbed products | Transport route |
|---|---|---|
| blood capillaries | glucose and amino acids | carried away in the blood |
| lacteal | fatty acids and glycerol | enters the lymphatic system before reaching the blood |
The capillary network carries water-soluble nutrients away from the villus. Continued blood flow helps maintain a concentration gradient between the intestinal lumen and the blood.
Glucose and amino acids enter blood capillaries; products of fat digestion enter the lacteal. A lacteal is not a blood capillary.