7. Human nutrition

Syllabus
0610–2026–2027
Section
7
Level
—

7.1 Diet

Syllabus
0610–2026–2027
Topic
7.1
Level
—

Define a balanced diet

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.

Match dietary components to sources and functions

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.

Link vitamin deficiencies to scurvy and rickets

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.

7.2 Digestive system

Syllabus
0610–2026–2027
Topic
7.2
Level
—

Identify the organs of the digestive system

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.

Map digestive processes to organ functions

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.

7.3 Physical digestion

Syllabus
0610–2026–2027
Topic
7.3
Level
—

Define physical digestion

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.

Explain why smaller food pieces speed 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.

Recognise incisors, canines, premolars and molars

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.

Describe the structure of a human tooth

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.

Match tooth types to their functions

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.

Explain physical digestion in the stomach

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.

Explain how bile emulsifies fats and oils

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.

7.4 Chemical digestion

Syllabus
0610–2026–2027
Topic
7.4
Level
—

Define 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.

Explain why chemical digestion enables absorption

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.

Match digestive enzymes to substrates and products

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.

Locate where digestive enzymes are secreted and act

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.

Explain the two roles of stomach acid

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.

Trace starch digestion from starch to glucose

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.

Compare pepsin and trypsin in protein digestion

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.

Explain how bile creates a suitable pH

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.

7.5 Absorption

Syllabus
0610–2026–2027
Topic
7.5
Level
—

Locate nutrient absorption in the small intestine

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.

Locate water absorption in the alimentary canal

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.

Explain how villi and microvilli increase absorption

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.

Describe the structure of a villus

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.

Compare capillaries and lacteals in villi

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.