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🥗Intro to Nutrition

Stages of Digestion

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Why This Matters

Digestion isn't just a single event—it's a carefully orchestrated sequence of processes that transform the sandwich you ate at lunch into the glucose fueling your brain right now. When you're tested on this material, you'll need to understand not just what happens at each stage, but why each step is necessary and where in the GI tract it occurs. Expect questions that ask you to trace a specific nutrient through the digestive system or identify which stage has failed when something goes wrong.

The stages of digestion demonstrate key physiological principles: surface area optimization, enzymatic specificity, selective permeability, and homeostatic regulation. Don't just memorize the five stages in order—know what biological problem each stage solves and how mechanical and chemical processes work together. Understanding the "why" behind each stage will help you tackle application questions with confidence.


Preparation: Getting Food Ready for Processing

Before your body can extract nutrients, food must be physically prepared for the chemical reactions ahead. This preparation phase maximizes enzyme access by increasing the surface area of food particles.

Ingestion

  • Entry point for all nutrients—food and liquids enter through the mouth, initiating the entire digestive cascade
  • Teeth perform initial fragmentation while the tongue positions food for effective chewing and mixing with saliva
  • Saliva begins both processes simultaneously—moistening food for swallowing while salivary amylase starts carbohydrate breakdown

Mechanical Digestion

  • Physical breakdown without chemical change—chewing (mastication) and stomach churning reduce food particle size dramatically
  • Surface area multiplication is the key outcome, allowing digestive enzymes to contact more food molecules per unit time
  • Peristalsis contributes throughout the GI tract, mixing food with digestive secretions and moving it along

Compare: Ingestion vs. Mechanical Digestion—both occur in the mouth, but ingestion is simply taking in food while mechanical digestion is breaking it down physically. If an exam question asks what happens before any chemical changes occur, both of these stages qualify.


Transformation: Breaking Bonds to Release Nutrients

Chemical digestion is where the real molecular work happens. Enzymes act as biological catalysts, breaking covalent bonds in macronutrients to produce absorbable subunits.

Chemical Digestion

  • Enzyme-specific reactions break down each macronutrient: amylases for carbohydrates, proteases for proteins, lipases for fats
  • Multi-site process beginning in the mouth (salivary amylase), continuing in the stomach (pepsin, HCl), and completing in the small intestine (pancreatic enzymes, bile)
  • End products are absorption-ready—complex carbohydrates become monosaccharides, proteins become amino acids, triglycerides become fatty acids and monoglycerides

Compare: Mechanical vs. Chemical Digestion—mechanical digestion changes size (physical), while chemical digestion changes structure (molecular). Both increase accessibility, but only chemical digestion produces molecules small enough to cross cell membranes. FRQ tip: if asked how the body "processes" a specific macronutrient, focus on the chemical digestion pathway.


Nutrient Uptake: Moving Molecules Into the Body

Absorption is the payoff—where digested nutrients finally enter your bloodstream and become available to cells throughout the body. The small intestine's specialized anatomy makes this high-efficiency transfer possible.

Absorption

  • Small intestine is the primary site—approximately 90% of nutrient absorption occurs here, with the remaining 10% in the stomach and large intestine
  • Villi and microvilli create massive surface areathe brush border membrane increases absorptive surface to roughly 250 square meters, about the size of a tennis court
  • Transport mechanisms vary by nutrient—simple sugars and amino acids use active transport or facilitated diffusion; fats enter lacteals via micelle-mediated absorption

Waste Management: Completing the Cycle

What can't be absorbed must be eliminated. The large intestine recovers water and electrolytes while preparing indigestible material for excretion.

Elimination

  • Large intestine reclaims water—up to 1.5 liters daily, concentrating waste into semi-solid feces
  • Gut microbiome contributes here—bacteria ferment remaining fiber, producing short-chain fatty acids and certain vitamins (K, some B vitamins)
  • Defecation removes metabolic waste and toxins—regular elimination prevents harmful bacterial overgrowth and maintains GI tract health

Compare: Absorption vs. Elimination—both involve movement across membranes, but in opposite directions. Absorption brings nutrients into the body; elimination moves waste out. The small intestine maximizes absorption; the large intestine maximizes water recovery before elimination.


Quick Reference Table

ConceptBest Examples
Physical breakdownMechanical digestion (chewing, churning)
Chemical breakdownChemical digestion (enzymatic hydrolysis)
Surface area optimizationMechanical digestion, absorption (villi/microvilli)
Enzyme actionChemical digestion (amylase, pepsin, lipase)
Nutrient entry to bloodstreamAbsorption in small intestine
Water recoveryElimination in large intestine
Multi-location processesChemical digestion (mouth → stomach → small intestine)
Single-location processesAbsorption (primarily small intestine)

Self-Check Questions

  1. Which two stages of digestion both function to increase surface area, and how do their mechanisms differ?

  2. If a patient has damaged villi in their small intestine, which stage of digestion is impaired, and what symptoms might result?

  3. Compare and contrast mechanical and chemical digestion: where does each occur, and what type of change does each produce?

  4. Trace a complex carbohydrate (like starch) through all five stages of digestion—what happens at each step?

  5. A patient reports that food passes through their system too quickly. Which stage is likely affected, and how might this impact nutrient status?