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Carbohydrates
Carbohydrates
 glucose provides energy for the brain and ½
  of energy for muscles and tissues
 glycogen is stored glucose
 glucose is immediate energy
 glycogen is reserve energy
Carbohydrates
 all plant food
 milk

 carbohydrates are not equal
   – simple carbohydrates
   – complex carbohydrates
Simple Carbohydrates
 sugars
   – monosaccharides – single sugars
   – disaccharides – 2 monosaccharides
Complex Carbohydrates
 starches and fibers
 polysaccharides
   – chains of monosaccharides
Simple Carbs
 monosaccharides
  – all are 6 carbon hexes
      6 carbons
      12 hydrogens
      6 oxygens
      arrangement differs
        –accounts for varying
          sweetness
  – glucose, fructose,
    galactose
Glucose
   mild sweet flavor
   known as blood sugar
   essential energy source
   found in every
    disaccharide and
    polysaccharide
Fructose
   sweetest sugar
   found in fruits and honey
   added to soft drinks,
    cereals, deserts
Galactose
 hardly tastes sweet
 rarely found
  naturally as a single
  sugar
Disaccharides
 pairs of the monosaccharides
   – glucose is always present
   – 2nd of the pair could be fructose, galactose
     or another glucose
   – taken apart by hydrolysis
   – put together by condensation
   – hydrolysis and condensation occur with all
     energy nutrients
   – maltose, sucrose, lactose
Condensation
 making a disaccharide
  – chemical reaction linking 2
    monosaccharides
Hydrolysis
 breaking a disaccharide
   – water molecule splits
   – occurs during digestion
Maltose

   2 glucose units
   produced when starch breaks down
   not abundant
Sucrose
 fructose and
  glucose
 tastes sweet
   – fruit, vegetables,
     grains
 table sugar is
  refined sugarcane
  and sugar beets
 brown, white,
  powdered
Lactose
 glucose and galactose
 main carbohydrate in
  milk
   – known as milk sugar
Complex Carbohydrates
 polysaccharides
   – glycogen and starch
        built entirely of glucose
   – fiber
        variety of monosaccharides and other
         carbohydrate derivatives
Glycogen
 limited in meat and not found in plants
   – not an important dietary source of
     carbohydrate
 BUT
   – all glucose is stored as glycogen
   – long chains allow for
    hydrolysis and release
    of energy
Starches
 stored in plant cells
 body hydrolyzes plant starch to glucose
Fiber
 structural parts of plants
   – found in all plant derived food
 bonds of fibers cannot be broken down
  during the digestive process
   – minimal or no energy available
Fiber types

 cellulose
   pectins
   lignins
   resistant starches
     – classified as fibers
     – escape digestion and
       absorption
Fiber Characteristics
 soluble fibers, viscous, fermentable
   – easily digested by bacteria in colon
   – associated with protection against heart
     disease and diabetes
       lower cholesterol and glucose levels
   – found in legumes and fruits
Fiber
 insoluble and not easily fermented
   – promote bowel movements
   – alleviate constipation
   – found in grains and vegetables
DRI and Fiber
 distinguish fibers by source
   – dietary fibers: naturally in intact plants
   – functional fibers: extracted from plants or
     manufactured
   – total fiber: sum of the 2
Carbohydrate Digestion
 break down into glucose
   – body is able to absorb and use
 large starch molecules
   – extensive breakdown
 disaccharides
   – broken once
 monosaccharides
   – don’t need to be broken down
Carbohydrate Digestion
 begins in mouth
   – chewing releases saliva
   – enzyme amylase hydrolyzes starch to
     polysaccharides and maltose
 stomach
   – no enzymes available to break down
     starch
   – acid does some breakdown
   – fibers in starch provide feeling of fullness
 small intestine
   – majority of carbohydrate digestion
     takes place here
   – pancreatic amylase reduces carbs to
     glucose chains or disaccharides
   – specific enzymes finish the job
       maltase
          –maltose into 2 glucose
       sucrase
          –sucrose into glucose and fructose
       lactase
          –lactose into glucose and
           galactose
 large intestine
   – 1-4 hours for sugars and
     starches to be digested
   – only fibers remain
       attract water, which
        softens stool
   – bacteria ferment some fibers
       water, gas, short-chain
        fatty acids (used for
        energy)
Carbohydrate Absorption
 glucose can be absorbed in the mouth
 majority absorbed in small intestine
   – active transport
       glucose and galactic
   – facilitated diffusion
       fructose
       smaller rise in blood glucose
Lactose Intolerance
 more lactose is consumed than can be
  digested
   – lactose molecules attract water
       cause floating, abdominal discomfort,
        diarrhea
   – intestinal bacteria feed on undigested
     lactose
       produce acid and gas
Lactose Intolerance
 age, damage, medication, diarrhea,
  malnutrition
 management requires dietary change
   – 6 grams (1/2 cup) usually tolerable
   – take in gradually
   – hard cheeses & cottage cheese
   – enzyme drops or tablets
 lactose free diet is extremely difficult to
  accomplish
Carbohydrate Metabolism
  1/3 of body’s glycogen is stored in liver
  – released as glucose to bloodstream
1. eat – intake glucose
2. liver condenses extra glucose to glycogen
3. blood glucose falls
4. liver hydrolyzes glycogen to glucose

Glycogen is bulky, so we store only so much:
   short term energy supply
Fat is the long term energy supply.
Glucose for Energy
 enzymes break apart glucose – yielding
  energy
 inadequate supply of carbohydrates
   – ketone bodies (fat fragments) are an
     alternate energy source during starvation
   – excess ketones can lead to ketosis:
     imbalance of acids in body
 minimum of 50 – 100 grams of carbs/day
  are needed to avoid ketosis
Glucose Homeostasis
 maintaining an even balance of glucose is
  controlled by insulin and glucagon
   – insulin
       moves glucose into the blood
   – glucagon
       brings glucose out of storage
 maintaining balance
  – balanced meals at regular intervals
      fiber and some fat slow the digestive
       process down
      glucose gets into the blood slow and
       steady
Intestine                 1
                                                             When a person eats,
Maintaining                                                  blood glucose rises.

   Blood
  Glucose     Pancreas
                                                       2
                                                           High blood glucose stimulates
Homeostasis                                                the pancreas to release insulin.

                                       Insulin
                                                   3   Insulin stimulates the uptake of
                                                       glucose into cells and storage
                                                       as glycogen in the liver and
                              Liver                    muscles. Insulin also stimulates
                                                       the conversion of excess
                                                       glucose into fat for storage.

                  Fat cell                                                      Muscle
                                                   4
                                                            As the body's cells use
                                                            glucose, blood levels decline.

              Pancreas                             5        Low blood glucose stimulates
                                                            the pancreas to release
                                      Glucagon              glucagon into the bloodstream.


                                                   6        Glucagon stimulates liver
                                                            cells to break down glycogen
                                Glucose                     and release glucose into the
                                                            blood.a
                                Insulin
                                Glucagon
                                                                      Liver
                                Glycogen


              a
                The stress hormone
              epinephrine and other hormones           7      Blood glucose begins to
              also bring glucose out of storage.              rise.
Imbalance
 diabetes
   – after food intake, blood glucose rises and
     is not regulated because insulin is
     inadequate
 hypoglycemia
   – blood glucose drops dramatically
       too much insulin, activity, inadequate
        food intake, illness
       diet adjustment includes fiber-rich carbs
        and protein
Glycemic Index

 way of classifying
  food according to
  their ability to raise
  blood glucose
 much controversy
Sugar


 ½ comes from natural sources, ½ from
  refined and added
   – sucrose, corn syrup, honey
 excess can lead to nutrient deficiencies
  and tooth decay
   – empty calories
   – sugar and starch break down in the
     mouth
Sugar
 recommended intake
   – added sugar = no more than 10% of energy
     intake
Starch and Fiber
 diet that includes starch, fiber and natural
  sugars
   – whole grains, vegetables, legumes, fruits
       may protect against heart disease and
        stroke
       reduces the risk of type 2 diabetes
       enhances the health of the large
        intestine
       can promote weight loss
Starch and Fiber
  starch intake
    – 45-65%
    – 225 – 325 grams (DV is 300
      grams)
    – 900-1300 kcal/2000 kcal
    – RDA is 130 grams
  fiber intake
    – Daily Value is 25 grams/2000
      kcal
Groceries
 grains: 1 serving = 15 grams
 vegetables
   – ½ cup starchy = 15 grams
   – ½ cup nonstarchy = 5 grams
 fruit: 1 serving = 15 grams
 milk: 1 cup = 12 grams
 meat: none or little
 legumes: ½ cup = 15 grams
Artificial Sweeteners
 help keep sugar and energy intake down
 anything we eat has FDA approval
   – saccharin
   – aspartame
   – acesulfame potassium
   – sucralose
   – neotame
Sugar Replacers
 sugar alcohols
   – provide bulk and sweetness
       cookies, gum, candy, jelly
   – do contain minimal kcal
   – low glycemic response
       absorbed slowly
   – do not cause dental caries

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Carbohydrates introduction

  • 2. Carbohydrates  glucose provides energy for the brain and ½ of energy for muscles and tissues  glycogen is stored glucose  glucose is immediate energy  glycogen is reserve energy
  • 3. Carbohydrates  all plant food  milk  carbohydrates are not equal – simple carbohydrates – complex carbohydrates
  • 4. Simple Carbohydrates  sugars – monosaccharides – single sugars – disaccharides – 2 monosaccharides
  • 5. Complex Carbohydrates  starches and fibers  polysaccharides – chains of monosaccharides
  • 6. Simple Carbs  monosaccharides – all are 6 carbon hexes  6 carbons  12 hydrogens  6 oxygens  arrangement differs –accounts for varying sweetness – glucose, fructose, galactose
  • 7. Glucose  mild sweet flavor  known as blood sugar  essential energy source  found in every disaccharide and polysaccharide
  • 8. Fructose  sweetest sugar  found in fruits and honey  added to soft drinks, cereals, deserts
  • 9. Galactose  hardly tastes sweet  rarely found naturally as a single sugar
  • 10. Disaccharides  pairs of the monosaccharides – glucose is always present – 2nd of the pair could be fructose, galactose or another glucose – taken apart by hydrolysis – put together by condensation – hydrolysis and condensation occur with all energy nutrients – maltose, sucrose, lactose
  • 11. Condensation  making a disaccharide – chemical reaction linking 2 monosaccharides
  • 12. Hydrolysis  breaking a disaccharide – water molecule splits – occurs during digestion
  • 13. Maltose  2 glucose units  produced when starch breaks down  not abundant
  • 14. Sucrose  fructose and glucose  tastes sweet – fruit, vegetables, grains  table sugar is refined sugarcane and sugar beets  brown, white, powdered
  • 15. Lactose  glucose and galactose  main carbohydrate in milk – known as milk sugar
  • 16. Complex Carbohydrates  polysaccharides – glycogen and starch  built entirely of glucose – fiber  variety of monosaccharides and other carbohydrate derivatives
  • 17. Glycogen  limited in meat and not found in plants – not an important dietary source of carbohydrate  BUT – all glucose is stored as glycogen – long chains allow for hydrolysis and release of energy
  • 18. Starches  stored in plant cells  body hydrolyzes plant starch to glucose
  • 19. Fiber  structural parts of plants – found in all plant derived food  bonds of fibers cannot be broken down during the digestive process – minimal or no energy available
  • 20. Fiber types  cellulose  pectins  lignins  resistant starches – classified as fibers – escape digestion and absorption
  • 21. Fiber Characteristics  soluble fibers, viscous, fermentable – easily digested by bacteria in colon – associated with protection against heart disease and diabetes  lower cholesterol and glucose levels – found in legumes and fruits
  • 22. Fiber  insoluble and not easily fermented – promote bowel movements – alleviate constipation – found in grains and vegetables
  • 23. DRI and Fiber  distinguish fibers by source – dietary fibers: naturally in intact plants – functional fibers: extracted from plants or manufactured – total fiber: sum of the 2
  • 24. Carbohydrate Digestion  break down into glucose – body is able to absorb and use  large starch molecules – extensive breakdown  disaccharides – broken once  monosaccharides – don’t need to be broken down
  • 25. Carbohydrate Digestion  begins in mouth – chewing releases saliva – enzyme amylase hydrolyzes starch to polysaccharides and maltose  stomach – no enzymes available to break down starch – acid does some breakdown – fibers in starch provide feeling of fullness
  • 26.  small intestine – majority of carbohydrate digestion takes place here – pancreatic amylase reduces carbs to glucose chains or disaccharides – specific enzymes finish the job  maltase –maltose into 2 glucose  sucrase –sucrose into glucose and fructose  lactase –lactose into glucose and galactose
  • 27.  large intestine – 1-4 hours for sugars and starches to be digested – only fibers remain  attract water, which softens stool – bacteria ferment some fibers  water, gas, short-chain fatty acids (used for energy)
  • 28. Carbohydrate Absorption  glucose can be absorbed in the mouth  majority absorbed in small intestine – active transport  glucose and galactic – facilitated diffusion  fructose  smaller rise in blood glucose
  • 29. Lactose Intolerance  more lactose is consumed than can be digested – lactose molecules attract water  cause floating, abdominal discomfort, diarrhea – intestinal bacteria feed on undigested lactose  produce acid and gas
  • 30. Lactose Intolerance  age, damage, medication, diarrhea, malnutrition  management requires dietary change – 6 grams (1/2 cup) usually tolerable – take in gradually – hard cheeses & cottage cheese – enzyme drops or tablets  lactose free diet is extremely difficult to accomplish
  • 31.
  • 32. Carbohydrate Metabolism  1/3 of body’s glycogen is stored in liver – released as glucose to bloodstream 1. eat – intake glucose 2. liver condenses extra glucose to glycogen 3. blood glucose falls 4. liver hydrolyzes glycogen to glucose Glycogen is bulky, so we store only so much: short term energy supply Fat is the long term energy supply.
  • 33. Glucose for Energy  enzymes break apart glucose – yielding energy  inadequate supply of carbohydrates – ketone bodies (fat fragments) are an alternate energy source during starvation – excess ketones can lead to ketosis: imbalance of acids in body  minimum of 50 – 100 grams of carbs/day are needed to avoid ketosis
  • 34. Glucose Homeostasis  maintaining an even balance of glucose is controlled by insulin and glucagon – insulin  moves glucose into the blood – glucagon  brings glucose out of storage
  • 35.  maintaining balance – balanced meals at regular intervals  fiber and some fat slow the digestive process down  glucose gets into the blood slow and steady
  • 36. Intestine 1 When a person eats, Maintaining blood glucose rises. Blood Glucose Pancreas 2 High blood glucose stimulates Homeostasis the pancreas to release insulin. Insulin 3 Insulin stimulates the uptake of glucose into cells and storage as glycogen in the liver and Liver muscles. Insulin also stimulates the conversion of excess glucose into fat for storage. Fat cell Muscle 4 As the body's cells use glucose, blood levels decline. Pancreas 5 Low blood glucose stimulates the pancreas to release Glucagon glucagon into the bloodstream. 6 Glucagon stimulates liver cells to break down glycogen Glucose and release glucose into the blood.a Insulin Glucagon Liver Glycogen a The stress hormone epinephrine and other hormones 7 Blood glucose begins to also bring glucose out of storage. rise.
  • 37. Imbalance  diabetes – after food intake, blood glucose rises and is not regulated because insulin is inadequate  hypoglycemia – blood glucose drops dramatically  too much insulin, activity, inadequate food intake, illness  diet adjustment includes fiber-rich carbs and protein
  • 38. Glycemic Index  way of classifying food according to their ability to raise blood glucose  much controversy
  • 39. Sugar  ½ comes from natural sources, ½ from refined and added – sucrose, corn syrup, honey  excess can lead to nutrient deficiencies and tooth decay – empty calories – sugar and starch break down in the mouth
  • 40. Sugar  recommended intake – added sugar = no more than 10% of energy intake
  • 41. Starch and Fiber  diet that includes starch, fiber and natural sugars – whole grains, vegetables, legumes, fruits  may protect against heart disease and stroke  reduces the risk of type 2 diabetes  enhances the health of the large intestine  can promote weight loss
  • 42. Starch and Fiber  starch intake – 45-65% – 225 – 325 grams (DV is 300 grams) – 900-1300 kcal/2000 kcal – RDA is 130 grams  fiber intake – Daily Value is 25 grams/2000 kcal
  • 43.
  • 44.
  • 45. Groceries  grains: 1 serving = 15 grams  vegetables – ½ cup starchy = 15 grams – ½ cup nonstarchy = 5 grams  fruit: 1 serving = 15 grams  milk: 1 cup = 12 grams  meat: none or little  legumes: ½ cup = 15 grams
  • 46. Artificial Sweeteners  help keep sugar and energy intake down  anything we eat has FDA approval – saccharin – aspartame – acesulfame potassium – sucralose – neotame
  • 47.
  • 48. Sugar Replacers  sugar alcohols – provide bulk and sweetness  cookies, gum, candy, jelly – do contain minimal kcal – low glycemic response  absorbed slowly – do not cause dental caries