chapter4
TRANSCRIPT
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The The Carbohydrates: Carbohydrates:
Sugars, Starches, Sugars, Starches, and Fibersand Fibers
Chapter 4Chapter 4
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IntroductionIntroduction
• Brain• Glucose
• Muscles• Glucose• Glycogen• Fat
• Sources of carbohydrates• “Fattening” – mistaken thinking
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ChemistChemist’’s View of s View of CarbohydratesCarbohydrates
• Carbohydrate family• Atoms and chemical bonds• Monosaccharides
• Chemical shorthand
• Glucose, fructose, galactose
• Disaccharides• Maltose, sucrose, lactose
• Polysaccharides
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Atoms and Their BondsAtoms and Their Bonds
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ChemistChemist’’s View of s View of CarbohydratesCarbohydrates
• Monosaccharides – three • Same numbers and kinds of atoms
• Differing sweetness
• Glucose – blood sugar• Part of every disaccharide
• Fructose• Sweetest of the sugars
• Galactose• Only in a few foods
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Chemical Structure of Glucose
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The Monosaccharides
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ChemistChemist’’s View of s View of CarbohydratesCarbohydrates
• Disaccharides• Pairs of three monosaccharides
• Maltose – two glucose units
• Sucrose – glucose and fructose
• Lactose – galactose and glucose
• Condensation• Links two monosaccharides together
• Hydrolysis• Breaks a disaccharide in two
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Condensation and Hydrolysis Condensation and Hydrolysis of a Disaccharideof a Disaccharide
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ChemistChemist’’s View of s View of CarbohydratesCarbohydrates
• Polysaccharides• Glycogen
• Storage form of energy in the body
• Glucose units
• Starch• Storage form of energy
in plants
• Glucose units
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Glycogen and Starch Compared
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ChemistChemist’’s View of s View of CarbohydratesCarbohydrates
• Polysaccharides• Fibers
• Differ from starches
• Soluble fibers – benefits
• Insoluble fibers – benefits
• Functional fibers
• Resistant starches
• Phytic acid
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The Bonds of Starch and Cellulose Compared
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Carbohydrate DigestionCarbohydrate Digestion
• Ultimate goal • Glucose for absorption and use
• Hydrolysis via enzymes• Mouth
• Amylase
• Stomach• Stomach acid & protein-digesting enzymes• Role of fiber
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Carbohydrate DigestionCarbohydrate Digestion
• Small intestine• Most carbohydrate digestion• Pancreatic amylase• Specific disaccharide enzymes
• Maltase
• Sucrase
• Lactase
• Large intestine• Fibers
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Carbohydrate AbsorptionCarbohydrate Absorption
• Active transport• Glucose• Galactose
• Facilitated diffusion• Fructose
• Liver• Conversion of fructose and galactose
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Absorption of Absorption of MonosaccharidesMonosaccharides
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Lactose IntoleranceLactose Intolerance
• Lactase activity• Highest immediately after birth• Declines with age
• Symptoms of intolerance• Causes of intolerance beyond age• Prevalence
• Genetically determined
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Lactose IntoleranceLactose Intolerance
• Dietary changes• Manage dairy consumption rather than
restriction• GI bacteria
• Fermented milk products• Individualized diets• Potential nutrient deficiencies
• Riboflavin, vitamin D, and calcium
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Carbohydrate MetabolismCarbohydrate Metabolism
• Glucose is key player• Storing glucose as glycogen
• Liver storage• Condensation into glycogen
• Hydrolysis for release of glucose when needed
• Muscle storage• Selfishly hoards glycogen
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Carbohydrate MetabolismCarbohydrate Metabolism
• Glucose for energy• Fuels most of body’s cells
• Preferred source for brain, nerve cells, and developing red blood cells
• Cellular breakdown of glucose
• Making glucose from protein• Amino acid conversion• Gluconeogenesis
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Carbohydrate MetabolismCarbohydrate Metabolism
• Ketone bodies from fat fragments• Inadequate supply of carbohydrates
• Fat metabolism shifts
• Ketone body formation – starvation
• Ketosis – acid-base balance
• Carbohydrate needs for protein sparing and prevention of ketosis
• Using glucose to make fat
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The Constancy of Blood The Constancy of Blood GlucoseGlucose
• Steady supply in blood stream• Intestines – food• Liver – glycogen
• Blood glucose homeostasis• Insulin
• Glucose from blood into cells
• Glucagon & epinephrine • Brings glucose out from storage
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Maintaining Blood Glucose Maintaining Blood Glucose HomeostasisHomeostasis
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The Constancy of Blood The Constancy of Blood GlucoseGlucose
• Balancing within the normal range• Balanced meals at regular intervals
• Diabetes• Insulin is either inadequate or ineffective• Type 1 diabetes• Type 2 diabetes
• Hypoglycemia• Prevalence
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The Constancy of Blood The Constancy of Blood GlucoseGlucose
• Glycemic response• Speed of glucose absorption, level of blood
glucose, and return to normal glucose levels• Low glycemic response
• Desired
• High glycemic response• Glycemic index
• Benefits
• Utility
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Health Effects of SugarsHealth Effects of Sugars
• Pleasure in moderate amounts• Obesity and chronic disease• Nutrient deficiencies
• Energy with few other nutrients• Discretionary kcalories• Honey
• More energy per spoonful
• Health benefits
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Health Effects of SugarsHealth Effects of Sugars
• Dental caries• Bacteria ferment sugars producing acid• Food factors associated with tooth decay
• Time of food in mouth
• Sticky foods
• Frequency of sugar consumption
• Food choices• Factors associated with tooth decay
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Recommended Intakes of Recommended Intakes of SugarsSugars
• Dietary Guidelines• Reduce the intake of kcalories from added
sugars
• DRI• Added sugars
• No more than 25% of day’s total energy
• Impact on other food groups
• WHO and FAO recommendations
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Alternative SweetenersAlternative Sweeteners
• Artificial sweeteners• Non-nutritive sweeteners• Large doses and adverse effects
• Stevia – an herbal product• Generally recognized as safe (GRAS)
• Sugar alcohols• Provide kcalories• Benefits and side effects
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Health Effects of Starch and Health Effects of Starch and FibersFibers
• Heart disease• Whole grains
• Sources
• Soluble fibers• Sources
• Improving heart disease risk factors• Diet composition for reducing heart disease
risk
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Health Effects of Starch and Health Effects of Starch and FibersFibers
• Diabetes• High-fiber foods
• GI health• High-fiber foods• Ample fluids
• Weight management• High-fiber foods and whole grains
• Feeling of fullness
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Health Effects of Starch and Health Effects of Starch and FibersFibers
• Cancer• Dietary fiber and colon cancer
• Fiber supplements
• Sources of dietary fiber• Phytochemicals
• Preventing colon cancer• Diluting, binding, and removing
• Bacterial fermentation
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Health Effects of Starch and Health Effects of Starch and FibersFibers
• Excessive fiber• Insufficient energy or nutrient needs• Abdominal discomfort, gas, diarrhea• GI obstruction• Nutrient absorption• Dietary goals
• Balance, moderation, variety
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Characteristics, Sources, & Characteristics, Sources, & Health Effects of FibersHealth Effects of Fibers
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Recommended Intakes of Recommended Intakes of Starch & FibersStarch & Fibers
• DRI for carbohydrates• 45 to 65% of energy requirement
• RDA for carbohydrates• 130 grams per day
• Fiber• DV: 11.5 grams per 1000-kcalories• DRI: 14 grams per 1000-kcalories• No UL
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From Guidelines to GroceriesFrom Guidelines to Groceries
• Grains• 1 ounce provides about 15g of carbohydrate• “Three are key” message
• Vegetables• Starch content
• Fruits• Milk and milk products• Protein foods
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From Guidelines to GroceriesFrom Guidelines to Groceries
• Read food labels• Total carbohydrate
• Starch, fibers, sugars
• Sugars• Added and natural sugars
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Bread Labels Compared
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Carbs, kCalories, Carbs, kCalories, and and
ControversiesControversies
Highlight 4Highlight 4
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CarbohydratesCarbohydrates’’ kCalorie kCalorie ContributionsContributions
• Obesity and the link to carbohydrates• Total daily energy intakes have increased• Activity levels have declined• Increase in body weight
• Epidemiological studies• Inverse relationship between carbs & weight
• Weight loss• kCalorie intake
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Energy Nutrients over Time
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Daily Energy Intake & Increases in Adult Body Weight over Time
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SugarsSugars’’ Share in the Problem Share in the Problem
• Increase in consumption of added sugars• High-fructose corn syrup• Body fat stores
• Carbohydrate cravings• Self-imposed labeling of foods
• Carbohydrate addictions• Not physiological or pharmacological
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SugarsSugars’’ Share in the Problem Share in the Problem
• Appetite control• Fructose and insulin
• Flaws in plausibility
• Food form – liquid or solid• Simple to swallow
• Energy regulation
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InsulinInsulin’’s Responses Response
• Surge of insulin levels• Glycemic effect
• Factors impacting glycemic effect• Glycemic index and body weight
• Insulin resistance• Fructose
• Prediabetes and metabolic syndrome
• Body’s insulin response