Transcript Chapter One

Carbohydrates
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What Are Carbohydrates?
Carbohydrates
• One of the three macronutrients
• A primary energy source, especially for nerve
•
•
cells
Composed of carbon, hydrogen, oxygen
Good sources include fruits and vegetables
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What Are Carbohydrates?
Glucose
• The most abundant carbohydrate
• Produced by plants through photosynthesis
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Photosynthesis
Visuals unlimited
6 CO2(gas) + 12 H2O(liquid) + photons→ C6H12O6(aqueous) + 6 O2(gas) + 6 H2O(liquid)
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What Are Carbohydrates?
Simple carbohydrates
• Contain one or two molecules
• Monosaccharides contain only one molecule
• Glucose, fructose, galactose
• Disaccharides contain two molecules
• Lactose, maltose, sucrose
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Monosaccharides
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Disaccharides
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What Are Carbohydrates?
Complex carbohydrates
• Long chains of glucose molecules
• Hundreds to thousands of molecules long
• Also called polysaccharides
• Starch, glycogen, most fibers
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Complex Carbohydrates
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Complex Carbohydrates
Starch
• Plants store carbohydrates such as starch
• We break down starch to glucose
• Grains, legumes, and tubers are good sources of
starch in our diet
germ
endosperm
bran
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Amylopectin
Whole Grains
Bran= Roughage
endosperm
germ
Fiber
B-vitamins
Trace minerals
Phytochemicals
Endosperm= Energy
Carbohydrates
Protein
bran
Germ= Nutrients
Ex: wheat, barley, oat grains
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B-vitamins
Vitamin E
Trace Minerals
Phytochemicals
Unsaturated lipids
Complex Carbohydrates
Glycogen
• Animals store carbohydrates as glycogen
• Stored in the liver and muscles
• Not found in food and therefore not a source of
dietary carbohydrate
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Complex Carbohydrates
Fiber
• Dietary fiber is the non-digestible part of plants
• Grains, rice, seeds, legumes, fruits
• Functional fiber is carbohydrate extracted from
plants and added to food
• Cellulose, guar gum, pectin, psyllium
• Total fiber = dietary + functional fiber
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Digestion of Carbohydrates
Salivary amylase
• Enzyme that begins carbohydrate digestion in the
•
mouth
Breaks carbohydrates down to maltose
There is no digestion of carbohydrates in the
stomach.
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Digestion of Carbohydrates
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Digestion of Carbohydrates
Most chemical digestion of carbohydrates occurs
in the small intestine.
Pancreatic amylase
• Enzyme produced in the pancreas and secreted
•
into the small intestine
Digests carbohydrates to maltose
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Digestion of Carbohydrates
Additional enzymes in the small intestine digest
disaccharides to monosaccharides:
(1) maltase
(2) sucrase
(3) lactase
Monosaccharides are absorbed into the cells lining
the small intestine and then enter the bloodstream.
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Digestion of Carbohydrates
All monosaccharides are converted to glucose by
the liver.
Glucose circulating in the blood is our primary
energy source.
Excess glucose is converted to glycogen by the
liver.
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Storage of Glycogen
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Digestion of Carbohydrates
We do not have the enzymes necessary to digest fiber.
Bacteria in the large intestine can break down some fiber.
For humans, most fiber remains undigested and is
eliminated with feces.
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Regulation of Blood Glucose
The level of glucose in the blood must be closely
regulated.
Two hormones, insulin and glucagon, control the
level of glucose in the blood.
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Regulation of Blood Glucose: Insulin
Insulin
• Produced by beta cells of the pancreas
• Helps cells take in glucose from the blood
• Stimulates the liver to take up glucose and
convert it to glycogen
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Regulation of Blood Glucose: Insulin
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Regulation of Blood Glucose: Glucagon
Glucagon
• Produced by alpha cells of the pancreas
• Stimulates the breakdown of glycogen to
•
glucose to make glucose available to cells of
the body
Stimulates gluconeogenesis – the production of
glucose from amino acids
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Regulation of Blood Glucose: Glucagon
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Regulation of Blood Glucose
Glycemic index
• A food’s ability to raise blood glucose levels
• Foods with a low glycemic index:
• Are better for people with diabetes
• Are generally higher in fiber
• May reduce the risk of heart disease and colon
cancer
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Glycemic index
Classification GI range
Examples
Low GI
55 or less
Medium GI
56-69
Most fruit and veggies (not
potato), basmati rice, oats, allbran
Sucrose, Mars bar
High GI
70 or
more
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Corn flakes, baked potato,
jasmine rice, white bread, white
rice
The Role of Carbohydrates
Energy
• Each gram of carbohydrate = 4 kcal
• Red blood cells rely only on glucose for their
•
•
energy supply
Both carbohydrates and fats supply energy for
daily activities
Glucose is especially important for energy
during exercise
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The Role of Carbohydrates
Energy
• Sufficient energy from carbohydrates prevents
•
•
production of ketones as an alternate energy
source
Excessive ketones can result in high blood
acidity and ketoacidosis
High blood acidity damages body tissues
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The Role of Carbohydrates
Energy
• Insufficient carbohydrate intake causes the
•
body to find an alternate source of glucose
Often proteins are used for gluconeogenesis –
the production of new glucose
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The Role of Carbohydrates
Fiber
• May reduce the risk of colon cancer
• May reduce the risk of heart disease
• May enhance weight loss
• Help prevents hemorrhoids, constipation, and
diverticulosis
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How Much Carbohydrate?
Recommended Dietary Allowance (RDA) is 130
grams/day just to supply the brain with glucose.
45-65% of daily calorie intake should be in the
form of carbohydrates.
Focus on foods high in fiber and low in added
sugars.
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Simple vs. Complex Carbs
Diets high in simple sugars:
• Can cause dental problems such as cavities and
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•
gum disease
Are associated with increased levels of “bad
cholesterol”
Are associated with decreased levels of “good
cholesterol”
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Simple vs. Complex Carbs
The Adequate Intake (AI) of fiber is 14 grams for
every 1,000 kcal in the diet.
Most Americans eat only half the recommended
amounts of fiber.
Whole grain foods are a more healthful choice
than foods with added sugar.
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Alternative Sweeteners
Nutritive sweeteners
• Contain 4 kcal energy per gram
• Sucrose, fructose, honey, brown sugar, sugar
alcohols
Non-nutritive (alternative) sweeteners
• Provide little or no energy
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Alternative Sweeteners
Acceptable Daily Intakes (ADI) have been
established for:
aspartame
sucralose
acesulfame-K
No ADI has been set for saccharin but it has been
removed from the list of cancer-causing agents.
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Alternative Sweeteners
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Health Disorders
Three health disorders related to carbohydrate
metabolism are
• Diabetes
• Hypoglycemia
• Lactose intolerance
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Diabetes
Diabetes
• Inability to regulate blood glucose levels
• Three types:
• Type 1 diabetes
• Type 2 diabetes
• Gestational diabetes
• Untreated diabetes can cause nerve damage,
kidney damage, blindness, and can be fatal
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Diabetes
Type 1 diabetes
• Accounts for 10% of all cases
• Patients do not produce enough insulin
• Causes hyperglycemia – high blood sugar
•
•
(glucose)
Requires insulin injections
May be an autoimmune disease
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Diabetes
Type 2 diabetes
• Most diabetics have Type 2 diabetes
• Body cells are insensitive or unresponsive to
•
•
insulin
Excess insulin is often produced
Causes hyperglycemia because cells cannot
take in the glucose from the blood
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Diabetes
Type 2 diabetes
• Cause is unclear but genetics, obesity, and
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•
physical inactivity play a role
Treated with diet, exercise, and possibly oral
medications
Healthy lifestyle choices may prevent or delay
onset of type 2 diabetes
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Hypoglycemia
Hypoglycemia
• Low blood sugar (glucose)
• Reactive hypoglycemia results when too much
insulin is produced after a meal
• Causes shakiness, sweating, anxiety
• Fasting hypoglycemia results when too much
insulin is produced even when the patient has
not eaten
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Lactose Intolerance
Lactose intolerance
• Insufficient lactase production causes an
•
•
inability to digest lactose found in dairy
products
Symptoms include intestinal gas, bloating,
nausea, cramping, diarrhea
Lactose intolerant people may need to find
alternate sources of calcium
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Why are carbs so important?
Brain cells require two times as much energy as other cells in your body!
A lack of glucose affects your ability to think and remember.
Neurons from entorhinal cortex (Limbic System)
©1998 Dr. Norberto Cysne Coimbra M.Sc., Ph.D., Laboratory of Neuroanatomy and Neuropsychobiology, Faculty of
Medicine of Ribeirão Preto of the University of são Paulo; Neuroscience Art Galleries
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