biochem - nutrition exam 1 Flashcards

1
Q

Carbohydrates – Quick Review

A

Monosaccharides:
– Glucose (glc)
– Fructose (fru) – the sweetest of the sugars
– Galactose (gal)

  • Disaccharides:
    – Maltose (glc-glc) – minor food constituent
    – Sucrose (glc-fru)
    – Lactose (glc-gal)
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2
Q

Polysaccharides

A

Glycogen
– Poly-glucose
– Highly branched
– Not a significant food source

Starch

Fiber

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3
Q

Starch

A

Poly-glucose

  • Amylose: linear
  • Amylopectin: branched
  • Found in grains: rice, wheat, corn, etc.

two components:
- Amylose
- Amylopectin

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4
Q

Fiber

A

Structural parts of plants

  • Polysaccharides other than starch (next slide) – Cellulose, hemicellulose, etc.
  • Some non-polysaccharides
  • Cannot be broken down by the human digestive system (missing enzymes)
    – Not a source of monosaccharides
    – Bacteria in GI tract may digest some
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5
Q

Polysaccharides other than starch

A

Cellulose (plant cell walls)
– Vegetables, fruits, legumes
– Linear and non-digestible, because of (β1→4) linkage

Hemicellulose(cereal fibers)
– Branched
– Some soluble, some not

long chain and linear

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6
Q

Carbohydrate Digestion of starch

A

mouth and salivary glands
- the salivary glands secrete saliva into the mouth to moisten the food. The salivary enzyme amylase begins digestion
- starch + amylase = small polysaccharide

stomach
- stomach acid inactivates salivary enzymes, halting starch digestion

small intestine and pancreas
- the pancreas produces an amylase that is released through the pancreatic duct into the small intestine
- starch + pancreatic amylase = small polysaccharide and disaccharides

not finished

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7
Q

Carbohydrate Digestion of fiber

A
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8
Q

Notes on Carbohydrate Metabolism

A

Catabolism:
– Branched chains: digested more rapidly
– Linear chains: digested more slowly

  • Glucose, galactose and fructose:
    – Glc and gal: move quickly into the blood (active transport); fru transport slower (passive)
    – Fru and gal metabolized primarily in the liver; glc metabolized in many cells, as needed.
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9
Q

Fructose

A
  • Recall that fructose is metabolized by the glycolytic pathway.
    – Liver (major): converted to glyceraldehyde 3- phosphate, bypassing steps #1-5
    – Muscle & kidneys (minor): converted to fructose 6-phosphate, bypassing steps #1-2
  • Compared to glucose, fructose catabolism is less stringently regulated (steps #1 & 3 – chapter 15) and may lead to more fat- formation in the liver.
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10
Q

Fructose (continued)

A

Unlike glucose, fructose does not induce insulin secretion and does not reduce appetite as much as glucose.

  • Same true of high-fructose corn syrup.
    – HFCS is made by enzymatically converting some of the glucose in corn syrup to fructose, typically resulting in mix of ~55% fru. Because fru is much sweeter than glc, this is sweeter than a mix with 50% fru and 50% glc.
    more sweeter due to fru so they can use less of it
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11
Q

Lactose Intolerance

A

Little/No lactase → lactose reaches the large intestine and is converted into toxic products by bacteria [→ cramps, diarrhea])

  • Solution: reduce lactose, and add lactase
  • Soy milk contains sucrose, not lactose.
  • Caution: milk products contain many important nutrients (e.g., riboflavin, Vitamin D, calcium)
  • Note: 20% of prescription meds and 5% of
    OTC meds use lactose as a filler/sweetener.
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12
Q

Glycemic Effect/Response

A

Food containing carbohydrates leads to an increase in blood [glucose], which elicits an insulin response (secretion)

  • Foods are classified according to how rapidly they lead to this increase.
  • Classification of food: Glycemic Index
    – Low: slow absorption., modest rise, smooth return, slow spikes
    – High: rapid absorption., surge in [glc], dramatic drop, quick spikes

High
- White Bread
- Baked pot.
- Cornflakes
- Sports dr.
- Donuts

low
- Low
- Peanuts
- Cashews
- Soybeans
- Milk
- Beans

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13
Q

Some Nutrition Guidelines & Recommendations

A
  • American & Canadian standards (1997-): Dietary Reference Intakes (DRI) - being continually updated
  • Recommended Dietary Allowances (RDA): age-, sex- and life-stage-specific
  • Daily Values (DV): Average recommended daily intake for a person on a 2000-kcal. diet (Note: average, not based on age or sex)
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14
Q

Dietary Recommendations: Carbohydrates

A

45-65% of calories from carbohydrates

  • E.g., on a 2000-kcal diet, 900-1300 kcal
  • 1200 kcal/4 kcal/g = 300 g (the Daily Value) - this is the conversion factor
  • Includes sugar, starch, and fiber. – Sugar: slides #17-20
    – Fiber: slides #21-27
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15
Q

Sugar Intake

A

where we get our sugar from:

In the U.S., ~1/2 from milk, fruits, vegetables, grains

  • Other 50% is refined and added by processors (drinks, desserts, candy, cereals) or consumers: sucrose, high-fructose corn syrup, honey, etc.
  • Recommendations below.
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16
Q

Health Effects of Sugar

A

A little is OK

  • Honey (sucrose = glc-fru)
    – Trace amounts of protein, Ca, Fe, Vit. C no need to know these Ca, Fe, etc…
  • The refined (= processed/purified; nothing added) sugar problem: usually means:
    – Too many calories, or …
    – Too few nutrients (low nutrient density)
17
Q

More Sugar Health Effects

A

Dental caries (bacteria in or mouth, bacteria secretes acid onto our teeth)
– Worst case: sugar alone, between meals

  • Obesity
  • Heart disease: sugar is a minor factor (compared to smoking, genetics, lipids)
  • Hyperactivity: connection not supported by research * not on exam *
18
Q

Recommended Intake of Sugar

A

Guidelines: “Reduce intake … from added sugars.”

  • Old recommendation: ≤ 10% of total calories (still a good approximation)
  • E.g., 200 kcal of a 2000 kcal/day diet
  • 1 tsp = 20 kcal
  • Typically, Americans get about 1/6 (16%) of daily energy from simple sugars.
  • Minimize consumption of HFCS (slide #12).
19
Q

Fiber: sources, actions

A

Soluble
- Whole grains (oats, oat bran, barley, rye), fruits, legumes (beans, peas), seeds, vegetables
* *Slow upper GI transit, slow starch hydrolysis, slow glucose absorp., lower blood cholesterol, soften stools

Insoluble
- Brown rice, fruit, legumes, seeds, vegetables, wheat & corn bran, whole grains
* Accelerate colon transit, increase stool weight, relieve constipation, increase feeling of fullness

20
Q

Health Effects: Fiber

A

Makes one feel full, reducing appetite.

  • High-fiber foods help to reduce the risk of
    Type-2 diabetes
    – Soluble fibers slow glucose absorption, moderating glucose surge/rebound (which appears to lead to Type 2 Diabetes)
21
Q

Health Effects: Fiber

A

May decrease risk of heart disease
– Reasons not well understood
– Soluble fiber binds and removes bile acids, lowers blood cholesterol
– Byproducts of bacterial digestion may inhibit cholesterol synthesis in the liver
– Fiber may displace fat in the diet.

22
Q

Health Effects: Fiber

A

High-fiber diet correlated with decreased
risk of cancer, esp. colon cancer
– Esp. green & yellow vegetables, and citrus fruits
* Cause may be fiber, or other chemicals in these foods (antioxidants and phytochemicals: See Chapter 11 and 13 Highlights.)

23
Q

Health Effects: Fiber

A

Intake of dietary fiber is associated with
increased GI health

  • Insoluble fiber often helps to alleviate constipation
24
Q

(Un)Healthy Effects of Excess Fiber

A

For a person who does not eat much (young, elderly, malnourished), consuming a large amount of fiber may mean consuming an inadequate amount of foods high in nutrients such as vitamins, minerals, and proteins.

  • Fiber may decrease nutrient absorption.
  • Sudden change to high fiber can lead to GI problems (discomfort, obstruction).
  • Without adequate water: stool problems
  • None of the above should be taken to mean that fiber in the diet is unhealthy.
25
Dietary Recommendations: Fiber
11.5 g/1000 kcal * D.V. (daily value) of Dietary Fiber: 25 g [Know this] * The average intake in the U.S. is about half of this. * Good fiber sources: whole grains, vegetables, fruits, legumes
26
Alternative Sweeteners
1. Extracts of natural products (no energy) 2. Artificial Sweeteners (no energy, with one exception which is aspartame) 3. Sugar Alcohols (yield energy)
27
FDA regulation
FDA may approve as ... – supplements (“Generally Recognized As Safe” [GRAS]) – based on generally available data and consensus of experts – food additives – based on data and information submitted by sponsor * FDA sets an Acceptable Daily Intake (ADI) for each (1% of amount found to produce adverse effects in animal studies) – more on slide #33.
28
Extracts of natural products
Extracts of Stevia (glycosides): (e.g., Truvia, PureVia) * Extracts of Monk Fruit (a.k.a., Swingle Fruit, Luo Han Guo) * Thaumatin (a group of intensely sweet basic proteins isolated from the fruit of Thaumatococcus danielli [West African Katemfe fruit]) * Allulose (epimer of fructose; found in figs & raisins) * Tagatose (epimer of fructose; found in dairy foods, fruits)
29
Artificial sweeteners
Saccharin(e.g.,Sweet’nLow) * Aspartame (a di-peptide of aspartate and phenylalanine; phenylketonurics (PKU) beware; 4 kcal/g) (e.g., Equal, Nutrasweet) Neotame (Newtame), Advantame (aspartame analogs) * Acesulfame-K (e.g.,Sunett) * Sucralose(e.g.,Splenda)
30
Sweetness relative to sucrose
Acesulfame-K: 200x * Aspartame: 200x * Monk Fruit: 100-250x * Steviol glycosides: 200-400x * Sucralose: 600x * Thaumatin: 2,000-3,000x * Neotame: 7,000-13,000x * Advantame: 20,000x no need to know the numbers
31
Some Acceptable Daily Intake equivalents for a 132-lb. person
Saccharin: 10 packets (3 cans of soda) * Aspartame: 75 packets (24 cans) * Neotame: 23 packets * Advantame: 4,920 packets * Acesulfame-K: 23 packets (18 cans) * Sucralose: 23 packets (5 cans) * Stevia: 27 packets (4 cans) no need to know the numbers
32
Changing tastes: FYI
The sweetener in Diet Pepsi has changed over the years: – 1964: saccharin; 1983: aspartame – 2013: combination of aspartame & acesulfame-K – 2015: combination of acesulfame-K & sucralose * Yale J Biol Med (2010): most commonly used alternative sweeteners: – Sucralose (1,500 products) – acesulfame-K (1,103 products) – aspartame (974 products).
33
Sweet receptors
alitame receptors for different sugars the same receptors for the natural sugars also accept the signal for the natural sugars
34
aspartame vs
just a different stereochemistry, then they are different
35
Sugar Alcohols (Polyols)
*Erythritol, mannitol, sorbitol, xylitol, maltitol, isomalt, lactitol* (in gum, candy, pharmaceutical & oral health products) * Erythritol-Stevia is a popular blend. * Calories, but fewer than sugars (0.2-2.6 kcal/g) * Low glycemic effect (but most ≠ 0) * May cause abdominal discomfort, and diarrhea (Food labels must carry advisory notice.) * Do not contribute to dental caries
36
General Comments
Are the Alternative Sweeteners Toxic? – Dose is everything. At reasonable levels, approved sweeteners are not toxic. – Paracelsus: "The dose makes the poison." * Not clear whether they help reduce weight * For more information, see RPW, Chapter 4, and documents on Blackboard (relative sweetness, Acceptable Daily Intakes (ADI), etc.).