Carbohydrate Digestion Flashcards

1
Q

3 Functions of carbs?

A

1) supplies energy (from glucose)
2) Protein sparing
3) prevents ketosis

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2
Q

Main energy source and how is this stored?

A

Glucose, stored as glycogen in the liver and muscle

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3
Q

How much energy of the NZ diet do carbohydrates produce

A

40-60%

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4
Q

the link between carbs and many ethnicities?

A

carbs form a staple food for majority of ethnicities around the world.
asian = rice

european = wheat/potatoes

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5
Q

Complex carbs and simple sugars eventually end up as

A

Glucose

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6
Q

Types of complex carbohydrates

A

1) starches: potatoes, bread, rice (glucose)

2) Dietary Fibres:
- INSOLUBLE (bran)
- SOUBLE (lentils, beans)

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7
Q

Types of simple carbohydrates?

A

Sugars: (glucose)

1) Dissacharides - sucrose, maltose, lactose
2) monosaccharides - fructose, glucose, galactose

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8
Q

compounds that make up carbs

A

aldehydes + ketones

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9
Q

Types of monosaccharides

A

glucose, fructose, galactose

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10
Q

Galactose

A

found in milk / dairy products

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11
Q

Fructose

A

found in veges + fruit

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12
Q

Types of disaccharides and what makes the

A
Maltose= glucose + glucose
Sucrose= glucose + fructose
Lactose = glucose + galactose
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13
Q

maltose is for

A

fermentation and alcohol production

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14
Q

Sucrose is found in

A

table sugar + processed foods

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15
Q

What are polysaccharides. What is their purpose?

A

A chain of two or more monosaccharides. Chain may be branched (amylose) or branched (amylopectin + glycogen)

They function as food storage as glycogen

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16
Q

Amylose and amylopectin are…?

A

Both storage polysaccharides of plants. Made up of glucose polymers, they are starches (not water soluble)

-found in cereals, grains, root veges, legumes

17
Q

Features of glycogen (liver & skeletal muscle)

A
  • storage form of glucose
  • 12-14 hrs worth stores
  • Provides a rapid release of energy when needed
  • liver releases first (bloodglucose control)
18
Q

Non-starch polysaccharides are, and what are the types?

A

polysaccharies with glucose links that can’t be broken (so can’t be digested) = “NSP dietary fibre”
-give very little E

1) SOLUBLE FIBRE: dissolves in water, forms gels, easily digested by bacteria (fermented)
2) INSOLUBLE FIBRE: doesn’t dissolve or form gels, not easily fermented

19
Q

Digestion of Carbs in the mouth?

A

S: salivary glands secrete saliva into the mouth. Moistens food, amylase hydrolyses starch > small PS

DF: mechanical action of the mouth crushes/mixes DF with saliva for swallowing

20
Q

Digestion of carbs in the stomach?

A

S: stomach acid inactivates salivary enzymes

DF: DF not digested, delays gastric emptying

21
Q

Digestion of starch carbs in SI?

A

S: chyme stimulates pancreas to release amylase. This breaks starch down > small PS
PS go to surface of micro villi

DS enzymes on surface of SI cells hydrolyse DS into MS that can now be absorbed

(*DS enzymes specific to specific DS)

22
Q

Digestion of Dietary Fibre in SI and LI

A

SI: DF is not digested, delays absorption

LI: bacterial enzymes digest DF into SCFA, gas

23
Q

The steps of monosaccharide absorption?

A

takes place mainly in the SI

1) MS enter capillaries of the intestinal villi
- Glucose & galactose via AT of GLUT-1 transport protein
- Fructose via facilitated diffusion
2) MS travel to liver via Hepatic portal vein
3) in the liver, galactose & fructose > glucose
4) Glucose now available to be used to either control blood sugar or be stored as glycogen

24
Q

Why are people concerned for those who consume excessive amounts of fructose

A

That they may have issues with excess storage of fructose within the liver > fatty liver

25
What happens when storage of carbs runs out?
body protein > glucose | fat stores > ketones (ketosis)
26
Recommended servings of carbs a day
``` Preschoolers = 4 children = 5 adults = 6 ```
27
Difference between intrinsic and free sugars?
``` Intrinsic found in fruit & vege (lactose, fructose) Free sugar (sucrose) added by manufacturers, we need to reduce, 50% of NZ intake ```
28
Insoluble fibre?
provides mass to faeces. Fibres attract water ensure the stools are large and soft
29
Soluble fibre
- Binds w FAs - prolong emptying (fuller for longer) - lowers cholesterol + LDL cholesterol - fermented by bacteria > SCFAs that feed gut enterocytes, ensure appropriate DNA methylation. - regulates Blood sugar
30
What does your microbiota do? How do we get it? What happens if this changes?
Live synergistically, thrive off carbs/fibre (only thing they can proliferate off) Unique to us, born with, also vaginal delivery and breast millk affects Changes with: bad diet, illness, AB
31
Recommended intakes of carbs
45-65% carbs of this 10% simple sugars 15% > 5%
32
What happens when you have a high glycaemic Diet?
1) eat food with HGI, is absorbed very quickly, we get a high peak of blood glucose and insulin (to decrease this) 2) then as your blood glucose & insulin rapidly drops > hyperglycaemic effect > hunger 3) snack again... cycle repeats
33
Why are people encouraged to eat things with a LGI?
creates a more plateau effect (not peaks), fully for longer
34
Symptoms of lactose malabsorption?
bloating, abdominal discomfort, diarrhoea | as sugar overload disrupts the osmotic balance of LI
35
Primary Lactase deficiency? Management?
Genetically predisposed Managed by: removing milk products from diet OR taking lactase enzyme tablets with your milk product
36
secondary lactase deficiency?
Due to a condition (gastroenteritis, celiac that destrys villi in SI) >> lactose malabsorption Managed by: initially removing milk products, slowly introducing them back