Carbohydrate nutrition Flashcards

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1
Q

Explain the basis for dividing carbohydrates into available
carbohydrates and dietary fibre.

A

The differences come from digestibality, and impact on blood glucose levels

  • Available Carbohydrates: These are digestible and absorbable, providing energy and affecting blood sugar levels. They include sugars and starches found in foods like grains, fruits, and vegetables.
  • Dietary Fiber: This includes the indigestible parts of plant foods that pass through the digestive system largely intact. Fiber is beneficial for digestive health, helps regulate blood sugar, and can reduce the risk of chronic diseases. It’s found in fruits, vegetables, whole grains, and legumes.
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2
Q
  • how are carbohydrates measured for nutrition labeling?
A

100-% water-% protien-%fat-%ash and then from within that starch and dietary fiber is measured and the rest is starch, this method has a large margin of error tho

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3
Q
  • What are the two main digestiable carbohydrates?
A

starch and sugar

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4
Q
  • what are the specific digestable and absroable carbohydrates in the human diet?
    -
A

starch (D)
- sucrose (D)
- lactose (D)
- glucose, fructose and galactose can be asborbed

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5
Q
  • where does digestion happen and what are the enzymes involved at each place
A
  1. mouth: salivary amylase breaks down starch
    1. Stomach: salviary amylase still works until pH in the stomach drops
    2. Small intestine: Pancreatic amylase secreted and starch will be hydrolzed to maltose the end goal for it, this is the location where monosachrides will be absorbed
      1. Large intestine (colon): this is where some slowly digestble starch will go and be quickly fermented
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6
Q
  • what are the carboydrases that break down disacchrides at the brush border called and what do they work on?
A
  • MALTASE (glucoamylase) for maltose
    • SUCRASE for sucrose
    • LACTASE for lactose
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7
Q

what is glycemic response

A

Relative blood glucose response after a meal

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8
Q
  • What do blood glucose concentrations depend on?
A
  1. rate of absorbtion of glucose into blood stream
    1. rate of insulin production since it reduces blood sugar since it makes it enter cells
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9
Q
  • Describe a Hi GI and a low GI
A

a high GI comes from a rapid increase in blood glucose [] which would cause in turn a strong insulin response which would rapidly decrease blood glucose [] so low often below the baseline and this will initiate hunger

A low GI will be a slow absorbtion of glucose that results in a lower peak [] and a more moderate response in insulin production
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10
Q
  • what does insulin do with excess glucose and how can that cause insulin resistance if repeated
A

it will depoist glucose in adipose cells, and is used to make fat and if there are repeated spikes in blood glucose and insulin over time cells will become insulin resistant meaning they don’t respond as well and cant take up glucose as well

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11
Q
  • what are factors that affect glycemic response
A
  • rates of gastric emypting which is impacted by fat, protien and alchohol
    - viscosity of intesetinal contents (especially soluble fiber which will slow gastric emptying)
    • physical form and chemical nature of food so ripness, pH, amylose;amylopectin ratio etc
    • processing and prep of food
    • time of consumption
    • meal frequency
    • if fiber was consumed in prevois meal
    • the person consuming the meal
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12
Q
  • what is glycemic index
A

it is a ranking of carbohydraytes from 1-100 based on the extent in which they raise glucose blood levels after eating

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13
Q
  • describe the internation standard GI method
A
  1. Participants: At least 10 healthy individuals fast overnight and participate in the test.
    1. Test Food: Participants consume a food portion containing 50 grams of available carbohydrate (excluding fiber).
    2. Blood Glucose Measurement: Blood glucose is measured at intervals over two hours post-consumption.
    3. Reference Food: On a different day, the process is repeated with a reference food (like glucose or white bread) for comparison.
    4. Calculating the GI: The area under the blood glucose response curve (AUC) for the test food is calculated and compared to the AUC for the reference food. The GI is the percentage of the test food’s AUC relative to the reference food’s AUC.
    5. Final GI Value: The final GI is the average of values from all participants, classifying foods into low, medium, or high GI.
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14
Q
  • explain what the engylst starch test is
A

The Englyst Starch Test is an in vitro (laboratory) method developed that is basically the glycemic index test but in vitro and it is used to categorize carbohydrates, particularly starches, based on their rate of digestion. This test classifies starches into three main categories: rapidly digestible starch (RDS), slowly digestible starch (SDS), and resistant starch (RS).

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15
Q
  • describe the procedure of the engylst starch test
A

Process:

1. **Sample Preparation**: A food sample is prepared and mixed with a digestive enzyme solution that simulates the enzymatic digestion process occurring in the human small intestine.
2. **Digestion Simulation**: The mixture is incubated at body temperature (37°C) for a fixed time period, often 2 hours, to mimic the typical digestive process time in the human small intestine.
3. **Measurement**: The amount of glucose released during the first 20 minutes of incubation is measured to quantify the rapidly digestible starch (RDS). The glucose released between 20 minutes and 120 minutes is used to determine the slowly digestible starch (SDS). The starch not digested within 120 minutes is considered resistant starch (RS).
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16
Q
  • What is 100 in the glycemic index
A

100=pure glucose

17
Q
  • Give the numbers and explantions for foods with high, Moderate and Low GI
A
  1. High GI (greater than or equal to 70): and these are foods hwere the glucose is rapidly digested, absorbed and metabolised. There will be marked flucutations in blood sugar levels because of this
    1. moderate Gi (56-69)
    2. Low GI (smaller or equal to 55): these carbs produce smaller flucuations in blood glucose and insulin levels
18
Q

define rapidly available glucose

A

is absorbed quickly in the first section of the small intestine, and will raise blood glucose quickly

19
Q

what are the negative effects of overconsumption of sugars and rapidly available glucose

A
  • weight gain
  • hyperglycemia
  • non alcholic fatty liver disease
  • increase postprandial glucose, triglyceride and insulin
20
Q
  • Defien slowly digestable starch and where it is found in food
A

It is in foods where amylase does not have acess to all starch quickly like in foods with intact cell walls, large particle sizes, mixed with protiens, fat and soluble fibres, partially gelantized. All of these things will decrease glucose response. So by increasing this starch you reduce postprandial glucose and insulin response

21
Q

what is resistant starch and briefly describe the types

A
  1. RS1- not physically acessible to digestive enzymes, it is protected by others
  2. RS2- native starch granules that are protected by their confomration/structure so proected on its own
  3. RS3- retograted starch, so very highly associated
  4. RS4- portions or the whole starch granule has been chemically modified so it cannot by hydrolyzed
  5. RS5- amylose lipid complexes which will protect from amylase`
22
Q

define glycemic load

A

It is the product gotten from multiplying GI by the grams of carbs in a serving divided by a 100g. This is done because the GI compares the potential of foods containing the same amounts of carbohydrates so its about the avilable carbohydrates which doesn’t always align with the serving size

23
Q

WHat are strategies for reducing glycemic impact of foods?

A
  1. reduce sugar and starch content
  2. increase protien and or fat content
  3. leave tissues more intact
  4. change processing methods to increase slowly digestable and resistant starch
  5. add high viscosity soluble fibers
24
Q

how does viscous dietary fibre reduce glycemic impact

A

It slows mixing of stomach contents with acid and grinding particles, slows gastric emptying, slows mixing of pancreatic enzymes with intenstal contents which will slpw strach digestion, as well they slow transfer of mono,di, oligosacchrodes to intestinal wall and alow absorbtion of monosachrides. So therefore they slow digestion of starch and migration of glucose into the bloodstream

25
Q

what are the effects on bloood glucose response of barley beta-glucan and oat?

A

significant decrease in AUC for each gram of oat beta glucan consumed

26
Q

what are the effects of fructose on health

A

It does have a lower post prandial glucose and glycated hemoglobin effect but it also has negative outcomes. It stimulates lipogenesis and can increase postprandial triglyceride concentrations more than other sugars. High frucotose intake can be associated with hepatic insulin resitsnce. As well very high intake can cause non-alcholhic fatty liver disease