Carbohydrates Flashcards

1
Q

Artificial sweeteners

A
Nutritive 
- polyhydric alcohols or polyols (sorbitol, mannitol, xylitol) 
- properties 
Absorbed more slowly than sugars 
Converted to fructose 
Associated with decreased cariogenicity

Non- nutritive

  • saccharin
  • aspartame (nutrasweet)- aspartic acid + phenylalanine
  • acesulfame-K (sunette/ sweet one)
  • cyclamate
  • sucralose (Splenda)
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2
Q

Sugars

A

Monosaccharides- glucose, fructose (sweetest), galactose- occur in raw fruit, berries and veggies

Disaccharides-
sucrose- found widely in fruit, berries,vegetables, sugar cane, beets. (Glucose and fructose)
Lactose- main sugar in milk/dairy products. (Glucose and galactose)
Maltose- sprouted wheat, barley. (Glucose and glucose)

Polysaccharides

Non- available CHO resistant starch - dietary fibre

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3
Q

Polyols/ sugar alcohols

A

Alcohols of glucose and other sugars eg sorbitol
Found naturally in some fruits
Made commercially using aldose, reductase to convert the aldehyde group of the glucose molecule to alcohol
Used as a sucrose replacement to make “sugar free” products

Neither sugars not alcohols
They are carbohydrates with a chemical structure that partially resembles sugar and partially resembles alcohol, but they don’t contain ethanol as alcohol beverages do
They are incompletely absorbed and metabolised by the body, and consequently contribute fewer calories

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4
Q

Laxative effect of polyols

A

Have osmotic effect- agtract and bind water. When a large quantity of osmotically bound water is present, the result may be diarrhoea.
Undigested polyols may be metabolised by the micro organisms that inhabit the large intestine. When this happens, one of the products may be gas, so flatulence is a common result. Microbial metabolism can also produce short chain fatty acids; these can also have osmotic effects.

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5
Q

Olgiosaccharides

A

Short chain carbohydrates
Degree of polymerisation 2-10
Maltodexrins
Others: raffinose, verbacose eg in lentils/ beans
Non- digestible:
Not susceptible to brush border enzyme break down
Fructans- insulin, fructo-olgiodsccharides eg in artichokes
Become known as prebiotics

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6
Q

Polysaccharides

A
Starch polysaccharides (alpha glucans) 
Granules comprised of two polymers- amylose and amylopectin 
Digestion depends on type A/B/C 
Starch not digested in the small intestine= resistant starch 
Non- starch polysaccharides- mostly from plant cell walls 
Cellulose 10-30% of these. 
Hemicellulose 
Pectins
Gums and mucilages 
Algal polysaccharides 
Fermented in the large intestine
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7
Q

Carbohydrate availability

A
Major sources: 
Cereals
Root crops 
Sugar cane and beet 
Pulses 
Vegetables
Fruit
Milk products
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8
Q

Digestion / absorption

A

Begins in mouth
Most absorbed in the upper part of small intestine(pancreatic enzymes), hydrolysed to monosaccharides prior to absorption (brush border enzymes),
Some CHO eg most oligos, some starch and all NSP, resist digestion and pass into the large bowel where they are fermented (bacterial enzymes)

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9
Q

Carbohydrate metabolism

A

Concentration of blood glucose in humans is carefully controlled- insulin key player
But these can rise and fall depending on eating/ fasting
Careful control is maintained through process of:
Glycolysis- breakdown of glucose
Gluconeogenesis- conversion of non-carbs to glucose
Glycogenolysis- conversion of stored glycogen to glucose
Glycogenesis- synthesis of glycogen from glucose

Blood glucose transported to liver for glycogen synthesis and gluconeogenesis, to muscles to be converted into glycogen, converted into triglycerides to form free fatty acid, and to other tissue.

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10
Q

CHO dependent

A

Red blood cells
Brain
Nervous system

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11
Q

Glucose stored as glycogen

A

Blood glucose-
Continually replenished by liver glycogen- 85g
Used for various functions (nervous system, blood) anywhere in the body
Muscle glycogen- used only in the muscular site- approx 6000kJ of stored energy

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12
Q

Recommended CHO intake

A

No RDI/EAR or AI for carbohydrate

  • FAO recommends a min of 180g/d to prevent ketosis
  • 45-65% of energy from CHO to total energy in the diet, from low energy density, low GI foods
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13
Q

Dietary fibre

A

Resistant to hydrolysis by enzymes of stomach and small intestine
Includes resistant starch
Includes non-starch polysaccharides
- soluble (non-cellulose): all vegetable tissue gums, mucilage (eg oats, legumes, pectin)- storage components
- insoluble (cellulose): lignin,
Woody vegetables 70-75% of fibre in diet. Structural components.

Indigestible by human enzymes, but can be digested by bacteria in the gut

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14
Q

Fibre in the colon

A
Bacterial growth 
Gas production (flatus)- CO2, hydrogen, methane
Production of short chain fatty acids - acetic, proprionic, butyric
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15
Q

What causes flatus

A

Swallowing air
- oxygen and nitrogen swallowed when we eat- some exerted burping, reabsorbed from stomach or passes to bowel flatulence

Foods

  • undigested starch and foods high in fibre, particularly beans and cruciferous vegetables (cauliflower, cabbage)
  • lactose intolerance or disaccharide malabsorption
  • CHO modifies artificial sweetener
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16
Q

Properties of dietary fibre

A

Soluble

  • absorbs ware into GI tract- increases faecal bulk and softens stool
  • binds with Bile salts- promotes elimination of cholesterol
  • affects the rate of digestion- slow, decreased transit time in gut
  • produces low molecular weight organic acids

Insoluble

  • affects the rate of digestion - increases transit time in gut
  • increases the bulk of the stool
17
Q

Potential clinical uses of fibre

A

Weight control- satiety, reduced energy density, slows gastric emptying
Diabetes mellitus
- high fibre low GI diet improves BGL
? Prevention of cancer
Bowel diseases- prevents constipation which can cause diverticulae and infection
Contains cholesterol lowering properties, thus assisting prevention of CVD

18
Q

Too much fibre

A

Inhibits mineral absorption- binds calcium and iron forming insoluble compounds

High in bulk- reduced energy density- adverse for elderly and young children

side effects- flatulence

Increases requirements for fluid

50g/d no serious health effects

19
Q

Carbohydrates and disease

A

Blood glucose and diabetes
Dental caries
Lactose intolerance/malabsorption
FODMAPs
High sugar intake and associated disease
Low CHO diet- ketosis
High CHO diets- improvement in weight control

20
Q

Glycemic response

A

Plasma glucose levels- rise 5-45 mins after any meal that contains sugar or digestible starch
Return to fasting 2-3 hours later

Influenced by level of processing, components of food

Glycemic load: amount available CHO x GI/100

21
Q

Glycemic index

A

Incremental area under the blood glucose response curve following a 50g carb portion of a test food, expressed as a % of the response to the same amount of CHO from a standard food eg. Glucose/ white bread

Ranking of CHO on scaled of 0-100 according to the extent to which they raise BGL after eating