Introduction To Basic Nutrition And Carbs Flashcards

1
Q

What is nutrition
State the two major tupes of nutrientd and give three exampls under each
What are the three major functions of nutrients and give two examples under each

A

The science of food, the nutrients and other substances thererin, their action, interaction and balance in relation to health and disease, and the process by which the organism ingests, absorbs, transports, utilizes and excretes food substances”.

• Macronutrients - Fats
- Carbohydrates
- Proteins
• Micronutrients 
- Minerals
- Vitamins
• Water
  • Energy giving nutrients : fats, carbohydrates & proteins
  • Nutrients for growth and repair: proteins, minerals & water
  • Protective and regulatory nutrients: vitamins, minerals & water
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2
Q

Under what basis are the food groups divided?

What are the six food groups

A

The staple foods of Ghana are divided into six according to their functions in the body, composition and uses in our meal patterns:
• Animal products
• Beans, nuts and oily seeds • Fruits and vegetables
• Cereals and grains
• Fats and oils
• Starchy roots and plantain
Selecting items from most of the above groups in diets promotes healthy eating

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3
Q

State six factors that affect food choices

A

• Age
• Health status
• Geographical location
• Economic status,convenience and availability;People eat foods that are accessible,
quick and easy to prepare, and within their financial means. Today’s consumers
value convenience and are willing to spend more than half of their food budget on
meals that require little, if any, further preparation.2 They frequently eat out, bring
home ready-to-eat meals, or have food delivered. Even when they venture into the
kitchen, they want to prepare a meal in 15 to 20 minutes, using less than a half
dozen ingredients—and those “ingredients” are often semiprepared foods, such as
canned soups. This emphasis on convenience limits food choices to the selections offered on menus and products designed for quick preparation. Whether decisions
based on convenience meet a person’s nutrition needs depends on the choices made.
Eating a banana or a candy bar may be equally convenient, but the fruit offers more
vitamins and minerals and less sugar and fat
• Cultural/ethnic/religious beliefs ; different ethnic groups prefer different food groups over the other . Some ethnic groups have food taboos
• Family customs
• Flavour
• Emotions; Vals day can influence the kind of food you take in . when youre happy or when youre sad there are foods you feel like taking in
• Psychological state
• Advertising
• Personal preference;As you might expect, the number one reason people choose
foods is taste—they like certain flavors. Two widely shared preferences are for the
sweetness of sugar and the savoriness of salt. Liking high-fat foods also appears to be
a universally common preference.
• Values
• Seasonality; specific foods come out in specific seasons . example mangoes come in rainy seasons
. skills of the cook and utensils available

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4
Q

What is dietetics

Who is a dietician

A

Dietetics is the integration, application and communication of principles derived from food, nutrition, social, business and basic sciences, to achieve and maintain optimal nutrition status of individuals through the development, provision and management of effective food and nutrition services in a variety of settings
- Academy of Nutrition and Dietetics, 2013
• It is derived from sciences of food, nutrition, management, communication and biological sciences – including cell and molecular biology, genetics, pharmacology, chemistry and biochemistry and physiological, behavioral and social sciences

A person with qualifications in nutrition and dietetics recognised by national authority. The dietitian applies the science of nutrition to the feeding and education of groups of people and individuals in health and disease. The scope of dietetic practice is such that dietitians may work in a variety of settings and have a variety of work functions
- International Confederation of Dietetic Associations International Definition of a Dietitian(2004)
• A Dietitian (RD) is a person with legally recognised qualification in dietetics who interprets and communicates the science of food and nutrition to enable people to make informed and practical choices about food and lifestyle in health and disease.

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5
Q

Who is a nutritionist

State five roles of a dietician

A
  • A person who studies nutrition and/or provides education and counselling in nutrition principles
  • This person may or may not have an academic degree in the study of nutrition and may not actually work in the field of nutrition.
  • They advise clients/patients/caregivers on individualised therapeutic diet in context of their health/disease state, financial, social, psychological, emotional, cultural, religious, food resource status
  • They estimate or calculate individual nutrient requirements
  • They provide dietary advise in a practical manner clients can relate to
  • They educate patients regarding the nature of the disease, its complications, prevention and management.
  • They provide community/Public health- Nutrition education (TV, radio, corporate bodies, churches, groups, schools etc), Nutrition assessment and intervention in rural communities.
  • Educate dietetics students, dietetics interns, health care professionals, and others as faculty in academic programs, or as preceptors for a supervised practice experience.

Educate the public about healthy lifestyles (nutrition, physical activity, food safety, health-related behaviors) and food choices in venues such as school classrooms,community classes and groups, supermarkets, electronic learning formats, and social media

  • Supervise, manage, or direct foodservice operations from food and equipment purchasing and procurement through service—addressing food safety and sanitation, menu development and food production, customer service and financial management
  • Perform assessment of a patient’s nutritional status working closely with interdisciplinary team members for care coordination
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6
Q

What is the dietary reference intake
What do they include?
What is it done based on?
What are estimated avergae requirements(EAR) and what is it used to evaluate

A

• A term used to encompass nutrient recommendations made by the Food and Nutrition Board of the National Academy of Sciences
- These include RDAs, EARs, AMDR, AIs, EERs and Uls
Dietary Reference Intakes (DRI)
The recommendations are based on the needs of population groups; 1-3yrs
4-8yrs
9-13yrs
14-18yrs
19-30yrs
31-50yrs
51-70yrs
Pregnancy
Lactation
based on age, sex and physiological state

• Estimated Average Requirements (EARs): nutrient amounts estimated to meet the needs of 50% of individuals in a specific life stage
- It is used only to evaluate adequacy of diets of groups not individuals

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7
Q

What is RDA,AI,Tolerable upper intake and AMDR and state their uses
WHAT is the AMDR for fat,protein and carbs

A

• Recommended Dietary Allowance (RDA): Nutrient intake amount sufficient to meet the needs of 97 to 98% of individuals in a specific life stage
- Used to evaluate current intake for a specific nutrient
• Adequate Intake (AI): Nutrient intake amount set for any nutrient for which insufficient research is available to establish an RDA

-
• •

-
Dietary Reference Intakes (DRIs)
AIs are based on estimates of intakes that appear to maintain a defined nutritional state in a specific life stage
Tolerable Upper Intake Level: Used to evaluate the highest amount of daily nutrients that is unlikely to cause adverse health effects in the long run
Estimate Energy Requirement (EER): Use to estimate energy needs according to height, weight, gender, age, and physical activity pattern
Acceptable Macronutrient Distribution Range (AMDR): Range of macronutrient intake, as percentage of energy, associated with reduced risk of chronic diseases while providing for recommended intake of essential nutrients
The AMDR for fat is 20 to 35%, protein is 10 to 35% and carbohydrate is 45 to 65% of daily calories

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8
Q

what are the water soluble vitamins and fat soluble vitamins
what are phytochemicals
butter is an animal product while margarine is an oil or fats true or false
what are the major minerals and ttrace minerals
You can get over nutrition from micronutrients ,youll know if youre eating more or less nutrients using the dietary reference intake true or false
what is the triple burden in malnutrition
how many calories of carbs and proteins and fats give one gram

A

water;
B-1,2,3,6,12
C

FAT; ADEK

PHYTO- antioxidants and polyphenols . these reduce oxidative stress

major minerals; Ca,K,Na,Cl,Phosphorus,magnesium,sulfur
minor or trace minerals; copper,iodine,,molybdenum zinc,fluoride,selenium,cobalt,manganese

triple burden; Undernutrition
Overnutrition
hidden hunger

carbs-4calories
proetins-4
fats-9 caloris per gram

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9
Q

what is the relationship between diet and health
what are organic and inorganic nutrients
risk factors that are related to diet diseases such as DM,Hypertension,Dyslipidemia,CKD,CLD
what are the ten leasing causes of death in ghana
What is nutrition information and misinformation ( what are the 8 red flags consumers can use to identify nutrition misinformation,how will you know if the info youre getting is from a right source on the internet )
what are the characterisitcs of a healthy diet

A

,Early nutrition research focused on identifying the nutrients in foods that would prevent such common diseases as rickets and scurvy, the vitamin D– and vitamin C–deficiency diseases
More recently, nutrition research has focused on chronic diseases
associated with energy and nutrient excesses.

organic-carbs,lipids,proteins,vitamins (nutrients that contain carbon in their strucutural make up)
inorganic-minerals and water( nutrients that dont contain carbon in their structural make up)

Leading causes:

Malaria
Lower respiratory infections
Neonatal disorders
lschemic heart disease
Stroke
HIV/AIDS
Tuberculosis
Diarrheal diseases
Road injuries
Diabetes
risk factors;
obesity
genetic factors
cigarette smoking
excessive alcohol intake 
Physical inactivity
Inadequate fibre intake
intake of refined or processed foods
foods high in fat

To determine whether a website offers
reliable nutrition information, ask the
following questions:
• Who? Who is responsible for the site? Is
it staffed by qualified professionals? Look
for the authors’ names and credentials.
Have experts reviewed the content for
accuracy?
• When? When was the site last updated?
Because nutrition is an ever-changing
science, sites need to be dated and updated frequently.
• Where? Where is the information coming from? The three letters following the
dot in a Web address identify the site’s
affiliation. Addresses ending in “gov”
(government), “edu” (educational institute), and “org” (organization) generally
provide reliable information; “com”
(commercial) sites represent businesses
and, depending on their qualifications
and integrity, may or may not offer dependable information.
• Why? Why is the site giving you this
information? Is the site providing a public
service or selling a product? Many commercial sites provide accurate information,
but some do not. When money is the
prime motivation, be aware that the
information may be biased.
If you are satisfied with the answers to all
of the questions above, then ask this final
question:
• What? What is the message, and is it in
line with other reliable sources? Information that contradicts common knowledge
should be questioned. Many reliable sites
provide links to other sites to facilitate
your quest for knowledge, but this provision alone does not guarantee a reputable
intention. Be aware that any site can link
to any other site without permission.

Satisfaction
guaranteed:Marketers may make 
generous promises, but 
consumers won’t be 
able to collect on them.
2. Quick and easy fixes; Even proven treatment take time to be effective
3. Natural:Natural is not 
necessarily better 
or safer; any 
product that is 
strong enough 
to be effective is 
strong enough
to cause 
side effects.
4. One product does it all: No one product can possibly 
treat such a diverse array of 
conditions.
5. Time tested:Such findings would be widely 
publicized and accepted by 
health professionals.
6. Paranoid accusations:And this product’s
company doesn’t 
want money? 
At least the drug 
company has 
scientific research 
proving the safety 
and effectiveness 
of its products.
7. Personal testimonials:Hearsay is the 
weakest form of 
evidence
8. Meaningless medical jargon:Phony terms hide 
the lack of scientific 
proof.

when you hear nutrition news, consider its source.
Ask yourself these two questions: Is the person providing the information qualified to speak on nutrition? Is the information based
on valid scientific research? If not, find a better source. After all,
your health depends on it.

Adequacy
Balance
Moderation
Variety
Quality control
nutrient density(micro nutrients)
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10
Q

what are the components of a food label

Household and Metric
Measures
• 1 teaspoon (tsp)  5 milliliters (mL)
• 1 tablespoon (tbs)  15 mL
• 1 cup (c)  240 mL
• 1 fluid ounce (fl oz)  30 mL
• 1 ounce (oz)  28 grams (g)

how to calculate daily goal of fat

A

intakes can make informed decisions.

Nutrient claims:Have you noticed phrases such as “good source of fiber” on a box of cereal or “rich
in calcium” on a package of cheese? These and other nutrient claims may be
used on labels as long as they meet FDA definitions, which include the conditions
under which each term can be used. For example, in addition to having less than
2 milligrams of cholesterol, a “cholesterol-free” product may not contain more
than 2 grams of saturated fat and trans fat combined per serving. The accompanying glossary defines nutrient terms on food labels, including criteria for foods
described as “low,” “reduced,” and “free.”
Some descriptions imply that a food contains, or does not contain, a nutrient. Implied claims are prohibited unless they meet specified criteria. For example, a claim
that a product “contains no oil” implies that the food contains no fat. If the product
is truly fat-free, then it may make the no-oil claim, but if it contains another source
of fat, such as butter, it may not
nutrient claims: statements that
characterize the quantity of a nutrient
in a food.

The Daily Values on food labels are Chapter 2, then go to How To.
designed for a 2000-kcalorie intake, but
you can calculate a personal set of Daily
Values based on your energy allowance.
Consider a 1500-kcalorie intake, for example. To calculate a daily goal for fat, multiply energy intake by 30 percent:
1500 kcal 0.30 kcal from fat
450 kcal from fat
The “kcalories from fat” are listed on food
labels, so you can add all the “kcalories
from fat” values for a day, using 450 as an
upper limit. A person who prefers to count
grams of fat can divide this 450 kcalories
from fat by 9 kcalories per gram to determine the goal in grams:
450 kcal from fat 9 kcal/g
50 g fat
Alternatively, a person can calculate that
1500 kcalories is 75 percent of the 2000-
kcalorie intake used for Daily
Values:
1500 kcal 2000 kcal 0.75
0.75 100 75%
Then, instead of trying to achieve 100 percent of the Daily Value, a person consuming 1500 kcalories will aim for 75 percent.
Similarly, a person consuming 2800 kcalories would aim for 140 percent:
2800 kcal 2000 kcal 1.40 or 140%
Table 2-9 includes a calculation column
that can help you estimate your personal
daily value for several nutrients.

summary:The name and
address of the
manufacturer, 
packer, or distributor
The common or 
usual product 
name
Approved nutrient claims
if the product meets
specified criteria
The net contents in 
weight, measure, 
or count
Approved health claims stated
in terms of the total diet
back:The serving size and number 
of servings per container
kCalorie information and 
quantities of nutrients per
serving, in actual amounts
Daily Values reminder for 
selected nutrients for a 
2000- and a 2500-
kcalorie diet
kCalorie per gram reminder
The ingredients in 
descending order of
predominance by weight
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11
Q

sojdfnwdiofjowiqfjnfiwqejifowef

A

ed.

Daily values:The FDA developed the Daily Values for use on food labels because comparing nutrient amounts against a standard helps make the numbers more meaningful to
consumers. Table 2-9 presents the Daily Value standards for nutrients that are required to provide this information. Food labels list the amount of a nutrient in a
product as a percentage of its Daily Value. A person reading a food label might wonder, for example, whether 1 milligram of iron or calcium is a little or a lot. As Table
2-9 shows, the Daily Value for iron is 18 milligrams, so 1 milligram of iron is enough
to notice—it is more than 5 percent, and that is what the food label will say. But because the Daily Value for calcium on food labels is 1000 milligrams, 1 milligram of
calcium is insignificant, and the food label will read “0%.”
The Daily Values reflect dietary recommendations for nutrients and dietary components that have important relationships with health. The “% Daily Value” column on a label provides a ballpark estimate of how individual foods contribute to
the total diet. It compares key nutrients in a serving of food with the goals of a person consuming 2000 kcalories per day. A 2000-kcalorie diet is considered about right
for sedentary younger women, active older women, and sedentary older men.People who consume 2000 kcalories a day can simply add up all of the “%
Daily Values” for a particular nutrient to see if their diet for the day fits recommendations. People who require more or less than 2000 kcalories daily must do some
calculations to see how foods compare with their personal nutrition goals. They
can use the calculation column in Table 2-9 or the suggestions presented in the accompanying “How to” feature.
Daily Values help consumers see easily whether a food contributes “a little” or “a
lot” of a nutrient. ◆ For example, the “% Daily Value” column on a label of macaroni
and cheese may say 20 percent for fat. This tells the consumer that each serving of this
food contains about 20 percent of the day’s allotted 65 grams of fat. A person consuming 2000 kcalories a day could simply keep track of the percentages of Daily Values
from foods eaten in a day and try not to exceed 100 percent. Be aware that for some
nutrients (such as fat and sodium) you will want to select foods with a low “% Daily
Value” and for others (such as calcium and fiber) you will want a high “% Daily
Value.” To determine whether a particular food is a wise choice, a consumer needs to
consider its place in the diet among all the other foods eaten during the day.
Daily Values also make it easy to compare foods. For example, a consumer
might discover that frozen macaroni and cheese has a Daily Value for fat of 20 percent, whereas macaroni and cheese prepared from a boxed mix has a Daily Value
of 15 percent. By comparing labels, consumers who are concerned about their fat

Serving sizes:Because labels present nutrient information per serving, they must identify the size of
the serving. The Food and Drug Administration (FDA) has established specific serv ing sizes for various foods and requires that all labels for a given product use the
same serving size. For example, the serving size for all ice creams is 1/2 cup and for
all beverages, 8 fluid ounces. This facilitates comparison shopping. Consumers can
see at a glance which brand has more or fewer kcalories or grams of fat, for exam ple. Standard serving sizes are expressed in both common household measures,
such as cups, and metric measures, such as milliliters, to accommodate users of both
types of measures (see Table 2-8).
When examining the nutrition facts on a food label, consumers need to compare
the serving size on the label with how much they actually eat and adjust their calcu lations accordingly. For example, if the serving size is four cookies and you only eat
two, then you need to cut the nutrient and kcalorie values in half; similarly, if you eat
eight cookies, then you need to double the values. Notice, too, that small bags or in dividually wrapped items, such as chips or candy bars, may contain more than a sin gle serving. The number of servings per container is listed just below the serving size.
Be aware that serving sizes on food labels are not always the same as those of the
USDA Food Guide.9 For example, a serving of rice on a food label is 1 cup, whereas in
the USDA Food Guide it is 1/2 cup. Unfortunately, this discrepancy, coupled with each
person’s own perception (oftentimes misperception) of standard serving sizes, some times creates confusion for consumers trying to follow recommendation

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12
Q

kdniwhwngoioivniwo

A

sdTABLE 2-8 Household and Metric
Measures
• 1 teaspoon (tsp) 5 milliliters (mL)
• 1 tablespoon (tbs) 15 mL
• 1 cup (c) 240 mL
• 1 fluid ounce (fl oz) 30 mL
• 1 ounce (oz) 28 grams (g)
NOTE: The Aids to Calculation section at the back of the book
provides additional weights and measures.
56467_02_c02_p036-069.qxd 6/3/08 9:19 AM Page 55
56 • CHAPTER 2
• Total carbohydrate, which includes starch, sugar, and fiber (grams and per cent Daily Value)
• Dietary fiber (grams and percent Daily Value)
• Sugars, which includes both those naturally present in and those added to
the food (grams)
• Protein (grams)
The labels must also present nutrient content information as a percentage of the
Daily Values for the following vitamins and minerals:
• Vitamin A
• Vitamin C
• Iron
• Calcium
Ingredient list:All packaged foods must list all ingredients on the label in descending order of pre dominance by weight. Knowing that the first ingredient predominates by weight,
consumers can glean much information. Compare these products, for example:
• A beverage powder that contains “sugar, citric acid, natural flavors . . .” ver sus a juice that contains “water, tomato concentrate, concentrated juices of
carrots, celery . . .”
• A cereal that contains “puffed milled corn, sugar, corn syrup, molasses, salt
. . .” versus one that contains “100 percent rolled oats”
• A canned fruit that contains “sugar, apples, water” versus one that contains
simply “apples, water”
In each of these comparisons, consumers can see that the second product is the more
nutrient dense.

Nutrition facts:In addition to the serving size and the servings per container, the FDA requires that
the “Nutrition Facts” panel on food labels present nutrient information in two
ways—in quantities (such as grams) and as percentages of standards called the
Daily Values. The Nutrition Facts panel must provide the nutrient amount, per cent Daily Value, or both for the following:
• Total food energy (kcalories)
• Food energy from fat (kcalories)
• Total fat (grams and percent Daily Value)
• Saturated fat (grams and percent Daily Value)
• Trans fat (grams)
• Cholesterol (milligrams and percent Daily Value)
• Sodium (milligrams and percent Daily Value)
Daily Values (DV): reference values
developed by the FDA specifically for
use on food labels

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13
Q

Whatare carbsmade of? And jn what ratio?
Atoms in carbs can form a specified nimber of bonds. How many bonds do each atom form in carbs?
What are the major types of carbs?
Define them and give three examples each

A

Carbohydrates are made of carbon, hydrogen and oxygen atoms.

● They are made of carbon, hydrogen and oxygen atoms in a ratio of 1:2: 1

●The atoms in carbohydrates can form a specified number of bonds: carbon forms 4, oxygen 2 and hydrogen 1

●They are divided into two classes/forms:
i.Simple carbohydrates (sugars)
ii.Complex carbohydrates (starches and fibers)
●Simple carbohydrates
• Monosaccharides: Also known as the single sugars

• Monosaccharides - simple sugars with multiple OH groups
Glucose
Fructose
Galactose

• Disaccharides - 2 monosaccharides covalently linked.
Maltose-glucose and glucose
Lactose-gluocse and galactose
Sucrose-glucose and fructose

• Oligosaccharides - a few monosaccharides covalently linked

• Polysaccharides - polymers consisting of chains of monosaccharide or disaccharide units.
Fibre,starch,glycogen

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14
Q

Whats the difference between starch and glycogen

List the types of fibres and give examples

A

Starch is stored formmof gluocse in plants
Glycogen-stored form of glucose in animals

Soluble fibres(apple,garden eggs)
Insoluble fibres(whole grains,veggies,covers of seeds)
Fibres cant be digested 
Fibres attract water from the small intestine to the bulk and makes ir aofter to br passed out as farces thus preventing constipation
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15
Q

Whats the function of glucose ?
Whats it commonly known as?
Which of the monosaccharides i the sweetest?
What is the source of this monosaccharide naturally and artificially

A

C •Glucose serves as the essential energy source and is commonly known as blood sugar or dextrose. It is the main source of energy for the brain and provides ½ of energy for muscles and tissues. It is also the most immediate energy for the body

  • Fructose is the sweetest, occurs naturally in honey and fruits, and is added to many foods in the form of high-fructose corn syrup such as soft drinks, ready-to-eat cereals and desserts
  • Galactose naturally occurs as a single sugar but found in a few foods
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16
Q

What is the chemical reaction that links two monosaccharides?
What reaction occurs during digestion to break disaccharides apart?
How is maltose produced? And when is it produced?
What disaccharide accounts for some of the natural sweetness in fruits veggies and grains
What us table sugar?
Another name for lactose is?

A

foods
Disaccharides
•These are sugars composed of pairs of monosaccharides ( 2 monosaccharides covalently linked)

•The chemical reaction that links two monosaccharides is condensation

• Hydrolysis which occurs during digestion helps to break disaccharides apart
0029ⁿ9
i. Maltose (glucose + glucose)
ii. Sucrose (glucose + Fructose)
iii. Lactose (glucose + galactose

Disaccharides
●Maltose consists of two glucose units and its produced whenever starch breaks down. Primarily during carbohydrate digestion

●Sucrose is composed of fructose and glucose.
•Sucrose tastes sweet because of the fructose and accounts for some of the natural sweetness in fruits, vegetables and grains

•Table sugar is sucrose refined from sugarcane and sugar beets juices

●Lactose- also known as milk sugar is a combination of glucose and galactose
•It is the principal carbohydrate of milk and contributes half of the energy provided by fat-free-milk

17
Q

Comolex carbs are composed of ehat?
What us another name for glycogen?
Which polysaccharide is hughly branched?
Which is occasionally branched (amylopectin)and unbranched(amylose)
Name three plant foods stRch is found in?

A

Complex Carbohydrates

●Composed of many glucose units and in some cases a few other monosaccharides strung together as polysaccharides

•Three polysaccharides important in human nutrition

  • Glycogen-
  • Composed of hundreds of glucose units in highly branched chains
  • Storage form of glucose in the body and can only be found in meats or animal foods
  • Provides a rapid release of energy when needed
  • Also known as digestible polysaccharides
  • Starch
  • Storage form of glucose in plants
  • Also a digestible polysaccharides
  • Long branched or unbranched chains of hundreds or thousands of glucose molecules linked together
  • Found only in plant foods such as grains, tubers, and legumes
  • Maize, wheat, rice, plantain, yam, cassava, beans
18
Q

What are fibres?
Fibrs are compsoed mainly of what?
Give four examples
Give examples of fibred that incoude some non polysaccharides

A

Fibres/ Total fibres
•Refers to dietary fibres that occur naturally as well as functional fibres that may be added to food to provide health benefits

  • Composed primarily of indigestible/nonstarch polysaccharides
  • Examples of nonstarch polysaccharides include: cellulose, hemicellulose, pectins, gums and mucilages
  • Fibres also include some nonpolysaccharides such as lignins, cutins and tannins
19
Q

• The structural parts of plants and are found in all foods derived from plants – vegetables, fruits, whole grains and legumes
True or false?
These structural parts are carbs polymers that escape what? And help eith ehat?
Why do fibres offer little or no energy?
Fibres are categorized into two according to what

A

.

  • They are carbohydrate polymers that escape hydrolysis by human digestive enzymes, enter the large bowel and contribute to fecal bulk, either directly or after fermentation by gut bacteria
  • Most of them are polysaccharides
  • They contribute no monosaccharides and therefor little or no energy
  • Are categorized into two according to their solubility
20
Q

What are soluble dietary fibres?

What are they often associatrd w w regards to diseases they protect against

A

Soluble Dietary Fibres
•Dissolve in water (soluble), form gels (viscous) and are easily digested by bacteria in the colon (fermentation).

•Examples include: pectins, gums, mucilages and some hemicellulose
naturally found in oats bran, barley, legumes, garden eggs, many fruits and psyllium

•They are often associated with protection against heart diseases and diabetes

21
Q

What are insoluble fibres?

Where can they be found in yhe plants?

A

Insoluble Dietary Fibres
•Do not dissolve in water (insoluble), do not form gel (nonviscous) and are not easily digested (not fermented) by intestinal bacteria

  • They are the cellulose, hemicellulose and lignins which form the structural part of plant cell walls in vegetables and whole grains and the brans layers which are the outer covering of seeds
  • These fibers are found in whole grains and vegetables
22
Q

What are functional fibres?

Give two examples

A

Functional Fibres
•Isolated nondigestible forms of carbohydrates that are extracted or isolated from starchy foods

  • They are known to have some the health benefits of naturally occurring dietary fibre
  • Examples: Beta-glucans, cellulose, guar gum, inulin
23
Q

How is starch and fibre digested

Give three functions of fibers and give five clinical functions of fibers

A

Starch:
Salivary glands secrete saliva into the mouth to moisten the food . The salivary amylase begins digestion
Amylase breaks starch into small polysaccharides,maltose

In the stomach,stomach acid inactivates salivary enzymes halting starch digestion

The pancreas produces amylase thats released through the pancreatic duct jnto the small intestine

Starch in yhe small intestine is converted to small polysaccharides and maltose by pancreatic amylase
Then disaccharide enzymes on the surface of small intestinal cells hydrolyze the disaccharides into
Monosaccharides :
Sucrose is broken into glucose and fructose by sucrase
Lactose is broken in glucose and galactose by lactase
Maltose broken into glucose and gluocse by Maltase

Intestinal cells absorb these monosaccharides

Fibre:
Mechanical action of the mouth crushes nd tears fibers in food and mixes it with saliva to moisten it for saliva
In the stomach,fiber is not digested and it delays gastric emptying
In the small intestine fiber is not digested,and it delays absorption of other nutrients

Large intestine:
Most fibers pass intact through the digestive tract to the large intestine. Here bacterial emzymes digest fibers
Some fiber are digested by these enzymes into short chain fatty acids and gas

Functions:
They hold water
Regulate bowel activity
Bind substances such as bile,cholesterol and some minerals thereby carrying them out of the body
Functions of Fibres in the Body (Non-Digestible Carbohydrate)
•Promoting bowel movement

  • Preventing diverticula
  • Preventing haemorrhoids
  • Preventing appendicitis
  • Reducing obesity risk
  • Reducing colon cancer risk
  • Enhancing blood glucose control
  • Reducing cholesterol absorption
24
Q

Give three functions of digestible carbs in the body
What are the actions of soluble fibres and insoluble fibred in the body
Three each

A

Functions of Digestible Carbohydrates in the Body
•Providing energy

  • Sparing protein(if theres more carbs,the body doesnt break down fat and later break down the proteins)
  • Preventing Ketosis

Actions of Fibre in the Body
●Soluble Fibres
•Lower blood cholesterol by binding bile
•Slow glucose absorption
•Slow transit of food through upper GI tract
•Hold moisture in stools and soften them
•Yield small fat molecules after fermentation which can be used by the colon for energy

● Insoluble Fibres
• Increase faecal weight
•Speed faecal passage through colon
•Provides bulk and feelings of fullness
Recommended Intakes of Starch and fibres
25
Q

What are the recommended intakes of starch and fibres daily

A

Recommended Intakes of Starch and fibres
• Starch
I. Carbohydrates should provide 45% to 65% of daily energy requirement
II. 130g/day

• Fibre
III.25g/day

26
Q

What are the benefits of starch and fibers nd explain them

State five

A

Benefits of Starch and Fibres
●Protection against heart diseases
•High carbohydrate diets are low in animal fat and cholesterol but high in fibres, vegetable proteins and phytochemicals which are all associated with low risk for cardiovascular disease

•Soluble fibre rich foods reduce blood cholesterol by binding with bile acids and increasing their excretion and the liver must make new bile acids with its cholesterol

●Reduces cancer risk- Fibres reduce cancer by:
• binding and rapidly removing cancer causing agents from the colon

  • Fermentation of fibre and resistant starch in the colon results in short chain fatty acid production which lowers the pH of the colon
  • The fat molecules inhibit colon inflammation by activating cancer-killing enzymes

Benefits of Starch and fibres
●Reduces diabetes risk
•Glucose absorption is slowed when soluble fibres trap nutrients and delay their transit through the GI
•This prevents glucose surge and rebound which is associated with the onset of diabetes

●Improves GI health
•Prevent diverticula
•Prevent or alleviate constipation
•Stimulates growth of gut bacteria

Benefits of Starch and fibres
●Weight management: High fibre and whole-grain foods tend to be low in fat and added sugars and can promote weight loss by delivering less energy

27
Q

What are the health concerns associated w fiber and starch intake

A

Health Concerns associated with Fibres and starch Intake
•Displacing of energy and nutrient dense foods

  • Intestinal discomfort
  • Interference with mineral absorption
  • Lactose Intolerance
  • Glucose Intolerance
28
Q

What is glycemix response
A low glycemic respknse refers to what and a high glycemic response refers to what?
Give three examples of foods w low glycemic response and high glycemic response

A
Glycaemic Response
•Refers to:
● how quickly glucose is absorbed after a person eats
● how high blood glucose rises
● how quickly it returns to normal

• A low glycaemic refers to slow absorption, a modest rise in blood glucose and a smooth return to normal level

  • A high glycaemic response refers to a fast absorption, a surge in blood glucose and an overreaction which causes glucose levels to fall below normal
  • Different foods have different effects on blood glucose
Low glycemic:
Fruits
Veggies
Sweets(dark chocolate
Dairy(plain yoghurt
Legumes(beans

High glycemic:processed foods(corn chips,pretzels
Sugar containing drinks:soda,sport drinks
Fast food: pizza,cheeseburgers
Fried chicken
Bakery:doughnuts
Potatoes:mashed potatoes,french fries

29
Q

What is glycemic index
What influences it?
What is the glycemic scale index for reference food glucose?
For low glycemic index foods?
Intermediate glycemic index foods and high glycemic index foods

A
Glycaemic Index (GI)
• A ratio of blood glucose response of a given food compared with a standards ( usually glucose or white bread)

•It is influenced by a foods starch structure (amylose vs. amylopectin),
Fibre content, food processing, temperature and the fat and protein content of a meal

● Glycaemic Index Scale
•Reference food glucose- 100
•Low GI foods – below 55
•Intermediate GI foods – between 55 and 69
•High GI foods – More than 70
30
Q

2.What is glycemic load
1.What is a shortfall of glycemic index?
3.what does glycemic load reflect better than glycemic index alone?
How do you calcukate glycemic load of a food?
What is the glycemic load of •Example: Vanilla wafers that have a GI of 77, and a serving of 5 wafers contains 15g of carbohydrate.
What does your answer imply ?
On the glycaemic load scale,low GL foods score what
Intermediate score what?
High score what?

A

Glycaemic Load
•A shortfall of glycaemic index is that it is based on a serving of food that would provide 50grams of carbohydrate

  • However, this amount of food may not reflect the amount typically consumed
  • The glycaemic load (GL) takes into account the GI and the amount of carbohydrates consumed
  • This reflects a food’s effect on blood glucose better than glycaemic index alone
  • To calculate the glycaemic load of a food, the number of grams of carbohydrate in 1 serving is multiplied by the food’s GI then divided by 100 (because the GI is a percentage)

Glycaemic Load
•Example: Vanilla wafers have a GI of 77, and a serving of 5 wafers contains 15g of carbohydrate.

  • The GL = (77×15)/100=12
  • So although the GI of vanilla wafer is high (77) the GL calculations shows that it has fairly low impact on blood glucose

●Glycaemic Load Scale
•Low GL foods- below 10
•Intermediate GL foods- between 11 and 19
•High GL foods – more than 20

31
Q
  • What are sweeteners?
  • Types/classes? Describe them
  • Give examples and sources of each type
A

Sweeteners are artificial or nonnutritive compounds added in the industrial processing of foodstuffs to increase the perception of the sweet taste.

Natural Sweeteners. Natural sweeteners, in comparison to nonnutritive sweeteners, contain calories and nutrients, are metabolized, and change as they pass through the body.

Natural (yield high energy) and artificial (they yield less energy)

Natural examples:

honey
dates
sugar
coconut sugar
maple syrup
molasses
agave nectar

Artificial:

Aspartame
Sucralose
Acesulfame K
Saccharin
Xylitol

Sources-
Artificial:

Soft drinks, powdered drink mixes and other beverages.
Baked goods.
Candy.
Puddings.
Canned foods.
Jams and jellies.
Dairy products.
32
Q

How many calories give a gram of carbs,proteins ,fats and alcohol

A

4calories give a gram of carbs and 4calories give a gram of proteins
9 calories give a gram of fats
7 calories gives 1 gram of alcohol

33
Q

What are macronutrients and micronutrients

State two food sources of hidden fat and visible fat

A

Macronutrients are nutrients that your body needs in large amounts to function optimally

Micronutrients are nutrients that th body needs in small amounts to function optimally

Visible:
Cheese
Butter
Vegetable oil
Margarine
Hidden:
Pie
Springroll 
Cake
Fat in fruits such as avocado
34
Q

State three sources of trans fat and cis fat

A

Cheese
Milk
Baked goods such as pie

Cis:
Vegetable oil
Avocado
Palm oil