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97 Cards in this Set

  • Front
  • Back
What are Carbs?
One of 3 macronutrients
Energy source for brain
Energy source for all cells
Carbon, Hydrogen, Oxygen
EX: fruits, veggies, grains
Dietary Carbohydrates are obtained from
Plant sources
Except milk
Photosynthesis is..
Plants convert water/CO2 to sugar
Light energy is trapped as energy in sugar molecules
2 types of Carbohydrates
Simple
Complex
Simpe Carbohydrates
One or two molecules
AKA sugar
2 types - monosaccharides and disaccharides
Complex Carbohydrates
Long chains of glucose
AKA polysaccharides
2 types - soluble and insoluble
The 3 monosacchardies are
Glucose, fructose, and galactose
The 3 disaccharides are
Maltose, Sucrose, Lactose
Maltose is the combination of
Glucose and Glucose
Sucrose is the combination of
Glucose and Fructose
Lactose is the combination of
Gluctose and Galactose
Glucose is
"Blood sugar"
Most abundant
Produced in photosynthesis
Fructose is
"Fruit sugar"
Abundant in fruits, syrups
Used to sweeten food
Galactose is
Not found in nature
Joins with glucose to produce Lactose which is "milk sugar"
Maltose
Found in germinating seeds
Product of polysaccharide digestion in GI
Two glucose units
Sucrose
"Table sugar"
Energy ingredient for candy
EX: sugar cane
Composed of glucose and fructose
Lactose
"Milk sugar"
Composed of glucose and galactose
EX: all dairy
Polysaccharides are
Long chains of glucose
Storage form of glucose
1. starch 2. glycogen 3. fiber
Digestion of Fiber
We do not have enzymes to digest fiber
Bacteria in large intestine can break down some fiber
Most is undigested and eliminated
The 2 complex/polys carbohydrates that are digestible
Starch and Glycogen
The 1 complex/poly carbohydrate that is NOTdigestible
Fiber (cellulose, hemicellulose, pectin)
Starch is
A storage form of glucose in plants
Primary complex CHO
Found in grains, legumes, and tubers
Glycogen is
Storage form of glucose in animals
Made/Stored in liver and muscle
Not a significant CHO (limited amt. in meats)
Fiber is
Structural part of a plant
Dietary fibers is non digestible part of plants (grains)
Functional fiber is carbohydrate extracted from plants & added to foods (cellulose and pectin)
Total Fiber =
dietary + functional fiber
Dietary Fiber describes
Plant substances that cannot be broken down by enzymes
Digested some by bacteria
Depends on type of fiber
Soluble Fibers
Dissolve in water, viscous, gel-forming
Associated with risk of reduction of heart disease and type 2 diabetes
EX: fruits, berries, oats
Insoluble Fibers
Do not dissolve in water, nonviscous
Promote regular bowel movements
EX: whole grains, seeds, fruits, veggies
Physical Characteristics of Fibers include
Water-holding capacity - swells and increases bulk
Viscosity - form gel-like solutions
Cation-Exchange capacity - bind minerals
Bile binding capacity - bind bile salts and steroids
Fermentable - promote bacterial action
Effects of Fiber include
Attracts water in the colon and softens stool
Stimulates bacterial fermentaion which produces short chain fatty acids
Effects of Fiber continued
Stimulates flow of saliva
Delays gastric emptying (aiding in weight loss feeling full)
Delays absorption of CHO/fat
Binds heavy metals and minerals in intestines
Positive Effects of Dietary Fiber are
Moderates nutrient absoprtion
Reduces absorption of cholesterol
Grows healthy colon bacteria
Softens stool
Reduces risk of hemorrhoids, constipation, and diverticulosis
Roles of Fiber are
Reduce risk of colon cancer
Reduce risk of heart disease
Lower risk of type 2 diabetes
Enhance weight loss
Negative Effects of Excessive Fiber are
Displaces energy and nutrient-dense food
Cause intestinal discomfort/gas
Interfere with absorption of minerals
Cause GI obstructions
Recommendations of Fiber intake
Adequate Intake (AI) is 25 grams or 14g/1000 kcal

Most only eat half of recommended amounts

Adequate fluids (8oz) with fibers

Best to get fiber from food
Digestion of CHO

Starch & amylase >
dextrins + maltose
Digestion of CHO

Maltose & maltase >
glucose + glucose
Digestion of CHO

Sucrose & sucrase >
glucose + fructose
Digestion of CHO

Lactose & lactase >
glucose + galactose
Lactose Intolerance is
Insufficient enzyme to digest lactose
Varies by individuals
Caused by: diseases, medicines, aging
Symptoms : gas, bloating, cramping, diarrhea
Lactose Intolerance definition is
Inability of the body to hydrolyze lactose due to an inherited or acquired insufficient amount or lack of lactase
Treatment for Lactose Intolerance includes
Determining amount you can tolerate
Cheese & yogurt are tolerated
Use of lactaid
Probiotics are
Classified as funtional food
LIVE microorganism found in food products
Examples of probiotics are
Lactobacillus
Bifidobacterium
Conditions that may benefit from probiotics are
Diarrhea, H pylori infection, and Urinary/Yeast infections
Digestive Disorders

Food intolerance is
GI discomfort (gas, pain, diarrhea, constipation)
Digestive Disorder

Food allergy is
Allergic reactions to a food or hypersensitivity to a found caused by immune system response
Milk Allergy is
the inability to hydrolyze lactose
Food intolerance
Immune system is sensitive to milk proteins
Carbohydrate Digestion

Salivary Amylase is
an enzyme that begins carbohydrate digestion in mouth
breaks CHO down to maltose
Most of chemical digestion of carbohydrates is in the
SMALL INTESTINE

not stomach
Carbohydrate Digestion

Pancreatic Amylase is
an enzyme produced in the pancrease and secreted into small intestine
digests CHO to maltose
Carbohydrate Digestion

Additional enzymes in the small intestine that digest disaccharides to monosaccharides are
Maltase
Sucrase
Lactase
Carbohydrate Digestion

Monosaccharides are
Absorbed into small intestine cells then released in blood stream
Are converted to glucose by liver
Carbohydrate Digestion

Glucose circulating in the blood is our
Primary energy source

Excess is converted to glycogen by the liver
Functions of Carbohydrates include
Energy
-each gram of CHO is 4kcal
-red blood cells rely on glucose
-both CHO/Fats provide energy
-glucose is esp. imp during excercise
The 4 Functions of CHO
Supplies energy
Protein sparing
Prevents ketosis
Sweetner
Often proteins are used for
Gluconeogenesis
A new glucose
Gluconeogenesis is
Forming new glucose
Making glucose from a non-carbohydrate source like protein
Gluconeogensis occurs
in the liver
occurs in response to low blood glucose which triggers glycogen to be released
Gluconeogenesis

Certain amino acids are converted to
three carbon compounds that can be used to synthesize glucose
Gluconeogenesis

Protein Sparing is
When there is adequate CHO in the diet to prevent amino acids from being used
Under normal conditions, glucose is the sole fuel for the
brain
brain cells
other nerve cells
red blood cells
other tissues
The two hormones that regulate blood glucose are
Insulin and glucagon
Blood Glucose Regulation

Insulin is
Produced by beta cells of the pancreas
Stimulates glucose transporters to take glucose from the blood across the cell membrane
Stimulates the liver to take up glucose and convert it to glucagon
Blood Glucose Regulation

Glucagon is
Produced by alpha cells of the pancreas
Stimulates the liver ot breakdown glycogen to glucose, making it available
Stimulates gluconeogenesis
Storing Glucose as Glycogen
Occurs when blood glucose supply is adequate
Takes place in liver and muscle tissue
Synthesis of glycogen is stimulated by the insulin
Insulin is released by the _____________ in response to _________________
Pancreas; elevated blood glucose
Glycogen Storage and Insulin
Insulin is required to stimulate glucose utilization by the liver
Utilization of glucose and glycogen are stimulated by insulin
Insulin required for stimulation of glucose uptake by muscle tissue
Increased uptake of glucose by the muscle cells stimulates glycogen
Returning Glucose to the Blood

The one difference between glycogen stored in the liver and in the muscle is
Liver glycogen can be used as a source of blood glucose

In muscle, it cannot go into bloodstream
Returning Glucose to the Blood
Mobilization of glycogen to provide blood glucose occurs only in the liver
As the blood glucose level drops, insuline secretion is inhibited
Pancreatic hormone, glucagon, is released in response to a drop in glucose level
Returning Glucose to the Blood
Glucagon stimulates the breakdown of liver glycogen stores
Glucose is released into the blood for use by the tissues
Muscle tissue does not respond to glucagon
Regulation of Blood Glucose

Hyperglycemia
High blood sugar
Regulation of Blood Glucose

Hypoglycemia
Low blood sugar
Regualtion of Blood Glucose

Normal is
60-110 mg/dL
Blood Glucose Control of Pancreas
Releases insulin when glucose is high
Releases glucagon when glucose is low
Blood Glucose Control of Liver
Removes glucose from bloodstream (response to insulin)
Releases glucose into the bloodstream (response to glucagon)
Functions of Insulin are
Promotes glycogen
Increases glucose uptake by the cells
Reduces gluconeogenesis
Net effect: LOWERS blood glucose
Functions of Glucagon
Breakdown glycogen
Enhances gluconeogenesis
Net effect: RAISES blood glucose
3 Major Health Disorders related to carbohydrate metabolism are
Diabetes, Hypoglycemia, Lactose Intolerance
Diabetes is
the inability to regulat blood glucose levels
untreated can cause nerve damage, kidney damage, and blindness
Also associated with atherosclerosis (hardening arteries) and decreased wound healing
3 types of Diabetes are
Type 1, Type 2, Gestational Diabetes
Diabetes Type 1
Accounts for 10% of all cases
Patients do not produce enough insulin
Causes hyperglycemia
May be an autoimmune disease
Onset is at 10-14 but can occur at both younger/older ages
Treatment for Diabetes Type 1
Comination/balance of insulin injections, CHO regulation, and excercise
Diabetes Type 2
Most diabetics have type 2
Progressive disease with biological changes over time
Body cells become resistant to insule
Hyperglycemia results when cells cannot take in glucose from the blood
3 Causes of Diabetes Type 2
Genetics, Obesity, Physical inactivity
Strongly associated with excess body fat
Treatment for Diabetes Type 2
Weight loss, diet therapy, exercise, and oral medication
2 types of hypoglycemia- low blood glucose are
Reactive hypoglycemia
Fasting hypoglycemia
Reactive Hypoglycemia is
when too much insulin is produced after a meal
occurs shortly after a meal
over secretion of insulin
causes shakiness, sweating, and anxiety
Fasting Hypoglycemia is
when too much insuline is produced even when the persoon has not eatin
Pancreatic Cancer leads to
overproduction of insulin
Glycemic Index is
Food's ability to raise blood glucose levels
Foods with low glycemic index are
better for people with diabetes
generally higher in fiber
and may reduce risk of heart disease/colon cancer
Storing Glucose as Fat

The liver is the primary site of fatty acid synthesis

Insulin stimulates the liver cells to
utilize glucose for energy
store glucose as glycogen
convert bulk of excess glucose to fatty acids
all of this is happening at the same time
Fat Synthesis

Triglycerides are
Complex molecules consisted of combined fatty acids
Triglycerides are
packaged into aspecial carrier called very low density lipoprotein (VLDL) and transported to fat tissue
Fatty acids are absorbed and stored as triglycerides in the adipose (fat) tissue
Fat Synthesis are
Calories consumed in excess of those expended are stored as fat
This process has no upper limit
Fat cells have the ability to undergo hypertrophy
Hypertrophy is
the increase in size due to lipid accumulation