1. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Carbohydrates Chapter 3

2. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Introduction Carbohydrates –Preferred energy source for many of the body’s functions –When available, used exclusively by brain as an energy source –Should not be avoided when trying to lose weight Portion size and balance of nutrients is important

3. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Carbohydrates Dietary carbohydrates –Monosaccharides: single sugars Glucose Fructose Galactose –Disaccharides: double sugars Sucrose: glucose and fructose Lactose: glucose and galactose Maltose: two glucose units

4. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

5. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

6. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Carbohydrates (cont’d.) Dietary carbohydrates –Polysaccharides: chains of monosaccharides What is the significance of glycogen in the human body? Starch: hundreds of glucose molecules in either occasionally branched chains or unbranched chains Dietary fibers: found in plant-derived foods; non-digestible by human digestive enzymes

7. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

8. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

9. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 The Chemist’s View of Carbohydrates (cont’d.) Other notes regarding fibers –Resistant starches: classified as fibers –Some fibers: digested by bacteria in the human digestive tract –Fiber groups: soluble and insoluble fibers

10. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Digestion and Absorption of Carbohydrates Goal of digestion and absorption of sugars and starches –Break them into small molecules that body can absorb and use (Table 3-2) –Which sugars can be absorbed by intestinal cells?

11. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Regulation of Blood Glucose Blood glucose homeostasis –Insulin’s role in regulating blood glucose Facilitates blood glucose uptake by the muscles and adipose tissue Stimulates glycogen synthesis in the liver –Glucagon Triggers the breakdown of liver glycogen to single glucose molecules

12. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Sugars and Alternative Sweeteners Added sugars –Consumption in recent decades Dramatic upward trend –Leading source Soft drinks –Excessive amounts Linked to obesity, heart disease, nutrient deficiencies, and dental caries

13. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

14. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Sugars and Alternative Sweeteners (cont’d.) Recommended sugar intakes –Dietary Guidelines for Americans Reduce the intake of kcalories from added sugars –The USDA Food Patterns Eight teaspoons for 2200 kcal (5 – 10 percent of day’s total energy intake) –Recognize sugar in all its forms – e.g., added sugars (Glossary)

15. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

16. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Alternative Sweeteners: Sugar Alcohols Sugar alcohols (nutritive sweeteners) –Trigger a lower glycemic response –Two to three kcalories per gram –What are some side effects of sugar alcohols? –Advantage: do not promote dental caries

17. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

18. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Alternative Sweeteners: Nonnutritive Sweeteners Minimal or no carbohydrate or energy FDA endorsement –Safe over a lifetime within Acceptable Daily Intake (ADI) levels Do not cause tooth decay Do nonnutritive sweeteners correlate with weight loss and improved health?

19. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Alternative Sweeteners: Nonnutritive Sweeteners (cont’d.) U.S.-approved nonnutritive sweeteners –Acesulfame potassium, aspartame, saccharin, stevia, sucralose, etc. (Table 3-4)

20. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Starch and Dietary Fibers Carbohydrates: disease prevention and recommendations –Fiber-rich carbohydrate foods Lower risk of heart disease Reduce the risk of type 2 diabetes May enhance the health of the large intestine Lower risk for colon cancer Weight control –Characteristics, sources, and health effects of fibers (Figure 3-6)

21. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Starch and Dietary Fibers (cont’d.) Carbohydrates: recommended intakes –DRI advises 45 to 65 percent of energy requirement –Daily Values: 60 percent of kcalories –Fiber FDA proposes 25 grams per day Adequate Intake (AI): 14 g/1000 kcal/day

22. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

23. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

24. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

25. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014

26. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Starch and Dietary Fibers (cont’d.) Carbohydrates: food sources –Grains –Vegetables –Fruits –Milk and milk products –Protein foods: limited to nuts and dry beans

27. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Starch and Dietary Fibers (cont’d.) Carbohydrates: food labels –Feature Total carbohydrate (grams) Fiber and sugar grams: also listed separately Total carbohydrate and dietary fiber: also expressed as “% Daily Values”

28. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Starch and Dietary Fibers (cont’d.) FDA authorized health claims 1.Fiber-containing grain products, fruits, and vegetables: reduced risk of cancer 2.Fruits, vegetables, and grain products that contain fiber: reduced risk of coronary heart disease

29. Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Health Effects of Starch and Dietary Fibers (cont’d.) FDA authorized health claims 3.Soluble fiber from whole oats and from psyllium seed husk: reduced risk of coronary heart disease 4.Whole grains: reduced risk of heart disease and certain cancers