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nutrition chapter 4
carbohydrates
113
Nutrition
Undergraduate 1
04/27/2013

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Term
carbohydrates definition
Definition
important source of energy for all cells
preferred energy source for nerve cells
Term
what carbohydrates are made of
Definition
carbon, hydrogen, and oxygen
Term
good sources of carbs
Definition
fruits, vegetables, grains
Term
what is the most abundant carbohydrate
Definition
glucose
Term
how is glucose produced
Definition
by plants through photosynthesis
Term
simple carbohydrates
Definition
contain one or two molecules
commonly referred to as sugars
Term
monosaccharides
Definition
contain one molecule
Term
examples of monosaccharides
Definition
glucose, fructose, and galactose
Term
disaccharides
Definition
contain two molecules
Term
examples of disaccharides
Definition
lactose, maltose, and sucrose
Term
glucose
Definition
monosaccharides; most abundance sugar molecule in our diet; good energy source
Term
fructose
Definition
monosaccharides; sweetest natural sugar; found in fruit, high-fructose corn syrup
Term
galactose
Definition
monosaccharides; does not occur alone in foods; binds with glucose to form lactose
Term
galactose + glucose =
Definition
lactose
Term
glucose + glucose =
Definition
maltose
Term
glucose + fructose =
Definition
sucrose
Term
complex carbohydrates
Definition
oligosaccharides and polysaccharides
Term
oligosaccharides
Definition
contains 3 to 10 monosaccharides
Term
polysaccharides
Definition
consist of hundreds to thousands of glucose molecules
Term
examples of complex carbohydrates
Definition
starch, glycogen, and most fibers
Term
starch
Definition
polysaccharide; storage form of glucose in plants; food sources include grains, legumes, and tubers
Term
glycogen
Definition
polysaccharides; storage form of glucose in animals; stored in liver and muscles
Term
fiber
Definition
polysaccharides; forms the support structures of leaves, stems, and plants
Term
plants store carbohydrates as....
Definition
starch
Term
amylose
Definition
straight chain of glucose
Term
amylopectin
Definition
branched chain of glucose
Term
resistant starch (fiber)
Definition
glucose molecules linked by beta bonds are largely indigestible
Term
sources of starch
Definition
grains, legumes, fruits, and vegetables
Term
what is the storage form of glucose for animals (humans)?
Definition
glycogen
Term
where is glycogen stored
Definition
stored in the liver and muscles
Term
what type of complex carbohydrate is not found in food and therefore not a source of dietary carbohydrates?
Definition
glycogen
Term
what is composed of long polysaccharide chains?
Definition
fiber
Term
dietary fibers
Definition
non-digestible parts of plants
Term
functional fibers
Definition
non-digestible forms of carbohydrates extracted from plants or manufactured in a lab and have known health benefits
Term
dietary fiber + functional fiber =
Definition
total fiber
Term
soluble fibers
Definition
dissolves in water; viscous and gel-forming
fermentable, digested by intestinal bacteria
Term
what is associated with risk reduction of cardiovascular disease and type 2 diabetes
Definition
soluble fibers
Term
examples of soluble fibers
Definition
pectin, gum, and mucilage
Term
insoluble fibers
Definition
Do not dissolve in water, non-viscous
Cannot be fermented by bacteria in the colon
Promote regular bowel movements
Term
examples of insoluble fibers
Definition
lignin, cellulose, hemicelluloses
Term
good sources of insoluble fibers
Definition
whole grains, seeds, legumes, fruits, and vegetables
Term
salivary amylase
Definition
enzyme that begins carbohydrate digestion in the mouth
breaks carbohydrates down to maltose
Term
what inactivates salivary amylase?
Definition
stomach acids
Term
where does most digestion of carbohydrates occur?
Definition
in the small intestine
Term
pancreatic amylase
Definition
Enzyme produced in the pancreas and secreted into the small intestine
Term
what digests carbohydrates to maltose?
Definition
pancreatic amylase
Term
What enzymes in the microvilli digest disaccharides to monosaccharides?
Definition
maltase, sucrase, lactase
Term
where are monosaccharides absorbed?
Definition
into the cells lining the small intestine and then enter the bloodstream
Term
all _________ are converted to glucose by the liver
Definition
monosaccharides
Term
what is our primary energy source?
Definition
glucose circulating in the blood
Term
where is excess glucose stored?
Definition
stored as glycogen in the liver and muscles
Term
we do not have the enzymes necessary to digest....?
Definition
fiber
Term
what is able to break down some fiber?
Definition
bacteria in the large intestine
Term
What hormones control blood glucose levels?
Definition
insulin
glucagon
epinephrine
norepinephrine
cortisol
growth hormone
Term
Insulin
Definition
Secreted by beta cells of the pancreas
Stimulates glucose transporters to help take glucose from the blood across the cell membrane
Stimulates the liver to take up glucose and convert it to glycogen
Term
Glucagon
Definition
Secreted by alpha cells of the pancreas
Stimulates the liver to convert glycogen to glucose
Stimulates gluconeogenesis
Term
gluconeogenesis
Definition
the production of glucose from amino acids
Term
Epinephrine and norepinephrine
Definition
Secreted by the adrenal glands and nerve endings when blood glucose is low
Term
What increases glycogen breakdown in the liver, releasing glucose into the blood?
Definition
epinephrine and norepinephrine
Term
what is responsible for our "fight-or-flight" reactions to danger?
Definition
epinephrine and norepinephrine
Term
cortisol and growth hormone
Definition
Secreted by the adrenal glands to act on the liver, muscle, and adipose tissue
Term
Cortisol increases and decreases what?
Definition
Increases gluconeogenesis and decreases muscle glucose use
Term
Growth hormone increases and decreases what?
Definition
decreases muscle glucose uptake
increases fatty acid mobilization and use
increases liver glucose output
Term
Glycemic Index
Definition
a food's potential to raise blood glucose
Term
foods with a high glycemic index cause...
Definition
a sudden surge in blood glucose, triggering a large increase in insulin, which may be followed by a dramatic fall in blood glucose
Term
foods with a low glycemic index cause...
Definition
low to moderate fluctuations in blood glucose
Term
glycemic index absorption rate varies with...
Definition
the type of carbohydrate, preparation methods, and its fat and fiber content
Term
glycemic load
Definition
used to determine the effect of a food on a person's glucose response
Term
grams of carbohydrates in a good are multiplied by the....
Definition
glycemic index
Term
Glycemic Index is used to
Definition
used to quantitate the degree of change in blood sugar compared with a reference food of same weight
Term
foods with ____ glycemic index raise ___ and insulin levels more than foods with ____ glycemic index
Definition
high
blood glucose
low
Term
what determines how rapidly a particular carbohydrate turns to sugar?
Definition
glycemic index
Term
Lower glycemic Index benefits
Definition
less fluctuations in blood glucose
risk reduction for heart disease and colon cancer
Term
foods with lower glycemic index
Definition
beans, fresh vegetables, whole wheat
Term
Energy amount for carbohydrates
Definition
4 kcal
Term
red blood cells use only ____ for energy
Definition
glucose
Term
what supplies energy for daily activities?
Definition
carbohydrates and fats
Term
what is especially important for energy during exercise?
Definition
glucose
Term
Ketosis
Definition
fat breakdown during fasting forms ketones
Term
Ketoacidosis
Definition
caused when excess ketones increase blood acidity
Term
What prevents ketone production as alternate energy source?
Definition
Sufficient energy from carbohydrates
Term
Gluconeogenesis
Definition
occurs when a diet is deficient in carbohydrates
Term
When the body is deficient in carbohydrates, it makes it own glucose from....
Definition
protein
Term
Fiber may reduce the risk of
Definition
colon cancer
diverticulosis
heart disease
type 2 diabetes

enhances weight loss
Term
Fiber helps prevent
Definition
hemorrhoids, constipation, and other intestinal problems
Term
RDA for carbohydrates
Definition
130 grams/day
Term
AMDR for carbohydrates
Definition
45% to 65% of daily calories
Term
diets high in simple sugars....
Definition
Can cause tooth decay
May increase “bad cholesterol”
May decrease “good cholesterol”
May contribute to obesity
Term
Enriched foods
Definition
foods in which nutrients that were lost during processing have been added back so the food meets a specified standard
Term
Fortified foods
Definition
have nutrients added that did not originally exist in the food (or existed in insignificant amounts)
Term
most Americans eat too little....
Definition
complex carbohydrates
Term
Adequate Intake for fiber
Definition
25 g/day for women
38 g/day for men

14 g of fiber for ever 1000 kcal per day
Term
where is it best to get fiber from?
Definition
food
Term
Examples of nutritive sweeteners
Definition
Sucrose, fructose, honey, and brown sugar
Term
Nutritive sweeteners contain ___ kcal energy/gram
Definition
4 kcal energy per gram
Term
Slow-absorbing sugar alcohols contain ___ kcal/gram
Definition
2-3 kcal/gram
Term
Non-nutritive (alternative) sweeteners
Definition
provides little or no energy
Term
Non-nutritive (alternative) sweeteners are safe for...
Definition
adults, children, and people with diabetes
Term
Alternative Sweeteners examples
Definition
Saccharin
Acesulfame-K
Aspartame
Sucralose
Truvia and PureVia (stevia plant)
Term
Diabetes
Definition
inability to regulate blood glucose levels
Term
types of diabetes
Definition
Type 1, type 2, gestational
Term
Type 1 diabetes
Definition
Formerly insulin-dependent diabetes mellitus (IDDM)-10%
May be an autoimmune disease
Destruction of pancreatic beta cells that produce insulin
Term
type 1 diabetes is common for who?
Definition
children and young adults
Term
type 2 diabetes
Definition
Formerly non-insulin-dependent diabetes mellitus (NIDDM)
Develops because of insulin resistance, combined with a relative (not absolute) insulin deficiency
Term
most common form of diabetes (90%)
Definition
type 2 diabetes
Term
type 2 diabetes is common for
Definition
Adults (age 45+), overweight & sedentary, and family history
Term
Prediabetes
Definition
100 mg/dL - 125 mg/dL
Term
Gestational Diabetes
Definition
Begins or first recognized during pregnancy
Develops in 2% to 5% of all pregnancies but disappears when a pregnancy is over.
Term
Risk factors for gestational diabetes
Definition
obesity
GD in previous pregnancy
insulin-resistant/ or insulin deficient
history of delivering macrosomic newborn (> 10 lb)
decrease in fiber intake, increase in glycemic-load diets
Term
Complications and consequences of gestational diabetes
Definition
spontaneous abortion
still births
neonatal death
congenital abnormalities
Term
hypoglycemia
Definition
low blood glucose may cause shakiness, sweating, anxiety, and weakness
Term
Reactive hypoglycemia
Definition
pancreas secretes too much insulin after a high-carbohydrate meal
Term
Fasting hypoglycemia
Definition
pancreas produces too much insulin, even when someone has not eaten
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