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Nutrition - Unit 12
Useful Facts about Sugars, Starches, and Fiber
24
Nursing
Undergraduate 4
02/20/2012

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Term
Carbohydrate
Definition
-Derived primarily from plant sources
-Produced by photosynthesis: energy from the sun stored chemically as carbohydrate in plants
-Composed of organic compounds (CHO): carbon, hydrogen, oxygen
Term
Functions of Carbohydrates
Definition
-primary energy source
-4 calories/gram
-“protein sparing” effect
-source of dietary fiber
-sweetening agent
Term
Three types of carbohydrates
Definition
1. Simple sugars
2. Complex carbohydrates (starches)
3. Total fiber
Term
Simple Sugar Facts: Two Types
Definition
-Simple sugars are small molecules
-Two types: monosaccharides and disaccharides
-3 Monosaccharides:
o Glucose (“blood sugar” or “dextrose”)
oFructose (“fruit sugar”)
oGalactose

-3 Disaccharides consist of two linked molecules
o Glucose + fructose = sucrose ( “table sugar”)
o Glucose + glucose = maltose (“malt sugar”)
o Glucose + galactose = lactose (“milk sugar”)
Term
Glucose Utilization
Definition
-Immediate energy source to all cells

-Converted into glycogen (glycogenesis)
o chains of linked glucose units
o stored in:
-liver (90 grams CHO or ~360 calories)
-muscle (150 grams CHO or ~600 calories)

-Converted into fat
o adipose tissue (unlimited storage capacity)
Term
Controlling blood glucose levels
Definition
Insulin
-functions to lower blood glucose levels
-required for glucose uptake into cells
-enhances conversion of excess glucose to glycogen (glycogenesis)
-enhances storage of excess glucose to fat in adipose tissue
Term
Glycemic Index
Definition
-Glycemic Index: a measure of the speed with which the carbohydrates in food are broken down to glucose (sugar) and enter the blood stream, causing a rise in blood sugar
Term
Glycemic Index of Foods
Definition
Some high glycemic-index foods (enter bloodstream faster):
o Glucose, white bread, baked potatoes, jelly beans

Some low glycemic-index foods (slower impact on blood glucose):
o Fructose, xylitol, hummus, apples, all-bran cereal
Term
Where’s the Sugar?
Definition
Biggest source for many is soft drinks
Term
Sugar in our food supply
Definition
-All chemically similar, provide 4 calories/gram and few other nutrients
Term
Advice on Sugar Intake
Definition
-Limit added sugars to 10% or less of total calorie intake
Term
What’s so bad about sugar?
Definition
-Foods with simple sugars are generally poor sources of nutrients
-Simple sugars provide only calories
-Many foods high in sugars are also high in fat
-Likelihood that diets will be insufficient in vitamins and minerals increases with sugar intake
-Sweets consumption promotes tooth decay
Term
Sugar & Your Teeth
Definition
-Sugar and tooth decay/dental caries (disintegration of teeth due to acids produced by bacteria in the mouth that feed on sugar) related to:
-exposure time important variable
-“stickier” sweets more apt to promote decay
Term
Tooth Decay: More Than Sugar
Definition
Stickiness & frequent consumption of sugary/starchy foods increases tooth decay
o Eating sticky foods
o Eating sugary foods between meals
o Frequently sipping sweetened beverages
o Chewing sugary gum
Term
Baby Bottle Caries
Definition
-Infants who fall asleep with a bottle (sugar water, milk, or formula) may develop severe decay
Term
Sugar Alcohols
Definition
Sugar alcohols (reduced energy sweeteners)
o Contain 4 calories per gram
o Reduced absorption
o Causes less dental caries
o May cause gas or diarrhea
Term
Alternative Sweeteners
Definition
Nonnutritive sweeteners:

Aspartame (brand name = Nutrasweet)
o bonding of amino acids phenylalanine & aspartame
o Does not promote tooth decay
o Not stable under prolonged heat

Saccharin (Sweet ‘n Low)
o been in use for over a century
o 300 to 700 times sweeter than sucrose

Sucralose
o derived from sugar
o stable in baking and cooking
o does not promote tooth decay

Rebiana (Reb-A, Truvia, Purevia)
o From sweet tasting leaves of the Stevia shrub
Term
Dietary Carbohydrates
Definition
Simple Carbohydrates
-Monosaccarides: glucose, fructose, galactose
-Disaccharides: sucrose, lactose, maltose
Complex Carbohydrates
-Polysaccharides
Term
Dietary Fiber Facts
Definition
-Fiber intake in U.S. below the amount recommended
-People get recommended amount from whole-grain breads, high-fiber cereal, and dried beans and five servings of vegetables and fruits daily
-Food sources same cooked, or raw
-Fast foods are poor sources of fiber
Term
Types of Fiber
Definition
-Fiber is not digested by human digestive enzymes
-Fibers are classified as: functional fiber, dietary fiber, total fiber
Term
Functional Fiber
Definition
-Functional fibers have beneficial functions in the body
INSOLUBLE functional fibers:
-decrease food intake by a feeling of fullness
-reduce post-meal rises in blood glucose levels
-prevent constipation

SOLUBLE functional fibers:
-decrease fat and cholesterol absorption
Term
Fiber and Health
Definition
- Helps body function more efficiently
- Lowers risk heart disease, colon cancer, obesity, constipation, hemorrhoids, diverticular disease
- Lower blood cholesterol
- Assists in blood glucose control
- 25 to 40 grams fiber/day recommended
Term
Soluble and Insoluble Fiber
Definition
Soluble fibers combine chemically with water: beans, peas, lentils, fruits, oat bran, oatmeal, barley, corn, carrots, white potatoes

-Insoluble fibers do not combine chemically with water: Cellulose; whole grains, unrefined cereals, vegetables, seeds, popcorn, nuts
Term
Tips to Boost Fiber Intake
Definition
- Choose cereals that contain at least 3 grams of fiber per serving or mix high fiber cereal
- Breads: at least 2 grams of fiber/slice
- Eat at least five servings of vegetables and fruits each day
- Increase fiber intake gradually
- Increase fluid intake along with increase in fiber
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