1. Carbohydrates
Chapter 5

2. Learning Outcomes
Identify the major types of carbohydrates and give examples of food sources for each
List alternative sweeteners that can be used to reduce sugar intake and know how they work
Describe recommendations for carbohydrate intake and health risks caused by low or excessive intakes
List the functions of carbohydrates in the body

3. Learning Outcomes Explain how carbohydrates are digested and absorbed
Identify the cause of, effects of and dietary treatment for lactose intolerance
Describe the regulation of blood glucose, conditions caused by blood glucose imbalance, types of diabetes, and dietary treatment for diabetes
Explain the basis of low carbohydrate diets and low glycemic index diets and the pros and cons of following them

4. Carbohydrates Composed of carbon, hydrogen and oxygen
Produced by plants via photosynthesis
Simple carbohydrates
Monosaccharides and Disaccharides
Complex carbohydrates
Polysaccharides, Glycogen and Fiber

5. Carbohydrates Sources of carbohydrates in the diet: Plants
Plants use carbon and oxygen from the CO2 in the air and hydrogen from H2O and energy from the sun to make glucose (carbs).
Pasta
Rice
Potatoes
Bread
Fruits
Veggies
Milk
Legumes
These foods should make up 45-65% of our daily intake
Desserts

6. Monosaccharides 6 carbon, single units Glucose Fructose Galactose
Blood sugar, corn syrup
Fructose
Fruit sugar
Galactose
Part of lactose
Sugar Alcohols
Xylitol, mannitol and sorbitol
Pentoses (5 carbon)
Ribose and Deoxyribose

7. Monosaccharides (simple Sugar)
Each contains
6 Carbons
12 Hydrogen
6 Oxygen atoms
but in different configurations

8. Disaccharides (simple Sugar)
Two monosaccharides linked by a condensation reaction (loss of H20 molecule in this case.)
Maltose
Glucose and Glucose-alpha bond
Sucrose
Glucose and Fructose-alpha bond
Lactose
Galactose and Glucose-beta bond

9. Disaccharides
Sucrose Alpha bond Maltose Lactose Beta bond (harder to break down)

10. oligosaccharides Oligo (means “few” and is 3-10 in this case)
Raffinose-
Stachyose (found in some vegetables, grains and beans)
Our bodies cannot break down oligosaccharides they get to our small intestines where the bacteria there metabolize them and turn them into gas.
Beano can break down these sugars for us

11. Digestible Polysaccharides
Contains many glucose molecules (hundreds to thousands)
Alpha or beta bond determine digestibility
Starch
Amylose-straight chain
Amylopectin-branched
Glycogen- digestible
Storage form of glucose in human body

12. Digestible Polysaccharides
Amylose (1-4 alpha bonds broken by amalase) Amylopectin (1-4 and 1-6 alpha bonds- broken by alpha-dextrinase)

13. Digestible Polysaccharides
Glycogen (alpha bonds) - Storage form of carbohydrates in animals
The liver can store about 90 grams of CHO (360 kcals)
The muscles can store about 300 grams of CHO (about 1200kcal)

14. Indigestible Polysaccharides
Fiber
These carb bonds are not digested by humans so they pass through the SI to the LI where they are metabolized by our gut bacteria and produce S-CFA and gas.
S-CFA provide kcals for gut flora

15. Total Fiber = Dietary Fiber (soluble + insoluble) + Functional Fiber
Dietary Fiber (beta bonds)
Soluble Fiber
Dissolves in water
Forms gel and can slow down digestion- good for regulating blood glucose, weight, and can interfere with cholesterol reabsorption.
Used commercially to thicken foods
Found in oat bran, fruits, beans
Pectins
Some hemicellulose
Gums and mucilages

16. Total Fiber = Dietary Fiber (soluble + insoluble) + Functional Fiber
Dietary Fiber (beta bonds)
Insoluble Fiber
Good for treating constipation
Adds bulk to stool and increases transit time in large intestine
Found in whole grains
Cellulose
Hemicellulose
Lignins

17. Dietary Fiber

18. Indigestible Polysaccharides
Functional fiber also called “isolated” fibers.
These are “faux” fibers added to foods for potential health benefits and clever marketing.
Just like dietary fiber, these fiber additives pass undigested through the gastrointestinal tract, so the FDA accepts them as the real deal.
Yet no scientific studies link these artificial fibers to the health benefits—including a lowered risk of heart disease and obesity
Can’t turn junk food into a health food

19. Indigestible Polysaccharides
The most common isolated fibers manufacturers use to bulk up not-so-fibrous foods include:
Maltodextrin
Inulin (chicory root)
Polydextrose
Oat fiber
Resistant starch
Pectin
Gum

20. WhoLE Grains
Whole grains, or foods made with whole grains contain all the essential (an naturally occurring) parts of the entire grain seed.
Amaranth
Barley
Buckwheat
Corn
Millet
Oats
Quinoa
Rice (brown)
Rye
Sorghum
Teff
Triticale
Wheat

21. WhoLE Grains
Since whole grains lose so many nutrients, food manufacturer must add back iron and the B vitamins riboflavin, niacin thiamine (1973), and folic acid (1998) this called enriched flour.
1997

22. Whole Grains 16 grams of whole grains = 1 serving
Recommend 3 servings or 48 grams daily
Which cereals are whole grain?
Total
Special K
corn flakes
shredded wheat
cream of wheat
Total and shredded wheat

23. Is this a good source of whole grains?
16 crackers - 2 gram fiber- 23 grams CHO 150 kcal Ingredients: WHOLE GRAIN WHEAT FLOUR, UNBLEACHED ENRICHED FLOUR (WHEAT FLOUR, NIACIN, REDUCED IRON, THIAMINE MONONITRATE {VITAMIN B1}, RIBOFLAVIN {VITAMIN B2}, FOLIC ACID), SOYBEAN OIL, SUGAR, CORNSTARCH, MALT SYRUP (FROM BARLEY AND CORN), INVERT SUGAR, SALT, VEGETABLE COLOR (ANNATTO EXTRACT, TURMERIC OLEORESIN). BHT ADDED TO PACKAGING MATERIAL TO PRESERVE FRESHNESS.

24. Is this a good source of whole grains?
2 slices of bread- 4 gram fiber- 25 grams CHO 130 kcal Enriched Wheat Flour [Flour, Barley Malt, Ferrous Sulfate (Iron), B Vitamins (Niacin, Thiamine Mononitrate (B1), Riboflavin (B2), Folic Acid)], Water, Whole Wheat Hour, High Fructose Corn Syrup or Sugar, Yeast, Wheat Gluten, Brown Rice Flour, Soy Fiber, Calcium Sulfate, Contains 2% or Less or Soybean Oil, Salt, Vinegar, Cornstarch, Wheat Starch, Soy Flour, Honey, Dough Conditioners (Sodium Stearoyl Lactylate, DATEM, Mono and Diglycerides, Ethoxylated Mono and Diglycerides, Dicalcium Phosphate, Calcium Dioxide and/or Azodicarbonamide), Yeast Nutrients (Ammonium Sulfate, Ammonium Chloride, Monocalcium Phosphate and/or Ammonium Phosphate), Enrichment [Vitamin E Acetate, Ferrous Sulfate (Iron), Zinc Oxide, Calcium Sulfate, Niacin, Vitamin D, Pyridoxine Hydrochloride (B6), Folic Acid, Thiamine Mononitrate (B1) and Vitamin B-12], Calcium Propionate (to Retain Freshness), Whey, Soy Lecithin.

25. Is this a good source of whole grains?
1 English muffin- 3 gram fiber- 23 grams CHO 120 kcal Whole Wheat Flour, Water, Yeast, Wheat Gluten, Honey, Farina, Cornmeal, Salt, Cracked Wheat, Preservatives (Calcium Propionate, Sorbic Acid), Grain Vinegar, Calcium Sulfate, Soybean Oil, Wheat Starch, Mono- and Diglycerides, Datem, Natural Flavor, Sodium Stearoyl Lactylate, Ethoxylated Mono- and Diglycerides, Wheat Sour, Dextrose, Calcium Carbonate, Guar Gum, Lactic Acid, Molasses, Fumaric Acid, Whey, Soy Flour (Trivial Amount of Soy Flour), Caramel Color, Acetic Acid, Sucralose, Citric Acid, Sodium Citrate, Natamycin (a Natural Mold Inhibitor), Potassium Sorbate (Preservative), Nonfat Milk.

26. Is this a good source of whole grains?
2 waffles- 3 gram fiber- 21 grams CHO 140 kcal
Ingredients: Water, Enriched Flour (Wheat Flour, Niacin, Reduced Iron, Thiamin Mononitrate [Vitamin B1], Riboflavin [Vitamin B2], Folic Acid), Whole Wheat Flour, Wheat Bran, Egg Whites, Sugar, Vegetable Oil (Soybean Oil, Palm Oil and Palm Kernel Oil with TBHQ and Citric Acid for Freshness), Contains Two Percent or Less of Leavening (Baking Soda, Sodium Aluminum Phosphate, Monocalcium Phosphate), Salt, Nonfat Dry Milk, Natural Flavors, Calcium Carbonate, Polyglycerol Esters of Fatty Acids, Malt Flavoring, Modified Cornstarch, Whey, Soy Lecithin, Vitamin A Palmitate, Guar Gum, Niacinamide, Reduced Iron, Thiamin Hydrochloride (Vitamin B1), Pyridoxine Hydrochloride (Vitamin B6), Riboflavin (Vitamin B2), Calcium Pantothenate, Folic Acid, Vitamin B12.

27. Sweet

28. High fructose corn syrup?
Starts out as cornstarch, which is enzymatically degraded to glucose and some short polymers of glucose and then again into fructose- now similar to sucrose
Some believe that your body reacts differently to high-fructose corn syrup than it does to other types of sugar
According to commercials “High-fructose corn syrup is made from corn, has no artificial ingredients, has the same calories as sugar and is okay to eat in moderation.”
Can extend the shelf-life of foods
Subsidized commodity = In almost everything

29. High fructose corn syrup?
HFCS

30. Sugar Alcohols
Add energy (about kcal/g) sorbitol, mannitol, xylitol
Caries
Sugar alcohols are usually incompletely absorbed into the blood stream from the small intestine which generally results in a smaller change in blood glucose than "regular" sugar (sucrose).
Popular sweeteners among diabetics and people on low-carbohydrate diets.
Like many other incompletely digestible substances, overconsumption of sugar alcohols can lead to bloating, diarrhea and flatulence because they are not absorbed in the small intestine

31. Non-nutritive sweeteners (alternative, artificial)
Yield no energy so are used to provide sweetness to a lot of products
Saccharin
Cyclamate
Aspartame
Neotame
Sucralose
Acesulfame-K
Tagatose
Stevia

32. Alternative Sweeteners
Saccharin
Oldest alternative sweetener
Cannot be used in cooking
300 times sweeter than sugar
Used to be thought to cause cancer in large amounts (bladder cancer in rats)
ADI (Acceptible daily intake: 5mg/kg (154#, 70 kg person this is three, 12 ounce cans of soda, or 9 packets)
Some fountain beverages

33. Alternative Sweeteners
Aspartame (Equal)
In diet sods
Contains phenyalanine (PKU)
Cannot be used in cooking,
Very sweet ( times sweeter than sucrose) so only small amountsneeded (does provide 4kcal/g)
ADI for adult is 50mg/kg (18 cans of soda or 80 packets)
4 kcal/g, not sweet when cooked, 14 cans of soda or 80 packets

34. Alternative Sweeteners
ACE-K
Sunette
200 times sweeter than sucrose
0kcal/kg
Can be used in baking

35. Alternative Sweeteners
Sucralose (Splenda)
600 times sweeter than sucrose
Made from sucrose-can be used in cooking
Substitutes Chlorine for hydroxyl groups
Body cannot use it for energy
Can be used for cooking
Passed all safety tests
Splenda same ADI as sacharrin 3 x 12 oz diet sodas or 7 packets/day

36. Alternative Sweeteners
Stevia
From a shrub in S. America, x sweeter than sugar
Herbal supplement- only specific highly refined and purified extracts of stevia have been approved for use in food products.
Concern it may cause infertility
ADI is 4mg/kg

37. Non-nutritive sweeteners (alternative, artificial)
Are they safe?
Determined by the FDA
ADI are set at 100 x less than the level at which no harmful effects were seen in animals
Personal preference especially during pregnancy

38. Non-nutritive sweeteners Are they safe?
Saccharin
Many studies on animals have shown that saccharin can cause cancer of the urinary bladder.
In other rodent studies, saccharin has caused cancer of the uterus, ovaries, skin, blood vessels, and other organs.
Other studies have shown that saccharin increases the potency of other cancer-causing chemicals. And the best epidemiology study (done by the National Cancer Institute) found that the use of artificial sweeteners (saccharin and cyclamate) was associated with a higher incidence of bladder cancer.

39. Non-nutritive sweeteners Are they safe?
Aspartame (Equal, NutraSweet)
Might cause cancer or neurological problems such as dizziness or hallucinations.
A 1970s study suggested that aspartame caused brain tumors in rats. However, the Food and Drug Administration persuaded an independent review panel to reverse its conclusion that aspartame was unsafe.

40. Non-nutritive sweeteners Are they safe?
The California Environmental Protection Agency and others have urged that independent scientists conduct new animal studies to resolve the cancer question.
In 2005, researchers at the Ramazzini Foundation in Bologna, Italy, conducted the first such study. It indicated that rats first exposed to aspartame at eight weeks of age caused lymphomas and leukemias in females. However, the European Food Safety Authority reviewed the study and concluded that the tumors probably occurred just by chance.

41. Non-nutritive sweeteners Are they safe?
In 2007, the same Italian researchers published a follow-up study that began exposing rats to aspartame in utero. This study found that aspartame caused leukemias/lymphomas and mammary (breast) cancer. It is likely that the new studies found problems that earlier company-sponsored studies did not because the Italian researchers monitored the rats for three years instead of two. The Italian tests remain controversial, with the industry contending that they were flawed in several ways and with the FDA stating its scientists couldn't evaluate the studies because the researchers refused to provide their original data.