Carbohydrates And Sugars Flashcards

(40 cards)

1
Q

What are the functions of carbohydrates

A
  • energy, physical and mental
  • stimulate insulin production and satiety
  • promote digestive health
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2
Q

How much energy does 1g carb contain

A

4kal

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3
Q

How does carbohydrates effect insulin

A

Absorbed
Blood sugar rises
Insulin released

Insulin allows muscle, liver and fat cells to absorb carbohydrates for energy

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4
Q

What is the chemical composition of carbohydrate

A

Carbon, hydrogen, oxygen

1:2:1

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5
Q

What are the two types of carbohydrates

A

Simple
- monosaccharides
-disaccharide

Complex
- polysaccharide

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6
Q

What are the three types of monosaccharides

A

Glucose
Fructose
Galactose

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7
Q

What are the three types of disaccharides

A

Maltose
Sucrose
Galactose

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8
Q

What are the two types of polysaccharides

A

Starches
Fibres

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9
Q

Explain monosaccharides

A

Glucose = main = sweets, honey, sugar, fruit and juice

Fructose = transported to liver and metabolised = honey, fruit, veg

Galactose = milk sugar

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10
Q

Explain disaccharide

A

Maltose
- 2x glucose
- plants and cereal grains, certain veg

Sucrose
- glucose + fructose
- refined table sugar, honey, maple syrup

Lactose
- glucose + galactose
- milk and products

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11
Q

Explain polysaccharides

A

Main types in diet are long chains of glucose

Also long chains of indigestible e.g cellulose and gums

Starches
- potatoes, bread ect

Fibres
- whole grains, beans, nuts

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12
Q

What parts of the body are involved in carbohydrate digestion

A

Mouth
Small intestines
Small intestine brush border
Liver
Large intestine

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13
Q

Explain carbohydrate digestion in the mouth

A

Mechanical digestion

Enzymatic digestion
- break down larger carbon such as starch

Salivary amylase
- break into shorter polysaccharides and maltose

  • large molecules can’t be absorbed directly so need this breakdown
  • smaller ones don’t go through this
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14
Q

Explain enzymatic digestion in the small intestine

A

Uses pancreatic amylase, secreted by pancreas

  • into shorter polysaccharides and maltose
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15
Q

Explain digestion of carbohydrates in small intestinal brush border

A

Disaccaridases

Break di into mono

Mono the absorbed into the bloodstream for transport into the liver

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16
Q

Explain monosaccharide metabolism in the liver

A

Glycogenesis
- stored as liver glycogen
- stored as muscle glycogen

Blood glucose regulation
- glucose enters the bloodstream to maintain blood glucose levels

Energy production
- seed in glycolysis to produce ATP

Conversion into fat
- lipogenesis
- stored in body as fat cells o

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17
Q

Explain the role of the large intestine in carbohydrate metabolism

A

Gut micro biota, colonic bacteria = fermentation of dietary fibre to feed gut microbes

Fermentation releases energy

Short chain fatty acids released during fermentation, support gut health and other bodily functions

Gas production is a natural biproduct of fermentation

18
Q

What is the role of dietary fibre

A
  • reduce constipation
  • reduce cv disease and cancer
  • reduce type 2 diabetes and obesity
  • increase gut health
  • increase mental health
19
Q

What is lactose intolerance

A

In normal people, lactose is digested at intestinal brush border inti glucose and galactose via lactase

Intolerance = body dosent produce enough lactase to break down lactose, meaning it passes into large intestine

= gastrointestinal symptoms

20
Q

What does eat lancet say about carbohydrates

A

Minimise added sugar

21
Q

Explain current intakes vs planetary health

A

No groups meet recommended targets, especially of whole grains + nuts

22
Q

What are the environmental effect of carbohydrates

23
Q

What is glycemic index

A

Rank based on speed of digestion/ how quickly raised blood sugar

Used to just look at fibre content

Methods are reductionist and simplistic, ignore complexity of carbohydrates quality

24
Q

Explain the holistic model of carbohydrate quality

A

Combines traditional indices e.g protein quality and environmental stability, degree of processing

Method still needs more work

25
What is DALY
Disability affected life years YLD - years lived with disability YLL - years of life lost
26
Explain inequalities in health
Most deprived areas in uk = 60 healthy years and 12 unhealthy vs 72 and 12
27
What are uk dietary guidelines based on
Evidence from independent expert committees e,g Scientific advisory committee on nutrition
28
How are dietary guidelines formed
Hierarchy of research evidence Study design effects how results interpreted and their strength Non human Observation Intervention Meta analysis and systematic reviews
29
What are the broad classifications of non human studies
In vitro studies - performed on isolated cells or tissue - less expensive and time consuming but can’t apply to whole living organisms Animal studies - in vivo Time and cost good Easy to control Applicability bad
30
Explain broad classifications of human studies
Observational - without intervention Intervention - gold standard
31
What are the issues with observation
Association does not mean causation
32
Explain RCTs, intervention studies
Randomised control trials - can provide evidence of cause and effect - higher quality evidence - manipulation IV Expensive, ethics, compliance and samp size
33
What are SACNs carbohydrate recommendations
Should be 50% Sources more important than quantity Evidence from both prospective cohort studies and RCTs indicated total carbohydrate intake appears neither detrimental nor beneficial to heath
34
What are SACNs fibre recommendations
Increase to 30g 15g a day under 5 20 for u 11 25 u 16 All age groups fail to meet recommendations
35
What are free sugars
All sugars, mono and di which are added by manufacturers and sugars naturally present in honey, sugar, fruit juice Can be consumed more quickly and are detrimental to health
36
Which sugars do not count as free sugars
Lactose - when naturally present in milk and milk products Sugars contained within the cellular structure of foods
37
What happens when blend fruit
No longer in cellular structure = free sugars
38
What were the findings on SSBs
Greater weight gain vs non caroucallly sweetened beverages
39
What are the SACN recommendations for free sugars
I rage should not exceed 5% total dietary intake from 2+ years Minimise SSBs Male = 30g Female = 24g Child = 19 Can of coke = 35 All a be groups exceed recommended
40
Explain policy actions to reduce free sugar intake
Soft drinks industry levy - more than 5g/100 =0.05 g tax - even more if more than 8 Has encouraged reformulation - 2015-19 -47000 tons of sugar in uk drink per year Raise money for public health Public heath voluntary sugar reduction programme - aim to reduce sugar in 10 categories by 20% by 2020, only did 3.5% = must be mandatory - child friendly characters - stricter advertising