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ThiQar college of Medicine Family & Community medicine dept. Nutrition Lecture 3 Third stage Thursday ,December 1st,2016 CHARBOHYDRATES carbohydrate One of the three macronutrients, a compound made up of carbon, hydrogen , and provides energy. Recommended Dietary Allowance (RDA) for adults 19 years of age and older is 130 g of carbohydrate per day. The Acceptable Macronutrient Distribution Range (AMDR) for carbohydrate is 45–65% of total daily energy intake. Carbohydrates can be classified as simple (the sugars)or complex. Simple carbohydrates contain either one or two molecules, whereas complex carbohydrates contain hundreds to thousands of molecules. Simple Carbohydrates Include Monosaccharides and Disaccharides Glucose , Fructose, Galactose,and Ribose Are Monosaccharides Glucose, Fructose, and Galactose are the three most common mono-saccharides in our diet. Glucose is the most abundant monosaccharide found in our diets and in our bodies. Glucose does not occur by itself in foods but attaches to other sugars to form disaccharides and complex carbohydrates. In our bodies, glucose is the preferred source of energy for the brain, and it is a very important source of energy for all cells. Fructose, the sweetest natural sugar, occurs naturally in fruits and vegetables. Fructose is also called levulose, or fruit sugar. Galactose does not occur alone in foods. It joins with glucose to create lactose, one of the three most common disaccharides. Ribose is a five-carbon mono-saccharide. Very little ribose is found in our diets; our bodies produce ribose from the foods we eat, and ribose is contained in the genetic material of our cells: deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). Lactose, Maltose , and Sucrose Are Disaccharides The three most common disaccharides found in foods are Lactose, Maltose, and Sucrose. Lactose (also called milk sugar) consists of one glucose molecule and one galactose molecule. Interestingly, human breast milk has a higher amount of lactose than cow’s milk, which makes human breast milk taste sweeter. Maltose (also called malt sugar) consists of two molecules of glucose. It does not generally occur by itself in foods but rather is bound together with other molecules. Sucrose is composed of one glucose molecule and one fructose molecule. Because sucrose contains fructose, it is sweeter than lactose or maltose. Sucrose provides much of the sweet taste found in honey, fruits, and vegetables. Table sugar, brown sugar, powdered sugar, and many other products are made by refining the sucrose found in sugarcane and sugar beets. Complex CHO complex carbohydrates contain many glucose units. polysaccharides are compounds composed of many monosaccharides linked together. oligosaccharides An intermediate string of three to ten monosaccharides. Three types of polysaccharides are important in nutrition: glycogen, starches, and fibers. Glycogen Is a Polysaccharide, it is the storage form of glucose for animals, including humans. Starch is a Polysaccharide Stored in Plants, it is the storage form of glucose in plants. Excellent food sources of starch include grains (wheat, rice, corn, oats, and barley),legumes (peas, beans, and lentils), and tubers (potatoes). Fibers: composed of long polysaccharide chains; however, the body can not break down fiber molecules. The Adequate Intake for fiber is 25 g per day for women and 38 g per day for men. Dietary fibers : found in all plant derived foods—vegetables, fruits, whole grains, and legumes. Functional fiber: extracted from plants or manufactured in a laboratory and have known health benefits, like cellulose, pectin, and psyllium. Fiber can also be classified according to its chemical and physical properties as soluble or insoluble: Soluble Fibers dissolve in water, found in oats, barley, and citrus fruits, soluble fibers associated with protecting against heart disease and diabetes by lowering blood cholesterol and glucose levels. Insoluble Fibers do not dissolve in water, Found mostly in whole grains (bran) and vegetables, insoluble fibers promote bowel movements and alleviate constipation. Benefits &Health effect of CHO Benefits of CHO are an important energy source at rest and during exercise and provide 4 kcal of energy per gram. CHO are necessary in the diet to spare body protein and prevent ketosis. Health effects: 1- Nutrient Deficiencies (Empty-kcalorie foods that contain high sugar such as cakes, candies, and sodas with no other nutrients. . 2-Causes Tooth Decay 3-Can Lead to Unhealthy Levels of Blood Lipids 4-Contribute to Obesity benefits of fiber consumption 1-Reduce the risk of colon cancer. 2-Prevent hemorrhoids, constipation, and other intestinal problems. 3- Reduces the risk of diverticulosis 4- Reduce the risk of heart disease by blocking the absorption of dietary cholesterol into the blood. 5- Enhance weight loss, as eating a high-fiber diet causes a person to feel more full. 6- Lower the risk of type 2 diabetes The lipids A group of organic substances that are insoluble in water; lipids include triglycerides, phospholipids, and sterols. Acceptable Macronutrient Distribution Range (AMDR) for fat is 20% to 35% of total energy. Triglycerides are the most common Food-based lipid (95%). fats: lipids that are solid at room temperature (77°F or 25°C). oils: lipids that are liquid at room temperature. Triglyceride A molecule consisting of three fatty acids attached to a three carbon glycerol backbone. Fatty Acids Fatty acids (FA) are the simpler molecular forms of lipids, an organic compound composed of a carbon chain with hydrogens. Fatty acids may be saturated or unsaturated. Unsaturated fatty acids may have one or more points of un saturation. (That is, they may be monounsaturated or polyunsaturated.) Of special importance in nutrition are the polyunsaturated fatty acids whose first point of un saturation is next to the third carbon (known as omega-3 fatty acids) or next to the sixth carbon (omega-6). fatty acids that fit this description are linolenic acid (omega3) and linoleic acid (omega-6). essential fatty acids (EFAs) Fatty acids that must be consumed in the diet because they cannot be made by the body. The two essential fatty acids are linoleic acid and alpha-linolenic acid. Linoleic acid, also known as omega-6 fatty acid, is found in vegetable and nut oils such as sunflower, corn, soy, and peanut oil. Alpha linolenic acid, also known as omega-3 fatty acid, It is found primarily in dark green, leafy vegetables, flaxseeds and flaxseed oil, soybeans and soybean oil, walnuts and walnut oil, and canola oil. In fish, shellfish, and fish oils, the two omega-3 fatty acids found are eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Fish that naturally contain more oil, such as salmon and tuna, are higher in EPA and DHA than lean fish such as cod or flounder. Research indicates that diets high in EPA and DHA stimulate the production of prostaglandins and thromboxanes that reduce inflammatory responses in the body, reduce blood clotting and plasma triglycerides, and thereby reduce an individual’s risk of heart disease. Linoleic acid. The Adequate Intake (AI) for linoleic acid is 14 to 17 g per day for men and 11 to 12 g per day for women 19 years and older. • Alpha-linolenic acid. The AI for alpha-linolenic acid is 1.6 g per day for adult men and 1.1 g per day for adult women. phospholipids A type of lipid in which a fatty acid is combined with another compound that contains phosphate, phospholipids are soluble in water. the body manufactures phospholipids, so they are not essential to include in the diet. The most important phospholipid is lecithin. In the liver, lecithins combine with bile salts and electrolytes to make bile. Sterols Sterols are a type of lipid multiple-ring structure found in both plant and animal foods and produced in the body. cholesterol is the most common sterol that occurs in our diets. Compounds made from cholesterol: 1-Bile acids 2-Steroid hormones (testosterone, androgens, estrogens, progesterones, cortisol,cortisone, and aldosterone) 3-Vitamin D For perspective, the Daily Value for cholesterol is 300 mg/day.