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Suggestion box Please e-mail me your questions about nutrition-Answers presented following week on line notes are not complete transcripts of lectures The need for the Students’ Union to offer tutoring services has dropped off with the recent introduction of free academic supports on campus for math, science, and business (Math & Science Centre), as well as support for improving study skills, time management, etc. (Academic Success Coaching). •excellent academic supports available to students: Math & Science Centre (free drop-in tutoring in introductory math, science, and business courses Mondays – Thursdays 3-8pm in the Learning Commons) Academic Success Coaching (free coaching in skills such as time management and study skills Mondays – Fridays 9am-4pm, typically by appointment) Writing Centre (free writing tutoring Mondays – Fridays 9am-4pm, typically by appointment) *new, coming soon- Tutor Database (connecting tutees directly with potential tutors for hire) •Any questions about the Writing Centre, Math & Science Centre, and Tutor Database can be directed to Tammy Byrne, and questions about Academic Success Coaching can be directed to Alyssa MacDonald. Addition to lecture 2A-use a lactose-free dairy product (lactose removed when lactose-free dairy product is made) e.g. some lactose-free milk products are currently available. 3 chicory seed-food additive -resistant carbohydrate causing decreased pHdue to short chain fatty acid production 4 Questions about diet/exercise records Project (or essay option)? 5 Lecture 4a- 28 September 2015 CARBOHYDRATES IV 6 Overview of lecture 4A Carbohydrates - sugars in health and disease - complex carbohydrates in health and disease - where are carbohydrates found - dietary recommendations - what’s new and exciting - next lecture-FIBRE 7 Carbohydrates in health-sugars Nutrient deficiencies- empty kcal Dental caries – sugar will cause caries and therefore good oral hygiene important Obesity – when consumed in excess sugars cause obesity due to conversion of sugar to fat- see next slide first point 8 Carbohydrates in health-sugars continued Heart disease –lots of refined sugar leads to alterations in blood lipids in carbohydrate sensitive individuals-due to increased insulin response that builds fat Misbehaviour in children and criminal behaviour in adults – mythnothing to support scientifically these suggestions 9 Carbohydrates in health continued But sugars in foods are not all bad-many functional properties of carbohydrates in foods- e.g. taste, physical and chemical properties and antimicrobial purposes Weight control-foods rich in complex carbohydrate are usually low in fat and added sugars and provide -less kcal per bite -also satiety and delayed hunger due to 10 glycemic index issue Carbohydrates in health continued Complex carbohydrate foods also help with Heart disease -high complex carbohydrate and low cholesterol diets reduce risk of heart disease -such high complex carbohydrate and low cholesterol diets are low in animal fat and cholesterol and high in soluble fibres and vegetable proteins 11 Carbohydrates in health-starches continued Cancer -lower risk with high complex carbohydrate diet that has loads of green and yellow vegetables and citrus fruit -nature of preventative effect is not clear Type 2 diabetes-lower risk with high complex carbohydrate diets-most likely due to such diets being low in fat- also likely due to lower glycemic index issue 12 Carbohydrates in foods Glucose- e.g. fruits, veggies, honey Fructose- e.g. fruit and honey Galactose-rarely in food -mostly in form of lactose Sucrose-minimal amounts in some fruits and veggies- e.g. beets Maltose -none naturally in food Lactose - milk and other dairy products Oligosaccharides – e.g. inulin – chicory, Jerusalem artichoke Starch- e.g. potatoes Glycogen- e.g.- meats little rapid conversion to lactic13acid at slaughter DIETARY Recommendations-DRI Carbohydrates be 45-65 % of energy or 900-1300 kcal of carbohydrate or 225-325 grams of carbohydrate per total energy intake of 2000 kcal/day -carbohydrates from a variety of sources with increases in complex carbohydrates are recommended 14 DIETARY Recommendations DRI- Added sugars (simple sugars)-no more than 25 % of calories- but that is 500 kcal or 125 grams (31 teaspoons) of sugars- this is too much WHO and FAO – recommend less than 10 % of calories as added sugars-200 kcal or 50 grams-this is better idea than the DRI recommendation-in March 2014, WHO proposed that a reduction to below 5% of total energy intake per day would have additional benefits. Five per cent of total energy intake is equivalent to around 25 grams (around 6 teaspoons) of sugar per day for an adult of normal Body Mass Index (BMI). 15 Reducing added sugar https://www.uoguelph.ca/hpc/sites/uoguelph.ca .hpc/files/files/RP_Cranberry%20Orange%20S pritzer.pdf 16 What is new in carbohydrates? Glycaemic index review by Health Canada Aziz, A, Dumais, L., Barber J. Health Canada's evaluation of the use of glycemic index claims on food labels. American J. Clin Nutr. 2013 Aug;98(2):269-74. doi: 10.3945/ajcn.113.061770. Epub 2013 Jun 12. •Nutrition Research Division and the Nutrition Regulations and Standards Division, Bureau of Nutritional Sciences, Food Directorate, Health Products and Food Branch, Health Canada, Ottawa, Canada. [email protected] 17 What is new in carbohydrates? Aziz et al. American Journal of Clinical Nutrition 98:26974(2013). “Health Canada's assessment identified 3 areas of concern with respect to GI labelling: 1)the GI measure has poor accuracy and precision for labelling purposes; 2) as a ratio, the GI does not vary in response to the amount of food consumed and the partial replacement of available carbohydrates with unavailable carbohydrates, whereas the glycemic response does; 3) an unintended focus on the GI for food selection could lead to food choices that are inconsistent with national dietary guidelines. Hence, Health Canada's current opinion is that the inclusion of the GI value on the label of eligible food products would be misleading and would not add value to nutrition labeling and dietary guidelines in assisting consumers to make healthier food choices. “ 18 What is new in carbohydrates? Artificial sweeteners – linked to weight gain and to increased risk of type 2 diabetes- a number of papers Saccharin changes gut microbiota in mice which in turn contributes to glucose intolerance and hence the risk of type 2 diabetes Nature 514, 181–186 (09 October 2014) 19