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Nutrients
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Carbohydrates - CHO
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Carbohydrates are the principal dietary source of
energy. They are comprised of simple sugars and complex carbohydrates.
Most common simple sugars, or monosaccharides are glucose, fructose,
galactose and mannose. Glucose is the main form in which carbohydrate
is absorbed, exchanged between tissues, and channeled into metabolithem. The most abundant edible forms are the starches present in grains, potatoes, etc., which are polymers of glucose. Dietary fibers such as cellulose are polysaccharides in which glucose or other monosaccharides are linked by bonds which cannot be hydrolysed by the digestive enzymes produced in the intestine. Dietary fiber, dextrins and some oligosaccharides are thus not digestible, except through the action of enzymes produced by intestinal bacteria. Undigested dietary fiber passes to the large bowel where it is fermented by bacteria to yield lactic acid and the short-chain fatty acids acetic, propionic and butyric acid. Humans derive measurable amounts of energy from the metabolism of these products of bacterial fermentation. Other carbohydrate-related compounds include polyols (i.e., sugar alcohols such as sorbitol and xylitol) and organic acids, such as ascorbic acid (i.e., vitamin C), citric acid and malic acid. Although monosaccharides yield slightly less energy than starches (3.7 vs. 4.2 kilocalories per g), the energy value of dietary carbohydrates is generally considered to be an even 4 kilocalories per gram. Deficiency: There is no absolute requirement for dietary carbohydrate, although the brain, the red blood cells and some cells in the kidney use glucose as a preferred source of energy. The liver has a considerable capacity to synthesize glucose from amino acids (from dietary and body protein) and glycerol, released from lipid hydrolysis. When intake of dietary sugars and starch is low or lacking, stored fat (triacyglyceride) is mobilized, providing fatty acids to sustain energy generation in the body. A carbohydrate-free diet is associated with increased protein breakdown and ketone body formation in the liver, which may produce dehydration and loss of cations, though not to the same dangerous extent as in diabetic ketoacidosis. Starvation ketosis is greatly attenuated by daily intakes of as little as 50-100 g of carbohydrate. Recommendations: No formal diet recommendation for carbohydrates exists as intakes are adequate in normal diets, though consumption of some 25 grams of dietary fiber (i.e. undigestible polysaccharides) is recommended. The Daily Value for carbohydrates used in nutritional labeling is 60% of total calories, or 300 g/day for a 2,000 Calorie diet. Food sources: Monosaccharides such as glucose and fructose are
found in fruits and honey. Sucrose (glucose linked to fructose), or
table sugar (produced from sugar cane or sugar beets) is the most commonly
consumed disaccharide, found also in molasses, maple syrup and some
fruits. Resistant starches which reach the colon are fermented there by the microflora and converted into short-chain fatty acids, a process which also yields small amounts of methane gas and hydrogen. Recent research news: it is now well established that in man, fat synthesis is essentially negligible under conditions of unrestricted access to food. On another front, it has been shown recently that hyperactivity in children is not associated with sugar intake. Of continued major interest are studies on the beneficial effect of consuming more complex carbohydrates which have a relatively low glycemic index (i.e., they cause a less abrupt increase in blood glucose levels after meals) instead of the more rapidly absorbed sugars and starches. This is particularly important for individuals affected by insulin-dependent, as well as non-insulin dependent, diabetes mellitus and because complex carbohydrates tend to exert favorable effects on blood lipid levels in subjects at risk for cardiovascular disease. In addition there is continuing research into the role of non-starch polysaccharides (fiber) in the prevention of colonic cancer. Toxicity: Ingestion of even large amounts of carbohydrates has no adverse effects, except that lactose-containing milk products can lead to diarrhea in lactase-deficient populations. In individuals affected by certain inherited carbohydrate-metabolizing enzyme deficiencies, carbohydrate intake may have to be carefully controlled to avoid possibly severe adverse reactions. Chemical information on Carbohydrates One molecule of glucose contains 6 atoms of carbon, 6 atoms of oxygen and 12 atoms of hydrogen. The name carbohydrates (often abbreviated as 'CHO') derives from the fact that these compounds are primarily made up of carbon atoms and water |
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