CH 4
CH 4
CHAPTER 4
LEARNING OBJECTIVES
1 | Identify and describe the different types of carbohydrates.
Carbohydrates are a macronutrient that may be just as confusing as fats are for most
individuals. There are several types of carbohydrates classified by their digestion process
and they provide a large energy source for the human body. However, too much of anything
can prove harmful, so a balance must be established with the other macronutrients for a
CARBOHYDRATES
Carbohydrates are organic molecules that are used primarily for energy. In fact, they are
the main source of energy for the human body. Often referred to as carbs, they protect
muscle mass (protein) from being catabolized during exercise and they provide the main
energy source for the brain and nervous system when it is broken down into glucose
GLUCOSE:
A simple sugar made of 6 during digestion.
carbon, 12 hydrogen, and 6
oxygen that provides energy
Glucose is a simple sugar consisting of 6 carbons, 12 hydrogens, and 6 oxygens. One
in the body.
molecule of glucose produces about 30 molecules of adenosine triphosphate (ATP) via
STARCH:
The energy source of
plants; a polysaccharide
consisting of multiple
molecules of bonded
glucose.
MONOSACCHARIDES:
Carbohydrates consisting
of one sugar unit.
There are several types of dietary carbohydrates that provide energy—for instance, simple
FRUCTOSE:
A simple sugar found
mostly in fruits.
Sugar is a catchall term that refers to different types of simple carbohydrates. For example,
table sugar is sucrose. Blood sugar refers to the glucose present in the blood. Blood sugar
The principal monosaccharides in food are glucose and fructose. Glucose is found commonly
in fruit, sweet corn, corn syrup, certain roots, and honey. It is also a subunit of some complex
Fructose, which is also called levulose or fruit sugar, is found as free monosaccharides in
FRUCTAN:
A polymer of fructose fruits and other foods. It is also a sub-unit of the sucrose molecule, found in fruit and table
molecules found in some
fruits, legumes, and sugar, and is a component of the carbohydrates known as fructan.
vegetables.
Although both fructose and glucose are common simple sugars in the diet, they function
differently as energy sources. Glucose is used more quickly and efficiently by muscles, while
more popular with the discovery that it does not trigger changes in blood sugar as rapidly
as glucose.
Researchers realized this in the early 1980s when they undertook the first extensive
must be converted to glucose in the liver before being used by most cells in the body
which explains the slower rise in blood sugar after eating fructose.
COMPLEX CARBOHYDRATES
There are two main types of complex carbohydrates:
and amylopectin, is a main dietary complex carb. Both amylose and amylopectin
are made of units of glucose. Glycogen is another polysaccharide that is used to GLYCOGEN:
A complex carbohydrate
store carbohydrate energy in the body. that occurs only in animals;
the form in which glucose is
Regardless of the form in which glucose and other carbs are ingested, each gram of carbohydrate stored in the body.
provides approximately four kilocalories of energy. The biggest difference between types of
carbs consumed is in how they are digested and used. The more complex the bonds between
the units of different sugar types, the slower the digestion and absorption. Each type of carb
requires different enzymes and reactions to break them down and be metabolized.
FIBER
Fiber is a special type of complex carbohydrate not digested and not absorbed in the small
Some examples of fiber include cellulose, hemicellulose, pectin, fructans, beta-glucans, and a
variety of gums, mucilage, and algal polysaccharides. Fibers are usually components of plant
cell walls and intracellular structures. Although largely indigestible, fiber plays an important
role in the diet. Fiber helps promote efficient intestinal functioning and aids in the absorption
There are two types of dietary fiber, and most plant foods contain some of each kind:
• Soluble fiber. Soluble fiber dissolves in fluids in the stomach to form a thick
gel-like substance. It is broken down by bacteria in the large intestine and provides
some calories, about two kilocalories per gram. Soluble fiber can interfere with
the absorption of dietary fat and cholesterol. This, in turn, can help lower low-
density lipoprotein (LDL) cholesterol levels in the blood. It also slows digestion
and the rate at which carbohydrates and other nutrients are absorbed into the
• Insoluble fiber. Insoluble fiber does not dissolve in water and passes through
the gastrointestinal tract relatively intact and is not a source of calories. Insoluble
fiber provides bulk for stool formation and speeds up the movement of food and
Fiber is usually found along with digestible simple and complex carbohydrates in various
plant foods, such as fruits, leaves, stalks, and the outer coverings of grains, nuts, seeds, and
legumes. Dietary fiber helps soften the stool and encourages normal elimination. Fiber-rich
diets, both soluble and insoluble, also promote satiety. In addition, research has shown that
people who eat high-fiber diets experience reduced rates of cardiovascular disease, colon
cancer, and diabetes. It is important to include plenty of fluids in a high-fiber diet to move
Stomach
Soluble fiber mixes with
partially digested food
in the stomach.
Large intestine
Insoluble fiber and
psyllium move through
the large intestine and
promote regularity.
Small intestine
Soluble fiber entraps
sugars, cholesterol
and fat, which slows
absorption into the body.
that is found in plants in that it consists of chains of glucose units. However, glycogen and
starch differ in structure. Due to the human body’s limited storage capacity for glycogen, a
The body converts a portion of all ingested complex carbohydrates into glycogen, replenishing
its short supply. Depending on individual factors, the total glycogen supply in the body is
limited to 1,800 to 2,600 calories. The body constantly stores and releases glucose to
and from glycogen. Whether glucose is released or stored depends on food ingested, time
Glycogen is stored in all cells, but it is mostly found in liver and muscle cells. They serve as
reservoirs for glucose. The liver’s glycogen supply is used to regulate the blood sugar level
and is the main source of energy for the brain. The brain can use more than 400 calories of
Each ounce of glycogen is stored in the liver with about three ounces of water. This means that
when glycogen is used, water is also removed from the body. Many fad diets take advantage
of this phenomenon by limiting carbs and increasing protein consumption, which causes liver
and muscle glycogen to become quickly depleted. This results in a loss of several pounds
of water, which many dieters mistake for a loss of bodyfat. However, research suggests that
fasting can impact glycogen levels and encourage the body to use adipose tissue as an
energy source.
Physically active individuals sometimes have a feeling of being bogged down or mentally
sluggish. This is often due to a low level of liver glycogen. Eating an adequate amount of
complex carbohydrates, especially at night, replenishes the glycogen supply and restores
CARBOHYDRATE DIGESTION
Carbohydrates take different amounts of time to break down depending on type. Thorough
and complete chewing of food is the first step in digestion and is important to making the
down the esophagus. Chemical digestion of carbohydrates begins when an enzyme in the
oligosaccharides, and starches. Amylase also breaks down amylose and amylopectin into
AMYLASE:
An enzyme found largely in shorter chains of glucose—called dextrins—and maltose. Maltose is a disaccharide that
saliva that breaks starch
into simpler sugars.
makes starches taste sweet.
Only about 5 percent of starches are broken down in the mouth. The mechanical breakdown
continues in the stomach and prevents the presence of excess glucose in the mouth that
can lead to dental caries. The contraction and relaxation of the stomach mixes carbohydrates
Once these carbohydrate chains have been broken down into simple sugar units, they are
Mouth -
Salivary Gland
Pancreas
From the mouth with salivary amylase, the breakdown continues in the small intestine with
pancreatic amylase.
4. The vesicle stimulates glucose transport with the GLUT4 membrane transport protein
Monosaccharides are transported to the liver by the portal vein. The liver is the first
negative feedback loop similar to a thermostat in the home. A specific temperature is set,
and when the home reaches that temperature, the thermostat shuts off the system. The
After eating carbohydrates, blood glucose levels rise. Generally, blood glucose levels begin to
rise 10 to 15 minutes after a meal. After about 60 minutes, they reach their peak. However,
When blood glucose levels increase, insulin-secreting cells in the pancreas release insulin
into the blood. Insulin acts as a messenger, telling the body’s cells to absorb glucose from
the blood. Cells take up the glucose and use it for energy production via glycolysis.
At some point after eating, blood glucose levels decrease. Glucagon secreting cells in the
GLUCAGON:
pancreas sense the decreased concentration and release glucagon into the bloodstream.
A pancreatic hormone that
Glucagon is the messenger hormone that tells the cells to stop using glucose and to release raises glucose levels in
the blood.
stored glucose back into the blood.
HYPOGLYCEMIA:
A state of low blood
sugar levels with many
causes, including diabetes
treatments.
GLYCEMIC INDEX
The glycemic index (GI) is a ranking of carbohydrate-based foods on a scale from 0 to 100
GLYCEMIC INDEX (GI): according to the extent to which they raise blood sugar levels after eating. This is measured
A ranking of carbohydrate-
based foods on a scale and ranked compared to a reference food, usually glucose with a GI of 100 and proteins and
from 0 to 100 according
to the extent to which they fats are not scored on this index.
raise blood sugar levels
after eating.
Foods with a high GI are rapidly digested, absorbed, and metabolized, leading to large
fluctuations in blood sugar. A diet with too many high-GI foods may lead to overconsumption
and weight gain. High-GI foods increase insulin levels quickly which creates a higher
physiological response resulting in hypoglycemia shortly after a meal. This, in turn, will signal
Eating low-GI foods results in smaller, slower changes in blood sugar levels and therefore
GHRELIN: lower insulin levels. This helps maintain fullness longer and prevents overeating since the
A hormone released
from the stomach that hunger hormones ghrelin and leptin are controlled. Research has shown that diets rich in
stimulates appetite.
low-GI foods increase weight loss and reduce the risk for developing obesity, type 2 diabetes,
• Processing. Processed foods generally have a higher GI value than whole foods.
• Preparation. The longer a food, like pasta, is cooked, the higher the GI.
• Ripeness. The complex carbohydrates in fruit break down into simple carbohydrates
as the fruit ripens. For example, an unripe banana has a GI of 30, and an overripe
• The index does not account for how portion size affects GI value.
• Combining foods changes the GI for the overall meal. For example, beans and rice
• Proteins and fats do not have GI scores. Adding these macronutrients to a GI food
GLYCEMIC LOAD
The GI of a food provides an estimate of how a food raises blood sugar levels but does not
consider portions or quantity.
The glycemic load (GL) is a calculation that considers both GI value (carbohydrate quality) and
portion size (carbohydrate quantity).
(GI value of the food × the quantity of carbohydrates of the serving in grams)
100
For example, for a food with a GI of 54 and an available 20 grams of carbohydrate per serving,
the GL value is (54 × 20) / 100 = 10.8
Watermelon is a good example of the importance of considering both GI and GL for foods. The GI
for watermelon is high, in the 80s. But the actual quantity in grams of carbohydrates in a serving
of watermelon is so low that it has only a minimal effect on blood sugar, and therefore a lower GL.
Both the GI and GL measures can be useful for determining the role carbohydrate-containing
foods or meals play in the body. They help determine how blood sugar levels, and in turn
insulin, will react after eating.
Oysters Turkey
Coconut 6g Trace 0g
(Raw) (Roasted)
Cream Cheese
Trace Pineapple 12 g Whole Milk 5g
(Plain)
quantities for good overall health. The acceptable macronutrient distribution range for daily
the National Academy of Medicine (NAM). This means that for a diet of 2,000 calories per
day, carbohydrate intake should be around 900 to 1,300 calories. For weight loss, daily
The National Research Council states that the optimal range for fiber per day is 21 to 38
grams. Some health experts recommend higher amounts and most adults in the US get only
12 to 18 grams of fiber per day. The 2015 Dietary Guidelines by the NAM recommend 14
grams of fiber per 1,000 calories consumed, so for a 2,000-calorie-per-day diet, this would
Due to individual differences, the amount of fiber needed to maintain a healthy and diverse
gut microbiome varies. The recommended guidelines are general and clients can improve
When the body runs out of stored glycogen and is forced to use fatty acids as the primary
source of energy, physical performance declines. Under glycogen depletion conditions, the body
may also use proteins and amino acids for energy. This process is called gluconeogenesis.
Endurance athletes call this “hitting the wall,” when their body’s glycogen stores become GLUCONEOGENESIS:
The process of converting a
depleted and they must rely on other nutrients for energy production during training or events. non-carbohydrate substance
into glucose for energy.