Carbohydrates and sugars

1,545,449views

Carbohydrates and sugars

anatomy

anatomy

Bones and joints of the thoracic wall
Muscles of the thoracic wall
Vessels and nerves of the thoracic wall
Anatomy of the breast
Anatomy of the pleura
Anatomy of the lungs and tracheobronchial tree
Anatomy of the heart
Anatomy of the coronary circulation
Anatomy of the superior mediastinum
Anatomy of the inferior mediastinum
Anatomy clinical correlates: Thoracic wall
Anatomy clinical correlates: Breast
Anatomy clinical correlates: Pleura and lungs
Anatomy clinical correlates: Heart
Anatomy clinical correlates: Mediastinum
Anatomy of the anterolateral abdominal wall
Anatomy of the abdominal viscera: Blood supply of the foregut, midgut and hindgut
Anatomy of the abdominal viscera: Esophagus and stomach
Anatomy of the abdominal viscera: Small intestine
Anatomy of the abdominal viscera: Large intestine
Anatomy of the abdominal viscera: Pancreas and spleen
Anatomy clinical correlates: Anterior and posterior abdominal wall
Anatomy of the pelvic girdle
Anatomy of the pelvic cavity
Bones of the vertebral column
Bones of the lower limb
Fascia, vessels and nerves of the upper limb
Anatomy of the anterior and medial thigh
Muscles of the gluteal region and posterior thigh
Vessels and nerves of the gluteal region and posterior thigh
Anatomy of the popliteal fossa
Anatomy of the leg
Anatomy of the foot
Anatomy of the hip joint
Anatomy of the knee joint
Anatomy of the tibiofibular joints
Joints of the ankle and foot
Bones of the upper limb
Anatomy of the brachial plexus
Anatomy of the pectoral and scapular regions
Anatomy of the arm
Muscles of the forearm
Vessels and nerves of the forearm
Muscles of the hand
Anatomy of the sternoclavicular and acromioclavicular joints
Anatomy of the glenohumeral joint
Anatomy of the elbow joint
Anatomy of the radioulnar joints
Joints of the wrist and hand
Anatomy clinical correlates: Clavicle and shoulder
Anatomy clinical correlates: Axilla
Anatomy clinical correlates: Arm, elbow and forearm
Anatomy clinical correlates: Wrist and hand
Anatomy clinical correlates: Median, ulnar and radial nerves
Major depressive disorder
Suicide
Bipolar and related disorders
Major depressive disorder with seasonal pattern
Premenstrual dysphoric disorder
Generalized anxiety disorder
Social anxiety disorder
Panic disorder
Agoraphobia
Phobias
Obsessive-compulsive disorder
Body focused repetitive disorders
Post-traumatic stress disorder
Schizophrenia
Anorexia nervosa
Bulimia nervosa
Cluster A personality disorders
Cluster B personality disorders
Cluster C personality disorders
Somatic symptom disorder
Factitious disorder
Tobacco use disorder
Opioid use disorder
Cannabis use disorder
Cocaine use disorder
Alcohol use disorder
Bruxism
Insomnia
Narcolepsy (NORD)
Erectile dysfunction
Attention deficit hyperactivity disorder
Disruptive, impulse control, and conduct disorders
Learning disability
Fetal alcohol syndrome
Tourette syndrome
Autism spectrum disorder
Rett syndrome
Mood disorders: Pathology review
Amnesia, dissociative disorders and delirium: Pathology review
Personality disorders: Pathology review
Eating disorders: Pathology review
Psychological sleep disorders: Pathology review
Psychiatric emergencies: Pathology review
Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review
Selective serotonin reuptake inhibitors
Serotonin and norepinephrine reuptake inhibitors
Tricyclic antidepressants
Monoamine oxidase inhibitors
Atypical antidepressants
Lithium
Nonbenzodiazepine anticonvulsants
Atypical antipsychotics
Anticonvulsants and anxiolytics: Barbiturates
Anticonvulsants and anxiolytics: Benzodiazepines
Psychomotor stimulants
Glycolysis
Citric acid cycle
Electron transport chain and oxidative phosphorylation
Gluconeogenesis
Glycogen metabolism
Pentose phosphate pathway
Physiological changes during exercise
Amino acid metabolism
Nitrogen and urea cycle
Fatty acid synthesis
Fatty acid oxidation
Ketone body metabolism
Cholesterol metabolism
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
Lactose intolerance
Glycogen storage disease type I
Glycogen storage disease type II (NORD)
Leukodystrophy
Metachromatic leukodystrophy (NORD)
Gaucher disease (NORD)
Niemann-Pick disease types A and B (NORD)
Niemann-Pick disease type C
Fabry disease (NORD)
Tay-Sachs disease (NORD)
Mucopolysaccharide storage disease type 1 (Hurler syndrome) (NORD)
Mucopolysaccharide storage disease type 2 (Hunter syndrome) (NORD)
Cystinosis
Phenylketonuria (NORD)
Cystinuria (NORD)
Homocystinuria
Maple syrup urine disease
Familial hypercholesterolemia
Hypertriglyceridemia
Disorders of carbohydrate metabolism: Pathology review
Disorders of fatty acid metabolism: Pathology review
Dyslipidemias: Pathology review
Glycogen storage disorders: Pathology review
Lysosomal storage disorders: Pathology review
Carbohydrates and sugars
Fats and lipids
Proteins
Folate (Vitamin B9) deficiency
Vitamin B12 deficiency
Wernicke-Korsakoff syndrome
Fat-soluble vitamin deficiency and toxicity: Pathology review
Zinc deficiency and protein-energy malnutrition: Pathology review
Cellular structure and function
Cell membrane
Selective permeability of the cell membrane
Extracellular matrix
Cell-cell junctions
Endocytosis and exocytosis
Osmosis
Resting membrane potential
Nernst equation
Cytoskeleton and intracellular motility
Cell signaling pathways
Adrenoleukodystrophy (NORD)
Zellweger spectrum disorders (NORD)
Alport syndrome
Ehlers-Danlos syndrome
Marfan syndrome
Peroxisomal disorders: Pathology review
Nuclear structure
DNA structure
Transcription of DNA
Translation of mRNA
Amino acids and protein folding
Nucleotide metabolism
DNA replication
Lac operon
DNA damage and repair
Cell cycle
Mitosis and meiosis
DNA mutations
Lesch-Nyhan syndrome
Adenosine deaminase deficiency
Purine and pyrimidine synthesis and metabolism disorders: Pathology review
Polymerase chain reaction (PCR) and reverse-transcriptase PCR (RT-PCR)
Gel electrophoresis and genetic testing
ELISA (Enzyme-linked immunosorbent assay)
Karyotyping
DNA cloning
Fluorescence in situ hybridization

Transcript

Watch video only

Carbohydrates include both simple sugars which are little ring-shaped molecules made of carbon, hydrogen and oxygen - either alone or in pairs, as well as more complex carbohydrates, which are formed when these the rings link up together to make long chains.

Carbohydrates provide us with calories or energy, and simple sugars in particular play many roles in our diet - they sweeten lemonade, balance out an acidic miso soup, fuel yeast in rising dough and alcohol, and help preserve jams and jellies.

We have an innate liking for sweetness, which simple sugars provide.

Historically, simple sugars were available in more modest quantities than they are today, and eating too many calories from sugar can become a problem.

Unhealthy diets, including those with too many calories from simple sugars, are associated with an increased risk for diseases like obesity, diabetes mellitus, and cardiovascular disease, but the good news is that a healthy diet can reduce that risk as well.

Sugars are found naturally in plants like fruits, vegetables, and grains, as well as animal products like milk and cheese.

Added sugars are the sugars that get added to foods like cereals, ketchup, energy bars, and even salad dressings.

To be clear, even if the sugar being added comes from a natural source like sugar cane or honey, it’s still considered an added sugar. In fact, a variety of ingredients listed on food labels may be sources of added sugars, some of which you’re likely familiar with.

Sugar actually refers to a family of molecules called saccharides - monosaccharides where “mono” means one, so one sugar molecule, disaccharides where “di” means two, so two sugar molecules linked together, oligosaccharides where “oligo” means a few, so it’s three to nine sugar molecules linked together, and polysaccharides where “poly” means many, so it’s ten or more sugar molecules linked together.

Glucose is the most important member of the sugar family and it’s a monosaccharide. It’s the main source of calories for the body, and is able to cross the blood brain barrier and nourish the brain.

Another monosaccharide is fructose which is commonly found in honey, fruits, and root vegetables.

Finally, there’s the monosaccharide, galactose, known as milk sugar.

It’s known as milk sugar because it’s only found in nature when it links with glucose to form lactose, a disaccharide found in the milk of mammals, including cow and human breast milk.

Sucrose, or table sugar, is another disaccharide and it’s formed when fructose links up with glucose.

Sucrose is found in various fruits and vegetables, with sugarcane and sugar beets having the highest quantities.

Maltose is another disaccharide - it’s two glucose molecules linked together, and it’s found in molasses which can be used as a substrate to ferment beer.

Sugars, like fructose for example, are most always found in combination with other sugars, and the combinations can be quite different - even in seemingly similar foods.

For example, in honey 50% of the sugar is fructose, 44% is glucose, 4% is galactose, 2% is maltose; whereas in maple syrup less than 1% of the sugar is fructose, 3% is glucose, and 96% is sucrose.

So simple sugars, whether they’re natural or added, are mixtures of monosaccharides or disaccharides.

Next there are the complex carbohydrates.

There are oligosaccharides like galacto-oligosaccharides which are short chains of galactose molecules like those found in soybeans.

Then there are polysaccharides which are even larger chains with branches, and are the most abundant type of carbohydrates found in food.

Starches are polysaccharides with molecular bonds between sugar molecules that human intestinal enzymes can break down.

Starches are an important source of calories, and can be found in foods like rice, potatoes, wheat, and maize.

Starches don’t taste sweet like simple sugars because they don’t activate taste buds in the same way.

There’s also dietary fibers, which are carbohydrates that intestinal enzymes can’t break down, and so the body cannot digest them.

Dietary fibers have molecular bonds that are resistant to human intestinal enzymes, so they pass through the small intestine undigested, get broken down a bit by bacteria in the large intestine, and ultimately end up as bulk matter in the stool.

Fiber is critical because it can slow down the rate of absorption of simple sugars like glucose in the small intestine which can help keep blood glucose levels relatively stable.

Fiber is also good for heart health and increases stool weight which helps prevent constipation.

Monosaccharides link together through glycosidic bonding, which is when an “OH” from the carbon on one monosaccharide bonds with an “H” from the carbon of another monosaccharide. Together that forms an H2O - a water molecule, which goes away.

In the case of maltose, that leaves an alpha 1-4-glycosidic bond - a bond between carbon number 1 of one glucose monosaccharide and carbon number 4 of the other glucose monosaccharide.

And alpha refers to the fact that the molecules are lined up next to one another, like this.

Lactose has a beta 1-4 glycosidic bond, meaning that carbon 1 of glucose and carbon 4 of galactose are bonded, but this time the molecules are stacked with one higher than the other, like this.

Finally, sucrose has an alpha 1-2-glycosidic bond, meaning that carbon 1 of glucose and carbon 2 of fructose are bonded, like this.

Now when you eat something like a piece of onion bread, enzymes start breaking down disaccharides, oligosaccharides, and polysaccharides into monosaccharides so they can be absorbed.

Different enzymes help to break different linkages - for example amylases break down large polysaccharides like starch into smaller units, whereas lactase, sucrase, and maltase break down lactose, sucrose, and maltose into their monosaccharides.

The individual monosaccharides that result from the digestion of larger carbohydrate molecules - glucose, fructose, and galactose - cross the gut lining and get into the bloodstream to get used by the body.

When glucose levels in the blood increase after eating, the pancreas releases the hormone insulin and it helps move glucose into the cells and into the liver.

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "The definition of dietary fiber – discussions at the Ninth Vahouny Fiber Symposium: building scientific agreement" Food & Nutrition Research (2010)
  6. "Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies" BMJ (2012)