Carbohydrates and sugars

1,545,409views

Carbohydrates and sugars

Watch later

Watch later

Hyperthyroidism
Post-traumatic stress disorder
Chronic obstructive pulmonary disease (COPD): Clinical
Definitions of acids and bases
Electron transport chain and oxidative phosphorylation
ACE inhibitors, ARBs and direct renin inhibitors
Myasthenia gravis
Anatomy and physiology of the ear
Neuromuscular junction and motor unit
Intracerebral hemorrhage
Congenital adrenal hyperplasia
Congenital adrenal hyperplasia: Clinical
Adrenal gland histology
Resting membrane potential
Colorectal cancer
Colorectal cancer: Clinical
Apnea, hypoventilation and pulmonary hypertension: Pathology review
Anatomical terminology
Major depressive disorder with seasonal pattern
Physiological changes during exercise
Restrictive lung diseases: Pathology review
Thyroid cancer
Adrenergic antagonists: Beta blockers
Restrictive lung diseases
Crohn disease
Thyroid and parathyroid gland histology
Anatomy of the thyroid and parathyroid glands
Parathyroid hormone
Multiple endocrine neoplasia
Renin-angiotensin-aldosterone system
Diabetic nephropathy
Pharyngeal arches, pouches, and clefts
Thyroid nodules and thyroid cancer: Pathology review
Bronchiectasis
Leg ulcers: Clinical
Hashimoto thyroiditis
Non-Hodgkin lymphoma
Pancreatic secretion
Lipid-lowering medications: Statins
Metabolic acidosis
Acid-base map and compensatory mechanisms
Renal system anatomy and physiology
Body fluid compartments
Regulation of renal blood flow
Loop of Henle
Distal convoluted tubule
Sodium homeostasis
Potassium homeostasis
Clostridium difficile (Pseudomembranous colitis)
Renal azotemia
Tubular reabsorption of glucose
Oncogenes and tumor suppressor genes
Lactose intolerance
Chronic pyelonephritis
Hydronephrosis
Primary adrenal insufficiency
Waterhouse-Friderichsen syndrome
Glucocorticoids
Renal artery stenosis
Clostridium botulinum (Botulism)
Complement system
Innate immune system
T-cell development
Renal cortical necrosis
Glomerular filtration
Proximal convoluted tubule
Subarachnoid hemorrhage
Introduction to the immune system
Immune response - Innate: Nursing
Monoclonal antibodies
Sarcoidosis
Chronic bronchitis
Emphysema
Type II hypersensitivity
Opioid antagonists
Opioid agonists, mixed agonist-antagonists and partial agonists
Free radicals and cellular injury
Blood components
Respiratory acidosis
Necrosis and apoptosis
Antibody classes
Somatic hypermutation and affinity maturation
VDJ rearrangement
Vaccinations
Anaphylaxis
Insulin
Glucagon
Synthesis of adrenocortical hormones
Cortisol
Diabetes mellitus: Pathology review
Extracellular matrix
Mucopolysaccharide storage disease type 2 (Hunter syndrome) (NORD)
Mucopolysaccharide storage disease type 1 (Hurler syndrome) (NORD)
Guillain-Barre syndrome
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
Hyper IgM syndrome
Cushing syndrome and Cushing disease: Pathology review
Pulmonary embolism
B-cell development
Introduction to the central and peripheral nervous systems
Hypercalcemia
Parathyroid disorders and calcium imbalance: Pathology review
Neurogenic bladder
Cell-mediated immunity of natural killer and CD8 cells
Lipid-lowering medications: Fibrates
ELISA (Enzyme-linked immunosorbent assay)
Gastrointestinal system anatomy and physiology
Carbohydrates and sugars
Anatomy of the abdominal viscera: Innervation of the abdominal viscera
Type IV hypersensitivity
Graft-versus-host disease
MHC class I and MHC class II molecules
Blood histology
Chronic obstructive pulmonary disease: Clinical sciences
X-linked agammaglobulinemia
Colorectal cancer screening: Clinical sciences
Colorectal cancer: Clinical sciences
Anal cancer: Clinical sciences
Infectious gastroenteritis: Clinical sciences
Introduction to the lymphatic system
Inflammatory bowel disease: Pathology review
HIV (AIDS)
Dissociative disorders
Vascular dementia
Anatomy of the cranial base
Goodpasture syndrome
Introduction to the somatic and autonomic nervous systems
Anatomy of the vertebral canal
Bones of the vertebral column
Cell membrane

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)