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CARBOHYDRATES
LIPIDS
Carbohydrates
Aldehyde or ketone compound with
multiple hydroxyl gp
include sugars, starches, and fiber.
Provides energy store in our body
[4 kcal/1gm]

Structural element of cell wall of
bacteria/plant/arthropods
Linked to many protein n fat
compound (Glycoprotein in
membrane)
2
3
Simple Carbohydrates
Monosaccharide
C6H12O6

4
Simple Carbohydrates
Glucose

Fructose
• sweetest sugar
• found in fruits and
honey
• added to soft drinks,
deserts

• mild sweet flavor
• known as blood sugar
• essential energy
source
• found in every
Galactose
disaccharide and
• hardly tastes sweet
polysaccharide
• rarely found naturally as a
single sugar

5
Maltose

DISACCHARIDES
pairs of the monosaccharide's
C12H24O12

2 glucose units
• Germinating grains
• Sweet potatoes
• Dates
• beer

Sucrose:
– fruit,
– vegetables,
– grains
Lactose : glucose+galactose
main carbohydrate in milk
6
Complex Carbohydrates
glycogen, starch, fiber

7
Glycogen

Complex
Carbohydrates

• limited in meat and not found in plants
– not an important dietary source of carbohydrate

• BUT
– all glucose is stored as glycogen
• Long chain Must be broken down to be used by
the body

8
Starches

Complex
Carbohydrates

• plant foods (potatoes, beans, peas, and grains
such as rice corn and wheat).
• body hydrolyzes plant starch to glucose

9
Fiber

Complex
Carbohydrates

• Nor- starch polysaccharides
– found in grains, fruits and vegetables

10
Fiber types
• cellulose

• pectins
• lignins
• Plant gums
• mucillage
11
Fiber
• Fiber: provides little energy and is indigestible.
Absorbs water-increase bulk of stool & soften stoolpromote bowel movements
- alleviate constipation- formation of gas & toxic
substances-Keeps your digestive tract healthy.
• Inhibits mutagen in colon-CA colon

• CHD- binds to BS-cholesterol
• Gum/pectin-PPBS

12
Carbohydrate Digestion
• begins in mouth
– chewing releases saliva
– enzyme salivary amylase hydrolyzes
starch to polysaccharides and maltose

• stomach
– no enzymes available to break down
starch
– acid does some breakdown
– fibers in starch provide feeling of
fullness
13
small intestine

Digestion

– majority of carbs digestion takes place here
– pancreatic amylase reduces carbs to glucose
chains or disaccharides
– specific enzymes finish the job
• maltase
– maltose into 2 glucose

• sucrase
– sucrose into glucose and fructose

• lactase
– lactose into glucose and galactose
14
large intestine

Digestion

–1-4 hours for sugars and
starches to be digested
–only fibers remain
• attract water, which softens
stool

–bacteria ferment some fibers
• water, gas, short-chain fatty
acids (used for energy)
15
Carbohydrate Absorption
• glucose can be absorbed in the mouth
• majority absorbed in small intestine
–active transport
• glucose and galactose

–facilitated diffusion
• fructose
16
1

Intestine

Maintaining
Blood Glucose
Homeostasis

When a person eats,
blood glucose rises.
2

Pancreas

High blood glucose stimulates
the pancreas to release insulin.

Insulin

Insulin stimulates the uptake of
glucose into cells and storage
as glycogen in the liver and
muscles. Insulin also stimulates
the conversion of excess
glucose into fat for storage.

3
Liver

Fat cell

Muscle

4
5

Pancreas

As the body's cells use
glucose, blood levels decline.

Low blood glucose stimulates
the pancreas to release
glucagon into the bloodstream.

Glucagon

6 Glucagon stimulates liver
cells to break down glycogen
and release glucose into the
blood.a

Glucose
Insulin
Glucagon
Glycogen

Liver

a The stress hormone

epinephrine and other hormones
also bring glucose out of storage.

7

Blood glucose begins to
rise.

17
Imbalance
Diabetes: after food intake, blood glucose rises and is
not regulated because insulin is inadequate
Hypoglycemia: blood glucose drops dramatically
too much insulin, activity, inadequate food intake, illness

Starvation- inadequate supply of carbohydrates-

ketone bodies (fat fragments) are an alternate
energy source-excess ketones can lead to ketosis

Lactose Intolerance
intestinal bacteria feed on undigested lactose
produce acid and gas, lactose molecules attract water
cause floating, abdominal discomfort, diarrhea
18
Glycemic Index
• way of classifying food according to their
ability to raise blood glucose
• Rate and degree of blood sugar elevation
following consumption

19
Artificial Sweeteners
•Saccharin
•Aspartame
•Sucralose
•Neotame

Diabetic pt.
20
RDA
45-65% of total energy
intake
Daily Value is 300
grams per day
fiber intake: Daily
Value 25-<40 gm
added sugar = <10% of
energy intake
21
FAT
are the body’s main form of longterm energy storage.
 large molecules made up of FA and
glycerol
 Fatty acids are long chains of carbon
atoms attached to hydrogen atoms.
 Fats

23
Classification
Simple lipids -

TG
Compound lipid-

phospholipids
Derived lipid:-

sterols

• major class of dietary lipid

• in adipose tissue-coconut oil, palm
oil, cotton seed, butter, margarine

• minor portion of lipids in diet
• lecithin is most common
• important part of cell membranes

• Cholesterol
• sex hormones, Vit D
24
classification
Saturated fats

Lauric acid
Palmate
Stearic acid

• No double bond C-C
• solid at room temp
• Animal origin—
ghee, butter,
cheese, meat, fish..

– obesity, high
cholesterol levels,
increased risk of heart
disease.

25
Unsaturated fats
MUFA
 Oleic acid

PUFA
 Lenolenic acid
 Lenoleic acid
 Arachidonic acid
 Eicosapentenoic acid
Safflower oil
Corn oil
Sunflower
Soybean

Groundnut
Mustard
Palm
Cod
liver oil

26
Structure of lipoprotein
INTEGRAL APOPROTEINS
MONOLAYER OF PHOSPHOLIPID
AND CHOLESTERLOL
CHOLESTEROL
ESTERS

CORE

TRIGLYCERIDES
PERIPHERAL APOPROTEINS

27
Class

Source and function

Major
apoliproteins

Chylomicrons
(CM)

Intestine.
Transport of dietary TG to cell

A, B48,
C(I,II,III) E

Very low density
lipoproteins
(VLDL)

Liver.
Transport of endogenously
synthesised TAG

B100,
C(I,II,III) ,
E

Low density
lipoproteins
(LDL)

Formed in circulation by
partial breakdown of IDL.
Delivers cholesterol to
peripheral tissues

B100

High density
lipoproteins
(HDL)

Liver.
Removes “used” cholesterol
from tissues and takes it to
liver

A,
C(I,II,III),
D, E
28
Trans Fat


An unhealthy substance made through
the chemical process of partial
hydrogenation of oils.



flavor & stability of foods



Deep fried fast foods, cake, chips….

29
30
Is there reason for concern?
 behave more like saturated fatty acids
◦ More atherogenic
◦ Takes many years to flush form body





◦

Raises the LDL

Lowers the HDL

making the arteries more rigid
causing major clogs in the arteries
creating insulin resistance-contribute to
DM
significantly increase the chance of heart
disease

31
Hydrogenation
Vegetable oil

vanaspati ghee
catalyst

Liquid

Drastically

semisolid form
keeping quality

EFA content

32
Refined oils
Refining & deodorizing of raw oil
 To remove free FA & rancid materials


Quality & taste
 costly

33
Uses of Fat
Energy- 9 kcal/gm
Insulation beneath skin

Support-Padding for organs
structural integrity of Cell membranes
Carry fat soluble vitamins
Precursor of Prostaglandin- vascular
homeostasis
Make food more palatable

34
Health Effects
Obesity
Phrenoderma-toad skin-due to
deficiency
CHD »atherosclesis
(cholestrol LDL)- >40% energy
supply form saturated fat
CA- colon/breast
35
Choice of cooking oil
PUFA [safflower/sunflower/corn oil]

MUFA

Ground-nut oil

Mustard oil

36
Know Your Lipid Profile
Fasting Blood Level
Level
Total Cholesterol

Ideal, Healthy
< 200 mg/dl

LDL-Cholesterol

< 100 mg/dl

HDL-Cholesterol

≥ 60 mg/dl

Triglycerides

< 150 mg/dl
37
20-30 % of total energy intake
• [The ICMR has recommended a daily intake of not more than
20 % of total energy intake through fats]

>50% from vegetable oils
saturated fat <10%
trans fat
Cholesterol

PUFA

<1%
<300 mg/Day

6-10% of total energy intake
38
Thank you

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CARBOHYDRATE & LIPIDS

  • 2. Carbohydrates Aldehyde or ketone compound with multiple hydroxyl gp include sugars, starches, and fiber. Provides energy store in our body [4 kcal/1gm] Structural element of cell wall of bacteria/plant/arthropods Linked to many protein n fat compound (Glycoprotein in membrane) 2
  • 3. 3
  • 5. Simple Carbohydrates Glucose Fructose • sweetest sugar • found in fruits and honey • added to soft drinks, deserts • mild sweet flavor • known as blood sugar • essential energy source • found in every Galactose disaccharide and • hardly tastes sweet polysaccharide • rarely found naturally as a single sugar 5
  • 6. Maltose DISACCHARIDES pairs of the monosaccharide's C12H24O12 2 glucose units • Germinating grains • Sweet potatoes • Dates • beer Sucrose: – fruit, – vegetables, – grains Lactose : glucose+galactose main carbohydrate in milk 6
  • 8. Glycogen Complex Carbohydrates • limited in meat and not found in plants – not an important dietary source of carbohydrate • BUT – all glucose is stored as glycogen • Long chain Must be broken down to be used by the body 8
  • 9. Starches Complex Carbohydrates • plant foods (potatoes, beans, peas, and grains such as rice corn and wheat). • body hydrolyzes plant starch to glucose 9
  • 10. Fiber Complex Carbohydrates • Nor- starch polysaccharides – found in grains, fruits and vegetables 10
  • 11. Fiber types • cellulose • pectins • lignins • Plant gums • mucillage 11
  • 12. Fiber • Fiber: provides little energy and is indigestible. Absorbs water-increase bulk of stool & soften stoolpromote bowel movements - alleviate constipation- formation of gas & toxic substances-Keeps your digestive tract healthy. • Inhibits mutagen in colon-CA colon • CHD- binds to BS-cholesterol • Gum/pectin-PPBS 12
  • 13. Carbohydrate Digestion • begins in mouth – chewing releases saliva – enzyme salivary amylase hydrolyzes starch to polysaccharides and maltose • stomach – no enzymes available to break down starch – acid does some breakdown – fibers in starch provide feeling of fullness 13
  • 14. small intestine Digestion – majority of carbs digestion takes place here – pancreatic amylase reduces carbs to glucose chains or disaccharides – specific enzymes finish the job • maltase – maltose into 2 glucose • sucrase – sucrose into glucose and fructose • lactase – lactose into glucose and galactose 14
  • 15. large intestine Digestion –1-4 hours for sugars and starches to be digested –only fibers remain • attract water, which softens stool –bacteria ferment some fibers • water, gas, short-chain fatty acids (used for energy) 15
  • 16. Carbohydrate Absorption • glucose can be absorbed in the mouth • majority absorbed in small intestine –active transport • glucose and galactose –facilitated diffusion • fructose 16
  • 17. 1 Intestine Maintaining Blood Glucose Homeostasis When a person eats, blood glucose rises. 2 Pancreas High blood glucose stimulates the pancreas to release insulin. Insulin Insulin stimulates the uptake of glucose into cells and storage as glycogen in the liver and muscles. Insulin also stimulates the conversion of excess glucose into fat for storage. 3 Liver Fat cell Muscle 4 5 Pancreas As the body's cells use glucose, blood levels decline. Low blood glucose stimulates the pancreas to release glucagon into the bloodstream. Glucagon 6 Glucagon stimulates liver cells to break down glycogen and release glucose into the blood.a Glucose Insulin Glucagon Glycogen Liver a The stress hormone epinephrine and other hormones also bring glucose out of storage. 7 Blood glucose begins to rise. 17
  • 18. Imbalance Diabetes: after food intake, blood glucose rises and is not regulated because insulin is inadequate Hypoglycemia: blood glucose drops dramatically too much insulin, activity, inadequate food intake, illness Starvation- inadequate supply of carbohydrates- ketone bodies (fat fragments) are an alternate energy source-excess ketones can lead to ketosis Lactose Intolerance intestinal bacteria feed on undigested lactose produce acid and gas, lactose molecules attract water cause floating, abdominal discomfort, diarrhea 18
  • 19. Glycemic Index • way of classifying food according to their ability to raise blood glucose • Rate and degree of blood sugar elevation following consumption 19
  • 21. RDA 45-65% of total energy intake Daily Value is 300 grams per day fiber intake: Daily Value 25-<40 gm added sugar = <10% of energy intake 21
  • 22. FAT
  • 23. are the body’s main form of longterm energy storage.  large molecules made up of FA and glycerol  Fatty acids are long chains of carbon atoms attached to hydrogen atoms.  Fats 23
  • 24. Classification Simple lipids - TG Compound lipid- phospholipids Derived lipid:- sterols • major class of dietary lipid • in adipose tissue-coconut oil, palm oil, cotton seed, butter, margarine • minor portion of lipids in diet • lecithin is most common • important part of cell membranes • Cholesterol • sex hormones, Vit D 24
  • 25. classification Saturated fats Lauric acid Palmate Stearic acid • No double bond C-C • solid at room temp • Animal origin— ghee, butter, cheese, meat, fish.. – obesity, high cholesterol levels, increased risk of heart disease. 25
  • 26. Unsaturated fats MUFA  Oleic acid PUFA  Lenolenic acid  Lenoleic acid  Arachidonic acid  Eicosapentenoic acid Safflower oil Corn oil Sunflower Soybean Groundnut Mustard Palm Cod liver oil 26
  • 27. Structure of lipoprotein INTEGRAL APOPROTEINS MONOLAYER OF PHOSPHOLIPID AND CHOLESTERLOL CHOLESTEROL ESTERS CORE TRIGLYCERIDES PERIPHERAL APOPROTEINS 27
  • 28. Class Source and function Major apoliproteins Chylomicrons (CM) Intestine. Transport of dietary TG to cell A, B48, C(I,II,III) E Very low density lipoproteins (VLDL) Liver. Transport of endogenously synthesised TAG B100, C(I,II,III) , E Low density lipoproteins (LDL) Formed in circulation by partial breakdown of IDL. Delivers cholesterol to peripheral tissues B100 High density lipoproteins (HDL) Liver. Removes “used” cholesterol from tissues and takes it to liver A, C(I,II,III), D, E 28
  • 29. Trans Fat  An unhealthy substance made through the chemical process of partial hydrogenation of oils.  flavor & stability of foods  Deep fried fast foods, cake, chips…. 29
  • 30. 30
  • 31. Is there reason for concern?  behave more like saturated fatty acids ◦ More atherogenic ◦ Takes many years to flush form body    ◦ Raises the LDL Lowers the HDL making the arteries more rigid causing major clogs in the arteries creating insulin resistance-contribute to DM significantly increase the chance of heart disease 31
  • 33. Refined oils Refining & deodorizing of raw oil  To remove free FA & rancid materials  Quality & taste  costly 33
  • 34. Uses of Fat Energy- 9 kcal/gm Insulation beneath skin Support-Padding for organs structural integrity of Cell membranes Carry fat soluble vitamins Precursor of Prostaglandin- vascular homeostasis Make food more palatable 34
  • 35. Health Effects Obesity Phrenoderma-toad skin-due to deficiency CHD »atherosclesis (cholestrol LDL)- >40% energy supply form saturated fat CA- colon/breast 35
  • 36. Choice of cooking oil PUFA [safflower/sunflower/corn oil] MUFA Ground-nut oil Mustard oil 36
  • 37. Know Your Lipid Profile Fasting Blood Level Level Total Cholesterol Ideal, Healthy < 200 mg/dl LDL-Cholesterol < 100 mg/dl HDL-Cholesterol ≥ 60 mg/dl Triglycerides < 150 mg/dl 37
  • 38. 20-30 % of total energy intake • [The ICMR has recommended a daily intake of not more than 20 % of total energy intake through fats] >50% from vegetable oils saturated fat <10% trans fat Cholesterol PUFA <1% <300 mg/Day 6-10% of total energy intake 38