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What is the most common source people obtain their sugars from
Beverages
What percent of our sugar do we drink
30%
What is the average amount of sugar consumed
71 g
What are the most common sources of added sugar
Desserts, coffee and tea, milk and yogurt, breakfast cereals and bars, sandwiches, candy and sugars, and beverages
What is the average sugar intake for a man, and what should it be
81 vs 38
What is the average sugar intake for a woman, and what should it be
60 vs 25
What are the common sugar alcohols
Erythritol, xylitol, and sorbitol
How do sugar alcohols differ from other sugars
2 kcals/g on average
What do sugar alcohols do to the body
Cause gas and bloating with other calories
Why do processors add sugar to foods
To enhance flavor, enhance texture, desirable color, manage pH in acidic, aid fermentation, and add bulk
Health consequences of excess sugar that lead to CVD and type 2 diabetes
Obesity, high blood pressure, elevated triglycerides, systemic inflammation, and dental caries
What are non-nutritive sweeteners
High intensity sweetness for 0 kcals/g, nonglycemic (don’t enter the blood)
What is ADI
Acceptable Daily Intake
What is acceptable daily intake
Amount a person can safely consume every day over a lifetime without risk, 1/100 the maximum amount without any effect
What are complex carbohydrates
Polysaccharides primarily built from glucose
What are the two building blocks for starch
Amylose and amylopectin
What is resistant starch made of
Amylose
What types of starch does amylase break down
Amylose and amylopectin
Where is fiber found
Plants
What is soluble fiber
Prebiotic that form a gel-like substance with water
What are examples of soluble fiber in food
Pulp (inside) of pears and apples
What is insoluble fiber
Harder to digest fiber that adds bulk to stool
Why is resistant starch like fiber
It makes it to the large intestine intact because the amylose is packed so closely together
Where are starches found
Anything made from flour, not fruits or veggies with exception of corn, potatoes, peas, bananas, and squashes
What happens when starches are cooked and cooled
Starches become more resistant as they cool, lose water, and amylose packs closer, this doesn’t go back when reheated, examples are potatoes, rice, and pasta
Where is amylase in the digestion track
Salivary amylase and pancreatic amylase(mouth and small intestine)
Where are galactose and fructose converted to glucose
In the liver after absorption
What carbohydrates are prebiotics
Fiber and resistant starch
What are most unabsorbed carbohydrates
Fiber
How is glucose stored
As glycogen in the liver and skeletal muscle, cannot leave skeletal muscle
What is liver glycogen used for
To regulate blood glucose, released into the blood
If not stored in the liver or skeletal muscle where does glucose go to be stored
Is stored as fat and stays as fat or is peed out
What is a side effect of the excess of glucose associated with hyperglycemia
Peeing a lot
What are the benefits of fiber
Slows gastric emptying, soluble fiber slows nutrient absorption by forming gel-like substance with water and slowing nutrients which lessens food impact on blood sugar, helps reduce blood cholesterol, keeps you full longer, insoluble fiber softens stool
How does fiber reduce blood cholesterol
slows recycling of bile, made of cholesterol and since bile is reduced cholesterol is used to make more
What is diverticulitis
Condition where pouches form outside GI tract, typically large intestine
Where is glucose used as energy
Red blood cells can only use glucose, brain prefers glucose, skeletal muscle
What energy source does the brain use other than glucose
Ketones
What is the normal range for blood glucose
70-100 mg/dl
What happens to blood glucose after a meal
It rises
How does the body minimize hyperglycemia
Removes it from the blood by putting it into cells or storing it
What decreases blood glucose after a meal
Insulin
What is insulin
A hormone
What are the steps for the body reacting to hyperglycemia
Elevated blood glucose, pancreas senses and releases insulin, insulin opens cell doors to muscle and fat cells, insulin causes cells to build glycogen to store, normalization
What are the steps for the body reacting to hypoglycemia
Low blood glucose, pancreas senses and releases glucagon (hormone), causes liver to break down glycogen into glucose, liver makes new glucose from amino acids or glycerol (gluconeogenesis), normalization
What is diabetes
A problem with insulin
What happens with Type 1 diabetics
Pancreas can’t make insulin, autoimmune disease
What happens with Type 2 diabetics
Cells have insulin resistance, associated with body fat since it interferes with signaling
How is sugar addictive
It hijacks your brain by stimulating your reward centers and releases dopamine
What is the RDA for carbs not including fiber
130 grams/day
What percent of total calories should come from sugar
<10%
What is the fiber AI for men and women
38 grams for men, 25 for women
How to control starch intake
Stay on lower end of AMDR unless you exercise
Eating what can help CHO consumption
Eat lots of non-starch fruits and veggies
Where should athletes be in CHO AMDR
Middle to high end
How does fiber specifically help diabetics
Helps control hyperglycemic events
Which MyPlate food groups contain fiber
Grains, fruits, and veggies (protein a little bit)
What is considered a good source of fiber
More than or equal to three grams (about equal to one serving of grains, fruits, or veggies)
What are the good sources of soluble fiber
Barley (beta glucan), oats, pulp of fruits and veggies, beans, nuts, flax, and chia
What are the good sources of insoluble fiber
Wheat, rye, corn, brown rice, broccoli, leafy greens, root vegetable skins, raisins, apple skins, pear skins
When increasing insoluble fiber what else should you do
Increase water intake otherwise you’ll get backed up
What are the essential fats
Omega-3 and Omega-6
Is cholesterol essential
No, we can make enough of it
Which lipids are not natural
Trans fats
Which lipid molecules can be absorbed
Cholesterol, monoglycerides, and fatty acids
What is the structure of a triglyceride
A chain of carbon atoms linked mostly by single bonds
What are the two ends of a fatty acid chain
Alpha (acid) and omega (methyl)
How long can fatty acid chains be
4-26 Cs
How long is a short fatty acid chain
less than 8 Cs
How long is a medium fatty acid chain
8-12 Cs
How long is a long fatty acid chain
Over 12 Cs
How long are most fatty acid chains
12-22 Cs
What properties does fatty acid chain length affect
Melting point, solubility in water, and others
What are the three main categories of lipids
Sterols, triglycerides, and phospholipids
What three things does cholesterol form
Vitamin D, steroid hormones, and bile
What are the two categories of triglycerides
Monoglycerides and fatty acids
What are the two categories of fatty acids
Saturated and unsaturated fats
What are the two types of unsaturated fats
Polyunsaturated and monounsaturated
What are Omega-3’s and Omega 6’s
Polyunsaturated fats
What are Omega 3’s also called
Alpha-linolenic acid
What are Omega 6’s also called
Linoleic acid
What types of lipids are we typically deficient in
Omega 3’s and MUFAs
What type of lipids are we toxic in
Saturated fats, PUFA’s, Omega 6’s, and cholesterol
What does 18:3 ALA mean in the context of omegas
Omega 3’s have 18 carbons and 3 double bonds
What does 18:2 LA mean in the context of omegas
Omega 6’s have 18 carbons and two double bonds
What do the numbers at the end of the omega name stand for
Where the first double bond is on the carbon chain
What do Omega 3’s do
Anti-inflammatory, vasodilation, and anti-clotting
What do Omega 6’s do
Inflammatory, vasoconstriction, and clotting
What are good ALA sources
Flax seeds, chia seeds, walnut, and canola oil
What are EPA/DHA’s
Form of Omega 3’s that are closer to eicosanoid (useable) form
What foods are the best sources of EPA/DHA
Salmon, tuna, mackerel, and rainbow trout
What is the recommendation for saturated fats
<10% of total calories, 5-6% for those with CVD risk factors
What is the recommendation for cholesterol
As little as possible (US dietary guideline), 100-300 mg/day
What is the EPA+DHA recommendation for women
300 mg
What is the EPA+DHA recommendation for men
500 mg
What is the ALA recommendation for women
800 mg
What is the ALA recommendation for men
1,100 mg
What is the total Omega 3 recommendation for women
1,100 mg
What is the total Omega 3 recommendation for men
1,600