Carbohydrates

Utilization | Requirements | Athletes | Glycemic Index | Glycemic Load

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Utilization

  • Fuel for activity
    • Immediate fuel for activity
    • Sustained energy for aerobic activity
    • Major energy for high intense activity like weight training or sprinting
  • Protein sparer - nervous system uses carbohydrates
    • Lack of carbohydrates causes protein to go through gluconeogenesis (conversion of protein to glucose) and be metabolized
    • Contrary to popular belief, brain can metabolize lactate and ketones as well
    • Lactate (and other nutrients) also shuttle from astrocytes to neurons (Rev Med Suisse Romande, 2000)
  • Carbohydrates are metabolic primers, they are needed to completely burn fat
    • Incomplete combustion of fat will result in ketone bodies
    • Fat burns in the flame of carbohydrates.
  • Carbohydrates are the primary fuel for the CNS.
    • Acute carbohydrate depletion may cause tunnel vision, nausea, irritability
    • Metabolism can adapt to prolonged low carb, high fat/protein diet.

Requirements

  • Too little carbohydrates
    • More fat utilized as fuel source
    • Endurance can be reduced up to 50% until metabolism adapts
    • Glycogen stores become depleted (Costill and Miller, 1980)
    • Ketosis: Break down of protein (muscle wasting) and incomplete combustion of fats (ketone bodies)
      • Possible symptoms: weakness, dizziness, tunnel vision, fatigue, panting, abnormal EEG, strange breath
      • Possible symptoms in diabetics: unconsciousness, coma and even possibly death in rare cases
      • Blood acidosis may impair exercise tolerance and performance.
    • Body can adapt and convert dietary protein to carbohydrates via gluconeogenesis
      • If low carbohydrate diet is coupled with insufficient dietary protein or calories
        • risk of burning lean tissue (muscle) by gluconeogenesis
  • Too many carbohydrates
    • Increases triglyceridef5r levels
    • Converted to fat and stored
    • Increases body fat by suppressing fat oxidation

Recommendations for athletes or physically active

  • 50%-60% of calories should be carbohydrates
    • 40%-50% from complex carbohydrates
    • 10% from simple sugar
  • Carbohydrate feedings during long duration (> 90 min.) submaximal (<70% VO2) can improve endurance performance (Coyle E & Montain S, 1992; Maughan R, 1991).
    • Carbohydrate ingestions of 30 to 60 grams per hour are required to improve performance

Glycemic Index (GI)

  • High glycemic indexed food should be eaten with other foods
    • Soluble fiber, fat, acidic foods, and protein (particularly meat) significantly blunts insulin spike
    • Keeps blood sugar stable
    • Inhibit hunger shortly after meal or snack
  • GI monitoring may not have applicability in real world
    • Food is typically eaten with other foods
    • Breakfast is only time we eat after fast
    • Studies show those who eat lower GI diet
      • do not have significantly lower blood glucose levels
      • do not lose more weight
    • All values based on 50 grams of Carbohydrates
      • Does not take into account variations of portion size
      • Example: how often does someone eat 50 grams of carbohydrate of carrots?

Glycemic Load (GL)

  • Takes into account fiber content and portion size of food
  • GL = GI x Carb (grams) / 100

GI (Glycemic Index) is a percentage expressed as decimal relative to white bread
Food Serving Size Carbs (g) GI GL
Potato, baked 1 medium 37 1.21 45
Grape-Nuts (cereal) 1/2 cup 47 0.95 45
Cornflakes (cereal) 1 cup 26 1.19 31
White rice, cooked 1/2 cup 35 0.81 28
Pasta, cooked 1 cup 40 0.71 28
Cheerios (cereal) 1 cup 22 1.06 23
White bread 2 slices 24 1.00 22
Beans, cooked 1/2 cup 27 0.60 16
Corn Chips 1 oz 15 1.05 16
Whole-grain bread 2 slices 24 0.64 15
Wild rice, cooked 1/2 cup 18 0.78 14
All-Bran 1 cup 24 0.60 14
Carrots, cooked 1/2 cup 8 1.31 10
Lentils, cooked 1/2 cup 20 0.41 8
Popcorn, air-popped 1 cup 5 0.79 4

Ornish, D (2007), The Spectrum, Ballantine Books, New York.

 

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