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.
    • Accute carbohydrate depletion may cause tunnel vision, nausea, irritability
    • Metabolism can adapt to prolonged low carb, high fat/protien 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 tolarance and performance.
    • Body can adapt and convert dietary protein to carbohydrates via gluconeogenesis
      • If low carbohydrate diet is coupled with insufficent dietary protein or calories
        • risk of burning lean tissue (muscle) by gluconeogenesis
  • Too many carbohydrates
    • Converted to fat and stored
    • Increases body fat by suppressing fat oxidation

Recomendations 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
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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
    • Keep blood sugar stable
    • Inhibit hunger shortly after meal or snack
  • 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

 

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