digestion and absorption of carbohydrate lecture for 1st yr mbbs by dr waseem

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By,Dr Mohammad waseem kausar Assistant professor,Biochemistry IMDC 1 Digestion and Absorption of carbohydrates

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Page 1: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

By,Dr Mohammad waseem kausar

Assistant professor,Biochemistry

IMDC

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Digestion and Absorption of carbohydrates

Page 2: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Carbohydrates

• Sugars, Starches, Fibers

• Major food sources: plants

– Formed during photosynthesis

Photo © PhotoDisc

Page 3: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Objectives

• Provide an overview of the structures, mechanisms, and processes of the GI tract.

• Understand how food is digested and absorbed within the body.

• Explain how foods are transported after they are digested and absorbed.

• Describe how the body keeps the complex processes of digestion, absorption, and nutrient transport running smoothly.

• Explain various influences on digestion and absorption along with various nutrition and GI disorders.

Page 4: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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The Gastrointestinal Tract

• Organization– Mouth anus– Accessory organs

• Salivary glands, liver, pancreas, gallbladder

• Functions– Ingestion– Transport– Secretion– Digestion– Absorption– Elimination

Page 5: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Overview of Digestion

• Physical movement– Peristalsis– Segmentation

• Chemical breakdown– Enzymes– Other secretions

Page 6: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Overview of Absorption

Types of absorptive

processes

• Passive Diffusion

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Facilitated Diffusion

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ActiveTransport

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Page 10: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

Diet

Liquid , solid and semisolidPolysaccharides = starch and glycogen Disaccharides = sucrose, lactose and

maltoseMonosaccharides = fructose and pentoses.

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Page 11: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

Digestion in Mouth Saliva and Enzymes

• Salivary amylase(ptyline) acts on starch• Moistens food for swallowing• α- amylase requires . Optimum pH and Cl- ions

• 6.6 -6.8

• It hydrolysis α-1→4 linkages at random deep inside of p/s molecule like starch, glycogen, and dextrin, producing smaller molecules maltose, glucose and trisaccharide.

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Page 12: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

Digestion in the stomach

No action on meal no enzymes

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Page 13: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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The Pyloric ValveThe Pyloric Valve

Small Intestine Stomach

Page 14: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

Small intestine (Duodenum)

Pancreatic juicePancreatic amylase completes starch digestion Requirs α- amylase requires . Optimum pH(7.1)

and Cl- ionsEnd products of carbohydrate digestion

Glucose, fructose, galactose Absorbed into bloodstream

Fibers are not digested, excreted in feces

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Page 15: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

Small IntestinePancreatic enzymes-amylase

G G GG G

GG G G

G G GGGG G

amylose

amylopectin

G G G G G

amylase

+

GG G

G G

maltotriose maltose

Limit dextrins

G

Page 16: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

Small intestine Brush border enzymes digest disaccharides

Intestinal amylase hydrolyzes terminal α-1→4 linkages liberating free glucose.

Lactase (β-galactosidase) = pH 5.4 – 6.0

Isomaltase = hydrolysis α 1 – 6 = linkages splitting α - limit dextrin producing maltose and glucose

Maltase =Sucrase =

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Page 17: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

Oligosaccharide digestion..cont

GG G

G GG

G

GG GG

G

Glucoamylase (maltase) or

-dextrinase

G GG

GG

-dextrinase

G GG

G

G G

Gmaltase

sucrase

Limit dextrins G

Page 18: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Page 19: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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AbsorptionSmall intestine

Absorption• Folds, villi, microvilli expand absorptive surface• Most nutrients absorbed here• Fat-soluble nutrients go into lymph• Other nutrients into blood

Page 20: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Page 21: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Page 22: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Page 23: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Transit TimesTransit Times

*Assuming 24 hour Transit Time

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Signaling Systems: Command, Control, Defense

• Nervous system– Regulates GI activity

• Local system of nerves• Central nervous system

• Hormonal system– Increases or decreases GI activity

• Immune system– Identifies and attacks foreign invaders

Page 25: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Nutrition and GI Disorders

• Constipation– Hard, dry, infrequent stools– Reduced by high fiber, fluid intake,

exercise

• Diarrhea– Loose, watery, frequent stools– Symptom of diseases/infections– Can cause dehydration

• Diverticulosis– Pouches along colon– High fiber diet reduces formation

Page 26: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Nutrition and GI Disorders

• Gastroesophageal Reflux Disease (GERD)– Reduced by smaller meals, less fat

• Irritable Bowel Syndrome (IBS)• Colon cancer

– Antioxidants may reduce risk

• Gas• Ulcers

– Bacterial cause; helicobacter pylori

• Functional dyspepsia

Page 27: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Bacteria in the mouth ferment sugars and in the process produce an acid that dissolves tooth enamel. Sticky foods stay on the teeth longer and keep yielding acid longer than unsticky foods.

Page 28: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Lactose Intolerance

• Lactose in milk and other dairy foods

• Lactase enzyme

• Symptoms

Page 29: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Page 30: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

• Sucrase deficiency

• malabsorption

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Carbohydrates in Your Diet

• Recommended carbohydrate intake– 55-60% of kilocalories– Daily Value (for 2,000 kcal) = 300 grams– Dietary Guidelines

• Moderate sugar intake• Variety of grains, fruits, vegetables

– Fiber intake of 25 grams/day

Page 32: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Carbohydrates in Your Diet

• Increasing complex carbohydrate intake– Grains,

especially whole grains

– Legumes– Vegetables

Page 33: Digestion and Absorption of Carbohydrate Lecture for 1st yr MBBS by Dr Waseem

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Carbohydrates in Your Diet

• Reducing sugar intake– Use less added sugar– Limit soft drinks, sugary cereals,

candy– Choose fresh fruits or those

cannedin water or juice

Photo © CSquared Studios/PhotoDisc