HUMAN NUTRITION Les Jones, PA-C, R.D. [email protected] (406) 587-3660.
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Transcript of HUMAN NUTRITION Les Jones, PA-C, R.D. [email protected] (406) 587-3660.
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Chapter 1 AN OVERVIEW OF NUTRITION
&
Chapter 2 PLANNING A HEALTHY DIET
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Science of Nutrition
• The study of food and the substances they contain
• The study of nutrients - their action, interaction & balance – in relation to health & disease
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The Study of Food
•Food - derived from plant or animal sources
•Provide energy and nutrients–Used by the body for maintenance, growth, and repair
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The Study of Food•Diet -the foods one consumes
•The quality of which affects health and the risk of chronic diseases
•The word “diet” is derived from the Greek word “diatia” which means “manner of living”
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Food Selection• Food Selection–Why do we eat as we
do?
1. Personal Preference
2. Positive & Negative Associations
3. Habit
4. Ethnic Heritage/Tradition
5. Values
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Food Selection – cont.
6. Social Pressure
7. Emotional Comfort
8. Availability/Convenience/Economy
9. Body Weight & Image
10. Medical Conditions
11. Nutrition & Health Benefits
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The Study of Nutrients
• Nutrients – substances used by the body to:
1. Supply energy2. Promote growth & repair of
body tissues3. Regulate body processes
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The Nutrients
Defined by:
1. Organic or inorganic
2. Essential or nonessential
3. Macronutrients or micronutrients
4. Energy-yielding
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The Nutrients• Chemical composition of nutrients
Inorganic Nutrients Minerals
Water Organic Nutrients Carbohydrates
Lipids Protein Vitamins
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The Nutrients
•The Nutrients•The Nutrients
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The Nutrients
6 Classes of Essential Nutrients
»Carbohydrates
»Proteins
»Lipids
»Vitamins
»Minerals
»Water
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The Nutrients
• Macronutrients are required by the body in relatively large amounts (measured in grams)
• Carbohydrates
• Protein
• Lipids
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The Nutrients
• Micronutrients are required in small amounts (measured in milligrams or micrograms)
• Vitamins
• Minerals
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The Nutrients
Vitamins
Organic Not energy-yielding Essential Water soluble vs. fat-soluble Vulnerable to destruction
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The Nutrients
Minerals
Inorganic Not energy-yielding Essential Indestructible
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The Nutrients
Water
Inorganic Not energy-yielding Essential
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The Nutrients• Energy-Yielding Nutrients
– Carbohydrates– Proteins– Lipids
• Measures of Energy – Kilocalories – measure of food energy– Kilojoules – international unit of food
energy– 1 kcal = 4.2 kJ
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Nutrition Standards & Guidelines
How much do we need?
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Nutrient Recommendations
Dietary Reference Intakes – a set of
nutrient intake values used for planning
& assessing diets including:
• Estimated Average Requirements
• Recommended Dietary Allowances
• Adequate Intakes
• Tolerable Upper Limits
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Nutrient Recommendations
• Estimated Average Requirement
1. The average daily amount of a nutrient
needed in the diet that will maintain
physiological activities and reduce
disease risks
2. Different criterion for each nutrient and
each gender and age group of people
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Nutritient Recommendations
Recommended Dietary Allowances (RDA)
1. Estimates for average daily nutrient
intakes which are believed adequate
to prevent deficiency in nearly all
healthy Americans
2. Goals for individuals
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Estimated Average Requirements & Recommended Dietary Allowances compared
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Nutrient Recommendations
• Adequate Intakes – a value used as a guide for sufficient nutrient intake when there is insufficient scientific evidence to establish a RDA
• Tolerable Upper Intake Levels – the maximum daily amount of a nutrient that appears safe for most healthy people
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Dietary Reference Intakes
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Energy Recommendations• Estimated Energy Requirement – the
average dietary energy intake that maintains energy balance in a healthy person of a given age, gender, weight, height, and activity level
• Acceptable Macronutrient Distribution Ranges– Carbohydrate: 45% - 65%– Fat: 20% - 35%– Protein: 10% - 35%
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Recommended Intakes of Nutrients & Energy compared
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• Nutrient recommendations are set high enough to cover nearly everyone’s requirements
• Energy recommendations are set at the mean so that half the population’s requirements fall below and half above it.
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Using Nutrient Recommendations
• Estimates of energy & nutrient intakes apply to healthy people
• Recommendations are NOT minimum requirements
• Recommendations are NOT optimal for all people
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Using Nutrient Recommendations
• Recommendations should be met by consuming a varied diet
• Recommendations apply to average daily intakes
• Each DRI category serves a unique purpose
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Nutrition Assessment of Individuals
Malnutrition – undernutrition vs. overnutrition
• Historical information• Anthropometric data• Physical examination• Laboratory tests
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Using the DRI to Assess the Nutrient Intake of an Individual
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Nutritional Assessment of Populations
• National Nutrition Surveys - used to assess:
1. What people eat
2. Nutritional health
3. Nutrition knowledge, attitudes &
behaviors
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Nutrition Assessment of Populations
National Nutrition Survey results used to determine public policy regarding:1. Nutrition Education2. Food assistance programs3. Regulation of food supply4. Research priorities5. Healthy People 2010 – national
objectives in health promotion and disease prevention
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Nutrition Assessment of Populations
National Health Goals - recommendations to prevent over-nutrition, especially of fat, cholesterol, sugar, salt & alcohol1. Diet and Health: Implications for
Reducing Chronic Disease Risk2. Dietary Guidelines for Americans3. Healthy People 2010 – national
objectives in health promotion and disease prevention
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Dietary Guidelines
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Nutrition Assessment of Populations
• Healthy People 2010 Nutrition & Overweight Objectives – a national public health initiative that identifies the most significant preventable threats to health and focuses efforts towards eliminating them (page 23) including:
reducing obesity in adults & children, growth retardation in low-income children, increase servings of fruits, vegetables, and whole grains, decrease total fat, saturated fat, and sodium intake, reduce iron deficiency anemia
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Diet-Planning PrinciplesThe 3 “keys” to a healthy diet
(nutritional adequacy & calorie control)
1. Variety – eat a wide selection of foods
2. Moderation – don’t eat to excess
3. Balance – achieve dietary adequacy
within your energy budget by choosing
foods of high nutrient density
(nutrients relative to kcals)
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Diet-Planning Guides1. Food Group Plans – foods sorted into groups
by origin and nutrient content
2. Daily Food Guide – 5 categories of foods; foods within each group categorized by nutrient density with defined serving sizes and ranges for recommended number of servings for different energy intakes
3. Food Guide Pyramid – pictorial form of Daily Food Guide
4. Exchange Lists – foods sorted based on energy-nutrient content
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Food Guide Pyramid
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From Guidelines to Groceries
Food labels help consumers make informed food choices by showing:
1. Ingredients – listed in descending
order by weight
2. Serving size – the same for a
given type of product
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3. Nutrition information – on calories, fat, cholesterol, sodium, carbohydrates, protein, vitamins, & minerals
4. % Daily Value* - how a food contributes to recommended daily intakes ; *based on 2000 kcals/day
5. Other information – descriptive terms & health claims are regulated by the Food and Drug Administration
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Reading a Food Label
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Nutrition in Your Life
• Do you eat the minimum number of servings from each of the five food groups daily?
• Do you try to very your choices within each food group from day to day?
• What dietary changes could you make to improve your chances of enjoying good health?