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Chapter 8Nutrition: Eating for Optimal Health

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Title: Chapter 8Nutrition: Eating for Optimal Health


1
Chapter 8NutritionEating for Optimal Health
2
Assess Yourself
  • Complete the assessment on page 244

3
Nutrition
  • Essential Nutrients
  • Body gets from food because it cannot manufacture
    at all, or fast enough
  • Proteins, fats, carbohydrates, vitamins,
    minerals, and water

4
Calories
  • Which of the essential nutrients provide
    calories?
  • Calories A unit of measure that indicates the
    amount of energy obtained from a particular food.

5
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6
Table 8.1
7
Figure 8.2
8
Proteins
  • Form important parts of muscles, bonesalso
    blood, enzymes, some hormones, and cell membranes
  • Building blocks of proteinamino acids
  • 20 common9 are essential 11 can be produced by
    the body
  • Can provide energy to the body
  • 4 calories per gram

9
Protein
  • Complete Individual protein sources are
    complete if they supply ALL of the essential
    amino acids in adequate amounts.
  • Exp meat, fish, poultry, eggs, milk, cheese, and
    soy
  • Incomplete Do not supply all of the essential
    amino acids in adequate amounts.
  • Exp Plant sources, such as legume and nuts
  • Good sources of most essential amino acids, but
    usually low in one or two

10
Protein
  • Adequate recommended daily intake
  • .36 gram per pound
  • Or 56g of protein per day for males and 46g for
    females
  • Possible sources
  • 3 ounces of lean meat, poultry, fish 20-25g
  • ½ cup of tofu 20-25g
  • 1 cup of dry beans 15-20g
  • 1 cup of milk or yogurt or 1 ½ oz. of cheese
    8-12g
  • cereals, grains, nuts, and vegetables
    2-4g/serving

11
Figure 8.4
12
Figure 8.3
13
Protein
  • Consumed beyond what we need can be synthesized
    into fat for energy storage or burned for energy
    needs.
  • 10-35 of your total daily caloric intake
  • Remember that often protein sources are higher in
    fat too

14
Fats
  • Usable energy
  • Help insulate body, cushion organs, temperature
    control
  • Help your body absorb fat-soluble vitamins
  • Flavor/texture to foods
  • Acceptable Macronutrient Distribution Ranges
    (AMDR) 20-35 per day

15
Fats
  • Major fuel during rest and light activity
  • Certain fats help maintain blood pressure and
    progress of healthy pregnancy
  • Most fats in food are in the form of
    triglycerides

16
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17
Basic Cooking Fats
  • All fats have the same number of calories. 9
    cal/gram
  • Food fats usually have both saturated and
    unsaturateddominant type determines
    characteristics
  • Saturated solid at room temperature
  • Unsaturated liquid at room temperature
  • Saturated Primarily animal fatmeats, poultry,
    eggs, butter (do have important fatty acids, but
    use in smaller amounts)

18
Basic Cooking Fats
  • Unsaturated fats Mostly plant sources
  • Monounsaturated Many beneficial effects for the
    body, such as keeping arteries free from
    inflammation.
  • Exp Olive, sesame, peanut, avocado oil

19
Unsaturated Fats (cont)
  • Polyunsaturated Vegetable oils such as soybean,
    safflower, corn, sunflower.
  • Since cattle, pigs, chickens are all fed so much
    corn instead of the grass they once ate, we get
    large quantities of this already.

20
Fats
  • Omega-3 fatty acids Form of polyunsaturated fat
  • Found primarily in fish (2 X / week)
  • Lesser amounts in some plant sources
    (vegetables/nuts)
  • Heart healthy benefits
  • Reduce tendency of blood to clot
  • Inhibit inflammation and abnormal heart rhythms
  • Reduce blood pressure and risk of heart attack
    and stroke in some

21
Fats
  • Omega-6 fatty acids
  • Form of polyunsaturated fat
  • Some nutritionists recommend reducing the
    proportion of Omega-6s in favor of Omega-3s
  • Sources corn oil and soybean oil
  • Livestock feed
  • Used in margarine, salad dressing and mayonnaise

22
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23
Figure 8.5
24
Fats and Health
  • Fat
  • 25-35 (AMDR 20-35) of total daily calories
  • 7 from saturated fat
  • 10 from polyunsaturated fat
  • 20 from monounsaturated fat
  • Cholesterol
  • Total Cholesterol 200mg/dl or less
  • High Density Lipo-Protein (HDLs)
  • more than 60 mg/dl
  • Low Density Lipo-Protein (LDLs)
  • less than 130 mg/dl

25
Trans-Fatty Acids
  • Soybeans, corn, sunflower seeds, rapeseed
    (canola), safflower seeds, cottenseeds crushed
  • Refined with chemical solvents deodorizing
    agents and bleachesbegins the process of the
    oils good fatty acids
  • A small amount of a metal catalyst added to the
    oilusually nickel
  • Hydrogen gas added under very high pressure and
    very high temperatures
  • End product is plastic/thicker and can hold a
    shapenot an oil anymore

26
Trans-Fatty Acids
  • TFAs linked to heart disease, diabetes, obesity
    (since 1990sHarvard)
  • The Institute of Medicine at the National Academy
    of Sciences (2002) no safe level of human
    consumptionupper intake level of ZERO

27
Fats
  • Trans-fatty acids and saturated fat raise LDL
    (low density lipoprotein)
  • Unsaturated and monounsaturated may lower LDL and
    raise HDL (high density lipoprotein)
  • In large amounts trans-fatty acids may lower HDL

28
Fats
  • Trans fats on food labels by 2006
  • Can advertise trans-fat free with a small amount
    of trans-fat in the product
  • Watch the ingredient labels

29
Trans-Fatty Acids
  • Watch for these items on the nutrition label
    under ingredients
  • Partially hydrogenated vegetable oil
  • Mono hydrogenated margarine
  • Partially hydrogenated oils
  • Margarine
  • Shortening
  • Vegetable shortening

30
Carbohydrates
  • Supply energy to body cells
  • Some cells, such as those in the brain and other
    parts of the nervous system and blood use only
    carbohydrates for fuel

31
Carbohydrates
  • Types
  • Simple Carbs sugar, honey, fruits and milk (1-2
    sugar units/molecule)
  • Complex Carbs Grains, grain products, potatoes,
    and legumes (chains of sugar molecules)
  • Starches grains, legumes, tubers
  • Dietary fiber grains, fruits, vegetables
  • Refined (processed)
  • Unrefined (whole grains)

32
  • During digestion in the mouth and small
    intestine, starches and double sugars broken down
    into single sugar moleculesglucosefor
    absorption
  • Once glucose in the bloodstream pancreas
    releases the hormone insulinwhich allows cells
    to take up glucose and use it for energy
  • The liver and muscles also take up glucose to
    provide carbohydrate storage in the form of
    glycogen.

33
Carbohydrates
  • Before processing
  • Inner layer of germ
  • Middle layerendosperm
  • Outer layer of bran
  • Digest more slowly, enter the bloodstream more
    slowly, feel full faster/longer
  • Always look for whole as the first word on the
    ingredients list

34
Carbohydrates
  • After processing
  • Germ and bran removed
  • Leaving starchy endosperm (now white flour or may
    say enriched)
  • Retain all of the calories of whole grain
  • Much lower in fiber, vitamins, minerals, other
    beneficial compounds

35
Carbohydrates
  • 55 of total calories (ADMR 45-65)
  • simple carbs 15 of total calories
  • limit to less than 10 added sugarsempty
    calories

36
Dietary Fiber
  • Plant substances that are nondigestible
  • Dietary (present naturally in plants)
  • Functional (isolated from natural sources or
    synthesized in a lab and added to a food)
  • Pass through the intestinal tract and provide
    bulk for feces
  • Decreases constipation, hemorrhoids, and
    diverticulitis
  • Slows emptying of stomach, slows movement of
    glucose into the blood, reduces absorption of
    cholesterol

37
Dietary Fiber
  • Recommendations
  • 38 grams daily males 25 grams for females
  • Americans in general only consume about half this
    amount
  • Processing can remove fiber--so eat fruits,
    vegetables, legumes, whole grains

38
Table 8.2
39
Recommended Grams Per DayBased on a 2200 Cal Per
Day
  • Fats 30 of calories per day
  • 2200 X 30 660 calories
  • 660/9 cal/per/gram 73 grams per day
  • Proteins 15 of calories per day
  • 2200 X 15 330 calories
  • 330/4 calories per gram 83 grams per day
  • Carbs 55 of calories per day
  • 2200 X 55 1210 calories
  • 1210/4 calories per gram 303 grams per day

40
Glycemic Index
  • Theory is that high-glycemic index foods are
    broken down quickly, thus causing a rapid rise in
    blood sugar
  • Insulin kicks in to help move the sugar from the
    blood into the cells where it is needed
  • Blood sugar drops
  • Signals hunger
  • Person wants to eat again

41
Glycemic Index
  • Low GI 55 or lessMedium GI 56 - 69High GI
    70 or more
  • Example
  • Glycemicindex.com
  • GI database
  • Need more research on foods

42
MyPyramid.gov (USDA)
  • Food guidance system that promotes healthy food
    choices and physical activity
  • Choosing a balance of servings from different
    food groups meets nutrient needs and reduces
    chronic disease risk
  • Balancing food choices and activity promotes
    weight management

43
Figure 8.7
44
MyPyramid Grains
  • For a 2000-calorie diet, choose 6
    ounce-equivalents per day
  • 1 ounce-equivalent
  • 1 slice of bread
  • 1 small muffin
  • 1 cup ready-to-eat cereal flakes
  • 1/2 cup cooked cereal, rice, grains, pasta
  • 1 6-inch tortilla

45
MyPyramid Vegetables
  • For a 2000-calorie diet, choose 2-1/2 cups (5
    servings) per day
  • 1/2 cup or equivalent
  • 1/2 cup raw or cooked vegetables
  • 1/2 cup vegetable juice
  • 1 cup raw leafy salad greens

46
MyPyramid Vegetables
  • Choose vegetables from five groups
  • Dark green vegetables (spinach, kale, collards,
    bok choy, other leafy greens)
  • Orange and deep yellow vegetables (carrots,
    winter squash, sweet potatoes)
  • Legumes
  • Starchy vegetables (corn, potatoes, peas)
  • Others (e.g., tomatoes, bell peppers, green
    beans, cruciferous vegetables)

47
MyPyramid Fruits
  • For a 2000-calorie diet, choose 2 cups (4
    servings) per day
  • 1/2 cup or equivalent
  • 1/2 cup fresh, canned, or frozen fruit
  • 1/2 cup fruit juice (100 juice)
  • 1 small whole fruit
  • 1/4 cup dried fruit
  • Choose whole fruits often

48
MyPyramid Milk
  • For a 2000-calorie diet, choose 3 cups or the
    equivalent per day
  • 1 cup or equivalent
  • 1 cup milk or yogurt
  • 1/2 cup ricotta cheese
  • 1-1/2 ounces natural cheese
  • 2 ounces processed cheese
  • Choose low-fat and fat-free items

49
MyPyramid Meat and Beans
  • For a 2000-calorie diet, choose 5-1/2
    ounce-equivalents per day
  • 1-ounce equivalents
  • 1 ounce cooked lean meat, poultry, fish
  • 1/4 cup tofu or cooked legumes
  • 1 egg
  • 1 tablespoon peanut butter
  • 1/2 ounce nuts or seeds
  • Choose lean cuts, limit serving sizes, and try
    one plant protein source daily

50
MyPyramid Oils
  • For a 2000-calorie diet, choose 6 teaspoons per
    day
  • 1 teaspoon or equivalent
  • 1 teaspoon vegetable oil or soft margarine
  • 1 tablespoon salad dressing or light mayonnaise
  • Food sources 8 large olives, 1/6 medium avocado,
    1/2 tablespoon peanut butter, 1/3 ounce roasted
    nuts

51
MyPyramid Discretionary Calories
  • If nutrient-dense forms are selected from food
    groups, the remaining discretionary calories may
    be used to increase intake of fats or added
    sugars.

52
Figure 8.8
53
Table 8.5
54
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55
Figure 8.6
56
VitaminsTable 12.1
  • Organic substances required in small amounts to
    promote specific chemical reactions (catalyst)
    within a living cell.
  • Thirteen vitamins
  • Four Fat Soluble A, D, E, and K.
  • Carried in the blood by special proteins, stored
    in the body in fat tissues rather than excreted.
  • Nine Water Soluble C and 8 B-complex vitamins.
  • Absorbed directly into the blood streamexcess
    removed by the kidneys

57
Table 8.3
58
Antioxidants/Free Radicals
  • Antioxidants Substance that can lessen the
    breakdown of food or body constituents by free
    radicals.
  • Free Radicals Compounds that can damage cell
    membranes
  • produced through chemical reactions in the body
  • exposure to environmental factors

59
Eating for Healthy Bones
  • Most bone mass built by 18 y/o
  • Peak 25-35
  • Up to 50 of bone loss determined by lifestyle
    factors (diet/exercise)
  • Osteoporosis A condition in which the bones
    become extremely thin and brittle and break
    easily.

60
Key Nutrients for Bones
  • Calcium
  • Ave. American 600-800 mg /d, only half of what is
    recommended
  • Milk, yogurt, and calcium-fortified orange juice,
    bread, cereals
  • Obtain from food firstsupplements if needed

61
Key Nutrients for Bones
  • Vitamin D Necessary for bones to absorb
    calcium.
  • Manufactured by the skin when exposed to sunlight
    (hands/face/arms 5-15 minutes a few X /week
    without sunscreen)
  • Obtained from food

62
Key Nutrients for Bones
  • Vitamin K
  • Stronger bones
  • Broccoli and leafy green vegetables
  • Other Nutrients
  • Magnesium
  • Vitamin C, Potassium, Manganese, Zinc and
    Copper, Boron

63
Table 8.4
64
Healthy Eating Pyramid--Harvard School of Public
Health
65
The Vegetarian Alternative
  • Types of vegetarian diets
  • Vegan vegetarian who eats no animal products
  • Lacto-vegetarian vegetarian who includes milk
    and cheese products in the diet
  • Lacto-ovo-vegetarian vegetarian who includes
    milk and cheese products and eggs in the diet
  • Partial vegetarian, semivegetarian, or
    pescovegetarian vegetarian who includes eggs,
    dairy products, and small amounts of poultry and
    seafood in the diet

66
Table 8.6
67
Figure 8.10
68
Table 8.7
69
Nutrition Assignment
  • Grocery Assignment (I drive)
  • Keep a Nutrition Journal for three days
  • See the I drive Nutrition Analysis Assignment

70
Carbohydrates, proteins, and fats differ from
other nutrients because they provide the body
with ________.
  •  
  • Enzymes
  • Amino acids
  • Roughage
  • Calories
  • D. Calories

71
Essential amino acids get their name from the
fact that
  •  
  • They must be obtained from the diet
  • They can be easily synthesized
  • They are the most important for good health
  • They are manufactured in the body
  • A. They must be obtained from the diet

72
The vitamins that need fat for absorption are
  •  
  • Vitamins A, D, E, K
  • Water soluble and fat soluble
  • Organic and inorganic
  • Synthetic and natural
  • A. Vitamins A, D, E, K

73
Martha is a vegetarian that excludes all animal
products, but eats eggs. What type of vegetarian
diet is this?
  •  
  • Vegan
  • Ovovegetarian
  • Semivegetarian
  • Pescovegetarian
  • B. Ovovegetarian

74
Eating for Health
  • A healthful diet provides the proper combination
    of
  • a. Trans fat and saturated fat
  • b. Energy and nutrients
  • c. Calories and sugar
  • d. Sodium and vitamins

ANSWER
BACK TO GAME
75
Eating for Health
  • A healthful diet provides the proper combination
    of
  • a. Trans fat and saturated fat
  • b. Energy and nutrients
  • c. Calories and sugar
  • d. Sodium and vitamins

BACK TO GAME
76
Eating for Health
  • Which of the following foods would be considered
    nutrient dense?
  • a. Non fat milk
  • b. Onion rings
  • c. Cream cheese
  • d. Diet soda

ANSWER
BACK TO GAME
77
Eating for Health
  • Which of the following foods would be considered
    nutrient dense?
  • a. Non fat milk
  • b. Onion rings
  • c. Cream cheese
  • d. Diet soda

BACK TO GAME
78
Eating for Health
  • One third of the calories eaten by Americans
    comes from
  • a. Chicken
  • b. Bread
  • c. Milk
  • d. Junk food

ANSWER
BACK TO GAME
79
Eating for Health
  • One third of the calories eaten by Americans
    comes from
  • a. Chicken
  • b. Bread
  • c. Milk
  • d. Junk food

BACK TO GAME
80
Nutrients
  • Which of the following nutrients are required for
    the repair and growth of tissue?
  • a. Carbohydrates
  • b. Protein
  • c. Fat
  • d. Minerals

ANSWER
BACK TO GAME
81
Nutrients
  • Which of the following nutrients are required for
    the repair and growth of tissue?
  • a. Carbohydrates
  • b. Protein
  • c. Fat
  • d. Minerals

BACK TO GAME
82
Nutrients
  • The entire digestive process takes about
  • a. 24 hours
  • b. 48 hours
  • c. 4-5 hours
  • d. 30 minutes

ANSWER
BACK TO GAME
83
Nutrients
  • The entire digestive process takes about
  • a. 24 hours
  • b. 48 hours
  • c. 4-5 hours
  • d. 30 minutes

BACK TO GAME
84
Nutrients
  • Proteins that contain all of the 9 essential
    amino acids are called
  • a. Complete
  • b. Incomplete
  • c. Complementary
  • d. Planetary

ANSWER
BACK TO GAME
85
Nutrients
  • Proteins that contain all of the 9 essential
    amino acids are called
  • a. Complete
  • b. Incomplete
  • c. Complementary
  • d. Planetary

BACK TO GAME
86
Determining Nutritional Needs
  • When reading a food label, you should limit all
    except
  • a. Sodium
  • b. Cholesterol
  • c. Fat
  • d. Vitamins

ANSWER
BACK TO GAME
87
Determining Nutritional Needs
  • When reading a food label, you should limit all
    except
  • a. Sodium
  • b. Cholesterol
  • c. Fat
  • d. Vitamins

BACK TO GAME
88
Determining Nutritional Needs
  • Hemochromatosis results from excess consumption
    of
  • a. Vitamin A
  • b. Vitamin E
  • c. Iron
  • d. Calcium

ANSWER
BACK TO GAME
89
Determining Nutritional Needs
  • Hemochromatosis results from excess consumption
    of
  • a. Vitamin A
  • b. Vitamin E
  • c. Iron
  • d. Calcium

BACK TO GAME
90
Determining Nutritional Needs
  • MyPyramid recommends that a serving size of
    ready-to-eat cereal is
  • a. ½ cup
  • b. 1 cup
  • c. ½ cups
  • d. 2 cups

ANSWER
BACK TO GAME
91
Determining Nutritional Needs
  • MyPyramid recommends that a serving size of
    ready-to-eat cereal is
  • a. ½ cup
  • b. 1 cup
  • c. ½ cups
  • d. 2 cups

BACK TO GAME
92
Determining Nutritional Needs
  • A person on a 2,000 calorie diet has how many
    discretionary calories to use per day?
  • a. 100
  • b. 200
  • c. 300
  • d. 400

ANSWER
BACK TO GAME
93
Determining Nutritional Needs
  • A person on a 2,000 calorie diet has how many
    discretionary calories to use per day?
  • a. 100
  • b. 200
  • c. 300
  • d. 400

BACK TO GAME
94
Changing Habits
  • Eating a complete breakfast should include
  • a. A simple carbohydrate and protein
  • b. A complex carbohydrate and protein
  • c. A simple carbohydrate and juice
  • d. Water and a simple carbohydrate

ANSWER
BACK TO GAME
95
Changing Habits
  • Eating a complete breakfast should include
  • a. A simple carbohydrate and protein
  • b. A complex carbohydrate and protein
  • c. A simple carbohydrate and juice
  • d. Water and a simple carbohydrate

BACK TO GAME
96
Changing Habits
  • If you must eat fast food, you should
  • a. Order salads with low fat dressing
  • b. Order 1 single hamburger
  • c. Ask for the nutritional analysis
  • d. All of the above

ANSWER
BACK TO GAME
97
Changing Habits
  • If you must eat fast food, you should
  • a. Order salads with low fat dressing
  • b. Order 1 single hamburger
  • c. Ask for the nutritional analysis
  • d. All of the above

BACK TO GAME
98
Changing Habits
  • Beef and other meat should be cooked to an
    internal temperature of
  • a. 130-150 F
  • b. 140-160 F
  • c. 160-180 F
  • d. 180-200 F

ANSWER
BACK TO GAME
99
Changing Habits
  • Beef and other meat should be cooked to an
    internal temperature of
  • a. 130-150 F
  • b. 140-160 F
  • c. 160-180 F
  • d. 180-200 F

BACK TO GAME
100
Assess Yourself
  • Go over assessment completed at the beginning of
    this chapterPage 244
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