Chapter Five: Understanding Nutrition and Your Diet © 2013 McGraw-Hill Higher Education. All rights reserved. Nutrients • Nutrients = elements in food that are required for the growth, repair, and regulation of body processes 1. Carbohydrates 2. Fats 3. Protein 4. Vitamins 5. Minerals 6. Water 7. Fiber © 2013 McGraw-Hill Higher Education. All rights reserved. Energy from Food Calorie = unit of energy 1 calorie = amount of energy needed to raise the temperature of 1 gram of water by 1 degree Celsius In common usage, “calorie” refers to “kilocalorie” (1,000 calories) © 2013 McGraw-Hill Higher Education. All rights reserved. Carbohydrates Major energy source: 4 calories/gram Types Monosaccharides Disaccharides Polysaccharides Recommended intake: 45-65% of total calories from carbohydrates © 2013 McGraw-Hill Higher Education. All rights reserved. Carbohydrates Simple sugars Average American adult consumes about 156 pounds of sweeteners each year Sugar, corn sweetener, syrup, honey Sodas, candy, bakery and processed goods Sugar substitutes Saccharin Aspartame Sucralose, tagatose Sorbitol, xylitol Acesulfame potassium Neotame Stevia © 2013 McGraw-Hill Higher Education. All rights reserved. Fats Functions: Insulation, carrier of vitamins, storage of long-term energy, and satiety Energy source: 9 calories/gram Types Saturated Monounsaturated Polyunsaturated Trans Recommended intake: 20-35% of total calories © 2013 McGraw-Hill Higher Education. All rights reserved. Types of Fats Saturated fats Solid at room temperature Primarily found in animal fats Negative effects on heart health Monounsaturated and polyunsaturated fats Liquid at room temperature Vegetable oils Positive effects on heart health Omega-3 polyunsaturated fats found in fish are considered especially healthful © 2013 McGraw-Hill Higher Education. All rights reserved. Fatty Acid Profiles of Common Fats and Oils © 2013 McGraw-Hill Higher Education. All rights reserved. Types of Fats: Trans Fats Altered form of unsaturated fat (hydrogen added) Associated with unhealthy changes in cell membranes Raises levels of “bad” cholesterol and lowers levels of “good” cholesterol Found in margarine, snack foods, and some deep fried fast foods Check food labels © 2013 McGraw-Hill Higher Education. All rights reserved. Types of Fats: Cholesterol White fatlike substance found in cells of animal origin Functions: Synthesizes cell membranes; starting material in formation of hormones and bile The liver can synthesize cholesterol Excess cholesterol in the body can clog arteries and increase risk of cardiovascular disease © 2013 McGraw-Hill Higher Education. All rights reserved. Fats Low-fat foods Fat substitutes Low-fat does not necessarily mean low-calorie Higher price tag Low-fat dairy and salad dressings have less saturated fat Simplesse, Olestra Fats cannot be broken down and absorbed by body Unpleasant side effects © 2013 McGraw-Hill Higher Education. All rights reserved. Fats: General Recommendations 20-35% of total daily calories from fat Less than 10% of calories from saturated fat Less than 300 mg/day of cholesterol Keep trans-fatty acid consumption as low as possible Get most fats from sources of unsaturated fats Fish Nuts Vegetable oils © 2013 McGraw-Hill Higher Education. All rights reserved. Protein Functions: Growth and maintenance of tissue, acid-base balance Energy source: 4 calories/gram Amino acids = building blocks of protein 11 can be built by the body Nonessential amino acids 9 must be obtained from food Essential amino acids © 2013 McGraw-Hill Higher Education. All rights reserved. Protein Complete protein sources supply all essential amino acids Incomplete protein sources supply some but not all essential amino acids Animal foods, soybeans Plant foods Recommended intake: 10-35% of total calories © 2013 McGraw-Hill Higher Education. All rights reserved. Vitamins Organic compounds needed in small amounts for normal growth, reproduction, and maintenance of health Serve as co-enzymes Provide no energy: 0 calories/gram Types Water soluble B-complex vitamins and vitamin C Fat soluble Vitamins A, D, E, K © 2013 McGraw-Hill Higher Education. All rights reserved. Vitamins: Should I Take a Supplement? Following dietary recommendations would allow most Americans to meet their nutrient needs without supplements Caution with using supplements Many people eat too many nutrient-deficient foods Hypervitaminosis = toxicity Megadoses of any vitamin can be harmful Recommendations for certain groups Folic acid, vitamin B-12, vitamin D © 2013 McGraw-Hill Higher Education. All rights reserved. Phytochemicals Phytochemicals = physiologically active components of foods that may deactivate carcinogens Many phytochemicals function as antioxidants May protect cells from damage caused by unstable molecules (“free radicals”) Examples Carotenoids Polyphenols Allyl sulfides © 2013 McGraw-Hill Higher Education. All rights reserved. Minerals Inorganic materials that act as structural elements and regulators of numerous body processes Provide no energy: 0 calories/gram Types Macronutrients: “Major minerals” found in high amounts in the body Micronutrients: “Trace elements” found in small amounts in the body © 2013 McGraw-Hill Higher Education. All rights reserved. Water and Fluids Average adult loses about 10 cups of water per day Urination, bowel movements, breathing, perspiration Functions: Provide medium for nutrients, waste transport, temperature control For every pound of body weight, you need about 0.5 ounce of fluid Sources: Beverages, fruits, vegetables © 2013 McGraw-Hill Higher Education. All rights reserved. Fiber Cellulose-based plant material that cannot be digested Provides no energy: 0 calories/gram Types: Benefits Soluble (gel-forming) Insoluble (absorbs water) Moves stool through digestive tract Lowers blood cholesterol levels Steadies blood sugar levels Recommended: 21-38 grams/day Most American adults: 11 grams/day © 2013 McGraw-Hill Higher Education. All rights reserved. The Digestive System: The Absorption of Nutrients © 2013 McGraw-Hill Higher Education. All rights reserved. Tools for Planning a Healthy Diet The USDA Food Guide: MyPlate The Dietary Guidelines for Americans © 2013 McGraw-Hill Higher Education. All rights reserved. MyPlate © 2013 McGraw-Hill Higher Education. All rights reserved. 10 Tips to a Great Plate © 2013 McGraw-Hill Higher Education. All rights reserved. MyPlate Food Groups – Fruits Fruit Recommendations ¼ of the plate should be filled with fruit The specific amount of fruit depends on gender and age. See table 5.2. © 2013 McGraw-Hill Higher Education. All rights reserved. MyPlate Food Groups – Vegetables Vegetable Recommendations ¼ of the plate should be filled with vegetables The specific amount of vegetables depends on gender and age. See table 5.2. © 2013 McGraw-Hill Higher Education. All rights reserved. MyPlate Food Groups – Dairy Dairy Recommendations 3 cups of fat-free or low-fat milk per day, or the equivalent in another dairy product The specific amount of dairy for children depends on age. See table 5.2. © 2013 McGraw-Hill Higher Education. All rights reserved. MyPlate Food Groups – Protein Protein Recommendations 5-6 ounces of protein should be consumed every day. Choose lean, low-fat foods. See table 5.2 for gender- and age-specific recommendations. © 2013 McGraw-Hill Higher Education. All rights reserved. MyPlate Food Groups – Grains Grain Recommendations See table 5.2 for gender- and age-specific recommendations. 1 ounce is equivalent to 1 slice bread 1 cup dry cereal ½ cup cooked rice, pasta, cereal © 2013 McGraw-Hill Higher Education. All rights reserved. Oils Oils (vegetable oils, fish, nuts, seeds) 24 grams or 6 teaspoons/day for a 2,000-calorie diet (see Table 5.2) 1 teaspoon equivalents: 1 teaspoon vegetable oil or margarine 1 tablespoon low-fat mayonnaise 2 tablespoons light salad dressing Discretionary calories © 2013 McGraw-Hill Higher Education. All rights reserved. Dietary Guidelines for Americans Focus on Nutrient Density Consume nutrient-dense foods within and among the food groups Weight management Balance calories from foods and beverages with calories expended Make small decreases in calorie intake to prevent gradual weight gain over time © 2013 McGraw-Hill Higher Education. All rights reserved. Dietary Guidelines for Americans Physical activity Regular moderate physical activity 2 hours and 30 minutes of moderateintensity aerobic activity spread over 3 days per week Decrease sedentary activities © 2013 McGraw-Hill Higher Education. All rights reserved. Dietary Guidelines for Americans Food groups to encourage Fruits Vegetables Dairy Seafood © 2013 McGraw-Hill Higher Education. All rights reserved. Dietary Guidelines for Americans Foods to Limit Fats, Sugars, Sodium, and Alcohol Fats Most fat calories should come from polyunsaturated and monounsaturated fats © 2013 McGraw-Hill Higher Education. All rights reserved. Dietary Guidelines for Americans Sugar consumption Choose and prepare foods with little added sugar Sodium Intake Sodium: Consume less than 2,300 mg/day (about 1 teaspoon of salt) Too much sodium is linked to hypertension © 2013 McGraw-Hill Higher Education. All rights reserved. Dietary Guidelines for Americans Alcoholic beverages Those who choose to drink should do so sensibly and in moderation Up to 1 drink/day for women Up to 2 drinks/day for men Food safety Take steps to avoid microbial foodborne illness © 2013 McGraw-Hill Higher Education. All rights reserved. Vegetarian Diets Reliance on plant sources for most of the nutrients the body needs Ovovegetarian: Includes eggs Lactovegetarian: Includes dairy Ovolactovegetarian: Includes eggs and dairy Vegan: Excludes all animal products Requires more planning Need to maintain adequate intake of vitamin B-12, calcium, iron, zinc, vitamin D Semivegetarian: Great reduction (but not elimination) of meat products Pescovegetarian: Includes fish, eggs, dairy products © 2013 McGraw-Hill Higher Education. All rights reserved. Nutrition and the Older Adult Older adults may find food less tasteful, harder to chew Lower energy requirements Psychosocial factors Social isolation Depression Alcohol consumption Limited transportation © 2013 McGraw-Hill Higher Education. All rights reserved. Food Labels Required by the FDA since 1973 New in 2006 Amount of trans fat Proteins derived from major food allergen sources New in 2008 The “Country of Origin” legislation requires fresh or frozen meats, fish, fruits, and vegetables to identify country of origin. © 2013 McGraw-Hill Higher Education. All rights reserved. Nutrition Facts Label © 2013 McGraw-Hill Higher Education. All rights reserved. Fast Foods Fat density of fast foods 40-70% of calories in fast foods is fat Recommended intake: 20-35% of total daily calories from fat Most people underestimate the calorie content in a fast food meal © 2013 McGraw-Hill Higher Education. All rights reserved. Functional Foods Foods capable of contributing to the improvement or prevention of specific health problems Probiotics: Living bacteria that help prevent disease and strengthen the immune system (e.g., yogurt) Garlic, olive oil, high-fiber foods, calciumrich foods, antioxident-rich foods Foods enriched with folic acid © 2013 McGraw-Hill Higher Education. All rights reserved. Dietary Supplements Products that supplement the total daily intake of nutrients in the diet Ingested in tablet, capsule, softgel, gelcap, and liquid form Not in themselves used as conventional foods or as the only items in a meal or diet Must be deemed safe for human use Cannot claim to cure or prevent illnesses Exceptions: Folic acid, calcium © 2013 McGraw-Hill Higher Education. All rights reserved. Food Allergies Allergy = reaction in which the immune system attacks an otherwise harmless food or ingredient Different from a food intolerance, which is usually caused by an enzyme deficiency Common food allergens include peanuts, milk, soy products, shellfish, and wheat Allergic reactions can develop slowly over several exposures Symptoms range from mildly unpleasant to life threatening © 2013 McGraw-Hill Higher Education. All rights reserved. Food Safety Preventing foodborne illness Safe handling, cooking, and storage of foods © 2013 McGraw-Hill Higher Education. All rights reserved. Food Safety Food irradiation Use of radiation to kill foodborne pathogens Safe farming techniques More humane treatment of farm animals Improved food quality Reduced exposure to antibiotic-resistant bacteria, prions (cause of “mad cow disease”), and chemicals © 2013 McGraw-Hill Higher Education. All rights reserved. Food Safety Organic foods No use of growth hormone or antibiotics Not genetically engineered or irradiated No use of chemical fertilizers or sewage sludge Diseases, pets, and weeds treated or controlled primarily with nonchemical means © 2013 McGraw-Hill Higher Education. All rights reserved. Food Safety Food additives Provide color or flavor Improve nutritional content, texture, or shelf life FDA tested Questionable additives: aspartame, stevia, and some food colorings Genetically modified foods Altered to improve yields and reduce costs © 2013 McGraw-Hill Higher Education. All rights reserved. Chapter Five: Understanding Nutrition and Your Diet © 2013 McGraw-Hill Higher Education. All rights reserved.