DEPARTMENT OF NURSING SCIENCES, FACULTY OF HEALTH SCIENCES AND TECHNOLOGY, COLLEGE OF MEDICINE, UNIVERSITY OF NIGERIA, ENUGU CAMPUS A CLASS PRESENTATION PAPER ON BALANCE DIET IN PARTIAL FULFILMENT OF THE REQUIREMENT OF THE COURSE: FOUNDATION OF NURSING II (NSC202) BY GROUP 5 NAME REG. NO Jasper, Victory Sunday 2020/243769 Ifeanyi Chinyere Loveth 2019/243166 Ngene Mmesoma Divinefavour 2019/246886 Ikechukwu Favour Chibuzor 2021/243524 Itodo Ogechukwu Perpetual 2020/243757 James Princewill Kelechi 2020/246053 Kalu Amarachi Ikpo 2020/248130 Ilobi Chidimma 2020/246934 Maduagwu Amanda Chisom 2019/251541 Ibeh Augustine Ifechukwu 2020/244661 Ibekwe Lucy Oluebubechukwu 2019/245600 Ibegbulam Emmanuella Chinonye 2019/251066 Nkpadigbo favour 2020/248133 Mmoya patience oluchukwu 2020/248936 Ibeh joy Chisom 2019/243971 James Princewill kelechi 2020/246053 Inyiama Favour Chimka 2017/245818 ATTENDANCE Introduction to Balance Diet What is a Balanced Diet? A Balanced Diet has a whole lot of definitions but, generally we can say that a Balanced diet is a meal set composed of the various nutrients which the body needs for maintenance, repair, thriving processes, growth and development. In short, it is a diet which meets in full, all the nutritional needs of a person. It is as well worthy of note that a Balanced diet enables us to get all the required nutrients without exceeding the recommended calorie intake per day required to maintain the body weight which is 2000 calories for women and 2500 calories for men. Ideal Diet. An Ideal Diet would be defined as A meal that is scientifically considered a perfect diet and can be consumed at whatever condition a person is in. Due to this...there is no such thing as an Ideal Diet because such a diet is a matter of individual requirements on means to supply essential elements, we're all human but we have different nutritional requirements depending on our present condition as well as our bodies vary. Factors to consider when nutritious meals are planned. Regional availability of food. Economic conditions. Taste preferences. Age of family members. Cooking skills etc. Definitions and Brief History of Food Plan. A food plan is simply defined as a step by step procedure in ensuring that a meal set is balanced. And while we acknowledge the fact that the United Nations World Health Organization (U.N.W.H.O) is constantly working to educate the world on the Importance of planning nutritious meals, we might as well look at a brief history of how food planning came about. Now at first, in 1943, during world war II...The United States Department of Agriculture (USDA) introduced a Nutrition guide, promoting the basic 7 food group which were; 1. Green and yellow vegetables... 2. 3. 4. 5. 6. 7. Oranges, Tomatoes and Grape fruit... Potatoes and other Vegetables and fruits. Milk and Milk Products. Meat, Poultry, Fish or Eggs. Bread, Flour and Cereals. Butter and Fortified Margarine. But later on, in 1956, the Institute of Home Economics Agricultural Research Service, regrouped these 7 into 4 group plans simply by grouping foods of similar origins and nutritive value together. Which means that out of these 7, the first three fruit and vegetables groups were merged into 1...while group 7 (Butter and Fortified Margarine) was completely eliminated. Reason being that it was believed that fats no longer needed to be emphasized due to the increase in consumption and the possible relationship between fat intake and atherosclerosis..which is the build up of fats, Cholesterol and other substances in and on the artery walls, Leaving us with just the 4 food group plan used today!. The Nutritive Value of the 4 Groups of Food Basically, based on the origin and nutritive value, food are grouped into four (4). 1. Milk and milk products. 2. Meat, fish, poultry, eggs, legumes and nuts. 3. Vegetables and fruits. 4. Bread and cereal products. 1. Milk and milk products: Milk is the first food for humans, and it is seen as the only richest natural food in terms of the nutritional elements the body needs. Similarly, it provides many of the nutritional elements necessary for the growth and maintenance of the human body, in adequate amounts. The human body is in need of milk and its properties throughout its life as it is useful for all ages and groups. Milk is a complex fluid containing protein, fat, carbohydrates, vitamins and minerals. The main protein in milk is casein and it constitutes 3.0-3.5 percent of milk. The fat content of milk varies from 3.5 percent in cow’s milk to about 8.0 percent in buffalo’s milk. Fat is present in the form of fine globules varying in diameter from 1 to 10µm(micrometers).Milk also contains phospholipids and cholesterol. Lactose is the sugar present in milk. The important minerals in milk are calcium, phosphorus, sodium and potassium. Milk is an excellent source of riboflavin and a good source of Vitamin A. However, milk is a poor source of iron and ascorbic acid. The small amount of iron present is bio-available. Milk Sources: Milk can be obtained from many different sources, such as goats, cattle, buffalos, and camels; yet, cow milk is the most popular. Whatever the milk source is, it is greatly similar in terms of properties; however, the proportions of the nutritional elements slightly vary from one source to another. Milk products Milk products are food products derived from milk; they include butter, cheese, ice cream, yoghurt, khoa, ghee etc. They contribute to the nutritive value of the diet. Milk Health Benefits: • Building and Maintaining bone and teeth. • Preventing cardiac diseases • Keeping the blood pressure at a normal rate. • Protecting against some types of cancer such as colon cancer. • Keeping and improving the performance of the nerve system. • Helping in growth Improving the digestion process. • Boosting the immunity. •Protecting the eyesight. • Maintaining the skin, hair, and delicate membranes. • Providing the body with energy. 2. Meat, fish, poultry, eggs, legumes and nuts. Meat, fish and poultry are known as fresh foods, flesh food provides the body with essential nutrients, minerals and vitamins for it to remain healthy. Meat, fish, poultry and egg are animal proteins providing the body with essential amino acids which help to promote growth and maintenance of the human body. Meat: Meat has an outstanding nutritive value, contributing substantial amount of high quality proteins and essential minerals and vitamins to the diet. Meat contains 15- 20 percent protein of high biological value. The proteins of meat are well utilized by the body, thus ensuring a supply of essential amino acids necessary for growth and maintenance. Meat contains enough iron, phosphorus, zinc and copper to rate as an important source of these minerals. Commonly consumed fish are carp, rohu, sardine, mackerel pomfrets, seer fish, prawns, ribbons fish, sole, Bombay duck, catfish and crab. The composition of fish varies. Fish are not good source of energy because they are not good sources of carbohydrate and fat. • Carbohydrate: The shell fish has less fat and more carbohydrate than fin fish. Like meat, fish contain some glycogen in muscle tissues. In the live fish, glycogen is the source of stored energy. Oysters are notable for their high content of glycogen. • Protein : Fish is an excellent source of protein due to its quality and quantity. They contain around 20% protein. The biological value of fish protein is 80. Fish is rich in lysine and methionine hence it has supplementary value with cereals and pulses. • Fat: Fish contains less amount of fat compared to meat and poultry. Fresh water fish contains eicosapentaenoic acid and docosahexaenoic acid which are w-3 polyunsaturated fatty acids. •Minerals: Fish is rich in calcium particularly small fish when eaten with bones. Marine fish are good sources of iodine, selenium and fluoride. Selenium is a powerful antioxidant. Oysters are good source of copper and iron. Sodium content of freshwater fish is slightly less than meat. Shell fish such as oysters are nature’s richest source of zinc. The bioavailability of iron and zinc is higher in fish than plant foods. •Vitamins: Sea foods contain significant amounts of vitamin B12 especially shell fishes. Fish liver oils are excellent source of fat-soluble vitamins. Shark liver oil contains 10,000-24,000 IU of vitamin A per gram of oil. Rohu contains vitamin C. Fish are good source of niacin and vitamin D. Sea foods contain significant amounts of vitamin B12 especially shell fishes. •*Poultry* Poultry meat has high protein content (about 25 percent) and is comparable in quality and nutritive value to other meats. It contains all the essential amino acids required for building body tissues. There is a little fat on the meat of young birds, but the fat content is influenced by age and species of poultry. •Egg The white of the egg (albumin) consists of largely water with no fat or carbohydrate but contains 8-12 percent protein. Different types of proteins are present in egg white like ovalbumin, conalbumin, ovamucoid, ovomucin and avidin. The protein ovomucin is responsible for the jelly-like character of egg white and thickness of the albumin. Avidin binds with biotin and makes the vitamin unavailable. But avidin is denatured by heat and thus cooked egg does not affect the availability of biotin. Egg yolk comprises mostly 25-33 percent of fat and 15-17 percent protein and the remaining water. The major proteins in egg yolk are lipoproteins which include lipovitellins and lipovitellinin. These lipoproteins are responsible for the excellent emulsifying properties of egg yolk, when it is used in products such as mayonnaise. Eggs are an excellent and relatively cheap source of high biological value protein. Egg proteins have an excellent supplementary value to all other plant protein foods. Hence a combination of eggs with any of the cereal or cereal pulse mixture will enhance the protein quality of food. They also provide vitamins A, D, E and riboflavin. Egg yolk is a good source of carotene and iron. Egg is one of the richest sources of lecithin- a phospholipid which forms a part of the structure of every cell wall in the body. Egg also provides essential fatty acids like linoleic acid and arachidonic acid. Legumes proteins have low biological values and nuts even though they contain protein in good amount have high-fat content which limits their consumption. FRUITS AND VEGETABLES, & CEREALS Fruits and vegetables & Cereals are the last two food groups of the four groups in the new food grouping system. Fruits and veggies are not things we have never heard of, or seen, or even ingested before. There are cashew trees everywhere, mango trees in our compounds and on our streets, orange trees; there is the star apple (udara), black tamarind (icheku), the citrus group of fruits, the pineapple, and so on. What about the vegetables? We have the broccoli, turnip, the spinach, cabbage, onions, carrot and the rest of them. Yes! Carrot is a vegetable. Biologically, a fruit is defined as a mature, ripened ovary, along with the contents of the ovary. Vegetables are defined as the edible part of a herbaceous plant. Fruits and vegetables are good sources of fibre, vitamins, and minerals; Fruits like citrus fruits, strawberries, pineapple are good sources of Vitamin C. Vegetables like tomatoes, broccoli, cabbage, green pepper are good sources of Vitamin C. Yellow, red and green leafy vegetables like Spinach, Carrots, Sweet potatoes, Tomatoes, Red peppers and Onions are good sources of Vitamin A. Mango and pawpaw are also good sources of Vitamin A. Dark green leafy vegetables (spinach, turnip, broccoli) are higher in Calcium, Iron, Vitamin C, and the B Vitamins than the other vegetables. Lettuce, cabbage, and other light green vegetables are especially important for their cellulose content. Though most vegetables and fruits are low in protein, fat, carbohydrate content and energy value, vegetables of the seed, root and tuber classes he corn, green peas, sweet and Irish potatoes tend to be high in carbohydrate content because starch is stored in these areas of the plant. IMPORTANCE The importance of fruits and vegetables can never be overemphasized. Some of them are: 1. Fruits and vegetables supply dietary fiber and fiber intake is linked to lower incidence of cardiovascular disease and obesity. 2. Citrus, fruits, apples, bananas have a moderate effect on blood pressure and cholesterol levels. They decrease bad cholesterol (Low density lipids) and increase good cholesterol (High Density Cholesterol). 3. Nutrients from fruits and vegetables aid growth, immunity and digestion. 4. They reduce the risk of being overweight; Non-starchy vegetables and fruits like apples, pears and green leafy vegetables may promote weight loss. Their low glycemic loads prevent blood sugar spikes that can increase hunger (Fiber slows down digestion, it slows down how quickly your body responds to the carbohydrates you eat i.e glycemic load, and can help you better manage your insulin and blood-sugar response to food) CEREALS A cereal is any grass cultivated for the edible components of its grain. Examples are: maize, rice, millet, sorghum, rye, oats, wheat. In their whole grain form, cereals are a rich source of vitamins, minerals, carbohydrates, fats, oils and proteins. You can call them all-rounders!! They also contain some cellulose and incomplete protein. IMPORTANCE Some of its importance include: 1. Cereals can be used to make bread and pasta 2. Brown rice helps in weight loss, controls blood sugar and cholesterol levels and aids digestion. 3. Wheat helps to lower the risk of cardiovascular disease. 4. Corn contains Vitamin C; an antioxidant which helps protect your cells from damage and wards off diseases like cancer and heart disease. Importance Of Balance Diet A balanced diet plays a crucial role in maintaining optimal health and well-being. It refers to the intake of a variety of nutrients in appropriate proportions to meet the body's nutritional requirements. This paper explores the profound significance of a balanced diet and its direct impact on various health conditions such as Body Mass Index (BMI), atherosclerosis, diabetes, and cancer. By understanding the relationship between a balanced diet and these health concerns, we can appreciate the significance of maintaining a nutritious and well-rounded eating pattern. Body: Body Mass Index (BMI): Body Mass Index (BMI) is a widely used indicator to assess body weight relative to height. A balanced diet is fundamental for achieving and maintaining a healthy BMI. Consuming a wellbalanced combination of macronutrients (carbohydrates, proteins, and fats) along with essential micronutrients (vitamins and minerals) promotes weight management and prevents both underweight and overweight conditions. A balanced diet provides adequate energy without excessive calories, helping to prevent obesity-related complications such as cardiovascular diseases, joint problems, and metabolic disorders. Atherosclerosis: Atherosclerosis is a condition characterized by the buildup of plaque in the arteries, leading to reduced blood flow and increased risk of heart attacks and strokes. A balanced diet, low in saturated and trans fats, cholesterol, and sodium, while rich in fiber, antioxidants, and unsaturated fats, can help prevent and manage atherosclerosis. Whole grains, fruits, vegetables, lean proteins, and healthy fats (e.g., found in nuts, seeds, and fish) support cardiovascular health by reducing cholesterol levels, maintaining blood pressure, and improving blood vessel function. Diabetes: Type 2 diabetes is a metabolic disorder characterized by elevated blood sugar levels. A balanced diet plays a pivotal role in preventing and managing diabetes. Emphasizing whole foods, including complex carbohydrates, lean proteins, and healthy fats, helps regulate blood glucose levels, improve insulin sensitivity, and reduce the risk of diabetes complications. A balanced diet also aids in weight management, a critical factor in preventing the onset of type 2 diabetes. Cancer: While diet alone cannot guarantee the prevention of cancer, a balanced diet can contribute significantly to reducing the risk of certain types of cancers. Consuming a variety of plant-based foods such as fruits, vegetables, whole grains, legumes, and nuts provides essential vitamins, minerals, fiber, and phytochemicals that possess anticancer properties. Antioxidants found in these foods help neutralize free radicals and protect cells from damage. Additionally, a balanced diet promotes a healthy body weight, which is associated with a lower risk of certain cancers, including breast, colorectal, and endometrial cancers. Conclusion: A balanced diet is a cornerstone of good health and well-being. It plays a crucial role in maintaining an optimal body weight, preventing conditions like obesity and undernutrition, and reducing the risk of various health issues such as atherosclerosis, diabetes, and certain types of cancer. By adopting a balanced eating pattern that includes a wide range of nutrient-rich foods, individuals can enhance their overall health, promote longevity, and mitigate the risks associated with inadequate nutrition. Emphasizing the importance of a balanced diet and promoting its adoption is key to fostering healthier lifestyles and reducing the burden of chronic diseases in society.