BASIC TOOLS IN NUTRITION BASIC TOOLS IN NUTRITION › Serve as dietary guides in planning for a healthy diet. › They are applicable for healthy individuals and serve as a basis for diet modifications in case of illness or disease. DIETARY GUIDES › Tools devised to aid in planning, procuring, preparing and consuming meals for normal and therapeutic diets of individuals or groups. COMMONLY USED TOOLS IN NUTRITION › Food Guide Pyramids › Nutritional Guidelines › Phil Dietary Ref. Intake/PRDI or RENI › Food Exchange List (FEL) › Plate Model / Pinggang Pinoy › Food Composition Table (FCT) › Food Labelling › Your Guide to Good Nutrition (YGGN) 3 BASIC FOOD GROUP 3 BASIC FOOD GROUPS › Also known as “Your Guide to Good Nutrition” (YGGN). › A practical guide in planning meals / diets for Filipinos. › The simplicity of the design enables individuals to select the right guide of food to eat daily › Based on the food’s physiological function: – ENERGY GIVING – BODY BUILDING – BODY PROCESS REGULATING BODY BUILDING › These are foods rich in PROTEIN AND MINERALS. › To build and repair body tissues. ENERGY GIVING › Foods are high in carbohydrates and fats. › Contributes bulk of calories. BODY REGULATING › Foods that are rich in vitamins, minerals, fiber and water. › A balanced diet may be planned using this tool by combining foods from each category so that each food group has a representative. THE FOOD GUIDE PYRAMID › It teaches the principle of eating a variety of foods everyday. › The need for moderation in some food groups while emphasizing the importance of other food items. › The size of each section (from broad base to apex) represents the recommended amount. › BROAD BASE (bottom part) – should form the foundation of healthy diet; must be taken abundantly. › APEX (top part) – should be eaten sparingly. FNRI Food Guide Pyramid › Launched by Dr. Rodolfo F. Florentino during the FNRI Seminar Series held last July 1996. › A simple and easy-to-follow daily eating guide for Filipinos. › A graphic translation / representation of the current “Your Guide to Good Nutrition” based on the usual dietary pattern of Filipinos in General. LACTATING PREGNANT ELDERLY (60-69) ADULT (20-39) TEEN (13-19) KIDS (7-12 y.o) TODDLER (1-6 years old) USDA FOOD GUIDE PYRAMID CANADIAN FOOD GUIDE › Grains: 5-12 servings of grains / day; whole grain and enriched products › Vegetable and Fruit: 5-10 servings / day; dark green and orange vegetables / orange fruits › Dairy: choose Low-Fat milk 2-4 servings per day. › Meat: 2-3 servings / day; choose leans meat FOOD PORTION SIZES › Portion size - is the amount of a food that you choose to eat at any one time. A portion size is also the amount of food you are served in a restaurant. › Serving size - is a standard measurement of food that is recommended in › Guidelines for special diets also use serving sizes to describe the amount of food you should eat. It is important to know what an actual serving size looks like. How do I figure out serving sizes if I am away from home? › ½ cup of rice, pasta, cooked vegetables, or fruit is about the size of half of a baseball. › 1 cup of cereal is about the size of a baseball. › 1 small fruit, such as an orange or apple, is about the size of a tennis ball. › 1½ ounces of hard cheese is about the size of 4 stacked dice. › 1 teaspoon of margarine or spread is about the size of 1 dice. › 3 ounces of cooked meat, fish, or poultry is about the size of a deck of cards / cassette tape. › 2 tablespoons of peanut butter is about the size of a ping-pong ball. 10 NUTRITIONAL GUIDELINES FOR FILIPINOS 10 NUTRITIONAL GUIDELINES FOR FILIPINOS › Is a set of dietary guidelines based on the eating pattern, lifestyle, and health status of Filipinos. › The NGF contains all the nutrition messages to healthy living for all age groups from infants to adults, pregnant and lactating women, and the elderly. › The first NGF released in 1990 was composed of five messages called “Dietary Guidelines for Filipinos.” › In 2000, a revised nutritional guidelines composed of ten messages was released and it was called the Nutritional Guidelines for Filipinos. › The revision was in response to the changes in the nutrition situation of the country based on the previous result of NNS. 1. Eat a variety of foods everyday to get the nutrients needed by the body. 2. Breastfeed infants exclusively from birth up to six months and then give appropriate complementary foods while continuing breastfeeding for two years and beyond for optimum growth and development. 3. Eat more vegetables and fruits to get the essential vitamins, minerals, and fiber for regulation of body processes. 4. Consume fish, lean meat, poultry, egg, dried beans or nuts daily for growth and repair of body tissues. 5. Consume milk, milk products, and other calcium-rich food such as small fish and shellfish, everyday for healthy bones and teeth. 6. Consume safe foods and water to prevent diarrhea and other food-and water-borne diseases. 7. Use iodized salt to prevent Iodine Deficiency Disorders. 8. Limit intake of salty, fried, fatty, and sugar-rich foods to prevent cardiovascular diseases. 9. Attain normal body weight through proper diet and moderate physical activity to maintain good health and help prevent obesity. 10. Be physically active, make healthy food choices, manage stress, avoid alcoholic beverage, and do not smoke to help prevent lifestyle-related noncommunicable disease. RECOMMENDED DIETARY ALLOWANCE › RDA were intended to promote optimal health by establishing nutrient intakes that would lower the risk of nutrient deficiencies. › Defined as levels of intakes if energy and nutrients which is considered adequate for the maintenance of health › It emphasizes that the standards are in terms of nutrients and NOT FOODS or DIETS. › Established as QUANTITATIVE TOOL in the assessment of nutrition for population group. NUTRIENTS COVERED FOR RENI / RDA 1. 2. 3. 4. 5. 6. Energy Macronutrients Minerals Vitamins Water Electrolytes PURPOSE AND APPLICATION OF RENI 1. As a GOAL FOR ENERGY AND NUTRIENTS INTAKES of group and individuals 2. As a REFERENCE STANDARD for the assessment of the habitual energy and nutrient intakes of the population or population sub-group. 3. As a reference standard for assessment of the ADEQUACY OF FOOD SUPPLIES. 4. As a tool for nutrition EDUCATION AND ADVOCACY. 5. As a basis for PUBLIC HEALTH AND FOOD AND NUTRITION POLICIES (eg. Food Fortification, Food Labelling) PHILIPPINE FOOD EXCHANGE LIST (FEL) › FEL is based on the principle that good nutrition is applicable to everyone. › It is composed of seven (7) food groups: – FRUIT, VEGETABLES, RICE, MEAT, SUGAR, FATS, MILK › EXCHANGE: wherein each food within the list can be traded or substituted with another food for the same energy and macronutrient intakes. › Primarily used by RND’s and other HCP for nutrition education and as a guide in medical nutrition therapy. HISTORY OF FOOD EXCHANGE LIST › First published in 1953 by Corpuz which was designed primarily for Diabetic Diet. › Revised in 1965 by Madlangsakay for both normal and therapeutic diet. › 3rd revision was done at DOST-FNRI by Tanchoco et.al in 1994. › 4th revision was done at DOST-FNRI in 2016. 3RD EDITION OF FEL 4TH EDITION OF FEL THE PLATE MODEL (PINGGANG PINOY) › Illustrate the type of food needed for a healthy diet and the proportions that should be eaten everyday. › Developed by DOST-FNRI in 2014. › Aim in creating a food guide that aligns with the nutritional food pyramid and that fits the eating habits of an average Filipino. › Pinggang Pinoy takes into consideration the normal consumption and available products for the average Filipino family. FOOD COMPOSITION TABLE (FCT) › Means of knowing the chemical composition of a food. › Useful in prescribing diets with nutrient restriction or modification, and in interpreting dietary histories. IMPORTANCE OF FCT: 1. To compare the nutritive value of one food with another. 2. To calculate the nutritive value of any diet. 3. To plan diet that must meet specific requirements. 4. To provide a ready reference to answer hundred of question. FCT TIMELINE What is GLYCEMIC INDEX? is a numerical scale that ranks carbohydrate-rich foods by how much they raise blood sugar levels. this tool can help greatly in planning diabetic diets but sometimes the selection is limited and foreign. What is GLYCEMIC INDEX? GI uses a scale of 0-100 higher the number, the greater The the blood sugar response. A low GI food will cause a small rise. A high GI food will trigger a spike in the blood sugar. FOOD LABELLING A useful tool to compare nutrient values of food and learn valuable sources of nutrients FUNCTIONS: 1. To assist consumer to select foods with the most health providing qualities. 2. To motivate the food companies to enhance the nutritional value of food products because it reveals ingredients and nutrient content. INFORMATION ON FOOD LABEL › NAME OF THE PRODUCT – this tells the consumer what they are buying and mustn’t give a false information. › NAME AND ADDRESS OF MANUFACTURER, OR DISTRIBUTOR. › INGREDIENTS – listed in order of quantity (weight) › PLACE OF ORIGIN › PREPARATION INSTRUCTIONS › DAILY VALUES / PORTION SIZE › STORAGE INSTRUCTIONS. OPEN-DATE MARKINGS › “CONSUME BEFORE” / “USE BEFORE” / “EXPIRATION DATE” – signifies the end of the estimated shelf life of a product beyond certain quality attributes become significantly impaired. › “BEST USE BY” – indicates the end of a period after which certain qualities of the product must be expected to deteriorate; remains consumable, presumably no longer guarantee its best quality. CALORIE General guide to calories in food label VALUE • • INTERPRETATION Less than 40 – 70 calories Calories is LOW 71 – 250 calories Calories is MODERATE 251 – 400 above calories Calories is more or HIGH This guide is based on 2000 calorie diet Eating too many calories per day linked to OVERWEIGHT AND OBESITY. DAILY VALUE (DV) › The recommended amounts of nutrients to consume or not to exceed each day. QUICK GUIDE › 5% DV or less – LOW › 20% DV or more - HIGH References / Sources: • Cataldo et al. Understanding Normal and Clinical Nutrition. 6th ed. 2002 • Tanchoco, Celeste C., Jamorabo-Ruiz, Adela. Diet Manual 5th Ed. 2010. • Tanchoco, Celeste C., Serra, Nieves C. Fundamentals in Medical Nutrition Therapy . 2009. • Sheps, Sheldon G. (2013, July 13). Warfarin. Mayoclinic.com. Retrieved March 16, 2016, from www.mayoclinic.com • The American Heart Association’s Diet and Lifestyle Recommendations. Heart.org. Retrieved March 16, 2016, from www.heart.org • Understanding Food and Nutrition Labels. Heart.org. Retrieved March 16, 2016, from www.heart.org • https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/healthycooking-oils THANK YOU FOR YOUR ATTENTION.