NUTRITION IN DENTISTRY MODULE 1 - CANVAS INTRODUCTION NUTRITION is the science that interprets the nutrients and other substances in food in relation to maintenance, growth, reproduction, health and disease of an organism. It includes food intake, absorption, assimilation, biosynthesis, catabolism and excretion. M1 -Lesson 1-Definition of Terms The following are important terms needed in the study of nutrition as a science. Nutrition - is the process of taking food into the body and absorbing the nutrients in those foods Food - is any substance consumed to provide nutritional support for an organism Nutrients - a substance or ingredient that promotes growth, provides energy, and maintains life Carbohydrates - any of various neutral compounds of carbon, hydrogen, and oxygen (such as sugars, starches, and celluloses) most of which are formed by green plants and which constitute a major class of animal foods. Protein - one of the many substances found in food such as meat, cheese ,fish , or eggs, that is necessary for the body to grow and be strong. Fats - Along with proteins and carbohydrates, one of the three nutrients used as energy sources by the body. Water - A colorless, transparent, odorless liquid that forms the seas, lakes, rivers, and rain and is the basis of the fluids of living organisms Vitamins- any of a group of natural substances that are necessary in small amounts for the growth and good health of the body. Minerals-a valuable or useful chemical substance that is formed naturally in the ground. Enzymes-is a chemical substance that is found in living creatures which produces changes in other substances without being changed itself. Hormones-A chemical substance produced in the body that controls and regulates the activity of certain cells or organs Nutriture - bodily condition with respect to nutrition and especially with respect to a given nutrient (as zinc). Malnutrition-is a condition that results from eating a diet in which one or more nutrients are either not enough or are too much such that the diet causes health problems. M1- Lesson 2-Factors Affecting Nutrition Lesson 2. FACTORS AFFECTING NUTRITION Nutrition is influenced by the choice of food. The following are the factors affecting food choice; 1. Major determinants of Food Choice The key driver for eating is of course hunger but what we choose to eat is not determined solely by physiological or nutritional needs. Some of the other factors that influence food choice include: 1.1 Biological Determinants Our physiological needs provide the basic determinants of food choice. Humans need energy and nutrients in order to survive and will respond to the feelings of hunger and satiety (satisfaction of appetite, state of no hunger between two eating occasions). The central nervous system is involved in controlling the balance between hunger, appetite stimulation and food intake. 1.2 Economic and Physical Determinants There is no doubt that the cost of food is a primary determinant of food choice. Whether cost is prohibitive depends fundamentally on a person's income and socio-economic status. Low-income groups have a greater tendency to consume unbalanced diets and in particular have low intakes of fruit and vegetables14 Links to an external site. . However, access to more money does not automatically equate to a better quality diet but the range of foods from which one can choose should increase. 1.3 Social Determinants What people eat is formed and constrained by circumstances that are essentially social and cultural. Population studies show there are clear differences in social classes with regard to food and nutrient intakes. Poor diets can result in under- (micronutrients deficiency) and over-nutrition (energy over consumption resulting in overweight and obesity); problems that face different sectors of society, requiring different levels of expertise and methods of intervention. 1.4 Meal Patterns People have many different eating occasions daily, the motivations for which will differ from one occasion to the next. Most studies investigate the factors that influence habitual food choice but it may be useful to investigate what influences food choice at different eating occasions. 1.5 Psychological Factors Psychological stress is a common feature of modern life and can modify behaviours that affect health, such as physical activity, smoking or food choice. 1.6 Eating Disorders Many individuals express a desire to lose weight or improve their body shape and thus engage in approaches to achieve their ideal body mass index. However, problems can arise when dieting and/or exercise are taken to extremes. The aetiology of eating disorders is usually a combination of factors including biological, psychological, familial and socio-cultural. The occurrence of eating disorders is often associated with a distorted self-image, low self-esteem, non-specific anxiety, obsession, stress and unhappiness. 1.7 Consumer Attitudes, Beliefs , Knowledge and Optimal Bias 1. Naturalistic Era (400 B.C. to AD 1750 ) Attitudes and beliefs can and do change; our attitude to dietary fat has changed in the last 50 years with a corresponding decrease in the absolute amount of fat eaten and a change in the ratio of saturated to unsaturated fat. 1.8 Barriers to Dietary and Lifestyle Change Household income and the cost of food is an important factor influencing food choice, especially for low-income consumers. The potential for food wastage leads to a reluctance to try ‘new’ foods for fear the family will reject them. In addition, a lack of knowledge and the loss of cooking skills can also inhibit buying and preparing meals from basic ingredients. (https://www.eufic.org/en/healthy-living /article/the-determinants-of-food-choice ) M1- Lesson 3- History of Nutrition Our ancestors collected food from the nature in order to survive, and it can be noted that humans have more than two million years of certain dietary habits. It is believed that the preparation of meals began more than 500,000 years ago. The oldest descriptions of food and meals, as well as their effects on health are described by the ancient Egyptians, and are dated 3200 BC. ● Around 400 BC, Hippocrates. ancient Greek physician said, "Let food be your medicine and medicine be your food." ● Around 475 BC, Anaxagoras, a Greek Philosopher, stated that food is absorbed by the human body and therefore contained "homeomerics" ( generative components), suggesting the existence of nutrients. The history and the development of food and nutrition can be roughly divided into three important periods: the pre-agricultural age, the age of agriculture, which began 10,000 years BC, and agro-industrial age that began some 150 years ago. When this time span could be squeezed in a year and assuming that the man appeared on January 1 st, the agricultural age would start in the second half of December, and the agro-industrial age would start on the evening of December 31 st. 3. Agricultural Era (200 - 300 yrs ago) 2. Pre-agricultural (3 million years ago) Link Links to an external site. The agriculture era is based on the cultivation of crops and domestication of animals which then become a major part of human food. During this period, agriculture was gradually developed on fertile soil, almost simultaneously in several places in the world. the Mediterranean , the Middle and Far East, resulting human settlements, nations and empires. 4. Agro-Industrial (150 yrs ago) The pre-agricultural era begins three million years ago, it is characterized by the collection of food , hunting and fishing, as well as developing tools and activities, in the. beginning, the food is eaten raw, but after the discovery of humans used cooked food also. The agro-industrial era began some 150 yrs. ago. It is characterized by a combination of agricultural and industrial activity - machines are introduced in agriculture, the production of food and raw materials is increased, the building of roads and railways increased the transport of goods, there was a sudden development food industry, particularly due to the creation of refrigeration chains , preservation of food products, and new households appliances. The most important experiments of Antoine Lavoisier (1743 - 1794) are directly linked with the development of nutrition . Lavoisier proved that the combustion process involves a combination of various chemical substances and oxygen and that plant and animal respiration is a slow combustion of organic matter using oxygen from the atmosphere. 5.Chemical Era (1785 t0 1885) 6.Biological Era ( 1901 to 1950)Link Links to an external site. Biological Era”, as the 19th century is known, studies on metabolism and chemistry were done, helping the science of nutrition on defining their role in the development and prevention of chronic diseases, such as cancer, cardiovascular, neurodegenerative, and bone metabolism disorders . Nowadays, the “Pos-Genomic Era” is being experienced. This era is characterized by the integration of three fields: biological, social, and environmental, where scientific discoveries on nutritional pathophysiology and metabolism are included. 7. Age of Biotechnology. (1960 present) Biotechnology is a discipline that has developed rapidly during the last two decades. This technology is based on our fundamental ability to precisely introduce genetic changes into an organism. Plant biotechnology in particular has evolved rapidly over the course of the last 15 years. Every major crop can be subject to precise genetic modifications based on our ability to introduce and express genes in crops. Plant biotechnology there should substantially augment plant breeding, which in many respects was based on our ability to harness genes into plants either by sexual crossing or laboratory techniques such as cell fusion. We anticipate that plant biotechnology will go through three phrases of development, creating significant value at each stage. The first is agronomic trait development, the second is differentiated crop development, and the third is use of plants as factories. M1-Lesson 4 - Essential Nutrients ● ● ● ● ● ● Carbohydrates Protein Fats Water Vitamins Minerals ● Definition of Malnutrition Link ● Links to an external site. Watch the movie that explains the different nutrients and its importance. https://www.youtube.com/watch?v=in EPlZZ_SfA Links to an external site. Malnutrition refers to deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients. The term malnutrition covers 2 broad groups of conditions. One is ‘undernutrition’—which includes stunting (low height for age), wasting (low weight for height), underweight (low weight for age) and micronutrient deficiencies or insufficiencies (a lack of important vitamins and minerals). The other is overweight, obesity and diet-related noncommunicable diseases (such as heart disease, stroke, diabetes and cancer). Cause and Symptoms of Malnutrition Link M1- Lesson 5- Malnutrition Links to an external site. Malnutrition can occur for various reasons Links to an external site. . The sections below outline these potential causes in more detail. If the body does not absorb nutrients efficiently, even a healthful diet may not prevent malnutrition. ● Alcohol use disorder Consuming a lot of alcohol can lead to gastritis or long-term damage to the pancreas. ● A low intake of food Some people develop malnutrition because there is not enough food available or because they have difficulty eating or absorbing nutrients. Mouth problems such as badly fitting dentures may also contribute to malnutrition. ● Mental health conditions Undernutrition or malnutrition can affect people with: depression, dementia, Links to an external site. schizophrenia, Links to an external site. anorexia nervosa Links to an external site. ● Social and mobility problems Factors that can affect a person’s eating habits and potentially lead to malnutrition include: ● Digestive disorders and stomach conditions Malnutrition in the Philippines. Link Links to an external site.