Study Guide I [;liJI jnjr=)Wj il[t!l ilfsl ll OXFORD UNIVERSITY PRBSS Great Clarendon Street, Oxford, OX2 6DP, United Kingdom Oxford University Press is a deparonent of the University of Oxford. It furthers the University's obj ective of excellence in research, scholarsh ip, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certai n other countries © Oxford University Press, 2017 The moral rights of the authors have been asserted First published in 2017 ®CVQis the Registered Trademark of the Caribbean Association of National Training Authorities (CANTA). All rights reserved. No part of this publicatio n may be reproduced, stored in a retrieval systern , or transm itted, in any fonn or by any means, ,,11thout the prior pennission in writi ng of Oxford University Press, or as expressly permitted by la,v, by licence or under terms agreed ,"lith the appropriate reprographics rights organization. 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Acknowledgements Cover image by Caribbean Examinations Council (CXC). 2. .... ... ..... ..... ..... ..... ..... ... ..... ..... ..... ..... ... .... 1 Nutrition and health . ...... ..... ..... ..... ... ..... ..... ..... ..... ..... ... .. 2 Diet and health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .... 19 3. Food safety . . . .. . .. . . . .. . . .. . . .. . . .. . . .. . .. . . . .. . .. . . . .. . .. . . . .. . .. . . . .. 35 4. Meal planning, preparation and dining .. . .. . . . .. . . . .. . . .. . . .. . . . .. . . . .. . . . . . 51 5. Food management, preparation and service . . . . .. . .. . . . .. . .. . . . .. . .. . . .. . . . . 69 6. Kitchen design and equipment .. . .. . .. . .. . .. . . . ... . . . .. . .. . ..... . .. . .. . .. 106 7. Consumerism and purchasing of food ..................................... 114 8. Putting together a portfol io of evidence .................................... 121 Introduction 1. Index ................................................................. 124 ii Food, Nutrition and Health for CSEC® A CXC Study Gulde has been developed by experienced teachers and examiners, work ing closely with the Caribbean Examinations Council (CXC®}. It focuses on the development of competencies by concentrating on the areas of the syllabus that are most cha llenging to learn and essential to the development of skills required by the programme and entry into the world of work. The content contains relevant food-related and nutrit ional theories as well as many practica l tasks including a range of recipes and activities to support the process of re lating theory to practice and pract ice to theory. These activities are aligned with the school-based assessment and allow students to review progre ss effectively. This approach gives the student a positive role in managing their own learning. Additionally, there are opportunities for students to use reflective techniques to ident ify what went well, what might have been done more effectively and how similar activities might be approached in the future (skill transfer}. The study guide and associated activities support a range of pedagogy to make learn ing engaging, interactive and efficient, leading to a deeper understanding. The range of pedagogy includes: 1 . Assessment of and for learn ing 2 . Cooperative learning 3 . Differentiation 4 . Embedding language, literacy and numeracy 5 . Experiential learn ing 6 . Learning conversations 7. Relating theory and practice 8 . Using e-learning and technology. Remember, where applicable, candidates who successfully complete the CSEC examination in this programme will receive two awards: the CSEC Technical Proficiency Certificate and a CVQ* (Caribbean Vocational Qualification) Statement of Competence. We are confident that this book will provide students with the skills to succeed in their course of study and beyond. • CVQ is the Registered Trademark of the Caribbean Association of National Training Authorities (CANTA). Nutrition Nutrition is the study of nutrients, how they are used by the body, and the connection between diet, health and disease. A nutritious diet is impor tan t for ensuring good health and to enable the body to work efficiently. Consuming a healthy diet involves eating a range of foods to provide the body with essential nutrients. Nutrients are chemica l substances th at are found in food and beverages and provide us with energy, help with growth and repa ir of the body, and are essential for proper body function. Food nutrients There are five basic food nutrients: protein, carbohydrates, fats, vitamins and minerals. Although dietary fibre is not a nutrient, it is important for a healthy diet. Another essential nutrient is water, discussed later in this chapter. Protein Table 1.1 Importance of protein in the diet What is protein? Proteins are made up of long chains of amino acids. There are two types of amino acids: essential amino acids and non-essential amino acids. Although there are 20 amino acids, only 9 are essential amino acids because they cannot be made by the body and rn ust be obtained from food . The importance of protein In the diet You need protein in your diet to help your body repa ir ce lls and make news ones. Ever y cell of the body contains protein and it is important for growth and repa ir of the body and to mainta in good health. The body tu rns excess protein into glucose and, if required, can also use it as a source of energy. Good sources of protein High-biological-value protein sources (HBV) or complete proteins supply us with the nine essential amino acids and include meat, fish, dairy products, eggs, soya and quinoa. Low-biologica l-value protein sources (LBV) or incomplete proteins do not supply all nine essential amino acids. These include beans, peas, nuts, seeds, lentils, gelatin and cereals like rice and wheat. Protein complementation is when two or more LBV protein sources that are eaten toget her ensure adequate amounts of essential amino acids. Examples of complementary meals that contain LBV proteins that together provide all essential amino acids include: • rice and peas • baked beans on toast • bread and peanut bu tter. Result of protein deficiency In the diet Protein deficiency is rare but resu lts in protein energy malnutrition (PEM) - there is loss of muscle mass and poor growth. PEM may lead to a condition called marasmus (symptoms include being underweight, an o ld-looking face , stunted growth, diarrhoea) and kwashiorkor (symptoms include oedema [water retention]. cracked skin and weak muscles). Result of excess protein In the diet If there is too much protein in the diet it may be stored as fat in the body, leading to weight gain and possibly obesity. The excess nitrogen that is found in proteins can put a strain on the liver and kidneys because it has to be removed from the body in urine. Amount of protein required throughout life The amount of protein requ ired changes throughout life. Babies, children and adolescents have higher protein needs as they grow rapidly. Pregnant women and those that are breastfeeding need a higher intake of protein for the growing baby and a lso for milk production. Figure 1.1 Food sources of protein include dairy products, meat and fish, nuts and seeds, and gelatin Did you know? Foods high in protein will make us feel fuller than foods that are a good source of fat or carbohydrates. Therefore, choosing foods rich in protein but low in fat can be usefu I for weight loss. Carbohydrates Humans need to find food to eat; however, plants are able to make their own food by a process called photosynthesi s. Plants use water, nutrients from the soil, energy from the sun and carbon dioxide from the air to make carbohydrates, as we ll as oxygen. These carbohydrates are refined (processed) and turned into products such as table sugar or corn syrup. Table 1 .2 Types of carbohydrates What are carbohydrates? Carbohydrates are used by the body for energy. They include sugars and starch, known as sugars and complex carbohydrates. What are sugars? Sugars are found in many foods, including fru it and milk and include monosaccharides and disaccharides. Monosaccharldes (mono meaning "one" and saccharide meaning "sugar") are known as simple sugars and are sweet to taste and soluble in water. There are three monosaccharides: fructose and glucose - found in fru it and honey - and galactose, which is found in milk. Dl saccharldes (di meaning "two") are known as double sugars and are sweet to taste and soluble in water. They are formed when two monosaccharides join together. There are three disaccharides: lactose (the sugar found in milk), sucrose (the sugar used in cooking) and maltose (a result of the breakdown of starch). What are complex carbohydrates? Ollgosaccharldes typically contain 3 to 10 sugar molecules, and can be found in foods such as peas, dried beans and lentils. Bacteria in the intestines may brea k them down, as the body is unable to, which results in the formation of gas, resulting in flatulence (passing of wind). Polysaccharides are made up of many sugar molecules and include starch, glycogen and dietary fibre . Complex carbohydrates Starches are found in grains, such as wheat and corn; legumes, such as beans and peas; and vegetables, such as yams and cassava. The digestive system breaks starch down more slowly than simple carbohydrates and therefore supplies energy over a longer period of time . Complex carbohydrates Glycogen (lots of glucose molecules packed together) is an irnportant source of carbohydrate in the body. The body makes glycogen from the carbohydrate that is eaten in the diet and stores it in the liver and muscles. If requ ired, this glycogen can be broken down and used for providing energy. Complex carbohydrates Dietary fibre is found in wholegrain cereal foods, including bread, pasta and rice, as well as in beans, lentils, fru it and vegetables. It cannot be broken down by the human digestive system, therefore, the body doesn't use it as a source of energy. However, it is important to include fibre in the diet as it helps the waste matter pass through th e intestines. Dietary fibre may be soluble or Insoluble. If it's soluble it will dissolve in water, if it is insoluble it wi ll not. Soluble fibre includes pectins, found in apples, and beta-glucans, found in oats and barley. Other types include gums and mucilages. Insoluble fibre is found in whole grains and other plants. Types include cellulose, some hemicelluloses and lignin , and they are useful as they help a person to fee l fu ller after eating (satiety). They also stimulate peristalsis (contraction and re laxation of the intestine wa lls, which pushes food along the intestines). A diet containing adequate amounts of fibre can reduce blood cholesterol levels and also help with maintaining an ideal body weight, as it helps us to feel fu ll and so helps prevent overeating. Research shows that diets high in fibre are associated wi th a lower risk of cardiovascular disease, bowel cancer and type 2 diabetes, as well as being useful to help the management of type 2 diabetes. Remember! Wholegrain foods are unrefined, meaning the grains keep their outer bran layers, Inner germ and the endosperm, so they are good sources of dietary fibre and certain vitamins and minerals. MILK • ~ ~ .;":;(;,~.qy,'r. r I Figure 1.2 Food sources of carbohydrate include fruit, milk, grains, legumes, bread, pasta etc. Fats Table 1.3 Types of fats What are fats? All fats are high in calories (see Chapter 2 for calories); there is a lot of hidden fat in the snacks we eat (biscuits, crisps, chocolate). Excess fat in the body is stored under the skin as adipose tissue and also around certain organs, such as the kidneys. If required, the body can break down fat stored inside the body to make energy. What is the difference between fats and oils? As fats and oils differ in their chemical structure, temperatu re affects them differently: at room temperature fats are solid but oils are liquid. Fat is made up of three fatty acid chains and one glycerol unit, called a triglyceride. The main component of most fats and oils are triglycerides. Fats are also known as lipids. Types of fats: saturated and unsaturated Saturated fat is mainly found in animal products such as meat, butter, ghee and fu ll-fat cheese. It is also found in coconuts, cakes and pastries. Saturated fat has the maximum possible number of hydrogen atoms; therefore is "saturated '' with hydrogen atoms. If there are hydrogen atoms missing, the fat is considered unsaturated. Unsaturated fats are found in many plant oils. Foods rich in unsaturated fats include fish, nuts and seeds, avocados, olive oils and vegetable oils. There are two kinds of unsaturated fats: monounsaturated and polyunsat urated. Monounsaturated fats may be the healthier choice as research shows that they can lower blood cholesterol levels, and therefore lower the risk of developing cardiovascular disease. Olive oil, canola and rapeseed oil are good sources. Polyunsaturated fats are found in sunflower oil and vegetable oil, wa lnuts, sunflower seeds and oily fish. Unsaturated fats : linolenlc acid ( omega-3) and llnoleic acid (omega-6 ) fatty acids The body can make the fatty acids it needs except for two essential fatty acids (EFAs), known as alpha llnolenlc acid (omega-3) and llnolelc acid (omega-6) . They are needed to make cell membranes and nerve tissues. Cholesterol Cholesterol is a waxy substance that is found in all the body cells. Good sources of omega-3 fatty acids include oily fish, such as salmon and mackerel, fish oil supplements and flaxseeds. Good sources of omega-6 oils are vegetable oils, nuts and seeds. It is made in the liver and is used for a variety of important functions, such as maintaining healthy ce ll membranes, form ing bile salts and producing some hormones. Cholesterol is not found in plant products. As it is made in the body we do not need to find a dietar y source. There are two types of cho lesterol: High-density llpoprotein (HDL) cholesterol is known as ·•good" cholesterol. These lipoproteins are helpful as they pick up excess cholestero l in the blood and take it to the liver, where it is broken down. Low-density llpoprotein (LDL) carries cholesterol around the body; however, too much cholesterol over a period of time can result in it building up inside blood vessel walls, in sticky layers ca lled plaques, and can eventually block the flow of blood if there is excessive build up. Therefore, increased LDLs and low HDLs increase the risk of heart disease. The build up of plaque in the lining of the arteries is called atheroschlerosis; it is the cause of most heart attacks and strokes. A stroke occurs when blood flow to an area of brain is cut off and can lead to death. Trans fats Anothe r type of unsaturated fat, known as trans fat, has a s imilar effect to saturated fats, wh ich can ra ise the amount of LDL cholesterol in blood but lower the amount of HDL cholesterol. Trans fats are produced when liquid oils are processed by the food industry to turn them into solid fats, by a process known as hydrogenation. A fu lly hydrogenated fat does not contain trans fat; however, partially hydrogenated fats or oils will contain it. The food industry has removed trans fatty acids from many processed foods, so consumption by the public has decreased. Funct ions of fat Fat has the fo llowing functions: • to surround and protect certain organs, such as the kidneys • to provide fat-soluble vitamins A, D, E and K • to help keep us warm as the fat layer under the skin helps to trap body heat • to provide a source of energy. Did you know? Although palm oil is a vegetable oil , it has a high percentage of saturated fatty acids. I J Canola - Figure 1.3 Food sources of fat include meat, fish, cheese, butter, oils, nuts etc How to reduce saturated fat In the diet Diets that are high in saturated fats may increase the amount of cholesterol in the blood. A high cholesterol level is linked to an increased risk of cardiovascular disease or stroke, so that's why current recommen dations emphasise the importance of reducing the saturated fat in our diets. There are many ways to reduce the amount of saturates (and also total fat) in the diet: • avoid frying and roast ing food in fat-gril l, microwave or bake foods instead • eat lean cuts of red meat • remove fat from meat • eat skinless chicken • use lower-fat dairy products • use reduced-fat or low-fat spreads. The effect of a high-fat diet • Obesity: High-fat foods provide a lot of calories but may have a less satiating (filling) effect than other food groups (e.g. protein and fibre). Eating these foods results in a higher calorie intake; therefore, excess fat is stored in the body, leading to a person becoming overweight or obese. • Fat and coronary heart disease (CHO): A diet high in fa t, especially saturated fat, may lead to a raised blood cholesterol level and so increase a person's risk of suffering with coronary heart disease. A collection of symptoms - known as metabolic syndrome and including excess body fat around the waist, abnormal cholesterol levels, increased blood pressure and a high blood sugar level - can occur together, increasing an individual's risk of heart disease, stroke and diabetes. Vitamins Vitamins are essential nutrients req uired by the body in small amounts. Eating a balanced diet will help to ensure a sufficient intake. There are two types of vitamins which dissolve in different substances: fat-soluble and water-soluble. • Fat-soluble vitamins include vitamins A, D, E and K and are found mainly in animal foods and fatty food products, such as dairy food, eggs, liver, oily fish, margarine and vegetable oils. These vitamins are not required in the diet each day because they are stored in the liver and body fat. Too much fat-soluble vitamins in the diet can be harmful to health. • Water-soluble vitamins include vitamin C and the vitamin B complex group: thiamin (vitamin B1 ), riboflavin (vitamin B), niacin (vitamin B3 ), pyridoxine (vitamin B6 ), folate (folic acid), vitamin B12, biotin and pantothenic acid. As the body does not store water-soluble vitamins it requ ires a daily intake of them. Did you know? Too much vitamin A can affect skin and joints, especially in children. Vitamin A is important for the developing baby; however, excessive amounts can cause birth defects. Table 1 .4 Types of vitam ins Vitamins Best sources Functions Deficiency symptoms Vitamin A ( retinol) Fish liver oils, oily fish, liver, dairy products, eggs, vegetab les and fru it in the form of betacarotene Needed for normal vision, even in dim light. Night blindness, dry, rough skin and reduced resistance to infection. (Beta-carotene in fruits and vegetables are converted into retinol in the body) Vitamin B1 (thlamin) Vitamin B2 (riboflavin) Vitamin B3 (niacin) Vitamin B5 ( pantothenlc acid) Growth of ch ildren. Helps protect against infections. Wholegrain cerea ls, brown rice, wholemeal bread, nuts, eggs, fish and milk Helps convert ca rbohydrate into energy. Wheat bran, green or leafy vegetables, peas and beans, meat, eggs and milk Releases energy from carbohydrates, proteins and fats . Needed for proper functioning of the nerves. Loss of appetite, lack of concentration, inflamed nerves, muscle weakness and depression. Can resu lt in deficiency disease Beriberl. Maintains healt hy skin. Cracked lips, soreness of mouth and tongue, dermatitis, hair loss, blurred vision and dizziness. Wholegrain cerea ls, peas, beans, nuts, meat , eggs and fish Helps to re lease energy from fats and glucose. Loss of appetite, we ight loss, nausea, depression. Maintains healthy skin, nervous and digest ive systems. Can resu lt in deficiency disease Pellagra . Most foods, especially wholegrain cerea ls, wheat germ, green vegetables, nuts, eggs and fish Helps to re lease energy f rom fats and carbohydrates. Exhaustion, abdominal pain, headache, cramps, "pins and needles" sensation , more prone to Infections. Beneficial for nervous system. Converts cho lesterol into anti-stress hormones. Vitami n B6 (pyrldoxlne) Most foods , including wholegrain cereals, wheat germ, green vegetables, nuts, eggs and fish Needed for the metabolism of carbohydrates, protein and fat. Skin problems, cracked lips, possibly PMS, depression and kidney stones. Needed for the production of antibodies to fight infection . Helps maintain healthy skin. Vitami n B12 ( cobalamln) Liver, meat, fish, pork, beef, animal products Detoxifies cyan ide brought into the body by smoking and food. Pernicious anaemia is a common cause of vitamin B12 deficiency. Nerve damage, ca using t remors. Mental deterioration, menstrual disorder, pigmentation of the hands and t iredness. Can resu lt in deficiency disease hypocobalamlnemla. Vitami n C ( ascorbic acid) Vitami n D ( cholecalciferol) Fresh fruits and vegetables, such as citrus fruits, kiwi fruit, West Indian cherries, ca llaloo, guava, broccoli, peppers, tomatoes Needed for healthy gums, resistance against infection and for the body to absorb iron. Fish, cod liver oil, liver, eggs, dairy products and margarine Needed to absorb calcium for strong bones and teeth, blood clotting, muscle and nerve funct ion . Also comes from exposure of skin to sunlight. It is made under the skin Needed to produce connective tissue. Helps to control the amount of calcium and phosphate in the body. Aches, pains, swollen gums, nose bleeds, anaemia, scurvy, haemorrhaging. Can result in deficiency disease scurvy. Bone deformities such as rickets in children, wh ich causes bones to become soft and weak. Osteomalacia in adults: weakened bones, bone pain. Vitamin E (tocopherol) Vegetable oils, egg yolks, wheat germ, nuts, wholegrain cereals, leafy green vegetables Antioxidant, therefore slows down ageing by protecting cell membranes. Anaem ia and destruction of red blood cells. Needed for the formation of red blood cells. Beta-carotene Beta-carotene is respons ible for the colour of yellow and orange fru it and vegetables. The body turns it into vitamin A and utilises it . Good sources of beta-carotene include carrots, mango, papaya, spinach, sweet potato, pumpkin, callaloo, bok choy/pak choi and apricot. Did you know? Eating excessive amounts of beta-carotene can t urn the skin yellow in colour. However, this is not harmfu l and wi ll reverse when consumption of it is stopped. Minerals Minerals are needed in small amounts to help the body function properly. As the body does not make them, it needs a daily intake to help, for instance, build strong teeth and bones and turn food into energy. Table 1 .5 Types of minerals Mineral Best sources Functions Deficiency symptoms Calcium Milk and other dairy products, fish and dark green, leafy vegetables Needed for teeth and bones; essential for blood clotting and for muscle and nerve function. Bone loss (osteopenia) and, if untreated, osteoporosis. This increases the risk of bone fractures, especia lly in older adults. Phosphorus Meat, cereal, dairy products Needed for bones, teeth, and nerve and muscle function. Loss of appet ite, anxiety, bone pain, fragile bones, stiff joints, fatigue and irregu lar breathing. Potassium Fru it, vegetables and grains Influences nerve function and muscle contraction. Muscle cramping, weakness, constipation, bloating or abdomina l pain caused by paralysis of the intestines. Sodium Many foods, table salt Important in fluid balance and the passing of impulses between neurones (nerve cells}; also for muscle contraction. Headache, nausea and vomiting, tiredness, muscle spasms and seizures. M agnesium Nuts, whole grains, green, leafy vegetables Needed for muscle and nerve function; also bones and teeth. Fatigue, weakness, loss of appetite, nausea and vomiting. If left untreated, magnesium deficiency can lead to numbness, tingling, muscle cramps, seizures or abnorma l rhythms of t he heart. Iron Meat, offal (e.g. I iver), nuts, egg yolk, dried fruit (e.g. ra isins and prunes) Needed for production of haemoglobin (red blood cells are able to carry oxygen around the body so efficiently because of a special protein called haemoglobin). Iron-deficiency anaemia: Seafood, salt, vegetables grown in iodine-rich soils Needed for the production of thyroid hormones. Iodine symptoms include feeling weak, tiredness and dizziness. Deficiency can lead to enlargement of the thyroid (goitre). Also hypothyroidism, symptoms of which are extreme fatigue, mental slowing, depression and weight gain. Importance of water in the diet Water accounts for approximately 60 per cent of body weight and without it a person would die in a few days. It is important for body functions such as digestion, blood circulation, transport of nutrients around the body and maintaining body temperature. Insufficient flu id can cause tiredness and headaches. Water is found in drinks we consume and in most foods we eat. It is recommended that fema les aged 14 and over should drink around 1.6 L of fluid per day (about 8 x 200 ml glasses) and males aged 14 and over should drink around 2 L of fluid per day (about 10 x 200 ml glasses). Children 4-13 years old should aim to drink about 6-8 glasses (250-300 ml serving) of fluid per day and younger children need smaller drinks (120-150 ml serving). These recommended amounts are additional to water found in foods eaten. However, more fluid may be required on hot days or if vigorous exercise is being carried out, and less may be required on cooler days and if little activity is being undertaken. Thirst is not the only indicator that we requ ire more fluid, another sign is when the urine becomes darker yellow in colour; if adequate amounts of water are drun k the urine will be pale in colour. Digestive system The digestive system breaks down food into tiny molecules that provide nutrients and are absorbed and used by the body for energy, growth and cell re pair. 1' ) ~ ,---------, -:,.r .r:,, Oesophagus Stor ach Liver Gall bladder Small intestine Pancreas Rectum Llarge intestine Figure 1.4 The main organs of the digestive system Process of digestion in the mouth and stomach Digestion of, for instance, a salmon sandwich, begins in the mouth where teeth chew the food (mechanical digestion) and saliva helps to moisten it. Salivary glands produce the enzyme salivary amylase to break down the starch found in the bread. The food is swallowed and enters the oesophagus and then passes to the stomach, where it is churned by the stomach walls and mixed with the gastric j uices. The enzyme pepsin is released and hydrochloric acid provides an acid medium for the enzyme to work in, helping to brea k down the protein found in the salmon. Table 1.6 The organs of the digestive system Organ Description Salivary glands Produce saliva which moistens and softens the food. Saliva contains amylase, an enzyme th at begins the brea kdovvn of carbohydrates. Oesophagus Tube that carries food and liquid from the throat to the stomach. Liver Large organ with many functions. Produces bile which helps the digestion of fats in the small Intest ine. Gall bladder Bile is stored in the gall bladder. Stomach J-shaped organ that churns food to help break it down. The stomach lining produces substances called enzymes that break down proteins, and hydrochloric acid to destroy bacteria. Pancreas Produces enzymes that are re leased into the small intestine to help break down protein, carbohydrate and fats. Small intestine Most of the nutrients in the food pass through the lining of the small intestine into the blood. Large intestine Absorbs water from indigested food resu lting in faeces (waste matter after food has been digested). Rectum Area where faeces are stored. Conditions associated with the digestive system Including dietary fibre in the diet is important to help prevent constipation, diverticulitis and haemorrhoids (piles) as it absorbs water and binds other food remnants, therefore ensuring the faeces are soft and bulky and pass easily from the body in minimum time. Why don't you? Research the information asked for to complete Table 1. 7. Make a copy and put it in your portfolio of evidence. Table 1. 7 Conditions associated with the digestive system Condition associated with the digestive system Definit ion Cause and effect of condition Diarrhoea Constipation Haemorrhoids Irritable bowel syndrome Diverticulitis Why don't you? Copy Table 1.8 over the page and match the nutrients to their correct function. Table 1.8 Match the nutrients to their correct function Protein Needed for healthy bones, teeth and gums and res istance against infection and for the body to absorb iron. Vitamin C Important in fluid balance and the passing of impulses between neurones; also for muscle contraction. Calclum Needed for strong bones and teeth, blood clotting, muscle and nerve function; helps to control the amount of calcium and phosphate in the body. Carbohydrates Helps keep the muscles of the intestines exercised, prevents constipation and provides bulk to satisfy appetite. Fats Needed for normal vision, even in dim light; requ ired for teeth and bone formation; helps protect aga inst infections. Iron Part of haemoglobin - a red protein in red blood cells that carries oxygen around th e body. Dietary fibre Antioxidant, therefore slows down ageing by protecting cell membranes; needed for the formation of red blood cells. Vitamin A Used by the body for energy. Vitamin D Needed for teeth and bones; essential for blood clotting and for muscle and nerve function. Sodium Needed to transport fat-soluble vitamins A, D, E and K; helps to keep us warm as the fat layer under the skin helps to trap body heat; provides a source of energy. Exam tip 0 Make up flash cards (usually 12 cm by 20 cm, index card size) which contain a nutrient one side and their function on the other side. You can keep the cards at hand to regu larly test yourself regarding the names and functions of the different nutrients. Figure 1.5 Label the organs of the digestive system Why don't you? Copy Figure 1.5, and label the digestive system organs. Then, on a separate sheet, describe the function of each. This can be added to your portfolio of evidence. Useful links Useful websites to research the digestive system include: Inner Body: www.innerbody.com/image/digeov.html Kids Health: http://kidshea lth.org;en/kids/digestive-system.html Healthy diet A healthy balanced diet contains adequate amounts and proportions of all the necessary nutrients requ ired for healthy growth and body functioning. Poor food choices can lead to a diet that lacks essential nutrients and therefore increases the risk of diseases relat ing to poor nutrition. For example, if the diet does not include enough iron, anaemia may resu lt, especially if the individual is fema le and menstruating. Iron deficiency anaemia is a condition where insufficient iron in the body leads to a fa ll in the number of red blood cells, resulting in t iredness and shortness of breath. The Dietary Guide for the Caribbean, which helps to ensure a balanced diet, recommends the following: • eat a variety of foods from all of the food groups • maintain your ideal body weight • avoid the use of or decrease your intake of fatty foods • avoid the use of sugar • select carbohydrate foods that provide lots of starch and fibre • decrease your salt intake • eat iron-rich foods • decrease or avoid the consumption of alcohol. Why don't you? Design a poster which includes the Food-Based Dietary Guidelines specific to your territory. This can be added to your portfolio of evidence. Did you know? The World Health Organisation (WHO) defines health as •a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity''. The six food groups In the Caribbean, foods are divided into six food groups. The food groups are based on foods that are commonly eaten and are easily available in the Caribbean. The Caribbean Public Health Agency (CARPHA) promotes the six food groups for a balanced and healthy Caribbean diet. The six food groups used in the Caribbean are staples, legumes and nuts, vegetables, fruits, foods from animals and fats and oils. Staples and legumes are the largest sections of the whee l, showing t heir importance in the diet; the energy-dense group of fats and oils is t he smallest, meaning there should be limited amounts in the diet. Figure 2.1 Food groups wheel Staples are the largest group and contain foods that are commonly found in the Caribbean diet. Staples are an important source of carbohydrates. See Chapter 1, Table 1.2 for types of carbohydrate. Table 2.1 Staples Staple foods Nutrients provided Serving size ( most serving sizes provide about 100 calories) Amount that should be consumed dally Cereal grains and their products (oats, sago, cornflakes, breakfast cereals), flour and flour products (bread, cakes, cookies, pasta) Mostly provide carbohydrate, protein, dietary fibre, B vitamins and minerals. 1 slice of bread; 4 or more servings Starchy fru its, roots, tubers and ground provisions (green banana, sweet potato, plantain, breadfruit, yam, potato, dasheen and cassava). Roots and tubers are good sources of carbohydrates, fibre, calcium and vitamin C. 30g dry; 85g (or 1/2 cup) cooked, such as porridge, 30g (¾ cup) readyto-eat cereal 115g (as purchased); 85g cooked (or 1 standard piece as used in soup or other dishes) Wholegrain or wholemeal varieties of starchy foods (such as brown rice, wholewheat pasta and wholemeal bread) contain more fibre and usually more vitamins and minerals than white varieties. Remember! Potatoes are a great source of fibre. Leave the skins on (when possible) to keep in more of t he fibre and vitamins. Make sure to wash them thoroughly before use. Legumes (peas a nd beans) and nuts Legumes are a good source of low-biologica l-value (LBV) protein. See Chapter 1, Table 1.1 for more information about types of protein. Table 2 .2 Legumes Legumes Nutrients provided Serving size (each serving provides around 100 calories) Amount that should be consumed dally Kidney beans, broad beans, split peas, gungo/ pigeon peas, cow peas, other dried peas and beans (dried peas and beans are often known as pulses) Good source of LBV protein and complex ca rbohydrates, fibre, vita rni ns and minerals. 30g dry (or½ cup cooked) 1 or more servings Peanuts, cas hew nuts, sesame seeds and pumpkin seeds Nuts are high in fibre but contain high levels of fat, so should be eaten in moderation. 15g of most nuts and seeds Fruits Fruits and vegetables are excellent sources of vitamins and minerals. See Chapter 1, Table 1.4 and 1.5 for information about the nutrients they provide. Table 2.3 Fruits Fruits Nutrients provided Serving size ( each serving contains around 100 calories) Amount that should be consumed dally Mango, sapodilla, guava, waterm elon, citrus (oranges, grapefruit, limes, tangerines), pineapple, West Indian cherry, bananas, ripe pawpaw/papaya, golden apple/Jew/ June plum, passion fruit, sugar apple/ sweet sop Vita min C, water, fibre. 1 medium fruit such as an orange, guava, small mango: 2 or more servings 120 ml (or ½ cup) fresh fruit ju ice; 80 g of fresh, frozen or canned fruit; 80 g dried fruit Vegetables Vegetables are naturally low in calories and rich in vitamins and minerals. Table 2.4 Vegetables Vegetables Nutrients provided Serving size Amount that should be consumed dally Spinach, dasheen leaves, broccoli, cabbage, bok choy/ pak choi squash, pumpkin, carrot, christophene, string beans, cucumber, tomato and eggplant (aubergine} Carbohydrate, vitamins, minerals, fibre, water. Raw - any amount; cooked - 75g 2 or more servings Did you know? Dark green leafy vegetables - such as spinach, dasheen leaves, broccoli, cabbage bush and bok choy/pak choi - contain iron , wh ich is important for making healthy red blood cells. Fruit and vegetables - five a day Fruit and vegetables contain importan t vitamins and minerals and a variety of phytochemicals (naturally occurring plant substances) that help to ensure good health. Many of th ese nutrients also act as powerful antioxidants, which protect the body from harmful free radica ls that can cause diseases, such as cancer. Studies have shown that people who eat fewer than five portions each day are at a higher risk of heart disease, stroke, hypertension and some cancers. As potatoes are classed as a starchy food an d commonly replace other starchy foods, such as pasta and rice, they are not counted as part of the five a day. For the same reason , cassava, yams and plantains are also not included as part of the five a day. However, sweet potatoes can be included in your five a day if they are ea ten as a vegetable alongside another starchy food. Remember! Many nutrients found in fruit and vegetables cannot be stored in the body, therefore fruit and vegetables must be eaten regula rly. Food from animals Meat and dairy products are a good source of high•biological-value (HBV) protein. See Chapter 1, Table 1.1 for more information about types of protein. Table 2.5 Foods from animals Foods Nutrients provided Serving size (each serving Is around 100 calories) Amount that should be consumed dally Meat, poultry (chicken and turkey), seafood (fish, crab, lobster), milk, cheese, yogurt, egg Meat is a good source of HBV protein, vitamins and minerals, including B vitamins (in particular B,), iron and zinc. Red meats are excellent sources of 40-60g of lean meat, fish and chicken; 2 or more servings haem Iron. 30g of cheese; Another excellent source of protein , vitamins and minerals is fish. Oily fish, such as salmon, is rich in ornega-3 fatty acids. Milk and dairy foods, such as cheese and yogurt, are also good sources of protein. They also contain calcium, which is required for hea lthy, strong bones. 240 ml (or 1 cup) of low-fat milk; 1 egg Fats and oils Fat and oils provide the body with, of course, fat, which is important to health: however, we only need small amounts of fat in the diet to help the body absorb vitarni ns A, D, E and K. Fats help to add flavour and colour to food but are also high in calories. See Chapter 1, Table 1.3 for more inform ation about fats and oils. Table 2 .6 Fats and Oils Foods Nutrients provided Serving size ( each serving Is around 100 calories) Amount that should be consumed dally Butter, margarine, ghee, coconut cream/milk, meat fat, nuts, avocado, ackee, salad dressings, mayonnaise Fat, butter and forti fied margarin e provide vitamins A and E. 1 tbsp of fats and o ils; 3 or more servings 1 rasher of bacon Did you know? Most people in the Caribbean eat too much saturated fat. Multi-mix principle A food whee l (see Figure 2.1) can be used as a guide to help plan healthy meals. It shows the six food groups; however, not all of the divisions in the chart are equal. The size of each group corresponds to the nu1nber of servings daily a person should consume from that group. The largest group is staples, meaning that most of the diet should consist of foods from this group. Less food should be eaten from the smallest group, fats and oi Is. To help encourage healthy eating in the Caribbean, a food guide known as the multi-mix principle is used. It is a system of combining foods from different base groups to form nutritionally balanced meals. These base groups include four of the six food groups: staples, food from anima ls, legumes and vegetables. This principle is useful for most people, including babies, children, adults, the elderly, vegetarians, those on low incomes and people with food allergies. It consists of three categories - each is called a mix as it is made up of two or more food groups to help ensure a nutritionally balanced meal. Staples should be included in all mixes, and there should be no more than two per meal. Also, at least one protein source, preferably low in fat, must be included in all mixes and can be from an animal or plant group. cereal grains and their products Vegetables: spinac11 , carrots . s uash etc Legumes: beans, eas. etc Food from animals: meat, fish, mJlk, e s, etc. Figure 2.2 The four base groups of the multi-mix principle: staples, food from animals, legumes and vegetables Creating a meal using the multi-mix principle The simplest combination is called a two-mix because it uses foods from two of the four base groups to make a meal. Using the staple foods as a base, foods should then be chosen from an animal or legume source. If a food item (base) is chosen from the cereal staple group, then the choice of the other group could either be food from animals or legumes and nuts. If a food item (base) is chosen from the starchy roots and fru its staple group, then th e choice of the other group must be food from animals. Combining the staples food group with foods from three of the other food groups can resu lt in three types of mixes: the two-mix or double-mix, the three-mix and the four-m ix. Two-mix meals Meals from two food groups are often the cheapest to make. To be good for health, such a meal must always use: Staple+ peas or beans (e.g. rice and peas) or Staple + foods from animals (e.g. mashed potato and beef). Why don't you? Research a two-mix other than those stated above. Draw it onto a copy of the plate diagram in Figure 2.3, and add labels. What nutrients are provided by this meal? Ifll l Figure 2 .3 Plan a meal using the mult i-mix principle Three-mix meals Foods chosen from three groups make up a three-mix. They include: Cereal staple + beans or peas + dark green leafy vegetables or orange vegetables (e.g. rice, beans, callaloo/carrots) or Staple + beans or peas + foods from animals (e.g. pasta, peas, liver) or Staple + foods from animals + dark green leafy vegetables or orange vegetables (e.g. rice, chicken and steamed spinach/squash) Why don't you? Research a three-mix meal other than those stated above. Draw it onto a copy of the plate diagram in Figure 2.3, and add labels. What nutrient s are provided by this meal? Four-mix meals The healthiest meals include foods from each of the fou r main food groups and are known as four-mixes. A four-mix includes foods f rom the following groups: Staple + peas or beans + dark green vegetables or orange vegetables + foods from animals (e.g. rice, peas, carrot and chicken) Ideally, each day a person should consume around five servings of staples, two servings of legumes, three servings of foods from animals and fou r servings of vegetables. It is recommended to include all four categories in the daily diet: for example, a fou r-mix at breakfast, a three-mix at lunch and dinner, and perhaps two-mix meals in between main meals. When staples and protein are added together in a mix, vegetables should be added. Fats and oils are not included as fat can be added during meal preparation. ... - Figure 2.4 A fou r-mix meal consisting of rice, peas, carrot and chicken Why don't you? Research a four-mix meal other than stated above and draw and label it onto a copy of the plate diagram in Figure 2.4. Wh at nutrients are provided by this meal? Poor nutrition M alnutrltlon means " poor nutrition " or ;' bad nutrition" and occurs when a person's diet doesn't contain the right amount of nutrients, which can lead to poor health. An inadequate intake of nutrients leads to undernutrltlon, resu lting in people becoming severely underweight; however, overnutritlon results when people consu,ne more nutrients (therefore more calories) than are required, leading to a person becoming overweight or obese. Other signs of overnutrition include: • diabetes mellitus • hypertension • hear t disease • joint problems. Malnutrition may be due to economic constraints (low income). To prevent hunger, poor families may eat foods with little or no nutritional value. Low income can lead to increases in body weight, leading to chronic non-communicable diseases. Obesity A nutritious diet plays an important role in ensuring good physical, mental and social health. A poor diet, such as regularly over-eating, can lead to many physical and mental health problems, including depression and poor self-image. This can resu lt in a person refus ing to socialise with friends and so feel ing isolated. Diet-related health problems in the Caribbean are increasing and are a common consequence of obesity. The World Health Organisation defines overweight and obesity as ;'abnormal or excessive fat accumulation that may impair health " . A person is considered obese when their weight is we ll above that of what is considered to be a "normal weight'' for an individual's age and height. Around 25 to 30 per cent of adults in the Caribbean are classified as obese. According to the Caribbean Public Health Agency (CARPHA), the Caribbean is currently experiencing a childhood obesity epidemic. They state that one in every five children is overweight, and so is at risk of developing certain diseases in later life. Did you know? Energy density is the amount of energy or calories per gram of food. The tradit ional Caribbean diet is a healthy one, consisting of seafood, lean protein, unrefined staples and plenty of fruit and vegetables. However, these days the diet isn't so healthy due to various factors, including the consumption of energydense foods that are high in calories, such as fried foods, and low activity levels. This energy imbalance between the amount of calories consumed and the amount used by the body for energy resu lts in weight ga in. Figure 2.5 Weight is gained if more calories are consumed than are used for energy Being obese and overweight increases the risk of suffering from other potentially life-threaten ing health problems, such as stroke (caused by the interruption of the blood supply to the brain, usually because a blood vessel bursts or is blocked by a clot), cardiovascular disease (conditions that involve narrowed or blocked blood vessels that can lead to a heart attack) and certain types of cancer. It is also related to breathing d ifficu lt ies, joint pa in and infertility. According to the Department of Health Statistics and Information Systems at the World Health Organisation , "In every region of the world, obesity doubled between 1980 and 2008." It found that in all par ts of the world, women are more like ly to be obese than men, making them more vulnerable to diabetes, cardiovascular disease and some cancers. Other diet-related serious health problems Type 2 diabetes mellitus Diabetes mellitus is a disease that affects the body's ability to use glucose (sugar) glucose is required by nearly all cells in the body - and causes the blood sugar level to become too high. If a person is overweight or obese, they are at greater risk of developing type 2 diabetes mellitus, especially if they have excess weight around their abdomen. Type 2 diabetes is a common medical condition in the Caribbean. Typically, it occurs mainly in people over 40, but due to increasing weight gain in younger people and children, it is now affecting these age groups. It's a serious disorder, and if untreated can lead to cardiovascular disease, blindness, kidney fa ilure and removal of limbs (particularly lower legs). Treatrnent involves anti-diabetic medication or insulin and a healthy diet and regular exercise. Guidelines for the management of diabetes mellitus • Eat small portions of food. • Avoid sugar-sweetened drinks. • Regularly eat fruits, vegetables and foods high in fibre. • Drink a lot of water. • Exercise frequently. Remember! The probability of developing type 2 diabetes rises sharply as body fat increases. Hypertension (high blood pressure) Blood pressure is a measure of the force of blood against the wall of the arteries as the heart pumps blood through the body. Hypertension (high blood pressure) is a common condition that involves blood pressure being consistently 140 over 90, or higher, over a number of weeks. The continued pressure of blood against the artery walls may eventually cause health problems, such as heart disease . Risk factors (factors that increase a person's chance of developing a disease) for hypertension include: • high sodium (salt) intake • being overweight or obese • lack of exercise • drinking alcohol • smoking cigarettes • family history of high blood pressure • high blood cholesterol. Did you know? Hypertension is a disease that is becoming increasingly more common in the Caribbean. Salt Table salt, commonly added to food , is sodium chloride. The term "salt" is now used on food labels, rather than ;·sodium". Approximately 50 per cent of people with hypertension have high blood pressure that is sensitive to salt (i.e. too much salt raises their blood pressure). Salt is found naturally in many kinds of food; however, more is added by food manufacturers. Around 75 per cent of salt in foods is found in processed foods: foods packaged in boxes, cans or bags. Also, salt is added while making many tra ditional Caribbean dishes. It is unclear why, but people of African origin are more sensitive to the blood-raising effects of salt than those from other ethnic groups. Caribbean people commonly consume over 9 grams of salt a day. However, food scientists recommend no more than 6 grams of salt a day in the diet . Children should consume less salt, as shown in Table 2. 7. Table 2.7 Recommendations for daily salt intake Age Maximum amount of salt that should be consumed 1 to 3 year s 2g salt a day (0.8g sodium) 4 to 6 year s 3g salt a day (1.2g sodium) 7 to 10 years 5g salt a day (2g sodiu,n) 11 years and over 6g salt a day (2.4g sodium) Reducing the amount of salt in the diet will help to reduce the risk of stroke and heart disease. Did you know? Jerking is a method of cooking meat and poultry that doesn't include salt. It involves marinating meat or poultry in a mixture of scallions (spring onions), garlic, thyme, onion and lemon juice Assessing a person's diet Calories A calorie (cal) is a unit of measurement of the amount of energy needed to raise the temperature of 1 gram of water by 1 °c. A kilocalorie (kcal) is 1,000 ca lories. Kca ls are the units used to measure the energy value of foods. The energy value of many foods is stated on the packaging. This information is shown under the "Energy" heading, usually as kca ls and kJ (kilojoules - the metric measurement for energy). To convert calories into kilojoules the calorie figure should be multiplied by 4.2. See Chapter 7 for more information regarding food labelling. Did you know? One gram of protein provides 4kcals (17 kJ) of energy; however, one gram of carbohydrate provides 3. 75 kca ls (16 kJ). Each gram of fat provides 9 kca ls (39 kJ) double that of either protein or carbohydrate! Energy (in the form of calories) ingested during a meal and not used immediately by the body for energy is turned into triglycerides and taken to fat cells to be stored. Hormones control the re lease of triglycerides from t he body's fat t issue so ensure they can be used if required by the body, such as during exercise. Remember! As a guide, t he average man needs around 2,500kcal (10,500 kJ) to maintain his weight, and the average woman needs around 2,000kcal (8,400 kJ) per day. Metabolism Metabolism is a set of chemical reactions that occur in the body to maintain life. Chemical reactions control body growth, repa ir cells, enable reproduction and ensure organs function normally, such as the lungs for breathing and digestive organs for digesting food. These chemical reactions require energy - the minimum amount of energy the body requires to carry them out is called the basal metabolic rate (BMR) . The BMR is the energy used by the body while at rest to maintain vital processes such as breathing or keeping warm. The metabolic rate is the speed at which the body burns energy (calories). The rate can vary from person to person due to: • age • gender - male or fema le • the proportion of muscle to fat in the body • the amount of exercise and other physical activity carried out • certain illnesses • genetic traits. Nutritional status The nutritional status generally refers to whether or not an individual is eating the correct amounts and types of nutrients and can be assessed by dietitians or doctors. If a person has a healthy balanced diet rich in nutrients, they will probably have a good nutritional status. A poor nutritional status re lates to a diet with an inadequate intake of nut rients to meet the body's needs for energy, growth and maintenance, and help is requ ired to prevent and treat malnutrit ion and diet-related conditions, such as coeliac disease. Techniques used to assess nutrit ional status include anthropometric measurements, physical observation and diet history, and laboratory testing. Anthropometric measurements Anthropometry means ;' to measure the human body". It is used to indicate nutrit ional status and is helpful for determining protein energy ma lnutrition. Anthropometric measurements are used to estimate the amounts of the various body components, such as muscles and fat. Equipment used to take these • l measurements includes weighing scales and stadiometers (a vertical measurement board or rod with a Figure 2.6 A skinfold caliper horizontal headpiece, used to measure standing height). Other equipment includes tape measures and skinfold calipers. The skinfold caliper is specifica lly designed for the accurate measurement of subcutaneous t issue (body fat) and measurements are taken at specific sites on the body. - To assess growth and development in infants, children and young people measurements of height, weight and we ight-for-length are taken. The length of a baby can be measured on an infant length board (infantometer). Head circumference is often measured with a tape measure to monitor brain growth during infancy. Measurements are then compared to specific data to help ensure normal development. For children who appear to be too heavy for their height, a skinfold test helps to determine if the we ight is due to excess body fat. To monitor a child's growth, paediatricians and other health care professionals use a growth cha rt to record a ch ild's growth rate over time. A descending line on the chart common ly means that the child has experienced a serious illness caus ing a decrease in body we ight. A horizontal line is not ideal as it means that the child is not gaining vve ight, wh ich may indicate an underlying problem. An ascending line on the chart is preferable as it means that the child is gaining weight and growing we ll. Anthropometric measurements used for adults usually include height and weight to determine their body mass Index (BMI), wh ich is calcu lated by using either of the formu las shown below. BMI = Metric us weight (kg) we ight (lb) BMI = (height (m)) 2 - - - -2 (height (in)) x 703 Figure 2. 7 Formula for measuring BMI BMI can help to determine if an adult is underweight, of norma I we ight, overweight or obese. However, this method is unsu itable for pregnant women, ath letes who carry a lot of muscle bulk, and body builders. Body Mass Index 130 • Obese 120 110 ~ Nolm.JI â– Undei"nel,fa 100 e,o .,. 90 .s j- 80 Waist-to-hip ratio involves 5: 70 using a tape measure to measure the wa ist and 60 hips and then dividing the so wa ist measurement by the hip measurement. 40 16(1 190 150 17'0 180 200 For instance, a woman ~tlncm with a 37-inch wa ist and 39-inch hips wou ld have a Figure 2 .8 Body Mass Index chart wa ist-to-hip ratio of 0.95, wh ich is not idea l. If she reduces her wa ist size to 31 inches she wou ld reduce her ratio to 0.79, a healthier ratio. The measurement helps to estimate the amount of abdominal fat. If after a period of t ime there is an increase in, for instance, wa ist measurement, it can indicate altered body fat distribution . A ratio of 1.0 or more in men or 0.85 or more in women indicates too much we ight around the abdominal region, putting an individual at increased risk of diseases such as obesity, type 2 diabetes and heart disease. Table 2 .8 Waist-to-hip ratio norms Gender Excellent Good Average At risk Males <0.85 0.85-0.89 0.90-0.95 ~0.95 Females <0.75 0.75-0.79 0.80-0.86 ~0.86 Did you know? Anthropomet ric measurements are often used to assess t he risk for chronic diseases such as heart disease and type 2 diabetes. Laboratory t ests Biochemical measurements carried out in a laboratory can be t ime-consuming and expensive. They involve a laboratory analysis of, for instance, blood or urine, which is analysed to determ ine levels of specific nutrients in the body to see if there is a deficiency or excess. Blood and urine samples are used to measure the levels of glucose, fats and minerals in the body. Did you know? In recent times t he Caribbean has seen increases in the number of people with diabetes, high cholesterol, heart disease and obesity. Physical observation There are physical signs that can indicate possible nutritional deficiencies or excesses. The condition of the hair, skin, nails, gums and tongue are indicators of good and poor nutrit ion. For instance, if gums are pale it could indicate anaemia; if the hair is very dry and brittle it could be sign of thyroid problems; and blue nails may indicate a circulation problem. Why don't you? Research how the condition of the hair, skin and nails is affected by poor nutrition. Add your notes to your portfolio of evidence. Diet history Another method of assessing nutritional status involves asking the patient to complete a diet and health questionnaire. During a consultation the practit ioner will ask questions about medical history, including previous illnesses, diseases and surgeries, and medications, as well as giving a physical observation too. The practitioner will also want to find out about the patient's diet and supplement use and so will often ask the patient to write a food diary stating what is eaten and drunk and at which t ime of the day. Another method involves the patient reca lling what they have consumed over a period of days; however this is often unreliable as the patient will probably have forgotten some of what was eaten or may decide to omit certain foods, such as those that are fattening, for fea r that they may seem greedy to the interviewer. A dietary analysis is carried out by calculating the nutrient content of the diet. Following the assessments, a nutritional care plan is developed and given to the patient. An evaluation will be undertaken when the plan has been carried out for a period of time. Why don't you? Copy the food diary table below (Figure 2.9) and write down everything you have eaten this week. You cou ld include some pictures. At the end of the week consider if your diet has been a healthy one. Compare with friends to see whether the ir diet is healthy or not. --- My Food Diary • • • Breakfast Monday Tuesday Wednesday Thursday Friday Saturday Sunday Figure 2.9 Food diary table Lunch Dinner Snacks/ beverages Why don't you? Make a food group plate to help you remember the Caribbean food groups whee l. Draw the six food group segments onto a paper plate, ensuring the size of each part accurately shows how many servings should be consumed each day. Cut out pictures of foods and drinks from rnagazines, then glue them onto the correct segment. Alternatively, draw pictures of food. The following resources are requ ired: • a large paper plate • photos and pictures of various types of food • scissors and glue sticks • coloured pencils or pens. Useful links World Health Organisation (lists and describes many health conditions): www .who.int/topics/ en/ National Nutrition Centre, Barbados (nutritional and practical guidelines for chi ldren): http:// nutritioncentre .health .gov. bb/ pubIic/ uploaded_fi les/ GN HFSAug2015 .pdf What is food safety? Food safety involves safe food handling, preparat ion and storage in ways that prevent foodborne illness. Accord ing to the World Health Organisation (WHO), at least 600 million people each year, or 1 in 10 worldwide, become ill due to eating contaminated food , and around 420,000 people die from food poisoning. Microbes that affect food Bacteria, fungi and viruses Bacteria, fungi and viruses are also known as microbes or microorganisms. Some are responsible for spoiling food by making it unappetising; others can lead to food poisoning. Did you know? Microbes are usually visible only under a microscope. A very powerful microscope is required to see viruses, as they are so small. Most foodborne illness is caused by bacteria. Bacteria are living organisms that are mostly harmless and many are highly beneficial; however, some are harmful (pathogenic) and can cause food spoilage and disease. Some of the most common infections caused by bacteria include campylobacter, salmonella, shigella, E.coli 015 7:H7, listeria and botulism. In the right conditions, the tiny bacteria can quickly reproduce by dividing into two and continuing to multiply. Did you know? Salmonella and campylobacter survive for short periods of around 1 to 4 hours on hard surfaces or fabrics. When a person eats food containing bacteria that causes food poisoning, it will take a while, common ly hours or days, before symptoms begin as the bacteria need time to multiply in the intestine. The length of t ime depends on the type of bacteria and how many are consumed. Spore-forming bacteria, such as Clostridium perfringens and Clostridium botulinum, can cause foodborne illness. As they grow, they form a "shell" which protects them from heat, drying and chemicals. As spores are resistant to heat, the food industry uses extremely high temperatures of over 212 F (100 C) and pressure to help destroy or inactivate the spores when food canning. Toxin-forming bacteria, such as Escherichia coli (E. coli) and bacillus cereus, are bacteria that produce toxins (poisons) that can cause foodborne illness. Did you know? Bacterium is singular, whereas the word bacteria is plural. Fungi include moulds and yeasts. Moulds are fungi tha t live on plant or animal matter and can produce harmful mycotoxins. Common foods that become mouldy are bread, cheese and jam. Yeasts are fungi and are useful to the food industry as they break down (metabolise) sugar in food , which resu lts in the production of alcohol and carbon dioxide. This process, known as fermentation, is used to make wine and beer, and also bread. Yeasts are not usually considered harmful, but they do cause food such as fru it and vegetables to spoil. Viruses are very small infectious microorganisms and many are resistant to heat, drying and freezing. The most common viral foodborne illness is norovirus; others include rotavirus and hepatitis A and E. They cannot multiply in food as they need a human host in wh ich to multiply. People who are infected can spread it directly to other people, or can contaminate food or drinks they prepare for other people. Viruses such as the norovirus can also live on surfaces and fabrics. The majority of vira l infections are due to human-to-human contact, with transmission of the virus through food, common ly through shellfish, being a minor risk. Why don't you? Copy and complete Table 3.1 with examples and descriptions of the microbes listed above. You can add this to your portfol io of evidence. Table 3 .1 Types of microbes Microbes Bacteria Fungi Viruses Examples Description Food contamination and spoilage What is food contamination and spoilage? Food spoilage includes food that has an unpleasant smell and taste and an unappetising appearance. It occurs over time and is often due to bacteria, fungi, damage, insects or chemical reactions. The type of microbes that make food unsafe are not usually the same ones that cause food spoilage. Remember! Many microbes that make food unsafe do not change the colour, taste or smell of the food. Foodborne microbes requ ire certain condit ions in which to grow and reproduce. They need nutrients (food}, water and, for many bacteria, oxygen. Taking away one or more of these factors will help the food stay fresher fo r longer, therefore helping to preserve it. Food handlers can maintain food safety by controlling the following condit ions requ ired by bacteria: food acidity, time, temperature, oxygen and moisture. The acronym FAT TOM will help you to remember the six factors that contribute to food spoilage and contamination. Table 3.2 Factors relating to food spoilage Factor How factors affect microbe growth (mostly bacteria) How to slow down growth of bacteria Food Bacteria require food to grow and live, particularly proteins and carbohydrates. Store and wrap food properly. Meat, fish and dairy products are particularly prone to bacteria. Acidity Bacteria prefer foods that contain little or no acid. Pathogens mostly cannot grow with a pH level under 4.0. Store food in an acidic environment, e.g. pickles in vinegar (acid). Time It takes t ime for bacteria to grow in number. However, bacterial growth will be quicker if food is held at the temperature "danger zone " - see Figure 3 .1 . When preparing food , keep it out of the fridge for the shortest t ime possible. Temperature Bacteria grow quickly between 41 °F (S°C) and 140°F (60°C) (the danger zone). Storing perishable foods at 8°C or below controls the multiplication of most bacteria. Ensure fridge temperature is at 41°F (S°C) or below. Chilling Foods such as dairy produce should be kept at a temperature between 32°F (0°C) and 41°F (5°C). This is typica lly the temperatu re range found within a refrigerator and helps to slow the growth of microbes. Freezing Food is stored at 0°F (-18°C) or below. This temperatu re will ensure the microbes are inactive; however it does not kil l them. Oxygen Microbes may be aerobic or anaerobic. Aerobic organisms requ ire oxygen; however anaerobic organisms do not require oxygen to grow. Food packaging helps to prevent oxygen coming into contact with food. To further protect food, the air in food packaging often contains gases such as nitrogen. Limiting t he arnount of oxygen affects the growth and reproduction of microbes, therefore helping to preserve it for longer. Moisture Bacteria require moisture to grow. The amount of moisture available in food is called water activity (A). Microbes are less able to grow in a dry environment. Preservation methods include removing water from food, wh ich is common for foods such as dried foods in packets and instant drinks. The most controllable factors rega rding food spoilage and contamination are time and temperature. Did you know? Many foods can be frozen, such as meat, fish and ready-to-eat meals. Freezing maintains high standards of freshness and safety but does not kil l the microbes; however, it will keep them dormant until the food is unfrozen. The temperature danger zone is the temperatu re at wh ich microorganisms multiply rap idly. F ] ]O C:: 1iss•F 180"r (74°C 82 q 1411'1' Hot foods: 140°F (60°C) or higher ~ 140"f (60"CI 1'20 110 100 Danger zone: Harrnful bacteria grow rapidly --------=,.,----- 40"1' 14'<:I 0 t 40'F (4'C) ~ Refrigerated foods: 40°F (4°C) or lower CfF l-l 4-·· J Frozen foods: 0°F (-18°C} or lower Figure 3.1 Diagram showing the temperature danger zone, where harmful bacteria can grow rapidly Did you know? Potential hazards tha t may occur when producing foods can be reduced by a food safety management system called hazard analysis critical control points (HACCP). It helps to lower the risk of food poisoning and injury and also minimise quality issues which would resu lt in customer complaints. Handling food safely Thawing food As bacteria multiply quickly at room temperature (the numbers of bacteria that cause foodborne illness can double every 20 minutes}, it is unsafe to thaw foods at these temperatures. If left unrefrigerated, some bacteria can create toxins that can survive cooking, even if the temperature is hot enough to kill th e bacteria. There are three ways to thaw safely: in the refrigerator, in cold water and in the microwave. Table 3.3 Thawing methods Method Description of thawing method Refrigerator • After thawing in the fridge, items such as meat, poultry and seafood should remain safe and maintain quality for a day or two before cooking. • Red meat cuts (such as beef, pork or lamb roasts, chops and steaks) can be stored for 3 to 5 days. • Although some quality may be lost, food that has been thawed in the fridge can be refrozen if requ ired. Cold water • Put the food into a leak-proof package or plastic bag (if the water leaks out it could contaminate the area it covers, and if the water enters the bag the meat will absorb some of the water). • Submerge the meat in cold tap water, changing the water ever y 30 minutes so It continues to thaw. • Small packages of meat, poultry or seafood - about a pound - may thaw in an hour or less. • A 1.5-2 kg package may take 2 to 3 hours. • For whole turkeys, it is rough ly 30 minutes per pound of weight. Foods thawed by the cold water method should be cooked immediately and also before refreezing. • This method is faster than refrigerator thawing but requires more effort. Microwave • When thawing food in a microwave, it should be cooked immediately afterwards because some parts of the food may become wa rm and begin cooking while thawing. • Holding partially cooked food can be dangerous as bacteria inside it may not have been destroyed, and food may have reached ideal temperatures for bacterial growth. Remember! When reheating food, it must reach a temperature of at least 162°F (72°C) to avoid the risk of food poisoning. Storage of food goods Storing food safely and in adequate conditions at all times helps maintain the food's quality, prevents contamination from insects and other pests such as rats, prevents moisture reabsorpt ion, and helps to ensure th at food is safe to eat. It's important to remember the following: • All food items should be labelled and dated. • Using the FIFO (First In, First Out) method ensures that older items are used first. The method applies to frozen, refrigerated and dry storage items. • Always note th e expiry date on the food and ensure the foods with the earliest expiration date are in front of items with later dates. • Food products must be tightly sealed as exposure to air may cause food spoilage and damage by insects and pests. • The dry storage room temperature should be maintained between 50°F (10°C) and 70°F (21°C). Foods commonly stored in this area include flour, sugar, rice, canned goods and cereal, as we ll as some fru its and vegetables, such as bananas, onions and potatoes. Did you know? Bananas can be stored in a refrigerator but the skin will turn black, which isn't appealing to consumers; however, the flesh re mains the same colour. Perishable foods Perishable foods have a limited shelf life and often require refrigeration. Perishable foods include meat, fish, poultry, milk, yogurt and many raw f ruits and vegetables, and cooked foods . They are foods th at are likely to spoil or be harmful to eat if they are not kept refrigerated or frozen. Less perishable foods, such as green vegetables, some types of fru it, bread and cakes, have slightly longer shelf lives and do not necessarily need to be stored at a low temperature. Non-perishable foods Non-perishable foods have a long shelf life and don't require refrigerat ion. Non-perishable food s include dry cereals, dried foods, canned foods, sugar and flour. They have very long shelf lives, as long as they are stored correctly. Sugar has a shelf life of at least two years! Remember! Eggs should be stored in their box in the refrigerator, as they wi ll deteriorate more quickly when left out at room temperature. Why don't you? Now, make a copy of the diagram of a refrigerator in Figure 3. 7 and decide which of the following foods should be stored in the fridge. Decide where you would place the foods and draw the fo llowing perishable items onto the diagram: slices of ham, packet of crackers, whole chicken, Jar of coffee, tub of butter, packet of cornflakes, bottle of milk, tin of peas, lettuce, cucumber, dry pasta, pot of yogurt. ...-:::::: .l ::::::. :, ' ' ' ' / I \.- 1 ....... , <:;;,__ y / Figure 3. 7 An empty refrigerator Why don't you? Copy Table 3.4 and correctly match th e words associated with food safety with their defi nitions. Table 3.4 Food safety: match the word with the definition Words associated with food safety Definition Perishable foods This tempe rature will ensure the microbes are inactive; however it does not kill them Cross.contamination Refrigerator, cold water, microwave Controlling these factors helps to slow down bacterial growth Clean, separate, cook and chill Danger zone Foods that spoil easily Bacteria, mould and yeast Bacteria grow quickly in food at temperatures of between 40°F and 140°F 0 °F c-1s 0 c) Useful for t he production of wine, beer and bread Four steps that can reduce the risk of foodborne Illness Microbes Yeast Bacteria transferred to food from other food, hands, surfaces or equipment Three ways to thaw safely Food, acidity, t ime, temperature, oxygen and moisture Why don't you? Find the safety errors in this picture below and describe the implications for each error identified. .... _ ,, Figure 3.2 An unhygienic kitchen Food poisoning Food poisoning is a general term referring to an illness involving symptoms such as nausea, vomiting and diarrhoea. Most food poisoning outbreaks ta ke at least 12 hours to show symptoms after the contaminated food is eaten. Table 3.5 Bacteria responsible for common types of food poisoning Bact eria Types of food Cause Symptoms Staphylococcus Meat, seafood, salad Poor hygiene: foods not stored at correct temperature Nausea, vomiting, diarrhoea within 4 to 6 hours High protein foods such as meat, poultry, fish, eggs Contamination of ready-tereat foods; insufficient cooking; cooked foods becoming contaminated Diarrhoea, nausea, vomiting, fever within 12 to 24 hours aureus Salmonella Bacteria Types of food Cause Symptoms Clostrldlum perfrlngens Meat, pou ltry, sauces, gravies Poor temperature control of hot foods; recontamination Cramps, diarrhoea with in 12 to 24 hours Bacillus cereus Starchy foods such as rice Not holding or storing food at correct temperature after cooking Mild case of diarrhoea and nausea within 12 to 24 hours Listeria monocytogenes MiIk, soft cheese, vegetables fertilised with manure Canta mi nation Fever, muscle aches, sometimes nausea and/or diarrhoea Campylobacter jejuni Meat, poultry, milk, mushrooms Insufficient pasteurisation or cooking; crosscontamination Diarrhoea, abdominal cramps, nausea Clostrldlum botulinum Home-canned foods Incorrect canning, preserving or cooking Blurred vision, breathing problems, paralysis E.coli Meat, cheeses Insufficient cooking; contamination of cooked food products Diarrhoea, abdominal cra rnps Figure 3.3 Food poisoning can be very unpleasant Table 3.6 Other causes of food poison ing Food poisoning agent Types of food/d rink Cause Symptoms Viruses: Shellfish Spreads easily from person to person or through contaminated food or water Diarrhoea and vomiting occur 24 to 48 hours after coming into contact with the virus and last fo r around two days Untreated water Can be found in contaminated food; symptoms usually occur 10 days after eating contaminated food Mild diarrhoea; abdominal cramps; blood in the faeces (possibly pus as well); t iredness Poisonous mushrooms or plants Can also be caused by contaminated fish or shellfish Diarrhoea, nausea, and vomiting Norovirus Parasites Giardiasis - an infection caused by a parasite Cryptosporidiosis an infection caused by a para site Chemical food poisoning By pesticides sometimes seizures and paralysis Keeping food in unclean containers Why don't you? Rearrange the letters in these anagrams to discover the terms re lating to food poisoning. • Ertalisil • Vosunrrio • Leslanlaml • hrdraoiea • gmovitin • respo • ditoslcilmur muntbouli • sepataisr • celio Food infection and food intoxication Two main types of food poisoning are food infection and food intoxication. Food infection is caused by ingesting (eating) a food or beverage contaminated by a microbe that grows inside the person. Harmful bacteria include campy/obacter, salmonella, listeria, c/ostridium, E.coli and shigella. Campylobacter is the most common food-borne illness and is found in most raw poultry, such as chicken. It can be destroyed when the meat is cooked at a high temperature, but if poultry is undercooked, some bacteria will not be killed and food poisoning may result if it is eaten. Remember! Even one drop of liquid from raw chicken can have enough campylobacter in it to Infect a person. Food intoxication is caused by ingesting a food or beverage that contains a toxin usually produced by a microbe growing inside it. Even though the food containing the toxin is cooked to the temperature that destroys the microbe, the toxin is able to withstand these temperatures, and when the food is eaten it causes illness. Harmful toxin-producing bacteria include Clostridium botulinum, C. perfri ngens and Staphylococcus aureus. The difference between the symptoms of food Infections and food Intoxications Generally, food infections take much longer to produce symptoms after eating contaminated food than toxins do. Food contaminated with toxins will cause symptoms to develop shortly after eating and may resu lt in sudden and uncontrollable vomiting and/or diarrhoea. Symptoms from food infections may also last longer than intoxication symptoms and are usually more easily passed from person to person. Why don't you? Copy and complete Table 3. 7, adding one example of each food infecti on and food intoxication, with a description of each and t he symptoms. Table 3 . 7 Food infection and food intoxication Examples Food Infection Food Intoxication Description Symptoms Preventing foodborne illnesses When prepari ng food, it's important to reduce the ri sk of foodborne illness by fo llowing four simple steps: clean, separate, cook, chill. 2. / / I ~ \.. r .,. ,~ ~ ,_ I~ , A \ ,,.._ J' \J' \.'\ C :::> 3. - C _:, 4. ~ - Figure 3.4 Steps to help prevent food poisoning 1 . Clean Wash your hands with warm water and soap for at least 20 seconds before and after handling food. Ensure all surfaces and equipment, including dishcloths, are clean. Bacteria can easily be spread to food and utensils if hands are not washed correctly, which can lead to food poisoning. Figure 3.5 shows the correct way to wash hands. It is important to wash hands: • • after using the toilet • • ' having left the kitchen and then returned • after dealing with meats or root vegetables , ,___ _ • after coughing or sneezing ·------- . ..,._....,_ -------- • after emptying a bin • after cleaning duties. ·- _.....,_ • --- ----- Figure 3 .5 Food Standards Agency (UK) handwashing poster Why don't you? Demonstrate effective hand washing to a partner, then prepare a checklist on the dos and don't s of hand washing. 2 . Separate Cross-contamination is a medium for foodborne diseases to spread and occurs when harmful microbes, such as certain bacteria, are transferred to food from other food, hands, surfaces or equipment. It is a common cause of food poisoning. Therefore, it is important to prepare food safely by ensuring you carry out the following steps: • Always sanitise a surface that has come into contact with raw meat. • Use separate chopping boards, kn ives and other equipment for food that is ready to eat and raw meat, poult ry or unprepared vegetables. Otherwise cross-contamination can occur from the raw meat or unwashed vegetables onto the ready-to-eat food. • Wash fru it and vegetables before eating, especially if eaten raw. Root vegetables may have some harmful bacteria If soil remains on their skin, as they may have been grown in manure; therefore, ensure you thoroughly wash them. • To avoid cross-contaminat ion, separate raw meat, pou ltry and unprepared vegetables from other foods. When storing raw meat and poultr y for short periods, ensure they are covered and placed on the bottom shelf of the fridge so that the juices can 't drip onto other foods. • Wash hands after touching raw meat, poultry and unwashed raw vegetables. Remember! You should avoid using wooden spoons, wooden boards and other wooden utensils as they are difficult to sanitise. Why don't you? Prepare and act out a drama sketch to illustrate cross-contamination. 3 . Cook Cooking food at high temperatures helps to ensure food safety as harmful bacteria are destroyed. A thermometer can be used to measure the internal temperature of the cooked food. It is important to: • Take the internal temperature. The internal tempe rature of poultry should be taken at the thickest part of the thigh or breast. • Cook fish and shellfish to an internal temperature of 145°F (63°C) or until the flesh of the fish is opaque and separates easily with a fork. • Reheat sauces, soups and gravies by bringing them to a boil. • Heat leftovers to at least 165°F (7 4°C). Remember! The colour and texture of cooked foods are not reliable indicators that a food is safely cooked. 4 . Chill Refrigerating certain foods helps to slow down bacterial growth so is essential for preventing foodborne illnesses. It is important to ensure the following: • Keep the refrigerator temperature at around 40°F (4 .5°C) or below. • Refrigerate perishable foods (foods that spoil easily) as quickly as possible as cold temperatures slow the growth of harmful bacteria. Figure 3 .6 Food thermometer • Ensure the refrigerator is not over-full as cold air must c ircu late to help keep food safe. • Hot foods should not be put into the refrigerator as this can ra ise its internal temperature. • Never allow raw meat, poultry, eggs, cooked food or cut fresh fruits or vegetables to remain at room temperature for more than two hours; they should be placed into the refrigerator or freezer. If the room temperature is above 90°F (32°C), the food can remain at this temperature for only an hour before being put into the refrigerator or freezer. • Large amounts of leftovers should be divided into containers for quicker cooling in the refrigerator. Did you know? Oral Rehydration Therapy helps to replace fluid in someone who is suffering with dehydration, commonly due to diarrhoea. An oral rehydration drink involves mixing together one litre of clean water, eight level tsps of sugar and one tsp of salt. The sufferer should drink some of this mixture as soon as diarrhoea begins, and medical help should be sought. Why don't you? Create a leaflet giving information about the importance of ''Clean, separate, cook and chill" when preparing food? Don't forget to add pictures to make it more interesting. See Figure 4.2 to help you create a leaflet. When serving food, hot food should be held at 145°F (63°C) or warmer and cold food should be held at around 40°F (4.5°C) or colder. When serving food at a buffet, keep hot food hot in chafing dishes and warming trays. Keep cold food cold by placing dishes in bowls of ice. Exam tip 0 Make up flash cards (usually 12 cm by 20 cm, index-card size) which contain the information contained within Table 3.2. It will help you to remember how factors affect microbe growth and how to slow down bacterial growth. You can keep the cards at hand to regularly test yourself. Why don't you? Produce a poster to depict the basic steps to follow to reduce or stop the growth of harmfu l bacteria. Before you begin, take another look at Figure 3.1. When you have fin ished, present and discuss the poster with your class or group. Why don't you? Research the statistics provided by the World Health Organisation on illnesses and deaths of people as a consequence of unsafe food practices. Focus on illnesses and deaths that occur in your country and discuss implications for the fam ily, the workforce and the govern ment. You can add your findings to your portfolio of evidence. Useful links World Health Organisation (food safety information relating to this chapter): www. who.int/ mediacentre/factsheets/fs399/en/ 4. Meal planning, preparation and dining Choosing and storing fresh food When planning and preparing meals, it is important to choose good-quality food and also to store it properly to ensure fres hness. Table 4.1 How to choose and store food Food Description How to store Fruit and Vegetables Choose fru its and vegetables that are in season, as they will be cheaper and of better quality. Depending on the type of fru it or vegetable, it should be stored in a cool, dry place or in a refrigerator. Depending on the type, they should be firm, fu ll of colour and not wilting. They should also be free of bru ising, mould or insect damage. Fruit should be ripe or a little under ripe. Meat, poultry and fish Meat, poultry and fish should have a good colour and not have an unpleasant odour. They should be used by the specified date and be in good condition when cooked. Fresh f ruits and vegetables (West Indian cherries, lettuce, herbs, mushrooms, torn atoes and cucumbers), as well as produce that has been pre-cut or peeled, shou ld be stored in a clean refrigerator at a temperature of 40°F (4.5°C or below). Raw meat, poultry and fish should always be stored for a short period of time on the bottom shelf of the refrigerator to prevent drips from th em contaminating other foods , which could lead to food poisoning. When storing meat , poultry and fish in the freezer, ensure it is properly wrapped to avoid "freezer burn". This happens when frozen food loses its moisture and is damaged due to air reaching the food. It is safe to eat but food quality will be lost. Eggs Cracked eggs should never be used as salmonella may be on the eggshell and can enter the egg. For this reason, it is important to wash hands after handling them. Thorough cooking is an irnportant step in making sure eggs are safe. Store eggs in a cool, dry place, preferably in a refrigerator to help increase shelf life. Dairy Dairy products are commonly pasteurised, a process of rapidly heating the product, holding the temperature for a short period of t ime, then rapidly cooling it. This is effective for killing bacteria and so making them safe to eat or dri nk; otherwise food poisoning may result. Keep dairy products in the fridge and ensure they are consumed by the ;·use by dates". Milk and cream should always be kept in the container in which they we re purchased. To bring out a cheese's ful l flavour, it should be removed from the fridge two hours before serving and be loosely wrapped. However, if the cheese has a high moisture content, such as ricotta or mozzarella, it should not be left out of refrigeration for longer than two hours. Cheese, butter and margarine should be wrapped and stored in an airtight container and kept in the refrigerator. Wrapping helps to prevent spoilage from exposure to light and air, and also protects the product from absorbing flavours of other foods. Milk may be frozen for up to three months; however, freezing affects the quality of cream so is not recommended - it causes changes to the cream's fat and affects its texture. Butter freezes we ll but should be fu lly wrapped be fore doing so. Remember! Rotten fru it produces a chemica l ca lled ethylene, which shortens t he life of nearby fresh fru its and vegetables. Did you know? To freeze vegetables, first wash, peel and chop the vegetables into smaller pieces, blanch in boiling water, then plunge into a bowl of ice water. They can be stored in freezer bags in the freezer. Blanching is a method used to help prevent vitamin losses, co lour changes, browning and unwanted changes in flavour (when preparing vegetables to be frozen), and involves dipping cut vegetables into boiling water for two to three minutes. Meal preparation Cooking food is important for destroying harmful organisms but is also needed to help make food more appetising and easier to digest. However, cooking is also responsible for the breaking down of nutrients. Overcooking food can result in vitamin loss so foods such as fru its and vegetables are better consumed raw. Preparing vegetables t o ensure minimum nutrient loss To ensure minimum nutrient loss when preparing vegetables: • Slice or peel vegetables shortly before cooking. • Avoid deep peeling of vegetables, as this will remove vitamins and minerals found under the skin. • Avoid soaking vegetables as this can remove nutrients such as vitamin C. • Do not chop and shred vegetables too fi nely. Ideally, vegetables should be cut into large pieces or cooked whole. For example, baked potatoes retain more nutrients than mashed potatoes. Did you know? Microwaving broccoli helps to preserve alrn ost 80 per cent of its vitamin C. Remember! Steaming is one of the best ways to cook vegetables as more nutrients are retained than when they are boiled. The colour and texture of vegetables may also be better if they are steamed rather than boiled. Nutrient loss can occur if foods are cooked in large amounts of water or with fat at a high temperature. However, nutrients are preserved if the cooking method uses small amounts of water or fat and does not require prolonged exposure to heat, such as microwaving or stir-frying. Nearly all minera ls are unaffected by cooking, with the exception of potassium, which leaches (passes) from the food into the liquid it is being cooked in. However, most vitamins are sensitive to heat and water. Water-soluble vitamins, especially most of th e B vitamins and vitamin C, are lost from the vegetables into t he water; however, t he cooking water containing the vitamins can be used in a food such as a soup to help make it more nutritious. Vitamins A, D and E are fat-so luble and leach out of the vegetables into the cooking oil. Only vitamins K and B3 are not lost during cooking. Figure 4.1 Vegetables being steamed Table 4 .2 Factors wh ich cause nutrient loss in foods Nutrient Vitamin A Heat Air Water ✓ ✓ ✓ Vitamin D Vitamin E ✓ ✓ Vitamin C ✓ ✓ Thiamin (vitamin B1 ) ✓ ✓ ✓ ✓ ✓ Riboflavin (vitamin B2 ) Vitamin B6 ✓ ✓ Folate ✓ ✓ Vitamin B12 ✓ ✓ ✓ ✓ Biotin Pantothenic acid Fat ✓ Potassium ✓ Why don't you? Create a poster showing how cooking methods can cause loss of nutrients in food. Planning meals for all stages of life Infants Exclusive breastfeeding is recommended up to the time of wean ing, after wh ich semi-solid and solid foods are introduced in addition to breast milk, usually between four and six months of age. When solids are introduced, the mult i-mix principle (see Chapter 2) will help to ensure a healthy balanced diet. It is important for th e baby to eat a wide range of nutritious foods that have a soft text ure; however, avoid giving spicy foods and only use small amounts of salt during the preparation of foods. Recommended foods include fru it, dark green leafy vegetables and yellow vegetables, iron-fortified foods and foods from animals. As the in fant grows, portion sizes and t he range of food can increase. Toddlers and pre-school children Toddlers and pre-school children are usually very active and need to eat a wide range of nutritious foods for energy and to ensure healthy growth. When planning a menu , it is important to add nutrients including protein for growth, ca lcium for healthy bones and teet h, and iron-rich food to ensure hea lthy blood. Offeri ng both a savoury and sweet dish at mealtimes will widen the range of foods eaten . Did you know? Children should not be given swordfish, shark or marlin due to the levels of mercury in these fish, which can affect a child's developing nervous system. Children Recommendations for nutrition are similar for children and adults. A child should be encouraged to eat lots of different types of fruit and vegetables, as they provide fibre, vitamins and minerals. Foods that are high in fat and sugar, such as butter and biscuits, should not be eaten frequently. Solid fats should be replaced with vegetable and nut o ils, as they contain essential fatty acids and vitamin E. A va ried and balanced diet will provide all the vitamins and minerals that children need. Sugar is often added to drinks such as fru it squash and milkshakes. If these types of drinks are consumed, it should be at mealt imes; if they're taken between meals there is an increased risk of tooth decay. It is recommended to drink water or milk between meals instead. Adolescents During puberty, young people grow and develop rapidly, so as we ll as a balanced diet they should also have an increased amount of certain nutrients. Important nutrients include calcium, vitamin D and iron. Calcium and vitamin Dare required for the growth of bones, and iron is needed by menstruat ing girls to replace the iron lost during periods, therefore helping to prevent anaemia. Iron is also required to help with growth and repa ir of body cells. Vitamin C helps the body to absorb non-haem iron from food ; therefore, drinking a glass of fru it j uice or eating vitamin C-rich fru it and vegetables at mealtimes is beneficial. However, drinking tea and coffee can reduce the amount of non-haem iron absorbed, so should be avoided at mealtimes. Food considerations for a pregnant woman Eating a balanced diet during pregnancy will help the baby to develop and grow healthily. A special diet isn't required; however, it's impor tan t that a wide range of food is eaten to ensure the diet is balanced and nutritious. Vitamin A (retinol) supplements and fish oil supplements should not be taken during pregnancy as too much can harm t he baby. Therefore, if a woman is pregnant or thinking about having a baby, she should avoid foods that contain high amounts of vitamin A. Vitamin D is made as a resu lt of the action of sunlight on the skin. People who may requ ire a vitamin D supplemen t include: • women who are pregnant or breastfeeding • people who spend most of their time indoors • elderly people • people of Asian origin who wear clothing that covers the whole body • vegans. Iron-rich foods such as meat, eggs, dark green vegetables, nuts, beans and for tified foods (such as some breakfast cereals) should be regularly eaten throughout pregnancy to help reduce the risk of iron deficiency. As previously mentioned, vitamin C helps with the absorption of iron. Ideally, vitamins and minerals should be provided by foods eaten, but during pregnancy women may be advised to take supplements. The fo llowing advice is recommended: • Eat folate-rich foods such as green vegetables, brown rice and fortified breakfast cereals. Folate helps to prevent birth defects known as neural tube defects, including spina bifida, which affects the spinal cord. • Consume 10 micrograms of vitamin D each day throughout pregnancy and while breastfeeding to help bone development. Vitamin D controls the levels of calcium and phosphate in the body and so helps the baby to get sufficient amoun ts of them. These minerals are requ ired for strong teeth and bones. Did you know? Folate ls a vitamln that occurs naturally in foods; folic acid is the synthetic (man-made) form of fo late, found in supplements and also added to fortified foods. Remember! Chapter 1 discusses vitamins and minerals in more detail. The common expression "'eating for two" suggests that during pregnancy a woman should consume excess calories; however, the dietary reference value for energy intake during pregnancy is only an extra 200 kca l/day during the third trimester. This is similar to the calories found in around three medium-sized pieces of fru it. Did you know? It is recommended that women give up drinking alcohol throughout pregnancy. Remember! Caffeine should be avoided during pregnancy; however, if caffeinated drinks are consumed, the amount of caffeine should be limited to 200 mg/day, which is around two cups of coffee or three to four cups of tea. Elderly people Elderly people generally requ ire fewer calories than younger people because their basal metabolic rate decreases with age, as well as the amount of physical activity undertaken. It is important that regular physical activity is carried out to help protect the body against conditions such as cardiovascular disease. Drinking sufficient amounts of fluid is importan t as elderly people can more easily dehydrate than younger people. Fluids include water, orange squash or j uice, tea or coffee. Vitamin C helps to form a substance made from protein called collagen, which is requ ired for wound healing and repa ir of bones and teeth. Vitamin C is an antioxidant, wh ich is important for blocking some of the damage caused by free rad ica ls (substances that damage body cells), and so helps to prevent health conditions such as heart disease and cancer. Vitamin C is mainly found in fruit and vegetables; however, supplements are also available. People aged 65 and over should take a 10 mg vitamin D supplement as, unlike when younger, the skin does not readily make vitamin Das a result of the action of sunlight on the skin. They are also encouraged to eat food such as oily fish, eggs and fortified breakfast cereal (see Chapter 7 regarding fortification), which are good sources of this vitamin. As bones age, the calcium stored within them may be reabsorbed back into the body, resu lting in osteoporosis - a condition th at weakens the bones so they become brittle and fragile and so easily fracture. Dairy products such as milk, cheeses and yogurt are good sources of ca lcium, as well as leafy green vegetables and fortified cereals. Also, vitamin D helps the body to absorb calcium and so slows the rate of calcium loss from bones. Many elderly people suffer with const ipation for numerous reasons, such as not drinking enough fluids or as a side effect of taking medication. Therefore, the diet should include plenty of flu id and fi bre to help prevent constipation. Good sources of fi bre include wholegrain bread and cereal, brown pasta and rice, and fru its and vegetables. Why don't you? Create a leaflet giving dietary advice for a particu lar age group. Use a an A4 s ized piece of paper and fold it into three. Use the template below in Figure 4.2 to help you. First page Back page Title Brief summary Auttiors Figure 4.2 Template of leaflet Planning meals for different dietary requirements Vegetarian diet A vegetarian diet does not include meat. However, some types of vegetarians eat fish, eggs and milk. Meat is an important source of B12, therefore a replacement needs to be found. B12 is derived from animals (i.e. meat, dairy products and eggs). It is also found in yeast extract and fortified foods such as breakfast cerea ls, vegetable marga rines, soya milk and soya or vegetable burgers. There are many alternatives to meat for vegetarians, including: • Quorn (made from mushroom type fungus and egg wh ite) • textured vegetable protein (TVP) (made from soya beans) • tofu (made from soya beans). These products are not tasty so flavourful ingredients should be added to make them more appetising. Figure 4 .3 Alte rnatives to meat include Quorn and tofu There are various types of vegetarian: • a lacto-ovo-vegetarian eats dairy products and eggs and is the most common type of vegetarian • a lacto-vegetarian eats dairy products but not eggs • an ova-vegetarian eats eggs but not dairy products • a vegan's diet is very restrictive as they do not eat dairy products, eggs or any other animal product. A well-balanced vegetarian diet is healthy as it common ly involves eating lots of fruit and vegetables. Studies have also shown that processed meat, such as bacon, sausages and ham, may be a risk factor for cancer. Also, eating foods derived from animals that contain saturated fats may ra ise the level of cholesterol in the blood. High levels of low density lipoprotein (LDL} cholesterol in the blood increases the risk of heart disease and stroke. Reasons fo r people to become vegetarian include: • to improve general health • an objection to animals being slaughtered • religious beliefs • environmental reasons (to reduce carbon footprint, conserve land and water) • a dislike of the taste of meat. There are health benefits to being a vegetarian with a healthy diet (assuming plenty of fru it and vegetables are consumed): • There is a lower risk of constipation, haemorrhoids (piles) and diverticular disease since the diet will contain more fibre. • Vegetarians are more like ly to be with in a healthy weight range, which helps prevent a range of diseases, such as hypertension, joint problems, type 2 diabetes and certain cancers. • Eating fru it and vegetables ensures sufficient levels of potassium are consumed to help prevent or treat hypertension. Also the diet tends to be lower in salt; a diet high in salt may be a risk factor for hypertension. • Incidence of heart diseases is reduced because of the lower intake of cholesterol and saturated fats. Vegan diet A vegan diet does not include food that comes from animals, including eggs and dairy products. The diet mostly consists of plants, such as vegetables, grains and nuts and fruits. A vegan must ensure that a balanced diet with a wide range of foods is eaten. It should conta in plenty of fru it, vegetables and starchy foods. Protein can be derived from beans and pulses, and also from products such as soya milk. It is difficu lt for a vegan to obtain all the nutrients needed from their limited diet, although a dietary supplement can be taken, and so t hey need to carefully plan their diet so they do not become deficient in certain nutrients, such as omega-3 fatty acids, iron, vitamin D, vitamin B12, calcium and iron. Omega-3: Vegans may have a low omega-3 intake as excellent sources include fish, so they must obtain these nutrients from other foods. The richest plant sources are found in seeds, nuts and oils. Iron: Many vegan foods, including green leafy vegetables, pulses, seeds, nuts, dried fruits and who le grains (such as wholemeal bread) are rich in iron. Iron absorption is helped by consuming a food or drink rich in vitamin C, such as orange juice, at the same time as consuming iron. Did you know? Menstru ating women may not obtain adequate iron through food alone, and may need to take a supplement. Vitamin D: Dairy foods are common ly a good source of vitamin D and, as plants do not contain sufficient amounts, exposure to direct sunlight is important as it allows vitamin D to be made in t he body. To help protect against skin cancer, on a warm sunny day it is advised to: • stay in the shade, especially between 10am and 4pm • wear suitable clothing, including a broad-brimmed hat and UV-blocking sunglasses • use a (UVA/UVB) sunscreen with an SPF 15 or higher every day. Vitamin B12 : As most vegan food contains little or no B12 , it is important for strict vegans to find alternative sources. It is recommended that fortified foods, such as cereals, are eaten and that a supplernent is also taken. Calcium: A poorly planned vegan diet may provide insufficient ca lcium. Fortunately, many foods and drinks, including nuts, cerea ls, fru it and vegetables (mainly dark green leafy vegetables), ca lcium-fortified orange juice and soya milk are good sources. Religious diets Around the world, people choose to eat or avoid certain foods depending on their re ligious belief. Table 4.3 shows the dietary habits of certain religions. Table 4 .3 Religious diets Religion Description of diet Muslims Muslims do not eat pork and shellfish or drink alcohol. Meats that are eaten should be slaughtered under Halal guidance. The Arabic word halal means "allowed" and common ly refers to how animals are slaughtered (by a ritua l slaughter and then drained of blood) and prepared to make meat products. Hindus Hindus do not eat beef as the cow is considered to be sacred. A lacto-vegetarian diet is fol lowed by many Hindus; however, their diet varies by region; some follow a strict vegetarian diet, wh ile others may eat meat hunted locally. Jews Jews do not eat pork or shellfish and food th at is eaten must be kosher. Kosher is a Hebrew word that means "proper", and when a food is kosher it means that it meets the dietary requirements of Jewish law, including: not eating any non-kosher animals (such as pigs and birds of prey), avoiding eating meat and dairy together at the same t ime, and only eating meat that was slaughtered in a certain way and then drained of blood. Rastafarlans Rastafarians believe that living things should not be harmed, so most are vegetarians. A Rastafarian's diet, called ita l (which means "natural"), does not include preservatives, such as salt, or chemicals. Rastafarians generally do not eat processed foods or drink alcohol or smoke cigarettes. Food allergies and food intolerances Food allergies occur in 2 out of every 100 people; however, food intolerance is more common. A food a llergy can be very serious, and occurs when the body's immune system overreacts to a certain food that is eaten. This reaction triggers symptoms such as rashes, itching, swelling and wheezing. In extreme cases a life-threatening reaction known as anaphylaxis occurs and can result in death. The foods that most commonly cause an allergic reaction are: • wheat • milk • tree nuts (such as wa lnuts, pecans and almonds) • eggs • fish • • shellfish peanuts • soya. Food intolerance may result if the body has difficulty digesting certain substances within food, such as lactose found in milk. Food intolerance symptoms typically occur many hours after eating the problem food and include wind, bloating, diarrhoea and stomach cramps. Lactose Intolerance Lactose intolerance occurs when the body is unable to digest lactose, the sugar found in milk and to a lesser extent in dairy products such as yogurts and soft cheeses. Coellac disease Around 1 in every 100 people is known to have coeliac disease; however the actual number is believed to be a lot higher, as many people do not know they have it . In coeliac disease, the body's immune system reacts to a substance called gluten, a prote in found in wheat, rye and barley, and attacks the small intestine lining. The damage to the lining interferes with the absorption of food and so people with coeliac disease become deficient in certa in nutrients. Coeliac disease is not an allergy or an intolerance, but is an autoimmune condit ion. An autoimmune condit ion occurs when the body's immune system attacks and destroys healthy body t issue by mistake. Symptoms include d iarrhoea, wind, bloating, t iredness, anaemia and weight loss. It can be diagnosed with a blood test and biopsy. Did you know? The Food and Drug Adm inistration (FDA) states that food allergens (e.g. wheat) should be emphasised on food packaging. The allergens are usually printed in bold. Menu planning for a restaurant It is important to understand the terms described in Table 4.4 if you are working in the catering industry. Table 4 .4 Meal planning terms Term Definition a la carte A French phrase meaning "from the menu" . Eating a la carte means being able to choose from a list of several meals that offer a separate price for each dish. accompaniments Items that are given separately to the main dish, such as vegetables and sauces. appetiser A small portion of food or drink taken before a meal to help stimulate the appetite. batching Refers to the preparation of meats and includes portioning, marinating, wrapping of portions and packing in batches. The batches of meat are put into containers and are placed in the refrigerator or freezer. breakfast Commonly the first meal of the day. It is the "break'' of the "fast", as it is the first meal after a long period of sleep. brunch Breakfast and lunch is combined to form "brunch". It is usually a late-morning meal. buffet service Foods are kept in warmers and the consumer can choose foods to eat from each warmer and put them onto their plate. course Part of a rneal that is served separately from the other parts. A fu ll course dinner consists of meals, or courses. Examples of courses include starters and dessert. dessert The sweet course eaten at the end of a meal, such ice cream or cake. dinner Main meal t hat is eaten either around midday or in the evening. Usually a heavy meal. entree The main course of a meal that usually consists of multiple courses. high t ea A light meal eaten in the late afternoon or early evening. The meal typically contains a drink and cake or biscuits. hors d'oeuvres A small portion of appetising food served before a meal. May also be served at occasions such as a cocktail party, when there is no other food served. lunch Meal eaten around midday. main course Usually contains meat or meat substitutes with staples and vegetables. menu A list of meals and drinks available in a restaurant. mise en place French term for •·preparation''. It is pronounced meeze-on-ptus and means that everything should be in its place, such as glasses and flatware, before service takes place. supper The final meal eaten in any one day. The meal is similar in content to lunch. May be a large meal or simply a hot drink and biscuits. t able d 'hote A restaurant meal, such as starter, main course and dessert, that is at a fixed price, but there is limited choice. It is often known as a set menu. t able appointments Items used to set and decorate a table for dining. Why don't you? Copy Table 4.4, cut out the terms and definitions, mix them up and try to match them back together. This will help you to learn these terms. When planning a menu for an establishment such as a restaurant, the following should be considered: • the types of customers that are likely to visit the premises (is it a cafe or an upmarket restaurant?) • the t ime of year (consider appropriate dishes for Christmas, Easter, Valentine's Day and other special dates during the year; buying seasonal produce will help to keep costs down) • the suppliers (choose a reputab le supplier of good-quality food) • the number of staff available (if there are few staff it is probably better to have a simple menu) • people with special dietary needs, such as vegetarians or those with allergies (their needs should be catered for in the menu) • nutritional balance (using the multi-mix principle can help to ensure that meals are nutritionally balanced). Customers want value for money, but it is also important to ensure that a good profit is made. The ingredients should be significantly cheaper than the price of the customer's meal, especially as staff wages and other costs need be considered. Setting a table for lunch and dinner The type of menu will decide how the table is set out. Two main types of menu are "a la ca rte", wh ich consists of individually priced dishes, and "table d'h6te", wh ich contains fixedpriced dishes. Figures 4.4 and 4.5 show how the table should be laid for each type of menu. c l'.'::!'> tit) I ~ (J I \ I 7..__;· Figure 4.4 A table laid out for an I l (.. ---' a la carte menu - Figure 4.5 A table setting for a table d'hote menu Remember! When laying a table, start from the outside and work inwards. For example, cutlery for the starters, such as the soup spoon, is on the outside, but the cutlery for the main course is on the inside. Putting flowers and/ or a candle in the centre of the table can make the table look more inviting and attractive. Why don't you? Practise the breakfast table layout shown in Figure 4.6. How does it differ from the layout of the a la carte and table d'hote menus? Figure 4.6 Breakfast table layout A buffet A buffet is ideal for serving food to a large group of people. When planning a buffet, the fol lowing should be taken into consideration: • Food can be served hot or cold. • There are commonly two or three savoury items for every one sweet item. • Agree a price for each guest. This helps with costings, ensuring a profit is made. • Assess the equipment, t ime and staff required. If staff costs are too high, a profit may not be made. • Cater for all tastes. When planning the menu, include a variety of meat, fish and vegetarian foods. • Ensure the expectations of the client are met. The client needs to agree the type of buffet and food to be served to avoid disappointment. You should also consider that many people have food intolerances or allergies and may require food that is, for instance, gluten or lactose free. Nut allergies can be extremely dangerous so It is important to find out what is contained within foods before serving them. • Ensure the buffet looks visually appealing by using garnishes and decoration. Hot holding Hot holding involves keeping food hot until serving to prevent the growth of harmful bacteria which could lead to illness. Equipment such as soup kettles, cha fi ng dishes and bain-maries can be used to keep food hot before serving and also to reheat food. Thoroughly cooked hot food should be put into equipment t hat has been heated otherwise food may not be ke pt at a high enough temperature of 145°F (63°C) and so lead to the growth of harmful bacteria. However, if the food cannot be hot held it can be displayed for up to two hours, but this can only be done once. Within the two hours the food can be reheated until piping hot throughout and put back in hot holding equipment or chilled to 8 C or below. If the food has been displayed for more than two hours it should be thrown away. When hot holding food ensure the following: • Keep food covered to help retain heat and prevent contamination. • Regularly stir food to distribute heat evenly throughout the food. • Use a temperature probe every two hours to monitor the food temperature. Cold holding Cold-holding involves keeping food chilled until serving to prevent the growth of harmful bacteria. To help prevent food-born e illness resu lting from insufficient cold-holding ensure the following: • Keep cold foods refrigerated until serving time. • Keep potentially hazardous foods at 41°F (95°C) or less at all t imes • Use a temperature probe every two hours to monitor the food temperature. • Ice may be used to keep foods cold but should not be in direct contact with the food. Why don't you? Research and discuss how each of the following piece of equipment is used: • soup kettles • chafing dishes • bain-maries Three main types of buffet are a finger buffet, fork buffet and sit-down buffet. A finger buffet (also known as canape food) involves guests eating food using their fi ngers. They are not given cutlery, so food needs to be easy to hold and eat. This food is normally eaten while standing, as guests are usually expected to socialise at this type of event. Allow for five or six items of food per person for a pre-dinner snack. However, if the finger buffet is the guests' only food, allow around 11 or 12 items per person. This will help you to work out the overall cost of the food. A fork buffet can include more variety of food than a finger buffet because the guests are provided with a plate and fork, and often a spoon, too. However, food needs to be sliced or chopped so it can be easily consumed. Guests may stand or be seated to eat it. A sit-down buffet often involves a "fu ll" meal so a fu ll range of cutlery is provided. After choosing their food , the guest sits down to eat, so the table setting has to be considered. More space is requ ired to provide this type of buffet and more staff are needed, such as wa iters. Sit-down buffets are usually for more forma l events, such as a wedding. Remember! Cold food , if not cold-held, can be displayed for up to four hours; however, food that is not hot-held can be displayed for up to two hours. See Chapter 3 for more advice on serving food safely at buffets. Never •·top up" dishes of high-risk foods such as mayonnaise. When a "high-risk" food is running low, always replace the serving bowl with a clean, freshly fil led one. Why don't you? Plan a buffet by drawing a diagram of a serving table (see the example in Figure 4. 7) and marking the position of foods and other items. Don't forget to include decoration to make the food look colourful and appealing. Butter Dish Flatware Napkins Beverages + rb llll~i1ii {/) 2(0 ~~i~1l11 1 CD a.. co ID C>-== 0. ~ ;:o Center piece 0 ID , CJ) {/) ~ ::, 0 u C v-- r t (0 - ' ,h Salad 2 'l r= j ) - Cold Foods Hot Foods Figure 4. 7 A suggested serving table layou t for a s it-down buffet Instructions: 1. Copy and enlarge the t emplate in Figure 4. 7, then cut it out. 2. Fo ld the square in half lengthways and across the middle. 3. 4. Turn the square over so the writing is facing down. Fold the four corners in to the middle. Turn the square over again and fold the new four corners into the middle. 5. 6. Fold in half so the questions fa ce in. 7. Then choose a number and answer the question on the underside of the flap of the number. Put your fingers in the pockets and choose a colour; count the number of letters in the colour (e.g. in blue there are four letters), and open the Chatterbox outwards and upwards four times. Why don't you? Make the following Chatterbox to help you remember dietary advice for different Iife stages. ------------------- , ,, • , ,, ' ,' ,,' ,, ,, ,, ,, , ,, ,, ,, , ,, , , ,, , , ,, , , ,, , , ,, , , ,, , . ------------------- '' '' Give dietary advice for a lacto-ovovegetarian '' '' '' ' '' '' '' '' 6' , ,, ''' '' '' '' '' '' ' ' ', 1,.:' ' , ,, , ,, , , ,, ,, , , Figure 4.8 Chatterbox template Useful llnk 0 '' Give dietary advice for adolescents , ,, ' '' Give dietary advice for toddlers Give dietary advice for an elderly person -- ---- ------------- '' Caribbean Public Health Agency: http://carpha.org/ , '' '' '' '' '' '' '' '' 5. Food management, preparation and service Food preparation Prepari ng food for eating involves selecting, measuring and combining ingredients to produce an appetising and nutritious food product or meal. Sensory evaluation of food is very important and involves using sight, taste, smell and touch to test food for certain characteristi cs. Food nutrients such as carbohydrates, protein and fats are very useful for the making of many food products. See Chapter 1 for information about the different nutrients. Carbohydrates Carbohydrates include sugars, starches and fibres and have a variety of uses when producing food products. These uses include: • sweetening foods • thickening sauces and custards • giving caramel its texture, colour and sweet taste • helping to aerate mixture (the beating of sugar and fat together in a cake mix). See Table 5.1 for the functional properties of carbohydrates. (The functional properties of food are the physical and chemica l changes that occur during food storage, preparation, cooking and presentation.) Table 5.1 Functional properties of carbohydrates Functional properties Description Food examples Caramellsatlon Heating sugar (sucrose) above its melt ing point will resu lt in a change of the sugar's colour, texture and flavour. browning of biscuits, ice cream, toffee, cakes, sweets Dextrlnlsatlon Dextrinisa tion only works with starch and is respons ible for the colour and flavour changes to food when they are grilled, roasted or baked, such as the browning of bakery items. It is also known as non-enzymatic browning or the Maillard reaction . bread, toast , brown gravies, sauces Gelatinisation/ thickening When a product contains starch, such as flour, and it is added to water and heated it fo rms a gel as the starch granules swell and then burst. Starch is released from the granules and absorbs the liquid, and so the mixture becomes thicker. Eggs, pulses, cereals, sugar, fruit and vegetables can be used to thicken liquids, and heat is commonly applied. sauces, egg custard , potato soup, syrup Did you know? Syrup is made by heating sugar and water (or fru it juice) together, and then reducing the mixture to the desired thickness. To "reduce" refers to a method of reducing the amount of liquid in a meal by simmering or boiling. The water evaporates and the mixture caramelises, producing a syrup. Table 5 .2 Food products made with carbohydrates Food Product M ethod Roux sauce To make a sauce, combine flour with melted fat, then cook, stirri ng for three to five minutes. Gradually add the liquid. Continually stir and heat until boiling point is reached (indicated by the formation of lots of bubbles). When t he sauce has thickened, take it off t he stove. Starch granules in the flour swell , rupt ure and release starch which absorbs the liquid, causing the mixture to gelatinise. Potato soup Potato soup is made by combining chunks of potato with other solid ingredients as we ll as liquid. The mixture is then heated. Thickening occurs due to starch being re leased from the potatoes· cells which, while heating, absorbs liquid and gelatinises, resu lting in thickening. Protein Most foods that are rich in protein are cooked before consumption. Protein is usefu l for making certain food products as it: • helps to b ind ingredients together • gives bread its texture and elasticity • aerates a mixture, such as whisking egg whites in a meri ngue mix • helps to thicken sauces such as egg custard • forms gels such as required to make j ellies. Table 5.3 Functional properties of protein Functional property Description Food examples Denaturatlon Eggs are rich in protein that is made up of a chain of amino acids that fold back on themselves and have specific structures. Denaturation is the process that involves proteins losing their shape, such as when an egg is boiled. raw egg to cooked Factors that cause denaturation of proteins (unfolding of t he chain of amino acids), resu lting in loss of shape, include: • heat meringue (protein denatured during beating; heat causes coagulation) baked/ fried fish • pH • salts • mechanical activity, such as whisking. Coagulation Foam Coagulation is when something thickens from a liquid to a solid. egg, yogurt, When an egg is cooked it changes from liquid to firm, and its colour also changes. This process is irreversible. Other examples of foods that coagulate include yogurt and cheeses. cheese Foam is made when gas (air bubbles) is added into a liquid, such as in whipped cream and meringue. To make meringue, raw egg white is whisked, resulting in unfolding of the protein, leading to the trapping of air bubbles and so a foam is formed. If the foam isn't made stable it will soon break down. Heating the egg white will set the foam in place due to coagulation of the egg, resulting in a solid foam. A foam that isn't heated will need a product such as gelatin to set it, examples include cheesecakes and mousses. omelette, cream, sponges Types of protein l Gelatin Gelatin is a protein usually obtained from cows or pigs and is made by boiling animal skin, tendons, ligament s and/or bones with water. Mixing warm water with these animal product s causes its proteins to unfold. When the mixture is cooled it becomes a gel. Gelatinisation is usefu l for making food products such as jelly and confectionary. ' Figure 5 .1 Gelatin sheets Gluten Gluten is a protein that is found in wheat and related grains, including barley and rye. It is made up of proteins j oined with starch and is strong, sticky and elastic. When making bread, kneading dough helps the gluten to develop, making the dough more elastic. The gluten helps to ensure a chewy texture and the desired structure by aiding the trapping of gases that expand during cooking, allowing the bread to rise. Table 5 .4 Food products made with protein Food product Method Meringue Egg whites are beaten until the mixture resernbles a fluffy white cloud and will form stiff peaks that remain in place when the mixing blades are removed. Sugar is added slowly and beaten into the mixture until it's thick and glossy. Vanilla extract is often added to improve flavour. Blobs of meringue are then placed onto baking trays and placed in an oven to bake. Egg Custard Milk is added to a saucepan and allowed to simmer over a low heat. Eggs, sugar and vanilla are whisked together. The egg mixture is poured slowly into the simmeri ng milk and whisked gently to combine. The mixture is poured through a fine strainer into cups or ramekins, then nutmeg is sprinkled on top. Hot (not boiling) water is put into a pan until it reaches halfway up the sides of the cups/ramekins. The custard is baked until it's set but still a little loose. The custard is cooled before serving. Fats Fats play an important role in the production of certain food products. They help to: • add flavour • aerate (introduce air into) mixtures, such as creamed cake mix • moisten a baked mixture, such as a cake • provide the desired texture for d ifferent types of foods, such as pastry and biscuits • act as an emulsifying agent to stop two liquids from separating. Mayonnaise is an emu lsion as it's a mixture of two liquids (fat and water) that normally can't be combined and so will separate. Mayonnaise is made by slowly adding oil to an egg yolk, while mixing rapidly to distri bute the oil. The lecithin and protein in the egg yolk help to prevent the oil and water from separating in the mixture; therefore, the emulsifier is egg yolk and is also a stabiliser. Table 5.5 Functional properties of fat Functional property Description Food examples Emulsification Oil and water do not mix, so will be separated in a solution. An addit ional ingredient, such as egg yolk, salt , paprika or mustard, is requ ired as they are able to wrap around the small oil droplets, preventing them from joining back together. mayonnaise, gravy, cheese Functional propert y Description Food examples Shorteni ng Shortening refers to any fat used in baking: butter, fla ky pastry, margarine, lard, vegetable oil and shortening. Fats pie crusts help to "shorten" pastry and give it a crumbly or flaky texture. The crumbly texture forms when fat covers the flour particles; therefore, the particles are unable to absorb water. This reduces the development of gluten found inside the flour and so the dough will be less stretchy. It is known as shortening as any gluten strands that are able to form are "shortened". Pl asticity Fats and oils are mixtures of triglycerides and melt at varying temperatures. Fat, such as margarine, can be moulded or pressed into various shapes without brea king, which is a property of fat known as plasticity, and makes some fats spreadable. margarine , chocolate Some fats, such as vegetable oils, are liquid at room temperature and others, like animal fats, are solid. Foods such as margarine are made with fats that have lower melting points so they can spread easily, even when being taken from the fridge. Vegetable oils have a higher melting point. Remember! Exposure to oxygen resu lts in oxidation of the oil and so it becomes rancid, resu lting in discolourat ion and the development of "off" flavours. Why don't you? Design a series of posters that show the functional properties of carbohydrates, proteins and fat. Cut photos from magazines, draw or use photographs to illustrate your posters. Combining foods to make food products Food products are often made by combining va rious ingredients which, when mi xed, react with each other, such as ra ising agents. The role of raising agent s Raising (or leavenIng) agents are added to foods to make them rise; this occurs because of the production of bubbles of gas inside the product. ,, - ~ ~ Figure 5.2 A cake needs rai sing agent to make it rise They are used in the making of cakes and breads, and ensure that mousses and souffles are light and fluffy. A cake that is cooked without using a ra ising agent will be moist, stodgy and flat, as air bubbles have not been produced inside the mixture. Aeration Aeration is a process that helps to add air into a mixture of ingredients to make the food product lighter and/or to create more volume. Air can be introduced to mixtures in a number of ways, including rnechanical aeration, chemical aeration and biological aeration. Table 5.6 Aeration methods Aeration method Description Mechanical aeration Mechanical or physical aerating incorporates air into a mixture by sieving, creaming, whisking, beating, folding and rolling, or rubbing in. Chemical aeration Chemical aeration is the addit ion of chemicals, such as baking powder or bicarbonate of soda, to create carbon dioxide gas bubbles. While cooking, some of this gas becomes trapped inside the food and expands and pushes up and out, creating holes. Blologlcal aeration Biological aeration is the addition of a bio logical agent, such as yeast, to create gas bubbles. Yeast turns carbohydrates (sugars) to carbon dioxide by the process known as fermentation, which occurs when yeast is mixed with sugar and warm, moist conditions. When the fermented yeast is added to flour and warm liquid, such as when making bread, it increases in size wh ile "proving" . Proving involves leaving dough in a warm place until it doubles in size. Why don't you? Try th e experiment described in Table 5. 7, which helps to demonstrate that yeast creates gas bubbles. After the experiment, write an explanation about what caused the balloon to expand. Table 5. 7 Experiment to show that yeast creates gas bubbles What you wlll need 1 rubber balloon Small empty water bottle or similar 1 packet of active dry yeast 2 tablespoons of sugar 1 cup of warm water (105°F-115°F/41°C-46°C) Method 1. Loosen the rubber of the balloon by blowing it up several t imes and then letting it deflate. 2. Add the yeast and sugar to the cup of warm water and stir. 3. When the yeast and sugar are dissolved, pour the contents into the bottle. (The yeast will produce CO 2 and form bubbles as a resu lt). 4. Put the opening of the balloon over the lid of the bottle, ensuring there are no gaps. 5. After a t ime, the balloon should begin to inflate. Foods that require aeration include meringues, scones, cakes and bread. Meringues To make a meringue, egg whites need to be whisked to produce a foam. The foam is then folded with other ingredients, such as sugar, to create a light mixture. This causes the protein in egg white to denature (lose its structure) and so air becomes trapped in the mixture, resulting in a light and fluffy meringue. Scones Scones are made by combining self-raising flour with other ingred ients and then baking. Raising agents in the self-ra ising flour (commonly baking powder) react with water to produce carbon dioxide gas, which expands on heating and so creates small bubbles. Cakes To produce a cake, baking powder is added to flour, mixed with other ingredients and then baked. Baking powder reacts with water to produce carbon dioxide gas, which expands on heating, creating the light texture. Did you know? Bulklng forms the main part of the recipe, such as flour in biscuits, pastry and cakes; oats in muesli; and rice in risotto. Bread To make bread, dried yeast is added to a flour mixture and liquid. The resulting dough is kneaded and left to rise (to prove) then baked. Yeast releases carbon dioxide and alcohol during rising and baking, causing the dough to expand due to the formation of small bubbles within in the bread - the alcohol and water evaporate during baking. Did you know? Adding too much sugar to a yeast dough mixture interferes with the action of the yeast, resu lting in a dense texture. Table 5 .8 Combining foods Process Description Binding Binding is the process of combining dry ingredients together with another ingredien t so that they stick together and a shape can be formed. Eggs, fats, flour and cereals are used to bind ingredients. An example is a pancake: milk is whisked with other ingredients until a smooth batter is formed. Egg protein is dispersed by the milk and suspends the flour's starch granules. An egg is used when making a fish cake because when it is mixed with other ingredients the raw egg protein coagulates when cooked, resulting in the product holding together. Enrobing En robing involves coating or wrapping a food with another ingredient; for example, biscuits are coated or enrobed with chocolate. Foods such as fish and chicken pieces can be coated in either a batter mix or breadcrumbs (beaten eggs help the breadcrumbs to stick to food) and are then cooked. Enrobing can be used to introduce a wide variety of different flavourings into food . Setting Many sweet and savoury food products use gelling agents to make them set. Gelling agents include gelatin (sold as a powder and in sheets), agar agar (comes from a type of seaweed} and starches such as cornflour. Gelatin is commonly used to set jellies and mousses. Table 5.9 Common baking terms Baking t erm Description Baking blind Blind baking is the process of baking pastry before a fi lling is added. It ensures a crisp fin ish and that the crust is fu lly baked in preparation for adding fi llings that do not need to be baked or that need to be cooked at low temperatures, either to prevent them from burning or to allow them to set. Bat ter A mixture of flour, liquid and other ingredients that is thin enough to pour, such as cake batter. Beating Beating involves vigorous mixing of ingredients using a spoon, fork, whisk or electrical item such as a food mixer. It ensures ingredients are thoroughly mixed together and also t raps air into the mixture, helping to make cakes light and give a spongy texture. Creaming Creaming is a type of beating that involves combining ingredients together, for example granulated sugar with a solid fat like shortening or butter, and beating them until light, soft and creamy. As the mixture becomes aerated it helps to make cakes light and to add volume. Curdling Curdling involves a mixture becoming lumpy due to its component parts separating. It can occur during baking if eggs are added too quickly to the mixture or are too cold. Creaming the butter and sugar thoroughly, so the mixture is light and fluffy, will help to prevent curd ling. Folding In A lighter ingredient, such as wh isked egg wh ite, can be folded into a heavier mixtu re, such as batter. To mix the ingredients, a large spoon or large rubber spatula is used to gently fold the mixture. This helps to ensure a light texture. Icing/ frosting Cakes can be covered with various types of icing: • • • • • Glace icing is made by beating icing sugar into water. Flavourings such as orange and chocolate may be added. Buttercream is made by creaming butter with icing sugar, vanilla and milk. Cream cheese Icing or frosting is made by beating icing sugar, butter and cream cheese together. Fondant Icing is made by mixing together fondant icing sugar and wate r. However, it is common ly bought ready-made and is known as ready-to-roll icing or rega l ice. Royal Icing is made by beating together icing sugar and egg wh ites. It is a glossy, runny icing that sets hard and is common ly used for coveri ng wedd ing cakes. Rubbing in This method involves using the fingertips to squeeze hard fat (butter, margarine or lard) into flour by rubbing them until combined. Sifting A s ieve can be used to sift ingredients such as flour and icing sugar to help prevent lumps and also to help aerate a mixture. Whipping The wh ipping method common ly involves using a wh isk or electric mixer to beat ingredients such as cream or eggs. When cream or egg wh ites are wh ipped, air gets t rapped inside and ca uses the ingredient to foam, increasing the volume. Zesting The zest is the outer peel of citrus fruit, such as a lemon, and Is often added to cakes to give flavour. To create zest, rub the fru it lightly against a grater - but avoid scraping off the bitter white pith underneath the outer peel. Finishing techniques Finishing techniques are used to make the food look appealing, and therefore more enj oyable to eat. For example: • Browning uses fats, eggs, sugar, milk, flour or oil, which darken a food when heated. Honey is commonly spread over ham before roasting because it caramelises, giving a shiny brown appearance. • Glazing adds a shiny coating to the top of foods and is applied by dipping, dripping or using a brush. Examples include a sugar and water glaze on doughnuts, and pastry brushed with beaten egg before cooking (the glazing in this case occurs due to coagulation of egg proteins and the Maillard reaction). Food additives Food addit ives can be either natural or artificial, and are added to a product to improve its properties, such as improving taste or extending shelf life. Natural additives occur naturally in foods and are extracted and put into other foods. An example is caramelised sugar, which is used as a colouring in cola. Artificial addit ives do not occur naturally. They are made synthetically (in laboratories), for example, tartrazine is a synthetic colouring added to some sweets to make them yellow. Uses for additives Both natural and artificial additives are used for many different purposes in the food industry: Preservatives extend the shelf life of a product by preventing bacteria from growing. Preservat ives include: • sugar to preserve foods such as jam • vinegar to pickle foods like cucumbers and onions (bacteria cannot live in acidic condit ions; as vinegar is acidic, it makes an ideal preservative) • salt to cure meat and fish , such as ham, bacon and salt fish (salt absorbs water from bacteria, which destroys them). Flavourings can be used to improve the taste of a food product. Vanilla flavouring can either be artificial, such as from vanilla essence, or natural, such as from vanilla pods, and is often added to cakes and biscuits. Acidity and temperature Foods and ingredients may be acidic, neutra l or alka line. Acidity and alka linity of food can be measured on a pH scale, which runs from 1 to 14. A strong acid will have a pH of around 1, and a strong alka li will have a high pH value of around 14. Acidity or alka linity affect the flavour, texture and appearance of food , and also the rate at which microorganisms grow within food. Some foods, such as citrus fru its, are acidic; however, ingredients such as bicarbonate of soda and cornflour are alka line but have a bitter aftertaste. Bicarbonate of soda needs to be used with a strong flavour, such as ginger or chocolate, to mask its bitter taste. Remember! Ac idity and temperature affect how quickly food deteriorates. Did you know? Foods that are neither acidic nor alka line, like pure water, are called neutral and have a pH value of 7. Acidity or all<alinity can affect food in the fo llowing ways: • Acidic fru it mixed wit h milk will cause the mixture to curdle. • Bicarbonate of soda (an alka line} acts as a raising agent during baking. • Lemon j uice (acidic) helps prevent fru its like apples from turning brown. • Vinegar (acidic) is added to meringue, such as a pavlova, to give it a soft marshmallow texture. Did you know? Tenderising means breaking down fibres (collagens) in meat to make it more tender and appetising. This can be done by pounding meat with a mallet, cooking it slowly, or marinating it in something acidic such as papain, pineapple, lime and lemon juice, vinegar or wine. Practical cooking skills The charts in Figure 5.3 give guidance in measurement conversions for ingredients and oven temperatures. Measurements Why don't you? Copy t he measuring cups in Figure 5.4, then shade the amount stated below each cup onto each container. a) Liquid measurement conversion chart Cup Fluid ounces Tablespoons Teaspoons MIiiiiiters 1 cup 8 oz 16 t bsp 48 tsp 237 ml ¾ cup 6 oz 12 tbsp 36 tsp 177 ml 2/3 cup 5 oz 11 t bsp 32 tsp 158 ml ½ cup 4 oz 8 tbsp 24 tsp 118 ml 1/3 cup 3 oz 5 t bsp 26 tsp 79ml ¼ cup 2 oz 4 tbsp 12 tsp 59ml 1/8 cup 1 oz 2 tbsp 6 tsp 30ml 1/16 cup ½ oz 1 tbsp 3 tsp 15 ml b) Ingredient 1 cup ¾ cup 2/3 cup ½cup 1/3 cup ¼ cup 2 tbsp Flour 120g 90g 80g 60g 40g 30g 15g Sugar 200g 150g 130g 110g 65g 50g 25g Cornflour 120g 9 0g 8 0g 60g 40g 30g 15g Rice ( uncooked) 190g 140g 125g 95g 65g 48g 24g Oats ( uncooked) 90g 65g 60g 45g 30g 22g l lg Butter 240g 180g 160g 120g 80g 60g 30g Veget able shortening 190g 140g 125g 95g 65g 48g 24g Breadcrumbs ( fresh) 60g 45g 40g 30g 20g 15g l Og c) Oven temperatures conversion chart Slow cook 300-325°F 149-163°C Moderate heat 350-375°F 177-191°C High heat 400-425°F 204-218°C Very hot 450-475°F 232-246°C Figure 5.3 Measurement conversion charts ,500ml 2 cups 500 1111 2 cups 350 m l 11/2 cup 350ml 11/2 cup 3 00 ml 11/4 cup 300 m l 11/4 cup 250 ml 1cups 250 m l cu ps 200ml 3/4 cup 200 n,1 3/4 cup 100ml 1/4 cup L . . . - 1 _12_o_m1_____.JI ;;;;;::~ 500 1111 cups 350ml 11/2 c up 300ml 1/4 cup 250ml cups 200 1111 3/4 c up 100ml 250m l 500 1111 350 1111 11/2 cup 300 1111 1/4 c up 250 cups 1111 200 n1I cups /4 cup 100ml 2/3 cup Figure 5.4 Measuring cups Preparing fruit and vegetables safely using a knife The "claw grip" and "bridge hold" are techniques that help to prevent injury when cutting foods such as fru it and vegetables. The claw grip The claw grip involves making a claw shape with your hand by partly bending your fingers together. The other hand is used to cut the food with a kn ife. The flats of the knuckles are used as a guide for the kn ife. The bent fingers help to ensure that the fingertips are not inj ured while cutting. Figure 5.5 Cutting an onion using the claw grip The bridge hold The bridge hold involves making a bridge shape with one hand over the food so that fingertips are kept away from the blade of the knife. Fingers should be on one side of, for instance, the apple, and the thumb should be on the other. Then the knife is taken "under the bridge'' and can be used to cut through the middle of the apple. '- Julienne vegetables Vegetables cut into small, even, matchstick-sized pieces are commonly referred to as '•julienne" vegetables. These look appealing on the plate and Figure 5 .6 Cutting an apple using the bridge can be eaten either raw or cooked. To hold produce j ulienne vegetables, cut the vegetables, such as carrots or peppers, into long blocks, then cut lengthways, using the claw grip, into even slices, stack them up and then cut through the width of the slices until matchstick sized. A mandolin or julienne peeler can be used for this task. Why don't you? Practise preparing j ulienne vegetables using the claw gri p. Recipes The following recipes will help you to apply your theoretical knowledge while carrying out practical skills. (See Chapter 2 for more information about calories.) 1. Cream of pumpkin soup To prepare: 10 minutes To cook: 40 minutes Makes 4 servings (each serving provides around 170 calories) Ingred ients Equipment • 1 pumpkin (around 450 g), peeled and • two large saucepans • chopping board deseeded • 1 rib celery ½ onion • • vegetable kni fe • measuring cups • 240 ml water • sieve/blender • 1 tsp sugar • spoons ½ tsp salt • • 3 tbsp vegetable oil • jug • teaspoon • 3 tbsp plain flour • 700 ml milk • 112 tsp black pepper • sprig of parsley Method 1. Place the pumpkin, celery, water, sugar and salt into a large saucepan. On a low heat, cook until the pumpkin has softened. 2. The mixture can t hen be put into a blender or food processor and blended, or pressed through a sieve to form a thick liquid. 3. The vegetable oil can now be added to another large saucepan and heated over a medium heat. Mix in the flour and stir until bubbling can be seen. 4. Little by little, add the milk while stirring continually until the mixture has thickened. 5. Now add the blended vegetable mixture to the white sauce and heat gently. Take off the heat when cooked. 6. Chop up parsley and use as a garnish. Remember! As discussed earlier in this chapter, when flour is added to water and then heated, the starch granules swell and then burst so the mixture becomes thicker. 2. Beef and spinach turnover To prepare: 35 minutes To cook: 20 minutes Makes 8 turnovers (each turnover is around 250 calories) Ingred ients • vegetable oil • 1 small onion • 230 g lean minced beef • 112 tsp salt • 1 tsp vinegar • 180 g cooked spinach • 250 g plain flour • 2½ tsp baking power • 240 ml water • 60 g margarine or butter • 1 egg Equipment • chopping board • vegetable knife • frying pan • stirring spoon • mixing bowl • rolling pin • kn ife/fork • jug • baking tray • tablespoon • teaspoons • baking tray • sieve • pastry brush • oven gloves Method 1. Grease a large baking tray with either oil or butter. 2. Chop the onion into small pieces. 3. Put vegetable oil into a frying pan and add the spinach leaves, 2 tbsp of chopped onion and all of the minced beef. Stir over a medium heat until the meat is no longer pink. 4. Drain off excess fat. 5. Add the salt and fry for five minutes, then remove from the heat. 6. Preheat the oven to 350°F (180°C). 7. To make the dough, sift the flour and baking powder into a mixing bowl. Add salt and rub in the margarine or butter until the mixture is crumb-like. 8. Add 180 ml of water to make dough. Add the remainder of the water if required. 9 . Lightly knead, then split the dough into eight equal portions. 10. Roll each por tion into a circ le shape (a round), about 0.5 cm thick. 11. Divide the minced meat and spinach mixture equally between the rounds. Use water to moisten the edges of the rounds, fold over to make a D shape, and place the edges togethe r. 12. Put the turnovers onto a greased baking tray. 13. Whisk the egg and use a pastry brush to brush the egg onto the turnovers. This will help to give them a golden colour. 14. Bake in the oven for 20 minutes, or until the turnovers are thoroughly cooked. 3. Cheese and yam bake To prepare: 35 minutes To cook: 25 minutes Makes 6 servings (around 350 calories per serving) Ingred ients Equipment • 1 kg yam • 30g margarine or butter • 30 g plain flour • 2 tsp mustard • ½ tsp black pepper • pinch of salt • 240ml milk • 250g grated cheese • 1 slice bread • • • • • • • • • medium-sized ovenproof dish two saucepans vegetable knife wooden spoon teaspoon masher or ricer colander oven gloves food processor (optional) Method 1. Preheat the oven to 350°F/180°C. 2. Grease the ovenproof dish. 3. Wash, peel and then chop the yam into chunks. 4. Add the yam to a saucepan and cover with boiling water. Cook until it is tender. 5. Use another saucepan, on a low heat, to melt the margarine or butter. Now mix in t he flour, mustard, salt and pepper. 6. Stirring continually, slowly add the milk until the mixture thickens and then remove from the heat. If the mixture does not thicken, you may need to add more flour. 7. 8. Stir in two-thirds of the grated cheese until it melts into the mixture. Drain the yams and mash them or pass them through a ricer. 9 . Add the yams to the cheese sauce and mix. 10. To make breadcrumbs, cut the bread into very small pieces or use a food processor. 11. Put the mixture into an ovenproof dish and sprinkle on the rema ining cheese and breadcrumbs. Cook for around 20 minutes, until light brown in colour. Cheese Cheese is a highly versatile food and has the following uses: • as a topping as it is tasty and makes food appealing • as a garnish (such as on top of a lasagne) • in soups (stilton is a strong-flavoured cheese that is an idea l addition to soup) • in salads (cheddar and stilton are popular choices; however, cottage cheese is often preferable as it is low in fat compared to other cheeses) • in cheesecake (a bland cream cheese is required for making a cheesecake). Remember! If cheese is overcooked it will become stringy, rubbery and oily. 4. Jamaican ginger cake To prepare: 20 minutes To cook: 45 minutes Makes 4 servings (each serving provides around 580 calories) Ingred ients Equipment • 100g butter • small loaf t in • 100g dark brown soft sugar • wax paper • 2 eggs • jug • 2 tbsp grated fresh root ginger • two mixing bowls • 1 tsp vanilla extract • stirring spoons (wooden spoons) • 125 ml milk • fork • 175 g self-raising flour • skewer • 2 tsp ground ginger • sieve • 1 tsp ground cinnamon • teaspoons • ¼ tsp salt • oven gloves • 1 tbsp icing sugar for dusting Method 1. Preheat the oven to 160°C fan assisted oven/180°C/325°F 2. Grease and line a small loaf tin. 3. Into a mixing bowl sift the flour, ground ginger, cinnamon and salt. 4. In another mixing bowl, cream together the butter and sugar. 5. In a jug, beat together the eggs. 6. Slowly add the eggs to the creamed mixture and stir. 7. 8. Then add the grated ginger and vanilla extract and stir. 9. Pour the mixture into the loaf tin. Beat in the flour mixture alternately with the milk and combine by mixing with a wooden spoon. 10. Bake in a preheated oven for about 45 minutes, or until a skewer inserted into the middle comes out clean. 11. Allow to cool. 12. Lightly sieve some icing sugar over the top before serving. Functions of cake ingredients Fats/oils Fat plays an important role in baking and, of all the fats, butter has the best flavour for cakes. The role of fats in cake-making includes: • providing flavour • keeping products moist and extending shelf life • adding colour • holding air in the mixture when creamed with sugar • provide energy and vitamins A and D. Did you know? Butter will last for several weeks in a refrigerator; however, it will freeze for up to one year in a freezer. Flour The main ingredient of cakes is flour, which is important fo r forming a cake 's structure and increasing volume. Functions of flour include: • providing fibre (especially if wholemeal flour is used) • enabling the mixture to rise (if self-raising flour is used), therefore increasing volume • providing carbohydrate, vitamin B, calcium and iron. Remember! Flour should be stored in an airtight container in a cool, dry place. It can last up to six months if stored properly and indefinitely if stored in a freezer. Sugar Most cakes contain sugar to provide sweetness. Other functions of sugar include: • to add colour and texture • to retain moisture so that the end product is moist and not dry • to help trap air in cake mixtures • to provide energy for the body. Remember! Large amounts of sugar in a food product, such as jam or marmalade, help to prevent microorganism growth, therefore sugar acts as a preservative. Eggs An important function of eggs in cake•making is to bind ingredients toget her. Eggs are also useful for: • helping cakes to rise • holding air in the mixture when beaten • adding colour to mixtures • adding a sheen to baked goods • providing protein, fat, iron and vitamins A, B, and E. Did you know? To test if an egg is fresh, place it into a bowl of salt water (brine): if the egg sinks, it is fresh. but if t he egg stands up on the bottom it probably isn't fresh. If it floats in the water it is like ly to be rotten. Eggs contain air pockets, which, when fresh, are small; however, over t irne the air pockets become larger, resu lting in a floating egg. How to check a cake is cooked All cakes shrink away from the sides of the baking t in when they are ready to be removed from the oven. With cakes that contain butter, the following tests can be carried out: • Use your finger tip or palm to press gently down onto the cake; if t he cake springs back when you stop pressing, it is probably done. • Insert an item such as a cocktail stick or skewer into the centre of the cake; if the stick is clear of wet batter when you take it out, the cake is done. However, remember that the cake will continue to cook for a while even when it is taken out of the oven. 5. Green banana pudding To prepare: 30 minutes To cook: 30 minutes Serves 4 (each serving provides around 280 ca lories) Ingred ients • 6 medium-sized green bananas • lime j uice • 120ml milk • 80 g brown sugar • 2 tbsp self-ra ising flour • 2 tbsp margarine or butter • 2 tbsp raisins • 2 eggs • 112 • ½ tsp cinnamon • pinch of salt • 2 tbsp grated coconut tsp van illa essence Equipment • mixing bowl • cake tin (7 inch) or baking dish • bowl • fork • spoon • vegetable knife • chopping board • oven gloves Method 1. Preheat the oven to 350°F/180°C. 2. 3. Grease the cake tin or baking dish. Peel the bananas and place them in a bowl of water with a few drops of lime juice added to prevent them turning brown. 4. Cut the bananas into small pieces and add to a mixing bowl. Then beat in 60ml of milk until the mixture is smooth. 5. Now add the re maining milk, sugar, flour, margarine, ra isins, eggs, van illa essence, cinnamon and salt. 6. Beat the mixture until smooth. 7. Pour the mixture into the cake tin or baking dish and cook for around 30 minutes. 8. Sprinkle coconut over the top. 6. Pumpkin cookies To prepare: 30 minutes To cook: 30 minutes Makes 16 cookies (each cookie provides around 120 calories} Ingred ients Equipment • a pumpkin • small saucepan • 60 g brown sugar • chopping board • 30g margarine • fork • 1 egg (only half is used) • large baking tray • pinch of salt • vegetable kn ife • pinch of nutmeg • colander/sieve • pinch of cinnamon • mixing bowl • pinch of ground ginger • large spoons • 160g self-ra ising flour • oven gloves • 1 tsp baking powder • 2 tbsp raisins • 2 tbsp chopped nuts • ¼ tsp lemon extract Method 1. Preheat the oven to 400°F/200°C. 2. Grease a large baking tray. 3. Peel the pumpkin and remove the seeds, then slice it into small chunks. 4. Boil the pumpkin in a saucepan with water. 5. When softened, drain and mash the pumpkin with a fork. 6. Allow the pumpkin to cool. 7. Place the sugar and margarine into a mixing bowl and cream the mixture. 8. Now add and beat an egg to the mixture. 9. Add the pumpkin, salt. nutmeg, cinnamon and ginger, and mix together. 10. Add the flou r and baking powder to the creamed mixture. 11. Now add raisins, nuts and lemon extract and beat the mixture. 12. Use a large tablespoon to scoop out the mixture and drop equal-sized circles onto the baking tray. Ensure there is a sufficient gap between the cookies. 1 3 . Cook for around 30 minutes. 7. Bread rolls To prepare: 50 minutes To cook: 10-15 minutes Makes 4 rolls Ingred ient s Equipment • 250g strong flour • baking tray • 7 g pack of fast-action dried yeast • sieve • 1 x 5ml spoon sugar • mixing bowl • 150 ml warm water • measuring j ug • 1 tsp salt • measuring spoons • oven gloves • cooling rack M ethod 1. Grease a baking tray. 2. Sieve the flour and salt into a mixing bowl. 3. Stir in the yeast and sugar. 4. Make a well in the middle of the flour mixture and add the warm water. 5. Mix to form a soft dough. 6. Sprinkle flour onto a clean work surface and place the dough onto it. 7. Knead the dough for 10 minutes. 8. Divide it into four pieces and shape into rolls. 9. Place the rolls on the greased baking tray. 10. Preheat the oven to 1 . 220°C/ fan assisted 200°c. 11_ Cover the dough and leave to prove for around 3 0 minutes in a warm place until the rolls double in size. 12. Bake for 15 to 20 minutes until golden brown . To understand the action of yeast in bread-making see page 71 in this chapter. Did you know? The difference between the processing of wholewheat and white flour is that the refining process associated with making white flour separates the fibre-rich bran from the rest of the grain, so white flour typically contains less fibre than whole-grain flour. Dietary fibre is important in the diet as it prevents constipation, lowers blood cholesterol and may also be a useful aid to weight loss. 8. Exotic avocado salad To prepare: 30 minutes Makes 2 servings (around 260 calories per serving) Ingred ients • 2 tbsp pumpkin seeds • 1 ri pe papaya • 1 ripe avocado • 50 g watercress • fresh mint leaves • juice of half a lime • 1 tbsp olive oil • salt and black pepper to season Equipment • frying pan • chopping board • vegetable kn ife • large bowl • j ug • tablespoon Method 1. Dry-fry the pumpkin seeds In a frying pan for a few minutes until they appear toasted and then place into a large bowl. 2. Peel the papaya, halve it lengthways and scoop out the seeds. Cut the flesh into long, thin slices. 3. Halve the avocado and remove the stone. Then slice the flesh lengthways into thin slices. 4. Put the papaya, avocado and watercress into the large bowl. 5. Chop about 1 tablespoon of the mint leaves and set aside. Pick the remaining leaves from the stalks, tear them and place them into the large bowl. 6. Mix the lime juice and olive oil with the tablespoon of chopped mint to make a dressing, and season wit h salt and pepper to taste. 7. Pour the dressing over the salad and gently mix all the ingredients together. It is now ready to serve. 9. Jam-making To prepare: 45 minutes To cook: 20 minutes Ingred ients Equipment • 480g guavas (cut into chunks and with all seeds removed) • • 6 0 ml orange j uice • vegetable kn ife • chopping board • masher • 2 tbsp dry pectin • 480g white sugar medium-sized saucepan • • • • • wooden spoon ladle sterilised jam jars tea spoon small plate Did you know? Pectin is a carbohydrate that is a natural ly occurring thickening agent found in certain ripe fru its, such as berries and apples. To make j am, ensure that fru it is fresh and slightly under-ripe as at this stage fruit contains large quantit ies of pectin and acid. M ethod 1. Dice the guavas into cubes and ensure all seeds are removed. 2. Place guavas into t he saucepan and simmer for 30 minutes on a low heat. 3. Pass guavas through a sieve to remove seeds. 4. Return guavas to the saucepan and add the orange juice and pectin and stir continually over a medium-high heat until th e mixture begins to boil. 5. Now stir in the sugar, and return to the boil, again stirring constantly. When the jam begins to boil, let it continue to do so for one minute. 6. 7. Take the saucepan away from the heat. 8. Ladle the hot j am into hot, sterilised j ars and seal with lids and ri ngs (the jars should have a label providing an ingredients list, date of production, expiry and other important informat ion). 9. Allow to cool to room temperature. Carry out a plate test (see next page). Remember! Jam recipes mostly comprise equal weights of fruit and sugar, e.g. 1kg of fruit and 1kg of sugar. Plate test The plate test (also known as th e wrinkle test) and flake test help to determine when jam is ready for bottling. For the plate test, spoon a small amount of j am onto a cold plate and allow to cool slightly. Then push with your finger; if there is wrinkling, the jam is ready to be bottled. The flake test involves dipping a wooden spoon into jam, cooling it slightly and allowing it to run slightly over th e side of a spoon. If it comes off the spoon in wide flakes, jam has reached setting point. 10. Eddoe fritters To prepare: 20 minutes To cook: 10 minutes Makes 12 fritters (each serving is around 110 calories) Ingred ients • 250g eddoes • 40g finely chopped onion • 15g finely chopped celery • 15 g plain flour • 1 tbsp milk • 112 tsp vinegar • pinch of salt • ½ egg white • vegetable oil Equipment • chopping board • vegetable kn ife • grater • fork • jug • large bowl • deep fryer • tablespoon • fish slice • paper towels Method 1. Wash, peel and grate the eddoes. 2. Place the eddoes into a large bowl and add the onion and celery. 3. Use a fork to mix in the flour, milk, vinegar and salt with the eddoes. 4. In a separate small bowl, beat the egg white until stiff peaks form. 5. Now fold the egg white into the eddoe mixture. 6. Heat the vegetable oil in a deep fryer. 7. Add tablespoons of the mixture one at a t ime into t he oil and cook until golden brown. 8. Get rid of excess fat and serve. 11. Beef with rice To prepare: 40 minutes To cook: 30 minutes Makes 6 servings (around 210 calories per serving) Ingred ients • 250 g minced lean beef • 1 tbsp vegetable oil • 375g cups tomatoes • 75g red sweet pepper • 75g celery • 75g onion • ½ tsp salt • ½ tsp hot pepper • 550g rice • parsley to garnish Equipment • frying pan • vegetable knife • chopping board • colander • stirring spoon • saucepan Method 1. Chop the vegetables. 2. Add the meat to an oiled frying pan and fry until brown. 3. Add the tomatoes, red sweet pepper, celery, onion, salt and hot pepper. 4. 5. Simmer for 10-15 minutes. While the meat is simmering, cook the rice. Cook the rice by adding it to a saucepan containing boiling water. Gently stir. 6. Cook for around 15 minutes (see packet instructions). Drain the rice. 7. Serve the rice and beef dish, with parsley as a garnish. 12. Carrot dumplings To prepare: 20 minutes To cook: 10 minutes Makes 6 dumplings (each dumpling is around 100 calories) Ingred ients • 5 0 g carrot (grated) • 125 g self-rai sing flour • 1 tsp baking powder • 3 0 g margarine or butter • ½ tbsp sugar • pinch of salt • 1½ tbsp water Equipment • grater • chopping board • large bowl • tablespoon • teaspoons • kn ife • large saucepan • mixing spoon Method 1. Grate t he carrots. 2. Mix together the flour and baking powder in a large bowl. 3. Rub together the flour mix and margarine or butter until it resembles breadcrumbs. 4. Add th e carrot, sugar and salt and stir togethe r. 5. Add 1 1/2 tbsp water and mix until a dough is formed. Add more water if required. 6. Divide into six portions and roll each one into a ball. 7. Drop the balls into boiling water or soup. 8. Cover and simmer for around 10 minutes. 13. Caribbean croque monsieur To prepare: 10 minutes To cook: 15 minutes Makes 1 serving (around 700 calories) Ingred ients • 2 slices of bread • 2 tbsp butter • 2 slices of cheese, such as Gruyere • 2 thin slices of ham • 1 tbsp honey • 2 slices of tomato • 2 slices of avocado • 1 tsp vegetable oil Equipment • chopping board • table kn ife • paring kn ife • wax paper • fish slice • teaspoon • frying pan or skillet Method 1. Cut the cheese, tomato and avocado into slices. 2. Butter one side of each slice of bread. 3. 4. Put one slice of the bread butter side down onto wax paper. 5. Drizzle the honey over the ham. 6. Then put the tomato onto the ham, followed by the avocado. Then add the second slice of bread, butter side up. 7. Put the vegetable oil into a skillet or frying pan and then use a fish slice or similar to lift the sandwich off the wax paper, then fry it over a rnedium heat until golden. 8. Use a fish slice or similar to gently turn over the sandwich. 9. Place the rema ining slice of cheese on top of the sandwich and fry for about 2 minutes until the cheese has melted. Place one slice of cheese, followed by the ham, onto the slice of bread. 10. Cut the sandwich in half and serve. 14. Curried tuna To prepare: 30 minutes To cook: 30 minutes Makes 4 servings (each serving provides around 170 calories) Ingred ients • 1 tbsp vegetable oil • 1 small onion • 1 small green pepper • 1 stick of celer y • 2 tbsp curry powder • 2 tsp chopped garl ic • 1 tomato • 60 ml of water • 2 cans (185g) of tuna in brine • 1 tbsp honey • parsley (to garnish) Equipment • chopping board • vegetable kn ife • garlic press • frying pan • wooden spoon Method 1. Chop the vegetables into small pieces. 2. 3. Heat the vegetable oil in a large frying pan on a medium heat. Add the onion, pepper, celery, garlic and curry powder to the frying pan and stir for around 15 minutes. 4. Now add the tomato, water and tuna to the frying pan and stir, then simmer (cook on a low heat) for about 10 minutes. 5. Add honey and continue to simmer fo r a further 10 minutes. 6. Remove from the heat and add parsley for garnish. 15. Spicy chicken drumsticks To prepare: 30 minutes To cook: 25 minutes Makes 2 servings (each drumstick provides around 1 15 calories) See Chapter 3 about precautions to take when preparing and cooking chicl<en. If chicken is undercooked and contains salmonella bacteria, there is a risk th at the consumer may suffer food poison ing. Ingred ients Equipment • 6 small drumsticks • chopping board • • vegetable kni fe 1 small onion • 2 tsp chopped garlic • mixing bowl • 1 small stick of celery • spoon • 1 tsp black pepper • casserole dish • 1 tsp dried thyme • oven gloves • ¼ tsp ginger • pinch of ground nutmeg • pinch of clove • 180 ml tomato ketchup Method 1. Preheat the oven to 375°F/190°C (fan oven) or 210°C non-fan oven. 2. Chop the vegetables into small pieces. 3. In a mixing bowl, add and mix the garlic, 2 tbsp of chopped onion, half the chopped celery, 1 tsp black pepper, 1 tsp dried thyme,¼ tsp ginger, a pinch of clove and pinch of nutmeg. 4. Dip and roll the chicken drumsticks into the mixture. 5. Now place the chicken drumsticks into a casserole dish or similar. Pour the tomato ketchup over them. Cover the dish and bake in the oven for 15 minutes. 6. Remove the cover and cook for 10 minutes or until the juices of the chicken run clear when cut. Remember! You should not wash raw chicken as harmful bacteria can be carried in the water droplets and land on surfaces. 16. Papaya and milk smoothie To prepare: 30 minutes Makes 4 servings (each serving provides around 150 calories) Ingred ients • 1 ripe papaya • 600 ml cups milk • 3 tbsp lime juice • 1/2 tsp lime rind (freshly grated) • 50g sugar • ½ tsp vanilla extract • 120 ml crushed ice • lime wedges for decoration (optional) Equipment • chopping board • vegetable knife • whisk/blender • glass to serve in Method 1. Peel the papaya then cut it in half lengthwise; remove the seeds, then chop the papaya flesh. 2. Place the papaya chunks and the rest of the ingredients, except the garnish, into a blender or food processor (or put the ingredients inside a jug and whisk by hand, although this will take a lot longer). 3. Mix on high speed for 20 to 30 seconds, until the mixture is smooth and thick. 4. Pour the smoothie into a glass, garnish with a lime wedge, and serve at once. 17. Pineapple upside-down pudding To prepare: 30 minutes To cook: 20-30 minutes Serves 4 (each serving provides 350 calories) Ingredient s Equipment • 100g soft margarine • wooden spoon • 100g caster sugar • mixing bowl • 100g self-raising flour • spatula • 4 glace cherries • small cake tin • 1 egg • tablespoon • 2 tbsp golden syrup • fork • • sieve 1 small t in of pineapple rings • oven gloves M ethod 1. Preheat the oven to 375°F/ 190°C/170°C fan. 2. Grease a cake tin. 3. Put 1 tablespoon of golden syrup in the bottom of the t in. 4. Drain the pineapple rings and place them on top of the syrup. 5. Place a glace cherry the middle of each pineapple ring. 6. Sift the self-ra ising flour into a bowl. 7. Add the soft margarine. 8. Add the caster sugar. 9. Add the egg. 10. Beat the mixture until it is soft and creamy. 1 1 . Place blobs of the mixture on top of the pineapple and spread evenly. 12. Bake in the oven for 20 to 30 minutes, until the mixture has risen and springs back to touch. Did you know? When all the ingredients go into the bowl together and are mixed, it is known as the "all-in-one" method. Steps 6 to 10 are an example of this. 18. Beef and breadfruit soup To prepare: 30 minutes To cook: 40 minutes Serves 4 (each serving provides 100 calories) Ingred ients • 225 g sliced, peeled breadfruit • 950 ml water • 125g lean beef (cut into chunks) • 40g diced onion • ½ tsp salt • ¼ tsp black pepper • 1 tbsp chopped parsley Equipment • chopping board • vegetable kn ife • saucepan • colander • masher • stirring spoon Method 1. Peel the breadfruit and cut it into slices. 2. Add water to a saucepan, boil the breadfruit for 10 minutes or until softened. 3. Drain but do not throw away the cooking water. 4. Mash the breadfruit until smooth. 5. 6. Return the liquid and breadfruit to the saucepan. In a skillet, brown beef thoroughly on all sides in the cooking oil, turning often with a slotted spoon or spatula. Then add onions and stir. 7. Now add the beef, onion, salt and pepper to the saucepan. Simmer for 30 minutes, stirring occasionally. 8. To ser ve, sprinkle some parsley on top . 19. Penne pasta salad To prepare: 40 minutes To cook: around 15 minutes Makes 5 servings (around 220 calories per serving) Ingred ients Equipment • • saucepan 285g cups penne pasta (or pasta of your choice) • colander • 50 g harn strips • large bowl • 50 g cubed cheese • large spoon • 75g sliced tomato • 30 g sliced onion • 30 g sliced celery • 75g chopped sweet pepper • 2 tbsp mayonnaise • 75g lettuce • Sufficient salted water to cover pasta. Method 1. Place the penne pasta in a saucepan and add enough water to cover the pasta. Then follow the cooking instructions on the packet. 2. Drain the pasta and put into a bowl. 3. Add the ham, cheese, tomato, on ion, celery and pepper to the bowl. 4. Add mayonnaise to the pasta mixture and lightly mix. 5. 6. Put into a refrigerator until ready to serve. To serve, place the mixture onto a bed of lettuce. Why don't you? Create a recipe book, with your own recipes. Choose one of the fol lowing titles or choose your own theme for your book: • low-fat recipes • gluten-free recipes • low-salt recipes • meat and poultry recipes • vegetarian recipes • Chinese recipes • Indian recipes • desserts • soup recipes • breads • cakes and biscuits • low-sugar recipes. You will need to do the fo llowing: • Design a front cover for your book. • Think about the layout of your book - you can access recipe templates via Microsoft Office. • You will need to include at least 20 recipes and state serving sizes, preparation time, the cooking temperature requ ired and how long they take to cook. • The first part of the book should include useful information for the reader, such as a we ight and volume equivalent chart. • A contents sheet with page numbers is required so that the reader can readily access recipes. • Photographs can be taken, printed and entered into the book so that the reader will know how the dish should look. • You should include a section on healthy eating, explaining, for example, what makes a balanced diet. Discuss how to restrict calories by making good food choices. You will need to discuss the importance of nutrients in the diet and explain what should be restricted. • Another section will provide any cooking terms (glossary) you have used throughout your book, such as creaming, and a description. Useful link Recipes A good website for research ing recipes: http://allrecipes.com Kitchen layout A kitchen should be designed so that staff can work efficiently, safely and hygienically. When planning a kitchen layout, the following should be taken into consideration: • placement of t he sink, cooker and refrigerator to form the work triangle • placement of a work surface next to the cooker for putting down hot pots and pans • adequate ventilation to remove smells, steam and smoke • adequate lighting to help avoid accidents • easy-to-clean kitchen surfaces to avoid cross-contamination • work tops to be at a satisfactory height for an individual, to ensure safety and comfort • cupboards to be at a reachable height for staff to help avoid injuries and accidents • non-slip flooring to prevent accidents • access to a first-a id box or kit to treat common inj uries. To help prevent cross-contamination, specific tasks should be carried out in separate areas of the kitchen, for example: • The meat, poultry and fish preparation area should be separated from the preparation of other foods, as these food items are high risk and can contaminate other areas and foods. • Vegetable preparation areas requ ire a work surface and a sink for washing and draining. • The area for washing up plates, cutlery, pots and so on needs to be separated from areas of food preparation and cooking because there is a risk of cross-contamination. A good kitchen layout allows staff to work in one direction, which helps to avoid crosscontamination and prevents staff from getting in each other's way. When designing a kitchen, the flow chart in Figure 6.1, showing the basic workflow, should be taken into consideration. Delivery of goods t t Storage of goods Food preparation - hot and cold areas. Food must be kept at the correct temperature. (See Chapter 3 for more information about the temperature danger zone.) t t t Cooking Holding food Providing meals to customers/consumers i Washing up and disposal of waste Figure 6 .1 Flow chart showing basic kitchen workflow Four types of kitchen layout There are four basic kitchen layouts: U-shaped, the one-wall, the two-wall and L-shaped. See Figure 6.2 for examples. â–¡+-+-Sink •• •• Cooker Sink Refrigerator Work Triangle Cooker Refrigerator Sink Cooker Sink I" 0 I I,. 0 I Work Triangle Refrigerator •• •• Figure 6.2 Four basic kitchen layouts The "kitchen work triangle" helps to produce an efficient workspace and is made up of the imaginary lines between the sink, cooker and refrigerator, which ideally need to be a certain distance from each other to ensure optimal productivity. If they're too far apart, people cannot work as efficiently; however, too close together and there may not be sufficient space to work comfortably. The U-shaped kitchen has cabinets, countertops, appliances and other kitchen elements on three sides. It easily incorporates a "work triangle" and more than one cook can work efficiently within it. However, it is more expensive than the other kitchen layouts because of additional countertops and appliances. The one-wall kitchen layout is useful for smaller ki tchens; however, it is only designed for one cook. The two-wall kitchen (also known as a •·corridor") layout is similar to the one-wall layout, but the cabinets, countertops and appliances are organised along two walls. This layout allows an efficient work triangle and is useful for small kitchens. However, there may not be sufficient space for more than one cook. The L-shaped kitchen layout is set up along two adjoining wa lls and allows an effective work triangle. It is ideal for a small or medium-sized kitchen and there may be space for an eating area too. Depending on the size, it may not be suitable for more than one cook. Why don't you? Use the information you have learnt so far in this chapter to design an ideal kitchen. Ensure the kitchen is safe and efficient for staff and there is minimal risk of crosscontamination. Kitchen equipment and utensils When preparing food, utensils and equipment should be positioned near to the food prepa ration area. A stainless steel work surface is commonly used in an industrial kitchen because it is easy to clean, sturdy and res istant to water, heat and stains. See Table 6.1 for different types of kitchen equipment. Table 6 .1 Kitchen equipment Kitchen equipment Examples Labour-saving devices Food mixer, toaster, pressure cooker, slow cooker, blender and food processor Flatware Spoons, forks , l<nives Knives Chef's knife, carving kn ife, paring kn ife, vegetable kn ife, palette kn ife, boning kn ife, fi lleting kn ife and cleaver Cutting and grinding equipment Graters, pastry cutters, food slicers/choppers Pots and pans Frying pan, wok, muffin pan, pudding mould, patty tin Measuring tools Scales, measuring cups and spoons Cookers and other large equipment Ovens, microwave ovens, slow cooker, steamers and refrigerator and freezer Why don't you? Use a textbook or the Internet to research the various types of kitchen equipment and describe how each is used. Then, describe the factors to be considered when purchasing kitchen equipment in order to get the best value for money. You can add your findings to your portfolio of evidence. Oven An oven is an extremely important piece of kitchen equipment. Many ovens are fan assisted, which speeds up the cooking process and also allows the convectional current to flow evenly around the inside of the oven, ensuring food is baked equally throughout. Most oven doors have a glass panel so that the cooking food can be observed, therefore reducing the need to open the oven, which resu lts in loss of heat. Remember! The temperature of the oven is controlled by a thermostat . Methods of cooking Cooking involves applying heat to foods to prepare them for eating. There are three methods of heat transfer: conduction, convection and rad iation. Cooking food commonly uses a combination of these rnethods (see also Table 6.2). Conduction Heat is transferred from one place to another by conduction. Pans are made of metal because they are good conductors of heat. When a pan of liquid or food is placed on a hob, heat is transferred from the molecules of the hot surface to the molecules of the pan bottom, then from the pan bottom to the pan sides and then to the contents of the pan. Conduction can also occur when grilling food , for example when the food touches the cooking utensil. Convection Convection is the transfer of heat through liquids or gases. When a pot of liquid is placed onto a hob to boil, the water molecules, in contact with the interior of the pot, heat up, and convection causes the molecu les to move away and be replaced by cooler molecules. Convection currents are formed within the water due to this continual movement and transfer heat; therefore, if food is within the pan, its surface will heat up and the heat is transferred to the interior of the food. Radiation Radiation involves the transfer of rad iant energy through rapid ly t ravelling energy waves. For example, through the broiler (similar to a grill) in a cooker or through lighted coals from a barbecue grill. Radiation involves the transfer of rad iant energy through rapidly travelling energy waves. For example, through the broiler in a cooker, lighted coals from a barbecue grill or roasting food on a spit. Microwave rad iation, produced by microwave ovens, is an electromagnetic wave that is read ily absorbed into food substances. The vibrations of the molecules within food or liquid leads to friction and therefore increases the temperature of it. Did you know? Foods with high moisture, sugar or fat contents absorb microwaves best and heat up more read ily. Radiation Conduction 1 t \ (j ~ ~convection I ' \ I ' ' I Figure 6 .3 Conduction, convection and radiation Table 6 .2 Cooking methods and their meth od of heat transfer Cooking method Method of heat transfer Bolling Convection or conduction Steaming Convection of steam Grllllng/brolllng Mostly rad iation from heat source, secondarily conduction from grate and convection of air between food and heat Deep-frying Convection of oil Pan-frylng/ sauteing Conduction of pan and oil Baking/ roasting Mostly convection of air but also radiation from oven wa lls and conduct ion from baking pan Microwave Radiation Why don't you? Create a poster which discusses th e three methods of heat transference: conduction, convention and radiation. Don't forget to include pictures. First aid in the kitchen The kitchen can be a dangerous place and occasionally accidents and injuries will happen. The most common to occur are listed in Table 6.3. First aid is the initial treatment given to any person suffering a sudden illness or injury. Table 6.3 Common kitchen inj uries and illnesses and the first-aid treatment that should be given Common Inj ury/ Illness First-aid treatment for Injury or Illness M inor burn/scald 1 . Run the affected area under cool water for at least 10 minutes. 2 . Gently remove any j ewellery before swelling occurs. 3. After the burn has cooled it can be covered in cling fi lm to prevent infection of the area. 4. Medical advice should be sought if the burn is larger than the injured person's hand or if the casualty is a child. Cut s 1 . If dirty, clean the wound under runn ing water and then pat dry. It should then be covered with a sterile gauze. 2 . The injured part should then be ra ised above the level of the heart to help slow the bleeding. 3. Ensure the area around the wound is clean by using soap and water and then pat dry. 4. If required, the wound covering can be re rnoved and a new steri le dressing can be applied. Electrocution (person unconscious) Do not approach the casualty until the electrical contact has been broken. Call the emergency services. The person will need to be treated for shock and any burns. Be prepared to resuscitate, if able to. Food poisoning (see Chapter 3) The symptoms of food poisoning include feeling sick, stomach cramps and diarrhoea. It is recommended to take the following action: 1 . Ensure the sufferer takes regu lar small sips of water if suffering with diarrhoea it is important to drink water to replace lost fluids (an oral rehydration solution can help to replace lost salts and minerals). 2. If symptoms get worse seek medical advice. Anyone showing symptoms of food poisoning should be prevented frorn preparing or serving food. Faint 1. If a person fa ints, while they are lying on the floor, raise their legs to help blood flow back to the brain. 2. Reassure the casualty and help them to sit up slowly. 3. If they don't regain consciousness again quickly, call the emergency services 4. Ensure their airway is open and check their breathing. Figure 6 .4 First-aid kit contents Remember! A first-a id kit should be close to hand when working in a kitchen. Why don't you? Research the contents of a first-a id kit and ensure you understand the purpose of each item. Then produce a leaflet describing each first-aid kit item and explaining how and why they are used. Useful links For the contents required for a first-a id kit see: http://www.hse.gov.uk/pubns/ indg214.pdf Why don't you? Copy t he diagram of the kitchen layout below. • Now resea rch the folioing items, and add labels to identify where they should be placed on the diagram: • Fire extinguishers: what types do you need in a commercial kitchen and where wou ld you put them? • Smoke alarm: whe re should it be positioned? • Type of worktops: what is their purpose and what should they be made from? • What equipment is required to run it as a commercial kitchen? • Consider a food storage area. What should you ensure when storing food? • Wash hand basin with hot and cold tap. The basin should ideally be lever, elbow, knee or automatically operated to avoid contamination. • Hand drying method: wh ich method will you choose and why? • Sink for wash ing food. Ideally it should be separate from the sink in which hands are washed. • Fly killing devices, as fl ies contaminate food. • Insect screen for windows and doors that open to the outside. • Ventilation: consider how the kitchen will be ventilated, e.g. a canopy hood. Catering and cooking can produce unhealthy fumes and vapours, as we ll as large amounts of heat. • Type of flooring requ ired: consider how to prevent slipping accidents. • First aid kit: a we ll stocked kit is important to deal with minor injuries. • Sanitising products for personal and kitchen hygiene. What products do you need? • Lighting: correct lighting will help to ensure a safe and productive workspace. • Rubbish bins must have lids and be regu larly emptied. Where do think they should be positioned? What other health and safety factors should be cons idered? 7. Consumerism and purchasing of food The eating habits of consumers (people who purchase and eat food) have changed significantly over the last few decades. This is due to many factors , including modern technology, advertising, availability of food, the media and cost. Food budgeting is important for many people, but it is also essential that healthy food choices are made when purchasing food . It is important to avoid impulse buying, which is defined as an unplanned decision, made with little thought, to buy a product or service. Comparison shopping involves the shopper comparing items or services to determ ine which gives the best quality and value for money. Did you know? A green consumer is a customer who buys products that are considered environmenta lly friendly. Preparing meals on a budget When preparing meals on a budget, consider the following advice: • Make a plan of meals and snacks in advance so that costs can be considered. • Compile a shopping list, then ensure you do not buy additional products when shopping. • Make meals that can be frozen. • Use cheaper ingredients to bulk out expensive food items such as meat - for example by using vegetables to bulk out casseroles, stews and stir-fry dishes. • Cut out money-saving coupons from magazines, newspapers, etc. • Compare supermarket prices and consider discount stores. • Use a calculator while shopping to ensure you stick within budget. • Do not go shopping while hungry - you wi ll be more tempted to buy additional food. • Avoid pre-packed food as you often pay extra for the packaging. • Products often work out cheaper if bought in bulk. How to read a nutrition label Understanding food and nutrition labels can help to ensure that healthy food products are purchased. The food industry has to ensure that food is labelled, advertised and presented in a way that is not false or misleading. Many food products have a nutrition label on the back or side of their packaging, which includes information about the amount of energy (kJ/kcal), fat, saturates (saturated fat), carbohydrate, sugars, protein and salt contained within the product The nutrit ion label in Figure 7.1 is taken from a packet of cookies. A portion is the amount of food that someone may choose to eat for a meal or snack. A serving is a measured amount of food or drink. Servings are measured in units such as cups or pieces (such as one cup of milk or one slice of bread), fo llowed by the metric amount, for example weight in grams. Did you know? Many foods that come as single portions may actually contain two or more servings! Nutrition Facts Serving Size 3 cookies (34!V1.2 oz) Servings Per Container About 5 Amount Per Serving Calories 180 Calories from Fa1 90 % Dally Val ue• 15% ~ Total Fat 10g Saturated Fat 3.5g Pol~unsaturated Fat :!,S Monounsaturated Fat 5g Cholesterol 10 mg Sodium 80mg Total Carbohydrate 21g Oletar;i: Fiber 1g Sugars 1 1g Protein 2g The amount of fat, carbohydrates. fibre ' protein and salt pe r serv1ng are listed. See Chapter 2 for more informationon these nutrients. Vitamin A 0 % Calcium 0% Thlamin 6% Niacin 4% 18% 3% 3% 7% 4% . Vitamin C 0% . . Iron 4% Riboflavin 4% ~ Dally values are dlfl\erent for all people; howe ver, the average man needs around 2.500kcal (10,500kJ) and the average woman requires around 2,0 kcal (8,400 kJ). Dalty va lues give a useful guide of how much energy an average person requires. To understand If a food product contai ns little or a lot of a nutrient the following points will help: A typical serving size according to this pecket is three cookies; however, many people will eat a larger portion size than thi s, therefore wlll consume more calories. Recommended Dietary Allowance (ROA) is the average dally level of intake sufficient to meet the nutrient requirements of nearly all (97- 98 per cent) healthy people. The %DV (dally value) shows if a food product has a little or a lot of nutrient. >-- The amount of vitamins and minerals are listed next - see Chapter 2 for more information about these nutrients. • Pe,cent Dally Values are based on a 2,000 calorie diet. Your dally values may be higher or IO'N(U depending on your calorle needs: Calorles: 2,000 2,500 ~ oo Total Fat Sat Fat Cholestetol Less than Less tha1'1 Less than Less than Sodium Total Carbohydrate Dietary Fiber 65g 80g 20g 25g 300mg 300mg 2,400mg 2,400mg 300g 375g 25g 30g lng,edlents: - - - - - - - - - - - - - - Most pre-packed foOd products Unbleached enrlc~od wheat flour [flour, nlaclr,, contain a list of ingredients reduced Iron, thlamln mononttrate (vitamin B,), that are listed In order of sweet chocolate (sugar, chocolate liquor, Cocoa butte,, soy lecithin added as an emulsifier, weight , therefore th e main vanilla extract), sugar, partially hydrogenated vegetable ingredients will be found shortening (soybean, cottonseed and/or canola oils) towards the top of the list. If nonfat milk, whole eggs, cornstarch, egg whites, the first few ingredients listed salt, vanilla extract, baklr,g soda and soy lecithin. are high in fat, such as cream, butter or oil . then the food is a high-fat foOd. Figure 7 .1 Nutrition label To understand if a food product contains little or a lot of a nutrient the following points will help: 1. Most pre-packed food products contain a list of ingredients that are listed in order of weight, therefore the ma in ingredients will be found towards the top of the list. If the first few ingredients listed are high in fat, such as cream, butter or oil, then the food is a high-fat food. 2. A typical serving size accordi ng to this packet is 40 g; however, many people will eat a larger portion size than this, therefore will consume more calories. 3. The amount of fat, carbohydrates, fibre, protein and salt per serving are listed. See Chapter 1 for more information on these nutrients. 4 . The amount of vitamins and minera ls are listed next - see Chapter 2 for more Information about these nutrients. 5 . The %DV (daily value) shows if a food product has a little or a lot of a nutrient. If a food has a daily value (DV) of 5 per cent or less, it is considered to be low in that nutrient. A daily value between 10 per cent and 19 per cent means the food is a good source of a nutrient, and a food containing 20 per cent or more of the daily value is considered an excellent source of that nutrient. 6. • Daily values are different for all people; however, the average adult requires 2000 kcal (8,400 kJ). They give a useful guide of how much energy an average person requires. To understand if a food product contains little or lot of a nutrient the following points will help: Don't forget! If a labels states 5 per cent DV of less there is little amount of the nutrient; however, if is there is 15 per cent DV or more it contains a lot. • A daily value between 10 per cent and 19 per cent means the food is a good source of a nutrient. • If a food contains 20 per cent or more of the daily value, it is considered an excellent source of that nutrient. Table 7 .1 A sample label of nutritional information per 100 g Energy 653 kJ/ per 1/2 pie serving (24 0 g) 1 567 kJ/ 156 kcal 374 kcal Fat 8.0 g 19.2 g of which saturates 0.9 g 2.2 g Carbohydrate 13.6 g 32.6 g of which sugars 0.9 g 2.2 g Fibre 0.5 g 1.2 g Protein 7.1 g 1 7.0 g Salt 0.9 g 2.2 g Ingredients Water, Beef (25%), Puff Pastry (24%) (Wheatflour (with Calcium Carbonate, Iron, Niacin, Thiamin), Margarine (Palm Oil, Rapeseed Oil, Water, Salt, Emulsifier (Mono- and Diglyce rides of Fatty Acids), Wate r, Salt), Ale (contains Barley, Wheat) (9%), Stabiliser (Xanthan Gum), Onions, Wheatflour (with Calcium Carbonate, Iron, Niacin, Thiamin), Modified Maize Starch, Salt, Spices, Sugar, Niacin, Thiamin), Barley Malt Extract, Yeast Extract, Flavouring, Beef Extract, Chicory Extract, Colour (Plain Caramel), Tomatoes, Garlic, Sunflower Oil Why don't you? Study Table 7.1 and answer the following questions: 1. Do you think this is a healthy product? Why? 2. 3. What are the five main ingredients in this product? Which ingredients are common allergens? Remember! A food allergy occurs when the body's immune system reacts abnormally to a certain food and mistakes it as being harmful to the body, resulting in symptoms such as itching, a rash, swelling and breathing difficu lties. On a nutrit ion label well-known food allergens may be highlighted in bold or enclosed in brackets. Enriched and fortified foods Food fortification can be applied to a wide variety of food and is the practice of adding vitamins and minerals (e.g. iron, vitamin A and folic acid) to staple foods such as wheat flour, rice, sugar, vegetable oil and salt to improve their nutritional content. It can help prevent many diet-related diseases such as anaemia, spina bifida, rickets and osteoporosis. The added nutrients should be listed in the nutrition facts label. Enrichment invo lves replacing nutrients that have been lost during processing, such as niacin, thiamin, riboflavin and iron that are found in the germ and bran, and wh ich are lost when the germ and bran are removed. Producers of food products made from re fined grains, such as bread, pasta and crackers, can use enriched flours to replace lost nutrients. Other examples include: • Specially formu lated spreads, drinks, yogu rts and cream cheeses that contain cholesterol-reducing ingredients, called plant stanol esters, wh ich are believed to help lower the risk of coronary heart disease. • Probiotics, wh ich are live bacteria and yeasts that are added to food and are promoted as having health benefits. Probiotic drinks and yogurts help to encourage the growth of friendly (useful) bacteria in the gut and so restore a natural balance of gut bacteria. There is evidence to show that probiotics can help to prevent diarrhoea associated with taking antibiotics. • Eggs that are enriched with omega-3 fatty acids, a process that involves adding omega-3 oils or flax seeds to the hen's feed. The aim is to lower the risk of heart disease. Functional foods are foods that are fortified or enriched in some way to provide health benefits. Misleading product labels Be aware that the following statements on food labels can sometimes be misleading: • Food labels that use the words light or lite give the impression that the product must be healthy; hovvever, this isn't always the case as many of these foods contain high amounts of sugar or fat. • Some product labels state that there is no added sugar or that the food or beverage is sugar free, but the product may already contain a high concentration of naturally occurring sugars; however, it does mean a type of sugar called sucrose has not been added. • Low-fat almost always means that even though the amount of fat in a product has been reduced, more sugar has been added to ensure the taste is appea ling. Did you know? " Low calorie" foods are those that contain no more than 40 kcals per 100 g or 100 ml. Additional information found on food labels The following information should also be contained on food labels: • product name • brand name • country of origin • shelf life • manufacturer's name and address • list of ingredients in descending order by weight • serving or portion size • expiry dates. Remember! Food with a "best before" date is expected to rema in at its best quality up to and including this date (assuming it has been stored correctly). However, food may still be eaten after this date if it appears to be in good condition. "Use by" dates on food products refer to the final date when the food can be eaten. After this date, food or drink should be thrown away and not consumed as it may be harmful. UPC/ bar code iS also k,ow, as a ba, OOde a<>d "''" be fouod M IO-Od ProduO/ A """"'sal p,Oduct information: labels. The ba, ,.., "m&de up ol black lloes '"" ,umbe,,. aod '""•• /he rouow,,g • count,y ,n wh,ch the prOc/uct was made • name of manufacturer • date of manufacture • PrOduct and packet srze • contents (what 1s found In the PfOduct) • serial number (batch number). Figure 7.2 A bar COde Consumer protection agencies Consumer protection is a group of laws and organisations which help to ensure the rights of consumers. Consumer protection agencies include: • Consumer Affairs Division: helps to inform consumers of their rights and responsibilities by educating, protecting and empowering them. • Bureau of Standards: helps to ensure the standards are maintained for the improvement of goods, services and practices. • Weights and Measures Division: ensures that weights and measures are consistent in relation to products bought by consumers. This helps to ensure consumers are treated fairly. Why don't you? Design or create a box or packaging for an imaginary food product. Ensure all necessary information, found in t his chapter, is included on the box. You may need to research food products to help with this ta sk. Useful links The following websites are useful for understanding nutrition labels: US Food and Drug Adm inistration: Fda.com American Heart Association: www.heart.org 8. Putting together a portfolio of evidence To pass your programme you wi ll need to show evidence in your portfolio including: • Observation of performance • Examination of products • Oral questioning • Written test ing • Any other type of evidence You will be provided with a portfolio checklist, such as on page xxx, to help ensure you include all the evidence required for you to pass your programme. Getting started You will need a ring binder, page separators, stickers and plastic wallets. At the front of the portfolio you will need a cover sheet containing your name and school, including the year that you are in, and the title of the programme and the qualification you are taking. On the next page, you will need to add a table of contents so assessors can see what is contained within the portfolio and on which page. On the fol lowing page, there should details about you and your training experiences, including what you expect from t he programme and what you hope to gain by the end of it. Formative assessment The next section contains evidence of formative assessment. The goal of formative assessment is for assessors to monitor student learning by providing ongoing feedback, either written or verbally, that can be used by students to improve their learning and skills. Formative assessments help students identify their strengths and weaknesses, and target areas that need work so that teachers can help them to improve their work. Therefore, the following types of evidence will be included in this section: • Activities such as multiple choice questions, fill in the blanks, labelling of diagrams, etc. that have been marked by a teacher. Evidence of learning should be shown. • Any resea rch carried out and evidence of knowledge of health and safety skills. • Written proof that you've worked as a team and carried out practical work, and can include checklists and rating scales used for the practical session. You need to include the following: 1. Case study - perhaps your case study involved helping someone to improve their diet to make it healthier. You will have written details of your case study including their diet and lifestyle, what advice was given and why you gave it, evidence of research, and the outcome. 2. Any projects undertaken during the programme, or samples of work. Perhaps you had to put toget her a menu for vegetarians. You wi ll have resea rched and written about vegetarian foods and meals, and how they differ to a non-vegetarian diet. 3. Essay work that has been marked by teacher. Maybe you are given the task of writ ing an essay about health and safety in the kitchen. You can include designing a safe kitchen layout, statistics about accidents and how worke rs should pay attention to their personal hygiene and presentation. It should include hazards that can occur in a kitchen and how they can be prevented. 4. Any experience you have gained while on a field trip or within industry relating to your programme. Maybe you have carried out work experience within, for instance, a bakery. Summative assessments Finally, the last section contains summative assessments. The goal of these assessmen ts is to evaluate student learning towards the end of the programme. It will include: 1. An assessment plan, which is a plan agreed between the student and the assessor showing how, where and when evidence will be produced and collected. 2. Evidence of oral questioning by your assessor, which help to test know ledge of the subject. 3. An observation checklist to ensure you have been observed by an assessor while carrying out practical tasks relating to the subject studied. 4. A peer evaluation checklist will show that your work has been observed and evaluated by your peers (classmates). 5. Any evidence of important formative and summative assessments carried out during the programme, such as proj ect work, written work such as marked examinations or observation assessment. 6. Now it's time to reflect on your progress during the programme. After each unit or units, you will have written about how you fe lt about the work so far, how you could improve your skills, what went we ll and what didn't go to plan, and why. Although you need to show progression, it's fine if you have made mistakes throughout - that's how we learn! 7. In your final reflective summary, you wil l sum up your progress. You can discuss how you feel about your written and practical work throughout the programme, and what you have learnt compared to the start of the course. Your confidence should have grown a grea t deal; however, although you may have strengths there may also be areas of weakness that can be worked on in the futu re and can be set as objectives. Candidate's portfolio checklist Neatly compiled binder/ folder with each unit or cluster of units with page separators. YES • NO Cover/title page: Caribbean Vocational Qualification, school, occupational area, assessor's name, candidate's name, and year. • Table of contents • Introduction: - Candidate profile (personal data, training experiences) - Expectations of the programme Formative assessments based on lesson plan with mark scheme to Include • Unit questions - e.g. Fill in the blanks, multiple choice, labelling of diagrams, etc. • Research/safety skills YES NO YES NO • Team work - practical assignment • Any other two (2) from the list below: - Case study - Project/work samples - Rest ricted essays • Field trip/industry collaboration to reflect the occupational area Summative assessments Assessment plan Oral questions checklist to include "what if" questions from Dimension of Competency Observation checklist Peer evaluat ion checklist Hard or soft copies of key formatives and summative projects/ acti vities Reflections after each unit/cluster of units Summary/ reflection at the end of the programme General comments • • • • •• • • • • • •• • • • • • •• • • • • • • •• • • • • • • •• • • • • • • •• • • • • • •• • • • • • •• • • • • • • •• • • • • • • •• • • • I • •• • • • • • • •• • • • • • • •• • • • • • •• • • • • • •• • • • • • • •• • • • • • • •• • • • • • • •• • • • • • •• • • • • • •• • • • • • • •• • • • • • • •• • • • • • •• • A acidity 78,-9 additives 78 artificial additives 78 natural additives 78 uses tor additives 78 adolescents 55 aeration 7 4--5 allergies 61, 116 alpha linolenlc acid {omega.3) 7 amino acids 2 anaemia 12. 19 animal products 23 ascorbic acid (vitamin C) 11 avocado exotic avocado salad 92 B bacteria 35, 36 food poisoning 43-4 baking 109 baking blind 76 baking terms 76-7 bananas green banana pudding 89, bar codes 118 basal metabolic rate (BMR) 30 batters 76 beans 21 beating 76 beef beef and breadfruit soup 101- 2 beef and spinach turnover 83-5 beef with rice 95 beriberi 10 'best before' dates 117 beta-carotene 12 binding 76 biological aeration 74 blanching 52 BMI {body mass Index) 31 boiling 109 bread 75-6 bread rolls 91 breadfruit beet and breadfruit soup 101- 2 bridge hold 82 broi ling 109 browning 78 budgeting for food 113 preparing meals on a budget 113 buffets 65 cold holding 66-7 hot holding 66 bulking 75 Bureau of Standards 119 burns 110 buttercream 77 C cakes 75 checking a cake Is cooked 88 functions of cake Ingredients 87-8 Jamaican ginger cake 86-7 calcium 12. 60 calories 29 low calorie foods 117 cancer 27 carbohydrates 2 complex carbohydrates 4-5 food preparation 69-70 what are sugars? 4 cardiovascular disease 27 Caribbean croque monsieur 96-7 Caribbean Public Health Agency (CARPHA) 19 carrot dumpl ings 95-6 cheese 86 Caribbean croqve monsieur 96-7 cheese and yam bake 85 chemical aeration 7 4 chicken spicy chicken drumsticks 98,-9 children 54-5 chilling foods 38, 49 cholecalciferol (vitamin D) 11 cholesterol 7 choosing food 51 dairy products 52 eggs 51 fruit and vegetables 51 meat, poultry and fish 51 claw grip 81 coagulation 71 cobalamin {vitamin 812) 11 coeliac disease 61 conduction 108,-9 Consumer Affairs Division 119 consumer protection agencies 119 convection 108-9 cookers 107 cooking 49 acidity and temperature 78,-9 aeration 74--6 baking terms 76-7 binding, enroblng and setting 76 cooking methods 108,-9 finishing techniques 78 knife skills 81-2 measurements 79-81 raising agents 73-4 coronary heart disease (CHD) 9 cream cheese icing 77 creaming 77 curdling 77 cuts 110 cutting equipment 107 D dairy products 52 deep.frying 109 denaturation 71 diabetes mellitus (type 2 diabetes) 27-8 diet 19 assessing a person's diet 29-33 diet history 32-3 food diaries 33 multi-mix principle 24-6 poor nutrition 26-9 six food groups 19-23 dietary fibre 2, 4, 5 soluble and insoluble fibre 5 digestive system 14 conditions associated with the digestive system 15-16 organs of the digestive system 15, 18 process of digestion in the mout h and stomach 14 disaccharides 4 E eddoe fritters 94 eggs 51 , 88 egg custard 72 elderly people 56-7 electrocution 110 emulsification 72 emulsifying agents 72 enriched foods 116-17 enrobing 76 ethylene 52 F fainting 111 FATTOM 37-8 fat-soluble vitamins 9 fats 2, 6 . 23, 87 difference between fats and oils 6 effect of a high-tat diet 9 food preparation 72-3 functions of fat 8 how to reduce saturated fat in the diet 8,-9 types of fats 6-7 fermentation 36 FIFO 41 first aid 110-11 fish 51 flash cards 18 flatware 107 flavourings 78 flour 87 foams 71 folate 56 folding in 7 7 fondant Icing 77 food groups 19-23, 34 food Intolerances 61 food poisoning 43, 110 bacterial food poisoning 43-4 chemical food poisoning 45 food Infection and food Intoxication 46 parasites 45 prevention 47-50 viruses 45 food safety 35, 42- 3 contamination and spoilage 3 7-9 handling fOOd safely 39-43 microbes that affect food 35-6 preventing fOOdborne Illnesses 4 7-50 food storage 41 non-perishable foods 41-2 perishable foods 41, 51-2 fortified foods 116-17 freezing foods 38 frosting 77 fruits 21, 51 functional fOOds 11 7 fungi 35 G gall bladder 15 gelatin 71 ginger Jamaican ginger cake 86--7 grace Icing 7 7 glazing 78 gluten 72 glycogen 4 goitre 13 grilling 109 grinding equipment 107 H haem iron 23 haemoglobin 13 hand washing 47--8 health 2. 19 health and safety 1 12 first aid 110-11 hlgh-<Jensity lipoproteln (HDl) 7 hypertension 28 hypocobalamlnemla 11 hypothyroidism 13 I Icing 77 Infants 54 Iodine 13 Iron 13, 59 Iron-deficiency anaemia 13 J Jam-making 93 plate test 93-4 Julienne vegetables 82 K kitchen equipment 107-9 kitchen layout 105 four types of kitchen layout 106-7 health and safety 112 knife skills 81 bridge hold 82 clawgrlp 81 Julienne vegetables 82 knives 107 kwashiorkor 3 L labelling 113-18 additional information 117 best before dates 117 enriched and fortified foods 116-17 how to read a nutrition label 113-16 misleading product labels 117 UPC/bar code 118 use by dates 117 labour-saving devices 107 lactose intolerance 61 large Intestine 15 leavening agents 73 legumes 21 linolelc acid 7 liver 15 low-density llpoprotein (lDlJ 7 M magnesium 13 Maillard reaction 69 malnwltlon 26 marasmus 3 meals 24--6 choosing and storing fresh fOOd 51-2 food allergies and Intolerances 61 meal preparation 52-4 planning for different age groups 54-7 preparing meals on a budget 1 13 religious diets 60 vegan 59 vegetarian 58-9 measurements 79-81 measuring tools 107 meat 51 mechanical aeration 7 4 meringues 72, 75 metabolism 30 metabolic rate 30 micro-organisms 35 microbes 35-6 microwaving 109 milk papaya and milk smoothie 99-100 minerals 2, 12 calcium 12 iodine 13 Iron 13 magnesium 13 phosphorus 12 potassium 12 sodium 13 monosaccharides 4 monounsaturated fats 6 mouth 14 multi-mix principle 24-6 creating a meal 24-5 four-mix meals 25--{; three-mix meals 25 two-mix meals 25 N niacin (vitamin B3) 10 night blindness 10 nutrients 2 matching nutrients to function 17 preparing vegetables 52-4 nutrition 2 carbohydrates 4-5 tats 6-9 minerals 12-13 poor nutrition 26-9 protein 2-3 vitamins 9-12 nutritional status 30 anthropometric measurements 30-2 diet history 32-3 laboratory tests 32 physical observation 32 nuts 21 0 obesity 9, 26-7 oesophagus 15 oils 6, 23, 8 7 oligosaccharides 4 omega-3 7, 59 omega-6 7 osteomalacla 11 osteoporosis 12 ovens 107-8 overnutritlon 26 p pan-frytng 109 pancreas 15 pans 107 pantothenlc acid (vitamin BS) 10 papaya and milk smoothie 99-100 parasites 45 pasteurisation 52 pathogenic bacteria 35 peas 21 pectin 93 pellagra 10 penne pasta salad 102-3 peristalsis 5 pernicious anaemia 11 Phosphorus 12 photosynthesis 4 pineapple upside-down pudding 101 plasticity 73 polysaccharides 4 polyunsaturated fats 6 potassium 12 pots 107 poultry 51 pre-school children 54 pregnant women 55-6 preparing fOOd 69 carbohydrates 69-70 combining foods to make food products 73-9 fats 72-3 protein 70-2 preservatives 78 protein 2 excess protein in the diet 3 food preparation 70--2 Importance of protein in the diet 2 protein deficiency in the diet 3 protein requirements throughout life 3 sources of protein 2, 3 proving 7 4, 75, 9 1 pumpkin cream of pumpkin soup 82- 3 pumpkin cookies 90 pyridoxlne (vitamin 86) 11 R radiation 1 08-9 raising agents 73-4 recipes 82 beef and breadfruit soup 101 - 2 beef and spinach turnover 83- 5 beef with rice 95 bread rolls 91 Caribbean croque monsieur 96-7 carrot dumplings 95-6 cheese and yam bake 85 cream of pumpkin soup 82- 3 create your own recipe book 103-4 curried tuna 97-8 eddoe fritters 94 exotic avocado salad 92 green banana pudding 89,100--1 j am-making 93-4 Jamaican ginger cake 86-7 papaya and milk smoothie 99-100 penne pasta salad 1 02- 3 pineapple upside-down pudding 101 pumpkin cookies 90 spicy chicken drumsticks 98-9 rectum 1 5 reduction 70 religious diets 60 restaurants 6 1-3 buffets 65-8 setting tables 6 4-5, 67 sanitising food preparation surfaces 48 satiety 5 saturated fats 6 , 8-9 sauteing 109 scalds 110 scurvy 11 setting 76 shortening 73 sifting 77 small intestine 1 5 sodium 1 3 spinach beef and spinach turnover 83-5 staple foods 20 starches 4 steaming 1 09 stomach 1 4, 15 stroke 27 sugars 4, 87 T table settings 64-5, 67 temperature 78-9 thawing foods 39 thlami n (vitamin 81) 10 tocopherol (vitamin E) 12 toddlers 54 trans fats 7 tuna curried tuna 97- 8 retinol (vitamin A) 1 0 riboflavin (vitamin 82) 1 0 rice beef with rice 95 rickets 11 roasting 109 royal icing 77 rubbing in 77 u s undernutrition 26 universal product codes salivary glands 15 salt 28 recommendations for daily intake 29 1 18 unsaturated f ats 6, 7 'use by' dates 117 utensils 107 V vegans 59-60 vegetables 22, 51 j ulienne vegetables 82 preparing vegetables 52-4 vegetarians 58-9 viruses 35, 36, 45 vitamins 2, 9 fat-soluble vitamins 9 vitamin A 10 vitamin 81 10 vitamin 812 11, 60 vitamin 82 10 vitamin 83 10 vitamin 85 10 vitamin 86 11 vitamin C 11 vitamin D 11, 60 vitamin E 12 water-soluble vitamins 9 w waist-to-hip ratio 31 -2 water 1 3-14 water-soluble vit amins 9 ~Veights and Measures Division 119 whipping 77 y yams cheese and yam bake 85 yeasts 36, 75 z zesting 77 Study Guide OXFORD UNIV E RSI'I'Y P R.ESS How to g et in toud1: web mvw.oup.com/caiibbean email schools.enquiries.uk@>ou p.com tel +44 (0)1536 452620 fax +44 (0)1865 313472 ISBN 978-0-1&-837473-2 911sl,JJ37 73ll