THE GALAXY EDUCATION SYSTEM STD-10 Meal Planning + Nutritional Needs of Pregnant Woman,Young Children, Adolescents and Older people Definition: Food: Defined as anything solid or liquid which when swallowed, digested and assimilated in the body keeps it well Nutrition: it is a combination of processes by which the living organism receives and utilizes the material necessary for the maintenance of its function and for the growth and renewal of its components Nutrition is also defined as Food at work in the body Nutrients: Constituents in food that must be supplied to the body in suitable amounts like Proteins, Carbohydrates, Fats-lipids, Vitamins, Mineral, Water, Roughage Health: WHO world health organization defines heath as a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity Calorie: A unit of measuring the energy provided by food Meal Planning: It is a process of deciding what we should eat each day at each meal Importance of meal planning /Points to be kept in mind while planning a meal Meet Nutritional needs Fulfill Family needs Saves time and energy Provides variety Takes into consideration individuals likes and dislikes Not too expensive Meal Pattern: Breakfast, Lunch and Dinner Nutritional Requirements: Our body gets the supply of nutrients regularly from these meals of the day. Hence it is necessary to make sure that all three meals include food which would provide to our body everything that requires. Carbohydrates ,Proteins and fat with variety of food from basic five groups. Fulfill the family needs: Besides our own requirements, we look into the needs of our other members of the family. The meals should satisfy the requirements acc to the age, occupation and lifestyle Home Science Facilitator : Jasmina Sangani 2010-2011 Page 1 Personal Likes and Dislikes: Try to include dishes which fulfill the nutritional requirements and liked by everyone. Vegetarian people cannot eat non-vegetarian diet. Old people can not eat hard food and oily or spicy food. Availability: Locally available and seasonable foods can be chosen in menu preparation Economic Consideration: Meal prepared should satisfy the family budget.Soyabeans low cost proteins can be used instead of meat or fish Conservation of nutrients: During washing, cutting and cooking of vegetables nutrients are loss .so steps should be taken to minimize the loss, by cutting the vegetables after washing using minimum water while cooking Saving of resources: Simple and nutritious menu can save time and energy. Using pressure cooker, microwaves can be used to save time, energy and fuel. Variety: Use of different types, color, texture of food, and also using different cooking method Satiety: Meals should be prepared with fiber, fat , carbohydrate and protein to provide satiety during interval hours between meals. Flexibility: Meal planned should be flexible enough to meet the nutritional requirements of the family members. Member suffering from therapeutic control of disease like diabetes etc Time to collect things, cook and serve the meal on time in an attractive manner in order to plan the day’s meal in advance Good use of left over’s in kitchen or in the refrigerators Factors Affecting Meal Planning Age: Infants drink milk or eat semi liquid food like dalia or khichdi. Young babies and children eat everything but less, hence have to be fed more often as compared to adults. Adults and old people may suffer from illness and therefore cannot eat certain food e.g. if they are suffering from diabetes they should not eat rice, potatoes, sugar etc If they are suffering from constipation, they need more fiber as compared to other adults. Age of an individual influences both quantity and quality of food and while planning the meal we have to keep this in mind. Sex: Men are more muscular than women and they can do more manual and strenuous work as compared to women. They need more proteins and energy than woman Climate: We tend to eat more in winter than in summer, because in winter our body needs more energy and therefore, we tend to include more of energy rich food. Occupation : Some people do more manual work. Others work while sitting, farmers’ players, labourers need more food and food which is rich in energy and proteins Home Science Facilitator : Jasmina Sangani 2010-2011 Page 2 Individual Physical Needs of the members: A growing child needs more proteins. A sick person needs a diet which is light and easily digestible. A person suffering from constipation needs more fiber and pregnant woman needs food for the feotus. A lactating mother has to feed the baby hence needs nutritive food Economic Condition: Selecting of food items get limited if the family income is limited. Cheese, meat, fish, milk, nuts are expensive items. A family can include these in daily diet meal only if they have enough money to buy. Managerial Aspects : Food Budget How to save money, time and energy Plan the meal for several days or at least for a week Make an accurate shopping list,including quantities and qualities of good you need Purchase from market after comprising prices Seasonal foods are cheaper and have immediate nutritional value Choose food items from each group which has low cost but same nutritive value Avoid wastage of food whether it is raw or cooked>It adversely affects the economy. Appropriate preparation techniques and adequate storage facilities saves energy and time Avoid Impulsive buying Meals cooked at home are cheaper ,healthier and better than bought from market If possible grow fruits and veg at home or kitchen garden Menu adjustments saves time, money and energy Food for the Family There are various factors which influence the planning of a balanced meal based on the everyone whether young or old, man or woman ,boy or girl ,sick or healthy ie a meal should contain all the nutrients that are required in our body ie.proteins, carbohydrates,fats ,minerals,fats , vitamins etc When we are planning a meal for the day,see that every meal has these imp nutrients in it.Five food groups should be included in atleast one of the item ,if not two . Five Groups Cereals Pulses Milk, egg and flesh foods Fruits and vegetables Oil, ghee and sugar Meal Chapatis or rice Dal-moong or arhar Curd or raita Palak and cauliflower vegetables and guava Oil, ghee It’s called as family pot or the family meal or the thali meal Adjustments and modifications in this meal can be done based on the family requirement Adjustments Home Science Facilitator : Jasmina Sangani 2010-2011 Page 3 Boys eat more than girls and men eat more than women. There is difference in quantity Hence we just increase the portions e.g. two chappatis to girl than 3-5 to boys Nutritional requirements during Pregnancy and Lactation Well-nourished mothers are likely to have healthy babies Girls and women need to eat well throughout their lives but particularly when they are planning a baby, are pregnant or breastfeeding. If they eat healthy, balanced diets they are likely to: stay active and well; produce healthy babies and breastfeed successfully. Low birth weight babies are more likely to grow and develop more slowly than healthy babies A woman is at risk of complications and a difficult labour if she is already undernourished when she becomes pregnant, or is undernourished during pregnancy, and her baby is likely to have a low birth weight (i.e. <2 500 g). Low birth weight babies are at greater risk than healthy newborns of: growing and developing slower; contracting an infection and of dying. The lower the birthweight the greater the risk of death; having low body stores of micronutrients that may result in disorders, such as anaemia, and vitamin A and zinc deficiencies; developing heart disease, high blood pressure, obesity and diabetes when adult. Other causes of low birthweight are prematurity, malaria or other infections in the mother, or the mother’s smoking or abusing drugs during pregnancy. Nutrient needs increase during pregnancy and breastfeeding Women's needs for energy and most nutrients increase during pregnancy and breastfeeding. Iron needs during pregnancy are so high that it is usually advisable to give iron supplements, such as iron/folic acid tablets Women should know the following. All girls and women of reproductive age should: - eat a healthy, balanced diet that contains plenty of iron-rich foods; - have plenty of clean, safe drinks; - eat iodized salt. Women who lack iodine when they become pregnant are at greater risk of having a baby who is physically and mentally damaged Pregnant and breastfeeding women and girls need extra food. When pregnant they need about 280 extra kcal/day, more protein, zinc, vitamin A, vitamin C , and much more iron (i.e. the equivalent of an extra nutritious snack each day). It is particularly important for women to eat well and be well nourished throughout their pregnancy, including the Home Science Facilitator : Jasmina Sangani 2010-2011 Page 4 first trimester, so that the babies’ bodies and brains develop properly. Women should gain about 1 kg a month in the second and third trimester of pregnancy. When breastfeeding they need about 450 extra kcal/day and much more protein, zinc, vitamin A, vitamin C and folate (i.e. the equivalent of an extra small meal each day).You can suggest that women eat more at each meal or eat more frequently - perhaps having more snacks during the day. Breast Feeding: Most babies should breastfeed exclusively for six months. Breast milk provides all the food and water young babies need Breast milk contains all the nutrients a full-term baby needs for the first six months of life. It provides enough water even in hot weather and is the safest source of water. Exclusive breastfeeding reduces the risk of diarrhea and other infections. Giving any other food or drink increases the risk of diarrhea. Exclusive breastfeeding means the mother is unlikely to become pregnant. It is germ free ,pure, clean and fresh The temp of the milk is exactly right for the baby It saves money , time and energy which otherwise would be spent on artificial milk Its always ready when required by the baby It establishes a strong bond between the mother and child After six months mother’s milk is not sufficient for the baby. So new food is introduced for the baby known as Weaning. The food that is given is in the liquid form, then slowly it is changed to semi solid form eg kheer and lastly to solid form eg chappati Precautions during weaning: Only liquid should be given first Very small amount of new food should be given Only one new food should be introduced >the infant should become familiar and start liking the food before the next food is given Use food of smooth consistency Food should only contain salt > no other spices should be added Never force the infant if he/she is unwilling Use a variety of foods for children’s meals Advise parents to prepare meals that provide: a variety of foods some fat-rich foods to increase the energy content; fresh fruits and vegetables, especially ones rich in vitamins A and C; eggs, milk foods and iron-rich animal foods (meat, offal, poultry, fish, as appropriate) daily or as often as possible. Home Science Facilitator : Jasmina Sangani 2010-2011 Page 5 Nutritional Requirement for young children Feed young children frequently Young children have small stomachs, so they should eat often, with an increasing number of times as he/she grows older. For the average healthy and frequently breastfed child, complementary foods should be given as follows: 2-3 meals a day at ages 6-8 months; 3-4 meals a day at ages 9-24 months; with additional 1-2 good snacks offered each day as desired after the age of six months. Encourage young children to eat Young children are often slow and messy eaters who are easily distracted. They eat more when their parents supervise mealtimes and actively and lovingly encourage them to eat. This is especially important when children start complementary foods and until they are at least 3 years old. Suggest that mothers, or the main caregivers: sit with children and encourage them to eat by talking with them and telling them how good the food is; make mealtimes happy times; feed young children with the rest of the family but give them their own plates and spoons to make sure they get, and eat, their share; give foods that children can hold if they want to feed themselves and tell them not to worry about messy eating - but make sure that all the food eventually gets into a child’s mouth; mix foods together if a child picks out and eats only favorite foods; do not hurry children. A child may eat a bit, play a bit, and then eat again; make sure the child is not thirsty because thirsty children eat less, but do not fill up the child’s stomach with too much drink before or during the meal; try to feed children as soon as they are hungry; do not wait for them to start crying for food; do not feed when children are tired or sleepy; make mealtimes interesting learning times; for example, teach the names of foods. Sometimes even healthy children are fussy eaters. Check that the child is not sick, undernourished or unhappy and then advise families to: give more attention when the child eats well and less when the child is trying to gain attention by refusing food; play games to persuade a reluctant child to eat more; avoid force-feeding because this increases stress and decreases appetite even more. Home Science Facilitator : Jasmina Sangani 2010-2011 Page 6 Nutritional Needs of Pre School Children Proper nutrition can also prevent many medical problems, including becoming overweight, developing weak bones, and developing diabetes. It will also ensure that your child physically grows to her full potential. The best nutrition advise to keep your child healthy includes encouraging her to: Eat a variety of foods Balance the food you eat with physical activity Choose a diet with plenty of grain products, vegetables and fruits Choose a diet low in fat, saturated fat, and cholesterol Choose a diet moderate in sugars and salt Choose a diet that provides enough calcium and iron to meet their growing body's requirements. To ensure good nutrition in your child and that they grow up healthy, they will need to eat a large variety of foods. Grain group servings include 1 slice of bread, 1/2 cup of cooked rice or pasta, 1/2 cup of cooked cereal, and 1 ounce of ready to eat cereal. Your child should eat 6 servings from this group. Vegetable group servings include 1/2 cup of chopped or raw vegetables, or 1 cup of raw leafy vegetables. Your child should eat 3 servings from this group. Fruit group servings include 1 piece of fruit or melon wedge, 3/4 cup of 100% fruit juice, 1/2 cup of canned fruit, or 1/4 cup of dried fruit. Your child should eat 2 servings from this group. Milk group servings include 1 cup of milk or yogurt or 2 ounces of cheese. Your child should eat 2 servings from this group. Meat group servings include 2 to 3 ounces of cooked lean meat, poultry or fish, 1/2 cup of cooked dry beans. You can substitute 2 tablespoons of peanut butter or 1 egg for 1 ounce of meat. Your child should eat 2 servings from this group. Nutritional Needs of School Going Children Child's nutrition is important for her overall health. Proper nutrition can also prevent many medical problems, including becoming overweight, developing weak bones, and developing diabetes. It will also ensure that your child physically grows to her full potential. Characteristics of primary school children influencing their food intake: Many meals consumed away from home Greater influence of peers, advertising and media on food choices More structured eating times due to school timetable Greater access to foods from school canteen or other students lunches Nutritional messages more meaningful in relation to cognitive development of the child Food choices may be repetitive Food likes and dislikes may be firmly entrenched Home Science Facilitator : Jasmina Sangani 2010-2011 Page 7 May now have small disposable income to purchase food The best nutrition advise to keep your adolescent healthy includes encouraging her to: Eat a variety of foods Balance the food you eat with physical activity Choose a diet with plenty of grain products, vegetables and fruits Choose a diet low in fat, saturated fat, and cholesterol Choose a diet moderate in sugars and salt Choose a diet that provides enough calcium and iron to meet their growing body's requirements. Suggested strategies to engage young children in nutrition education: Teach children from an early age about nutrition, foods, drinks and healthy eating and drinking Assist children develop an interest in learning about foods and drinks with encouragement and by modeling Keep nutrition messages simple; the delivery of clear, accurate information and consistent messages in a fun way is important for learning Provide children with opportunities to prepare foods and drinks; this gives them a sense of ownership of healthy choices, as well as assisting in skill development Acknowledge that all children can participate in making decisions about their health Involve children in setting goals for making healthy food and drink choices Help children understand the link between eating patterns and health Adults role-modeling healthy eating patterns are a positive influence on children’s eating patterns Involve everyone in the family to adopt healthy eating patterns Encourage the whole community (school, family) to get involved Make it relevant; children are likely to respond to information about health when they can relate it to their own experience and health Physiology can be fun; teach children about what happens to foods and drinks in the body. Nutritional Needs of Adolescents – The Teenage Years The teenage years can be a difficult time in life. Physical growth and mental development are rapid, boys' voices change, girls start having periods, and most teenagers have to face taking public examinations for the first time. The physical changes of adolescence have a direct influence on a person's nutritional needs. Teenagers need additional calories , protein , calcium , and iron . Teenagers develop unusual eating habits and often eat too many fried, fast and junk foods. On the other hand, the reverse can also be true as social pressures can lead them to cut back drastically on food, often without thought to their nutritional needs. Such diets are often deficient in protein, minerals and vitamins, and this can have a negative effect on mood and behaviour, as well as Home Science Facilitator : Jasmina Sangani 2010-2011 Page 8 physical health. Nutritional Needs of Boys Between the ages of 13 and IS, boys may put on up to 9kg and grow up to 12cm in a year. They need plenty of protein to build the larger muscles that are developing. Very active adolescent boys may consume up to 4,000 calories a day. This is a generous allowance, which should easily provide enough minerals and vitamins, but frequently does not as boys often avoid vegetables and whole-grain carbohydrates. Nutritional Needs of Girls Adolescence in girls starts earlier, with the main growth spurt usually occurring between 11 and 16 years. They may grow up to 10cm (4in) in a year and put on up to 8kg (18 lb). More weight conscious than boys, they usually consume fewer calories, and are therefore even more prone to nutritional deficiencies. When their monthly periods start, girls need more iron as well as calcium and zinc. Irregular and painful periods can be caused by nutritional deficiencies it also increases the need for certain nutrients. Fast food A daily diet of bread and cheese, sweets and packaged snack foods, washed down with a fizzy drink, will be deficient in minerals, many vitamins and possibly even protein. Equally, meals from fast-food outlets usually contain too much salt, fat, chemical additives, preservatives and sugar, and insufficient fiber, even though the protein content may be adequate. Nutritional Needs of Adolescent Calorie: To meet the calorie needs, teens should choose a variety of healthful foods, such as lean protein sources, low-fat dairy products, whole grains, fruits, and vegetables Proteins: Most teens easily meet this requirement with their intake of beef, pork, chicken, eggs, and dairy products. Protein is also available from certain vegetable sources,- soya foods, beans, and nuts. Calcium: Teens are encouraged to consume three to four servings of calcium-rich foods each day. Good sources include milk, yogurt, cheese, calcium-fortified juices, and calcium-fortified cereals. Iron: Good sources of iron include beef, chicken, pork, legumes (including beans and peanuts), enriched or whole grains, and leafy green vegetables such as spinach. Home Science Facilitator : Jasmina Sangani 2010-2011 Page 9 Nutritional Needs of Old age people The process of aging brings about physiological, psychological and immunological changes that influence the nutritional status. Nutritional Requirements These are based on physiological changes that take place during old age. After the age of 40 the basal metabolic rate decreases due to decrease in muscle mass and other metabolically active tissue mass. Energy Requirements Protein Due to decreased appetite and poor digestive capacity, old people are likely to consume less protein. But the fact remains that despite a decrease in calorie requirement the need of protein remains the same, hence the food should be a little richer in protein than the other normal food. Rich sources of protein are- all pulses, legumes, sprouts, chicken, fish, and egg. Carbohydrates and Fats Since calorie requirement is lesser in older people, carbohydrate and fat content of food is also to be reduced. Part of fat intake should be in form of vegetable oils which are rich in essential fatty acids and part of it should be in form of animal fats which are rich in fat soluble vitamins A, D, E, K. Minerals Calcium: the need for calcium increases during old age especially for women after menopause Good food sources of calcium are-milk and milk products like cheese, paneer, and curd. Green leafy vegetables are also a good source. Iron-liver, green leafy vegetables like spinach, methi, whole wheat bread, iron rich dry fruits, fruits such as apple. Salt is naturally present in almost all fruits and vegetables. Foods that have a very high concentration of sodium such as pickles, chutneys, and papads should be avoided as a part of daily diet. Vitamin Poor appetite, impaired absorption, constipation and general malaise may be caused in part by inadequate intake or improper absorption of vitamins. While the body’s demand for vitamins does not increase in old age, it is particularly important that the factors interfering with utilisation be corrected or that the intake should be sufficient to compensate for the poor utilisation. In the elderly when light exposure is poor, for example in those who are house bound or institutionalised, vitamin D status is likely to be poor. Milk should be included in diet of such people. Home Science Facilitator : Jasmina Sangani 2010-2011 Page 10 SUGGESTED DIETARY MODIFICATIONS FOR THE ELDERLY1. Eat a diet that is rich in raw fruits and vegetables and their juices. 2. Increase the amount of gel forming fibre in the diet such as oat, rice bran and pectin that is found in fruits and vegetables. 3. Try adding the juice of black currants. This is rich in bioflavinoids that are known to promote longitivity. 4. Cabbage, yogurt, olive oil, seasoning herbs such as thyme, rosemary have been Known to slow down the aging process. 5. Reduce the intake of refined foods such as white flour and its products. These Include white bread, donuts, white flour pastas and biscuits that use refined flour. However all whole grain breads, pastas, brown rice are permitted. 6. Avoid refined sugar and its products. Mild sweet flavouring can be done using honey, jaggery, and maple syrup in limited quantities. 7. Reduce the intake of saturated fats, cholesterol and animal fats. The general guideline is to use not more than 4 tablespoons of saturated fats in a day. 8. Reduce the intake of caffeine by limiting or eliminating the intake of coffee, black tea, chocolate. 9. Herbal teas such as mint, dandelion root, red clover tea are recommended. Significantly reduce or give up alcohol. 10. Avoid processed foods as much as possible. 11. Choose nutritious snacks such as nuts, seeds, raw vegetable sticks popcorn without butter and fresh fruit. 12. Avoid artificial sweeteners as they contain saccharine. Both these substances have long-term detrimental effect on the body and are known to contribute to memory impairment. Some scientists even hint at the carcinogenic nature of these sweeteners. However this has not been proved so far. 13. A detoxification diet may be included in the lifestyle. What You Have Learnt MEAL PLANNING Importance Factors Food budget Food for the Family NUTRITIONAL NEEDS Pregnant and Lactating Woman Young Pre- School School-Going Teenagers Old Age People Home Science Facilitator : Jasmina Sangani 2010-2011 Page 11