Nutrition Overview Disclaimer Slides shown are only for educational purpose. Products or ingredients discussed herein are not intended to diagnose, treat, cure or prevent any disease. NUTRITION is an important factor in the etiology and management of several major causes of death and disability in modern society “You Are What You Eat” Source: Mahan, L. Kathleen, and Sylvia Escott-Stump. Krause's food & nutrition therapy. St. Louis, Mo.: Saunders/Elsevier, 2008. Quality of Life • People everywhere are living longer; have increased of life expectancy What about the Quality of Life? Record deaths from heart disease and cancer We are using more prescription medicines than ever Source: WHO http://www.who.int/mediacentre/news/releases/2014/world-health-statistics-2014/en/ World Bank, United States of America Life Expectancy, 2011 Remain at Optimal Nutrition Status Optimal nutrition status: a balance between nutrient intake and nutrient requirements Source: Mahan, L. Kathleen, and Sylvia Escott-Stump. Krause's food & nutrition therapy. St. Louis, Mo.: Saunders/Elsevier, 2008. Importance of Optimal Nutrition Status: Promotes growth and development Maintains general health Supports activities of daily living Helps protect the body from disease and illness Source: Mahan, L. Kathleen, and Sylvia Escott-Stump. Krause's food & nutrition therapy. St. Louis, Mo.: Saunders/Elsevier, 2008. SEEMS EASY TO ACHIEVE; WHAT HAS HAPPENED IN REALITY? Malnutrition Source: http://www.ecozine.com/article/table-for-2 MALNUTRITION Definition: Lack of proper nutrition caused by not having enough to eat Not eating enough of the right things Being unable to use the food that one does eat Poor Nutrition can refer to Undernutrition – when you don’t get enough nutrients Overnutrition – when you get more nutrients that you need Source: Oxford Dictionary NHS http://www.nhs.uk/Conditions/Malnutrition/Pages/Introduction.aspx Fast Facts About Malnutrition • Malnutrition is a common health problem. • Two billion people in the world suffer from various forms of malnutrition. Undernutrition -Accounts for 11% of the global burden of disease and is considered the #1 risk to health worldwide. -People can be overweight if eat a diet high in calories, but low in other nutrients Overnutrition Main sign is being overweight or obese Source: NHS http://www.nhs.uk/Conditions/Malnutrition/Pages/Introduction.aspx IFAD/FAO/WFP (2011) ‘The State of Food Insecurity in the World 2011, In. Rome, Italy: FAO. R E Black, L H Allen, Z A Bhutta, et al (2008) ‘Maternal and child undernutrition: global and regional exposures and health consequences’, The Lancet, 2008, Jan 19, 371 (9608), 243-60 Overnutrition - Overweight and Obesity Statistics (BMI ≥ 25kg / m2) Singapore 40.1% Hong Kong 39% (Year 2010) Australia 63% (Year 2014) (Year 2014) Source: Singapore National Health Survey 2010 Centre for Health Protection http://www.chp.gov.hk/en/content/9/25/8802.html Australian Institute of Health and Welfare http://www.aihw.gov.au/overweight-and-obesity/ Why are People Still at Nutritional Risk? Food & Nutrient Intake Pattern • Calorie & protein intake greater or less than required • Vitamin & mineral intake greater or less than required • Gastrointestinal disturbances • Bowel irregularity Psychological & Social Factor • Low income or poverty, especially in the present context of rising food prices • Having limited knowledge about nutrition or cooking • Reduced mobility Physical Factor • May lose appetite due to losing sense of smell and taste • Teeth in poor condition, eating can be difficult • Disease and its related complications Sources: NHS http://www.nhs.uk/Conditions/Malnutrition/Pages/Causes.aspx Mahan, L. Kathleen, and Sylvia Escott-Stump. Krause's food & nutrition therapy. St. Louis, Mo.: Saunders/Elsevier, 2008. Universal Need for Health and Nutritional Fitness • Achieve and maintain appropriate body weight adjust energy intake and exercise level • Eat a WIDE VARIETY of foods to ensure nutrient adequacy • Increased complex carbohydrate intake • Eat less total fat and less saturated fat • Eat more fibre-rich foods • Eat more fruits and vegetables • Eat fewer high cholesterol foods • Eat fewer high sodium foods • Reduce intake of concentrated sugars • Drink alcohol in moderation or not at all Source: Mahan, L. Kathleen, and Sylvia Escott-Stump. Krause's food & nutrition therapy. St. Louis, Mo.: Saunders/Elsevier, 2008. Environmental Changes Free Radicals Toxic Burden Food Quality Pollutants today vs. in the century past (air, food and water) drastically increase the number of free radicals we fight, both internally and externally. Our toxic burden varies day to day, and our ability to defend ourselves decreases as new toxins – internal and external – are introduced. Evidence shows major declines in food’s nutritive value over time, in addition to increased consumption of highly-processed items. Source: Järup, Lars. "Hazards of heavy metal contamination." British medical bulletin 68.1 (2003): 167-182. Goyer, Robert A. "Nutrition and metal toxicity." The American journal of clinical nutrition 61.3 (1995): 646S-650S. Esther, G. "Dirt Poor: Have Fruits and Vegetables Become Less Nutritious? Because of soil depletion, crops grown decades ago were much richer in vitamins and minerals than the varieties most of us get today." Sci Am (2011). What Puts Food At Risk? Foods have become significantly depleted in their content of antioxidants and supporting minerals Factors Mineral depletion in soil Monoculture crops and agriculture Food transport issues Highly processed foods Poor food choices and food preparation Source: Esther, G. "Dirt Poor: Have Fruits and Vegetables Become Less Nutritious? Because of soil depletion, crops grown decades ago were much richer in vitamins and minerals than the varieties most of us get today." Sci Am (2011). Food Quality The Nutrition You Need Supplementation is important: Provides essential vitamins and minerals needed every day The amount needed for nutrients may be hard to obtain from food Benefits numerous areas of health (increased energy, increased joint comfort, skin health, maintaining cardiovascular function, etc. Good health and lifelong vitality isn’t the result of an overnight transformation – it happens one day at a time. By making the right nutritional choices every day, we set in motion benefits that add up over the course of weeks, months and years. What is “good” for our health & well-being? Vitamins – Nutritional Foundation Antioxidants – Immune Support B-Vitamins – Energy & Metabolism Calcium – Skeletal Health; Muscle Use & Performance Isotonic Delivery Meaning of ISOTONIC STATE? ISO = Similar TONIC = Pressure TONICITY = Similar body’s fluid pressure Human body’s isotonic state: 280-320 or (270-310)mOsm/Kg ISOTONIC ISOTONIC = have similar pH & osmotic pressure as some of the body’s fluid Blood plasma Food need to be digested Stomach will mix the food Until becoming isotonic state Enter into small intestine and is absorbed tears ISOTONIX® VS Ordinary Tablets Ordinary tablets Isotonix® Highly efficient absorption Little dilution, higher concentrations Without fillers, binders and coatings Takes time to digest Diluted by digestive juices, lower concentrations Contains fillers, binders and coatings