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Changes in food industry
Tv dinners
Fast food
Mass marketing
Family eating in cars
Physiology
How various body parts work together
Physiology food is eaten for
Energy
Tissue building
Maintenance
Replacement
Nutrition
Process that living things use food to obtain nutrients for energy, growth, and maintenance
Essential nutrients
Nutrients that the body cannot produce in sufficient quantities to meet physiological requirements of the body
Nutrients from food
Water
Proteins
Fats
Carbohydrates
Minerals
Vitamins
Physiologic functions of nutrients
Nutrients work together and interact in complex metabolic reactions
What is energy
Ability / power to do work
Oxygen comes in
Carbon dioxide comes out
Water comes in
Sweat / breath comes out
Urine comes out
Dry food comes in
Feces come out
Chemical energy comes in
Heat comes out
Metabolism is
How cells acquire, transform, store, and use energy
Catabolism
Breaks down
Produces energy
Excretion
Anabolism
Biosynthesis
Builds what we need from smaller parts
ATP
Good nutrition evaluated on patents ;
Physiological needs
Nutrient content in food
Cultural / environmental circumstances
Personal preferences
Carbohydrates physiological functions
Energy metabolism + storage
Energy for body
Uplifts mood
Provides fiber
Prevents blood clots
Help to prevent diseases
Helps sleep better
Best for athletes
Types of carbohydrates
Starches
Sugars
Fibre
Starches
Most common carb
Large # of glucose
Sugars
Simple / fast acting
Naturally occurring or added
Fibre
Simple / fast acting
Natural or added
Protein are major component of
Most tissues ;
Muscles
Bodily organs
Cells
Fat physiological functions
Energy metabolism + storage
Makes up membranes
Act like hormones
Aid in digestion
Make up enzymes
Macronutrients
Large
Water
Proteins
Carbs
Fats
Alcohol
Micronutrients
Small
Minerals
Vitamins
Water foods
Essential
Single largest component of body
Vitamins physiological function
Important for cellular machinery of body
Vitamin A
Treating eye disorders + skin infections
Vitamin B9
Reduces risk of neural tube defects during pregnancy
Vitamin C
Helps treat scurvy, cancer, common cold
Vitamin D
Helps arthritis, tooth decay, diabetes, and rickets
Vitamin E
Improves blood circulation and slows down aging
Vitamin K
Reduces risk of menstrual pain + internal bleeding
Minerals physiological functions
Essential to building blocks for the body
Do NOT provide calories or energy
Before 1997 what was the focus on
Ensuring adequate nutrients to prevent deficiencies + diseases
What is the focus today
Ensuring general health and wellness
5 leading causes of death
Heart disease
Cancer
Stroke
Diabetes
Atherosclerosis
Kilocalorie
Energy potential
Found in foods we eat
Energy needs
Based on individual
Age, gender, stress
What percentage of energy used in the body is released as heat
60-70%
Remaining energy is used for muscular activity + cellular processes
Body mass index
Mathematic equation based on height and weight
BMI underweight
Less than 18.5
BMI normal weight
18.5 - 24.9
BMI overweight
25 - 29.9
BMI obesity
30 or greater
Canadians over 18 are
64% are overweight or obese
Canadian children 5-17 are
30% overweight or obese
What will breakdown and provide the body with energy
Carbs
Proteins
Alcohol
Building blocks
Carbs - glucose
Proteins - amino acids
Fats - fatty acids + glycerol
Nutrient requirements are influenced by
Gender
Body size
Weight
Physical activity
State of health
Use of foods eaten
Increase variety of food results in
Decrease of nutrient deficiencies
Decrease of nutrient excesses
Decrease of toxicities
Decrease of contaminats
USA food guide
Canada food guide
Nutrition label facts introduced
20 years ago
Nutrition label facts revised in
2016
Nutrition label facts purpose
Enhances nutritional knowledge
Indicates nutrients in a food
Uploaded design requires calories + portion sizes to be in large bold type
Trans fats are now listed
Health claims describe
Relationship between food and food component and its ability to reduce risk of disease or health condition
Are health cliams approved by FDA
Yes
Can be used on food products + dietary supplements
Average adult needs how many calories
2000
Sodium should be
Less than 2400 a day
RDA meaning
Recommended dietary allowances
RDA is
Sufficient amount of nutrients to meet all requirements of nearly all healthy individuals
EAR
Estimated average requirement
EAR is
Amount of nutrients estimated to meet needs of half of healthy individuals in a specific age and gender group
Adequate Intake (AI)
Average amount of nutrient that appears to maintain a defined nutritional state
More tentative than RDA
Tolerable upper intake level (UL)
Maximum daily level of nutrient intake that probably will not cause adverse health or toxic effects for most individuals
AMDR
Acceptable macronutrient distribution range
AMDR is
Ensures sufficient intake of essential nutrients while reducing risk of chronic disease
EER
Estimated energy requirement
Pregnancy Diet Chart
DRI
Dietary reference intake
Guidelines for healthy people
EER is
Energy intake that is predicted to maintain energy balance
DRI are listed for
16 groups
Separating gender after 10 years of age
Separating for pregnant and lactating women as well
Good nutrition evaluated in context of patients
Physiologic needs for essential nutrients
Nutrient content of food
Cultural / environment circumstances
Personal preferences
What's a serving
Vegetables servings
4-5 per day
Fruit servings
4-5 per day
Vegetables are
Primary sources of required nutrients dietary fibre, vitamin A, vitamin C, folic acid and potassium
Vegetables u.s pattern for 2000 calorie diet is
2 and 1/2 c-eq daily
Fruits are
Low in fat, sodium and calories
Fruits u.s pattern for a 2000 calorie diet is
2 c-eq daily
Whole grains u.s pattern for a 2000 calorie diet is
6 oz - eq per day
Dairy u.s pattern for a 2000 calorie diet is
3 c-eq per day
Protein foods u.s pattern for a 2000 calorie diet is
5-6.5 oz - eq WITH 8 oz- eq seafood per week
Protein intake aim
20-30 grams / day
Oils
NOT a food group but important in healthy diet
Total calorie intake
# of calories you eat in a day
Fats are classified by
Type and percentage of fatty acids they contain
Added sugars recommendation
Limit added sugars to less than 10% of calories per day
Saturated fats dietary requirement
There is No dietary requirement for 2 years or older because the human body produces more than enough to meet physiologic/structural requirements
Sodium
Essential nutrient
Small qualities available from naturally occurring sodium in foods
Alcohol
Beneficial and harmful effects
Depends on amount consumed + age + other characteristics
1 drink =
12 oz beer (5%), 5 oz wine (12%), 1.5 oz of 80 proof spirits (40%)
Caffeine function
Stimulate in the body
Caffeine intake max
400 mg per day
Higher a persons physical activity =
More calories can be consumed without gaining weight
How does this impact a DH
Primary health providers
See clients on a regular basis
Educate clients on effects of nutrition in mouth
Do we go beyond our scope of practice
NO