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Coeliac disease
Allergic to gluten
Nutrients
Chemical compounds found in foods which include proteins, fats, carbohydrates, vitamins and minerals
Malnutrition
Lack of food or particular nutrients in the diet or too much of the wrong kinds of foods, causing obesity
List the micronutrients
Vitamins and minerals
List the macronutrients
Proteins, fats, carbohydrates
Causes of malnutrition
Not being aware of dietary needs, poverty, overeating, anorexia, not liking certain foods, losing interest in food (elderly people particularly)
Consequences of under-nutrition
Depression, severe weight loss, deficiencies, weak bones and teeth
Why do we need a balanced diet?
To maintain healthy and obtain all of the right nutrients
Factors affecting nutritional requirements
Age, activity levels, gender, pregnancy or breastfeeding, illnesses
Nutritional requirements regarding age
Birth->adulthood; requires energy for growth (mostly from 5-teens). Once fully grown, metabolism slows down but still need to grow, repair and be protected from infection
Nutritional requirements in growth spurts
Protein for growth, calcium and vitamin D for bones/teeth formation, iron and vitamin C for red blood cells/preventing anemia in girls
Nutritional requirements of the elderly
Protein for repair, less energy (less active), calcium and vitamin D to prevent brittle bones, vitamin C to prevent infection
Which gender needs more nutrients?
Male due to a higher metabolic rate
Nutritional requirements of pregnant women
Need more protein, vitamin B(folic acid), vitamin D, vitamin C, calcium. Don't need more energy(less active, slower metabolic rate)
Nutritional requirements of breastfeeding women
Increase energy intake
Nutritional requirements when ill/recovering
If blood has been lost, requires more iron. Broken bones, requires more calcium and protein. If ill and have no appetite, have small portions rich in protein and vitamins and minerals (less fat+carbs)
How to find out if your diet is healthy
Food diary, computer analysis (food in focus): include all food and drinks including quantity
Dietary diary
A record of all the food and drink intake of a person over a given period of days
Why is dietary analysis useful?
Highlights deficiencies or excess of food eaten. Helpful for research into dietary needs and food related diseases
Proteins
Building blocks of all body cells
Amino acids
Chemicals which make up protein molecules
Indispensable amino acids
Essential amino acids that we cannot live without
Novel proteins
Grown from micro-organisms which produce mycoproteins
Functions of protein
Growth, maintenance, repair, secondary source of energy
Animal proteins
Red meat, chicken, fish, eggs, cheese, milk
Vegetable proteins
Cereals, nuts, pulses, beans, soya, quorn, tofu
What is a HBV protein?
High Biological Value, contain all indispensable amino acids (Animal Proteins
Vegetable proteins are..
LBV(low biological value), don't contain all indispensable amino acids
How many grams of protein do adult females need every day?
45g
How many grams of protein do adult males need every day?
55g
How many grams of protein do pregnant females need every day?
51g
How many grams of protein do breastfeeding females need every day?
56g
Consequences of protein deficiency
Retarded growth in children, wasting of muscles and internal organs
How many amino acids are there?
22
How many amino acids are essential for growth and repair in children?
10
How many amino acids are essential to growth and repair in adults?
8
Protein sparing
Eating carbohydrates with proteins allowing the proteins to be used for repair rather than for energy
Why do we need fats?
Most concentrated source of energy, provide vitamins ADEK, provide protective layer around organs
Composition of fats
Glycerol head, three fatty acid tails. It is made of hydrogen, carbon and oxygen
Why are unsaturated fats healthier than saturated fats?
Double bonds make it more difficult to break down into cholesterol and block arteries
Animal fats
Lard, sausages, visible fat, cream, butter, pate SOLID AT ROOM TEMPERATURE
Vegetable fats
Olive oil, avocado, nuts, seeds LIQUID AT ROOM TEMPERATURE
How to cut down on fat
Cut off visible fat, buy low fat foods, buy flora instead of butter, eat less fried foods, use less oil in cooking, eat more chicken and fish and less red meat, use an oil spray, by lean mince and sausages, reduce fat in baking recipes, eat less cakes, pastries, biscuits
Why do we need carbohydrates?
For energy (cheapest source)
How much of the total energy intake should carbohydrates provide?
50%
Main types of carbohydrates
Sugars, starches, dietary fibre/non-starch polysaccharide
Starches
Cereals, bread, take long time to digest
Dietary fibre
Found in pulses, wholemeal/grain foods. Controls blood sugar, feel full for longer, humans cannot digest it, helps with constipation
Water soluble vitamins
BC
Vitamin B functions
Healthy skin, mouth, energy, healthy nervous system, helps prevent anemia, releases energy.
Vitamin B sources
Fortified cereals, cheese, eggs, milk, meat, cabbage
Vitamin B deficiency symptoms
Fatigue, slow growth, beriberi, anemia, skin problems
Folic acid function
Sources of folic acid
Folic acid deficiency
Prevents premature birth, needed to form red blood cells, prevents neural tube defects in babies
Cabbage, spinach, cress, nuts, seeds
Tiredness, anemia, birth defects
Vitamin C functions
Sources of vitamin C
Vitamin C deficiencies
Formation of bones, helps absorb iron into blood, needed to heal wounds/fractures, antioxidant; prevents cancer risks
Citrus fruits, blackcurrants, green vegetables
Mouth infections, slow wound/fracture healing, scurvy
Vitamin A functions
Vitamin A sources
Vitamin A deficiencies
Healthy mucous membranes, eye formation, antioxidant
Milk, cheese, eggs, fish, carrots, spinach, tomatoes, fortified margarine
Poor eyesight, excess in pregnancy=birth defects
Vitamin D functions
Sources of vitamin D
Vitamin D deficiencies
Absorption of calcium for healthy bones
Fish oils, fortified margarine's, sunlight
Rickets and brittle bones
Vitamin E functions
Sources of vitamin E
Vitamin E deficiencies
Healthy skin, antioxidant
Plant foods, vegetable oils, cereals
Very rare
Vitamin K functions
Sources of vitamin K
For normal blood clotting
Spinach, cabbage, meat, liver
Antioxidant vitamins
ACE Protect body cells from damage and help reduce the risk of cancer
Function of calcium
Calcium sources
Calcium deficiency
Strong bones and teeth, healthy nervous system, blood clotting, muscle contraction
Milk, cheese, butter, yogurt, eggs, white bread
Weak bones and teeth, rickets
Functions of iron
Sources of iron
Iron deficiency
Formation of haemoglobin in red blood cells to carry oxygen
Red meat, breakfast cereals, spinach
Tiredness, anaemia, particularly in menstruating women
Fluoride functions
Fluoride sources
Strengthens teeth making them resistant to acid
Drinking water, seafood, tea
Sodium function
Sodium sources
Maintains correct concentration of body fluids
Table salt, cooked meats, bacon, ready meals
Iodine function
Sources of iodine
Iodine deficiency
Makes the hormone thyroxine and controls body's metabolism
Seafood, milk, green veg, tap water
Slow metabolism and enlarged thyroid gland
Which vitamin aids iron absorption?
Vitamin C
Where do we get nutritional advice from?
Government reports, government departments, food standards agency, NHS, British nutrition foundation, schools food trust
Healthy eating guidelines
Eat less fat, sugar and salt. Eat more dietary fibre and starch. 5 a day
Eight tips for eating well
Base meals on starchy food
Eat lots of fruit and vegetables
Eat more fish
Cut down on saturated fats and sugar
Eat less salt
Do exercise
Drink water
Eat breakfast
How many grams of salt should you eat per day?
6g
What percentage of total food energy should be made up of fat?
35%
How many calories should men aged 11-14 have per day?
2220
How many calories should men aged 15-18 have per day?
2755
How many calories should women aged 11-14 have per day?
1845
How many calories should women aged 15-18 have per day?
2110
DRV iron males
DRV iron females
8.7mg
14.8mg
DRV calcium males
DRV calcium females
1000mg
800mg
DRV sodium males
DRV sodium females
1600mg
1600mg
Why should we follow dietary guidelines?
Avoid obesity, heart disease, diabetes, tooth decay, high blood pressure, strokes, constipation, diverticulitis
DRV
Daily reference value
EAR
Estimated average requirement- for different groups of people
RNI
Reference nutrient intake- amount of nutrient needed for 97% of country
LRNI
Lower reference nutrient intake- enough to meet low needs of some of the population
Safe intake
Amount of food to satisfy needs without being harmful to the body
BMR
Basal metabolic rate- the rate at which the body uses energy when it is warm and resting
Energy dense
Containing high amounts of fat and sugar
What are the main nutrient groups that provide energy?
Carbohydrates, fats and proteins
Which nutrient is most energy dense?
Fats
Glycaemic index
The rate at which carbohydrates are converted into glucose during digestion
What kind of food are converted rapidly and give an immediate burst of energy?
Foods with high glycaemic index
High glycaemic index examples
Cakes, biscuits, sweets, fizzy drinks
What kind of food are converted into glucose more slowly and slowly releasing carbohydrates
Low glycaemic index
Examples of low glycaemic index
Wholegrain products, nuts, seeds, fruit
Which kind of foods contain more dietary fibre
Low glycaemic index
Why are foods with a low glycaemic index healthier than foods with a high glycemic index
They help you stay fuller for longer
What percentage of energy should come from carbohydrates?
50%
What percentage of total energy should come from protein
15%
Digestive process
Food enters the mouth and is chewed
Saliva breaks down cooked starch into sugars
Passes down oesophagus
Pepsin in the stomach breaks down proteins into amino acids
Liver produces bile to emulsify fats
Food is churned in stomach and mixed with gastric juices
Passes through duodenum where proteinase breaks protein into amino acids
Fat is broken down by lipase into fatty acids and glycerol
Carbohydrates broken down into glucose by amylase
Nutrients absorbed into the bloodstream in the ileum
Undigested food and fibre pass into large intestine and excreted through the anus
Importance of water in the diet
Prevents dehydration, regulates body temperature, aids body process such as digestion, makes up blood sweat and urine
How is water lost in the body?
Through urine, faeces, sweat, respiration
Foods with high water content
Cucumbers onions melon cabbage strawberries