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Lesson 1 - Basic Concepts on Food and Nutrition

After completing Lesson 1, you should be able to:

  1. define food, nutrition, nutrients, nutritional status, and malnutrition;

  2. identify the different nutrients, their functions, and food sources; and

  3. discuss the tools for the promotion of good nutrition. 

There are five basic concepts to be fully understood in nutrition. These are food, nutrients, nutrition, nutritional status, and malnutrition.

Food, Nutrition, and Nutrition-Related Terms

FOOD. Food is such a common word but sometimes difficult to define. Would anything that gets into your mouth be considered as food? Food is “what people EAT and DRINK to stay alive and healthy, for growth, development, work, and other physical activities.” It implies then that if you do not eat and drink the right food regularly, you will feel sick or have poor health due to lack of nutrients.

NUTRIENT. Can you recall what nutrients are? Nutrients are substances responsible for giving energy, building and repairing body tissues, and regulating body processes. All foods contain nutrients (Figure 1.1). Your body does not produce all essential nutrients, which is why you need to eat food. However, there is no single food that can provide all nutrients required for normal bodily functions. Nutrients work like a team. Thus, it is important to consume a wide variety of foods daily for growth and to maintain optimal health. There are two types of nutrients, macronutrients and micronutrients.

Figure 1.1. Kinds of nutrients

Macronutrients include carbohydrates, protein, and fats. As the word implies, the body needs relatively large amounts of macronutrients (measured in grams) to provide energy (measured in calories). Table 1.1 presents sources and functions of macronutrients.

Micronutrients include vitamins and minerals. Vitamins are further classified into fat-soluble and water-soluble. Fat-soluble vitamins are A, D, E, and K while water-soluble are B and C. Table 1.2 presents sources and functions of vitamins.


Table 1.1. Sources and functions of macronutrients.

Nutrient

Source

Function

Carbohydrates

Rice, cereals, corn, wheat, cassava, potato, ube, taro, sweet potato, sugar

Serve as fuel for energy for body heat and work

Proteins

Meat, fish, poultry, beans, nuts, egg, milk, cheese, and milk products

  • Build and repair body tissues

  • Essential for growth

  • Aid in the formation of enzymes, hormones, and antibodies

Fats

Oils and fats, meat, avocado, nuts, and fried foods

  • Serve as fuel for energy

  • Source of essential fattyacids

Source: FNRI-DOST, 2000; Antiporda, R.E., 2001

Table 1.2. Sources and functions of micronutrients.

Nutrient

Source

Function

Fat-soluble vitamins

A

Retinol:(readily absorbed form of Vitamin A): Meat, butter, milk, cheese, and eggs
Carotene: Carrots, ube, camote, peppers, spinach, mango, papaya, melon

  • Maintains eye health needed for night vision

  • Maintains skin and mucous membranes

  • Helps resist infection

  • Helps develop bones and teeth

D

Direct exposure to sunlight activates the Vitamin D in the skin
Fortified milk, fish oils, egg yolk, liver

  • Associated with calcium metabolism

  • Promotes calcium absorption

  • Improves bone formation

  • Helps maintain blood calcium level

E

Vegetable oils, butter, green vegetables, beans, whole grains, nuts, liver

  • Protects vitamins and polyunsaturated fats in the body from oxidation

K

Produced by bacteria in the intestine; also found in green leafy vegetables

  • Helps blood to clot

  • Necessary for collagen formation

Water-soluble vitamins

Ascorbic Acid (Vitamin C)

Citrus fruits, broccoli, strawberries, melon, guava, mango, papaya, cabbage, peppers

  • Helps heal wounds, develops healthy gums, and teeth

  • Helps resist infection

  • Converts folic acid to its active form

  • Strengthen blood vessels

Thiamin (B1)

Meats, whole grain and enriched breads, legumes, peanuts, and fresh green vegetables

  • Part of an enzyme system that breaks down carbohydrates for energy

Riboflavin (B2)

Milk, organ meats, meat, fish, eggs, legumes, whole grains and enriched breads, cereals, cheese, green leafy vegetables

  • Helps break down fat for energy

Niacin (B3)

Liver, meat, fish, poultry, peanuts, whole grains and enriched breads and cereals

  • Helps breakdown carbohydrates, fats, protein

  • Helps the body make some hormones and fat

Pyridoxine (B6)

Meat, fish, poultry, milk, eggs, green vegetables, avocado, beans, bananas, whole grain cereals, potatoes

  • Helps make body protein

  • Helps breakdown proteins for energy

Folic Acid

Green leafy vegetables, red meats, organ meats, citrus and juice, whole grains, beans, nuts, asparagus, broccoli, spinach

  • Helps make new cells including blood cells

Pantothenic Acid

Organ meats, salmon, eggs, broccoli, mushrooms, pork, whole grains, legumes

  • Assists in the breakdown and production of protein, hormones, cholesterol, and hemoglobin

Biotin/td>

Organ meats, eggs, milk, whole grains, cereals, and some vegetables

  • A• Assists in the breakdown of carbohydrates, protein, and fat for energy

Cobalamin (B12)

Found only in animal products or yeast, meat, fish, poultry, eggs, milk, cheese

  • Helps develop new cells including red blood cells

  • Helps keep nervous system healthy

Source: FNRI-DOST, 2000; Antiporda, R.E., 2001

Minerals are subdivided into major and trace. Major minerals include calcium, phosphorus, magnesium, sodium, and potassium while trace minerals consist of iron, iodine, and zinc, among others. Table 1.3 shows sources and functions of minerals. This means that a combination of macronutrients and micronutrients are essential for developmental growth. The key is to know the food sources containing macronutrients and micronutrients in planning your nutrition program.

Table 1.3. Sources and functions of micronutrients.

Nutrient

Source

Function

Calcium

Milk and milk products; salmon and small fish with bones; dark green vegetables, legumes

  • Helps blood to clot

  • Stimulates nerves

  • Helps muscles contract

  • Helps prevent osteoporosis

Iron

Chicken, meat, fish, internal organs, legumes, dried fruit, green vegetables, fortified cereals

  • Forms hemoglobin in the red blood cells and myoglobin in the muscle cells, which transports and holds oxygen in the body

Fluoride

Fluoridated water, toothpaste and mouth rinses with fluoride

  • Prevents tooth decay by hardening tooth enamel

Phosphorous

Milk and milk products, meat, eggs, poultry, nuts, legumes, whole grains

  • Forms bones and teeth

  • Needed to make proteins, enzymes, and new cells

  • Helps maintain acid-base balance

Sodium

Table salt, soy sauce, salty snack foods, foods prepared in brine such as pickles, salty smoked meat or fish, cheeses, canned or instant soup milk, meat, poultry, and eggs

  • Helps maintain water balance

  • Helps maintain acid-balance

  • Stimulates nerves

  • Helps muscles contract

Potassium

Camote, bananas, dried fruits, potatoes, meat, fish, poultry, whole grains, fruits, and vegetables

  • Maintains heartbeat

  • Helps muscles contract

  • Stimulates nerves

Magnesium

Green leafy vegetables, nuts, whole grains, meats, milk, seafood, chocolate

  • Helps muscles function

Iodine

Iodized salt, seafood, and food grown near the ocean

  • Part of thyroid hormones that control energy production in the body

Zinc

Meat, liver, oysters, fish, milk, whole grains, nuts, and legumes

  • Helps form enzymes and insulin

  • Helps produce body proteins

  • Helps the body use Vitamin A

  • Provides normal taste sensations

Source: FNRI-DOST, 2000; Antiporda, R.E., 2001

NUTRITION. Nutrition is defined as the study of how the body uses food. It is the process through which living organisms use food to maintain life, growth, and human functions. NUTRITIONAL STATUS. This refers to the physiological state of an individual.

MALNUTRITION. It is a condition of the body resulting from a deficiency, excess or imbalance in one or more nutrients (Figure 1.2). The topic will be further discussed in Lesson 3.

Figure 1.2. A malnourished child


Tools to Promote Proper Nutrition

Nutritional Guidelines for Filipinos (NGF)

The Nutritional Guidelines for Filipinos (NGF) are primary recommendations to promote good health through proper nutrition (FNRI-DOST, 2012). It contains nutrition messages to have a healthy lifestyle for all age groups from infants to adults, pregnant and lactating women, and the elderly. The ten nutritional guidelines are as follows:


1. Eat a variety of food every day to get nutrients needed by the body.

The human body needs more than 40 different nutrients for good health. No single food can provide all the nutrients the body needs. Eating a variety of food from all the different food groups will supply the needed nutrients with the proper amount and balance.


2. Breastfeed infants exclusively from birth up to six months then give appropriate complementary food while continuing breastfeeding for two years and beyond for optimum growth and development.

Infants and children up to two years old are most vulnerable to malnutrition. Breastfeeding is one of the most effective strategies to improve child survival. Nutritional requirements of an infant can be obtained solely from breastmilk for the first six months of life. After that time, breastmilk must be complemented with appropriate food, but breastfeeding should be continued for up to two years of age or longer. Gawing TSEK ang breastfeeding: Tama, Sapat at Eksklusibo!


3. Eat more vegetables and fruits every day to get the essential vitamins, minerals, and fiber for regulation of body processes.

In general, most Filipinos do not eat enough green leafy and yellow vegetables and vitamin C-rich fruits. Vegetables and fruits are rich sources of micronutrients such as vitamins A and C, iron, and phytochemicals. The consumption of more vegetables and fruits is encouraged to help prevent micronutrient deficiencies.


 4. Consume fish, lean meat, poultry, eggs, dried beans or nuts daily for growth and repair of body tissues.

Results of the national nutrition surveys among Filipino households showed that consumption of protein was inadequate based on the Estimated Average Requirement (EAR) of 80% of the Recommended Energy and Nutrient Intake (RENI). Protein is a nutrient that the body needs for growth and maintenance. Aside from lean meat and poultry, some plant-based food are also good sources of protein.


5. Consume milk, milk products, and other calcium-rich food, such as small fish and shellfish, every day for healthy bones and teeth.

National nutrition surveys indicate consistent failure of Filipinos to meet dietary recommendations for calcium. Calcium, together with protein and other nutrients particularly Vitamin D, is essential for the formation of strong bones and teeth. Milk, milk products, small fishes, and shellfishes are excellent sources of calcium and should form part of the daily diet starting from childhood to help prevent osteoporosis later in life. For infants and young children, breastmilk is still the best.


6. Consume safe food and water to prevent diarrhea and other food-and water-borne diseases.

In the Philippines, diarrhea is the 3rd leading cause of child illnesses and the 4th leading cause of deaths among children 0-<5 years old. Only 82% of households have access to safe water supply while only 77% have sanitary toilets. Contaminated food and water are the usual sources of infection such as cholera and other diarrheal diseases. Make sure to prepare, serve, and eat food that are safe.


 7. Use iodized salt to prevent Iodine Deficiency Disorders.

Iodine Deficiency Disorders (IDD) is the world’s most common cause of preventable brain damage, and one of the main causes of physical and mental retardation and impaired cognitive development in children. Republic Act 8172 or the Act for Salt Iodization Nationwide (ASIN Law) mandates that all salt for human and animal consumption be iodized. Use iodized salt daily.


8. Limit intake of salty, fried, fatty, and sugar-rich food to prevent cardiovascular diseases.

An excessive intake of sodium has been linked to high blood pressure particularly in susceptible individuals. Fried food is high in fats and calories which could lead to weight gain. Fatty foods can increase cholesterol level and increase one’s risk of heart disease and stroke. Sugar-rich food is also high in calories which can contribute to weight gain and obesity.


9. Attain normal body weight through proper diet and moderate physical activity to prevent obesity and maintain good health.

Overweight prevalence has been climbing at an average rate of 0.67 percentage points per year from 1993 to 2008. Obesity is a major risk factor of non-communicable diseases (NCDs) while underweight increases the risk to infection. These problems are results of prolonged imbalanced energy intake and energy expenditure which later may impose diseases and risks to one’s well-being.


10. Be physically active, make healthy food choices, manage stress, avoid alcoholic beverages, and do not smoke to help prevent lifestyle related NCDs.

About 93% of Filipinos failed to engage in regular leisure and physical activity, 1/3 of Filipino adults are smokers, and 27% are alcohol drinkers which all contribute to the onset of lifestyle related NCDs. Lifestyle related diseases like cardiovascular diseases, chronic obstructive pulmonary disease (COPD), diabetes, cancer, and kidney disorders are among the top leading causes of death (DOH, 2012). Maintaining a healthy diet, engaging in physical activity such as regular exercise, practicing healthy food choices, abstaining from smoking, avoiding alcoholic beverages, and managing stress are key components to a healthy lifestyle, thus, decreasing the risk that NCDs pose to one’s health.


Ten Kumainments

Figure 1.3. The 10 Kumainments.

The National Nutrition Council (NNC) launched its popular version of NGF called the “10 Kumainments.” It aims to promote positive nutrition practices to prevent malnutrition and encourage the adoption of a healthy lifestyle. The nutritional guidelines also aim to address and prevent diet related NCDs such as cancer, diabetes, and cardiovascular diseases.

The 10 Kumainments guidelines are simple and easy to remember that Filipinos can adopt to improve their nutritional status. With messages like “Kumain ng iba’t ibang pagkain,” “Kumain ng gulay at prutas araw-araw,” and “Panatilihin ang tamang timbang,’ individuals are encouraged to eat the right food, exercise right, and pursue a healthy lifestyle in 10 easy rules (Figure 1.3). Alternatively, you can watch the video here: 

 

Play Video

Pinggang Pinoy

Pinggang Pinoy is a new, easy-to-understand food guide that uses a familiar food plate model that conveys the right food group proportions on a per-meal basis to meet an adult’s energy and nutrient needs. It serves as a visual tool to help Filipinos adopt healthy eating habits during mealtimes by delivering effective dietary and healthy lifestyle messages (Figure 1.4).

Figure 1.4. Pinggang Pinoy.

The Food and Nutrition Research Institute (FNRI) of the Department of Science and Technology (DOST) came up with this visual tool to answer the question of what a person should eat per meal in order to be healthy. It also serves as a quick and easy guide to determine the amount of each food group per meal.

Daily Nutritional Guide Pyramid for Filipinos

The Daily Nutritional Guide Pyramid for Filipinos is another tool to educate people on variety, moderation, and proportion of food such that the relative size of each section represents the number of daily servings recommended (Figure 1.5).

The base layer, across the widest part of the pyramid, is for the food group that should be eaten in greatest amount like rice, corn, bread, and cereal. The narrow top shows the group that should be eaten least such as fats, oils, and sugary food.

Figure 1.5. The food pyramid guide

There are seven guides recommended for the different age and physiological groups (children 1-6 years old, school children, adolescents, adult 20-39 years, pregnant women, lactating women, and older persons) (FNRI-DOST, ND).

Lesson 1 - Basic Concepts on Food and Nutrition

After completing Lesson 1, you should be able to:

  1. define food, nutrition, nutrients, nutritional status, and malnutrition;

  2. identify the different nutrients, their functions, and food sources; and

  3. discuss the tools for the promotion of good nutrition. 

There are five basic concepts to be fully understood in nutrition. These are food, nutrients, nutrition, nutritional status, and malnutrition.

Food, Nutrition, and Nutrition-Related Terms

FOOD. Food is such a common word but sometimes difficult to define. Would anything that gets into your mouth be considered as food? Food is “what people EAT and DRINK to stay alive and healthy, for growth, development, work, and other physical activities.” It implies then that if you do not eat and drink the right food regularly, you will feel sick or have poor health due to lack of nutrients.

NUTRIENT. Can you recall what nutrients are? Nutrients are substances responsible for giving energy, building and repairing body tissues, and regulating body processes. All foods contain nutrients (Figure 1.1). Your body does not produce all essential nutrients, which is why you need to eat food. However, there is no single food that can provide all nutrients required for normal bodily functions. Nutrients work like a team. Thus, it is important to consume a wide variety of foods daily for growth and to maintain optimal health. There are two types of nutrients, macronutrients and micronutrients.

Figure 1.1. Kinds of nutrients

Macronutrients include carbohydrates, protein, and fats. As the word implies, the body needs relatively large amounts of macronutrients (measured in grams) to provide energy (measured in calories). Table 1.1 presents sources and functions of macronutrients.

Micronutrients include vitamins and minerals. Vitamins are further classified into fat-soluble and water-soluble. Fat-soluble vitamins are A, D, E, and K while water-soluble are B and C. Table 1.2 presents sources and functions of vitamins.


Table 1.1. Sources and functions of macronutrients.

Nutrient

Source

Function

Carbohydrates

Rice, cereals, corn, wheat, cassava, potato, ube, taro, sweet potato, sugar

Serve as fuel for energy for body heat and work

Proteins

Meat, fish, poultry, beans, nuts, egg, milk, cheese, and milk products

  • Build and repair body tissues

  • Essential for growth

  • Aid in the formation of enzymes, hormones, and antibodies

Fats

Oils and fats, meat, avocado, nuts, and fried foods

  • Serve as fuel for energy

  • Source of essential fattyacids

Source: FNRI-DOST, 2000; Antiporda, R.E., 2001

Table 1.2. Sources and functions of micronutrients.

Nutrient

Source

Function

Fat-soluble vitamins

A

Retinol:(readily absorbed form of Vitamin A): Meat, butter, milk, cheese, and eggs
Carotene: Carrots, ube, camote, peppers, spinach, mango, papaya, melon

  • Maintains eye health needed for night vision

  • Maintains skin and mucous membranes

  • Helps resist infection

  • Helps develop bones and teeth

D

Direct exposure to sunlight activates the Vitamin D in the skin
Fortified milk, fish oils, egg yolk, liver

  • Associated with calcium metabolism

  • Promotes calcium absorption

  • Improves bone formation

  • Helps maintain blood calcium level

E

Vegetable oils, butter, green vegetables, beans, whole grains, nuts, liver

  • Protects vitamins and polyunsaturated fats in the body from oxidation

K

Produced by bacteria in the intestine; also found in green leafy vegetables

  • Helps blood to clot

  • Necessary for collagen formation

Water-soluble vitamins

Ascorbic Acid (Vitamin C)

Citrus fruits, broccoli, strawberries, melon, guava, mango, papaya, cabbage, peppers

  • Helps heal wounds, develops healthy gums, and teeth

  • Helps resist infection

  • Converts folic acid to its active form

  • Strengthen blood vessels

Thiamin (B1)

Meats, whole grain and enriched breads, legumes, peanuts, and fresh green vegetables

  • Part of an enzyme system that breaks down carbohydrates for energy

Riboflavin (B2)

Milk, organ meats, meat, fish, eggs, legumes, whole grains and enriched breads, cereals, cheese, green leafy vegetables

  • Helps break down fat for energy

Niacin (B3)

Liver, meat, fish, poultry, peanuts, whole grains and enriched breads and cereals

  • Helps breakdown carbohydrates, fats, protein

  • Helps the body make some hormones and fat

Pyridoxine (B6)

Meat, fish, poultry, milk, eggs, green vegetables, avocado, beans, bananas, whole grain cereals, potatoes

  • Helps make body protein

  • Helps breakdown proteins for energy

Folic Acid

Green leafy vegetables, red meats, organ meats, citrus and juice, whole grains, beans, nuts, asparagus, broccoli, spinach

  • Helps make new cells including blood cells

Pantothenic Acid

Organ meats, salmon, eggs, broccoli, mushrooms, pork, whole grains, legumes

  • Assists in the breakdown and production of protein, hormones, cholesterol, and hemoglobin

Biotin/td>

Organ meats, eggs, milk, whole grains, cereals, and some vegetables

  • A• Assists in the breakdown of carbohydrates, protein, and fat for energy

Cobalamin (B12)

Found only in animal products or yeast, meat, fish, poultry, eggs, milk, cheese

  • Helps develop new cells including red blood cells

  • Helps keep nervous system healthy

Source: FNRI-DOST, 2000; Antiporda, R.E., 2001

Minerals are subdivided into major and trace. Major minerals include calcium, phosphorus, magnesium, sodium, and potassium while trace minerals consist of iron, iodine, and zinc, among others. Table 1.3 shows sources and functions of minerals. This means that a combination of macronutrients and micronutrients are essential for developmental growth. The key is to know the food sources containing macronutrients and micronutrients in planning your nutrition program.

Table 1.3. Sources and functions of micronutrients.

Nutrient

Source

Function

Calcium

Milk and milk products; salmon and small fish with bones; dark green vegetables, legumes

  • Helps blood to clot

  • Stimulates nerves

  • Helps muscles contract

  • Helps prevent osteoporosis

Iron

Chicken, meat, fish, internal organs, legumes, dried fruit, green vegetables, fortified cereals

  • Forms hemoglobin in the red blood cells and myoglobin in the muscle cells, which transports and holds oxygen in the body

Fluoride

Fluoridated water, toothpaste and mouth rinses with fluoride

  • Prevents tooth decay by hardening tooth enamel

Phosphorous

Milk and milk products, meat, eggs, poultry, nuts, legumes, whole grains

  • Forms bones and teeth

  • Needed to make proteins, enzymes, and new cells

  • Helps maintain acid-base balance

Sodium

Table salt, soy sauce, salty snack foods, foods prepared in brine such as pickles, salty smoked meat or fish, cheeses, canned or instant soup milk, meat, poultry, and eggs

  • Helps maintain water balance

  • Helps maintain acid-balance

  • Stimulates nerves

  • Helps muscles contract

Potassium

Camote, bananas, dried fruits, potatoes, meat, fish, poultry, whole grains, fruits, and vegetables

  • Maintains heartbeat

  • Helps muscles contract

  • Stimulates nerves

Magnesium

Green leafy vegetables, nuts, whole grains, meats, milk, seafood, chocolate

  • Helps muscles function

Iodine

Iodized salt, seafood, and food grown near the ocean

  • Part of thyroid hormones that control energy production in the body

Zinc

Meat, liver, oysters, fish, milk, whole grains, nuts, and legumes

  • Helps form enzymes and insulin

  • Helps produce body proteins

  • Helps the body use Vitamin A

  • Provides normal taste sensations

Source: FNRI-DOST, 2000; Antiporda, R.E., 2001

NUTRITION. Nutrition is defined as the study of how the body uses food. It is the process through which living organisms use food to maintain life, growth, and human functions. NUTRITIONAL STATUS. This refers to the physiological state of an individual.

MALNUTRITION. It is a condition of the body resulting from a deficiency, excess or imbalance in one or more nutrients (Figure 1.2). The topic will be further discussed in Lesson 3.

Figure 1.2. A malnourished child


Tools to Promote Proper Nutrition

Nutritional Guidelines for Filipinos (NGF)

The Nutritional Guidelines for Filipinos (NGF) are primary recommendations to promote good health through proper nutrition (FNRI-DOST, 2012). It contains nutrition messages to have a healthy lifestyle for all age groups from infants to adults, pregnant and lactating women, and the elderly. The ten nutritional guidelines are as follows:


1. Eat a variety of food every day to get nutrients needed by the body.

The human body needs more than 40 different nutrients for good health. No single food can provide all the nutrients the body needs. Eating a variety of food from all the different food groups will supply the needed nutrients with the proper amount and balance.


2. Breastfeed infants exclusively from birth up to six months then give appropriate complementary food while continuing breastfeeding for two years and beyond for optimum growth and development.

Infants and children up to two years old are most vulnerable to malnutrition. Breastfeeding is one of the most effective strategies to improve child survival. Nutritional requirements of an infant can be obtained solely from breastmilk for the first six months of life. After that time, breastmilk must be complemented with appropriate food, but breastfeeding should be continued for up to two years of age or longer. Gawing TSEK ang breastfeeding: Tama, Sapat at Eksklusibo!


3. Eat more vegetables and fruits every day to get the essential vitamins, minerals, and fiber for regulation of body processes.

In general, most Filipinos do not eat enough green leafy and yellow vegetables and vitamin C-rich fruits. Vegetables and fruits are rich sources of micronutrients such as vitamins A and C, iron, and phytochemicals. The consumption of more vegetables and fruits is encouraged to help prevent micronutrient deficiencies.


 4. Consume fish, lean meat, poultry, eggs, dried beans or nuts daily for growth and repair of body tissues.

Results of the national nutrition surveys among Filipino households showed that consumption of protein was inadequate based on the Estimated Average Requirement (EAR) of 80% of the Recommended Energy and Nutrient Intake (RENI). Protein is a nutrient that the body needs for growth and maintenance. Aside from lean meat and poultry, some plant-based food are also good sources of protein.


5. Consume milk, milk products, and other calcium-rich food, such as small fish and shellfish, every day for healthy bones and teeth.

National nutrition surveys indicate consistent failure of Filipinos to meet dietary recommendations for calcium. Calcium, together with protein and other nutrients particularly Vitamin D, is essential for the formation of strong bones and teeth. Milk, milk products, small fishes, and shellfishes are excellent sources of calcium and should form part of the daily diet starting from childhood to help prevent osteoporosis later in life. For infants and young children, breastmilk is still the best.


6. Consume safe food and water to prevent diarrhea and other food-and water-borne diseases.

In the Philippines, diarrhea is the 3rd leading cause of child illnesses and the 4th leading cause of deaths among children 0-<5 years old. Only 82% of households have access to safe water supply while only 77% have sanitary toilets. Contaminated food and water are the usual sources of infection such as cholera and other diarrheal diseases. Make sure to prepare, serve, and eat food that are safe.


 7. Use iodized salt to prevent Iodine Deficiency Disorders.

Iodine Deficiency Disorders (IDD) is the world’s most common cause of preventable brain damage, and one of the main causes of physical and mental retardation and impaired cognitive development in children. Republic Act 8172 or the Act for Salt Iodization Nationwide (ASIN Law) mandates that all salt for human and animal consumption be iodized. Use iodized salt daily.


8. Limit intake of salty, fried, fatty, and sugar-rich food to prevent cardiovascular diseases.

An excessive intake of sodium has been linked to high blood pressure particularly in susceptible individuals. Fried food is high in fats and calories which could lead to weight gain. Fatty foods can increase cholesterol level and increase one’s risk of heart disease and stroke. Sugar-rich food is also high in calories which can contribute to weight gain and obesity.


9. Attain normal body weight through proper diet and moderate physical activity to prevent obesity and maintain good health.

Overweight prevalence has been climbing at an average rate of 0.67 percentage points per year from 1993 to 2008. Obesity is a major risk factor of non-communicable diseases (NCDs) while underweight increases the risk to infection. These problems are results of prolonged imbalanced energy intake and energy expenditure which later may impose diseases and risks to one’s well-being.


10. Be physically active, make healthy food choices, manage stress, avoid alcoholic beverages, and do not smoke to help prevent lifestyle related NCDs.

About 93% of Filipinos failed to engage in regular leisure and physical activity, 1/3 of Filipino adults are smokers, and 27% are alcohol drinkers which all contribute to the onset of lifestyle related NCDs. Lifestyle related diseases like cardiovascular diseases, chronic obstructive pulmonary disease (COPD), diabetes, cancer, and kidney disorders are among the top leading causes of death (DOH, 2012). Maintaining a healthy diet, engaging in physical activity such as regular exercise, practicing healthy food choices, abstaining from smoking, avoiding alcoholic beverages, and managing stress are key components to a healthy lifestyle, thus, decreasing the risk that NCDs pose to one’s health.


Ten Kumainments

Figure 1.3. The 10 Kumainments.

The National Nutrition Council (NNC) launched its popular version of NGF called the “10 Kumainments.” It aims to promote positive nutrition practices to prevent malnutrition and encourage the adoption of a healthy lifestyle. The nutritional guidelines also aim to address and prevent diet related NCDs such as cancer, diabetes, and cardiovascular diseases.

The 10 Kumainments guidelines are simple and easy to remember that Filipinos can adopt to improve their nutritional status. With messages like “Kumain ng iba’t ibang pagkain,” “Kumain ng gulay at prutas araw-araw,” and “Panatilihin ang tamang timbang,’ individuals are encouraged to eat the right food, exercise right, and pursue a healthy lifestyle in 10 easy rules (Figure 1.3). Alternatively, you can watch the video here: 

 

Play Video

Pinggang Pinoy

Pinggang Pinoy is a new, easy-to-understand food guide that uses a familiar food plate model that conveys the right food group proportions on a per-meal basis to meet an adult’s energy and nutrient needs. It serves as a visual tool to help Filipinos adopt healthy eating habits during mealtimes by delivering effective dietary and healthy lifestyle messages (Figure 1.4).

Figure 1.4. Pinggang Pinoy.

The Food and Nutrition Research Institute (FNRI) of the Department of Science and Technology (DOST) came up with this visual tool to answer the question of what a person should eat per meal in order to be healthy. It also serves as a quick and easy guide to determine the amount of each food group per meal.

Daily Nutritional Guide Pyramid for Filipinos

The Daily Nutritional Guide Pyramid for Filipinos is another tool to educate people on variety, moderation, and proportion of food such that the relative size of each section represents the number of daily servings recommended (Figure 1.5).

The base layer, across the widest part of the pyramid, is for the food group that should be eaten in greatest amount like rice, corn, bread, and cereal. The narrow top shows the group that should be eaten least such as fats, oils, and sugary food.

Figure 1.5. The food pyramid guide

There are seven guides recommended for the different age and physiological groups (children 1-6 years old, school children, adolescents, adult 20-39 years, pregnant women, lactating women, and older persons) (FNRI-DOST, ND).

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