COMMUNITY NUTRITION
KADIMA
Basic Human Needs
Nutrition
Definition of terms
 Nutrition – Is the process of providing or
obtaining nutrients necessary for health and
growth.
 Food – its any nutritious substance that people eat
or drink, in order to produce energy, maintain life
and growth.
 Human nutrition, process by which substances
in food are transformed into body tissues and
provide energy for the full range of physical and
mental activities that make up human life.
Study of human nutrition
 Human nutrition is interdisciplinary, involves
physiology, biochemistry, and molecular biology,
also fields such as psychology and anthropology,
which explore the influence of attitudes, beliefs,
preferences, and cultural traditions on food
choices.
 Human nutrition also touches
on economics and political science as the
world community recognizes and responds to the
suffering and death caused by malnutrition.
 The ultimate goal of nutritional science is to
 Promote optimal health and reduce the risk of chronic
diseases such as cardiovascular disease and cancer
 Prevent classic nutritional deficiency diseases such
as kwashiorkor and pellagra.
 Community nutrition :
 Its group of activities linked to applied nutrition within
the context of public health, to tailor individual and
population food patterns according to updated
scientific knowledge, in certain region with aim of
health promotion. ( Aranceta, 2001)
Nutrients: The Biochemical units of
nutrition
 Body requires fuel to provide energy for cellular
metabolism and repair, organ function, growth &
body movement
 Food is the fuel that keeps the machine that is our
body running
Energy requirements based on:
 Basal metabolic rate (BMR)-Energy needed to maintain life
sustaining ( Breathing, circulation, temperature, heart rate)
 Resting Energy Expenditure (REE)-measurement that accounts for
BMR plus energy needed to digest food & perform mild activity.
Accounts for 60-70% of our daily needs
Nutrients
 Elements necessary for body processes & function
 6 Categories
 Carbohydrates,
 Proteins,
 Fats, Water,
 Vitamins,
 Minerals
Carbohydrates
 Main source of energy (55-60% of calories in diet)
 Each gram = 4 kcal
 Composed of carbon, hydrogen & oxygen
 Functions;
 Main source of fuel (glucose) for brain, skeletal muscle during
exercise,
 RBC &WBC production,
 Cell function of renal medulla
 Energy storage – glucose converted to glycogen
 Building macromolecules ( glucose converted to ribose &
deoxyribose)
 Sparing protein metabolism
Functions cont..,,
 Lipid metabolism – spares lipid metabolism
 Sources;
 Obtained from plant foods, except for lactose (milk, sugar)
 bread, beans, milk, popcorn, potatoes, cookies, spaghetti, soft
drinks, corn, and cherry pie
Simple Carbohydrates
 Classified according to saccharides
 Monosaccharide- glucose(dextrose), fructose,
galactose (building blocks of all other CHO)
 Glucose- blood sugar (normal fasting BS=70-100
mg/ml)
 Disaccharide- sucrose, lactose, maltose,
 Sugar alcohols-sugar replacers
 Artificial sweeteners
Complex Carbohydrates
 Polysaccharides are complex carbohydrates
 Starches, glycogen, & fiber are polysaccharides
 Starches are the major source of CHO in diet
(grains, cereals, breads, pasta, starchy vegetables
& legumes)
 Glycogen- animal starch (found in liver & muscle
tissue, provides immediate fuel for muscle action
Dietary Fiber
 Plant foods that cannot be broken down by body
to digest
 Fiber eliminated by intestinal waste
 Adds volume, no fuel or energy
 Fiber in diet helps promote regularity of bowel
movements, helps in regulating blood sugar,
reducing cholesterol, may promote weight loss,
reduce risk of colon cancer & diverticular disease
Functions of CHO
 Provide fuel (CHO primary source)
 Spare body protein (body can convert protein to
glucose; body will break down internal protein
stores before fat stores in absence of CHO)
 Helps prevent ketosis (partially broken down fats
accumulate in blood as ketones)
 Enhance learning & memory (Glucose)
Proteins
 Provide a source of energy
 4 kcal per gram
 Essential for synthesis of body tissue in growth,
maintenance & repair
 Collagen, hormones, enzymes, immune cells, DNA,
RNA are composed of protein
 Blood clotting, fluid regulation, & acid-base
balance require protein
Protein
 Composed of carbon, hydrogen, oxygen,&
nitrogen
 There are essential and nonessential amino acids
 Complete and incomplete proteins
 Essential amino acids: isoleucine, leucine, lysine,
threonine, tryptophan, methionine, histidine,
valine, phenylalanine
Types of Protein
 Albumin & Insulin are simple proteins
 Lipoprotein is a complex protein (Lipid & protein)
 A lipoprotein is a biochemical assembly whose primary
function is to transport hydrophobic lipid(fat) i.e
HDL,LDL
 Complete & Incomplete proteins
 Complete proteins have all the essential amino
acids our bodies need. I.e – animal proteins.
 Incomplete proteins don't include all the
essential amino acids.
Protein
 Nitrogen balance- intake & output of nitrogen
equal
 When intake of nitrogen exceeds output, body is in a
positive nitrogen balance (growth, pregnancy,
maintenance of lean muscle mass & vital organs,
wound healing
 The extra nitrogen is used for building, repairing,
& replacement of tissues
Protein
 Negative Nitrogen balance- Body loses nitrogen
faster than it gains it
 Infection, Sepsis, Fever, starvation, head injury, trauma,
burns
 Increased nitrogen loss is the result of body tissue
destruction or loss of nitrogen containing body fluids
How protein functions in the body
 Provision of structure
 Growth & maintenance of tissue
 Regulation of body processes (hormones, enzymes,
nucleoproteins)
 Development of immunity
 Circulation of blood and nutrients
 Backup source of energy
 Maintains Proper pH. ...
 Balances Fluids. ...
Fats
 Fats(lipids) are the most calorically dense
 Composed of carbon, hydrogen, & oxygen (basic
structural unit=glycerol)
 9 kcal per gram
 Composed of monoglycerides, diglycerides, &
triglycerides
 Lipogenesis- Synthesis of fatty acids
Fats
 Fatty acids can be Saturated or Unsaturated,
Monounsaturated, or polyunsaturated & Trans-
fatty acids
 Essential Fatty Acids (Omega-3 fatty acids are found in
foods) must be supplied by diet
 Nonessential fatty acids(linoleic, linolenic)
 Necessary for metabolic processes
 HDL vs LDL
Fats
 Animal fats are high in saturated fatty acids
 Vegetable fats are high in unsaturated and
polyunsaturated fatty acids
 Sources;
 Animal fats.
 Butterfat: This is usually obtained from cow's milk
 Fish oils. ...
 Cod liver oil: This is derived from liver of cod fish. ...
 Vegetable oils.
Functions of Fats
 Fuel source
 Vehicle for fat soluble vitamins
 Satiety value
 Sources of essential fatty acids
 Organ protection
 Lubrication
 Insulation
 Cell membrane structure
Cholesterol
 Not a true fat, classified as a sterol
 Body manufactures 1000 mg day
 Component of bile salts, essential component of
cell membrane, necessary for production of
several hormones (cortisone, estrogen adrenaline,
testosterone)
 Elevated blood levels is a major risk factor for CAD
( < 200 mg/dL optimal)
Water
 A colorless, transparent, odorless liquid found in
seas, lakes, rivers, rain & is the basis of fluids of
living organisms.
 Functions;
 Critical component of body
 Cell function depends on a fluid environment, 60-70%
of body weight
 Muscle contains more water than fat
 Infants have higher total body water
 Fluid needs met by ingesting fluids & solid food high in
water content (fruits & veggies)
Vitamins
 Organic substances present in small amounts in
food
 Essential for normal metabolism
 Body depends on dietary intake
 Vitamin content higher in fresh foods
 Classification by solubility: water or fat
Vitamins
 Fat Soluble- Vitamins A, D, E, K
 Can be stored in body
 Provided through dietary intake except for Vitamin D
 Antioxidant role of vitamins
 Water Soluble-Vitamin C, B Complex (8 vitamins)
 Cannot be stored in body, provided by dietary intake
 Vitamins are catalysts in biochemical reactions
Functions of Fat-Soluble Vitamins
 Vitamin A: vision, healthy epithelial tissue, proper bone
growth, energy regulation
 Vitamin D: promotes normal bone mineralization, plays a
role in calcium and phosphorus absoprtion
 Vitamin E: antioxidant role (protects Vitamin A &
unsaturated fatty acids from oxidation
 Vitamin K: blood clotting, bone metabolism
Functions of Water-Soluble Vitamins
 Vitamin C: collagen synthesis, powerful
antioxidant, adrenal gland function, iron
absorption, folic acid conversion
 B-Complex: co-enzyme in numerous metabolism
mechanisms
 cell health, growth of red blood
cells,energy levels.
 good eyesight,healthy brain
function,good digestion.
 healthy appetite, proper nerve function.
Minerals
 Inorganic elements essential to the body as
catalysts in biochemical reactions
 Macrominerals-Body requires 100mg or more
 Trace elements-Body needs less than 100 mg
Minerals
 Macro minerals- Calcium, Sodium, Potassium,
Phosphorus, Magnesium, Sulfur, and Chloride
 Trace Elements- Iodine, Fluoride, Iron, Selenium,
Zinc, Copper, Selenium, Manganese, Chromium
Macro minerals
 Calcium
 Calcium is top macro mineral for bone & teeth.
 Sources;
 dairy products, such as milk, cheese, and yogurt
 canned salmon and sardines with bones
 leafy green vegetables, such as broccoli
 calcium-fortified foods — from orange juice to cereals
and crackers
Macro mineral cont..,
 Potassium
 Keeps your muscles and nervous system working
properly.
 Sources;
 Bananas, tomatoes
 potatoes and sweet potatoes, with skins
 green vegetables, such as spinach and broccoli
 citrus fruits, like oranges, low-fat milk and yogurt
 legumes, such as beans, split peas, and lentils
Micro minerals
 Iron
 The body needs iron to transport oxygen from
your lungs to the rest of your body.
 Source;
 meat, especially red meat, such as beef
 tuna and salmon, eggs
 Beans, baked potato with skins
 dried fruits, like raisins
 leafy green vegetables, such as broccoli
Micro minerals cont..,
 Zinc
 Zinc helps your immune system. It also helps with
cell growth and helps heal wounds, such as cuts.
 Source;
 beef, pork, and dark meat chicken
 nuts, such as cashews, almonds, and peanuts
 legumes, such as beans, split peas, and lentils
Digestion
 Mechanical breakdown that results from chewing,
churning, mixing with fluid, & chemical reaction till
food reaches it’s simplest form
 Enzymes speed up chemical reactions
Digestion
 Dysphagia- Difficulty swallowing
 Absorption occurs in small intestine- primary
absorption site for nutrients
 Main source of water absorption via intestine,
small intestine reabsorbs 9.5 L
Metabolism
 Catabolism- Breakdown of biochemical substances
into simpler substances (starvation)
 All body cells except RBC & neurons can oxidize
fatty acids into ketones for energy in the absence
of dietary CHO
Metabolism
 Biochemical reaction with cells
 Anabolic or Catabolic
 Anabolism- Building of more complex substances,
occurs when lean muscle is added through diet &
exercise
 Amino acids are anabolized into tissue, hormones,
& enzymes
Dietary Guidelines
 Recommended dietary allowances
 Food Guidelines-Food Pyramid
 Daily values on food labels (based on 2000
kcal/day)
NUTRITION DEVELOPMENT SLIDES_095059.pptx
NUTRITION DEVELOPMENT SLIDES_095059.pptx

NUTRITION DEVELOPMENT SLIDES_095059.pptx

  • 1.
  • 2.
  • 3.
    Definition of terms Nutrition – Is the process of providing or obtaining nutrients necessary for health and growth.  Food – its any nutritious substance that people eat or drink, in order to produce energy, maintain life and growth.  Human nutrition, process by which substances in food are transformed into body tissues and provide energy for the full range of physical and mental activities that make up human life.
  • 4.
    Study of humannutrition  Human nutrition is interdisciplinary, involves physiology, biochemistry, and molecular biology, also fields such as psychology and anthropology, which explore the influence of attitudes, beliefs, preferences, and cultural traditions on food choices.  Human nutrition also touches on economics and political science as the world community recognizes and responds to the suffering and death caused by malnutrition.
  • 5.
     The ultimategoal of nutritional science is to  Promote optimal health and reduce the risk of chronic diseases such as cardiovascular disease and cancer  Prevent classic nutritional deficiency diseases such as kwashiorkor and pellagra.  Community nutrition :  Its group of activities linked to applied nutrition within the context of public health, to tailor individual and population food patterns according to updated scientific knowledge, in certain region with aim of health promotion. ( Aranceta, 2001)
  • 6.
    Nutrients: The Biochemicalunits of nutrition  Body requires fuel to provide energy for cellular metabolism and repair, organ function, growth & body movement  Food is the fuel that keeps the machine that is our body running
  • 7.
    Energy requirements basedon:  Basal metabolic rate (BMR)-Energy needed to maintain life sustaining ( Breathing, circulation, temperature, heart rate)  Resting Energy Expenditure (REE)-measurement that accounts for BMR plus energy needed to digest food & perform mild activity. Accounts for 60-70% of our daily needs
  • 8.
    Nutrients  Elements necessaryfor body processes & function  6 Categories  Carbohydrates,  Proteins,  Fats, Water,  Vitamins,  Minerals
  • 9.
    Carbohydrates  Main sourceof energy (55-60% of calories in diet)  Each gram = 4 kcal  Composed of carbon, hydrogen & oxygen  Functions;  Main source of fuel (glucose) for brain, skeletal muscle during exercise,  RBC &WBC production,  Cell function of renal medulla  Energy storage – glucose converted to glycogen  Building macromolecules ( glucose converted to ribose & deoxyribose)  Sparing protein metabolism
  • 10.
    Functions cont..,,  Lipidmetabolism – spares lipid metabolism  Sources;  Obtained from plant foods, except for lactose (milk, sugar)  bread, beans, milk, popcorn, potatoes, cookies, spaghetti, soft drinks, corn, and cherry pie
  • 11.
    Simple Carbohydrates  Classifiedaccording to saccharides  Monosaccharide- glucose(dextrose), fructose, galactose (building blocks of all other CHO)  Glucose- blood sugar (normal fasting BS=70-100 mg/ml)  Disaccharide- sucrose, lactose, maltose,  Sugar alcohols-sugar replacers  Artificial sweeteners
  • 12.
    Complex Carbohydrates  Polysaccharidesare complex carbohydrates  Starches, glycogen, & fiber are polysaccharides  Starches are the major source of CHO in diet (grains, cereals, breads, pasta, starchy vegetables & legumes)  Glycogen- animal starch (found in liver & muscle tissue, provides immediate fuel for muscle action
  • 13.
    Dietary Fiber  Plantfoods that cannot be broken down by body to digest  Fiber eliminated by intestinal waste  Adds volume, no fuel or energy  Fiber in diet helps promote regularity of bowel movements, helps in regulating blood sugar, reducing cholesterol, may promote weight loss, reduce risk of colon cancer & diverticular disease
  • 15.
    Functions of CHO Provide fuel (CHO primary source)  Spare body protein (body can convert protein to glucose; body will break down internal protein stores before fat stores in absence of CHO)  Helps prevent ketosis (partially broken down fats accumulate in blood as ketones)  Enhance learning & memory (Glucose)
  • 16.
    Proteins  Provide asource of energy  4 kcal per gram  Essential for synthesis of body tissue in growth, maintenance & repair  Collagen, hormones, enzymes, immune cells, DNA, RNA are composed of protein  Blood clotting, fluid regulation, & acid-base balance require protein
  • 17.
    Protein  Composed ofcarbon, hydrogen, oxygen,& nitrogen  There are essential and nonessential amino acids  Complete and incomplete proteins  Essential amino acids: isoleucine, leucine, lysine, threonine, tryptophan, methionine, histidine, valine, phenylalanine
  • 18.
    Types of Protein Albumin & Insulin are simple proteins  Lipoprotein is a complex protein (Lipid & protein)  A lipoprotein is a biochemical assembly whose primary function is to transport hydrophobic lipid(fat) i.e HDL,LDL  Complete & Incomplete proteins  Complete proteins have all the essential amino acids our bodies need. I.e – animal proteins.  Incomplete proteins don't include all the essential amino acids.
  • 19.
    Protein  Nitrogen balance-intake & output of nitrogen equal  When intake of nitrogen exceeds output, body is in a positive nitrogen balance (growth, pregnancy, maintenance of lean muscle mass & vital organs, wound healing  The extra nitrogen is used for building, repairing, & replacement of tissues
  • 20.
    Protein  Negative Nitrogenbalance- Body loses nitrogen faster than it gains it  Infection, Sepsis, Fever, starvation, head injury, trauma, burns  Increased nitrogen loss is the result of body tissue destruction or loss of nitrogen containing body fluids
  • 22.
    How protein functionsin the body  Provision of structure  Growth & maintenance of tissue  Regulation of body processes (hormones, enzymes, nucleoproteins)  Development of immunity  Circulation of blood and nutrients  Backup source of energy  Maintains Proper pH. ...  Balances Fluids. ...
  • 23.
    Fats  Fats(lipids) arethe most calorically dense  Composed of carbon, hydrogen, & oxygen (basic structural unit=glycerol)  9 kcal per gram  Composed of monoglycerides, diglycerides, & triglycerides  Lipogenesis- Synthesis of fatty acids
  • 24.
    Fats  Fatty acidscan be Saturated or Unsaturated, Monounsaturated, or polyunsaturated & Trans- fatty acids  Essential Fatty Acids (Omega-3 fatty acids are found in foods) must be supplied by diet  Nonessential fatty acids(linoleic, linolenic)  Necessary for metabolic processes  HDL vs LDL
  • 26.
    Fats  Animal fatsare high in saturated fatty acids  Vegetable fats are high in unsaturated and polyunsaturated fatty acids  Sources;  Animal fats.  Butterfat: This is usually obtained from cow's milk  Fish oils. ...  Cod liver oil: This is derived from liver of cod fish. ...  Vegetable oils.
  • 27.
    Functions of Fats Fuel source  Vehicle for fat soluble vitamins  Satiety value  Sources of essential fatty acids  Organ protection  Lubrication  Insulation  Cell membrane structure
  • 28.
    Cholesterol  Not atrue fat, classified as a sterol  Body manufactures 1000 mg day  Component of bile salts, essential component of cell membrane, necessary for production of several hormones (cortisone, estrogen adrenaline, testosterone)  Elevated blood levels is a major risk factor for CAD ( < 200 mg/dL optimal)
  • 30.
    Water  A colorless,transparent, odorless liquid found in seas, lakes, rivers, rain & is the basis of fluids of living organisms.  Functions;  Critical component of body  Cell function depends on a fluid environment, 60-70% of body weight  Muscle contains more water than fat  Infants have higher total body water  Fluid needs met by ingesting fluids & solid food high in water content (fruits & veggies)
  • 31.
    Vitamins  Organic substancespresent in small amounts in food  Essential for normal metabolism  Body depends on dietary intake  Vitamin content higher in fresh foods  Classification by solubility: water or fat
  • 32.
    Vitamins  Fat Soluble-Vitamins A, D, E, K  Can be stored in body  Provided through dietary intake except for Vitamin D  Antioxidant role of vitamins  Water Soluble-Vitamin C, B Complex (8 vitamins)  Cannot be stored in body, provided by dietary intake  Vitamins are catalysts in biochemical reactions
  • 33.
    Functions of Fat-SolubleVitamins  Vitamin A: vision, healthy epithelial tissue, proper bone growth, energy regulation  Vitamin D: promotes normal bone mineralization, plays a role in calcium and phosphorus absoprtion  Vitamin E: antioxidant role (protects Vitamin A & unsaturated fatty acids from oxidation  Vitamin K: blood clotting, bone metabolism
  • 34.
    Functions of Water-SolubleVitamins  Vitamin C: collagen synthesis, powerful antioxidant, adrenal gland function, iron absorption, folic acid conversion  B-Complex: co-enzyme in numerous metabolism mechanisms  cell health, growth of red blood cells,energy levels.  good eyesight,healthy brain function,good digestion.  healthy appetite, proper nerve function.
  • 35.
    Minerals  Inorganic elementsessential to the body as catalysts in biochemical reactions  Macrominerals-Body requires 100mg or more  Trace elements-Body needs less than 100 mg
  • 36.
    Minerals  Macro minerals-Calcium, Sodium, Potassium, Phosphorus, Magnesium, Sulfur, and Chloride  Trace Elements- Iodine, Fluoride, Iron, Selenium, Zinc, Copper, Selenium, Manganese, Chromium
  • 37.
    Macro minerals  Calcium Calcium is top macro mineral for bone & teeth.  Sources;  dairy products, such as milk, cheese, and yogurt  canned salmon and sardines with bones  leafy green vegetables, such as broccoli  calcium-fortified foods — from orange juice to cereals and crackers
  • 38.
    Macro mineral cont.., Potassium  Keeps your muscles and nervous system working properly.  Sources;  Bananas, tomatoes  potatoes and sweet potatoes, with skins  green vegetables, such as spinach and broccoli  citrus fruits, like oranges, low-fat milk and yogurt  legumes, such as beans, split peas, and lentils
  • 39.
    Micro minerals  Iron The body needs iron to transport oxygen from your lungs to the rest of your body.  Source;  meat, especially red meat, such as beef  tuna and salmon, eggs  Beans, baked potato with skins  dried fruits, like raisins  leafy green vegetables, such as broccoli
  • 40.
    Micro minerals cont.., Zinc  Zinc helps your immune system. It also helps with cell growth and helps heal wounds, such as cuts.  Source;  beef, pork, and dark meat chicken  nuts, such as cashews, almonds, and peanuts  legumes, such as beans, split peas, and lentils
  • 41.
    Digestion  Mechanical breakdownthat results from chewing, churning, mixing with fluid, & chemical reaction till food reaches it’s simplest form  Enzymes speed up chemical reactions
  • 42.
    Digestion  Dysphagia- Difficultyswallowing  Absorption occurs in small intestine- primary absorption site for nutrients  Main source of water absorption via intestine, small intestine reabsorbs 9.5 L
  • 45.
    Metabolism  Catabolism- Breakdownof biochemical substances into simpler substances (starvation)  All body cells except RBC & neurons can oxidize fatty acids into ketones for energy in the absence of dietary CHO
  • 46.
    Metabolism  Biochemical reactionwith cells  Anabolic or Catabolic  Anabolism- Building of more complex substances, occurs when lean muscle is added through diet & exercise  Amino acids are anabolized into tissue, hormones, & enzymes
  • 47.
    Dietary Guidelines  Recommendeddietary allowances  Food Guidelines-Food Pyramid  Daily values on food labels (based on 2000 kcal/day)

Editor's Notes

  • #2 Food is apart of our daily lives.
  • #6 The body requires fuel just like a car. It gives us our energy. Our fuel is our food. We need this fuel for repairing our bodies, growth and movement and for cellular metablism.
  • #7 A person’s energy requirements are influenced by several factors. Energy requirements at rest are called the basal metabolic rate (BMR). You need this for breathing, circulation maintaining temperature, and heart rate. Of course, this BMR can be affected by age, body mass, gender, fever, illness or thyroid function. The resting energy expenditure (REE) is a measurement that accounts for BMR plus energy to digest meals and perform mild activity. The REE can be affected by illness, pregnancy and activity level. In the hospital, we can figure out with the aid of a dietician a patient’s energy requirements. Often times, we can get a referral for a dietician to see our patient. They can make recommendations for certain types of nutrition and how much of it and the doctor will then come in and order this diet for a patient.
  • #8 The body needs elements in order to function and function properly. Food are sometimes described according to their nutritional density. This is the proportion of the essential nutrients to the number of kilocalories. Examples of this is high nutritional density foods are fruits and vegetables because they have a large number of nutrients in relationship to their kilocalories. Sugar is an example of a low nutritional dense food. Low nutrients in relation to their high kilocalories.
  • #9 Carbohydrates are the main source of energy. Each gram of these carbohydrates accounts for 4 kilocalories It is composed of carbon, hydrogen and oxygen (CHO) Main source of fuel see the functions listed….. Carbohydrates are classified according to their SACCHARIDES or carbohydrate unit. Also called: Carbs Carbohydrates are one of the main types of food. Your liver breaks down carbohydrates into glucose (blood sugar). Your body uses this sugar for energy for your cells, tissues and organs. Carbohydrates are called simple or complex, depending on how fast your body digests and absorbs the sugar. You get simple carbohydrates from fruits, milk products and table sugar. Complex carbohydrates include whole grain breads and cereals, starchy vegetables and legumes. Complex carbohydrates and some simple carbohydrates provide vitamins, minerals and fiber. Products made with refined sugar provide little nutrition. It is wise to limit these products. Dieticians and nutritionists commonly classify carbohydrates as simple (monosaccharides and disaccharides) or complex (oligosaccharides and polysaccharides). The term complex carbohydrate was first used in the Senate Select Committee publication Dietary Goals for the United States (1977), where it denoted "fruit, vegetables and whole-grains".[7] Dietary guidelines generally recommend that complex carbohydrates and nutrient-rich simple carbohydrates such as fruit and dairy products make up the bulk of carbohydrate consumption. The USDA's Dietary Guidelines for Americans 2005 dispenses with the simple/complex distinction, instead recommending fiber-rich foods and whole grains.[8] Carbohydrates are not essential nutrients: the body can obtain all its energy from protein and fats [3] [4]. The brain cannot burn fat and needs glucose for energy, but the body can make this glucose from protein. Based on evidence for risk of heart disease and obesity, the Institute of Medicine recommends that American adults get between 40-65% of dietary energy from carbohydrates.[5] The Food and Agriculture Organization and World Health Organization jointly recommend that national dietary guidelines set a goal of 55-75% of total energy from carbohydrates, but only 10% should be from Free sugars (their definition of simple carbohydrates).[6] The distinction between "good carbs" and "bad carbs" is an important attribute of low-carbohydrate diets, which promote a reduction in the consumption of grains and starches in favor of protein. The result is a reduction in insulin levels used to metabolize sugars, and an increase in the use of fat for energy through ketosis.
  • #11 Simple carbohydrates are broken down quickly by the body to be used as energy. Simple carbohydrates are found naturally in foods such as fruits, milk, and milk products. They are also found in processed and refined sugars such as candy, table sugar, syrups, and soft drinks. The majority of carbohydrate intake should come from complex carbohydrates (starches) and naturally occurring sugars rather than processed or refined sugars. cake, candy and other refined sugar products are simple sugars which also provide energy but lack vitamins, minerals and fiber Normal fasting blood sugar is 70-100 With these simple sugars you can get an increase in insulin and then all of a sudden you feel like a slug Has that ever happened to you.
  • #12 Complex carbohydrates, often referred to as "starchy" foods, include: Whole grain breads and cereals Starchy vegetables Legumes For most people, between 40% and 60% of total calories should come from carbohydrates, preferably from complex carbohydrates (starches) and naturally occurring sugars. Complex carbohydrates provide calories, vitamins, minerals, and fiber. Foods that are high in processed, refined simple sugars provide calories, but they have few nutritional benefits. It is wise to limit such sugars. To increase complex carbohydrates and healthy nutrients: Eat more fruits and vegetables. Eat more whole grains, rice, breads, and cereals. Eat more legumes (beans, lentils, and dried peas).
  • #13  Fiber is a substance in plants. Dietary fiber is the kind you eat. It is in fruits, vegetables and grains. It is the part of the plant that your body can't digest. Yet it is an important part of a healthy diet. It adds bulk to your diet and makes you feel full faster, helping you control your weight. Fiber helps digestion and helps prevent constipation. You can get fiber from whole grains, beans, nuts, fruits and vegetables. You should add fiber to your diet slowly. Increasing dietary fiber too quickly can lead to gas, bloating and cramps. There are two different types of fiber -- soluble and insoluble. Both are important for health, digestion, and preventing diseases. Soluble fiber slows digestion and helps your body absorb vital nutrients from foods. It can be found in peas, beans, and apples. Insoluble fiber adds bulk to the stool, helping foods pass more quickly through the stomach and intestines. It can be found in wheat bran.
  • #14 Complex carbohdrates Whole grains Rice Cereals Breads legumes Simple carbohydrates Fruits Milk Refined surgar Fiber Whole grains Beans Nuts Fruits Vegetables
  • #15 When carbohydrates are in our body, they are being broken down and used as energy. When the body doesn't need to use the carbohydrates for energy, it stores them into the liver and muscles. When carbohydrates are stored in your liver and muscles, it is called glycogen. When the liver and muscles cells cannot store anymore glycogen, it is turned into fat. When your body needs a quick boost of energy, it converts glycogen into energy. When it needs a prolonged burst of energy, it converts fat to energy.
  • #16 Provides a source of energy and is about 4 kcal per gram This is essential. The body needs protein for growth, maintenance and repair Our DNA and our immunity cells are composed of these precious proteins Nutrients and many pharmacological substances are transported in the blood by proteins Every cell in the human body contains protein. It is a major part of the skin, muscles, organs, and glands. Protein is also found in all body fluids, except bile and urine.
  • #17 Proteins are complex organic compounds. Amino acid is the simplest form of a protein. The basic structure of protein is a chain of amino acids. There are 20 amino acids. Grouped as essential or nonessential. There are nine essential which means that we must get it from diet. Nonessential means that our bodies produce this naturally. Protein-containing foods are grouped as either complete or incomplete proteins. Complete proteins contain all nine essential amino acids. Complete proteins are found in animal foods such as meat, fish, poultry, eggs, milk, and milk products such as yogurt and cheese. Soybeans are the only plant protein considered to be a complete protein. Incomplete proteins lack one or more of the essential amino acids. Sources of incomplete protein include beans, peas, nuts, seeds, and grain. A small amount of incomplete protein is also found in vegetables. Plant proteins can be combined to provide all of the essential amino acids and form a complete protein. Examples of combined, complete plant proteins are rice and beans, milk and wheat cereal, and corn and beans. Recommendations    A nutritionally balanced diet provides adequate protein. Protein supplements are rarely needed by healthy people. Vegetarians are able to get adequate amounts of essential amino by eating a variety of plant proteins. The amount of recommended daily protein depends upon your age and health. Two to three servings of protein-rich food will meet the daily needs Failure to obtain enough of even 1 of the 9 essential amino acids, those that we cannot make, results in degradation of the body's proteins—muscle and so forth—to obtain the one amino acid that is needed. Examples of foods that provide incomplete proteins: beans, peas, nuts, seeds, and grain. A small amount of incomplete protein is also found in vegetables.1
  • #18 Albumin and insulin is an example of a simple protein Lipoprotein is an example of a complex one. The combination of a simple protein with a nonprotein substance produces a complex protein Formed by a combination of lipid and simple protein We often give lipids to patients. Looks like a bottle of milk. Complete proteins like meat, fish, poultry, eggs, milk, and milk products such as yogurt and cheese and Soybeans contain all 9 essential amino acids Incomplete: beans, peas, nuts and seeds and a small amount also found in some vegetables Complete proteins contain all nine essential amino acids ('essential' meaning the human body cannot produce them and therefore you need to get them through your diet). Incomplete proteins lack one or more of the nine essential amino acids. Examples of foods that provide incomplete proteins: beans, peas, nuts, seeds, and grain. A small amount of incomplete protein is also found in vegetables.1 nine essential amino acids are: isoleucine, leucine, lysine, threonine, tryptophan, methionine, histidine, valine and phenylalanine.2
  • #19 The nitrogen balance is an indication of protein synthesis and degradation. Because the body is unable to store in the form of protein, excess consumed protein is broken down and converted into sugars or fatty acids. The liver removes nitrogen from the amino acids, so that they can be burned as fuel, and the nitrogen is incorporated into urea, the substance that is excreted by the kidneys. These organs can normally cope with any extra workload but if kidney disease occurs, a decrease in protein will often be prescribed.[5] When the intake and output of nitrogen is equal, its considered a nitrogen balance. When the intake exceeds the output, body is in a positive nitrogen balance and this happens with maintenance of lean muscle mass, wound healing, pregnancy and growth. The nitrogen is used for building and repairing This is a normal state for children, pregnant women, or individuals recovering from illness or surgery, whose bodies require extra protein in order to build tissue.
  • #20 We are in a state of a negative nitrogen balance when the body loses more nitrogen then it gains. This happens typically with our really sick patients. Fever, starvation, sepsis, bursn
  • #22 Proteins are essential for growth and repair. They play a crucial role in virtually all biological processes in the body. For example: All enzymes are proteins and are vital for the body's metabolism. Muscle contraction immune protection transmission of nerve impulses are all dependent on proteins. Proteins in skin and bone provide structural support. Many hormones are proteins. Protein can also provide a source of energy. Generally fat and carbohydrates are used for energy, but protein and be broken down into ----- and used as energy.
  • #23 Fats are compounds that are made up of carbon, hydrogen, and oxygen. They are a source of energy in foods. Fats belong to a group of substances called lipids, and come in liquid or solid form. All fats are combinations of saturated and unsaturated fatty acids. Function    Fat is one of the three nutrients (along with protein and carbohydrates) that supply calories to the body. Fat provides 9 kilocalories per gram, more than twice the number provided by carbohydrates or protein. Believe it or not, fat is essential for the proper functioning of the body. Fats provide essential fatty acids, which are not made by the body and must be obtained from food. The essential fatty acids are linoleic and linolenic acid. They are important for controlling inflammation, blood clotting, and brain development. This is why we say to give children whole milk up to about 2 years of age. Fat serves as the storage substance for the body's extra calories. It fills the fat cells (adipose tissue) that help insulate the body. Fats are also an important energy source. When the body has used up the calories from carbohydrate, which occurs after the first 20 minutes of exercise, it begins to depend on the calories from fat. Healthy skin and hair are maintained by fat. Fat helps the body absorb and move the vitamins A, D, E, and K through the bloodstream.
  • #24 SATURATED FATS These are the biggest dietary cause of high LDL levels ("bad cholesterol"). Saturated fat should be limited to 10% of calories. Saturated fats are found in animal products such as butter, cheese, whole milk, ice cream, cream, and fatty meats and some vegetable oils -- coconut, palm, and palm kernel oils. (Note: Most other vegetable oils contain unsaturated fat and are healthy.) UNSATURATED FATS Fats that help to lower blood cholesterol if used in place of saturated fats. However, unsaturated fats have a lot of calories, so you still need to limit them. Most (but not all!) liquid vegetable oils are unsaturated. (The exceptions include coconut, palm, and palm kernel oils.) There are two types of unsaturated fats: Monounsaturated fats: Examples include olive and canola oils. Polyunsaturated fats: Examples include fish, safflower, sunflower, corn, and soybean oils. TRANS FATTY ACIDS These fats form when vegetable oil hardens (a process called hydrogenation) and can raise LDL levels. They can also lower HDL levels ("good cholesterol"). Trans-fatty acids are found in fried foods, commercial baked goods (donuts, cookies, crackers), processed foods, and margarines. HYDROGENATED AND PARTIALLY HYDROGENATED FATS This refers to oils that have become hardened (such as hard butter and margarine). Partially hydrogenated means the oils are only partly hardened. Foods made with hydrogenated oils should be avoided because they contain high levels of trans fatty acids, which are linked to heart disease. (Look at the ingredients in the food label.) Essential fatty acids are for growth and is required by our matabolism. There are three families of fatty acids. Omega 3 and omega 6 and omega 9 Two of the families that are essential are the omega 3 and 6 NON ESSENTIAL… Almost all the polyunsaturated fat in the human diet is from EFA. Some of the food sources of ω-3 and ω-6 fatty acids are fish and shellfish, flaxseed (linseed), hemp oil, soya oil, canola (rapeseed) oil, chia seeds, pumpkin seeds, sunflower seeds, leafy vegetables, and walnuts. there is evidence to suggest that low levels of essential fatty acids, or the wrong balance of types among the essential fatty acids, may be a factor in a number of illnesses, including osteoporosis.[11] HDL (healthy) and LDL (lowsy)
  • #26 Most animal fats have high proportions of saturated fatty acids, whereas vegetable fats have higher amounts of unsatruated and polysaturated fatty acids
  • #27 Energy. The fat-soluble vitamins-vitamins A,D,E, and K-must be delivered in a fat package. Some dietary fat is also needed to give us a feeling of satiety during the meal, creating the important physiological signal that it is time to stop eating. Dietary fats have a longer gastric emptying time than do carbohydrates, which contributes to the feeling of satiety. Of course, fat also makes foods taste good. They are also important component of the plasma membrane of every cell in the body. Fat can be efficiently stored as adipose tissue. Critical component of nerves which are coated with fat. This coating serves to speed up conduction down the nerve. This is a critical function and requires much fat and much time. Newborns have not yet completed this process. In fact, the lack of toilet capabilities in young children is due to the incomplete nervous system in that their nerve signals travel too slow to permit development of feedback to control their bowel and bladder. Insulation