BASIC CONCEPTS IN NUTRITION AND DIET THERAPY Flashcards
a state of complete physical, mental and
social well-being and not merely the absence of
disease and infirmity (WHO,n.d,para.1)
HEALTH
acdng to Dubos (1959) as cited in Green (2017)
this is the “the expression of the extent to which the
individual and the social body maintain in readiness
the resources required to meet the exigencies of
future.”
HEALTH
“The merging and balancing of the five physical and
psychological dimensions of health: physical,
mental, emotional, social, and spiritual.”
HEALTH
A lifestyle (pattern of behaviors) that enhances our
level of health
WELLNESS
science of food and nutrients, their action and
interaction, in relation to providing the body with
the necessary substances to maintain homeostasis
NUTRITION
impacts the health maintenance
and disease prevention and is essential for growth
and optimal bodily
Nutritional balance
One’s physical condition as determined by the diet
Nutritional Status
For Cellular Differentiation
Metabolism and Energy Production
Immune Health and Disease Prevention
Bone Structure and Strength
Adapting food pattern to nutritional needs
Awareness of need in specified disease
FUNCTIONS OF NUTRITION
- It is safe to eat
- It is nourishing or nutritious
- Its palatability factors (color, aroma, flavor,
texture etc.) satisfy the consumer - It has satiety value
- It offers variety and planned within the socioeconomic context
- It is free from toxic substance
FOOD QUALITIES
NUTRIENTS
NUTRIENTS
- To provide energy (Fuel Nutrients)
- To build and repair tissues (Body Building)
- To regulate life processes (Regulatory)
THREE GENERAL FUNCTIONS of NUTRIENTS
Professional trained to assess nutrition status and
recommend appropriate diet therapy
DIETITIAN
Bachelor’s Degree
Completion of Dietetic
Internship
Passed a national exam
Maintains on-going
education credits
DIETITIAN
A qualified health professional who
helps promote good health through
proper nutritional habits
DIETITIAN
An expert on nutrition
Registered with the
Commission of Dietetics
Registration (CDR
Licensed to practice diet
and nutritional consultation
DIETITIAN
None required
Self-proclaimed title
NUTRITIONIST
Someone who works
with food and
nutritional science,
aiming to prevent
diseases related to
nutrient deficiency
NUTRITIONIST
Not legally
accepted as
an expert
NUTRITIONIST
s a condition of the body resulting from the
utilization of essential nutrients
NUTRITIONAL STATUS (NUTRITURE)
body has an adequate supply of essential
nutrients that are efficiently utilized and maintained
in highest possible level
Optimal of Good Nutrition
Poor nutrition, can be either
nutritional deficiency or overnutrition and
hypervitaminosis
Malnutrition
Primary faulty diet both in quantity and
quality
Malnutrition
Secondary-multiple and include all
conditions within the body that reduce the
ultimate supply of nutrients to the cell after
the food goes beyond the mouth
Malnutrition
found in large amnts
Essential Elements
less than 0.01% of the the body mass
Trace Elements
Contains carbon
Organic compounds
Carbohydrates
Proteins
Lipids
Nucleic Acid
Organic compounds
Do not contain carbon
Inorganic compounds
Water
Minerals and Salts
Inorganic compounds
- Carbohydrates
- Protein
- Fats
- Vitamins
- Minerals
- Water
6 BASIC NUTRIENT
known as saccharides, a Greek
word, meaning sugar
CARBOHYDRATES (CHO)
are organic compounds composed of
carbon, hydrogen, and oxygen
CARBOHYDRATES (CHO)
Source of “Instant Energy”
CARBOHYDRATES (CHO)
- Monosaccharides
- Disaccharides
- Polysaccharides
Classification of Carbohydrates
Glucose
Fructose
Galactose
Galactose
Galactose
Monosaccharides
= simple sugar (one sugar unit)
Monosaccharides
also known as
dextrose, grape sugar, and
physiologic sugar. (corn syrup)
Glucose
also known as fruit
sugar or levulose. Sweetest of
all sugar. (fruits and honey)
Fructose
also known as milk
sugar. An important of brain
and nerve tissue.
Galactose
examples are
mannitol and sorbitol
Sugar alcohol
e (ribose and ribulose)-
meat and seafood
Pentose
Sucrose
Maltose
Lactose
Disaccharides
composed of two
monosaccharides (one of which is
glucose)
Disaccharides
complex
carbohydrates, composed of many
sugar units
Polysaccharides
Starch
Glycogen
Fiber
Polysaccharides
- Energy Source
- Helping to burn fat more efficiently and
completely - Aiding in normal functioning of the intestine
(fiber) - Providing laxative action and aiding in the
absorption of calcium (lactose) - Cerebroside- group of complex lipid present in
the shield of nerve fibers(galactose and
glucose)
Functions of Carbohydrate
group of complex lipid present in
the shield of nerve fibers(galactose and
glucose)
Cerebroside
Yields 4 kilocalories of energy
Protein sparring
60% of diet (50-100 grams)
Carbohydrates
- Digestion
- Absorption
- Metabolism
How the Body Handles CHO
should be in its simplest form.
Begins in the mouth. Fibers are not digested.
Digestion -
should be in its simplest form.
Begins in the mouth. Fibers are not digested.
Digestion -
takes place in intestinal mucosa
Absorption
takes place in the
liver(conserves and release glucose)
Metabolism
Principal source: Plant foods
Cereal grains
Vegetables
Fruit
Nuts
Sugar
CARBOHYDRATE FOOD SOURCES
The only substantial animal sources of carbohydrate
is
Milk
Preventing and relieving constipation
Preventing colon and rectal cancer
Reduce cholesterol
Aiding weight management
Decreasing blood glucose
FIBER
● Comes the Greek word proteios/protos meaning “to hold” or “is of prime importance”, first position or primary
PROTEIN (CHON)
are complex organic compounds composed of amino acids as a building units linked by a peptide bonds
PROTEIN (CHON)
Arginine
Histidine
Isoleucine
Leucine
Lysine
Methionine
Phenylalanine
Threonine
Tryptophan
Valine
ESSENTIAL AMINO ACIDS
Alanine
Arginine
Asparagine
Hydroxyproline
Cystine
Glutamic Acid
Glutamine
Glycine
Histidine
Proline
Serine
Tyrosine
NON-ESSENTIAL AMINO ACIDS
Two incomplete proteins combine to make a complete protein
Complimentary Proteins
- Munggo and rice
- Soybean and wheat
- Soybean and nuts
- Peanut butter and sandwich
- Cereal and milk
Complimentary Proteins
- Structural Role
- Fuel Nutrient
- Regulator of Physiologic Processes
Functions of CHON
● build and repair tissue
●1/5 or 20% of an adult body weight is protein
●1/3 is in the muscle
●1/5 is in the bones and teeth
●1/10 is in the skin and the rest is in body fluid and tissues
- Structural Role
● supplies energy
● 1 gram of protein supplies 4 Kcal. (10-15% of diet)
- Fuel Nutrient
● Regulates body processes
- Regulator of Physiologic Processes
- Kwashiorkor
- Marasmus
PROTEIN-ENERGY MALNUTRITION
- Digestion
- Absorption
- Metabolism
How the body handles CHON
begins in the stomach
- Digestion
mucosa of the small intestine through Active Transport, with the aid Vitamin B6
- Absorption
through catabolism and anabolism. (Protein turnover)
- Metabolism
● regulate the release of amino acids into the bloodstream and remove excess amino acids from the circulation.
● regulates energy metabolism
Liver
- Body size
- Growth
- Aging
- State of health
- Physical activity
- Quality of protein
- Adequacy of calories
Factors Affecting Protein Requirement
● infants (2.75 to 3 gm protein/kg body weight)
● Children (1.5 to 2 gm)
● Early adolescent (1.5 gm)
● Teenagers ( 1.25 gm)
● Adults (1.12 gm)
Growth
● Are organic compounds that dissolve in alcohol and other solvents but don’t dissolve in water.
● It is composed of carbon, hydrogen, and oxygen, in glyceride linkage.
FATS AND OTHER LIPIDS (CHO)
- VISIBLE FATS
- INVISIBLE FATS
CLASSIFICATION OF FATS
used and purchased as fats. It is easy to estimate their intake in daily diet.
- VISIBLE FATS
● cooking oil
● lard
● salad dressing
● margarine
● butter
● animal fats
EXAMPLES OF VISIBLE FATS
not immediately noticeable. It is difficult to estimate their intake.
- INVISIBLE FATS
● egg yolk
● milk
● olives
● avocado
EXAMPLES OF INVISIBLE FATS
- SATURATED FATS (SFA)-
- UNSATURATED
TRIGLYCERIDES
animal source LDL “bad”. Not more 10 % of diet. Attributed to cancer and ATHEROSCLEROSIS.
- SATURATED FATS (SFA)
plant source HDL “good”
- UNSATURATED
- commonly referred to as ‘bad’ cholesterol.
- Elevated of this levels are associated with an increased risk of heart disease
LDL cholesterol
- are combinations of fats (lipids) and proteins
-the form in which lipids are transported in the blood.
Lipoproteins
- are combinations of fats (lipids) and proteins
-the form in which lipids are transported in the blood.
Lipoproteins
a disease of the arteries characterized by the deposition of plaques of fatty material on their inner walls.
Atherosclerosis
- Concentrated source of energy- yields 9 calories per gram of energy. Should be 25-30 % of your diet.
- Storage form of energy.
- Protects and cushions vital organs in the body.
FUNCTIONS OF FAT (CHO)
- Carrier of fat soluble vitamins- ADEK
- Sparer of Protein, Thiamine and Niacin
- Lubrication- sebaceous glands
FUNCTIONS OF FAT (CHO)
- DIGESTION
- METABOLISM
HOW THE BODY HANDLES FATS
- begins in the mouth and stomach.
- true digestion of fats begins in the DUODENUM.
- DIGESTION
- controlled by the liver.
- hydrolyzes triglycerides and forms new ones from this hydrolysis as needed.
-occurs in the cells, where fatty acids are broken down to carbon dioxide and water, releasing energy
- METABOLISM
- Beef
- Butter or margarine
- Salad dressings (mayonnaise)
- Cheese
- milk
SOURCES OF FATS
To reduce fat intake just remember the
3 Bs
B- BAKE
B- BOIL
B- BROIL
3 Bs
● Was originated by Casimir Funk in 1912
VITAMINS
● “vitamine”- “vita”- necessary for life and “amine”- an anti beri-beri factor contained nitrogen
VITAMINS
● do not give energy to the body BUT help convert food into energy via biochemical reactions.
● Shortage can lead to fatigue
VITAMINS
- Water Soluble
- Fat soluble
CLASSIFICATION OF VITAMINS
are absorbed directly into the bloodstream and move freely within the cells. They must be consumed daily in the diet
- Water Soluble
are absorbed with fat into the lymphatic system, and the bloodstream. They attached into the lipoproteins to be transported.
- Fat soluble
1.Vitamin B 1 (Thiamine)
2.Vitamin B 2 (Riboflavin)
3.Vitamin B 3 (Niacin)
4.Vitamin B 6 (Pyridoxine)
5.Vitamin B12 (Cobalamin)
6.Vitamin C (Ascorbic)
7.Biotin
8.Folate (Folic acid)
9.Pantothenic acid
Water Soluble
- Vitamin A (Retinol)
- Vitamin D (Calciferol )
- Vitamin E (Tocopherol)
- Vitamin K (menadione )
ADEK
Fat Soluble
- Vision
- Skin
- Immune System
Vitamin A
Carrots
Sweet Potato
Spinach
Cantaloupe
ANIMALS:
1. Liver
2. dairy products
3. Dilis
4. Tahong
5. Fish Liver Oil
PLANTS:
1. Dark green leafy
2. deep orange fruits
Vitamin A SOURCES
- Bone Development
- Immune System
- Mood
Vitamin D
The sun
Fatty fish
Beef liver
Eggs
Mushrooms
ANIMAL:
1. Dairy products
2. Egg yolk
3. Fish Liver Oil (sardines)
Vitamin D SOURCES
- Healthy skin
- Antioxidant
- Fat digestion
Vitamin E
Sunflower seed
Avocado
Olive oil
Leafy Greens
PLANT
1. Vege Oil
2. Nuts and Seeds
3. Whole grain
Vitamin E SOURCES
- Blood clotting
- Bone + Tissue Development
Vitamin K
Leafy Greens
Broccoli & cabbage
Brussel sprouts
Asparagus
Cauliflower
ANIMAL
1. Liver and milk
PLANT
1. Green leafy vegies
Vitamin K SOURCES
- retinol
- maintain vision in dim
-hair, nails, bone, and glands and epithelium
-prevents infection
VIT A
- Night blindness
- Xeropthalmia or Bitot’s Spot
- retarded growth
4, Toad Skin (Phrynederma) - Resp infection
VIT A DEFICIENCY
- Fetal Malformation
- Hair Loss
- Skin changes
- Bone pain
VIT A TOXICITY
-calciferol
- Calcium and Phosphorus absorption
- bone mineralization
- prevention of tetany
Vitamin D
- Rickets (children)
- Osteomalacia (Adult)
- Hypocalcemia
- Osteoporosis
Vitamin D Deficiency
- Growth retardation
- Kidney damage and stone
- Deposits in soft tissue
- Hypercalcemia
Vitamin D Toxicity
- Tolcopherol
-Antioxidant - Prevents cell damage from oxidation
Vitamin E
Red Blood cell and nerve destruction (hemolysis)
Vitamin E Deficiency
- Menadione
- Blood clotting
-Clotting factors 10,9,7,2
Vitamin K
- Hemorrhage (newborn)
- Prolonged blood Clotting (adults)
Vitamin K Deficiency
- Hemolytic Anemia
- Kernicterus
Vitamin K Toxicity
- Thiamine
- Muscle nerve function
- CHO metabolism
- maintain good appetite
Vitamin B1
- loss of appetite
- Constipation sec to gastric atony
Vitamin B1 Deficiency EARLY STAGE
none but if given more than dosage via IV
Vitamin B1 Toxicity
- Beri-beri
- Wet edema on lower extremities
- CHF, ascites
- Paresthesia
- WERNICKE KORSAKOFF SYNDROME
- Metabolic Acidodis
Vitamin B1 Deficiency LATER STAGE
ANIMAL:
1. Lean Pork
2. Organ meats (Liver)
PLANTS:
1. Whole grains
2. Legumes
Vitamin B1 SOURCES
● High output heart failure
● Heart Hypertrophy especially of the right ventricle
● Tachycardia or Bradycardia
● Dyspnea/ Respiratory Distress
● Edema in lower extremities; oliguria
● Lactic Acidosis
Wet Beri-Beri
● Peripheral neuropathy
● Muscle weakness
● Gait ataxia
● Parasthesias
● Wernicke’s Encephalopathy
Dry Beri-Beri
- Riboflavin
- Essential for CHO, CHON, COOH metabolism or r/t to caloric reqs
Vitamin B2
- Ariboflavinosis
- Cheilosis
- Glossitis
- Seborrheic dermatitis
- Pellagra
Vitamin B2 DEFICIENCY
Inhibit Zn uitlization
Vitamin B2 TOXICITY
ANIMAL:
fish
meats
PLANT:
grains
cereals
Green-leafy Vegie
Vitamin B2 SOURCES
-Niacin
-Co-enzyme in energy metabolism
Vitamin B3
- Pellagra
- Dermatitis
- Dementia
- Diarrhea
- Death
- Glossitis
- Angular Stomatitis
Vitamin B3 DEFICIENCY
- Vasodilator and liver damage
- Hypermotility and acidity of stomach
- paralysis of Resp System
Vitamin B3 TOXICITY
ANIMAL:
1. Fish
2. Meat
3. Eggs
PLANTS
1. whole grain
Vitamin B3 SOURCES
⮚ small, naturally occurring, inorganic, chemical elements
⮚ Inorganic: being or composed of matter other than plant or animal
MINERALS
⮚ serve as structural components and in many vital processes in the body
MINERALS
⮚ Smaller quantities (<5g)
Iron
Zinc
Copper
Fluoride
Selenium
Iodine
Chromium
Manganese
Magnesium
Molybdenum
Trace Minerals
⮚ Larger quantities
Calcium
Chloride
Magnesium
Potassium
Phosphorus
Sodium
Sulfur
Major Minerals
calcium, phosphorous, magnesium
BONE HEALTH
IRON, zinc, copper
BLOOD HEALTH
chlorine
DIGESTION
SUPPORTS REPRODUCTION AND GROWTH
iodine
: 135-145 mEq/L
● Sodium
3.5-5 mEq/L
● Potassium
: 4.5-5.5 mEq/L
● Calcium
4.5-5.5 mEq/L
● Magnesium
: 1.7-2.6 mEq/L
● Phosphate
98-108 mEq/L
● Chloride