special topics in human nutrition and health (you are what you eat)

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SPECIAL TOPICS IN HUMAN NUTRITION AND HEALTH (YOU ARE WHAT YOU EAT)

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Page 2: SPECIAL TOPICS IN HUMAN NUTRITION AND HEALTH (YOU ARE WHAT YOU EAT)

Nutrients: Chemical substances (biomolecules) found in foods and used by

the body for growth and energy. Every cell in your body requires

nutrients in order to function properly.Types of Nutrients: Carbs, Proteins, Lipids, Nucleic Acids, Vitamins, &

MineralsDeficiency: A person is not getting enough of a certain nutrient, resulting

in a health problem.

Minerals Vitamins

Type of Compound:

Inorganic Organic (Contain Carbon)

Source: Rocks, Soil, Sea Water Synthesized by plants and animals.

Examples:Sodium Ion: (Na+)Calcium Ion: (Ca2+)Iron Ion: (Fe2+)

Vitamin A: C20H30OVitamin C: C6H8O6

Vitamin D: C27H44O)

Function(s):Help in bone and tooth formation, blood coagulation, and muscle contraction.

Are important in energy metabolism, as coenzymes, blood clotting, maintaining healthy skin, eyes and hair.

Vitamins and Minerals are required by the body in small quantities. Vitamins are structurally different than minerals.

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“Nutrients are chemical substances found in foods and used in the human body for growth and energy.”

Essential Nutrients Non-Essential Nutrients

Cannot be replaced or synthesized by the body and, therefore, required by

the diet.

Not necessary in the diet because these nutrients can be synthesized by the body.

Dietary fiber is required for a healthy diet but is not absorbed by the body and, therefore, not necessarily considered a nutrient.

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Recommended Daily Allowance

kcal requirements are recommendations. Requirementscan vary depending on size, gender, activity levels, health.

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Health Consequences of Diets Rich in Carbohydrates

• Consumption of large amounts of sugar can increase the risk of obesity, Type II diabetes and tooth decay.

• Consumption of large amounts of starch can cause obesity – slow digestible starches, however, can prevent rapid changes in blood glucose levels.

• Consumption of indigestible fibers in vegetables and fruits can lead to a feeling of satiety, slow glucose absorption, lower risks of certain types of colon cancers and

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What Happens When Your Diet is Deficient in Certain Nutrients?

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Protein Deficiency (Example: Kwashiorkor)

• Kwashiorkor is a disease resulting from malnutrition.• Certain essential amino acids are lacking in the diet due to extremely low protein intake.

• Kwashiorkor is common among children in non-industrialized nations (the name comes from Ghana, a West African Country).

“The disease of the first child, when the second child is born”

Kwashiorkor is easily treated by providing the individual with sources of food high in protein (eggs, high-protein biscuits, etc.)

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Kwashiorkor (Symptoms):

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Artificial Dietary Supplementation: Iodine

Although Iodine is present in seawater and, therefore, fish & kelp, individuals without access to regular seafood are at risk for

not getting enough iodine.

Iodine is a component of the hormone thyroxin (produced by the thyroid gland in the neck). Hormones made by the thyroid gland

regulate the growth at which energy is released by the body.

Insufficient Iodine In the Diet Can Result In:Goiter: An inflammation/swelling in the neck.Cretinism in babies born to mothers with an iodine deficiency.

Cretinism results in stunted growth and varying degrees of mental problems.

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Goiter & Cretinism

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Consequences of Excess Fat Consumption

Consumption of fats in large quantities carries a significant risk of:

1. Obesity

2. Elevated cholesterol levels.

3. An increased risk of coronary heart/artery disease (positive correlation).

Not all fats are created equal.• Polyunsaturated and monounsaturated fats are healthier than

either trans fats and saturated fats. • Trans fats carry the greatest risks to human health.

What is Atherosclerosis?

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The Benefits of Reducing Cholesterol (LDL)

Cholesterol is an essential component (lipid) of the human body. It is considered a steroid and often is the basis for various hormones and cell membranes.

• There are two main types of cholesterol (HDL vs. LDL). High LDL (low-density lipoproteins) levels are associated with increased risk coronary heart disease. Research has shown that a 10% rise in blood cholesterol plasma levels is associated with a 30% increase in the risk of death from CHD. It appears as though total blood cholesterol levels are less important the LDL levels.

• Diets that are high in saturated are linked (positively correlated) with high LDL and total blood cholesterol levels, along with CHD.

• Cholesterol levels do have a genetic component and high cholesterol levels tend to run in families.

• High LDL levels promote inflammation and plaques.

Reducing saturated fat consumption and high animal product consumption is a first step in lowering cholesterol. Diet and exercise are critical. Medications may be

necessary.

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Obesity in the U.S. (A Preventable Condition)(Abnormal or excessive fat accumulation that may impair health)

Key Facts: Source (http://win.niddk.nih.gov/statistics/)• Approximately 68.8% of adults are considered overweight or obese.• Approximately 35.7% of adults are considered to be obese.• Approximately 6.3% have extreme obesity.• Almost 74% of men are considered to be overweight or obese.• The prevalence of obesity is similar for both men and women (about 36%).• About 8% of women are considered to have extreme obesity. • Since the early 1960s, the prevalence of obesity among adults more than

doubled for adults >20. (From 13.4% to 35.7%).• Among children and adolescents, the prevalence of obesity also increased

during the 1980s and 1990s but has leveled off at 17%.

A BMI greater than or equal to 25 is considered overweight.A BMI greater than or equal to 30 is considered obese.

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Just the Facts

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Causes of Obesity and OverweightThe fundamental cause of obesity and overweight is an energy imbalance

between calories consumed and calories expended.

Globally there has been:

• Increased intake of energy-dense foods high in fat and sugar and the availability of cheap, highly-processed foods (as compared to relatively expensive fruits and vegetables).

• An increase in physical inactivity due to the increasingly sedentary nature of many forms of work, changing modes of transportation, and increasing urbanization.

• Cheaper foods have allowed for LARGER portion sizes.• Many tasks that were done in the home by hand are now done by

machine.• Popular activities require less activity (tv and video games have replaced

sports).

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Health Consequences of Overweight and Obesity

Overweight and obesity are the fifth leading risk for global deaths. Approximately 2.8 million people worldwide die each year as a result of

being overweight or obese. • 44% of the diabetes burden, 23% of the ischemic attack heart disease

burden and between 7% and 41% of certain cancer burdens are attributable to overweight and obesity.

Health Consequences• Adverse metabolic effects on blood pressure, cholesterol, triglycerides,

and insulin resistance.• Risks of coronary heart disease, ischemic stroke and type 2 diabetes

mellitus increase steadily with increasing BMI.• Increased risk of cancer of the breast, colon, prostate, endometrium,

kidney and gall bladder. • Increased risk of musculoskeletal disorders (osteoarthritis)

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Treatment Options

• Increased physical activity. • Diet counseling and diet modification to include more fruits and

vegetables. • Psychological counseling.• Support Group Participation.• Surgery: Gastric Bypass Surgery, Liposuction, Apronectomy• Medications (Orlistat)

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Body Mass Index (BMI)

An imperfect scientific attempt to quantify whether or not an individual has the appropriate mass.

WHO: “Body mass index (BMI) is a simple index of weight-for-height that is commonly used to clarify overweight and obesity in adults. It is defined as

a person’s weight in kilograms divided by the square his/her height in meters (kg/m2).”

BMI = (mass in kg)/(height in m)2

Reminder(s):• Weight (Newtons) is a measure of the force pulling you down towards the

ground. • Mass (kg) is the amount of matter you have in your body.

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Example

Example: What is the BMI of a 17 year old woman who

is 1.65 m tall and has a mass of 60 kg?

BMI = (mass in kg)/(height in m)2

BMI can not indicate how mass is distributed.

BMI Status

Below 18.5 Underweight

18.5-24.9 Normal Weight

25.0-29.9 Overweight

30.0 and Above Obese

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Type II Diabetes

Type II diabetes is the most common form of diabetes worldwide and develops as a result of the complex interplay between genetics and

diet.

(Also known as ‘adult-onset diabetes’ or diabetes mellitus type II or non-insulin dependent diabetes mellitus (NIDDM)).

• Type II diabetes results from the body developing an insensitivity to insulin over a period of years. While it is most common in overweight or obese adults over age of 40, it is now being observed in overweight children.

• Some groups have a higher incidence of Type II diabetes than others: (1) Native Australians (Aborigines); (2) Native Americans; and (3) Maoris.

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Type II Diabetes (Animations)

Reminder: Beta cells in the pancreas produce insulin while Alpha cells produce glucagon.

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Statistics and Symptoms(can be mild and develop over a period of years)

Symptoms: (1) being more thirsty than usual; (2) urinating more than usual; (3) feeling tired and fatigued all the time; (4) more infections than usual (skin infections in particular); (5) elevated blood glucose levels and glucose in the urine.

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Dietary Advice for Type II Diabetics(gaining Control of blood Glucose levels)

1. Decreasing body mass and maintaining a healthy BMI through exercise and a proper, well-balanced diet.

2. Eating foods rich in fiber and complex carbs, cutting down on saturated fat. Complex carbs release their energy slowly. Fiber allows nutrients to be absorbed slowly over time.

3. Eating small, regular meals throughout the day.

4. Eat lots of fresh fruits and vegetables. Low GI foods.

5. Exercise.

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The Ethical Issues of Meat Consumption

Many people choose what to eat, based on likes and dislikes, availability, choice and cost. Some people also have ethical reasons

for not eating certain foods.

• Vegetarians do not eat the flesh of any animals: no red meat, no poultry, and no fish.

• Some vegetarians (vegans) do not eat ANY animal products (eggs, milk, dairy, honey) or any product that contains animal products.

For some vegetarians and vegans, vegetarianism goes even further . . . They will not wear/use leather, fur, wool or silk.

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Documentaries/LecturesWarning: Some of these videos are Graphic/Disturbing