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Human Nutrition How our diet determines Health & Wellness Why should we care? • Nutrition (and physical activity) contributes to wellness • Wellness = the absence of “disease” – Physical – Emotional (including mental) – Spiritual Why should we care? Optimal nutrition prevents disease 1. Nutrient deficiency diseases • Goiter, scurvy, pellagra, rickets 2. Diseases influenced by nutrition** • Chronic diseases (heart disease, odesity, Type II diabetes) 3. Diseases in which nutrition plays some role • Some cancers, Osteoporosis Example: Obesity • An emerging problem, just within last two decades Table 1-5 Page 24 Table 1-6 Page 25 Optimal Nutrition • • Largely because of 2 and 3, acquiring optimal nutrition has become a national goal Goals of Healthy People 2010 (promoted by USDHHS) 1. Increase quality and years of healthy life 2. Eliminate health disparities Another reason: Omnivore’s Dilemma • Knowing what to eat, how much to eat, and in what setting to eat is BASIC – We’ve been doing it pretty well for tens of thousands of years. – Within the last 50 years or so, we’ve forgotten how to do it. – Due almost entirely to corporations that make money from selling us food products. What are Nutrients? • Organic* (contain Carbon) & Inorganic molecules in food that are critical to human growth and function – – – – – – Carbohydrates * Lipids (Fats and oils) * Proteins * Vitamins * Minerals Water Divisions of Nutrients • Macronutrients – provide energy to do work* – Fats, Carbs, Proteins – Required in large amounts – Broken down & stored or rebuilt • Micronutrients – Provide specialty parts for enzymes – Vitamins and minerals – Required in much smaller quantities – Used primarily “as-is” Energy of macronutrients • Measured in kilocalories (kcal) = Energy required to raise the temp. of 1g of H2O by 1°C. • Via bomb calorimetry • On food labels, “Calorie” usually means kcal. Energy Density of Two Breakfast Options Compared LOWER ENERGY DENSITY HIGHER ENERGY DENSITY This 450-gram breakfast delivers 500 kcalories, for an energy density of 1.1 (500 kcal ÷ 450 g 1.1 = kcal/g). This 144-gram breakfast also delivers 500 kcalories, for an energy density of 3.5 (500 kcal ÷144 g = 3.5 kcal/g). Carbohydrates • Primary source of Energy during activity (especially for our brain) • C, H and O in ratio of 1:2:1 • Provides 4 kcal/g Fats (Lipids) • Triglycerides, phospholipids • Important source of Energy during rest and low intensity activity • Provide 9 kcal/g (far fewer Oxygens) Proteins • Contain C, H, O & Nitrogen (N)* • Constructed of chains of Amino Acids (AA) • Energy source only in dire need; 4 kcal/g Proteins • Important for: – – – – Bone structure (organic part of bones is protein) Regulating metabolic rate & fluid balance Repairing muscle & bone Build cells and tissues Table 1-2 Page 9 Calculating Energy of foods • 1 slice bread with 1 tbsp. peanut butter – – – – Carbs: 16g * 4 kcal/g Protein: 7g * 4 kcal/g Fat: 9g * 9 kcal/g Total = 64 kcal = 28 kcal = 81 kcal = 173 kcal Vitamins • Micronutrients (only need a little; e.g. mg, µg) • Organic compounds that assist in regulating body processes and using E (do not supply E) • 2 types based on solubility – Fat-soluble – Water-soluble Fat-soluble vitamins • Vitamins A, D, E, K • Easily dissolve in fats and oils • Easily stored in adipose tissue (fat cells) throughout the body – Unnecessary to ingest or synthesize these every day Water-soluble vitamins • Vitamins C, B (thiamin, B6, riboflavin, folate, etc.) • Must ingest or synthesize these every day – Your kidneys filter them from the blood & you excrete them in urine Minerals •Inorganic compounds (no Carbon) •Remain intact (maintain same structure regardless of their environment) • Major – – – – – – Sodium (Na+) Chloride (Cl-) Potassium (K+) Calcium (Ca2+) Phosphorous (P) Magnesium (Mg2+) • Minor – – – – – – – – Iron Zinc Iodine Selenium Copper Flouride Chromium Molybdenum Minerals • Essential to: – Bone deposition (Ca, P, Mg) – Delivering O2 to cells and removing CO2 (Fe) – Initiating & sustaining muscle contraction (Na, K, Ca) – Propagating nerve impulses (Na, K, Ca) – Fluid balance & blood pressure (Na, K, Cl) H2 O ~ 2/3 of total body weight • Dissolves organic and inorganic molecules making a solution (~55% of blood volume is water) • Needed for chemical reactions – Hydrolysis and dehydration synthesis • High heat capacity – Absorbs and retains heat without changing temp. or state = stability! – Great medium for cooling the body • Effective lubricant – Reduces friction Determining Nutrient Intake Naive vs. Accurate View of Nutrient Intakes Danger of toxicity Marginal Tolerable Upper Intake Level Safety Safety RDA or AI RDA Marginal Danger Danger of deficiency Naive view Accurate view Estimated Average Requirement Dietary Reference Intakes Dietary Reference Intakes • DRIs consist of 4 values: 1. Estimated Average Requirement (EAR) 2.Recommended Dietary Allowances (RDA) 3.Adequate Intake (AI) 4.Tolerable Upper-Intake Level (UL) Dietary Reference Intakes • Estimated Average Requirement (EAR) • Average daily intake (ADI) level of a nutrient that meets the needs of 1/2 of the people in a particular category Dietary Reference Intakes • Recommended Dietary Allowance (RDA) • The ADI level required to meet the needs of 97 – 98% of people in a particular category Dietary Reference Intakes • Adequate Intake (AI) • Recommended ADI level for a nutrient • Based on observations and estimates from experiments • Used when the RDA is not yet established: calcium, vitamin D, vitamin K, fluoride Dietary Reference Intakes • Tolerable Upper Limit (UL) • Highest ADI level that is not likely to have adverse effects on the health of most people • Consumption of a nutrient at levels above the UL is not considered safe – Anything consumed in excess is potentially dangerous Dietary Reference Intakes • Estimated Energy Requirement (EER) • Average dietary energy intake (kcal) to maintain energy balance (neither gaining nor losing weight) • Based on age, gender, weight, height, level of physical activity Dietary Reference Intakes • Acceptable Macronutrient Distribution Range (AMDR) • Describes the portion of energy intake that should come from each macronutrient Nutrient AMDR Carbohydrate 45 - 65% Fat 20 - 35% Protein 10 - 35% Your Goal • Create a diet plan that is: – nutritionally adequate – allows you to maintain a healthy weight – support your daily physical activities