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CHAPTER 3 REQUIREMENTS Smallest amount of nutrient that maintains a defined level of health varies: age, sex, general health status, physical activity, medication, drugs Obtaining the required amounts does not equal optimal nutrition DIETARY REFERENCE INTAKE (DRI) Various energy and nutrients intake standards for Americans Intended to help people to reduce their risk of nutrient deficiencies and excess, prevent damage and achieve optimal health Dietary standards DIETARY REFERENCE INTAKE (DRI) Estimated Average Requirement (EAR): amount of a nutrient that meets the needs of 50% if healthy people in a life stage/gender group Recommended Dietary Allowance (RDA): standards for recommending daily intakes of several nutrients Adequate Intake (AI): dietary recommendations that assume a population’s average daily nutrient intakes are adequate because no deficiency Tolerable Upper Intake Levels (UL): standard representing the highest average amount of a nutrient that is unlikely to be harmful when consumed daily Estimated Energy Requirements (EER): average daily energy intake that meets the needs of a healthy person maintaining his/her weight ACCEPTABLE MACRONUTRIENT DISTRIBUTION RANGES ( AMDRS) Macronutrient intake ranges that are nutritionally adequate and may reduce the risk of diet related chronic disease MAJOR FOOD GROUPS Grains Milk and Milk products Fruits Vegetables Meat and meat substitutes GRAINS Wheat, rice, oats Pasta, noodles, flour tortillas Corn, popcorn, 1oz of grain =1 slice of bread, 1 cup ready to eat cereal, ½ cup of cooked rice, pasta or cereal Carbohydrate is the primary macronutrient in grain Whole grains better then refine grains In US grains include vitamins and minerals Enrichment: addition of iron and B vitamins to cereal and grain products. MILK AND MILK PRODUCTS Milk, yogurt, hard cheese Excellent sourced of protein, phosphorus (mineral), riboflavin (a B vitamin) In US, milk usually has vitamins A and D Fortified: addition of nutrients to food 1 cup of milk=1 cup of yogurt, pudding or 2 cups of cottage cheese, 1 1/2 oz of cheese Cream cheese and butter not included as a milk product MEATS AND MEAT SUBSTITUTES Beef, pork, lamb, fish, shellfish, liver and poultry Beans, eggs, nuts, and seeds 1oz of meat, poultry, fish=1/4 cup cooked dry beans and peas, I egg, 1 tablespoon or peanut butter, or ½oz of nuts or seeds Protein, iron, zinc, B vitamins Iron zinc more easily absorbed from meat then plants Saturated fat, cholesterol Lean meats vs. high fat meats FRUITS Fresh, dried, frozen, sauced, canned and juice (100%) 1 cup =1 cup Potassium, vitamin C, foliate, fiber VEGETABLES Frozen, cooked, canned, fresh, dried and juice (100%) Dark green, orange, starchy 1 cup =1 cup raw or cooked Fiber, micronutrients, low in fat OILS Canola, corn, olive oils, fats that are liquid at room temperature Solid fats: beef fat, butter, lard, shortening, cream cheese, sour cream, cream Vegetables oils Mayo, margarine, salad dressing DIETARY GUIDELINES FOR AMERICANS 2005 Adequate nutrient within caloric needs Weight management Physical activity Food groups to encourage Fats Carbohydrates Sodium and potassium OH Food safety ADEQUATE NUTRIENTS WITHIN CALORIC NEEDS Consume a variety of nutrient-dense foods and beverages from the basic food groups, while limiting your intake of added salt and sugars, OH, cholesterol, saturated fat and trans fats, type lipids that increase the risk of CVD Adopt a nutritionally balanced eating plan that provides recommended amount of nutrients and energy WEIGHT MANAGEMENT Too mush body fat increases your risk of chronic disease More difficult the older you get To avoid gaining unwanted weight over time Match you caloric intake with the calories your body uses for its energy Gradually reduce energy intake, eat fewer empty calories Increase physical activity PHYSICAL ACTIVITY Promotes healthy body weight, psychological well being, overall good health To manage your weight as you age: 60 minutes of moderate-vigorous most days Maintain caloric intake Lost body fat and want to maintain: 60-90 minute of moderate 30 minutes of moderate physical activity most days of the week Moderate: hiking, gardening, yard work, dancing, walking, golf, bicycling, walking, weight lifting, stretching Vigorous: running, jogging, bicycling, swimming, aerobics, walking, heavy yard work, weight lifting, basketball. FOOD GROUPS TO ENCOURAGE Many Americans do not eat enough fruits, vegetables, whole-grains, and milk According to dietary guidelines you should: Consume adequate amounts of fruits and vegetables Eat a variety of fruits and vegetable daily Consume at least 3oz of whole grain products daily Consume 3 cups of fat-free or low-fat milk FATS Some are healthier then others Fat intake should be 20-35% of calories daily Choose unsaturated fat foods: vegetables oils, fatty fish, most nuts Consume <10% of your total calories from saturated sat and less than 300 mg of cholesterol daily Limit trans fats CARBOHYDRATES Some healthier them others Include fiber-rich fruits, vegetables and whole grain Choose food and beverages with minimal amounts of sugar, caloric sweeteners (sugar, honey, corn syrup) SODIUM AND POTASSIUM Necessary for life Too much sodium and not enough potassium can cause hypertension To reduce risk: <1 tsp of salt daily (2300mg) Select low sodium foods Eat more potassium rich foods OH In small amounts can be beneficial Moderate OH uses: 1 standard drink at day for women and no more the 2 drinks for men FOOD SAFETY Avoid food bourn illness Washing hands, surfaces Keep raw, cooked and ready to eat foods apart Cook to the correct temperature Refrigerate perishables DIETARY GUIDES 1943: USDA issued the first food guide based on RDAs for the general public to use. 1950s: USDA simplified the original food guide to include only four food groups: milk, meat, fruit, vegetables and bread and cereal, “Basic Four.” 1979: USDA started “Hassel-Free Guide to a Better Diet,” added 5th food group. Sweet, fats and OH 1992: USDA introduced the Food Guide Pyramid 2005: USDA released the “My-Pyramid Plan.” MY PYRAMID PLAN WWW.MYPYRAMID.GOV 12 different nutritionally adequate dietary patterns that supply from 1000 to 3200 kcal/day Emphasis on physical activity Discretionary calorie allowance Can be individualized by a person’s Age, Sex, Height, Weight, Physical activity, Food preference, Stage of life Problems: Computer/internet portions