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Chapter 1 Nutrition and health -Nutrition is consider as vital component in personal health care. -Promotion of health, and prevention of disease for all people, rests on whole food supply. -Human nutrition depends on attitudes toward food, and eating pattern through our life span, under influence of community, nation, and over all world. -We need nutrition for maintenance of growth, activity ,and reproduction. -The body need energy to carry out vital function as breathing, and the people need energy to perform physical activity, that could be met by food . -Dietetics is the health profession ,having primary responsibility of application of nutritional care, in various state of health , and disease, with assistance of nurse and physician. Definition of nutrition: -Nourishment that sustain life, it begins from the moment of conception until death . -The food people eat, and how it nourishes their bodies. Kinds of nutrients: 1- Macro nutrients : -Fats, carbohydrates ( CHO), proteins . -Supply energy, build tissue. 2- Micro nutrients : -Vitamins( vits ),minerals. -Need in small amount. -Regulate, and control body process. NB:- water is the over all vital nutrients, enter in all of life process, -Metabolism: sum of chemical process in the body, to sustain life, and health . 1 Metabolites any substance that produced by metabolism or by metabolic process -Source of energy: 1-Carbohydrates CHO : -Primary source of energy. -Sugar is simple CHO food, while starch is complex CHO food . -The quick source of energy is glycogen. -Each one gram of CHO, yield 4kilocalories . -50to60% of energy taken from CHO diet . 2-Fats: -Comes from plants and animals. -Saturated fat from animals . -Unsaturated fat from vegetables, and oil products . -Each one gram of fat yield 9 kilocalories. -25to30% of energy taken from fat . 3-Proteins: -The body take energy from protein, when there is insufficient amount of CHO, and fat . -Each one gram of protein yield 4kilo calories. -15to29%of total energy taken from protein. -The primary function of protein ,are building and energy. NOTE: caloric is aunit of heat used in the nutritional science, each 1000 calories equal 1 kilocalorie. *Tissue building: 1-Protein the primary source: -Responsible for tissue building . -The necessary unit of building is called amino acid. 2-Minerals : -Calcium and phosphorus help in building, and maintain bone tissue. -Iron help in build of hemoglobin of red blood cell. 3-Vitamins: -Vit C build tissue, and prevent bleeding in tissue . 4-Fatty acid . 2 -Metabolic regulation ,and control: 1-Vitamines: -Many vits act as co-enzyme or cell enzyme, to govern chemical reactions in cell metabolism , example B-complex vits . 2-Minerals : -Act as co-enzyme factors of cell metabolism. Example: the trace element cobalt act with B12, to prevent occurrence of pernicious Anemia. 3-Water and fiber : -Regulate the passage of food through gastro intestinal tract (GIT), that help in absorption of different nutrient . -Remember : water is the fundamental agent for life, provide the basis of metabolic process . Levels of nutritional status 1-Ideal nutrition: -Positive nutrition . -Well developed body .-Ideal weight . -Good muscle development, and tone . -The skin is smooth, and clear, hair is glassy . -The eye clear, and bright . -Posture is good . -Facial expression is alert . -Appetite, digestion ,and elimination are normal . mentally and physically alert. -Having essential nutrition, to resist infectious disease. -Sleep well at nigh. -2-Border line nutrition -Poor eating habits, Whose living in stress environment, with low income . -Has no reservoir of nutrition . -At risk of physical illness 3 3-Malnutrition : -Nutrients energy are not enough to meet day to day needs . -Associated with poverty .-Affect infants, children, pregnant women, and elderly. Increase infant mortality rate, because of poverty, low income and, -un-educated mother. - Children and pregnancy ,develop anemia result in , Low resistance to infectious disease. -Impaired learning ability. -Reduce activity level . -Apathy . -Elderly suffering of chronic disease. -Over nutrition . -Over weight and obesity . -Excess energy intake . -Lead to chronic disease, as hyper tension, and DM . *Note: -Specific dietary factors lead to: -1-Coronary heart disease( CHD). -2-High blood pressure( HTN ). -3-Stroke( CVA). -4-Some type of cancer . -5-DM. -6-Obesity . *Recommendation for good nutrition : -Eat variety of food , Well balanced diet. -Maintain ideal weight. -Avoid too much fat ,saturated fat, and cholesterol. -Eat food with adequate starch, and fiber . -Avoid too much sugar. -Avoid too much sodium. -Avoid alcohol intake. 4 5