Barasi’s Human nutrition : (Record no. 8912)

MARC details
000 -LEADER
fixed length control field 83907nam a22001457a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20210423131553.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210423b ||||| |||| 00| 0 eng d
082 ## - DEWEY DECIMAL CLASSIFICATION NUMBER
Classification number e-book (FST)
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Lean, Mike
245 ## - TITLE STATEMENT
Title Barasi’s Human nutrition :
Remainder of title a health perspective /
250 ## - EDITION STATEMENT
Edition statement Third edition
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc London :
Name of publisher, distributor, etc CRC Press ,
Date of publication, distribution, etc 2017.
520 ## - SUMMARY, ETC.
Summary, etc Section I Foods, Nutrient Requirements and Nutrition<br/>Chapter 1 Introduction: What Is Nutrition?...................................................................................3<br/>Aims..............................................................................................................................3<br/>Definitions of Nutrition.................................................................................................3<br/>Evidence-Based Nutrition.........................................................................................4<br/>Why Is Nutrition Important?.........................................................................................4<br/>What Do We Eat?..........................................................................................................6<br/>How Is Information about People’s Diets Collected?....................................................7<br/>Population and Household Information....................................................................7<br/>Studying Nutrition.........................................................................................................8<br/>Summary.......................................................................................................................8<br/>Activity..........................................................................................................................9<br/>Chapter 2 Nutrient Requirements and the Nutritionally Balanced Diet...................................... 11<br/>Aims............................................................................................................................ 11<br/>Diet Quality and the Nutritionally Balanced Diet...................................................... 11<br/>Consumers and Health Claims............................................................................... 11<br/>Nutritionally Balanced Diet: Which Foods to Choose?.............................................. 12<br/>What Is the Difference between Meals and Snacks?............................................. 12<br/>Nutritionally Balanced Diet: How Much to Eat?........................................................ 13<br/>What Are the Features of a Nutritionally Balanced Diet?.......................................... 14<br/>Eating More or Less of Particular Foods............................................................... 14<br/>Eating More or Less of Particular Nutrients.......................................................... 14<br/>Eating Specific Foods That Are Believed to Have ‘Health-Promoting’<br/>Properties................................................................................................................ 15<br/>What Nutrients Are Needed and in What Amounts?.................................................. 15<br/>Nutritional Requirement......................................................................................... 16<br/>Distribution of Nutritional Requirements in a Population.......................................... 17<br/>From Requirements to Recommendations: Dietary Reference Values ...................... 18<br/>Fats and Carbohydrates.......................................................................................... 19<br/>Less-Studied Micronutrients..................................................................................20<br/>Practical Applications.............................................................................................20<br/>For Individuals...................................................................................................20<br/>For Groups of Individuals.................................................................................. 21<br/>For Dietary Planning......................................................................................... 21<br/>Food Labelling................................................................................................... 21<br/>vi Contents<br/>Dietary Planning.........................................................................................................22<br/>Meal Planning Tools...............................................................................................22<br/>Nutrition Information..................................................................................................26<br/>The Question of Alcohol.............................................................................................26<br/>Summary.....................................................................................................................27<br/>Study Questions...........................................................................................................28<br/>Activities.....................................................................................................................28<br/>Bibliography and Further Reading..............................................................................29<br/>Chapter 3 Macronutrients in Foods and Diets: Proteins, Carbohydrates and Fats...................... 31<br/>Aims............................................................................................................................ 31<br/>Proteins........................................................................................................................ 31<br/>Amino Acids: The Building Blocks....................................................................... 32<br/>Proteins in Food.....................................................................................................34<br/>Protein Quality....................................................................................................... 35<br/>Measuring Protein Quality................................................................................ 35<br/>Protein Requirements.............................................................................................36<br/>Carbohydrates.............................................................................................................38<br/>What Are Carbohydrates?......................................................................................38<br/>Monosaccharides............................................................................................... 39<br/>Disaccharides.....................................................................................................40<br/>Oligosaccharides................................................................................................ 41<br/>Polysaccharides.................................................................................................. 41<br/>How Much Carbohydrate Should We Have?.......................................................... 45<br/>Fats.............................................................................................................................. 47<br/>What Are Fats?....................................................................................................... 47<br/>Triglycerides......................................................................................................48<br/>Types of Fatty Acids..........................................................................................49<br/>Essential Fatty Acids......................................................................................... 51<br/>Conjugated Linoleic Acid.................................................................................. 52<br/>Other Lipids....................................................................................................... 53<br/>Fats in the Diet.......................................................................................................54<br/>Sources of Fat in the Diet..................................................................................54<br/>Sources of Essential Fatty Acids....................................................................... 55<br/>Trends in Intakes of Fats.................................................................................... 55<br/>How Much Fat Should We Have in the Diet?.........................................................56<br/>Summary..................................................................................................................... 57<br/>Proteins................................................................................................................... 57<br/>Carbohydrates......................................................................................................... 57<br/>Fats......................................................................................................................... 57<br/>Study Questions........................................................................................................... 58<br/>Activity........................................................................................................................ 58<br/>Bibliography and Further Reading.............................................................................. 58<br/>Chapter 4 Vitamins and Phytochemicals..................................................................................... 61<br/>Aims............................................................................................................................ 61<br/>Vitamins...................................................................................................................... 61<br/>Fat-Soluble Vitamins.............................................................................................. 62<br/>Vitamin A.......................................................................................................... 62<br/>Contents vii<br/>Vitamin D..........................................................................................................64<br/>Vitamin E...........................................................................................................65<br/>Vitamin K..........................................................................................................66<br/>Water-Soluble Vitamins.......................................................................................... 67<br/>Thiamin (Vitamin B1)........................................................................................68<br/>Riboflavin (Vitamin B2).....................................................................................68<br/>Nicotinic Acid (Niacin, Vitamin B3).................................................................69<br/>Vitamin B6......................................................................................................... 70<br/>Folate................................................................................................................. 71<br/>Vitamin B12........................................................................................................ 72<br/>Pantothenic Acid (Vitamin B5).......................................................................... 73<br/>Biotin (Vitamin B7)........................................................................................... 73<br/>Vitamin C.......................................................................................................... 74<br/>Phytochemicals........................................................................................................... 75<br/>Phenolic Compounds, Including Flavonoids.......................................................... 76<br/>Dietary Phytoestrogens.......................................................................................... 76<br/>Phytosterols............................................................................................................77<br/>Glucosinolates........................................................................................................ 78<br/>Carotenoids............................................................................................................. 78<br/>Use of Vitamin and Other Nutritional Supplements................................................... 79<br/>Summary..................................................................................................................... 79<br/>Study Questions...........................................................................................................80<br/>Activity........................................................................................................................80<br/>Bibliography and Further Reading..............................................................................80<br/>Chapter 5 Minerals, Electrolytes and Fluid.................................................................................83<br/>Aims............................................................................................................................83<br/>Minerals......................................................................................................................83<br/>Major Minerals.......................................................................................................85<br/>Calcium..............................................................................................................85<br/>Phosphorus.........................................................................................................86<br/>Magnesium........................................................................................................86<br/>Sulphur...............................................................................................................86<br/>Microminerals or Trace Elements..........................................................................87<br/>Iron.....................................................................................................................87<br/>Zinc....................................................................................................................88<br/>Copper...............................................................................................................88<br/>Selenium............................................................................................................89<br/>Iodine.................................................................................................................89<br/>Chromium..........................................................................................................90<br/>Fluoride..............................................................................................................90<br/>Electrolytes.................................................................................................................. 91<br/>Sodium and Chloride.............................................................................................. 91<br/>Sodium and Chloride in Foods..........................................................................92<br/>Dietary Reference Value....................................................................................92<br/>Potassium................................................................................................................93<br/>Dietary Reference Value....................................................................................93<br/>Potassium in the Diet.........................................................................................93<br/>Fluids: Keeping the Body Hydrated............................................................................93<br/>What to Drink?.......................................................................................................93<br/>viii Contents<br/>Water..................................................................................................................94<br/>Soft Drinks........................................................................................................94<br/>Fruit Juices.........................................................................................................94<br/>Milk...................................................................................................................94<br/>Tea and Coffee...................................................................................................94<br/>How Much to Drink?..............................................................................................94<br/>Water in Foods........................................................................................................94<br/>Dehydration............................................................................................................95<br/>Summary.....................................................................................................................96<br/>Study Questions...........................................................................................................96<br/>Activities.....................................................................................................................96<br/>Bibliography and Further Reading..............................................................................97<br/>Section II Nutrition through the Life Cycle<br/>Chapter 6 Nutrition during Pregnancy and Lactation ��������������������������������������������������������������� 101<br/>Aims.......................................................................................................................... 101<br/>Nutrition before Pregnancy....................................................................................... 102<br/>Nutrition at the Time of Conception......................................................................... 103<br/>Nutrition during Pregnancy....................................................................................... 104<br/>What Are the Dietary Goals in Pregnancy?............................................................. 105<br/>Diet in Pregnancy...................................................................................................... 106<br/>Appetite................................................................................................................ 106<br/>Energy.................................................................................................................. 106<br/>Nutrients............................................................................................................... 106<br/>Food Safety........................................................................................................... 107<br/>Should Supplements Be Given?................................................................................. 108<br/>Who Is Most at Risk in Pregnancy?.......................................................................... 109<br/>Teenage Mothers.................................................................................................. 109<br/>Low Income.......................................................................................................... 109<br/>Underweight and Overweight Women................................................................. 110<br/>Other Situations.................................................................................................... 110<br/>Long-Term Consequences of Intrauterine Events..................................................... 110<br/>Higher Blood Pressure.......................................................................................... 111<br/>Insulin Resistance and Diabetes Mellitus............................................................ 112<br/>Cholesterol Metabolism and Blood Clotting........................................................ 112<br/>Other Conditions.................................................................................................. 113<br/>Nursing or Lactating Mother..................................................................................... 115<br/>Process of Lactation.................................................................................................. 115<br/>Milk Production or Lactogenesis......................................................................... 115<br/>Milk Ejection or Let Down.................................................................................. 115<br/>Diet in Lactation........................................................................................................ 115<br/>Energy.................................................................................................................. 116<br/>Protein.................................................................................................................. 118<br/>General Considerations............................................................................................. 118<br/>Decision to Breastfeed.............................................................................................. 118<br/>Summary................................................................................................................... 119<br/>Contents ix<br/>Study Questions......................................................................................................... 119<br/>Activities................................................................................................................... 119<br/>Bibliography and Further Reading............................................................................ 120<br/>Chapter 7 Nutrition during Infancy, Childhood and Adolescence............................................ 123<br/>Aims.......................................................................................................................... 123<br/>Infants........................................................................................................................ 123<br/>Growth.................................................................................................................. 123<br/>Nutrition and Development.................................................................................. 125<br/>Development of the Digestive Tract................................................................ 125<br/>Energy.............................................................................................................. 126<br/>Protein.............................................................................................................. 127<br/>Fats................................................................................................................... 127<br/>Carbohydrates.................................................................................................. 127<br/>Fluid................................................................................................................. 127<br/>Minerals........................................................................................................... 128<br/>Vitamins.......................................................................................................... 128<br/>Meeting Nutritional Needs................................................................................... 128<br/>Breastfeeding or Bottle-Feeding?............................................................................. 129<br/>Formula Milk and Breast Milk Compared........................................................... 130<br/>Proteins in Milk............................................................................................... 130<br/>Carbohydrates in Milk..................................................................................... 131<br/>Fats in Milk...................................................................................................... 131<br/>Vitamins.......................................................................................................... 131<br/>Minerals........................................................................................................... 131<br/>Immunological Factors.................................................................................... 131<br/>Other Factors................................................................................................... 132<br/>Other Milks Available..................................................................................... 132<br/>Future Health................................................................................................... 132<br/>Weaning..................................................................................................................... 133<br/>Why Should a Baby Be Weaned?......................................................................... 133<br/>Child from 1 to 5 Years of Age................................................................................. 136<br/>School-Age Children................................................................................................. 137<br/>Influences on Nutritional Intakes......................................................................... 137<br/>Autonomy........................................................................................................ 138<br/>Growth............................................................................................................. 138<br/>Activity............................................................................................................ 138<br/>Societal Pressures............................................................................................ 139<br/>Nutritional Needs................................................................................................. 139<br/>What Do Children and Adolescents Eat?.................................................................. 141<br/>Health-Related Aspects........................................................................................ 141<br/>Dietary Patterns.................................................................................................... 141<br/>Nutritional Intakes................................................................................................ 142<br/>School Meals........................................................................................................ 144<br/>Minimum Nutritional Standards..................................................................... 144<br/>Alternatives to School Lunch.......................................................................... 146<br/>Some Potential Nutritional Problems........................................................................ 147<br/>Vegetarianism....................................................................................................... 147<br/>Teenage Athletes.................................................................................................. 148<br/>x Contents<br/>Pregnant Teenagers............................................................................................... 148<br/>Dieting.................................................................................................................. 148<br/>Smoking and Alcohol Use.................................................................................... 149<br/>Summary................................................................................................................... 150<br/>Study Questions......................................................................................................... 150<br/>Activity...................................................................................................................... 150<br/>Bibliography and Further Reading............................................................................ 150<br/>Chapter 8 Nutrition during Adulthood and Ageing................................................................... 153<br/>Aims.......................................................................................................................... 153<br/>Adult Men.................................................................................................................. 154<br/>Do Men Have Problems Achieving These Guidelines and<br/>Are They Appropriate?......................................................................................... 154<br/>Adult Women............................................................................................................. 154<br/>Vegetarians................................................................................................................ 155<br/>Minority Ethnic Groups............................................................................................ 157<br/>Low Income and Nutrition........................................................................................ 158<br/>Characteristics of the Diet.................................................................................... 159<br/>Nutritional Implications....................................................................................... 161<br/>Practical Help....................................................................................................... 162<br/>Older Adults.............................................................................................................. 163<br/>Why Are Some Elderly Persons at Risk?............................................................. 164<br/>Sensory System................................................................................................ 164<br/>Gastrointestinal System................................................................................... 164<br/>Kidney Function.............................................................................................. 165<br/>Lean Tissue...................................................................................................... 165<br/>Mobility........................................................................................................... 165<br/>Immune System............................................................................................... 168<br/>Brain and Nervous System.............................................................................. 168<br/>Other Factors................................................................................................... 169<br/>Factors Affecting Nutritional Status.................................................................... 169<br/>Inadequate Intake............................................................................................ 169<br/>Less Efficient Digestion and Absorption......................................................... 170<br/>Altered Needs.................................................................................................. 170<br/>What Is the Nutritional State of Older Adults?.................................................... 171<br/>What Are the Nutritional Requirements for the Elderly?.................................... 173<br/>Summary................................................................................................................... 175<br/>Study Questions......................................................................................................... 175<br/>Activities................................................................................................................... 176<br/>Bibliography and Further Reading............................................................................ 176<br/>Section III Digestion, Absorption and Nutrient Metabolism<br/>Chapter 9 Gut Structures, Functions and Control of Digestion................................................. 181<br/>Aims.......................................................................................................................... 181<br/>Basic Anatomy and Physiology................................................................................. 181<br/>Contents xi<br/>Functions of the GI Tract.......................................................................................... 182<br/>Digestion............................................................................................................... 183<br/>Secretion............................................................................................................... 183<br/>Motility................................................................................................................. 185<br/>Absorption............................................................................................................ 186<br/>Control of Eating and Digestive Functions............................................................... 186<br/>Sensory Signals.................................................................................................... 188<br/>Pre-Absorptive Information................................................................................. 188<br/>Post-Absorptive Signals........................................................................................ 188<br/>Metabolism........................................................................................................... 189<br/>Integration by the Brain........................................................................................ 190<br/>Summary................................................................................................................... 190<br/>Study Questions......................................................................................................... 190<br/>Activity...................................................................................................................... 191<br/>Bibliography and Further Reading............................................................................ 191<br/>Chapter 10 Digestion and Absorption of Nutrients..................................................................... 193<br/>Aims.......................................................................................................................... 193<br/>Digestion and Absorption of Macronutrients............................................................ 193<br/>Proteins................................................................................................................. 193<br/>Digestion of Proteins....................................................................................... 193<br/>Absorption of the Products of Protein Digestion............................................. 193<br/>Fats....................................................................................................................... 195<br/>Digestion of Fats.............................................................................................. 195<br/>Absorption of the Products of Fat Digestion................................................... 195<br/>Carbohydrates....................................................................................................... 197<br/>Digestion of Carbohydrates............................................................................. 197<br/>Absorption of Carbohydrates........................................................................... 199<br/>Digestion and Absorption of Vitamins..................................................................... 201<br/>Vitamin A............................................................................................................. 201<br/>Vitamin D.............................................................................................................202<br/>Vitamin E.............................................................................................................202<br/>Vitamin K.............................................................................................................202<br/>Thiamin................................................................................................................203<br/>Riboflavin.............................................................................................................203<br/>Niacin...................................................................................................................203<br/>Vitamin B6............................................................................................................203<br/>Folate....................................................................................................................203<br/>Vitamin B12...........................................................................................................203<br/>Vitamin C.............................................................................................................204<br/>Digestion and Absorption of Minerals, Trace Elements and Electrolytes................204<br/>Calcium................................................................................................................204<br/>Enhancing factors............................................................................................204<br/>Inhibitory factors.............................................................................................205<br/>Phosphorus...........................................................................................................206<br/>Magnesium...........................................................................................................206<br/>Iron.......................................................................................................................206<br/>Control of absorption.......................................................................................207<br/>Zinc.......................................................................................................................208<br/>xii Contents<br/>Copper..................................................................................................................208<br/>Selenium...............................................................................................................208<br/>Iodine....................................................................................................................209<br/>Fluoride................................................................................................................209<br/>Sodium and Chloride............................................................................................209<br/>Potassium..............................................................................................................209<br/>Fluid Balances................................................................................................. 210<br/>Digestion and Absorption of Phytochemicals........................................................... 212<br/>Summary................................................................................................................... 213<br/>Study Questions......................................................................................................... 214<br/>Activity...................................................................................................................... 214<br/>Bibliography and Further Reading............................................................................ 214<br/>Chapter 11 Metabolism and Function of Macronutrients............................................................ 215<br/>Aims.......................................................................................................................... 215<br/>Proteins...................................................................................................................... 215<br/>Amino Acid Metabolism........................................................................................... 215<br/>Amino Acid Pool.................................................................................................. 216<br/>Control of Protein Metabolism............................................................................. 218<br/>Contribution of Protein to Body Composition................................................. 218<br/>Formation of Enzymes.................................................................................... 219<br/>Homeostasis..................................................................................................... 219<br/>Hormones......................................................................................................... 219<br/>Acid–Base Balance.......................................................................................... 219<br/>Fluid Balance................................................................................................... 219<br/>Immunity......................................................................................................... 219<br/>Transport.......................................................................................................... 219<br/>Blood Clotting.................................................................................................220<br/>Other Functions...............................................................................................220<br/>Fats............................................................................................................................220<br/>Metabolic Roles....................................................................................................220<br/>Meeting the Energy Needs: Fat Metabolism...................................................220<br/>Fat Requires Specialized Proteins for Transport around the Body................. 221<br/>Storage: The Adipose Tissue...........................................................................223<br/>Adipose Tissue and Metabolic Regulation......................................................224<br/>Fat Utilization..................................................................................................224<br/>Functions of Fat in the Body...........................................................................225<br/>Structure of Membranes..................................................................................226<br/>Link with Glucose Metabolism: Insulin Resistance........................................226<br/>Steroid Metabolism..........................................................................................226<br/>Essential Fatty Acids.......................................................................................226<br/>Carbohydrates...........................................................................................................228<br/>Carbohydrates Metabolism...................................................................................229<br/>Carbohydrate Storage...........................................................................................229<br/>Glycogenesis....................................................................................................229<br/>Lipogenesis......................................................................................................229<br/>Mobilization of Carbohydrates.............................................................................229<br/>Glycogenolysis/Glycolysis...............................................................................229<br/>Gluconeogenesis..............................................................................................230<br/>Contents xiii<br/>Metabolic Consequences of Sugar Intake....................................................... 231<br/>Other Physiological Roles of Carbohydrates................................................... 231<br/>Gut Health........................................................................................................ 231<br/>Summary................................................................................................................... 233<br/>Study Questions......................................................................................................... 233<br/>Bibliography and Further Reading............................................................................ 233<br/>Chapter 12 Metabolism and Function of Micronutrients............................................................. 235<br/>Aims.......................................................................................................................... 235<br/>Vitamins.................................................................................................................... 235<br/>Vitamin A............................................................................................................. 235<br/>Vision...............................................................................................................236<br/>Cellular Differentiation.................................................................................... 237<br/>Growth.............................................................................................................238<br/>Antioxidant Role..............................................................................................238<br/>Other Functions...............................................................................................238<br/>Vitamin D.............................................................................................................238<br/>Vitamin E............................................................................................................. 239<br/>Vitamin C.............................................................................................................240<br/>Vitamin K.............................................................................................................240<br/>Thiamin (Vitamin B1)........................................................................................... 241<br/>Riboflavin (Vitamin B2)....................................................................................... 241<br/>Niacin (Vitamin B3).............................................................................................. 241<br/>Pyridoxine (Vitamin B6)......................................................................................242<br/>Folate (Vitamin B9)..............................................................................................242<br/>Cobalamin (Vitamin B12)..................................................................................... 243<br/>Pantothenic Acid (Vitamin B5)............................................................................. 243<br/>Biotin (Vitamin B7)..............................................................................................244<br/>Minerals....................................................................................................................244<br/>Calcium................................................................................................................244<br/>In Bones...........................................................................................................244<br/>In Blood and Body Fluids................................................................................244<br/>Why Does Plasma Calcium Need to Be Closely Regulated?..........................246<br/>Phosphorus...........................................................................................................246<br/>Magnesium...........................................................................................................246<br/>Iron....................................................................................................................... 247<br/>Losses of Iron.................................................................................................. 247<br/>Stored Iron....................................................................................................... 247<br/>Zinc.......................................................................................................................248<br/>Copper..................................................................................................................248<br/>Selenium...............................................................................................................249<br/>Iodine....................................................................................................................249<br/>Chromium.............................................................................................................250<br/>Sodium, Chloride and Potassium.........................................................................250<br/>Summary................................................................................................................... 251<br/>Study Questions......................................................................................................... 251<br/>Activities................................................................................................................... 252<br/>Bibliography and Further Reading............................................................................ 252<br/>xiv Contents<br/>Section IV Eating Behaviour and Nutritional Epidemiology<br/>Chapter 13 Habits and Influences on Eating Behaviours............................................................ 255<br/>Aims.......................................................................................................................... 255<br/>Reasons for Eating.................................................................................................... 255<br/>Habit as an Influence on Eating Behaviour.......................................................... 255<br/>Psychological Drivers for Eating..........................................................................256<br/>Sensory Appeal....................................................................................................256<br/>Social Influence.................................................................................................... 257<br/>Food Habits............................................................................................................... 258<br/>Acquisition of Food Habits................................................................................... 259<br/>Changing Food Habits.......................................................................................... 259<br/>Food Choices........................................................................................................260<br/>Availability........................................................................................................... 261<br/>Physical/Environmental Factors...................................................................... 261<br/>Legislative Factors........................................................................................... 262<br/>Affordability, Cost and Taxation..................................................................... 262<br/>Accessibility.................................................................................................... 262<br/>Acceptability........................................................................................................263<br/>Cultural Factors...............................................................................................263<br/>Physiological Factors.......................................................................................264<br/>Social/Psychological Influences......................................................................265<br/>Summary................................................................................................................... 267<br/>Study Questions......................................................................................................... 267<br/>Activities................................................................................................................... 267<br/>Bibliography and Further Reading............................................................................268<br/>Chapter 14 Diet and Coronary Heart Disease.............................................................................269<br/>Aims..........................................................................................................................269<br/>Changes in Rates of Cardiovascular Disease............................................................ 270<br/>What Is Coronary Heart Disease?............................................................................. 270<br/>Injury to the Coronary Arteries............................................................................ 271<br/>Fibrous Plaque Formation.................................................................................... 271<br/>Thrombosis and Heart Attack.............................................................................. 271<br/>Studying Coronary Heart Disease............................................................................ 273<br/>Origins of the Lipid Hypothesis........................................................................... 273<br/>Cross-Community Comparisons..................................................................... 273<br/>Prospective Studies.......................................................................................... 274<br/>Intervention Studies......................................................................................... 274<br/>Risk Factors............................................................................................................... 276<br/>Genetic Predisposition..........................................................................................277<br/>Age........................................................................................................................277<br/>Social Conditions and Social Inequality..............................................................277<br/>Birthweight........................................................................................................... 278<br/>Geographical Location and Sunlight................................................................... 278<br/>Disease.................................................................................................................. 279<br/>Smoking................................................................................................................ 279<br/>Contents xv<br/>High Blood Pressure.............................................................................................280<br/>Raised Blood Lipids.............................................................................................280<br/>Weight...................................................................................................................280<br/>Physical Activity................................................................................................... 281<br/>Psychosocial Factors............................................................................................. 281<br/>Dietary Factors..................................................................................................... 281<br/>Fats...................................................................................................................282<br/>Total Energy....................................................................................................285<br/>Salt...................................................................................................................285<br/>Calcium............................................................................................................286<br/>Alcohol............................................................................................................286<br/>Fibre (Non-Starch Polysaccharides)................................................................286<br/>Antioxidants.....................................................................................................287<br/>Homocysteine and Folate.................................................................................289<br/>Future Directions.......................................................................................................290<br/>Summary...................................................................................................................290<br/>Study Questions.........................................................................................................290<br/>Bibliography and Further Reading............................................................................290<br/>Chapter 15 Diet and Cancer.........................................................................................................293<br/>Aims..........................................................................................................................293<br/>What Is Cancer?........................................................................................................294<br/>Studying the Relationship between Diet and Cancer................................................294<br/>Ecological or Correlational Studies...................................................................... 295<br/>Case–Control Studies........................................................................................... 295<br/>Prospective Cohort Studies..................................................................................296<br/>Meta-Analysis.......................................................................................................296<br/>Environmental Causes of Cancer..............................................................................296<br/>Role of Diet...........................................................................................................297<br/>Possible Promoting Factors..................................................................................298<br/>Total Energy Intake.........................................................................................298<br/>Fat Intakes........................................................................................................298<br/>Alcohol............................................................................................................299<br/>Salt...................................................................................................................300<br/>Meat and Fish..................................................................................................300<br/>Other Promoters of Cancer.............................................................................. 301<br/>Possible Protective Factors................................................................................... 301<br/>Nonstarch Polysaccharides (Dietary Fibre).....................................................302<br/>Fruit and Vegetables........................................................................................303<br/>Antioxidant Nutrients......................................................................................303<br/>Other Chemically Active Constituents............................................................304<br/>Calcium............................................................................................................304<br/>Prevention of Cancer.................................................................................................305<br/>Summary...................................................................................................................308<br/>Study Questions.........................................................................................................308<br/>Activities...................................................................................................................308<br/>Bibliography and Further Reading............................................................................309<br/>xvi Contents<br/>Section V Dietary and Nutritional Assessment<br/>Chapter 16 Energy: Intake and Expenditure............................................................................... 313<br/>Aims.......................................................................................................................... 313<br/>Units of Measurement of Energy.............................................................................. 313<br/>Energy Intake............................................................................................................ 314<br/>Energy Content of Foods...................................................................................... 314<br/>Bomb Calorimeter........................................................................................... 314<br/>Proximate Principles........................................................................................ 315<br/>Dietary Assessment.............................................................................................. 317<br/>Contribution from Food Groups...................................................................... 317<br/>Energy Output........................................................................................................... 318<br/>Basal Metabolic Rate............................................................................................ 318<br/>Influence of Body Weight................................................................................ 320<br/>Influence of Gender......................................................................................... 320<br/>Influence of Age.............................................................................................. 320<br/>Influence of Disease Status.............................................................................. 320<br/>Thermogenesis...................................................................................................... 321<br/>Physical Activity................................................................................................... 321<br/>Measurement of Energy Output........................................................................... 322<br/>Direct Calorimetry..........................................................................................324<br/>Indirect Methods..............................................................................................324<br/>Calculation of Energy Expenditure........................................................................... 325<br/>Calculation of 24-Hour Energy Expenditure: An Example................................. 326<br/>Summary................................................................................................................... 327<br/>Study Questions......................................................................................................... 327<br/>Activities................................................................................................................... 327<br/>Bibliography and Further Reading............................................................................ 329<br/>Chapter 17 Energy Balance......................................................................................................... 331<br/>Aims.......................................................................................................................... 331<br/>Energy Balance......................................................................................................... 331<br/>Influences on Energy Intake................................................................................. 332<br/>Influences on Energy Output................................................................................ 332<br/>Adaptations to Basal Metabolic Rate.............................................................. 332<br/>Adaptations to Thermogenesis........................................................................ 333<br/>Adaptations to Physical Activity..................................................................... 334<br/>How Well Is Energy Balance Controlled?................................................................ 335<br/>Control Mechanisms............................................................................................. 335<br/>Energy Balance and Imbalance................................................................................. 337<br/>Negative Energy Balance..................................................................................... 337<br/>The Fasted State................................................................................................... 338<br/>Starvation.............................................................................................................. 338<br/>Positive Energy Balance....................................................................................... 339<br/>Energy Balance and Body Composition...............................................................340<br/>Summary................................................................................................................... 341<br/>Study Questions......................................................................................................... 341<br/>Bibliography and Further Reading............................................................................ 341<br/>Contents xvii<br/>Chapter 18 Dietary and Nutritional Assessment......................................................................... 343<br/>Aims.......................................................................................................................... 343<br/>Nutritional Status...................................................................................................... 343<br/>What We Eat: Diet Composition.......................................................................... 343<br/>What We Are: Body Composition........................................................................ 343<br/>What We (Can) Do: Function...............................................................................344<br/>What We Pass On.................................................................................................344<br/>What We Eat: Dietary Assessment...........................................................................344<br/>The Weighed Inventory (or Weighed Dietary Record)........................................344<br/>Food Diaries (or Estimated Dietary Records)...................................................... 345<br/>Food Frequency Questionnaires (FFQs).............................................................. 345<br/>The Diet Interview................................................................................................346<br/>Practical Issues in Dietary Assessment Methods.................................................346<br/>Misreporting....................................................................................................346<br/>Measurement Errors, Bias and Precision......................................................... 347<br/>Validity............................................................................................................ 347<br/>What We Are: Body Composition.............................................................................348<br/>Measuring Body Composition..................................................................................348<br/>Body Mass Index..................................................................................................348<br/>Skinfold and Skeletal Measurements................................................................... 350<br/>Anthropometry..................................................................................................... 351<br/>Underwater Weighing........................................................................................... 353<br/>Other Indirect Methods........................................................................................ 353<br/>Bioelectrical Impedance.................................................................................. 353<br/>Ultrasound....................................................................................................... 353<br/>Other Techniques............................................................................................. 354<br/>What Are the Average Values for Body Composition?............................................. 354<br/>What We Can Do: Functional Capacity.................................................................... 354<br/>Biochemical Indicators.............................................................................................. 355<br/>Clinical Indicators..................................................................................................... 355<br/>What Can We Learn from Nutritional Assessment?................................................. 356<br/>How Is Nutritional Status Information Used?........................................................... 357<br/>Summary................................................................................................................... 357<br/>Study Questions......................................................................................................... 358<br/>Activity...................................................................................................................... 358<br/>Bibliography and Further Reading............................................................................ 358<br/>Section VI Applied Nutrition<br/>Chapter 19 Introduction to Public Health Nutrition and Health Promotion................................ 363<br/>Aims.......................................................................................................................... 363<br/>What Is the Basis of Health-Promoting Policies and What Is Proposed?.................366<br/>Dietary Links.......................................................................................................366<br/>Lifestyle and Social Factors.................................................................................366<br/>Undernutrition, Malnutrition and the Double Burden of Disease in<br/>Developing Countries...........................................................................................369<br/>From Goals to Guidelines....................................................................................369<br/>xviii Contents<br/>What Is Health Promotion?....................................................................................... 371<br/>Planning................................................................................................................ 372<br/>Intervention........................................................................................................... 373<br/>Evaluation............................................................................................................. 374<br/>Health-Promotion Initiatives and the Individual....................................................... 375<br/>Information and Education................................................................................... 375<br/>Schools.................................................................................................................. 376<br/>The NHS and Health Professionals...................................................................... 376<br/>Media/Advertising................................................................................................ 376<br/>The Food Chain.................................................................................................... 377<br/>Constraints............................................................................................................ 377<br/>A Targeted Policy................................................................................................. 377<br/>Economics of Health Promotion............................................................................... 379<br/>Summary...................................................................................................................380<br/>Study Questions.........................................................................................................380<br/>Activities................................................................................................................... 381<br/>Bibliography and Further Reading............................................................................ 381<br/>Chapter 20 Introduction to Obesity and Weight Management.................................................... 383<br/>Aims.......................................................................................................................... 383<br/>Obesity: What Are the Reasons?............................................................................... 383<br/>Dietary Intake: Energy Consumption and Obesity.............................................. 385<br/>Physical Activity................................................................................................... 388<br/>Genetic Predisposition..........................................................................................388<br/>Age and Gender.................................................................................................... 389<br/>Socio-Economic status.............................................................................................. 389<br/>Psychological Factors...........................................................................................390<br/>Health Risks and Costs of Overweight and Obesity.................................................390<br/>Treatment of Obesity/Overweight............................................................................. 392<br/>Energy-Controlled Diets....................................................................................... 393<br/>Pharmacological Agents....................................................................................... 394<br/>Surgical Intervention (‘Bariatric Surgery’).......................................................... 395<br/>Psychological and Behavioural Therapy.............................................................. 395<br/>Physical Activity................................................................................................... 395<br/>Unsafe Methods of Weight Loss.......................................................................... 396<br/>Summary................................................................................................................... 396<br/>Study Questions.........................................................................................................397<br/>Activity......................................................................................................................397<br/>Bibliography and Further Reading............................................................................397<br/>Chapter 21 Introduction to Clinical Nutrition.............................................................................399<br/>Aims..........................................................................................................................399<br/>Negative Energy Balance..........................................................................................400<br/>Weight Loss Due to Illness................................................................................... 401<br/>Correcting Weight Loss........................................................................................ 401<br/>Starvation and Refeeding.....................................................................................402<br/>Malnutrition Screening and Diagnosis......................................................................403<br/>Screening Tools....................................................................................................403<br/>Nutritional Support: Enteral and Parenteral Feeding................................................405<br/>Contents xix<br/>Clinical Micronutrient Deficiencies..........................................................................406<br/>Adverse Reactions to Food........................................................................................406<br/>Food Poisoning.....................................................................................................407<br/>Food Aversion.......................................................................................................407<br/>Food Intolerance...................................................................................................408<br/>Why Do Some Individuals Develop Food Allergy? Atopy............................. 410<br/>Diagnosis.............................................................................................................. 411<br/>Effect of Infection on Nutritional Status.............................................................. 412<br/>Effect of Nutritional Status on Immunity............................................................. 413<br/>Nutrition Management and Cancer...................................................................... 414<br/>Nutrition Management and Metabolic Disorders................................................. 414<br/>Drug–Nutrient Interactions....................................................................................... 414<br/>Effects of Diet on Drugs....................................................................................... 415<br/>Dietary Factors Affecting Drug Metabolism.................................................. 415<br/>Dietary Factors Affecting Drug Excretion...................................................... 415<br/>Drug Effects on Food Intake........................................................................... 415<br/>Gastro-Intestinal Function............................................................................... 415<br/>Metabolic Effects of Drugs on Nutrients......................................................... 416<br/>Influence of Disability on Nutrition.......................................................................... 416<br/>Appetite................................................................................................................ 417<br/>Ability to Obtain and Prepare Food..................................................................... 417<br/>Ability to Ingest, Chew and Swallow Food.......................................................... 417<br/>Impact on Digestion and Absorption.................................................................... 417<br/>Impact on Metabolism.......................................................................................... 418<br/>Nutritional Consequences..................................................................................... 418<br/>Eating Disorders........................................................................................................ 418<br/>Summary................................................................................................................... 419<br/>Study Questions......................................................................................................... 419<br/>Bibliography and Further Reading............................................................................ 419<br/>Chapter 22 Introduction to Sport Nutrition.................................................................................. 421<br/>Aims.......................................................................................................................... 421<br/>Nutrition and the Athlete........................................................................................... 421<br/>Energy Needs in Sport......................................................................................... 422<br/>Energy as Adenosine Triphosphate (ATP)........................................................... 422<br/>Energy from Fat and Carbohydrates.................................................................... 423<br/>During Training............................................................................................... 425<br/>After Exercise.................................................................................................. 425<br/>Protein Needs....................................................................................................... 426<br/>Dietary Supplements............................................................................................ 427<br/>Vitamin and Mineral Supplements.................................................................. 427<br/>Creatine............................................................................................................ 427<br/>Fluid...................................................................................................................... 428<br/>Sports Products..................................................................................................... 429<br/>Summary................................................................................................................... 429<br/>Study Questions......................................................................................................... 430<br/>Activities................................................................................................................... 430<br/>Bibliography and Further Reading............................................................................ 430<br/>xx Contents<br/>Chapter 23 Improving Foods for Better Nutrition....................................................................... 431<br/>Aims.......................................................................................................................... 431<br/>Foods, Food Components and Health Claims........................................................... 432<br/>Terminology......................................................................................................... 433<br/>Smart Foods.............................................................................................................. 433<br/>Foods with Novel Molecular Structures............................................................... 433<br/>Meat Analogues.................................................................................................... 434<br/>Foods Produced by Biotechnology....................................................................... 434<br/>Functional Foods.................................................................................................. 435<br/>Fortified Foods..................................................................................................... 435<br/>Reduced Content of Nutrients......................................................................... 436<br/>Foods Containing Phytochemicals.................................................................. 436<br/>Foods with Added Components...................................................................... 436<br/>Omega-Enriched Eggs..................................................................................... 437<br/>Clinical Usage.................................................................................................. 437<br/>Foods Containing Bacteria.............................................................................. 437<br/>Food Reformulation.................................................................................................. 439<br/>Nutrient Profiling...................................................................................................... 441<br/>Organic Food.............................................................................................................442<br/>Conclusions...............................................................................................................443<br/>Summary...................................................................................................................443<br/>Study Questions.........................................................................................................443<br/>Activities...................................................................................................................444<br/>Bibliography and Further Reading............................................................................444<br/>Index...............................................................................................................................................447
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme
Koha item type E-Book
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total Checkouts Full call number Date last seen Price effective from Koha item type
          College of Natural Resources College of Natural Resources 23/04/2021   e-book (FST) 23/04/2021 23/04/2021 E-Book

College of Natural Resources, Royal University of Bhutan | ©
Office: +975 02 376247 (Ext. 2004), E-mail: library.cnr@rub.edu.bt