Week 2

Greetings Syllabus Course Outline

  Lecture  |  Study GuideMajor Assignment 

Lecture - Week 2

Tools of A Healthy Diet - Chapter 2
(Yes, this is actually our Week 3 according to the syllabus.)

In a Nut Shell:
bulletVariety, balance, and moderation are three watchwords of diet planning.
bulletNutrient density is a useful concept. It reflects the nutrient content of a food in relation to its energy (kcal) content. Nutrient-dense foods are relatively rich in nutrients, in comparison with energy (kcal) content.
bulletA person's nutritional state can be categorized as desirable nutrition, in which the body has adequate stores for times of increased needs; under-nutrition, which may be present with or without clinical symptoms; and over-nutrition, which can lead to vitamin and mineral toxicities and various chronic diseases.
bulletRecommended Dietary Allowances (RDAs) are set for many nutrients. these amounts yield enough of each nutrient to meet the needs of healthy individuals within specific gender and age categories. Adequate Intake 9AI) is the standard used when not enough information is available to set a revised RDA. Tolerable Upper Intake Levels (Upper levels or ULs) for nutrient intake have been set for some vitamins and minerals. All of the many dietary standards fall under the term Dietary Reference Intakes (DRIs).
bulletMy Pyramid is designed to translate nutrient recommendations into a food plan that exhibits variety, balance, and moderation. The best results are obtained by using low-fat or nonfat daily products; including some vegetable proteins in addition to animal-protein foods; including citrus fruits and dark green vegetables; and emphasizing whole grain breads and cereals.
bulletDietary Guidelines have been issued to help reduce chronic diseases in our population. The guidelines emphasize eating a variety of foods; performing regular physical activity; maintaining or improving weight; moderating consumption of fats, cholesterol, sugar, salt, and alcohol; eating plenty of grain products, fruits, and vegetables; and safely preparing and storing foods, especially perishable foods.
bulletFood labels are a powerful tool to track your nutrient intake and learn more about the nutritional characteristics of the foods you eat. Any health claims listed must follow criteria set by FDA.

This chapter introduces various tools that are used to determine how a person is doing nutritionally.  No one tool will tell you everything you need to know about your nutritional status.  Using several tools gives a better idea of where you stand nutritionally.

     Basic diet planning principles include choosing an balanced diet that provides enough energy and nutrients to meet the needs of healthy people. The diet should provide enough but not too much of each type of food.  Overeating should be avoided.  Foods should deliver the most nutrients for the least amount of food energy/kcals. Nutrient density refers to getting more nutrients compared with the Calories consumed. Variety and moderation contribute to all of these factors.

Tools used to determine a person's nutritional status include:

1)   B, C, M, and V of nutritional status:

"B" refers to Balance. This means that you're eating different types of foods so that you're getting all the nutrients your body needs.

"C" refers to Calorie controlled. This means you're able to maintain a desirable weight with the number of kcals you're consuming.  You're not taking in so many kcals that you're gaining weight, or taking in so few that you're losing weight.

"M" refers to moderation.  This means you're not eating substances in excess. In the USA we have a tendency to over-consume things like sugar, sodium, alcohol, fat, etc.  

"V" refers to variety. This means eating a great selection of foods within and among the major food groups.

2) The Dietary Guidelines for Americans:  (see pages 51-56)

Briefly, the Dietary Guidelines for Americans state the following:

bulletget the nutrients you need, but keep calories under control
bulleteat fewer calories while increasing physical activity to control body weight
bulletregular physical activity/physical fitness is important for one's health, sense of well-being, and a healthy body weight
bulletincrease fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products
bulletdecrease saturated fat, trans fats, and dietary cholesterol
bulletincrease dietary fiber
bulletdecrease added sugars
bulleteat less than 2,300 mg of sodium/day (1 tsp)
bulleteat potassium-rich fruits and vegetables
bulletif you drink alcoholic beverages, do so sensibly and in moderation
bulletprevent food-borne illness

3)  The Dietary Goals specify percentages within which our nutrient intake should fall over a given period of time. The following reflects these Dietary Goals:

Less than or equal to  20-35% kcalories from fat.
                              10-35% kcalories from protein.
                              45-65% kcalories from carbohydrates.

If a person consumes 30% of kcals from protein and 30% kcals from fat, then their CHO intake will be ~ 40%.

If a person consumes 60% of kcals from CHO and 20% of kcals from fat, then their protein intake will be ~ 20%.

4)  The USDA My Pyramid  is another tool that's used to assess how we're doing nutritionally.

To access the interactive online Pyramid go to: mypyramid.gov

The Pyramid is not perfect and is controversial among many; but it is a quick way to see which food groups are missing from your diet. 

Grains:
1 ounce equivalent is about 1 slice bread, 1 cup dry cereal, or 1/2 cup cooked rice, pasta or cereal.

Vegetables:
These are measured in cups.

Fruits:
These are measured in cups.

Milk:
This is measured in cups.
1 1/2 ounces cheese = 1 cup milk

Meats & Beans:
1 ounce equivalent = 1 ounce meat, poultry, or fish
                             1 egg
                             1 Tablespoon peanut butter
                             1/2 ounce nuts
                             or 1/4 cup cooked dry beans


(The following suggested Practice Activity/questions are for your benefit.
  You will not turn them in to me.)

Practice 1: Go to mypyramid.gov 
Follow the instructions given at the site. Allow yourself time to tour the site. There's a
wealth of information provided there.

Dietary Reference Intakes
The back of your textbook displays the 2005 Dietary Reference Intakes (DRI) along with some AI, and UL.

Originally, the RDA (Recommended Dietary Allowances) were designed to prevent deficiency diseases such as scurvy, rickets, beriberi, etc. Currently, the American public rarely dies from deficiency diseases.
 
Our problem today, is eating too much; so the DRI were designed to help prevent the American public from dying from chronic diseases, e.g. heart disease, osteoporosis, diabetes, high blood pressure, obesity, etc.

DRI is a set of values for the dietary nutrient intake of healthy people in the USA. These values are used for planning and assessing diets.

These are not requirements, but recommendations.

The DRI is one of several tools used to assess how we're doing nutritionally.

The DRI is a standard against which we can compare our dietary intake to see if we're getting too much or too little of a particular nutrient.

What are the DRI?
Who developed the DRI?
To whom do they apply?
How are they used?
Identify the four categories of DRI and indicate how they are related.


6)  A nutrition assessment that includes the following can also be used to determine how a person is doing nutritionally:

Anthropometric measures - a persons measurements such as height, weight, hip/waist ratio are compared to standards.

Biochemical measures - blood and/or urine samples are tested for blood glucose, iron content, cholesterol, triglycerides, etc., and compared to standards.

Clinical exam - a health care provider examines the body for clues to nutritional deficiencies, i.e., hair, eyes, cracks at the corners of the mouth, skin, etc.

Dietary analysis - a food record is kept, the foods are analyzed for their nutrients content, this is then compared to standards.

As you can see, there are many ways to determine how you're doing nutritionally.  No one way will give you all the answers; but using different techniques will help you get a fairly good idea of how you're doing.

Using a variety of diet planning tools allows you to plan nutrient-dense, well-balanced diets that provide variety and moderation.  Using these tools would also help to avoid overeating.

This semester, you will complete a three-day diet analysis on yourself and determine how you're doing nutritionally.  Information about this 3-Day Diet Analysis will be forth coming in the weeks that follow.


Food Labels

On page 44 in your text, there's a representation of a food product and a Nutrition Facts label.  Get a Nutrition Facts label from a packaged food product in your kitchen.  Use the two for comparison purposes. 

As you can see, the Nutrition Facts label provides a lot of information.  The serving size is specified; the number of servings per container is given; Calories, Total Fat, etc. per serving is listed.

To the right of the label are % Daily Values. These are the percentages of those nutrients provided in one serving. The % Daily Value is based on a 2000 kcal intake.

At the bottom of the label, the Daily Values for nutrients for 2000 and 2500 kcal diets are listed.  The nutrients listed - total fat, saturated fat, cholesterol, sodium, total CHO, and fiber - are those that we either get too much or too little of; these are the nutrients implicated in the onset of chronic diseases.  

The % DV is always based on a 2000 kcal diet.  The food label in your book lists 10% DV for sodium when 3/4 cup of this cereal is eaten.  If you go to the bottom of the label, it states that a person should get less than 2400 mg of sodium per day on a 2000 kcal diet.

When you multiply 2400 mg.  X 10% = 240 mg sodium.
The label states a person gets 250 mg. sodium when they eat 3/4 cup of this cereal.  Food manufacturers can legally round up or down by      ± 10%.

The % DV for dietary fiber is 6% when you eat 3/4 cup of this cereal.  When you multiply 25 g.  X  6% = 1.5 g fiber. If you go to the bottom of the label, it states that a person should get at least 25 g of fiber on a 2000 kcal diet.

The 2500 kcal diet is listed too. This is there as a comparison for someone who consumes more kcals.  The important thing to remember, the % DV are always based on the 2000 kcal diet.

Notice too that on the Nutrition Facts label the percentages of Vitamin A, and C, and Calcium and Iron are listed.  These are the vitamins and minerals too many folks in the USA don't get enough of.

On page 56, Table 2-9, you'll find "Daily Values for Food Labels".  Again, these are used to determine how much vitamin A and C and Calcium and Iron are in one serving of this cereal.  

When you eat 3/4 cup of this cereal, you get 25% of your DV for vitamin A.  Multiply 1500 ug  X  25% =  375 ug; this is the amount of vitamin A you get in 3/4 cup of this cereal.

Multiply 1000 mg X 2% = 20 mg ; this is the amount of calcium in 3/4 cup of this cereal.

Only nutrition students need to have their calculators in hand to figure this stuff out. And then, only to practice arriving at the numbers listed on the label.

Another important piece of information on the Nutrition Facts label is the ingredients list.  The ingredients are listed in descending order of predominance by weight.  The most abundant ingredient is listed first; the least abundant ingredient is listed last.

Nutrient claims and health claims on labels must meet specified FDA criteria.

For more about Food Labels, search for "diet" and "food labels" at the U.S. Government site:  (If you're asked to sign-in, just click OK; the site will pop-up.)
http://www.healthfinder.gov

Go to the FDAs (Food and Drug Administration) website and test your food label knowledge:


Did you know food labels contain information about common food allergens?
Go to the kitchen and check-out a product label to see what's written about food allergens.

Nutrient Density:
A measure of the nutrients a food provides relative to its energy/kcals. The more nutrients and the fewer kcals, the higher the nutrient density.  Example:  1 medium baked potato vs. 1 serving French fries - the baked potato is more nutrient dense. Why? It has more dietary fiber, vitamin C, etc., relative to the number of kcals compared with French fries. 

     Shopping for nutrient dense foods should become one of our priorities. Choose whole grain and enriched breads, cereals and other grains. Fresh green and yellow-orange vegetables are important, as are citrus and yellow-orange fruits.  Choose legumes often.  Lean meats, fish and poultry with visible fat removed and prepared using low fat cooking methods is preferred.  Fortified low-fat milk and milk products are recommended over imitation products.

There's a tremendous amount of information in this chapter and it's all important because it sets the stage for what follows. 

Back to Top

horizontal rule

Becky Alejandre,
Professor - Nutrition

Instructor's contact information
Email: alejanb@arc.losrios.edu
Phone: (916) 484-8145
   FAX: (916) 484-8030

American River College logo
ARC Homepage

American River College Library logo
ARC Library
Office Location: Room #762

Health & Education
Division

(located between the tennis courts and the gym)

Office Hours:

Mon.  8:00-10:00 a.m.
Tues. 10:30-11:30 a.m.
Wed.  10:30-11:30 a.m.
         (online)
Thurs.10:30-11:30 a.m.
 Fri.    7:00-8:00 a.m. (online)