Table of Contents

 

 

 

PART 1

INTRODUCTION TO HUMAN NUTRITION

 

1

Nutrition and Health   Eleanor D. Schlenker

2

 

New Challenges for Nutrition Professionals

2

 

The Science of Nutrition

6

 

Nutrition Policy and National Health Problems

10

 

Nutrition Guides for Food Selection

11

 

Health Promotion

12

 

A Safe and Healthy Food Supply

19

 

Assessing Food Patterns

20

2

Digestion, Absorption, and Metabolism   Eleanor D. Schlenker

24

 

Human Body: The Role of Nutrition

24

 

Food: Change and Transformation

24

 

Importance for Health and Nutrition

24

 

The Gastrointestinal Tract

25

 

Principles of Digestion

26

 

Movement of Food through the Digestive Tract

28

 

Mouth and Esophagus: Preparation and Delivery

28

 

Stomach: Storage and Initial Digestion

30

 

Small Intestine: Major Digestion, Absorption and Transport

32

 

Colon (Large Intestine); Final Absorption and Waste Elimination

35

 

Gastrointestinal Function and Clinical Applications

37

 

Health Promotion

38

 

Metabolism

40

3

Carbohydrates   Eleanor D. Schlenker

44

 

The Nature of Carbohydrates

44

 

Classification of Carbohydrates

44

 

Importance of Carbohydrates

48

 

Functions of Carbohydrates

49

 

Recommended Intake of Carbohydrates

50

 

Carbohydrates and Oral Health

53

 

Imbalances in Carbohydrate Intake

53

 

Fiber—The Nondigestible Carbohydrate

54

 

Health Promotion

56

 

Functional Foods—Special Carbohydrate Foods

56

 

Digestion-Absorption-Metabolism Review

57

4

Lipids   Eleanor D. Schlenker

61

 

Lipids in Nutrition and Health

61

 

Physical and Chemical Nature of Lipids

62

 

Fatty Acids and Triglycerides

62

 

Food Lipids and Health

65

 

Health Promotion

69

 

Lipid-Related Compounds

70

 

Digestion-Absorption-Metabolism Review

72

5

Proteins   Eleanor D. Schlenker

77

 

Physical and Chemical Nature of Proteins

77

 

The Building of Proteins

78

 

Functions of Protein

80

 

Protein and Nitrogen Balance

81

 

Protein Quality

82

 

Protein Requirements

84

 

Protein Intake

86

 

Health Promotion

87

 

Vegetarian Diets

88

 

Digestion-Absorption-Metabolism Review

89

6

Vitamins   Eleanor D. Schlenker

95

 

Vitamins: Essential Nutrients

95

 

Fat-Soluble Vitamins

96

 

Vitamin A

96

 

Vitamin D

101

 

Health Promotion

105

 

Vitamin E

105

 

Vitamin K

108

 

Water-Soluble Vitamins

110

 

Vitamin C (Ascorbic Acid)

110

 

The B Vitamins

112

 

Deficiency Diseases and Vitamin Discoveries

112

 

Coenzyme Role

112

 

Thiamin

112

 

Riboflavin

115

 

Niacin

116

 

Pantothenic Acid

118

 

Biotin

118

 

Vitamin B6 (Pyridoxine)

119

 

Folate

120

 

Vitamin B12 (Cobalamin)

123

7

Minerals   Eleanor D. Schlenker

131

 

Minerals in Human Nutrition

131

 

Major Minerals

133

 

Calcium

133

 

Phosphorus

138

 

Sodium

140

 

Health Promotion

141

 

Potassium

142

 

Magnesium

146

 

Chloride

146

 

Sulfur

146

 

Essential Trace Elements

146

 

Trace Elements: The Concept of Essentiality

146

 

Iron

149

 

Iodine

152

 

Zinc

155

 

Copper

155

 

Manganese

156

 

Chromium

156

 

Cobalt

157

 

Selenium

157

 

Molybdenum

157

 

Fluoride

157

 

Other Trace Elements

157

 

Water—Electrolyte Balance

157

 

Body Water Distribution

157

 

Functions of Water

157

 

Overall Water Balance: Input and Output

157

 

Water Requirements

160

 

Forces Controlling Water Distribution

161

 

Influence of Electrolytes on Water Balance

162

 

Influence of Plasma Proteins on Water Balance

163

 

Hormones Controlling Water Balance

163

8

Energy Balance   Eleanor D. Schlenker

167

 

The Human Energy System

167

 

Total Energy Requirement

170

 

Body Composition: Fatness and Leanness

174

 

Health Promotion

178

 

Fatness, Thinness, and Health

181

PART 2

COMMUNITY NUTRITION AND THE LIFE CYCLE

 

9

The Food Environment and Food Safety   Eleanor D. Schlenker

190

 

Personal Food Selection

190

 

Trends in Food Selection

192

 

The Problem of Food Misinformation

194

 

Biotechnology and Food: Promise and Controversy

195

 

Ensuring a Safe and Wholesome Food Supply

196

 

Health Promotion

199

 

Food Safety and Food Processing

202

10

Community Nutrition: Promoting Healthy Eating   Eleanor D. Schlenker

213

 

Implementing Nutrition Education

213

 

The Teaching-Learning Process

219

 

The Ecology of Malnutrition

219

 

Family Economic Needs: Food Assistance Programs

222

 

Food Purchasing

224

 

Health Promotion

227

11

Nutrition during Pregnancy and Lactation   Sharon M. Nickols-Richardson

236

 

Maternal Nutrition and the Outcome of Pregnancy

236

 

Health Promotion

238

 

Nutritional Demands of Pregnancy

239

 

Weight Gain during Pregnancy

244

 

General Dietary Problems

246

 

High-Risk Pregnancies

247

 

Complications of Pregnancy

250

 

Nutrition during Lactation

252

12

Nutrition for Normal Growth and Development   Sharon M. Nickols-Richardson

262

 

Human Growth and Development

262

 

Nutritional Requirements for Growth

263

 

Stages of Growth and Development: Age-Group Needs

264

 

Health Promotion

289

 

Children and Adolescents: Seeking Fitness

289

13

Nutrition for Adults: Early, Middle, and Later Years   Eleanor D. Schlenker

296

 

Adulthood: Continuing Growth and Development

296

 

Adult Stages: Changing Nutrient Needs

299

 

The Nature of Aging

306

 

Health Promotion

306

 

Nutritional Care of At-Risk Older Adults

307

14

Nutrition and Physical Fitness   Staci Nix

318

 

Physical Activity, Modern Civilization, and Chronic Disease

318

 

Body in Motion

319

 

Nutritional Needs during Physical Activity and Exercise

321

 

Nutrition and Athletic Performance

325

 

Health Promotion

330

 

Building a Personal Exercise Program

330

15

The Complexity of Obesity: Beyond Energy Balance   Allan Higginbotham

336

 

Realities of Obesity

336

 

Energy Intake, Energy Expenditure, and Development of Obesity

337

 

Obesity as a Disease

338

 

Beyond Energy Balance

339

 

Epidemiologic Model

340

 

Overview of Treating the Disease of Obesity

343

 

Health Promotion

345

PART 3

INTRODUCTION TO CLINICAL NUTRITION

 

16

Nutrition Assessment and Nutrition Therapy in Patient Care   Sara Long Roth

351

 

Role of Nutrition in Clinical Care

351

 

Nutrition Screening and Assessment

352

 

Nutrition Diagnosis

362

 

Nutrition Intervention: Food Plan and Management

364

 

Evaluation: Quality Patient Care

366

17

Metabolic Stress   Joyce Ann Gilbert

370

 

Nutritional Needs of General Surgery Patients

370

 

Nutritional Concerns for Patients Undergoing Alimentary Canal Surgery

377

 

Nutritional Needs in Thermal Injuries

385

 

Health Promotion

389

 

Immunonutrition

389

18

Drug-Nutrient Interactions   Sara Long Roth

393

 

Drug-Nutrient Problems in Modern Medicine

393

 

Drug Effects on Food and Nutrients

395

 

Food and Nutrient Effects on Drugs

400

 

Nutrition-Pharmacy Team

405

 

Health Promotion

405

 

“The Pain Reliever Doctors Recommend Most,”

405

19

Nutrition Support: Enteral and Parenteral Nutrition   Kenneth Byrne

411

 

Nutrition Assessment

411

 

Enteral Nutrition versus Parenteral Nutrition

415

 

Enteral Tube Feeding in Clinical Nutrition

417

 

Enteral Tube Feeding Formulas

418

 

Enteral Tube Feeding Delivery Systems

423

 

Monitoring the Tube-Fed Patient

426

 

Parenteral Feeding in Clinical Nutrition

427

 

Parenteral Solutions

430

 

Parenteral Nutrition Delivery System

432

 

Home Nutrition Support

433

 

Health Promotion

434

 

Troubleshooting Diarrhea in Tube-Fed Patients

434

20

Gastrointestinal Diseases   Sara Long Roth

441

 

Digestive Process

441

 

Problems of the Mouth and Esophagus

443

 

Problems of the Stomach and Duodenum

449

 

Disorders of the Small Intestine

452

 

Disorders of the Large Intestine

460

 

Diseases of the Gastrointestinal Accessory Organs

463

 

Health Promotion

469

21

Diseases of the Heart, Blood Vessels, and Lungs   Sara Long Roth

472

 

Coronary Heart Disease

472

 

Essential Hypertension and Vascular Disease

486

 

Pulmonary Diseases

490

 

Health Promotion

491

 

Added Food Factors in Coronary Heart Disease Therapy

491

22

Diabetes Mellitus   Sara Long Roth

494

 

Nature of Diabetes

494

 

General Management of Diabetes

500

 

Rationale for Diabetes Nutrition Therapy

500

 

Implementing Nutrition Therapy

502

 

Issues Related to Medical Therapy

502

 

Management of Diabetes Nutrition Therapy

509

 

Diabetes Education Program

510

 

Health Promotion

513

23

Renal Disease   Sara Long Roth

517

 

Basic Kidney Function

517

 

Chronic Kidney Disease

518

 

Pathophysiology of Glomerular Disease

520

 

Treatment of Chronic Kidney Disease

522

 

Nutrition Assessment of Patients with Chronic Kidney Disease

522

 

Altered Nutrient Requirements with Chronic Kidney Disease

526

 

Medical Nutrition Therapy

529

 

Acute Renal Failure

532

 

Urolithiasis (Calculi or Kidney Stones)

534

 

Urinary Tract Infection

536

 

Resources

537

 

Health Promotion

537

 

Omega-3 Fatty Acids and Renal Disease

537

24

Acquired Immunodeficiency Syndrome (AIDS)   Sara Long Roth

540

 

Evolution of HIV and the AIDS Epidemic

540

 

Medical Management

543

 

Nutrition Therapy

544

25

Cancer   Kenneth Byrne

553

 

Process of Cancer Development

553

 

Body’s Defense System

557

 

Effect of Cancer Therapy on Nutrition

558

 

Nutrition Therapy

563

 

Nutritional Management of Selected Cancer-Related Symptoms

567

 

Nutrition and Cancer: the Final Analysis

570

 

Health Promotion

571

 

APPENDIXES

 

A

Body Mass Index: Obesity Values

576

B

Choose Your Foods: Exchange Lists for Diabetes

577

C

Food Sources of Oxalates

592

D

Calculation Aids and Conversion Tables

593

E

Cultural Dietary Patterns and Religious Dietary Practices

595

F

Federal Food Assistance Programs

602

G

Caffeine Content of Foods

 

H

Soluble, Insoluble, and Total Fiber Content in Selected Plant Foods

 

I

Centers for Disease Control and Prevention (CDC) Growth Charts

 

J

Means, Standard Deviations, and Percentiles of Triceps Skinfold Thickness (mm) by Age for Males and Females of 1 to 50 Years

 

K

Normal Constituents of Blood and Urine in Adults

 

L

Add and Alkaline Ash Food Groups

 

M

Tyramine-Restricted Diet