Wednesday, December 28, 2016

COLLEGE AND COMMUNITY SUPPORT SERVICE FOR DRUG DEPENDENCE


Students who have drug problems and realize they need help might select assistance based on the services available on campus or in the surrounding community and the costs they are willing top pay for treatment services.
One approach to convince drug-dependent people to enter treatment programs is the use of confrontation.  People who live or work with chemically dependent people are being encouraged to confront them directly about their addiction.  Direct confrontation helps chemically dependent people realize the effect their behavior has on others.  Once chemically dependent people realize that others will no longer tolerate their behavior, the likelihood of their entering treatment programs increases significantly.  Although effective, this approach is very stressful for family members and friends and requires the assistance of professionals in the field of chemical dependence.  These professionals can be contacted at a drug treatment center in your area.
Treatment
Comprehensive drug treatment programs are available in very few college or university health centers.  College settings for drug dependence programs are more commonly found in the university counseling center.  At such a center the emphasis will probably be not on the medical management of dependence but on the behavioral dimensions of drug abuse.  Trained counselors and psychologists who specialize in chemical dependence counseling will not work with students to (1) analyze their particular concerns, (2) establish constructive ways to cope with stress, and (3) search for alternative ways to achieve new “highs”.
Medical treatment for the management of drug problems may need to be obtained through the services of a community treatment facility administered by a local health department, community mental health center, private clinic, or local hospital.  Treatment may be on an inpatient or outpatient basis.  Medical management might include detoxification, treatment of secondary health complications and nutritional deficiencies, and therapeutic counseling for chemical dependence.
Some communities have voluntary health agencies that deliver services and treatment programs for drug dependent people.  Check your telephone book for listings of drug-treatment facilities.  Some communities have drug hot lines that offer advice for people with questions about drugs.
Costs of Treatment for Dependence
Drug-treatment programs that are administered by colleges and universities for faculty and students usually require no fees.  Local agencies may provide either free services or services based on a sliding scale.  Private hospitals, physicians, and clinics are the most expensive forms of treatment.  Inpatient treatment at a private facility may cost as much as $1000 per day.  Since the length of inpatient treatment averages 3 to 4 weeks, a patient can quickly accumulate a very large bill.  However, with many types of health insurance policies now providing coverage for alcohol and other drug dependencies, even these services may not require additional out-of-pocket expenses. 
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DRUG TESTING


Society’s response to concern over drug use includes the development and growing use of drug tests.  Most of the specimens come from corporations that screens employee for commonly abused drugs.  Among these are amphetamines, barbiturates, benzodiazepines (the chemical bases for prescription tranquillizers such as Valium and Librium), cannabinoids (THC, hashish, and marijuana), methaqualone, opiates, (heroin, codeine, and morphine), and PCP.  With the exception of marijuana, most traces of these drugs are eliminated by the body within a few days after use.  Marijuana can remain detectable up to 30 days after use.
How accurate are the results of drug testing? At typical cutoff standards, drug test will likely identify 90% of recent drug users.  This means that about 10% of recent users will pass undetected.  (These 10% are considered false negatives.)  Nonusers whose drug tests indicate drug use (false positive) are quiet rare.  (follow-up tests on these false positive would nearly always show negative results.)  human errors are probably more responsible than technical errors for inaccuracies in drug tests.
Recently, scientists have been refining procedures that use hair samples to detect the presence of drugs.  These procedures seem to hold much promise, although certain technical obstacles remain.  Watch for refinements in hair sample drug testing in the near future.
Most Fortune 500 companies, the armed forces, various government agencies, and nearly all athletic organizations have already implemented mandatory drug testing.  Corporate substance abuse policies are being developed, with careful attention to legal and ethical issues.
Do you think that the possibility of having to take a drug test would have any effect on college students’ use of drugs?
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SOCIETY’S RESPONSE TO DRUG USE


During the last 25 years, society has responded to illegal drug use with growing concern.  Most adults see drug abuse as a clear danger to society.  This position has been supported by the development of community, school, state, and national organizations directed toward the reduction of illegal drug use.  These organizations have included such diverse groups as Parents Against Drugs, Partnership for a Drug-Free America, Mothers Against Drunk Driving (MADD), Narcotics Anonymous, and the U.S Drug Enforcement Administration.  Certain groups have concentrated their efforts on education, others on enforcement, and still others on the development of laws and public policy.  Famous people, such as athletes, are also speaking out against drug use.
The personal and social issues related to drug abuse are very complex.  Innovative solutions continue to be devised.  Some believe that only through early childhood education will people learn alternatives to drug use.  Starting drug education in the preschool years may have a more positive effect than waiting until the upper elementary or junior high school years.  Recently, the focus on reducing young people’s exposure to gateway drugs (especially tobacco, alcohol, and marijuana) may help slow down the move to other addictive drugs.  Some people advocate harsher penalties for drug use and drug trafficking, including heavier fines and longer prison terms.
Others support legalizing all drugs and making governmental agencies responsible for drug regulation and control, as is the case with alcohol.  Advocates of this position believe that drug-related crime and violence would virtually cease once the demand for illegal products is reduced.  Sound arguments can be made on both sides of this issue.  What’s your opinion?

In comparison with other federally funded programs, the “war on drugs” is less expensive than farm support, food stamps, Medicare, and national defense.  However, it remains to be seen whether any amount of money spent on enforcement, without adequate support for education, treatment, and poverty reduction, can reduce the illegal drug demand and supply.  The United States now spends nearly $18 billion annually to fight the drug war.  About $11 billion is spent on law enforcement (supply reduction) and $6 billion on education, prevention, and treatment (demand reduction).
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COMBINATION DRUG EFFECTS


Drugs taken in various combinations and dosages can alter and perhaps intensify effects.
A synergistic drug effect is a dangerous consequence of taking different drugs in the same general category at the same time.  The combination exaggerates each individual drug’s effects.  For example, the combined use of alcohol and tranquilizers produces a synergistic effect greater than the total effect of each of the two drugs taken separately.  In this instance a much-amplified, perhaps fatal sedation will occur.  In a simplistic sense, “one plus one equals four or five.”
When taken at or near the same time, drug combination produce a variety of effects.  When two or more drugs are taken and the result is merely a combined total effect of each drug, the result is an additive effect.  The sum of the effects is not exaggerated.  In a sense, “one plus one plus one equals three.”
When one drug intensifies the action of a second drug, the first drug is said to have a potentiated effect on the second drug.  One popular drug-taking practice during the 1970s was the consumption of Quaaludes and beer.  Quaaludes potentiated the inhibition-releasing, sedative effects of alcohol.  This particular drug combination produced an expensive but potentially fatal drunklike euphoria in the user.
An antagonistic effect is an opposite effect one drug has on another drug.  One drug may be able to reduce another drug’s influence on the body.  Knowledge of this principle has been uwseful in the medical treatment of certain drug overdoses, as in the use of tranquillizers to relieve the effects of LSD or other hallucinogenic drugs.
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Monday, November 28, 2016

EFFECTS OF DRUGS ON THE CENTRAL NERVOUS SYSTEM

effects of drugs

To better understand the disruption caused by the actions of psychoactive drugs, a general knowledge of the normal functioning of the nervous system’s basis unit, the neuron, is required.
First, stimuli from the internal or external environment are received by the appropriate sensory receptor, perhaps an organ such as an eye or an ear.  Once sensed, these stimuli are converted into electrical impulses.  The impulses are then directed along the axon toward the synaptic junction near an adjacent neuron. 
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Friday, November 25, 2016

UNDERWEIGHT AND UNDERNOURISHED

underweight and undernourished

For some young adults, the lack of adequate body weight is a serious concern, particularly for those who have inherited a tendency to thinness.  These people would likely fall into a BMI Category of less than 18.5 and be from 10% to 20% below normal on a standard height-weight table.  Males tend to be particularly concerned with too thin a body type, preferring a lean, muscular V-shape appearance.
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EATING DISORDERS

bulimia nervosa

Some people have medically identifiable, potentially serious difficulties with body images, body weight, and food selection.  Among these disorders are two that are frequently seen among college students – anorexia nervosa and bulimia nervosa.  In addition, binge eating and disordered eating are also found in college populations.  However, most eating disorders also involve inappropriate food choices and psychological issues.
In the United States, conservative estimates indicate that after puberty 5 to 10 million females and 1 million males are struggling with eating disorders such as anorexia, bulimia, or binge eating disorder.  It is estimated that approximately 8% of college women will develop an eating disorder, and the population most at risk for developing bulimia is college freshmen women. 
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Friday, October 28, 2016

WEIGHT MANAGEMENT TECHNIQUES

weight management techniques

Weight loss occurs when the calories consumed are less than the energy the body needs for physiological maintenance and activity.  This may sound overly simplified and certainly the $50 billion-a-year weight loss industry would like us to think it is much more complicated than this.
Weight loss followed by weight gain may be less healthy and certainly more frustrating than maintaining body weight, even at weight above the desirable levels.  When a diet or weight loss strategy fails, the person, not the diet, is blamed.  This causes people to jump to another weight loss method and then another, and a vicious cycle has begun.
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Monday, October 24, 2016

ENERGY NEEDS OF THE BODY

energy needs of the body
What are our energy needs? How many calories should we consume (or burn) to achieve a healthy weight?  Although there are rough estimates for college-aged men (2500 to 3300 calories daily) and women (approximately 2500 calories daily), we all vary in our specific energy needs.  These needs are based on three factors: (1) basal metabolic rate (also referred to as resting energy expenditure, or FREE), (2) activity requirements, and (3) the thermic effect of food.
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CALORIC BALANCE

caloric balance

Any calories consumed in excess of those that are used by the body are converted to fat.  We gain weight when our energy input is greater than our energy output.  On the other hand, we lose weight when our energy output is greater than our energy input.  Weight remains constant when caloric input and output are equal.  In such situations, our bodies are said to be in caloric balance.
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Friday, October 21, 2016

THE RIGHT WAY TO REDUCE THICKNESS AND CAUL


Lifestyle, food and daily activities of man are some of the things that causes the vast majority of men and women have the weight or thickness excessively and sometimes have caul.

These problems have been encountered by people of both sexes and ease deprive many women who reach the point of use slimming belt to reduce stomach or hyperactivity through various means to reduce the issue to them.

Due to the growing problem, have caused many medications purported to be able to reduce the caul and overweight, but health experts warn that it is toxic.

Many scientific studies show that these drugs have largely chemicals such as phentermine, sibutramine, phenolphthalein, caffein, hydroxycitric acid (HCA) and senna which have serious consequences for human health.
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Monday, October 17, 2016

CAUSES OF OBESITY

causes of obesity

There is still an ongoing debate as to the causes of obesity.  Genetic, physiological, metabolic, environmental, psychological, and other factors may all play a part.  In the past decade, the overall prevalence of obesity has increased so that currently one-third of all Americans are obese.  Moreover, in the last twenty years, the number of obese children in the United States has doubled to one in five children.  Genetics, dietary practice, and activity level seem to all play a role in this dramatic increase.
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Tuesday, October 4, 2016

DETERMINING WEIGHT AND BODY COMPOSITION

determining weight and body composition

Some of the techniques used to determine overweight and obesity are common and routinely used by the general public.  Other are expensive and of limited availability.

Height-Weight Tables

Height and weight tables were originally developed in 1983 to assist people in determining the relationship between their weight and desirable standards.  Nearly over version of these tables has come under criticism for not considering variables such as gender, age, frame size, and body composition.  Some versions were thought to be too rigorous in establishing cutoff points for ideal or desirable weight, and others were deemed too generous.  Although still available, these tables are being gradually replaced by other assessment techniques.
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OVERWEIGHT AND OBESITY DEFINED

overweight and obesity definition

What’s the difference between overweight and obesity? Doctors usually define overweight as a condition in which a person’s weight is 1% - 19% higher than normal, as defined by a standard height/weight chart.  Obesity is usually defined as a condition in which a person’s weight is 20% or more above normal weight.  “morbid obesity” refers to being 50% to 100% above normal weight, more than 100 pounds over normal weight, or sufficiently overweight to interfere with health or normal functioning.


Some clinicians and laymen continue to use standard height-weight tables to determine when weight is excessive.  However, more precise techniques to determine body composition are currently available.
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BODY IMAGE AND SELF-CONCEPT

body image and self concept

Although physicians focus on obesity, in our image conscious society, being overweight is also a problem.  The media tell that being overweight is undesirable and that they should conform to certain ideal body images (such as being tall, thin, and “cut” with muscular definition).  For example, the average actress and model is thinner than 95% of the female population and weighs 23% less than the average woman.  The average American woman is 5’4”, 143 pounds, and wears a size 10-12.  The average model is 5’10” and 110 pounds.  Today’s lean but muscular version of perfection is a very demanding standard for both women and men to meet.
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MAINTAINING A HEALTHY WEIGHT

maintaining healthy weight

Weight management has become obsession in American culture as well as a significant health problem.  In the United States, obesity has risen at an epidemic rate during the past 20 years.  One of the national health objectives for the year 2010 is to the prevalence of obesity among adults to less than 15%.  Research indicates that the situation is worsening rather than improving.  

According to the National Center for Chronic Disease Prevention and Health Promotion, an estimated 61% of U.S. adults are either overweight or obese.  In 2000 38.8 million American adults met the criteria for obesity.
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Friday, September 30, 2016

INTERNATIONAL NUTRITIONAL CONCERNS

international nutritional conerns

Nutritional concerns in the United States are centered on over nutrition, including fat density and excessive caloric intake.  In contrast, in many areas of the world the main concern is the limited quantity and quality of food.  Reasons for these problems are many, including the weather, the availability of arable land, religious practices, political unrest, war, social infrastructure, and material and technical shortages.  Underlying nearly all of these factors, however, is unabated population growth.

To increase the availability of food to countries demand for food outweighs their ability to produce it, a number of steps have been suggested, including the following:
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NUTRITION AND THE OLDER ADULT

nutrition and the older adults

Nutritional needs change as adult age.  Age-related changes to the structure and function of the body are primarily responsible for such altered nutritional requirements.  These changes can involve the teeth, salivary glands, taste buds, oral muscles, gastric acid production, and peristaltic action. In addition, chronic constipation resulting from changes in gastrointestinal tract function can decrease the older adult’s interest in eating.

The progressive lowering of the body’s basal metabolism is another factor that will eventually influence the dietary patterns of older adults.  As energy requirements fall, the body gradually senses the need for less food.
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FOOD ALLERGIES

food allergies

There is a difference between being intolerant to certain foods and being allergic to particular foods.  Food intolerance means that a food upsets your intestines, usually due to enzymes deficiency.  A lactose deficiency, for example, causes lactose intolerance.  Lactose intolerance affects 20% of Caucasian Americans, 75% of African Americans, and 50% of Hispanic Americans.  Gluten intolerance (found in wheat, rye, barley, and perhaps oats) affects 1 out of every 150 Americans and can cause malnutrition, premature osteoporosis, colon cancer, thyroid disease, diabetes, arthritis, miscarriage, and birth defects.
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VEGETARIAN DIETS

vegetarian diet

A vegetarian diet relies on plant sources for all or most of the nutrients needed by the body.  This approach includes a range of diets from those that allow some animal sources of nutrients to those that exclude all animal sources.  Studies show that vegetarians who eat a balanced diet don’t seem to have any more iron-deficient problems than do meat eaters.  Although the iron in plant food is not as well absorbed as the iron in animal food, vegetarians tend to eat more of iron-containing foods and more vitamin C foods which helps with the absorption of the iron.  In addition, vegetarians tend to get enough calcium from either dairy foods, tofu, beans, soybeans, calcium fortified cereals, and vegetables such as broccoli. 
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DIETARY GUIDELINES FOR AMERICANS

dietary guidelines


  • Aim for healthy weight.

  • Exercise at least 30 minutes each day.

  • Make food choices based on the U.S. Department of Agriculture food pyramid diagram

  • Eat a variety of grains daily, especially whole grains

  • Eat a variety of fruits and vegetables daily
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FOOD SAFETY

food safety

Technological advances in food manufacture and processing have done much to assure that the food we eat is fresh and safe.  Yet there is growing concern that certain recent developments may also produce harmful effects on humans.  For example, the preparation, handling, and storage of food, irradiation of foods, and genetic engineering of foods all contribute to the safety of our food in terms of food contamination.

Food Poisoning

Foodborne illness or food poisoning is the result of eating contaminated food.  The symptoms of food poisoning can be easily mistaken for the flu – fatigue, chills, mild fever, dizziness, headaches, upset stomach, diarrhea, and severe cramps.  Illness develop within 1 to 6 hours following ingestion of the contaminated food and recovering is fairly rapid.
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DIETARY SUPPLEMENTS

dietary suppliments

In 2000 it was estimated that Americans spent 17 billion dollars on a wide array of over-the-counter (OTC) products known collectively as dietary supplementsThese nonprescription products are legally described as:

·         Products (other than tobacco) that are intended to supplement the diet, including vitamins, amino acids, minerals, glandular extracts, herbs, and other plant products such as fungi

·         Products that are intended for use by people to supplement the total daily intake of nutrients in the diet
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FOOD LABELS

food labels

Since 1973, the FDA has required food manufacturers to provide nutritional information (labels) on products to which one or more nutrients have been added or for which some nutritional claim has been made.  Originally, there was concern about whether additional information would be required.  So the FDA, in consultation with individual states and public interest groups, developed new labeling regulations.  Revised labels began appearing on food packages in May 1993.
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FOOD ADDITIVES

additives

Today many people believe that the food they consume is unhealthy because of the 2,800 generally recognized as safe (GRAS) food additives that can be put into food during production, processing, and preparation.  But should these additives be banned?

Food additives refer to substances added to food to provide color or flavor, replace sugar or flat, or improve nutritional content, texture, or shelf life.  Food additives must undergo FDA testing and approval to ensure that the benefits outweigh any risks associated with these additives.  For example, emulsifiers help to give peanut butter a more consistent texture and prevent separation while stabilizers and thickeners can ice cream a smooth, uniform texture.  Preservatives such as antioxidants prevent apples from turning brown from exposure to air and fats and oils in baked goods from spoiling.  The three most common additives are sugar, salt, and corn syrup.
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FUNCTIONAL FOODS

functional foods health and rates

At the forefront of healthful nutrition is the identification and development of foods intended to affect a particular health problem or to improve the functional capability of the body.  Functional foods contain not only recognized nutrients but also new or enhanced elements that impart medicine-like properties to the food.  Alternative labels also exist for various sub classes of functional foods, such as nutraceuticals or food elements that may be packaged in forms appearing more like medications (for example, pills or capsules), and probiotics or foods that improve the microbial flora that reside within the human digestive tract.
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Wednesday, September 21, 2016

PHYTOCHEMICALS

the phytochemicals


Certain physiologically active components are believed to deactivate carcinogens or function as antioxidants.  Among these are the carotenoids (from green vegetables), poliphenols (from onions and garlic), indoles (from cruciferous vegetables), and the all1 sulfides (from garlic, chives, and onions).  These phytochemicals may play an important role in sparking the body to fight and slow the development of some diseases such as cancer.  At this time, however, the exact mechanism through which the various phytochemicals reduce the formation of cancer cells is not understood.  Although it is generally agreed that these foods are important in planning food selections, no precise recommendations regarding the amounts of various phytochemical-rich plants have been made.
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FAST FOODS


Fast foods deliver a high percentage of their calories from fat, often associated with their method of preparation (e.g., frying in saturated fat).  Fat density is a serious limitation of fast foods.  In comparison with the recommended standard (25% to 30% of total calories from fat), 40% to 50% of the calories in fast foods come from fats.  Although many fast-food restaurants are now using vegetable oil instead of animal fat for frying (to reduce cholesterol levels), this change has not lowered the fat density of these foods.  One average fast-food meal supplies over one-half the amount of fat needed in a day.  In addition, fast foods are often high in sugar and salt.
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HEALTHY PYRAMID ALTERNATIVES

health pyramid alternatives

While most of the people are aware of the food pyramid as a guideline for healthy eating, less than 40% of Americans actually follow it.  Dr. Walter Willet has developed what he hopes will be accepted as the new food pyramid as he describe the current one as “built on shaky scientific ground.” The healthy Eating  Pyramid advises people to:

1.       Select whole grains over the highly processed carbohydrates.

2.       Choose monounsaturated and polyunsaturated fats over saturated fats and avoid trans fat.

3.       Select deep green and colorful vegetables

4.       Choose protein sources such as nuts, legumes, fish, and poultry over red and processed meats.

5.       Include physical activity.

6.       De-emphasize dairy products and refined grains such as white bread and white rice.

7.       Take a daily multivitamin for insurance.


The food pyramid is released every 5 years by the USDA and is scheduled to publish the next set of dietary guidelines in February 2005.  However, since its inception in 1992, the guidelines have changed to include more current information but have not actually been revised.  It will be interesting to see if Dr. Willett’s Healthy Eating Pyramid is adopted for the new dietary guidelines.
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THE FOOD GROUPS

the food groups

The most effective ways to take in adequate amounts of nutrients is to eat a balanced diet – one that includes a wide variety of food group.  Over the past several decades, various methods of grouping foods have been used, identifying five, seven, four, and now (again) five food groups from which selections are to be made.  Today, the U.S Department of Agriculture (USDA) Food Guide Pyramid outlines five groups for which recommendations have been established and an additional group (fats, oils, and sweets) for which no specific recommendation exist.

Fruits

Two to four daily servings from the fruit group are recommended for an adult.  The important function of this group are to provide vitamin A, vitamin C, complex carbohydrates, and fiber in our diets. 
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TYPES OF NUTRIENTS

types of nutrients

Let’s discuss the familiar nutrients first:  carbohydrates, fats, and proteins.  These three nutrients provide our bodies with calories.  Calories are used quickly by our bodies in energy metabolism, or they are stored in the form of glycogen or adipose (fatty) tissue.

Carbohydrates

Carbohydrates are various combinations of sugar units, or saccharides and are the major energy source for the body.  Each gram of carbohydrate contains 4 calories.  Since the average person requires approximately 2000 calories per day and about 60% of our calories come from carbohydrates roughly 1200 calories per day come from carbohydrates.

Carbohydrates occur in three forms, depending on the number of saccharide (sugar) units that make up the molecule.  Those that contain only one saccharide unit are classified as monosaccharides (glucose, or blood sugar), those with two units are disaccharides ( sucrose, or table sugar), and those with more than two units are polysaccharides (starches).

Americans now consume about 150 pounds of sweeteners each year – usually in colas, candies, and pastries, which few additional nutritional benefits.  For years, excess sugar intake was blamed for a number of serious health problems, including obesity, mineral deficiencies, behavioral disorders, dental cavities, diabetes mellitus, and cardiovascular disease.  However, with the exception of dental cavities, current scientific data do not confirm that sugar itself directly causes any of these health problems.  Today, it is recommended that no more than 10% of our total calories come from simple sugars.

Much of the sugar we consume is hidden.  For example, it is an ingredient in food such as ketchup, salad dressing, cured meat products, and canned vegetables and fruits.  High-fructose corn syrup, often found in these items, is a highly concentrated sugar solution.

Starches are complex carbohydrates composed of long chains of sugar units.  However, these starches should not be confused with the adjective “starchy.” When people talk about starchy foods, they usually mean complex carbohydrates, or “heavy” foods.  True starches are among the most important sources of dietary carbohydrates.  Starches are found primarily in vegetables, fruits, and grains.  Eating true starches is overall very nutritionally beneficial because most starch sources also contain much needed vitamins, minerals, plant protein, and water.

Fats

Fats (lipids) are an important nutrient in our diets, as they provide a concentrated form of energy (9 calories per gram).  Fats provide a feeling of satiety and keep us from feeling hungry.  Because fats take longer to leave your stomach than either carbohydrates or proteins do, our stomachs feel full for a longer period of time, decreasing our appetite.  Fat also helps give food its pleasing taste, or palatabilityFats carry the fats soluble vitamins A, D, E and K.  without fat, these vitamins would quickly pass through the body.  Fat also insulates our bodies to help us retain heat.

Dietary sources of fat are often difficult to identify.  The visible fats in our diet, such as butter, salad oils, and the layer of fat on some cuts of meat, represent only about 40% of the fat we consume.  Most of the fat we eat is hidden in the food.

At the grocery store, the fat content of some foods is expressed as a percentage of the product’s weight.  For example, the different type of milk available include skim milk (no fat), low-fat milk (½%), reduced-fat milk (1% to 2%), and whole milk (3% to 4%).  The labeling term “reduced-fat” for 1% and 2% milk was introduced in 1997 to indicate that these types of milk are no longer considered “low-fat.”

The current recommendation is that no more than 25% to 30% of our calories come from fat.  Children under 2 years of age, however, need a certain amount of fat in their diets for growth.  Check with your doctor before restricting you are the amount of fat in a young child’s diet.

All dietary fat is made up of combination of three forms of fat: saturated, monounsaturated, and polyunsaturated, based on chemical composition.  Paying attention to the amount of each type of fat in our diet is important because of the know link to heart disease.  Not all fats are created equal.  Saturated fats, including those found in animal sources and vegetable oils to which hydrogen has been added (hydrogenated), becoming trans-fatty acids, need to be carefully limited in a healthy diet.
Concern over the presence of trans-fatty acids (an altered form of a normal vegetable oil molecule) is associated with changes detrimental to the cell membrane, including those cells lining the artery wall.  Among the changes being suggested is an increase in calcium deposits.  This could result in a rough surface, leading to plaque formation.

Processing can change the structure of fat, making it more saturated.  As a result, the oils become semisolid and more stable at room temperature.  The term trans describes the chemical makeup of a fatty acid.  Most trans fatty acids come from hydrogenated oil, which is found in foods such as stick margarine, peanut butter, and crackers.  They are popular in food manufacturing because they can extend the shelf life of the food: the oil stays mixed in the food and doesn’t rise to the top, and the food doesn’t become too soft at room temperature.  Many foods are fried with these fats in the fast-food industry.

Tropical Oils

Although all cooking oils (and fats such as butter, lard, margarine, and shortening) have the same number of calories by weight (9 calories per gram), some oils contain high percentages of saturated fats.  All oils and fats contain varying percentages of saturated, monounsaturated, and polyunsaturated fats.  However, the tropical oils- coconut, plan, and palm kernel – contain much higher percentages of saturated fats than do other cooking oils.  Coconut oil, for example, is 92% saturated fat.  Tropical oils can still be found in some brands of snack foods, crackers, cookies, nondairy creamers, and breakfast cereals, although they have been removed from national brands.  Do you check for tropical oils on the ingredients labels of the foods you select?

Cholesterol

There has been a great deal of focus and concern over cholesterol levels.  Cholesterol is white, fat-like substance, found in cells of animal origin.  It is not found in any vegetable product, so products such as peanut butter and margarine that claim they are cholesterol free never had it in the first place.  

Cholesterol is used to synthesize cell membranes and also serves as the cell starting material for the synthesis of bile acids and sex hormones.  Although we consume cholesterol in our diet, in such foods as shrimp and other shell-fish, animal fat, and milk, you don’t need to obtain cholesterol from external sources – the human liver can synthesis enough of the substance to meet of the body’s needs.  It is important to note that some foods high in cholesterol may provide other important nutrients and could remain in a healthy diet on a modest basis.  A high level of cholesterol has been reported to be a risk factor in the development of cardiovascular disease.  There are number of medical conditions that can give rise to high blood cholesterol such as liver disease, kidney failure, hypothyroidism, and diabetes.  Certain medications, (some diuretics, for example) can also raise blood cholesterol, irrespective of diet.  

Considerable evidence suggests that increased intake of saturated fats may increase serum (blood) cholesterol levels.  Nutritionists recommend that people restrict their dietary intake of cholesterol to 300 mg or less per day.  In other words, no more than 30% of your caloric intake should come from fat, with 7-10% from saturated fats, 10-15% from monounsaturated fats, and 10% from polyunsaturated fats.

Trans fats can act like saturated fat, potentially raising LDL blood cholesterol levels and decreasing HDL cholesterol.  In order to reduce your intake of trans fat, make sure you check the labels on foods to see if they list “partially hydrogenated vegetable oil” as one of the ingredients.  Foods such as cakes, cookies, crackers, snack foods, stick margarine, vegetable shortening and fried foods are most likely to have hydrogenated vegetable oil as one of the ingredients.  This also the reason nutritionists encourage us to use butter rather than stick margarine.

Low – Fat Foods

Low fat and low calorie are not the same but often people confuse the two.  Fat-free, low-fat, or reduced-fat foods have been popular for many years with people thinking they can eat as much as they want of these foods.  This is far from true as a fat-free or reduced-fat product may have as many if not more calories per serving than regular products.  For example, two tablespoons of fat-free caramel topping.  Because fat helps you to feel fuller for a longer period of time, individuals tend more of the fat-free foods in order to feel satiated, thus consuming more calories.  In general, the lower the fat the higher the price tag as the food industry recognized that American are willing to pay more for reduced-fat and fat-free labels.  However, this may be changing as people have realized that lower fat with potentially higher calories doesn’t equal weight loss or healthy weight management.  With subway trading in cookies for a fruit roll and soda for a 100 percent juice carton in its kids-pak meals and McDonald’s offering a piece of fresh fruit in lieu of French fries for its Happy Meals and touting salad for adult fare, the fast-food tide seems to be turned from supersized and super fat toward healthier choices.

Proteins

Proteins are found in every living cell.  They are composed of chains of amino acids.  Of the twenty naturally occurring amino acids, the body can synthesize all but nine essential amino acids from the foods we eat.  A food that contains all nine essential amino acids is called a complete protein food.  

Examples are animal products, including milk, meat, cheese, and eggs.  A food source that does not contain all nine essential amino acids is called an incomplete protein food.  Vegetables, grains, and legumes peas or beans – including chickpeas, butter beans, soybean curd [tofu], and peanuts) are principle sources of incomplete protein.  For some people, including vegan vegetarians, people with limited access to animal-based food sources, or those who have significantly limited their meat, egg, and dairy product consumption, it is important to understand how essential amino acids can be obtained from incomplete protein sources.  This requires the careful selection of plant foods in combinations that will provide all of the essential amino acids, as shown in the following list:

·         Sunflower seeds/green peas

·         Navy beans/barley

·         Green peas/corn

·         Red beans/rice

·         Sesame seeds/soybeans

·         Black-eyed peas/rice and peanuts

·         Green peas/rice

·         Corn/pinto beans

When even one essential amino acid is missing from the diet, a deficiency can develop, Soybeans provide the same high quality protein equal to that of animal protein.  Furthermore, soybeans contain no cholesterol or saturated fat  and can actually lower blood lipid levels, reducing the risk of heart disease.
Protein primarily promotes growth and maintenance of body tissue.  However, when caloric intake falls, protein is broken down and converted into glucose.  This loss of protein can impede growth and repair of tissue.  Protein also is primary component of enzyme and hormone structure.  It helps maintain the acid-base balance of our bodies and is a source of energy (4 calories per gram consumed).  Nutritionists recommend that 12% to 15% of our caloric intake be from protein, particularly that of plant origin.  The RDA for adults is 58 grams of dietary protein for men and 46 grams for women each day.

Vitamins

Vitamins are organic compounds that are required in small amounts for normal growth, reproduction, and maintenance of health.  Vitamins differ from carbohydrates, fats, and proteins because they do not provide calories or serve as structural elements for our bodies.  Vitamins are coenzymes.  By facilitating the action of sponses, including energy production, use of minerals, and growth of healthy tissue.

Vitamins can be classified as water soluble (capable of being dissolved in fat or lipid tissue).  Water soluble vitamins include the B-complex vitamins and Vitamins C.  most of the excess of these water soluble vitamins is eliminated from the body in the urine.  The fat soluble vitamins are vitamins A, D, E, and K.  Excessive intake of these vitamins causes them to be stored in the body in the adipose (fat) tissue.  It is therefore possible to consume and retain too many of these vitamins, particularly vitamins A and D.  because excess fat soluble vitamins are stored in the body’s fat, organs that contain fat, such as the liver, are primary storage sites.

Because water soluble vitamins dissolve quickly in water, it’s important not to lose them during the preparation of fresh fruits and vegetables.  One method is not to overcook fresh vegetables.  The vegetables are steamed or boiled, the more water soluble vitamins will be lost.  Some people save the water in which vegetables were boiled or steamed and use it for drinking or cooking.  More vitamins are retained with microwave cooking than with stove top cooking.

To ensure adequate vitamin intake, a good approach is to eat a variety of foods.  Unless there are special circumstances, such as pregnancy, lactation, infancy, or an existing health problem, nearly everyone who eats a reasonably well-rounded diet consumes enough vitamins to prevent deficiencies.  People often think taking mega doses of vitamins such as vitamin C can be health-enhancing, but actually the reverse is true.  Taking large doses of vitamin C from a dietary supplement can put a strain on your kidneys, causing kidney stones and diarrhea.  Too much niacin, vitamin B6, and folate can also be harmful.

Some recommend that supplements be taken with food, since they’re really components of food and help the body metabolize other food components.  The fat-soluble nutrients should be taken with a little oil or fat to enhance absorption.  The water-soluble nutrients are easily absorbed without food, but may work better when taken with meals.  In addition, some people complain of stomach upset when they take vitamins on an empty stomach.

Unfortunately, not all people eat a balanced diet based on a variety of foods.  Recent studies suggest that a somewhat higher intake of vitamins A, C, and E for adults might reduce the risk of developing cancer, atherosclerosis, and depressed levels of high-density lipoprotein (HDL) cholesterol; however, several unanswered questions remain, including the amounts needed for effectiveness.

Consuming an adequate amount of folic acid before and during pregnancy has been shown to reduce the incidence of birth defects.  To ensure adequate folic acid intake (400 micrograms/day), in 1997 the Food and Drug Administration (FDA) began to require that bread and cereal products be supplemented with folic acid.  The goal of this requirement is for pregnant women and women of child-bearing age to receive at least 140 micrograms/day through dietary intake.  Taking a daily multivitamin before and during pregnancy would easily provide the remaining amount of folic acid necessary to promote fetal neural tube closure (thus preventing spina bifida).  Folic acid is also considered important in the prevention of cardiovascular disease.

At the same time that many health experts are recommending some vitamin supplementation, the FDA has prohibited manufacturers of food supplements, including vitamins, from making unsubstantiated claims for the cure and prevention of disease.  Supplement manufacturers fought against the implementation of this regulation by suggesting to the public that vitamins might become available only by prescription.  This did not happen.  Today, manufacturers of folic acid supplements may make claims about the product’s ability to prevent neural tube defects in infants.

Minerals

Nearly 5% of the body is composed of inorganic materials, the minerals.  Minerals function primarily as structural elements (in teeth, muscles, hemoglobin, and hormones).  They are also critical in the regulation of body processes, including muscle contraction, heart function, blood clotting, protein synthesis, and red blood cell formation.  

Approximately twenty-one minerals have been recognized as essential for good health.  Unlike vitamins, minerals are inorganic and can’t be destroyed by heat or food processing.

Major minerals are those that exist in relatively high amounts in our body tissues.  The RDA recommends taking 250 mg of each one daily.  Examples are calcium, phosphorus, sulfur, sodium, potassium, and magnesium.  Examples of trace elements in body tissues, include zinc, iron, copper, selenium, and iodine.  Trace elements are required only in small quantities, fewer than 20 mg daily of each, but they are essential for good health.  As with vitamins, the safest, most appropriate way to prevent a mineral deficiency is to eat a balanced diet.  However, calcium, a major mineral, can be taken as a supplement to help prevent osteoporosis.

Water

Water may well be our most essential nutrient, since without water most of us would die from effects of dehydration in less than 1 week.  We could survive for weeks or even years without some of the essential minerals and vitamins, but not without water.  More than half our body weight comes from water.  Water provides the medium for nutrient and waste transport, controls body temperature, and functions in nearly all of our body’s biochemical reactions.

Most people seldom think about the importance of an adequate intake of water and fluids.  The average adult loses about 10 cups of water daily through perspiration, urination, bowel movements, and breathing.  Adult require about six to ten glasses a day, depending on their activity level and environment.  People who drink beverages that tend to dehydrate the body (tea, coffee, and alcohol) should increase their water consumption.  To see if you are drinking enough fluid, check your urine.  A small amount of dark-colored urine can be an indication that you are not consuming enough fluids.  Needed fluids are also obtained from fruits, vegetables, fruit and vegetable juices, milk, and noncaffeinated soft drinks.  Excessive water consumption by infants, however, can dilute sodium stores in the body to dangerously low levels, possibly causing death.  Also, dentists are increasingly concerned about the abnormally high number of dental caries (cavities) seen in children who have consumed bottled water rather than fluoridated tap water.

Fiber

Although not considered a nutrient by definition, fiber is an important component of sound nutrition.  Fiber consists of plant material that is not digested but moves through the digestive tract and out of the body.  Cereal, fruits, and vegetables all provide us with dietary fiber.

Fiber can be classified into two large groups on the basis of water solubility.  Insoluble fibers are those that can absorb water from the intestinal tract.  By absorbing water, the insoluble fibers give the stool bulk and decrease the time it takes the stool to move through the digestive tract.  In contrast, soluble fiber turns to a “gel” in the intestinal tract and binds to liver bile, to which cholesterol is attached.  Thus the soluble fibers may be valuable in removing cholesterol, which lowers blood cholesterol levels.  How much fiber do you need? Adults should eat from 25 to 35 g of fiver each day; however, most American adults only eat 11 g per day.  Fiber has many benefits, including helping to curb your appetite and prevent overeating because it is filling, requires more chewing, stays in the stomach longer, and absorbs water, adding to the feeling of fullness.  Fiber also helps to slow the absorption of sugar from the intestines, thus steadying the blood sugar and slowing down the absorption of fat from the foods you eat.  Consuming adequate amounts of fiber has an important effect on reducing serious medical problems because soluble fiber lowers LDL cholesterol and protects against cardiovascular disease while insoluble fiber protects against developing colon cancer.

In recent years, attention has been given to three forms of soluble fiber – oat bran, psyllium (from the weed plantain), and rice bran – because of their ability to lower blood cholesterol levels.

Oat blood can lower cholesterol levels by five to six points in people whose initial cholesterol levels are moderate high.  To accomplish this reduction, a daily consumption of oat bran equal to a large bowl of cold oat bran cereal or three or more packs of instant oatmeal would be necessary.  Oatmeal can also be eaten as a cooked cereal or used in other foods, such as hamburgers, pancakes, or meatloaf. 
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