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Explore the complex relationship between nutrition, immunity, chronic diseases, and cancer risk factors. Learn about strategies to reduce cardiovascular disease and hypertension through lifestyle modifications. Discover the role of nutrients in promoting overall health.
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Chapter 11Diet and Health Nutrition: Concepts & Controversies, 12e Sizer/Whitney
Learning Objectives • Describe relationships between immunity and nutrition, and explain how malnutrition and infection worsen each other. • Compare and contrast the progression and the symptoms of heart disease in men and women. • Describe what dietary and genetic factors may affect CVD risks and why higher LDL levels are a health concern.
Learning Objectives • Develop a general eating plan for a person with prehypertension. • Speculate about possible mechanisms by which a diet high in red meat might increase the risk of breast cancer or colorectal cancer.
Learning Objectives • Develop a healthy eating plan that reduces the intake of trans fat and saturated fat but maintains sufficient intakes of essential nutrients. • Describe some recent advances in nutritional genomics with regard to the health of the body through life.
Introduction • Two types of diseases • Infectious and chronic • Nutrients and our body’s defenses • Hoaxes • Leading causes of death • Chronic diseases • Mixture of factors
Nutrition and Immunity • Well-nourished immune system • Provides protection • Susceptible groups • PEM • Malnutrition
Effects of Protein-Energy Malnutrition (PEM) on the Body’s Defense Systems
The Concept of Risk Factors • Risk factors • Suspected contributors • Show correlation with the disease • Disease risk factors • Genetic • Environmental • Behavioral • Social • Dietary contributions to disease
The Concept of Risk Factors • Estimating your risk • Search family’s medical history • Laboratory tests
Cardiovascular Diseases • Disease of heart and blood vessels • Symptoms of heart attack and stroke • Minimizing risks • Heart is one of the least regenerative organs • Heart disease • Men vs. women
Atherosclerosis • Hardening of the arteries • Everyone has signs • How advanced is the disease • Plaque formation • Damaging factors to vessel linings • Inflammation • Macrophages • Mineralization
Atherosclerosis • Plaque rupture • Blood clots • Abnormal blood clotting • Omega-3 fatty acids • Blood pressure
Risk Factors for CVD • Age, gender, and genetic inheritance • Nonmodifiable • High LDL and low HDL cholesterol • Higher the LDL the greater the risk • Most atherogenic lipoproteins • Higher HDL reduces risk • LDL oxidation
Adults Standards for Blood Lipids, Body Mass Index (BMI) and Blood Pressure
Risk Factors for CVD • Hypertension and atherosclerosis • Both worsen CVD • Worsen each other • Diabetes • Physical inactivity • Benefits of activity for heart health • Smoking
Risk Factors for CVD • Atherogenic diet • DASH eating plan • Obesity & metabolic syndrome • Cluster of risk factors • Inflammation • Increased risk of thrombosis • Other risk factors
Recommendations for Reducing CVD Risk • Lifestyle changes • Increase physical activity • Lose weight • Implement dietary changes • Reduce exposure to tobacco smoke
Recommendations for Reducing CVD Risk • Diet to reduce CVD risk • Reduce fat intake • Saturated and trans fats • Limit refined starches and added sugars • Eat fruits, vegetables, and whole grains • Diet rich in omega-3 fatty acids • Other dietary factors
Nutrition and Hypertension • One of most prevalent forms of CVD • No symptoms you can feel • Two numbers • Systolic pressure • Diastolic pressure • Prehypertension • Blood pressure checks at regular intervals
Nutrition and Hypertension • Blood pressure • Cardiac output • Factors causing an increase • Peripheral resistance • Factors causing an increase • Risk factors • Salt intake • Alcohol
Nutrition and Hypertension • DASH diet • Health benefits beyond blood pressure • Weight control • Physical activity • Alteration of hormones • Salt or sodium • Alcohol • Minerals and vitamin C
Complementary and Alternative Medicine • Complementary vs. alternative • Integrative medicine • National Center for Complementary and Alternative Medicine (NCCAM) • http://nccam.nih.gov/ • Accupuncture • Herbal medicines
Nutrition and Cancer • Prevention of cancer • Risk factors • Lifestyle factors • Environmental exposures • Diet • Dietary components • Relation to cancer
How Does Cancer Develop? • Cancer arises in the genes • DNA is damaged by carcinogen • Cellular repair or self-destruction • Cell loses ability to self-destruct • Replicates uncontrollably • Mass of abnormal tissue • Cancer prevention through tumor development
Which Diet Factors Affect Cancer Risk? • Energy intake • Reduced caloric intakes • Cancer prevention only • Obesity • Depends on site of cancer & other factors • Physical activity • Alcohol • Fat and fatty acids
Which Diet Factors Affect Cancer Risk? • Red meats and processed meats • Cooking • Smoking • Fiber-rich foods • Folate and antioxidant vitamins • Calcium and vitamin D • Iron • Food phytochemicals
The DASH Diet: Preventive Medicine • Emphasized foods • Make only a few dietary changes at a time • Start with fruits & vegetables
Nutritional Genomics: Can It Deliver on Its Promises? Controversy 11
Nutritional Genomics Research • Genome • Genetic profile • DNA microarray technology • DNA mutations • SNPs • Variation of a nucleotide
Epigenetics • Epigenome • Proteins and other molecules that regulate expression of genes • Turning genes “on” and “off” • Inherited or altered • Regulation • Histones • Methyl groups
Epigenetics • Future generation effects • Embryonic development • Modifying your epigenome • Health implications • Bioactive constituents in whole foods
Genetic Testing • Arguments • Merits • Demerits • Nutritional genomics fraud