Menu Expand
Krause's Food & the Nutrition Care Process - E-Book

Krause's Food & the Nutrition Care Process - E-Book

L. Kathleen Mahan | Janice L Raymond

(2016)

Additional Information

Book Details

Abstract

A trusted classic for over 50 years, Krause’s Food and the Nutrition Care Process, 14th Edition presents the most cutting-edge and up-to-date dietetics content available in this ever-changing field. Nicknamed the "nutrition bible", students and practitioners alike turn to its current, comprehensive content, engaging pedagogy and design, and logical presentation of information. This new edition includes the 2015 Dietary Guidelines for Americans, more visuals, and highlighted Clinical Case Studies, Clinical Insights, and Clinical Applications boxes that help translate scientific knowledge into practical patient care. Written by nearly 50 nationally recognized writers, researchers, and practitioners, it covers nutrition assessment and intervention, the nutritional needs of individuals in different stages of the life cycle, nutrition for health and fitness, and medical nutrition therapy.

  • Authored by clinical specialists, ensuring in-depth coverage with many practical and evidence-based recommendations.
  • Sample Nutrition Diagnosis boxes present a problem, its etiology, and its signs and symptoms before concluding with a sample nutrition diagnosis, providing both students and practitioners with real-life scenarios they may encounter in practice.
  • UNIQUE! Pathophysiology algorithms present the cause, pathophysiology, and medical nutrition management for a variety of disorders and conditions to help you provide optimal nutritional care.
  • Chapters on nutrition in each of the life cycle phases, include:
    • Nutrition in Pregnancy and Lactation
    • Nutrition in Infancy
    • Nutrition in Childhood
    • Nutrition in Adolescence
    • Nutrition in the Adult Years
    • Nutrition in Aging

  • Focus On boxes provide thought-provoking information on key concepts for well-rounded study and further discussion within the classroom.
  • New Directions boxes point you toward additional research on emerging areas in nutrition therapy.
  • Clinical Insight boxes expand on clinical information, highlight areas that may go unnoticed, and contain clinical resources for students and practitioners.
  • Chapters on the nutritional care of the low-birth-weight and premature infant feature information on how to support their health, growth, and development.
  • Useful websites direct you to online resources that relate to chapter topics.
  • Key terms are defined at the beginning of each chapter and bolded within the text where they are discussed in more detail.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Inside front cover es
Krause’s food & the nutrition care process 14th Edition i
Copyright Page ii
Dedication iii
Contributors iv
Reviewers vii
Foreword viii
Preface ix
Audience ix
Organization ix
New to this edition ix
Pedagogy x
Ancillaries x
Instructor resources x
Student resources x
Acknowledgments xi
Table of contents xii
I Nutrition Assessment 1
1 Intake: Digestion, absorption, transport, and excretion of nutrients 2
Key terms 2
The gastrointestinal tract 2
Brief overview of digestive and absorptive processes 3
Enzymes in digestion 4
Regulators of gastrointestinal activity: Neural and hormonal mechanisms 4
Gastrointestinal hormones 5
Digestion in the mouth 7
Digestion in the stomach 7
Digestion in the small intestine 8
The small intestine: Primary site of nutrient absorption 8
Absorptive and transport mechanisms 9
The large intestine 10
Intestinal microbiota: The microbiome 10
Colonic salvage of malabsorbed energy sources and short-chain fatty acids 11
Digestion and absorption of specific types of nutrients 11
Carbohydrates and fiber 11
Proteins 12
Lipids 13
Vitamins and minerals 14
Useful websites 16
References 16
2 Intake: Energy 17
Key terms 17
Energy requirements 17
Components of energy expenditure 17
Basal and resting energy expenditure 17
Factors affecting resting energy expenditure 18
Age. 18
Body composition. 18
Body size. 18
Climate. 18
Gender. 18
Hormonal status. 18
Temperature. 18
Other factors. 18
Thermic effect of food 18
Activity thermogenesis 19
Additional considerations in energy expenditure 19
Measurement of energy expenditure 19
Direct calorimetry 20
Indirect calorimetry 20
Respiratory quotient 20
Other methods of measuring energy expenditure 21
Doubly labeled water. 21
Measuring activity-related energy expenditure 21
Triaxial monitors. 21
Physical activity questionnaire 21
Estimating energy requirements 21
Equations for estimating resting energy expenditure 21
Determining tee 21
Estimating energy requirements from energy intake 22
Other prediction equations 22
Estimated energy expended in physical activity 24
Estimating energy expenditure of selected activities using metabolic equivalents 24
Physical activity in children 24
Calculating food energy 25
Useful websites/apps 26
References 26
3 Inflammation and the pathophysiology of chronic disease 28
Key terms 28
Epidemic of chronic disease 28
Concepts of chronic disease pathophysiology 29
Systems biology 29
Allostasis 29
Autophagy 29
Health continuum 29
Genesis of disease 29
Long-latency nutrient insufficiencies 29
Nutrient-partner principle 30
Triage theory 30
Inflammation: Common denominator of chronic disease 30
Prolonged inflammation 31
Antigens 33
Genomics 33
Body composition 33
Energy dysregulation 33
Microbiome 34
Hypercoagulation 34
Infection 34
Stress 35
Nutrient modulators of inflammation 35
Omega-6 linoleic acid and omega-3 alpha-linolenic acid (essential fatty acids) 37
Prostaglandin 1 series (PGE1): Antiinflammatory 39
Prostaglandin 2 series (PGE2): Pro-inflammatory when in excess 39
Prostaglandin 3 series (PGE3): Antiinflammatory 39
Lipoxygenases (lox) 39
Cyclooxygenases (cox) 39
Specialized pro-resolving mediators (spm) 39
Reducing inflammation in the body 39
Minerals 41
Gut ecology and the microbiome 42
The patient’s story 44
Prolonged inflammation expression specific to major chronic diseases 44
Heart disease/cardiometabolic syndrome 44
Cancer 45
Autoimmune conditions 45
Neurologic conditions 45
Endocrine abnormalities 45
Developmental inflammatory-related conditions 45
Summary 47
Useful websites 47
References 48
4 Intake: Analysis of the diet 52
Key terms 52
Nutrition screening 52
Nutrition screening tools 54
Nutrition assessment 55
Tools for assessment of nutritional status 56
Histories 56
Medical or health history 56
Medication and herbal use history 56
Social history 56
Nutrition or diet history 56
Nutrient intake analysis 60
Analysis of dietary intake data 61
Nutrient databases 62
Useful websites 62
References 63
5 Clinical: Nutritional genomics 64
Key terms 64
The human genome project and the “omic” disciplines 65
The “omics” 65
Clinical applications 65
Nutritional genomics 65
Genotype and nutrition assessment 67
Genetic fundamentals 67
Genetic basics 68
Control of gene expression 71
Modes of inheritance 72
Mendelian inheritance 72
Mitochondrial inheritance 72
Epigenetic inheritance, genomic imprinting 73
Inheritance and disease 74
Disease at the chromosomal level 74
Disease at the mitochondrial level 74
Disease at the molecular level 74
Genetic technologies 75
Genetics and nutrition therapy 76
Nutrigenetic influences on health and disease 76
Nutrigenomic influences on health and disease 77
Nutritional genomics and chronic disease 79
Genetic variability 79
Cardiovascular disease 79
Inflammatory disorders 80
Immune health and cancer 80
Blood sugar regulation 80
Bone mineralization and maintenance 80
Weight management 81
Other chronic diseases 81
Ethical, legal, and social implications 81
Summary 82
Useful websites 83
References 83
6 Clinical: Water, electrolytes, and acid-base balance 85
Key terms 85
Body water 85
Functions 85
Distribution 85
Water balance 86
Water intake 87
Water intoxication 88
Water elimination 88
Clinical assessment of fluid status 89
Electrolytes 89
Calcium 89
II Nutrition Diagnosis and Intervention 157
10 Overview of nutrition diagnosis and intervention 158
Key terms 158
The nutrition care process 158
Nutrition screening 159
Nutrition assessment 160
Nutrition diagnosis 160
Nutrition intervention 160
Monitoring and evaluation of nutrition care 161
Evidence-based guidelines 163
Accreditation and surveys 163
Documentation in the nutrition care record 164
Medical record charting 164
Electronic health records and nutrition informatics 164
Influences on nutrition and health care 167
Affordable health care for america: Reconciliation bill 167
Confidentiality and the health insurance portability and accountability act 167
Payment systems 168
Quality management 168
Patient-centered care and case management 168
Staffing 169
Nutrition interventions 169
Interventions: Food and nutrient delivery 169
Modifications of the normal diet 170
Diet modifications in hospitalized patients 170
Regular or general diet 170
Consistency modifications 170
Food intake 171
Acceptance and psychologic factors 171
Interventions: Nutrition education and counseling 171
Intervention: Coordination of care 171
Nutrition for the terminally ill or hospice patient 171
Useful websites 172
References 172
11 Food and nutrient delivery: Diet guidelines, nutrient standards, and cultural competence 173
Key terms 173
Determining nutrient needs 173
Worldwide guidelines 173
Dietary reference intakes 174
Dri components 174
Target population 177
Age and gender groups 177
Reference men and women 177
Nutritional status of americans 177
Food and nutrient intake data 177
Healthy eating index 182
National guidelines for diet planning 183
Current dietary guidance 183
Implementing the guidelines 183
Food and nutrient labeling 184
Mandatory nutrition labeling 184
Standardized serving sizes on food labels 184
Nutrition facts label 184
Nutrient content claims 185
Health claims 186
Dietary patterns and counseling tips 187
Vegetarian diet patterns 187
Cultural aspects of dietary planning 188
Religion and food 188
Health literacy 189
Useful websites 190
References 190
12 Food and nutrient delivery: Complementary and integrative medicine and dietary supplementation 191
Key terms 191
Complementary and integrative medicine 191
Use of complementary and integrative therapies 191
Dietary supplementation 194
Defining dietary supplements 194
Herbal medicine 194
Trends in dietary supplement use 194
Multivitamin efficacy 195
Antioxidant supplements 195
Potentially at-risk populations 196
Dietary supplement regulation 196
Ensuring dietary supplement safety 197
Third party certification 198
Quality issues in dietary supplements 198
Quantity of ingredients 198
Formulations 199
Excipients 199
Vitamins 199
Minerals 199
Assessment of dietary supplement use in patients 199
Recommendation and sale of dietary supplements 199
Resources for clinicians 200
Useful websites 207
Free sites 207
Subscription sites 207
Text/print 207
Resources for herbal medicine 207
References 207
13 Food and nutrient delivery: Nutrition support 209
Key terms 209
Rationale and criteria for appropriate nutrition support 209
Enteral nutrition 210
Enteral nutrition access 210
Short-term enteral nutrition support 210
Nasogastric access 210
Gastric versus small-bowel access 210
Nasoduodenal or nasojejunal access 211
Long-term enteral access 212
Gastrostomy or jejunostomy 212
Other minimally invasive techniques 213
Formula content and selection 213
Blenderized (homemade) tube feedings 214
Protein 214
Carbohydrate 215
Lipid 215
Vitamins, minerals, and electrolytes 215
Fluid 215
Administration 215
Bolus 215
Intermittent and cyclic 216
Continuous 216
Monitoring and evaluation 216
Monitoring for complications 216
Monitoring for tolerance and nutrient intake goals 217
Parenteral nutrition 217
Getting started with parenteral nutrition 217
Access 218
Peripheral access 218
Short-term central access 218
Long-term central access 218
Parenteral solutions 218
Protein 218
Lipids 219
Electrolytes, vitamins, trace elements 219
Fluid 220
Compounding methods 220
Administration 221
Continuous infusion 221
Cyclic infusion 221
Monitoring and evaluation 221
Complications 221
Infection 221
Refeeding syndrome 222
Transitional feeding 223
Parenteral to enteral feeding 223
Parenteral to oral feeding 223
Enteral to oral feeding 223
Oral supplements 223
Nutrition support in long-term and home care 224
Long-term care 224
Home care 224
Ethical issues 225
Useful websites 225
References 225
14 Education and counseling: Behavioral change 227
Key terms 227
Behavior change 227
Factors affecting the ability to change 227
Models for behavior change 227
Health belief model 228
Social cognitive theory 228
Theory of planned behavior 228
Transtheoretical model of change 228
Models for counseling strategies 228
Expressing empathy 229
Developing discrepancy 229
Rolling with resistance (legitimation, affirmation) 229
Supporting self-efficacy 229
Models for educational program development 229
Skills and attributes of the nutrition educator or counselor 229
Cultural competency 229
Asking questions 230
Building rapport 230
Reflective listening 231
Affirming 231
Summarizing 231
Assessment results: Choosing focus areas 231
Health and nutrition literacy 231
Assessing readiness to change 231
Counseling approaches after the assessment 231
Not-ready-to-change counseling sessions 231
Problem recognition 231
Concern 231
Intention to change 231
Optimism 231
Ending the session 232
Unsure-about-change counseling sessions 233
Resistance behaviors and strategies to modify them 233
Reflecting 234
Double-sided reflection 234
Shifting focus 234
Agreeing with a twist 234
Reframing 234
Ending the session 234
Ready-to-change counseling sessions 234
Setting goals 234
Action plan 235
Evaluation of effectiveness 235
Counseling 235
Educational programs 236
Summary 236
Useful websites 236
References 236
III Nutrition in the Life Cycle 238
15 Nutrition for reproductive health and lactation 239
Key terms 239
Preconception and fertility 239
Reproductive readiness and fertility 239
Toxins 240
Obesity and endocrine conditions 242
Conception 243
Pregnancy 243
Physiologic changes of pregnancy 243
Blood volume and composition 243
Cardiovascular and pulmonary function 243
Gastrointestinal function 247
Metabolic responses 248
Renal function 248
Placenta and uterine environment 248
Effects of nutritional status on pregnancy outcome 249
Fetal growth and development 249
Epigenetic effects 250
Nutrient requirements during pregnancy 251
Energy 251
Exercise. 251
Protein 251
Carbohydrates 256
Fiber 256
Lipids 256
Vitamins 256
Folic acid. 256
Vitamin b6. 256
Vitamin B₁₂. 256
Choline. 256
Vitamin C. 256
Vitamin A. 256
Vitamin D. 256
Vitamin E. 256
Vitamin K. 256
Minerals 256
Calcium. 256
Copper. 256
Fluoride. 256
Iodine. 256
Iron. 256
Magnesium. 256
Phosphorus. 256
Selenium. 256
Sodium. 256
Zinc. 256
Pregnancy weight gain recommendations 262
General weight gain recommendations 262
Obesity weight gain recommendations 263
Postbariatric surgery. 263
Multiple births 265
Adolescent pregnancy 265
Complications and nutritional implications 266
Constipation and hemorrhoids 266
Cravings, aversions, and pica 266
Cravings and aversions. 266
Pica. 266
Diabetes mellitus 266
Eating disorders 268
Edema and leg cramps 268
Heartburn 268
Hypertension 268
Nausea and vomiting, hyperemesis gravidarum, and ptyalism 270
Oral health 270
Preexisting medical conditions 271
Food safety during pregnancy 271
Alcohol 272
Allergens 272
Artificial sweeteners 272
Bisphenol-a, phthalates, and other environmental toxins 273
Caffeine and energy drinks 274
Lead 274
Listeria monocytogenes 274
Mercury and polychlorinated biphenyls (pcbs) 274
Other foodborne pathogens and probiotics 275
Toxoplasma gondii 276
Guide for eating during pregnancy 276
Recommended food intake 276
Fluids 277
Nutrient supplementation during pregnancy 277
Nutrition education 279
Postpartum period = preconceptual period 280
Lactation 281
Contraindications 282
Nutritional requirements of lactation 283
Energy 283
Protein 283
Carbohydrates 284
Lipids 284
Vitamins and minerals 284
Vitamin D. 284
Calcium. 284
Iodine. 284
Zinc. 284
Vitamin b12 and the vegan mother. 284
Sodium. 284
Fluids 285
Caffeine. 285
Alcohol. 285
Physiology and management of lactation 285
Prenatal breastfeeding education 286
Stages of milk and variations in composition 286
Initiation of breastfeeding 287
Galactogogues 288
Sustaining maternal milk supply and preservation of successful breastfeeding 290
Concerns during lactation 290
Transfer of drugs and toxins into human milk 290
Maternal substance abuse. 290
Environmental toxins. 290
Overweight or obesity 291
Exercise and breastfeeding 291
Breast augmentation 291
Reduction mammoplasty 291
Postpartum depression 291
Birth control and breastfeeding 292
Breastfeeding during pregnancy 293
Tandem nursing 293
Weaning 293
Return to work or school 293
Useful websites 295
References 295
16 Nutrition in infancy 300
Key terms 300
Physiologic development 300
Nutrient requirements 301
Energy 301
Protein 301
Lipids 302
Carbohydrates 302
Water 302
Minerals 302
Calcium 302
Fluoride 302
Iron 303
Zinc 303
Vitamins 303
Vitamin B₁₂ 303
Vitamin D 303
Vitamin K 303
Supplementation 304
Milk 304
Human milk 304
Composition of human and cow’s milk 305
Antiinfective factors 305
The microbiome and probiotics and prebiotics 305
Formulas 305
Whole cow’s milk 306
Formula preparation 306
Food 307
Feeding 307
Early feeding patterns 307
Development of feeding skills 308
Addition of semisolid foods 309
Weaning from breast or bottle to cup 310
Early childhood caries 310
Feeding older infants 310
Type of food 311
Serving size 311
Forced feeding 311
Eating environment 311
Useful websites 312
References 312
17 Nutrition in childhood 314
Key terms 314
Growth and development 314
Growth patterns 314
Assessing growth 314
Catch-up growth 315
Nutrient requirements 316
Energy 316
Protein 316
Minerals and vitamins 317
Iron 317
Calcium 317
Zinc 317
Vitamin D 317
Vitamin-mineral supplements 317
Providing an adequate diet 318
Intake patterns 318
Factors influencing food intake 319
Family environment 319
Societal trends 319
Media messages 320
Peer influence 320
Illness or disease 321
Feeding preschool children 321
Feeding school age children 323
Nutrition education 324
Nutritional concerns 324
Overweight and obesity 324
Underweight and failure to thrive 326
Iron deficiency 326
Dental caries 326
Allergies 326
Attention deficit hyperactivity disorder 326
Autism spectrum disorder 326
Preventing chronic disease 327
Cardiovascular health 327
Calcium and bone health 327
Fiber 327
The gut microbiome 327
Physical activity 327
Useful websites 329
References 329
18 Nutrition in adolescence 331
Key terms 331
Growth and development 331
Psychologic changes 331
Sexual maturity 332
Linear growth 332
Nutrient requirements 334
Energy 334
Protein 335
Carbohydrates and fiber 335
Fat 336
Minerals and vitamins 336
Calcium 336
Iron 336
Folic acid 337
Vitamin D 337
Supplement use by adolescents 338
Food habits and eating behaviors 338
Irregular meals and snacking 338
Fast foods and convenience foods 338
Family meals 339
Media and advertising 340
Dieting and body image 340
Nutrition screening, assessment, and counseling 340
Special concerns 341
Vegetarian dietary patterns 341
Acne 342
Disordered eating and eating disorders 342
Overweight and obesity 343
Hyperlipidemia and hypertension 345
Diabetes 346
Physical activity 348
Pregnancy 348
Useful websites 349
References 350
19 Nutrition in the adult years 352
Key terms 352
Setting the stage: Nutrition in the adult years 352
Setting the stage: Messages 352
Information sources 354
Nutrition information and education for adults 354
The wellness years and food security 355
Quality of life and work-life balance 356
Lifestyle health risk factors 357
Health disparities and access to care 357
World health 357
Who: Key facts 357
Emphasis: Women’s health 358
Emphasis: Men’s health 358
Interventions, nutrition, and prevention 359
Food trends and patterns 359
Nutritional supplementation 360
Functional foods 360
Healthy food and water systems and sustainability 363
Adult health next steps 363
Useful websites 363
References 364
20 Nutrition in aging 367
Key terms 367
The older population 367
Classification 367
Gerontology + geriatrics = the spectrum of aging 368
Nutrition in health promotion and disease prevention 368
Theories on aging 369
Physiologic changes 369
Body composition 369
Taste and smell 370
Hearing and eyesight 370
Immunocompetence 371
Oral 371
Gastrointestinal 371
Cardiovascular 371
Renal 372
Neurologic 372
Pressure ulcers 372
Quality of life 372
Depression 372
Functionality 373
Frailty and failure to thrive 374
Weight maintenance 374
Obesity 374
Underweight and malnutrition 374
Nutrition screening and assessment 375
Nutrition needs 375
Medicare benefits 376
Nutrition support services 377
U.s. department of health and human services older americans act (oaa) nutrition program 377
Usda food assistance programs 378
Commodity supplemental food program 378
Seniors farmers’ market nutrition program 378
Medicaid and nutrition services 378
Community and residential facilities for older adults 378
Useful websites 380
References 380
IV Nutrition for Health and Fitness 382
21 Nutrition in weight management 383
Key terms 383
Body weight components 383
Body fat 384
Adipose tissue composition 384
Adipocyte size and number 384
Fat storage 384
Lipoprotein lipase 385
Regulation of body weight 385
Metabolic rate and voluntary activity 385
Short- and long-term regulation 385
Set point theory 385
Weight imbalance: Overweight and obesity 387
Prevalence 387
Genetics 388
Inadequate physical activity 388
Inflammation 388
Medication usage and weight gain 389
Sleep, stress, and circadian rhythms 389
Taste, satiety, and portion sizes 389
Obesogens 389
Viruses and pathogens 389
Gut microflora and diet 389
Assessment 389
Body fatness and circumference measurements 389
Deurenberg equation 390
A body shape index 390
Health risks and longevity 390
Fat deposition and the metabolic syndrome 391
Calorie restriction and longevity 391
Weight discrimination 392
Management of obesity in adults 392
Goals of treatment 392
Rate and extent of weight loss 392
Lifestyle modification 392
Dietary modification recommendations 393
Restricted-energy diets 393
Formula diets and meal replacement programs 393
Commercial programs 394
Extreme energy restriction and fasting 394
Very low–calorie diets 394
Popular diets and practices 395
Physical activity 396
Pharmaceutical management 396
Other nonsurgical approaches 397
Bariatric surgery 398
Gastric bypass, gastroplasty, gastric banding, and the sleeve gastrectomy 398
Liposuction 400
Common problems in obesity treatment 400
Maintaining reduced body weight 401
Plateau effect 401
Weight cycling 402
Weight management in children and adolescents 402
Weight imbalance: Excessive leanness or unintentional weight loss 402
Cause 402
Assessment 402
Management 403
Appetite enhancers 403
High-energy diets 403
Useful websites 404
References 404
22 Nutrition in eating disorders 407
Key terms 407
Clinical characteristics and medical complications 410
Treatment approach 412
Psychologic management 413
Nutrition management 413
Nutrition assessment 413
Diet history 414
Anorexia nervosa 414
Bulimia nervosa 414
Eating behavior 414
Biochemical assessment 415
Vitamin and mineral deficiencies 415
Fluid and electrolyte balance 416
Energy expenditure 416
Anthropometric assessment 416
Medical nutrition therapy and counseling 417
Anorexia nervosa 417
Bulimia nervosa 420
Binge eating disorder 421
Monitoring nutritional rehabilitation 421
Nutrition education 421
Prognosis 422
Useful websites 424
References 424
23 Nutrition in exercise and sports performance 426
Key terms 426
An integrative approach to working with athletes 426
Bioenergetics of physical activity 426
Adenosine triphosphate: Ultimate energy source 427
Anaerobic or lactic acid pathway 427
Aerobic pathway 427
Energy continuum 428
Fuels for contracting muscles 428
Intensity 428
Duration 429
Effect of training 429
Nutritional requirements of exercise 429
Energy 429
Estimation of energy requirements 429
Weight management 430
Weight loss 430
Weight gain 431
Weight management and aesthetics 431
Disordered eating 431
Female athlete triad 431
Muscle dysmorphia 431
Macronutrients 432
Nutrition periodization 432
Strategies and tools for eating guides in athletes 432
Carbohydrate 432
Effects of training low, competing high 433
Carbohydrate recommendations 433
Types of carbohydrate 434
Food timing 434
Pre-training carbohydrates 434
Pre-training fasting 434
Training fuel during exercise 434
Postworkout and recovery fuel 435
Protein 436
Protein needs for resistance exercise 436
Type, timing, and amount of protein for muscle hypertrophy 436
Fat 437
Fats, inflammation, and sports injury 437
Fluid 437
Fluid balance 438
Daily fluid needs 438
Fluid replacement 438
Electrolytes 439
Sodium 439
Potassium 439
Fluid absorption 439
Children 440
Older athletes 440
Hydration at high altitudes 440
Other considerations 440
Carbohydrates 440
Chocolate milk 440
Vitamins and minerals 440
B vitamins 441
Choline 442
Antioxidants 442
Vitamin C 442
Fat-soluble vitamins 442
Vitamin D 442
Vitamin E 443
Minerals 443
Iron 443
Calcium 444
Magnesium 444
Copper 444
Ergogenic AIDS 444
Ergogenic AIDS for high intensity exercise 446
Beta-alanine 446
Caffeine 447
Herbs 448
Nitrates and beet juice 448
Ergogenic AIDS for muscle building, recovery, antiinflammation 448
Amino acids 448
Glutamine 448
Branched-chain amino acids (bcaas) 448
Beta-hydroxy-beta-methylbutyrate (hmb) 449
Creatine 449
Betaine 449
Quercetin 450
Performance enhancement substances and drugs (pes/ped): Doping in sport 450
Prohormones and steroids 451
Useful websites 452
Resources, fact sheets, books, programs and guides 453
Supplement education/certification information 453
Company-sponsored websites for research/handouts 453
References 453
24 Nutrition and bone health 456
Key terms 456
Bone structure and bone physiology 456
Composition of bone 456
Types of bone tissue 456
Bone cells 456
Cartilage 457
Calcium homeostasis 457
Bone modeling 457
Bone remodeling 458
Osteopenia and osteoporosis 459
Prevalence 459
Types of osteoporosis 459
Causes and risk factors 460
Alcohol and cigarettes 460
Ethnicity 460
Limited weight-bearing exercise 460
Loss of menses 461
Nutrients 461
Medications 461
Diagnosis and monitoring 461
Fracture risk assessment 461
Bone markers 461
Nutrition and bone 462
Energy 462
Protein 462
Minerals 462
Calcium 462
Phosphate 463
Trace minerals 463
Vitamins 463
Vitamin A 463
Vitamin D 463
Vitamin k 464
Other dietary components 464
Alcohol 464
Caffeine and soft drinks 464
Dietary fiber 464
Isoflavones 464
High acid or alkaline diets 464
Sodium 464
Vegetarian diets 464
Prevention of osteoporosis and fractures 465
V Medical Nutrition Therapy 478
26 Medical nutrition therapy for adverse reactions to food: Allergies and intolerances 479
Key terms 479
Definitions 479
Etiology 481
Genetics and epigenetics 481
Antigen exposure and oral tolerance 482
The gastrointestinal function and the microbiome 482
The immune system arsenal 482
Pathophysiology 484
Ige-mediated reactions 484
Food-induced anaphylaxis 484
Oral allergy or pollen-food allergy syndrome 485
Latex-fruit or latex-food syndrome 485
Food-dependent, exercise-induced anaphylaxis (fdeia) 486
Mixed ige-mediated and non–ige-mediated reactions 486
Cow’s milk protein allergy (cmpa) 486
Eosinophilic gastrointestinal diseases (egid) 486
Non–ige-mediated reactions 486
Food protein–induced enterocolitis syndrome (fpies) 486
Food protein–induced proctitis or proctocolitis (fpip) 487
Food intolerances 487
Carbohydrate intolerance 487
Lactose intolerance 487
Fructose intolerance and the inability to digest fructose polymers (fodmaps) 487
Pharmacologic reactions 487
Histamine 487
Tyramine 490
Reactions to food additives 490
Sulfites 490
Monosodium glutamate (msg) 490
Food toxins and microbial contaminants 490
Psychogenic and behavioral factors 490
Assessment 491
Immunologic testing 491
Skin-prick test 491
Serum antibody tests 492
Other tests 493
Medical nutrition therapy 493
Food and symptom record 493
Food-elimination diets 493
Healing the gut and restoring immune balance 503
Emerging therapies 503
Nutritional adequacy 503
Preventing food allergy 503
Allergen exposure 503
Breastfeeding 504
Solid food introduction 504
Early diet and immunomodulatory factors 504
Antioxidants 504
Vitamin D 505
Folate 505
Polyunsaturated fatty acids (pufas) 505
Pre- and probiotics 505
Useful websites and apps 506
References 506
27 Medical nutrition therapy for upper gastrointestinal tract disorders 508
Key terms 508
Assessment parameters 508
The esophagus 508
Gastroesophageal reflux disease (gerd) and esophagitis 509
Etiology 509
Pathophysiology 509
Medical and surgical management 512
Lifestyle modifications and medical nutrition therapy 513
Head and neck cancer 513
Pathophysiology 513
VI Pediatric Specialties 867
43 Medical nutrition therapy for genetic metabolic disorders 890
Key terms 890
Newborn screening 890
Disorders of amino acid metabolism 894
Phenylketonuria 894
Etiology 894
Medical treatment 895
Blood phenylalanine control. 895
Medical nutrition therapy 897
Formula. 897
Low-phenylalanine foods. 897
Education about therapy management. 897
Psychosocial development. 897
Maternal PKU 900
Adults living with phenylketonuria 900
Maple syrup urine disease 901
Pathophysiology 901
Medical treatment 901
Medical nutrition therapy 902
Disorders of organic acid metabolism 902
Disorders of urea cycle metabolism 902
Pathophysiology 903
Medical treatment 903
Medical nutrition therapy 903
Protein-restricted diets 904
Disorders of carbohydrate metabolism 904
Hereditary fructose intolerance 904
Medical nutrition therapy 904
Galactosemia 904
Pathophysiology 904
Medical treatment 904
Medical nutrition therapy 905
Glycogen storage diseases 905
Pathophysiology 905
Medical treatment 906
APPENDIX 1 Unit abbreviations 931
APPENDIX 2 Milliequivalents and milligrams of electrolytes 933
APPENDIX 3 Equivalents, conversions, and portion (scoop) sizes 935
Liquid measure—volume equivalents 935
Dry measure 935
Scoop sizes 935
APPENDIX 4 Birth to 24 months: Boys length-for-age and weight-for-age percentiles 937
APPENDIX 5 Birth to 24 months: Boys head circumference-for-age and weight-for-length percentiles 939
APPENDIX 6 2 to 20 years: Boys stature-for-age and weight-for-age percentiles 941
APPENDIX 7 Body mass index-for-age percentiles: Boys, 2 to 20 years 943
APPENDIX 8 Birth to 24 months: Girls length-for-age and weight-for-age percentiles 945
APPENDIX 9 Birth to 24 months: Girls head circumference-for-age and weight-for-length percentiles 947
APPENDIX 10 2 to 20 years: Girls stature-for-age and weight-for-age percentiles 949
APPENDIX 11 Body mass index-for-age percentiles: Girls, 2 to 20 years 951
APPENDIX 12 Tanner stages of adolescent development for girls 953
APPENDIX 13 Tanner stages of adolescent development for boys 955
APPENDIX 14 Direct methods for measuring height and weight 957
Height 957
Weight 957
APPENDIX 15 Indirect methods for measuring height 959
Measuring arm span 959
APPENDIX 16 Determination of frame size 961
APPENDIX 17 Adjustment of desirable body weight for amputees 963
APPENDIX 18 Body mass index table 965
APPENDIX 19 Percentage of body fat based on four skinfold measurements* 967
APPENDIX 20 Physical activity and calories expended per hour 969
APPENDIX 21 Nutrition-focused physical assessment 973
APPENDIX 22 Laboratory values for nutritional assessment and monitoring 981
I. Principles of nutritional laboratory testing 981
A. Purpose 981
B. Specimen types 981
C. Interpretation of laboratory data 981
D. Reference ranges 982
E. Units 982
F. Nature of nutritional testing and types of tests 982
APPENDIX 23 Nutritional implications of selected drugs 1003
References 1010
APPENDIX 24 Enteral (tube feeding) formulas for adults marketed in the usa 1011
APPENDIX 25 Sample stepwise method to calculate a pn formula 1013
Pn formula 1013
APPENDIX 26 Dash diet 1015
The dash diet 1015
APPENDIX 27 Exchange lists for meal planning 1017
How this exchange list works with meal planning 1017
Starch 1017
Nutrition tips 1018
Selection tips 1018
Nutrition tips 1019
Selection tips 1019
Milk 1020
Nutrition tips 1020
Selection tips 1020
Sweets, desserts, and other carbohydrates 1021
Common measurements 1021
Dry: 1021
Liquid: 1021
Nutrition tips 1021
Selection tips 1021
Nonstarchy vegetables 1021
Nutrition tips 1022
Selection tips 1022
Meat and meat substitutes 1023
Nutrition tips 1023
Selection tips 1023
Fats 1024
Nutrition tips 1025
Selection tips 1025
Free foods 1025
Selection tips 1026
Free snacks 1026
Drinks/mixes 1026
Seasonings 1026
Combination foods 1027
Fast foods 1027
Alcohol 1028
Nutrition tips 1028
Selection tips 1028
APPENDIX 28 Development of standardized dysphagia diets 1029
Texture modifications 1029
Level 3: dysphagia advanced (previously: Mechanical soft): 1029
Level 2: *dysphagia mechanically-altered (previously: Ground): 1029
Level 1: *dysphagia puree: 1029
Fluid modifications 1029
APPENDIX 29 Renal diet for dialysis 1031
Protein 1031
Albumin 1031
Keeping a healthy albumin level 1031
Protein servings for you 1031
One serving of protein is: 1031
Common serving sizes 1032
Estimating serving sizes 1032
Tips for eating more protein 1032
Nutritional supplements 1032
Malnutrition 1032
Exercise 1032
Potassium for people on hemodialysis 1032
Most people on hemodialysis may have 1032
Soaking vegetables and beans 1032
Other high-potassium foods 1033
Shaking the salt habit 1033
Most people on dialysis may have 1033
Rinsing canned foods to lower sodium (canned vegetables, chunk or flaked fish or shellfish, poultry or meats) 1033
Phosphorus 1034
Low-phosphorus diet 1034
High-phosphorus foods 1034
Other high-phosphorus foods 1034
Phosphorus and potassium 1035
Phosphate binders 1035
Lower-phosphorus ideas 1035
High phosphorus levels 1035
APPENDIX 30 Sodium in food 1037
Special considerations 1037
Guidelines for sodium restriction 1037
APPENDIX 31 The anti-inflammatory diet 1039
Dietary approaches to reduce inflammation 1039
Consume an abundance of fruits, vegetables, herbs and spices 1040
Eat a low glycemic diet 1040
Have nuts and seeds or nut and seed butters every day 1040
Adjust the quality and quantity of dietary fat and oils 1040
Get adequate sources of probiotics 1040
Consider food allergy or sensitivity elimination 1041
Avoid chemicals 1041
Drink alcohol in moderation 1041
Stress and sleep 1041
Example of an anti-inflammatory 1 day diet based on the dash*, mind and mediterranean meal patterns 1041
References 1041
APPENDIX 32 Nutritional facts on alcoholic beverages 1043
Calories in selected alcoholic beverages* 1043
APPENDIX 33 Nutritional facts on caffeine-containing products 1045
APPENDIX 34 Nutritional facts on essential (omega) fatty acids 1047
Ω-3 fatty acids: 1047
Ω-6 fatty acids: 1047
Dietary sources 1047
Omega-3 fatty acids 1048
APPENDIX 35 Nutritional facts on a high-fiber diet 1049
Guidelines for high-fiber diet 1049
Each of these foods in this amount contains 2 G of dietary fiber 1049
APPENDIX 36 Nutritional facts on fluid and hydration 1051
APPENDIX 37 Glycemic index and glycemic load of selected foods* 1053
APPENDIX 38 Nutritional facts on a high-protein diet 1055
Best food sources of protein 1055
Protein supplements 1055
APPENDIX 39 Nutritional facts on vegetarian eating 1057
Nutrients to consider when planning a vegetarian menu 1057
Protein 1057
Special notes 1058
APPENDIX 40 Nutritional facts on folic acid, vitamin b, and vitamin b 1059
Folate 1059
Recommended intakes 1059
Vitamin B₆ 1060
Vitamin B₁₂ 1061
Recommended intakes 1061
References 1062
APPENDIX 41 Nutritional facts on vitamin a and carotenoids 1063
Recommended dietary allowances (RDA) 1063
Food sources of vitamin A 1063
APPENDIX 42 Nutritional facts on vitamin C 1065
Recommended intakes 1065
Dietary supplements 1066
References 1066
APPENDIX 43 Nutritional facts on vitamin E 1067
Recommended intakes 1067
Sample meal plan 1067
Breakfast 1067
Lunch 1068
Dinner 1068
Snack 1068
References 1068
APPENDIX 44 Nutritional facts on vitamin k 1069
References 1070
APPENDIX 45 Nutritional facts on vitamin D 1071
Vitamin D synthesized from sunlight exposure 1071
Vitamin D in foods 1071
Vitamin D in supplements 1072
References 1072
APPENDIX 46 Nutritional facts on calcium 1073
Recommended intakes 1073
Calcium in foods 1073
Selected food sources of calcium 1073
Calcium supplements 1074
Calcium in medications 1074
References 1074
APPENDIX 47 Nutritional facts on chromium 1075
APPENDIX 48 Nutritional facts on iodine 1077
Deficiency 1077
Goitrogens 1077
Recommended intakes 1077
APPENDIX 49 Nutritional facts on iron 1079
Recommended intakes 1079
Tips for increasing iron intake 1080
What about too much iron? 1080
Sample meal plan 1080
Lunch 1080
Dinner 1080
Snack 1080
APPENDIX 50 Nutritional facts on magnesium 1081
Dietary sources 1081
Dietary recommended intakes 1081
Sample meal plan 1082
Breakfast 1082
Lunch 1082
Dinner 1082
Snack 1082
APPENDIX 51 Nutritional facts on potassium 1083
APPENDIX 52 Nutritional facts on selenium 1085
Sample meal plan 1086
Breakfast 1086
Lunch 1086
Dinner 1086
Snack 1086
APPENDIX 53 Nutritional facts on zinc 1087
Dietary recommended intakes 1087
Sample meal plan 1088
Breakfast 1088
Lunch 1088
INDEX 1089
A 1089
B 1093
C 1095
D 1100
E 1103
F 1106
G 1108
H 1110
I 1110
J 1114
K 1115
L 1115
M 1116
N 1119
O 1121
P 1123
Q 1127
R 1127
S 1128
T 1130
U 1131
V 1132
W 1133
X 1134
Y 1134
Z 1134
Inside back cover es