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Williams' Essentials of Nutrition and Diet Therapy - E-Book

Williams' Essentials of Nutrition and Diet Therapy - E-Book

Eleanor Schlenker | Joyce Ann Gilbert

(2018)

Additional Information

Book Details

Abstract

Learn the latest nutrition and diet therapies for treating common diseases. Williams' Essentials of Nutrition & Diet Therapy, 12th Edition offers a solid foundation in the fundamental knowledge and skills you need to provide effective patient care. It addresses nutrition across the lifespan and includes the 2015 Dietary Goals for Americans as well as MyPlate for Older Adults. This exceptionally reader-friendly text features evidence-based information, real-world case scenarios, colorful illustrations, boxes, and tables to help you learn how to apply essential nutrition concepts and therapies in clinical practice.

  • Strong community focus is threaded throughout with robust coverage of health promotion, cultural competence, patient safety, lifespan, and public health issues.
  • Focus on Culture boxes introduce you to cultural competence and the special nutritional needs, health problems, and appropriate interventions applicable to different cultural, ethnic, racial and age groups.
  • Focus on Food Safety boxes alert you to food safety issues related to a particular nutrient, age group, or medical condition.
  • Health Promotion section devoted solely to health promotion and wellness stresses healthy lifestyle choices and prevention as the best "medicine."
  • Diet-Medication Interactions boxes provide diet-warnings related to specific prescription drugs.
  • Evidence-Based Practice boxes summarize current research findings.
  • Complementary and Alternative Medicine (CAM) boxes offer uses, contraindications, and advantages/disadvantages of common types of herbs and supplements and potential interactions with prescription or over-the-counter medications.
  • Perspective in Practice boxes supply you with practice elements for nutrition education.
  • Key terms identified in the text and defined on the page help reinforce critical concepts.
  • NEW! Includes the 2015 Dietary Goals for Americans which covers the latest guidelines and medications.
  • NEW! MyPlate for Older Adults developed by the Tufts University Human Research Center on Aging and the AARP Foundation replaces former Food Guide Pyramid.
  • NEW! Newly-approved Nutrition Labeling Guidelines incorporated into text along with the latest medications, research findings, and clinical treatment therapies.
  • NEW! New and refreshed case studies illustrate key concepts in authentic, "real-life" scenarios that reinforce learning and promote nutritional applications.
  • NEW! Expanded coverage of health promotion includes strategies for implementation.
  • NEW! New coverage of text messages for nutrition and health information includes what to watch out for when visiting health-related web sites.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Inside front Cover IFC
Front matter iii
Williams’essentials of nutrition and diet therapy iii
Copyright iv
Dedication v
Contributors vi
Reviewers vii
Preface viii
New to this edition viii
Chapter changes viii
Personal approach ix
Illustrations and design ix
Enhanced readability and student interest ix
Learning AIDS within the text ix
Chapter openers ix
Key terms ix
Pedagogy boxes ix
Case studies ix
Chapter summaries ix
Review questions ix
Chapter references ix
Further readings and resources ix
Appendices ix
Supplementary materials available on evolve ix
Instructor resources x
Student resources x
Acknowledgments x
Table of Content xi
Part 1 Introduction to Human Nutrition 1
1 Nutrition and health 2
Health promotion 19
To sum up 19
Questions for review 20
References 20
Further readings and resources 20
Readings 20
Websites of interest 20
2 Digestion, absorption, and metabolism 22
Human body: The role of nutrition 22
Food: Change and transformation 22
Importance for health and nutrition 22
Gastrointestinal tract 22
Component parts 22
General functions 23
Sensory stimulation and gastrointestinal function 23
Principles of digestion 24
Gastrointestinal secretions 24
Gastrointestinal motility: Muscles and movement 24
Types of muscles 24
Nervous system control 24
Movement of food through the digestive tract 26
Mouth and esophagus: Preparation and delivery 26
Taste and smell 26
Mastication 26
Chemical digestion 26
Swallowing 26
Esophagus 26
Entry into the stomach 27
Stomach: Storage and initial digestion 27
Motility 27
Chemical digestion 28
Types of secretions 28
Control of secretions 28
Small intestine: Major digestion, absorption, and transport 29
Motility 29
Intestinal muscle layers 29
Types of intestinal muscle action 29
Chemical digestion 29
Major role of the small intestine 29
Types of secretions 29
End products of digestion 30
Absorption 30
Surface structures 30
Mechanisms of absorption 31
Routes of absorption 32
Colon (large intestine): Final absorption and waste elimination 32
Role in absorption 32
Water absorption 32
Mineral absorption 33
Vitamin absorption 33
Role of colon microflora 33
Excessive gas production 33
Waste elimination 33
Gastrointestinal function and clinical applications 34
Chronic gastrointestinal distress 34
Lactose intolerance 34
Prebiotics and probiotics 35
Prebiotics 35
Probiotics 36
Health promotion 36
Metabolism 37
Carbohydrate metabolism 37
Sources of blood glucose 37
Uses of blood glucose 37
Hormonal controls 37
Lipid metabolism 37
Lipid synthesis and breakdown 37
Lipoproteins 37
Protein metabolism 38
Anabolism (tissue building) 38
Catabolism (tissue breakdown) 38
Metabolic interrelationships 38
To sum up 38
Questions for review 38
References 39
Further readings and resources 39
Readings 39
Websites of interest 39
3 Carbohydrates 40
Health promotion 50
Functional foods: Special carbohydrate foods 51
Digestion-absorption-metabolism review 52
Digestion 52
Absorption and metabolism 52
To sum up 52
Questions for review 53
References 53
Further readings and resources 54
Readings 54
Websites of interest 54
4 Lipids 55
LIPIDS IN NUTRITION AND HEALTH 55
Health Issues and Lipids 55
Functions of Lipids 56
PHYSICAL AND CHEMICAL NATURE OF LIPIDS 56
Physical Characteristics 56
Chemical Characteristics 56
FATTY ACIDS AND TRIGLYCERIDES 56
Characteristics of Fatty Acids: Chain Length 56
Characteristics of Fatty Acids: Saturation 56
Essential Fatty Acids 57
FOOD LIPIDS AND HEALTH 59
Degree of Saturation 59
Cis versus Trans Fatty Acids 59
Visible and Hidden Fat 60
Acceptable Macronutrient Distribution Range 61
Appropriate Intakes of Fat and Carbohydrate 61
LIPID-RELATED COMPOUNDS 61
Cholesterol 61
Lipoproteins 62
Cholesterol, Lipoproteins, and Cardiovascular Risk 63
HEALTH PROMOTION 63
Lowering Fat Intake 63
Fat Replacers 63
DIGESTION-ABSORPTION-METABOLISM REVIEW 64
Digestion 64
Absorption 64
Metabolism 65
TO SUM UP 65
REFERENCES 66
FURTHER READINGS AND RESOURCES 67
5 Proteins 68
Health promotion 78
Vegetarian eating patterns 78
Nutritional implications of vegetarian food patterns 79
Planning vegetarian diets 79
Vegetarian diets and chronic disease 80
Digestion-absorption-metabolism review 80
Digestion 80
Mouth 80
Stomach 80
Small intestine 80
Absorption 81
Metabolism 81
To sum up 81
Questions for review 81
References 82
Further readings and resources 82
Readings 82
Websites of interest 83
6 Vitamins 84
Fat-soluble vitamins 85
Vitamin a 85
Chemical and physical nature 85
Forms 85
Absorption, transport, and storage 86
Substances needed for absorption 86
Conversion of beta carotene 86
Transport and storage 87
Functions of vitamin a 87
Vitamin a deficiency and clinical applications 87
Vision 87
Cell differentiation 87
Growth 88
Reproduction 88
Immunity 88
Vitamin a requirement 88
Influencing factors 88
Causes of vitamin a deficiency 88
Dietary reference intake 89
Vitamin a toxicity 89
Hypervitaminosis a 89
Food sources of vitamin a 89
Vitamin D 90
Chemical and physical nature 90
Forms 90
Absorption, transport, and storage 91
Absorption 91
Active hormone synthesis 91
Functions of vitamin D 91
Control of calcium and phosphorus levels in bone and blood 91
Vitamin D deficiency and clinical applications 92
Bone disease 92
Vitamin D requirement 92
Influencing factors 92
Dietary reference intake 92
Vitamin D toxicity 92
Health promotion 92
Vitamin E 93
Chemical and physical nature 93
Forms 93
Absorption, transport, and storage 93
Functions of vitamin E 93
Antioxidant activity 93
Partnership with selenium 93
Vitamin E deficiency and clinical applications 94
Premature infants 94
Children and adults 94
Vitamin E requirement 94
Dietary reference intake 94
Vitamin E toxicity 94
Food sources of vitamin E 94
Vitamin k 94
Chemical and physical nature 94
Chemical nature 94
Absorption, transport, and storage 94
Functional roles of vitamin k 94
Blood clotting 94
Bone metabolism 94
Vitamin k deficiency and clinical applications 95
Neonatology 95
Malabsorption 95
Drug therapy 95
Vitamin k requirement 96
Dietary reference intake 96
Food sources of vitamin k 96
Water-soluble vitamins 97
Vitamin C (ascorbic acid) 97
Chemical and physical nature 97
Absorption, transport, and storage 97
Functions of vitamin C 97
Antioxidant capacity 97
Formation of intercellular cement 97
Support of general body metabolism 97
Clinical applications 97
Vitamin C requirement 97
Dietary reference intake 97
Vitamin C toxicity 98
Food sources of vitamin C 98
B vitamins 99
Deficiency diseases and vitamin discoveries 99
Coenzyme role 99
Thiamin 99
Chemical and physical nature 99
Part 2 Community Nutrition and the Life Cycle 161
9 Food selection and food safety 161
References 163
Further readings and resources 182
Further readings 182
Websites of interest 182
10 Community nutrition: Promoting healthy eating 183
Health promotion 190
Community education and program development 191
Community food and nutrition education 191
Implementing a community program 192
Creating a supportive learning environment 193
Theories for behavior change 194
Learning and behavior 195
Food assistance programs: Opportunities for nutrition education 195
US department of agriculture programs 196
Supplemental nutrition assistance program 196
Meal programs for children 196
Special supplemental nutrition program for women, infants, and children 196
Programs for older americans 196
Nutrition education opportunities 196
Expanded food and nutrition education program/supplemental nutrition assistance program-nutrition education program 196
Social marketing 197
To sum up 197
Questions for review 197
References 198
Further readings and resources 199
Readings 199
Websites of interest 199
11 Nutrition during pregnancy and lactation 200
Health promotion 202
Nutritional demands of pregnancy 203
Basic nutrient allowances and individual variation 203
Energy needs 203
Protein, fat, and carbohydrate needs 204
Mineral needs 204
Calcium 204
Iodine 204
Iron 204
Zinc 205
Vitamin needs 205
Vitamin a 205
B vitamins 205
Vitamin C 205
Vitamin D 206
Dietary patterns: General and alternative 206
General daily food pattern 206
Alternative food patterns 206
Dietary supplements 206
Weight gain during pregnancy 208
General amount of weight gain 208
Quality of weight gain 208
Rate of weight gain 208
Weight gain and sodium intake 208
General dietary problems 209
Functional gastrointestinal problems 209
Nausea and vomiting 209
Hyperemesis 209
Constipation 209
Hemorrhoids 209
Heartburn or gastric pressure 209
Effects of iron supplements 209
High-risk pregnancies 209
Identify risk factors involved 209
Plan personal care 210
Recognize special counseling needs 210
Age and parity 210
Social habits: Alcohol, cigarettes, and drugs 210
Caffeine 211
Pica 211
Socioeconomic challenges 212
Complications of pregnancy 212
Anemia 212
Iron deficiency anemia 212
Folate deficiency anemia 212
Hemorrhagic anemia 212
Hypertensive disorders of pregnancy 212
Relation to nutrition 212
Clinical symptoms 212
Treatment 212
Multiple fetuses 212
Maternal disease conditions 212
Hypertension 213
Diabetes mellitus and gestational diabetes mellitus 213
Maternal phenylketonuria 213
Human immunodeficiency virus 213
Eating disorders 213
Nutrition during lactation 214
Current breast-feeding trends 214
Nutritional needs 214
Energy 214
Protein 215
Minerals 215
Vitamins 215
Fluids 215
Food intake 215
Dietary supplements 215
Rest and relaxation 215
Maternal medical conditions 216
Advantages and barriers to breast-feeding 216
To sum up 218
Questions for review 219
References 219
Further readings and resources 220
Readings 220
Websites of interest 220
12 Nutrition for normal growth and development 221
Health promotion 240
Children and adolescents: Seeking fitness 240
Weight management 240
Physical activity 240
Helping children develop an active lifestyle 241
To sum up 241
Questions for review 242
References 243
Further readings and resources 244
Websites of interest 244
13 Nutrition for adults: Early, middle, and later years 245
Health promotion 257
To sum up 259
Questions for review 259
References 259
Further readings and resources 260
Readings 260
Websites of interest 260
14 Nutrition and physical fitness 261
Health promotion 271
Building a personal exercise program 271
Exercise and disease prevention 271
Coronary heart disease. 271
Hypertension. 271
Diabetes. 271
Weight management. 272
Stress management. 272
Bone disease. 272
Mental health. 272
Assessment of personal health and exercise needs 272
Assessing health and personal needs. 272
Beginning a program. 272
Frequency, intensity, and duration. 272
Types of exercise 272
Aerobic exercise. 272
Resistance exercise. 273
Flexibility exercises and stretching. 273
To sum up 273
Questions for review 274
References 274
Further readings and resources 275
Readings 275
Websites of interest 275
15 The complexity of obesity: Beyond energy balance 276
Health promotion 285
To sum up 285
Questions for review 285
References 285
Part 3 Introduction to Clinical Nutrition 287
16 Nutrition assessment and nutrition therapy in patient care 287
References 289
Further readings and resources 289
Readings 289
Websites of interest 303
17 Metabolic stress 304
Health promotion 320
Immunonutrition 320
Immune-enhancing formulations 320
Clinical outcomes with immune-enhancing formulas 321
Trauma outcomes 321
Intensive care unit and sepsis outcomes 321
Surgery outcomes 321
Other populations (burns, head injury, HIV, and AIDS) 321
To sum up 321
Questions for review 322
References 322
Further readings and resources 322
Readings 322
Websites of interest 323
18 Drug-nutrient interactions 324
Health promotion 336
The pain reliever doctors recommend most 336
To sum up 337
Questions for review 337
References 337
Further readings and resources 338
Websites of interest 338
19 Nutrition support: Enteral and parenteral nutrition 339
Health promotion 357
Troubleshooting diarrhea in tube-fed patients 357
Problem of definition 357
Factors contributing to diarrhea 357
Formula 357
Bacterial contamination 357
Infusion method 358
Patient’s condition 358
Medications 358
To sum up 358
Questions for review 359
References 359
Further readings and resources 361
Websites of interest 361
20 Gastrointestinal diseases 362
Health promotion 388
To sum up 388
Questions for review 389
References 389
Further readings and resources 390
Websites of interest 390
21 Diseases of the heart, blood vessels, and lungs 391
Health promotion 408
Added food factors in coronary heart disease therapy 408
Dietary fiber 408
Omega-3 fatty acids 408
To sum up 408
Questions for review 409
References 409
Further readings and resources 409
Websites of interest 409
22 Diabetes mellitus 410
Health promotion 426
To sum up 427
Questions for review 427
References 427
Further readings and resources 428
Websites of interest 428
23 Renal disease 429
Chronic kidney disease 430
Pathophysiology of glomerular disease 431
Treatment of chronic kidney disease 433
Nutrition assessment of patients with chronic kidney disease 433
History and physical examination 434
Medical history. 434
Psychosocial history. 436
Demographics. 436
Physical activity. 436
Current medical and surgical issues. 436
Diet and food intake 436
Diet history. 436
Food record. 436
24-hour food recall. 436
Food frequency questionnaires. 436
Biochemical values 436
Visceral protein stores 437
Serum albumin. 437
Prealbumin (thyroxine-binding prealbumin, transthyretin). 437
Transferrin (siderophilin). 437
C-reactive protein. 437
Body weight 437
Altered nutrient requirements with chronic kidney disease 437
Sodium and potassium 439
Phosphorus, calcium, and vitamin D 439
Iron 439
Calories and protein 439
Medical nutrition therapy 439
Chronic kidney disease stages 1–4 439
Chronic kidney disease stage 5 440
Stage 5: Peritoneal dialysis. 440
Kidney transplantation 442
Acute renal failure 443
Urolithiasis (calculi or kidney stones) 443
Urinary tract infection 446
Resources 446
Health promotion 446
Omega-3 fatty acids and renal disease 446
To sum up 446
Questions for review 447
References 447
Further readings and resources 447
Websites of interest 447
24 Acquired immunodeficiency syndrome 448
References 463
Further reading and resource 465
25 Cancer 466
References 466
Further readings and resources 478
Websites of interest 478
APPENDICES 479
APPENDIX A Body mass index: (second of two BMI tables) 479
APPENDIX B Food sources of oxalates 481
APPENDIX C Calculation AIDS and conversion tables 482
APPENDIX D Federal food assistance programs 483
Index 487
A 487
B 488
C 488
D 490
E 491
F 492
G 493
H 494
I 495
J 495
K 495
L 495
M 496
N 497
O 498
P 498
R 500
S 500
T 501
U 501
V 502
W 502
X 502
Y 503
Z 503