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Back CHAPTER 3 DIET THERAPY | Up Hospital Corpsman 1 & C - Advanced Navy Nursing manual for hospital training purposes | Next Table 3-1.—Table of Mineral Elements in Nutrition |
contribute 30 percent of the calories. Saturated
fat intake should be no more than 10 percent of
the total calories. Cholesterol may be limited to
300 milligrams (mg) per day.
Many fats act as carriers for the fat-soluble
vitamins A, D, E, and K; they also act both as
a padding for vital organs, particularly the
kidneys, and as subcutaneous tissue to help con-
serve body heat. Fat is stored as adipose (fatty)
tissue to form a reserve supply in time of need.
Fats delay gastric emptying and promote satiety.
Excess calories from fat may produce obesity, the
forerunner of arteriosclerosis, hypertension,
gallbladder disease, and diabetes. Too little fat
in the diet may lead to being underweight, having
insufficient padding for the vital organs, and
lowered energy. Dietary sources of fats are
butter, margarine, cream cheese, fatty meats,
whole milk, olives, avocados, egg yolks, nuts, and
vegetable oils.
CARBOHYDRATES
Carbohydrates (sugar and starches) are the
most efficient sources of energy and are known
as the fuel of life. They are abundant in food.
The Senate Select Committee on Nutrition and
Human Needs, 1977 Dietary Goals for the United
States, Second Edition, recommends that
complex carbohydrates and naturally occurring
sugars make up 48 percent of total caloric intake,
and refined and processed sugars 10 percent.
Each g of carbohydrate yields 4 calories in the
process of its metabolism. Carbohydrates must
be reduced to glucose before they can be used by
the body. Carbohydrates are stored in the liver
as glycogen. The glycogen is broken down and
released as glucose at the exact rate needed by the
body. This mechanism is controlled largely by
insulin from the pancreas. During fasting glycogen
is rapidly depleted, which leads the body to use
its fat for energy.
The main functions of carbohydrates are to
(1) furnish the main source of energy for
muscular work and nutritive processes, (2) help
maintain body temperature, (3) form reserve fuel,
(4) assist in oxidation of fats, and (5) spare
protein for growth and repair. Excess carbo-
hydrates are converted into adipose tissue. Dietary
sources of carbohydrates are fruits, honey, sweets,
legumes, potatoes, grains, sugars, and grain
products.
MINERALS
Although the mineral elements constitute
only a small portion of the total body weight, they
enter into the activities of the body to a much
greater degree than their mere weight would in-
dicate. Table 3-1 lists the essential elements, the
foods that contain them, and their functions.
Certain mineral elements are essential for specific
body functions. It is not known exactly how many
of the mineral elements are indispensable to the
body functions, but changes of concentration that
may seem small can be fatal. These essential
inorganic elements contribute overwhelmingly to
the skeletal framework of the body and the teeth
and are an essential part of many organic com-
pounds. They form an integral part of all cell
structure and circulate in body fluids. In addition,
they exercise specific physiological influences on
the function of body tissues. For the mineral needs
to be met satisfactorily, the consumption of each
element must be sufficient to cover body tissue
requirements and to meet changing physiological
needs. It was once believed that any diet that was
adequate in other respects would also provide an
adequate intake of the essential minerals. This is
not true. Foods vary greatly in their mineral con-
tent. Depending on growing conditions and stor-
ing and preparation procedures, they may vary
considerably in nutritional content.
VITAMINS
Vitamins are essential substances present in
food in minute quantities. Although they do not
furnish energy or act as tissue building materials,
they do act as catalysts in many body chemical
reactions and are necessary for normal metabolic
functions, growth, and health of the human body.
Their absence results in malnutrition and specific
deficiency diseases. Their chemistry is complex
and nutritional experimentation is difficult, so
our knowledge of them is being continually
supplemented and revised. It is quite possible that
additional vitamins will be discovered or that some
of those already recognized may prove to contain
more than one factor.
Vitamins are so widely distributed in food that
a properly prepared normal diet usually provides
an adequate amount. Some are destroyed in
preparing or preserving certain foods. Some
manufacturers add vitamins to their products to
replace those destroyed or removed in processing.
Fat-soluble vitamins A, D, E, and K can be stored
in the body. It is possible to consume excessive
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