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CHAPTER  8 NUTRITION AND DIET
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PREVENTIVE DENTISTRY AND NUTRITION

FAT  AND  CHOLESTEROL A diet high in fat, especially saturated fat and cholesterol, contributes to elevated blood cholesterol levels in many people. For many, eating diets lower in saturated  fat  and  cholesterol  reduces  high  blood cholesterol  levels.  Adults  over  the  age  of  30  should have a serum cholesterol level of under 200 mg/dL. Health experts agree that less than 30% of our total calories per day should come from fat. Reducing dietary  fat  is  also  a  good  way  to  limit  calories. Decreased fat intake results in fewer calories without a reduction in most nutrients. All types of fat provide 9 calories  per  gram. Fats  come  from  animal  and vegetable  sources  such  as  meat,  milk,  cream,  butter and cheese. Cooking oils, salad dressings, and nuts are also dietary sources of fats. VITAMINS There are 13 vitamins, and they fall into one of two categories: fat soluble and water soluble. Fat Soluble Vitamins Fat soluble vitamins are vitamins the body can store (in fat). Excess amounts may have toxic effects. Fat soluble vitamins include A, D, E, and K. Vitamin A—Vitamin   A   is   involved   in   the formation  of  and  maintenance  of  healthy  skin,  hair, and mucous membranes. Vitamin A helps us to see in dim light and is necessary for proper bone growth, tooth  development,  and  reproduction.  Good  sources of  vitamin  A  include  yellow,  orange,  dark-green vegetables, and fruits, as well as, liver, eggs, cheese, butter, and milk. Vitamin D—Vitamin D promotes calcium and phosphorous  absorption  and  is  required  for  the formation of healthy bones and teeth. Good sources include fortified milk, egg yolk, liver, tuna, and cod liver  oil.  Vitamin  D  is  produced  in  the  body  on exposure to sunlight. Vitamin E—Vitamin E protects vitamin A and essential fatty acids from oxidation in the body cells and  prevents  breakdown  of  body  tissues.  Good sources include vegetable oils, fortified cereals, whole grain cereals and bread, nuts, wheat germ, and green leafy vegetables. Vitamin K—Vitamin  K  includes  a  group  of vitamins that promote normal clotting of the blood and helps maintain normal liver functions. Good sources are green leafy vegetables, liver, soybean, and other vegetable  products. 8-2 Water Soluble Vitamins Water soluble vitamins include vitamin C, vitamin B-6,  vitamin  B-12,  folate,  thiamin,  riboflavin,  niacin, pantothenic acid, and biotin. For the most part, water soluble vitamins are not stored. Thus, they should be taken in adequate amounts each day. MINERALS Minerals   are   inorganic   compounds   that   are necessary in very small amounts for proper growth, development, and overall health. They make up a major portion of bones and teeth, making them rigid in their  composition. Some of the major minerals are calcium,  phosphorus,  iron,  potassium,  zinc,  and magnesium. FOOD GUIDE PYRAMID The food guide pyramid (fig. 8-1) emphasizes foods from the five food groups shown in the sections of the pyramid. Each of these groups provide some, but not all, of the nutrients we need. For good health we need them all. The food pyramid graphically communicates the message of the Dietary Guidelines for Americans. Diets  should  be  built  upon  a  base  of  complex carbohydrates and less fats. The placement of the food groups starting at the base of the pyramid conveys the current  recommendations.  These  recommendations are as follows: Eat more grains, vegetables, and fruits. Eat moderate amounts of lean meats and dairy foods. Use sweets, fats, and oils sparingly. It is recommended that you eat a diet that is high in complex carbohydrates and low in protein and fat. Your  diet  should  consist  of  at  least  5  combined servings of fruits and vegetables each day. Avoid added fat when possible. Eat at regular intervals when possible, and avoid snacking late at night. For detailed information on nutrition, consult Navy Nutrition and Weight Control Guide, NAVPERS 15602; and the Fat, Cholesterol and Calorie List for General Messes, NAVSUP  580.

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