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Showing posts with label Food Nutrition and Health. Show all posts
Showing posts with label Food Nutrition and Health. Show all posts

Interrelationship Between Nutrition and Health

Nutrition is closely interlinked with health. If a person cats the right kind of foods in the required amounts, he or she will keep good health provided no other factors intervene. On the other hand, a poor kating pattern or eating too little or .too much will.result in poor health as is depicted in below figure.
Interrelationship Between Nutrition and Health
Interrelationship between nutrition and health 

It must be emphasized. however, that though good food is one of the crucial factors in ensuring health, it is not the only one. The food eaten must not only be nutritious.but it must be wholesome and clean and free from harmful germs. If this is not so, the person eating the food would get ill even if the food is nutritious.

Before we go any further. you need to be familiar with the term "malnutrition".Malnutrition is an impairment of health resulting from a deficiency  excess or imbalance of nutrients. In other words, malnutrition refers to both under nutrition and over nutrition. Under nutrition means a deficiency or lack of one or more nutrients and over nutrition means excess of one or more nutrients. Both under nutrition and over nutrition result in ill health.

One prominent example of under nutrition in our country is vitamin A deficiency. When young children do not consume enough vitamin A-rich foods. their eyes are affected and ultimately blindness results.

A disease that we easily relate to over nutrition is extreme overweight or obesity. When a,person takes in more energy than he is able to spend on his daily activities, he accumulates fat in the body and his weight increases. If the weight increases substantially, the person becomes obese.

This section has just introduced you to some aspects of the interrelationship between nutrition and health, It will be our aim. in this course to tell you much more about thee and other issues  so that you can apply this information in your day-today life.

Meaning Of Nutritional Status

Nutritional status is the condition of health of an individual as influenced by the utilization of nutrients. How do we determine the nutritional status of a person? The definition makes it sound difficult, doesn't it? To determine nutritional status all you have to do is to put together information about:

  • What kind of diet is being consumed
  • What types of illnesses, if any. the person has suffered / is suffering from including any observable signs of ill health such as discolored skin or bleeding.
  • What is the level of nutrients and other substances in the blood and urine (as determined by blood and urine tests).

You will understand the coqcept better with the help of an example. If a person doesn't consume.enough of vitamin C-(one of the water-soluble vitamins), its levels in the blood will drop and one can predict that the person is likely to get vitamin C deficiency. This finding can be confvmcd if a look at the diet reve8b very few foods being eaten which an rich in this vitamin

The Concept of Health

We are all familiar with the term "health". What does his term mean'? Let us consider the definition of health proposed by the World Health Organisation (WHO):

"Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."

This definition tells us that health is a positive state. In other words, health is a state of complete well-being and not just the absence of disease. A person may not be suffering from any disease and yet may not enjoy complete well-being. There are so many times when we feel tired or exhausted and incapable of  concentrating on our work. At such times we are not enjoying complete well-being, even though at other  times we do. There are also times when we suffer from an infection or periods of ill health. This means no person enjoys full health all the time. However, we call a person healthy if he or she enjoys good health most of the time.

One dimension which is also gaining prominence is spiritual health. You would notice that this dimension is not mentioned in the definition. This is a newer dimension which is gaining recognition though it is still not precisely defined.

Let us now examine each of these different dimensions of  health.

Physical Health

The physical dimension of health is familiar to us. When we say a person is healthy. we are generally referring to this aspect. Physical health is easy to detect and  describe. A person is physically healthy if he or she looks alert. is responsive. energetic and vigorous. Below Table  lists some of the signs whereby a person in good -
physical health can be  identified 
Signs of Good Health
Source : Adapted from Table  in Essentials of Nutrition and Diet Therapy by Sue R. Williams, 4th ed.( 1986) 

Mental Health

  • Mental health implies
  • Freedom from internal conflicts
  • No consistent tendency to condemn or pity oneself
  • A good capacity to adjust to situations and people
  • Sensitivity to the emotional needs of others
  • Capacity to deal with other individuals with consideration and courtesy
  • Good control over one's own emotions without constantly giving in to strong'feelings of fear, jealousy. anger or guilt.

You would have released that mental health is a more complex concept than physical health, It is much more difficult to measure. Though we can usually recognize the extreme cases of mental ill health rather easily, it is difficult to categorize individuals who are normal in other ways but may have a problem understanding another person's viewpoint or being sensitive to the emotional needs of.others. Such problems if they are sufficiently serious and persistent would definitely be indicative of poor mental health.

The interrelationship between physical and mental health can be explored with the help of, specific examples. High blood pressure is one form of physical ill health. It can be caused by constant stress and poor ability to handle difficult situations (particularly if the individual already has a tendency to'develop high blood pressure).
Ttiis is an example of how mental ill health can cause physical ill health. The reverse can also happen! Physical ill health can also lead to mental ill health. A child who suffered from polio and cannot run or play feels inferior to other children. This may lead him to be dominated by feelings of fear or self pity. Such feelings may constantly trouble him and prevent him from interacting in a normal fashion with others.

Social Health

What is social health? If an individual recognizes that he/ she belongs to a family and  is'able to identify with a wider community. the first step towards social health has -been taken. An individual who recognizes his/ her obligations towards other members of society and is able to relate to other people around him/ her can be described as socially healthy.

It is impossible to realize the goal of social health if mental health has not been achieved. Any type of mental ill health will adversely influence interaction with others and therefore diminish one's ability to be a useful member of society. Similarly. a person who does not enjoy physical health would find it difficult to achieve social health. Physical ill health often-makes one irritable and depressed and unable to reach out to others normally. How does one recognize social ill health? Criminals are examples of socially ill individuals. They indulge in behavior that'is not socially acceptable and can be called anti-social. Theft, murder and destructive behavior are examples of antisocial behavior. Society actively controls such behavior since ignoring such acts  would destroy society itself.

Spiritual Health

Spiritual health is the most difficult to define. We, as Indians. probably understand spirituality more because in our society religious and moral codes of behavior are easily observable. A healthy individual obeys these moral codes most of the time. The concept of doing good and of not harming others; of believing in the basic
forces of goodness and justice whether or not these are worshiped as God; of recognizing the needs of others and trying to fulfill them; of commitment. duty and obligation, these are all characteristics of a spiritually well person. Spiritual health is certainly not easy to attain 

One must also emphasize that blindly following religious practices and customs does not necessarily make a person spiritually healthy. Spiritual health is 'more a matter of attitude's and a way of looking at situations and people. What is important is concern for others and a genuine desire to help and be of assistance.

Meaning Of Nutrition

Nutrition is a scientific discipline with food as the major focus of interest. Nutrition also deals with several other related aspects as the following definitions will illustrate.

The simplest definition of nutrition can be expressed thus: "the study of what happens to food once it enters the mouth and there after." However, a more detailed definition would be : "the science of  foods, the nutrients and other substances there in; their action, interaction and balance in relationship to health and disease, the processes by which the organism ingests, digests, absorbs, transports and utilizes  nutrients and disposes of their end products. In addition, nutrition must be concerned with the social, economic, cultural and psychological implications of  food  and eating." We will now consider .each aspect in some detail.

Nutrients: Action, Interaction and Balance

Food, as you know, contains nutrients as well as substances which are non-nutrients. The body needs each nutrient in specific amounts. Some are needed in relatively larger amounts (the micro nutrients) and some in smaller amounts (the micro nutrients). But they are all equally essential for our health. Each nutrient plays a significant role in the body. The mineral, calcium, for example, helps build strong bones and teeth. This is the action of calcium. Similarly, other nutrients have their own specific functions as depicted in Figure below. To return to the earlier example, bones and teeth.also contain another mineral, phosphorus. Both calcium and phosphorus must be supplied to the body in the required amounts and proportions to ensure the normal growth of hones and teeth. This means that normal growth of bones and teeth and maintenance of their normal structure and function requires an interaction between these two nutrients. 

The concept of balance can also be explained by taking the example of calcium and phosphorus. If the diet contains too much phosphorus, it prevents the body from taking in enough of calcium. This creates an imbalance between calcium and phosphorus and affects the bones and teeth. This imbalance can be corrected by consuming foods that supply the two nutrients in the correct proportions.

In the larger context, the term balance means that the nutrients needed by the body should be provided in the right amount and proportions. This will, of course, ensure good health. 

Handling of Food and Nutrients by the Body

How docs the body handle food? We take in food through our mouth where it is chewed and then swallowed. It then passes down into the stomach and thereafter into a long, coiled. tube-like structure called the intestine. Since our body cannot' utilize food as such, it alters its nature and converts it into utilizable forms by many specific actions. This process is called digestion.

Once digestion is completed. several nutrients are available to the body in a form in which the body can use them further. The process by which nutrients move from the intestine into the blood is referred to as absorption. The blood then transports them to all the cells of the body where they are utilized for different functions.
Definition of nutrition
Defination of nutrition


All the substances in the food which the body cannot absorb are thrown out in faces. The processing and handling by the body of absorbed nutrients results in the formation of certain other substances or by-products. Some of these are harmful and need to be thrown out of the body. This is achieved by transferring them from the blood to the urine. The latter is then thrown out of the body.

Social, Psychological and Economic Aspects of Nutrition

Social and psychological factors determine the acceptability of a particular dietary pattern and the foods included. We might suggest a nutritious diet for a person but  it might not be acceptable to him because of socio-cultural reasons, for example. This is the reason why a person's social background and reactions to particular food items have to be carefully considered. Further, economic considerations determine whether foods arc available and affordable. Let us now look at each of these aspects in detail. 

Social and cultural aspects of eating: Food his a special meaning in the social and cultural context, as you know. Our ancient Vedic tradition emphasizes food as the life-giver. It further attributes specific qualities to specific foods. It is said that satiric foods, for example, increase intellectual capacity and creativity, energy and cheerfulness. Milk and milk products are regarded as the prominent sottvic foods. The rajasic foods (foods that stimulate passion) are stated to include fish, eggs and meat while pork and beef are put in the category of tamsic foods (stale, reheated, tasteless and impure foods). Contrast this view of food and eating with our modern views, we no longer believe that certain foods or categories of foods (when part of a usual diet) can influence our behavior to any significant extent. At restaurants and hotels, customers frequently eat reheated food which in the Vedic tradition has the lowest status. Many people, even though they may be vegetarian, do not mind  sharing food with non-vegetarian friends. The former, of course, would not consume meat and meat products but may still accept vegetarian foods prepared in kitchens where meat is also cooked. This is a desirable trend. Tolerance and adaptability to varied eating habits is a healthy sign of progress.

You must have now realized why nutrition concerns itself not only with the body's handling of nutrients and other food components, but also with food acceptance. We cannot-expect members of a community to immediately accept a food just because it is rich in nutrients. We have to consider any food from their point of view. Is it a food rejected by their culture? Is it a food considered to be a "prestige" food in that community? (Here, of course, we mean foods which are accorded a high status because they are expensive or because they are consumed by people of higher status in society). Are all population groups belonging-to that community allowed to consume the food item or is it forbidden in the case of pregnant women or infant, this shows us how important it is to keep a person's socio-cultural background in mind whenever we talk of,improving or modifying food-related practices.

The psychology of eating: How does a person react to food? What psychological factors influence our eating patterns? Consider examples A to C. Example A: Minnie is a housewife. She gives her whole family vitamin tablets because she thinks this will keep them healthy arid full of energy. Her friend tells her that she needs no vitamin tablets because the same vitamins can be supplied by the ordinary foods consumed. Minnie does not agree; for her the vitamin tablet is an answer to all ills.

Example B: Raju, a five-year-old boy, loves to watch television. He sees the numerous advertisements for foods like instant noodles, soft drinks, toffees and chocolate every single day. His mother frequently gets annoyed because he wants her to purchase the foods he sees on television even though she tries to convince him that they are not good for health.

Example C: Sarla has just given birth to a baby boy. Her mother-in-law insists that she consume till laddoos, panjiri and ghee to stimulate the flow of breast milk. (Till laddoos are sweet balls made of jaggery and sesame (til) seeds, panjiri is made of whole wheat flour, sugar, nuts and far) Sarla does as her mother-in-law advises. 

Have you gone through the three examples carefully? You must have noticed the importance of peoples attitudes to food in determining the type of foods they select and the quantities they eat. Many factors influence our choice of foods such as advertisements and the attitudes of other people around us. Our reactions to these influences often determine both what we eat and how much we eat. One example is  the child who seeks to overcome a feeling of insecurity or inferiority by eating more. Another child may seek to overcome the same feelings by eating less. Thus our individual reactions to food and to the people around us can have a significant psychological influence on our eating pattern.

The economics of food: Food costs money. It must be within the reach of people and it must be equitably distributed to all sections of the population. The availability of food and its proper distribution are of great importance. You may have heard of people dying of starvation even when plenty of food was available. In India, for example, agricultural production has consistently increased. However, the problem of distributing our food surplus still remains. As a result large sections of our population do not get enough food. These are only some of the larger economic issues of interest to everyone. Our ultimate aim should be to ensure the good health of all individuals.

Food and Its Functions

What is food? The term food refers to anything which nourishes the body. It would obviously include solids, semi-solids and liquids which can be consumed and which help to sustain the body and keep it healthy.'We all know that food is a basic necessity Have you ever wondered why? Food is essential because it contains substances which perform important functions in our body. These essential substances contributed by our food arc called nutrients. If these nutrients are not present in our food in sufficient amounts, the result is ill health and in some cases, even death. Food also contains many substances which are non-nutrients  e.g. coloring and flavoring  substances in food. Food is. therefore, a complex .mixture of different nutrients and non-nutrients.

FUNCTIONS OF FOOD: You an now.familiar with the fact that food consists in part of various-nutrients. You may be surprised to know that there are over forty essential nutrients, which are supplied by the food we eat. These nutrients can k classified into five major categories (based on certain similar features): proteins,carbohydrates, fats, vitamins and minerals. Water is important as a nutrient as well as a food.  Each of the nutrient categories has a specific physiological role to play. Here the term "physiological role" refers to the role of food in maintaining certain specific body functions. Since food contains nutrients, it has physiological functions too, as you will learn in the subsequent paragraph. Food also has social and psychological functions in addition to physiological ones (Figure ).

Functions Of Food
Functions of food

Physiological Functions: The physiological functions performed by food are the energy-giving. body-building, protective  and regulatory functions. We need energy every moment cf our lives for performing various types of activities such as sitting, standing, walking and running and performing all our household and other tasks.You may not be aware of it but several activities take place within the body as well e.g. beating of the heart, contraction of  the intestines, expansion and contraction of the lungs. Activities performed within the body also require expenditure of energy The energy-giving function of food is basically performed by two nutrient categories--carbohydrates and fats. This is why these nutrients are also referred to as the "body fuels". The situation is similarity to the burning of coal or wood which are familiar fuels. When these fuels are burnt, energy is released in the form of heat and light. The fire we observe is, in fact, nothing bun the conversion of the energy locked up in the  fuel to heat energy and light energy. Similarly, carbohydrates and fats are burnt in the body, The energy that these substances  contain is  released to perform the. various  activities that we talked about  earlier.

Food is also needed for growth and repair. What is meant by these two terms:' As you know, our body is made up of millions of units called cells. When growth takes place, new cells are added to the existing ones. The existing ones also increase in size. On the other hand, cells do get worn out and die. These cells have to be replaced. This process is called repair. For both growth and repair, proteins are necessary.  We can understand the role of proteins in growth and development if we just think of the tremendous increase in height and weight that occurs from infancy  to adulthood. How does this take place? This is made possible by the-process of  growth.

The other major physiological functions performed by food are the protective and  regulatory functions. Let us talk about the meaning of the term 'protective' first. I Here protective refers to the role in preventing infection by ensuring proper r functioning of the body systems responsible for fighting infections. Even if a person does develop an infection or any other type of illness, food and the nutrients it contains facilitate rapid recovery. A person eating a poor diet would take much longer to recover. He would get ill more easily as well. 

The regulatory function mentioned earlier refers to the role of food in controlling body processes. As you are aware, several processes take place in the body such as the beating of the heart, maintenance of body temperature and contraction of muscles. Each of these processes is controlled. Our body temperature, for example, is maintained at 98.4"F or 37'C. Similarly, the rate at which the heart beats is also maintained. This is achieved by certain specific nutrients (among other substances) and is illustrative of their regulatory function. Vitamins, minerals, and proteins contribute substantially to both protective and regulatory functions. So does water.

You are also probably aware that several chemical reactions take place in the body. With the aid of these chemical reactions, simpler substances are used to build more complex ones. Similarly, complex substances are broken down into their simpler components. Figure below shows you how one or two types of simple units join to form complex substances and how complex substances break down into their simpler units.. The rate at which these reactions proceed is carefully controlled according to the need of the body. Vitamins, minerals and proteins play a major role in controlling these reactions i.e. they act as regulators.

Interconvenlon of Simple and Complex Substances
lnterconversion of simple and complex substances

Social Functions : Food an.d eating has significant social meaning. Sharing food with any other person implies social acceptance. When you share a meal with anyone else, you are expressing your acceptance of and friendship and respect for that person. Earlier only persons enjoying equal status in society ate together. A person would never share a meal with someone inferior to him in social tern. Of course, we observe considerable change in this respect now particularly in cities and tom. In a restaurant, for example, any person can eat irrespective of his social background if he has the money to pay for the food.

Food is an integral part of festivity anywhere in the world. You must have surely noticed that joyous occasion & such as the birth of a child or a marriage are celebrated by having feasts and serving delicacies. Festivals such as Diwali, Dussehra, Pongal, Onam. Lohri, Holi, Christmas and Id are celebrated by having special and prescribed menus. In all these cases, food serves the function of bringing people together.

Food also has a specific significance and meaning in the religious context. Certain food items such.as fruits, sweets and coconuts are offered to the deity in temples. Often sweets are prepared at temples and gurdwaras and distributed to devotees as a benediction or prasad. Further, people of a given religious community share a common eating pattern. This is because religious texts and practices strongly recommend some foods while rejecting others. Food thus becomes an integral part of the social and religious life of people.

Physiological Functions : We all haw emotional needs such as the need for security, love and attention. Food is one way through which those needs are satisfied. When a mother prepares her child's favourite dish, the child recognizes the fact that she lovm him enough to remember his likes and dislikes. He appreciates the attention he is given. As you arc aware, when people share food it serves as a token of friendship and acceptance. A child quickly accepts foods eaten by his friends and by people he admires or wants to identify with. He may even accept food he first found distasteful  if he observes his friends enjoying it. Sharing the same food as others around him and those he considers important in his social sphere gives him a degree of  confidence in himself and reassures him that he will be accepted by others like him.

Food is also closely allied to our emotions. Food often serves as a reward. When a mother wishes to reward her child for doing well in a test, she may buy him a sweet or an ice cream. In this manner, that particular food item evokes pleasant feelings in the mind of the child. On the other hand, certain foods become associated with sickness such as khichri (a rice-dal porridge). This type of food is generally eaten when a person suffers from fever and may, therefore, not be associated with pleasant feelings.

Food, Nutrition and Health

The word food brings to our mind countless images. Food is associated with worship and divinity; with celebration and mourning; with family gatherings and with community feasting. It is closely interwoven with every feature of our existence. This is not surprising because food plays a crucial role in our lives. It sustains us. it nourishes us. It is the 'life-giver".This unit tells you about food and some of its components. It will give you some idea about why food is essential for our survival. You will also be introduced to the terms nutrition and health.

Nutrition is the term used for the scientific study of food and how it is utilized by the body. Eating the proper kinds of food in the right amounts is essential to keep us healthy. In other words, our health is dependent on our eating pattern. This leads US to the vital question-how much and what should one eat to keep healthy? How much and what, for example, should an infant consume? Similarly, how much and what foods should be consumed by a child, an adolescent, an adult or an old person? Further, what happens when one eats too much or too little? These are the types of questions that a study of nutrition helps us answer.