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Summary
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  • Appropriate nutrition underpins health and well being, and poor nutrition increases susceptibility to disease.
  • Nutrition is considered at a population level and at individual level.
  • Genotype, food availability, state of health, and physical activity are factors which determine nutritional status.
  • Nutritional needs change during life cycle.
  • Main categories of nutrients are carbohydrates, fats, proteins, and vitamins and minerals. Water balance is closely associated with nutrition.
  • Food intake is controlled by a complex neuroendocrine system responding to primary signals generated in adipose tissue.
  • Malnutrition affects large areas of the developing world, and in the developed world is an issue among disadvantaged social groups and also in hospitalized persons.
  • Obesity has become a major health problem worldwide.
  • Nutritional support includes graded assistance with nutrient intake, ranging from assistance with meals to total parenteral nutrition.
  • The assessment of nutritional status is an important part of general assessment of persons visiting outpatient clinics or admitted to a hospital. It includes the assessment of current diet, dietary history, clinical examination and a range of biochemical and hematological tests.
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ACTIVE LEARNING
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  1. Outline the neuroanatomical basis for energy homeostasis.
  2. Describe the role of different classes of fatty acids in nutrition.
  3. List the principles of a weight reduction programme.
  4. Discuss instances when increased nutritional demand can precipitate malnutrition.
  5. How can the developments in genomics and proteomics be applied to nutrition science?
  6. What diet would you recommend for a diabetic patient?
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Further Reading
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Dietary Reference Values for food energy and nutrients for the United Kingdom. Report of the Panel on Dietary reference Values of the Committee on Medical Aspects of Food Policy Department of Health, London: TSO 2003. Full articleGo to this article on the publisher's site
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Moore, MC. Nutritional Care. St Louis: Mosby's Pocket Guide Series. 2001; 532pp. Full articleGo to this article on the publisher's site
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Kopelman PG. Obesity as a medical problem. Nature 2000; 404:635-43. MedlineView this article on Medline in a new window Similar articlesView similar articles on Medline in a new window
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Dr Atkins new diet revolution. London: Vermillion 2003.
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Collins S Yates R. The need to update the classification of acute malnutrition Lancet 2003;362:249. Full articleGo to this article on the publisher's site
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Collins S. Changing the way we address severe malnutrition during famine. Lancet 2003;358:498-501.
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WHO. Management of severe malnutrition: a manual for physicians and other senior health workers. Geneva: World Health Organization 1999. ISBN 92 4 154511 9. (Available online at www.who.int/nut/documents/manage_severe_malnutrition_eng.pdf)
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Gidden F, Shenkin A. Laboratory support of the clinical nutrition service. Clin Chem Lab Med 2000;38:693-714. Full articleGo to this article on the publisher's site
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Websites
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Report: Dietary Reference Intakes: Applications in Dietary Planning (2003) Full articleGo to this article on the publisher's site
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Food and Nutrition Board, Institute of Medicine (IOM) of the National Academies http://www.iom.eduOpen this link in a new window (accessed October 2003) Full articleGo to this article on the publisher's site
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The UK Food Standards Agency website: www.Foodstandards.gov.uk (accessed October 2003) Full articleGo to this article on the publisher's site
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American Dietetic Association www.eatright.org Full articleGo to this article on the publisher's site
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The Food Pyramid www.nal.usda.gov Full articleGo to this article on the publisher's site
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