Goals/Objectives

1. Goals/Objectives 1. Discuss Dietary Guidelines to reduce the risk of developing cancer. 2. Discuss Dietary Guidelines to reduce the risk of developing cardiovascular diseases. 3. Discuss Dietary Guidelines to reduce the risk of developing osteoporosis.

2. Goals/Objectives 4. Discuss diet recommendations for people with diabetes or hypoglycemia. 5. Discuss ways to avoid reactions to food allergies and intolerances, including lactose intolerance and celiac disease, and reactions to MSG.

3. Key Terms • lactase deficiency • celiac disease • antioxidant • cardiovascular disease • atherosclerosis • osteoporosis • diabetes • hypoglycemia • food allergy • food intolerance

4. Risk Factors for Cancer *Approximately 1/3 of all cancers are directly related to diet! 30% Poor diet 30% Smoking 15% Hereditary factors 5% Infection 5% Workplace related exposure 5% Obesity & lack of exercise

5. Diet and Cancer • You can reduce the risk of developing cancer by practicing the following Dietary Guidelines.

6. What to Know About Diet and Cancer • Diets high in antioxidants have been associated with decreased rates of esophagus, lung, colon, and stomach cancer. • An antioxidant is a substance that protects cells from being damaged by oxidation. • Their actions help prevent healthy cells from becoming cancerous cells. • Vitamins C, E, and A, and the mineral selenium are antioxidants.

7. What to Know About Diet and Cancer Tips to Reduce the Risk of Cancer Avoid obesity. Being obese increases the risk of developing cancers of the uterus, breast, gallbladder, prostate gland, and colon. Eat several servings and a variety of fruits, vegetables, and fiber-rich foods each day. Especially eat cruciferous vegetables, such as cauliflower, broccoli, and brussels sprouts. Fruits and vegetables provide antioxidants, and fiber-rich foods reduce the risk of cancers of the colon and rectum.

8. What to Know About Diet and Cancer Tips to Reduce the Risk of Cancer Limit fat intake and the consumption of foods that are smoked, salted, or nitrate cured. Limiting the amount of fat you eat helps reduce the risk of developing cancers of the breast, prostate gland, and colon. Do not drink alcohol as a teen. Alcohol consumption robs the body of vitamins needed for optimal health.

9. Diet and Cardiovascular Disease • Cardiovascular disease is a disease of the heart and blood vessels. • Cardiovascular diseases are a leading cause of premature death and disability.

10. What to Know About Cardiovascular Disease • Limit fat and cholesterol intake. • Cholesterol is a fatlike substance made by the body and found in some foods. • Eating foods that are high in saturated fats and cholesterol may cause plaque to form on artery walls. • Atherosclerosis is a disease in which plaque deposits on artery walls.

11. What to Know About Cardiovascular Disease • An embolism is the blockage of an artery by a clump of material traveling in the bloodstream. • If the blockage is in an artery in the brain, a person could have a stroke. • If the blockage is in an artery in the heart, a heart attack could occur. • A blockage in the lung is called a pulmonary embolism.

12. What to Know About Cardiovascular Disease How to Limit Fat Intake Less than 30% of total calories per day should come from fat. • Limit your intake of cooked lean meat, poultry, and fish to 5 ½ oz per day. • Broil, bake, or steam food rather than fry it. • Trim fat from meats before cooking. • Trim fat from poultry before cooking. • Limit your intake of egg yolks; consider using egg substitutes.

13. What to Know About Cardiovascular Disease How to Limit Fat Intake Less than 30% of total calories per day should come from fat. • Limit your intake of high-fat processed meats, such as hot dogs and bologna. • Substitute fruits and low-fat yogurt for high-fat desserts. • Substitute turkey, such as turkey hot dogs and turkey chili, for red meat.

14. What to Know About Cardiovascular Disease How to Limit Fat Intake Less than 30% of total calories per day should come from fat. • Substitute nonfat or low-fat dairy products for whole-milk dairy products, such as low-fat yogurt for ice cream, skim milk for whole milk, reduced-fat mayonnaise for regular mayonnaise, low-fat or nonfat cheese for regular cheese. • Substitute fruits and vegetables for high-fat snacks, such as potato chips.

15. What to Know About Cardiovascular Disease • Increase your intake of foods and beverages containing antioxidants.  • Antioxidants help prevent wear and tear in blood vessels.

16. What to Know About Cardiovascular Disease • Limit your intake of sodium. • Sodium is a mineral your body needs only in small amounts. The recommended daily allowance of sodium is three grams. • Too much sodium may cause some people to retain body fluid and, as a result, have increased blood pressure. • You can limit your sodium intake by eating fresh foods rather than canned foods.

17. What to Know About Cardiovascular Disease • Include flax, soy, canola, olive, and fish oils in your diet.  • The unsaturated fats in these foods can help: • prevent heart disease, • lower bad cholesterol (LDL), • and increase good cholesterol (HDL).

18. What to Know About Cardiovascular Disease A 2002 Nurses’ Health Study found an inverse relationship between fish consumption, omega-3 fatty acids, and coronary heart disease (CHD). The more fish women ate, the lower their risk of CHD was. The percentages on the graph represent reduced risk.

19. Diet and Osteoporosis • Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue. • Osteoporosis causes bones to fracture easily, and is a major cause of disability in females. • Females are 10x more likely to have severe osteoporosis than are males.

20. What to Know About Diet and Osteoporosis • Calcium and phosphorus form the hard substance in bone.  • Calcium is a mineral that is essential to bone growth. • A deficiency of calcium, especially in females, increases the risk for osteoporosis. • Obtaining enough calcium during adolescence is critical to reduce the risk of osteoporosis.

21. What to Know About Diet and Osteoporosis • Other ways to avoid osteoporosis • Other ways to help prevent osteoporosis include: • Engage in weight-bearing exercise. • Avoid smoking. • Utilize bone density testing and medications when appropriate.

22. What to Know About Diet and Osteoporosis • Bone loss • In both men and women, bone mass usually peaks between the ages of 25 and 35. • For women, an average bone loss before menopause is 1–1.25% per year, but it increases to 3–4% after menopause.

23. What to Know About Diet and Osteoporosis • Heart disease and hormonal replacement • A woman’s estrogen production is reduced when she reaches menopause; thus, the body cannot use calcium effectively and the result is an increased risk of osteoporosis. • Recent studies claim that hormonal replacement therapy increases the risk for heart disease, stroke, and cancer in women.

24. Diet, Diabetes, and Hypoglycemia • Diabetes mellitus, or diabetes, is a disease in which the body produces little or no insulin, or cannot properly use insulin. • Insulin is a hormone that regulates the blood sugar level. • Without treatment, a person with diabetes will have a high blood sugar level.

25. What to Know About Diet, Diabetes, and Hypoglycemia • Dealing with Diabetes • A physician and a dietitian can work with someone who has diabetes to make a plan that may include: • Eating more complex carbohydrates and protein • Limiting simple carbohydrate intake • Eating six small meals a day • Having regular exams to test blood sugar levels and re-evaluate diet • Maintaining desirable weight

26. What to Know About Diet, Diabetes, and Hypoglycemia • Who is at risk? • A lack of physical activity and obesity greatly increase the risk for diabetes. • Early signs of diabetes include • frequent urination, • excessive thirst, • cravings for sweets, • and weakness.

27. What to Know About Diet, Diabetes, and Hypoglycemia • Hypoglycemia • Hypoglycemia is a condition in which there is too much insulin in the body, causing the blood sugar level to be low. • People with hypoglycemia experience a rapid increase in blood sugar when eating, followed by a sudden drop. • When their blood sugar level drops, they feel dizzy, weak, irritable, and confused.

28. What to Know About Diet, Diabetes, and Hypoglycemia Guidelines for People with Hypoglycemia People with hypoglycemia follow a diet similar to people who have diabetes and may follow the same guidelines: • Eat complex carbohydrates and protein to provide long-lasting energy. • Limit the amounts of sweets. Simple sugars increase blood sugar and the need for insulin. • Eat six small meals a day to maintain a constant blood sugar level. • Have regular examinations to test blood sugar levels and re-evaluate diet. • Maintain a desirable weight.

29. Food Allergies and Intolerances • A food allergy is an abnormal response to food that is triggered by the immune system. • Food allergies can cause severe illness or even death.

30. What to Know About Food Allergies and Intolerances Food Allergies • Symptoms • The most common foods that cause allergic reactions in adults are shellfish, peanuts, fish, and eggs. • Symptoms of food allergies include: diarrhea, swelling, sneezing, itching, and nausea.

31. What to Know About Food Allergies and Intolerances Food Intolerances • A food intolerance is an abnormal response to food that is not caused by the immune system. • This merely means that a food is not tolerated well.

32. What to Know About Food Allergies and Intolerances Food Intolerances • Lactase deficiency  • Lactase deficiency is a condition in which lactase, an enzyme that breaks down the milk sugar present in the cells of the small intestine, is missing. • This condition results in the inability to digest lactose and is called lactose intolerance.

33. What to Know About Food Allergies and Intolerances Food Intolerances • Celiac disease • Celiac disease is a condition in which a person is intolerant to gluten. • Gluten is a part of wheat, rye, barley, and certain other grains.

34. What to Know About Food Allergies and Intolerances Food Intolerances • MSG • Monosodium glutamate (MSG), a flavor enhancer added to many foods, is a common cause of food intolerance. • Sulfites added to foods also may cause food intolerance.

35. Study Guide 1. Match the following terms and definitions. ___ atherosclerosis ___ antioxidant ___ osteoporosis ___ hypoglycemia ___ embolism A. a disease in which the density of bone decreases B. a substance that protects cells from being damaged by oxidation C. a condition in which there is too much insulin in the body, causing the blood sugar level to be low D. a disease in which plaque deposits on artery walls E. a blockage of an artery by a clump of material traveling in the bloodstream D B A C E

36. Study Guide 2. Identify the following statements as true or false. _______ Vitamin A is an antioxidant. _______ The recommended daily allowance of sodium is 30 grams. _______ People with hypoglycemia experience a rapid decrease in blood sugar followed by a slow rise. _______ Complex carbohydrates provide long-lasting energy. true false false true

37. Study Guide 3. How do antioxidants help decrease the risk of cancer? An antioxidant protects cells from being damaged by oxidation. By preventing cell damage and repairing damaged cells, they prevent healthy cells from becoming cancerous cells.

38. End of the Lesson