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Understanding Normal and Clinical Nutrition (with InfoTrac)

ISBN: 9780534622084 | 0534622089
Edition: 7th
Format: Hardcover
Publisher: Brooks Cole
Pub. Date: 8/15/2003

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SummaryTable of Contents
UNDERSTANDING NORMAL AND CLINICAL NUTRITION, Seventh Edition, provides the most current and comprehensive coverage of both "normal" nutrition, such as digestion and metabolism, vitamins and minerals, and life cycle nutrition, as well as "clinical" nutrition related to diseases, such as nutrition and gastrointestinal, liver, and cardiovascular diseases. The text also incorporates a number of learning tools designed to help students both retain the information and apply their knowledge so they are better prepared to work in a clinical setting. Fe... MORE
An Overview of Nutrition
2(36)
Food Choices
4(2)
The Nutrients
... MORE(5)
Nutrients in Foods and in the Body
6(1)
The Energy-Yielding Nutrients
7(3)
The Vitamins
10(1)
The Minerals
11(1)
Water
11(1)
The Science of Nutrition
11(5)
Nutrition Research
12(3)
Research versus Rumors
15(1)
Dietary Reference Intakes
16(4)
Establishing Nutrient Recommendations
16(2)
Establishing Energy Recommendations
18(1)
Using Nutrient Recommendations
19(1)
Comparing Nutrient Recommendations
19(1)
Nutrition Assessment
20(4)
Nutrition Assessment of Individuals
20(2)
Nutrition Assessment of Populations
22(2)
Diet and Health
24(14)
Chronic Diseases
24(1)
Risk Factors for Chronic Diseases
24(6)
Highlight Nutrition Information and Misinformation---On the Net and in the News
30(8)
Planning a Healthy Diet
38(34)
Principles and Guidelines
39(4)
Diet-Planning Principles
40(1)
Dietary Guidelines for Americans
41(2)
Diet-Planning Guides
43(12)
USDA Food Guide
43(6)
Exchange Lists
49(1)
Putting the Plan into Action
50(2)
From Guidelines to Groceries
52(3)
Food Labels
55(17)
The Ingredient List
56(1)
Serving Sizes
56(1)
Nutrition Facts
57(1)
The Daily Values
58(1)
Nutrient Claims
58(1)
Health Claims
59(1)
Structure-Function Claims
59(2)
Consumer Education
61(5)
Highlight A World Tour of Pyramids, Pagodas, and Plates
66(6)
Digestion, Absorption, and Transport
72(30)
Digestion
73(10)
Anatomy of the Digestive Tract
74(3)
The Muscular Action of Digestion
77(2)
The Secretions of Digestion
79(2)
The Final Stage
81(2)
Absorption
83(3)
Anatomy of the Absorptive System
84(1)
A Closer Look at the Intestinal Cells
84(2)
The Circulatory Systems
86(3)
The Vascular System
86(3)
The Lymphatic System
89(1)
Regulation of Digestion and Absorption
89(13)
Gastrointestinal Hormones and Nerve Pathways
89(2)
The System at Its Best
91(3)
Highlight Common Digestive Problems
94(8)
The Carbohydrates: Sugars, Starches, and Fibers
102(38)
The Chemist's View of Carbohydrates
104(1)
The Simple Carbohydrates
104(3)
Monosaccharides
105(1)
Disaccharides
106(1)
The Complex Carbohydrates
107(3)
Glycogen
108(1)
Starches
108(1)
Fibers
108(2)
Digestion and Absorption of Carbohydrates
110(4)
Carbohydrate Digestion
111(1)
Carbohydrate Absorption
111(2)
Lactose Intolerance
113(1)
Glucose in the Body
114(5)
A Preview of Carbohydrate Metabolism
115(1)
The Constancy of Blood Glucose
116(3)
Health Effects and Recommended Intakes of Sugars
119(5)
Health Effects of Sugars
120(2)
Accusations against Sugars
122(1)
Recommended Intakes of Sugars
123(1)
Health Effects and Recommended Intakes of Starch and Fibers
124(16)
Health Effects of Starch and Fibers
124(2)
Recommended Intakes of Starch and Fibers
126(1)
From Guidelines to Groceries
127(6)
Highlight Alternatives to Sugar
133(7)
The Lipids: Triglycerides, Phospholipids, and Sterols
140(40)
The Chemist's View of Fatty Acids and Triglycerides
141(6)
Fatty Acids
142(3)
Triglycerides
145(1)
Degree of Unsaturation Revisited
145(2)
The Chemist's View of Phospholipids and Sterols
147(3)
Phospholipids
148(1)
Sterols
149(1)
Digestion, Absorption, and Transport of Lipids
150(5)
Lipid Digestion
150(2)
Lipid Absorption
152(1)
Lipid Transport
153(2)
Lipids in the Body
155(3)
Roles of Triglycerides
156(1)
Essential Fatty Acids
156(1)
A Preview of Lipid Metabolism
157(1)
Health Effects and Recommended Intakes of Lipids
158(22)
Health Effects of Lipids
159(3)
Recommended Intakes of Fat
162(1)
From Guidelines to Groceries
163(10)
Highlight High-Fat Foods---Friend or Foe?
173(7)
Protein: Amino Acids
180(34)
The Chemist's View of Proteins
181(4)
Amino Acids
182(1)
Proteins
183(2)
Digestion and Absorption of Protein
185(2)
Protein Digestion
185(1)
Protein Absorption
185(2)
Proteins in the Body
187(7)
Protein Synthesis
187(2)
Roles of Proteins
189(4)
A Preview of Protein Metabolism
193(1)
Protein in Foods
194(3)
Protein Quality
194(3)
Protein Regulations for Food Labels
197(1)
Health Effects and Recommended Intakes of Protein
197(17)
Protein-Energy Malnutrition
197(3)
Health Effects of Protein
200(1)
Recommended Intakes of Protein
201(2)
Protein and Amino Acid Supplements
203(5)
Highlight Vegetarian Diets
208(6)
Metabolism: Transformations and Interactions
214(36)
Chemical Reactions in the Body
216(4)
Breaking Down Nutrients for Energy
220(12)
Glucose
220(4)
Glycerol and Fatty Acids
224(1)
Amino Acids
224(4)
Breaking Down Nutrients for Energy---In Summary
228(1)
The Final Steps of Catabolism
229(3)
The Body's Energy Budget
232(18)
The Economics of Feasting
234(1)
The Transition from Feasting to Fasting
235(1)
The Economics of Fasting
236(4)
Highlight Alcohol and Nutrition
240(10)
Energy Balance and Body Composition
250(28)
Energy Balance
252(1)
Energy In: The kCalories Foods Provide
252(4)
Food Composition
252(1)
Food Intake
253(3)
Energy Out: The kCalories the Body Expends
256(4)
Components of Energy Expenditure
256(3)
Estimating Energy Requirements
259(1)
Body Weight, Body Composition, and Health
260(18)
Defining Healthy Body Weight
261(2)
Body Fat and Its Distribution
263(2)
Health Risks Associated with Body Weight and Body Fat
265(7)
Highlight The Latest and Greatest Weight-Loss Diet---Again
272(6)
Weight Management: Overweight and Underweight
278(42)
Overweight
279(3)
Fat Cell Development
280(1)
Fat Cell Metabolism
280(1)
Set-Point Theory
281(1)
Causes of Obesity
282(4)
Genetics
282(2)
Environment
284(2)
Problems of Obesity
286(3)
Health Risks
286(1)
Perceptions and Prejudices
286(1)
Dangerous Interventions
287(2)
Aggressive Treatments of Obesity
289(2)
Drugs
290(1)
Surgery
290(1)
Weight-Loss Strategies
291(10)
Eating Plans
292(4)
Physical Activity
296(2)
Behavior and Attitude
298(2)
Weight Maintenance
300(1)
Prevention
300(1)
Public Health Programs
301(1)
Underweight
301(19)
Problems of Underweight
302(1)
Weight-Gain Strategies
302(8)
Highlight Eating Disorders
310(10)
The Water-Soluble Vitamins: B Vitamins and Vitamin C
320(46)
The Vitamins---An Overview
321(3)
The B Vitamins---As Individuals
324(21)
Thiamin
325(3)
Riboflavin
328(2)
Niacin
330(1)
Biotin
331(2)
Pantothenic Acid
333(1)
Vitamin B6
334(1)
Folate
335(5)
Vitamin B12
340(3)
Non-B Vitamins
343(2)
The B Vitamins---In Concert
345(3)
B Vitamin Roles
345(1)
B Vitamin Deficiencies
345(2)
B Vitamin Toxicities
347(1)
B Vitamin Food Sources
347(1)
Vitamin C
348(18)
Vitamin C Roles
349(1)
Vitamin C Recommendations
350(1)
Vitamin C Deficiency
351(1)
Vitamin C Toxicity
352(1)
Vitamin C Food Sources
352(7)
Highlight Vitamin and Mineral Supplements
359(7)
The Fat-Soluble Vitamins: A, D, E, and K
366(28)
Vitamin A and Beta-Carotene
367(8)
Roles in the Body
369(1)
Vitamin A Deficiency
370(2)
Vitamin A Toxicity
372(1)
Vitamin A Recommendations
373(1)
Vitamin A in Foods
373(2)
Vitamin D
375(5)
Roles in the Body
375(1)
Vitamin D Deficiency
376(1)
Vitamin D Toxicity
376(1)
Vitamin D Recommendations and Sources
377(3)
Vitamin E
380(2)
Vitamin E as an Antioxidant
380(1)
Vitamin E Deficiency
381(1)
Vitamin E Toxicity
381(1)
Vitamin E Recommendations
381(1)
Vitamin E in Foods
381(1)
Vitamin K
382(2)
Roles in the Body
382(1)
Vitamin K Deficiency
383(1)
Vitamin K Toxicity
383(1)
Vitamin K Recommendations and Sources
383(1)
The Fat-Soluble Vitamins---In Summary
384(10)
Highlight Antioxidant Nutrients in Disease Prevention
389(5)
Water and the Major Minerals
394(42)
Water and the Body Fluids
395(10)
Water Balance and Recommended Intakes
396(3)
Blood Volume and Blood Pressure
399(1)
Fluid and Electrolyte Balance
400(3)
Fluid and Electrolyte Imbalance
403(1)
Acid-Base Balance
404(1)
The Minerals---An Overview
405(2)
Sodium
407(3)
Chloride
410(1)
Potassium
411(1)
Calcium
412(7)
Calcium Roles in the Body
413(2)
Calcium Recommendations and Sources
415(2)
Calcium Deficiency
417(2)
Phosphorus
419(1)
Magnesium
420(2)
Sulfate
422(14)
Highlight Osteoporosis and Calcium
428(8)
The Trace Minerals
436(36)
The Trace Minerals---An Overview
437(1)
Iron
438(9)
Iron Roles in the Body
439(1)
Iron Absorption and Metabolism
439(3)
Iron Deficiency
442(2)
Iron Toxicity
444(1)
Iron Recommendations and Sources
445(1)
Iron Contamination and Supplementation
446(1)
Zinc
447(4)
Zinc Roles in the Body
447(1)
Zinc Absorption and Metabolism
448(1)
Zinc Deficiency
449(1)
Zinc Toxicity
449(1)
Zinc Recommendations and Sources
449(1)
Zinc Supplementation
450(1)
Iodine
451(2)
Selenium
453(1)
Copper
454(1)
Manganese
455(1)
Fluoride
455(1)
Chromium
456(1)
Molybdenum
457(1)
Other Trace Minerals
458(1)
Contaminant Minerals
458(1)
Closing Thoughts on the Nutrients
459(13)
Highlight Phytochemicals and Functional Foods
465(7)
Life Cycle Nutrition: Pregnancy and Lactation
472(36)
Nutrition prior to Pregnancy
473(1)
Growth and Development during Pregnancy
474(6)
Placental Development
474(1)
Fetal Growth and Development
474(2)
Critical Periods
476(4)
Maternal Weight
480(3)
Weight prior to Conception
480(1)
Weight Gain during Pregnancy
480(2)
Exercise during Pregnancy
482(1)
Nutrition during Pregnancy
483(6)
Energy and Nutrient Needs during Pregnancy
484(4)
Common Nutrition-Related Concerns of Pregnancy
488(1)
High-Risk Pregnancies
489(7)
The Infant's Birthweight
489(1)
Malnutrition and Pregnancy
490(1)
Food Assistance Programs
490(1)
Maternal Health
491(1)
The Mother's Age
492(1)
Practices Incompatible with Pregnancy
493(3)
Nutrition during Lactation
496(12)
Lactation: A Physiological Process
496(1)
Breastfeeding: A Learned Behavior
497(1)
The Mother's Nutrient Needs
498(1)
Practices Incompatible with Lactation
499(1)
Maternal Health
500(5)
Highlight Fetal Alcohol Syndrome
505(3)
Life Cycle Nutrition: Infancy, Childhood, and Adolescence
508(44)
Nutrition during Infancy
509(11)
Energy and Nutrient Needs
510(1)
Breast Milk
511(4)
Infant Formula
515(1)
Special Needs of Preterm Infants
516(1)
Introducing Cow's Milk
517(1)
Introducing Solid Foods
517(2)
Mealtimes with Toddlers
519(1)
Nutrition during Childhood
520(16)
Energy and Nutrient Needs
520(2)
Hunger and Malnutrition in Children
522(2)
The Malnutrition-Lead Connection
524(1)
Hyperactivity and ``Hyper'' Behavior
525(2)
Food Allergy and Intolerance
527(1)
Childhood Obesity
528(4)
Mealtimes at Home
532(2)
Nutrition at School
534(2)
Nutrition during Adolescence
536(16)
Growth and Development
537(1)
Energy and Nutrient Needs
537(1)
Food Choices and Health Habits
538(1)
Problems Adolescents Face
539(8)
Highlight Childhood Obesity and the Early Development of Chronic Diseases
547(5)
Life Cycle Nutrition: Adulthood and the Later Years
552(28)
Nutrition and Longevity
554(3)
Observation of Older Adults
555(1)
Manipulation of Diet
556(1)
The Aging Process
557(4)
Physiological Changes
558(2)
Other Changes
560(1)
Energy and Nutrient Needs of Older Adults
561(3)
Water
561(1)
Energy and Energy Nutrients
561(1)
Vitamins and Minerals
562(1)
Nutrient Supplements
563(1)
Nutrition-Related Concerns of Older Adults
564(3)
Cataracts and Macular Degeneration
564(1)
Arthritis
564(1)
The Aging Brain
565(2)
Food Choices and Eating Habits of Older Adults
567(13)
Food Assistance Programs
568(1)
Meals for Singles
569(5)
Highlight Hunger and Community Nutrition
574(6)
Nutrition Care and Assessment
580(26)
Nutrition in Health Care
581(5)
Illness and Nutrition Status
582(1)
Health Professionals and Nutrition Care
583(1)
Quality of Care
584(1)
Nutrition Screening
584(1)
The Nutrition Care Process
584(2)
Nutrition Assessment
586(20)
Historical Information
586(1)
Dietary Assessment Methods
587(3)
Anthropometric Data
590(3)
Biochemical Analyses
593(2)
Physical Examinations
595(1)
Integrating Assessment Data
596(5)
Highlight Nutrition and Immunity
601(5)
Nutrition Intervention
606(20)
Implementing Nutrition Care
607(4)
Approaches to Nutrition Care
607(2)
The Medical Record
609(1)
Reimbursement of Services
609(2)
Modified Diets
611(5)
Dietary Modifications
611(3)
Alternative Feeding Routes
614(1)
The Diet Order
615(1)
Foodservice
616(10)
Menu Planning
616(1)
Food Selection
616(2)
Food Preparation and Delivery
618(1)
Improving Food Intake
618(4)
Highlight Nutritional Genomics
622(4)
Diet, Medications, and Dietary Supplements
626(24)
Medications in Disease Treatment
627(3)
Risks versus Benefits of Medication Use
628(2)
Patients at High Risk of Adverse Effects
630(1)
Dietary Supplements
630(4)
Effectiveness and Safety of Herbal Products
631(2)
Use of Herbal Products for Illness
633(1)
Diet-Drug Interactions
634(16)
Medications and Food Intake
634(2)
Diet-Drug Interactions and Absorption
636(2)
Diet-Drug Interactions and Metabolism
638(2)
Diet-Drug Interactions and Excretion
640(1)
Diet-Drug Interactions and Toxicity
640(4)
Highlight Complementary and Alternative Medicine
644(6)
Enteral Nutrition Support
650(24)
Enteral Formulas
652(2)
Types of Formulas
652(1)
Formula Characteristics
653(1)
Enteral Nutrition in Medical Care
654(5)
Oral Use of Enteral Formulas
654(1)
Tube Feedings
654(1)
Feeding Routes
655(2)
Formula Selection
657(2)
Administration of Tube Feedings
659(15)
Safe Handling
659(1)
Initiating and Progressing a Tube Feeding
660(3)
Delivering Medications through Feeding Tubes
663(1)
Complications of Tube Feeding
664(1)
Documentation of Tube Feeding
665(2)
Transition to Table Foods
667(3)
Highlight Enteral Nutrition and Inborn Errors of Metabolism
670(4)
Parenteral Nutrition Support
674(18)
Indications for Parenteral Support
675(2)
Parenteral Solutions
677(4)
Parenteral Nutrients
678(1)
Formula Preparation
679(2)
Administering Parenteral Nutrition
681(3)
Insertion and Care of Intravenous Catheters
681(1)
Administration of Parenteral Solutions
682(1)
Managing Metabolic Complications
682(1)
Discontinuing Intravenous Feedings
683(1)
Nutrition Support at Home
684(8)
Candidates for Home Nutrition Support
684(1)
Planning Home Nutrition Care
685(1)
Quality of Life Issues
686(3)
Highlight Ethical Issues in Nutrition Care
689(3)
Nutrition in Metabolic and Respiratory Stress
692(22)
The Body's Responses to Stress and Injury
694(2)
Hormonal Responses to Stress
694(1)
The Inflammatory Response
694(2)
Nutrition Support for Acute Stress
696(5)
Determining Nutritional Requirements
697(2)
Patients with Burns
699(2)
Nutrition and Respiratory Stress
701(13)
Chronic Obstructive Pulmonary Disease
702(2)
Respiratory Failure
704(6)
Highlight Multiple Organ Failure
710(4)
Nutrition and Disorders of the Upper Gastrointestinal Tract
714(24)
Conditions Affecting the Esophagus
716(6)
Dysphagia
716(3)
Gastroesophageal Reflux Disease
719(3)
Conditions Affecting the Stomach
722(16)
Dyspepsia
722(1)
Nausea and Vomiting
723(1)
Gastritis
723(1)
Peptic Ulcer Disease
724(1)
Gastric Surgery
725(9)
Highlight Dental Health and Its Relationship with Chronic Illness
734(4)
Nutrition and Lower Gastrointestinal Disorders
738(30)
Common Intestinal Symptoms and Complications
739(6)
Constipation
740(2)
Intestinal Gas
742(1)
Diarrhea
742(1)
Bacterial Overgrowth
743(1)
Steatorrhea
744(1)
Malabsorption Syndromes
745(12)
Pancreatitis
746(2)
Cystic Fibrosis
748(2)
Celiac Disease
750(2)
Inflammatory Bowel Diseases
752(2)
Short-Bowel Syndrome
754(3)
Conditions Affecting the Large Intestine
757(11)
Irritable Bowel Syndrome
757(1)
Diverticular Disease of the Colon
758(1)
Ostomies
759(6)
Highlight Food Allergies
765(3)
Nutrition, Liver Disease, and Gallstones
768(22)
Fatty Liver and Hepatitis
770(2)
Fatty Liver
770(1)
Hepatitis
771(1)
Cirrhosis
772(6)
Consequences of Cirrhosis
773(2)
Treatment of Cirrhosis
775(3)
Liver Transplantation
778(1)
Gallstone Disease
779(11)
Types of Gallstones
779(1)
Consequences of Gallstones
780(1)
Risk Factors for Gallstones
781(1)
Treatment for Gallstones
781(5)
Highlight Anemia in Illness
786(4)
Nutrition and Diabetes Mellitus
790(28)
Overview of Diabetes Mellitus
791(5)
Symptoms of Diabetes
792(1)
Diagnosis of Diabetes
792(1)
Types of Diabetes
792(2)
Acute Complications of Diabetes
794(1)
Chronic Complications of Diabetes
795(1)
Treatment of Diabetes Mellitus
796(22)
Treatment Goals
797(1)
Medical Nutrition Therapy: Nutrient Recommendations
798(2)
Medical Nutrition Therapy: Dietary Strategies
800(2)
Insulin Therapy
802(4)
Oral Antidiabetic Agents
806(1)
Physical Activity and Diabetes Management
806(1)
Sick-Day Management
807(1)
Diabetes Management in Pregnancy
808(6)
Highlight Metabolic Syndrome
814(4)
Nutrition and Cardiovascular Diseases
818(32)
Atherosclerosis
820(2)
Stages of Plaque Development
820(1)
Causes of Atherosclerosis
820(2)
Consequences of Atherosclerosis
822(1)
Coronary Heart Disease (CHD)
822(11)
Prevention of CHD
823(1)
Therapeutic Lifestyle Changes for Lowering CHD Risk
824(8)
The Heart Attack Patient
832(1)
Hypertension
833(5)
Risk for Developing Hypertension
834(1)
Contributing Factors for Hypertension
835(1)
Treatment of Hypertension
835(3)
Congestive Heart Failure (CHF)
838(2)
Consequences of CHF
838(1)
Medical Management of CHF
839(1)
Stroke
840(10)
Stroke Prevention
840(1)
Management of Stroke
841(5)
Highlight Helping People with Feeding Disabilities
846(4)
Nutrition and Renal Diseases
850(28)
What the Kidneys Do
851(2)
The Nephrotic Syndrome
853(3)
Consequences of the Nephrotic Syndrome
853(1)
Treatment of the Nephrotic Syndrome
854(2)
Acute Renal Failure
856(2)
Causes of Acute Renal Failure
856(1)
Consequences of Acute Renal Failure
856(1)
Treatment of Acute Renal Failure
857(1)
Chronic Renal Failure
858(7)
Consequences of Chronic Renal Failure
859(2)
Treatment of Chronic Renal Failure
861(3)
Kidney Transplants
864(1)
Kidney Stones
865(13)
Formation of Kidney Stones
866(1)
Consequences of Kidney Stones
867(1)
Prevention and Treatment of Kidney Stones
868(6)
Highlight Dialysis
874(4)
Nutrition, Cancer, and HIV Infection
878
Cancer
879(12)
How Cancer Develops
880(3)
Consequences of Cancer
883(2)
Treatments for Cancer
885(2)
Medical Nutrition Therapy
887(4)
HIV Infection
891
How AIDS Develops
891(1)
Consequences of HIV Infection
891(3)
Treatments for HIV Infection
894(1)
Medical Nutrition Therapy
895(6)
Highlight Illness, Mental Health, and Nutrition
901
Appendix A Cells, Hormones, and Nerves2
Appendix B Basic Chemistry Concepts1(1)
Appendix C Biochemical Structures and Pathways1(1)
Appendix D Measures of Protein Quality1(1)
Appendix E Nutrition Assessment: Supplement Information1(1)
Appendix F Physical Activity and Energy Requirements1(1)
Appendix G United States: Exchange Lists1(1)
Appendix H Table of Food Composition1(1)
Appendix I WHO: Nutrition Recommendations Canada: Guidelines and Meal Planning1(1)
Appendix J Enteral Formulas1(1)
Glossary
Index1(1)
Dietary Reference Intakes (inside front covers)
Aids to Calculations
Weights and Measures
Daily Values for Food Labels (inside back cover, left) Glossary of Nutrient Measures (inside back cover, left)
Body Mass Index (inside back cover, right)

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