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Chapter 2

Planning a Healthy Diet




      © 2009 Cengage - Wadsworth
Principles and Guidelines
• Diet-Planning Principles
   Adequacy (dietary)—providing sufficient energy and
    essential nutrients for healthy people
   Balance (dietary)—consuming the right proportion of
    foods
   kcalorie (energy) control—balancing the amount of
    foods and energy to sustain physical activities and
    metabolic needs
   Nutrient density—measuring the nutrient content of
    a food relative to its energy content
   Empty-kcalorie foods denote foods that contribute
    energy but lack nutrients.
   Moderation (dietary)—providing enough but not too
    much of a food or nutrient
   Variety (dietary)—eating a wide selection of foods
    within and among the major food groups
                   © 2009 Cengage - Wadsworth
Principles and Guidelines
• Dietary Guidelines for Americans
  Adequate nutrients within energy
   needs
• Consume foods from all food groups
  and limit foods that can be
  detrimental to health.
    • Consume a balanced diet.
  Weight management
    • Maintain a healthy body weight.
    • Prevention of weight gain

                © 2009 Cengage - Wadsworth
Principles and Guidelines

• Dietary Guidelines for Americans
  Physical activity
    • Increase energy expenditure and
      decrease sedentary activities.
    • Include cardiovascular conditioning,
      stretching, and resistance exercises.
  Food groups to encourage
    • Choose a variety of fruits, vegetables,
      milk and milk products, and whole grains.


                © 2009 Cengage - Wadsworth
Principles and Guidelines

• Dietary Guidelines for Americans
  Fats
    • Limit saturated fat, dietary cholesterol,
      and trans fats.
    • Choose monounsaturated and
      polyunsaturated fat sources.
    • Choose lean, low-fat, or fat-free foods.




                 © 2009 Cengage - Wadsworth
Principles and Guidelines

• Dietary Guidelines for Americans
  Carbohydrates
    • Choose those that are high in fiber.
    • Choose products with a minimal amount
      of added sugar.
    • Decrease the risk of dental caries.
  Sodium and potassium
    • Choose foods that are low in salt and
      high in potassium.


                © 2009 Cengage - Wadsworth
Principles and Guidelines

• Dietary Guidelines for Americans
  Alcoholic beverages
    • Drink in moderation.
    • Some should not consume alcohol.
  Food safety
    • Wash and cook foods thoroughly and
      keep cooking surfaces clean.
    • Avoid raw, undercooked, or
      unpasteurized products.


                 © 2009 Cengage - Wadsworth
Diet-Planning Guides
• Food group plans sort foods into
  groups based on nutrient content.
• These guides are important in
  selecting foods for a nutritious diet
  providing balance, variety, adequacy
  and moderation.
• A combination of whole grains,
  vegetables, legumes, fruits, meats or
  meat alternates and milk products is
  essential to a healthy diet.

              © 2009 Cengage - Wadsworth
Diet-Planning Guides
• The USDA Food Guide assigns foods to the five
  major food groups of fruits, vegetables,
  grains, meat and legumes, and milk.
    Recommended Amounts
     • The recommended intake of each food group
       depends upon how many kcalories are required.
     • There are different kcalorie requirements for
       those who are sedentary compared to those who
       are active.
     • There are five subgroups of vegetables including
       dark green vegetables, orange and deep yellow
       vegetables, legumes, starchy vegetables, and
       others.
     • Variety should be a goal when choosing
       vegetables.
                   © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
Diet-Planning Guides
• USDA Food Guide
  Notable Nutrients
    • Key nutrients for each group
    • Allows for food substitutions within a
      group
    • Legumes may be considered a vegetable
      or a meat alternative
    • The typical American diet requires an
      increased intake of vegetables, fruits,
      whole grains, and milk and a decrease in
      refined grains, fat, and sugar.


                © 2009 Cengage - Wadsworth
Diet-Planning Guides
• USDA Food Guide
   Nutrient Density
    • Foods can be of high, medium or low nutrient
      density.
    • Must consider energy needs when choosing these
      foods
   Discretionary KCalorie Allowance
    • Calculated by subtracting the amount of energy
      required to meet nutrient needs from the total
      energy allowance
    • Those with discretionary kcalories may eat
      additional servings, consume foods with slightly
      more fat or added sugar, or consume alcohol.
    • For weight loss, a person should avoid consuming
      discretionary kcalories.
                  © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
Diet-Planning Guides
• USDA Food Guide
   Serving Equivalents
    • Cups are used to measure servings of fruits,
      vegetables, and milk.
    • Ounces are used to measure servings of grains
      and meats.
    • Visualization with common objects can be used to
      estimate portion sizes.
   Mixtures of Foods
    • Foods that fall into two or more groups
    • Examples are casseroles, soups, and sandwiches



                  © 2009 Cengage - Wadsworth
Diet-Planning Guides
• USDA Food Guide
   Vegetarian Food Guide
     • Reliance on plant foods such as grains,
       vegetables, legumes, fruits, nuts and seeds
     • Similar food groups and servings sizes
   Ethnic food choices fit into the food pyramid
     • Asian examples
     • Mediterranean examples
     • Mexican examples




                   © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
Diet-Planning Guides

• USDA Food Guide
  My Pyramid – Steps to a Healthier
   You
    • www.mypyramid.gov
    • The width of the bands represent the
      amount that should be consumed.
    • The pyramid can be individualized for
      each person.
    • Web site provides consumer education
      about making food choices

                © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
Diet-Planning Guides

• Exchange Lists help to achieve
  kcalorie control and moderation.
  Foods are sorted by energy-nutrient
   content.
  Originally developed for those with
   diabetes
  Portion sizes vary within a group
  Food groupings may not be logical


              © 2009 Cengage - Wadsworth
Diet-Planning Guides
• Putting the Plan into Action
  Choose the number of servings
   needed from each group.
  Assign food groups to daily meals and
   snacks.
• From Guidelines to Groceries -
  Processed foods have been treated
  thus changing their properties.
  Fortified foods have improved
  nutrition.

               © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
From Guidelines to
          Groceries
• Grains
   Refined foods lose nutrients during
    processing.
   Enriched foods have nutrients added back
    including iron, thiamin, riboflavin, niacin,
    and folate.
   Whole-grain products are not refined.
    Examples include brown rice and oatmeal.
   Fortified foods have nutrients added that
    were not part of the original food.


                  © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
From Guidelines to
          Groceries
• Vegetables
   Choose fresh vegetables often.
   Dark green leafy and yellow-orange
    vegetables are important.
   Good sources of vitamins, minerals, and
    fiber
   Be careful to control added fat and salt.
   Legumes
     • Variety is important
     • Economical
     • Low-fat, nutrient-rich and fiber-rich


                    © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
From Guidelines to
              Groceries
• Fruit
   Choose citrus and yellow-orange fruits.
   Processed fruits are acceptable alternatives
    to fresh.
   Provides vitamins, minerals, fibers and
    phytochemicals
   Fruit juices lack fiber but are healthy
    beverages.
   Watch energy intakes and fruit “drinks.”



                 © 2009 Cengage - Wadsworth
From Guidelines to
          Groceries
• Meat, fish and poultry
   Provides minerals, protein and B vitamins
   Choose lean cuts.
   Textured vegetable protein is a processed
    soybean protein and can be used in recipes.
   Weighing can be used to determine portion
    sizes.
   Use low-fat cooking methods, and trim and
    drain fat to reduce fat intake.



                 © 2009 Cengage - Wadsworth
From Guidelines to
             Groceries
• Milk
   Dairy foods are often fortified with vitamins
    A and D.
   Imitation foods that resemble other foods
    are nutritionally inferior.
   Food substitutes are designed to replace
    other foods.
   Many lower fat dairy products are available
    including fat-free, non-fat, skim, zero-fat,
    no-fat, low-fat, reduced-fat, and less-fat
    milk.


                 © 2009 Cengage - Wadsworth
Food Labels
• The Ingredient List
   All ingredients listed
   Descending order of predominance by
    weight
• Serving Sizes
   Facilitate comparisons among foods
   Need to compare to quantity of food
    actually eaten
   Do not necessarily match the USDA Food
    Guide

                  © 2009 Cengage - Wadsworth
Food Labels
• Nutrition Facts
   Listed by quantity and percentage standards per
    serving, called Daily Values
   kCalories listed as total kcalories and kcalories from
    fat
   Fat listed by total fat, saturated fat, and trans fat
   Cholesterol
   Sodium
   Carbohydrate listed by total carbohydrate, starch,
    sugars, and fiber
   Protein
   Vitamin A, vitamin C, iron, and calcium are listed in
    % DV only.


                     © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
Food Labels

• The Daily Values (DV)
  Estimate of individual foods’
   contribution to total diet
  Based on 2000-kcalorie diet
  Can also calculate personal daily
   values
  Ease in comparing foods



               © 2009 Cengage - Wadsworth
Food Labels
• Nutrient Claims
   Must meet FDA definitions and include conditions of use
   No implied claims
   General terms include free, good source of, healthy, high,
    less, light or lite, low, more, and organic.
   Energy terms include kcalorie-free, low kcalorie, and
    reduced calorie.
   Fat and cholesterol terms include percent fat-free, fat-free,
    low fat, less fat, saturated fat-free, low saturated fat, less
    saturated fat, trans fat-free, cholesterol-free, low
    cholesterol, less cholesterol, extra lean, and lean.
   Carbohydrate terms include high fiber and sugar-free.
   Sodium terms include sodium-free and salt-free, low
    sodium, and very low sodium.



                       © 2009 Cengage - Wadsworth
Food Labels
• Health Claims
   Reliable health claims on the FDA “A” list
    represent clear links between a nutrient and
    a disease or health-related condition.
   “B” list health claims have supportive
    evidence but are not conclusive.
   “C” list health claims have limited evidence
    and are not conclusive.
   “D” list health claims have little scientific
    evidence to support the claim.


                  © 2009 Cengage - Wadsworth
Food Labels

• Structure-Function Claims
  Claims made without FDA approval
  Cannot make statements about
   diseases
• Consumer Education
  Government education programs
  “Healthier US Initiative” Program



              © 2009 Cengage - Wadsworth
Vegetarian Diets




    © 2009 Cengage - Wadsworth
Vegetarian Diets
• Health Benefits of Vegetarian Diets -
  Lifestyle practices are often different from
  omnivores
   Healthy body weights are common due to high
    intakes of fiber and low intakes of fat.
   Blood pressure is often lower due to lower body
    weights, low-fat and high-fiber diets, and plenty of
    fruits and vegetables.
   Lower incidence of heart disease due to high-fiber
    diets, eating monounsaturated and polyunsaturated
    fats, and low intakes of dietary cholesterol
      • Inclusion of soy products like tofu and tempeh
   Lower incidence of cancer due to high intakes of
    fruits and vegetables
   Other diseases
                    © 2009 Cengage - Wadsworth
© 2009 Cengage - Wadsworth
Vegetarian Diet Planning
• Specific information for planning a
  vegetarian diet can be found at
  mypyramid.gov
   Protein
      • Lacto-ovo-vegetarians consume animal-derived
        products and thus high-quality protein.
      • Meat replacements and textured vegetable
        protein can be used.
   Iron - Iron-rich vegetables and fortified grain
    products consumed with foods that are high in
    vitamin C can help vegetarians meet iron needs.
   Zinc - Consuming legumes, whole grains, and nuts
    can provide zinc to those who do not consume meat.


                   © 2009 Cengage - Wadsworth
Vegetarian Diet Planning
• Calcium
    Calcium is not an issue for the
     lactovegetarian.
    Calcium-rich foods should be consumed.
• Vitamin B12
    Vegans may not receive enough B12 from
     the diet.
    Consumption of fortified products or
     supplementation may be necessary.
• Vitamin D can come from sunlight exposure or
  fortified foods.
• Omega-3 Fatty Acids - Food sources include
  flaxseed, walnuts, soybeans, and their oils.
                 © 2009 Cengage - Wadsworth
Healthy Food Choices

• A variety of food is the key to
  adequacy. Be careful of macrobiotic
  diets.
• Meal patterns are changed.
• Diet and other lifestyle habits need
  to be healthy.




              © 2009 Cengage - Wadsworth

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Chapter 2 NUTR

  • 1. Chapter 2 Planning a Healthy Diet © 2009 Cengage - Wadsworth
  • 2. Principles and Guidelines • Diet-Planning Principles  Adequacy (dietary)—providing sufficient energy and essential nutrients for healthy people  Balance (dietary)—consuming the right proportion of foods  kcalorie (energy) control—balancing the amount of foods and energy to sustain physical activities and metabolic needs  Nutrient density—measuring the nutrient content of a food relative to its energy content  Empty-kcalorie foods denote foods that contribute energy but lack nutrients.  Moderation (dietary)—providing enough but not too much of a food or nutrient  Variety (dietary)—eating a wide selection of foods within and among the major food groups © 2009 Cengage - Wadsworth
  • 3. Principles and Guidelines • Dietary Guidelines for Americans Adequate nutrients within energy needs • Consume foods from all food groups and limit foods that can be detrimental to health. • Consume a balanced diet. Weight management • Maintain a healthy body weight. • Prevention of weight gain © 2009 Cengage - Wadsworth
  • 4. Principles and Guidelines • Dietary Guidelines for Americans Physical activity • Increase energy expenditure and decrease sedentary activities. • Include cardiovascular conditioning, stretching, and resistance exercises. Food groups to encourage • Choose a variety of fruits, vegetables, milk and milk products, and whole grains. © 2009 Cengage - Wadsworth
  • 5. Principles and Guidelines • Dietary Guidelines for Americans Fats • Limit saturated fat, dietary cholesterol, and trans fats. • Choose monounsaturated and polyunsaturated fat sources. • Choose lean, low-fat, or fat-free foods. © 2009 Cengage - Wadsworth
  • 6. Principles and Guidelines • Dietary Guidelines for Americans Carbohydrates • Choose those that are high in fiber. • Choose products with a minimal amount of added sugar. • Decrease the risk of dental caries. Sodium and potassium • Choose foods that are low in salt and high in potassium. © 2009 Cengage - Wadsworth
  • 7. Principles and Guidelines • Dietary Guidelines for Americans Alcoholic beverages • Drink in moderation. • Some should not consume alcohol. Food safety • Wash and cook foods thoroughly and keep cooking surfaces clean. • Avoid raw, undercooked, or unpasteurized products. © 2009 Cengage - Wadsworth
  • 8. Diet-Planning Guides • Food group plans sort foods into groups based on nutrient content. • These guides are important in selecting foods for a nutritious diet providing balance, variety, adequacy and moderation. • A combination of whole grains, vegetables, legumes, fruits, meats or meat alternates and milk products is essential to a healthy diet. © 2009 Cengage - Wadsworth
  • 9. Diet-Planning Guides • The USDA Food Guide assigns foods to the five major food groups of fruits, vegetables, grains, meat and legumes, and milk.  Recommended Amounts • The recommended intake of each food group depends upon how many kcalories are required. • There are different kcalorie requirements for those who are sedentary compared to those who are active. • There are five subgroups of vegetables including dark green vegetables, orange and deep yellow vegetables, legumes, starchy vegetables, and others. • Variety should be a goal when choosing vegetables. © 2009 Cengage - Wadsworth
  • 10. © 2009 Cengage - Wadsworth
  • 11. © 2009 Cengage - Wadsworth
  • 12. © 2009 Cengage - Wadsworth
  • 13. © 2009 Cengage - Wadsworth
  • 14. Diet-Planning Guides • USDA Food Guide Notable Nutrients • Key nutrients for each group • Allows for food substitutions within a group • Legumes may be considered a vegetable or a meat alternative • The typical American diet requires an increased intake of vegetables, fruits, whole grains, and milk and a decrease in refined grains, fat, and sugar. © 2009 Cengage - Wadsworth
  • 15. Diet-Planning Guides • USDA Food Guide  Nutrient Density • Foods can be of high, medium or low nutrient density. • Must consider energy needs when choosing these foods  Discretionary KCalorie Allowance • Calculated by subtracting the amount of energy required to meet nutrient needs from the total energy allowance • Those with discretionary kcalories may eat additional servings, consume foods with slightly more fat or added sugar, or consume alcohol. • For weight loss, a person should avoid consuming discretionary kcalories. © 2009 Cengage - Wadsworth
  • 16. © 2009 Cengage - Wadsworth
  • 17. Diet-Planning Guides • USDA Food Guide  Serving Equivalents • Cups are used to measure servings of fruits, vegetables, and milk. • Ounces are used to measure servings of grains and meats. • Visualization with common objects can be used to estimate portion sizes.  Mixtures of Foods • Foods that fall into two or more groups • Examples are casseroles, soups, and sandwiches © 2009 Cengage - Wadsworth
  • 18. Diet-Planning Guides • USDA Food Guide  Vegetarian Food Guide • Reliance on plant foods such as grains, vegetables, legumes, fruits, nuts and seeds • Similar food groups and servings sizes  Ethnic food choices fit into the food pyramid • Asian examples • Mediterranean examples • Mexican examples © 2009 Cengage - Wadsworth
  • 19. © 2009 Cengage - Wadsworth
  • 20. Diet-Planning Guides • USDA Food Guide My Pyramid – Steps to a Healthier You • www.mypyramid.gov • The width of the bands represent the amount that should be consumed. • The pyramid can be individualized for each person. • Web site provides consumer education about making food choices © 2009 Cengage - Wadsworth
  • 21. © 2009 Cengage - Wadsworth
  • 22. Diet-Planning Guides • Exchange Lists help to achieve kcalorie control and moderation. Foods are sorted by energy-nutrient content. Originally developed for those with diabetes Portion sizes vary within a group Food groupings may not be logical © 2009 Cengage - Wadsworth
  • 23. Diet-Planning Guides • Putting the Plan into Action Choose the number of servings needed from each group. Assign food groups to daily meals and snacks. • From Guidelines to Groceries - Processed foods have been treated thus changing their properties. Fortified foods have improved nutrition. © 2009 Cengage - Wadsworth
  • 24. © 2009 Cengage - Wadsworth
  • 25. © 2009 Cengage - Wadsworth
  • 26. From Guidelines to Groceries • Grains  Refined foods lose nutrients during processing.  Enriched foods have nutrients added back including iron, thiamin, riboflavin, niacin, and folate.  Whole-grain products are not refined. Examples include brown rice and oatmeal.  Fortified foods have nutrients added that were not part of the original food. © 2009 Cengage - Wadsworth
  • 27. © 2009 Cengage - Wadsworth
  • 28. © 2009 Cengage - Wadsworth
  • 29. From Guidelines to Groceries • Vegetables  Choose fresh vegetables often.  Dark green leafy and yellow-orange vegetables are important.  Good sources of vitamins, minerals, and fiber  Be careful to control added fat and salt.  Legumes • Variety is important • Economical • Low-fat, nutrient-rich and fiber-rich © 2009 Cengage - Wadsworth
  • 30. © 2009 Cengage - Wadsworth
  • 31. From Guidelines to Groceries • Fruit  Choose citrus and yellow-orange fruits.  Processed fruits are acceptable alternatives to fresh.  Provides vitamins, minerals, fibers and phytochemicals  Fruit juices lack fiber but are healthy beverages.  Watch energy intakes and fruit “drinks.” © 2009 Cengage - Wadsworth
  • 32. From Guidelines to Groceries • Meat, fish and poultry  Provides minerals, protein and B vitamins  Choose lean cuts.  Textured vegetable protein is a processed soybean protein and can be used in recipes.  Weighing can be used to determine portion sizes.  Use low-fat cooking methods, and trim and drain fat to reduce fat intake. © 2009 Cengage - Wadsworth
  • 33. From Guidelines to Groceries • Milk  Dairy foods are often fortified with vitamins A and D.  Imitation foods that resemble other foods are nutritionally inferior.  Food substitutes are designed to replace other foods.  Many lower fat dairy products are available including fat-free, non-fat, skim, zero-fat, no-fat, low-fat, reduced-fat, and less-fat milk. © 2009 Cengage - Wadsworth
  • 34. Food Labels • The Ingredient List  All ingredients listed  Descending order of predominance by weight • Serving Sizes  Facilitate comparisons among foods  Need to compare to quantity of food actually eaten  Do not necessarily match the USDA Food Guide © 2009 Cengage - Wadsworth
  • 35. Food Labels • Nutrition Facts  Listed by quantity and percentage standards per serving, called Daily Values  kCalories listed as total kcalories and kcalories from fat  Fat listed by total fat, saturated fat, and trans fat  Cholesterol  Sodium  Carbohydrate listed by total carbohydrate, starch, sugars, and fiber  Protein  Vitamin A, vitamin C, iron, and calcium are listed in % DV only. © 2009 Cengage - Wadsworth
  • 36. © 2009 Cengage - Wadsworth
  • 37. Food Labels • The Daily Values (DV) Estimate of individual foods’ contribution to total diet Based on 2000-kcalorie diet Can also calculate personal daily values Ease in comparing foods © 2009 Cengage - Wadsworth
  • 38. Food Labels • Nutrient Claims  Must meet FDA definitions and include conditions of use  No implied claims  General terms include free, good source of, healthy, high, less, light or lite, low, more, and organic.  Energy terms include kcalorie-free, low kcalorie, and reduced calorie.  Fat and cholesterol terms include percent fat-free, fat-free, low fat, less fat, saturated fat-free, low saturated fat, less saturated fat, trans fat-free, cholesterol-free, low cholesterol, less cholesterol, extra lean, and lean.  Carbohydrate terms include high fiber and sugar-free.  Sodium terms include sodium-free and salt-free, low sodium, and very low sodium. © 2009 Cengage - Wadsworth
  • 39. Food Labels • Health Claims  Reliable health claims on the FDA “A” list represent clear links between a nutrient and a disease or health-related condition.  “B” list health claims have supportive evidence but are not conclusive.  “C” list health claims have limited evidence and are not conclusive.  “D” list health claims have little scientific evidence to support the claim. © 2009 Cengage - Wadsworth
  • 40. Food Labels • Structure-Function Claims Claims made without FDA approval Cannot make statements about diseases • Consumer Education Government education programs “Healthier US Initiative” Program © 2009 Cengage - Wadsworth
  • 41. Vegetarian Diets © 2009 Cengage - Wadsworth
  • 42. Vegetarian Diets • Health Benefits of Vegetarian Diets - Lifestyle practices are often different from omnivores  Healthy body weights are common due to high intakes of fiber and low intakes of fat.  Blood pressure is often lower due to lower body weights, low-fat and high-fiber diets, and plenty of fruits and vegetables.  Lower incidence of heart disease due to high-fiber diets, eating monounsaturated and polyunsaturated fats, and low intakes of dietary cholesterol • Inclusion of soy products like tofu and tempeh  Lower incidence of cancer due to high intakes of fruits and vegetables  Other diseases © 2009 Cengage - Wadsworth
  • 43. © 2009 Cengage - Wadsworth
  • 44. Vegetarian Diet Planning • Specific information for planning a vegetarian diet can be found at mypyramid.gov  Protein • Lacto-ovo-vegetarians consume animal-derived products and thus high-quality protein. • Meat replacements and textured vegetable protein can be used.  Iron - Iron-rich vegetables and fortified grain products consumed with foods that are high in vitamin C can help vegetarians meet iron needs.  Zinc - Consuming legumes, whole grains, and nuts can provide zinc to those who do not consume meat. © 2009 Cengage - Wadsworth
  • 45. Vegetarian Diet Planning • Calcium  Calcium is not an issue for the lactovegetarian.  Calcium-rich foods should be consumed. • Vitamin B12  Vegans may not receive enough B12 from the diet.  Consumption of fortified products or supplementation may be necessary. • Vitamin D can come from sunlight exposure or fortified foods. • Omega-3 Fatty Acids - Food sources include flaxseed, walnuts, soybeans, and their oils. © 2009 Cengage - Wadsworth
  • 46. Healthy Food Choices • A variety of food is the key to adequacy. Be careful of macrobiotic diets. • Meal patterns are changed. • Diet and other lifestyle habits need to be healthy. © 2009 Cengage - Wadsworth