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3 - Nutrition

from Part I - Health promotion

Published online by Cambridge University Press:  21 August 2009

Victoria S. Kaprielian
Affiliation:
Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA
Gwendolyn Murphy
Affiliation:
Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA
Cathrine Hoyo
Affiliation:
Department of community and Family Medicine, Duke University Medical Center, Durham, NC, USA
Jo Ann Rosenfeld
Affiliation:
The Johns Hopkins University
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Summary

Normal healthy diet

Case: S.K. is a generally healthy 49-year-old woman who presents for a routine annual exam. She complains of occasional hot flushes and asks what she can do about them without taking hormones. She also has a family history of cancer in several relatives, so she wants to know what she should do with her diet to stay healthy.

A healthy diet is a concern of people of all ages. Having traditionally been in charge of feeding the family, women tend to be even more interested. Current dietary recommendations for women in the mid-life years focus in three main areas: caloric balance, fat intake, and calcium.

Balancing intake and output

Perhaps the most important characteristic of a healthy diet is balance – a balance of food types and a balance of intake and output. To maintain a stable weight, one must burn off as much as one has taken in. Therefore, a healthy diet is always connected closely with healthy levels of activity (see Chapter 2 for details on exercise).

Two models that are useful regarding the proper balance of food types are the Food Pyramid and the New American Plate.

The Food Pyramid, developed by the US Department of Agriculture (USDA), illustrates the healthy diet as based on a foundation of plant-based foods, including whole-grain complex carbohydrates and substantial amounts of vegetables and fruits. Meat and dairy products make up a smaller proportion, with fats and sweets being used only sparingly.

Type
Chapter
Information
Women's Health in Mid-Life
A Primary Care Guide
, pp. 23 - 44
Publisher: Cambridge University Press
Print publication year: 2004

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References

General dietary information: American Dietetic Association: http://www.eatright.org/
Weight control, diabetes, and other medical disorders: National Institute of Diabetes, Digestive and Kidney Disorders: http://www.niddk.nih.gov/health/nutrition.htm
Dietary supplements: National Center for Complementary and Alternative Medicine: http://nccam.nih.gov/
Calcium: National Women's Health Information Center: http://www.4woman.gov/faq/calcium.htm
Hu, F. B., Manson, J. E. and Willett, W. C.Types of dietary fat and risk of coronary heart disease: a critical review. J. Am. Coll. Nutr. 2001; 20:5–19CrossRefGoogle ScholarPubMed
Benz, J. D.Supplements for menopause. Prescr. Letter 2002; 9:180–911Google Scholar
Taylor, M. Use of botanicals for management of menopausal symptoms. ACOG Practice Bulletin 2001, number 28. http://www.acog.org/from_home/publications/misc/pb028.htm. Accessed October 2002
Pritchard, K. I.Hormone replacement in women with a history of breast cancer. Oncologist 2001; 6:635–62CrossRefGoogle ScholarPubMed
American Cancer Society. Common questions about diet and cancer. http://www3.cancer.org/docroot/ped/content/ped_3_2x_common_questions_about_diet_and_cancer.asp?sitearea=ped. Accessed October 2002
Baron, J. A., Beach, M., Mandel, J. S., et al.Calcium supplements for the prevention of colorectal adenomas. Calcium Polyp Prevention Study Group. N. Engl. J. Med. 1999; 340:101–7CrossRefGoogle ScholarPubMed
Schatzkin, A., Lanza, E., Corle, D., et al.Lack of effect of a low-fat high-fiber diet on the recurrence of colorectal adenomas. N. Engl. J. of Med. 2000; 342:1149–55CrossRef
Alberts, D. S., Martinez, M. E., Roe, D. J., et al.Lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas. N. Engl. J. Med. 2000; 345:1156–62CrossRefGoogle Scholar
Michels, K. B., Giovannuci, E., Joshipura, K. J., et al.Prospective study of fruit and vegetable consumption and incidence of colon and rectal cancers. J. Nat. Cancer Inst. 2000; 92:1740–52CrossRefGoogle ScholarPubMed
National Heart, Lung, and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. NIH Publication no. 98–4083. September 1998
Ramlo-Halsted, B. A. and Edelman, S. V.The natural history of type 2 diabetes: implications for clinical practice. Prim. Care 1999; 26:771–89CrossRefGoogle ScholarPubMed
Lyznicki, J. M., Young, D. C., Riggs, J. A. and Davis, R. M.Obesity: assessment and management in primary care. Am. Fam. Physician 2001; 65: 2185–96Google Scholar
Adverse events associated with ephedrine-containing products – Texas, December 1993–September 1995. Morb. Mortal. Wkly Rep. 1996; 45:689
American Diabetes Association. Position statement: evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care 2002; 25(supp 1):S50–60CrossRef
Cryer, P. E., Fisher, J. N. and Shamoon, H.Hypoglycemia (technical review). Diabetes Care 1994; 17:734–55CrossRefGoogle Scholar
O'Mara, N. B.Fish and fish oil and cardiovascular disease. Prescr. Letter 2002; 9:180510Google Scholar
Gavagan, T.Cardiovascular disease. Prim. Care 2002; 29: 32–38CrossRefGoogle ScholarPubMed
Pearce, K. A., Boosalis, M. G. and Yeager, B.Update on vitamin supplements for the prevention of coronary disease and stroke. Am. Fam. Physician 2000; 62:1359–66Google ScholarPubMed
Keevil, J., Stein, J. H. and McBride, P. E.Cardiovascular disease prevention. Prim. Care 2002; 29:66–96CrossRefGoogle ScholarPubMed
Appel, L. J., Moore, T. J., Obarzanek, E., et al.A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N. Engl. J. Med. 1997; 336:1117–24CrossRefGoogle ScholarPubMed
Whelton, P. K., He, J., Appel, L. J., et al.Primary prevention of hypertension: clinical and public health advisory from the national high blood pressure education program. J. Am. Med. Assoc. 2002; 288:1882–8CrossRefGoogle ScholarPubMed
Rock, C. L. and Demark-Wahnefried, W.Nutrition and survival after diagnosis of breast cancer: a review of the evidence. J. Clin. Oncol. 2002; 20:3302–16CrossRefGoogle Scholar
Ferreira, I. M., Brooks, D., Lacasse, Y., et al.Nutritional support for individuals with COPD: a metaanalysis. Chest 2000; 117:672–8CrossRefGoogle Scholar
Schols, A. M., Soeters, P. B., Mostert., R., et al. Physiologic effects of nutritional support anabolic steroid in patients with obstructive pulmonary disease: a placebo-controlled randomized trial. Am. J. Respir. Crit. Care Med. 1995; 152:1268–74CrossRefGoogle ScholarPubMed
Godoy, I., Donahoe, M., Calhoun, W. J., et al.Elevated TNF production by peripheral blood monocytes of weight losing COPD patients. Am. J. Respir. Crit. Care Med. 1996; 153:633–7CrossRefGoogle ScholarPubMed
Fiaccadori, E., Coffrini, E., Ronda, N., et al. A preliminary report on the effects of malnutrition on skeletal muscle composition in chronic obstructive pulmonary disease. In Ferranti, R. D., Rampulla, C., Fracchia, C. and Ambrosino, N. (eds.). Nutrition and Ventilatory Function. Verona, Italy: Bi and GI Publishers; 1992
Schols, A. M. W. J., Slangen, J., Volovics, L., et al.Weight loss is a reversible factor in the prognosis of chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 1998; 157:1791–7CrossRefGoogle ScholarPubMed
Berry, J. K. and Baum, C. L.Malnutrition in chronic obstructive pulmonary disease: adding insult to injury. AACNClin. Issues 2001; 12:210–19CrossRefGoogle Scholar
Schwartz, J.Role of polyunsaturated fatty acids in lung disease. Am. J. Clin. Nutr. 2000; 71(supp):393–6SCrossRefGoogle ScholarPubMed
Allen, J.The therapeutic use of fish oil. Prescr. Letter 1997; 4:130624Google Scholar
Smit, H. A., Grievink, L., Tabak, C.Dietary influences on chronic obstructive lung disease and asthma: a review of the epidemiological evidence. Proc. Nutr. Soc. 1999; 58:309–19CrossRefGoogle ScholarPubMed
Cleland, L. G., Hill, C. L., and James, M. J.Diet and arthritis. Baillieres Clin. Rheumatol. 1995; 9:771–85CrossRefGoogle ScholarPubMed
Reginster, J. Y., Deroisy, R., Rovati, L. C., et al.Long-term effects of glucosamine sulfate on osteoarthritis progression: a randomized, placebo-controlled clinical trial. Lancet 2001; 357:251–6CrossRef
Darlington, L. G.Dietary therapy for arthritis. Rheum. Dis. Clin. North Am. 1991; 17:273–85Google ScholarPubMed
Barre, D. E.Potential of evening primrose, borage, black currant, and fungal oils in human health. Ann. Nutr. Metabol. 2001; 45:47–57CrossRefGoogle ScholarPubMed

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  • Nutrition
    • By Victoria S. Kaprielian, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA, Gwendolyn Murphy, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA, Cathrine Hoyo, Department of community and Family Medicine, Duke University Medical Center, Durham, NC, USA
  • Edited by Jo Ann Rosenfeld, The Johns Hopkins University
  • Book: Women's Health in Mid-Life
  • Online publication: 21 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511545672.003
Available formats
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Save book to Dropbox

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  • Nutrition
    • By Victoria S. Kaprielian, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA, Gwendolyn Murphy, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA, Cathrine Hoyo, Department of community and Family Medicine, Duke University Medical Center, Durham, NC, USA
  • Edited by Jo Ann Rosenfeld, The Johns Hopkins University
  • Book: Women's Health in Mid-Life
  • Online publication: 21 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511545672.003
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Nutrition
    • By Victoria S. Kaprielian, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA, Gwendolyn Murphy, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA, Cathrine Hoyo, Department of community and Family Medicine, Duke University Medical Center, Durham, NC, USA
  • Edited by Jo Ann Rosenfeld, The Johns Hopkins University
  • Book: Women's Health in Mid-Life
  • Online publication: 21 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511545672.003
Available formats
×