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Nutrition During Adulthood
MSc I –NALC –Combined Group
Dr Veena Yardi 10th,17th April’24 INTRODUCTION • Adulthood, the period in the human lifespan in which full physical and intellectual maturity have been attained. (Latin Word Adutus-Full grown/matured)
• Adulthood is a period of optimum mental functioning when the individual's intellectual,
emotional, and social capabilities are at their peak to meet the demands of career, marriage, and children.
• Adulthood (Early Adulthood)is commonly thought of as beginning at
age 20 or 21 years, Middle age, commencing at about 40 years, is followed by Old age at about 60 years.
• It is the longest period.(Difficult, Settling down stage, responsible)
• Period of adjustments, new roles. • During adulthood we are often too busy to pay attention to food. • Nutritional habits developed during this period are investments in • Adulthood covers a life span of roughly 60 years. • To understand Nutritional Health during this period ,it cab be divided into three parts..Nutrition has many roles…But we are often too bust to pay attention to food…Lifestyle factors play imp role.(Nutrition & Exercise) • Good nutrition throughout adulthood will reduce the risk of leading causes of deathof later adulthood(NCDs) • Early Adulthood-20-40 yrs -Stop growing, In young adulthood, our physical abilities are at their peak, including muscle strength, reaction time, sensory abilities, and cardiac functioning. -Bone density –till 30yrs -Muscle Mass grows Personal ,Career Devpt -Reproduction- Challenges to good nutrition Nutritional Habits Developed are Investment in Future Health • Midlife- 40-60Yrs -Peak of career -Body composition slowly shifts as per hormonal shifts & decreases activity Starts gaining weight Time to reasses nutritional habits • Old Age- 60+ -Harvest the fruits of earlier health habits PHYSIOLOGICAL CHANGES DURING ADULTHOOD • Most individuals have stopped growing by the time they reach their twenties.
• But men and women continue to develop bone density until
roughly age 30.
• Muscular strength peaks around 25 to 30 years of age,
although regular use of muscles and weight training affects strength as well as muscle size and retention.
• Hormonal changes start during middle adulthood.
• The type and amount of physical activity has a significant impact on body composition, including lean body mass, fat accumulation and relocation, and bone density.
• By middle adulthood, physical changes become more
apparent with the decline in size and mass of muscles and an increase in body fat.
• Hearing loss begins as early as age 25 (or earlier with
exposure to loud music), and vision changes often become noticeable by age 40.
• Body composition slowly shifts in tandem with hormonal
reserves of important nutrients). ● Severe energy restriction (diets with 800 or fewer calories a day require medical supervision). ● Unusual food restriction (for example, no carbohydrates). ● Food combinations (for example, grapefruit with all meals). ● Strict limitations (avoiding certain food groups, such as no dairy or never eating potatoes). ● Gimmicks (don’t eat after 7 p.m. in the evening, eat only popcorn for lunch, drink caffeine , or eat hot peppers to speed up your metabolism) • Weight Cycling/Yo-yo Dieting NUTRITIONAL CONCERNS OF ADULTS & COMMON CONDITIONS • PEM • OBESITY/OVERWEIGHT • IRON DEFICIENCY ANAEMIA • IDD • PCOS • CVD • DIABETES • CANCER • HYPERLIPIDEMIA The risk of having metabolic syndrome is closely linked to overweight and obesity and a lack of physical activity. METABOLIC SYNDROME
• Metabolic syndrome is the name for a group of
risk factors that raises your risk for heart disease and other health problems, such as diabetes and stroke. Intervention • Have small frequent, balanced meals. • Include fibre in your diet, like whole fruits, vegetables, oats, salads, etc. • Avoid eating excess refined carbs like maida, sugar, sweets, colas, etc. • If non-veg. consume lean meats, white of the egg, steamed fish instead of red meats. • Have a rainbow diet comprising of all possible colorful fruits & vegetables. • Consume ample of water during the day. • Include walnuts, almonds, peanuts, flaxseeds, in diet as they are good sources of omega-3 fatty acids.
• Use cooking methods like roasting, steaming,
baking, microwaving instead of frying.
• Avoid having alcoholic beverages.
• Consume soups, salads, roasted grams, fruits as
snacks. • Lifestyle • Avoid fasting & feasting. • Exercise daily & increase your daily physical activity (climbing stairs, taking walks, go swimming, play a sport) • Avoid smoking. • Keep tabs on the quality of sleep. • Avoid frequent eating outside to avoid consumption of trans fats. • Get a health check up done annually. “Good nutritional habits maximize peak physical & mental performances.” PCOS • Polycystic ovary syndrome (PCOS) is a condition that affects a woman's hormone levels. Women with PCOS produce higher-than-normal amounts of male hormones. This hormone imbalance causes their body to skip menstrual periods and makes it harder for them to get pregnant.(15- 45Years) • Risk Factors: Infertility; Diabetes; Obesity... • Symptoms: Hair loss; Depression (mood); Acne, weight gain, body& facial hair IMPORTANCE OF NUTRITION DURING ADULTHOOD
Nutrition during this period is imp, as it supports
the following:
• An active LIFESTYLE,
• Maintenance of healthy WEIGHT,
• Promotes good HEALTH
• And WELLBEING. Healthier Women Healthier Nation…
Multitasking & stressed woman
Dietary Recommendations for Adults • Energy -Caloric requirement are based on your physical activity level and body weight. If you’re overweight or obese then calories reduction is needed. • Protein-Protein is needed for almost every function in the human body. Adults require protein to maintain lean muscle mass and for healthy hair, skin and nails. 0.8-1g/kg body weight. • Carbohydrates - Carbohydrates are your body’s main source of energy. It is recommended to eat at least 50 to 55 percent of carbohydrates from the total calories which is equivalent to 225 to 325 grams of carbohydrates per day form a 2,000-calorie diet, as carbohydrates provide 4 calories per gram. Choose nutrient- dense, high-fiber carbohydrates from whole grains, fruits, vegetables and legumes .. • Fats- 20 to 35 percent of fats from the total calories or about 44 to 78 grams per day for a 2,000-calorie diet. Replacing saturated and trans fats with healthier, unsaturated fats is beneficial for your heart as well as omega 3 and omega 6 ratio should be kept in mind. (4:1)Choose healthy fats, such as vegetable oils, nuts, seeds, fish oil, peanut butter, avocados and hummus. • Vitamin A:-This is required for eyes ; beta-carotene function like antioxidants. • Vitamin D:- There is an age-related decline in many key steps of vitamin D action including the rate of skin synthesis, the rate of hydroxylation and the response of target tissues. Vitamin D deficiency in a subset of the elderly population, characterized by low blood levels of 25-OH-D coupled with elevations in plasma PTH and alkaline phosphatase .There is evidence that this vitamin D deficiency contributes to declining bone mass and increases the incidence of hip fractures. • Calcium:- Deficiency is seen a lot in both men and women (due to menopause the hormonal protection of bone loss lost). • Vitamin E:- A large body of scientific evidence indicates that reactive free radicals are involved in many diseases, including heart disease and cancers. Vit E-Antioxidant • Vitamin K:- Vitamin K is an essential fat-soluble micronutrient, which is needed for a unique post-translational chemical modification in a small group of proteins with calcium-binding properties,. It also help in coagulation of blood. • Vitamin C:- It acts as an antioxidant, scavenges free radicals in the body. • Thiamine:- Thiamine deficiency results in the disease called beriberi, which has been classically considered to exist in dry and wet beriberi. • Riboflavin:- Riboflavin deficiency almost invariably occurs in combination with a deficiency of other B-complex vitamins, some of the symptoms (e.g. glossitis and dermatitis) may also result from other complicating deficiencies. • Niacin :- Niacin (nicotinic acid) deficiency classically results in Pellagra. It also attributable to disturbances in tryptophan metabolism. • Vitamin B6 :- A deficiency of vitamin B6 alone is uncommon because it usually occurs in association with a deficit in other B-complex vitamins. Vitamin B6 deficiency results in an impairment of the immune system. • Selenium:- Selenium has been implicated in the protection of body tissues against oxidative stress, maintenance of defences against infection, and modulation of growth and development. • Magnesium:- It functions as a cofactor of many enzymes involved in energy metabolism, protein synthesis, RNA and DNA synthesis, and maintenance of the electrical potential of nervous tissues and cell membranes. • Zinc:- Zinc is an essential component of a large number (>300) of enzymes participating in the synthesis and degradation of carbohydrates, lipids, proteins, and nucleic acids as well as in the metabolism of other micronutrients • Iodine:- The only physiological role known for iodine in the human body is in the synthesis of thyroid hormones by the thyroid gland. Therefore, the dietary requirement of iodine is determined by normal thyroxine (T4) production by the thyroid gland without stressing the thyroid iodide trapping mechanism or raising thyroid stimulating hormone (TSH) levels. FOOD PYRAMID RDA,EAR,ICMR 2020 “Good nutritional habits maximize peak physical & mental performances.”