1. © BRITISH NUTRITION FOUNDATION 2014 Foundation Diet Through Life

2. © BRITISH NUTRITION FOUNDATION 2014 Learning objectives To recognise the different key stages in life. To understand why needs for different amounts of energy and nutrients change through life. To describe the energy and nutrient requirements of different life stages to maintain health.

3. © BRITISH NUTRITION FOUNDATION 2014 Key stages in life The key stages in life include: pregnancy; infancy; childhood; adolescence; adulthood.

4. © BRITISH NUTRITION FOUNDATION 2014 Energy needs change through life Energy requirements change through life and depend on many factors, such as: age; gender; body size; level of activity.

5. © BRITISH NUTRITION FOUNDATION 2014 Pregnancy A varied diet, providing adequate amounts of energy and nutrients, is essential before and during pregnancy. Having a healthy body weight is important: -Being underweight can make it more difficult to become pregnant and make it more likely for the baby to have a low birth weight, leading to a greater risk of ill health. -Being overweight increases the risk of complications to the mother, such as high blood pressure and diabetes during pregnancy as well as increasing the risk of complications to the baby.

6. © BRITISH NUTRITION FOUNDATION 2014 Early pregnancy: folate Folate (the natural form of folic acid found in foods) is needed for rapid cell division and growth in the foetus. It can reduce the chance of neural tube defects, such as spina bifida, in the baby. Foods that are good sources of folate are green leafy vegetables, oranges and folate fortified foods such as some breakfast cereals and breads. Women who are trying to become pregnant, or are pregnant, should take a 400 microgram (μg) supplement of folic acid every day until the 12 th week of pregnancy.

7. © BRITISH NUTRITION FOUNDATION 2014 During pregnancy During pregnancy, particularly in the last trimester, a woman’s nutritional needs increase to: help the growth of breasts, uterus and placenta; meet the needs of the growing foetus; lay down stores of nutrients in the foetus, and in the mother for lactation.

8. © BRITISH NUTRITION FOUNDATION 2014 Lactation The process of producing breast milk and delivering it to the baby is called lactation. A mother who is breastfeeding requires extra energy and nutrients. There are also increased demands for nutrients, such as calcium, phosphorous, vitamin A and C. Breast milk provides all the energy and nutrients a baby needs for growth and maintenance during the first 4 to 6 months of life.

9. © BRITISH NUTRITION FOUNDATION 2014 Breast Milk Breast milk provides special proteins, antibodies and white blood cells which help to protect the baby against infection. It also provides growth factors and hormones, important for the healthy growth and development of the baby. In the first three days after birth, the mother produces a special form of breast milk called colostrum. It contains less fat, more protein and more protective factors than the breast milk produced later.

10. © BRITISH NUTRITION FOUNDATION 2014 Weaning At around 6 months of age, milk no longer fulfils all the baby’s need for energy and nutrients. The baby must be given other foods in addition to breast milk or infant formula. This is called weaning. Foods used during weaning must be semi-fluid and soft since the baby has no teeth and cannot chew. Cow’s milk should not be given to infants under 1 year of age as the main drink, because it does not provide adequate nutrients for the infant.

11. © BRITISH NUTRITION FOUNDATION 2014 Childhood The energy requirements of children increase rapidly because they grow quickly and become more active. Young children do not have large stomachs to cope with big meals. Therefore, to achieve the relatively high energy intake for their age, foods should be eaten as part of small and frequent meals.

12. © BRITISH NUTRITION FOUNDATION 2014 Healthy weight in childhood Children should be encouraged to remain a healthy weight with respect to their height. A healthy family lifestyle can help in the weight management of children.

13. © BRITISH NUTRITION FOUNDATION 2014 Childhood A good supply of protein, calcium, iron, vitamin A and D, as part of a healthy, balanced diet, is important. Calcium is needed for healthy tooth development, and together with vitamin D, can help develop strong bones.

14. © BRITISH NUTRITION FOUNDATION 2014 Dental hygiene Children should pay attention to dental hygiene and ways to prevent dental caries. If children choose to eat food and drinks high in sugar occasionally, this should be done at mealtimes and not in between meals. Brushing teeth twice a day with a fluoride toothpaste and regular dental visits are also important for dental hygiene.

15. © BRITISH NUTRITION FOUNDATION 2014 Adolescence Adolescence is a period of rapid growth and development and is when puberty occurs. The demand for energy and most nutrients are relatively high. Boys need more protein and energy than girls for growth.

16. © BRITISH NUTRITION FOUNDATION 2014 Weight management in adolescence It is important to encourage an active lifestyle with a healthy, balanced diet during this time. This is because good habits practised now are likely to benefit their health for the rest of their lives.

17. © BRITISH NUTRITION FOUNDATION 2014 Adolescence: Iron After menstruation begins, girls need more iron than boys to replace menstrual losses. It is recommended that teenage girls and women require 14.8mg of iron each day, while adolescent boys need 11.3mg of iron daily, but this reduces to 8.7mg for men aged 19 or over. Iron from meat sources, e.g. liver, beef and lamb, is readily absorbed by the human body.

18. © BRITISH NUTRITION FOUNDATION 2014 Iron: Absorption Vitamin C helps to absorb iron from non-meat sources, such as green leafy vegetables, nuts, pulses, dried fruits (e.g. apricots), wheat flour and breakfast cereals. Therefore, drinking a glass of fruit juice or eating fruit and vegetables at mealtimes can help with iron absorption.

19. © BRITISH NUTRITION FOUNDATION 2014 Adulthood Nutritional requirements do not change much between the ages of 19 to 50, except during pregnancy and lactation. On average, UK adults are eating too much saturated fat and salt from food, and not enough oily fish, fruit and vegetables. A poor diet can lead to diseases such as obesity, cardiovascular diseases, cancer and diabetes.

20. © BRITISH NUTRITION FOUNDATION 2014 A balanced diet for adults To reduce the risk of developing these diseases, it is important to: eat a balanced diet; eat plenty of fruit and vegetables; drink alcohol in moderation; stay active; do not smoke.

21. © BRITISH NUTRITION FOUNDATION 2014 Healthy weight for adults Adults should aim for a healthy body weight for their height and try to keep it at that level. The Body Mass Index (BMI) is a good indicator if a person is underweight, overweight or a healthy weight. To calculate BMI (kg/m 2 ), divide weight (kg) by height (m) x height (m). Recommended BMI range Underweightless than 18.5 Normal18.5 - less than 25 Overweight25 - less than 30 Obese30 - 40 Very obeseover 40

22. © BRITISH NUTRITION FOUNDATION 2014 Older adults Requirements for energy gradually decrease after the age of 50 as activity level falls. Older adults is the term usually refers to people over the age of 65. Healthy ageing To maintain good health, it is important that older adults: -enjoy their food; -keep active; -have adequate nutrient intakes. It is also important they keep hydrated by drinking plenty of fluid. Even minor dehydration can lead to health problems.

23. © BRITISH NUTRITION FOUNDATION 2014 Older adults As we progress through adulthood, bone resorption (replacement of old bone tissue) takes place at a faster rate than bone formation. This leads to a gradual fall in bone mass as we age. In women, bone loss is accelerated following the menopause. Osteoporosis may occur when bones become weak, brittle and break easily. This can lead to fractures in the wrist, back and hip. Osteoporosis is a major problem in older adults, especially women. One in three women and one in ten men aged 55 years and over will suffer from osteoporosis in their lifetime.

24. © BRITISH NUTRITION FOUNDATION 2014 Older adults Older adults should have plenty of calcium intake from milk and dairy products, green leafy vegetables, beans, pulses, and products made from flour. As we age, our skin is less efficient at making vitamin D from sunlight and it is unlikely that the diet alone will provide adequate vitamin D, so it is recommended that people over the age of 65 years take a vitamin D supplement.

25. © BRITISH NUTRITION FOUNDATION 2014 Review of Learning Objectives To recognise the different key stages in life. To understand why needs for different amounts of energy and nutrients change through life. To describe the energy and nutrient requirements of different life stages to maintain health.

26. © BRITISH NUTRITION FOUNDATION 2014 Question Adequate folate intake is important in pregnancy… To prevent low birth weight To reduce the risk of high blood pressure to the mother To reduce the chance of neural tube defects

27. © BRITISH NUTRITION FOUNDATION 2014 Correct answer. Next question

28. © BRITISH NUTRITION FOUNDATION 2014 False. Folate is needed for rapid cell division and growth in the foetus. It can reduce the chance of neural tube defects, such as spina bifida, in the baby. Next question Try again

29. © BRITISH NUTRITION FOUNDATION 2014 Question At what age does milk no longer fulfils all the baby’s need for energy and nutrients? 3 months 1 year 6 months

30. © BRITISH NUTRITION FOUNDATION 2014 Correct answer. Next question

31. © BRITISH NUTRITION FOUNDATION 2014 False. At around 6 months of age, milk no longer fulfils all the baby’s need for energy and nutrients. Next question Try again

32. © BRITISH NUTRITION FOUNDATION 2014 Question How much iron is recommended for teenage girls and women each day? 14.8 mg 11.3 mg 8.7 mg

33. © BRITISH NUTRITION FOUNDATION 2014 Correct answer. Next question

34. © BRITISH NUTRITION FOUNDATION 2014 False. It is recommended that teenage girls and women require 14.8mg of iron each day, while adolescent boys need 11.3mg of iron daily, but this reduces to 8.7mg for men aged 19 or over. Next question Try again

35. © BRITISH NUTRITION FOUNDATION 2014 Question On average, what are adults in the UK eating too much of? Fruit and vegetables Oily fish Saturated fat

36. © BRITISH NUTRITION FOUNDATION 2014 Correct answer. Next question

37. © BRITISH NUTRITION FOUNDATION 2014 False. On average, UK adults are eating too much saturated fat from food, and not enough oily fish, fruit and vegetables. Next question Try again

38. © BRITISH NUTRITION FOUNDATION 2014 Question Osteoporosis is more common in women than men. True False

39. © BRITISH NUTRITION FOUNDATION 2014 Correct answer. End test

40. © BRITISH NUTRITION FOUNDATION 2014 False. Osteoporosis is a major problem in older adults, especially women. One in three women and one in ten men aged 55 years and over will suffer from osteoporosis in their lifetime. Try againEnd test

41. © BRITISH NUTRITION FOUNDATION 2014 British Nutrition Foundation Imperial House 15-19 Kingsway London WC2B 6UN Telephone: 020 7557 7930 Email: postbox@nutrition.org.uk Web : www.nutrition.org.uk www.foodafactoflife.org.uk