Nutrition and Health
This section contains information on food groups that is useful for spotters as well as Grand Viva. Usually for the spotters one of the food item is chosen and related questions are asked.
CEREALS and MILLETS
Cereals and Millets
Examples of cereals - Rice, Wheat, Maize
Examples of millets – Jowar, Bajra, Ragi
Main source of energy – approximately 350 kcal/100g
Contain significant quantities of proteins as well
Contributes to 70-80% of the energy intake
Contributes to >= 50% of the protein intake in a typical Indian diet
Contains significant quantities of B complex vitamins
Deficient in LYSINE, an essential amino acid
Rice (Milled)
Calories - 345 kcal / 100 g
Proteins - 6.8 g/100 g
Limiting Amino Acids - Lysine
Wheat
Calories - 346 kcal / 100 g
Proteins - 11.8 g/100 g
Rich in Niacin
Limiting Amino Acids - Lysine and Threonine
Maize
Calories - 342 kcal / 100 g
Proteins - 11 g/100 g
Fat content high
Limiting Amino Acids - Lysine and Tryptophan
Jowar
Calories - 349 kcal / 100 g
Proteins - 10.4 g/100 g
Rich in Niacin
Limiting Amino Acids - Lysine and Threonine
Bajra
Calories - 361 kcal / 100 g
Proteins - 11.6 g/100 g (content quite high)
Fat content high
Rich in Iron
Limiting Amino Acids - Lysine and Threonine
Ragi
Calories - 328 kcal / 100 g
Proteins - 7.3 g/100 g
Rich in Calcium
Pellagragenic Action of Maize
Maize contains excess amount of Leucine which interferes with the conversion of Tryptophan into Niacin. Deficiency of Niacin leads to Pellagra
Beri - Beri in Rice Eaters
Beri-Beri occurs due to Thiamine deficiency. Thiamine present in rice is lost
During milling process (75% of the thiamine is lost)
If rice is washed excessively before cooking (Almost 60% of thiamine is lost)
If rice is cooked in excess water & excess water is drained out after cooking
Parboiled Rice
Rice is subjected to steam, which preserves the nutritive value of rice and improves keeping quality
Process of Parboiling
Soak paddy in water at 65 to 70 deg C for 3-4 hrs.
Drain water.
Steam the soaked paddy (5-10 mins).
Dry the paddy.
Either home-pound or send for milling.
Advantages of Parboiling
Nutrients retained, especially thiamine.
Steaming drives vitamins & minerals in outer aleurone layer into inner endosperm.
Subsequent milling will not remove nutrients.
Germ gets more firmly attached to the grain during the drying process.
Resistant to insect invasion.
Shelf life longer.
Starch becomes gelatinized improving the keeping quality of rice
Disadvantages
Development of peculiar smell or “off flavour”
Why does a Nutritionist advice parboiled rice instead of the polished rice?
A polished rice is the one which undergoes milling. During the process of milling, there is loss of essential micronutrients like loss of thiamine (75%), Riboflavin (60%), Niacin (60%), Iron, Phosphorous and Calcium.
A parboiled rice is the rice which is subjected to steam. The steaming process drives the nutrients present on the outer aleurone layer into the inner endosperm and the subsequent drying process, ensures the germ gets firmly adherent to grain. These two processes of steaming and drying ensures that the rice retains its nutritive value.
Why excessive washing of rice is not recommended?
Excessive washing of rice results in loss of water soluble vitamins (60%).
Why the practice of cooking rice in excess water and then discarding the extra water is not a good practice?
Water soluble vitamins are lost if the water in which the rice is cooked is discarded. It is therefore best to cook the rice in just the sufficient quantity needed to cook the rice.
Which rice is better - White or brown rice?
White Rice
White Rice is polished rice.
Husk, bran, and germ is removed in polished rice.
Poor in nutritive value due to loss of nutrients - Proteins upto 15%; Thiamine upto 75%; Riboflavin upto 60% and Niacin upto 60%. Even Iron, Calcium and Phosphorous is lost to some extent.
Less time for cooking.
Longer Shelf life.
Brown Rice
Brown rice is unpolished rice.
Only husk is removed.
Nutritive value is retained.
Longer time for cooking.
Short Shelf life.
White Rice
Brown Rice
Refined flour preparation versus whole wheat flour preparation. Which is better in nutritive value.
Refined flour is made by extracting 70% wheat. Therefore refined flour is poor in nutritive value.
Naan versus Roti. Which has better nutritive value?
Naan is made of refined flour. Refined flour is made by extracting 70% wheat.
Roti is made of wheat and therefore better in nutritive value as compared to NAan.
Name the limiting amino acids in the following food items.
Rice - Lysine
Wheat - Lysine and Threonine
Maize - Lysine and Tryptophan
Jowar - Lysine and Threonine
Bajra - Lysine and Threonine
Ragi - Lysine
PULSES
Pulses
Approximately 350 kcal/100 g.
Rich source of Protein, Minerals.
Rich in LYSINE, an essential amino acid
Poor in essential amino acid METHIONINE and CYSTEINE
Raw pulses contains phytates and tannins that affects bioavailability of some nutrients.
Cooking destroys phytates and tannin - recommended to eat cooked pulses.
Contains oligosaccharide, that is associated with flatulence.
Name the limiting amino acids in proteins.
Cysteine and Methionine
Why should one eat cooked pulses?
Raw pulses contains phytates and tannins that affects bioavailability of some nutrients. When pulses are cooked phytates and tannin are destroyed and therefore it is recommended to eat cooked pulses.
It is said eating excess pulses causes flatulence.
Pulses contains oligosaccharides that is associated with flatulence.
Why are pulses considered as poor man's meat?
Pulses are called as poor man's meat because it
contains good amount of proteins.
is consumed daily and contributes to 20-25% of proteins in the diet.
is considerably cheaper compared to meat making it affordable.
Nutritionist say SOYABEAN is nutritionally the best pulse.
Soyabean contains high amounts of
proteins – 43.2 g/100 g;
Fat – 19.5 g/100 g;
Calcium - 240 mg/100 g and
Iron – 10.4 mg/100 g.
Soyabean lacks only in methionine.
Soyabean is Inexpensive, and can be consumed in the form of dal, chappati, milk, curd and curry.
Germination of Pulses
How to germinate pulses?
Soak whole pulses in water for 6-8 hours
Drain away excess water
Keep pulses in a tight lid container or tie them in a soft muslin cloth
In a day you will see the pulses sprouting
What are the advantages of eating sprouts / germinated pulses?
Increases vitamin C content.
Increases content of thiamine, riboflavin, nicotinic acid.
Protein bound iron is separated, therefore increased amount of free iron available.
Soft and easily digestible.
Cooking time reduced, therefore fuel cost is reduced.
Fermentation of Food
Fermentation increases content of Vitamin B complex especially Riboflavin, Thaimine and Niacin.
Example: Dosa batter, Idli batter, Curd.
What does supplementary action of proteins mean?
Cereals are deficient in LYSINE and THREONINE while Pulses are deficient in METHIONINE.
Supplementary action of protein means when cereals and pulses are eaten together in a meal the protein content of the meal becomes comparable to animal protein with respect to essential amino acid content.
Examples - Rice and Dal, Khichdi, Chappati and Dal, Idli, Dosa, Dhokla.
Dosa
Khichdi
Chappati and Dal
Dhokla
VEGETABLES
Vegetables
Vegetables have
High vitamin and mineral content
Large water content
Low protein content
Good amounts of dietary fibres
Low kcals
Consume 400-500 grams of vegetables daily
Vegetables are classified into three groups –green leaves, roots and tubers, other vegetables
Green Leaves
e.g palak (spinach), amaranth, cabbage, fenugreek (methi)
Darker the leaves, greater is nutritive value
Rich in carotenes, calcium, iron and vitamin C
Oxalates in green leaves inhibits absorption of iron
Low caloric value 25-50 kcal/100 g
Recommended daily intake is 100 g
Roots and Tubers
e.g. potato, sweet potato, tapioca, yam, carrots, onion, radish and colocasia.
Poor in protein, vitamins and minerals
Carrots exceptionally high in betacarotene
High caloric value, so restrict intake
Recommended daily intake is 200 g
Other Vegetables
e.g. brinjal, tomatoes, cauliflower
Fairly good sources of minerals, vitamins
Recommended daily intake is 200 g
Why are vegetables called as protective foods?
Vegetables are called as protective food because they are rich in vitamins and minerals.
Mention the quantity of vegetables to be consumed daily by an adult person.
Green Leafy Vegetables - 100 grams daily
Roots and Tubers - 200 grams daily
Other Vegetables - 200 grams daily
Why are Dark Green Leafy Vegetables not considered a good source of calcium and iron despite the high content of both the nutrients?
DGLV have high content of oxalates.
Oxalates decrease the bioavailability of iron and calcium.
FRUITS
Fruits
Good source of vitamins and minerals
Eaten raw and fresh makes vitamins and minerals present in fruit easily available
Good source of cellulose that helps in bowel movements
What is the quantity of fruits to be consumed daily by an adult?
Consume daily 100 grams fresh fruits.
Mango
Rich in carotene - 2210 mcg
Orange
Rich in carotene - 2240 mcg
Papaya
Rich in carotene - 2270 mcg
Guava
Rich in Vitamin C - 212 mg
Amla
Rich in Vitamin C - 600 mg
Name some fruits rich in carotene / Vitamin A.
Papaya
Mango
Name some fruits rich in Ascorbic Acid / Vitamin C.
Lemon
Amla
Guava
Orange
Papaya
What is the sugar present in fruit called?
Fructose
MILK
Milk
Milk is rich source of Protein, Fat, Calcium.
Milk is good source of Casein, Lactoalbumin, Lactoglobulin.
Buffalo Milk – Fat content high, better to avoid.
Cow Milk - preferred.
Difference between toned and skimmed milk
Toned Milk contains some amount of Fat.
Toned Milk has 1 part whole natural milk, 1 part water and 1/8th part of skimmed milk powder.
Skimmed Milk is milk without fat.
What is the Nutritive Value of Milk?
For an obese individual, which milk(whole milk, toned milk or skimmed milk) would you recommend?
Skimmed Milk is preferable as it does not contain fat.
What steps are taken to ensure that the milk is rendered fit for consumption?
What is Methylene blue reductase Test?.
The methylene blue reductase test checks if the milk received for pasteurisation is contaminated.
Milk can get contaminated from animals, food handlers, environemnt, i.e. unclean vessels, water, flies etc.
Explain how to perform Methylene blue reductase Test.
Add definite quantity of methylene blue to 10 ml of milk
Keep the milk at 37 deg centigrade till the blue colour disappears
The milk that remains blue longest is best quality milk
Define Pasteurisation.
Pasteurisation is the process of destroying the pathogens present in milk by heating milk to definite temperature to kill any pathogens that maybe present without bringing any changing in composition, flavour and nutritive value.
Enumerate 3 different methods of Pasteurisation.
Holder Method /VAT method
Heated to 63-66 degree Centigrade, kept for 30 minutes and cooled quickly to 50 degree Centigrade
High Temperature Short Time method
Rapidly heated to 72 degree Centigrade, kept for <15 seconds and cooled rapidly to 40 degree Centigrade
Ultra High Temperature method
Rapidly heated in 2 stages. In 2nd stage heated to 125 degree Centigrade for few seconds and then cooled rapidly and bottled
Does Pasteurisation kill all the micro-organisms present in milk.
Pasteurisation kills only 90% of the bacteria.
TB bacteria and Q fever causing organisms are destroyed.
However Thermoduric bacteria and bacterial spores are not killed.
How do you check if milk has been adequately pasteurised?
Pasteurised milk can be subjected to the following 3 tests to check for adequacy of pasteurisation.
Phosphatase test
Presence of phosphatase indicates poor pasteurisation.
Standard Plate Count
Count more than 30,000/ml indicates poor pasteurisation.
Coliform Count
Presence of even a single coliform organism indicates poor pasteurisation
A sample of milk is checked for adequacy of pasteurisation by the standard plate count. The results of the test reveals a bacterial count of 35000/ml. Comment on the results.
The milk is inadequately pasteurised as the bacterial count exceeds 30,000 per ml.
A sample of milk is checked for adequacy of pasteurisation by the total coliform count method. The results of the test reveals a a presence of 2.8 x 10 cfu/ml of coliforms. Comment on the results.
The milk is inadequately pasteurised as even a presence of single coliform is considered as inadequate pasteurisation.
Enumerate Milk borne diseases.
Infections primarily in man that are transmitted through milk
Typhoid and Paratyphoid
Shigellosis
Cholera
Enteropathogenic Escherichia Coli
Non-diarrhoeal Diseases –TB, Streptococcal, Staphylococcal, Diphtheria, Enterovirus, Viral Hepatitis
Infections of animals transmitted to man
Bovine TB
Brucellosis
Streptococcal infections
Staphylococcal enterotoxin poisoning
Salmonellosis
Q fever
MEAT
What is the Nutritive Value of Meat?
Meat Rich in high quality proteins
Contain good amount of fat, vitamins and minerals
Vitamin B12 is found only in animal foods
Rich source of Phosphorous, Haem iron and Zinc
Red / Lean / Organ Meat.
Red meat - goat, lamb, pork, beef - high in cholesterol and fat content
Lean meat - chicken, turkey
Organ meat - high in cholesterol content
Enumerate disease transmitted through improperly cooked meat.
Tapeworm
Taenia Solium
Taenia Saginata
Trichinella Spiralis
Fasciola Hepatica
Bacterial
Anthrax
Actinomycosis
TB
Food poisoning
Pure Vegetarians develop vitamin deficiency, which is not seen in individuals consuming non-vegetarian diet or mixed diet. Mention which Vitamin deficiency occurs in pure vegetarians.
Vitamin B12 deficiency
How to judge if Meat being purchased is fresh or not?
Meat is bright red in colour. It should neither be pale pink or have a deep purple tint.
Should be firm and elastic to touch.
Should not be slimy .
Should have agreeable odour.
FISH
What is the nutritive value of Fish?
Fish is a rich source of
Protein
Unsaturated Fatty acids
Phosphorous
Calcium
Fluorine
Vitamin A and D
Sea food contains good amount of Iodine – Oysters, Lobsters
Enumerate diseases transmitted through consumption of improperly cooked Fish.
Bacterial
V. Parahaemolyticus
Salmonella species
Clostridium botulinum type E
Sewage bacteria and viruses are concentrated in shell fish
How to judge if the Fish being purchased is fresh or not?
Fish is in a state of stiffness.
Gills are bright red in colour.
Eyes are clean and prominent
Sewage bacteria and viruses are concentrated in shell fish
EGG
What is meant by the term biologically complete protein?
A biologically complete protein is a protein that contains all the essential amono acids corresponding to human needs.
Give two examples of biologically complete protein?
Egg
Milk
What is reference protein?
Reference protein is the standard against which the quality of other proteins is measured.
Why is egg called as reference protein?
Egg contains all Essential Amino Acids , therefore called as Reference Protein
Nutritive value of egg
Nutritive value of an egg weighing 60 grams
Proteins - 6 g
Fats – 6 g
Calcium – 30 mg
Iron – 1.5 mg
Cholesterol – 250 mg
Energy – 70 kcal
Boiled egg is nutritionally superior to raw egg. Explain.
Raw egg contains Avidin which prevents the body from obtaining Biotin (B complex vitamin)
Raw eggs are difficult to assimilate.
Boiling an egg destroys avidin and are easier to assimilate and therefore is considered superior to raw egg
Should one use an egg that is cracked before cooking?
No.
If there is faecal matter present on the shell, there is a risk of pathogenic organisms like salmonella present in the hen’s faecal matter entering inside the egg.
Which animal foods would you recommended based on their nutritive value to a growing child?
Egg - protein rich, contains all essentail amino acids.
Milk - protein rich, contains all essential amino acids.
Fish - protein rich, rich in unsaturated fatty acids, Vitamin A and D , excellent source of Calcium, Phosphorous, Fluorine.
NUTS AND OILSEEDS
Nuts and Oilseeds
Nuts are good sources of Calcium and Iron
Nuts and oilseeds are not easily digestible due to
high fat content and
high cellulose content
Which nuts and oilseeds are rich in calcium and iron?
Almonds
Dates
Raisins
Sesame seeds
Infestion of food grains with Aspergillus
Food grains like peanuts, cotton seed, parboiled rice, wheat, maize , jowar, tapioca can get infested with the fungus Aspergillus Parasiticus /Aspergillus Flavus (B1 and G1 is most dangerous).
Aflatoxin producd by the fungus Aspergillus Parasiticus /Aspergillus Flavus is hepatotoxic and carcinogenic.
Blackish growth on the food grain indicates growth of fungus
How can you prevent the growth of Aspergillus
Growth of Aspergillus can be prevented by
Keeping moisture content below 10%.
Drying the peanuts/grains thoroughly before storing.
Store in an air tight container.
Coconut
Coconut contains
Protein
Fibre
Iron
Manganese
Copper
Magnesium
1 cup of fresh, shredded coconut contains the following nutrients:
283 calories
2.66 grams of protein
26.8 grams of fat
12.2 grams of carbohydrates
7.2 grams of fibre
4.98 grams of sugar
2.64 grams of vitamin C
Sesame Seeds
Sesame seeds are rich in
Proteins
Fats
Copper (Copper essential role in production of RBC and support immune system)
Magnessium and Calcium (Strengthens bones)
Anti-oxidants
Approximately 30 grams of sesame gives
Calories - 162
Proteins - 5 grams
Fat - 14.1 grams
Carbohydrate - 6.6 grams
Sodium - 3.1 milligrams
Fibre - 3.3 grams
Health benefits
Sesame seeds contain lignans and phytosterols, which can help lower cholesterol.
Fights against staphylococcal infections and streptococcal throat infections as well as common skin fungi, such as athlete’s foot.
Help people with type 2 diabetes reach their target blood sugar levels.
Plays a role in cancer prevention and therapy.
FAT and OILS
Oils
Fats which are liquid at room temperature are called oils
Good sources of energy and fat soluble vitamins
Vegetable oils are rich in poly unsaturated fatty acids
Why 'Vanaspati' is not preferrable?
Vanaspati is hydrogenated oil with longer shelf life and ghee like consistency but contains high amounts of saturated fatty acids, low amounts of essential fatty acid and lacks fat soluble vitamins – A and D
Why should refined oil be preferred over crude oil?
When Oil is treated with Steam/Alkali to refine it, free fatty acid and rancid materials are removed thereby improving quality and taste.
Why are deep fried fast foods, doughnut, cake, energy bars, chips, crackers, whipped toppings, packaged cookies, candies etc considered unhealthy?
Deep fried fast foods, doughnut, cake, energy bars, chips, crackers, whipped toppings, packaged cookies etc. contain high amounts of Transfatty Acids.
Transfatty Acids (TFA) are atherogenic, elevate LDL and cholesterol and lower HDL.
What is the recommended limit of transfatty acids that an indivdual can consume?
WHO recommends to restrict consumption to <5g / day of TFA.
How are transfatty acids created?
Partial hydrogenation, a process to increase shelf life of PUFA creates trans fatty acids.
What advice will you give regarding consumption of fats and oil?
Use correct combination/blend of 2 or more vegetable oils (1:1) to give a ratio of polyunsaturated/ saturated (PUFA/SFA) of 0.8-1.0, and linoleic/ alpha linolenic of 5-10 in the total diet.
Limit use of butter/ghee.
Avoid use of Partially Hydrogenated Vegetable Oil (PHVO) as medium for cooking/frying.
E.g. Use Ground nut / Sesame / Rice bran / Cotton Seed with either Mustard / Rape seed / Canola / Soyabean / Sunflower / Safflower
Which combination of oil should one consume?
For frying which oil should be used?
For Frying, use oils which have higher thermal stability.
Example - sesame, rice-bran, cottonseed.
Why should the word PARTIALLY HYDROGENATED be mentioned on any packaged food.
Transfatty acids (TFA) are created during the process of partial hydrogenation. Therefore partially hydrogenated must be mentioned on the label.
Transfatty acids increase LDL, decrease HDL and increase atherogenocity.
BEVERAGES
Daily requirement of Water
2 litres or 8 glasses of water per day.
Tea and Coffee
Avoid tea and coffee one hour before and after meals as they inhibits iron absorption due to presence of Tannin.
Caffeine stimulates CNS and induces physiological dependence.
>=200 mg of caffeine consumption leads to nervousness and anxiety, Increase in blood pressure, abnormalities in heart beat and Increase in total cholesterol, LDL and Triglycerides.
Theobromine and Theophylline in Tea relaxes coronary artery and promotes circulation.
Flavonoids and other anti-oxidants in Tea reduces the risk of CHD and stomach cancers.
What are the harmful effects of excessive consumption of Tea and Coffee>
Caffeine stimulates CNS and induces physiological dependence.
>=200 mg of caffeine consumption leads to nervousness and anxiety, Increase in blood pressure, abnormalities in heart beat and Increase in total cholesterol, LDL and Triglycerides.
Tea and coffee inhibits iron absorption due to presence of Tannin.
Fresh fruit juices
Fresh fruit juices are rich in
Calcium
Betacarotene
Vitamin C
Vitamin K
Why should one consume whole fruit rather than fruit juices?
Whole fruits better than fruit juices because of fibre content.
Why synthetic drinks are not good for health?
Synthetic drinks not good for health due to preservatives, artificial colours and flavours.
Why carbonatedc drinks are not good for health?
Carbonated soft drinks contain phosphoric acid that damages the enamel of teeth and affects appetite when taken in excess.
Carbonated drinks also increase the risk of osteoporosis and kidney stones.
Suggest healthy alternatives to carbonated drinks.
Butter milk
Lassi
Fruit juices
Coconut water
Coconut Water
Keeps body cool
Avoid in patients with
Renal Failure
Acute adrenal insufficiency
Patients with low urine output
What are the health effects of alcohol?
Suppresses appetite and leads to several nutritional deficiency disorders
High risk of hypertension and stroke
Increases risk of cancer of Mouth, Larynx, Oesophagous, Prostate and Breast
Weakens heart muscles
Damages Liver, Brain, Peripheral nerves
Increases triglycerides
Which micronutrient deficiencies occur in alcoholics?
Vitamin Deficiencies like
Folic Acid - Vitamin B9
Pyridoxine - Vitamin B6
Thaimine - Vitamin B1
Vitamin A
Calcium Deficiency
SUGAR and JAGGERY
Why jaggery is a better choice than sugar?
Jaggery contains good amount of carotene and iron which are not present in sugar, and therefore jaggery is considered better in terms of nutritive value.
CONDIMENTS AND SPICES
Condiments and Spices
Examples - asafoetida, cardamon, chillies, garlic, cloves, ginger, mustard, pepper, tamarind, turmeric.
Enhance the palatability of foods and stimulate appetite.
Aids in digestion due to the presence of essential oils that have carminative properties.
Excessive consumption is associated with peptic ulcer.