Food Whats for Dinner Beef or Rice Chemistry
Y'all are at the dinner tabular array. On your plate are a roasted skinless craven breast half topped with i/ii cup spaghetti sauce, 1/ii cup brown rice, and a large pile (2 cups) of fresh, steamed cord beans. At least that is what your eyes see and your olfactory organ smells—and your taste buds are about to experience. Only but for a moment, let's look at this delicious dinner every bit your body sees it: a huge collection of matter to process, providing both free energy and nutrients.
In addition, other vitamins and minerals are present in small amounts.
This meal is not simply delicious but also nutritious, and if most of your meals were every bit healthful as this ane you would be doing a groovy bargain to help to reduce your risk for many chronic diseases. Fatty in this meal accounts for simply 21 percent of the calories, and saturated fat under 5 percent. Both of those figures are well below the guidelines in Affiliate 2. The cholesterol content of the meal is low, as well. In add-on, there is relatively piffling common salt in the meal, merely it is high in potassium and vitamin A.
To choose healthful meals similar this—and avoid the perils of a diet high in fatty, cholesterol, sugar, and common salt, and depression in carbohydrates, potassium, and calcium—you must know something nearly the nutrients food contains.
What's In Food?
As far as the body is concerned, food is made of various nutrients, and a big number of substances that take no nutrient value. Nutrients are the materials the body needs to build itself and stay in top working order. Some of these nutrients—primarily carbohydrates and fats, but also protein—provide energy. Others—protein and minerals—are building materials. Yet others—vitamins and some trace elements and fatty acids—are necessary for the chemical reactions that produce energy to move muscles or carry out the regulation of body metabolism. To operate at its best, the body needs these nutrients in the correct amounts. Too much or besides little tin can—and oft does—issue in the body dysfunctioning. That's what we know equally disease.
Agreement what food is fabricated of is of import if y'all are to provide your trunk with the right balance of nutrients. Simply you do not have to know every terminal detail of the nutritional composition of your food, or even the biochemical processes your body uses to convert nutrient nutrients into energy and muscle and bones. In a way, you lot can treat learning how to eat better as you would approach learning to drive a auto. To bulldoze, you need to know the traffic laws and you need to know how to operate the gas pedal, brake pedal, steering wheel, and turn signals. But you do not need to understand how gasoline burns in a automobile'due south engine or how the transmission works.
So here is a brief primer on nutrition that will help you lot follow the guidelines in Affiliate 2.
Food Energy
Merely as a automobile needs gasoline to run, your trunk needs fuel to do all the things information technology must do every day. That fuel, of course, comes from food. The usable free energy in food is measured in units called kilocalories or, but, calories. About two-thirds of the energy the body uses goes to keeping body temperature constant, repairing internal organs and skin, keeping the heart beating and lungs breathing, and ensuring the proper chemical residue inside and outside the body's cells. Most adults demand between 1300 and 1800 calories a day just to stay alive without any physical action at all. The other 3rd of the energy is used for moving the trunk through its daily activities, dressing, walking, sitting, exercising, and all the other musculus-using activities that we exercise.
How many additional calories we need to eat depends on what we practice during the day. The number of calories your body burns to conduct out an activeness depends on your weight, how long y'all exercise the activity, and how much piece of work the activity takes.
For example, washing the dishes uses about one-half calorie an hour for every pound of torso weight. And then when a 150-pound human being washes the dishes for fifteen minutes, his body burns well-nigh 19 calories. Reading aloud to his children for half an 60 minutes requires another 15 calories. He uses about the same amount of energy every day just to consume, and the fifteen minutes it takes him to go dressed in the forenoon and undressed at night takes an additional 11 or and then calories. But riding his bicycle at a moderate pace for an hour burns about 165 calories. His wife, who weighs but 120 pounds, uses virtually 130 calories riding at his side.
In full general, you can figure your approximate daily energy needs using ane of the following equations:
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For women: | little physical activity: 960 + iii.8 times weight moderate activity: 1120 + 4.v times weight regular exercise or manual labor: 1280 + 5.1 times weight |
For men: | piffling concrete activity: 1080 + 5.5 times weight moderate activity: 1260 + half-dozen.4 times weight regular exercise or manual labor: 1440 + 7.3 times weight |
For example, if our 150-pound man rides his bicycle every twenty-four hour period for an hour, his daily free energy need is a little over 2500 calories a day (1440 + 7.3 times 150 = 2535). Similarly, his 120-pound wife needs almost 1900 calories a solar day if she exercises every solar day also. If they were both couch potatoes who worked at desk jobs all day, their free energy needs would drib significantly: he would need 1900 calories a twenty-four hour period, and she would simply need about 1400 calories.
Not all nutrients contain the same amount of calories (see Table three.1). One gram of protein provides iv calories of free energy. So does 1 gram of carbohydrate. One gram of fatty, nonetheless, provides 9 calories, and 1 gram of alcohol yields 7 calories.
Table iii.1
Let's look at the practical consequences of the different calorie contents of carbohydrates, protein, and fat past comparison the calorie and nutrient content of a cup of ice foam, a cup of frozen yogurt, and a cup of water ice milk (see Figure 3.1).
Figure 3.one
Ice cream, frozen yogurt, and ice milk are not much unlike in the amount of poly peptide they comprise, but the fatty and carbohydrate content of the three desserts is quite different: 14 1000 of fat in ice cream compared with but eight g of fat in frozen yogurt, and 7 g in water ice milk. That is a difference of 6 or 7 g of fat, or about 54 to 63 calories (half dozen k of fat times nine calories per gram equals 54 calories). Most foods high in calories are as well high in fat.
It is non just desserts that incorporate a lot of fat. In the dinner at the commencement of this affiliate, the food that contributed the majority of the fat was the chicken. Still, a skinless chicken breast has simply about 5.5 m of fat.
The human body uses fat as its chief means of storing energy. When the body needs to take free energy out of its reserves, it preferentially uses its fat stores. Information technology does not convert poly peptide as a master fuel source until well-nigh of the fat is gone. If on a given mean solar day your trunk needs to burn more than energy than you lot consume, it converts some of the stored fatty, at 9 calories per gram. That is why exercising regularly tin can help a person lose weight. On the other hand, if you consume more calories on a given day than your body uses, the trunk uses the surplus energy to make fat molecules and stores them in the various fat tissues in your body. That is why you lot gain weight when y'all regularly eat more calories than your body uses.
Carbohydrates
In the Eat for Life eating pattern, the most of import source of food free energy is carbohydrates. They are also the least expensive source of calories, which is why the great majority of the world's population relies on carbohydrates to meet much of their daily energy needs.
Carbohydrates are among the most plentiful substances in the earth, specially in the found kingdom. Plants are about 10 to xv percent carbohydrate, whereas animals, including humans, contain a mere i per centum sugar.
Carbohydrates are a family unit of compounds fabricated solely of the three elements carbon, hydrogen, and oxygen. These elements are arranged into rings, and the rings tin exist strung together into chains that are 2 rings to thousands of rings long (see Figure 3.2).
FIGURE 3.2
Scientists distinguish carbohydrates as being either simple carbohydrates (sugars)—containing one or ii rings (monosaccharides or disaccharides )—or circuitous carbohydrates—with many rings (polysaccharides). In add-on, circuitous carbohydrates tin be digestible (starches) or boxy (cobweb or roughage), depending on how the rings are hooked together.
Glucose, sucrose, fructose, maltose, and lactose are mutual sugars. The body can covert all of these sugars directly into free energy, or information technology can use them to make fats. Glucose and fructose are made of i ring and are called monosaccharides. They are found in honey and fruit.
Sucrose, maltose, and lactose accept 2 rings and are called disaccharides. When the trunk digests these sugars, it splits them into monosaccharides. Sucrose, made of one molecule of glucose hooked to one molecule of fructose, is what we call table sugar. It is plant in molasses, in maple syrup, and in fruits. Maltose, consisting of two glucose molecules hooked together, is institute in sprouting grains, malted milk, malted cereals, and some corn syrups. Lactose, or milk carbohydrate, consists of i molecule of glucose and one molecule of another monosaccharide called galactose.
Sucrose and fructose are the sugars added during food processing. Corn syrups, used in many baked goods, get their sweetness from glucose and maltose. In recent years, food processors have learned how to make loftier-fructose corn syrups by rearranging the glucose ring to make fructose. High-fructose corn syrups take replaced much of the sucrose in most soda pops.
Starches, made of hundreds, fifty-fifty thousands, of glucose molecules, are the most common digestible polysaccharides in the diet. They are also the major source of free energy in the human diet. Grains, beans, and some fruits and vegetables are rich sources of starch. For instance, about ninety percent of the calories in a potato and 73 percent of the calories in pinto beans come from starch.
In the digestive organization, the big starch molecules are cleaved down, or digested, into individual glucose molecules. Glucose, non the original starch molecules, is absorbed from the digestive tract into the blood stream. When a person says he has ''loftier blood saccharide," he is talking about the amount of glucose in the claret stream, that is the blood sugar level.
Fiber is a circuitous mixture of many indigestible substances—most of which are nonstarch polysaccharides—that make up the structural material of plants. Amongst these are cellulose, hemicellulose, pectin, lignin, gums (such as guar and locust bean, common food additives used to ameliorate the texture of some foods), and gum. Some candy foods contain carrageenan and alginates, indigestible polysaccharides produced past algae. Lignin is an boxy plant production, only information technology is non a carbohydrate.
Pectins, gums, mucilages, and some hemicelluloses deliquesce in water and are sometimes called soluble fiber. At least part of the cobweb in oat and rice bran is soluble fiber.
Cellulose, most hemicelluloses, and lignins do not dissolve in water and are known as insoluble fiber. Wheat bran, for example, is mostly insoluble fiber.
The main difference betwixt indigestible polysaccharides and starch is that in both soluble and insoluble fiber the chemic links that agree the individual molecules together as a concatenation are resistant to the processes of the human digestive system. Thus they provide little food energy to the body. Humans cannot digest grass because it is mostly indigestible complex carbohydrate. Cows and sheep tin use grass every bit nutrient considering their stomachs contain bacteria that digest these carbohydrates, releasing simple sugars that are absorbed into the animals' blood streams. Though cobweb has petty energy value for humans, information technology seems to be necessary for the large intestine to function at its acme.
In general, foods with a loftier fiber content include wholegrain breads and cereals, fruits, vegetables, beans, peas, and basics. Fruit skins, seeds, berries, and the bran layers of cereal grains are richer sources of fiber than the rest of these foods.
Fats
In the Eat for Life eating design, fats have 2d identify to carbohydrates as an energy source. Fats are a large family of compounds that are made by and large of the elements carbon and hydrogen, with a small amount of oxygen. The major fatty in food is triglyceride, a molecule of glycerol with three fatty acids attached (encounter Figure 3.3).
Effigy iii.3
Foods that are almost pure fat include cooking oil, lard, butter, margarine, and shortening. Foods that contain significant amounts of fat include meat, dairy products, chocolate, cakes, pies, cookies, nuts, and a few fruits and vegetables—coconut and avocado, for example.
Ane feature of fats is that they do not mix with or dissolve in water. Instead, fat molecules tend to cluster together with other fat molecules. Fats are soluble in organic solvents similar benzene or ether.
Fatty acids come in a diverseness of sizes, and all fat in foods contains a mixture of these various fat acids. Some fatty acids contain as few every bit 4 carbon atoms, whereas others are made of equally many as xx or more strung together in a line. The other way in which fatty acids differ from 1 some other is in the number of hydrogen atoms they contain per carbon atom. For example, the four fat acids shown in Figure 3.4 all contain sixteen or xviii carbon atoms and 2 oxygen atoms. Oleic, linoleic, and linolenic acids all have 18 carbons and ii oxygens, but they have dissimilar numbers of hydrogen atoms.
Figure 3.4
Palmitic acrid (Figure 3.4a) is found in meats, butter fat, shortening, and some vegetable oils. Palmitic acid is a saturated fatty acid, 1 that has the maximum number of hydrogen atoms—ii—attached to every carbon atom, except for those on each end. In upshot, the molecule is "saturated" with hydrogen atoms. Other saturated fatty acids found in food include stearic acid (eighteen carbon atoms), myristic acrid (14 carbon atoms), and lauric acid (12 carbon atoms). Fats high in saturated fatty acids are usually solid at room temperature and certainly at fridge temperature.
In oleic acid (Figure three.4b), there are 2 hydrogen atoms missing in the heart of the molecule, one from each of 2 adjoining carbon atoms. The place where this occurs is called an unsaturation. Since oleic acid has 1 unsaturation, it is called a monounsaturated fatty acid. Oleic acid is the predominant monounsaturated fatty acid in nutrient. Olive oil, peanut oil, and canola oil are particularly good sources of oleic acid.
The terminal two fatty acids in Figure 3.iv are missing still more hydrogen atoms, again from next pairs of carbon atoms. Since these fatty acids have more than one unsaturation, they are chosen polyunsaturated fatty acids. The polyunsaturated fat acrid with 2 unsaturations is called linoleic acid, and the polyunsaturated fat acid with 3 unsaturations is called linolenic acid. Linoleic acid is chosen an essential fatty acid because the torso cannot make information technology and must meet its demand for it from food sources. Scientists believe that linolenic acrid may prove to be an essential nutrient too.
Foods from the institute kingdom, with the notable exceptions of palm oil and kokosnoot, are practiced sources of polyunsaturated fat acids. Seafood is rich in monounsaturated fatty acids and polyunsaturated fat acids. Fats with a big percentage of monounsaturated fatty acids and polyunsaturated fatty acids are unremarkably liquid even when refrigerated.
Polyunsaturated fatty acids are farther classified by where the unsaturations exist in the fat acrid molecule. Yous may have heard of omega-iii fatty acids, the main polyunsaturated fat acrid in many fish oils. All this term means is that the beginning unsaturation occurs at the third carbon atom from the omega terminate of the fat acid, the finish with three hydrogen atoms. Eicosapentaenoic acid (shown in Effigy 3.v) is i of the chief omega-3 fatty acids in fish oil. If y'all count the carbon atoms starting at the omega terminate, you lot can see why linoleic acid is chosen an omega-6 fat acid.
Effigy 3.v
If you read food labels, you take probably seen the term "partially hydrogenated vegetable oil." This means that hydrogen atoms have been added to unsaturated fatty acids by ways of a chemical procedure known every bit hydrogenation. This reaction eliminates some of the unsaturations; monounsaturated fatty acids become saturated fatty acids, and polyunsaturated fat acids become monounsaturated fatty acids and saturated fatty acids. Vegetable oils are partially hydrogenated to brand them solid at room temperature. Vegetable shortening and margarine are ii examples of partially hydrogenated vegetable oils.
Unsaturated fatty acids in foods exist chiefly in the cis configuration, in which the hydrogen atoms are on the same side of the double bond. When fats and oils are partially hydrogenated during commercial processing, varying amounts of the trans configuration class. In the trans configuration, the hydrogen atoms are on opposite sides of the double bail.
Although small amounts of trans fatty acids occur naturally in milk and butter, the big increment in the apply of partially hydrogenated vegetable oils has resulted in increases in trans fat acids in foods. As however, there are no reliable data on the trans fatty acrid intake by the U.S. population, and estimates vary from 7 to 12 thou per person per day.
Remember that all fats incorporate a mixture of fat acids. Some take more of i kind of fat acid than some other kind. Beefiness fatty, for example, contains more saturated fatty acids than monounsaturated or polyunsaturated fatty acids. Olive oil contains both saturated fatty acids and polyunsaturated fatty acids, but over one-half its fatty acids are monounsaturated, and most of that is oleic acid.
Cholesterol
There are a number of substances in food that are non exactly fats but, like fats, do not mix with h2o. One of these substances is cholesterol (see Effigy iii.6).
Cholesterol exists in foods of animal origin and in the body, where it is an important component of many tissues, particularly the encephalon and nervous arrangement. Cholesterol is found in all torso cells as part of the structure of cell membranes. The body also uses cholesterol to make bile acids, various hormones, and vitamin D. Cholesterol is not an essential nutrient, yet, because the body can manufacture all it needs.
Nevertheless, the U.S. diet has many sources of cholesterol, including egg yolks, liver, meat, certain shellfish, and whole-milk dairy products. Cholesterol is not found in plant foods.
Because cholesterol does non dissolve in h2o, information technology moves through the claret stream in clusters of molecules made of fatty and poly peptide called lipoproteins. About of the cholesterol in the body is carried by iii types of lipoproteins: high-density lipoprotein (HDL), depression-density lipoprotein (LDL), and very-low-density lipoprotein (VLDL). Cholesterol institute in HDL is chosen HDL-cholesterol, and cholesterol found in LDL is called LDL-cholesterol. The term total serum cholesterol refers to the sum of HDL-, LDL-, and VLDL-cholesterol in the claret stream. Medical experts consider a full serum cholesterol level below 200 milligrams per deciliter (mg/dl) to be desirable.
Protein
If carbohydrates and fat are the body'due south energy sources, and so proteins are the torso's building blocks. If y'all practise not count water, protein accounts for virtually 3-quarters of the weight in most human tissues. Hair, skin, nails, and muscle are mostly protein, and os contains a significant amount of protein as well. Certain proteins, chosen enzymes, perform the countless chemic reactions needed to produce free energy to keep your body operating and to produce the thousands of different molecules that are present in muscle, bone, skin, hair, and organs.
Protein is equanimous of smaller chemical units called amino acids. Amino acids are made of the elements carbon, hydrogen, oxygen, nitrogen, and sometimes sulfur. In that location are 20 different amino acids that when hooked together in various numbers and combinations brand upwards the thousands of different proteins in the human being torso. The body tin make plenty of all but 9 of these, the so-chosen essential amino acids.
In practice, protein is the only source of the essential amino acids in the diet. When you eat a piece of chicken, your digestive system breaks the protein molecules in that chunk of chicken musculus into individual amino acids. These are captivated into the blood stream and transported to all the cells in the body. Enzymes and other biological molecules inside a jail cell reassemble the amino acids into those proteins that the cell needs.
The body does not store significant amounts of amino acids, and so we have to swallow protein regularly. Meat is a rich source of protein, since muscle is protein with fat mixed in. So, besides, are dairy products. Beans, nuts, and cereal grains are also proficient sources of protein. Worldwide, people get most of their protein from vegetable sources, rather than the brute sources that provide most of the protein in U.South. diets.
Vitamins
Vitamins are a group of diverse compounds that the body needs in minor amounts to remain salubrious. They are used in a variety of biochemical processes. Vitamin Thou, for example, plays an important role in blood clotting, and vitamin D is involved in arresting calcium and thus maintaining the bones in good condition. Some of the functions of the vitamins are listed together with food sources in Table three.2.
When they were first discovered around the turn of the century, vitamins were classified co-ordinate to whether or not they dissolved in water. The fat-soluble vitamins are vitamins A, D, E, and Thou. The water-soluble vitamins are vitamin C and the eight B vitamins—thiamin, riboflavin, niacin, pyridoxine, pantothenic acid, biotin, folacin, and cobalamin.
Fatty-soluble vitamins are found in clan with fats in foods, and they are also absorbed out of the digestive system along with fats. The body can store variable amounts of the fat-soluble vitamins. It is possible to consume too much of some fat-soluble vitamins so that they build upward in the body to toxic levels. Vitamin A and vitamin D poisonings are not unknown and can cause serious illness, and even death.
Some vitamins are manufactured in the body. Vitamin D is made in the skin when exposed to sunlight. Leaner that alive in the human intestine produce vitamin K, which is so absorbed into the blood stream.
With the notable exception of vitamin B12, the body stores trivial of the water-soluble vitamins, and and so you must get these substances in your diet regularly. Taking big amounts of these vitamins is futile, however, considering the excess is carried in the claret stream to the kidneys and excreted in the urine.
Minerals
Like vitamins, minerals play a variety of roles in the torso. Some minerals, such as calcium and phosphorus, are present in the body in relatively large amounts and are sometimes called macrominerals. Other minerals, such as iron and copper, are needed in much lower amounts and are chosen trace elements. 3 macrominerals—sodium, potassium, and chloride—are sometimes called electrolytes, because they help maintain the proper electrical balance in cells and trunk fluids. Some of the functions of minerals are listed together with food sources in Table 3.three
Whereas all the other nutrients discussed so far are relatively large molecules, minerals are unproblematic chemicals fabricated of unmarried atoms or salts made up of a few atoms. Together, minerals account for only about 4 pct of body weight.
Salts are associations of positive and negative components chosen ions. Table common salt, for case, is made from positively charged sodium ions and negatively charged chloride ions—the chemical name for table salt is sodium chloride. When table salt is dissolved in water, it separates into sodium and chloride ions again. Sodium bicarbonate is the salt nosotros call blistering soda. In this book the term ''salt" will refer simply to the compound sodium chloride. All other salts volition be referred to past their chemical names.
How Nutrition Has Changed Over Fourth dimension
For about of human history, the quest for sufficient food was the chief occupation of the world'south people. Our early ancestors were hunter-gatherers, searching for edible plants and killing the occasional fauna. Archeologists accept found evidence suggesting that the early human diet was well-nigh 35 percent meat and 65 percent establish food, though little of it was cereal grains. These people ate very petty fat—they ate no dairy products and the meat they ate contained only about 4 percentage fat—and only low levels of sodium, simply their diets were rich in dietary cobweb, calcium, and vitamin C.
Ii things happened to alter the human being diet. The first took place around 10,000 B.C., when some people became farmers. For the start time, dairy products and cereal grains became a part of the diet, and the supply of meat became more predictable.
The 2d important change accompanied the Industrial Revolution of the tardily eighteenth century. The ascension of factories gave nascence to a new middle course of merchants and managers who had the money to afford a diverseness of foods. This demand prompted farmers to improve their methods and grow a wider variety of crops. The result was that the amount of food bachelor to all people, both middle class and poor, increased. At the same time, the cost of nutrient dropped significantly.
In the two centuries that accept passed since then, the U.S. diet has undergone remarkable changes. In 1800, 95 percent of all Americans ate food that was straight off the farm, or fresh from the bounding main, with niggling processing done to it. Today, 95 percent of all Americans depend on others to produce, process, and distribute food to supermarkets. What nosotros can consume depends mostly on what nosotros tin can afford to buy.
Today, refrigerated railcars, trucks, and cargo planes brand seasonal foods available yr-round. A cornucopia of canned, frozen, fermented, and stale foods appears on grocery store shelves, as do the foods seen nowhere in nature that come out of our country'due south food laboratories, such equally "fruit" drinks that take no fruit juice and "meats" made from soybeans or wheat gluten. Supermarkets now conduct as many as 30,000 different items, making the U.Due south. diet the most varied in the world.
Given the changes that have occurred in the U.Due south. food supply during this century, it is surprising that Americans today have available well-nigh the same level of calories as our grandparents did at the turn of the century. At the same time, we weigh more than our grandparents, suggesting that nosotros do not go as much practise as was once common.
The source of the calories in the food supply has changed. Fats now provide virtually xl percentage of the calories in the U.S. diet, compared with only 32 percent in 1909 (see Effigy 3.7). The amount of polyunsaturated fat acids and monounsaturated fatty acids in the U.S. diet increased more than the amount of saturated fatty acids during that period. Americans today swallow about 385 mg of cholesterol a twenty-four hour period, which is probably less than our grandparents ate considering we consume fewer eggs and less butter than they did.
FIGURE iii.7
We as well swallow proportionately fewer carbohydrates than Americans did at the plow of the century; carbohydrates today account for 43 percent of the calories in the food supply, compared with 57 percent in 1909. In 1909, two-thirds of the carbohydrates in the food supply were complex polysaccharides, and ane-third were uncomplicated sugars. Today, over half the sugar calories are from sugars, with less than half coming from starches.
Calories from protein have remained fairly abiding during this century, at about 17 percent of total calories.
What foods provide the calories in the U.S. diet? The largest share of calories comes from grain products and from meat, poultry, and fish. Fats, sweets, and beverages combined contribute near as many calories as fruit and vegetables or dairy products. Eggs, beans, basics, and seeds combined account for the smallest proportion of calories in the U.S. diet.
Americans take as well changed their eating patterns over the years. Whereas breakfast used to be the most of import repast of the day, today only 53 per centum of adults—and but 85 percent of children age five or younger—swallow breakfast. In addition, eating out has go more than mutual. 1 survey found that over half the women questioned ate out on a given solar day, and 88 percent ate out at to the lowest degree once over a 4-day period. Snacks now provide near eighteen percent of the calories in the average U.S. diet.
It is commonly thought that the U.Southward. nutrition has become healthier since the last century. We live longer, abound taller, and enjoy better wellness than our ancestors. Diet has had some office in the health benefits nosotros accept realized over the years. Deficiency diseases are rarely seen in the U.s. today. But we now live longer primarily because of improved sanitation, antibiotics, and vaccinations—infectious diseases are no longer the major killers they once were. Many diseases linked in some mode to nutrition—eye illness, loftier claret pressure, cancer, diabetes, dental cavities, and others—still plague united states.
Source: https://www.ncbi.nlm.nih.gov/books/NBK235023/
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