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Community and public health
nutrition
5-Consumer awareness 1
a)food quality and safety
b) food labeling
1
Prepared by; Dr.
Siham Gritly
"All things are poisons; nothing is without poison; only
the dose determines whether there is a harmful effect“.
Paracelsus (16th Century Philosopher)
glossary
• hazard: a source of danger; used to refer to circumstances in
which harm is possible under normal conditions of use.
• toxicity: the ability of a substance to harm living organisms.
All substances are toxic if high enough concentrations are
used.
• risk: a measure of the probability and severity of harm.
• safety: the condition of being free from harm or danger.
• foodborne illness: illness transmitted to human beings
through food and water, caused by either an infectious agent
(foodborne infection) or a poisonous substance (food
intoxication); commonly known as food poisoning.
• outbreaks: two or more cases of a similar illness resulting
from the ingestion of a common foodDr. Siham Gritly 2
• Pathogens; a microorganism capable of producing
disease.
• pasteurization: heat processing of food that
inactivates some, but not all, microorganisms in the
food; not a sterilization process. Bacteria that cause
spoilage are still present.
• nutrient claims: statements that characterize the
quantity of a nutrient in a food.
• health claims: statements that characterize the
relationship between a nutrient or other substance in a
food and a disease or health-related condition.Dr. Siham Gritly 3
Consumer awareness
Discipline regulation to improve the health,
nutrition, and well-being of individuals and groups
within communities’ members
Dr. Siham Gritly 4
Consumer protection and awareness should be a
concerned of community members as well as ministry
of health, ministry education, organizations, and
media for the adverse effect and the consequences of
food hazards
Food control objectives is to ensure the quality, safety
and nutritional value of food and to protect the
consumer's health. It prohibit the sale of food not of
the nature, substance or quality demanded by the
purchaser. Food control is, therefore, a policing activity.
Dr. Siham Gritly 5
As food can be easily adulterated or
contaminated through environmental
pollution, safe practices need to be
ensured when food is handled,
processed, stored and distributed
Eating raw seafood is a risky
proposition
Objectives of a national food control system
1. Protecting public health by reducing the risk of
food-borne illness
2. Protecting consumers from unsanitary,
unwholesome, mislabeled or adulterated food
3. Contributing to economic development by
maintaining consumer confidence in the food
system and providing a sound regulatory
foundation for domestic and international trade
in food
Dr. Siham Gritly 6
Elements of a national food control system
• Food law and regulations
• Food control management
• Official control services (inspection services)
• Food monitoring and epidemiological data
• Information and communication and
education, training
Dr. Siham Gritly 7
many varieties of fruits and vegetables are imported
from other countries.
Ref. Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011,
2008 Wadsworth, Cengage Learning
Dr. Siham Gritly 8
Nutritional status and economic
well-being are affected by food
carrying pathogenic organisms and
their toxins or poisonous chemicals.
Food is easily contaminated when
produced in an unhealthy or unclean
environment.
Ref. FAO/WHO
• Microbiological contamination and spoilage of
food should be prevented, and the use of;
• pesticides,
• fungicides,
• food additives,
• veterinary drugs
• and numerous other chemicals that can
contaminate food should be controlled.
Dr. Siham Gritly 9
Consumer awareness
hazard: a source of danger; used to refer to circumstances in
which harm is possible under normal conditions of use.
Invisible microbiological hazardous in food
Dr. Siham Gritly 10
Invisible chemical hazardous in food
ref. FAO and WHO, 2003
Dr. Siham Gritly 11
Legislation and consumers' rights
• food laws national legislation protects
consumers invisible microbiological
as well as invisible chemical hazardous in food
• AS suggested by FAO and WHO joined report
that consumers are not aware of their rights
and this prevents them from obtain full
advantage from these measures.
Dr. Siham Gritly 12
Food legislation should
FAO and WHO, 2003
1- Provide a high level of health protection
Include clear definitions to increase consistency and legal
security
2- Be based on high quality, transparent, and independent
scientific advice following risk assessment, risk
management and risk communication
3- Include provision for the use of precaution and the
adoption of provisional measures where an
unacceptable level of risk to health has been
identified and where full risk assessment could not be
performed
Dr. Siham Gritly 13
4- Include provisions for the right of consumers to
have access to accurate and sufficient
information
5- Provide for tracing of food products and for
their recall in case of problems
6- Include clear provisions indicating that primary
responsibility for food safety and quality rests
with producers and processors
Dr. Siham Gritly 14
7- Include obligation to ensure that
only safe and fairly presented food is placed on
the market
8- Recognize the country’s international
obligations particularly in relation to trade
9- Ensure transparency in the development of
food law and access to information
Dr. Siham Gritly 15
Food Safety from Farms to Consumers
Before reaching consumers, food passes through a complex
system involving production (crop cultivation, animal
husbandry, etc.), postharvest handling, processing, storage,
transport, distribution and sale through large or small retail
outlets.
Dr. Siham Gritly 16
Farm
Workers must use safe methods of growing,
harvesting, sorting, packing, and storing food
to minimize contamination hazards
PROCESSING
Processors must follow FDA guidelines
concerning contamination, cleanliness,
and education and training of workers and
must monitor for safety at critical
control points
Ref. Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth
Edition. 2011, 2008 Wadsworth, Cengage Learning
Dr. Siham Gritly 17
TRANSPORTATION
Containers and vehicles
transporting food must be clean.
Cold food must be kept cold at all
times
RETAIL GROCERY STORES AND
RESTAURANTS
Employees must follow the FDA’s food
code on how to prevent foodborne
illnesses. Establishments must pass
local health inspections and train staff in
sanitation
With the benefits of a safe and abundant food
supply comes the responsibility of consumer
to select, prepare, and store foods safely
Dr. Siham Gritly 18
CONSUMERS
Consumers must learn and use
sound principles of food safety.
Be aware that foodborne illness is
a real possibility, and take steps to
prevent it.
Food-borne Illnesses
Food-borne Infections
• Food-borne infections are caused by eating
foods contaminated by infectious microbes.
Among foodborne infections, Salmonella is the
major cause of illness and Listeria is the major
cause of death.
• These pathogens enter the GI tract in
contaminated foods such as undercooked poultry
and unpasteurized milk.
• Symptoms generally include abdominal cramps,
fever, vomiting, and diarrhea.
Dr. Siham Gritly 19
Foodborne Illnesses
Food-borne Infections
Ref. Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011,
2008 Wadsworth, Cengage Learning
Foodborne
Infections
Most Frequent Food
Sources
Onset and General
Symptoms
Prevention Methods
Campylobacteri
osis
Campylobacter
bacterium
Raw and undercooked
poultry, unpasturized
milk, contaminated
water
Onset: 2 to 5 days.
Diarrhea, vomiting,
abdominal cramps,
fever; sometimes
bloody stools; lasts
2 to 10 days
Cook foods thoroughly;
use pasteurized milk;
use sanitary food-
handling
methods.
Cryptosporidios
is
Crytosporidium
parvum parasite
Contaminated
swimming or drinking
water, even from
treated sources; highly
chlorine-resistant;
contaminated raw
produce and
unpasteurized juices
and ciders
Onset: 2 to 10 days.
Diarrhea, stomach
cramps, upset
stomach, slight
fever; symptoms
may come and go
for weeks or
months
Wash all raw
vegetables and fruits
before peeling; use
pasteurized milk and
juice; do not swallow
drops of water while
using pools, hot tubs,
ponds, lakes, rivers, or
streams for recreation.
Dr. Siham Gritly 20
Food-borne Illnesses
Food-borne Infections
Cyclosporias
is
Cyclospora
cayetanensi
s parasite
Contaminated water,
contaminated
fresh produce
Onset: 1 to 14 days.
Diarrhea, loss of
appetite, weight loss,
stomach cramps,
nausea, vomiting,
fatigue; symptoms
may come and go for
weeks or months.
Use treated, boiled,
or bottled
water; cook foods
thoroughly; peel
fruits
E. coli
infection
Escherichia
coli
bacterium
Undercooked ground
beef, unpasteurized
milk and juices, raw
fruits and vegetables,
contaminated water,
and person-to person
contact
Onset: 1 to 8 days.
Severe bloody
diarrhea, abdominal
cramps, vomiting;
lasts 5 to 10 days
Cook ground beef
thoroughly;
use pasteurized milk;
use sanitary
food-handling
methods; use
treated, boiled, or
bottled water
Dr. Siham Gritly 21
Foodborne Illnesses
Foodborne Infections
Gastroente
ritisc
Norwalk
virus
Person-to-
person
contact; raw
foods, salads,
sandwiches
Onset: 1 to 2 days.
Vomiting; lasts
1 to 2 days.
Use sanitary food-
handling methods
Giardiasis
Giardia
intestinalis
parasite
Contaminated
water;
uncooked
foods
Onset: 7 to 14 days.
Diarrhea (but
Occasionally
nstipation),abdominal
pain, gas.
Use sanitary food-
handling methods;
avoid raw fruits and
vegetables where
parasites are endemic;
dispose of sewage
properly
Hepatitis
Hepatitis A
virus
Undercooked
or raw
shellfish
Onset: 15 to 50 days (28
days average).Diarrhea,
dark urine, fever, headache,
nausea, abdominal pain,
jaundice lasts 2 to 12
weeks.
Cook foods
thoroughly
Dr. Siham Gritly 22
Foodborne Illnesses
Food-borne Infections
Listeriosis
Listeria
monocytogen
es bacterium
Unpasteurized
milk; fresh soft
cheeses;
luncheon meats,
hot dogs
Onset: 1 to 21 days.
Fever, muscle aches;
nausea, vomiting, blood
poisoning, complications
in pregnancy,a nd
meningitis (stiff neck,
severe headache, and
fever).
Use sanitary food-
handling methods;
cook foods
thoroughly; use
pasteurized milk
Perfringens
food
poisoning
Clostridium
perfringens
bacterium
Meats and meat
products stored at
between 120 F
and 130 F
Onset: 8 to 16 hours.
Abdominal pain, diarrhea,
nausea; lasts 1 to 2 days
Use sanitary food-
handling methods;
use pasteurized
milk; cook foods
thoroughly;
refrigerate foods
promptly and
properly
Dr. Siham Gritly 23
Foodborne Illnesses
Foodborne Infections
Foodborne
Infections
Most Frequent Food
Sources
Onset and
General
Symptoms
Prevention Methods
Salmonellosi
s
Salmonella
bacteria
(>2300 types
Raw or undercooked
eggs, meats, poultry, raw
milk and other dairy
products, shrimp, frog
legs, yeast, coconut,
pasta, and chocolate
Onset: 1 to 3
days. Fever,
vomiting,
abdominal
cramps,
diarrhea;
lasts 4 to 7 days;
can be fatal.
Use sanitary food-
handling methods;
use pasteurized milk;
cook foods
thoroughly;
refrigerate foods
promptly and
properly.
Shigellosis
Shigella
bacteria (>30
types)
Person-to-person
contact, raw foods,
salads, sandwiches, and
contaminated water
Onset: 1 to 2
days. Bloody
diarrhea,
cramps, fever;
lasts 4 to 7 days.
Use sanitary food-
handling methods;
cook foods
thoroughly; use
proper refrigeration.
Dr. Siham Gritly 24
Foodborne Illnesses
Food-borne Infections
Vibrio
infection
Vibrio vulnifi
cusd
bacterium
Raw or
undercooked
seafood,
contaminated
water
Onset: 1 to 7 days.
Diarrhea,abdominal
cramps, nausea,
vomiting; lasts 2 to 5
days; can be fatal
Use sanitary
food-handling
methods;cook
foods thoroughly
Yersiniosis
Yersinia
enterocolitica
bacterium
Raw and
undercooked pork,
unpasteurized milk
Onset: 1 to 2 days.
Diarrhea, vomiting,
fever, abdominal pain;
lasts 1 to 3 weeks.
Cook foods
thoroughly; use
pasteurized
milk; use treated,
boiled, or bottled
water
Dr. Siham Gritly 25
Food Intoxications
• Food intoxications are caused by eating
foods containing natural toxins or,
microbes that produce toxins. The most
common food toxin is produced by;
• Staphylococcus aureus
• Clostridium botulinum
Dr. Siham Gritly 26
• Staphylococcus aureus food poisoning
• Staphylococcal toxin (produced by
Staphylococcus aureus bacterium
• Toxin produced in improperly refrigerated
meats; egg, tuna, potato, and macaroni salads;
cream-filled pastries
Dr. Siham Gritly 27
• Clostridium botulinum, an organism that
produces a deadly toxin in anaerobic conditions
such as improperly canned (especially home-
canned) foods and homemade garlic or herb-
flavored oils stored at room temperature.
• Symptoms; the toxin paralyzes muscles, a
person with botulism has difficulty seeing,
speaking, swallowing, and breathing.
• death can occur within 24 hours of onset,
botulism demands immediate medical
attention.
Dr. Siham Gritly 28
Foodborne Illnesses
Food Intoxications
Foodborne
Infections
Most Frequent Food
Sources
Onset and General
Symptoms
Prevention Methods
Botulism
Botulinum toxin
produced by
Clostridium
botulinum
bacterium,
which grows
without
oxygen, in low-
acid foods, and
at
temperatures
between 40°F
and 120°F;
Anaerobic environment
of low acidity (canned
corn, peppers, green
beans, soups, beets,
asparagus, mushrooms,
ripe olives, spinach,
tuna, chicken, chicken
liver, liver,luncheon
meats, ham, sausage,
stuffed eggplant,
lobster, and smoked
and salted
fish)
Onset: 4 to 36 hours.
Nervous system
symptoms, including
double vision, inability
to swallow, speech
difficulty, and
progressive aralysis
of the respiratory
system; often
fatal; leaves prolonged
symptoms
in survivors.
Use proper canning
methods for
low-acid foods;
commercially
prepared foods with
leaky seals or with
bent, bulging,
or broken cans.
Do not give infants
honey because
it may contain spores
of Clostridium
botulinum, which is a
commons ource of
infection for infants.
Dr. Siham Gritly 29
Foodborne Illnesses
Food Intoxications
Foodborne
Infections
Most Frequent Food
Sources
Onset and General
Symptoms
Prevention Methods
Staphylococcal
(food poisoning
Staphylococcal
toxin (produced
byStaphylococcu
s aureus
bacterium)
Toxin produced in
improperly
refrigerated
meats; egg, tuna,
potato, and
macaroni salads
Onset: 1 to 6
hours. Diarrhea,
nausea, vomiting,
abdominal
cramps, fever;
lasts 1 to 2 days
Use sanitary
food-handling
methods;
cook food
thoroughly;
refrigerate
foods promptly
and properly;
use proper home-
canning methods.
Dr. Siham Gritly 30
to avoid food hazardous
• In the grocery store, consumers should buy
items before the “sell by” date
• inspect the safety seals (A broken seal,
bulging can lid)
• inspect the wrappers of packages.
• Look for fresh commodities
Dr. Siham Gritly 31
Consumer Awareness
To avoid microbial food-borne illness
• Clean hands, food contact surfaces, and fruits and
vegetables.
• Separate raw, cooked, and ready-to-eat foods while
shopping, preparing, or storing foods.
• Cook foods to a safe temperature to kill microorganisms.
• Chill (refrigerate) perishable foods promptly and defrost
foods properly.
• Meat and poultry should not be washed or rinsed.
• Avoid raw (unpasteurized) milk or any products made from
unpasteurized milk, raw or
• partially cooked eggs or foods containing raw eggs, raw or
undercooked meat and poultry,
• unpasteurized juices, and raw sprouts
Dr. Siham Gritly 32
• Consumer Awareness
• Food label
Dr. Siham Gritly 33
The food label
Nutrition labeling can help you make food choices
that meet Dietary Guidelines and promote a lifetime
of good health
Dr. Siham Gritly 34
Consumers read food
labels to learn about
the nutrient contents
of a food or to
compare similar
foods.
• According to the Nutrition Labeling and
Education Act, all food labels must contain the
following information:
• Common name of the product
• Name and address of the product’s manufacturer
• Net contents in terms of weight, measure or
count,
• Ingredient List – Lists the ingredients in
descending order of predominance and weight
Dr. Siham Gritly 35
1-list of ingredients;
• must list all ingredients—including
• additives used to preserve or enhance foods,
such as vitamins and minerals added to enrich
or fortify products.
• Listed in descending order by weight
Dr. Siham Gritly 36
2-serving size;
• Each package must identify the size of a
serving.
• The nutritional information given on the label
is based on one serving of the food they must
identify the size of the serving.
• The Food and Drug Administration (FDA) has
established specific serving sizes for various
foods and requires that all labels for a given
product use the same serving size.
Dr. Siham Gritly 37
• Amount per serving for the following;
• Total calories
• Calories from fat
• Total fat, saturated fat, trans fat, cholesterol
• Sodium
• Total carbohydrate
• Dietary fiber
• Sugar
• Protein
• Vitamins A,C, Calcium, iron
Dr. Siham Gritly 38
• each package must identify the quantities of
specified nutrients and food constituents for one
serving.
• The most important thing to remember is this:
• 1 gr. fat = 9 calories
• 1 gr. protein = 4 calories
• 1 gr. carbohydrate = 4 calories
• 1 gr. alcohol = 7 calories
• Therefore, we can tell the percentages of each
nutrient in a package
Dr. Siham Gritly 39
Household and Metric Measures
ref, Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition,
Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
1 teaspoon ( tsp) = = 5 milliliters (mL)
1 tablespoon (tbs) = 15 mL
1 cup (c) = 240 mL
1 fluid ounce (fl oz) 30 mL
1 ounce (oz) = 28 grams (g)
Dr. Siham Gritly 40
For example, the standard serving size for all
ice creams is ½ cup and for all beverages, 8
fluid ounces
3-Nutrition Facts
• designed to provide information on the
nutrients that are of major concern for
consumers
• the Nutrition Facts panel on food labels
present nutrient information in two ways
• in quantities (such as grams)
• and as percentages of standards called the
Daily Values.
Dr. Siham Gritly 41
• The Nutrition Facts panel must provide the
nutrient amount, percent Daily Value, or both
for the following
• Total food energy (kcalories)
• Food energy from fat (kcalories)
• Total fat (grams and percent Daily Value)
• Saturated fat (grams and percent Daily Value)
• Trans fat (grams)
Dr. Siham Gritly 42
• Cholesterol (milligrams and percent Daily Value)
• Sodium (milligrams and percent Daily Value)
• Total carbohydrate, which includes starch,
sugar, and fiber (grams and percent Daily Value)
• Dietary fiber (grams and percent Daily Value)
• Sugars, which includes both those naturally
present in and those added to
• the food (grams)
• Protein (grams
Dr. Siham Gritly 43
• The labels must also present nutrient content
information as a percent Daily Value
• for the following vitamins and minerals:
• Vitamin A
• Vitamin C
• Iron
• Calcium
Dr. Siham Gritly 44
Nutrition Facts
Dr. Siham Gritly 45
Dr. Siham Gritly 46
Serving Size Volume weight
(English) AND mass (metric)Also
estimated serving per package
Calories per serving – not necessarily the
entire container. Calculated calories from
fat (9 Cal/g of fat)
Under fat optional listing
of: Monounsaturated fat
Polyunsaturated fat Option
listing of potassium after
sodium Option under
carbohydrate:
Soluble and insoluble fiber,
Sugar alcohols,
Other carbohydrate
This is the minimum set of nutrients
required. B vitamins and other
vitamins and mineral can be listed.
This is more of a marketing tool.
Daily Values (DV):
• Daily Values (DV): reference values
developed by the FDA specifically for use on
food labels. reflect dietary recommendations
for nutrients and dietary components that
have important relationships with health.
• Daily Values for both a 2000-kcalorie and a
2500-kcalorie diet
Dr. Siham Gritly 47
Dr. Siham Gritly 48
Daily Values for Food Labels
Food labels must present the “% Daily Value” for these
nutrients.
Food Component Daily Value Calculation Factors
Fat 65 g 30% of kcalories
Saturated fat 20 g 10% of kcalories
Cholesterol 300 mg
Carbohydrate (total) 300 g 60% of kcalories
Fiber 25 g 11.5 g per 1000 kcalories
Protein 50 g 10% of kcalories
Sodium 2400 mg
Dr. Siham Gritly
49
Daily Values for Food Labels
Food Component Daily Value Calculation Factors
Potassium 3500 mg
Vitamin C 60 mg
Vitamin A 1500 μg —
Calcium 1000 mg
Iron 18 mg
Dr. Siham Gritly 50
Percent Daily Value (%DV):
• the percentage of a Daily Value recommendation
found in a specified serving of food for key nutrients
based on a 2000-kcalorie diet.
• The “% Daily Value” estimate of how individual
foods contribute to the total diet.
• A 2000-kcalorie diet is considered about right for
sedentary younger women, active older women, and
sedentary older men.
Dr. Siham Gritly 51
How to Calculate Personal Daily Values
• The Daily Values on food labels are designed
for a 2000-kcalorie intake, but you can
calculate a personal set of Daily Values based
on your energy allowance. Consider a 1500-
kcalorie intake, for example. To calculate a
daily goal for fat, multiply energy intake by 30
percent:
• 1500 kcal × 0.30 kcal from fat
• = 450 kcal from fat
Dr. Siham Gritly 52
• The “kcalories from fat” are listed on food
labels, so you can add all the “kcalories from
fat” values for a day, using 450 as an upper
limit. A person who prefers to count grams of
fat can divide this 450 kcalories from fat by 9
kcalories per gram
• to determine the goal in grams:
• 450 kcal from fat ÷ 9 kcal/g
• = 50 g fat
Dr. Siham Gritly 53
• Alternatively, a person can calculate that 1500
kcalories is 75 percent of the 2000-kcalorie
intake used for Daily Values:
• 1500 kcal ÷ 2000 kcal = 0.75
• 0.75 × 100 = 75%
Dr. Siham Gritly 54
• Then, instead of trying to achieve 100 percent
of the Daily Value, a person consuming 1500
kcalories will aim for 75 percent.
• Similarly, a person consuming 2800 kcalories
would aim for 140 percent:
• 2800 kcal ÷ 2000 kcal = 1.40 or 140%
Dr. Siham Gritly 55
guideline for consumers to judge the product
they are purchasing
• The Percent Daily Value is what is used to
calculate the nutritional values.
• Note that fats, cholesterol and sodium should be
limited. Fats should make up less than 30% of
you total calories, and saturated fats should make
up less than 10% of your calories.
• The amount of specific nutrient you should be
consuming is dependant upon age, sex, if you are
recovering from injury, pregnant, lactating, and
other factors.
Dr. Siham Gritly 56
5-Nutrient Claims:
• statements that characterize the quantity of a
nutrient in a food.
• phrases such as “good source of fiber” or “rich
in calcium”
Dr. Siham Gritly 57
5-Health Claims
• health claims: statements that characterize
the relationship between a nutrient or other
substance in a food and a disease or health-
related condition
• Consumers reading “Diets low in sodium may
reduce the risk of high blood pressure,”
• for example, knew that the FDA had examined
enough scientific evidence to establish a clear
link between diet and health.
Dr. Siham Gritly 58
Reliable Health Claims on Food Labels
• Diets adequate in calcium may reduce the risk
of osteoporosis.
• Diets low in sodium may reduce the risk of
high blood pressure.
• Diets low in saturated fat and cholesterol, and
as low as possible in trans fat, may reduce the
risk of heart disease.
• Diets low in total fat may reduce the risk of
some cancers.
Dr. Siham Gritly 59
The FDA also provides guidelines about the claims and
descriptions manufacturers may use in food labeling to promote
their products:
Claim
Requirements that must be met before using the
claim in food labeling
Fat-FreeLess than 0.5 grams of fat per serving, with no
added fat or oil
Low fat3 grams or less of fat per serving
Less fat25% or less fat than the comparison food
Saturated Fat FreeLess than 0.5 grams of saturated fat and 0.5 grams
of trans-fatty acids per serving
Cholesterol-FreeLess than 2 mg cholesterol per serving, and 2 grams
or less saturated fat per serving
60Dr. Siham Gritly
Low Cholesterol20 mg or less cholesterol per serving and 2
grams or less saturated fat per serving
Reduced CalorieAt least 25% fewer calories per serving than
the comparison food
Low Calorie40 calories or less per serving
Extra LeanLess than 5 grams of fat, 2 grams of saturated
fat, and 95 mg of cholesterol per (100 gram)
serving of meat, poultry or seafood
LeanLess than 10 grams of fat, 4.5 g of saturated
fat, and 95 mg of cholesterol per (100 gram)
serving of meat, poultry or seafood
Light (fat)50% or less of the fat than in the comparison
food (ex: 50% less fat than our regular cheese)
61Dr. Siham Gritly
Light (calories)1/3 fewer calories than the comparison food
High-Fiber5 grams or more fiber per serving
Sugar-FreeLess than 0.5 grams of sugar per serving
Sodium-Free or Salt-FreeLess than 5 mg of sodium per serving
Low Sodium140 mg or less per serving of sodium
Very Low Sodium35 mg or less per serving of sodium
HealthyA food low in fat, saturated fat, cholesterol and
sodium, and contains at least 10% of the Daily Values
for vitamin A, vitamin C, iron, calcium, protein or
fiber.
"High", "Rich in" or "Excellent
Source"
20% or more of the Daily Value for a given nutrient per
serving
62Dr. Siham Gritly
"Less", "Fewer" or
"Reduced"
At least 25% less of a given nutrient or
calories than the comparison food
"Low", "Little", "Few", or "Low
Source of"
An amount that would allow frequent
consumption of the food without exceeding
the Daily Value for the nutrient – but can only
make the claim as it applies to all similar
foods
"Good Source Of", "More", or
"Added"
The food provides 10% more of the Daily
Value for a given nutrient than the
comparison food
63Dr. Siham Gritly
References
• 1997-2012 HealthCheck Systems
• Sareen Gropper, Jack Smith and James Groff, Advanced Nutrition and
Human Metabolism, fifth ed. WADSWORTH
• Melvin H Williams 2010; Nutrition for Health, Fitness and Sport. 9th ed,
McGraw Hill
•
• Heymsfield, SB.; Baumgartner N.; Richard and Sheau-Fang P. 1999.
Modern Nutrition in Health and Disease; Shils E Maurice, Olson A.
James, Shike Moshe and Ross A. Catharine eds. 9th edition
• Guyton, C. Arthur. 1985. Textbook of Medical Physiology. 6th edition,
W.B. Company
• FAO/WHO/UNU expert consultation (WHO, 1985) report
• Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth
Edition. 2011, 2008 Wadsworth, Cengage Learning
64Dr. Siham Gritly

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Lec 5 consumer nutrition 1

  • 1. Community and public health nutrition 5-Consumer awareness 1 a)food quality and safety b) food labeling 1 Prepared by; Dr. Siham Gritly "All things are poisons; nothing is without poison; only the dose determines whether there is a harmful effect“. Paracelsus (16th Century Philosopher)
  • 2. glossary • hazard: a source of danger; used to refer to circumstances in which harm is possible under normal conditions of use. • toxicity: the ability of a substance to harm living organisms. All substances are toxic if high enough concentrations are used. • risk: a measure of the probability and severity of harm. • safety: the condition of being free from harm or danger. • foodborne illness: illness transmitted to human beings through food and water, caused by either an infectious agent (foodborne infection) or a poisonous substance (food intoxication); commonly known as food poisoning. • outbreaks: two or more cases of a similar illness resulting from the ingestion of a common foodDr. Siham Gritly 2
  • 3. • Pathogens; a microorganism capable of producing disease. • pasteurization: heat processing of food that inactivates some, but not all, microorganisms in the food; not a sterilization process. Bacteria that cause spoilage are still present. • nutrient claims: statements that characterize the quantity of a nutrient in a food. • health claims: statements that characterize the relationship between a nutrient or other substance in a food and a disease or health-related condition.Dr. Siham Gritly 3
  • 4. Consumer awareness Discipline regulation to improve the health, nutrition, and well-being of individuals and groups within communities’ members Dr. Siham Gritly 4 Consumer protection and awareness should be a concerned of community members as well as ministry of health, ministry education, organizations, and media for the adverse effect and the consequences of food hazards
  • 5. Food control objectives is to ensure the quality, safety and nutritional value of food and to protect the consumer's health. It prohibit the sale of food not of the nature, substance or quality demanded by the purchaser. Food control is, therefore, a policing activity. Dr. Siham Gritly 5 As food can be easily adulterated or contaminated through environmental pollution, safe practices need to be ensured when food is handled, processed, stored and distributed Eating raw seafood is a risky proposition
  • 6. Objectives of a national food control system 1. Protecting public health by reducing the risk of food-borne illness 2. Protecting consumers from unsanitary, unwholesome, mislabeled or adulterated food 3. Contributing to economic development by maintaining consumer confidence in the food system and providing a sound regulatory foundation for domestic and international trade in food Dr. Siham Gritly 6
  • 7. Elements of a national food control system • Food law and regulations • Food control management • Official control services (inspection services) • Food monitoring and epidemiological data • Information and communication and education, training Dr. Siham Gritly 7
  • 8. many varieties of fruits and vegetables are imported from other countries. Ref. Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning Dr. Siham Gritly 8 Nutritional status and economic well-being are affected by food carrying pathogenic organisms and their toxins or poisonous chemicals. Food is easily contaminated when produced in an unhealthy or unclean environment.
  • 9. Ref. FAO/WHO • Microbiological contamination and spoilage of food should be prevented, and the use of; • pesticides, • fungicides, • food additives, • veterinary drugs • and numerous other chemicals that can contaminate food should be controlled. Dr. Siham Gritly 9
  • 10. Consumer awareness hazard: a source of danger; used to refer to circumstances in which harm is possible under normal conditions of use. Invisible microbiological hazardous in food Dr. Siham Gritly 10
  • 11. Invisible chemical hazardous in food ref. FAO and WHO, 2003 Dr. Siham Gritly 11
  • 12. Legislation and consumers' rights • food laws national legislation protects consumers invisible microbiological as well as invisible chemical hazardous in food • AS suggested by FAO and WHO joined report that consumers are not aware of their rights and this prevents them from obtain full advantage from these measures. Dr. Siham Gritly 12
  • 13. Food legislation should FAO and WHO, 2003 1- Provide a high level of health protection Include clear definitions to increase consistency and legal security 2- Be based on high quality, transparent, and independent scientific advice following risk assessment, risk management and risk communication 3- Include provision for the use of precaution and the adoption of provisional measures where an unacceptable level of risk to health has been identified and where full risk assessment could not be performed Dr. Siham Gritly 13
  • 14. 4- Include provisions for the right of consumers to have access to accurate and sufficient information 5- Provide for tracing of food products and for their recall in case of problems 6- Include clear provisions indicating that primary responsibility for food safety and quality rests with producers and processors Dr. Siham Gritly 14
  • 15. 7- Include obligation to ensure that only safe and fairly presented food is placed on the market 8- Recognize the country’s international obligations particularly in relation to trade 9- Ensure transparency in the development of food law and access to information Dr. Siham Gritly 15
  • 16. Food Safety from Farms to Consumers Before reaching consumers, food passes through a complex system involving production (crop cultivation, animal husbandry, etc.), postharvest handling, processing, storage, transport, distribution and sale through large or small retail outlets. Dr. Siham Gritly 16 Farm Workers must use safe methods of growing, harvesting, sorting, packing, and storing food to minimize contamination hazards PROCESSING Processors must follow FDA guidelines concerning contamination, cleanliness, and education and training of workers and must monitor for safety at critical control points
  • 17. Ref. Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning Dr. Siham Gritly 17 TRANSPORTATION Containers and vehicles transporting food must be clean. Cold food must be kept cold at all times RETAIL GROCERY STORES AND RESTAURANTS Employees must follow the FDA’s food code on how to prevent foodborne illnesses. Establishments must pass local health inspections and train staff in sanitation
  • 18. With the benefits of a safe and abundant food supply comes the responsibility of consumer to select, prepare, and store foods safely Dr. Siham Gritly 18 CONSUMERS Consumers must learn and use sound principles of food safety. Be aware that foodborne illness is a real possibility, and take steps to prevent it.
  • 19. Food-borne Illnesses Food-borne Infections • Food-borne infections are caused by eating foods contaminated by infectious microbes. Among foodborne infections, Salmonella is the major cause of illness and Listeria is the major cause of death. • These pathogens enter the GI tract in contaminated foods such as undercooked poultry and unpasteurized milk. • Symptoms generally include abdominal cramps, fever, vomiting, and diarrhea. Dr. Siham Gritly 19
  • 20. Foodborne Illnesses Food-borne Infections Ref. Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning Foodborne Infections Most Frequent Food Sources Onset and General Symptoms Prevention Methods Campylobacteri osis Campylobacter bacterium Raw and undercooked poultry, unpasturized milk, contaminated water Onset: 2 to 5 days. Diarrhea, vomiting, abdominal cramps, fever; sometimes bloody stools; lasts 2 to 10 days Cook foods thoroughly; use pasteurized milk; use sanitary food- handling methods. Cryptosporidios is Crytosporidium parvum parasite Contaminated swimming or drinking water, even from treated sources; highly chlorine-resistant; contaminated raw produce and unpasteurized juices and ciders Onset: 2 to 10 days. Diarrhea, stomach cramps, upset stomach, slight fever; symptoms may come and go for weeks or months Wash all raw vegetables and fruits before peeling; use pasteurized milk and juice; do not swallow drops of water while using pools, hot tubs, ponds, lakes, rivers, or streams for recreation. Dr. Siham Gritly 20
  • 21. Food-borne Illnesses Food-borne Infections Cyclosporias is Cyclospora cayetanensi s parasite Contaminated water, contaminated fresh produce Onset: 1 to 14 days. Diarrhea, loss of appetite, weight loss, stomach cramps, nausea, vomiting, fatigue; symptoms may come and go for weeks or months. Use treated, boiled, or bottled water; cook foods thoroughly; peel fruits E. coli infection Escherichia coli bacterium Undercooked ground beef, unpasteurized milk and juices, raw fruits and vegetables, contaminated water, and person-to person contact Onset: 1 to 8 days. Severe bloody diarrhea, abdominal cramps, vomiting; lasts 5 to 10 days Cook ground beef thoroughly; use pasteurized milk; use sanitary food-handling methods; use treated, boiled, or bottled water Dr. Siham Gritly 21
  • 22. Foodborne Illnesses Foodborne Infections Gastroente ritisc Norwalk virus Person-to- person contact; raw foods, salads, sandwiches Onset: 1 to 2 days. Vomiting; lasts 1 to 2 days. Use sanitary food- handling methods Giardiasis Giardia intestinalis parasite Contaminated water; uncooked foods Onset: 7 to 14 days. Diarrhea (but Occasionally nstipation),abdominal pain, gas. Use sanitary food- handling methods; avoid raw fruits and vegetables where parasites are endemic; dispose of sewage properly Hepatitis Hepatitis A virus Undercooked or raw shellfish Onset: 15 to 50 days (28 days average).Diarrhea, dark urine, fever, headache, nausea, abdominal pain, jaundice lasts 2 to 12 weeks. Cook foods thoroughly Dr. Siham Gritly 22
  • 23. Foodborne Illnesses Food-borne Infections Listeriosis Listeria monocytogen es bacterium Unpasteurized milk; fresh soft cheeses; luncheon meats, hot dogs Onset: 1 to 21 days. Fever, muscle aches; nausea, vomiting, blood poisoning, complications in pregnancy,a nd meningitis (stiff neck, severe headache, and fever). Use sanitary food- handling methods; cook foods thoroughly; use pasteurized milk Perfringens food poisoning Clostridium perfringens bacterium Meats and meat products stored at between 120 F and 130 F Onset: 8 to 16 hours. Abdominal pain, diarrhea, nausea; lasts 1 to 2 days Use sanitary food- handling methods; use pasteurized milk; cook foods thoroughly; refrigerate foods promptly and properly Dr. Siham Gritly 23
  • 24. Foodborne Illnesses Foodborne Infections Foodborne Infections Most Frequent Food Sources Onset and General Symptoms Prevention Methods Salmonellosi s Salmonella bacteria (>2300 types Raw or undercooked eggs, meats, poultry, raw milk and other dairy products, shrimp, frog legs, yeast, coconut, pasta, and chocolate Onset: 1 to 3 days. Fever, vomiting, abdominal cramps, diarrhea; lasts 4 to 7 days; can be fatal. Use sanitary food- handling methods; use pasteurized milk; cook foods thoroughly; refrigerate foods promptly and properly. Shigellosis Shigella bacteria (>30 types) Person-to-person contact, raw foods, salads, sandwiches, and contaminated water Onset: 1 to 2 days. Bloody diarrhea, cramps, fever; lasts 4 to 7 days. Use sanitary food- handling methods; cook foods thoroughly; use proper refrigeration. Dr. Siham Gritly 24
  • 25. Foodborne Illnesses Food-borne Infections Vibrio infection Vibrio vulnifi cusd bacterium Raw or undercooked seafood, contaminated water Onset: 1 to 7 days. Diarrhea,abdominal cramps, nausea, vomiting; lasts 2 to 5 days; can be fatal Use sanitary food-handling methods;cook foods thoroughly Yersiniosis Yersinia enterocolitica bacterium Raw and undercooked pork, unpasteurized milk Onset: 1 to 2 days. Diarrhea, vomiting, fever, abdominal pain; lasts 1 to 3 weeks. Cook foods thoroughly; use pasteurized milk; use treated, boiled, or bottled water Dr. Siham Gritly 25
  • 26. Food Intoxications • Food intoxications are caused by eating foods containing natural toxins or, microbes that produce toxins. The most common food toxin is produced by; • Staphylococcus aureus • Clostridium botulinum Dr. Siham Gritly 26
  • 27. • Staphylococcus aureus food poisoning • Staphylococcal toxin (produced by Staphylococcus aureus bacterium • Toxin produced in improperly refrigerated meats; egg, tuna, potato, and macaroni salads; cream-filled pastries Dr. Siham Gritly 27
  • 28. • Clostridium botulinum, an organism that produces a deadly toxin in anaerobic conditions such as improperly canned (especially home- canned) foods and homemade garlic or herb- flavored oils stored at room temperature. • Symptoms; the toxin paralyzes muscles, a person with botulism has difficulty seeing, speaking, swallowing, and breathing. • death can occur within 24 hours of onset, botulism demands immediate medical attention. Dr. Siham Gritly 28
  • 29. Foodborne Illnesses Food Intoxications Foodborne Infections Most Frequent Food Sources Onset and General Symptoms Prevention Methods Botulism Botulinum toxin produced by Clostridium botulinum bacterium, which grows without oxygen, in low- acid foods, and at temperatures between 40°F and 120°F; Anaerobic environment of low acidity (canned corn, peppers, green beans, soups, beets, asparagus, mushrooms, ripe olives, spinach, tuna, chicken, chicken liver, liver,luncheon meats, ham, sausage, stuffed eggplant, lobster, and smoked and salted fish) Onset: 4 to 36 hours. Nervous system symptoms, including double vision, inability to swallow, speech difficulty, and progressive aralysis of the respiratory system; often fatal; leaves prolonged symptoms in survivors. Use proper canning methods for low-acid foods; commercially prepared foods with leaky seals or with bent, bulging, or broken cans. Do not give infants honey because it may contain spores of Clostridium botulinum, which is a commons ource of infection for infants. Dr. Siham Gritly 29
  • 30. Foodborne Illnesses Food Intoxications Foodborne Infections Most Frequent Food Sources Onset and General Symptoms Prevention Methods Staphylococcal (food poisoning Staphylococcal toxin (produced byStaphylococcu s aureus bacterium) Toxin produced in improperly refrigerated meats; egg, tuna, potato, and macaroni salads Onset: 1 to 6 hours. Diarrhea, nausea, vomiting, abdominal cramps, fever; lasts 1 to 2 days Use sanitary food-handling methods; cook food thoroughly; refrigerate foods promptly and properly; use proper home- canning methods. Dr. Siham Gritly 30
  • 31. to avoid food hazardous • In the grocery store, consumers should buy items before the “sell by” date • inspect the safety seals (A broken seal, bulging can lid) • inspect the wrappers of packages. • Look for fresh commodities Dr. Siham Gritly 31
  • 32. Consumer Awareness To avoid microbial food-borne illness • Clean hands, food contact surfaces, and fruits and vegetables. • Separate raw, cooked, and ready-to-eat foods while shopping, preparing, or storing foods. • Cook foods to a safe temperature to kill microorganisms. • Chill (refrigerate) perishable foods promptly and defrost foods properly. • Meat and poultry should not be washed or rinsed. • Avoid raw (unpasteurized) milk or any products made from unpasteurized milk, raw or • partially cooked eggs or foods containing raw eggs, raw or undercooked meat and poultry, • unpasteurized juices, and raw sprouts Dr. Siham Gritly 32
  • 33. • Consumer Awareness • Food label Dr. Siham Gritly 33
  • 34. The food label Nutrition labeling can help you make food choices that meet Dietary Guidelines and promote a lifetime of good health Dr. Siham Gritly 34 Consumers read food labels to learn about the nutrient contents of a food or to compare similar foods.
  • 35. • According to the Nutrition Labeling and Education Act, all food labels must contain the following information: • Common name of the product • Name and address of the product’s manufacturer • Net contents in terms of weight, measure or count, • Ingredient List – Lists the ingredients in descending order of predominance and weight Dr. Siham Gritly 35
  • 36. 1-list of ingredients; • must list all ingredients—including • additives used to preserve or enhance foods, such as vitamins and minerals added to enrich or fortify products. • Listed in descending order by weight Dr. Siham Gritly 36
  • 37. 2-serving size; • Each package must identify the size of a serving. • The nutritional information given on the label is based on one serving of the food they must identify the size of the serving. • The Food and Drug Administration (FDA) has established specific serving sizes for various foods and requires that all labels for a given product use the same serving size. Dr. Siham Gritly 37
  • 38. • Amount per serving for the following; • Total calories • Calories from fat • Total fat, saturated fat, trans fat, cholesterol • Sodium • Total carbohydrate • Dietary fiber • Sugar • Protein • Vitamins A,C, Calcium, iron Dr. Siham Gritly 38
  • 39. • each package must identify the quantities of specified nutrients and food constituents for one serving. • The most important thing to remember is this: • 1 gr. fat = 9 calories • 1 gr. protein = 4 calories • 1 gr. carbohydrate = 4 calories • 1 gr. alcohol = 7 calories • Therefore, we can tell the percentages of each nutrient in a package Dr. Siham Gritly 39
  • 40. Household and Metric Measures ref, Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning 1 teaspoon ( tsp) = = 5 milliliters (mL) 1 tablespoon (tbs) = 15 mL 1 cup (c) = 240 mL 1 fluid ounce (fl oz) 30 mL 1 ounce (oz) = 28 grams (g) Dr. Siham Gritly 40 For example, the standard serving size for all ice creams is ½ cup and for all beverages, 8 fluid ounces
  • 41. 3-Nutrition Facts • designed to provide information on the nutrients that are of major concern for consumers • the Nutrition Facts panel on food labels present nutrient information in two ways • in quantities (such as grams) • and as percentages of standards called the Daily Values. Dr. Siham Gritly 41
  • 42. • The Nutrition Facts panel must provide the nutrient amount, percent Daily Value, or both for the following • Total food energy (kcalories) • Food energy from fat (kcalories) • Total fat (grams and percent Daily Value) • Saturated fat (grams and percent Daily Value) • Trans fat (grams) Dr. Siham Gritly 42
  • 43. • Cholesterol (milligrams and percent Daily Value) • Sodium (milligrams and percent Daily Value) • Total carbohydrate, which includes starch, sugar, and fiber (grams and percent Daily Value) • Dietary fiber (grams and percent Daily Value) • Sugars, which includes both those naturally present in and those added to • the food (grams) • Protein (grams Dr. Siham Gritly 43
  • 44. • The labels must also present nutrient content information as a percent Daily Value • for the following vitamins and minerals: • Vitamin A • Vitamin C • Iron • Calcium Dr. Siham Gritly 44
  • 46. Dr. Siham Gritly 46 Serving Size Volume weight (English) AND mass (metric)Also estimated serving per package Calories per serving – not necessarily the entire container. Calculated calories from fat (9 Cal/g of fat) Under fat optional listing of: Monounsaturated fat Polyunsaturated fat Option listing of potassium after sodium Option under carbohydrate: Soluble and insoluble fiber, Sugar alcohols, Other carbohydrate This is the minimum set of nutrients required. B vitamins and other vitamins and mineral can be listed. This is more of a marketing tool.
  • 47. Daily Values (DV): • Daily Values (DV): reference values developed by the FDA specifically for use on food labels. reflect dietary recommendations for nutrients and dietary components that have important relationships with health. • Daily Values for both a 2000-kcalorie and a 2500-kcalorie diet Dr. Siham Gritly 47
  • 49. Daily Values for Food Labels Food labels must present the “% Daily Value” for these nutrients. Food Component Daily Value Calculation Factors Fat 65 g 30% of kcalories Saturated fat 20 g 10% of kcalories Cholesterol 300 mg Carbohydrate (total) 300 g 60% of kcalories Fiber 25 g 11.5 g per 1000 kcalories Protein 50 g 10% of kcalories Sodium 2400 mg Dr. Siham Gritly 49
  • 50. Daily Values for Food Labels Food Component Daily Value Calculation Factors Potassium 3500 mg Vitamin C 60 mg Vitamin A 1500 μg — Calcium 1000 mg Iron 18 mg Dr. Siham Gritly 50
  • 51. Percent Daily Value (%DV): • the percentage of a Daily Value recommendation found in a specified serving of food for key nutrients based on a 2000-kcalorie diet. • The “% Daily Value” estimate of how individual foods contribute to the total diet. • A 2000-kcalorie diet is considered about right for sedentary younger women, active older women, and sedentary older men. Dr. Siham Gritly 51
  • 52. How to Calculate Personal Daily Values • The Daily Values on food labels are designed for a 2000-kcalorie intake, but you can calculate a personal set of Daily Values based on your energy allowance. Consider a 1500- kcalorie intake, for example. To calculate a daily goal for fat, multiply energy intake by 30 percent: • 1500 kcal × 0.30 kcal from fat • = 450 kcal from fat Dr. Siham Gritly 52
  • 53. • The “kcalories from fat” are listed on food labels, so you can add all the “kcalories from fat” values for a day, using 450 as an upper limit. A person who prefers to count grams of fat can divide this 450 kcalories from fat by 9 kcalories per gram • to determine the goal in grams: • 450 kcal from fat ÷ 9 kcal/g • = 50 g fat Dr. Siham Gritly 53
  • 54. • Alternatively, a person can calculate that 1500 kcalories is 75 percent of the 2000-kcalorie intake used for Daily Values: • 1500 kcal ÷ 2000 kcal = 0.75 • 0.75 × 100 = 75% Dr. Siham Gritly 54
  • 55. • Then, instead of trying to achieve 100 percent of the Daily Value, a person consuming 1500 kcalories will aim for 75 percent. • Similarly, a person consuming 2800 kcalories would aim for 140 percent: • 2800 kcal ÷ 2000 kcal = 1.40 or 140% Dr. Siham Gritly 55
  • 56. guideline for consumers to judge the product they are purchasing • The Percent Daily Value is what is used to calculate the nutritional values. • Note that fats, cholesterol and sodium should be limited. Fats should make up less than 30% of you total calories, and saturated fats should make up less than 10% of your calories. • The amount of specific nutrient you should be consuming is dependant upon age, sex, if you are recovering from injury, pregnant, lactating, and other factors. Dr. Siham Gritly 56
  • 57. 5-Nutrient Claims: • statements that characterize the quantity of a nutrient in a food. • phrases such as “good source of fiber” or “rich in calcium” Dr. Siham Gritly 57
  • 58. 5-Health Claims • health claims: statements that characterize the relationship between a nutrient or other substance in a food and a disease or health- related condition • Consumers reading “Diets low in sodium may reduce the risk of high blood pressure,” • for example, knew that the FDA had examined enough scientific evidence to establish a clear link between diet and health. Dr. Siham Gritly 58
  • 59. Reliable Health Claims on Food Labels • Diets adequate in calcium may reduce the risk of osteoporosis. • Diets low in sodium may reduce the risk of high blood pressure. • Diets low in saturated fat and cholesterol, and as low as possible in trans fat, may reduce the risk of heart disease. • Diets low in total fat may reduce the risk of some cancers. Dr. Siham Gritly 59
  • 60. The FDA also provides guidelines about the claims and descriptions manufacturers may use in food labeling to promote their products: Claim Requirements that must be met before using the claim in food labeling Fat-FreeLess than 0.5 grams of fat per serving, with no added fat or oil Low fat3 grams or less of fat per serving Less fat25% or less fat than the comparison food Saturated Fat FreeLess than 0.5 grams of saturated fat and 0.5 grams of trans-fatty acids per serving Cholesterol-FreeLess than 2 mg cholesterol per serving, and 2 grams or less saturated fat per serving 60Dr. Siham Gritly
  • 61. Low Cholesterol20 mg or less cholesterol per serving and 2 grams or less saturated fat per serving Reduced CalorieAt least 25% fewer calories per serving than the comparison food Low Calorie40 calories or less per serving Extra LeanLess than 5 grams of fat, 2 grams of saturated fat, and 95 mg of cholesterol per (100 gram) serving of meat, poultry or seafood LeanLess than 10 grams of fat, 4.5 g of saturated fat, and 95 mg of cholesterol per (100 gram) serving of meat, poultry or seafood Light (fat)50% or less of the fat than in the comparison food (ex: 50% less fat than our regular cheese) 61Dr. Siham Gritly
  • 62. Light (calories)1/3 fewer calories than the comparison food High-Fiber5 grams or more fiber per serving Sugar-FreeLess than 0.5 grams of sugar per serving Sodium-Free or Salt-FreeLess than 5 mg of sodium per serving Low Sodium140 mg or less per serving of sodium Very Low Sodium35 mg or less per serving of sodium HealthyA food low in fat, saturated fat, cholesterol and sodium, and contains at least 10% of the Daily Values for vitamin A, vitamin C, iron, calcium, protein or fiber. "High", "Rich in" or "Excellent Source" 20% or more of the Daily Value for a given nutrient per serving 62Dr. Siham Gritly
  • 63. "Less", "Fewer" or "Reduced" At least 25% less of a given nutrient or calories than the comparison food "Low", "Little", "Few", or "Low Source of" An amount that would allow frequent consumption of the food without exceeding the Daily Value for the nutrient – but can only make the claim as it applies to all similar foods "Good Source Of", "More", or "Added" The food provides 10% more of the Daily Value for a given nutrient than the comparison food 63Dr. Siham Gritly
  • 64. References • 1997-2012 HealthCheck Systems • Sareen Gropper, Jack Smith and James Groff, Advanced Nutrition and Human Metabolism, fifth ed. WADSWORTH • Melvin H Williams 2010; Nutrition for Health, Fitness and Sport. 9th ed, McGraw Hill • • Heymsfield, SB.; Baumgartner N.; Richard and Sheau-Fang P. 1999. Modern Nutrition in Health and Disease; Shils E Maurice, Olson A. James, Shike Moshe and Ross A. Catharine eds. 9th edition • Guyton, C. Arthur. 1985. Textbook of Medical Physiology. 6th edition, W.B. Company • FAO/WHO/UNU expert consultation (WHO, 1985) report • Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning 64Dr. Siham Gritly

Notas do Editor

  1. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  2. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  3. Ref. FAO and WHO, 2003
  4. FAO and WHO, 2003
  5. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  6. ReferenceFAO and WHO, 2003
  7. Assuring Food Safety and Quality: Guidelines for Strengthening National Food Control SystemsFAO and WHO, 2003
  8. Assuring Food Safety and Quality: Guidelines for Strengthening National Food Control SystemsFAO and WHO, 2003
  9. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  10. Ref. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  11. Ref. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  12. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  13. ref, Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  14. ref, Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  15. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  16. Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  17. ref, Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning
  18. ref, Ellie Whitney and Sharon RadyRolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning