CMYK (GLOSS LAM) SPINE 42mm Food—how we produce, prepare, share and consume it—is fundamental to our wellbeing. It also connects the human body to the complex and dynamic systems of our environment. This is more significant than ever before in human history, as climate change and increasing population impact on global ecosystems. This fourth edition of Food and Nutrition has been completely rewritten to reflect 4th edition an ecosystems approach to human health. It is shaped around four dimensions of human nutrition: biology, society, environment and economy. NF O Food and Nutrition provides a comprehensive overview of food components and U the biochemistry of foods and digestion. It outlines nutrition needs at different life O stages, dietary disorders, and social and cultural influences on food selection and T consumption. It also explores the increasing influence of technology on agriculture and food preparation, and recent research into intergenerational nutrition RD and nutrigenomics. At every stage it points to how you can impact your own health and the health of others as a global citizen and as a health or other I food-system-related professional. TA I N Extensively illustrated with informative graphs, diagrams and data, and with O examples, glossaries and reflective exercises, Food and Nutrition is the ideal introduction to the field of nutrition and dietetics for the 21st century, and a D N valuable professional reference for early career dietitians. 4th FOOD edition MARK WAHLQVIST held the first Australian Chair of Human Nutrition, at Deakin a n M University, and was Professor and Head of Medicine at Monash University and AND d a the Monash Medical Centre. He has held senior appointments at universities, D r medical centres and research institutes in Australia, Sweden, Indonesia, Taiwan a k E n L D and mainland China, and was president of the International Union of Nutritional ie . IT NUTRITION Sciences and editor- in- chief of the Asia Pacific Journal of Clinical Nutrition. W l E l e D a G h B DANIELLE GALLEGOS is Professor in Nutrition and Dietetics at Queensland a l Y University of Technology and a Fellow of the Dietitians Association of Australia. l q Sustainable food and health systems l v e i g s o t s EDITED BY Cover design: Romina Panetta Edwards Mark L. Wahlqvist and Danielle Gallegos Cover photo: Deborah Lee Rossiter/Shutterstock N U T R I T ION/ H E A LT H www.allenandunwin.com Food Nutrition v5.indd 1 23/9/19 9:20 am FOOD AND NUTRITION We dedicate this edition of Food and Nutrition to our children and grandchildren, here and yet to come: Ingmar, Kerstin, Gustav, Oriane, Otto, Malia, Mikaela, Patrik and Eliza. May our concerted efforts ensure they will have sustainable livelihoods on a habitable planet well into the future. We acknowledge the First Nations peoples of Australia and New Zealand and pay our respects to their elders past, present and future. We recognise their strong and unbroken connection to land and sea and that addressing and fulfilling issues around sovereignty, treaties and human rights are long overdue. The full enactment of these rights will be essential to ensure food security into the future. We would like to thank Rebecca Borradale and David Borradale for their contributions to the conceptualisation and construction of many of the diagrams in this edition of the textbook. FOOD AND NUTRITION Sustainable food and health systems 4th edition EDITED BY Mark L. Wahlqvist and Danielle Gallegos CONTRIBUTORS Janis Baines David Borradale Janeane Dart Leisa McCarthy Christina McKerchar Claire Palermo Gayle S. Savige Jolieke C. van der Pols Naiyana Wattanapenpaiboon This edition published in 2020 First edition published in 1997 Second edition published in 2002 Third edition published in 2011 Editorial arrangement copyright © Mark L. Wahlqvist and Danielle Gallegos 2020 Copyright in individual chapters remains with the authors Every effort has been made to contact the copyright holders of reproduced material. Any inquiries regarding permissions should be directed to the publishers. All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without prior permission in writing from the publisher. The Australian Copyright Act 1968 (the Act) allows a maximum of one chapter or 10 per cent of this book, whichever is the greater, to be photocopied by any educational institution for its educational purposes provided that the educational institution (or body that administers it) has given a remuneration notice to the Copyright Agency (Australia) under the Act. Allen & Unwin 83 Alexander Street Crows Nest NSW 2065 Australia Phone: (61 2) 8425 0100 Email: [email protected] Web: www.allenandunwin.com A catalogue record for this book is available from the National Library of Australia ISBN 978 1 76029 610 0 Internal design by Romina Panetta Index by Garry Cousins Set in 10.5/13 pt Bembo by Midland Typesetters, Australia Printed by Tien Wah Press, Singapore 10 9 8 7 6 5 4 3 2 1 CONTENTS {List of figures and tables} > vii {Contributors} > xvi 01 {An econutrition approach to health} Mark L. Wahlqvist and Danielle Gallegos > 1 {Part 1} Your professional toolkit > 13 02 {The toolkit for nutrition practice} Claire Palermo, Janeane Dart and Danielle Gallegos > 15 03 {Evaluating the reliability of nutrition information} Mark L. Wahlqvist > 36 {Part 2} Food systems > 55 04 {Food systems and security} Mark L. Wahlqvist and David Borradale > 58 05 {Food processing} Janis Baines and David Borradale > 74 06 {Food safety: Regulation, risk analysis and food chemicals} Janis Baines and David Borradale > 100 07 {Food safety: Microbiological risks} Janis Baines and David Borradale > 123 {Part 3} Food, nutrients and other bioactive food components > 139 08 {Food groups and diets} Mark L. Wahlqvist and Gayle S. Savige > 142 09 {Food digestion} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 171 10 {Macronutrients: Proteins} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 182 11 {Macronutrients: Fats} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 195 12 {Macronutrients: Carbohydrates} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 208 13 {Macronutrients: Food energy} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 225 14 {Macronutrients: Water} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 240 15 {Alcohol} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 247 16 {Micronutrients: Vitamins} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 257 17 {Micronutrients: Minerals} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 289 18 {Phytonutrients as bioactive food components} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 311 19 {Food-based guidance systems} Danielle Gallegos > 322 {Part 4} Nutrition across the life-course > 343 20 {Pregnancy and lactation} Danielle Gallegos > 348 21 {Infancy, childhood and adolescence} Gayle S. Savige and Danielle Gallegos > 368 22 {Adults and the later years} Danielle Gallegos > 394 {Part 5} Nutrition assessment, monitoring and surveillance > 423 23 {Assessing and evaluating nutritional status, diets and physical activity} Danielle Gallegos > 426 24 {Nutrition monitoring and surveillance} Jolieke C. van der Pols > 451 {Part 6} Food, the environment and society > 467 25 {Nutritional economics} Mark L. Wahlqvist > 471 26 {Sustainable food and nutrition practice} Danielle Gallegos > 490 27 {Social and cultural influences on food and nutrition} Danielle Gallegos > 512 28 {Understanding food and nutrition for Indigenous peoples} Danielle Gallegos, Leisa McCarthy and Christina McKerchar > 535 29 {International nutrition and health} Mark L. Wahlqvist > 556 {Part 7} Nutritional biology and ecohealth disorders > 573 30 {Nutritional biology} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 578 31 {Ecohealth disorders} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 612 32 {Disordered system functions} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 627 33 {Disordered organ functions} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 661 34 {Mental health disorders} Mark L. Wahlqvist and Naiyana Wattanapenpaiboon > 680 35 {Food and health: Lifelong learning and action} Mark L. Wahlqvist > 693 {Acronyms and abbreviations} > 699 {Index} > 705 LIST OF FIGURES AND TABLES The colour section is between pages 14 and 15. FIGURES 1.1: Dimensions of human nutrition 5 1.2: The trend towards smart phone-managed food systems: an unstaffed or ‘peopleless’ food and meal vending outlet in Taipei 8 2.1: Dreyfus model of skill acquisition 20 2.2: Four stages of competence 21 2.3: Professional toolkit 21 2.4: Tools of a system thinker 29 3.1: Hierarchies of evidence for research design 38 3.2: Combining keywords 43 2.A: The food system interacts with multiple other systems 56 4.1: Village food system 59 4.2: Modern food system 61 4.3: What do we need to grow food? 62 4.4: Pathways from food insecurity to malnutrition 69 4.5: The four dimensions of food security 69 4.6: Food biodiversity loss see colour section 4.7: Drivers of change in food systems 71 5.1: Anatomy of a grain 77 5.2: Food preservation techniques 80 5.3: Overview of the packaging supply chain 83 5.4: New and emerging technologies 90 5.5: Agrobacterium-mediated transformation 91 6.1: Food production chain (paddock to plate) 101 6.2: The food regulatory system in Australia and New Zealand 102 6.3: Codex risk analysis framework 102 6.4: Different sources of evidence used by FSANZ and relative weighting 103 6.5: Components of risk management of food-related health risks 106 6.6: Structure of the Australia New Zealand Food Standards Code 108 6.7: Managing cadmium in potatoes 110 7.1: Notification rate for salmonellosis in Australia, by year of diagnosis 126 7.2: Danger zones for temperature and food 134 7.3: Food safety culture 136 viii FOOD AND NUTRITION 3.A: Nutrient matrix 141 8.1: Food group mind map 143 8.2: Some of the nutrients and bioactive compounds found in an apple 147 9.1: The component parts of the gastrointestinal tract 172 9.2: The surface of the small intestine 173 9.3: Summary of digestion processes for proteins, fats and carbohydrates 177 9.4: Satiety (fullness) index of different foods based on the average degree of fullness experienced over two hours 179 9.5: Hormonal regulation of food intake 180 10.1: Chemical structures for amino acids and a peptide chain 183 10.2: General route of synthesis of some dispensable and some conditionally essential amino acids 184 10.3: Fate of proteins in food after ingestion 186 11.1: Fate of dietary fats in food after ingestion 196 11.2: Chemical structure of a stearidonic acid 196 11.3: Essential fatty acid production and metabolism to form eicosanoids—at each step, the n-3 and n-6 cascades compete for the enzymes 198 11.4: Biological roles of fatty acids 199 11.5: The effect of partial hydrogenation on a double bond in an unsaturated fat 204 12.1: Fate of carbohydrates in food after ingestion 210 12.2: The flow of energy through the body 219 12.3: Typical blood glucose responses to high and low-GI foods 221 13.1: Energy metabolism and ATP/ADP cycle 226 13.2: Energy production from glucose oxidation and energy use for muscle contraction 226 13.3: Total energy intake and basal metabolic rate from birth to adolescence 232 14.1: Body fluid compartments 241 15.1: Alcohol metabolism 249 16.1: Chemical structures of vitamin A-related compounds 260 16.2: Function of vitamin A, in the retinal form as a component of rhodopsin, in the visual cycle in the retina of the eye 261 16.3: Chemical structure of vitamin D-related compounds 265 16.4: Metabolism of vitamin D and its role in calcium homeostasis 266 16.5: Consequences of excessive sun exposure and the possible role of phytonutrients in protecting against vitamin D deficiency-related disorders 267 16.6: Molecular structure of vitamin E 269 16.7: Chemical structure of vitamin K-related compounds 271 16.8: Chemical structures of water-soluble vitamins 274 18.1: Potential factors responsible for inter-individual variation in bioavailability and biological responsiveness to phytonutrient intake in relation to cardiometabolic health 313 ix LIsT OF FIgURes AND TAbLes 19.1: Nutrition Australia Healthy Eating Pyramid (2015) see colour section 19.2: Aboriginal and Torres Strait Islander Guide to Healthy Eating see colour section 19.3: Food-based dietary guidelines for Pacific Islanders living in Queensland see colour section 19.4: Japanese Food Guide Spinning Top see colour section 19.5: The Mediterranean Diet Pyramid see colour section 4.A: The life-course approach to diet, nutrition and the prevention of chronic disease 345 4.B: The socioecological model 346 20.1: Dietary factors associated with fertility in men 349 20.2: Dietary influences associated with improved fertility in women 350 20.3: Anatomy of the breast 351 20.4: The milk production and let-down reflex 352 20.5: Weight gain in pregnancy 355 20.6: Weight gain charts for pregnancy see colour section 21.1: The domains of nurturing 368 21.2: Typical individual weight-attained curves in boys and girls 370 21.3: Typical individual velocity curves for weight in boys and girls 370 21.4: Typical individual velocity curves for height in boys and girls 370 21.5: Growth curves of different parts and tissues of the body 371 21.6: Changes in body proportions with age 372 21.7: Growth curves for fat-free mass, fat mass and percentage fat 372 21.8: A conceptual framework of factors affecting breastfeeding practices 377 22.1: Proportion (%) of the population aged 65+ (1946–2016) 396 22.2: Proportion (%) of the population aged 85+ (1946–2016) 396 22.3: Cellular changes that occur with ageing 398 22.4: Contributors to sarcopenia 408 5.A: The Nutrition Care Process 424 23.1: The Frankfort plane 427 24.1: Structure of the 2011–2013 Australian Health Survey 452 24.2: Percentage of children and adults who are obese in New Zealand, 2016–2017 458 - 24.3: Mortality rates due to ischaemic heart disease (per 100,000 persons) for Maori - and non-Maori men and women in New Zealand, 1996–2015 459 6.A: Conceptualising social and cultural influences on food choices and nutrition 469 25.1: How much countries spend on food at home, 2016 472 25.2: The sustainable livelihoods framework 473 25.3: Framework showing the impact of trade agreements on health 476 25.4: Menu board at a Vietnamese hospital showing commercial product logos 477 25.5: Factors influencing consumer product choice 478 25.6: Factors affecting price elasticity of demand for food 480 25.7: Composition of municipal solid waste in Taiwan 482