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Nutrition Logic:
Food First, Supplements Second
Excerpts
From Chapter 5: Calcium Foods
Calcium, a mineral, is associated with bone health. This is not
surprising because 99% of the calcium in your body is in the bones.
But it is the other 1%, found mainly in your blood that dictates
things. The calcium in your blood is used for muscle contraction,
nerve impulse transmission, blood clotting, and regulation of blood
pressure. These important functions cannot be left to chance, so your
body strictly maintains the amount of calcium in your blood. What
supplies the calcium in your blood? The calcium you consume from food
or calcium supplements and the calcium that is stored in your bones.
Take-Home Message: Everyone needs calcium every
day.
Milk is an excellent source, but not the only source, of calcium.
Calcium is found in a variety of food sources. One of the best known
is cow’s milk. An 8-ounce glass contains about 300 milligrams. Other
dairy products, such as 1.5 ounces of cheddar cheese, contain the same
amount as milk. But some people don’t like milk or dairy products, and
many adults are lactose intolerant. They must find a way to get enough
calcium from other sources.
Obtaining calcium from nondairy sources is difficult for many people
because the amount of calcium in vegetables is low. For example, 1 cup
of cooked broccoli has about 100 milligrams of calcium, one-third of
the calcium that milk does. Additionally, good vegetable sources of
calcium (brussels sprouts, collard greens, green cabbage, kale,
kohlrabi, mustard greens, turnip greens) are not everyday foods for
many Americans.
People all over the world obtain calcium from a variety of sources.
Sardines and other small fish eaten whole provide calcium because the
fish bones are an excellent source. Tofu that has been preserved with
calcium and some seaweed are also good calcium sources. Mineral water,
depending on the brand, may provide 50 milligrams of calcium in an
8-ounce glass. The bottom line is that you need calcium and there are
many ways to obtain the calcium that you need. The following chart
shows many strategies for getting the required amount of calcium.
Choose those that feel right for you.
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Strategies for Getting Enough Calcium |
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Drink milk and milk products. |
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Drink milk and milk products but use lactase tablets or consume
lactase-treated products. |
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Consume fermented milk products such as yogurt and aged cheese. |
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Consume nondairy calcium foods such as cabbage, broccoli, turnips, and
other greens. |
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Consume calcium-fortified products such as orange juice, soy milk, and
cereal (check labels). |
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Consume calcium supplements. |
The calcium recommendation for adults is based on age. Those aged 19
to 50 need to consume 1,000 milligrams per day. After age 50, 1,200
milligrams of calcium daily is needed. Postmenopausal women not
receiving estrogen (hormone replacement therapy) should consume 1,500
milligrams per day. Meeting calcium requirements is important for all
adults. Consuming 1,000 to 1,200 milligrams daily is easier for men
than for women. Most men consume more food and therefore more calcium
than women do. Obtaining 1,500 milligrams from diet alone is
difficult. Calcium supplements are a reasonable alternative for some
people and are covered in chapter 19.
From Chapter 11: Healthful Eating for Men
In many respects men have an easier time meeting their nutritional
needs than women do. When compared to women, men need the same amount
or slightly more of all of the vitamins. The same holds true for the
minerals with one exception: iron. Men need considerably less iron
than premenopausal women do. The average man needs to consume more
calories daily than the average woman does because men have more
muscle and other lean tissue (such as bone mass). The greater caloric
consumption makes getting the needed nutrients easier.
A sedentary man needs about the same amount of calories as an active
woman, a vivid example of the differences in caloric requirements.
However, no one is suggesting that a sedentary lifestyle is healthy,
even if you balance intake with expenditure and can maintain your
weight. An active man needs about 2,800 calories daily. It is not
difficult to meet nutrient requirements with 2,800 calories.
The basic guidelines are not based on gender. Thus, for men and women
the components of a healthy diet are the same: fruits, vegetables,
whole grains, beans, legumes, fish, nuts, and oils. Men need more
calories and, in some cases, more nutrients than women do. Men can
meet these greater needs easily by eating larger portions of healthy
foods. The following example is a case in point.
Michael is a 31-year-old computer programmer. He works odd hours
depending on the current project. One week he may work 8-hour days and
the next week he may work 14-hour days. When under a tight deadline,
he eats and sleeps in his office. He considers himself an
adventuresome eater, but cooking is pretty much limited to heating
leftovers in the microwave. He uses exercise as a way to break the
monotony and tension of work.
Can Michael be a healthy eater? Yes, as long as he makes the right
choices. In the following example, Michael eats a quick breakfast—one
toaster waffle and a cup of fat-free soy milk—before going to work at
9:00 A.M. At 1:00 P.M. a coworker goes to the local deli and picks up
lunch. By this point Michael is very hungry, so he orders two tuna
sandwiches on whole-grain bread, a three-bean salad, and a banana. At
7:00 P.M. he realizes that he has not eaten since lunch, and someone
makes a run to the local Chinese restaurant. He eats large portions of
stir-fried vegetables with tofu, cashew chicken, and steamed rice. He
has half a mango for dessert and hot Chinese tea. At midnight he and
some of the other programmers go across the street to a 24-hour gym
and play basketball for an hour. He buys a trail mix snack from the
vending machine and eats it on his way home. He arrives home about
1:45 A.M.
Michael met all of his nutrient requirements by eating fruits,
vegetables, whole grains, beans, fish, nuts, and oils. (The complete
nutritional breakdown is in the appendix) The choices he made were
wise choices. For example, the soy milk he drank was calcium
fortified. This is important because Michael does not eat dairy
products and without the fortified soy milk his calcium intake would
be low. He chose whole-grain bread for his sandwiches rather than
white bread. He had a bean salad rather than chips with his
sandwiches. The dishes he chose from the Chinese restaurant were among
the most nutritious because they supplied lots of vegetables, tofu,
and some nuts. The mango was an important source of vitamin A. He
drank water throughout the day and exercised intensely for an hour.
Had he not chosen carefully, Michael’s diet could have been lacking
nutrients. If he had chosen to eat sweet and sour pork and fried rice
instead of the vegetables and steamed rice, he would not have met all
his nutrient requirements. If he had gone home after work instead of
playing basketball, he would not have been physically active all day.
But it is possible to have a healthy lifestyle even if you eat out a
lot if you make the right choices.
The choices you make about the foods you include in your diet should
reflect your understanding of the nutrients you need. The amount of
nutrients that you take in should balance your energy needs. That’s
part of the logical approach to good nutrition. It doesn’t matter
whether you prepare every meal yourself or join what seems like
everyone in town at the local restaurant. Making the right choices
means asking the right questions.
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