Verfügbarkeit: Krause's food, nutrition, & diet therapy

Krause's food, nutrition, & diet therapy:

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Bibliographische Detailangaben
Format:	Buch
Sprache:	English
Veröffentlicht:	Philadelphia, Penn. Saunders 2004
Ausgabe:	11. ed.
Schlagworte:	Diät Ernährung Ernährungspolitik Ernährungswissenschaft
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	XXXVII, 1321 S. Ill., graph. Darst.
ISBN:	0721697844

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Datensatz im Suchindex

_version_	1804132999101415424
adam_text	Krause s Food, Nutrition, Diet Therapy llth Edition CONTE PART I NUTRITION BASICS I Digestion,Absorption,Transport, and Excretion of Nutrients 2 Peter L. Beyer, MS, RD, LD The Gastrointestinal Tract 3 Overview of Digestive and Absorptive Processes 4 Enzymes in Digestion 5 Regulators of GI Activity: Nerves, Neurotransmitters, and Neuropeptide Hormones 6 Digestion in the Mouth 9 Digestion in the Stomach 9 Digestion in the Small Intestine 10 The Small Intestine: Primary Site of Nutrient Absorption I I Structure and Function 11 Absorptive Mechanisms 12 The Large Intestine 13 Bacterial Action 13 Digestion and Absorption of Specific Types of Nutrients 15 Factors Affecting Digestion 19 Summary 19 NTS 2 Energy 21 Carol D. Frary, MS, RD Rachel K. Johnson, PhD, MPH, RD Components of Energy Expenditure 22 Resting and Basal Energy Expenditure 22 Thermic Effect of Food 25 Energy Expended in Physical Activity 25 Measurement of Energy Expenditure 25 Units of Measurement 25 Measuring Human Energy Expenditure 26 Thermic Effect of Food 27 Energy Expended in Physical Activity 27 Estimating Energy Requirements 28 Measuring Energy Intake 28 Measuring Basal and Resting Metabolic Rate 28 Estimations of Energy Expenditure 28 Estimated Energy Expended in Physical Activity 32 Calculating Food Energy 33 3 Macronutrients: Carbohydrates, Proteins, and Lipids 37 Susan Ettinger, PhD, RD Carbohydrates 39 Monosaccharides 40 Disaccharides and Oligosaccharides 42 Polysaccharides: Starch 44 Animal Carbohydrates: Glycogen 45 Nondigestible Carbohydrate Homopolymers: Cellulose 45 Nondigestible Carbohydrate Heteropolymers: Hemicelluiose and Gums 45 The Impact of Carbohydrates on Metabolism 48 Fats and Lipids 50 Lipid Structures and Functions 50 Fatty Acids 52 Sources of Fatty Acids 54 The Omega 6/Omega 3 Ratio 55 Triglycerides 56 Phospholipids 57 Synthetic Lipids 59 Food Sources of Fat and Reasonable Recommendations 61 Amino Acids and Protein 62 Protein: The Nitrogen Cycle and Dietary Protein Sources 62 Amino Acid Structure 62 Protein Synthesis 64 Protein Folding: Three Dimensional Structure 64 Dietary Protein Quality 66 Protein Processing and Digestibility 66 Protein Complementarity 67 Protein Use and Nitrogen Balance 67 Nitrogen Excretion: The Urea Cycle 69 Macronutrient Use and Storage in the Fed State 70 Carbohydrates 70 Lipid Transport and Storage 70 Macronutrient Catabolism in the Fasted State 71 Adapted Starvation: Marasmus 71 Nonadapted Starvation 72 Summary 73 4 Vitamins 75 Margie Lee Gallagher, PhD, RD, MS The Fat Soluble Vitamins 76 Vitamin A 76 Vitamin D (Calciferol) 83 Vitamin E 88 Vitamin K 91 The Water Soluble Vitamins 93 Thiamin 93 Riboflavin 95 Niacin 98 Pantothenic Acid 100 Vitamin B6 101 Folate 103 Vitamin B12 106 Biotin 109 Ascorbic Acid 110 Other Vitamin Like Factors 115 Choline 115 Carnitine 116 myo Inositol 116 Ubiquinones 117 Bioflavonoids 117 5 Minerals 120 John J.B. Anderson, PhD Characteristics of Minerals 121 Bioavailability 121 Mineral Mineral Interactions 122 Mineral Composition of the Body 122 Functions 122 Problem Minerals in the U.S. Diet 122 Prebiotics and Minerals 122 Macrominerals 122 Calcium 123 Phosphorus 128 Magnesium 130 Sulfur 133 Microminerals (Trace Elements) 134 General Characteristics 134 Iron 135 Zinc 143 Fluoride 147 Copper 148 Ultratrace Minerals 150 Iodine 150 Selenium 152 Manganese 154 Chromium 155 Molybdenum 156 Boron 157 Cobalt 157 Other Trace Elements 158 Summary 158 6 Water, Electrolytes, and Acid Base Balance 164 Su.um J. Whitmire. KD. LDN, CNSD Body Water 165 Functions 165 Distribution 165 Balance 165 Requirements 168 Electrolytes 169 Sodium 170 Chloride 171 Potassium 172 Acid Base Balance 172 Acid Generation 172 Regulation 172 Acid Base Disorders 174 Metabolic Acidosis 175 Metabolic Alkalosis 175 Respiratory Acidosis 175 Respiratory Alkalosis 175 Compensation 176 Summary 176 PART 2 NUTRITION IN THE LIFE CYCLE 7 Nutrition During Pregnancy and Lactation 182 Judith K. Shaken, MD, RD, MPH Pregnancy 183 Effect of Nutritional Status on Pregnancy Outcome 183 Nutritional Supplementation During Pregnancy 187 Physiologic Changes During Pregnancy 188 Nutritional Requirements 189 Guide for Eating During Pregnancy 194 Complications of Pregnancy and Their Dietary Implications 199 Lactation 201 Physiology 202 Nutritional Requirements 202 Breast Feeding an Infant 204 Nutrition, Fertility, and Conception 209 Summary 209 8 Nutrition During Infancy 214 Cristine M. Trahms, MS, RD, CD, FADA Physiologic Development 215 Nutrient Requirements 217 Energy 217 Protein 218 Lipids 218 Carbohydrates 218 Water 219 Minerals 219 Vitamins 220 Milk 220 Composition of Human and Cow s Milk 221 Antiinfective Factors 222 Formulas 222 Whole Cow s Milk 225 Formula Preparation 226 Food 226 Feeding 226 Initial Feeding Patterns 226 Development of Feeding Skills 227 Addition of Semisolid Foods 227 Weaning From Breast or Bottle to Cup 228 Early Childhood Caries 229 Feeding Older Infants 230 Summary 232 9 Nutrition for Low Birth Weight Infants 234 Diane M. Anderson. I hD, RD, CSP, FADA Physiologic Development 235 Gestational Age and Size 235 Infant Mortality and Statistics 236 Characteristics of Immaturity 236 Nutritional Requirements: Parenteral Feeding 237 Fluid 237 Energy 239 Glucose 239 Amino Acids 239 Lipids 240 Electrolytes 241 Minerals 241 Trace Elements 241 Vitamins 241 Transition From Parenteral to Enteral Feeding 242 Nutritional Requirements: Enteral Feeding 243 Energy 243 Protein 243 Lipids 244 Carbohydrates 244 Minerals and Vitamins 245 Feeding Methods 246 Gastric Gavage 246 Transpyloric Feeding 247 Nipple Feeding 247 Breast Feeding 247 Tolerance of Feedings 247 Selection of Enteral Feeding 248 Human Milk 248 Premature Infant Formulas 249 Transitional Infant Formulas 249 Formula Adjustments 249 Growth and Nutritional Assessments 250 Growth Rates and Growth Charts 250 Laboratory Indices 251 Discharge Care 25 I Neurodevelopmentnl Outcome 256 Summary 257 10 Nutrition in Childhood 259 Hetty L Imcus. MM. RD. CD Growth and Development 260 Growth Patterns 260 Catch Up Growth 260 Assessing Growth 260 Nutrient Requirements 262 Energy 262 Protein 262 Minerals and Vitamins 262 Providing an Adequate Diet 268 Intake Patterns 268 Factors Influencing Food Intake 269 Feeding Preschool Children 272 Feeding School Age Children 274 Nutritional Concerns 275 Obesity 275 Underweight and Failure to Thrive 277 Iron Deficiency 277 Dental Caries 278 Allergies 278 Attention Deficit Hyperactivity Disorder 278 Autism Spectrum Disorders 279 Preventing Chronic Disease 279 Dietary Fat and Cardiovascular Health 279 Calcium and Bone Health and Obesity 280 Fiber 280 Physical Activity 280 Summary 280 I I Nutrition in Adolescence 284 Bonnie A. Spear, PhD, RD Growth and Development 285 Physiologic Changes 285 Psychological Changes 286 Nutrient Requirements 288 Energy 289 Protein 289 Minerals and Vitamins 290 Food Habits 293 Irregular Meals and Snacking 293 Fast Foods and the Media 293 Potential Nutritional Inadequacies 294 Adolescents as Food Purchasers 294 Special Situations 295 Vegetarians 295 Eating Disorders 295 Obesity 296 Hyperlipidemia 297 Sports Nutrition 297 Substance Use 298 Pregnancy 298 Strategies for Improving Nutritional Weil Being 299 Nutritional Status Assessments 299 Prerequisites for Change 299 Summary 299 I 2 Nutrition in the Adult Years 302 Kimberly Mathai, MS, RD, CN Eating and the Food Environment 303 What Americans Eat 303 How Americans Eat 304 Defensive Nutrition Paradigm 305 Phytochemicals 305 Organ Support 308 Gastrointestinal Integrity 308 Intestinal Mucosa 308 Intestinal Microflora 308 Detoxification Systems 310 Gastrointestinal System: Gut Associated Lymphoid Tissue 310 Liver: Two Phase Detoxification System 310 Supporting Detoxification Pathways 311 Guidelines for a Defensive Nutrition Paradigm 31 I Increasing Fruit and Vegetable Intake 312 Increasing Omega 3 Fatty Acid Intake 314 Vitamin and Mineral Supplementation 314 Women s Health 314 Men s Health 315 Summary 315 13 Nutrition in Aging 318 Nancy G. Harris, MS, RD, LDN, FADA The Older Population 319 Theories of Aging 3 19 Physiologic Changes 321 Body Composition Changes 321 Sensory Losses 322 Oral Health Status 322 Gastrointestinal Function 322 Cardiovascular Function 323 Renal Function 323 Neurologic Function 324 Immunocompetence 324 Medications 324 Multidisciplinary Assessment 324 Nutrition Screening 325 Nutrition Needs 326 Energy 326 Protein 326 Carbohydrates 327 Lipids 327 Minerals 327 Vitamins 330 Water 331 Dietary Planning 33 I Nutrition Issues 331 Dysphagia 332 Pressure Ulcers 333 Alzheimer s and Parkinson s Diseases 334 Failure to Thrive 334 Supportive Services 334 Community Nutrition Programs 335 Assisted Living and Skilled Care Facilities 335 PART 3 NUTRITION CARE 14 Nutrition in the Community 340 Judith L Dodd. MS, RD, FADA, LD Cynthia Taft Bayed, MS, RD, LDN Nutrition Practice in the Community 342 Needs Assessment for Community Based Nutrition Services 344 Needs Assessment: General Information 344 Sources for Needs Assessment Information 345 National Food and Nutrition Data Sources 345 National Health and Nutrition Examination Surveys 345 Nationwide Food Consumption Survey 346 Continuing Survey of Food Intake of Individuals: Diet and Health Knowledge Survey 346 National Nutrition Monitoring and Related Research Act 346 Nutrition Screening Initiative 346 National Nutrient Data Bank 347 Centers for Disease Control and Prevention 347 National Nutrition Guidelines and Goals 347 Healthy People and The Surgeon General s Report on Nutrition and Health 347 Dietary Guidelines for Americans 347 Other Dietary Guidance 348 Recommended Dietary Allowances and Dietary Reference Intakes 349 Food Guides 350 Food Assistance and Nutrition Programs 350 National School Lunch Program and After School Snack Program 350 School Breakfast Program 352 Special Milk Program 352 Child and Adult Care Food Program 352 Summer Food Service Program 352 WIC Program 352 Head Start Program 353 Food Stamp Program 353 Senior Adult Meals 353 Cooperative Extension and the Expanded Food and Nutrition Education Program 354 Food Safety: Laws, Regulations, and Issues 354 Surveillance Systems 354 Regulatory Agencies 354 Approaches to Foodbome Illness Prevention 356 Hazard Analysis Critical Control Points 356 Health Claims 357 Food Technology 357 Additives 357 Food Fortification and Enrichment 357 Irradiation 358 Agricultural Products and Concerns 358 Pesticides 358 Total Diet Study (Market Basket Sample) 358 Genetically Modified Foods and Biotechnology 358 Antibiotics and Hormones 359 Other Concerns About Food and Water Safety 359 Summary 361 15 Guidelines for Dietary Planning 363 Robert Earl, MPH, RD Determining Nutrient Needs 364 Worldwide Guidelines 364 Dietary Reference Intakes (Formerly Recommended Dietary Allowances ) 364 Nutritional Status of Americans 367 Food and Nutrient Intake Data 367 Status Report From the NNMRRP 367 Nutrition Monitoring Report 370 Current Public Health Issues 370 Healthy Eating Index 371 National Guidelines for Diet Planning 371 Current Health Issues 371 Current Dietary Guidance in the United States and Canada 372 Implementing the Guidelines 375 Food Labeling 379 Mandatory Nutrition Labeling 379 Standardized Serving Sizes 379 Nutrition Facts Label 379 Nutrient Content Claims 380 Health Claims 380 Cultural Aspects of Dietary Planning 382 Dietary Patterns of Southeast Asians 382 Dietary Patterns of Chinese Americans 383 Dietary Patterns of Hispanics 384 Dietary Patterns of Native Americans 384 Dietary Restrictions and Patterns of Religious Groups 385 Vegetarianism 386 Summary 386 16 Introduction to Nutritional Genomics 390 Ruth M. DeBusk, PhD, RD The Human Genome Project 392 Genetic Fundamentals 394 Genetics and Genomics 394 Genetic Basics 395 Modes of Inheritance and Penetrance 396 Disease at the Chromosomal Level 397 Disease at the Molecular Level 398 Disease at the Mitochondria! Level 401 Genetics and Nutrition Therapy 401 Influences of Gene Nutrient Interactions on Metabolic Processes 401 Influences of Gene Nutrient Interactions on Gene Expression 402 Complex Genetic Nutrition Connections 403 Summary 404 17 Dietary and Clinical Assessment 407 Kathleen A. Hammond, MS, RD, LD, CNSD, RN, BSN, CNSN Nutritional Imbalance 408 Nutritional Screening 410 Nutritional Assessment 412 Histories 413 Nutrient Intake Analysis 418 Anthropometry 421 Interpretation of Height and Weight 421 Body Composition 424 Nutrition Focused Physical Examination 429 Physical Signs 429 Immune Function 430 Handgrip Dynamometry 430 Biochemical Analysis 430 Classifying Malnutrition 430 Summary 430 18 Laboratory Data in Nutrition Assessment 436 Timothy H. Carlson, PhD, RD, NRCC Definition and Usefulness of Nutrition Laboratory Data 437 Specimen Types 438 Types of Assays 438 Assessment of Protein Energy Status 439 Hormonal and Cell Mediated Response to Stress 439 Nitrogen Balance 439 Visceral (Plasma) Protein Indicators 440 Somatic Indicators of Protein Energy Malnutrition 442 Laboratory Data for Nutritional Anemias 442 Classification of Anemia 443 Laboratory Tests for Iron Deficiency Anemias 443 Effect of Inflammation on Anemia 444 Laboratory Assessment of Macrocytic Anemias Associated With B Vitamin Deficiencies 445 Markers of Malabsorption 446 Wellness Assessment 446 Lipid Indices of Cardiovascular Risk 446 Indices of Oxidative Stress 447 Nutritional Interpretation of Routine Medical Laboratory Data 450 Clinical Chemistry Panels 450 The Complete Blood Count 450 Urinalysis 451 Summary 453 19 Food Drug Interactions 455 Zaneta M. Pronsky, MS, RD, LDN, FADA Sr. Jeanne P. Crowe, PharmD, RPH Pharmacologic Aspects of Food Drug Interactions 456 Pharmacodynamics 456 Pharmocokinetics 457 Risk Factors for Food Drug Interactions 457 Pharmacogenomics 458 Effects of Food on Drug Therapy 459 Drug Absorption 459 Medication and Enteral Nutrition Interactions 460 Drug Distribution 460 Drug Metabolism 461 Drug Excretion 461 Effects of Drugs on Food and Nutrition 462 Nutrient Absorption 462 Nutrient Metabolism 462 Nutrient Excretion 463 Modification of Drug Action by Food and Nutrients 463 Alcohol 464 Effects of Drugs on Nutritional Status 464 Oral, Taste, and Smell 464 Gastrointestinal Effects 465 Appetite Changes 467 Organ System Toxicity 469 Glucose Levels 469 Excipients and Food Drug Interactions 470 Medical Nutrition Therapy 472 Summary 473 20 Integrative Medicine and Phytotherapy 475 Ruth M. DeBusk, PhD, RD Integrative Therapies 476 Naturopathy (Natural Medicine) 477 Chiropractic 478 Homeopathy 478 Traditional Oriental Medicine 479 Phytotherapy 479 Clinical Assessment 480 Regulation 481 Commonly Used Botanicals 482 Echinacea 482 Garlic 483 Ginger 484 Ginkgo 485 Ginseng 486 Hawthorn 487 Milk Thistle 488 Saw Palmetto 489 St. John s Wort 490 Valerian 490 Guidelines for Working With Clients Who Use Botanicals 491 Summary 492 21 The Nutrition Care Process 496 Cynthia M. Brylinsky, MS, RD, LDN Nutrition Care Process and Medical Nutrition Therapy 497 Nutritional Assessment 497 Nutrition Diagnosis 498 Nutrition Intervention 498 Monitoring and Evaluation of Nutritional Care 501 Nutritional Care Record 501 Charting and Documentation 503 Format for Medical Record Charting 506 Influences on Nutritional Care 507 Managed Care Organizations 507 Strategies of Managed Care Systems 509 Payment Systems 509 Patient Focused Care 509 Nutritional Intervention and Diet Modification 510 The Diet Prescription 510 Modifications of the Normal Diet 511 Foods as Nutrient Sources 511 Nutritional Care for the Hospitalized Patient 51 I Standard Hospital or Health Care Diets 511 Regular Diet 511 Soft Diet 512 Liquid Diets 512 Consistency Modifications 514 Food Intake 514 Psychological Factors 514 Nutritional Counseling 515 Nutritional Care of the Terminally III or Hospice Patient 515 Discharge Planning and Home Care 515 Summary 517 22 Counseling for Change 519 Linda G. Snetselaar, BS, MS, PhD, RD Counseling Techniques 520 Stages of Change 520 Activities That Facilitate Behavior Change 521 Expressing Empathy 521 Understanding Cultural Factors 522 Developing Discrepancy 522 Avoiding Arguments or Defensiveness 522 Rolling With Resistance 522 Supporting Self Efficacy 522 Intervention Model 523 Interviewing 523 First Session 523 Assessment 524 Establishing Rapport 525 Assessment of Current Eating Behavior 525 Assessment of Readiness to Change 525 Not Ready to Change Counseling Sessions 525 Asking Open Ended Questions 525 Reflective Listening 526 Affirming 526 Summarizing 526 Eliciting Self Motivational Statements 527 Ending the Session 527 Unsure About Change Counseling Sessions 528 Arranging for the Next Contact 528 Ready to Change Counseling Sessions 528 Action Plan 529 Arranging for the Next Contact 529 Resistance Behaviors and Potential Strategies to Modify Them 529 Reflecting 530 Double Sided Reflection 530 Shifting Focus 530 Agreeing With a Twist 530 Emphasizing Personal Choice 530 Reframing 530 Summary 530 23 Enteral and Parenteral Nutrition Support 533 Abby S. Bloch, PhD. RD, FADA Charles Mueller, PhD, MS, RD, CNSD, CDN Rationale and Criteria for Appropriate Nutrition Support 534 Enteral Nutrition 537 Enteral Access 537 Enteral Formula Composition 538 Administration 540 Complications and Monitoring 541 Parenteral Nutrition 544 Parenteral Access 544 Parenteral Nutrition Solutions 545 Administration 546 Complications and Monitoring 547 Refeeding Syndrome 549 Transitional Feeding 549 Parenteral to Enteral Feeding 549 Parenteral to Oral Feeding 550 Enteral to Oral Feeding 550 Oral Supplements 550 Pharmacologic Use of Nutrients 550 Nutrition Support in Long Term and Home Care 55 I Long Term Care 551 Home Care 551 Ethical Issues 552 Interdisciplinary Nutrition Support Services 552 Summary 553 PART 4 NUTRITION FOR HEALTH AND FITNESS 24 Nutrition for Weight Management 558 Idamarie Laquatra, PhD, RD Body Weight Components 559 Body Fat 559 Adipose Tissue Structure 560 Adipocytes, Hypertrophy, and Hyperplasia 560 Fat Cell Development 560 Fat Storage 561 Regulation of Body Weight 562 Short Term and Long Term Regulation 562 Set Point Theory 562 Factors Regulating Energy Intake and Body Weight 563 Weight Management Throughout Life 564 Weight and Longevity 565 Weight Imbalance: Overweight and Obesity 565 Assessment 565 Prevalence 565 Etiology 566 Health Risks 567 Management of Obesity in Adults 570 Goals of Treatment 571 Rate and Extent of Weight Loss 572 Lifestyle Modification 572 Dietary Modification 573 Recommendations 574 Restricted Energy Diets 574 Exchange System Diets 574 Formula Diets and Meal Replacement Programs 574 Commercial Programs 575 Extreme Energy Restriction 575 Popular Diets and Practices 578 Exercise 580 Pharmaceutical Management 581 Surgical Procedures 582 Maintenance of Reduced Body Weight 585 Common Problems Encountered in Obesity Management 585 Plateau Effect 585 Weight Cycling 586 Weight Management in Children 586 Weight Imbalance: Excessive Leanness 587 Etiology 587 Assessment 588 Management 588 High Energy Diets for Weight Gain 588 25 Nutrition in Eating Disorders 594 Janet E. Schebendach, MA, RD Pamela Reichert Anderson, MA, RD Diagnostic Criteria 595 Anorexia Nervosa 596 Bulimia Nervosa 596 Eating Disorder Not Otherwise Specified 597 Binge Eating Disorder 597 Childhood Eating Disorders 597 Eating Disorders in Athletes 597 Eating Disorders in People With Diabetes 598 Etiology 599 Pathophysiology 599 Clinical Characteristics and Medical Complications: Anorexia Nervosa 599 Clinical Characteristics and Medical Complications: Bulimia Nervosa 601 Nutritional Assessment 601 Diet History 601 Eating Behavior 603 Laboratory Data 603 Vitamin and Mineral Abnormalities 605 Fluid and Electrolyte Abnormalities 605 Metabolic Changes 605 Anthropometric Assessment 605 Psychological Management 607 Nutritional Care 609 Anorexia Nervosa 609 Bulimia Nervosa 610 Monitoring 611 Nutrition Education 61 I Prognosis 61 I Summary 612 26 Nutrition for Exercise and Sports Performance 616 Jacqueline R. Berning, PhD, RD Energy Production 617 Adenosine Triphosphate 617 Aerobic Pathway 618 Energy Continuum 618 Fuels for Contracting Muscles 619 Sources of Fuel 619 Substrate Choice 619 Nutritional Requirements of Exercise 620 Fluid 620 Glucose and Sodium 623 Osmolality 623 Fluid Requirements 623 Endurance Events 625 Weight Management 634 Other Considerations 634 Alcohol 634 Caffeine 634 Ergogenic Aids 635 P Hydroxy P Methylbutyrate 635 Creatine 635 DHEA 637 Androstenedione 637 Summary 638 27 Nutrition and Bone Health 642 John J.B. Anderson, PhD Bone Structure and Bone Physiology 643 Composition of Bone 643 Types of Bone Tissue 643 Bone Cells 644 Calcium Homeostasis 644 Bone Modeling 645 Bone Remodeling 645 Bone Markers 647 Bone Mass and Bone Density 647 Measurement of Bone Mineral Content and Bone Mineral Density 647 Ultrasound Measurements 647 Accumulation of Bone Mass 647 Peak Bone Mass 648 Loss of Bone Mass 648 Nutrition and Bone 650 Calcium 650 Phosphate 652 Vitamin D 652 Magnesium 652 Vitamin K 652 Vitamin A (Retinol) 653 Trace Minerals 653 Other Nutrients 653 Osteopenia and Osteoporosis 654 Definitions of Osteopenia and Osteoporosis 655 Prevalence of Osteoporotic Fractures 655 Types of Osteoporosis 655 Etiology 656 Risk Factors 657 Secondary Prevention and Treatment 660 Estrogen Replacement Therapy 660 Bisphosphonates 661 Selective Estrogen Receptor Modulators 661 Intermittent Parathyroid Hormone Therapy 661 Other Drug Treatments 661 Dietary Treatment 662 Other Treatment Modalities 662 Summary 663 28 Nutrition for Oral and Dental Health 667 Riva Touger Decker, PhD, RD, FADA Nutritional Factors in Tooth Development 668 Dental Caries 668 Pathophysiology 669 Cariogenicity of Individual Foods 671 Factors Affecting Cariogenicity of Food 671 The Decay Process 672 Fluoride 673 Mechanism of Action 673 Sources of Fluoride 674 Preventive Care 675 Periodontal Disease 676 Pathophysiology 676 Nutritional Care 676 Early Childhood Caries 677 Pathophysiology and Incidence 677 Nutritional Care 677 Tooth Loss and Dentures 678 Nutritional Care 678 Oral Manifestations of Systemic Disease 678 Manifestations of HIV/AIDS 678 Fungal Infections 678 Other Painful Mouth Problems 679 Diabetes Mellitus 679 Head and Neck Cancers 679 Polypharmacy 680 Summary 680 PART 5 MEDICAL NUTRITION THERAPY 29 Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders 686 Peter L. Beyer, MS, RD, LD Disorders of the Esophagus 687 Gastroesophageal Reflux and Esophagitis 688 Hiatal Hernia 690 Oral Cavity Cancer and Surgery 691 Disorders of the Stomach 692 Indigestion and Dyspepsia 692 Gastritis and Peptic Ulcer Disease 692 Peptic Ulcers 693 Characteristics of and Comparisons Between Gastric and Duodenal Ulcers 695 Carcinoma of the Stomach 697 Gastric Surgery 698 Dumping Syndrome 699 Summary 702 30 Medical Nutrition Therapy for* Lower Gastrointestinal Tract Disorders 705 Peter L Beyer, MS, RD, LD Common Intestinal Problems 706 Intestinal Gas and Flatulence 706 Constipation 707 Diarrhea 709 Steatorrhea 711 Gastrointestinal Strictures and Obstruction 711 Diseases of the Small Intestine 712 Celiac Disease (Gluten Sensitive Enteropathy) 712 Tropical Sprue 716 Intestinal Brush Border Enzyme Deficiencies 718 Lactose Maldigestion and Lactose Intolerance 718 Inflammatory Bowel Diseases 721 Crohn s Disease 721 Ulcerative Colitis 723 Disorders of the Large Intestine 727 Irritable Bowel Syndrome 727 Diverticular Disease 728 Colon Cancer and Polyps 730 Intestinal Surgery 730 Small Bowel Resections and Short Bowel Syndrome 730 Jejunal Resections 731 Heal Resections 731 Blind Loop Syndrome (Bacterial Overgrowth) 733 Fistula Repair 733 Ileostomy or Colostomy 733 Heal Pouch After Colectomy 734 Rectal Surgery 735 Summary 735 31 Medical Nutrition Therapy for Liver, Biliary System, and Exocrine Pancreas Disorders 738 Jeanette M. Hasse, PhD, RD, LD, CNSD, FADA Laura E. Matarese, MS, RD, LD, CNSD, FADA Physiology and Functions of the Liver 739 Structure 739 Functions 739 Laboratory Assessment of Liver Function 740 Diseases of the Liver 740 Acute Viral Hepatitis 740 Fulminant Hepatitis 742 Chronic Hepatitis 742 Alcoholic Liver Disease, Alcoholic Hepatitis, and Cirrhosis 742 Cholestatic Liver Diseases 743 Inherited Disorders 746 Other Liver Diseases 747 Cirrhosis 748 Liver Resection and Transplantation 755 Physiology and Functions of the Gallbladder 756 Diseases of the Gallbladder 757 Cholelithiasis 757 Cholecystitis 758 Acute Cholangitis 760 Sclerosing Cholangitis 760 Cholestasis 760 Physiology and Functions of the Exocrine Pancreas 760 Diseases of the Exocrine Pancreas 761 Pancreatitis 761 Pancreatic Surgery 764 Summary 764 32 Medical Nutrition Therapy for Food Allergy and Food Intolerance 768 Sherry K. Hubbard, RD, LD Immunologic Basis 769 Definitions 769 Immune System 769 Allergic Reactions 770 Symptoms 770 Unclear or Unproven Relationships 771 Risk Factors for the Development of Food Allergy 772 Food Intolerances 773 Food Additives 773 Sulfites 775 Carbohydrate Intolerance 776 Diagnosis 776 Food Challenge 779 Treatment 781 Natural History of Food Allergy 784 Food Allergy in Infancy 787 Recommendations for Infant Feeding 787 Colic 788 Diet and Prevention of Allergic Disease 788 Oral Allergy Syndrome 788 Latex Allergy 788 Genetic Engineering 789 Summary 789 33 Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin 792 Marion J. Franz, MS, RD, LD, CDE Pathophysiology 794 Type 1 Diabetes 794 Type 2 Diabetes 797 Gestational Diabetes Mellitus 797 Other Types of Diabetes 799 Impaired Glucose Homeostasis 799 Diagnostic and Screening Criteria 799 Management of Diabetes Mellitus 799 Control and Outcomes 800 Nutrition Therapy 801 Exercise 807 Medications 809 Blood Glucose Monitoring 814 Self Management Education 814 Diabetes and Age Related Issues 815 Children and Adolescents 815 Pregnancy 816 Older Adults 818 Implementing Nutrition Self Management 819 Assessment 819 Intervention and Self Management Education 823 Goal Setting 823 Evaluation and Documentation 823 Follow Up and Continuing Medical Nutrition Therapy 823 Acute Complications 825 Hypoglycemia 825 Hyperglycemia and Diabetic Ketoacidosis 826 Fasting Hyperglycemia 826 Hyperosmolar Hyperglycemic State 827 Long Term Complications 827 Macrovascular Diseases 827 Microvascular Diseases 828 Gastroparesis 829 Preventing Diabetes 829 Hypoglycemia of Nondiabetic Origin 830 Pathophysiology 830 Types of Hypoglycemia 831 Diagnostic Criteria 831 Management of Hypoglycemia 832 Summary 833 34 Medical Nutrition Therapy for Anemia 838 Tracy Stopler, MS, RD Iron Related Blood Disorders 839 Iron Deficiency Anemia 839 Hemochromatosis 845 Iron Toxicity 846 Megaloblastic Anemias 847 Pernicious and Other Vitamin B12 Deficiency Anemias 847 Folic Acid Deficiency Anemia 851 Other Nutritional Anemias 854 Copper Deficiency Anemia 854 Anemia of Protein Energy Malnutrition 854 Sideroblastic (Pyridoxine Responsive) Anemia 855 Vitamin E Responsive Anemia 856 Nonnutritional Anemias 856 Sports Anemia (Hypochromic Microcytic Transient Anemia) 856 Anemia of Pregnancy 856 Anemia of Inflammation, Infection, or Malignancy (Anemia of Chronic Disease) 856 Sickle Cell Anemia 857 Thalassemias 857 Summary 858 35 Medical Nutrition Therapy in Cardiovascular Disease 860 Debra A. Krummel, PhD, RD, LD Prevalence and Incidence 861 Mortality 861 Pathophysiology and Etiology 864 Atherosclerosis 864 Endothelial Dysfunction 865 Thrombosis 866 Clinical Determination 866 End Points 866 Prevention of Coronary Heart Disease 866 Blood Lipids and Lipoproteins 866 Lipoproteins and Metabolism 868 Lipoprotein Assessment 869 Lipoprotein Profile 869 Assessing Risk 872 Category I Risk Factors 872 Category II Risk Factors 874 Category III Risk Factors 875 Category IV Risk Factors 877 Emerging Risk Factors 877 Genetic Hyperlipidemias: Classification and Diagnosis 877 Familial Hypercholesterolemia 877 Familial Combined Hyperlipidemia 878 Familial Dyslipidemia 878 Familial Dysbetalipoproteinemia 878 Dietary Factors 878 Saturated Fatty Acids 878 Polyunsaturated Fatty Acids 879 Monounsaturated Fatty Acids 880 Amount of Dietary Fat 880 Dietary Cholesterol 880 Other Dietary Factors 881 Treatment 882 Background 882 Therapeutic Lifestyle Changes 883 Secondary Prevention 887 Therapeutic Lifestyle Change Diet 888 Aggressive Diets 888 Medical Intervention 891 Pharmacologic Management 893 Summary 896 36 Medical Nutrition Therapy in Hypertension 900 Debra A. Krummel, PhD, RD, LD Definition and Classification 901 Prevalence and Incidence 901 Morbidity and Mortality 902 Pathophysiology 903 Primary Prevention 904 Dietary Factors 905 Excess Body Weight 906 Excessive Consumption of Sodium Chloride 907 Alcohol Consumption 910 Physical Activity 910 Other Dietary Factors 910 Combination of Risk Factors for Cardiovascular Disease 911 Medications 912 Medical Management 912 Lifestyle Modifications 912 Weight Management 912 Salt Restriction 914 Other Dietary Modifications 914 Exercise 914 Pharmacologic Treatment 914 Treatment of Blood Pressure in Older Adults 916 Summary 916 37 Medical Nutrition Therapy for Heart Failure and Transplant 919 Debra A. Krummel, PhD, RD, LD Heart Failure 920 Prevalence and Incidence 921 Risk Factors 921 Prevention 921 Pathophysiology 923 Cardiac Cachexia 924 Medical Management 925 Medical Nutrition Therapy 927 Energy 927 Sodium 927 Potassium 931 Fluids 931 Calcium and Vitamin D 931 Magnesium 932 Thiamin 932 Feeding Strategies 932 Supplements 932 Cardiac Transplantation 932 Pretransplant Medical Nutrition Therapy 933 Posttransplant Medical Nutrition Therapy 933 Summary 934 38 Medical Nutrition Therapy for Pulmonary Disease 937 Donna H. Mueller, PhD, RD, FADA Relationships Between Nutrition and the Pulmonary System 938 Optimal Nutrition and the Pulmonary System 938 Impact of Malnutrition on the Pulmonary System 938 Impact of Pulmonary System Disease on Nutritional Status 940 Overview of Medical Nutrition Therapy in Pulmonary Disease 941 Aspiration 942 Asthma 942 Pathophysiology 942 Medical Nutrition Therapy 943 Bronchopulmonary Dysplasia 943 Pathophysiology 943 Medical Nutrition Therapy 944 Chronic Obstructive Pulmonary Disease 945 Pathophysiology 945 Medical Nutrition Therapy 945 Cystic Fibrosis 948 Pathophysiology and Diagnostic Criteria 948 Medical Nutrition Therapy 950 Lung Cancer 955 Pneumonia 955 Respiratory Failure 955 Pathophysiology 955 Medical Nutrition Therapy 955 Tuberculosis 956 Pathophysiology 956 Medical Nutrition Therapy 957 Summary 957 39 Medical Nutrition Therapy for Renal Disorders 961 Katy G. Wilkens, MS, RD Physiology and Function of the Kidneys 962 Renal Disease 963 Glomerular Diseases 964 Nephritic Syndrome 964 Nephrotic Syndrome 964 Diseases of the Tubules and Interstitium 965 Acute Renal Failure 965 Other Tubular or Interstitial Diseases 968 Pyelonephritis 969 Progressive Nature of Renal Disease 969 End Stage Renal Disease 970 Pathophysiology 970 Medical Treatment 970 Dialysis 972 Psychological Support 975 Medical Nutrition Therapy 975 ESRD in Patients With Diabetes 986 ESRD in Children 986 Nephrolithiasis (Kidney Stones) 988 Pathophysiology 988 Medical Management 988 Medical Nutrition Therapy 988 Fluid and Urine Volume 988 Calcium Stones 989 Uric Acid Stones 992 Struvite Stones 992 Cystine Stones 992 Summary 994 40 Medical Nutrition Therapy for Cancer Prevention,Treatment, and Recovery 997 Barbara Eldridge, MS, RD, LD Diagnosis and Medical Treatment 998 Nutrition in the Etiology of Cancer 1000 Energy Balance and Exercise 1000 Fat 1000 Protein 1001 Fiber 1001 Fruits and Vegetables 1001 Chemoprevention 1002 Alcohol 1003 Coffee and Tea 1003 Artificial Sweeteners 1003 Nitrates, Nitrites, and Nitrosamines 1003 Method of Food Preparation 1004 Dietary Recommendations for Cancer Prevention 1004 Nutritional Implications of Cancer 1004 Cancer Cachexia 1006 Energy Metabolism 1007 Substrate Metabolism 1007 Other Metabolic Abnormalities 1007 Sensory Changes 1008 Nutritional Implications of Cancer Therapy 1008 Goals of Nutritional Care 1008 Common Nutrition Impact Symptoms of Cancer Therapies 1010 Nutritional Care of Adults Diagnosed With Cancer 1014 Body Weight, Energy, and Protein Needs 1015 Nutrient Supplementation 1015 Nutrition Screening and Assessment 1015 Determining Routes of Nutritional Care 1015 Oral Nutritional Management Strategies 1015 Guidelines for Oral Feeding During Anticancer Therapy 1017 Enteral Nutrition 1018 Parenteral Nutrition 1018 Home Enteral and Total Parenteral Nutrition 1018 Rehabilitation and Physical Activity 1018 Individuals With Advanced Cancer Receiving Palliative Care 1019 Nutritional Care of Children Diagnosed With Cancer 1019 Complementary and Alternative Therapies 1020 Dietary Recommendations for Cancer Survivors 1021 Summary 1023 41 Medical Nutrition Therapy for Human Immunodeficiency Virus (HIV) Disease 1027 Marcy Fenton, MS, RD Ellyn Silverman, MPH, RD Pathophysiology, Etiology, and Classification 1028 Epidemiology and Trends 1030 The United States 1030 Worldwide 1033 Manifestations and Stages of HIV Infection 1033 Opportunistic Infections and Other Complications 1034 Malignant Disease 1036 Neuromuscular Diseases 1036 HIV Liver Disease 1037 Tuberculosis and Lung Diseases 1037 HIV Associated Nephropathy 1037 Other Affected Organ Systems 1037 Medical Management 1037 Women and HIV 1042 Prenatal Considerations 1042 Breast Feeding 1043 Other General Considerations for Women 1043 Pediatric Considerations 1043 Relationship Between Malnutrition and AIDS 1044 Wasting and Metabolic Disorders 1044 Lipodystrophy Syndrome 1046 Medical Nutrition Therapy 1046 Screening 1047 Assessment 1047 Interventions 1047 Complications With a Nutrition Impact 1051 Diarrhea and Malabsorption 1051 Disorders of the Oral Cavity and Esophagus 1052 Neurologic Disorders 1053 Alterations in Metabolism and Body Shape 1053 Complementary and Alternative Therapies 1054 Summary 1054 42 Medical Nutrition Therapy for Metabolic Stress: Sepsis,Trauma, Burns, and Surgery 1058 Marion F. Winkler, MS, RD, LDN, CNSD Ainsley M. Malone, MS, RD, CNSD Metabolic Response to Stress 1059 Hormonal and Cell Mediated Response 1059 Starvation Versus Stress 1062 Systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome 1062 Pathophysiology 1062 Medical Nutrition Therapy 1064 Anabolic Hormones 1069 Head Injury 1070 Pathophysiology 1070 Medical Nutrition Therapy 1071 Major Burns 1071 Pathophysiology 1071 Medical Management 1072 Medical Nutrition Therapy 1072 Surgery 1076 Medical Nutrition Therapy 1076 Summary 1078 43 Medical Nutrition Therapy for Neurologic Disorders 1081 Valentina M. Remig, PhD, RD, LD, FADA Cecilia Romero, MD Neurologic Disease Classification 1082 Nervous System Wiring and Lesions 1083 Localizing Signs of Mass Lesions 1083 Medical Nutrition Therapy 1086 Problems With Procurement of Food 1086 Meal Preparation 1086 Feeding Issues: Presentation of Food to the Mouth 1087 Eating: The Oral Process 1087 Swallowing 1088 Liquids 1089 Textures 1090 Nutrition Support 1090 Neurologic Diseases Arising From Nutritional Deficiencies or Excesses 1092 Primary Prevention Strategies: Beriberi and Pellagra 1092 Pernicious Anemia 1092 Wernicke Korsakoff Syndrome 1093 Stroke 1094 Neurologic Diseases With Nonnutrition Etiologies 1096 Adrenoleukodystrophy 1096 Alzheimer s Disease 1097 Amyotrophic Lateral Sclerosis 1100 Epilepsy 1105 Guillain Barre Syndrome 1107 Migraine Headache 1108 Myasthenia Gravis 1109 Multiple Sclerosis 1109 Parkinson s Disease 1111 Neurotrauma 1113 Spine Trauma 1115 Summary 1117 44 Medical Nutrition Therapy for Rheumatic Disorders 1121 Lisa Dorfman, MS, RD, LMHC Etiology I 122 Pathophysiology of Inflammation in Rheumatic Diseases I 123 Drugs Commonly Used to Reduce Inflammation I 123 Osteoarthritis I 124 Pathophysiology 1124 Medical Management 1124 Surgery 1124 Exercise 1124 Medical Nutrition Therapy 1124 Herbs and Complementary Therapy 1126 Rheumatoid Arthritis 1126 Pathophysiology 1127 Medical Management 1127 Medical Nutrition Therapy 1128 Sjogren s Syndrome 1133 Temporomandibular Joint Syndrome I 134 Gout 1134 Pathophysiology 1134 Medical Management 1134 Medical Nutrition Therapy 1135 Scleroderma I 135 Pathophysiology 1135 Medical Management 1136 Medical Nutrition Therapy 1136 Systemic Lupus Erythematosus I 136 Pathophysiology 1136 Medical Management 1137 Medical Nutrition Therapy 1137 Chronic Fatigue Disorder Syndrome and Fibromyalgia 1137 Medical Nutrition Therapy 1137 Complementary Therapy 1137 Controversies and Unproven Remedies for Rheumatic Disorders I 138 Summary I I 38 45 Medical Nutrition Therapy for Metabolic Disorders 1143 Cristine M. Trahms, MS, RD, CD, FADA Newborn Screening I 144 Goals of Medical Nutrition Therapy I 144 Disorders of AminoAcid Metabolism I 144 Phenylketonuria 1145 Maple Syrup Urine Disease 1157 Disorders of Organic Acid Metabolism I 157 Pathophysiology 1157 Medical Nutrition Therapy 1158 Disorders of Urea Cycle Metabolism I 159 Pathophysiology 1159 Medical Nutrition Therapy 1160 Disorders of Carbohydrate Metabolism 1161 Galactosemia 1161 Glycogen Storage Diseases I 162 Disorders of Fatty Acid Oxidation I 163 Pathophysiology 1163 Medical Nutrition Therapy 1164 Other Disorders I 164 Role of Nutritionist in Medical Nutrition Therapy for Metabolic Disorders I 164 Summary I 166 APPENDIXES 1 General Abbreviations 1171 2 Unit Abbreviations 1172 3 Potential ICD 9 CM Codes for Nutrition Services I 173 4 Milliequivalents and Milligrams of Electrolytes I 176 5 Approximate Conversions to and From Metric Measures I 176 Nutritional Physical Assessment 6 Birth to 36 Months: Boys Length for Age andWeight for Age Percentiles I 177 7 Birth to 36 Months: Boys Head Circumference for Age and Weight for Length Percentiles I 178 8 2 to 20 Years: Boys Stature for Age and Weight for Age Percentiles I 179 9 Birth to 36 Months: Girls Length for Age and Weight for Age Percentiles I 180 10 Birth to 36 Months: Girls Head Circumference for Age and Weight for Length Percentiles 1181 11 2 to 20 Years: Girls Stature for Age and Weight for Age Percentiles I 182 12 Tanner Stages of Adolescent Development for Females I 183 13 Tanner Stages of Adolescent Development for Males 1183 14 Direct Methods for Measuring Height and Weight 1184 15 Indirect Methods for Measuring Height I 184 16 Determination of Frame Size 1185 17 Body Mass Index (BMI) Table I 186 18 Body Mass Index for Age Percentiles: Boys, 2 to 20 Years 1187 19 Body Mass Index for Age Percentiles: Girls, 2 to 20 Years 1188 20A Body Mass Index, Mid Upper Arm Circumference.Triceps Skinfold Thickness, and Arm Muscle Circumference for Men 50 Years of Age and Older Examined in the Third National Health and Nutrition Examination Survey (1988 1994) I 189 20B Body Mass Index, Mid Upper Arm Circumference.Triceps Skinfold Thickness, and Arm Muscle Circumference for Women 50 Years of Age and Older Examined in the Third National Health and Nutrition Exam i nation Su rvey (1988 1994) I 190 21 Arm Anthropometry for Children 1191 22 Arm Anthropometry for Adults 1192 23 Means, Standard Deviations, and Percentiles of Weight (kg) by Height (cm) for Males of 2 to 74 Years 1193 24 Means, Standard Deviations, and Percentiles ofWeight (kg) by Height (cm) for Females of 2 to 74 Years 1194 25 Means, Standard Deviations, and Percentiles ofWeight (kg) by Age for Adult Males of Small, Medium, and Large Frames 1195 26 Means, Standard Deviations, and Percentiles ofWeight (kg) by Age for Adult Females of Small, Medium, and Large Frames I 196 27 Means, Standard Deviations, and Percentiles of Triceps Skinfold Thickness (mm) by Age for Males and Females of I to 50 Years I 197 28 Means, Standard Deviations, and Percentiles of Upper Arm Muscle Area (cm2) by Height (cm) for Boys and Girls of 2 to 17 Years 1198 29 Means, Standard Deviations, and Percentiles of Upper Arm Muscle Area (cm2) by Age for Adult Males of Small, Medium, and Large Frames I 199 30 Means, Standard Deviations, and Percentiles of Upper Arm Muscle Area (cm2) by Age for Adult Females of Small, Medium, and Large Frames 1200 31 Means, Standard Deviations, and Percentiles of Upper Arm Fat Area (cm2) by Age for Males and Females of I to 74 Years 1201 32 Nutrition Focused Physical Assessment 1202 LABORATORY TESTS, DRUGS, AND DIETARY SUPPLEMENTS 33 A Guide to the Use of Laboratory Data in Nutritional Assessment and Monitoring 1206 34 Nutritional Implications of Selected Drugs 1220 35 Counseling Patients on Dietary Supplements 1226 ENTERAL FORMULAS 36 Milk Based Formulas or Products Designed to Be Mixed With Milk 1228 37A Whole Protein, Lactose Free Formulas With 0.5 kcal/ml 1228 37B Whole Protein, Lactose Free Formulas With I to l.2kcal/ml 1229 37C Whole Protein, Lactose Free Formulas With 1.5 and 2.0 kcal/ml 1231 38 Specially Designed Formulas: Clear Liquid, Fat Malabsorption, Glucose Intolerance, Hepatic, Immune Support, Metabolic Stress, Pulmonary, Renal 1232 39 Defined Formulas 1235 40 Pediatric Specialized Formulas 1236 41 Modular Components for Enteral Feedings 1237 NUTRIENTTABLES 42 Fiber Content of Selected Foods 1238 43 Caffeine Content of Foods 1240 44 Nutritive Values for Alcoholic Beverages and Mixes 1241 45A Oxalate Content of Foods 1242 45B Bioavailability of Oxalate 1243 46 Omega 6 and Omega 3 Fatty Acids in Selected Foods 1244 47 Carotenoid Content of Fruits and Vegetables 1246 48 Vitamin D Content of Foods 1249 49 Vitamin E Content of Foods as a Tocopherol (mg) 1251 50 Vitamin K Content of Foods 1253 51 Selenium Content of Foods 1254 MENU PLANNING LISTS 52 Caloric Expenditure Worksheet for Various Exercise Activities Based on Body Weight 1259 53 Exchange Lists for Meal Planning 1262 54 Glycemic Index and Glycemic Load of Selected Foods 1271 55 National Dysphagia Diets 1272 MISCELLANEOUS 56 The Nutrition Care Process 1278 57 Percentage of Body Fat Based on Four Skinfold Measurements 1282
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spelling	Krause's food, nutrition, & diet therapy L. Kathleen Mahan ; Sylvia Escott-Stump Food, nutrition, & diet therapy 11. ed. Philadelphia, Penn. Saunders 2004 XXXVII, 1321 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Diät (DE-588)4012031-4 gnd rswk-swf Ernährung (DE-588)4015332-0 gnd rswk-swf Ernährungspolitik (DE-588)4152824-4 gnd rswk-swf Ernährungswissenschaft (DE-588)4152829-3 gnd rswk-swf Ernährungswissenschaft (DE-588)4152829-3 s DE-604 Ernährung (DE-588)4015332-0 s Ernährungspolitik (DE-588)4152824-4 s Diät (DE-588)4012031-4 s Mahan, L. Kathleen Sonstige oth Escott-Stump, Sylvia Sonstige oth Krause, Marie V. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012960016&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Krause's food, nutrition, & diet therapy Diät (DE-588)4012031-4 gnd Ernährung (DE-588)4015332-0 gnd Ernährungspolitik (DE-588)4152824-4 gnd Ernährungswissenschaft (DE-588)4152829-3 gnd
subject_GND	(DE-588)4012031-4 (DE-588)4015332-0 (DE-588)4152824-4 (DE-588)4152829-3
title	Krause's food, nutrition, & diet therapy
title_alt	Food, nutrition, & diet therapy
title_auth	Krause's food, nutrition, & diet therapy
title_exact_search	Krause's food, nutrition, & diet therapy
title_full	Krause's food, nutrition, & diet therapy L. Kathleen Mahan ; Sylvia Escott-Stump
title_fullStr	Krause's food, nutrition, & diet therapy L. Kathleen Mahan ; Sylvia Escott-Stump
title_full_unstemmed	Krause's food, nutrition, & diet therapy L. Kathleen Mahan ; Sylvia Escott-Stump
title_short	Krause's food, nutrition, & diet therapy
title_sort	krause s food nutrition diet therapy
topic	Diät (DE-588)4012031-4 gnd Ernährung (DE-588)4015332-0 gnd Ernährungspolitik (DE-588)4152824-4 gnd Ernährungswissenschaft (DE-588)4152829-3 gnd
topic_facet	Diät Ernährung Ernährungspolitik Ernährungswissenschaft
url	http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012960016&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
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