Nutrition for Health and Health Care Eighth Edition Linda Kelly DeBruyne Kathryn Pinna Australia • Brazil • Canada • Mexico • Singapore • United Kingdom • United States Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 1 1/10/22 1:00 PM This is an electronic version of the print textbook. Due to electronic rights restrictions, some third party content may be suppressed. Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. 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Nutrition for Health and Health Care, © 2023, 2020, 2017 Eighth Edition Copyright © 2023 Cengage Learning, Inc. ALL RIGHTS RESERVED. Linda Kelly DeBruyne, Kathryn Pinna WCN: 02-300 SVP, Higher Education Product Management: Erin No part of this work covered by the copyright herein may be reproduced Joyner or distributed in any form or by any means, except as permitted by U.S. VP, Product Management, Learning Experiences: copyright law, without the prior written permission of the copyright owner. Thais Alencar Unless otherwise noted, all content is © Cengage Learning, Inc. Product Director: Maureen McLaughlin Product Manager: Courtney Heilman For product information and technology assistance, contact us at Cengage Customer & Sales Support, 1-800-354-9706 Product Assistant: Olivia Pan or support.cengage.com. Learning Designer: Paula Dohnal For permission to use material from this text orproduct, submit all Senior Content Manager: Rachel Kerns requests online at www.copyright.com. 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Printed in the United States of America Print Number: 01 Print Year: 2022 Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 2 1/10/22 1:00 PM To my grandchildren, Ryder, Cruz, and Skyler, with love from the luckiest Nani in the world. Linda Kelly DeBruyne In memory of my parents, John and Tina Pinna, who inspired my love of books and learning from my earliest years. Kathryn Pinna iii Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 3 1/10/22 1:00 PM Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 4 1/10/22 1:00 PM About the Authors Linda Kelly DeBruyne, M.S., R.D., received her B.S. and M.S. degrees in nutri- tion and food science at Florida State University. She is a founding member of Nutrition and Health Associates, an information resource center in Tallahassee, Florida, where her specialty areas are life cycle nutrition and fitness. She worked with a group of pediatricians for 30 years, teaching infant nutrition classes to new parents. Her other publications include the textbooks Nutrition and Diet Therapy and Health: Making Life Choices. She is a registered dietitian and maintains a professional membership in the Academy of Nutrition and Dietetics. Kathryn Pinna, Ph.D., received her M.S. and Ph.D. degrees in nutrition from the University of California at Berkeley. She taught nutrition, food science, and human biology courses in the San Francisco Bay Area for more than 25 years and also worked as an outpatient dietitian, Internet consultant, and freelance writer. Her other publica- tions include the textbooks Understanding Normal and Clinical Nutrition and Nutrition and Diet Therapy. She is a member of the American Society for Nutrition and the Academy of Nutrition and Dietetics. v Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 5 1/10/22 1:01 PM Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 6 1/10/22 1:01 PM Brief Contents Chapter 1 Chapter 13 Overview of Nutrition and Health 1 Nutrition Care and Assessment 373 Chapter 2 Chapter 14 Digestion and Absorption 37 Nutrition Intervention and Diet-Drug Interactions 397 Chapter 3 Carbohydrates 65 Chapter 15 Enteral and Parenteral Nutrition Support 427 Chapter 4 Lipids 93 Chapter 16 Nutrition in Metabolic and Respiratory Chapter 5 Stress 463 Protein 121 Chapter 17 Chapter 6 Nutrition and Upper Gastrointestinal Energy Balance and Body Composition 145 Disorders 483 Chapter 7 Chapter 18 Weight Management 171 Nutrition and Lower Gastrointestinal Disorders 509 Chapter 8 The Vitamins 195 Chapter 19 Nutrition and Liver Diseases 541 Chapter 9 Water and the Minerals 231 Chapter 20 Nutrition and Diabetes Mellitus 561 Chapter 10 Nutrition through the Life Span: Pregnancy Chapter 21 and Lactation 263 Nutrition and Cardiovascular Diseases 591 Chapter 11 Chapter 22 Nutrition through the Life Span: Infancy, Nutrition and Renal Diseases 621 Childhood, and Adolescence 297 Chapter 23 Chapter 12 Nutrition, Cancer, and HIV Infection 649 Nutrition through the Life Span: Later Adulthood 345 vii Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 7 1/10/22 1:03 PM viii Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 30317_fm_ptg01_i-xx.indd 8 1/10/22 1:03 PM