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November 25, 2009
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Disease Prevention Through Diet & Nutrition

Medical Authors: Dennis Lee, MD, and Melissa Conrad Stoppler, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Here are three reasons why following a healthy diet is important:

  1. to maintain health by preventing loss of muscle strength, bone mass, and vitamin deficiency states;


  2. to prevent diseases such as heart attacks, strokes, obesity, osteoporosis, and certain cancers; and


  3. to help control and/or treat chronic diseases and conditions such as high blood pressure, diabetes mellitus, and celiac disease.
What Dietary Supplements Should I Take?

Author: Betty Kovacs, MS, RD
Medical Editors: Ruchi Mathur, MD, and Melissa Conrad Stöppler, MD

What dietary supplements do I need?

Viewer question: I started taking dietary supplements a couple months ago, but I don't really feel any different. What dietary supplements should I be taking to maintain a healthy lifestyle overall?

Dietitian's response: Many people use dietary supplements with the hopes of improving their health without knowing that there is typically little proof, if any, that a supplement will do what it claims to do. The truth is that supplements are not monitored for their safety and efficacy the way that prescription and over-the-counter medications are. Currently, the U.S. Food and Drug Administration (FDA) is responsible for ensuring the safety of drug products (prescription and over-the-counter). Under the Dietary Supplement Health and Education Act of 1994 (DSHEA), manufacturers of dietary supplements are the ones responsible for ensuring the safety of their own products. This means that the companies making the supplements do not have to report to anyone but themselves. There are many reasons why this becomes a problem...

Maintaining health

The body requires carbohydrates, fats, proteins, vitamins, and minerals to maintain healthy organs, bones, muscles, nerves, and to produce hormones and chemicals that are necessary for the proper function of organs.

Vitamins and minerals are naturally occurring substances that are essential for the growth and function of the body. Vitamins and minerals are both necessary (in small amounts) for normal chemical reactions (metabolism) in the body.

Preventing and controlling diseases

Obesity and heart attacks are major public-health problems in the United States and other countries. Therefore, most dietary recommendations are aimed at preventing these two diseases. Obesity is caused by eating more calories than the body burns. Obesity, in turn, can be a cause of many diseases such as heart disease, diabetes, liver disease, arthritis, high blood pressure, gout, gallstones, and certain cancers.

To lose weight or maintain a healthy weight, one needs to eat more low-energy-dense foods. Low-energy-dense foods (such as vegetables and fruits) contain few calories per unit volume of food so that one can eat a large volume of it (for example, lettuce) without taking in many calories. One should also eat less of the high-energy-dense foods such as fats, egg yolks, fried foods, sweets, and high-fat salad dressings. Foods with a high energy density also often have high cholesterol and saturated fat content. One should also eat less of those foods that provide calories but little other nutrients, such as alcohol and many packaged snack foods.

The Dietary Guidelines for Americans, published in 2005 by the United States Department of Agriculture (USDA), contains guidelines for healthy diets based upon review of scientific studies for people above 2 years of age. These guidelines recommend that a healthy diet should:

  • emphasize fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products;


  • include lean meats, poultry, fish, beans, eggs, and nuts; and


  • be low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars.

MyPyramid is an online animated program to help a person customize his/her diet by choosing proper foods and portion sizes based on the individual's age, sex, and activity level. The key objectives of the MyPyramid Plan are to help a person get the most nutrition (proteins, vitamins, and minerals) out of the recommended number of daily calories and to achieve a balance between food intake and physical activity to maintain a healthy weight. The MyPyramid Plan recommendations include:



Next: Vitamins and minerals to maintain health »

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What is pernicious anemia?

Anemia is a condition in which the body does not have a sufficient number of red blood cells or hemoglobin. Hemoglobin is present within red blood cells and is important for carrying oxygen to all tissues of the body. In males, anemia is typically defined as hemoglobin level of less than 13.5 gram/100ml, while in women, a hemoglobin level of less than 12.0 gram/100ml is considered to be indicative of anemia. These definitions may vary slightly depending on the source and the laboratory reference used. Pernicious is a term that means destructive, injurious or deadly.

Pernicious anemia is a disease where large, immature, nucleated cells (megaloblasts, which are forerunners of red blood cells) circulate in the blood, and do not function as blood cells; it is a disease caused by impaired uptake of vitamin B-12 due to the lack of intrinsic factor (IF) in the gastric mucosa. It was termed "pernicious" because ...

Read the Pernicious Anemia article »










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