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Cover: Scientific American Nutrition for a Changing World: Dietary Guidelines for Americans 2020-2025 & Digital Update, 2nd Edition by Jamie Pope; Steven Nizielski
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Second  Edition|©2022  Jamie Pope; Steven Nizielski

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  • About
  • Digital Options
  • Contents
  • Authors

About

Now available in a special update with the latest U.S. dietary guidelines, Nutrition in a Changing World gives you a science-based introduction to the basics of nutrition through a series of magazine-style profiles of real people (print and video), whose stories set the stage for discussing important ideas.

Affordable e-textbook option available!

Take notes, add highlights, and download our mobile-friendly e-textbook. Compatible with iOS or Android devices, Mac, PC, Kindle Fire, or Chromebook.

Digital Options

E-book

Read online (or offline) with all the highlighting and notetaking tools you need to be successful in this course.

Learn More

Achieve

Achieve is a single, easy-to-use platform proven to engage students for better course outcomes

Learn More

Contents

Table of Contents

Chapter 1. The Science and Scope of Nutrition
Eating for a Lifetime: A new field in nutrition research is revealing surprising details about how food affects our genes.
Introducing the science of nutrition
Food provides nutrients and energy
What is malnutrition?
Energy Recommendations  
Nutrition Science in Action  
Credible Sources of Nutrition Information  
Health Goals for Americans  
Assessing the North American Diet  

Chapter 2. Healthy Diets
From Desert to Oasis:  Are ""food deserts"" preventing millions of Americans from eating well?
Healthy diets feature variety, balance, adequacy, and moderation
Understanding the nutrient density and energy density of foods
Limit these: solid fats and added sugars
Dietary Guidelines for Americans
Understanding the labeling on food
Menu labeling

Chapter 3. Digestive System and Digestive Disorders
A Gut Feeling: Is gluten really all that bad?
Overview of the Digestive Process  
Overview of Mechanical and Chemical Digestion  
The Path of Digestion from the Mouth to the Large Intestine  
The Role of Bacteria in the Gastrointestinal Tract  
Digestive Disorders  
Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD)  
Awareness of Celiac Disease Is Growing  

Chapter 4. Carbohydrates
Whole Grain Hype:  Can science help us navigate the perils of the cereal aisle?
What Are Carbohydrates?
How Grain-Based Foods Measure Up
The Digestion of Carbohydrates
Added Sugars
Dental Caries
Sugar Alternatives
Understanding Fiber
Carbohydrate Intake Recommendations

NEW story!
SPOTLIGHT A: A Global Pandemic: A projected 629 million people in the world will be living with diabetes by year 2045
What Is Diabetes Mellitus?
Type 2 Diabetes
Diabetes Treatment and Prevention


NEW story!
Chapter 5. The Lipids
Is fish really brain food? Dietary lipids can profoundly affect our risk of developing dementia later in life.
Dietary Fat
Overview of the Lipids
Lipid Digestion and Absorption
Lipoprotein Transport
Essential Fatty Acids
Trans Fats
Current Fat Intake and Recommendations

NEW!
SPOTLIGHT B: Lipids in Health and Disease
Death in Bogalusa: From tragic deaths in a southern town, insights into heart disease.
Atherosclerosis and Cardiovascular Disease
Risk Factors for Cardiovascular Disease
A Heart-Protective Diet
Fat Intake and Health—Beyond Cardiovascular Disease

Chapter 6. Protein
How much of a good thing do we need? Experts consider how much protein is best for us all.
Recommendations for Protein Intake  
Protein Synthesis  
Digestion and Absorption of Proteins  
Varied Functions of Protein  
Protein Turnover and Nitrogen Balance 
Seniors May Benefit from Increased Intakes of Protein 
Protein Sources
Protein Quality  
Protein-Deficiency
High-Protein Diets  

NEW!
SPOTLIGHT C: Plant-Based Diets
Pass the plants, please: What does a Spanish study say about the benefits of following a Mediterranean-like diet?
Vegetarian and Semi-Vegetarian Diets
Benefits of a Diet Rich in Plant Foods
How Cancer Develops
Benefits of Phytochemicals
Nutritional Considerations and Concerns Associated with Plant-Based Diets
Plant-Based and Vegetarian Guidelines
The Mediterranean Diet

NEW story!
Chapter 7. Fat-soluble Vitamins
Biofortication in Bangladesh: Can a public health crisis be solved with rice?
Introducing the vitamins
Properties of fat-soluble vitamins
Vitamin A
Antioxidants Protect Against Damage from Free Radicals
Vitamin D
Vitamin E
Vitamin K

Chapter 8. Water-soluble Vitamins
Its Not A Germ: Pioneering research uncovers vitamin deficiency diseases
Characteristics of the water-soluble vitamins
The B-vitamins
Choline
Vitamin C

Chapter 9. Major Minerals and Water
Potassium Power:  Eating a diet low in sodium and rich in potassium may be protective of hypertension
Overview of the minerals
Mineral absorption and bioavailability
Minerals in our food
Calcium, magnesium and phosphorus have diverse structural roles in the body
Sulfur is a component of proteins
Sodium, potassium and chloride maintain fluid balance in the body
Water
Water intake recommendations

Chapter 10. Trace Minerals
Small Amounts with Big Importance: Is Iodine Deficiency a Thing of the Past?
Introducing the trace minerals
Iodine: Sources and Functions
Iron
Zinc
Copper
Selenium
Fluoride
Other Trace Minerals: Manganese, Molybdenum, and Chromium
Ultrarace minerals

NEW!
SPOTLIGHT D: Supplements
Supplements, herbs, and functional foods: Surprising studies on the value of vitamin supplements.
What Are Dietary Supplements?
Regulations of Dietary Supplements
Understanding Supplement Labels
Are Dietary Supplements Harmful?
Functional Foods

Chapter 11. Energy Balance and Obesity
The Sitting Disease:
Understand the causes and consequences of obesity."
Energy in, energy out
The biology of hunger
A NEAT cause of weight gain
Lifestyle and energy balance
Weight loss recommendations

Chapter 12. Nutrition and Fitness
Eating to Win: Research suggests that when athletes eat may be just as important as what they eat.
Components of fitness
Fueling the body
Measures of exercise intensity
Dietary carbohydrates for endurance exercise
Female athlete triad
Body building
Hydrating the athlete
Physical fitness: not just for athletes

Chapter 13 Nutrition through the College Years
Determinants of eating behavior, disordered eating, and alcohol: How food choices are influenced by social norms.
Growth, Development, and Nutrient Requirements in Late Adolescence
Calcium
Iron
Determinants of Eating Behavior
Eating Challenges on Campus
Eating Disorders
Alcohol

Spotlight E: Pregnancy, Lactation, and Infancy
Nourishing mother and baby: New research suggests that delaying cord clamping after birth preserves iron status.
Changing Nutritional Needs
Energy and Nutrient Needs during Pregnancy
A Healthy Pregnancy
Food Safety
Postnatal Nutrition
Nutrition during Lactation
Formula Feeding
Nutrition for the Growing Child

NEW!
SPOTLIGHT F: Childhood Nutrition
Food allergies and intolerances: As paradoxical as it may seem, could dirt and germs make children healthier for life?
What Are Children Eating?
Nutritional Recommendations for Children
Nutrients of Concern in Childhood
Childhood Obesity
Food Allergies
Growth and Development in Childhood

NEW!
SPOTLIGHT G: Nutrition and the Aging Adult
Live long and prosper: Can you eat your way to a longer, healthier life?
What Happens When We Age?
Life Expectancy and Lifespan
Blue Zones
Energy Needs and Physical Activity
Special Nutritional Concerns for Older Adults
Nutrient Recommendations for Seniors
Maintaining Physical Strength for a Lifetime
Blue Zone Secrets

NEW!
Chapter 14. Global Nutrition: Food Security and Sustainability
Feeding the world now and in the future; How will we combat global hunger while we promote food security and sustainability?
Food and Nutrition Security
Sustainability
How Are Organic Foods Different from Conventional Foods?

NEW!
SPOTLIGHT H: Food Safety
How cantaloupe turned lethal; Safe food-handling practices from farm to table can dramatically reduce the risk of foodborne illness.
A Brief History of Food Safety in America
Foodborne Intoxication and Infection
Engineering Food Safety: HACCP and Irradiation
Food Safety and Modernization Act
Food Safety in the Home

New!
Chapter 15: Energy Metabolism: The Interactions and Transformations of Living Cells (Available Only in Achieve)
Overview of Energy Metabolism
The Breakdown of Glucose
Fatty Acid Oxidation Occurs in the Mitochondrial Matrix
Ketogenesis
Amino Acid Metabolism
Feasting and Fasting Cycle: Coordinating Metabolic Adaptations in Pathways of Energy Metabolism
Inborn Errors of Metabolism

Authors

Jamie Pope

Jamie Pope, MS, RDN, LDN, FAND, is Adjoint Assistant Professor in Nutritional Sciences in the Vanderbilt University School of Nursing. She has been with Vanderbilt University since 1986, working in the areas of obesity research, weight management, health promotion, and heartdisease prevention and—for over 20 years—teaching introductory nutrition courses. Jamie’s popular course brought together undergraduate students from a wide range of majors to learn about the science of nutrition and its application to their personal and future professional lives. She was the recipient of the Faculty Innovation in Teaching Award in 2013. 


Beyond the classroom,Jamie adapted portions of her Vanderbilt courses to produce an open online course on the Coursera learning platform, which attracted more than 175,000 students from all over the world. Outcomes and application of this online course to dietetic practice and nutrition education were published in the Journal of Nutrition and Dietetics and presented at theAcademy of Nutrition and Dietetics Food and Nutrition Exhibition and Conference. Based on her professional and scholarly contributions, she earned the status of Fellow of the Academy of Nutrition and Dietetics in 2017. Jamie was honored with the Dietetic Educator Excellence award by her peers in 2021. She serves on the executive leadership committee for Nutrition Educators of Health Professionals dietetic practice group. Jamie has also served as corporate nutrition consultant, media representative, and scientific advisor for several national companies and corporations. Earlier in her career, Jamie coauthored several popular press books, including The T-Factor Fat Gram Counter, which remained for more than three yearson the New York Times best-sellers list. She has authored or contributed to numerous other scientific and lay press publications. Jamie cherishes time with her family and friends and loves listening to historical fiction novels while she takes long walks with her dogs.


Steven Nizielski

Steven Nizielski, MS, PhD, earned his Bachelor of Science degree from the University of Minnesota in Wildlife Biology and assisted in research projects involving Siberian tigers and gray wolves before entering graduate school. He earned his Master’s and Doctoratedegrees at the University of Minnesota in nutrition, with an emphasis in biochemistry. He was an Associate Professor in Biomedical Sciences at Grand Valley State University in Allendale, Michigan, for 19 years before retiring in 2020.

In his more than 25 years of teaching he has taught courses in introductory, clinical, life cycle, sports nutrition, and exercise physiology, as well as advanced metabolism. Past research activities include investigating brown adipose tissue thermogenesis and changes in adipose tissue gene expression in response to aging and exercise, and evaluating the campus food environment. Steve is a member of the American Society for Nutrition and of the American Physiological Society. He is an avid cyclist and enjoys cross-country skiing, hiking, camping, and cooking.


Now available in a special update with the latest U.S. dietary guidelines, Nutrition in a Changing World gives you a science-based introduction to the basics of nutrition through a series of magazine-style profiles of real people (print and video), whose stories set the stage for discussing important ideas.

Affordable e-textbook option available!

Take notes, add highlights, and download our mobile-friendly e-textbook. Compatible with iOS or Android devices, Mac, PC, Kindle Fire, or Chromebook.

E-book

Read online (or offline) with all the highlighting and notetaking tools you need to be successful in this course.

Learn More

Achieve

Achieve is a single, easy-to-use platform proven to engage students for better course outcomes

Learn More

Table of Contents

Chapter 1. The Science and Scope of Nutrition
Eating for a Lifetime: A new field in nutrition research is revealing surprising details about how food affects our genes.
Introducing the science of nutrition
Food provides nutrients and energy
What is malnutrition?
Energy Recommendations  
Nutrition Science in Action  
Credible Sources of Nutrition Information  
Health Goals for Americans  
Assessing the North American Diet  

Chapter 2. Healthy Diets
From Desert to Oasis:  Are ""food deserts"" preventing millions of Americans from eating well?
Healthy diets feature variety, balance, adequacy, and moderation
Understanding the nutrient density and energy density of foods
Limit these: solid fats and added sugars
Dietary Guidelines for Americans
Understanding the labeling on food
Menu labeling

Chapter 3. Digestive System and Digestive Disorders
A Gut Feeling: Is gluten really all that bad?
Overview of the Digestive Process  
Overview of Mechanical and Chemical Digestion  
The Path of Digestion from the Mouth to the Large Intestine  
The Role of Bacteria in the Gastrointestinal Tract  
Digestive Disorders  
Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD)  
Awareness of Celiac Disease Is Growing  

Chapter 4. Carbohydrates
Whole Grain Hype:  Can science help us navigate the perils of the cereal aisle?
What Are Carbohydrates?
How Grain-Based Foods Measure Up
The Digestion of Carbohydrates
Added Sugars
Dental Caries
Sugar Alternatives
Understanding Fiber
Carbohydrate Intake Recommendations

NEW story!
SPOTLIGHT A: A Global Pandemic: A projected 629 million people in the world will be living with diabetes by year 2045
What Is Diabetes Mellitus?
Type 2 Diabetes
Diabetes Treatment and Prevention


NEW story!
Chapter 5. The Lipids
Is fish really brain food? Dietary lipids can profoundly affect our risk of developing dementia later in life.
Dietary Fat
Overview of the Lipids
Lipid Digestion and Absorption
Lipoprotein Transport
Essential Fatty Acids
Trans Fats
Current Fat Intake and Recommendations

NEW!
SPOTLIGHT B: Lipids in Health and Disease
Death in Bogalusa: From tragic deaths in a southern town, insights into heart disease.
Atherosclerosis and Cardiovascular Disease
Risk Factors for Cardiovascular Disease
A Heart-Protective Diet
Fat Intake and Health—Beyond Cardiovascular Disease

Chapter 6. Protein
How much of a good thing do we need? Experts consider how much protein is best for us all.
Recommendations for Protein Intake  
Protein Synthesis  
Digestion and Absorption of Proteins  
Varied Functions of Protein  
Protein Turnover and Nitrogen Balance 
Seniors May Benefit from Increased Intakes of Protein 
Protein Sources
Protein Quality  
Protein-Deficiency
High-Protein Diets  

NEW!
SPOTLIGHT C: Plant-Based Diets
Pass the plants, please: What does a Spanish study say about the benefits of following a Mediterranean-like diet?
Vegetarian and Semi-Vegetarian Diets
Benefits of a Diet Rich in Plant Foods
How Cancer Develops
Benefits of Phytochemicals
Nutritional Considerations and Concerns Associated with Plant-Based Diets
Plant-Based and Vegetarian Guidelines
The Mediterranean Diet

NEW story!
Chapter 7. Fat-soluble Vitamins
Biofortication in Bangladesh: Can a public health crisis be solved with rice?
Introducing the vitamins
Properties of fat-soluble vitamins
Vitamin A
Antioxidants Protect Against Damage from Free Radicals
Vitamin D
Vitamin E
Vitamin K

Chapter 8. Water-soluble Vitamins
Its Not A Germ: Pioneering research uncovers vitamin deficiency diseases
Characteristics of the water-soluble vitamins
The B-vitamins
Choline
Vitamin C

Chapter 9. Major Minerals and Water
Potassium Power:  Eating a diet low in sodium and rich in potassium may be protective of hypertension
Overview of the minerals
Mineral absorption and bioavailability
Minerals in our food
Calcium, magnesium and phosphorus have diverse structural roles in the body
Sulfur is a component of proteins
Sodium, potassium and chloride maintain fluid balance in the body
Water
Water intake recommendations

Chapter 10. Trace Minerals
Small Amounts with Big Importance: Is Iodine Deficiency a Thing of the Past?
Introducing the trace minerals
Iodine: Sources and Functions
Iron
Zinc
Copper
Selenium
Fluoride
Other Trace Minerals: Manganese, Molybdenum, and Chromium
Ultrarace minerals

NEW!
SPOTLIGHT D: Supplements
Supplements, herbs, and functional foods: Surprising studies on the value of vitamin supplements.
What Are Dietary Supplements?
Regulations of Dietary Supplements
Understanding Supplement Labels
Are Dietary Supplements Harmful?
Functional Foods

Chapter 11. Energy Balance and Obesity
The Sitting Disease:
Understand the causes and consequences of obesity."
Energy in, energy out
The biology of hunger
A NEAT cause of weight gain
Lifestyle and energy balance
Weight loss recommendations

Chapter 12. Nutrition and Fitness
Eating to Win: Research suggests that when athletes eat may be just as important as what they eat.
Components of fitness
Fueling the body
Measures of exercise intensity
Dietary carbohydrates for endurance exercise
Female athlete triad
Body building
Hydrating the athlete
Physical fitness: not just for athletes

Chapter 13 Nutrition through the College Years
Determinants of eating behavior, disordered eating, and alcohol: How food choices are influenced by social norms.
Growth, Development, and Nutrient Requirements in Late Adolescence
Calcium
Iron
Determinants of Eating Behavior
Eating Challenges on Campus
Eating Disorders
Alcohol

Spotlight E: Pregnancy, Lactation, and Infancy
Nourishing mother and baby: New research suggests that delaying cord clamping after birth preserves iron status.
Changing Nutritional Needs
Energy and Nutrient Needs during Pregnancy
A Healthy Pregnancy
Food Safety
Postnatal Nutrition
Nutrition during Lactation
Formula Feeding
Nutrition for the Growing Child

NEW!
SPOTLIGHT F: Childhood Nutrition
Food allergies and intolerances: As paradoxical as it may seem, could dirt and germs make children healthier for life?
What Are Children Eating?
Nutritional Recommendations for Children
Nutrients of Concern in Childhood
Childhood Obesity
Food Allergies
Growth and Development in Childhood

NEW!
SPOTLIGHT G: Nutrition and the Aging Adult
Live long and prosper: Can you eat your way to a longer, healthier life?
What Happens When We Age?
Life Expectancy and Lifespan
Blue Zones
Energy Needs and Physical Activity
Special Nutritional Concerns for Older Adults
Nutrient Recommendations for Seniors
Maintaining Physical Strength for a Lifetime
Blue Zone Secrets

NEW!
Chapter 14. Global Nutrition: Food Security and Sustainability
Feeding the world now and in the future; How will we combat global hunger while we promote food security and sustainability?
Food and Nutrition Security
Sustainability
How Are Organic Foods Different from Conventional Foods?

NEW!
SPOTLIGHT H: Food Safety
How cantaloupe turned lethal; Safe food-handling practices from farm to table can dramatically reduce the risk of foodborne illness.
A Brief History of Food Safety in America
Foodborne Intoxication and Infection
Engineering Food Safety: HACCP and Irradiation
Food Safety and Modernization Act
Food Safety in the Home

New!
Chapter 15: Energy Metabolism: The Interactions and Transformations of Living Cells (Available Only in Achieve)
Overview of Energy Metabolism
The Breakdown of Glucose
Fatty Acid Oxidation Occurs in the Mitochondrial Matrix
Ketogenesis
Amino Acid Metabolism
Feasting and Fasting Cycle: Coordinating Metabolic Adaptations in Pathways of Energy Metabolism
Inborn Errors of Metabolism

Headshot of Jamie Pope

Jamie Pope

Jamie Pope, MS, RDN, LDN, FAND, is Adjoint Assistant Professor in Nutritional Sciences in the Vanderbilt University School of Nursing. She has been with Vanderbilt University since 1986, working in the areas of obesity research, weight management, health promotion, and heartdisease prevention and—for over 20 years—teaching introductory nutrition courses. Jamie’s popular course brought together undergraduate students from a wide range of majors to learn about the science of nutrition and its application to their personal and future professional lives. She was the recipient of the Faculty Innovation in Teaching Award in 2013. 


Beyond the classroom,Jamie adapted portions of her Vanderbilt courses to produce an open online course on the Coursera learning platform, which attracted more than 175,000 students from all over the world. Outcomes and application of this online course to dietetic practice and nutrition education were published in the Journal of Nutrition and Dietetics and presented at theAcademy of Nutrition and Dietetics Food and Nutrition Exhibition and Conference. Based on her professional and scholarly contributions, she earned the status of Fellow of the Academy of Nutrition and Dietetics in 2017. Jamie was honored with the Dietetic Educator Excellence award by her peers in 2021. She serves on the executive leadership committee for Nutrition Educators of Health Professionals dietetic practice group. Jamie has also served as corporate nutrition consultant, media representative, and scientific advisor for several national companies and corporations. Earlier in her career, Jamie coauthored several popular press books, including The T-Factor Fat Gram Counter, which remained for more than three yearson the New York Times best-sellers list. She has authored or contributed to numerous other scientific and lay press publications. Jamie cherishes time with her family and friends and loves listening to historical fiction novels while she takes long walks with her dogs.


Headshot of Steven Nizielski

Steven Nizielski

Steven Nizielski, MS, PhD, earned his Bachelor of Science degree from the University of Minnesota in Wildlife Biology and assisted in research projects involving Siberian tigers and gray wolves before entering graduate school. He earned his Master’s and Doctoratedegrees at the University of Minnesota in nutrition, with an emphasis in biochemistry. He was an Associate Professor in Biomedical Sciences at Grand Valley State University in Allendale, Michigan, for 19 years before retiring in 2020.

In his more than 25 years of teaching he has taught courses in introductory, clinical, life cycle, sports nutrition, and exercise physiology, as well as advanced metabolism. Past research activities include investigating brown adipose tissue thermogenesis and changes in adipose tissue gene expression in response to aging and exercise, and evaluating the campus food environment. Steve is a member of the American Society for Nutrition and of the American Physiological Society. He is an avid cyclist and enjoys cross-country skiing, hiking, camping, and cooking.


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