Overview
This unit explains the nutritive value of foods and how different nutrients affect health, growth and daily functioning. Students will learn about the major classes of nutrients — carbohydrates, proteins, fats, vitamins, minerals, water and dietary fibre — their sources, functions and deficiency symptoms. The unit also examines energy value of foods, factors affecting nutritional needs, balanced diet planning for different groups, and the effect of food processing and cooking on nutrient content. Practical matters such as reading food labels, storing food to retain nutrients, and preventing common nutritional disorders are covered so learners can make healthier choices at home. Understanding nutritive value matters because it helps students appreciate why a varied diet is essential, how to prevent deficiencies, and how household food preparation can preserve or destroy nutrients. The unit links classroom knowledge to everyday decisions about meal planning, food selection and hygiene, preparing students to support family health and to develop good lifelong eating habits.
Learning Objectives
- Describe the main classes of nutrients and identify common food sources of each.
- Explain the functions of carbohydrates, proteins, fats, vitamins, minerals, water and fibre in the body.
- Calculate and compare the energy value of foods using standard factors.
- Recognise signs and causes of common nutritional deficiency disorders and suggest dietary remedies.
- Plan balanced meals for different age groups and activity levels using the concept of a balanced diet.
- Analyse how cooking methods, storage and processing affect nutrient content of foods.
- Interpret food labels and use them to make healthier food choices.
- Apply hygienic handling and storage practices to preserve nutritive value and prevent spoilage.
Topics in this chapter
17 topics · tap a topic title to jump straight to it.
Introduction to Nutrients and Nutritive Value
Understanding nutrients and nutritive value
The word "nutrient" refers to any substance in food that the body needs to function. Nutrients include macronutrients — carbohydrates, proteins and fats — which provide energy and building blocks, and micronutrients — vitamins and minerals — which regulate body processes. Water and dietary fibre are also important for health. The nutritive value of a food means the kinds and quantities of these nutrients present and how well the body can use them (bioavailability). A food’s nutritive value determines how it contributes to growth, energy and health.
Food groups and their roles
Foods are often grouped by the dominant nutrient they supply. Energy foods (cereals, roots) mainly give carbohydrates and fuel for activity. Body-building foods (pulses, dairy, eggs, meat) supply proteins and minerals needed for tissue growth and repair. Protective foods (fruits and vegetables) provide vitamins, minerals and fibre to prevent deficiency and support immunity. A balanced diet draws items from all these groups.
Why variety matters
No single food supplies every nutrient in required amounts. Variety ensures a mix of amino acids, essential fatty acids, vitamins and minerals. Different cooking, storage and processing methods change nutritive value, so how food is handled at home matters. Seasonal and fresh produce usually has higher vitamin content than long-stored items. Fortified foods (iodised salt, fortified flour) can help communities where a nutrient is commonly low.
Practical implications for households
Understanding nutritive value helps plan meals that meet needs for growth and activity while avoiding excesses that lead to overweight. It guides choices: selecting whole grains over refined, combining cereals and pulses for complete protein, choosing unsaturated oils, and storing foods to preserve vitamins. Basic knowledge also helps interpret food labels and recognise nutrient-rich economical options like seasonal vegetables and local pulses. This foundational topic prepares students to study individual nutrients and apply concepts in daily life.
- Comparing a cup of cooked rice (mainly carbohydrate) and a cup of cooked lentils (protein + carbohydrate): rice is primarily energy; lentils supply protein and fibre.
- Choosing whole fruit over fruit juice: whole fruit supplies fibre and slows sugar absorption.
- A mixed meal of chapati, dal and vegetable provides carbohydrate, complementary proteins and vitamins.
- Nutritive value = Types and amounts of nutrients present and their bioavailability
Carbohydrates: Types, Sources and Functions
What carbohydrates are
Carbohydrates are organic compounds made of carbon, hydrogen and oxygen. They are the body’s main source of quick energy and are present in many staple foods. Carbohydrates fall into three main types: sugars (simple carbohydrates), starches (complex carbohydrates) and dietary fibre (non-digestible carbohydrates). Each type acts differently in the body.
Sources of carbohydrates
Major sources include cereals (wheat, rice, maize), millets, roots and tubers (potato, sweet potato), fruits, milk (lactose), and added sugars (sugar, jaggery). Whole grains contain the bran and germ which provide fibre, B vitamins and minerals; refined grains lose these with processing. Some legumes and pulses contain significant carbohydrate along with protein.
Functions in the body
Glucose derived from carbohydrate is the preferred fuel for the brain and muscles during activity. Carbohydrates spare protein from being used as fuel so proteins can perform growth and repair functions. Excess carbohydrate is stored as glycogen in the liver and muscles; once glycogen stores are full, extra carbohydrate may be converted to fat. Dietary fibre, though not digested for energy, regulates bowel movement, helps maintain gut health, and reduces post-meal blood sugar spikes.
Simple vs complex carbs
Simple sugars (table sugar, honey) give fast energy but little micronutrients and can cause rapid blood sugar rises. Complex carbohydrates (whole grains, legumes) provide sustained energy and more nutrients. The glycaemic response depends on the carbohydrate type, the food matrix (presence of fibre, fat and protein) and cooking methods.
Health considerations and cooking effects
Choose complex carbohydrates and whole grains to maintain steady energy and better nutrient intake. Refined sugary foods increase risk of dental caries, obesity and metabolic issues when eaten often. Cooking can gelatinise starch making it more digestible; overcooking can reduce some water-soluble nutrients but does not destroy starch. Methods like steaming and pressure-cooking help retain vitamins while making starches digestible. Balancing carbohydrate intake with protein, healthy fats and fibre ensures sustained energy and good nutrition.
- Boiled rice provides mainly starch for energy; paired with dal it supplies complementary protein.
- A banana gives natural sugars plus fibre and potassium, suitable for quick energy.
- Whole wheat chapati supplies complex carbohydrate and fibre compared to refined flour paratha.
- Carbohydrate energy factor = 4 kcal per gram
Proteins: Composition, Sources and Importance
Nature of proteins
Proteins are long chains of amino acids linked together. They perform many roles: they are the building blocks for muscles, organs, skin, hair and nails; they make enzymes and hormones that regulate body chemistry; they are part of the immune system and also help transport substances in blood. Proteins can also be used for energy if carbohydrate intake is low, but this is not their primary function.
Amino acids and completeness
Amino acids are of two kinds: non-essential (made by the body) and essential (must come from food). Animal proteins — from meat, fish, eggs and dairy — are usually complete, meaning they provide all essential amino acids in needed proportions. Most plant proteins are incomplete, lacking one or more essential amino acids; combining cereals and pulses (for example rice and dal) provides a more balanced amino acid profile known as complementary proteins.
Sources and daily needs
Good sources include eggs, milk, paneer, meat, fish, pulses, legumes, nuts and soy products. Growing children, adolescents, pregnant and lactating women have higher protein needs to support growth and tissue formation. Active individuals and those recovering from illness also need more protein. Protein quality is measured by biological value and digestibility; high-quality proteins are more efficiently used by the body.
Effects of deficiency and excess
Protein deficiency in children can lead to growth failure, muscle wasting and serious conditions such as marasmus or kwashiorkor. Mild deficiencies cause fatigue, poor recovery from illness and susceptibility to infections. Excessive protein, particularly from fatty animal sources, can increase intake of saturated fat and strain kidneys in vulnerable individuals; balance and variety are important.
Cooking and preservation
Heat denatures protein structure, making it easier for digestive enzymes to act and improving digestibility. However, very high temperatures and long cooking times can reduce availability of some amino acids. Proper cooking ensures safety by destroying pathogens in foods like eggs and meat while preserving most of the protein value. For plant proteins, soaking, sprouting and fermentation can improve digestibility and reduce anti-nutrients that interfere with absorption.
- Egg provides high biological value protein and is a single-food source to improve protein quality in meals.
- Combining chana (chickpea) with millet gives better overall amino acid balance than either alone.
- Milk and yoghurt supply protein and calcium useful for growing children and adolescents.
- Protein energy factor = 4 kcal per gram
- Biological value: a measure of the proportion of absorbed protein that becomes incorporated into the body (protein quality index).
Fats (Lipids): Types, Functions and Healthy Choices
Role and importance of fats
Fats are concentrated energy sources and supply essential fatty acids that the body cannot make. They are needed for insulation, protecting internal organs, aiding absorption of fat-soluble vitamins (A, D, E and K), and contributing to cell membrane structure. Fats add flavour and mouthfeel to food and help in feeling full after a meal.
Types of dietary fats
Dietary fats fall into saturated, unsaturated (monounsaturated and polyunsaturated) and trans fats. Saturated fats, common in ghee, butter, coconut oil and animal fats, can raise blood cholesterol when consumed in excess. Unsaturated fats, found in groundnut, mustard, soybean, sunflower and olive oil, are healthier and can help lower harmful cholesterol when used instead of saturated fats. Polyunsaturated fats include essential fatty acids such as omega-3 and omega-6 which support brain function and reduce inflammation. Trans fats are industrially produced by hydrogenation and are harmful; they increase heart disease risk and should be avoided.
Sources of essential fatty acids
Sources of omega-3 include flaxseeds, walnuts, chia seeds and fatty fish such as mackerel and sardines. Omega-6 fatty acids are present in many vegetable oils (sunflower, soybean). A balance of omega-3 and omega-6 is important for health.
Health considerations and moderation
Because fats provide 9 kcal per gram (more than double carbohydrate or protein), they are energy-dense and portion control is important to avoid excess calorie intake and weight gain. Replace saturated and trans fats with unsaturated fats, limit fried and processed foods, and include small amounts of healthy fats from nuts, seeds, fish and vegetable oils. Visible fats like ghee or butter should be used sparingly, especially for older and less active individuals.
Cooking and storage effects
High temperature frying can alter fat structure and may form harmful compounds; frequent reuse of cooking oil increases trans-fat formation and rancidity. Choose stable oils for high-heat cooking (mustard, groundnut) and use lower temperatures where possible. Store oils in dark, cool places to prevent oxidation. For nutrition, prefer methods like shallow frying, sautéing or roasting over deep frying, and combine meals with fibre and protein to balance energy uptake.
- Using groundnut oil or mustard oil for cooking instead of ghee reduces saturated fat intake while providing flavour.
- Adding a small amount of flaxseed or walnuts to a salad increases omega-3 content.
- Deep-fried samosa has much higher energy from fat than the same filling made into a baked snack.
- Fat energy factor = 9 kcal per gram
- Total energy (kcal) = 4×Protein (g) + 4×Carbohydrate (g) + 9×Fat (g)
Vitamins: Classification, Functions and Cooking Effects
What are vitamins?
Vitamins are organic compounds required in small amounts to regulate body processes, support growth, and prevent deficiency diseases. They do not provide energy but are essential for converting food into energy, maintaining tissues and supporting immune and nervous systems. Vitamins are classified into two groups: fat-soluble (A, D, E, K) and water-soluble (C and the B-complex group).
Fat-soluble vitamins
Vitamins A, D, E and K dissolve in fat and are stored in body tissues. Vitamin A is important for vision, skin and immunity; sources include carrots, sweet potato, leafy greens and liver. Vitamin D supports calcium absorption and bone health and is produced in skin on sunlight exposure; dietary sources include fortified milk and oily fish. Vitamin E acts as an antioxidant protecting cells from damage, found in nuts and oils. Vitamin K is crucial for blood clotting and is present in leafy vegetables and some vegetable oils.
Water-soluble vitamins
Vitamin C helps collagen formation, wound healing and immunity; it is abundant in citrus, guava, tomato and green leafy vegetables. B-complex vitamins (B1, B2, B3, B6, B12, folic acid, etc.) are involved in energy metabolism, nerve function and red blood cell formation. Deficiencies cause specific diseases: vitamin A deficiency can lead to night blindness; B1 deficiency causes beriberi; folic acid deficiency in pregnancy is linked to neural tube defects; vitamin C deficiency causes scurvy.
Cooking and storage effects
Water-soluble vitamins are sensitive to heat, light and water. Over-boiling causes leaching of vitamins into cooking water; draining and discarding that water wastes nutrients. Steam, microwave or pressure-cook with minimal water to preserve such vitamins. Fat-soluble vitamins are more stable to heat but can be lost if foods are overcooked or discarded with fat. Freshness, minimal processing and short cooking times help retain vitamin content. Use cooking water in soups or gravies when possible to recover lost nutrients.
Practical tips
Include a variety of coloured fruits and vegetables daily to cover vitamin needs, use whole grains for B vitamins, and choose fortified foods when natural sources are limited. For school meals and household planning, teach preparing vegetables lightly and serving raw fruits often, and consider safe sun exposure for vitamin D synthesis in addition to dietary sources.
- Steaming broccoli retains more vitamin C than boiling and discarding the water.
- Fortified milk supplies vitamin D to support bone health in children and adolescents.
- Including citrus fruit with meals improves absorption of iron and provides vitamin C.
Minerals: Functions, Sources and Bioavailability
Overview of minerals
Minerals are inorganic elements that the body requires for structural and regulatory functions. They are divided into major minerals (needed in larger amounts) such as calcium, phosphorus, potassium, sodium and magnesium, and trace minerals (needed in small amounts) such as iron, iodine, zinc and fluoride. Each mineral has specific roles and common dietary sources.
Key minerals and their functions
Calcium is crucial for bones and teeth, muscle contraction and nerve conduction; dairy products, leafy greens and fortified foods are good sources. Phosphorus works with calcium in bones and is present in many protein-rich foods. Iron is required for haemoglobin formation and oxygen transport; sources include red meat, liver, pulses, green leafy vegetables and jaggery. Iodine is essential for thyroid hormone production and normal growth; iodised salt and seafood supply iodine. Zinc supports growth, immunity and wound healing and is present in meat, legumes, nuts and dairy.
Bioavailability and interactions
The amount of a mineral that the body can absorb and use (bioavailability) depends on the food matrix and presence of enhancers or inhibitors. Phytates in whole cereal bran and legumes can bind iron and zinc, reducing their absorption. Vitamin C enhances absorption of non-haem iron from plant sources. Calcium competes with iron and zinc for absorption when consumed in large amounts together. Processing methods like fermentation, germination and soaking can reduce anti-nutrients (phytates) and improve mineral availability.
Deficiency signs and at-risk groups
Iron deficiency leads to anaemia, fatigue, pale skin and poor concentration and is common among children and adolescent girls. Iodine deficiency causes goitre and impaired mental development. Calcium deficiency affects bone health and can cause rickets in children and osteomalacia in adults. Populations with limited dietary variety, frequent infections, poor weaning practices or low economic resources are at higher risk of mineral deficiencies.
Practical strategies
To improve mineral intake and use a balanced approach: include vitamin C-rich foods with plant iron sources, use iodised salt, encourage consumption of dairy or calcium-rich plant foods, and employ preparation methods (soaking, sprouting) to reduce phytates. Fortified foods and public health supplementation programmes (iron/folic acid) also help prevent common deficiencies in the community.
- Serving spinach dal with lemon juice increases non-haem iron absorption because vitamin C enhances iron uptake.
- Using iodised salt in cooking reduces iodine deficiency disorders at the population level.
- Soaking and sprouting legumes before cooking reduces phytates and improves mineral bioavailability.
Water and Dietary Fibre: Needs, Roles and Sources
Water: role and requirements
Water is essential for life. It acts as the medium for biochemical reactions, transports nutrients and waste, regulates body temperature, lubricates joints and helps digestion. Daily water needs vary with age, activity, climate and health status. Children should be encouraged to drink water regularly, have fluids during hot weather and when active, and to take water with meals to aid digestion. Safe drinking water and hygiene are critical to prevent water-borne diseases that cause nutrient loss.
Dietary fibre types and functions
Dietary fibre is the indigestible part of plant foods. Soluble fibre (found in oats, fruits and some vegetables) dissolves in water to form a gel that slows digestion, helps control blood cholesterol and blood sugar levels, and supports gut bacteria. Insoluble fibre (found in whole grains, bran and many vegetables) adds bulk to stool and speeds up transit through the gut, preventing constipation. Both types promote satiety, which aids weight management and reduces overeating.
Food sources
Water is obtained from drinking fluids (plain water, milk, soups, buttermilk) and from foods with high water content (fruits, vegetables). Fibre sources include whole grains, millets, pulses, vegetables, fruits and nuts. Processing often reduces fibre — for example, refining removes bran from grains — so choose whole or less-processed options to increase fibre intake.
Health benefits and cautions
Adequate water prevents dehydration and supports nutrient transport and digestion. Fibre helps maintain bowel regularity, reduces risk of colon problems, and can lower cholesterol levels. However, increasing fibre suddenly can cause bloating and gas; increase intake gradually and drink extra water to help fibre move through the gut. In some medical conditions high-fibre diets may need adjustment, so follow health professional advice.
Practical applications
Encourage a balance of fluids and fibre throughout the day: include a fruit or vegetable with each meal, choose whole grain breads and cereals, and use cooking methods that preserve moisture and nutrients. For schoolchildren, include water bottles and fibre-rich snacks like fruits and roasted chana. For families, combine fibre sources with protein and healthy fats to make satisfying, nutrient-rich meals.
- An apple provides water and soluble fibre that helps keep a child full before lunch.
- Replacing refined breakfast cereal with rolled oats increases soluble fibre intake and slows morning hunger.
- Drinking water with a high-fibre meal helps prevent bloating and supports digestion.
Energy Value of Foods and Calorific Calculations
What energy value means
Energy value of food is the amount of energy the body can obtain from it, expressed in kilocalories (kcal). Energy is required for all bodily processes — breathing, circulation, body temperature maintenance, physical activity and growth. Knowing the energy value of foods helps plan diets that meet but do not exceed a person’s needs, preventing under- or over-nutrition.
Energy factors for macronutrients
Standard conversion factors are used to estimate energy: carbohydrates and proteins each provide about 4 kcal per gram, fats provide about 9 kcal per gram, and alcohol provides 7 kcal per gram. Using these factors, the energy content of any food can be calculated if the amounts of macronutrients are known.
Calculation method
To calculate total energy: multiply grams of protein by 4, carbohydrates by 4 and fats by 9, then sum the results. For example, a snack with 8 g protein, 30 g carbohydrate and 10 g fat has energy = (8×4) + (30×4) + (10×9) = 32 + 120 + 90 = 242 kcal. Food composition tables and nutrition labels provide nutrient amounts per 100 g or per serving to aid calculations for whole meals.
Factors influencing energy needs
Energy needs depend on age, sex, body size, growth, pregnancy, lactation, health and physical activity. Children and adolescents need more energy relative to body size for growth. Active workers and athletes require higher intakes. Basal metabolic rate (BMR) — the energy needed at rest — varies individually. Total daily energy requirement is the sum of BMR, energy for physical activity and energy for digestion (thermic effect of food).
Using energy information for meal planning
Energy calculations are useful to compare foods (boiled versus fried), manage portion sizes and plan balanced diets to reach healthy body weight. Choose nutrient-dense foods that provide vitamins and minerals along with energy rather than energy-dense but nutrient-poor processed foods. When calculating meals, include contributions from all components: staples, vegetables, proteins, oils and condiments. Remember that alcohol adds non-nutritive energy and should be avoided in children and adolescents.
- Calculate energy: A meal contains 10 g protein, 40 g carbohydrate and 15 g fat. Energy = (10×4)+(40×4)+(15×9)=40+160+135=335 kcal.
- Comparing boiled potato (low fat) vs chips (high fat): chips have higher energy per 100 g due to added fat from frying.
- Using a food label that lists macronutrients per serving, add contributions from each packaged item to find total meal energy.
- Total energy (kcal) = 4×Protein (g) + 4×Carbohydrate (g) + 9×Fat (g)
Balanced Diet: Principles and Practical Meal Planning
Principles of a balanced diet
A balanced diet supplies the correct proportions of energy, proteins, vitamins, minerals and fibre to meet the body’s needs for growth, maintenance and activity. It involves variety, moderation and appropriate portion sizes. A balanced plate typically includes cereals or staple carbohydrates, a source of protein (pulses, eggs, dairy or meat), vegetables and fruits for vitamins and minerals, and a small portion of fats. Hydration and fibre are also included.
Meal planning steps
Start by identifying needs for each family member — age, sex, activity level and any special states like pregnancy. Choose a staple (rice, roti), add a protein source (dal, paneer, egg, fish), include two types of vegetables (one green leafy), add a fruit or fruit salad, and include a small serving of milk or yoghurt. Use local and seasonal produce for better nutrition and cost-effectiveness. Balance meals over the day: breakfast should be energising, lunch substantial, and dinner lighter but nutrient-rich.
Portion and plate guidance
Use the plate method: half the plate vegetables and fruits, one quarter cereals/staple and one quarter protein. Adjust portions according to age and activity. Children need more frequent small meals or snacks. Adolescents need extra energy and iron, especially girls. Pregnant and lactating women require additional energy, protein, iron and calcium. For adults, match energy intake to activity to avoid weight gain while maintaining nutrient density.
Addressing vegetarian diets and food combinations
Vegetarian diets can be balanced by combining cereals and pulses to obtain all essential amino acids, including dairy for calcium and B12 when possible. Fortified foods help where certain nutrients are lacking. Encourage variety within plant foods: legumes, nuts, seeds, millets and a range of vegetables and fruits. Monitor iron and vitamin B12 for vegetarians and advise fortified foods or supplements if necessary.
Practical tools and tips
Plan weekly menus, cook in batches and use leftovers safely to save time and ensure variety. Use small additions like lemon (vitamin C) to help iron absorption, and include at least one green leafy vegetable daily. Limit sugary snacks and fried foods; choose whole grains, lean proteins and plenty of vegetables to make meals balanced and appealing for family members.
- Sample lunch for a schoolchild: brown rice, mixed vegetable dal, curd and a banana — provides carbohydrate, protein, calcium and vitamins.
- Adolescent girl meal: chapati, spinach paneer, salad, glass of milk — iron, protein and calcium covered.
- Pregnant woman meal: fortified porridge with milk, boiled egg, vegetable curry and fruit — extra energy, protein and micronutrients provided.
Nutritional Requirements Through Life Stages
Changing needs at different stages
Nutritional needs change throughout life. Infants require rapid growth support, toddlers need frequent nutrient-dense meals, school-age children need balanced diets for learning and growth, adolescents need extra energy and nutrients for growth spurts, adults require maintenance nutrients and balanced energy to match activity, and the elderly need adequate protein, calcium and vitamins while energy needs decline. Pregnancy and lactation increase needs for energy, protein, iron and calcium to support the mother and the developing baby.
Infancy and early childhood
Breastfeeding provides ideal nutrition in infancy. During complementary feeding (6 months onwards), introduce nutrient-dense, soft foods while continuing breastfeeding. Small frequent feeds and iron-rich complementary foods prevent anaemia. Growth monitoring helps detect undernutrition early. Toddlers need variety to meet micronutrient needs and to develop acceptance of foods.
Adolescence
Adolescents experience rapid growth; energy and protein needs rise. Girls need extra iron due to menstruation. Encourage calcium-rich foods for bone development and sufficient protein for muscle growth. Sports and physical activity increase energy and fluid requirements. Poor dietary habits in adolescence can carry into adulthood, so healthy patterns are important.
Adulthood and elderly
Adults should match energy intake to activity to maintain healthy weight while ensuring sufficient protein, vitamins and minerals. Elderly may eat less due to reduced appetite, dental problems or illness; concentrate on nutrient-dense foods, softer textures and include sources of calcium and vitamin D to reduce bone loss. Protein prevents muscle wasting and supports recovery from illness.
Special needs: pregnancy and illness
Pregnancy requires increased calories, protein, iron and folate; folic acid before conception reduces neural tube defects. Lactation further increases energy and fluid needs. During illness or recovery, protein and energy needs rise; small, frequent, nourishing meals and attention to hygiene aid recovery. Public health measures like supplementation (iron/folic acid) and fortified foods support vulnerable groups.
- A toddler’s meal: porridge with milk, mashed vegetable and fruit pieces to provide energy and micronutrients.
- An adolescent boy playing sports needs additional carbohydrate-rich snacks and adequate protein for recovery.
- An elderly person may prefer soft-cooked lentils, mashed vegetables and milk for ease of eating and nutrient density.
Malnutrition and Nutritional Deficiency Disorders
Types and causes of malnutrition
Malnutrition includes under-nutrition (insufficient intake of energy and nutrients) and over-nutrition (excess energy leading to overweight and obesity). Causes of under-nutrition are inadequate food intake, poor diet diversity, repeated infections, poor maternal nutrition and inadequate infant feeding practices. Social and economic factors such as poverty, food insecurity and lack of nutrition education also contribute. Over-nutrition arises from excessive consumption of energy-dense, nutrient-poor foods and sedentary lifestyles.
Protein-energy malnutrition and its forms
Protein-energy malnutrition (PEM) ranges from mild underweight to severe conditions. Marasmus results from severe deficiency of energy and protein and presents with extreme thinness, loss of fat and muscle wasting. Kwashiorkor results primarily from severe protein deficiency often with some calorie intake; it is characterised by oedema (swelling), enlarged fatty liver, skin changes, hair discoloration and poor appetite. Both conditions weaken immunity and increase risk of infections and death if not treated promptly.
Micronutrient deficiency disorders
Micronutrient deficiencies are widespread and can affect growth, cognitive development and immunity. Iron deficiency causes anaemia, leading to tiredness, pale skin, poor concentration and reduced work capacity. Vitamin A deficiency increases susceptibility to infections and can cause night blindness. Iodine deficiency can cause goitre and impaired brain development in children. Vitamin D deficiency leads to rickets in children with soft, deformed bones. B vitamin deficiencies cause specific problems such as beriberi (B1) with nerve and heart problems, and pellagra (niacin) with dermatitis and diarrhoea.
Assessment and screening
Community and clinical assessment use simple tools: growth monitoring charts (weight-for-age, height-for-age), mid-upper arm circumference (MUAC) for young children, haemoglobin tests for anaemia, and clinical signs (bitot spots for vitamin A deficiency, goitre for iodine deficiency). Regular school and community screenings help identify at-risk children early so interventions can start promptly.
Prevention, treatment and community actions
Prevention includes promoting exclusive breastfeeding for six months, timely and nutritious complementary feeding, dietary diversification, food fortification (iodised salt, fortified flours), and supplementation programmes (iron-folic acid for adolescent girls and pregnant women). Treatment for severe malnutrition requires medical care, therapeutic feeding with specially formulated foods, management of infections and gradual nutritional rehabilitation. Community measures such as improving water, sanitation, hygiene, maternal education and social support reduce the underlying causes of malnutrition.
Household practices to reduce malnutrition
At home, use affordable nutrient-dense foods (pulses, eggs, seasonal vegetables), combine foods to improve nutrient absorption (vitamin C with plant iron), practise good hygiene to prevent infections, and ensure regular meals and monitoring of children's growth. Nutrition education, income support and access to health services are vital to break the cycle of malnutrition across generations.
- A child with severe wasting and very low weight-for-age may be diagnosed with marasmus and needs therapeutic feeding and medical care.
- Community use of iodised salt reduces goitre and improves cognitive outcomes compared to areas without iodised salt.
- School iron supplementation programmes can reduce anaemia among adolescent girls and improve concentration.
Effect of Cooking and Processing on Nutrients
How heat and processing change foods
Cooking and processing alter foods physically and chemically, changing nutrient availability, safety and shelf life. Heat disrupts cell walls and denatures proteins, which can increase digestibility and reduce anti-nutrients in some foods. However, heat, light and oxygen may degrade sensitive vitamins (especially vitamin C and some B vitamins) and oxidise fats. Processing steps like milling, refining, canning and drying each have specific effects on the nutrient profile.
Positive effects of cooking
Proper cooking makes many foods safe by destroying harmful microbes. Cooking increases the availability of some nutrients: for example, heat breaks down plant cell walls releasing carotenoids like lycopene from tomatoes and makes starch more digestible. Soaking and sprouting legumes reduce phytates and improve protein and mineral availability. Fermentation enhances B-vitamins, digests some proteins and makes minerals more available.
Negative effects of cooking and processing
Overcooking and prolonged boiling can leach water-soluble vitamins and some minerals into cooking water which is often discarded, causing nutrient loss. Refining grains removes the bran and germ, reducing fibre, B vitamins and minerals. Canning and sterilisation can reduce certain heat-sensitive vitamins, though minerals remain relatively stable. Deep-frying increases fat content and energy value and may produce harmful oxidation products if oil is overheated or reused frequently.
Practical methods to conserve nutrients
Use cooking techniques that minimise nutrient loss: steaming, pressure-cooking with minimal water, microwaving and sautéing preserve vitamins better than long boiling. When boiling vegetables, use the drained water in soups or gravies to recover leached nutrients. Cut vegetables into larger pieces to reduce exposed surface area and shorten cooking times. Use whole grains where possible and replace refined items with fortified versions to recover lost nutrients. Employ traditional practices such as fermentation and sprouting to improve nutrient quality in pulses and cereals.
Household guidance and examples
Teach household cooks to cook vegetables lightly, avoid discarding cooking water when possible, and choose fresh seasonal produce. For pulses, soak before cooking to reduce fuel time and increase nutrient availability. For preserved foods like canned vegetables, choose low-salt options and add fresh vegetables to meals for added vitamins. Understanding the balance between making food safe and preserving nutrients helps families prepare healthy meals with minimal losses.
- Making soup with vegetable cooking water retains vitamins that would be lost if the water were discarded.
- Sprouting gram increases B vitamin content and decreases cooking time compared to raw gram.
- Using pressure-cooking for legumes shortens cooking time and retains more water-soluble vitamins than prolonged boiling.
Food Storage, Preservation, Food Safety and Nutrient Retention
Link between storage and nutritive value
How food is stored affects both its safety and nutrient content. Exposure to heat, light and oxygen accelerates vitamin degradation and fat rancidity. Microbial growth during improper storage causes spoilage and can lead to food-borne illness, which in turn causes nutrient loss and increased nutrient requirements due to illness. Good storage and hygiene practices preserve nutritive value and prevent disease.
Common preservation methods and nutrient effects
Refrigeration and freezing slow microbial growth and enzyme activity, preserving vitamins and preventing spoilage. Freezing often preserves nutrients well when done soon after harvest. Drying and dehydration reduce water activity and extend shelf life, though some heat-sensitive vitamins may be reduced. Canning provides long storage but can reduce certain vitamins while minerals remain stable. Fermentation not only preserves food but can enhance nutrient availability (e.g., increased B-vitamins), while pickling preserves but may increase sodium content.
Safe handling to prevent contamination
Preventing contamination protects both nutritive value and health. Wash hands before handling food, clean utensils and surfaces, separate raw and cooked foods to avoid cross-contamination, cook foods to safe internal temperatures, chill leftovers promptly and reheat thoroughly. Use clean water for washing and cooking. Observe sensory signs of spoilage such as bad odour, discolouration, slime or mould and discard suspect foods.
Practical household tips to retain nutrients
Buy reasonable quantities and use them while fresh; store oils in dark cool places and use within recommended periods; keep grains and pulses in airtight containers to prevent pests; freeze seasonal fruits to preserve vitamins; store milk and perishable items at recommended temperatures. When using preserved foods such as canned vegetables, combine them with fresh produce to improve vitamin content. Label stored items with date and rotate stock using first-in-first-out (FIFO) to reduce waste.
Community measures and education
Local education on safe food preservation and proper home storage reduces food-borne illnesses and nutrient loss. In schools and households teach simple checks for spoilage and encourage safe practices like boiling water when unsure of its quality. Combining safe storage with proper cooking helps families retain nutritive value while ensuring food safety.
- Freezing ripe mangoes preserves vitamins for use later in smoothies, maintaining nutritive value compared to leaving them to spoil.
- Storing onions in a cool ventilated place prevents sprouting and nutrient loss; keeping pulses in airtight containers prevents insect damage.
- Reheating leftover rice thoroughly until steaming hot prevents bacterial growth and food poisoning, protecting health and nutrient use.
Reading Food Labels and Choosing Healthy Packaged Foods
Purpose and elements of food labels
Food labels provide important information to help consumers choose healthier packaged foods. Labels typically include product name, ingredients list (in order of weight), net quantity, manufacturer details, best-before or use-by dates, and a nutrition information table showing energy, protein, carbohydrate, fat and sometimes sugar, fibre, sodium and select vitamins or minerals per serving and per 100 g. Some labels include health or nutrient claims (e.g., "fortified with iron").
How to interpret key information
Check serving size and compare per 100 g values when comparing products. Ingredients are listed by weight, so the first few ingredients dominate the product composition. Look for whole grain or fibre-containing first ingredients in cereals and breads. Watch for added sugars, sodium and unhealthy fats: products may advertise "low fat" while being high in sugar, or "multigrain" while being mostly refined flour. Fortified claims should be verified by checking the nutrient table for added vitamins or minerals.
Choosing healthier packaged items
Prefer options with lower saturated fat, trans fat, added sugars and sodium. Choose higher fibre and whole-grain versions of staples. For dairy, compare fat and sugar content; for snacks, prefer those with higher protein and fiber and lower sugar and salt. When buying canned goods, choose low-salt or no-salt-added varieties, and rinse canned beans to reduce sodium. Use labels to control portion size by packing single-serve portions or dividing large packs into recommended servings.
Practical classroom activity
Ask students to bring two packaged breakfast cereals or biscuits and compare labels: check sugar, fibre, fat and ingredient lists. Decide which is better for a child’s snack and explain why based on nutrient content and ingredient order. Teach students to use labels to plan balanced meals and avoid misleading marketing. Understanding labels empowers families to make healthier, cost-effective choices with packaged foods.
- Compare two biscuits: check energy, sugar and fat per 100 g and per serving to choose the better snack option for children.
- Choosing milk labeled 'fortified with vitamin D' and checking the nutrition table to confirm the amount provided.
- Selecting canned tomatoes with no added salt to reduce sodium intake in cooking.
Planning Healthy Meals on a Budget and for School Children
Combining health and economy
Healthy eating on a budget is possible by focusing on nutrient-dense, affordable foods, planning ahead and reducing waste. Pulses, seasonal vegetables, eggs, milk and whole grains often provide high nutrition per rupee. Planning weekly menus, buying seasonal produce, cooking in bulk and reusing leftovers reduce cost and time while ensuring variety.
Steps to plan budget-friendly meals
1) Assess family needs and favourite dishes. 2) Make a weekly menu that rotates staples and uses seasonal vegetables. 3) Prepare a shopping list and buy only what is needed. 4) Use one-pot meals like khichdi to combine cereals and pulses, saving fuel and creating balanced meals. 5) Cook in batches and freeze portions, reducing daily cooking time and preventing impulse purchases.
Healthy and affordable food choices
Pulses and legumes are economical protein sources; eggs provide high-quality protein at low cost. Seasonal fruits and vegetables are cheaper and fresher. Local millets and whole grains can be cost-effective and nutritious alternatives to refined cereals. Use small amounts of fat and flavourful spices to make simple ingredients appealing. Fortified staple foods (iodised salt, fortified flour) help where specific nutrients are commonly lacking.
Schoolchildren: practical tiffin ideas and habits
A balanced tiffin for school might include a staple (chapati, poha, upma), a protein (boiled egg, paneer, dal), a vegetable or salad, a piece of fruit and a small dairy item (buttermilk, yoghurt). Avoid sugary drinks and fried snacks. Use insulated containers to keep foods fresh. Teach children to wash hands before eating and include a water bottle to stay hydrated. Make snacks like roasted chana, fruit and roasted peanuts rather than packaged biscuits.
Activities and planning tools
Practice creating three-day low-cost menus that meet nutrient goals using local foods. Calculate approximate cost and note nutrient coverage. Encourage community or school gardens to supply fresh produce and involve students in simple meal preparation to promote acceptance of healthy foods. With planning and small changes, families can feed children well without excessive expense.
- A low-cost balanced meal: khichdi (rice + moong dal), mixed vegetable sabzi, curd and a banana.
- Healthy tiffin idea: vegetable paratha, a small container of curd, cucumber sticks and an orange.
- Bulk-cook rajma once a week and use portions with rice, in wraps or as a snack filling to save time and money.
Food Safety, Hygiene and Preventing Nutrient Loss from Contamination
Why food safety matters for nutrition
Unsafe food leads to food-borne illnesses such as diarrhoea, vomiting and infections. These illnesses cause loss of fluids and nutrients, reduce appetite and impair absorption, leading quickly to malnutrition especially in children. Good hygiene and safe food handling protect nutritive value and health.
Common hazards and routes
Microbial contamination (bacteria, viruses, parasites) is the commonest hazard and spreads through contaminated water, raw foods, unclean surfaces, hands and utensils. Chemical contamination from pesticides or cleaning chemicals and physical contamination (stones, hair) also occur. Cross-contamination between raw and cooked foods is a frequent cause of food poisoning at home.
Basic preventive measures
Follow the four key steps: clean (wash hands, utensils and raw produce), separate (use different boards for raw meat and vegetables), cook (ensure foods reach safe internal temperatures), and chill (store perishable foods promptly in the refrigerator). Wash hands after using the toilet and before handling food. Use safe water for washing and cooking. Do not keep perishable foods at room temperature for long.
Storage and reheating guidance
Cool cooked foods quickly and refrigerate within two hours. Store cooked and raw foods separately; use airtight containers. Reheat leftovers until steaming hot throughout; do not repeatedly reheat the same portion many times. Discard foods that show off-odour, mould, sliminess or discolouration. For schools and community kitchens, maintain records of cleaning and storage temperatures and follow basic hygiene training for staff.
Preventing nutrient loss through contamination
Food spoilt by microbes loses quality and may have reduced nutrient value; more importantly, eating it causes illness that reduces nutrient absorption. Preventing contamination thus preserves nutritive value indirectly by preventing disease. Simple practices—safe water, handwashing, separating raw and cooked foods and proper refrigeration—protect both food and health in households and schools.
Practical household measures and community actions
At home, ensure utensils and cutting boards are cleaned with safe water and soap, and dried properly to avoid microbial growth. Avoid thawing frozen foods at room temperature; thaw in the refrigerator or under running water. Use leftovers within a day or two and reheat fully. In community settings like schools and canteens, establish clear procedures for receiving and storing food, check expiry dates and teach staff to recognise signs of spoilage. Promote handwashing and safe water access through school programmes to reduce diarrhoeal disease incidence.
Link with broader public health
Food safety ties into sanitation, safe water supply and public health measures. Reducing contamination lowers disease burden, supports nutrient absorption and improves educational outcomes by reducing absenteeism. Teaching children safe practices builds lifelong habits that protect nutritive value and health in families and communities.
- Washing vegetables and fruits before cutting reduces surface microbes and pesticide residues.
- Keeping cooked rice at room temperature all day allows spore-forming bacteria to grow; refrigerate leftovers promptly.
- Using separate chopping boards for raw chicken and salad vegetables prevents cross-contamination.
Special Diets, Food Allergies and Practical Adjustments
Understanding special dietary needs
Special diets arise from culture, ethics, health conditions or allergies. Vegetarian and vegan diets can meet nutritional needs when planned carefully. Food allergies (to milk, eggs, peanuts, seafood) and intolerances (e.g., lactose intolerance) require avoiding trigger foods and finding suitable substitutes while ensuring nutrient adequacy. Medical conditions such as diabetes or coeliac disease require specific dietary changes to manage health.
Planning vegetarian and vegan diets
Vegetarian diets that include dairy and eggs (ovo-lacto vegetarian) generally provide good protein and calcium. Vegan diets exclude all animal products and need careful attention to vitamin B12, vitamin D, calcium, iron and sometimes omega-3 fatty acids. Fortified foods (plant milks, cereals) and reliable supplements can prevent deficiencies. Combining cereals and pulses achieves complementary proteins. Include nuts, seeds and legumes regularly for protein and healthy fats.
Managing food allergies and intolerances
Identify the allergen and avoid it strictly; read labels for hidden ingredients (e.g., milk proteins in processed foods). Substitute safe alternatives: for peanut allergy use roasted chana or sunflower seed butter; for lactose intolerance use lactose-free milk or soy/almond milk fortified with calcium. In schools, communicate allergies to staff and have clear emergency plans for accidental exposure. For severe allergies, epinephrine auto-injectors and emergency protocols are essential under medical advice.
Dietary adjustments for medical conditions
In diabetes, balance carbohydrate intake with fibre and protein, choose low glycaemic index foods and avoid sugary drinks. For coeliac disease avoid gluten-containing grains (wheat, barley, rye) and select naturally gluten-free grains (rice, millets, maize). For heart disease, reduce saturated fat and trans fat, increase fibre and include sources of omega-3 fatty acids. Always follow professional guidance when medical conditions are present.
Practical tips and household measures
Plan menus with safe substitutes, use fortified products where necessary, and ensure variety to prevent monotony and deficiencies. Teach label reading to detect allergens and fortified nutrients. Encourage family meals that provide both preference accommodation and shared nutrition, and consult health professionals for supplement needs in restrictive diets.
- A vegetarian lunch: paneer curry, whole wheat chapati, mixed vegetable salad and yoghurt provides protein and calcium.
- Vegan breakfast: fortified soy milk with banana and oats to supply vitamin D and B12 from fortified sources.
- Peanut-allergic child: use roasted chana snack instead of peanut chikki; read labels on sweets for hidden nuts.
Key Concepts
- Nutrient
- A substance in food required by the body for energy, growth, repair or regulation.
- Nutritive value
- The types and amounts of nutrients a food provides and their usefulness to the body.
- Calorie (kcal)
- A unit of energy; the amount of heat needed to raise 1 kg of water by 1°C roughly.
- Balanced diet
- A diet that supplies all nutrients in the right proportions to meet the body's needs.
- Macronutrients
- Nutrients needed in large amounts: carbohydrates, proteins and fats.
- Micronutrients
- Vitamins and minerals needed in small amounts for body functions and health.
- Dietary fibre
- Indigestible plant material that aids digestion and bowel movement.
- Bioavailability
- The fraction of a nutrient that is absorbed and used by the body.
- RDA (Recommended Dietary Allowance)
- Average daily nutrient intake level considered sufficient for most individuals.
- Fortification
- Adding nutrients to foods to prevent deficiencies in a population.
- Malnutrition
- Poor health caused by under-nutrition or over-nutrition.
- Anaemia
- A condition of low haemoglobin often caused by iron deficiency leading to tiredness.
- Essential fatty acids
- Fats required in diet because the body cannot make them, e.g., omega-3 and omega-6.
- Trans fats
- Industrial fats formed by hydrogenation that raise heart disease risk.
- Food label
- Information on a packaged food about ingredients and nutrient content.
- Complementary proteins
- Combining two plant proteins so their amino acids together become complete.
Practice Questions
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List three functions of proteins. / प्रोटीन के तीन कार्य लिखिए।
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Proteins build and repair body tissues, make enzymes and hormones for body regulation, and support immune function. / प्रोटीन शरीर की उत्तकों का निर्माण और मरम्मत करते हैं, एन्ज़ाइम और हार्मोन बनाते हैं जो शरीर को नियंत्रित करते हैं, और प्रतिरक्षा (इम्यून) प्रणाली का समर्थन करते हैं।
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Calculate the energy value of a food that contains 12 g protein, 30 g carbohydrate and 10 g fat. / यदि किसी भोजन में 12 ग्राम प्रोटीन, 30 ग्राम कार्बोहाइड्रेट और 10 ग्राम वसा है तो इसका ऊर्जा मान (कैलोरी) निकालिए।
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Energy = (12×4) + (30×4) + (10×9) = 48 + 120 + 90 = 258 kcal. / ऊर्जा = (12×4) + (30×4) + (10×9) = 48 + 120 + 90 = 258 किलो कैलोरी।
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Name two food sources rich in iron and one practical tip to increase iron absorption. / लौह (आयरन) में समृद्ध दो खाद्य स्रोत बताइए और लौह अवशोषण बढ़ाने के लिए एक उपयोगी सुझाव दीजिए।
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Sources: spinach and lentils (or liver). Tip: Serve vitamin C-rich foods (e.g., lemon, orange) with iron-rich plant foods to increase absorption. / स्रोत: पालक और दाल (या जिगर)। सुझाव: लौह समृद्ध शाकाहारी भोजन के साथ विटामिन C वाले फल (नींबू, संतरा) दें जिससे लौह का अवशोषण बढ़ेगा।
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Explain why whole grains are healthier than refined grains. / बताइए कि साबुत अनाज परिष्कृत अनाज से ज़्यादा स्वस्थ क्यों हैं।
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Whole grains contain bran and germ that supply dietary fibre, B vitamins and minerals; these increase satiety, improve digestion and slow blood sugar rise. Refining removes these parts, reducing fibre and micronutrients. / साबुत अनाज में भूसी और अंकुर होते हैं जो आहार फाइबर, B विटामिन और खनिज प्रदान करते हैं; ये तृप्ति बढ़ाते हैं, पाचन सुधारते हैं और रक्त शर्करा के तेज़ उतार-चढ़ाव को धीमा करते हैं। परिष्कृत अनाज से ये भाग हट जाते हैं, जिससे फाइबर और सूक्ष्म पोषक घटते हैं।
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Give two effects of overcooking vegetables on their nutritive value. / सब्ज़ियों को अधिक पकाने से उनके पौष्टिक मूल्य पर दो प्रभाव लिखिए।
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Overcooking can reduce water-soluble vitamins (like vitamin C and some B vitamins) and cause loss of minerals into cooking water if the water is discarded. It can also reduce texture and palatability, lowering consumption. / अधिक पकाने से जल में घुलनशील विटामिन (जैसे विटामिन C और कुछ B विटामिन) कम हो सकते हैं और यदि पानी फेंक दिया जाए तो खनिज भी नष्ट या बह सकते हैं। यह बनावट और स्वाद को भी घटा सकता है जिससे खाना कम खाया जाता है।
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Write a balanced vegetarian tiffin for a schoolchild and explain why it is balanced. / एक स्कूल बच्चे के लिए संतुलित शाकाहारी टिफिन लिखिए और बताइए कि यह क्यों संतुलित है।
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Example tiffin: chapati, mixed vegetable dal, a small cup of curd and an apple. Explanation: Chapati provides energy (carbohydrate), dal provides protein and iron, vegetables supply vitamins, minerals and fibre, curd gives calcium and extra protein, and fruit adds vitamin C and fibre—together these cover major nutrient groups. / उदाहरण टिफिन: चपाती, मिक्स सब्ज़ी दाल, एक छोटा कप दही और एक सेब। व्याख्या: चपाती ऊर्जा (कार्बोहाइड्रेट) देती है, दाल प्रोटीन और लौह देती है, सब्ज़ियाँ विटामिन, खनिज और फाइबर देती हैं, दही कैल्शियम और अतिरिक्त प्रोटीन देता है और फल विटामिन C व फाइबर देता है—ये मिलकर मुख्य पोषक समूहों को पूरा करते हैं।
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What are trans fats and why should they be avoided? / ट्रांस वसा क्या हैं और इन्हें क्यों टाला जाना चाहिए?
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Trans fats are unsaturated fats altered by hydrogenation to become more solid. They raise harmful LDL cholesterol and lower beneficial HDL cholesterol, increasing risk of heart disease and stroke; therefore intake should be minimised. / ट्रांस वसा आंशिक हाइड्रोजनीकरण द्वारा ठोस बनाए गए असंतृप्त वसा होते हैं। ये हानिकारक LDL कोलेस्ट्रॉल बढ़ाते और लाभकारी HDL कोलेस्ट्रॉल घटाते हैं, जिससे हृदय रोग और स्ट्रोक का जोखिम बढ़ता है; अतः सेवन न्यूनतम करना चाहिए।
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Describe two household methods to improve iron absorption from plant foods. / शाकाहारी खाद्य पदार्थों से लौह के अवशोषण को बढ़ाने के लिए दो घरेलू उपाय बताइए।
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1) Serve vitamin C-rich foods (lemon, tomato, guava) with iron-rich plant foods to enhance absorption. 2) Use cooking practices like soaking, germination (sprouting) and fermentation to reduce phytates that inhibit iron absorption. / 1) विटामिन C वाले फल/सब्ज़ियाँ (नींबू, टमाटर, अमरूद) लौह समृद्ध शाकाहारी खाद्य के साथ परोसें जिससे अवशोषण बढ़े। 2) सोखना, अंकुरण (स्प्राउटिंग) और किण्वन जैसी रसोई प्रथाएँ अपनाएँ ताकि फाइटेट घटे जो लौह के अवशोषण को रोकता है।
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A packet shows per serving: Energy 200 kcal, Protein 5 g, Carbohydrate 28 g, Fat 8 g. Check whether the energy value matches macronutrient calculation. / एक पैकेट में प्रति सर्विंग लिखा है: ऊर्जा 200 kcal, प्रोटीन 5 g, कार्बोहाइड्रेट 28 g, वसा 8 g। क्या यह ऊर्जा मान माक्रोपोषक गणना से मेल खाता है, जाँच कीजिए।
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Calculate: (5×4) + (28×4) + (8×9) = 20 + 112 + 72 = 204 kcal. The labelled 200 kcal is close to the calculated 204 kcal; small differences may be due to rounding or other components like fibre. / गणना: (5×4) + (28×4) + (8×9) = 20 + 112 + 72 = 204 kcal। लेबल पर 200 kcal लिखी है जो गणना 204 kcal के निकट है; छोटे अंतर गोलाई या फाइबर/अन्य घटकों के कारण हो सकते हैं।
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Explain two reasons why children with diarrhoea become malnourished. / दस्त की स्थिति में बच्चे दो कारणों से कुपोषित क्यों हो जाते हैं, समझाइए।
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Diarrhoea causes loss of fluids and electrolytes and reduces absorption of nutrients from the gut; appetite also falls, so food intake decreases. Repeated episodes lead to cumulative nutrient and weight loss causing malnutrition. / दस्त से शरीर में तरल पदार्थ और इलेक्ट्रोलाइट का नुकसान होता है और आंत से पोषक तत्वों का अवशोषण कम हो जाता है; भूख भी घटती है इसलिए खाने की मात्रा घटती है। बार-बार होने पर ये मिलकर पोषक तत्वों की कमी और वजन घटाने का कारण बनते हैं।