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Hong Kong Dietary Guideline for adults
Food Group Recommendation
Grains and Cereals 3 – 6 bowls
Fruits 2 – 3 servings
Vegetables
6 - 8 taels (227 – 303 gram);
3 - 4 servings
Meat, poultry, fish, eggs &
bean products
5 – 6 taels (189 – 227 gram)
Milk & dairy products 1 - 2 servings
Fluid: 6 - 8 cups
Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm
1
Hong Kong Dietary Guideline for Children
(aged 1 to 3)
Food Group Recommendation
Grains and Cereals 1 - 2 bowls
Fruits 0.5 - 1 serving
Vegetables
2 - 4 taels (76 – 151 gram);
or 1 -2 servings
Meat, poultry, fish, eggs &
bean products
1 - 2 taels (38 – 76 gram)
Milk & dairy products 2 servings
Fluid: 6 - 8 cups
Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm
2
Hong Kong Dietary Guideline for Children
(aged 3 to 6)
Food Group Recommendation
Grains and Cereals 2 - 3 bowls
Fruits 1 serving
Vegetables
4 - 6 taels (151 – 227 gram);
or 2 - 3 servings
Meat, poultry, fish, eggs &
bean products
2 – 3 taels (76 – 113 gram)
Milk & dairy products approx. 2 servings
Fluid: 6 - 8 cups
Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm
3
Hong Kong Dietary Guideline for Children
(aged 6 to 12)
Food Group Recommendation
Grains and Cereals 3 - 4 bowls
Fruits 1 – 2 servings
Vegetables
4 - 6 taels (151 – 227 gram);
or 2 - 3 servings
Meat, poultry, fish, eggs &
bean products
3 – 5 taels (113 – 189 gram)
Milk & dairy products approx. 2 servings
Fluid: 6 - 8 cups
Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm
4
Hong Kong Dietary Guideline for Children
(aged 12 to 18)
Food Group Recommendation
Grains and Cereals 3 - 6 bowls
Fruits 2 servings
Vegetables
6 - 8 taels (227 – 303 gram);
3 - 4 servings
Meat, poultry, fish, eggs &
bean products
5 – 6 taels (189 – 227 gram)
Milk & dairy products approx. 2 servings
Fluid: 6 - 8 cups
Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm
5
Hong Kong Dietary Guideline for Elderly
Food Group Recommendation
Grains and Cereals 3 - 4 bowls
Fruits 2 - 3 servings
Vegetables
6 - 8 taels (227 – 303 gram);
3 - 4 servings
Meat, poultry, fish, eggs &
bean products
4 – 5 taels (151 – 189 gram)
Milk & dairy products 1 - 2 servings
Fluid: 6 - 8 cups
Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm
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Dietary goals
• Choose a variety of food and eat grains and cereals as the
largest portion of food in every meal.
• Eat a lot of vegetables and fruit.
• Reduce the consumption of foodstuffs with high salt, fat and
sugar content as well as those which are preserved.
• A daily fluid intake of 6 to 8 glasses (including clear soup, fruit
juice and tea).
• Take meals regularly and in adequate amounts.
13
Nutrition
• Nutrition is the intake of food, considered in relation to the
body’s dietary needs.
• Good nutrition refers to an adequate and well balanced diet
combined with regular physical activity, it is the cornerstone of
good health.
• Poor nutrition can lead to reduced immunity, increased
susceptibility to disease, impaired physical and mental
development, and reduced productivity.
14
Energy requirements of individuals
• Daily energy needs vary among individuals, depending on their
age, gender, job nature and physical activity level.
• Children and adolescents in developmental stages and pregnant
or breastfeeding women require higher calorie intake, while
energy requirements of adults decline gradually with age.
• Environmental temperature and activity level are also
determining factors of our daily energy requirement. For
example, we need more energy in cold weather; and people with
high activity level or heavy workload have greater energy needs.
15
Energy requirements of individuals
• People with low activity level should stay away from energy-
dense food such as deep-fried food, candies and desserts to
avoid becoming overweight.
• Adolescents in their developmental stages and physically active
people should maintain a balanced diet with sufficient calorie
intake.
• To maintain a healthy body weight, we should eat the right
amount of different food groups as they contain different energy
content.
16
Average daily energy requirements for
individuals
Male (kcal) Female (kcal)
Aged 7-10 1950 1850
Aged 11-14 2650 2300
Aged 15-18 2900 2400
Activity Level Low Medium High Low Medium High
Aged 18 above 2400 2700 3200 2100 2300 2700
Aged 50 above 2300 2600 3100 1900 2000 2200
Aged 60 above 1900 2200 1800 2000
Aged 70 above 1900 2100 1700 1900
Aged 80 above 1900 1700
Source: The Chinese Dietary Reference Intakes, Chinese Nutrition Society 2000
Extra daily energy requirements for female who are:
Pregnancy +200 kcal
Breastfeeding +500 kcal
17
• Kilocalorie (kcal) is the unit for measuring energy. One kcal equals to the amount of
energy needed to heat up one kilogram (one litre) of water by one degree Celsius.
Relationship between energy consumption
and body weight
Energy consumption = Energy expenditure
body weight maintains
Energy consumption > Energy expenditure
body weight increases
Energy consumption < Energy expenditure
body weight decreases
18
• If we take in less energy than we use daily, our body growth will be
hampered, leading to weight loss.
• On the contrary, our body will gain weight if we take in more energy
than we use daily, such as exercising less or eating too much.
• It is important to maintain a good balance between energy input and
output.
Causes of nutritional disorders
• There are many causes of nutrition disorders, including
insufficient intake of food or of certain nutrients, inability to
absorb and use nutrients, or overconsumption of certain foods.
• Common nutritional disorders include anaemia caused by iron
or vitamin B6 deficiency, protein-energy under-nutrition,
obesity caused by excess energy intake and impaired sight
caused by vitamin A deficiency.
• For children, nutrition disorders can be particularly serious as it
might interfere with growth and development. Under-nutrition
may also predispose children to many health problems such as
infection and chronic disease.
19
Source: WHO (2014)
http://www.who.int/topics/nutrition_disorders/en/
Malnutrition
1. Malnutrition refers to “bad nourishment”, it can be due to
insufficient or excessive intake of food and nutrient. It can also
be the results of the body's response to a wide range of
infections that lead to malabsorption of nutrients or the
inability to use nutrients properly.
2. Malnourishment remains a serious health problem all over
the world, especially in the developing countries. Millions of
children do not have access to a well-balanced diet with the
nutrients they need to develop properly.
3. In developed countries, overeating and dietary excess have
become more common. The primary consequence is obesity
which may increase the risk of high blood pressure, high
cholesterol levels and cardiovascular illness.
20
Source: WHO (2014)
http://www.who.int/topics/nutrition_disorders/en/
Relationship between diet and health
• Food is essential for life as it is the source of energy and
nutrients. Energy supports human activities whereas nutrients
are vital for growth, repair, health maintenance and disease
prevention.
• Imbalanced or poor diet may lead to obesity or specific
nutrient deficiency. These in turn may increase the risk of a
variety of health problems, such as heart diseases,
cerebrovascular disease, diabetes mellitus, hypertension and
some cancers.
• A balanced diet contributes to good health and protect against
some forms of cancers.
21
Source: Centre for Health Protection, HKSAR
http://www.chp.gov.hk/en/content/9/25/8800.html
Dietary goals (WHO)
• The recommendations include the following:
• achieve energy balance and a healthy weight
• limit energy intake from fats and shift fat consumption
away from saturated fats to unsaturated fats and towards
the elimination of trans-fatty acids
• increase consumption of fruits and vegetables, and
legumes, whole grains and nuts
• limit the intake of free sugars (e.g. sugar and syrup added
to food, sugar naturally present in fruit juice and honey)
• limit salt (sodium) consumption from all sources and
ensure that salt is iodized
22
Source: WHO (2014)
http://www.who.int/dietphysicalactivity/diet/en/
Overweight and obesity
• The prevalence of overweight and obesity is increasing at an
alarming rate globally as a result of dietary changes and
decreasing physical activity.
• The risk of hypertension, coronary heart disease, stroke and
type 2 diabetes grows progressively with increasing body
weight, as do the risks of certain cancers such as breast and
colon cancer.
• Chronic overweight also contributes to osteoarthritis—a major
cause of disability in later life.
• Globally, 44% of diabetes, 23% of ischemic heart disease and
between 7% and 41% of certain cancer burdens are
attributable to overweight and obesity.
23
Source: WHO (2012)
http://www.wpro.who.int/mediacentre/factsheets/obesity/en/
Tips for cutting fat and calories (1)
• Buy fresh food whenever possible. Canned and processed
products are often high in sodium and added with a lot of
sugar or oil which is dense in calories but provide little nutritive
value.
• Choose lean cuts of meat and avoid meat with high fat content
such as belly meat and short ribs.
• Buy plenty and a variety of vegetables. Eating more vegetables
can add bulk to diet and fill up the stomach so that it would be
less likely to overeat as a whole. The recommendation is to eat
at least 3 servings (about 240 grams or 6 taels) of vegetables
each day.
• Choose low-fat products of milk, dairy products, salad
dressings, etc.
24
Tips for cutting fat and calories (2)
• Trim all visible fat from meat before cooking and drain any fat
accumulated after cooking meat. Remove fat and oil from soup
as well.
• Try to use steaming, stewing, braising or boiling instead of
deep-frying.
• Reduce the amount of oil used by adding sauces made from
low-fat ingredients such as cornflour with water or light broth.
• Choose vegetable oils and avoid animal fats such as butter and
lard. Although both types of fats contain the same amount of
calories, animal fats are rich in saturated fat which may cause
elevated blood cholesterol level and increased risk of
cardiovascular disease.
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Tips for cutting fat and calories (3)
• Use as little condiments as possible. Salad dressings, ketchup
and chilli sauce can add fat as well as calories to food. Avoid
sauces with significant amount of fat such as cream sauce and
meat sauce.
• Choose vegetable soup or broth instead of cream soup,
because the latter is high in fat.
• Avoid eating fat meat, poultry skins and offals which are high in
animal fats and cholesterol.
• Watch out the portion of meat which is sometimes served
over-sized in restaurants. On average an adult only needs
about 189 – 277 grams (5 to 6 taels) of meat each day including
poultry, seafood and eggs.
• Ask for a sugar-free drink.
26
Nutrition labelling
• Provision of nutrition information on food labels is an
important public health tool to promote a balanced diet.
Nutrition labelling on food products has emerged as a
prominent policy tool for promoting healthy eating.
• Nutritional requirements and food preferences are different
among individuals. By making use of nutrition labels, everyone
can make informed choices on the types and amount of foods
that meet their dietary needs.
27
Nutrition labelling scheme in Hong Kong
• The Hong Kong Nutrition Labelling Scheme has come into force
in 1st July 2010.
• Under the Food and Drugs (Composition and Labelling)
Regulations (Cap. 132W), nutrition labelling is required for all
prepackaged food unless otherwise exempted.
• On the nutrition label, information on energy and nutrients
contents must be shown.
• In addition, nutrition claims such as “low fat” or “no sugars” on
pre-packaged foods are also regulated.
28Source: http://www.cfs.gov.hk/
Use of nutrition information
• Nutrition information is very useful for making healthy food
choice.
• One can use the nutrition label to:
• compare nutritional content among different foods for a
healthier choice, e.g. to choose food lower in fat, sodium
(or salt) and sugars;
• understand the nutritional content of food and estimate
their contribution to the overall diet;
• meet individual’s dietary needs.
29Source: http://www.cfs.gov.hk/
How to read nutrition label
• Nutrition label is a systematic way of presenting nutrition
information of food products. It is usually in a tabular format
with a heading like “Nutrition Information”, “Nutrition Facts” or
“Nutrition Label”.
30Source: http://www.cfs.gov.hk/
Nutrition label is usually in a tabular format (Left side). For small packages, the
nutrition label may show the energy and nutrients linearly (Right side).
Reference amount of food
• Energy and nutrient values can be expressed in different
reference amounts such as per 100 g (100 mL for liquid), per
serving or per package.
31
The energy and nutrient content
• Nutrition label lists the energy content and values of 7
nutrients specified for labelling (“1+7”), namely, protein, total
fat, saturated fat, trans fat, carbohydrates, sugars and sodium.
32
Tips to read the energy content
• Read the energy content first because getting too much energy
increases the risk of overweight and obesity, which then leads
to increased risk of heart diseases, diabetes and certain types
of cancer.
• The energy content of food can be expressed in kilocalories
(kcal) or kilojoules (kJ) (1 kcal ≈ 4.2 kJ) or in both.
33
Tips to read the energy content
• In order to maintain health and a desirable body weight, try to
limit total fat, saturated fat, trans fat and sugars by choosing
food with lower amount.
• For a 2000-kcal diet, the daily amount for each of the nutrients
in the label should be:
34
Nutrient Limit for a 2000 kcal diet
Protein ~ 60 g
Total fat ≤ 60 g
Saturated fat ≤ 20 g
Trans fat ≤ 2.2 g
Carbohydrates ~ 300 g
Sugars ≤ 50 g
Sodium ≤ 2000 mg
Source: http://www.cfs.gov.hk/
Tips to read other nutrients content
35
• In addition to the 7 nutrients specified for labelling,
information of other nutrients may be found in the nutrition
label.
• For an average adult, recommendation of daily amount to
these nutrients are:
Nutrient Limit for a 2000 kcal diet
Dietary fibre ≥ 25 g
Calcium ≥ 800 mg
Vitamin C ≥ 100 mg
Cholesterol ≤ 300 mg
Source: http://www.cfs.gov.hk/
36Source: http://www.cfs.gov.hk/
37Source: http://www.cfs.gov.hk/
General meal planning principles
• Nutrient recommendations, including correct serving size
• Individual preferences and needs: consider factors
including age, gender, occupation, health concern and
special dietary needs, culture and religion
• Cost/Budget: plan meals within the available budget
• Cooking methods (moist-heat cooking and dry-heat
cooking): alternating different cooking methods like
steaming, stir-frying, boiling to avoid monotony
• Seasonal factors: include fresh food produce / products
which are in season and consider the climate of the season
at which food is served
• Occasion: prepare special dishes for different occasions,
such as birthday and festivals
38
Differences between Chinese and Western meals
39
Chinese meal Western meal
• Cooking methods used are mainly stir
frying or steaming.
• Ingredients and seasonings used, such
as jelly fish, sea cucumber, fish maw,
bird’s nest, thousand year eggs
(century eggs), bean curd (tofu), oyster
sauce, black bean sauce, shrimp paste,
soya sauce, sesame oil.
• Herbs and spices used, such as ginger,
spring onion, coriander (Chinese
parsley), garlic, five spice powder, star
anise, pepper.
• Cooking methods used are mainly
baking and frying.
• Ingredients and seasonings used, such
as cheese, butter, cream or milk, salt
and pepper.
• Herbs used, such as rosemary, dill,
sage, oregano, thyme, tarragon.
Planning Chinese meals
40
• A typical Chinese meal consists of soup and several main
dishes, depending on the number of people to serve
• Dishes in the same meal will be of different tastes and texture,
for example, serving one dish with crispy food and another
dish with soft and light texture ingredients , or a bland dish
with another spicy dish.
• Rice or other starchy food like noodles and buns is served as
the accompaniment.
• Sometimes dessert or fresh fruits is served at the end of the
meal.
• Hot tea may be served after the meal.
Meal pattern of a two-course Chinese meal (1)
41
Starchy food,
usually rice Steamed Stuffed Hairy
Melon
Assorted
Vegetable
Soup
Rice + Soup
+ main dish (1) Steamed Stuffed Hairy Melon
Meal pattern of a two-course Chinese meal (2)
42
Starchy food,
usually rice Stir-fried Assorted
Vegetables
Steamed Bean Curd
with Minced Fish (老
少平安)
Rice + main dish (1) Steamed Bean Curd with Minced Fish
+ main dish (2) Stir-fried Assorted Vegetables
Planning Western meals
43
• Western meal generally have three or four courses such as
salad and/or soup, main dish (entrée) and dessert.
• The main courses should be based on protein foods, or
vegetables or pasta served with side vegetables and / or
accompaniments and the meal is served together with starchy
food (e.g. bread, rice) as accompaniment.
• Meal pattern of a two-course Western meal usually consists of:
• Soup with suitable accompaniment AND main course with
suitable accompaniment OR
• Main course with suitable accompaniment AND dessert
Meal pattern of a two-course Western meal
44
Soup + main course
Soup: Cream of Pumpkin Main Course: Angus Beef
Burger with Chips
Meal pattern of a two-course Western meal
45
Main course + dessert
Main Course: Fried Fish with Green Salad
Dessert: Ice-cream
Accompaniments
46
Dishes Suggested accompaniments
Soup Fried or toasted bread croutons, bread rolls, garlic bread, bread
sticks
Salad Salad dressing
Meat Green salad, coleslaw, mixed vegetables, mustard or gravy
Fish Tartar sauce, tomato sauce, lemon wedges
Seafood Pepper mill, tabasco sauce, lemon wedge
Poultry Bread sauce, roast gravy
Lamb chop Mint sauce, apple sauce or redcurrant jelly
Spaghetti Grated parmesan cheese
Examples of accompaniments in Western meal
Planning meals for manual workers
47
• As manual workers perform physically demanding work on a
regular basis, their daily energy expenditure is high.
• E.g. builders, farmers, engineers, road workers, landscape
gardeners and all professions require a great deal of physical
strength and energy.
• Their working performance is directly affected by what and
how much they eat.
Principles of planning meals for manual workers
48
• Meet the high demands of food energy and fluid requirement.
• The major source of energy is carbohydrate, such as rice,
noodle and bread.
• Include snacks in between meals, avoid fatty and sugary junk
foods
• Vary food choices and offer plenty of water throughout the
day, especially for those working outdoors and in the heat.
• Avoid caffeine and alcohol or large amounts of sugar.
Example of a meal plan for manual workers
Meal Foods
Breakfast 3-4 slices of bread / toast + jam/peanut butter
250ml low fat milk
Morning tea Sandwich (2 slices of bread) with chicken/ham/tuna
1 fresh fruit
Lunch 2 bowls of rice
200g stir-fried sweet and sour pork
2 bowls of vegetables
Low fat / low sugar yoghurt
Afternoon tea 3 pancakes + cheese/peanut butter
1 fresh fruit
Drink
Dinner 2 bowls of rice or cooked pasta or 1 large potatoes
200g chicken breast or fish or lean meat
2 bowls of cooked vegetables or 1 large bowl of green salad
Drink
Supper 3-4 crackers + low fat soft cheese
Large handful of nuts
Low fat yoghurt
49
Advantages Disadvantages
Plain Water •Noncaloric
•Refreshing taste
•Widely available
•Provides no
carbohydrates
•Electrolytes content of
unbottled water not
known and variable
Sports Beverages
(4% to 7%
Carbohydrates)
•Provide carbohydrates
•Sweet taste
•Contain electrolytes in
known quantities
•Rapid rate of absorption
due to sugar and sodium
content
•convenient
•Could provide unwanted
calories if overconsumed
Comparison between plain water and sports beverages
Planning meals for sedentary worker
51
• Sedentary workers are always sitting at a desk with minimal
physical activity. Nowadays many people live a sedentary
lifestyle owing to the nature of the work, e.g. working either in
office or at home.
• The energy requirement for an individual depends on many
factors such as age, gender, weight and lifestyle. People having
sedentary lifestyle do not require energy similar to active
people. A sedentary lifestyle and poor eating habits are the
main causes of weight gain, therefore a well balanced diet is
necessary for weight management.
Principles of planning meals for sedentary workers
52
• Include all food groups daily to get sufficient vitamins and
minerals in the diet.
• Consume more complex carbohydrates (instead of simple and
refined carbohydrates) as the main base of the meals. Such
complex carbohydrates include whole grain, whole wheat
products, whole cereals, fruits and vegetables.
• The protein should come from good quality sources such as
poultry without skin, lean meat, fish, eggs and low fat dairy
products.
• If possible choose low fat alternatives such as skimmed milk,
low fat cheese and yoghurt. Seeds, olive oil, and nuts are good
sources of healthy fat forms.
• Fresh fruits and salads will be a great alternative to salty and
fatty snacks.
Example of a meal plan for sedentary workers
Meal Foods
Breakfast 2 slices of bread / toast + jam/peanut butter
OR 1 cup of high-fibre cereal
OR 1 cup of cooked oatmeal
200ml skimmed milk
Morning tea 1 fresh fruit or fruit salad
Lunch 1 bowl of rice
100g steamed fish
1 bowl of vegetables
Low fat / low sugar yoghurt
Afternoon tea Small handful of nuts
Dinner 1 bowl of rice or cooked pasta
100g lean meat
2 bowls of cooked vegetables or 1 large bowl of green salad
Supper 1 fresh fruit
53
Planning meals for vegetarian
54
• Vegetarian is a general term used to describe people who
exclude meat, poultry, fish, or other animal-derived foods from
their diets.
• Vegetarian diet has become more popular in recent years for
the following reasons:
• some people believe that vegetarian diet is healthier
• some have religious reasons and refrain from eating meat
• some have special beliefs such as environmental protection
and animal rights protection
• some people simply want to control their weight and
therefore cut down on meat consumption
Planning meals for vegetarian
55
In general, vegetarians can be categorised into two main groups:
• Strict vegetarians (Vegan) who only eat plant foods and
products.
• Half vegetarians who eat egg, milk or milk products:
• Lacto-vegetarian: Consumes only milk and dairy products,
fruits, vegetables and cereals, but exclude eggs, meat,
poultry, fish and seafood.
• Ovo-vegetarian: Consumes only eggs, fruits, vegetables and
cereals, but exclude milk and dairy products, and meat,
poultry, fish and seafood.
• Lacto-ovo-vegetarian: Consumes only milk and dairy
products, eggs, fruits, vegetables and cereals , but exclude
meat, poultry, fish and seafood.
Planning meals for vegetarian
56
• Vegetarian diets should be well-planned to meet nutritional
requirements and to be regarded as a healthy diet.
• To ensure a nutritionally balanced diet, a variety of foods
should be selected from each of the food groups.
Modified from the Central Health Education Unit
(CHEU) of the Department of Health, HKSAR
Fat, oil, salts and sweets
Fruits and vegetables
Grains and cereals
Beans, legumes, nuts, seeds, their alternatives and/or egg,
dairy products (for lacto-, ovo- and lacto-ovo-vegetarians)
Principles in planning vegetarian meals
57
• Vegan tends to be lack in protein. A good supply of protein
from plant source is necessary such as nuts, pulses, soya bean
products (e.g. bean curd / tofu), textured vegetable protein
and commercially prepared meat analogues.
• Vegetable fat and oils should be used for cooking instead of
butter and lard.
• As strict vegans do not consume milk and dairy products, good
supply of calcium from plant source is needed, such as dark
green leafy vegetables, bean curd / tofu made with calcium
sulfate, calcium-fortified soya milk and orange juice.
Example of a meal plan for vegans
Meal Foods
Breakfast 2 slices of bread / toast + jam/peanut butter/avocado
OR 1 cup of high-fibre cereal with 1 tablespoon raisins or nuts
OR 1 cup of cooked oatmeal with 1 tablespoon raisins or nuts
200ml soya milk
Morning tea 1 fresh fruit or fruit salad
Small handful of nuts
Lunch 1 bowl of rice
100g braised Chinese mushrooms and bean curd / tofu
OR 100g Chinese peas and cabbages in curry sauce
OR 100g Stewed assorted beans, eggplant and cauliflower
Afternoon tea 1 small wheat bread roll with 60g bean burger
Dinner 1 bowl of rice or cooked pasta
100g stir-fried assorted vegetables with seitan (meat analog made
with wheat gluten)
2 bowls of cooked vegetables or 1 large bowl of green salad with
sesame dressing
1 slice of apple pie / carrot cake
Supper 1 fresh fruit / 1 cup fruit smoothie
58
Planning packed meal
59
• Packed meals are meals which are packed at home, then taken
to eat at school, office or outdoor.
• The reasons for taking packed meal includes money saving and
eating healthier.
• Packed meals can be prepared from leftovers from the dinner
in the previous evening. Plan the evening meal with the next
day’s packed lunch in mind.
Principles in planning packed meals
60
• Maintain the taste and appearance of packed meals as
compared to freshly made meals as much as possible.
• Follow safety rules such as proper packaging and sufficient
heating to avoid foodborne illnesses.
• The characteristics of packed meal are:
• Easy to pack and carry such that foods will not be damaged
or crushed during transportation.
• Convenient to eat so only simple cutlery is needed.
• Cold dish is also suitable as packed meals such as salad and
bread.
• A drink should be included such as soup, milk, juice, cold tea or
water.
Examples of packed meals
61
Main Drink
Ham, cheese, tomato and lettuce
sandwich
Soya milk
Garden green salad with sesame dressing Soup
Beef curry and bell peppers with rice Tea
Chicken breast, corn and carrot with
macaroni
Low fat milk
Pan Bagnat with tuna, hard-boiled egg,
tomato and olive
Low-fat yoghurt drink
Convenience foods
62
• Convenience food is any product that has been partially or
completely prepared or processed by the manufacturer.
• Most people use convenience foods to save time, eat
conveniently during travel and be able to store food for a
longer period of time.
• Their environmental effects are also a concern because they
come with a package such as plastic, metal or cardboard
containers. It is highly encouraged that these materials be
recycled and re-used.
Types of convenience foods
63
There are different types of convenience food and could generally
be classified as follows:
(1) Usage – convenience foods can use as a meal / dish or part of
a meal / dish
(2) Preservation method
- Ready-to-eat (e.g. cakes, snacks, pasties, salads, sandwiches)
- Cook-chill
- Chilled or frozen
- Dehydrated
- Bottled
- Canned or tinned
Usage of convenience foods
64
• Used as a meal / dish (ready-to-eat, cook-chill, chilled or
frozen, ready-to-cook) e.g.
• One dish meal such as pies, curries (to be served with
starchy food), stewed food (to be served with starchy food),
fried rice / noodles, main dish with rice / noodles, pasta,
pizzas, burgers, sandwiches, fish and chips
• Baby food
• Used as part of a meal / dish (ready-to-eat, cook-chill, chilled
or frozen, dehydrated, canned, tinned, bottled) e.g.
• Soups, desserts, salads, sauces, canned meat balls,
processed sliced meat, canned chicken in white sauces,
shaped and breaded chicken pieces for frying and baking,
filleted fish coated with breadcrumbs
Usage of convenience foods
65
• Used as snacks e.g.
• Canned corn, drink mixes, potato chips, individually
wrapped bread roll, cup cakes, crackers
• Used as ingredients, e.g.
• Sauces and seasonings (e.g. packet mixes, stocks cubes,
liquid stock, sauces in cans / tins / bottles, soya bean paste)
• Dried / preserved ingredients (e.g. dried noodles, dried
pasta, dried / preserved vegetables)
Examples of convenience foods
66
Ready-to-use sauce for pasta / rice
Examples of convenience foods
67
Soup mix
Examples of convenience foods
68
Canned fish
Examples of convenience foods
69
Packaged dessert
Examples of convenience foods
70
Canned fruits
Examples of convenience foods
71
Instant noodles
Examples of convenience foods
72
Packaged bean curd / tofu block
Nutrition issues of convenience foods
73
• As long as fresh food products undergo minimal storage and
are handled at proper temperatures, they are better than
processed products.
• The nutritive value of food is often altered by the kind of
processing it undergoes. The water-soluble vitamins such as
vitamin C are the most vulnerable to processing and cooking.
Nutrition issues of convenience foods
74
• Some convenience foods such as syrup-free canned fruit can
be excellent choices to include in a well-balanced diet as they
are rich in nutrients but relatively low in calories.
• However, some prepackaged types are loaded with additives,
excessive sugar or salt in order to extend the product’s shelf
life. It is recommended that convenience foods shall be used
occasionally and not to replace freshly made diets.
Left-over foods
75
• Using left-over foods helps to cut down the cost of meals and
reduce food waste.
• Improper handling or storing cooked food is one of the most
common causes of food poisoning in the home.
• Left-over foods should be cooled as quickly as possible and
stored in covered containers in the refrigerator or freezer and
consumed within 2 days.
• Before consumption of the left-over foods, they should be
reheated to a temperature over 75°C to kill the bacteria.
During the reheating process the food must be bubbling
throughout and stirred sufficiently so as to distribute heat
evenly.
• The left-over foods should be reheated only once. Reheating
more than once increase the chance for the growth of bacteria.
Tips of using left-over foods
76
• Cut the left-over foods into smaller pieces so they can be
mixed and cooked with fresh ingredients together.
• Add other ingredients such as fresh vegetables with the left-
over foods to make it different
• Add sauce to replace the loss of water of left-over foods
• Add flavouring to improve or change the original taste
Examples of using left-over foods
77
• Cooked rice may be made into:
• fried rice and mixed with new ingredients
• toss into vegetable soup or chicken broth to become rice
soup
• Bread can be made into:
• croutons to serve with green salad
• bread pudding, a sweet dessert
• Carcass of chicken can be used to make soup base
• Cooked chicken meat can be diced / sliced / shredded and
mixed with other ingredients such as Fried Broccoli and
Shredded Chicken with Egg Noodles
• Vegetables can be diced and sauté with eggs to make veggie
omelette
1) Suggested activity for fat intake:
Discuss in class “How to avoid excessive intake of fat?”
78
Points to consider:
• remove skin before eating meat
• avoid eating deep fried food
• portion control in every meal is important
• use a minimum amount of oil to cook
• check the nutrition information before choosing food
• use steaming or boiling as methods of cooking
• use lean meat to replace fatty meat
• take less fatty food, such as pork, oily fish etc.
• reduce eating processed foods such as luncheon meat, instant
noodles and sausages
• eat less greasy and energy dense foods such as potato crisps,
soft drinks and ice-cream
2) Understanding beans:
Play a game of “BeanGo” (modified BINGO)
79
Each student receives a card with 4x4 matrices printed with
different bean names in each space. Teacher will randomly call out
a name of bean each time. Anyone who gets a roll will win. The
winners need to call out the word "BeanGo“ to alert the other
students of a possible win.
BEANGO
2) Understanding beans:
Play a game of “BeanGo” (modified BINGO)
80
Example:
BEANGO
Red bean
(Adzuki)
Black-eyed
pea
Broad bean Chickpea
Edamame
(Mao Dou)
Green pea Black bean
Kidney
bean
Butter bean
Hyacinth
bean
Pinto bean
Chinese
long bean
String bean Snow pea Mung Bean soya bean
Bean list:
Red Bean (Adzuki)
Black-eyed pea
Pinto bean
Broad bean
Chickpea
Edamame (Mao Dou)
Green pea
Black bean
Kidney bean
Butter bean
Hyacinth bean
Chinese Long Bean
String bean
Snow pea
Mung Bean
soya bean
3) Eating varieties
Rainbow food tracker
81
Food natural colours are health protectors with antioxidants. Track
your food colours and aim for at least 5 colors everyday.
Tomato orange Mango Broccoli Cabbage Eggplant Walnuts
White
bean
Straw-
berry
Carrot Lemon Kale Avocado
Purple
sweet
potato
Whole
grain
bread
Garlic
Red
bean
Sweet
potato
Corn
Choi
sum
Kiwi Plums
Mush-
room
Onion
Water-
melon
Pumpkin Pepper Pea
Spring
onion
Blue-
berry
Peanut
butter
Cauli-
flower
Examples of foods in different colour:
3) Eating varieties
Rainbow food tracker
82
Track your food colours and aim for at least 5 colours everyday.
Colour the circle with the colours of food that are included each
day.
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
4) Understanding food label
Grocery Store Race
83
Search for the best snack for you. Fill in the table below and
compare the fat level of your favourite snack in the grocery store.
Snack item Total fats per 100 gram Sugars per 100 gram
4) Understanding food label
Grocery Store Race
84
Search for the best snack for you. Fill in the table below and
compare the fat level of your favourite snack in the grocery store.
Snack item Total fats per 100 gram Sugars per 100 gram
Cream sandwich crackers 29 gram 9.5 gram
Five Spices Pork Slices 8.2 gram 20.6 gram
Example:
Meal Food group Food items
Breakfast
Morning tea
Lunch
Afternoon
Tea
Dinner
Supper
85
Suggested assessment 1:
By using the food pyramid, design a one day meal to
meet your nutritional needs
86
Suggested assessment 1:
Sample answer.
Meal Food group Food items
Breakfast • Cereals and dairy
• Fruit
• Meat
• 1 cup of oatmeal with 200 ml skimmed milk
• 1 banana
• ¼ cup almonds
Morning tea • Cereals
• Dairy
• 4 x Plain soda crackers
• 1 slice of low-fat cheese
Lunch • Grains
• Meat
• Vegetables
• 1 bowl of rice
• 2 medium sized pork chops
• 1 bowl of mixed green cabbages
Afternoon tea • Dairy
• Grains and fats
• 1 tub of low-fat yoghurt
• 1 small bread roll with peanut butter
Dinner • Grains
• Meat
• Vegetables
• 1 small plate of spaghetti
• 80 gram minced beef
• 2 tomatoes
• ½ bowl of carrot and onion
Supper • Fruit • 1 orange
87
Suggested assessment 2:
Understanding nutrition label
Fill in the blanks below for the components of a nutrition label in
Hong Kong
Word bank:
Sodium
Saturated fat
Protein
Total fat
Carbohydrates
Energy
Trans fat
Sugars
88
Suggested assessment 2:
Understanding nutrition label
Fill in the blanks below for the components of a nutrition label in
Hong Kong
Answer:
Word bank:
Sodium
Saturated fat
Protein
Total fat
Carbohydrates
Energy
Trans fat
Sugars
89
Suggested assessment 3:
Choose healthier alternatives
Suggest alternatives to the snacks stated below.
Instead of Replace with
Sugary beverages
Cookies
Potato crisps
Ice cream
Sweet bun / egg tart
90
Suggested assessment 3:
Choose healthier alternatives
Suggest alternatives to the snacks stated below.
Instead of Replace with
Sugary beverages Tea, diluted 100% juice, low-fat
yoghurt drink
Cookies Soda crackers or rice crackers
Potato crisps Baked vegetable crisps, apple crisps
Ice cream Low-fat yoghurt, low-fat frozen
yoghurt
Sweet bun / egg tart Whole wheat bread roll
Suggested answers:
Glossary:
• Adequate diet: a diet that provides enough energy, essential
nutrients and dietary fibre to keep a person healthy
• Balanced diet: a diet in which foods are chosen to provide
energy essential nutrients and dietary fibre in the right
proportions
• Cancer: a group of diseases characterised by unrestrained cell
division and growth that can disrupt the normal functioning
of an organ and also spread beyond the tissue in which it
started.
• Cardiovascular disease: a disease of the heart and blood
vessels such as coronary artery disease, stroke and high blood
pressure.
91
Glossary:
• Visible fat: fats in foods that are purchased and used as fats,
such as butter or margarine
• Invisible Fats: fats that are not immediately noticeable such
as those in egg yolk, cheese, cream, and salad dressings
• Body Mass Index (BMI): a simple index of weight-for-height
that is commonly used to classify underweight, overweight
and obesity in adults. It is defined as the weight in kilograms
divided by the square of the height in metres (kg/m2).
• Overweight: Body mass index (BMI) of 25.1 to 30 kg/m2 or
weight 10-20% above normal range
• Obesity: Body mass index (BMI) > 30 kg/m2 or excessive body
fat of 20% above normal range
92
Glossary:
• Vegans: individuals eating a type of vegetarian diet in which
no eggs or dairy products are eaten; their diet relies
exclusively on plant foods
• Lacto-Ovo Vegetarian: vegetarians who will eat dairy
products and eggs but no meat, fish or poultry
• Ovo-Vegetarian: vegetarians who will eat eggs but no meat,
fish or poultry
• Lacto-Vegetarian: vegetarians who will eat dairy product but
no meat, fish or poultry
93

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Hong kong Dietary Guideline for Adults

  • 1. Hong Kong Dietary Guideline for adults Food Group Recommendation Grains and Cereals 3 – 6 bowls Fruits 2 – 3 servings Vegetables 6 - 8 taels (227 – 303 gram); 3 - 4 servings Meat, poultry, fish, eggs & bean products 5 – 6 taels (189 – 227 gram) Milk & dairy products 1 - 2 servings Fluid: 6 - 8 cups Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm 1
  • 2. Hong Kong Dietary Guideline for Children (aged 1 to 3) Food Group Recommendation Grains and Cereals 1 - 2 bowls Fruits 0.5 - 1 serving Vegetables 2 - 4 taels (76 – 151 gram); or 1 -2 servings Meat, poultry, fish, eggs & bean products 1 - 2 taels (38 – 76 gram) Milk & dairy products 2 servings Fluid: 6 - 8 cups Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm 2
  • 3. Hong Kong Dietary Guideline for Children (aged 3 to 6) Food Group Recommendation Grains and Cereals 2 - 3 bowls Fruits 1 serving Vegetables 4 - 6 taels (151 – 227 gram); or 2 - 3 servings Meat, poultry, fish, eggs & bean products 2 – 3 taels (76 – 113 gram) Milk & dairy products approx. 2 servings Fluid: 6 - 8 cups Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm 3
  • 4. Hong Kong Dietary Guideline for Children (aged 6 to 12) Food Group Recommendation Grains and Cereals 3 - 4 bowls Fruits 1 – 2 servings Vegetables 4 - 6 taels (151 – 227 gram); or 2 - 3 servings Meat, poultry, fish, eggs & bean products 3 – 5 taels (113 – 189 gram) Milk & dairy products approx. 2 servings Fluid: 6 - 8 cups Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm 4
  • 5. Hong Kong Dietary Guideline for Children (aged 12 to 18) Food Group Recommendation Grains and Cereals 3 - 6 bowls Fruits 2 servings Vegetables 6 - 8 taels (227 – 303 gram); 3 - 4 servings Meat, poultry, fish, eggs & bean products 5 – 6 taels (189 – 227 gram) Milk & dairy products approx. 2 servings Fluid: 6 - 8 cups Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm 5
  • 6. Hong Kong Dietary Guideline for Elderly Food Group Recommendation Grains and Cereals 3 - 4 bowls Fruits 2 - 3 servings Vegetables 6 - 8 taels (227 – 303 gram); 3 - 4 servings Meat, poultry, fish, eggs & bean products 4 – 5 taels (151 – 189 gram) Milk & dairy products 1 - 2 servings Fluid: 6 - 8 cups Source: http://www.cheu.gov.hk/eng/info/2plus3_12.htm 6
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  • 13. Dietary goals • Choose a variety of food and eat grains and cereals as the largest portion of food in every meal. • Eat a lot of vegetables and fruit. • Reduce the consumption of foodstuffs with high salt, fat and sugar content as well as those which are preserved. • A daily fluid intake of 6 to 8 glasses (including clear soup, fruit juice and tea). • Take meals regularly and in adequate amounts. 13
  • 14. Nutrition • Nutrition is the intake of food, considered in relation to the body’s dietary needs. • Good nutrition refers to an adequate and well balanced diet combined with regular physical activity, it is the cornerstone of good health. • Poor nutrition can lead to reduced immunity, increased susceptibility to disease, impaired physical and mental development, and reduced productivity. 14
  • 15. Energy requirements of individuals • Daily energy needs vary among individuals, depending on their age, gender, job nature and physical activity level. • Children and adolescents in developmental stages and pregnant or breastfeeding women require higher calorie intake, while energy requirements of adults decline gradually with age. • Environmental temperature and activity level are also determining factors of our daily energy requirement. For example, we need more energy in cold weather; and people with high activity level or heavy workload have greater energy needs. 15
  • 16. Energy requirements of individuals • People with low activity level should stay away from energy- dense food such as deep-fried food, candies and desserts to avoid becoming overweight. • Adolescents in their developmental stages and physically active people should maintain a balanced diet with sufficient calorie intake. • To maintain a healthy body weight, we should eat the right amount of different food groups as they contain different energy content. 16
  • 17. Average daily energy requirements for individuals Male (kcal) Female (kcal) Aged 7-10 1950 1850 Aged 11-14 2650 2300 Aged 15-18 2900 2400 Activity Level Low Medium High Low Medium High Aged 18 above 2400 2700 3200 2100 2300 2700 Aged 50 above 2300 2600 3100 1900 2000 2200 Aged 60 above 1900 2200 1800 2000 Aged 70 above 1900 2100 1700 1900 Aged 80 above 1900 1700 Source: The Chinese Dietary Reference Intakes, Chinese Nutrition Society 2000 Extra daily energy requirements for female who are: Pregnancy +200 kcal Breastfeeding +500 kcal 17 • Kilocalorie (kcal) is the unit for measuring energy. One kcal equals to the amount of energy needed to heat up one kilogram (one litre) of water by one degree Celsius.
  • 18. Relationship between energy consumption and body weight Energy consumption = Energy expenditure body weight maintains Energy consumption > Energy expenditure body weight increases Energy consumption < Energy expenditure body weight decreases 18 • If we take in less energy than we use daily, our body growth will be hampered, leading to weight loss. • On the contrary, our body will gain weight if we take in more energy than we use daily, such as exercising less or eating too much. • It is important to maintain a good balance between energy input and output.
  • 19. Causes of nutritional disorders • There are many causes of nutrition disorders, including insufficient intake of food or of certain nutrients, inability to absorb and use nutrients, or overconsumption of certain foods. • Common nutritional disorders include anaemia caused by iron or vitamin B6 deficiency, protein-energy under-nutrition, obesity caused by excess energy intake and impaired sight caused by vitamin A deficiency. • For children, nutrition disorders can be particularly serious as it might interfere with growth and development. Under-nutrition may also predispose children to many health problems such as infection and chronic disease. 19 Source: WHO (2014) http://www.who.int/topics/nutrition_disorders/en/
  • 20. Malnutrition 1. Malnutrition refers to “bad nourishment”, it can be due to insufficient or excessive intake of food and nutrient. It can also be the results of the body's response to a wide range of infections that lead to malabsorption of nutrients or the inability to use nutrients properly. 2. Malnourishment remains a serious health problem all over the world, especially in the developing countries. Millions of children do not have access to a well-balanced diet with the nutrients they need to develop properly. 3. In developed countries, overeating and dietary excess have become more common. The primary consequence is obesity which may increase the risk of high blood pressure, high cholesterol levels and cardiovascular illness. 20 Source: WHO (2014) http://www.who.int/topics/nutrition_disorders/en/
  • 21. Relationship between diet and health • Food is essential for life as it is the source of energy and nutrients. Energy supports human activities whereas nutrients are vital for growth, repair, health maintenance and disease prevention. • Imbalanced or poor diet may lead to obesity or specific nutrient deficiency. These in turn may increase the risk of a variety of health problems, such as heart diseases, cerebrovascular disease, diabetes mellitus, hypertension and some cancers. • A balanced diet contributes to good health and protect against some forms of cancers. 21 Source: Centre for Health Protection, HKSAR http://www.chp.gov.hk/en/content/9/25/8800.html
  • 22. Dietary goals (WHO) • The recommendations include the following: • achieve energy balance and a healthy weight • limit energy intake from fats and shift fat consumption away from saturated fats to unsaturated fats and towards the elimination of trans-fatty acids • increase consumption of fruits and vegetables, and legumes, whole grains and nuts • limit the intake of free sugars (e.g. sugar and syrup added to food, sugar naturally present in fruit juice and honey) • limit salt (sodium) consumption from all sources and ensure that salt is iodized 22 Source: WHO (2014) http://www.who.int/dietphysicalactivity/diet/en/
  • 23. Overweight and obesity • The prevalence of overweight and obesity is increasing at an alarming rate globally as a result of dietary changes and decreasing physical activity. • The risk of hypertension, coronary heart disease, stroke and type 2 diabetes grows progressively with increasing body weight, as do the risks of certain cancers such as breast and colon cancer. • Chronic overweight also contributes to osteoarthritis—a major cause of disability in later life. • Globally, 44% of diabetes, 23% of ischemic heart disease and between 7% and 41% of certain cancer burdens are attributable to overweight and obesity. 23 Source: WHO (2012) http://www.wpro.who.int/mediacentre/factsheets/obesity/en/
  • 24. Tips for cutting fat and calories (1) • Buy fresh food whenever possible. Canned and processed products are often high in sodium and added with a lot of sugar or oil which is dense in calories but provide little nutritive value. • Choose lean cuts of meat and avoid meat with high fat content such as belly meat and short ribs. • Buy plenty and a variety of vegetables. Eating more vegetables can add bulk to diet and fill up the stomach so that it would be less likely to overeat as a whole. The recommendation is to eat at least 3 servings (about 240 grams or 6 taels) of vegetables each day. • Choose low-fat products of milk, dairy products, salad dressings, etc. 24
  • 25. Tips for cutting fat and calories (2) • Trim all visible fat from meat before cooking and drain any fat accumulated after cooking meat. Remove fat and oil from soup as well. • Try to use steaming, stewing, braising or boiling instead of deep-frying. • Reduce the amount of oil used by adding sauces made from low-fat ingredients such as cornflour with water or light broth. • Choose vegetable oils and avoid animal fats such as butter and lard. Although both types of fats contain the same amount of calories, animal fats are rich in saturated fat which may cause elevated blood cholesterol level and increased risk of cardiovascular disease. 25
  • 26. Tips for cutting fat and calories (3) • Use as little condiments as possible. Salad dressings, ketchup and chilli sauce can add fat as well as calories to food. Avoid sauces with significant amount of fat such as cream sauce and meat sauce. • Choose vegetable soup or broth instead of cream soup, because the latter is high in fat. • Avoid eating fat meat, poultry skins and offals which are high in animal fats and cholesterol. • Watch out the portion of meat which is sometimes served over-sized in restaurants. On average an adult only needs about 189 – 277 grams (5 to 6 taels) of meat each day including poultry, seafood and eggs. • Ask for a sugar-free drink. 26
  • 27. Nutrition labelling • Provision of nutrition information on food labels is an important public health tool to promote a balanced diet. Nutrition labelling on food products has emerged as a prominent policy tool for promoting healthy eating. • Nutritional requirements and food preferences are different among individuals. By making use of nutrition labels, everyone can make informed choices on the types and amount of foods that meet their dietary needs. 27
  • 28. Nutrition labelling scheme in Hong Kong • The Hong Kong Nutrition Labelling Scheme has come into force in 1st July 2010. • Under the Food and Drugs (Composition and Labelling) Regulations (Cap. 132W), nutrition labelling is required for all prepackaged food unless otherwise exempted. • On the nutrition label, information on energy and nutrients contents must be shown. • In addition, nutrition claims such as “low fat” or “no sugars” on pre-packaged foods are also regulated. 28Source: http://www.cfs.gov.hk/
  • 29. Use of nutrition information • Nutrition information is very useful for making healthy food choice. • One can use the nutrition label to: • compare nutritional content among different foods for a healthier choice, e.g. to choose food lower in fat, sodium (or salt) and sugars; • understand the nutritional content of food and estimate their contribution to the overall diet; • meet individual’s dietary needs. 29Source: http://www.cfs.gov.hk/
  • 30. How to read nutrition label • Nutrition label is a systematic way of presenting nutrition information of food products. It is usually in a tabular format with a heading like “Nutrition Information”, “Nutrition Facts” or “Nutrition Label”. 30Source: http://www.cfs.gov.hk/ Nutrition label is usually in a tabular format (Left side). For small packages, the nutrition label may show the energy and nutrients linearly (Right side).
  • 31. Reference amount of food • Energy and nutrient values can be expressed in different reference amounts such as per 100 g (100 mL for liquid), per serving or per package. 31
  • 32. The energy and nutrient content • Nutrition label lists the energy content and values of 7 nutrients specified for labelling (“1+7”), namely, protein, total fat, saturated fat, trans fat, carbohydrates, sugars and sodium. 32
  • 33. Tips to read the energy content • Read the energy content first because getting too much energy increases the risk of overweight and obesity, which then leads to increased risk of heart diseases, diabetes and certain types of cancer. • The energy content of food can be expressed in kilocalories (kcal) or kilojoules (kJ) (1 kcal ≈ 4.2 kJ) or in both. 33
  • 34. Tips to read the energy content • In order to maintain health and a desirable body weight, try to limit total fat, saturated fat, trans fat and sugars by choosing food with lower amount. • For a 2000-kcal diet, the daily amount for each of the nutrients in the label should be: 34 Nutrient Limit for a 2000 kcal diet Protein ~ 60 g Total fat ≤ 60 g Saturated fat ≤ 20 g Trans fat ≤ 2.2 g Carbohydrates ~ 300 g Sugars ≤ 50 g Sodium ≤ 2000 mg Source: http://www.cfs.gov.hk/
  • 35. Tips to read other nutrients content 35 • In addition to the 7 nutrients specified for labelling, information of other nutrients may be found in the nutrition label. • For an average adult, recommendation of daily amount to these nutrients are: Nutrient Limit for a 2000 kcal diet Dietary fibre ≥ 25 g Calcium ≥ 800 mg Vitamin C ≥ 100 mg Cholesterol ≤ 300 mg Source: http://www.cfs.gov.hk/
  • 38. General meal planning principles • Nutrient recommendations, including correct serving size • Individual preferences and needs: consider factors including age, gender, occupation, health concern and special dietary needs, culture and religion • Cost/Budget: plan meals within the available budget • Cooking methods (moist-heat cooking and dry-heat cooking): alternating different cooking methods like steaming, stir-frying, boiling to avoid monotony • Seasonal factors: include fresh food produce / products which are in season and consider the climate of the season at which food is served • Occasion: prepare special dishes for different occasions, such as birthday and festivals 38
  • 39. Differences between Chinese and Western meals 39 Chinese meal Western meal • Cooking methods used are mainly stir frying or steaming. • Ingredients and seasonings used, such as jelly fish, sea cucumber, fish maw, bird’s nest, thousand year eggs (century eggs), bean curd (tofu), oyster sauce, black bean sauce, shrimp paste, soya sauce, sesame oil. • Herbs and spices used, such as ginger, spring onion, coriander (Chinese parsley), garlic, five spice powder, star anise, pepper. • Cooking methods used are mainly baking and frying. • Ingredients and seasonings used, such as cheese, butter, cream or milk, salt and pepper. • Herbs used, such as rosemary, dill, sage, oregano, thyme, tarragon.
  • 40. Planning Chinese meals 40 • A typical Chinese meal consists of soup and several main dishes, depending on the number of people to serve • Dishes in the same meal will be of different tastes and texture, for example, serving one dish with crispy food and another dish with soft and light texture ingredients , or a bland dish with another spicy dish. • Rice or other starchy food like noodles and buns is served as the accompaniment. • Sometimes dessert or fresh fruits is served at the end of the meal. • Hot tea may be served after the meal.
  • 41. Meal pattern of a two-course Chinese meal (1) 41 Starchy food, usually rice Steamed Stuffed Hairy Melon Assorted Vegetable Soup Rice + Soup + main dish (1) Steamed Stuffed Hairy Melon
  • 42. Meal pattern of a two-course Chinese meal (2) 42 Starchy food, usually rice Stir-fried Assorted Vegetables Steamed Bean Curd with Minced Fish (老 少平安) Rice + main dish (1) Steamed Bean Curd with Minced Fish + main dish (2) Stir-fried Assorted Vegetables
  • 43. Planning Western meals 43 • Western meal generally have three or four courses such as salad and/or soup, main dish (entrée) and dessert. • The main courses should be based on protein foods, or vegetables or pasta served with side vegetables and / or accompaniments and the meal is served together with starchy food (e.g. bread, rice) as accompaniment. • Meal pattern of a two-course Western meal usually consists of: • Soup with suitable accompaniment AND main course with suitable accompaniment OR • Main course with suitable accompaniment AND dessert
  • 44. Meal pattern of a two-course Western meal 44 Soup + main course Soup: Cream of Pumpkin Main Course: Angus Beef Burger with Chips
  • 45. Meal pattern of a two-course Western meal 45 Main course + dessert Main Course: Fried Fish with Green Salad Dessert: Ice-cream
  • 46. Accompaniments 46 Dishes Suggested accompaniments Soup Fried or toasted bread croutons, bread rolls, garlic bread, bread sticks Salad Salad dressing Meat Green salad, coleslaw, mixed vegetables, mustard or gravy Fish Tartar sauce, tomato sauce, lemon wedges Seafood Pepper mill, tabasco sauce, lemon wedge Poultry Bread sauce, roast gravy Lamb chop Mint sauce, apple sauce or redcurrant jelly Spaghetti Grated parmesan cheese Examples of accompaniments in Western meal
  • 47. Planning meals for manual workers 47 • As manual workers perform physically demanding work on a regular basis, their daily energy expenditure is high. • E.g. builders, farmers, engineers, road workers, landscape gardeners and all professions require a great deal of physical strength and energy. • Their working performance is directly affected by what and how much they eat.
  • 48. Principles of planning meals for manual workers 48 • Meet the high demands of food energy and fluid requirement. • The major source of energy is carbohydrate, such as rice, noodle and bread. • Include snacks in between meals, avoid fatty and sugary junk foods • Vary food choices and offer plenty of water throughout the day, especially for those working outdoors and in the heat. • Avoid caffeine and alcohol or large amounts of sugar.
  • 49. Example of a meal plan for manual workers Meal Foods Breakfast 3-4 slices of bread / toast + jam/peanut butter 250ml low fat milk Morning tea Sandwich (2 slices of bread) with chicken/ham/tuna 1 fresh fruit Lunch 2 bowls of rice 200g stir-fried sweet and sour pork 2 bowls of vegetables Low fat / low sugar yoghurt Afternoon tea 3 pancakes + cheese/peanut butter 1 fresh fruit Drink Dinner 2 bowls of rice or cooked pasta or 1 large potatoes 200g chicken breast or fish or lean meat 2 bowls of cooked vegetables or 1 large bowl of green salad Drink Supper 3-4 crackers + low fat soft cheese Large handful of nuts Low fat yoghurt 49
  • 50. Advantages Disadvantages Plain Water •Noncaloric •Refreshing taste •Widely available •Provides no carbohydrates •Electrolytes content of unbottled water not known and variable Sports Beverages (4% to 7% Carbohydrates) •Provide carbohydrates •Sweet taste •Contain electrolytes in known quantities •Rapid rate of absorption due to sugar and sodium content •convenient •Could provide unwanted calories if overconsumed Comparison between plain water and sports beverages
  • 51. Planning meals for sedentary worker 51 • Sedentary workers are always sitting at a desk with minimal physical activity. Nowadays many people live a sedentary lifestyle owing to the nature of the work, e.g. working either in office or at home. • The energy requirement for an individual depends on many factors such as age, gender, weight and lifestyle. People having sedentary lifestyle do not require energy similar to active people. A sedentary lifestyle and poor eating habits are the main causes of weight gain, therefore a well balanced diet is necessary for weight management.
  • 52. Principles of planning meals for sedentary workers 52 • Include all food groups daily to get sufficient vitamins and minerals in the diet. • Consume more complex carbohydrates (instead of simple and refined carbohydrates) as the main base of the meals. Such complex carbohydrates include whole grain, whole wheat products, whole cereals, fruits and vegetables. • The protein should come from good quality sources such as poultry without skin, lean meat, fish, eggs and low fat dairy products. • If possible choose low fat alternatives such as skimmed milk, low fat cheese and yoghurt. Seeds, olive oil, and nuts are good sources of healthy fat forms. • Fresh fruits and salads will be a great alternative to salty and fatty snacks.
  • 53. Example of a meal plan for sedentary workers Meal Foods Breakfast 2 slices of bread / toast + jam/peanut butter OR 1 cup of high-fibre cereal OR 1 cup of cooked oatmeal 200ml skimmed milk Morning tea 1 fresh fruit or fruit salad Lunch 1 bowl of rice 100g steamed fish 1 bowl of vegetables Low fat / low sugar yoghurt Afternoon tea Small handful of nuts Dinner 1 bowl of rice or cooked pasta 100g lean meat 2 bowls of cooked vegetables or 1 large bowl of green salad Supper 1 fresh fruit 53
  • 54. Planning meals for vegetarian 54 • Vegetarian is a general term used to describe people who exclude meat, poultry, fish, or other animal-derived foods from their diets. • Vegetarian diet has become more popular in recent years for the following reasons: • some people believe that vegetarian diet is healthier • some have religious reasons and refrain from eating meat • some have special beliefs such as environmental protection and animal rights protection • some people simply want to control their weight and therefore cut down on meat consumption
  • 55. Planning meals for vegetarian 55 In general, vegetarians can be categorised into two main groups: • Strict vegetarians (Vegan) who only eat plant foods and products. • Half vegetarians who eat egg, milk or milk products: • Lacto-vegetarian: Consumes only milk and dairy products, fruits, vegetables and cereals, but exclude eggs, meat, poultry, fish and seafood. • Ovo-vegetarian: Consumes only eggs, fruits, vegetables and cereals, but exclude milk and dairy products, and meat, poultry, fish and seafood. • Lacto-ovo-vegetarian: Consumes only milk and dairy products, eggs, fruits, vegetables and cereals , but exclude meat, poultry, fish and seafood.
  • 56. Planning meals for vegetarian 56 • Vegetarian diets should be well-planned to meet nutritional requirements and to be regarded as a healthy diet. • To ensure a nutritionally balanced diet, a variety of foods should be selected from each of the food groups. Modified from the Central Health Education Unit (CHEU) of the Department of Health, HKSAR Fat, oil, salts and sweets Fruits and vegetables Grains and cereals Beans, legumes, nuts, seeds, their alternatives and/or egg, dairy products (for lacto-, ovo- and lacto-ovo-vegetarians)
  • 57. Principles in planning vegetarian meals 57 • Vegan tends to be lack in protein. A good supply of protein from plant source is necessary such as nuts, pulses, soya bean products (e.g. bean curd / tofu), textured vegetable protein and commercially prepared meat analogues. • Vegetable fat and oils should be used for cooking instead of butter and lard. • As strict vegans do not consume milk and dairy products, good supply of calcium from plant source is needed, such as dark green leafy vegetables, bean curd / tofu made with calcium sulfate, calcium-fortified soya milk and orange juice.
  • 58. Example of a meal plan for vegans Meal Foods Breakfast 2 slices of bread / toast + jam/peanut butter/avocado OR 1 cup of high-fibre cereal with 1 tablespoon raisins or nuts OR 1 cup of cooked oatmeal with 1 tablespoon raisins or nuts 200ml soya milk Morning tea 1 fresh fruit or fruit salad Small handful of nuts Lunch 1 bowl of rice 100g braised Chinese mushrooms and bean curd / tofu OR 100g Chinese peas and cabbages in curry sauce OR 100g Stewed assorted beans, eggplant and cauliflower Afternoon tea 1 small wheat bread roll with 60g bean burger Dinner 1 bowl of rice or cooked pasta 100g stir-fried assorted vegetables with seitan (meat analog made with wheat gluten) 2 bowls of cooked vegetables or 1 large bowl of green salad with sesame dressing 1 slice of apple pie / carrot cake Supper 1 fresh fruit / 1 cup fruit smoothie 58
  • 59. Planning packed meal 59 • Packed meals are meals which are packed at home, then taken to eat at school, office or outdoor. • The reasons for taking packed meal includes money saving and eating healthier. • Packed meals can be prepared from leftovers from the dinner in the previous evening. Plan the evening meal with the next day’s packed lunch in mind.
  • 60. Principles in planning packed meals 60 • Maintain the taste and appearance of packed meals as compared to freshly made meals as much as possible. • Follow safety rules such as proper packaging and sufficient heating to avoid foodborne illnesses. • The characteristics of packed meal are: • Easy to pack and carry such that foods will not be damaged or crushed during transportation. • Convenient to eat so only simple cutlery is needed. • Cold dish is also suitable as packed meals such as salad and bread. • A drink should be included such as soup, milk, juice, cold tea or water.
  • 61. Examples of packed meals 61 Main Drink Ham, cheese, tomato and lettuce sandwich Soya milk Garden green salad with sesame dressing Soup Beef curry and bell peppers with rice Tea Chicken breast, corn and carrot with macaroni Low fat milk Pan Bagnat with tuna, hard-boiled egg, tomato and olive Low-fat yoghurt drink
  • 62. Convenience foods 62 • Convenience food is any product that has been partially or completely prepared or processed by the manufacturer. • Most people use convenience foods to save time, eat conveniently during travel and be able to store food for a longer period of time. • Their environmental effects are also a concern because they come with a package such as plastic, metal or cardboard containers. It is highly encouraged that these materials be recycled and re-used.
  • 63. Types of convenience foods 63 There are different types of convenience food and could generally be classified as follows: (1) Usage – convenience foods can use as a meal / dish or part of a meal / dish (2) Preservation method - Ready-to-eat (e.g. cakes, snacks, pasties, salads, sandwiches) - Cook-chill - Chilled or frozen - Dehydrated - Bottled - Canned or tinned
  • 64. Usage of convenience foods 64 • Used as a meal / dish (ready-to-eat, cook-chill, chilled or frozen, ready-to-cook) e.g. • One dish meal such as pies, curries (to be served with starchy food), stewed food (to be served with starchy food), fried rice / noodles, main dish with rice / noodles, pasta, pizzas, burgers, sandwiches, fish and chips • Baby food • Used as part of a meal / dish (ready-to-eat, cook-chill, chilled or frozen, dehydrated, canned, tinned, bottled) e.g. • Soups, desserts, salads, sauces, canned meat balls, processed sliced meat, canned chicken in white sauces, shaped and breaded chicken pieces for frying and baking, filleted fish coated with breadcrumbs
  • 65. Usage of convenience foods 65 • Used as snacks e.g. • Canned corn, drink mixes, potato chips, individually wrapped bread roll, cup cakes, crackers • Used as ingredients, e.g. • Sauces and seasonings (e.g. packet mixes, stocks cubes, liquid stock, sauces in cans / tins / bottles, soya bean paste) • Dried / preserved ingredients (e.g. dried noodles, dried pasta, dried / preserved vegetables)
  • 66. Examples of convenience foods 66 Ready-to-use sauce for pasta / rice
  • 67. Examples of convenience foods 67 Soup mix
  • 68. Examples of convenience foods 68 Canned fish
  • 69. Examples of convenience foods 69 Packaged dessert
  • 70. Examples of convenience foods 70 Canned fruits
  • 71. Examples of convenience foods 71 Instant noodles
  • 72. Examples of convenience foods 72 Packaged bean curd / tofu block
  • 73. Nutrition issues of convenience foods 73 • As long as fresh food products undergo minimal storage and are handled at proper temperatures, they are better than processed products. • The nutritive value of food is often altered by the kind of processing it undergoes. The water-soluble vitamins such as vitamin C are the most vulnerable to processing and cooking.
  • 74. Nutrition issues of convenience foods 74 • Some convenience foods such as syrup-free canned fruit can be excellent choices to include in a well-balanced diet as they are rich in nutrients but relatively low in calories. • However, some prepackaged types are loaded with additives, excessive sugar or salt in order to extend the product’s shelf life. It is recommended that convenience foods shall be used occasionally and not to replace freshly made diets.
  • 75. Left-over foods 75 • Using left-over foods helps to cut down the cost of meals and reduce food waste. • Improper handling or storing cooked food is one of the most common causes of food poisoning in the home. • Left-over foods should be cooled as quickly as possible and stored in covered containers in the refrigerator or freezer and consumed within 2 days. • Before consumption of the left-over foods, they should be reheated to a temperature over 75°C to kill the bacteria. During the reheating process the food must be bubbling throughout and stirred sufficiently so as to distribute heat evenly. • The left-over foods should be reheated only once. Reheating more than once increase the chance for the growth of bacteria.
  • 76. Tips of using left-over foods 76 • Cut the left-over foods into smaller pieces so they can be mixed and cooked with fresh ingredients together. • Add other ingredients such as fresh vegetables with the left- over foods to make it different • Add sauce to replace the loss of water of left-over foods • Add flavouring to improve or change the original taste
  • 77. Examples of using left-over foods 77 • Cooked rice may be made into: • fried rice and mixed with new ingredients • toss into vegetable soup or chicken broth to become rice soup • Bread can be made into: • croutons to serve with green salad • bread pudding, a sweet dessert • Carcass of chicken can be used to make soup base • Cooked chicken meat can be diced / sliced / shredded and mixed with other ingredients such as Fried Broccoli and Shredded Chicken with Egg Noodles • Vegetables can be diced and sauté with eggs to make veggie omelette
  • 78. 1) Suggested activity for fat intake: Discuss in class “How to avoid excessive intake of fat?” 78 Points to consider: • remove skin before eating meat • avoid eating deep fried food • portion control in every meal is important • use a minimum amount of oil to cook • check the nutrition information before choosing food • use steaming or boiling as methods of cooking • use lean meat to replace fatty meat • take less fatty food, such as pork, oily fish etc. • reduce eating processed foods such as luncheon meat, instant noodles and sausages • eat less greasy and energy dense foods such as potato crisps, soft drinks and ice-cream
  • 79. 2) Understanding beans: Play a game of “BeanGo” (modified BINGO) 79 Each student receives a card with 4x4 matrices printed with different bean names in each space. Teacher will randomly call out a name of bean each time. Anyone who gets a roll will win. The winners need to call out the word "BeanGo“ to alert the other students of a possible win. BEANGO
  • 80. 2) Understanding beans: Play a game of “BeanGo” (modified BINGO) 80 Example: BEANGO Red bean (Adzuki) Black-eyed pea Broad bean Chickpea Edamame (Mao Dou) Green pea Black bean Kidney bean Butter bean Hyacinth bean Pinto bean Chinese long bean String bean Snow pea Mung Bean soya bean Bean list: Red Bean (Adzuki) Black-eyed pea Pinto bean Broad bean Chickpea Edamame (Mao Dou) Green pea Black bean Kidney bean Butter bean Hyacinth bean Chinese Long Bean String bean Snow pea Mung Bean soya bean
  • 81. 3) Eating varieties Rainbow food tracker 81 Food natural colours are health protectors with antioxidants. Track your food colours and aim for at least 5 colors everyday. Tomato orange Mango Broccoli Cabbage Eggplant Walnuts White bean Straw- berry Carrot Lemon Kale Avocado Purple sweet potato Whole grain bread Garlic Red bean Sweet potato Corn Choi sum Kiwi Plums Mush- room Onion Water- melon Pumpkin Pepper Pea Spring onion Blue- berry Peanut butter Cauli- flower Examples of foods in different colour:
  • 82. 3) Eating varieties Rainbow food tracker 82 Track your food colours and aim for at least 5 colours everyday. Colour the circle with the colours of food that are included each day. Monday Tuesday Wednesday Thursday Friday Saturday Sunday
  • 83. 4) Understanding food label Grocery Store Race 83 Search for the best snack for you. Fill in the table below and compare the fat level of your favourite snack in the grocery store. Snack item Total fats per 100 gram Sugars per 100 gram
  • 84. 4) Understanding food label Grocery Store Race 84 Search for the best snack for you. Fill in the table below and compare the fat level of your favourite snack in the grocery store. Snack item Total fats per 100 gram Sugars per 100 gram Cream sandwich crackers 29 gram 9.5 gram Five Spices Pork Slices 8.2 gram 20.6 gram Example:
  • 85. Meal Food group Food items Breakfast Morning tea Lunch Afternoon Tea Dinner Supper 85 Suggested assessment 1: By using the food pyramid, design a one day meal to meet your nutritional needs
  • 86. 86 Suggested assessment 1: Sample answer. Meal Food group Food items Breakfast • Cereals and dairy • Fruit • Meat • 1 cup of oatmeal with 200 ml skimmed milk • 1 banana • ¼ cup almonds Morning tea • Cereals • Dairy • 4 x Plain soda crackers • 1 slice of low-fat cheese Lunch • Grains • Meat • Vegetables • 1 bowl of rice • 2 medium sized pork chops • 1 bowl of mixed green cabbages Afternoon tea • Dairy • Grains and fats • 1 tub of low-fat yoghurt • 1 small bread roll with peanut butter Dinner • Grains • Meat • Vegetables • 1 small plate of spaghetti • 80 gram minced beef • 2 tomatoes • ½ bowl of carrot and onion Supper • Fruit • 1 orange
  • 87. 87 Suggested assessment 2: Understanding nutrition label Fill in the blanks below for the components of a nutrition label in Hong Kong Word bank: Sodium Saturated fat Protein Total fat Carbohydrates Energy Trans fat Sugars
  • 88. 88 Suggested assessment 2: Understanding nutrition label Fill in the blanks below for the components of a nutrition label in Hong Kong Answer: Word bank: Sodium Saturated fat Protein Total fat Carbohydrates Energy Trans fat Sugars
  • 89. 89 Suggested assessment 3: Choose healthier alternatives Suggest alternatives to the snacks stated below. Instead of Replace with Sugary beverages Cookies Potato crisps Ice cream Sweet bun / egg tart
  • 90. 90 Suggested assessment 3: Choose healthier alternatives Suggest alternatives to the snacks stated below. Instead of Replace with Sugary beverages Tea, diluted 100% juice, low-fat yoghurt drink Cookies Soda crackers or rice crackers Potato crisps Baked vegetable crisps, apple crisps Ice cream Low-fat yoghurt, low-fat frozen yoghurt Sweet bun / egg tart Whole wheat bread roll Suggested answers:
  • 91. Glossary: • Adequate diet: a diet that provides enough energy, essential nutrients and dietary fibre to keep a person healthy • Balanced diet: a diet in which foods are chosen to provide energy essential nutrients and dietary fibre in the right proportions • Cancer: a group of diseases characterised by unrestrained cell division and growth that can disrupt the normal functioning of an organ and also spread beyond the tissue in which it started. • Cardiovascular disease: a disease of the heart and blood vessels such as coronary artery disease, stroke and high blood pressure. 91
  • 92. Glossary: • Visible fat: fats in foods that are purchased and used as fats, such as butter or margarine • Invisible Fats: fats that are not immediately noticeable such as those in egg yolk, cheese, cream, and salad dressings • Body Mass Index (BMI): a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity in adults. It is defined as the weight in kilograms divided by the square of the height in metres (kg/m2). • Overweight: Body mass index (BMI) of 25.1 to 30 kg/m2 or weight 10-20% above normal range • Obesity: Body mass index (BMI) > 30 kg/m2 or excessive body fat of 20% above normal range 92
  • 93. Glossary: • Vegans: individuals eating a type of vegetarian diet in which no eggs or dairy products are eaten; their diet relies exclusively on plant foods • Lacto-Ovo Vegetarian: vegetarians who will eat dairy products and eggs but no meat, fish or poultry • Ovo-Vegetarian: vegetarians who will eat eggs but no meat, fish or poultry • Lacto-Vegetarian: vegetarians who will eat dairy product but no meat, fish or poultry 93