food group chart
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NUTRITION
NUTRITIONAL REQUIREMENTS DURING PREGNANCY
Pregnancy is physiologically and nutritionally demanding period. Adequate intake of nutritious diet is reflected in optimal weight gain during
pregnancy (10-12 Kg) by the expectant mother.
Advice to be given to Women During Pregnancy:
Eat more food during pregnancy and lactation
Eat more whole grains, sprouted grams and fermented foods
Take milk/meat/eggs
Eat plenty of fruits and vegetables
Avoid superstitions and food taboos
Do not use alcohol and tobacco
Take medicines only when prescribed
Take iron, folate and calcium supplements regularly, after 14-16 weeks of pregnancy and continue the same during lactation.
FOOD GROUPS
On the basis of the predominant nutrient contained in foodstuffs, the later are classified in to the following Food Groups (Table 1). This
grouping of foods may not be the ideal but it is practical and easy to follow. It serves as a general guide to chose a Balanced Diet. It also
provides information as to which of the different foodstuffs can be substituted for one that may be temporarily unavailable.
Table 1 : Food Groups
Major Nutrients Other Nutrients
Group I : Energy Rich Foods Carbohydrates and fats
Whole grain cereals, millets Protein, fibre, minerals calcium, iron andB-complex vitamins
Vegetable oils, ghee, butter Fat soluble vitamins(A,D,E,K), essential fat ty acids
Nuts and oilseeds Proteins, vitamins/minerals
Sugars Nil
Group II : Body Building Foods Proteins
Pulses, nuts and oilseeds B-complex vitamins, invisible fat, fibre
Milk and Milk products Calcium, vitamin A, riboflavin, vitamin B12
Meat, Fish, polutry B-complex vitamins, iron, iodine, fat
Group III : Protective Foods Vitamins and Minerals
Green leafy vegetables Antioxidants, fibre and other cartenoids
Other vegetables/fruits Fibre, sugar and antioxidants
Eggs, milk and milk products Protein and fat
and flesh foods
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Table 2 : Balanced Diet for a pregnant woman
Food Group Food stuff Amount per day
Group I : Energy Rich Foods Rice, wheat and millets +300gOil, ghee, butter etc. 30gSugar and jaggery 20g
Group II : Body Building Foods Milk, curds etc. 500mlPulses, dried beans, nuts 60gMeat, fish, egg 20g
Group III : Protective Foods Fruits 200gVegetables 350gGreen leafy vegetables 150gOther vegetables 120g
Roots and tubers 100g
Table 3 : Balanced Diet during lactation
Food Group Food stuff Amount per day
Group I : Energy Rich Foods Rice, wheat and millets 330gOil, ghee, butter etc. 30gSugar and jaggery 20g
Group II : Body Building Foods Milk, curds etc. 500mlPulses, dried beans, nuts 90gMeat, fish, egg 30g
Group III : Protective Foods Fruits 200gVegetables 350g
Other vegetables 130gRoots and tubers 120g
Table - 4 : Sample Menu for a pregnant woman
Meal time Food group Approximate serving
Breakfast Milk with sugar One cupBreak fast item 1 serving
Mid Morning Fruit One
Lunch Rice 1 KatoriChapati 2 no.
Dhal 1 KatoriVegetable curry 1 KatoriVegetable salad 7-8 slicesCurd 1 Katori
Tea Tea/Coffee 1 cupSnack item 1 serving
Dinner Rice 1 KatoriChapati 2 no.Any vegetable curry 1 KatoriDhal 1 KatoriVegetable Raita 1 Katori
Fruit Seasonal
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Table -5 : Sample Menu for a lactating woman
Meal time Food group Approximate serving
Early morning Milk with sugar One cup
Breakfast Break fast item 1 serving
Milk preparation/curd 1 cup
Mid Morning Fruit One
Lunch Rice 1 Katori
Chapati 2 no.
Dhal 1 Katori
Vegetable curry 1 Katori
Dry vegetable Katori
Vegetable salad 7-8 slicesCurd 1 Katori
Tea Milk/Milk Preparation 1 cup
Snack item 1 serving
Dinner Rice 1 Katori
Chapati 2 no.
Any vegetable curry 1 Katori
Dhal 1 Katori
Vegetable Raita 1 Katori
Fruit Seasonal
NUTRITION FOR INFANTS
From birth - till 6 months of age Exclusive breast feeding is recommended.
In cases where breast feeding is contraindicated/ lactation fails/mother is unable to breast feed the child:
Infant needs to be fed on animal milk or commercial infant formula
Milk should be boiled before being fed to the baby.
Full strength milk may be started in early neonatal period for term infants.
Infants fed on animal milk should receive supplements of Iron and Vitamin C.
The baby should receive about 120-180 ml of milk 6-8 times over the day. Sugar should be added to milk to increase its caloric
density.
While reconstituting the infant formula, the instructions given on the label should be strictly followed.
The feeds should be prepared and given using sterile cup and spoon, taking utmost care.
Use of bottle should be discouraged.
Overfeeding should be avoided in artificially fed infants to prevent obesity.
Low cost home made weaning foods are preferred. However, commercially available preparations may be used by those who can
afford them.
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For Consideration:
1. The formula milk or animal milk is not as advantageous as breast milk
2. Utmost cleanliness is required for preparation of formula feed to prevent gastro-intestinal infections
3. Traditional method of feeding with spoon and bowl is more hygienic and safer as compared to bottle.
WEANING:
It is the process of gradually introducing foods other than breast milk in a childs feeding schedule. This process starts when any food
besides mothers milk is introduced in the childs diet and is completed only when the child has been entirely put off the breast. The
introduction of supplementary foods not only ensures the fulfillment of nutritional requirements but also introduces the child gradually to the
normal family eating patterns. The supplementary foods which can be given to the child from time to time are listed below.
Table-6 : Weaning Foods for Infants
Infants age Supplementary foods Frequency of supplements
4-6 months Mashed banana, porridge from wheat flour, Start with 1 feed / day, gradually increase the
ground rice, ragi, ground millet, etc. mixed frequency to 3 feeds/day by 6th month of age.
with oil (start with only one cereal)
6-9 months Banana, mango, chikoo ripe, 4-5 times/day
Boiled egg yolk
Mashed rice with dhal (Khichri)
Mashed vegetables
Chapati softened with milk
Green leafy vegetables can be added to
dal or khichriAdd little oil to all the above preparations
9-12 months In addition to the above, 4-5 times/day
Fruit variety
(but apple, apricot or peer should be given
only after stewing)
Khichri, Idli, Upma, Chapati, curd rice
Variety of vegetables
Eggs (boiled or scrambled)
Minced meat, fish
Whenever new foods are introduced in a childs diet, the following points must be kept in mind
It is wise to continue breast milk through 6 months to 1 year when the infant receives supplementary feeding. Animal milk should not
substitute for breast milk before the age of one year. Consumption of breast milk along with age-appropriate solid foods and juicesduring the first 12 months of life allows for balanced nutrition.
Only one food should be introduced at a time.
The consistency of food should be suitable as per the childs age. Liquid supplements should be given initially and their consistency
gradually needs to be changed from liquid to semi solid and then to solid with advancing age of the child.
Food should be given in small quantities in the beginning and the amount should be gradually increased as the child develops a liking
for the food.
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The child should never be forced to eat. If the child dislikes a particular food, it should be removed from his / her diet for some time and
re-introduced at a later stage. If the child shows a persistent dislike for that food, it should not be forced upon. No food is indispensable
and some other substitute can always be given.
The childs food should not be spicy. Fried food should also be avoided.
Variety should be introduced in the childs diet to make it more appealing.
As the child grows older colour, flavor, texture and shape of the food should be given special consideration so as to attract the childs
attention.
To make the child learn to eat all types of foods and to inculcate good eating habits among children, the parents should not showpersonal prejudices and dislike towards any foods.
It is not always necessary to cook separately for the child, as the family meals can be easily modified in consistency, spicing, etc., for
the amount needed to feed the child.
Active feeding (i.e. parents should sit by the side of the child and help and encourage him / her for self feeding) should be encouraged
after one year of age
Table - 7 : Diet between 1 and 5 years
Food group Food Approximate amount
Group I : Energy Rich Foods Cereal or starchy vegetables cooked 3 times a day
Group II : Body Building Foods Milk At least 200 ml a day (dairy milk) for breast fed
infant, 500 ml (dairy milk) for others
Pulses, meat or boiled fish Once a day
Egg prepared in any form One a day or minimum of 4 eggs a week
Group III : Protective Foods Green leafy vegetables and other vegetables Twice a day
Fruits Once a day
Extra fruit may be substituted for vegetables or vice versa
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CALORIES, PROTEIN AND FAT CONTENT OF COMMON FOOD ITEMS
Table - 8 : Calories, protein and fat content of common food items (raw)
(household measures)
Item Measure Weight Energy Kcal. Protein Fatg. g. g.
Cereals
Rice 1 K 150 520 10 3
Wheat flour 1 K 90 310 11 3
Millet flour 1 K 90 300 11 3
Pulses
Bengalgram dhal 1 K 130 485 27 9
Other dhals 1 K 135 460 32 3
Whole pulses
Greengram 1 K 140 470 34 3
Cowpea (lobia) 1 K 135 440 33 4
Rajmah 1 K 120 415 27 3
Soyabean 1 K 130 530 60 27
Green leafy vegetables 5 B 100 62 3.0 0.4
Other vegetables 100 26 2.0 0.2
Roots and tubers 100 105 1.0 1.0
Nuts and Oilseeds
Almonds 10 No. 15 85 3.0 8
Cashewnuts 10 No. 15 95 3.0 8
Coconut (fresh) 1 No 115 510 5.0 50
Coconut (dry) No. 45 290 3.0 30
Groundnuts 50 No. 15 85 4.0 6
Sesame seeds 1 tsp. 3 15 0.6 1
Spices
Chillie powder 1 tsp. 7 17 1.0 1.0
Coriander seeds 1 tsp. 7 20 1.0 1.4
Cumin seeds 1 tsp. 5 18 1.0 0.5
Fenugreek 1 tsp. 6 20 1.6 0.6
Mustard seeds 1 tsp. 10 5 2.0 4.0
Garlic 6 pods 3 4 0.2 0.02Onion 1 med. 50 30 0.9 0.1
Animal foods
Milk (Buffalo) 1 K 150 ml. 175 6.0 10
Milk (cow) 1 K 150 ml. 100 5.0 6
Egg (hen) one 60 100 8.0 8.0
Mutton 100 194 18.0 13.3
Fish (lean) 100 100 18.0 1.5
Fish (fatty) 100 150 90.0 6.0
B: Bundles K: Katori tsp: teaspoon
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Contd...
Table - 9 : Approximate Nutrient Value of Common Cooked Foods
Item No. of Weight of cooked Energy Kcal. Fat Proteinserving preparationg. Kcal g. g.
I. Cereals preparation
Rice 1 K 100 110 0.1 2
Idli 1 60 75 0.1 2
Plain dosa 1 40 125 3 3
Masala dosa 1 100 200 6 4
Phulka 1 35 80 0 3
Paratha 1 50 150 4 4
Upma 1 K 130 200 9 5
Sevian upma 1 K 80 130 4 3
Bread toasted 2 slices 50 170 1 4
Poha (Awal) 1 K 100 200 9 2
Dhalia 1 K 140 165 7 5
Kichidi 1 K 100 210 7 4
Puri 1 25 80 3 2
II. Pulses preparation
Plain dhal 1 K 140 170 4 10
Sambar 1 K 160 81 2 4
Chole/Sundal 1 K 150 115 5 7
III. Vegetable preparation
With gravy 1 K 130 130 7 3Dry 1 K 100 115 7 2
Bagara Baigan 1 K 170 230 20 3
Vegetable kofta 1 K 145 220 14 4
IV. Fried snacks
Bhajji 1 7 35 3 0.5
Samosa 1 65 210 12 2
Kachori 1 45 200 12 3
Patato Bonda 1 40 100 5 3
Sago vada 1 30 100 6 1
Masala vada 1 20 56 2 2
Vada 1 20 65 3 3Dahi vada 1 80 170 9 5
Vegetable cutlet 1 30 70 5 1
V. Chutneys
Coconut / groundnuts / til / coriander 1tbsp 25 64 5 3
Tomato 1tbsp 20 10 0.3 0.3
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VI. Non- Vegetarian preparations
Boiled egg 1 50 86 7.0 7.0
Omlette 1 65 155 14.0 7.0
Fried egg 1 50 155 14.0 7.0
Mutton curry 1 K 145 240 18 10
Chicken curry 1 K 125 260 15 26
Fish (fried) 2 pieces 85 220 12 18
VII. Bakery products
Biscuits 2 40 220 14 3
Cake 1 40 220 13 3
Vegetable puff 1 60 170 10 3
VIII. Sweets
Laddu, burfi etc. 1 60 250 15 8
Halwa (Suji) 1 K 130 430 20 3Double ka meetha 1 K 105 280 18 4
Custard/puddings 1 K 110 180 6 5
Chikki 2 60 300 12 8
Jam/Jelly 1 tsp. 7 20 0.04 0.04
K= Katori tbsp= tablespoon, tsp= teaspoon.
Calories and fat will depend on sugar and oil/ghee added.
Table -10 : Salads and Calories
Item No. Weight K.cals.(Medium size) g.
Beetroot 1 65 30
Cabbage 1 250 70
Carrot 1 40 20
Cucumber 1 90 12
Lettuce 6 bundles 100 20
Onion 1 50 25
Radish 1 60 10
Tomato 1 50 10
Turnip 1 100 30
Approximately 300-400 g. of a salad combination carries 100 calories. Wash vegetables thoroughly and use either raw or after a short exposure to steam
in pressure cooker.
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Table-11 : Fruits and Calories
Item No./Quantity Weight (g.) K.cals.
Apple 1 100 65
Banana 1 80 90
Grapes 30 100 70
Guava 1 100 50
Jack fruit 4 pieces 100 90
Mango 1 250 180
Mosambi/orange 1 100 40
Papaya 1 piece 250 80
Pineapple 1 piece 100 50
Sapota 1 80 80
Custard apple 1 130 130
Watermelon/ Muskmelon 1 piece 100 15
One banana is equal in terms of calories to two apples or two guavas or two mosambi or 8 pieces of watermelon.
A mango is equal in terms of calories to 3 apples.
Table-12 : Beverages and Calories
Item Measure Quantity (ml) K.cals.
Coffee 1 cup 150 100
Tea 1 cup 50 60
Carbonated beverages 1 bottle 200 150Fresh lime juice 1 glass 200 60
Squash 1 glass 200 80
Syrups (sherbet) 1 glass 200 200
Table-13 : Calorie needs of children
Weight upto first 10kg 100 K.cal / kg
Weight upto first 10 - 20kg 1000 K.cal + 50 K.cal for each kg beyond 10 kg
Weight upto first 20 - 30kg 1500 K.cal + 20 K.cal for each kg beyond 20 kg
Table-14 : A rule of thumb for calorie requirement is
100 K.cal / kg in first year; add 100 K.cal for each subsequent year
Example :
a) A child 9 month old weighing 8.5 kg requires 850 K.cals / day
b) A 5 year old child needs : 1000 K.cal for Ist year and 400 K.cals for extra four years i.e. a total of 1400 K.cals.
Given the above guidelines the parents can choose a suitable menu for child. The figures are average figures and individual variation in intake is expected.
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Vitamin Deficiencies
Deficiency Features Dietary supplement
Vitamin B1(Thiamine ) Beri Beri Milk, whole grain cereals, wheat gram,
Occurs where people consume Early: Fatigue, apathy, irritability, drowsiness, poor mental pulses, oil seeds, nuts specially
polished rice as major food item. concentration, anorexia, nausea, abdominal discomfort groundnut, meat, f ish & eggs
Occurs in three forms namely:
Wet:
Child looks undernourished, pale, edematous with dyspnoea,
vomiting& diarrhea
Heart weak, enlarged
Dry:
Peripheral neuritis. Tingling, burning & paraesthesia of toes and
feet, decrease deep tendon reflexes, loss of vibration sense,
tenderness & cramping of leg musclesInfantile:
Seen in infants of 2 - 4 months of age with thiamine deficient mother
Opthalmoplegia, polyneuritis, ataxia and mental deterioration
Vitamin B2(Riboflavin) Ariboflavinosis Milk, peas, beans, meat, egg & green
Cracking of skin at the corners of mouth leafy vegetables.
Soreness and inflammation of mouth & tongue
Eyes- Photophobia, Conjunctivitis, Keratitis, Lachrymation
Retarded Growth in children Seborrheic dermatitis
Vitamin B4(Niacin) Pellagra -Three Ds Beans, fish, potato, tomato, eggs,
Dermatitis- bilaterally symmetrical, occurs only on surfaces green vegetables, meat, poultry.
exposed to sunlight such as back of hands, lower legs,
face & neck
Diarrhea
Dementia Irritability, delirium, hallucinations, disorientation
Swelling & redness of gums & tongue
Vitamin B6(Pyridoxine) Seizures Milk, liver, meat, egg yolk, fish, whole
Lack of pyridoxine, a coenzyme Peripheral neuritis grain cereals, legumes, vegetables.
usually becomes noticeable within Dermatitis
the first 12 months of l ife in infants Anemia
Vitamin B7 (Biotin) Dry skin, seborrheic dermatitis Biotin tabletsDeficiency occurs rarely Fungal infections
Rashes- red patchy near mouth
Fine & brittle hair
Hair loss
If untreated- hyperesthesias & paraesthesias
Vitamin B9(Folate) Loss of apetitie, weight loss Milk, liver , meat, egg, fruits, cereals
Commonly seen during pregnancy Weakness, headache Folic acid tablets.
& lactation Irritability, behaviour disorders
Womengive birth to low birth weight baby, premature infants,
infants with neural tube defects
DEFICIENCY DISEASES
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Growth retardation in children
Megaloblastic anemia in adults
Vitamin B12 Megaloblastic anemia Liver, kidney, meat, fish, eggs, milk & Tiredness, decreased mental work capacity, decreased cheese
concentration, irritability.
Sub acute combined degeneration of spinal cord- numbness,
ataxic gait
Vitamin A (Retinol) Night blindness- inabilty to see in dim light or dark room Animal Foods- liver, eggs, butter,
Conjunctival Xerosis- conjunctiva appears dry, not wet, milk, f ish & meat
muddy and wrinkled Plant Foods- green leafy and cloured
Bitot spots- triangular, pearly-white or yellowish foamy spots vegetables such as spinach,pumpkin,
on the bulbar conjunctiva on either side of cornea. carrots, coloured fruits like papaya,
Corneal Xerosis- cornea appears dull, dry, becomes opaque. mango.
Keratomalacia- liquifecation of cornea i.e. cornea becomes Cod liver oilsoft, may burst leading to collapse of eye & loss of vision
Extra ocular manifestation- follicular hyperkeratosis, anorexia
& growth retardation.
Vitamin D (Calciferol & Rickets in children Animal Foods- liver, eggs, butter, milk,
cholecalciferol) Occur in children of age 6 mon.- 2 yrs fatty fish & meat, fish liver oils.
Growth faliure, bone deformity, muscular hypotonia, tetany
& convulsions
Bony deformities - wide wrists, curved legs, deformed pelvis, Exposure to sunlight enhances
pigeon chest, Harrisons sulcus, rickety rosary, kyphoscoliosis. production of Vitamin D in the body.
Milestones like walking, teething delayed
Osteo-malacia in adults Commonly occurs in women during pregnancy & lactation.
Bones- soft, deformed , painful, tends to fracture easily
Bones commonly affected- pelvic girdle, ribs, femur
Vitamin E (Tocopherol) Neurological problems like spinocerebellar ataxia, Avocado, nuts, almonds, seeds,
myopathies. vegetable oils, wheat germ, milk,
Anemia due to oxidative damage of Red Blood Cells asparagus
Fat absorption in intestine delayed resulting in greasy stools
Chronic diarrhea, bloating
Vitamin K Stomach pains Dark green vegetables, cows milk
Risk of massive uncontrolled bleeding
Vitamin C (Ascorbic acid) Scurvy Fresh fruits, citrus fruits (lemons,
Swollen & bleeding gums oranges, grape fruits), green leafy
Subcutaneous bruising or bleeding into the skin or joints vegetables, germinating pulses, amla,
Loosening of teeth gooseberry, guavas, tomatoes,
Delayed wound healing potatoes, cabbage.
Anemia, weakness
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Mineral deficiencies
Deficiency Feature Dietary Supplement
Iron Anemia Meat, liver, green leafy vegetables like
Fatigue, pallor, irritability spinach & fruits like apple, banana,
Weakness guava.
Pica Jaggery (gur)
Brittle or grooved nails
Plummer-Vinson syndrome: painful atrophy of the mucous
membrane covering the tongue, pharynx and oesophagus
Impaired immune function
Iodine Cretinism in in neonates and young children Sea foods, milk, meat
Poor activity (lethargy) vegetables, cereals, iodized salt
Abnormal physical growth
Mental disability Deaf- mutism
Squint
Disorder of stance & gait
Constipation
Hypothyroidism
Goitre - abnormal enlargement of thyroid gland in older
children and adults
Neck swollen, Increased body weight, subnormal intellegence,
excessive weight gain, stunting
Calcium Seizure in neonates and infants
Tetany in older children and adults. Perioral anesthesia, cataracts, papilledema, and laryngeal Milk, curd, cheese, green leafy
stridor vegetables, cereals & millets.
Acute hypocalcemia - prolongation of the QT interval in the
ECG, which may lead to ventricular dysrhythmias. It also
causes decreased myocardial contractility, leading to
congestive heart failure, hypotension and angina.
Irritability
Zinc Women Meat, chicken, fish, milk, cheese,
Spontaneous abortion peanuts, beans, whole grain cereals,
Congenital malformation- anencephaly potato, yoghurt
Low birth weight baby Intrauterine death
Preterm delivery
Children
Faliure of growth
Sexual infantilism in adolescents
Delayed wound healing
Loss of taste
Hair loss
Wasting of body tissues
Leukonychia- white spots on finger nails
Loss of appetite
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Carbohydrate and Protein deficiencies
Deficiency Feature Dietary Supplement
Protein Energy Malnutrition Marasmus Animal sources- Milk, meat, fish, eggs, Failure to gain weight cheese
Weight loss resulting in emaciation
Irritability, listlessness Vegetable sources- wheat, gram,
Hair sparse, easily pluckable, de-pigmented peanuts, soyabean, cereals, oil seed
Weight for height very low cakes, jaggery
Obvious muscle wasting, atrophy and atonia
Severe loss of subcutaneous fat
Loss of fat from sucking pads of the cheeks may occur
late in infants
Face may retain a relatively normal appearance as
compared to rest of the body, eventually becoming shrunken
and shriveled.
Constipation or starvation diarrhea frequent small stool
containing mucus
Temperature subnormal
Low pulse volume
Kwashiorkor
Lethargy, apathy, irritability
Inadequate growth
Lack of stamina
Loss of muscle tissue
Increased susceptibility to infections Vomiting
Diarrhea
Anorexia
Flabby subcutaneous tissues
Edema develops early and may mask failure to gain weight.
Edema is often present in internal organs before it is
recognized on face and limbs
Flaky paint or crazy pavement dermatitis darkness of skin
but not in areas exposed to sunlight.
Desquamation of skin followed by De-pigmentation
Hair sparse and thin, may become streaky red or gray, can
be pulled out easily
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