, Nutrition for Health
Eighth Edition and Health Care
Linda Kelly DeBruyne
Kathryn Pinna
Australia • Brazil • Canada • Mexico • Singapore • United Kingdom • United States
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 1 1/10/22 1:00
, This is an electronic version of the print textbook. Due to electronic rights restrictions,
some third party content may be suppressed. Editorial review has deemed that any suppressed
content does not materially affect the overall learning experience. The publisher reserves the right
to remove content from this title at any time if subsequent rights restrictions require it. For
valuable information on pricing, previous editions, changes to current editions, and alternate
formats, please visit www.cengage.com/highered to search by ISBN#, author, title, or keyword for
materials in your areas of interest.
Important Notice: Media content referenced within the product description or the product
text may not be available in the eBook version.
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
, Nutrition for Health and Health Care, © 2023, 2020, 2017
Eighth Edition
Copyright © 2023 Cengage Learning, Inc. ALL RIGHTS RESERVED.
Linda Kelly DeBruyne, Kathryn Pinna
WCN: 02-300
SVP, Higher Education Product Management: Erin No part of this work covered by the copyright herein may be reproduced
Joyner or distributed in any form or by any means, except as permitted by U.S.
VP, Product Management, Learning Experiences: copyright law, without the prior written permission of the copyright owner.
Thais Alencar
Unless otherwise noted, all content is © Cengage Learning, Inc.
Product Director: Maureen McLaughlin
Product Manager: Courtney Heilman For product information and technology assistance, contact us at
Cengage Customer & Sales Support, 1-800-354-9706
Product Assistant: Olivia Pan or support.cengage.com.
Learning Designer: Paula Dohnal
For permission to use material from this text orproduct, submit all
Senior Content Manager: Rachel Kerns requests online at www.copyright.com.
Digital Delivery Quality Partner: Judy Kim
Library of Congress Control Number: 2021951777
Director, Product Marketing: Jennifer Fink Student Edition ISBN: 978-0-357-73031-7
Loose-leaf Edition ISBN: 978-0-357-73032-4
Product Marketing Manager: Courtney Heilman
IP Analyst: Ann Hoffman Cengage
200 Pier 4 Boulevard
IP Project Manager: Kumaresan Chandrakumar,
Boston, MA 02210
Integra Software Services Pvt Ltd
USA
Production Service: Lumina Datamatics
Cengage is a leading provider of customized learning solutions with
Designer: Sarah Cole employees residing in nearly 40 different countries and sales in more than
125 countries around the world. Find your local representative at:
Cover Image Source: brightstars/Getty Images
www.cengage.com.
To learn more about Cengage platforms and services, register or access
your online learning solution, or purchase materials for your course, visit
www.cengage.com.
Printed in the United States of America
Print Number: 01 Print Year: 2022
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 2 1/10/22 1:00
, To my grandchildren, Ryder, Cruz, and Skyler, with love from the luckiest Nani in
the world.
Linda Kelly DeBruyne
In memory of my parents, John and Tina Pinna, who inspired my love of books
and learning from my earliest years.
Kathryn Pinna
iii
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 3 1/10/22 1:00
, Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 4 1/10/22 1:00
, About the Authors
Linda Kelly DeBruyne, M.S., R.D., received her B.S. and M.S. degrees in nutri-
tion and food science at Florida State University. She is a founding member of Nutrition
and Health Associates, an information resource center in Tallahassee, Florida, where
her specialty areas are life cycle nutrition and fitness. She worked with a group of
pediatricians for 30 years, teaching infant nutrition classes to new parents. Her other
publications include the textbooks Nutrition and Diet Therapy and Health: Making Life
Choices. She is a registered dietitian and maintains a professional membership in the
Academy of Nutrition and Dietetics.
Kathryn Pinna, Ph.D., received her M.S. and Ph.D. degrees in nutrition from the
University of California at Berkeley. She taught nutrition, food science, and human
biology courses in the San Francisco Bay Area for more than 25 years and also worked
as an outpatient dietitian, Internet consultant, and freelance writer. Her other publica-
tions include the textbooks Understanding Normal and Clinical Nutrition and Nutrition
and Diet Therapy. She is a member of the American Society for Nutrition and the
Academy of Nutrition and Dietetics.
v
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 5 1/10/22 1:01
, Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 6 1/10/22 1:01
, Brief Contents
Chapter 1 Chapter 13
Overview of Nutrition and Health 1 Nutrition Care and Assessment 373
Chapter 2 Chapter 14
Digestion and Absorption 37 Nutrition Intervention and Diet-Drug
Interactions 397
Chapter 3
Carbohydrates 65 Chapter 15
Enteral and Parenteral Nutrition Support 427
Chapter 4
Lipids 93 Chapter 16
Nutrition in Metabolic and Respiratory
Chapter 5 Stress 463
Protein 121
Chapter 17
Chapter 6 Nutrition and Upper Gastrointestinal
Energy Balance and Body Composition 145 Disorders 483
Chapter 7 Chapter 18
Weight Management 171 Nutrition and Lower Gastrointestinal
Disorders 509
Chapter 8
The Vitamins 195 Chapter 19
Nutrition and Liver Diseases 541
Chapter 9
Water and the Minerals 231 Chapter 20
Nutrition and Diabetes Mellitus 561
Chapter 10
Nutrition through the Life Span: Pregnancy Chapter 21
and Lactation 263 Nutrition and Cardiovascular Diseases 591
Chapter 11 Chapter 22
Nutrition through the Life Span: Infancy, Nutrition and Renal Diseases 621
Childhood, and Adolescence 297
Chapter 23
Chapter 12 Nutrition, Cancer, and HIV Infection 649
Nutrition through the Life Span: Later Adulthood 345
vii
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 7 1/10/22 1:03
, viii
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 8 1/10/22 1:03
Eighth Edition and Health Care
Linda Kelly DeBruyne
Kathryn Pinna
Australia • Brazil • Canada • Mexico • Singapore • United Kingdom • United States
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 1 1/10/22 1:00
, This is an electronic version of the print textbook. Due to electronic rights restrictions,
some third party content may be suppressed. Editorial review has deemed that any suppressed
content does not materially affect the overall learning experience. The publisher reserves the right
to remove content from this title at any time if subsequent rights restrictions require it. For
valuable information on pricing, previous editions, changes to current editions, and alternate
formats, please visit www.cengage.com/highered to search by ISBN#, author, title, or keyword for
materials in your areas of interest.
Important Notice: Media content referenced within the product description or the product
text may not be available in the eBook version.
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
, Nutrition for Health and Health Care, © 2023, 2020, 2017
Eighth Edition
Copyright © 2023 Cengage Learning, Inc. ALL RIGHTS RESERVED.
Linda Kelly DeBruyne, Kathryn Pinna
WCN: 02-300
SVP, Higher Education Product Management: Erin No part of this work covered by the copyright herein may be reproduced
Joyner or distributed in any form or by any means, except as permitted by U.S.
VP, Product Management, Learning Experiences: copyright law, without the prior written permission of the copyright owner.
Thais Alencar
Unless otherwise noted, all content is © Cengage Learning, Inc.
Product Director: Maureen McLaughlin
Product Manager: Courtney Heilman For product information and technology assistance, contact us at
Cengage Customer & Sales Support, 1-800-354-9706
Product Assistant: Olivia Pan or support.cengage.com.
Learning Designer: Paula Dohnal
For permission to use material from this text orproduct, submit all
Senior Content Manager: Rachel Kerns requests online at www.copyright.com.
Digital Delivery Quality Partner: Judy Kim
Library of Congress Control Number: 2021951777
Director, Product Marketing: Jennifer Fink Student Edition ISBN: 978-0-357-73031-7
Loose-leaf Edition ISBN: 978-0-357-73032-4
Product Marketing Manager: Courtney Heilman
IP Analyst: Ann Hoffman Cengage
200 Pier 4 Boulevard
IP Project Manager: Kumaresan Chandrakumar,
Boston, MA 02210
Integra Software Services Pvt Ltd
USA
Production Service: Lumina Datamatics
Cengage is a leading provider of customized learning solutions with
Designer: Sarah Cole employees residing in nearly 40 different countries and sales in more than
125 countries around the world. Find your local representative at:
Cover Image Source: brightstars/Getty Images
www.cengage.com.
To learn more about Cengage platforms and services, register or access
your online learning solution, or purchase materials for your course, visit
www.cengage.com.
Printed in the United States of America
Print Number: 01 Print Year: 2022
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 2 1/10/22 1:00
, To my grandchildren, Ryder, Cruz, and Skyler, with love from the luckiest Nani in
the world.
Linda Kelly DeBruyne
In memory of my parents, John and Tina Pinna, who inspired my love of books
and learning from my earliest years.
Kathryn Pinna
iii
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 3 1/10/22 1:00
, Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 4 1/10/22 1:00
, About the Authors
Linda Kelly DeBruyne, M.S., R.D., received her B.S. and M.S. degrees in nutri-
tion and food science at Florida State University. She is a founding member of Nutrition
and Health Associates, an information resource center in Tallahassee, Florida, where
her specialty areas are life cycle nutrition and fitness. She worked with a group of
pediatricians for 30 years, teaching infant nutrition classes to new parents. Her other
publications include the textbooks Nutrition and Diet Therapy and Health: Making Life
Choices. She is a registered dietitian and maintains a professional membership in the
Academy of Nutrition and Dietetics.
Kathryn Pinna, Ph.D., received her M.S. and Ph.D. degrees in nutrition from the
University of California at Berkeley. She taught nutrition, food science, and human
biology courses in the San Francisco Bay Area for more than 25 years and also worked
as an outpatient dietitian, Internet consultant, and freelance writer. Her other publica-
tions include the textbooks Understanding Normal and Clinical Nutrition and Nutrition
and Diet Therapy. She is a member of the American Society for Nutrition and the
Academy of Nutrition and Dietetics.
v
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 5 1/10/22 1:01
, Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 6 1/10/22 1:01
, Brief Contents
Chapter 1 Chapter 13
Overview of Nutrition and Health 1 Nutrition Care and Assessment 373
Chapter 2 Chapter 14
Digestion and Absorption 37 Nutrition Intervention and Diet-Drug
Interactions 397
Chapter 3
Carbohydrates 65 Chapter 15
Enteral and Parenteral Nutrition Support 427
Chapter 4
Lipids 93 Chapter 16
Nutrition in Metabolic and Respiratory
Chapter 5 Stress 463
Protein 121
Chapter 17
Chapter 6 Nutrition and Upper Gastrointestinal
Energy Balance and Body Composition 145 Disorders 483
Chapter 7 Chapter 18
Weight Management 171 Nutrition and Lower Gastrointestinal
Disorders 509
Chapter 8
The Vitamins 195 Chapter 19
Nutrition and Liver Diseases 541
Chapter 9
Water and the Minerals 231 Chapter 20
Nutrition and Diabetes Mellitus 561
Chapter 10
Nutrition through the Life Span: Pregnancy Chapter 21
and Lactation 263 Nutrition and Cardiovascular Diseases 591
Chapter 11 Chapter 22
Nutrition through the Life Span: Infancy, Nutrition and Renal Diseases 621
Childhood, and Adolescence 297
Chapter 23
Chapter 12 Nutrition, Cancer, and HIV Infection 649
Nutrition through the Life Span: Later Adulthood 345
vii
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 7 1/10/22 1:03
, viii
Copyright 2023 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
30317_fm_ptg01_i-xx.indd 8 1/10/22 1:03
