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Ebook PDF Understanding Nutrition 4th Edition by Eleanor Noss PDF
Ebook PDF Understanding Nutrition 4th Edition by Eleanor Noss PDF
CHAPTER 13 HIGHLIGHT 15
THE TRACE MINERALS 452 15.7 Foetal alcohol syndrome 558
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
Contents vii
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
viii
CHAPTER
the nutrition topics covered in the chapter components, fuel all its activities and defend itself against diseases. How successfully your
body handles these tasks depends, in part, on your food choices. Nutritious food choices
support healthy bodies.
by taking the Common sense test at the PUTTING COMMON SENSE TO THE TEST
Circle your answer
Blackberries
are a very
Adolescence is a crucial time for bone development, and the requirement for
Calcium
calcium reaches its peak during these years. Unfortunately, between 82 and 89 per Chapter 1: An overview of nutrition 9
Images/Shutterstock.com
Adolescence is a crucial
cent of girls aged 12 to 16time forcalcium
have bone development,
intakes below and the requirement 61for
recommendations. Low
calcium reaches
calcium intakes its peaktimes
during duringofthese
activeyears. Unfortunately,
growth, especially ifbetween 82 and
paired with 89 per
physical
cent of girlscan
inactivity, aged 12 to 16 have
compromise thecalcium
development intakesofbelow recommendations.
peak bone
61
Low
mass. In fact, inactivity
calcium
may haveintakes during times ofimpact
active growth,
on boneespecially if poor
pairedcalcium
with physical
Monkey Business
requirements by working through COMMON SENSE is convenient and if they have the time. With a multitude of after-school, social and job
TO THE TEST
PUTTING Teenagers like the
activities, they freedom
almost to come
inevitably falland
intogo as they eating
irregular choose.habits.
They eat what
At any theytime
given wanton if any
it protein and 9 grams fat.
COMMON SENSE is convenient
given and if they
day, a teenager mayhave the time.
be skipping With aeating
a meal, multitude
a snack,of after-school,
preparing a meal socialorand job
consuming
The THE
calcium From the information you calculated in step 1, you can determine the percentage of
book.
families, however, from fat, for example, divide the 333 fat
an adolescent
age of 14. is skip breakfast on aeat morebasis,
regular fruits,missing
vegetables,
out ongrains and calcium-rich
important nutrients that foods,areand
not drink
made fewer up at
soft drinks, than those whoTeenagers
seldom eat with kilojoules by the total 724 kilojoules.
eattheir families. Many adolescents also begin to
62
reduced after the later meals during the day. who breakfast are more likely to meet their nutrient
FALSE
age of 14. skip breakfast on a regular basis, missing out on important nutrients that are not made up at 3. Then multiply by 100 to get the 0.46 3 100 5 46%
intake recommendations.
laterIdeally,
meals in during percentage.
FALSE light the day. Teenagers
of adolescents’ busywho eat breakfast
schedules and desireare more likely to the
for freedom, meetadult
theircontinues
nutrient
intake
to play recommendations.
the role of gatekeeper, controlling the type and availability of food in the teenager’s Dietary recommendations that urge people to limit fat intake to 20 to 35 per cent of
Ideally, in light of adolescents’ busy schedules and desire for
home environment. Teenagers should find plenty of nutritious, easy-to-grab foods in the freedom, the adult continues
kilojoules refer to the day’s total energy intake, not to individual foods. Still, if the proportion
to play the role
refrigerator of gatekeeper,
(meats controlling
for sandwiches; low-fatthe type and
cheeses; availability
fresh, of foodand
raw vegetables in the teenager’s
fruits; fruit of fat in each food choice throughout a day exceeds 35 per cent of kilojoules, then the day’s
home
juices; environment.
and milk) andTeenagers
more in the should find plenty
cupboards of nutritious,
(wholegrain breads, easy-to-grab
nut pastes, foodsnuts, in the
popcorn total surely will, too. Knowing that this snack provides 46 per cent of its kilojoules from fat
refrigerator
and cereal).(meats for sandwiches; low-fat cheeses; fresh, raw vegetables and fruits; fruit alerts a person to the need to make lower-fat selections at other times that day.
juices; and milk) and more in the cupboards (wholegrain breads, nut pastes, nuts, popcorn
and cereal).
Snacks
AUSTRALIAN
Snacks typically provide at least a quarter of the average teenager’s daily food energy intake.
Snacks Vitamins
DIETARY Most often, favourite snacks are too high in saturated fat and sodium and too low in fibre to
GUIDELINES
AUSTRALIAN
Snacks
supporttypically
good futureprovide at least
health. Tablea 16.6
quarter of the
on page average
587 showsteenager’s daily food
how to combine energy
foods differentThe vitamins are also organic, but they do not provide energy. Instead, they facilitate the
fromintake.
2013
DIETARY Mostgroups
food often, favourite snacks are
to create healthy too high in saturated fat and sodium and too low in fibre to release of energy from carbohydrate, fat and protein and participate in numerous other
snacks.
typically andSoft
less drinks
milk.63 containing
Adolescentscaffeine
who drink soft drinks regularly have aifhigher intake and a help to preserve the vitamins.
energyintake
55 mg ofdeliver
caffeine per present a different problem caffeine
between 30 and lower
becomes calcium intakeCaffeine
excessive. than those whotodobenot;
seems they are
relatively also more
harmless likely
when to be
used inoverweight.
64
moderate doses
can. For perspective,
* The water-soluble vitamins are vitamin C and the eight B vitamins: thiamin, riboflavin, niacin, vitamins B6 and B12,
folate, biotin and pantothenic acid. The fat-soluble vitamins are vitamins A, D, E and K. The water-soluble vitamins are
the subject of Chapter 10 and the fat-soluble vitamins are discussed in Chapter 11.
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
Guide to the text ix
516 Understanding nutrition
need diets rich in carbohydrate, and of course, meats have none to offer. Legumes, whole
grains and vegetables provide some protein with abundant carbohydrate. Table 14.5 (page 508)
shows recommended protein intakes for active people.
Explore relevant and up-to-date group had followed the diet for at least two years, and there was a mixture of vegan and
lacto-ovo vegetarians amongst the group. Food intake, maximal oxygen uptake (VO2 max)
during treadmill running and leg strength were all assessed.
nutrition research in the Current For the males, there was little difference in cardio-respiratory fitness or strength between
the vegetarian and omnivores. The surprising finding though was in the women. Vegetarian
women had a 13 per cent greater VO2 max scores than women eating an omnivore diet.
research in nutrition boxes. There was no difference in protein intake according to body weight between vegetarians
and omnivores. Although vegetarians ate more carbohydrates and fibre, they do have less
vitamin B12, which is not so surprising. One interesting finding was that vegetarians had more
iron in their diet than omnivores. But because plant-based iron is less bioavailable than
animal-based iron, then this may bring the vegetarians back on par with omnivores.
A well-planned and varied vegetarian diet can meet the nutritional needs of an athlete
just as well as an omnivore diet. Such a diet poses little risk of sub-par performance, and for
some athletes it may even spur them on to higher levels of achievement.
28 Understanding nutrition
Other risk factors, such as genetics, gender and age, also play important
Chapter roles
3: Digestion, in the and transport
absorption 85
development of chronic diseases, but they cannot be changed. Health recommendations
CHAPTER ACTIVITIES acknowledge the influence of such factors on the development of disease, but they must focus
on the factors that are changeable. For the two out of three Australians who do not smoke or
drink alcohol excessively, the one choice that can influence long-term health prospects more
CHAPTER ACTIVITIES
PUTTING COMMON
than any other is diet.
SENSE TO THE TEST: ANSWERS
At the end of each chapter you’ll find several tools to help you review, practise and extend
2
gastrointestinal
Intestinal
where they
Intestinal are
tract.
cells have
health.
found
cells
diseases. are
varying degrees
Whenever
along
of specialisation
appropriate,
therecommendations
uniform
Dietary digestive
depending onshows5how
the discussion
tract.the digestive
all along appeartract.
to
Theneural,
diet
process
again and again,
to maintain
functions of the
influences
as of
itseach
homeostasis.
each
functions.
digestive
nutrient’sTRUE
tract major
of today’s
relationships
are an example of the
3 Veins and
FALSE withlymphatic
health are vessels leaving
explored. Most thepeople
digestive
whotract
follow the recommendations will benefit
The digestive tract is regulated at many and canlevels, from endocrine
different
3 transportand
Veins fromlymphatic
the digestivevessels
tract. leaving the digestive tract
carry nutrients to the body. TRUE
• Reflect on your own personal Both veins and lymph vessels are important avenues of nutrient
transport from
NUTRITION the digestive tract.
PORTFOLIO Chapter 2: Planning a healthy diet 59
A healthy digestive system can adjust to almost any diet • Detail any GI discomforts you may experience
nutritional choices in the and can handle any combination of foods with ease.
•NUTRITION
Describe the PORTFOLIO
physical and emotional environment
regularly and include suggestions to alleviate or
prevent their occurrence (see Highlight 3).
Nutrition portfolio.
A that typically surrounds your meals, including
anyhow
dietit • List any changes you can make in your eating habits
3 healthy
Whichdigestive systemiscan
of the following adjust
consistent to almost
with the Australian • Detail
c Waterany GI discomforts you may experience
affects
and Dietary you and
can handle any how it might be
combination improved.
of foods with ease. to promote overall GI health.
regularly
Guidelines ? d Salt and include suggestions to alleviate or
• Describe the physical and emotional environment prevent their occurrence (see Highlight 3).
a Choose a diet restricted in fat and cholesterol. 7 ‘Low in salt’ is an example of a:
that typically
STUDY QUESTIONS surrounds your meals, including how it • List any changes you can make in your eating habits
b Eat plenty of vegetables, legumes and fruits. a promote
health claim
affects you and how it might be improved. to overall GI health.
Multiple choice questions
c Balance the food you eat with physical activity. 5 bThe nutrition
digestionfact
and absorption of carbohydrate occurs
Answers
d Eat canan beabundance
found at theof back
foodsoftothe book.nutrient
ensure cpredominantly in the:claim
nutrient content
1STUDY
A key QUESTIONS
adequacy.
secretion of the gall bladder is: a nutrition
d mouth advertising
Multiple
4 a choicetoquestions
According
trypsin the Australian Guide to Healthy Eating, 5 b The small digestion and absorption of carbohydrate occurs
intestine
Answers can be found at the back of the book. Review questions in the:
the
b number
amylaseof serves of dairy foods recommended for cpredominantly
stomach
1 Name the diet-planning principles and briefly describe
1 boys
A
c key aged 12–13ofis:the gall bladder is:
secretion
bile d
a large mouthintestine
how each principle helps in diet planning. (Section 2.1)
• Review the major chapter 2 b
d 3
a insulin
trypsin
The 3.5
amylase
muscular contractions that move food through
6 b
2 What
small intestine
Absorption
ca stomach
Dietary
occurs primarily in the:
recommendation is modified in the Australian
mouth Guidelines
cthe GI
4
bile
tract are called: db largestomach intestine for children under the age of two
Study questions.
4 Review the Australian
bca proteins
peristalsis and fibre 7 b The villi
specialised cells that increase gastrointestinal
emulsify fats of food selections would you make to achieve those
cd vitamins and minerals ctractcolonocytes
absorption area are called:
b bowelcatalyse movements
hydrolysis recommendations? (Section 2.1)
3 d carbohydrates and fats d 7: Metabolism:
a islet cells cells
pancreatic
cThe slow
mainprotein
functiondigestion
of bile is to: Chapter
5 What do you think transformations and interactions
is the most helpful information you 241
6 Which
d ingredient
a neutralise
emulsify is exempt
stomach
fats from being listed in
acidity 8 can b villinutrients leave the GI tract by way of the
Which
expect to find on a food label? When comparing
descending order of predominance by weight on clymphatic
colonocytes
system? panels, how can this information
4 b The catalyse
pancreashydrolysis
neutralises stomach acid in the small nutrition information
food labels? Why?digestion d
cintestine
slow protein
by secreting: help a islet
water cells
and minerals
you choose between two products? (Section 2.3)
a d Vitamins
neutralise stomach acidity 8 b Which nutrients
proteins andleave
mineralsthe GI tract by way of the
9 Duringa bilestarvation, which of the following would you 6
4 What
Name isthe
a nutrient
four basic claim?
units,How doesfrom
derived this differ
foods,from
that a
b
4 expectThe Minerals
pancreas clymphatic
Allclaim? system?
vitamins and minerals
b to see?neutralises stomach acid in the small
mucus health
are used by the (Section
body in2.3) metabolic transformations.
d
a fats
water and fat-soluble vitamins
cintestine
enzymesby secreting:
a increased protein synthesis How manyand minerals
carbons are in the ‘backbones’ of each?
d bile
a bicarbonate b proteins
(Section 7.2) and minerals
b
NUTRITION elevated glycogen production
CALCULATIONS c All vitamins and minerals
c b higher
mucus levels of ketone bodies in the blood 5 d Describe howfat-soluble
the body recycles glucose from lactate.
These c problems
enzymes will give you practice in doing simple How
fats andmany kilojoules does this
vitamins amount of fat
d higher levels of insulinAlthough
in the blood (Section 7.2)
listed in Nutrition on the net and • Assess the evidence for low-carbohydrate diet from
Sports Dietitians Australia: https://www.sportsdietitians.
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
x Guide to the text
HIGHLIGHTS
Every chapter is followed by a highlight that provides readers with an in-depth look at a
current, and often controversial, topic that relates to its companion chapter
• Develop your understanding of
206 Understanding nutrition
these key topics by responding
to the critical thinking
questions. HIGHLIGHT
6.6 NUTRITIONAL GENOMICS
6
• Research these thought-
provoking topics further by
Imagine this scenario: A physician scrapes a sample of malnourished children given vitamin A supplements, and
cells from inside your cheek and submits it to a genomics biology has explored how such effects might be possible.
lab. The lab returns a report based on your genetic profile The process was slow as researchers collected information
Nutrition on the net. also be given a prescription for a dietary supplement that
will best meet your personal nutrient requirements. Such a
scenario may one day become reality as scientists uncover
explaining the interactions among several genes, actions
and nutrients in relatively little time. As a result, nutrition
knowledge is growing at an incredibly fast pace.
the genetic relationships between diet and disease.1 (Until The recent surge in genomics research grew from
then, however, consumers need to know that many current the Human Genome Project, an international effort by
genetic test kits commonly available on the Internet are industry and government scientists to identify and describe
unproven and quite likely fraudulent.) all of the genes in the human genome – that is, all the
Chapter 6: Protein: amino acids 211 genetic information contained within a person’s cells.
Completed in 2003, this project developed many of the
research technologies needed to study genes and genetic
variation. Scientists are now working to identify the
individual proteins made by the genes, the genes associated
HIGHLIGHT ACTIVITIES with diseases, and the dietary and lifestyle choices that
most influence the expression of those genes. Such
information will have major implications for society in
CRITICAL THINKING QUESTIONS general, and for healthcare in particular.2
1 How might nutritional genomics influence healthcare against specific chronic diseases. No doubt marketers
Shutterstock.com/Darren Baker
in the future? will rush to fill supermarket shelves with foods
manufactured to match genetic profiles. Why do you
A genomics primer
2 You may have heard about the diet that is based
think these genetic approaches to diet and health Figure H6.1 shows the relationships among the materials
on a person’s blood type and claims to restore the
might be more or less appealing than eating patterns that comprise the genome. As the discussion of protein
body’s natural genetic rhythms and improve health.
that include a variety of fruits, vegetables, whole synthesis in Chapter 6 points out, genetic information is
Research may one day reveal exactly which foods
grains, milk products and meats? encoded in DNA molecules within the nucleus of cells.
might best turn on and off specific genes to defend Can your specific diet and lifestyle needs be decided in a laboratory?
The DNA molecules and associated proteins are packed
within 46 chromosomes. The genes are segments of a
NUTRITION ON THE NET
How nutrients influence gene activity and how genes DNA strand that can eventually be translated into one
Analyse the nutrient composition of foods online: To • Get information about humaninfluence genomicthe discoveries
activities of nutrients is the focus of a or more proteins. The sequence of nucleotide bases
learn more about the nutrient content of the foods you and how they can be used to improve health from the within each gene determines the amino acid sequence
new field of study called nutritional genomics. Unlike
eat, you can access the full NUTTAB Food Composition Public Health Genomics site of the US Centers for of a particular protein. Scientists currently estimate that
sciences in the twentieth century, nutritional genomics
Database provided by Food Standards Australia New Disease Control and Prevention: http://www.cdc.gov/ there are between 20 000 and 25 000 genes in the human
takes a comprehensive approach in analysing information
Zealand from http://www.foodstandards.gov.au/science/ genomics genome.
from several fields of study, providing an integrated
monitoringnutrients/pages/default.aspx As Figure 6.7 (page 185) explained, when cells make
understanding of the findings. Consider how multiple
disciplines contributed to our understanding of vitamin A proteins, a DNA sequence is used to make messenger
over the past several decades, for example. Biochemistry RNA. The nucleotide sequence in messenger RNA
REFERENCES revealed vitamin A’s three chemical structures. then determines the amino acid sequence to make
Immunology identified the anti-infective properties of a protein. This process – from genetic information
one of these structures, while physiology focused on to protein synthesis – is known as gene expression.
CHAPTER Gene expression can be determined by measuring
another structure and its role in vision. Epidemiology has
1 C. Taylor, P. Kavanagh, and B. Zuckerman, Sickle cell trait—neglected 10 G. A. Bray and coauthors, Effect of dietary protein
reported content on weight
improvements in the death rates and vision of the amounts of messenger RNA in a tissue sample.
opportunities in the era of genomic medicine, Journal of the American gain, energy expenditure, and body composition during overeating: A
Medical Association 311 (2014): 1495–6. randomized controlled trial, Journal of the American Medical Association
2 Position of the American Dietetic Association and Dietitians of 307 (2012): 47–55.
Canada: Vegetarian diets, Journal of the American Dietetic Association 11 A. Dougkas and E. Östman, Protein-enriched liquid preloads varying
109 (2009): 1266–1282. in macronutrient content modulate appetite and appetite-regulating
3 World Hunger Education Services (WHES), Hunger notes (2015), hormones in healthy adults, Journal of Nutrition 146 (2016): 637–45.
available at http://www.worldhunger.org/articles/Learn/child_ 12 M. Cuenca-Sánchez, D. Navas-Carillo, and E. Orenes-Piñero,
hunger_facts.htm Controversies surrounding high-protein diet intake: Satiating effect
4 H. Kismul and co-authors, Diet and kwashiorkor: a prospective and kidney and bone health, Advances in Nutrition 6 (2015): 260–6.
study from rural DR Congo, PeerJ 15 (2014): e350 https://dx.doi. 13 Q. J. Lew and coauthors, Red meat intake and risk of ESRD, Journal of
org/10.7717/peerj.350 the American Society of Nephrology 28 (2016): 304–12.
5 P. Guleria and co-authors, Genetic Engineering: A Possible Strategy for 14 National Health and Medical Research Council, Nutrient reference
Protein-Energy Malnutrition Regulation, Molecular Biotechnology 59 values for Australia and New Zealand, Canberra: Commonwealth of
(2017): 499–517. Australia (2006).
6 Committee on Dietary Reference Intakes, Dietary reference intakes: 15 R. J. Maughan, Quality assurance issues in the use of dietary
energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and supplement, with special reference to protein supplements, Journal of
amino acids (Washington, D.C.: National Academies Press, 2005), 694. Nutrition 143 (2013): 1843S–1847S.
7 U. N. Das, Nutritional factors in the prevention and management 16 S. M. Robinson and co-authors, Does nutrition play a role in the
of coronary artery disease and heart failure, Nutrition 31 (2015): prevention and management of sarcopenia?, Clinical Nutrition 37 (4)
283–91. (2018): 1121–32.
8 J. E. Baggott and T. Tamura, Homocysteine, iron and cardiovascular 17 C Beaudart and co-authors, Nutrition and physical activity in
disease: A hypothesis, Nutrients 7 (2015): 1108–18. the prevention and treatment of sarcopenia: systematic review,
9 J. D. Bihuniak and K. L. Insogna, The effects of dietary protein Osteoporosis International 28 (6) (2017): 1817–33.
and amino acids on skeletal metabolism, Molecular and Cellular
Endocrinology 410(2015): 78–86.
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
xi
MINDTAP
Premium online teaching and learning tools are available on the MindTap platform – the
personalised eLearning solution.
MindTap is a flexible and easy-to-use platform that helps build student confidence and
gives you a clear picture of their progress. We partner with you to ease the transition to
digital – we’re with you every step of the way.
The Cengage Mobile App puts your course directly into students’ hands with course
materials available on their smartphone or tablet. Students can read on the go, complete
practise quizzes or participate in interactive real-time activities.
MindTap for Whitney’s Understanding Nutrition is full of innovative resources to support
critical thinking and help your students move from memorisation to mastery! Includes:
• Whitney’s Understanding Nutrition eBook
• Interactive nutrition calculations, Concept checks, Case activities, Videos, Quizzes
and more
MindTap is a premium purchasable eLearning tool.
Contact your Cengage learning consultant to find out
how MindTap can transform your course.
INSTRUCTOR’S MANUAL
The Instructor’s Manual includes:
• Learning objectives • Worksheets and handouts
• Lecture presentation outlines and • Classroom activities
enrichments • New Zealand instructor information
• Answers to study questions
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
xii Guide to the online resources
POWERPOINT™ PRESENTATIONS
Use the chapter-by-chapter PowerPoint presentations to enhance your lecture
presentations and handouts to reinforce the key principles of your subject.
MINDTAP
MindTap is the next-level online learning tool that helps you get better grades!
MindTap gives you the resources you need to study – all in one place and available when
you need them. In the MindTap Reader, you can make notes, highlight text and even find a
definition directly from the page.
If your instructor has chosen MindTap for your subject this semester, log in to MindTap to:
• Get better grades
• Save time and get organised
• Connect with your instructor and peers
• Study when and where you want, online and mobile
• Complete assessment tasks as set by your instructor
When your instructor creates a course using MindTap,
they will let you know your course key so you can
access the content. Please purchase MindTap only
when directed by your instructor. Course length is set
by your instructor.
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xiii
A zucchini has
more potassium
PREFACE
than a banana
Nutrition is a science. The details of a nutrient’s chemistry or a cell’s biology can be overwhelming
and confusing to some, but it needn’t be. When the science is explained step by step and the facts are
connected one by one, the details become clear and understandable. That has been the goal since this
book was first developed and as it has continued to be updated in this fourth edition: to reveal the
fascination of science and share the excitement of nutrition with readers. We have learned from the
hundreds of university teachers and nutrition professionals and more than a million students who
have used previous editions of this book through the years that readers want to understand nutrition
so that they can make healthy choices in their daily lives.
With its focus on Australia and New Zealand, the text incorporates current nutrition
recommendations and public health issues, and food culture relevant to those studying and working
in nutrition in this region of the world.
Because nutrition is an active science, staying current is paramount. To that end, this edition
incorporates the latest in nutrition research. The connections between diet and disease have become
more apparent – and our interest in making smart health choices has followed. More people are living
longer and healthier lives. The science of nutrition has grown rapidly, with new research emerging
daily. In this edition, as with previous editions, every chapter has been substantially revised to reflect
the many changes that have occurred in the field of nutrition and in our daily lives over the years. We
hope that this book serves you well.
THE CHAPTERS
Understanding Nutrition presents the core information of an introductory nutrition course. The
early chapters introduce the nutrients and their work in the body, and the later chapters apply that
information to people’s lives – describing the role of foods and nutrients in energy balance and weight
control, in physical activity, in the life cycle and in disease prevention, and food safety. Each chapter
also clearly flags for the reader practical applications of nutrition research and presents the most
recent research in the topic area.
THE HIGHLIGHTS
Every chapter is followed by a highlight that provides readers with an in-depth look at a current, and
often controversial, topic that relates to its companion chapter. Highlight 11 features vitamin D and
the many health benefits now being linked to this ‘sunshine vitamin’. Each highlight closes with
critical thinking questions designed to encourage readers to develop clear, rational, open-minded and
informed thoughts based on the evidence presented in the text. New to this edition are clearly stated
learning objectives at the beginning of every chapter to outline the key concept areas to be covered.
THE APPENDICES
The appendices are valuable references for a number of purposes. Appendix A summarises background
information on the hormonal and nervous systems, complementing Appendices B and C on basic
chemistry, the chemical structures of nutrients and major metabolic pathways. Appendix D describes
measures of protein quality. Appendix E provides detailed coverage of nutrition assessment with
updated infant and child growth charts, and Appendix F presents estimated energy requirements for
men and women at various levels of physical activity. Appendix G presents common calculation and
conversion tips.
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
xiv Preface
THE COVERS
The book’s inside covers put commonly used information at your fingertips, including current
nutrient recommendations and suggested weight ranges for various heights.
We have taken great care to provide accurate information and have included many references at
the end of the book. However, to keep the number of references manageable, many statements appear
without references. All statements reflect current nutrition knowledge and the authors will supply
references upon request. In addition to supporting text statements, the references provide readers with
resources for finding a good overview or more details on a subject.
In this new edition, the art and layout have been carefully designed to be inviting while enhancing
student learning. For all chapters and highlights, content has been reviewed and updated. Several
new figures and tables have been created and others revised to enhance learning. Each chapter also
features a true–false ‘common sense’ test presented at the beginning to allow students to test their
core knowledge on practical nutrition concepts related to the topic. Answers to these commonsense
questions are revealed throughout the chapter and a brief explanation is given at the end. This new
edition has also been revised throughout to include more content and related nutrition issues that
are specific to New Zealand. For example, Chapter 2 features the newly released Eating and Activity
Guidelines for New Zealand Adults. And to acknowledge the growing interest in the gastrointestinal
microbiome in health, an expanded section in Chapter 3 has been added as well as a research focus in
Chapter 4.
Nutrition is a fascinating subject, and we hope our enthusiasm for it comes through on every
page.
Tim Crowe
Adam Walsh
Ellie Whitney
Sharon Rady Rolfes
Eggplant skin
is rich in
magnesium
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
xv
Sharon Rady Rolfes received her MS in nutrition and food science from Florida State University.
She is a founding member of Nutrition and Health Associates, an information resource centre that
maintains a research database on over 1000 nutrition-related topics. Sharon’s publications include
the college textbooks Understanding Nutrition 12th edn and Nutrition for Health and Health Care 4th
edn. In addition to writing and research, she occasionally teaches at Florida State University and
serves as a consultant for various educational projects. Her volunteer work includes serving on the
board of Working Well, a community initiative dedicated to creating a healthy workforce.
Dr Tim Crowe is an Advanced Accredited Practising Dietitian who has spent most of his career in the
world of university nutrition teaching and research. He now works chiefly as a health and medical
writer and scientific consultant and speaks on many health topics to the public through both the
media, social media and writing for consumer publications.
Dr Adam Walsh is a Senior Lecturer in Nutrition and Dietetics in the School of Exercise and
Nutrition Sciences at Deakin University in Melbourne and an Accredited Practising Dietitian.
He teaches in the undergraduate and postgraduate nutrition and dietetics programs in the areas
of clinical dietetics, nutritional physiology and paediatric health. Adam’s area of research is the
influence of fathers on young children’s nutrition and physical activity behaviours.
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xvi
ACKNOWLEDGEMENTS
The adaptation and updating of this textbook has been a team effort with us all focused on
improving a book that has been well-received throughout nutrition courses in Australia and
New Zealand. Many thanks must go to the team of external reviewers who gave valuable
feedback and advice on each of the chapters in order to improve the relevance of the text
to the teaching of nutrition in Australia and New Zealand. The team at Cengage have been
instrumental in guiding us through the entire process and have been a pleasure to work with
through all stages of development. It is rewarding to see the text now in print after all our hard
work.
From Tim Crowe: Many thanks go to my nutrition and dietetic friends and colleagues who
have been down the publication path before and assured me that the late nights and long
weekends of writing and proofing would be time well spent in producing a piece of work to be
proud of.
From Adam Walsh: Thanks to my two wonderful boys for keeping me grounded. They have,
on more than one occasion, reminded me that even though I’m the dietitian in the house, I’m
still just Dad.
Substitute The authors and Cengage Learning would like to thank our reviewers who provided incisive
for rice to
increase your and helpful feedback:
fibre intake • Martin Stone – Australis College
• Anthony Villani – University of the Sunshine Coast
• Matt Sharman – University of Tasmania
• Kathleen (Katie) Lacy – Deakin University
• Preetha Thomas – The University of Queensland
• Janet Weber – Massey University
• Thea Werkhoven – The University of Sydney
• Aimee Dordevic – Monash University
• Jennifer McCann – Deakin University
• Judith Myers – Victoria University
• Karin Clark – Curtin University
• Ramon Hall - Deakin University
The authors and Cengage Learning would also like to thank the following supplementary
resource authors for their contributions to the first edition:
• Associate Professor Jack Antonas – Victoria University
• Dr Clare Wall – University of Auckland
• Dr Fiona Pelly – University of the Sunshine Coast
• Victoria Logan – Otago University
• Alisa Conlan – RMIT University.
Copyright Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
1
CHAPTER
AN OVERVIEW
OF NUTRITION
LEARNING OBJECTIVES
1.1 Describe how various factors influence 1.5 Explain how the four assessment methods
personal food choices. are used to detect energy and nutrient
1.2 Name six major classes of nutrients and deficiencies and excesses.
identify which are organic and which yield 1.6 Identify several risk factors and explain
energy. their relationships to chronic diseases.
1.3 Explain the scientific method and how 1.7 Recognise misinformation and describe how
scientists use various types of research to identify reliable nutrition information.
studies and methods to acquire nutritional
information.
1.4 Define the four categories of the Nutrient
Reference Values (NRVs) and explain their
purpose.
Blackberries
are a very
good source of
vitamin C and
manganese
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2 Understanding nutrition
Welcome to the world of nutrition. Although you may not always have been aware of it,
nutrition has played a significant role in your life. And it will continue to affect you in major
ways, depending on the foods you select.
Every day, several times a day, you make food choices that influence your body’s health for
better or worse. Each day’s choices may benefit or harm your health only a little, but when
In general, a these choices are repeated over years and decades, the rewards or consequences become major.
chronic disease That being the case, paying close attention to good eating habits now can bring you health
progresses slowly or benefits later. Conversely, carelessness about food choices can contribute to many chronic
with little change and
diseases prevalent in later life, including heart disease and cancer. Of course, some people
lasts a long time. By
will become ill or die young no matter what choices they make, and others will live long lives
comparison, an acute
disease develops despite making poor choices. For the majority of us, however, the food choices we make each
quickly, produces and every day will benefit or impair our health in proportion to the wisdom of those choices.
sharp symptoms and Although most people realise that their food habits affect their health, they often choose
runs a short course. foods for other reasons. After all, foods bring to the table a variety of pleasures, traditions and
• chronos 5 time associations as well as nourishment. The challenge, then, is to combine favourite foods and
• acute 5 sharp fun times with a nutritionally balanced diet.
Habit
People sometimes select foods out of habit. They eat cereal every morning, for
example, simply because they have always eaten cereal for breakfast. Eating a
familiar food and not having to make any decisions can be comforting.
Social interactions
Most people enjoy companionship while eating. It’s fun to go out with friends for
An enjoyable way to learn about other pizza or Thai. Meals are social events, and sharing food is part of hospitality. Social
cultures is to taste their ethnic foods.
customs invite people to accept food or drink offered by a host or shared by a group
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Chapter 1: An overview of nutrition 3
regardless of hunger signals. Such social interactions can be a challenge for people trying to
limit their food intake; Chapter 9 describes how people tend to eat more food when socialising
with others. People also tend to eat the kinds of foods eaten by those in their social circles,
thus helping to explain why obesity seems to spread in social networks and weight loss is easier
with a partner.
Marketing
The food industry competes for our food dollars, persuading consumers to eat more – more
food, more often. These marketing efforts pay off well, generating billions of dollars in new
sales each year. In addition to building brand loyalty, food companies attract busy consumers
with their promises of convenience.
Emotional comfort
Emotions are another factor that guide food choices
and eating behaviours. Some people cannot eat
when they are emotionally upset. Others may eat
in response to a variety of emotional stimuli – for
example, to relieve boredom or depression, or to calm
anxiety.5 A depressed person may choose to eat rather
Alamy/Wave Royalty Free
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4 Understanding nutrition
obesity, but it may be appropriate at times. For example, sharing food at times of grief serves
both the giver’s need to provide comfort and the receiver’s need to be cared for and to interact
with others, as well as to take nourishment.
Values
Food choices may reflect people’s religious beliefs, political views or environmental concerns.
For example, many Christians forgo meat during Lent (the period prior to Easter), Jewish
law includes an extensive set of dietary rules that govern the use of foods derived from
animals, and Muslims fast between sunrise and sunset during Ramadan (the ninth month
of the Islamic calendar). A concerned consumer may boycott fruit picked by migrant workers
who have been exploited. People may buy vegetables from local farmers to save the fuel and
environmental costs of foods shipped in from far away. They may also select foods packaged
in containers that can be reused or recycled. Some consumers accept or reject foods that have
been irradiated or genetically modified, depending on their approval of these processes (see
Chapter and Highlight 19 for a complete discussion).
A person selects foods for a variety of reasons. Whatever those reasons may be, food choices
REVIEW IT
influence health. Individual food selections neither make nor break a diet’s healthfulness, but the
balance of foods selected over time can make an important difference to health. For this reason,
people are wise to think ‘nutrition’ when making their food choices.
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Chapter 1: An overview of nutrition 5
Nutrients in foods
and in the body
Shutterstock/Maridav
Amazingly, our bodies can derive all the energy,
structural materials and regulating agents we need
from the foods we eat. This section introduces the
nutrients that foods deliver and shows how they
participate in the dynamic processes that keep people
alive and well.
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6 Understanding nutrition
As a result, its identity never changes. For example, iron may have different electrical charges,
but the individual iron atoms remain the same when they are in a food, when a person
eats the food, when the iron becomes part of a red blood cell, when the cell is broken down
and when the iron is lost from the body by excretion. The next simplest nutrient is water, a
compound made of two elements – hydrogen and oxygen. Minerals and water are inorganic
nutrients, which means they do not contain carbon.
The other four classes of nutrients (carbohydrates, lipids, proteins and vitamins) are more
complex. In addition to hydrogen and oxygen, they all contain carbon, an element found in all
living things. They are therefore called organic compounds (meaning, literally, alive). Protein
and some vitamins also contain nitrogen and may contain other elements as well
(see Table 1.1). The use of the term ‘organic’ when describing the chemistry of substances
should not be confused with the use of this term in the farming and produce sense to describe
how food is grown under a certification system.
Inorganic nutrients
Minerals ✓
Water ✓ ✓
Organic nutrients
Carbohydrates ✓ ✓ ✓
Lipids (fats) ✓ ✓ ✓
Proteinsa ✓ ✓ ✓ ✓
Vitaminsb ✓ ✓ ✓
a
Some proteins also contain the mineral sulphur.
b
Some vitamins contain nitrogen; some contain minerals.
Essential nutrients
The body can make some nutrients, but it cannot make all of them. Also, it makes some in
insufficient quantities to meet its needs and, therefore, must obtain these nutrients from
foods. The nutrients that foods must supply are essential nutrients. When used to refer to
nutrients, the word essential means more than just ‘necessary’; it means ‘needed from outside
the body’ – normally from foods.
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Chapter 1: An overview of nutrition 7
Carbohydrates ✓ ✓ ✓
Lipids (fats) ✓ ✓ ✓
Proteins ✓ ✓ ✓
Vitamins ✓ ✓
Minerals ✓ ✓
Water ✓
Carbohydrate 17 4
Protein 17 4
Fat 37 9
NOTE: Alcohol contributes 29 kilojoules per gram that can be used for energy, but it is not considered a
nutrient because it interferes with the body’s growth, maintenance and repair.
One other substance contributes energy – alcohol. Alcohol is not considered a nutrient
because it interferes with the growth, maintenance and repair of the body, but it does yield
energy (29 kilojoules or 7 kcalories per gram) when metabolised in the body. (Highlight 7 and
Chapter 18 present the potential harms and possible benefits of alcohol consumption.)
Most foods contain all three energy-yielding nutrients as well as water, vitamins, minerals
and other substances. For example, meat contains water, fat, vitamins and minerals as well as
protein. Bread contains water, a trace of fat, a little protein and some vitamins and minerals
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Another random document with
no related content on Scribd:
species of Trilobites belonging to 39 genera ranging from Lower
Cambrian to Carboniferous.
A “metastoma” or lower lip plate (Fig. 142, Ep) is found just
behind the hypostome in Triarthrus, but has not been noticed in any
other genus. Between the hypostome and the metastoma lies the
mouth.
The segments of the thorax are free, and their number varies
from two in Agnostus (Fig. 146) to twenty-six in Harpes (Fig. 150,
A). In the Trilobites confined to the Cambrian period the number
(except in the Agnostidae) is usually larger than in the genera found
in the Ordovician and later periods. Owing to the free thoracic
segments many Trilobites were able to curl up somewhat after the
manner of a Wood-louse (Figs. 137, D, 138). The axial part of each
thoracic segment is more or less considerably arched. Usually it
consists of three parts: (i.) the largest part (Fig. 137, C, a), called the
ring, is band-like in form, and is always visible whether the Trilobite
is extended or coiled up; (ii.) in front of the ring is a depressed,
groove-like part (Fig. 137, C, b) separating it from (iii.) the articular
portion (c) which is convex in front and extends beneath the ring of
the preceding segment; this part is only visible when the Trilobite is
coiled up or when the segments are separated. In some few genera
the axial part consists of a simple arched band without either a
groove or a specially modified articular portion. The pleurae (Fig.
137, A, l, C, d-f) are fixed firmly to the axis, and have the form of
narrow bands with the ends rounded, obtuse, pointed, or spinose. In
a few cases the pleurae have a plain surface; but usually they possess
either a ridge or a groove (Fig. 137, C, g); the former is generally
parallel to the margins of the pleura, the latter is generally oblique,
being inclined backwards from the axis. Sometimes in front of the
ridge there is a small groove. On the ventral surface each pleura
shows, at its outer extremity, a reflexed margin or doublure. At some
distance from the axis the pleurae are bent downwards and
backwards. The point where this bend occurs is called the “fulcrum”
(e); it divides the pleura into an internal and an external part: the
internal part (d-e) is flat or slightly convex, and just touches the front
and back margins of the adjacent pleurae; the external part (e-f) may
be (i.) narrower than the internal part, so that it is separated from
the previous and succeeding pleurae; such occurs principally in
pleurae with ridges, as in Cheirurus and Bronteus; or (ii.) it may be
in the form of a long cylindrical process, as in many species of
Acidaspis; or (iii.) the external part may be of the same width, either
throughout or in part, as the internal part, and may overlap the next
pleura behind; this type is found principally in pleurae with a groove
such as in Phacops, Calymene, Sao, Asaphus, Ellipsocephalus.
In some Trilobites there is beyond the fulcrum a smooth, flat,
triangular part at the front margin of the pleura; this part is known
as the “facet,” and forms a surface articulating with the preceding
segment which overlaps it.
In the remarkable form Deiphon (Fig. 151, E) the pleurae are
separate throughout their entire length.
In some Trilobites broad and narrow forms of the same species
occur—the difference being seen especially in the axis. The former
are regarded as females, the latter as males.[190]
The segments of the abdomen or pygidium (Fig. 137, A, 3) are
similar to those of the thorax, except that they are fused together. In
a few forms, such as Illaenus (Fig. 150, F) and Bumastus, the fusion
is so complete that no trace of segmentation can be seen on the
dorsal surface. Usually, however, the segments are easily
distinguishable; the number seen on the axis is commonly greater
than on the lateral parts of the pygidium; this difference is
particularly well shown in Encrinurus. In Trilobites which have
grooved pleurae the conspicuous grooves seen on the lateral parts of
the pygidium are the grooves of the pleurae, the sutures between the
pleurae being less distinct. The shape of the pygidium may be
semicircular, a segment of a circle, trapezoidal, triangular, semi-
parabolic, etc.; its size varies considerably; in the Cambrian forms it
is usually small, but in the Trilobites of later periods it becomes
relatively larger. The number of segments in the pygidium varies
from two to twenty-eight. The axis of the pygidium tapers more
rapidly than that of the thorax; sometimes it reaches quite to the
posterior end of the body, but is commonly shorter than the
pygidium; in Bronteus it is extremely short, and the grooves on the
lateral parts of the pygidium radiate from it in a fan-like manner.
Occasionally, as in Bumastus, the axis cannot be distinguished from
the lateral parts. In a few early Trilobites (Olenellus, Holmia, Fig.
148, Paradoxides, Fig. 147) the lateral parts of the pygidium are very
small. In some genera, such as Asaphus, the marginal part of the
pygidium forms a flattened or concave border. The margin may be
entire or produced into spines, and sometimes (Fig. 151, C) a caudal
spine comes off from the end of the axis. On the ventral surface of
the pygidium there is a marginal rim similar to the doublure of the
cephalic shield. The anus is on the ventral surface of the last segment
of the pygidium.
Although Trilobites are often found in abundance and in an
excellent state of preservation, it is only in very rare cases that
anything is seen of the ventral surface except the hypostome and the
reflexed borders of the cephalic shield, of the thoracic segments, and
of the pygidium. The usual absence of appendages is probably due
to their tenuity. Billings, in 1870, first obtained clear evidence of the
presence of pairs of appendages, in Asaphus platycephalus. Soon
afterwards Walcott[191] showed their existence in American
specimens of Asaphus megistos, Calymene senaria, and Cheirurus
pleurexacanthus. In the two latter species the appendages were
found by cutting sections of curled-up specimens obtained from the
Trenton Limestone; 2200 examples were sliced, of which 270
showed evidence of the existence of appendages. They were seen to
be present on the head, thorax, and pygidium; a ventral uncalcified
cuticle with transverse arches was also found. By means of sections
of curled-up specimens it was difficult to determine satisfactorily the
form and position of the appendages. Subsequently extended
specimens of Triarthrus (Fig. 142) and Trinucleus, showing the
ventral surface and appendages clearly, were discovered in the Utica
Slate (Ordovician) near Rome, New York. A full account of the
appendages in those specimens has been given by Beecher.[192]
In Triarthrus each segment, except the anal, bears a pair of
appendages, all of which, except the first, are biramous. There are
five pairs of cephalic appendages; the first pair are attached at each
side of the hypostome, and have the structure of antennae, each
consisting of a single flagellum formed of short conical joints. The
other cephalic appendages increase in size successively. At present
the second and third pairs are not satisfactorily known, but appear to
have been similar to the fourth and fifth pairs. The second pair is
attached at the level of the posterior end of the hypostome. The
fourth and fifth pairs have large, triangular coxopodites which served
as gnathobases, their inner edges
being denticulate; the
endopodites consist of stout
joints; the exopodites are slender,
and bear setae which are often
arranged in a fan-like manner.
The first pair of appendages
appear to be antennules, whilst
the second pair probably
represent the antennae, the third
pair the mandibles, and the
fourth and fifth pairs the maxillae
of other Crustacea. The
appendages of the thorax and
pygidium do not differ essentially
from the two posterior cephalic
appendages. Those on the
anterior part of the thorax are the
longest; the others gradually
decrease in size in passing
posteriorly. Each thoracic leg
(Fig. 142, B) consists of a short
coxopodite with an inward
cylindrical prolongation forming
a gnathobase which is best
developed on the anterior legs;
the endopodite and exopodite are
long and nearly equal; the former
consists of six joints tapering
gradually to the end; the latter, of Fig. 142.—Triarthrus becki, Green, ×
a long proximal joint with a 2½. Utica Slate (Ordovician), near
denticulate edge and a distal part Rome, New York. A, Ventral surface
of ten or more joints, and it bears with appendages; Ep, metastome; Hy,
hypostome. B, second thoracic
a row of setae along the whole of appendage; en, endopodite; ex,
the posterior edge. exopodite, × 12. (After Beecher.)
The anterior appendages of the
pygidium differ but little from the
posterior thoracic legs; but the phyllopodous character, which
appears in the latter, becomes more distinct in the appendages of the
pygidium, especially those near its posterior end, and is due to the
broad, flat, laminar joints of the endopodite.
The more striking features of the appendages of Triarthrus are the
small amount of differentiation which they show in different parts of
the body, especially the want of specialisation in the cephalic region;
the distinctly biramous character of all except the first pair; and the
presence of one pair of functional antennae only, and the occurrence
of thoracic gnathobases.
In Trinucleus the appendages are not so well known, but they are
considerably shorter than in Triarthrus.
In the Palaeozoic rocks of Bohemia, where Trilobites are very
perfectly preserved, Barrande[193] discovered the larval forms of
several species, and in some cases was able to trace out the
development very completely, but in others the earliest stages were
not found. In the strata in which Trilobites occur Barrande found
minute spheroidal bodies, usually of a black colour, and only a little
smaller than the youngest larval stages; those bodies are probably
the eggs of Trilobites. Since the publication of Barrande’s work the
development of some species found in North America has been
studied by Ford, Matthew, Walcott, and Beecher. But even now the
development is known in only a very small proportion of the total
number of genera of Trilobites. The early larval form (Fig. 143, A) is
similar in general character in the various species in which it has
been found. It is circular or ovoid in outline, with a length of from
0·4 to 1 mm., and consists of a large cephalic and a small pygidial
portion; the axis is distinct and usually shows more or less clear
indications of five cephalic segments; the eyes, when present, are
found at or near the front margin, and the free cheeks, if visible at all
on the dorsal surface, are narrow. For this early larval form Beecher
has proposed the name “protaspis”; he regards it as the
representative of the Nauplius of other Crustacea, but that view is
not accepted by Professor J. S. Kingsley.[194]
The general changes which occur in the course of development are:
modifications in the shape and relative size of the glabella, and of the
number and depth of the glabella-furrows; the growth of the free
cheeks and the consequent inward movement of the facial sutures
and eyes; the introduction of and gradual increase in number of the
thoracic segments, and the relative decrease in size of the head.
Sao hirsuta is a species found
in the Cambrian, the
development of which was fully
described by Barrande. Its
earliest protaspis stage (Fig. 143,
A) is circular in outline; the
glabella expands in front and
reaches the anterior margin; the
pygidial region is not distinctly
separated from the cephalic
Fig. 143.—Development of Sao hirsuta,
Barr. Cambrian. A, Protaspis; B-F,
region; segmentation is indicated
later stages; G, adult. The small in the former, and the neck-ring
outlines below each figure show the is present in the latter; the eye-
actual size of each specimen. (After line is seen on each side of the
Barrande.) glabella near the anterior margin.
In a later stage (Fig. 143, C) the
segmentation of the glabella becomes more distinct, indicating the
existence of five cephalic segments, and the facial suture appears
near the margin limiting a very narrow free cheek. Subsequently
(Fig. 143, D-F) the thoracic segments develop, and increase in
number until the adult stage (G) is reached; also the eyes appear at
the margin of the cephalic shield, and gradually move inwards, and
the glabella becomes narrower and rounded in front, and ceases to
reach the anterior margin. In this species the eye-line is present in
the adult.
In the protaspis of Triarthrus (Fig. 144), found in the Ordovician,
the glabella does not reach the front margin nor expand in front as it
does in Sao; an eye-line is present, but disappears before the adult
stage is reached.
Fig. 144.—Triarthrus becki, Green.
Ordovician. A, B, Two successive stages
of the protaspis, × 45. (After Beecher.)