124567 The Association of Danish Biologist, FaDB Claudia Girnth-Diamba and Dorte Hammelev Lyngbyvej 32B, 6.mf, 2100 Copenhagen O Email: [email protected] Six a day How much fruit and vegetables do you eat per day on average? Aim • To investigate how much fruit and vegetable students eat per day. • To discuss the investigation method. • To put the results into perspective focusing on what recent research has discovered about antioxidants in fruit and vegetables in contrast to antioxidants in pills. Laura H. Hammelev and her fruit and vegetables. Photo: Jan Herrstedt 1. Edition October 2007 www.volvoxdk.dk Copyright © C. Girnth and D. Hammelev The Association of Danish Biologist, FaDB Six a day Introduction Healthy eating is a subject of big concern for the authorities that care for people’s health. Lots of ordinary people and especially young students of 16 – 19 care too. It is therefore a popular subject for pupils in Danish schools and six form colleges. The latest Danish advice on a healthy daily diet is formulated as follows: • Fruit and vegetables - 6 pieces per day (equivalent to 600 gram on average, ed.) • Eat fish and fish products - several times a week • Eat potatoes, rice or pasta, wholemeal bread - every day • Limit intake of sugar - particularly from soft drinks, confectionary and cakes • Eat less fat - particularly fat from meat and dairy products • Eat a varied diet - and maintain a healthy body weight • Drink water when you are thirsty • Engage in physical activity - at least 30 minutes per day The Danish Nutrition Council Why do we have to eat 600 gram of fresh or ccoked fruit and vegetable every day? We don’t know precisely, but the Danish Nutrition Council has some interesting information on special compounds in fruit and vegetables. Among these are the water soluble vitamins, antioxidants, fibres and other anti-cancer compounds. Antioxidants are important because they work against the free radicals that are produced when the metabolism of the foodstuffs starts. However we do not know the full consequences of the metabolic breakdown of nutrients and it is even possible that eating too much fruit and vegetables could have a negative effect on metabolism. Fibres and their anti-cancer effect is investigated in another unit on HUSK. Here are some examples from certain vegetables. Carrots are eaten all over the world and are well known for the health giving compounds they contain, like beta-carotene which is a precursor for vitamin A and others. Carrots also contain antioxidants. The carrot is closely related to Ginseng, known for many years for its healthy effect though we did not know the cause. A recent study has shown that both roots contain poly-acetylenes, which are known anti-cancer agents. However both beta-carotene and poly-acetylenes are poisonous in too high concentration. A special compound in broccoli (glucosinolate) is meant to work as an anticancer compound to start the general detoxification processes in cells. Garlic is known for its beneficial effect on certain infectious bacterial diseases. www.volvoxdk.dk Is 600 gram the right amount? We don’t know. The British suggest 500 gram, but the Japanese propose a much higher figure as quoted in an article in The Guardian newspaper (1). The ideas of Paracelsus, a doctor and alchemist in the middle age (1493 – 1541) in Germany, might help us answer the question. One of his theories, which is still valid today, was that a chemical compound is not poisonous as such, it is the dose that determines whether it is poison or not. This means that certain drugs can cure diseases when taken in small amounts but can be poisonous in higher concentrations. At the moment we do not know if 600 grams of fruit and vegetables are the right amount The Danish Nutrition Council is pritty it is not too much. Can fresh fruits and vegetables be replaced with pills? Possibly not. Several investigations have failed to provide evidence that taking these substances in pill form has any positive effect. On the contrary, it is possible that people have died from taking too many of these dietar y supplements (2) How to prove this scientific hypothesis? It is very difficult and expensive to prove that a certain compound has a special effect on the body. To make this sort of investigation it is necessary to test two fairly large groups of people with identical lifestyles, ages etc. where only one factor is different, the factor that is to be investigated. Due to the fact that it is hard to find two such groups there are not that many investigations of this type. Therefore it would, in many cases, be more correct to talk about assumptions rather than proven facts when talking about for example the healthy effect of eating Ginseng or Carrot. The method used Though the recommended amount of 600 gram per day is the result of certain assumptions we feel, for educational purposes, it is still worthwhile for students to investigate for themselves as precise as possible how much they actually eat in the way of fruit and vegetables. The assumptions can then be used as a basis for discussion. Photomontage Leif-H Copyright © C. Girnth and D. Hammelev The Association of Danish Biologist, FaDB Six a day Your investigation How much fruit and vegetable do you eat per day on average? Do the investigation for one week at a time. Fill in the tables on the next pages: Questionaire: How many pieces of fruit and vegetable do you eat per day on average? Do the investigation for one week at a time Fruit Yes No Do you eat fruit regulary? If yes, how many whole pieces do you eat per day on average? Count one apple, pear, nectarines orange etc. as one piece each. One handful of grapes, cherries or strawberries is counted as one piece. Juice Yes No Do you drink juice regulary? If yes, how many glasses of juice do you drink per day on average? Lunch Do you eat Vegetables for your lunch? No never Yes once a week Yes twice a week Yes three times a week Yes four times a week Yes five times a week Yes six times a week Yes seven times a week If yes how many whole pieces do you eat at a time on average? Count only in whole pieces. One tomato, one big piece of cucumber, one carrot, one portion of lettuce/ mixed salad or raw food count each for one piece. www.volvoxdk.dk Copyright © C. Girnth and D. Hammelev The Association of Danish Biologist, FaDB Six a day Dinner Do you eat vegetables for dinner? - Both as salad as a side dish and cooked in a casserole No never Yes once a week Yes twice a week Yes tree times a week Yes four times a week Yes five times a week Yes six times a week Yes seven times a week Either salad or cooked vegetables in a casserole or as side dish No never Yes once a week Yes twice a week Yes tree times a week Yes four times a week Yes five times a week Yes six times a week Yes seven times a week Specification of points – Do the investigation for one week at a time. Fruit/vegetables All Together Fruit, whole pieces (one piece = 1 point) Juice (one or more glasses = 1 point) Vegetables for lunch all together (One piece = 1 point) Salad or cooked vegetables for dinner (one time = 1 point) Both salad and cooked vegetables for dinner (one time = 2 points) Points all together Points per day on average Specification of points – Do the investigation for one week at a time 6 points or over: www.volvoxdk.dk Congratulation! You fulfil the recommended advice of having 600 gram fruit and/or vegetables per day Between 4 – 5 points: You are on your way – and are better than the average Dane 3 points and under: It will be beneficial for your health to eat more fruit and vegetables Copyright © C. Girnth and D. Hammelev The Association of Danish Biologist, FaDB Six a day Facts about antioxidants Vitamin C is an example of an antioxidant. There are also antioxidants that are not vitamins. Antioxidants neutralize free radicals and other reactive oxygen and nitrogen compounds. These compounds are produced in normal oxidative metabolic processes like respiration. They are also produced in connection to smoking, pollution, taking medicines and drugs, drinking alcohol and exposure to radiation. These highly reactive compounds can be very injurious to health. They can change the structure of cell membranes, lipoproteins, proteins, carbohydrates, RNA and DNA. Oxidative stress is therefore believed to contribute to development of heart disease and cancer. Antioxidants in food: - Vitamin C (ascorbic acid) – from fruit and vegetables - Vitamin E – from vegetable oils, nuts, fat fish, egg yolk, whole grain cereals - Carotenoids (for example beta-carotene) - from fruit and vegetables - Flavonoids - from fruit and vegetables - Phytoestrogens - from leguminous plants and whole grain cereals - Zinc – from meat, dairy products and whole grain cereals - Copper – from offal (highest content) - Selenium – from fish, shellfish, eggs and offal Interaction between antioxidants from both vitamins and non-vitamins is important to obtain the optimal effect in neutralizing free radicals. When antioxidants work together a synergy will occur. This means that the effect will be bigger than the sum of the effect of individual antioxidants. This is the reason why it is so important to have a varied diet Facts about Free Radicals A free radical is an atom or a molecule that has one or more unpaired electrons in the outer shell. In a stable molecule the electrons circulate round the nucleus in pairs. When free electrons are present the molecule becomes reactive. It will seek out other molecules that either give an electron (the other molecule is reduced) or accept an electron (the other molecule is oxidised). The molecules that reduce or oxidise with free radicals either disintegrate or become free radicals themselves – and a chain reaction is started. In the body it is the free oxygen-radicals that have the biggest affect. Oxygenradicals are produces all the time in connection to metabolism. Free radicals attack many elements in the body for example DNA, proteins, fatty acids and LDL-cholesterol. The fats that are oxidised will become rancid – the same will happened to the cholesterol, which in an oxidised state will stick to the blood vessels where it can cause arteriosclerosis. Free radicals will make meat rancid. Free radicals can start harmful processes in the body that in the end can result in cancer or other diseases. On the other hand our immune system uses free radicals to fight off infections. The body defends itself against free radicals with the help of antioxidants from a whole range of vitamins, minerals and other plant products. These antioxidants absorb free electrons or whole radicals so they cannot harm the body. www.volvoxdk.dk Copyright © C. Girnth and D. Hammelev The Association of Danish Biologist, FaDB Six a day Pedagogical tips Other sources of information It is a good idea to wait with delivering the scheme for point counting to after the students have filled in the first schemes (page 3 and 4). Then you avoid students to focus on how many points they have got from they have made the investigation. 1. The antioxidant myth: a medical fairy tale. Look Waterson in The Guardian May 25 2006 2. Is five a day enough? Lisa Melton in New Scientist Aug. 05 2006 3. Carotenoids in health and disease. Red. af Norman I. Krinsky m.fl. Marcel Dekker, 2004, 568 sider. (Oxidative stress and disease) 4. Dragsted, L.O.: Antioidants in fruits and vegetables: Final report for evaluation of the FØTEK 2 programme “Health evaluation of biologically active nonnutrive components in foods: Antioxidants in fruits and vegetables” 5. HUSK. another package of Volvox materials. Before answering When the students answering the questionnaire they should think about what they have been eating within the last month due to the fact that there can be season variations in the consumption of fruit and vegetables. - Make the students aware that they registrar fruit and vegetables eaten both on weekdays and in weekends. Use this information later in the follow up discussion. - Potatoes do not count in this scheme - Give the students an explanation on the difference between “both salad and cooked vegetables” and “either salad or cooked vegetables” to be sure they understand the difference. Some of the students will possibly think their consumption of vegetables at the dinner/evening meal is underestimated in the point specification, but with a simple scheme like this it is not possible to look at the size of portions too as basis for an estimation of how much they eat. On group level over- and underestimation will possibly equalize but on the individual level there will be both underand overestimation of the intake. Discuss therefore the meaning of that in connection to selection of investigation method. Starting at the “Six a day” project there can be a talk about different antioxidants, souces to antioxidants, recommendations and the background for individual needs compared with recommendations on food and food-supplements. Acknowledgement This material is based on some parts of the Danish material "Hvorfor bliver frugten brun og kødet gråt? ..."written by: Claudia Girnth-Diamba, FaDB, Liselotte Unger, BioInfo, Hanne Thomsen, The Chemistry teachers Association, Karen Lunden, HTX and Marie Kielsgaard, Lykke Thostrup, Michael Bom Frost, Lone Brinkmann Sørensen all academic staff from KVL, now Institute for Human Nutrition Copenhagen University. The material, which is in Danish, can be downloaded from: www.kvl.dk/ forskning/oevelseshaefte.aspx We would like to thank the group for the posibillity to adapt this material for the Volvox project. Thanks very much too to John Watson, European School, Luxembourg for waluable help with adaptation and the English translation. This practical was adapted for the Volvoc project, which is funded under the Sixth Framework Programme of the European Commission. Preparation and timing This activity can be carried out within one - two lessons. www.volvoxdk.dk Copyright © C. Girnth and D. Hammelev
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