Diet & Deficiencies (Cambridge (CIE) O Level Biology): Revision Note
Exam code: 5090
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Balanced Diet
- A balanced diet consists of all of the food groups in the correct proportions 
- The necessary food groups are: - Carbohydrates 
- Proteins 
- Lipids 
- Vitamins 
- Minerals 
- Dietary Fibre 
- Water 
 
- A balanced diet provides everything needed for successful growth and repair of tissues 
- There must also be enough energy that can be used for metabolic processes 
- There must also be enough roughage to maintain the function of the digestive tract 
- A diet can be unbalanced by having too little of a food group (called a deficiency) or by having too much (a surplus) 
Food Groups Table
| Food type | Function | Sources | 
|---|---|---|
| Carbohydrate | Source of energy | Bread, cereals, pasta, rice, potatoes | 
| Protein | Growth and repair | Meat, fish, eggs, pulses, nuts | 
| Lipid | Insulation and energy storage | Butter, oil, nuts | 
| Dietary fibre | Provides bulk (roughage) for the intestine to push food through it | Vegetables, whole grains | 
| Vitamins | Needed in small quantities to maintain health | Fruits and vegetables | 
| Minerals | Needed in small quantities to maintain health | Fruits and vegetables, meats, dairy products | 
| Water | Needed for chemical reactions to take place in cells | Water, juice, milk, fruits and vegetables | 
Vitamin and Mineral Sources and Functions Table
| Vitamin / Mineral | Function | Sources | 
|---|---|---|
| Vitamin C | Forms an essential part of collagen protein, which makes up skin, hair, gums, and bones. Deficiency causes scurvy. | Citrus fruits, strawberries, green vegetables | 
| Vitamin D | Helps the body absorb calcium and so required for strong bones and teeth. | Oily fish, eggs, liver, dairy products. Also made naturally by cells in sunlight. | 
| Calcium | Needed for strong teeth and bones and is involved in the clotting of blood. Deficiency can lead to osteoporosis later in life. | Milk, cheese, eggs | 
| Iron | Needed to make haemoglobin, the pigment in red blood cells that transports oxygen. | Red meat, liver, leafy green vegetables like spinach | 
Varying Dietary Needs of Individuals Table
| Factor | Dietary needs | Age | 
|---|---|---|
| Growth | A higher proportion of protein | Children | 
| Activity levels | More energy is required for movement as muscles are contracting more and respiring faster | All ages | 
| Pregnancy | Extra energy and calcium are needed to support the growth of the developing fetus and the larger mass of the mother | Pregnant women | 
| Breastfeeding | Extra energy and calcium still needed to make high-quality breast milk | Breastfeeding women | 
Scurvy, Rickets & Anaemia
Scurvy

Bleeding gums caused by scurvy
Centers for Disease Control and Prevention, Public domain, via Wikimedia Commons (opens in a new tab)
- Scurvy is the name for a severe vitamin C deficiency - It is caused by a lack of vitamin C in the diet for over 3 months 
 
- Its symptoms include: - Anaemia 
- Exhaustion 
- Spontaneous bleeding 
- Pain in the limbs 
- Swelling 
- Gum ulcerations 
- Tooth loss 
 
- It is a condition that was commonly seen in sailors between the 15th to 18th centuries - Long sea voyages made it very hard to access a ready supply of fresh produce 
 
- Scurvy can be treated with oral or intravenous vitamin C supplements 
Rickets

Rickets as seen in three children
Friends' Relief Mission, Vienna, CC BY 4.0, via Wikimedia Commons (opens in a new tab)
- Rickets is a condition in children characterised by poor bone development 
- Symptoms include: - Bone pain 
- Lack of bone growth 
- Soft, weak bones (sometimes causing deformities) 
 
- Rickets is caused by a severe lack of vitamin D or a lack of calcium in the diet - Vitamin D is required for the absorption of calcium into the body - Calcium is a key component of bones and teeth 
 
 
- Vitamin D mostly comes from exposure to sunlight but it can also be found in some foods (fish, eggs and butter) 
- The treatment for rickets is to increase consumption of foods containing calcium and vitamin D - Alternatively, vitamin D supplements can be prescribed 
 
Anaemia
- Anaemia is caused by a lack of iron in the diet 
- Iron is an important component of the blood pigment haemoglobin - Haemoglobin carries oxygen to all cells and tissues inside red blood cells 
 
- A lack of iron in the diet can cause a decrease in the number of red blood cells circulating in the blood 
- This can cause the person's skin to appear pale (called 'pallor') 
- Anaemia can also cause fatigue and exhaustion because there is not enough haemoglobin to carry oxygen to respiring cells all over the body 
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