, F I F T H
l l l l E D I T I O N
l l l l l l
NuTriTion and D l l
ieTTherapy l
Self-InsTruCTional ApproaChes l
Peggyl S.l STanfield,l MS,l RD/LD,l CNS
Dietetic lResourcesl
TwinlFalls,lIdaho
Y.lH.lHui,lPhD
WestlSacramento,lCalifornia
,WorldlHeadquarters
JoneslandlBartlettlPublishers JoneslandlBartlettlPublisherslCanada JoneslandlBartlettlPublishers
l 40lTalllPinelDrive l 6339lOrmindalelWay l International
Sudbury,lMAl01776 Mississauga,lOntariolL5Vl1J2 BarblHouse,lBarblMewsl Lon
978-443-5000 l Canada donlW6l7PA
UnitedlKingdom
l www.jbpub.co
m
JoneslandlBartlett’s lbookslandlproductslarelavailablelthroughlmostlbookstores landlonlinelbooksellers.lTolcon-
l tactlJones landlBartlett lPublishers ldirectly,lcalll800-832-0034,lfaxl978-443-
8000,lor lvisit lour lwebsite,l www.jbpub.com.
SubstantialldiscountslonlbulklquantitiesloflJoneslandlBartlett’slpublicationslarelavailableltolcorporations,l
professionallassociations,landlotherlqualifiedlorganizations.lForldetailslandlspecificldiscountlinformation,l
contact lthelspeciallsalesldepartmentlatlJoneslandlBartlettlvialthelabovelcontactlinformationlor lsendlanl e
.
Copyright l©l2010lby lJoneslandlBartlett lPublishers,lLLC
Alllrightslreserved.lNolpartloflthelmateriallprotectedlby lthislcopyrightlmay lbelreproducedlor lutilizedlinlany lform,l el
ectroniclor lmechanical,lincludinglphotocopying,lrecording,lor lbylany linformationlstoragelandlretrievallsys-
l tem,lwithout lwrittenlpermissionlfromlthelcopyright lowner.
Thelauthors,leditor,landlpublisher lhavelmadeleveryleffortltolprovidelaccuratelinformation.lHowever,lthey larelnotl r
esponsiblelfor lerrors,lomissions,lorlforlanyloutcomes lrelatedltoltheluseloflthelcontents loflthislbooklandltakelnol res
ponsibility lfor ltheluseloflthelproductslandlprocedures ldescribed.lTreatments landlsideleffectsldescribedlinlthisl book
lmaylnotlbelapplicableltolalllpeople;llikewise,lsomelpeoplelmay lrequirelaldoselorlexperiencelalsideleffectlthat l is lnot ld
escribedlherein.lDrugslandlmedicalldeviceslareldiscussedlthatlmaylhavellimitedlavailability lcontrolledlby l thelFoodl
andlDruglAdministrationl(FDA)lforluselonly linlalresearchlstudy lor lclinicalltrial.lResearch,lclinicall practice,lan
dlgovernmentlregulationsloftenlchangelthelacceptedlstandardlinlthislfield.lWhenlconsiderationlislbeingl givenltolusel
oflanyldruglinlthelclinicallsetting,lthelhealthlcarelproviderlor lreader lislresponsiblelforldeterminingl FDAlstatusloflt
heldrug,lreadinglthelpackagelinsert,landlreviewinglprescribinglinformationlfor lthelmostlup-to-
l datelrecommendationslonldose,lprecautions,landlcontraindications,landldetermininglthelappropriatelusagelfor l
thelproduct.lThislislespecially limportant linlthelcaselofldrugslthatlarelnew lor lseldomlused.
Production l Credits
Publisher:lKevinlSullivanl Acquisitio
nslEditor:lAmy lSibley l Acquisitions lE
ditor:lEmily lEklel AssociatelEditor:lPat
ricialDonnellyl EditoriallAssistant:lRach
ellShuster
Senior lProductionlEditor:lTraceylChapman
l MarketinglManager:lRebeccalWasley
V.P.,lManufacturinglandlInventorylControl:lThereselConnelll Com
position:lAuburnlAssociates,lInc.
Cover lDesign:lTimothy lDziewit
Cover lImage:l©linaciolpires/ShutterStock,lInc.l
PrintinglandlBinding:lMalloy,lInc.
Cover lPrinting:lMalloy,lInc.
Libraryl ofl Congressl Cataloging-in-Publication l Data
Stanfield,lPeggy.
Nutritionlandldietltherapy l:lself-instructionallapproaches l/lPeggy lStanfield,lY.H.lHui.—5thled.
p.l;lcm.
Includeslbibliographicallreferenceslandlindex.l
ISBN-13:l978-0-7637-6137-0l(pbk.)
ISBN-10:l0-7637-6137-0l(pbk.)
1. Dietltherapy—Programmedlinstruction.l2.l Dietetics—
Programmedlinstruction.l I.lHui,lY.lH.l(YiulH.)lII.l Title.
[DNLM:l1.l NutritionallPhysiologicallPhenomena—ProgrammedlInstruction.l2.l DietlTherapy—
Programmedl Instruction.l QUl18.2lS785nl2009]
RM218.S73l2009l 615.8'54
—dc22
2008051158
6048
PrintedlinlthelUnitedlStatesloflAmerica
13l 12l 11l 10l 09l l 10l 9l 8l 7l 6l 5l 4l 3l 2l 1
, This lfifthleditionloflNutrition landlDietlTherapy lisldedicatedlwithlap
preciationltolourldearlfriendlandlfirstleditor,lJames lKeating,lwholm
anylyears lagolstartedlourlwritinglcareers.lHislunfailinglsupportlan
dlencouragementlenhances lourlendeavors landlhislfriendshiplgives l
uslgreatlpleasure.
Muchlloveltolyou,lJim.lPeggyl
andlY.lH.
l l l l E D I T I O N
l l l l l l
NuTriTion and D l l
ieTTherapy l
Self-InsTruCTional ApproaChes l
Peggyl S.l STanfield,l MS,l RD/LD,l CNS
Dietetic lResourcesl
TwinlFalls,lIdaho
Y.lH.lHui,lPhD
WestlSacramento,lCalifornia
,WorldlHeadquarters
JoneslandlBartlettlPublishers JoneslandlBartlettlPublisherslCanada JoneslandlBartlettlPublishers
l 40lTalllPinelDrive l 6339lOrmindalelWay l International
Sudbury,lMAl01776 Mississauga,lOntariolL5Vl1J2 BarblHouse,lBarblMewsl Lon
978-443-5000 l Canada donlW6l7PA
UnitedlKingdom
l www.jbpub.co
m
JoneslandlBartlett’s lbookslandlproductslarelavailablelthroughlmostlbookstores landlonlinelbooksellers.lTolcon-
l tactlJones landlBartlett lPublishers ldirectly,lcalll800-832-0034,lfaxl978-443-
8000,lor lvisit lour lwebsite,l www.jbpub.com.
SubstantialldiscountslonlbulklquantitiesloflJoneslandlBartlett’slpublicationslarelavailableltolcorporations,l
professionallassociations,landlotherlqualifiedlorganizations.lForldetailslandlspecificldiscountlinformation,l
contact lthelspeciallsalesldepartmentlatlJoneslandlBartlettlvialthelabovelcontactlinformationlor lsendlanl e
.
Copyright l©l2010lby lJoneslandlBartlett lPublishers,lLLC
Alllrightslreserved.lNolpartloflthelmateriallprotectedlby lthislcopyrightlmay lbelreproducedlor lutilizedlinlany lform,l el
ectroniclor lmechanical,lincludinglphotocopying,lrecording,lor lbylany linformationlstoragelandlretrievallsys-
l tem,lwithout lwrittenlpermissionlfromlthelcopyright lowner.
Thelauthors,leditor,landlpublisher lhavelmadeleveryleffortltolprovidelaccuratelinformation.lHowever,lthey larelnotl r
esponsiblelfor lerrors,lomissions,lorlforlanyloutcomes lrelatedltoltheluseloflthelcontents loflthislbooklandltakelnol res
ponsibility lfor ltheluseloflthelproductslandlprocedures ldescribed.lTreatments landlsideleffectsldescribedlinlthisl book
lmaylnotlbelapplicableltolalllpeople;llikewise,lsomelpeoplelmay lrequirelaldoselorlexperiencelalsideleffectlthat l is lnot ld
escribedlherein.lDrugslandlmedicalldeviceslareldiscussedlthatlmaylhavellimitedlavailability lcontrolledlby l thelFoodl
andlDruglAdministrationl(FDA)lforluselonly linlalresearchlstudy lor lclinicalltrial.lResearch,lclinicall practice,lan
dlgovernmentlregulationsloftenlchangelthelacceptedlstandardlinlthislfield.lWhenlconsiderationlislbeingl givenltolusel
oflanyldruglinlthelclinicallsetting,lthelhealthlcarelproviderlor lreader lislresponsiblelforldeterminingl FDAlstatusloflt
heldrug,lreadinglthelpackagelinsert,landlreviewinglprescribinglinformationlfor lthelmostlup-to-
l datelrecommendationslonldose,lprecautions,landlcontraindications,landldetermininglthelappropriatelusagelfor l
thelproduct.lThislislespecially limportant linlthelcaselofldrugslthatlarelnew lor lseldomlused.
Production l Credits
Publisher:lKevinlSullivanl Acquisitio
nslEditor:lAmy lSibley l Acquisitions lE
ditor:lEmily lEklel AssociatelEditor:lPat
ricialDonnellyl EditoriallAssistant:lRach
ellShuster
Senior lProductionlEditor:lTraceylChapman
l MarketinglManager:lRebeccalWasley
V.P.,lManufacturinglandlInventorylControl:lThereselConnelll Com
position:lAuburnlAssociates,lInc.
Cover lDesign:lTimothy lDziewit
Cover lImage:l©linaciolpires/ShutterStock,lInc.l
PrintinglandlBinding:lMalloy,lInc.
Cover lPrinting:lMalloy,lInc.
Libraryl ofl Congressl Cataloging-in-Publication l Data
Stanfield,lPeggy.
Nutritionlandldietltherapy l:lself-instructionallapproaches l/lPeggy lStanfield,lY.H.lHui.—5thled.
p.l;lcm.
Includeslbibliographicallreferenceslandlindex.l
ISBN-13:l978-0-7637-6137-0l(pbk.)
ISBN-10:l0-7637-6137-0l(pbk.)
1. Dietltherapy—Programmedlinstruction.l2.l Dietetics—
Programmedlinstruction.l I.lHui,lY.lH.l(YiulH.)lII.l Title.
[DNLM:l1.l NutritionallPhysiologicallPhenomena—ProgrammedlInstruction.l2.l DietlTherapy—
Programmedl Instruction.l QUl18.2lS785nl2009]
RM218.S73l2009l 615.8'54
—dc22
2008051158
6048
PrintedlinlthelUnitedlStatesloflAmerica
13l 12l 11l 10l 09l l 10l 9l 8l 7l 6l 5l 4l 3l 2l 1
, This lfifthleditionloflNutrition landlDietlTherapy lisldedicatedlwithlap
preciationltolourldearlfriendlandlfirstleditor,lJames lKeating,lwholm
anylyears lagolstartedlourlwritinglcareers.lHislunfailinglsupportlan
dlencouragementlenhances lourlendeavors landlhislfriendshiplgives l
uslgreatlpleasure.
Muchlloveltolyou,lJim.lPeggyl
andlY.lH.
