The seven nutrient groups, what each does, what happens when they're missing, and how protein-energy malnutrition shows up. Mark scheme rewards precise sources, functions, and deficiency-disease names.
Balanced diet
A diet containing all seven nutrient groups — carbohydrates, fats, proteins, vitamins, mineral salts, fibre and water — in the correct proportions for the body's needs.
examinerNaming all seven groups and "correct proportions" wins both marks.
Dietary needs vary
Energy and nutrient needs differ with age, gender, and activity level, and are increased during pregnancy and breast-feeding.
e.g. A pregnant woman needs extra iron, calcium, folate and protein for fetal growth.
Carbohydrates
Composed of carbon, hydrogen and oxygen. The body's immediate energy source; also used to build up other nutrients.
sourcesBread, pasta, rice, potatoes, fruit. Deficiency: low energy, reduced muscle mass, low BMI.
Fats & lipids
Composed of carbon, hydrogen and oxygen. Provide extra energy (more per gram than carbs) and insulate the body against excessive heat loss.
deficiencyDry skin, dandruff, brittle nails, dry eyes, poor wound healing, cracked skin on heels.
Proteins
Composed of carbon, hydrogen, oxygen and nitrogen (with traces of sulphur). Used for growth and repair of cells, and to make enzymes, hormones and antibodies.
deficiencyOedema, weight loss, brittle hair, weakness, slow wound healing.
Vitamin C (ascorbic acid)
Promotes a healthy immune system, helps wounds heal, maintains blood vessels and connective tissue, and aids absorption of iron. Water-soluble; RDA ~60 mg.
deficiencyScurvy — weakness, anaemia, bruising, bleeding gums, loose teeth. Citrus fruits, peppers, leafy greens.
Vitamin D
Promotes the body's absorption of calcium, essential for healthy bones and teeth. Fat-soluble; DRI ~5 µg. Made by the body when skin is exposed to sun.
deficiencyRickets — weakening and softening of the bones due to extreme calcium loss.
Calcium
Essential for the formation and maintenance of bones and teeth, blood clotting, normal heart beat and hormone secretion.
deficiencyOsteoporosis. Sources: dairy, leafy greens, salmon, sardines.
Iron
Needed for the formation of haemoglobin and certain enzymes. Vitamin C aids its absorption.
deficiencyAnaemia — tiredness, pallor, breathlessness. Lean red meat, eggs, cereals.
Fibre (roughage)
Mainly cellulose from plant cell walls. Not digested, but gives bulk and stimulates peristalsis, keeping the alimentary canal working properly.
sourcesWholegrains, bran, leafy vegetables, fruit skins.
Water
Solvent for chemical reactions; transports substances in blood and lymph; supports digestion, waste removal, kidney function and temperature regulation.
rememberWater is one of the seven nutrient groups — don't leave it off the list.
Kwashiorkor
Caused by diets deficient in protein (but adequate calories). Age 6 months to 3 years. Oedema present; subcutaneous fat preserved; enlarged fatty liver; lethargic.
treatmentAdequate amounts of protein.
Marasmus
Caused by deficiency of both protein and calories. Common in infants under 1 year. Oedema absent; subcutaneous fat not preserved; ribs very prominent; severe muscle wasting; alert and irritable.
treatmentAdequate protein, fats and carbohydrates.
Focus
Kwashiorkor vs Marasmus
Examiners love this contrast. The two facts that flip: oedema (present in K, absent in M) and subcutaneous fat (preserved in K, lost in M). Age is also a tell — K is 6 months–3 years; M is infants <1 year.
trapDon't say "Kwashiorkor is just protein deficiency, Marasmus is just calorie deficiency" — that loses marks. Marasmus is both.