Prevention of chronic diseases

Correct answer: A. Quality provides nutrients and quantity controls energy balance

Explanation: Food quality refers to the nutrient density and healthfulness of the foods selected, such as fibre-rich grains, pulses, vegetables, fruit, and appropriate protein sources. Quantity refers to portions and total energy intake. Even nutritious food can contribute to excess energy if eaten in very large amounts, while small amounts of poor-quality food may not meet nutrient needs. Both dimensions support prevention.

Correct answer: A. A person with diabetes risk or family history

Explanation: People with diabetes risk factors, such as family history, overweight, previous abnormal glucose, high blood pressure, or a history of gestational diabetes, may benefit from testing according to professional guidance. Screening can detect abnormal glucose before obvious symptoms and allow timely counselling or treatment. Testing frequency should be decided with a healthcare professional; it is not determined by food colour or water intake alone.

Correct answer: A. Helps control body weight, blood lipids and blood pressure

Explanation: A balanced dietary pattern and regular physical activity work through complementary pathways. Together they can support a healthy body weight, improve triglycerides and LDL-related risk, increase fitness, and help regulate blood pressure and glucose. These changes reduce modifiable cardiovascular risks but do not remove inherited or all other risks. Exercise and diet also complement, rather than replace, medical assessment when needed.

Correct answer: A. Total energy intake, healthy body weight, fibre, activity and meal timing also matter

Explanation: Type 2 diabetes prevention depends on the overall dietary pattern and lifestyle. Added sugar reduction is useful, but total energy excess, excess body weight, low fibre intake, inactivity, poor sleep, and unsuitable meal patterns can still increase insulin resistance. Whole grains, pulses, vegetables, appropriate portions, and regular activity support glucose regulation. Therefore, sugar reduction is necessary for some people but not sufficient alone.

Correct answer: A. To advise according to risk, health condition and need

Explanation: A high-risk person may have specific blood-glucose, blood-pressure, lipid, kidney, allergy, medication, cultural, or economic considerations. Individual assessment helps set safe portions, suitable food substitutions, realistic goals, and monitoring plans. A standard diet may be unsuitable or unsafe for some people. Individualization does not mean skipping food or changing taste only; it requires professional, person-centred planning.

Correct answer: A. Packaged foods, sauces and savoury snacks may contain much salt without tasting obviously salty

Explanation: Sodium may be added during processing as salt, preservatives, seasoning, or flavour enhancers and may be dissolved throughout the food. Sauces, instant foods, biscuits, breads, and savoury snacks can therefore contribute substantial sodium even when their taste is not extremely salty. High sodium intake can increase blood pressure in susceptible people. Checking the sodium or salt value per serving helps identify hidden sources.

Correct answer: A. So advice is practical and sustainable

Explanation: Nutrition advice succeeds only when people can obtain, prepare, and regularly eat the recommended foods. Cost, local supply, transport, cooking facilities, seasonal availability, and household responsibilities all influence adherence. Considering these factors allows a counsellor to suggest affordable local alternatives such as pulses, seasonal vegetables, and whole grains. This makes prevention equitable and sustainable rather than merely theoretical.

Correct answer: A. When blood pressure or sugar risk is detected early and lifestyle change begins

Explanation: A check-up becomes preventive when screening identifies elevated blood pressure, abnormal glucose, or another risk before serious complications develop, and the result leads to counselling, monitoring, or timely intervention. Early action can delay progression and reduce future disease burden. Merely hiding a condition, stopping food, or doing nothing is not prevention. Check-ups should be interpreted with appropriate professional guidance.

Correct answer: A. To provide calcium and protein while helping control fat

Explanation: Plain curd and suitable low-fat milk products can provide calcium, protein, phosphorus, and other nutrients useful for bones and normal body functions. Choosing unsweetened, lower-fat versions can reduce saturated fat and added sugar compared with sweetened or full-fat products. They should be included in suitable portions as part of a varied diet, not used to replace all grains, water, or other food groups.

Correct answer: A. Juice contains less fibre and sugars may be absorbed relatively quickly

Explanation: Whole fruit retains its cellular structure and fibre, which increases chewing and satiety and generally slows the release and absorption of its sugars. Juicing removes much of the fibre and makes it easier to consume a large amount quickly. Some juice may contain useful nutrients, but it is not automatically healthier than fruit. Portion size and added sugar also matter in diabetes prevention.

Correct answer: A. Stress management and portion control

Explanation: Reducing sweets alone may not correct excessive energy intake if stress-related overeating continues. Stress-management methods such as regular sleep, breathing exercises, counselling, mindful eating, and planned meals can reduce emotional eating. Portion control helps limit the amount consumed. The other options either worsen health or remove valuable protective foods.

Correct answer: A. Use spices, lemon and herbs to improve flavour with less salt

Explanation: Reducing sodium does not require eliminating taste or skipping nutritious meals. Lemon, garlic, ginger, coriander, mint, cumin, pepper, and other herbs and spices can add flavour and aroma without a large salt load. Packaged savoury snacks are often high in sodium, while excessive salt can worsen blood-pressure risk. Hence A is the practical correction.

Correct answer: A. Check energy, other ingredients and portion size on the label

Explanation: “Sugar-free” generally refers to the amount of sugar under a labelling definition; it does not mean the product is automatically nutritious, calorie-free, or suitable in unlimited quantities. It may contain sweeteners, acids, sodium, caffeine, or other ingredients, and large portions can still affect dietary habits. The nutrition panel, serving size, ingredients, and overall diet must be considered.

Correct answer: A. Regular physical activity as advised medically

Explanation: Appropriate regular physical activity can support blood-pressure control, weight management, vascular health, and overall fitness. A person with hypertension should begin or modify exercise according to medical advice, especially when symptoms or other conditions are present. Increasing inactivity and salty snacks may worsen risk, while stopping check-ups removes important monitoring and treatment support.

Correct answer: A. Choose low-oil, low-salt foods and control portions

Explanation: Eating out can increase intake of sodium, oil, saturated fat, refined carbohydrates, and large portions. Selecting steamed, grilled, roasted, or lightly cooked foods; requesting less salt and sauce; choosing vegetables; and controlling portions can reduce these risks. Fried foods, sugary drinks, and omitting vegetables generally move the diet in the opposite direction.

Correct answer: A. Total energy balance can be disturbed

Explanation: The body responds to cumulative intake and expenditure over time, not to a belief that weekend calories do not count. Large portions, sugary foods, and high-fat snacks on two days can offset healthier weekday choices and contribute to excess energy, weight gain, poor glucose control, or digestive discomfort. Consistent moderation across the week is more protective.

Correct answer: A. Increase pulses and sprouts and reduce fried snacks

Explanation: Pulses and sprouts provide plant protein, fibre, minerals, and other useful nutrients that support satiety and a balanced diet. Reducing fried snacks lowers excess energy, unhealthy fat, and often sodium. This combination can support weight and cardiovascular risk management. Sugary drinks and continued fried-food intake do not provide an equivalent protective replacement.

Correct answer: A. Regular timing for meals, sleep and activity

Explanation: A predictable routine makes healthy behaviours easier to repeat and monitor. Regular meals can reduce chaotic snacking, adequate sleep supports appetite and metabolic regulation, and planned activity improves fitness. A routine should remain flexible for individual needs, but avoiding check-ups, sleep deprivation, and sugary drinks undermine prevention rather than strengthen it.

Correct answer: A. Portion control and low-salt food

Explanation: Portion control can reduce excessive energy intake and support gradual weight management, while lowering salt and sodium can support blood-pressure control. Both changes should be combined with a balanced diet containing vegetables, pulses, whole grains, and appropriate protein. Salty chips, sugary soda, and removing vegetables would worsen nutritional quality and risk factors.

Correct answer: A. Nutritious foods may be removed even though they can be eaten with controlled salt

Explanation: Salt restriction should focus on reducing added salt and high-sodium processed foods, not on removing naturally nutritious pulses and vegetables. Pulses provide protein and fibre, while vegetables provide vitamins, minerals, fibre, and protective plant compounds. These foods can be prepared with herbs, spices, lemon, and limited salt to preserve both nutrition and flavour.

Correct answer: A. Identifying eating patterns and causes of overeating

Explanation: Body weight is an outcome measure, whereas a food record captures behaviours that may produce that outcome. Recording foods, portions, timing, beverages, and emotional or social situations can reveal patterns such as skipped meals, frequent snacking, or stress eating. This information supports targeted changes. Physical activity also matters, but it requires a separate activity record.

Correct answer: A. Reducing one risk while increasing another

Explanation: Healthy prevention is not achieved by replacing one excessive dietary habit with another. Lowering added sugar may be helpful, but a large increase in salty foods can raise sodium intake and adversely affect blood-pressure risk, especially in susceptible people. A balanced approach considers sugar, salt, fat, fibre, portions, and overall food quality together.

Correct answer: A. Even a small quantity can provide high energy

Explanation: Energy-dense foods contain many calories in a relatively small weight or volume, often because they are high in fat, sugar, or both. A small packet may therefore contribute substantial energy, especially when eaten daily. Checking calories per serving, number of servings, and ingredient quality helps people understand the true contribution to total intake.

Correct answer: A. Different plant foods provide different types of fibre, vitamins, minerals and protective phytochemicals

Explanation: Different fruits, vegetables, whole grains, pulses, nuts and seeds provide different fibres, vitamins, minerals and protective phytochemicals. Variety improves overall diet quality and supports chronic-disease prevention, although it does not guarantee that cancer or another disease will never occur. Therefore, option A is the most complete and scientifically appropriate answer.

Correct answer: A. It can increase the risk of nutrient deficiencies, muscle loss, dehydration, and regaining weight.

Explanation: Very rapid weight loss commonly results from severe calorie restriction, fasting, or crash diets. Such methods may not supply adequate protein, vitamins, minerals, and other nutrients. The weight lost can include body water and muscle tissue, not only stored fat. Rapid methods are also difficult to sustain and may promote overeating or weight regain later. A safer approach is gradual weight reduction through a balanced, nutrient-rich diet, suitable physical activity, adequate sleep, and realistic long-term habits. Therefore, option A is correct; the other options make unsafe or unsupported guarantees.