Prevention of chronic diseases

Correct answer: A. Use of a healthy cooking method

Explanation: Vegetables remain valuable sources of fibre, vitamins, minerals, and protective plant compounds, but deep-frying can add substantial energy and fat. Frequent consumption of heavily fried foods may weaken the overall health benefit and increase cardiometabolic risk. Steaming, boiling, baking, pressure-cooking, or using a small amount of oil can preserve a healthier dietary pattern. Thus, the missing point is cooking method.

Correct answer: A. Hidden salt and sugar

Explanation: Commercial chutneys and sauces often contain added salt and sugar for taste, texture, and preservation. Frequent large portions can therefore increase sodium and free-sugar intake, contributing to hypertension, excess energy intake, weight gain, or poor glucose control. The label should be checked where available, and homemade or lower-salt, lower-sugar alternatives can be used. Colour and vitamin D are not the main concern in this question.

Correct answer: A. Because age, physical activity, health risks, medical needs, and food preferences differ among individuals

Explanation: An effective preventive meal plan must consider age, activity level, body size, health risks, diagnosed conditions, medications, economic circumstances, culture, and food preferences. Personalisation makes the plan nutritionally suitable, practical, and more likely to be followed consistently. General dietary principles are useful, but one identical calorie and nutrient prescription cannot meet every person's needs or medical situation.

Correct answer: A. Increase colourful fruits and vegetables daily

Explanation: A varied intake of colourful fruits and vegetables supplies dietary fibre, vitamins, minerals, and protective phytochemicals. These nutrients support healthy weight, bowel function, blood pressure, and cardiovascular health and may help lower chronic disease risk. Supplements cannot routinely replace the complete food matrix, and packaged juice may contain less fibre and added sugar. Variety and healthier preparation are important.

Correct answer: A. It can form unhealthy compounds

Explanation: Repeated heating, especially at high temperatures, can accelerate oxidation and degradation of fats and may produce irritating or potentially harmful breakdown products. Reusing oil also increases the likelihood of consuming degraded fat and excess energy. Fresh oil used in a suitable amount and cooking method is preferable. Reheating does not increase vitamins or lower blood pressure.

Correct answer: A. Hidden sugar, salt and fat may be high

Explanation: Buying food only for taste may hide excessive sugar, sodium and saturated or trans fat. Regularly eating such products can increase total energy intake and the risk of obesity, hypertension, diabetes and heart disease. Taste cannot reveal nutrient quantity, serving size or additives. Therefore, consumers should compare the nutrition panel and ingredient list, especially for sugar, salt and fat.

Correct answer: A. Review diet adequacy and obtain a health check-up

Explanation: Persistent tiredness after repeatedly excluding food groups may indicate inadequate energy, protein, iron, vitamin B12 or other nutrients, although medical causes are also possible. The safe response is to review the complete diet with a qualified professional and arrange an appropriate health check-up. Removing more foods or replacing meals with sweet drinks can worsen deficiencies.

Correct answer: A. By maintaining healthy habits and controlling risk factors

Explanation: The success of chronic disease prevention is judged through sustained behaviour and measurable risk reduction, not through appearance or food price. Useful indicators may include improved diet quality, regular physical activity, healthy body weight, blood pressure, blood glucose and lipid levels, together with appropriate follow-up. Thus, continued healthy habits and controlled risk factors provide the best assessment.

Correct answer: A. Fruits, vegetables, whole grains and pulses

Explanation: A dietary pattern rich in fruits, vegetables, whole grains and pulses supplies potassium, fibre, magnesium and protective compounds while usually replacing high-sodium, energy-dense foods. Together with limiting salt, this pattern can support blood-pressure control and cardiovascular health. Fried snacks, sugary drinks and repeatedly heated oil add unhealthy fat, sodium or excess energy and are not suitable choices.

Correct answer: B. An environment-based healthy-choice strategy

Explanation: Improving a school canteen changes the food environment for many students at once. Offering water, fruits, vegetables, whole-grain foods and appropriately portioned meals, while limiting excess salt, sugar and unhealthy fats, makes healthier choices easier and more normal. This is population or community-level primary prevention because it acts before disease develops rather than treating one diagnosed person.

Correct answer: A. Hidden sugar can increase total energy and blood-glucose risk

Explanation: Sugar may appear in packaged foods under names such as sucrose, glucose syrup, fructose, maltose, dextrose or concentrated fruit juice. Frequent intake can increase total energy and promote weight gain, while sweetened drinks may raise blood glucose rapidly and provide little satiety. Reading the ingredient list and nutrition panel helps people compare products and limit added sugars.

Correct answer: A. It makes advice practical and followable

Explanation: Food advice is more effective when it respects familiar recipes, religious practices, meal patterns, local availability and family preferences. A professional can modify portions, cooking methods, salt, sugar and fat within the person’s usual cuisine instead of imposing an unrealistic diet. Cultural adaptation improves trust, acceptability, adherence and the chance that healthy behaviour will continue long term.

Correct answer: A. Pulses, millets, seasonal vegetables and home-cooked food

Explanation: Affordable local foods can provide protein, fibre, vitamins and minerals without requiring expensive products. Pulses, millets, seasonal vegetables and home-cooked meals can be combined in varied portions, while limiting excess oil, salt, sugar and packaged foods. Practical prevention must consider both nutritional value and affordability; an expensive plan that a family cannot sustain is less useful than a balanced, accessible one.

Correct answer: A. It helps maintain healthy habits

Explanation: Family members and friends influence shopping, cooking, meal timing and eating behaviour. Support can provide encouragement, shared healthy meals, practical help and accountability, making dietary changes easier to maintain during stress or social events. It does not replace professional advice or screening, but it strengthens adherence and helps convert an individual recommendation into a supportive household routine.

Correct answer: A. To reduce oil and unhealthy fat intake

Explanation: Cooking methods influence how much oil, saturated fat, salt and energy a meal contains. Steaming, boiling, baking, grilling or sautéing with a measured small amount of oil can reduce dependence on deep frying. These methods help preserve the natural food structure and support a heart-healthy pattern, although ingredient choice, portion size and overall diet remain important as well.

Correct answer: A. Juice has less fibre and its sugars may be absorbed more rapidly

Explanation: Whole fruit retains its cell structure and dietary fibre, so it generally takes longer to chew and digest and provides greater satiety. Juice usually contains much less fibre and can be consumed quickly in a large amount, causing a faster intake of naturally occurring sugars; added sugar makes the problem greater. Whole fruit is therefore usually preferred, while portion size still matters.

Correct answer: A. Packaged sauces and instant noodles

Explanation: Packaged sauces and instant noodles may contain substantial sodium in flavour enhancers, preservatives, seasoning powders and sauces, even when the food does not taste extremely salty. Frequent consumption can increase total sodium intake and contribute to raised blood pressure in susceptible people. Fresh fruit, plain water and unsalted roasted gram are not typical high-sodium choices. Reading the label helps identify sodium and salt equivalents.

Correct answer: A. When unsalted and eaten in a controlled portion

Explanation: Unsalted nuts provide unsaturated fats, fibre, plant protein, minerals and other protective compounds that can fit into a heart-healthy dietary pattern. However, they are energy-dense, so a controlled portion is important for weight and total-energy management. Salted, sugar-coated or deep-fried forms add sodium, sugar or unhealthy fat. Thus, the beneficial condition is unsalted, minimally processed and portion-controlled consumption.

Correct answer: A. Only the food name

Explanation: The glycemic response is influenced by more than the food’s name. Fibre content, degree of processing, cooking method, portion size, ripeness and the presence of protein, fat or other foods in the meal can alter glucose absorption. Therefore, judging a food only by its name is inadequate for diabetes prevention or dietary planning.

Correct answer: A. Controlling energy intake, limiting alcohol, and behavioural counselling

Explanation: Alcohol supplies energy and may contribute to excess intake, poor food choices, liver disease and high blood pressure. When obesity is also present, an energy-controlled balanced diet, alcohol reduction or cessation as appropriate, physical activity and behavioural counselling should be integrated. Eliminating all protein or stopping exercise is neither nutritionally sound nor evidence-based.

Correct answer: A. Identifying risks, following a balanced diet, maintaining an active lifestyle, and having regular health check-ups together

Explanation: Chronic disease prevention is multidimensional. Risk assessment, a balanced diet, regular physical activity, avoidance of harmful habits, and appropriate health screening work together to reduce risks of diabetes, hypertension, and heart disease. No single food can provide complete protection. Regular checks may identify problems before obvious symptoms appear, while sustainable daily habits support long-term health.

Correct answer: A. It can reduce adherence and make the plan unsustainable

Explanation: Nutrition counselling should combine scientific requirements with the person’s culture, budget, taste, schedule, and food preferences. Completely rejecting preferred foods can make the advice feel unrealistic, reduce motivation, and cause early abandonment. A counsellor should modify portions, preparation methods, or frequency and offer acceptable alternatives so that the plan remains healthy and sustainable.

Correct answer: A. Risk-based balanced diet, active life, regular screening, and sustainable behaviour change

Explanation: An expert prevention strategy is risk-based and comprehensive. It considers family history, age, weight, blood pressure, tobacco exposure, diet, activity, and screening needs. Medicines may be necessary for some people, but they do not replace healthy eating, physical activity, and professional follow-up. Sustainable behaviour change is more useful than short-term extreme restrictions.

Correct answer: A. Because factors such as diet, physical activity, body weight, stress, and regular screening together influence disease risk

Explanation: Option A is correct because chronic diseases usually arise from interacting biological, behavioural, and social factors rather than from one isolated cause. Diet quality, activity, body weight, stress, sleep, tobacco exposure, and delayed screening may reinforce one another. Addressing several modifiable risks together therefore gives a stronger preventive effect than focusing on a single nutrient or medicine.

Correct answer: B. To plan according to risk, health condition and food habits

Explanation: Option B is correct because nutrition advice must reflect a person’s disease risk, medical condition, medicines, age, culture, budget, food access, preferences, and usual eating pattern. Individualization improves safety, relevance, and adherence. It may also identify when referral or monitoring is needed. A rigid identical diet or total food restriction can be ineffective and unsafe.