Consumer Studies Grade 10 – Food and Nutrition

Consumer Studies Grade 10 – Food and Nutrition

Energy and Nutritional Requirements of Consumers

Energy and nutritional requirements refer to the amount and types of food and nutrients that individuals need to maintain their health, sustain energy for daily activities, and support growth and development. The needs of consumers vary based on several factors, including age, gender, level of physical activity, and lifestyle.

Energy is primarily obtained from macronutrients: carbohydrates, fats, and proteins. Carbohydrates are the body’s main energy source, providing quick-release energy for daily functions. Fats provide a longer-lasting source of energy, helping to support various bodily functions such as insulation and organ protection. Proteins are essential for the growth, repair, and maintenance of body tissues, particularly muscles.

In addition to macronutrients, micronutrients, including vitamins and minerals, are also critical. Though needed in smaller amounts, these nutrients are vital for supporting various bodily processes, such as immune function, bone health, and the formation of red blood cells. Water, while not a nutrient that provides energy, plays a crucial role in hydration and the regulation of bodily functions, such as digestion and temperature control.

South Africa’s Food-Based Dietary Guidelines (FBDGs)

The South African Food-Based Dietary Guidelines (FBDGs) were developed by the Department of Health to promote better eating habits, support overall health, and reduce the risk of chronic diet-related diseases such as obesity, diabetes, and heart disease. These guidelines are designed to offer practical advice to individuals about how to make healthier food choices in their daily lives, with the ultimate goal of improving nutritional status and public health across South Africa.

The FBDGs provide a simple yet effective framework for South Africans to follow, helping to ensure that people consume a balanced diet that is diverse, nutritious, and in line with their physical activity levels. Below are the key elements of the FBDGs, explained in detail.

1. Enjoy a Variety of Foods

One of the most fundamental guidelines is to enjoy a variety of foods. This approach helps ensure that individuals get a wide range of essential nutrients, such as vitamins, minerals, proteins, fats, and carbohydrates, which are necessary for the body’s proper functioning. Consuming a variety of foods from all food groups—such as grains, vegetables, fruits, dairy, protein-rich foods, and fats—helps to prevent nutrient deficiencies and promotes good health. A varied diet also supports the body’s ability to fight off illness and improves overall vitality.

The variety in food choices includes the use of different vegetables, fruits, grains, and protein sources, which helps the body meet its nutritional needs. Additionally, variety can make meals more enjoyable and prevent dietary boredom.

2. Be Active

The importance of physical activity cannot be overstated when it comes to maintaining a healthy lifestyle. Being physically active is crucial for maintaining a healthy weight, improving cardiovascular health, and promoting overall well-being. Regular exercise helps prevent obesity, enhances energy levels, reduces the risk of chronic diseases, and improves mood and mental health.

The FBDGs emphasize that physical activity should be integrated into daily life. This can include activities such as walking, cycling, sports, or even household chores that require physical exertion. The goal is to engage in at least 30 minutes of moderate physical activity most days of the week, which supports a healthy metabolism and contributes to overall fitness.

3. Make Starchy Foods Part of Most Meals

Starchy foods such as rice, bread, maize, and potatoes should form the foundation of most meals. These foods are a rich source of carbohydrates, which provide the body with a steady supply of energy. Carbohydrates are essential for fueling bodily functions and physical activity.

Including starchy foods in most meals is important because they are cost-effective and provide a substantial energy source. Additionally, they can help keep you full and satisfied, reducing the urge to snack on less nutritious foods. To maximize health benefits, it’s important to choose whole grain options like brown bread, brown rice, and maize meal, which are rich in fiber and other essential nutrients.

4. Eat Plenty of Vegetables and Fruits

Vegetables and fruits are critical components of a healthy diet. They are rich in vitamins, minerals, and fiber, which help to protect the body against diseases such as heart disease, cancer, and diabetes. The high fiber content in fruits and vegetables also supports digestive health, helps prevent constipation, and maintains healthy weight management by promoting satiety.

South African dietary guidelines recommend eating a wide variety of vegetables and fruits every day, as each type of vegetable and fruit offers different nutrients. For instance, citrus fruits are rich in vitamin C, while leafy greens are high in iron and calcium. Eating a variety ensures the body gets a diverse range of nutrients that support immune function, skin health, and overall vitality.

5. Eat Dry Beans, Lentils, and Soya Regularly

Dry beans, lentils, and soya are excellent sources of plant-based proteins that are both affordable and nutrient-dense. These foods provide protein necessary for muscle repair and immune function, as well as fiber, which supports digestive health.

In addition to their nutritional benefits, they are cost-effective protein sources, which can be especially important in regions where animal-based proteins may be less affordable. Including these plant-based proteins in your diet also reduces the environmental impact of meat production, contributing to a more sustainable and eco-friendly diet.

6. Have Milk, Maas, or Yoghurt Every Day

Dairy products such as milk, maas (fermented milk), and yoghurt are excellent sources of calcium, which is crucial for the development and maintenance of strong bones and teeth. Calcium is also essential for proper muscle function, nerve signaling, and overall metabolic processes.

Daily consumption of dairy products is recommended for people of all ages, particularly growing children, pregnant women, and the elderly, to support bone health. In addition to calcium, dairy products also provide other nutrients such as protein and vitamin B12.

7. Eat Fish, Chicken, Lean Meat, or Eggs Daily

The FBDGs recommend consuming fish, chicken, lean meat, or eggs daily as these foods are rich in high-quality protein, which is essential for muscle repair, growth, and immune function. Protein plays a critical role in the body’s ability to repair tissues, fight infections, and produce hormones and enzymes.

For a balanced diet, it is important to choose lean cuts of meat and skinless poultry to avoid excess saturated fats, which can contribute to heart disease. Fish, particularly fatty fish like salmon, sardines, and mackerel, is rich in omega-3 fatty acids, which have anti-inflammatory effects and support heart health.

8. Drink Plenty of Clean, Safe Water

Drinking enough water is vital for overall hydration, which supports various bodily functions, including digestion, temperature regulation, and detoxification. The FBDGs recommend drinking plenty of clean, safe water throughout the day to stay hydrated.

Water helps transport nutrients to cells, remove waste products, and maintain bodily functions. It is especially important to drink water during physical activity, in hot weather, and when experiencing illness or dehydration.

9. Use Fats Sparingly

Fats are an essential part of the diet, but they should be used sparingly. The FBDGs suggest opting for healthy fats, such as those found in vegetable oils (e.g., olive, sunflower, canola oils), nuts, and avocados. These fats are beneficial for heart health and overall well-being.

It is important to limit the intake of saturated fats and trans fats, which are found in processed foods, fatty meats, and baked goods. Excessive consumption of these fats can lead to heart disease, obesity, and other chronic health conditions.

10. Limit Sugar and Salt Intake

Excessive intake of sugar and salt can have negative impacts on health. High sugar intake is linked to obesity, diabetes, and dental problems, while excessive salt can contribute to high blood pressure and increase the risk of heart disease and stroke.

The FBDGs advise limiting the consumption of sugary drinks, snacks, and processed foods, and reducing the use of added salt in cooking. Instead, consumers are encouraged to use herbs and spices to flavor their food, which can enhance taste without adding harmful sodium.

The Food Groups in the South African Food Guide Pyramid

The South African Food Guide Pyramid is a helpful visual tool designed to guide individuals in making healthier food choices. It categorizes foods into six distinct groups, each with its own specific function in the diet. The pyramid’s structure emphasizes that foods at the base should be consumed in larger quantities, while those at the top should be eaten sparingly. This approach ensures that individuals maintain a balanced diet, meet their nutritional needs, and support overall health.

The food groups in the South African food guide pyramid

The six food groups in the South African Food Guide Pyramid are:

1. Fats and Oils

Fats and oils are concentrated sources of energy and play a crucial role in the absorption of fat-soluble vitamins (A, D, E, and K). They are also essential for healthy cell function and can provide protection for organs. However, it is important to use fats sparingly, as consuming too much can contribute to health problems such as heart disease, obesity, and high cholesterol.

The recommended daily servings of fats and oils are minimal, typically ranging from small amounts used in cooking or as spreads. Healthier fat options include vegetable oils (such as sunflower, canola, and olive oils) and unsaturated fats found in nuts, seeds, and avocados. It is best to avoid or limit saturated fats (found in fatty meats, butter, and processed foods) and trans fats (often found in packaged snacks and baked goods).

2. Milk and Milk Products

Milk and milk products are rich in calcium and vitamin D, which are essential for the development and maintenance of strong bones and teeth. Dairy products are also a good source of protein, which is important for muscle growth and tissue repair, as well as other nutrients like vitamin A and B vitamins.

The recommended daily servings of milk and milk products are 2-3 portions. These can include milk, maas (fermented milk), yogurt, and cheese. For those who are lactose intolerant or prefer plant-based options, fortified alternatives such as soy milk, almond milk, or oat milk can provide similar nutritional benefits.

3. Vegetables

Vegetables are rich in vitamins, minerals, and fiber, all of which are essential for maintaining overall health. They help to protect the body from diseases like cancer, heart disease, and diabetes, and play a key role in digestive health due to their high fiber content. Fiber also helps with weight management by promoting a feeling of fullness.

The recommended daily servings of vegetables are 3-5 portions. These can include a wide variety of vegetables, such as leafy greens (e.g., spinach, kale), cruciferous vegetables (e.g., broccoli, cauliflower), and root vegetables (e.g., carrots, sweet potatoes). Eating a variety of vegetables ensures that the body receives a diverse range of nutrients, including vitamin C, iron, magnesium, and folate.

4. Meat and Meat Alternatives

Meat and meat alternatives provide the body with protein, which is necessary for tissue repair, muscle growth, and immune function. In addition to protein, these foods provide essential nutrients like iron, zinc, and vitamin B12, which are vital for energy production and overall well-being.

The recommended daily servings for this group are 2-3 portions. This can include lean meats, poultry, fish, eggs, and plant-based proteins like beans, lentils, and tofu. It is beneficial to choose lean cuts of meat and skinless poultry to reduce the intake of unhealthy fats, and to incorporate a variety of plant-based protein sources to reduce the environmental impact of meat consumption.

5. Grains and Grain Products

Grains and grain products are a major source of carbohydrates, which provide the body with energy. They are also a good source of fiber, which aids in digestion, helps to regulate blood sugar levels, and promotes a healthy weight.

The recommended daily servings for grains and grain products are 6-11 portions. This can include foods like bread, rice, pasta, maize meal, and oats. It is important to prioritize whole grains (such as brown rice, whole wheat bread, and oats) over refined grains, as they provide more nutrients and fiber, which are beneficial for heart health and digestion.

6. Fruit

Fruit is another important food group, offering a rich source of vitamins, minerals, and fiber. Fruits are especially high in vitamin C, which supports the immune system, and antioxidants, which protect the body from oxidative stress and lower the risk of chronic diseases.

The recommended daily servings for fruit are 2-4 portions. This can include a variety of fresh fruits such as oranges, bananas, apples, berries, and grapes. Like vegetables, consuming a variety of fruits ensures a broad spectrum of nutrients. Fruits also provide hydration, as many varieties have high water content.

Terminology in Nutrition

To make informed food choices, it is essential to understand key terms related to nutrition:

  • Nutrition: The process by which the body takes in and utilizes food to maintain health, support growth, and provide energy.
  • Malnutrition: A condition caused by an imbalance in the intake of nutrients, which can result in either deficiencies or excesses. This condition can lead to undernutrition (too little food or nutrients) or overnutrition (excess food, especially high-calorie foods).
  • Nutrients: These are substances in food that provide energy, promote growth, and maintain body functions. Nutrients are divided into macronutrients (carbohydrates, proteins, fats) and micronutrients (vitamins, minerals).
  • Balanced Diet: A diet that includes a variety of foods from all the food groups in the correct proportions, ensuring adequate intake of all nutrients for optimal health.
  • Balanced Meal: A meal that includes food from various food groups, providing a combination of nutrients such as proteins, carbohydrates, fats, vitamins, and minerals.
  • Meal Plan: A structured plan that outlines meals for a certain period, ensuring nutritional balance and variety.
  • Menu: A list of foods and meals available for consumption, typically used in restaurants or in meal planning.

The Nutrients and Their Functions in the Food Guide Pyramid

The Food Guide Pyramid is a useful tool that helps people make healthy food choices by grouping foods according to their nutritional benefits. Each group provides essential nutrients that help the body function properly. Below is an explanation of the different nutrients, their roles, food sources, and daily requirements.

1. Proteins

Function:

  • Helps build and repair body tissues, including muscles, skin, and organs.
  • Supports growth, especially in children, teenagers, and pregnant women.
  • Helps the immune system fight infections by producing antibodies.
  • Produces enzymes and hormones that regulate body processes.
  • Transports oxygen and nutrients in the blood.

Sources:

  • Animal-based: Meat (chicken, beef, fish), eggs, dairy (milk, cheese, yogurt).
  • Plant-based: Beans, lentils, nuts, seeds, tofu, quinoa.

Daily Needs:

  • Children (9-13 years): 34g per day
  • Teenagers (14-18 years): 46g per day (girls), 52g per day (boys)
  • Adults: 46-56g per day
  • Athletes: 1.2-2.0g per kg of body weight per day

2. Carbohydrates

Function:

  • Provides the body with energy for daily activities.
  • Fuels the brain, muscles, and organs.
  • Stores energy in the form of glycogen in the liver and muscles.
  • Aids digestion through dietary fiber, which prevents constipation and supports gut health.

Sources:

  • Complex carbs: Whole grains (brown rice, oats, whole wheat bread), legumes, starchy vegetables (sweet potatoes, corn).
  • Simple carbs: Fruits, milk, honey.
  • Fiber: Vegetables, whole grains, beans.

Daily Needs:

  • Carbohydrates should make up 45-65% of total daily calories.
  • For a 2,000-calorie diet: 225-325g of carbohydrates per day.
  • Athletes may need up to 70% of their total calories from carbs.

3. Fats

Function:

  • Provides a concentrated source of energy.
  • Supports cell structure and function.
  • Helps absorb fat-soluble vitamins (A, D, E, K).
  • Protects organs and regulates body temperature.
  • Produces hormones and supports brain function.

Sources:

  • Healthy fats: Avocados, nuts (almonds, walnuts), seeds (flax, chia), olive oil, fatty fish.
  • Saturated fats (limit intake): Butter, cheese, fatty meats.
  • Unhealthy fats (avoid): Fried foods, processed snacks with trans fats.

Daily Needs:

  • Fat should make up 20-35% of total daily calories.
  • Saturated fats: Less than 10% of total daily calories.
  • Trans fats: Avoid as much as possible.

4. Vitamins

Vitamins

Vitamins are organic compounds that help regulate metabolism, support immune function, and promote overall health. They are classified into fat-soluble and water-soluble vitamins.

  • Fat-Soluble Vitamins (A, D, E, K): These vitamins are stored in the body’s fat tissue. Vitamin A supports vision and immune health, vitamin D helps with calcium absorption, vitamin E acts as an antioxidant, and vitamin K is essential for blood clotting. They are found in foods like liver, fatty fish, and leafy greens.
  • Water-Soluble Vitamins (C and B-complex): These vitamins are not stored in the body and need to be replenished regularly. Vitamin C supports skin health and immune function, while B vitamins (like B1, B2, B6, B12) help in energy metabolism and red blood cell formation. Sources include fruits, vegetables, and whole grains.

Function:

  • Supports the immune system (Vitamin C, Vitamin D).
  • Helps the body convert food into energy (B vitamins).
  • Keeps bones strong and healthy (Vitamin D, Vitamin K).
  • Protects cells from damage (Vitamin A, Vitamin E).

Sources:

  • Vitamin A: Carrots, spinach, sweet potatoes.
  • Vitamin B: Whole grains, meat, eggs, dairy.
  • Vitamin C: Citrus fruits, strawberries, bell peppers.
  • Vitamin D: Sunlight, fatty fish, fortified dairy products.

Daily Needs:

  • Varies by vitamin. A well-balanced diet usually provides enough.
  • Example: Vitamin C – 75mg (women), 90mg (men) per day.

5. Minerals

Function:

  • Strengthens bones and teeth (Calcium, Phosphorus).
  • Helps muscles and nerves function (Magnesium, Sodium, Potassium).
  • Supports oxygen transport in the blood (Iron).
  • Maintains fluid balance and blood pressure (Sodium, Potassium, Chloride).

Sources:

  • Calcium: Dairy products, leafy greens, fortified foods.
  • Iron: Red meat, beans, spinach, fortified cereals.
  • Magnesium: Nuts, seeds, whole grains.
  • Potassium: Bananas, oranges, potatoes.

Daily Needs:

  • Calcium: 1,000mg per day (teens and adults).
  • Iron: 11-15mg per day for teens, 18mg for women, 8mg for men.
  • Potassium: 2,500-3,000mg per day.

6. Water

Function:

  • Regulates body temperature through sweating.
  • Helps transport nutrients and oxygen in the blood.
  • Aids digestion and prevents constipation.
  • Removes waste through urine and sweat.

Sources:

  • Drinking water, herbal teas, milk, fruits, and vegetables (cucumber, watermelon, oranges).

Daily Needs:

  • Children (9-13 years): 2-2.5 liters per day.
  • Teenagers and adults: 2.5-3 liters (8-12 cups) per day.
  • Higher intake may be needed in hot climates or during intense physical activity.

By including all these nutrients in a balanced diet, we can ensure proper growth, good health, and a well-functioning body.

Recommended Number of Servings Per Day for Young Adults

Young adulthood is a phase characterized by significant physical growth, increased energy requirements, and heightened levels of physical activity. Therefore, the nutritional needs of young adults are higher than those of children or older adults. To ensure optimal health, it is important for young adults to follow dietary guidelines that support their energy and nutrient requirements. The South African Food-Based Dietary Guidelines provide a practical structure to help young adults make balanced food choices that meet their needs.

Here are the recommended servings per day for each food group for young adults:

1. Grains and Grain Products: 6-11 Servings

Grains are the primary source of energy for the body, providing carbohydrates that fuel daily activities. As young adults tend to have higher physical activity levels, these foods play a vital role in maintaining energy levels throughout the day. Whole grains, in particular, offer additional nutritional benefits, including fiber, vitamins, and minerals.

Recommended sources of grains include bread, rice, pasta, cornmeal, oats, and cereals. Young adults should aim for a balance of whole grain options, such as brown rice, whole wheat bread, and whole grain pasta, which are richer in nutrients compared to refined grains.

2. Vegetables: 3-5 Servings

Vegetables are rich in vitamins, minerals, and fiber, which are essential for growth, immune function, and overall health. They are particularly important for supporting digestive health and maintaining healthy skin. The high fiber content in vegetables also promotes feelings of fullness, which can assist in weight management.

Young adults should include a variety of vegetables in their diet, including leafy greens such as spinach, kale, and lettuce, as well as cruciferous vegetables like broccoli and cauliflower. Root vegetables, such as carrots and sweet potatoes, are also excellent choices. It is important to eat vegetables in different colors to ensure a broad spectrum of nutrients.

3. Fruit: 2-4 Servings

Fruit is an excellent source of vitamins, particularly vitamin C, and provides antioxidants that help protect the body from damage caused by free radicals. The high water content in many fruits also contributes to hydration, which is essential for maintaining energy levels, especially during physical activities.

Young adults should aim to consume a variety of fresh fruits, such as oranges, apples, bananas, grapes, and berries. The inclusion of fruits from different categories ensures they benefit from a wide range of nutrients. Fruit is also a great way to satisfy sweet cravings in a healthy manner, reducing the temptation for sugary processed snacks.

4. Meat and Meat Alternatives: 2-3 Servings

Protein is essential for muscle growth, tissue repair, and the overall function of the body. Meat, poultry, fish, and plant-based alternatives such as beans, lentils, and tofu provide high-quality protein. Including these foods in the diet helps young adults maintain and build muscle mass, which is important for physical strength and recovery after exercise.

Young adults should focus on lean proteins, such as chicken, fish, and lean cuts of beef or pork, and consider incorporating plant-based proteins regularly to diversify their intake and support environmental sustainability. Additionally, choosing fish rich in omega-3 fatty acids, like salmon or mackerel, can benefit heart health.

5. Milk and Milk Products: 2-3 Servings

Dairy products are rich in calcium, which is vital for developing and maintaining strong bones and teeth. Calcium also plays a role in muscle function and nerve signaling, which is crucial during growth periods. Dairy products such as milk, yogurt, and cheese provide not only calcium but also other essential nutrients like vitamin D, protein, and vitamin B12.

For young adults who are lactose intolerant or prefer non-dairy alternatives, fortified options like soy milk, almond milk, and oat milk are available. It is important to choose low-fat or fat-free dairy options when possible to reduce unnecessary saturated fat intake.

6. Fats and Oils should be used sparingly

Fats are important for energy production and the absorption of fat-soluble vitamins (A, D, E, and K). However, excessive fat consumption, particularly from unhealthy sources, can contribute to weight gain and increased risk of heart disease. Therefore, fats should be used sparingly and primarily in the form of healthy fats.

Young adults should aim to incorporate healthy fats from sources like olive oil, avocados, nuts, and seeds. These provide unsaturated fats that support heart health. It is also important to limit intake of saturated fats (found in fatty meats and processed foods) and trans fats (often found in packaged snacks and baked goods).

The Food Guide Pyramid serves as a guideline for balanced eating by recommending appropriate types and amounts of food needed for optimal health. A young adult’s daily food intake should align with these guidelines to ensure proper nutrition. Below is a comparison between an ideal food intake based on the pyramid and a typical daily meal plan for a young adult.

Food Guide Pyramid Overview

The Food Guide Pyramid is divided into five major food groups, each contributing essential nutrients:

  1. Grains (6–11 servings per day) – Includes bread, rice, pasta, and cereals, which provide carbohydrates for energy.
  2. Vegetables (3–5 servings per day) – Provide fiber, vitamins, and minerals essential for bodily functions.
  3. Fruits (2–4 servings per day) – Rich in vitamins, antioxidants, and fiber, which help in digestion and immune function.
  4. Protein (2–3 servings per day) – Includes meat, poultry, fish, beans, eggs, and nuts, which supply protein for muscle repair and growth.
  5. Dairy (2–3 servings per day) – Provides calcium and vitamin D for strong bones and teeth.
  6. Fats, Oils, and Sweets (Use sparingly) – Added fats and sugars should be limited as they provide little nutritional value.

Sample Daily Food Intake of a Young Adult

A typical young adult’s daily food intake may include:

  • Breakfast: A bowl of cereal with milk, a banana, and a slice of toast.
  • Snack: A handful of nuts or yogurt.
  • Lunch: A sandwich with lean chicken, lettuce, and tomato, served with a side of salad.
  • Snack: An apple or a smoothie.
  • Dinner: A portion of grilled fish, rice, and steamed vegetables.
  • Dessert or occasional snack: A small piece of chocolate or a soft drink.

Comparison of a Young Adult’s Daily Food Intake with the Food Guide Pyramid

  1. Grains: The young adult’s diet includes grains from cereal, bread, and rice, but may fall short of the recommended 6–11 servings unless portion sizes are adjusted.
  2. Vegetables: A salad and steamed vegetables are included, but the intake may be below the recommended 3–5 servings if portion sizes are small.
  3. Fruits: The banana and apple contribute to the recommended 2–4 servings of fruit, making this intake adequate.
  4. Protein: The chicken, fish, and nuts provide sufficient protein, aligning well with the 2–3 servings guideline.
  5. Dairy: The inclusion of milk and yogurt meets the 2–3 servings of dairy recommendation.
  6. Fats and Sweets: A small portion of chocolate or a sugary drink is consumed, but these should be limited according to the pyramid’s guidelines.

Impact of Food Choices on Health

The food choices made daily have a significant impact on overall health and well-being. Below are key effects of dietary habits on physical and mental health:

1. Energy Levels and Physical Performance

A balanced diet provides the necessary fuel for daily activities, exercise, and cognitive function. Eating too few grains or proteins may result in fatigue and poor muscle recovery, while excessive sugar and unhealthy fats can lead to sluggishness.

2. Weight Management

Consuming a diet rich in vegetables, whole grains, and lean proteins helps maintain a healthy weight. Overeating refined grains, sugary snacks, and high-fat foods increases the risk of obesity, which is linked to various chronic diseases.

3. Bone Health

Adequate intake of calcium and vitamin D from dairy products is crucial for bone development in young adults. A lack of these nutrients can increase the risk of osteoporosis later in life.

4. Heart Health

Choosing healthy fats (e.g., from avocados, nuts, and olive oil) instead of saturated fats found in processed foods helps reduce the risk of cardiovascular diseases, such as high blood pressure and cholesterol problems.

5. Mental Health and Cognitive Function

Nutrient-rich foods, including fruits, vegetables, and proteins, support brain function and emotional well-being. Deficiencies in iron, B vitamins, and omega-3 fatty acids can contribute to mood disorders, such as anxiety and depression.

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