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Portion Distortion Practice Makes Perfect

Portion Distortion Practice Makes Perfect. Mike Schurig, MS, RD, LD, CDE Nemours Childrens Clinic Orlando CWD Dteam Contributor. Portion Distortion: Objectives. At completion, participant will be familiar with: Magnitude of the obesity epidemic Body Mass Index as a weight status tool

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Portion Distortion Practice Makes Perfect

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  1. Portion DistortionPractice Makes Perfect Mike Schurig, MS, RD, LD, CDE Nemours Childrens Clinic Orlando CWD Dteam Contributor

  2. Portion Distortion: Objectives At completion, participant will be familiar with: • Magnitude of the obesity epidemic • Body Mass Index as a weight status tool • Sources of Portion Distortion • Solutions for Portion Distortion: Decreasing Amounts and Increasing Better Foods • Portion Estimation Tools

  3. Magnitude of the Problem: • According to the Centers for Disease Control, 65% of American adults today are either overweight or obese. • Healthcare costs associated with obesity are approximately $100 Billion per year !!!

  4. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  5. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1987 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  6. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  7. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  8. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  9. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  10. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  11. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

  12. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  13. Obesity Trends* Among U.S. AdultsBRFSS, 2004

  14. BODY MASS INDEX(BMI) • One of the MOST ACCURATE TOOLS for measuring WEIGHT STATUS in our society • MEASURING IS THE SAME FOR CHILDREN AND ADULTS • ASSESSING IS DIFFERENT, GENDER AND AGE SPECIFIC FOR CHILDREN

  15. MEASURING BODY MASS INDEX (BMI)CHILDREN AND ADULTS WEIGHT IN KG DIVIDED BY (HEIGHT IN METERS)SQUARED

  16. Figure out Your Personal Body Mass Index

  17. ASSESSING BODY MASS INDEX (BMI)CHILDREN

  18. ASSESSING BODY MASS INDEXADULTS • <18.5 UNDERWEIGHT • 18.5-24.9 NORMAL WEIGHT • 25-29.9 OVERWEIGHT • 30> OBESE • 40> MORBID OBESITY

  19. Portion Distortion • Where are We Finding Bigger Portion Sizes Today??? • Restaurants • Grocery Store • Fast Food

  20. Confused ????

  21. Restaurants • Bigger portions and more food equates with value • Competition is fierce nowadays with more people eating out

  22. Grocery Stores • “Serving sizes have grown on average 46% since 1980 on 65% of edible food items in a grocery store.” • It’s cheaper to eat unhealthy • National Grocers Institute Study, 2003.

  23. Bagel Small bagel Large Bagel 3 inch 6 inch

  24. French Fries Small fries Large fries 2.4 ounces 6.9 ounces

  25. Fast Food Restaurants offer bigger portions at a marginal cost. Competition is fierce nowadays to increase revenue. Lack of planning and time makes fast food an easy substitute for more healthy meals at home

  26. Would you like to supersize that???

  27. The Problem with “HUGE FOOD” • An increase of just 100 CALORIES a day, when compounded over the course of a year, can result in a 14 POUND weight gain if not balanced out with EXERCISE. • Research has shown when people are served bigger portions, they eat more and don’t compensate for extra calories by eating less later in the day.

  28. Stale popcorn doesn’t deter big portion fans (Cornell study) • Free popcorn served to movie-goers in different sized containers in Philadelphia • ½ got fresh made popcorn; ½ got 14 day old stale popcorn (two sizes: med/large) • Those that got fresh popcorn ate 43.5% more when given large container. • Those that got stale popcorn ate 34% more when given a large container.

  29. Diabetes Meal Planning • More liberalized Meal Planning (Carb Counting), Newer insulins, CSII therapy can allow for an INCREASE IN FOOD CHOICES, BUT… demands a DECREASE IN PORTION SIZES

  30. How To Portion Accurately • Measuring Tools • Measuring cups • Measuring spoons • Gram scales • Food Labels • Exchange Lists, Internet, Books • Carb Factor (John Walsh, Pumping Insulin)

  31. What is a Serving???

  32. Making Sense of out the Nutrition Facts Food Label

  33. Food Guide Pyramid

  34. Portions vs. ServingsWhat’s the Difference • A SERVING is the amount of food you see listed on the Nutrition Facts Label or what is recommended for the different food groups on the Food Guide Pyramid • A PORTION is the amount of food you choose to put on your plate • PORTIONS may actually contain several SERVINGS.

  35. Managing Portion Sizes • In restaurants, share entrees, or ask the server to put ½ in a doggie bag before serving. • Order lunch sized portions. Many restaurants serve 4-6 ounces of meat at lunch and 8-10 ounces of meat at dinner. • Think quality, not quantity • Get real. Become aware of how much you are really eating. Food diaries help.

  36. Managing Portion Sizes • At home, use smaller plates and bowls. It will appear as if you’re eating more. • Check food labels for serving size. Make portion sizes are closer to serving sizes. • Buy smaller packages of candy, popcorn, and snacks. • Portion controlled packages reduce temptation to eat more.

  37. Sugary Beverages • Sugary drinks add empty calories and can contribute to weight-gain more than you think • Use Crystal Light or diet drinks to limit calories • Use smaller glasses(6oz) for any sugary beverage • Water is your best choice • Trivia Question? • Is Gatorade a healthy choice?

  38. Simple Addition

  39. Increase Your Activity • Limit screen time • Plan family activities-group hike, swim, or bike ride • Sign up for a gym membership • Assign everyday chores like washing the car, mowing the lawn, raking, vacuuming, or making the beds • Park far away, take the stairs, and start with several short 5 and 10 minute activities

  40. Grow up Healthy with Nemours • Eat 5 or more servings of fruits and vegetables per day • Watch 2 or fewer hours of screen time per day • Get 1 or more hours of physical activity per day • Drink almost no sugary beverages http://www.nemours.org

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